Adenosine Triphosphate

三磷酸腺苷
  • 文章类型: Journal Article
    推测Davydov模型来描述肌球蛋白中ATP水解过程中产生的酰胺I激发如何在提供能量以驱动肌球蛋白的化学机械循环方面具有重要意义。肌球蛋白中继螺旋肽的自由能表面溶解在2,2,2-三氟乙醇(TFE)中,由元动力学模拟确定,证明自由能相差仅~2kT的局部最小值,对应于断裂和稳定的氢键,分别。对溶解在TFE中的肽进行了实验泵浦探针和2D红外光谱。在0.5ps和1ps之间的时间延迟下,在泵浦探针数据中看到的两个峰的相对高度以及在2D-IR光谱中看到的对角峰的相应相对体积与在较早或较晚的时间延迟或线性光谱中看到的明显不同。表明振动激发可能会影响该螺旋的构象状态。因此,酰胺I激发的存在可能是肌球蛋白中ATP水解后肌球蛋白中继螺旋采取的构象状态的直接因素。
    The Davydov model was conjectured to describe how an amide I excitation created during ATP hydrolysis in myosin might be significant in providing energy to drive myosin\'s chemomechanical cycle. The free energy surfaces of the myosin relay helix peptide dissolved in 2,2,2-trifluoroethanol (TFE), determined by metadynamics simulations, demonstrate local minima differing in free energy by only ~2 kT, corresponding to broken and stabilized hydrogen bonds, respectively. Experimental pump-probe and 2D infrared spectroscopy were performed on the peptide dissolved in TFE. The relative heights of two peaks seen in the pump-probe data and the corresponding relative volumes of diagonal peaks seen in the 2D-IR spectra at time delays between 0.5 ps and 1 ps differ noticeably from what is seen at earlier or later time delays or in the linear spectrum, indicating that a vibrational excitation may influence the conformational state of this helix. Thus, it is possible that the presence of an amide I excitation may be a direct factor in the conformational state taken on by the myosin relay helix following ATP hydrolysis in myosin.
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  • 文章类型: Journal Article
    制备了N-(苯并噻唑-2-基)吡咯酰胺DNA促旋酶抑制剂,其苄基或苯乙基取代基连接在苯并噻唑环的3位或甲酰胺氮原子上,并通过超螺旋测定法研究了其对大肠杆菌DNA促旋酶的抑制作用。与在苯并噻唑环的4位带有取代基的抑制剂相比,通过将取代基移到3位并进一步移到甲酰胺氮原子,抑制得以减弱。解决了(Z)-3-苄基-2-((4,5-二溴-1H-吡咯-2-羰基)亚氨基)-2,3-二氢苯并[d]-噻唑-6-甲酸(I)与大肠杆菌GyrB24(ATPase亚结构域)复合的共晶体结构,揭示了这种类型的抑制剂与大肠杆菌GyrB亚基的ATP结合袋的结合模式。确定了关键的结合相互作用,并通过分子中原子的量子理论(QTAIM)分析合理化了它们对结合的贡献。我们的研究表明,与苯并噻唑核心结合的苄基或苯乙基取代基与活性位点的亲脂性地板相互作用,其主要由残基Gly101、Gly102、Lys103和Ser108组成。在苯并噻唑核的3位具有取代基的化合物比在甲酰胺氮上具有取代基的化合物更有效多达两个数量级。此外,6-乙酰氨基化合物比相应的6-乙酰氨基类似物更有效地抑制大肠杆菌DNA促旋酶。
    N-(Benzothiazole-2-yl)pyrrolamide DNA gyrase inhibitors with benzyl or phenethyl substituents attached to position 3 of the benzothiazole ring or to the carboxamide nitrogen atom were prepared and studied for their inhibition of Escherichia coli DNA gyrase by supercoiling assay. Compared to inhibitors bearing the substituents at position 4 of the benzothiazole ring, the inhibition was attenuated by moving the substituent to position 3 and further to the carboxamide nitrogen atom. A co-crystal structure of (Z)-3-benzyl-2-((4,5-dibromo-1H-pyrrole-2-carbonyl)imino)-2,3-dihydrobenzo[d]-thiazole-6-carboxylic acid (I) in complex with E. coli GyrB24 (ATPase subdomain) was solved, revealing the binding mode of this type of inhibitor to the ATP-binding pocket of the E. coli GyrB subunit. The key binding interactions were identified and their contribution to binding was rationalised by quantum theory of atoms in molecules (QTAIM) analysis. Our study shows that the benzyl or phenethyl substituents bound to the benzothiazole core interact with the lipophilic floor of the active site, which consists mainly of residues Gly101, Gly102, Lys103 and Ser108. Compounds with substituents at position 3 of the benzothiazole core were up to two orders of magnitude more effective than compounds with substituents at the carboxamide nitrogen. In addition, the 6-oxalylamino compounds were more potent inhibitors of E. coli DNA gyrase than the corresponding 6-acetamido analogues.
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  • 文章类型: Journal Article
    目的:本研究旨在将CD4+T淋巴细胞(CD4+iATP)细胞内三磷酸腺苷含量与脓毒症患者死亡率联系起来,寻找新的预测生物标志物的结果和加强管理。
    方法:纳入了2021年10月至2022年11月期间入住重症监护病房的61例脓毒症患者。使用有丝分裂原PHA-L刺激的全血CD4T细胞测定iATP水平。基于CD4+iATP水平(<132.24和≥132.24ng/mL),患者分为两组.主要终点是全因死亡率。为了确定与死亡率相关的因素,进行了单变量和多变量Cox比例风险分析.
    结果:在患者中,40人的CD4+iATP水平较高(≥132.24ng/mL),21人的水平较低(<132.24ng/mL)。在28天的随访中,21例(34.4%)患者死亡。调整像SOFA分数这样的混杂因素,APACHEII得分,乳酸,和白蛋白,与高CD4+iATP患者相比,低CD4+iATP患者的死亡风险高出3至5倍(61.9%vs.20.0%;危险比[95%置信区间],型号1:4.515[1.276-15.974],p=.019,型号2:3.512[1.197-10.306],p=.022)。CD4+iATP与白细胞和中性粒细胞计数呈正相关,但与淋巴细胞不相关。CD3和CD4计数。
    结论:低CD4+iATP水平与脓毒症患者死亡风险较高相关。CD4+iATP的测量可以作为识别死亡风险较高的患者的有用工具,并可能为临床治疗提供基础。需要进一步的研究来充分阐明这种关联的潜在机制。
    OBJECTIVE: This study aimed to link intracellular adenosine triphosphate content in CD4+ T lymphocytes (CD4+ iATP) with sepsis patient mortality, seeking a new predictive biomarker for outcomes and enhanced management.
    METHODS: 61 sepsis patients admitted to the Intensive Care Unit between October 2021 and November 2022 were enrolled. iATP levels were gauged using whole blood CD4+ T cells stimulated with mitogen PHA-L. Based on CD4+ iATP levels (<132.24 and ≥132.24 ng/mL), patients were categorized into two groups. The primary endpoint was all-cause mortality. To identify factors associated with mortality, both univariate and multivariate Cox proportional hazard analyses were conducted.
    RESULTS: Of the patients, 40 had high CD4+ iATP levels (≥132.24 ng/mL) and 21 had low levels (<132.24 ng/mL). In a 28-day follow-up, 21 (34.4%) patients perished. Adjusting for confounders like SOFA score, APACHE II score, lactic acid, and albumin, those with low CD4+ iATP had three- to fivefold higher mortality risk compared to high CD4+ iATP patients (61.9% vs. 20.0%; hazard ratio [95% confidence interval], Model 1: 4.515 [1.276-15.974], p = .019, Model 2: 3.512 [1.197-10.306], p = .022). CD4+ iATP correlated positively with white blood cell and neutrophil counts but not with lymphocytes, CD3, and CD4 counts.
    CONCLUSIONS: Low CD4+ iATP levels were associated with a higher risk of mortality in sepsis patients. Measurement of CD4+ iATP may serve as a useful tool for identifying patients at a higher risk of mortality and could potentially provide a basis for clinical treatment. Further research is warranted to fully elucidate the underlying mechanisms of this association.
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  • 文章类型: Journal Article
    目的:抗生素耐药菌的高流行对全球公众健康构成了威胁。适当使用佐剂来恢复抗生素对耐药细菌的抗微生物活性可能是对抗抗生素耐药性的有效策略。在这项研究中,我们调查了TritonX-100(TX-100)的反作用以及粪肠球菌对抗生素的耐药性的潜在机制(E.粪肠)。
    方法:标准,野生型(WT),本研究使用诱导的耐抗生素粪肠球菌菌株。进行了体外抗菌实验,以评估在存在和不存在0.02%TX-100的情况下,硫酸庆大霉素和盐酸环丙沙星对浮游细菌和生物膜细菌的抗菌活性。进行转录组学和非靶向代谢组学分析以探索TX-100作为抗生素佐剂的分子机制。此外,膜渗透性,膜电位,糖酵解相关酶活性,细胞内三磷酸腺苷(ATP),并评估毒力基因的表达水平。还评估了不同药物组合的生物相容性。
    结果:相当低的TX-100浓度提高了硫酸庆大霉素或盐酸环丙沙星对耐抗生素粪肠球菌的抗菌作用。机制研究表明,TX-100增加细胞膜通透性和耗散膜电位。此外,通过下调ABC转运蛋白,TX-100减弱粪肠球菌的抗生素抗性和致病性,磷酸转移酶系统(PTS),ATP供应。
    结论:TX-100可通过改善抗生素敏感性、降低粪肠球菌的耐药性和致病性,增强低浓度硫酸庆大霉素和盐酸环丙沙星的抗菌活性。
    结论:这些发现为开发能够降低抗生素耐药性的新型根管消毒剂提供了理论依据。
    The high prevalence of antibiotic-resistant bacteria poses a threat to the global public health. The appropriate use of adjuvants to restore the antimicrobial activity of antibiotics against resistant bacteria could be an effective strategy for combating antibiotic resistance. In this study, we investigated the counteraction of Triton X-100 (TX-100) and the mechanisms underlying the antibiotic resistance of Enterococcus faecalis (E. faecalis).
    Standard, wild-type (WT), and induced antibiotic-resistant E. faecalis strains were used in this study. In vitro antibacterial experiments were conducted to evaluate the antimicrobial activities of gentamicin sulfate and ciprofloxacin hydrochloride in the presence and absence of 0.02 % TX-100 against both planktonic and biofilm bacteria. Transcriptomic and untargeted metabolomic analyses were performed to explore the molecular mechanisms of TX-100 as an antibiotic adjuvant. Additionally, membrane permeability, membrane potential, glycolysis-related enzyme activity, intracellular adenosine triphosphate (ATP), and expression levels of virulence genes were assessed. The biocompatibility of different drug combinations was also evaluated.
    A substantially low TX-100 concentration improved the antimicrobial effects of gentamicin sulfate or ciprofloxacin hydrochloride against antibiotic-resistant E. faecalis. Mechanistic studies demonstrated that TX-100 increased cell membrane permeability and dissipated membrane potential. Moreover, antibiotic resistance and pathogenicity of E. faecalis were attenuated by TX-100 via downregulation of the ABC transporter, phosphotransferase system (PTS), and ATP supply.
    TX-100 enhanced the antimicrobial activity of gentamicin sulfate and ciprofloxacin hydrochloride at a low concentration by improving antibiotic susceptibility and attenuating antibiotic resistance and pathogenicity of E. faecalis.
    These findings provide a theoretical basis for developing new root canal disinfectants that can reduce antibiotic resistance.
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  • 文章类型: Journal Article
    该研究旨在探索具有扩展光谱的新型近红外LED(nNIR)对皮肤增强和头发生长的影响。各种LED光源,包括怀特和nNIR,在多个参数上进行了比较:细胞毒性,三磷酸腺苷(ATP)合成,活性氧(ROS)还原,蒙皮厚度,胶原蛋白合成,胶原酶表达,和毛囊生长。在人皮肤细胞和动物模型上进行实验。细胞毒性,ATP合成,在暴露于nNIR和白色的人皮肤细胞中评估ROS的减少。LED辐照效应也在紫外线诱导的光老化小鼠模型上进行了研究,分析皮肤厚度,胶原蛋白合成,和胶原酶表达。还检查了毛发生长促进。结果显示,White和nNIR对人皮肤细胞均无细胞毒性。nNIR增强ATP和胶原合成,同时降低ROS水平,性能优于常用的2芯片LED。在紫外线诱导的光老化小鼠模型中,近红外辐射导致皮肤厚度减小,胶原蛋白合成增加,并降低胶原酶的表达。此外,nNIR照射刺激头发生长,增强皮肤厚度,毛囊数增加.总之,该研究强调了白色和近红外辐射对皮肤和头发生长的积极影响。然而,与怀特相比,nNIR表现出更好的结果。它在ATP含量方面的进步,胶原蛋白合成,胶原酶抑制,和头发生长促进意味着增加ATP合成活性。这些发现强调了nNIR疗法作为增强皮肤和促进头发生长的创新和有效方法的潜力。
    The study aimed to explore the impact of a novel near-infrared LED (nNIR) with an extended spectrum on skin enhancement and hair growth. Various LED sources, including White and nNIRs, were compared across multiple parameters: cytotoxicity, adenosine triphosphate (ATP) synthesis, reactive oxygen species (ROS) reduction, skin thickness, collagen synthesis, collagenase expression, and hair follicle growth. Experiments were conducted on human skin cells and animal models. Cytotoxicity, ATP synthesis, and ROS reduction were evaluated in human skin cells exposed to nNIRs and Whites. LED irradiation effects were also studied on a UV-induced photoaging mouse model, analyzing skin thickness, collagen synthesis, and collagenase expression. Hair growth promotion was examined as well. Results revealed both White and nNIR were non-cytotoxic to human skin cells. nNIR enhanced ATP and collagen synthesis while reducing ROS levels, outperforming the commonly used 2chip LEDs. In the UV-induced photoaging mouse model, nNIR irradiation led to reduced skin thickness, increased collagen synthesis, and lowered collagenase expression. Additionally, nNIR irradiation stimulated hair growth, augmented skin thickness, and increased hair follicle count. In conclusion, the study highlighted positive effects of White and nNIR irradiation on skin and hair growth. However, nNIR exhibited superior outcomes compared to White. Its advancements in ATP content, collagen synthesis, collagenase inhibition, and hair growth promotion imply increased ATP synthesis activity. These findings underscore nNIR therapy\'s potential as an innovative and effective approach for enhancing skin and promoting hair growth.
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  • 文章类型: Journal Article
    NMR(核磁共振)光谱可以对生物大分子的结构和动力学进行重要的原子观察;但是,实验光谱的可靠分配通常很困难。在这里,量子力学/分子力学(QM/MM)计算可以提供至关重要的支持。模拟的一个主要问题是实验NMR信号在更长的时间尺度上是时间平均的,由于计算的化学位移对电子和结构环境的局部变化高度敏感,具有代表性的结构集合的足够大的平均值是必不可少的。这需要对可靠模拟的高计算要求。对于生物系统中的NMR测量,一个主要感兴趣的原子核是31P,因为它都是高度存在的(例如,在核酸中)且易于观察。我们本研究的重点是开发一个强大且具有计算成本效益的框架,用于模拟核苷酸的31PNMR化学位移。我们应用该方案研究了p97催化的ATP水解反应的不同阶段。我们的方法基于MM分子动力学(MM-MD)采样,其次是QM/MM结构优化和NMR计算。总的来说,我们的研究是蛋白质环境中最全面的基于QM的31P研究之一,并且是第一个提供蛋白质环境中多个核苷酸状态的计算NMR化学位移的研究。这项研究揭示了一个具有挑战性的实验探测过程,旨在弥合测量和计算的NMR光谱特性之间的差距。
    NMR (nuclear magnetic resonance) spectroscopy allows for important atomistic insights into the structure and dynamics of biological macromolecules; however, reliable assignments of experimental spectra are often difficult. Herein, quantum mechanical/molecular mechanical (QM/MM) calculations can provide crucial support. A major problem for the simulations is that experimental NMR signals are time-averaged over much longer time scales, and since computed chemical shifts are highly sensitive to local changes in the electronic and structural environment, sufficiently large averages over representative structural ensembles are essential. This entails high computational demands for reliable simulations. For NMR measurements in biological systems, a nucleus of major interest is 31P since it is both highly present (e.g., in nucleic acids) and easily observable. The focus of our present study is to develop a robust and computationally cost-efficient framework for simulating 31P NMR chemical shifts of nucleotides. We apply this scheme to study the different stages of the ATP hydrolysis reaction catalyzed by p97. Our methodology is based on MM molecular dynamics (MM-MD) sampling, followed by QM/MM structure optimizations and NMR calculations. Overall, our study is one of the most comprehensive QM-based 31P studies in a protein environment and the first to provide computed NMR chemical shifts for multiple nucleotide states in a protein environment. This study sheds light on a process that is challenging to probe experimentally and aims to bridge the gap between measured and calculated NMR spectroscopic properties.
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  • 文章类型: Journal Article
    背景:药物诱导的胆管损伤是一个经常观察到的临床问题,导致广泛的病理特征。在过去的几十年里,已经确定了几种药物具有各种假定的胆管损伤机制,然而,大多数人仍然知之甚少。
    方法:这里,我们使用先进的体外胆管细胞培养物研究了氯丙嗪(CPZ)诱导的胆管损伤的机制。肝内胆管细胞类器官(ICOs)被驱动进入成熟的胆管细胞样细胞(CLC),通过添加胆汁酸混合物在胆汁淤积或非胆汁淤积条件下暴露于CPZ。
    结果:CPZ通过降低紧密连接蛋白1(TJP1)的表达水平而导致单层完整性丧失,E-钙粘蛋白1(CDH1)和赖氨酰氧化酶同源物2(L0XL2)。在暴露于CPZ后,通过免疫染色证实了隐zonula-1(ZO-1)和E-cadherin的丢失,罗丹明-123泄漏进一步证实了胆管屏障功能的破坏。此外,氧化应激似乎在CPZ的早期损伤反应中起主要作用。该药物还降低了三种主要基底外侧胆汁酸转运体的表达,ABCC3(ATP结合盒亚家族C成员3),SLC51A/B(溶质载体家族51亚基α/β)和多药耐药转运蛋白ABCB1(ATP结合盒亚家族B成员1),从而促进胆汁酸积累。CPZ本身没有诱导炎症反应,但添加TNFα显示出协同作用。
    结论:这些结果表明,ICO提供了一个模型来识别影响胆管的毒性药物,同时提供了对肝毒性的机制见解。
    BACKGROUND: Drug induced bile duct injury is a frequently observed clinical problem leading to a wide range of pathological features. During the past decades, several agents have been identified with various postulated mechanisms of bile duct damage, however, mostly still poorly understood.
    METHODS: Here, we investigated the mechanisms of chlorpromazine (CPZ) induced bile duct injury using advanced in vitro cholangiocyte cultures. Intrahepatic cholangiocyte organoids (ICOs) were driven into mature cholangiocyte like cells (CLCs), which were exposed to CPZ under cholestatic or non-cholestatic conditions through the addition of a bile acid cocktail.
    RESULTS: CPZ caused loss of monolayer integrity by reducing expression levels of tight junction protein 1 (TJP1), E-cadherin 1 (CDH1) and lysyl oxidase homolog 2 (LOXL2). Loss of zonula occuludens-1 (ZO-1) and E-cadherin was confirmed by immunostaining after exposure to CPZ and rhodamine-123 leakage further confirmed disruption of the cholangiocyte barrier function. Furthermore, oxidative stress seemed to play a major role in the early damage response by CPZ. The drug also decreased expression of three main basolateral bile acid transporters, ABCC3 (ATP binding cassette subfamily C member 3), SLC51A/B (solute carrier family 51 subunit alpha/beta) and multidrug resistance transporter ABCB1 (ATP binding cassette subfamily B member 1), thereby contributing to bile acid accumulation. CPZ did not induce an inflammatory response by itself, but addition of TNFα revealed a synergistic effect.
    CONCLUSIONS: These results show that ICOs present a model to identify toxic drugs affecting the bile ducts while providing mechanistic insights into hepatotoxicity.
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  • 文章类型: Journal Article
    代谢综合征(MetS)在发展中国家呈上升趋势,其特征是代谢紊乱的一系列适应症。然而,MetS的患病率在不同的定义下不同。本研究旨在比较中国成年人口中MetS的五种定义,探索它们的患病率,特点和协议。
    回顾性研究的数据来自中国健康与退休纵向研究(CHARLS),由9,588名参与者组成(≥45名)。来自国际糖尿病联合会(IDF)的MetS定义(2006),国家胆固醇教育计划成人治疗小组III(ATPIII)(2005年),国家胆固醇教育计划成人治疗小组III(ATPIII)(2001年),中国糖尿病学会(CDS)(2004)和世界卫生组织(WHO)(1999)。我们使用二元和多变量逻辑分析来探索与MetS相关的因素。
    MetS的五个定义导致MetS的患病率不同:IDF(2006年)为34.52%,ATP(2005年)38.63%,25.94%的ATP(2001),CDS(2004年)26.31%,世卫组织为21.57%(1999年)。根据IDF(2006)的定义(22.32%vs.45.06%),ATPIII(2005)定义(27.99%与47.82%),ATPIII(2001)定义(15.37%与35.07%),CDS(2004)定义(19.96%与31.80%),和WHO(1999)的定义(17.44%vs.25.14%),男性的MetS患病率较低,但女性的患病率较高.除IDF(2006)定义和ATPIII(2001)定义(kappa=0.51)外,男性的五个定义之间的一致性很好,Kappa值从0.64到0.85。对女人来说,这五个定义之间的一致性从0.67到0.95很好,但是,除了CDS(2004)的定义和IDF(2006)的定义(Kappa=0.44),世界卫生组织的定义(1999年)和IDF的定义(2006年)(Kappa=0.55),以及WHO(1999)和ATPIII(2005)的定义(kappa=0.54)。二元逻辑分析表明,尽管影响和相关性因性别和定义而异,年龄,教育,婚姻状况,现居,目前吸烟,酒精使用,活动和慢性病数量是与MetS相关的因素。
    在中国人群中,MetS的五个定义的患病率和特征是不同的。因此,对于一个国家来说,使用相同的定义来诊断MetS是至关重要的。在另一边,男性的患病率低于女性,且5个MetS定义的一致性在男性中良好,但在女性中相对较差.
    Metabolic syndrome (MetS) is on the rise in developing countries and is characterized by a series of indications of metabolic disturbance. However, the prevalence of MetS varies under different definitions. The study aimed to compare five definitions of MetS in the China adult population, to explore their prevalence, characteristics and agreement.
    The data for the retrospective study came from the China Health and Retirement Longitudinal Study (CHARLS), consisting of 9,588 participants (≥45). MetS definitions from International Diabetes Federation (IDF) (2006), National Cholesterol Education Program Adult Treatment Panel III (ATPIII) (2005), National Cholesterol Education Program Adult Treatment Panel III (ATPIII) (2001), Chinese Diabetes society (CDS) (2004) and the World Health Organization (WHO) (1999). We used binary and multivariable logistic analysis to explore factors connected with MetS.
    The five definitions of MetS led to different prevalence of MetS:34.52% by IDF (2006), 38.63% by ATP (2005), 25.94% by ATP (2001), 26.31% by CDS (2004), 21.57% by WHO (1999). According to the definition of IDF (2006) (22.32% vs. 45.06%), ATPIII (2005) definition (27.99% vs. 47.82%), ATPIII (2001) definition (15.37% vs. 35.07%), CDS (2004) definition (19.96% vs. 31.80%), and WHO (1999) definition (17.44% vs. 25.14%), the prevalence of MetS in men was low but in women was high. The agreement between the five definitions for men was good except for the IDF (2006) definition and ATPIII (2001) definition (kappa = 0.51), with kappa values from 0.64 to 0.85. For women, the agreement between the five definitions was good ranging from 0.67 to 0.95, however, except for the definition of CDS (2004) and the definition of IDF (2006) (kappa = 0.44), the definition of WHO (1999) and the definition of IDF (2006) (kappa = 0.55), and the definition of WHO (1999) and the definition of ATPIII (2005) (kappa = 0.54). Binary logistic analysis indicated that although the impact and relevance varied by sex and definition, age, education, marital status, current residence, current smoking, alcohol using, taking activities and number of chronic diseases were factors connected to MetS.
    the prevalence and characteristics of the five definitions of MetS are different in the Chinese population. Therefore, it is vital to use the same definition for a country to diagnose MetS. On the other side, a lower prevalence in men than in women and the consistency of five MetS definitions are good in men but relatively poor in women.
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  • 文章类型: Randomized Controlled Trial
    在根管治疗中引入了带有Er:YAG激光的光子引发的光声流(PIPS),以改善灌溉并促进根管系统中细菌的去除。本研究旨在比较两种不同根管冲洗技术的抗菌效果。常规针头冲洗(CNI)和PIPS,使用1%次氯酸钠(NaOCl),在治疗根尖周炎的牙齿。本研究包括60例受根尖周炎影响的患者,共60颗牙齿。牙齿接受了根管治疗,在机械仪表之后,根据最终的灌溉方案,将他们随机分为两组(n=30):CNI或含1%NaOCl的PIPS。在机械仪器和最终冲洗后,使用5'-三磷酸腺苷(ATP)测定试剂盒评估根管中的细菌悬浮液。然后,7天后进行随访.结果表明,最终灌溉显着降低了CNI和PIPS组的ATP值(P<0.001)。与PIPS组相比,CNI组最终冲洗后的ATP值更高(P<0.001)。经过7天的随访,两组患者搏动压痛和瘘均有明显缓解(P<0.05)。使用多元线性回归模型来确定影响灌溉后ATP值的因素。分析表明术前搏动压痛(P=0.006),瘘管的存在(P<0.001)和最终冲洗中使用的方法(P<0.001)对最终冲洗后的ATP值有显著影响.这些结果表明,采用含1%NaOCl的PIPS作为最终冲洗方案表现出优异的抗菌效果,并具有增强治疗根尖周炎牙齿的临床效果的潜力。
    Photon-initiated photoacoustic streaming (PIPS) with an Er: YAG laser has been introduced in root canal treatment to improve irrigation and facilitate the removal of bacteria in the root canal system. This study aimed to compare the antibacterial effectiveness of two different root canal irrigation techniques, conventional needle irrigation (CNI) and PIPS, using 1% sodium hypochlorite (NaOCl), in the treatment of teeth with apical periodontitis. Sixty patients with a total of sixty teeth affected by apical periodontitis were included in this study. The teeth underwent root canal therapy, and after mechanical instrumentation, they were randomly assigned to two groups (n = 30) based on the final irrigation protocol: CNI or PIPS with 1% NaOCl. Bacterial suspensions in the root canals were evaluated using Adenosine 5\'-triphosphate (ATP) assay kit after mechanical instrumentation and after final irrigation. Then, a follow-up was conducted after 7 days. The results revealed that final irrigation significantly reduced ATP values in both the CNI and PIPS groups (P < 0.001). The ATP values after final irrigation was greater in the CNI group compared to the PIPS group (P < 0.001). After a 7-day follow-up, percussion tenderness and fistula were significantly resolved in both groups (P < 0.05). A multivariate linear regression model was used to identify the factors that influence post irrigation ATP values. The analysis demonstrated that pre-operative percussion tenderness (P = 0.006), the presence of a fistula (P < 0.001) and the method used in the final irrigation (P < 0.001) had a significant impact on the ATP value after final irrigation. These results indicate that employing PIPS with 1% NaOCl as the final irrigation protocol exhibited superior antibacterial effectiveness and has the potential to enhance clinical outcomes in the treatment of teeth afflicted with apical periodontitis.
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  • 文章类型: Journal Article
    背景:骨骼肌能量学随着年龄的增长而下降,和体力活动(PA)已被证明可以抵消老年人的这些下降。然而,许多报告这些影响的研究是基于自我报告的PA或结构化运动干预.因此,我们研究了加速度测量和自我报告的PA和久坐行为(SB)与骨骼肌能量学的关联,并探讨了PA和SB在多大程度上减弱了年龄与肌肉能量学的关联。
    方法:作为肌肉研究的一部分,流动性和老化(SOMMA),登记的老年人(n=879),810(平均±SD年龄=76±5岁;58%的女性)的最大肌肉氧化能力通过透化肌纤维的高分辨率呼吸测定法(最大氧化磷酸化(maxOXPHOS))和31磷磁共振波谱(最大三磷酸腺苷(ATPmax))在体内测量。加速度测量SB,光活动,使用腕部佩戴的ActiGraphGT9X在7天内评估中度至重度PA(MVPA)。自我报告的SB,MVPA,所有身体活动均使用老年人社区健康活动模式计划(CHAMPS)问卷进行评估。具有渐进性协变量调整的线性回归模型评估了SB和PA与肌肉能量学的关联以及MVPA和SB对年龄/肌肉能量学关联的衰减。作为敏感性分析,我们还检查了activPAL测量的每日步数和SB花费的时间以及它们与肌肉能量学的关联。
    结果:调整年龄后,每30分钟/天更多的ActiGraph测量的MVPA与0.65pmol/s×mg的maxOXPHOS和0.012mM/s的ATPmax相关,现场/技术人员,和性别(p<0.05)。光活动与maxOXPHOS或ATPmax无关。同时,在ActiGraph测量的SB中每30分钟/天花费与0.39pmol/s×mg降低maxOXPHOS和0.006mM/s降低ATPmax相关(p<0.05)。只有在进一步调整社会经济地位后才与ATPmax保持关联,身体质量指数,生活方式因素,和多重性。CHAMPSMVPA和所有身体活动与maxOXPHOS和ATPmax产生相似的关联(p<0.05),但SB没有。较高的activPAL步数与较高的maxOXHPOS和ATPmax相关(p<0.05),但是在SB中花费的时间不是。此外,仅男性的年龄与肌肉能量学显著相关(P<0.05);调整在ActiGraph测量的MVPA中花费的时间,男性的年龄与ATPmax的相关性降低了58%。
    结论:在加速测量或自我报告的每日PA中花费的更多时间,尤其是MVPA,与较高的骨骼肌能量学有关。专门针对增加高强度活动的干预措施可能会提供潜在的治疗干预措施,以减缓与年龄相关的肌肉能量下降。我们的工作还强调了在评估与骨骼肌能量学相关的关联时考虑PA的重要性。
    BACKGROUND: Skeletal muscle energetics decline with age, and physical activity (PA) has been shown to offset these declines in older adults. Yet, many studies reporting these effects were based on self-reported PA or structured exercise interventions. Therefore, we examined the associations of accelerometry-measured and self-reported PA and sedentary behavior (SB) with skeletal muscle energetics and explored the extent to which PA and sedentary behavior would attenuate the associations of age with muscle energetics.
    METHODS: As part of the Study of Muscle, Mobility and Aging, enrolled older adults (n = 879), 810 (age = 76.4 ± 5.0 years old, mean ± SD; 58% women) had maximal muscle oxidative capacity measured ex vivo via high-resolution respirometry of permeabilized myofibers (maximal oxidative phosphorylation (maxOXPHOS)) and in vivo by 31phosphorus magnetic resonance spectroscopy (maximal adenosine triphosphate (ATPmax)). Accelerometry-measured sedentary behavior, light activity, and moderate-to-vigorous PA (MVPA) were assessed using a wrist-worn ActiGraph GT9X over 7 days. Self-reported sedentary behavior, MVPA, and all PA were assessed with the Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire. Linear regression models with progressive covariate adjustments evaluated the associations of sedentary behavior and PA with muscle energetics, as well as the attenuation of the age/muscle energetics association by MVPA and sedentary behavior. As a sensitivity analysis, we also examined activPAL-measured daily step count and time spent in sedentary behavior and their associations with muscle energetics.
    RESULTS: Every 30 min/day more of ActiGraph-measured MVPA was associated with 0.65 pmol/(s × mg) higher maxOXPHOS and 0.012 mM/s higher ATPmax after adjusting for age, site/technician, and sex (p < 0.05). Light activity was not associated with maxOXPHOS or ATPmax. Meanwhile, every 30 min/day spent in ActiGraph-measured sedentary behavior was associated with 0.39 pmol/s × mg lower maxOXPHOS and 0.006 mM/s lower ATPmax (p < 0.05). Only associations with ATPmax held after further adjusting for socioeconomic status, body mass index, lifestyle factors, and multimorbidity. CHAMPS MVPA and all PA yielded similar associations with maxOXPHOS and ATPmax (p < 0.05), but sedentary behavior did not. Higher activPAL step count was associated with higher maxOXHPOS and ATPmax (p < 0.05), but time spent in sedentary behavior was not. Additionally, age was significantly associated with muscle energetics for men only (p < 0.05); adjusting for time spent in ActiGraph-measured MVPA attenuated the age association with ATPmax by 58% in men.
    CONCLUSIONS: More time spent in accelerometry-measured or self-reported daily PA, especially MVPA, was associated with higher skeletal muscle energetics. Interventions aimed specifically at increasing higher intensity activity might offer potential therapeutic interventions to slow age-related decline in muscle energetics. Our work also emphasizes the importance of taking PA into consideration when evaluating associations related to skeletal muscle energetics.
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