Lipid metabolism

脂质代谢
  • 文章类型: Journal Article
    酰基辅酶A硫酯酶(ACOT)在介导脂质代谢功能方面至关重要,包括能量消耗,肝糖异生和神经元功能。两种不同的类型是I型和II型ACOT,后者是“热狗”的超级家庭成员。II型ACOT包括羧基末端调节蛋白1(CTMP1),也称为硫酯酶超家族成员4(THEM4),和CTMP2,也称为THEM5。由于它们相似的结构特征和不同的序列同源性,CTMP1和CTMP2从其他II型ACOT中脱颖而出。CTMP1最初被称为蛋白激酶B(PKB)抑制剂,其减弱PKB磷酸化。PKB是各种细胞功能的中央调节因子,包括生存,扩散,生长和新陈代谢。因此,通过抑制PKB,CTMP1可以影响各种细胞过程。CTMP1的各种其他功能已经被揭示,包括癌症的功能,脑损伤,线粒体功能和脂质代谢。CTMP2是CTMP1的旁系同源物,首次被确定为参与脂肪肝发展的心磷脂重塑因子。由于CTMP1和CTMP2的功能是分开发现的,总结和联系这些发现至关重要。当前的综述描述了CTMP调节在不同代谢途径中的复杂复杂性,并囊括了迄今为止关于CTMP的主要发现。
    Acyl‑coenzyme A thioesterases (ACOTs) are crucial in mediating lipid metabolic functions, including energy expenditure, hepatic gluconeogenesis and neuronal function. The two distinct types are type I and II ACOTs, the latter of which are \'hotdog\' fold superfamily members. Type II ACOTs include carboxyl‑terminal modulator protein 1 (CTMP1), also termed thioesterase superfamily member 4 (THEM4), and CTMP2, also termed THEM5. Due to their similar structural features and distinct sequence homology, CTMP1 and CTMP2 stand out from other type II ACOTs. CTMP1 was initially known as a protein kinase B (PKB) inhibitor that attenuates PKB phosphorylation. PKB is the central regulator of various cellular functions, including survival, proliferation, growth and metabolism. Therefore, by inhibiting PKB, CTMP1 can affect various cellular processes. Various other functions of CTMP1 have been revealed, including functions in cancer, brain injury, mitochondrial function and lipid metabolism. CTMP2 is a paralog of CTMP1 and was first identified as a cardiolipin remodeling factor involved in the development of fatty liver. As the functions of CTMP1 and CTMP2 were discovered separately, a review to summarize and connect these findings is essential. The current review delineates the intricate complexity of CTMP regulation across different metabolic pathways and encapsulates the principal discoveries concerning CTMP until the present day.
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  • 文章类型: Journal Article
    多发性骨髓瘤是克隆性浆细胞的无法治愈的恶性肿瘤。并行使用各种诊断方法来准确地确定疾病的阶段和严重程度。识别生物标志物或一组生物标志物可以通过采用更个性化的方法来提高患者接受的医疗质量。代谢组学利用高通量分析平台来检查生物样品中生化化合物的水平和数量。这篇综述的目的是进行系统的文献搜索,寻找可能有助于MM诊断和预后的潜在代谢生物标志物。审查是根据PRISMA建议进行的,并在PROSPERO注册。PubMed中的系统搜索,CINAHL,SciFinder,Scopus,执行了Cochrane图书馆和GoogleScholar。研究仅限于以临床诊断为MM的人和健康对照者作为比较者。文章必须以英文出版,并且对出版日期或样本类型没有限制。根据QUADOMICS标准评估文章的质量。文献检索共收集709篇。其中,436根据其摘要被排除在外,在彻底审查全文后,又删除了26个。最后,16篇文章被认为是相关的,并对其数据进行了进一步分析。发现了许多有希望的候选生物标志物。需要大样本量的后续研究来确定其适用性或临床应用。
    Multiple myeloma is an incurable malignancy of clonal plasma cells. Various diagnostic methods are used in parallel to accurately determine stage and severity of the disease. Identifying a biomarker or a panel of biomarkers could enhance the quality of medical care that patients receive by adopting a more personalized approach. Metabolomics utilizes high-throughput analytical platforms to examine the levels and quantities of biochemical compounds in biosamples. The aim of this review was to conduct a systematic literature search for potential metabolic biomarkers that may aid in the diagnosis and prognosis of MM. The review was conducted in accordance with PRISMA recommendations and was registered in PROSPERO. The systematic search in PubMed, CINAHL, SciFinder, Scopus, The Cochrane Library and Google Scholar was performed. Studies were limited to those involving people with clinically diagnosed MM and healthy controls as comparators. Articles had to be published in English and had no restrictions on publication date or sample type. The quality of articles was assessed according to QUADOMICS criteria. A total of 709 articles were collected during the literature search. Of these, 436 were excluded based on their abstract, with 26 more removed after a thorough review of the full text. Finally, 16 articles were deemed relevant and were subjected to further analysis of their data. A number of promising candidate biomarkers was discovered. Follow-up studies with large sample sizes are needed to determine their suitability or clinical applications.
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  • 文章类型: Systematic Review
    评估高强度间歇训练(HIIT)对2型糖尿病患者糖脂代谢的影响。
    HIIT与锻炼计划(65%-90%VO2max或75%-95%HRmax;锻炼周期≥2周;频率≥2次/周)一致。利用随机效应模型进行荟萃分析以综合数据。
    共纳入22项针对1034名糖尿病患者的RCT研究。与中等强度有氧运动或常规控制相比,HIIT对FBG产生显著影响(MD:-0.55;95%CI:-0.85--0.25,对冲=0.98),2h-PG(MD:-0.36;95%CI:-0.57--0.14,对冲=1.05),FINS(MD:-0.41;95%CI:-0.79--0.03,对冲=1.07),HbA1c(MD:-0.60;95%CI:-0.84-0.36,对冲=2.69),TC(MD:-0.58;95%CI:-0.80--0.36,对冲=2.36),TG(MD:-0.50;95%CI:-0.86--0.14,对冲=1.50),HDL(MD:0.62;95%CI:0.29-0.95,Hedges\'g=1.19)和LDL(MD:-0.31;95%CI:-0.56-0.08,Hedges\'g=0.91),所有上述p<0.01。
    HIIT已被证明可以改善2型糖尿病患者的糖脂代谢,尤其是HbA1c,TC,TG,和HDL。对于年龄在40至60岁之间且患病少于5年的患者,中等至较长持续时间或中等至高强度的锻炼计划将产生更有利的效果。
    UNASSIGNED: To evaluate the effects of high-intensity interval training (HIIT) on glycolipid metabolism among type 2 diabetes patients.
    UNASSIGNED: HIIT is consistent with an exercise program (65%-90%VO2max or 75%-95% HRmax; exercise cycle≥2 weeks; frequency ≥ 2 times/week). A meta-analysis was conducted utilizing the random effects model to synthesize the data.
    UNASSIGNED: A total of 22 RCT studies with 1034 diabetic patients were included. Compared to moderate-intensity aerobic exercise or conventional controls, HIIT yields noteworthy effects on FBG (MD: -0.55; 95% CI: -0.85- -0.25, Hedges\' g =0.98), 2h-PG (MD: -0.36; 95% CI: -0.57- -0.14, Hedges\' g =1.05), FINS (MD: -0.41; 95% CI: -0.79- -0.03, Hedges\' g =1.07), HbA1c (MD: -0.60; 95% CI: -0.84- -0.36, Hedges\' g =2.69), TC (MD: -0.58; 95% CI: -0.80- -0.36, Hedges\' g =2.36), TG (MD: -0.50; 95% CI: -0.86- -0.14, Hedges\' g =1.50), HDL (MD: 0.62; 95% CI: 0.29-0.95, Hedges\' g =1.19) and LDL (MD: -0.31; 95% CI: -0.56- -0.08, Hedges\' g =0.91), all of the above p<0.01.
    UNASSIGNED: HIIT has been shown to improve glucose and lipid metabolism in patients with type 2 diabetes, especially in HbA1c, TC, TG, and HDL. For patients between the ages of 40 and 60 with less than 5 years of disease, exercise programs of moderate to longer duration or moderate to high intensity will produce more favorable results.
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  • 文章类型: Journal Article
    花青素,在各种色素植物中作为次生代谢产物发现,代表一类以其生物活性特性而闻名的膳食多酚,证明对几种慢性疾病的健康促进作用。其中,花色素苷-3-O-葡萄糖苷(C3G)是最常见的花色素苷类型之一。消费时,C3G经历口腔上皮细胞的I期和II期代谢,在胃上皮的吸收,和肠道转化(第二阶段和微生物代谢),有限的量进入血液。肥胖,以体内脂肪积累过多为特征,是与残疾风险增加相关的全球健康问题,疾病,和死亡率。这篇全面的综述探讨了C3G在胃肠道内的生物降解和吸收动力学。它仔细检查了最新的研究结果,从体外和体内模型中提取,提供证据强调C3G的生物活性。值得注意的是,C3G在对抗肥胖方面表现出显著的功效,通过调节脂质代谢,特别是减少脂质合成,增加脂肪酸氧化,减少脂质积累。此外,C3G通过增加能量消耗来增强能量稳态,促进棕色脂肪组织的活性,并刺激线粒体生物发生。此外,C3G显示出管理各种普遍肥胖相关疾病的潜力。这些包括通过抑制活性氧(ROS)产生的心血管疾病(CVD)和高血压,增强内源性抗氧化酶水平,和抑制核因子-κB(NF-κB)信号通路,并通过降低肺动脉厚度和收缩压来行使其心脏保护和血管作用,从而增强血管舒张和血管生成。2型糖尿病(T2DM)和胰岛素抵抗(IR)也通过AMPK途径激活减少糖异生来管理,促进自噬,保护胰腺β细胞免受氧化应激和增强葡萄糖刺激的胰岛素分泌。此外,C3G通过上调GLUT-1和GLUT-4的表达和调节PI3K/Akt途径来改善胰岛素敏感性。C3G通过抑制NF-κB途径表现出抗炎特性,减少促炎细胞因子,并将巨噬细胞极化从促炎M1表型转变为抗炎M2表型。C3G通过增强抗氧化酶的表达显示抗氧化作用,减少ROS的产生,并激活Nrf2/AMPK信号通路。此外,这些机制还有助于减轻炎症性肠病和通过减少Firmicutes和增加拟杆菌丰度来调节肠道微生物群,恢复结肠长度,并降低炎症细胞因子的水平。C3G的治疗潜力超出了代谢紊乱;它也被发现在管理特定癌症类型和神经退行性疾病方面有效。这项研究的发现可以为将来寻求通过使用天然存在的生物活性化合物来改善人类健康的研究提供重要参考。
    Anthocyanins, found in various pigmented plants as secondary metabolites, represent a class of dietary polyphenols known for their bioactive properties, demonstrating health-promoting effects against several chronic diseases. Among these, cyanidin-3-O-glucoside (C3G) is one of the most prevalent types of anthocyanins. Upon consumption, C3G undergoes phases I and II metabolism by oral epithelial cells, absorption in the gastric epithelium, and gut transformation (phase II & microbial metabolism), with limited amounts reaching the bloodstream. Obesity, characterized by excessive body fat accumulation, is a global health concern associated with heightened risks of disability, illness, and mortality. This comprehensive review delves into the biodegradation and absorption dynamics of C3G within the gastrointestinal tract. It meticulously examines the latest research findings, drawn from in vitro and in vivo models, presenting evidence underlining C3G\'s bioactivity. Notably, C3G has demonstrated significant efficacy in combating obesity, by regulating lipid metabolism, specifically decreasing lipid synthesis, increasing fatty acid oxidation, and reducing lipid accumulation. Additionally, C3G enhances energy homeostasis by boosting energy expenditure, promoting the activity of brown adipose tissue, and stimulating mitochondrial biogenesis. Furthermore, C3G shows potential in managing various prevalent obesity-related conditions. These include cardiovascular diseases (CVD) and hypertension through the suppression of reactive oxygen species (ROS) production, enhancement of endogenous antioxidant enzyme levels, and inhibition of the nuclear factor-kappa B (NF-κB) signaling pathway and by exercising its cardioprotective and vascular effects by decreasing pulmonary artery thickness and systolic pressure which enhances vascular relaxation and angiogenesis. Type 2 diabetes mellitus (T2DM) and insulin resistance (IR) are also managed by reducing gluconeogenesis via AMPK pathway activation, promoting autophagy, protecting pancreatic β-cells from oxidative stress and enhancing glucose-stimulated insulin secretion. Additionally, C3G improves insulin sensitivity by upregulating GLUT-1 and GLUT-4 expression and regulating the PI3K/Akt pathway. C3G exhibits anti-inflammatory properties by inhibiting the NF-κB pathway, reducing pro-inflammatory cytokines, and shifting macrophage polarization from the pro-inflammatory M1 phenotype to the anti-inflammatory M2 phenotype. C3G demonstrates antioxidative effects by enhancing the expression of antioxidant enzymes, reducing ROS production, and activating the Nrf2/AMPK signaling pathway. Moreover, these mechanisms also contribute to attenuating inflammatory bowel disease and regulating gut microbiota by decreasing Firmicutes and increasing Bacteroidetes abundance, restoring colon length, and reducing levels of inflammatory cytokines. The therapeutic potential of C3G extends beyond metabolic disorders; it has also been found effective in managing specific cancer types and neurodegenerative disorders. The findings of this research can provide an important reference for future investigations that seek to improve human health through the use of naturally occurring bioactive compounds.
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  • 文章类型: Journal Article
    Cafestol,咖啡中的生物活性化合物,由于其对心血管健康的潜在影响,已经引起了相当大的关注。本文旨在全面探讨cafestol与心血管疾病之间的关系。我们深入研究了咖啡醇影响脂质代谢的机制,炎症,和内皮功能,所有这些都是心血管病理生理学的关键。此外,我们对流行病学研究和临床试验进行了细致分析,以阐明cafestol与心血管结局之间的关系.通过对现有文献的批判性考察,我们的目标是提供与cafestol有关的心血管健康的潜在益处和风险的见解。
    Cafestol, a bioactive compound found in coffee, has attracted considerable attention due to its potential impact on cardiovascular health. This review aims to comprehensively explore the association between cafestol and cardiovascular diseases. We delve into the mechanisms through which cafestol influences lipid metabolism, inflammation, and endothelial function, all of which are pivotal in cardiovascular pathophysiology. Moreover, we meticulously analyze epidemiological studies and clinical trials to elucidate the relationship between cafestol and cardiovascular outcomes. Through a critical examination of existing literature, we aim to provide insights into the potential benefits and risks associated with cafestol concerning cardiovascular health.
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  • 文章类型: Journal Article
    背景:肝脏脂肪变性是肝脏组织病理学的常见发现,也是代谢功能障碍相关脂肪变性肝病(MASLD)的标志,以前称为非酒精性脂肪性肝病(NAFLD),其全球患病率正在上升。
    目的:回顾肝脏脂肪变性的组织病理学及其发展机制,并确定常见和罕见的疾病关联。
    方法:我们使用PubMed数据库回顾了有关脂滴(LD)生物学的基础科学以及与肝性脂肪变性相关的急性和慢性肝病的临床研究的文献。
    结果:多种遗传和环境因素导致慢性肝性脂肪变性或脂肪变性肝病的发展,通常表现为大泡状。微囊性脂肪变性与急性线粒体功能障碍和肝功能衰竭有关。调节异常导致脂肪变性发展的肝细胞中的脂肪代谢过程包括脂蛋白颗粒的分泌,从血液中摄取残留的脂蛋白颗粒或游离脂肪酸,从头脂肪生成,脂肪酸的氧化,脂解和吸脂。肝脏胰岛素抵抗是MASLD的关键特征。Seipin是促进LD生物发生的多功能蛋白。丙型肝炎病毒的组装发生在LD表面上。LD很重要,与内质网和其他细胞器的功能接触。
    结论:多种肝脏病理与肝脏脂肪变性相关,MASLD是最重要的贡献者。肝细胞中LD的生物发生和动力学是复杂的,需要进一步研究。细胞层界面允许共同调节脂质代谢,以使潜在有毒的脂质种类的产生与其LD储库存储相匹配。
    Hepatic steatosis is a common finding in liver histopathology and the hallmark of metabolic dysfunction-associated steatotic liver disease (MASLD), formerly known as non-alcoholic fatty liver disease (NAFLD), whose global prevalence is rising.
    To review the histopathology of hepatic steatosis and its mechanisms of development and to identify common and rare disease associations.
    We reviewed literature on the basic science of lipid droplet (LD) biology and clinical research on acute and chronic liver diseases associated with hepatic steatosis using the PubMed database.
    A variety of genetic and environmental factors contribute to the development of chronic hepatic steatosis or steatotic liver disease, which typically appears macrovesicular. Microvesicular steatosis is associated with acute mitochondrial dysfunction and liver failure. Fat metabolic processes in hepatocytes whose dysregulation leads to the development of steatosis include secretion of lipoprotein particles, uptake of remnant lipoprotein particles or free fatty acids from blood, de novo lipogenesis, oxidation of fatty acids, lipolysis and lipophagy. Hepatic insulin resistance is a key feature of MASLD. Seipin is a polyfunctional protein that facilitates LD biogenesis. Assembly of hepatitis C virus takes place on LD surfaces. LDs make important, functional contact with the endoplasmic reticulum and other organelles.
    Diverse liver pathologies are associated with hepatic steatosis, with MASLD being the most important contributor. The biogenesis and dynamics of LDs in hepatocytes are complex and warrant further investigation. Organellar interfaces permit co-regulation of lipid metabolism to match generation of potentially toxic lipid species with their LD depot storage.
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  • 文章类型: Journal Article
    骨质疏松是一种常见的骨代谢性疾病,造成沉重的社会负担,严重威胁生命。在骨质疏松症的治疗中,提高成骨能力是纠正骨量损失的必要条件。成骨细胞来源于骨髓间充质干细胞的分化,反对脂肪分化的过程。过氧化物酶体增殖物激活受体γ和Wnt/β-catenin信号通路介导骨生成和脂肪生成的相互调节。脂质物质在骨质疏松的发生、发展中起着重要作用。脂质的含量和比例调节免疫细胞的活性,主要是巨噬细胞,和炎症因子的分泌,如IL‑1、IL‑6和TNF‑α。这些炎症效应子增加破骨细胞的活性并促进其分化,这导致骨失衡和更强的骨吸收。肥胖还会降低抗氧化酶的活性,导致氧化应激,从而抑制成骨。本综述从研究BM-MSCs的双向分化开始,详细描述了脂质影响骨代谢的机制,探讨了炎症和氧化应激在这一过程中的调节作用。综述认为,合理调整脂类的含量和比例,减轻脂质失衡引起的炎症风暴和氧化损伤,将改善骨量和治疗骨质疏松症。
    Osteoporosis is a common bone metabolic disease that causes a heavy social burden and seriously threatens life. Improving osteogenic capacity is necessary to correct bone mass loss in the treatment of osteoporosis. Osteoblasts are derived from the differentiation of bone marrow mesenchymal stem cells, a process that opposes adipogenic differentiation. The peroxisome proliferator‑activated receptor γ and Wnt/β‑catenin signaling pathways mediate the mutual regulation of osteogenesis and adipogenesis. Lipid substances play an important role in the occurrence and development of osteoporosis. The content and proportion of lipids modulate the activity of immunocytes, mainly macrophages, and the secretion of inflammatory factors, such as IL‑1, IL‑6 and TNF‑α. These inflammatory effectors increase the activity and promote the differentiation of osteoclasts, which leads to bone imbalance and stronger bone resorption. Obesity also decreases the activity of antioxidases and leads to oxidative stress, thereby inhibiting osteogenesis. The present review starts by examining the bidirectional differentiation of BM‑MSCs, describes in detail the mechanism by which lipids affect bone metabolism, and discusses the regulatory role of inflammation and oxidative stress in this process. The review concludes that a reasonable adjustment of the content and proportion of lipids, and the alleviation of inflammatory storms and oxidative damage induced by lipid imbalances, will improve bone mass and treat osteoporosis.
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  • 文章类型: Journal Article
    肝细胞癌(HCC)是最常见的原发性肝脏恶性肿瘤,由于患病率的增加,其发病率在全球范围内也在增加。代谢重编程已被认为是癌症的标志,并在癌症进展中起作用。葡萄糖,脂质和氨基酸是三种主要成分,它们的代谢改变可以直接影响细胞的能量产生,包括肝癌细胞.营养和能量对于癌细胞的生长和增殖是不可或缺的,因此改变肝癌细胞的代谢可以抑制肝癌的进展。本综述总结了最近对肿瘤调节分子的研究,包括许多非编码RNA,癌基因和肿瘤抑制基因,调节葡萄糖的代谢活动,通过靶向关键酶的脂质和氨基酸,信号通路或两者之间的相互作用。这些调节分子可以调节癌细胞的快速增殖,肿瘤进展和治疗抵抗。据认为,这些肿瘤调节因子可作为肝癌的治疗靶点或有价值的生物标志物。具有减轻HCC耐药性的潜力。此外,代谢抑制剂作为肝癌治疗方法的优缺点,以及可能的解决方案进行了讨论,为开发更有效的HCC治疗策略提供见解。
    Hepatocellular carcinoma (HCC) is the most common primary liver malignancy and its morbidity is increasing worldwide due to increasing prevalence. Metabolic reprogramming has been recognized as a hallmark of cancer and serves a role in cancer progression. Glucose, lipids and amino acids are three major components whose altered metabolism can directly affect the energy production of cells, including liver cancer cells. Nutrients and energy are indispensable for the growth and proliferation of cancer cells, thus altering the metabolism of hepatoma cells can inhibit the progression of HCC. The present review summarizes recent studies on tumour regulatory molecules, including numerous noncoding RNAs, oncogenes and tumour suppressors, which regulate the metabolic activities of glucose, lipids and amino acids by targeting key enzymes, signalling pathways or interactions between the two. These regulatory molecules can regulate the rapid proliferation of cancer cells, tumour progression and treatment resistance. It is thought that these tumour regulatory factors may serve as therapeutic targets or valuable biomarkers for HCC, with the potential to mitigate HCC drug resistance. Furthermore, the advantages and disadvantages of metabolic inhibitors as a treatment approach for HCC, as well as possible solutions are discussed, providing insights for developing more effective treatment strategies for HCC.
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  • 文章类型: Journal Article
    植物乳杆菌已被证明可以改善2型糖尿病(T2DM)小鼠模型中的葡萄糖和脂质代谢。然而,目前尚不清楚这种益处是否适用于人类。对随机对照试验(RCT)进行了系统评价和荟萃分析,以阐明补充植物乳杆菌对T2DM和糖尿病前期患者糖脂代谢的影响。PubMed,科克伦,搜索了WebofScience数据库。使用随机效应模型以95%CI(置信区间)估计合并平均差。补充植物乳杆菌可降低空腹血糖水平(-0.41,95CI-0.63,-0.19mg/dL;n=5)和血红蛋白A1c(-0.2,95CI:-0.3,0%;n=4)。胰岛素抵抗稳态模型评估的改善趋势无统计学意义(MD:-0.74,95CI:-1.72,0.25;n=3),低密度脂蛋白胆固醇(-6.87;95CI:-15.03,1.29mg/dL;n=3),高密度脂蛋白胆固醇(MD:1.34;95CI:-0.78,3.46mg/dL;n=3),甘油三酯(MD:-3.90;95CI:-11.05,3.24mg/dL;n=3),和总胆固醇(MD:-4.88;95CI:-11.84,2.07mg/dL;n=3)。总之,而来自现有RCT的证据表明,植物乳杆菌补充剂可能改善T2DM和糖尿病前期患者的糖脂代谢,补充剂的好处可能是微妙的,其临床意义需要进一步研究。
    Lactobacillus plantarum has been shown to improve glucose and lipid metabolism in mouse models of type 2 diabetes mellitus (T2DM). However, it remains unclear whether such benefits extend to humans. A systematic review and meta-analysis of randomized controlled trials (RCTs) was performed to clarify the effect of L. plantarum supplementation on glucose and lipid metabolism in T2DM and prediabetes. The PubMed, Cochrane, and Web of Science databases were searched. A random-effects model was used to estimate the pooled mean difference with 95% CI (confidence interval). L. plantarum supplementation reduced the levels of fasting plasma glucose (-0.41, 95%CI -0.63, -0.19 mg/dL; n = 5) and hemoglobin A1c (-0.2, 95%CI: -0.3, 0%; n = 4). A non-statistically significant tendency towards improvements in the Homeostatic Model Assessment for Insulin Resistance (MD: -0.74, 95%CI: -1.72, 0.25; n = 3), low-density lipoprotein cholesterol (-6.87; 95%CI: -15.03, 1.29 mg/dL; n = 3), high-density lipoprotein cholesterol (MD: 1.34; 95%CI: -0.78, 3.46 mg/dL; n = 3), triglyceride (MD: -3.90; 95%CI: -11.05, 3.24 mg/dL; n = 3), and total cholesterol (MD: -4.88; 95%CI: -11.84, 2.07 mg/dL; n = 3) was observed with the supplementation. In summary, while the evidence from the currently available RCTs provides a crude indication that L. plantarum supplementation might improve glucose and lipid metabolism in patients with T2DM and prediabetes, the benefits of the supplementation are likely subtle, and its clinical significance requires further investigation.
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  • 文章类型: Journal Article
    前蛋白转化酶枯草杆菌蛋白酶kexin9型(PCSK9)抑制剂被广泛认为能够诱导低密度脂蛋白胆固醇的有效降低。越来越多的研究表明,PCSK9还通过改变血小板功能和凝血级联反应来影响止血系统。这些发现对特定凝血状况患者的抗PCSK9治疗具有重要意义。包括扩大的适应症,剂量调整和药物相互作用。本综述总结了肝脏疾病患者PCSK9水平的变化。慢性肾脏疾病,糖尿病,癌症和其他疾病状态,并讨论了它们对血栓形成和止血的影响。此外,结构,PCSK9对血小板的影响和调节机制,凝血因子,描述了凝血和止血过程中的炎症细胞和内皮细胞。
    Proprotein convertase subtilisin kexin type 9 (PCSK9) inhibitors are widely recognised as being able to induce a potent reduction in low‑density lipoprotein‑cholesterol. An increasing number of studies have suggested that PCSK9 also influences the haemostatic system by altering platelet function and the coagulation cascade. These findings have significant implications for anti‑PCSK9 therapy in patients with specific coagulation conditions, including expanded indications, dose adjustments and drug interactions. The present review summarises the changes in PCSK9 levels in individuals with liver diseases, chronic kidney diseases, diabetes mellitus, cancer and other disease states, and discusses their impact on thrombosis and haemostasis. Furthermore, the structure, effects and regulatory mechanisms of PCSK9 on platelets, coagulation factors, inflammatory cells and endothelial cells during coagulation and haemostasis are described.
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