Cyclooxygenase-2

环氧合酶 - 2
  • 文章类型: Journal Article
    猫注射部位肉瘤(FISS)是侵袭性肿瘤,主要与疫苗接种有关。猫非注射部位肉瘤(非FISS)在猫中观察到的频率较低,并且可能出现在任何解剖部位。本研究旨在确定所选蛋白质(基质金属蛋白酶-2(MMP-2),基质金属蛋白酶-9(MMP-9),环氧合酶-2(COX-2),和P-糖蛋白(PGP))及其与FISS和非FISS中有丝分裂计数的相关性,以表征其免疫组织化学特征。使用免疫组织化学对11个FISS样品和8个非FISS样品进行了初步研究。在所有测试的肉瘤中,80.4%的肿瘤COX-2阳性,90.2%的肿瘤MMP-9阳性,100%的肿瘤PGP阳性。结果显示,FISS中COX-2,MMP-9和PGP的表达明显高于非FISS(COX-2-p≤0.001;MMP-9-p≤0.05;PGP-p≤0.05)。Spearman等级相关分析显示,FISS中COX-2和MMP-9的表达呈中度负相关(r=-0.52)。COX-2与PGP呈强负相关(r=-0.81),MMP-2和MMP-9之间呈中度正相关(r=0.69),在非FISS中,MMP-2和PGP之间呈中度负相关(r=-0.44)。总之,我们的研究提出了FISS和非FISS中与炎症和癌变有关的蛋白质的免疫组织化学特征,这有助于扩大肿瘤生物学的知识。
    Feline injection-site sarcomas (FISSs) are aggressive neoplasms that have been associated mostly with vaccination. Feline noninjection-site sarcomas (non-FISSs) are less frequently observed in cats and may arise in any anatomic site. This study aimed to determine the differences in the expression of the selected proteins (matrix metalloproteinase-2 (MMP-2), matrix metalloproteinase-9 (MMP-9), cyclooxygenase-2 (COX-2), and P-glycoprotein (PGP)) and their correlation with the mitotic count in FISS and non-FISS, in order to characterize their immunohistochemical features. A preliminary study of eleven samples of FISS and eight samples of non-FISS was performed using immunohistochemistry. Among all the tested sarcomas, 80.4% of the tumors were positive for COX-2, 90.2% were positive for MMP-9, and 100% were positive for PGP. The results showed that the expressions of COX-2, MMP-9, and PGP were significantly higher in FISS than in non-FISS (COX-2-p ≤ 0.001; MMP-9-p ≤ 0.05; and PGP-p ≤ 0.05). A Spearman rank correlation analysis showed a moderate negative correlation between the expression of COX-2 and MMP-9 in FISS (r = -0.52). A strong negative correlation between COX-2 and PGP (r = -0.81), a moderate positive correlation between MMP-2 and MMP-9 (r = +0.69), and a moderate negative correlation between MMP-2 and PGP (r = -0.44) were observed in non-FISS. In summary, our study presents the immunohistochemical profile of the proteins involved with inflammation and carcinogenesis in FISS and non-FISS, which can contribute to expanding the knowledge of tumor biology.
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  • 文章类型: Journal Article
    这项工作的目的是比较三种天然香豆素的抗炎和抗氧化作用:1,2-苯并吡喃酮,伞形酮和escyletin。使用化学和生物学体外测定来评估香豆素的抗氧化能力。化学分析包括DPPH和ABTS*自由基清除以及三价铁离子还原能力(FRAP)测定。脑匀浆中线粒体ROS产生和脂质过氧化的抑制被用作生物学体外测定。角叉菜胶诱导的大鼠胸膜炎的实验方法用于体内抗炎活性的研究。进行计算机分子对接分析以预测COX-2对香豆素的亲和力。考虑到抗氧化能力,正如所有采用的测定法所揭示的那样,七叶乙素是最有效的一种。特别是,该化合物在低浓度时完全消除了线粒体ROS的产生(IC50=0.57μM)。至于抗炎作用,COX-2酶对三种香豆素具有良好的亲和力,正如分子对接分析所揭示的。然而,考虑到体内抗炎作用,1,2-苯并吡喃酮是抵抗胸膜炎症最有效的一种,它增强了地塞米松的抗炎作用。伞形酮和esculetin治疗未能减少胸膜渗出物的体积。总的来说,因此,我们的研究结果支持这样的观点,即这类植物次生代谢产物在预防和/或治疗炎症和其他与氧化应激相关的疾病方面显示出有希望的效果,尽管必须考虑炎症过程类型和药代动力学的奇异性。
    The aim of this work was to compare the anti-inflammatory and antioxidant effects of three natural coumarins: 1,2-benzopyrone, umbelliferone and esculetin. The antioxidant capacity of coumarins was evaluated using both chemical and biological in vitro assays. Chemical assays included DPPH and ABTS∙+ radical scavenging as well as ferric ion reducing ability power (FRAP) assay. Inhibition of mitochondrial ROS generation and lipid peroxidation in brain homogenates were used as biological in vitro assays. The experimental method of carrageenan-induced pleurisy in rats was used for the in vivo investigation of the anti-inflammatory activity. In silico molecular docking analysis was undertaken to predict the affinity of COX-2 to the coumarins. Considering the antioxidant capacity, esculetin was the most efficient one as revealed by all employed assays. Particularly, the mitochondrial ROS generation was totally abolished by the compound at low concentrations (IC50 = 0.57 μM). As for the anti-inflammatory effects, the COX-2 enzyme presented good affinities to the three coumarins, as revealed by the molecular docking analyses. However, considering the in vivo anti-inflammatory effects, 1,2-benzopyrone was the most efficient one in counteracting pleural inflammation and it potentiated the anti-inflammatory actions of dexamethasone. Umbelliferone and esculetin treatments failed to reduce the volume of pleural exudate. Overall, therefore, our results support the notion that this class of plant secondary metabolites displays promising effects in the prevention and/or treatment of inflammation and other diseases associated with oxidative stress, although the singularities regarding the type of the inflammatory process and pharmacokinetics must be taken into account.
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  • 文章类型: Observational Study
    药物中存在苯巴比妥和甲醛,食物,和饮料会导致各种健康问题,包括炎症,肿瘤发生,和神经困扰。心理压力导致情绪波动和皮肤炎症的发作。皮肤炎症有多种原因,包括化学品,重金属,感染,免疫相关疾病,遗传学,和压力。皮肤炎症的各种治疗方法包括医疗和美容霜,饮食变化,和草药治疗。在这项研究中,我们研究了Avocom-M和石榴籽油提取物(PSOE)对苯巴比妥和甲醛诱导的大鼠皮肤生化变化的影响。我们使用气相色谱-质谱法和电感耦合等离子体质谱法分析了PSOE的成分。我们还观察到有和没有TROSYD和PSOE作为护肤霜的人类志愿者皮肤的生化变化。我们比较了治疗前和治疗停止后21天人类志愿者皮肤的生化变化。结果显示大鼠的生化状态有所改善,由于PSOE和Avocom-M治疗。用TROSYD和PSOE治疗的人类志愿者显示皮肤炎症的实质性改善。PSOE,Avocom-M,和TROSYD通过降低环氧合酶-2,脂质过氧化的水平产生了有益的作用,酪氨酸酶,透明质酸酶,弹性蛋白酶,胶原酶,和在人类志愿者身上测试的动物中的一氧化氮。
    The presence of phenobarbital and formaldehyde in drugs, food, and beverages can lead to various health issues, including inflammation, oncogenesis, and neurological distress. Psychological stress leads to mood fluctuations and the onset of skin inflammation. Skin inflammation has a range of causes, including chemicals, heavy metals, infection, immune-related disorders, genetics, and stress. The various treatments for skin inflammation include medical and cosmetic creams, diet changes, and herbal therapy. In this study, we investigated the effects of Avocom-M and pomegranate seed oil extract (PSOE) against phenobarbital- and formaldehyde-induced skin biochemical changes in rats. We analyzed the constituents of PSOE using gas chromatography-mass spectrometry and inductively coupled plasma-mass spectrometry. We also observed biochemical changes in the skin of human volunteers with and without TROSYD and PSOE as a skin cream. We compared the biochemical changes in human volunteers\' skin before treatment and 21 days after the treatment stopped. The outcomes showed an improvement in the rats\' biochemical status, due to PSOE and Avocom-M treatment. The human volunteers treated with TROSYD and PSOE showed substantial amelioration of skin inflammation. PSOE, Avocom-M, and TROSYD produced beneficial effects by reducing the levels of cyclooxygenase-2, lipid peroxidation, tyrosinase, hyaluronidase, elastase, collagenase, and nitric oxide in the animals tested on and in human volunteers.
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  • 文章类型: Journal Article
    未经证实:肝样腺肿瘤(HGNs)是狗肛周腺体中最常见的皮肤肿瘤之一,其临床特征是快速生长。环氧合酶-2(COX-2),酶的可诱导形式,与肿瘤发生的几个标志有关。它的表达已在几种人类和动物肿瘤组织中得到证实,但是在肝腺组织中没有报告。因此,本研究旨在探讨COX-2在犬HGNs中的免疫表达,比较各组正常肝样腺体的表达,肝样腺腺瘤(HGAs),肝样腺上皮瘤(HGEs),和肝样腺癌(HGC),并评估COX-2表达与临床病理特征的相关性。
    未经证实:61个福尔马林固定石蜡包埋的犬肝样腺组织(20个HGA样本,HGE的16个,15个HGC,和10个正常肝样腺)使用免疫组织化学分析COX-2表达,并对阳性百分比和强度进行评分。分析了正常和肿瘤性肝样腺体中COX-2表达的多重比较以及COX-2表达与临床病理特征之间的关系。
    UNASSIGNED:在60%的正常肝样腺体和25%的HGA中未检测到环氧合酶2的表达。75%的HGA表达较弱,而43.7%和56.3%的HGE表现出弱和中度表达,分别。HGC的表达范围从弱(13.3%)到中等(33.3%)和强(53.3%)。COX-2标记的免疫反应性评分在正常和肿瘤性肝样腺体之间显着不同(p<0.0001)。在HGC中观察到最高得分。只有在HGC中,强COX-2表达与一些临床病理特征显著相关,包括组织浸润(p=0.007)和坏死(p=0.029)。
    UNASSIGNED:这些结果表明,COX-2可能在肿瘤细胞生长的调节中起作用。这些初步数据导致对COX-2表达作为犬HGC治疗的预后指标和COX-2抑制剂的潜力的进一步研究。
    UNASSIGNED: Hepatoid gland neoplasms (HGNs) constitute one of the most common cutaneous tumors that arise from perianal glands in dogs and are clinically characterized by rapid growth. Cyclooxygenase-2 (COX-2), the inducible form of the enzyme, is associated with several hallmarks of tumorigenesis. Its expression has been confirmed in several human and animal neoplastic tissues, but there are no reports in hepatoid gland tissues. Therefore, this study aimed to investigate COX-2 immunoexpression in canine HGNs, compare the expression among groups of normal hepatoid glands, hepatoid gland adenomas (HGAs), hepatoid gland epitheliomas (HGEs), and hepatoid gland carcinomas (HGCs), and assess the association of the COX-2 expression with clinicopathological features.
    UNASSIGNED: Sixty-one formalin-fixed paraffin-embedded canine hepatoid gland tissues (20 samples of HGAs, 16 of HGEs, 15 of HGCs, and 10 of normal hepatoid glands) were analyzed for COX-2 expression using immunohistochemistry with scoring for percentage positivity and intensity. Multiple comparisons of COX-2 expression among normal and neoplastic hepatoid glands and the associations between COX-2 expression and clinicopathological features were analyzed.
    UNASSIGNED: Cyclooxygenase-2 expression was not detected in 60% of normal hepatoid glands and 25% of HGAs. Seventy-five percent of HGAs had a weak expression, while 43.7% and 56.3% of HGEs showed weak and moderate expression, respectively. The expression of HGCs ranged from weak (13.3%) to moderate (33.3%) and strong (53.3%). The immunoreactivity score of COX-2 labeling was significantly different among the normal and neoplastic hepatoid glands (p < 0.0001). The highest score was observed in the HGCs. Only in HGCs, the strong COX-2 expression was significantly associated with some clinicopathological features, including tissue invasion (p = 0.007) and necrosis (p = 0.029).
    UNASSIGNED: These results suggest that COX-2 may play a role in the modulation of neoplastic cell growth. These preliminary data lead to further investigation on the potential of COX-2 expression as a prognostic indicator and COX-2 inhibitors for canine HGCs treatment.
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  • 文章类型: Journal Article
    一种潜在的基于岩藻依聚糖的聚乙二醇化PLGA纳米颗粒(NPs),可提供适当的N-甲基邻氨基苯甲酸(MA,疏水性抗炎药的模型)已通过形成围绕聚乙二醇化PLGANP的岩藻依聚糖水性涂层而开发。最佳配方(FuP2)由岩藻依聚糖组成:m-PEG-PLGA(1:0.5w/w),粒径(365±20.76nm),zeta电位(-22.30±2.56mV),%包封效率(85.45±7.41),载药量(51.36±4.75µg/mgNPs),%初始脉冲串(47.91±5.89),和%累积释放(102.79±6.89)已进一步研究用于体内抗炎研究。在大鼠角叉菜胶诱导的急性炎症模型中评估FuP2的这种作用。通过用FuP2治疗,爪水肿的平均重量显著降低(p≤0.05)。此外,与其他组相比,FuP2治疗组的环氧合酶-2和肿瘤坏死因子-α免疫染色降低。前列腺素E2,一氧化氮,在FuP2治疗组中,丙二醛显着降低(p≤0.05)。在FuP2治疗组中观察到白细胞介素(IL-1β和IL-6)的表达显着降低(p≤0.05),爪组织的组织学发现有所改善。因此,基于岩藻依聚糖的聚乙二醇化PLGA-MANP是一种有前途的抗炎递送系统,可应用于其他类似药物,增强其药理学和药代动力学特性。
    A potential fucoidan-based PEGylated PLGA nanoparticles (NPs) offering a proper delivery of N-methyl anthranilic acid (MA, a model of hydrophobic anti-inflammatory drug) have been developed via the formation of fucoidan aqueous coating surrounding PEGylated PLGA NPs. The optimum formulation (FuP2) composed of fucoidan:m-PEG-PLGA (1:0.5 w/w) with particle size (365 ± 20.76 nm), zeta potential (-22.30 ± 2.56 mV), % entrapment efficiency (85.45 ± 7.41), drug loading (51.36 ± 4.75 µg/mg of NPs), % initial burst (47.91 ± 5.89), and % cumulative release (102.79 ± 6.89) has been further investigated for the anti-inflammatory in vivo study. This effect of FuP2 was assessed in rats\' carrageenan-induced acute inflammation model. The average weight of the paw edema was significantly lowered (p ≤ 0.05) by treatment with FuP2. Moreover, cyclooxygenase-2 and tumor necrosis factor-alpha immunostaining were decreased in FuP2 treated group compared to the other groups. The levels of prostaglandin E2, nitric oxide, and malondialdehyde were significantly reduced (p ≤ 0.05) in the FuP2-treated group. A significant reduction (p ≤ 0.05) in the expression of interleukins (IL-1β and IL-6) with an improvement of the histological findings of the paw tissues was observed in the FuP2-treated group. Thus, fucoidan-based PEGylated PLGA-MA NPs are a promising anti-inflammatory delivery system that can be applied for other similar drugs potentiating their pharmacological and pharmacokinetic properties.
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  • 文章类型: Journal Article
    目的:评估乳腺癌(BC)中环氧合酶-2(COX-2)的免疫组织化学表型,并将其与组织学和临床预后因素相关联。
    方法:这项回顾性研究使用COX-2单克隆抗体对570例先前诊断的BC和52例切除良性病变或重建的乳腺标本(纤维腺瘤和正常乳腺上皮)的组织微阵列切片进行免疫组织化学染色。这个项目是在病理学实验室进行的,阿卜杜勒阿齐兹国王大学,吉达,沙特阿拉伯,2019年9月至2021年9月。
    结果:目前的数据显示,与良性乳腺组织相比,COX-2表达表型与BC之间存在重要联系(p=0.034)。COX-2的表达模式与某些区分BC侵袭性亚型的因素显着相关。比如舞台,远处转移,淋巴管浸润,可怜的生存。
    结论:环加氧酶-2是一个有价值的标志物,可以促进BC的诊断和预后。
    OBJECTIVE: To assess the immunohistochemistry phenotype of cyclooxygenase-2 (COX-2) in breast cancer (BC) and to correlate it with histological and clinical prognostic factors.
    METHODS: This retrospective study utilized COX-2 monoclonal antibody in an immunohistochemistry staining of tissue microarrays slides of 570 cases of previously diagnosed BC and with 52 of normal breast tissues from breast specimens resected for benign lesions or reconstruction (fibroadenoma and normal breast epithelium). This project was carried out in the Laboratory of pathology, King Abdulaziz University, Jeddah, Saudi Arabia, between September 2019 and September 2021.
    RESULTS: The present data showed an important connection between the COX-2 expression phenotype and BC compared to benign breast tissues (p=0.034). The expression pattern of COX-2 was allied significantly with some factors which distinguished aggressive subtypes of BC, such as stage, distant metastases, lymphovascular invasion, and poor survival.
    CONCLUSIONS: Cyclooxygenase-2 is a valuable marker that could facilitate BC diagnosis and prognosis.
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  • 文章类型: Journal Article
    未经授权:尽管头颈部肿瘤的放疗方案有进展,但唾液腺损伤仍然是一个问题。山奈酚,一种天然类黄酮,在几种水果和蔬菜中发现,是一种很好的抗氧化剂。本研究旨在评估山奈酚对暴露于分级伽马辐射的大鼠下颌下腺(SMG)的可能保护作用。
    UNASSIGNED:本研究包括24只雄性成年Wistar白化病大鼠,并分为三组(n=8)。K组大鼠以10mg/kg/2天的剂量口服五剂山奈酚,共10天。同时,R组大鼠以2Gy/5天/周的剂量进行分次全身伽马射线照射2周(20Gy),KR组接受山奈酚作为K组,然后接受分次全身γ射线照射作为R组。在最后一次照射后的第1天和第7天收集SMG样本;并进行组织病理学和免疫组织化学检查。
    未经证实:R组SMG表现为局灶性萎缩和变性。Acini显示出空泡化,并具有比浊的超染色核。有条纹管道退化,收缩,周围都是空的.环氧合酶-2(COX-2)覆盖的面积百分比显着增加,与K组相比,增殖细胞核抗原(PCNA)覆盖的区域百分比显着降低。山奈酚(KR组)部分保留了正常的腺体结构,几乎没有腺泡液化和变性;但是,一些管道退化。与R组相比,观察到COX-2覆盖的面积百分比显着减少,PCNA覆盖的面积百分比显着增加。
    UNASSIGNED:山奈酚对暴露于分级γ辐射的大鼠的SMG具有可能的辐射防护作用。
    Salivary gland damage remains a problem despite advances in radiotherapy schedules for head and neck cancer. Kaempferol, a natural flavonoid, found in several fruits and vegetables, is a good antioxidant. This study was designed to evaluate the possible protective effects of kaempferol on submandibular glands (SMGs) of rats exposed to fractionated gamma irradiation.
    Twenty-four male adult Wistar albino rats were included in this study and assigned to three groups (n = 8). Rats in group K received kaempferol orally in five doses at a dose of 10 mg/kg/2 days for 10 days. Meanwhile, rats in group R were subjected to fractionated whole-body gamma irradiation at a dose of 2 Gy/5 days/week for 2 weeks (20 Gy), and the KR group received kaempferol as group K and then was subjected to a fractionated whole-body gamma irradiation as group R. SMG samples were collected on days 1 and 7 after the last radiation session; and processed for histopathological and immunohistochemical investigations.
    The SMGs of group R showed focal atrophy and degeneration. Acini showed vacuolization and had pyknotic hyperchromatic nuclei. Striated ducts degenerated, shrunken, and were surrounded by empty spaces. The percentage of areas covered by cyclooxygenase-2 (COX-2) significantly increased, whereas the percentage of areas covered by proliferating cell nuclear antigen (PCNA) significantly decreased compared with those in group K. Cotreatment with kaempferol (group KR) partially preserved normal gland architecture where acinar vacuolation and degeneration were almost absent; however, some ducts degenerated. A significant decrease in the percentage of areas covered by COX-2 and a significant increase in the percentage of areas covered by PCNA were observed compared with those in group R.
    Kaempferol has a possible radioprotective effect on the SMGs of rats exposed to fractionated gamma irradiation.
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  • 文章类型: Journal Article
    COX-2基因的单核苷酸多态性,也被称为PTGS2,它编码一种促炎因子环氧合酶-2,改变发生多种肿瘤的风险,但是这些发现对于肺癌并不一致。我们先前报道纯合COX-2-1195A基因型与日本人慢性阻塞性肺疾病(COPD)的风险增加有关。由于对香烟烟雾的遗传易感性,COPD是肺癌的重要危险因素。在这项研究中,我们调查了日本人群中COX-2-1195G/A多态性与肺癌易感性之间的关系.我们使用聚合酶链反应-限制性片段长度多态性测定法评估了330例新诊断的肺癌患者和162例健康对照的COX-2-1195G/A的基因型分布。我们的结果表明,COX-2-1195G/A多态性与患肺癌的风险之间没有关系。然而,与对照组相比,纯合COX-2-1195A基因型增加肺鳞状细胞癌的风险(比值比=2.902;95%置信区间,1.171-7.195;p=0.021),而未观察到与腺癌风险相关。此外,Kaplan-Meier分析表明,纯合子COX-2-1195A的基因型分布与肺鳞癌患者的总体生存率无关。因此,我们得出的结论是,在日本个体中,纯合COX-2-1195A基因型增加了患肺鳞状细胞癌的风险,可作为早期发现肺鳞状细胞癌的预测因子.
    The single nucleotide polymorphisms of COX-2 gene, also known as PTGS2, which encodes a pro-inflammatory factor cyclooxygenase-2, alter the risk of developing multiple tumors, but these findings are not consistent for lung cancer. We previously reported that the homozygous COX-2 -1195A genotype is associated with an increased risk for chronic obstructive pulmonary disease (COPD) in Japanese individuals. COPD is a significant risk factor for lung cancer due to genetic susceptibility to cigarette smoke. In this study, we investigated the association between COX-2 -1195G/A polymorphism and lung cancer susceptibility in the Japanese population. We evaluated the genotype distribution of COX-2 -1195G/A using a polymerase chain reaction-restriction fragment length polymorphism assay for 330 newly diagnosed patients with lung cancer and 162 healthy controls. Our results show that no relationship exists between the COX-2 -1195G/A polymorphism and the risk of developing lung cancer. However, compared to the control group, the homozygous COX-2 -1195A genotype increased the risk for lung squamous cell carcinoma (odds ratio = 2.902; 95% confidence interval, 1.171-7.195; p = 0.021), whereas no association is observed with the risk for adenocarcinoma. In addition, Kaplan-Meier analysis shows that the genotype distribution of homozygous COX-2 -1195A does not correlate with the overall survival of patients with lung squamous cell carcinoma. Thus, we conclude that the homozygous COX-2 -1195A genotype confers an increased risk for lung squamous cell carcinoma in Japanese individuals and could be used as a predictive factor for early detection of lung squamous cell carcinoma.
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  • 文章类型: Journal Article
    这项研究的目的是确定镉暴露与发展或加剧炎性关节炎(IA)症状的可能性之间的关系。该研究包括51名IA患者和46名对照受试者。收集人口统计学和生活方式数据。确定了血液学和生化参数以及血液镉水平(Cd-B)。Cd-B与年龄呈正相关,吸烟,生活在交通繁忙的地区,和血清炎症标志物水平,与平均红细胞血红蛋白浓度(MCHC)呈负相关。二元逻辑回归模型表明,在研究人群中,高Cd-B(≥0.65μg/L)与IA风险增加有关(比值比:4.4)。高水平的DNA氧化损伤标志物(8-羟基-2'-脱氧鸟苷)(≥7.66ng/mL)和环氧合酶-2(≥22.9ng/mL)以及频繁食用内脏也与IA风险增加有关。高Cd-B与IA患者组疾病症状发作的风险增加有关,白细胞介素10水平降低,与疾病活动呈正相关。Cd-B增加与炎症过程加剧和血红蛋白水平降低有关;在抗炎白介素10减少的IA患者中。这些变化部分解释了为什么镉暴露和高镉身体负担可能会增加IA和疾病症状恶化的风险。
    The purpose of this study was to determine the relationship between cadmium exposure and the likelihood of developing or exacerbating symptoms of inflammatory arthritis (IA). The study included 51 IA patients and 46 control subjects. Demographic and lifestyle data were collected. Haematological and biochemical parameters and blood cadmium levels (Cd-B) were determined. Cd-B correlated positively with age, smoking, living in a high-traffic area, and serum levels of inflammatory markers and negatively with mean corpuscular haemoglobin concentration (MCHC). The binary logistic regression model implied that high Cd-B (≥0.65 μg/L) is linked with an increased risk of IA in the studied population (odds ratio: 4.4). High levels of DNA oxidative damage marker (8-hydroxy-2\'-deoxyguanosine) (≥7.66 ng/mL) and cyclooxygenase-2 (≥22.9 ng/mL) and frequent consumption of offal was also associated with increased risk of IA. High Cd-B was related to increased risk of disease symptoms onset in the group of IA patients, decreased the level of interleukin 10, and positively correlated with the disease activity. Increased Cd-B is associated with intensified inflammatory processes and decreased haemoglobin levels; in IA patients with decreased anti-inflammatory interleukin 10. These changes partly explain why cadmium exposure and a high cadmium body burden may raise the risk of IA and of disease symptoms exacerbation.
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  • 文章类型: Journal Article
    未经批准:非甾体抗炎药(NSAIDs)是最常用的药物之一,处方和柜台。NSAIDs在关节炎患者中的长期心血管安全性引起了争议。人们仍然对不良心肾作用的相对发生率和严重程度感到担忧,特别是在患有心血管(CV)疾病或疾病危险因素的关节炎患者中,如PRECISION(塞来昔布综合安全性与布洛芬或萘普生)试验参与者(NCT00346216)。我们进一步研究了在PRECISION人群中,选择性COX-2抑制剂塞来昔布是否具有优于布洛芬或萘普生的心肾安全性。
    结果:2.48万需要NSAIDs治疗骨关节炎或类风湿性关节炎(RA)且CV风险增加的患者随机接受塞来昔布治疗,布洛芬,或者萘普生.当前预先指定的二次分析评估了发病率,严重程度,和预先指定的复合心肾结局的NSAID相关风险(裁定的肾脏事件,充血性心力衰竭住院治疗,或因高血压住院)在意向治疗(ITT)人群中。治疗中的分析评估了服用研究药物的患者的安全性。平均治疗时间为20.3±16.0个月,平均随访时间为34.1±13.4个月,在ITT人群中,主要心肾复合结局发生在423例患者(1.76%).在这423名患者中,118人(28%)在塞来昔布,166(39%)布洛芬,萘普生组139例(33%)。在调整了独立临床变量的多变量Cox回归模型中,与布洛芬相比,塞来昔布的风险显著降低[风险比(HR)0.67,置信区间(CI)0.53-0.85,P=0.001),与萘普生相比,风险有降低趋势(HR0.79,CI0.61-1.00,P=0.058).在ITT分析中,220例患者发生了有临床意义的肾脏事件,事件发生率为0.71%,1.14%,塞来昔布为0.89%,布洛芬,和萘普生,分别为(P=0.052),而在治疗分析中,这一比例为0.52%,0.91%,0.78%(P<0.001)。
    结论:在当前时代,在关节炎患者中,长期使用NSAID与少数心肾事件相关.在研究的剂量下,与布洛芬或萘普生相比,塞来昔布的肾脏事件更少,因此心血管安全性更高.这些结果对于管理患有慢性关节炎疼痛和肾功能受损和/或心力衰竭的高风险的个体的从业者具有相当大的临床意义。临床试验注册:NCT00346216。
    UNASSIGNED: Non-steroidal anti-inflammatory drugs (NSAIDs) are among the most frequently used drugs, both prescribed and over the counter. The long-term cardiovascular safety of NSAIDs in patients with arthritis has engendered controversy. Concerns remain regarding the relative incidence and severity of adverse cardiorenal effects, particularly in arthritis patients with established cardiovascular (CV) disease or risk factors for disease as illustrated by the PRECISION (Prospective Randomized Evaluation of Celecoxib Integrated Safety vs. Ibuprofen Or Naproxen) trial participants (NCT00346216).We further investigated whether the selective COX-2 Inhibitor celecoxib has a superior cardiorenal safety profile compared with ibuprofen or naproxen in the PRECISION population.
    RESULTS: Twenty-four thousand eighty-one patients who required NSAIDs for osteoarthritis or rheumatoid arthritis (RA) and had increased CV risk randomly received celecoxib, ibuprofen, or naproxen. The current pre-specified secondary analysis assessed the incidence, severity, and NSAID-related risk of the pre-specified composite cardiorenal outcome (adjudicated renal event, hospitalization for congestive heart failure, or hospitalization for hypertension) in the intention-to-treat (ITT) population. An on-treatment analysis assessed safety in those taking the study medication. Following a mean treatment duration of 20.3 ± 16.0 months and a mean follow-up of 34.1 ± 13.4 months, the primary cardiorenal composite outcome occurred in 423 patients (1.76%) in the ITT population. Of these 423 patients, 118 (28%) were in the celecoxib, 166 (39%) in the ibuprofen, and 139 (33%) in the naproxen group. In a multivariable Cox regression model adjusted for independent clinical variables, celecoxib showed a significantly lower risk compared with ibuprofen [hazard ratio (HR) 0.67, confidence interval (CI) 0.53-0.85, P = 0.001) and a trend to lower risk compared with naproxen (HR 0.79, CI 0.61-1.00, P = 0.058). In the ITT analysis, clinically significant renal events occurred in 220 patients with events rates of 0.71%, 1.14%, and 0.89% for celecoxib, ibuprofen, and naproxen, respectively (P = 0.052), while in the on-treatment analysis the rates were 0.52%, 0.91%, and 0.78% (P < 0.001).
    CONCLUSIONS: In the current era, long-term NSAID use was associated with few cardiorenal events in arthritis patients. At the doses studied, celecoxib displayed fewer renal events and hence more favourable cardiovascular safety compared with ibuprofen or naproxen. These results have considerable clinical implications for practitioners managing individuals with chronic arthritis pain and high risk of impaired renal function and/or heart failure.Clinical Trial Registration: NCT00346216.
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