Magnetic Resonance Spectroscopy

磁共振波谱
  • 文章类型: Journal Article
    背景:多巴胺能神经传递受损与酒精使用障碍的发展和维持的关联是众所周知的。更具体地说,在先前的研究中已经发现,与健康对照相比,酒精依赖(AD)受试者的纹状体中的多巴胺D2/3受体减少。此外,多项研究记录了AD受试者前扣带回皮质(ACC)中γ-氨基丁酸(GABA)和谷氨酸(Glu)水平的改变.然而,到目前为止,尚未在AD中研究皮质Glu水平与纹状体多巴胺D2/3受体之间的相互作用。
    方法:本研究通过18F-fallypride正电子发射断层扫描(PET)和GABA调查了19名解毒AD受试者的多巴胺D2/3受体的可用性,并通过磁共振波谱(MRS)调查了Glu水平。18个健康对照(低风险,LR)对照和19名发展为AD的高危个体(HR),精心匹配的性别,年龄和吸烟状况。
    结果:我们发现ACC中的GABA水平与LR的相关纹状体中的多巴胺D2/3受体可用性之间存在显着的负相关,而不是在AD或HR个体中。与我们的期望相反,我们没有观察到ACC中Glu浓度与纹状体D2/3受体可用性之间的相关性.
    结论:结果可能反映了中脑边缘多巴胺受体的潜在调节皮层机制及其在AD和高危个体中的破坏,反映与成瘾发病机制相关的复杂神经递质相互作用。这是第一个在AD受试者和高危个体中结合18F-fallypridePET和MRS的研究。
    The association of impaired dopaminergic neurotransmission with the development and maintenance of alcohol use disorder is well known. More specifically, reduced dopamine D2/3 receptors in the striatum of subjects with alcohol dependence (AD) compared to healthy controls have been found in previous studies. Furthermore, alterations of gamma-aminobutyric acid (GABA) and glutamate (Glu) levels in the anterior cingulate cortex (ACC) of AD subjects have been documented in several studies. However, the interaction between cortical Glu levels and striatal dopamine D2/3 receptors has not been investigated in AD thus far.
    This study investigated dopamine D2/3 receptor availability via 18F-fallypride positron emission tomography (PET) and GABA as well as Glu levels via magnetic resonance spectroscopy (MRS) in 19 detoxified AD subjects, 18 healthy controls (low risk, LR) controls and 19 individuals at high risk (HR) for developing AD, carefully matched for sex, age and smoking status.
    We found a significant negative correlation between GABA levels in the ACC and dopamine D2/3 receptor availability in the associative striatum of LR but not in AD or HR individuals. Contrary to our expectations, we did not observe a correlation between Glu concentrations in the ACC and striatal D2/3 receptor availability.
    The results may reflect potential regulatory cortical mechanisms on mesolimbic dopamine receptors and their disruption in AD and individuals at high risk, mirroring complex neurotransmitter interactions associated with the pathogenesis of addiction. This is the first study combining 18F-fallypride PET and MRS in AD subjects and individuals at high risk.
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  • 文章类型: Journal Article
    寡核苷酸是短核酸,其充当最有前途的药物形式类别之一。然而,建立寡核苷酸物理化学评估平台以全面了解其性质的尝试受到限制。由于在高浓度下的化学稳定性和功效以及溶液性质应与它们的高阶结构和分子内/分子间相互作用有关,他们的详细了解使有效的配方开发。这里,凝血酶结合适体(TBA)和四个修饰的TBA的高阶结构和热力学稳定性,它们具有相似的序列,但预期具有不同的高阶结构,使用紫外光谱(UV)进行评估,圆二色性(CD),差示扫描量热法(DSC),核磁共振(NMR)。然后,高阶结构和溶液性质之间的关系,包括溶解度,粘度,并对稳定性进行了研究。也证实了高级结构对抗凝血酶活性的影响。由于钾浓度不同,寡核苷酸的高阶结构和分子内/分子间相互作用受到缓冲液类型的影响,这对于G-四链体结构的形成至关重要。因此,解决方案属性,如溶解度和粘度,化学稳定性,和抗凝血酶活性,也受到了影响。每种仪器分析在研究TBA和修饰的TBA的高阶结构中都具有补充作用。还讨论了临床前发育阶段每种物理化学表征方法的实用性。
    Oligonucleotides are short nucleic acids that serve as one of the most promising classes of drug modality. However, attempts to establish a physicochemical evaluation platform of oligonucleotides for acquiring a comprehensive view of their properties have been limited. As the chemical stability and the efficacy as well as the solution properties at a high concentration should be related to their higher-order structure and intra-/intermolecular interactions, their detailed understanding enables effective formulation development. Here, the higher-order structure and the thermodynamic stability of the thrombin-binding aptamer (TBA) and four modified TBAs, which have similar sequences but were expected to have different higher-order structures, were evaluated using ultraviolet spectroscopy (UV), circular dichroism (CD), differential scanning calorimetry (DSC), and nuclear magnetic resonance (NMR). Then, the relationship between the higher-order structure and the solution properties including solubility, viscosity, and stability was investigated. The impact of the higher-order structure on the antithrombin activity was also confirmed. The higher-order structure and intra-/intermolecular interactions of the oligonucleotides were affected by types of buffers because of different potassium concentrations, which are crucial for the formation of the G-quadruplex structure. Consequently, solution properties, such as solubility and viscosity, chemical stability, and antithrombin activity, were also influenced. Each instrumental analysis had a complemental role in investigating the higher-order structure of TBA and modified TBAs. The utility of each physicochemical characterization method during the preclinical developmental stages is also discussed.
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  • 文章类型: Journal Article
    2019新型冠状病毒病(COVID-19)感染通常与嗅觉功能障碍有关,但这些并发症的基本发病机制仍存在争议。这项研究旨在评估磁共振波谱(MRS)在确定COVID-19相关的嗅觉缺失患者主要脑嗅觉区域内分子神经代谢改变中的价值。
    在一项横断面研究中,7例持续性COVID-19相关失语症患者(平均年龄:29.57岁)和7例健康志愿者(平均年龄:27.28岁)接受了MRS,其中N-乙酰天冬氨酸(NAA),胆碱(Cho),肌酸(Cr),它们的比率是在前扣带回皮质测量的,背外侧前额叶皮质,眶额皮质(OFC),岛叶皮层,和腹内侧前额叶皮质。使用TARQUIN软件(4.3.10版)分析数据,并根据MRS数据分布的正态,采用独立样本t检验和非参数Mann-Whitney检验对结果进行比较。
    COVID-19相关性无嗅觉组影像学前出现无嗅觉的平均持续时间为8.5个月。MRS分析阐明了OFC内的MRS结果与COVID-19相关的嗅觉缺失之间存在显着关联(P<0.01),NAA是最重要的神经代谢产物之一(P交互作用=0.006)。NAA水平降低(P<0.001),OFC中的Cr(P<0.001)和NAA/Cho比率(P=0.007)是COVID-19相关的无嗅觉的特征。
    这项研究强调,MRS可以在COVID-19相关的嗅觉缺失中发挥重要作用,并表明中枢神经系统损害与持续性COVID-19相关的嗅觉缺失之间可能存在关联。
    UNASSIGNED: 2019 novel coronavirus disease (COVID-19) infection is commonly associated with olfactory dysfunctions, but the basic pathogenesis of these complications remains controversial. This study seeks to evaluate the value of magnetic resonance spectroscopy (MRS) in determining the molecular neurometabolite alterations within the main brain olfactory areas in patients with COVID-19-related anosmia.
    UNASSIGNED: In a cross-sectional study, seven patients with persistent COVID-19-related anosmia (mean age: 29.57 years) and seven healthy volunteers (mean age: 27.28 years) underwent MRS in which N-acetyl-aspartate (NAA), choline (Cho), creatine (Cr), and their ratios were measured in the anterior cingulate cortex, dorsolateral prefrontal cortex, orbitofrontal cortex (OFC), insular cortex, and ventromedial prefrontal cortex. Data were analyzed using TARQUIN software (version 4.3.10), and the results were compared with an independent sample t-test and nonparametric Mann-Whitney test based on the normality of the MRS data distribution.
    UNASSIGNED: The mean duration of anosmia before imaging was 8.5 months in COVID-19-related anosmia group. MRS analysis elucidated a significant association between MRS findings within OFC and COVID-19-related anosmia (P disease < 0.01), and NAA was among the most important neurometabolites (P interaction = 0.006). Reduced levels of NAA (P < 0.001), Cr (P < 0.001) and NAA/Cho ratio (P = 0.007) within OFC characterize COVID-19-related anosmia.
    UNASSIGNED: This study emphasizes that MRS can be illuminating in COVID-19-related anosmia and indicates a possible association between central nervous system impairment and persistent COVID-19-related anosmia.
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  • 文章类型: Journal Article
    抑郁症目前是全球第四大残疾原因,影响了大约20%的世界人口。我们建立了慢性束缚应激(CRS)诱导的小鼠抑郁模型,并使用氟西汀作为参考药物。我们评估了藏红花精油(SEO)的治疗潜力,并通过行为指数和基于NMR的代谢组学分析阐明了其潜在机制。研究结果表明,SEO改善了抑郁症的行为症状,例如进入中心区域的数量,粪便计数,延迟到不动,以及尾部悬吊试验(TST)和强制游泳试验(FST)中的不动持续时间,以及纠正5-羟色胺的失调。代谢组学研究确定了肝脏中的16种潜在生物标志物,脾,脾还有肾脏.SEO特别调节了这些生物标志物中的9种:二甲基甘氨酸,甘油,腺苷,β-葡萄糖,α-葡萄糖,尿苷,甘露糖,肌氨酸,和天冬氨酸,甘油成为肝脏和脾脏中常见的生物标志物。通路分析表明这些生物标志物参与糖酵解,甘氨酸丝氨酸苏氨酸代谢,和能量代谢,可能暗示在神经调节中的作用。总之,SEO有效缓解CRS小鼠的抑郁样行为,主要通过糖酵解的调节,氨基酸代谢,和能量代谢,并可能通过神经调节发挥抗抑郁作用。我们的研究通过代谢组学透镜提供了CRS小鼠小分子代谢物改变的见解,为植物精油的抗抑郁潜力提供证据,并有助于我们了解中药治疗抑郁症的机制。
    Depression currently ranks as the fourth leading cause of disability globally, affecting approximately 20% of the world\'s population. we established a chronic restraint stress (CRS) induced depression model in mice and employed fluoxetine as a reference drug. We assessed the therapeutic potential of saffron essential oil (SEO) and elucidated its underlying mechanisms through behavioral indices and NMR-based metabolomic analysis. The findings indicate that SEO ameliorates behavioral symptoms of depression, such as the number of entries into the central area, fecal count, latency to immobility, and duration of immobility in both the Tail Suspension Test (TST) and the Forced Swim Test (FST), along with correcting the dysregulation of 5-serotonin. Metabolomic investigations identified sixteen potential biomarkers across the liver, spleen, and kidneys. SEO notably modulated nine of these biomarkers: dimethylglycine, glycerol, adenosine, β-glucose, α-glucose, uridine, mannose, sarcosine, and aspartate, with glycerol emerging as a common biomarker in both the liver and spleen. Pathway analysis suggests that these biomarkers participate in glycolysis, glycine serine threonine metabolism, and energy metabolism, potentially implicating a role in neural regulation. In summary, SEO effectively mitigates depressive-like behaviors in CRS mice, predominantly via modulation of glycolysis, amino acid metabolism, and energy metabolism, and potentially exerts antidepressant effects through neural regulation. Our study offers insights into small molecule metabolite alterations in CRS mice through a metabolomics lens, providing evidence for the antidepressant potential of plant essential oils and contributing to our understanding of the mechanisms of traditional Chinese medicine in treating depression.
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  • 文章类型: Journal Article
    HM13是一种革兰氏阴性细菌,能够产生大量的细胞外膜囊泡。这些纳米颗粒携带主要蛋白质P49,其负载似乎受到装饰膜的聚糖的影响。在这里,我们报告结构表征,使用化学分析和核磁共振光谱,的荚膜多糖分离自囊泡沙门氏菌HM13的nfnB突变菌株,该菌株无法在膜囊泡上加载P49。除了从亲本菌株分离和表征的多糖冠外,nfnB突变菌株释放了另一种由具有以下结构的二糖重复单元组成的多糖。→4)-β-D-Glc-(1→3)-β-D-GlcNAc-(1→.
    Shewanella vesiculosa HM13 is a Gram-negative bacterium able to produce a large amount of extracellular membrane vesicles. These nanoparticles carry a major protein P49, the loading of which seems to be influenced by the glycans decorating the membrane. Here we report the structural characterization, using chemical analyses and NMR spectroscopy, of the capsular polysaccharides isolated from the nfnB-mutant strain of S. vesiculosa HM13, which is unable to load P49 on the membrane vesicles. In addition to the polysaccharide corona isolated and characterized from the parental strain, the nfnB-mutant strain released another polysaccharide composed of disaccharide repeating units having the following structure. →4)-β-D-Glc-(1 → 3)-β-D-GlcNAc-(1→.
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  • 文章类型: Journal Article
    废用性肌肉萎缩(DMA)是一项重要的医疗保健挑战,其特征在于长期不活动导致的肌肉质量和功能逐渐丧失。制定有效的肌肉恢复策略至关重要。在这项研究中,我们通过后肢悬吊建立了DMA小鼠模型,以评估乳酸在减轻对腓肠肌的有害影响方面的治疗潜力。使用基于NMR的代谢组学分析,我们调查了DMA损伤的腓肠肌与对照组相比的代谢变化,并评估了乳酸治疗的有益效果.我们的结果表明,乳酸通过下调Murf1表达显着减少肌肉质量损失并改善肌肉功能,减少蛋白质的泛素化和水解,和增加肌球蛋白重链水平。至关重要的是,乳酸校正了DMA腓肠肌四个关键代谢途径的扰动:苯丙氨酸的生物合成,酪氨酸,和色氨酸;苯丙氨酸代谢;组氨酸代谢;以及精氨酸和脯氨酸代谢。除了苯丙氨酸相关途径,乳酸还在调节支链氨基酸代谢和能量代谢中起作用。值得注意的是,乳酸处理使DMA小鼠中8种必需代谢物的水平正常化,强调其作为治疗剂对抗长期不活动和肌肉萎缩的后果的潜力。这项研究不仅促进了我们对乳酸的治疗益处的理解,而且还为旨在在肌肉萎缩的情况下进行代谢恢复和肌肉恢复的新型治疗方法提供了基础。
    Disuse muscle atrophy (DMA) is a significant healthcare challenge characterized by progressive loss of muscle mass and function resulting from prolonged inactivity. The development of effective strategies for muscle recovery is essential. In this study, we established a DMA mouse model through hindlimb suspension to evaluate the therapeutic potential of lactate in alleviating the detrimental effects on the gastrocnemius muscle. Using NMR-based metabolomic analysis, we investigated the metabolic changes in DMA-injured gastrocnemius muscles compared to controls and evaluated the beneficial effects of lactate treatment. Our results show that lactate significantly reduced muscle mass loss and improved muscle function by downregulating Murf1 expression, decreasing protein ubiquitination and hydrolysis, and increasing myosin heavy chain levels. Crucially, lactate corrected perturbations in four key metabolic pathways in the DMA gastrocnemius: the biosynthesis of phenylalanine, tyrosine, and tryptophan; phenylalanine metabolism; histidine metabolism; and arginine and proline metabolism. In addition to phenylalanine-related pathways, lactate also plays a role in regulating branched-chain amino acid metabolism and energy metabolism. Notably, lactate treatment normalized the levels of eight essential metabolites in DMA mice, underscoring its potential as a therapeutic agent against the consequences of prolonged inactivity and muscle wasting. This study not only advances our understanding of the therapeutic benefits of lactate but also provides a foundation for novel treatment approaches aimed at metabolic restoration and muscle recovery in conditions of muscle wasting.
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  • 文章类型: Journal Article
    前扣带皮质(ACC)中异常的神经元兴奋性与认知和情感疼痛处理有关。这种兴奋性可以被激活的循环免疫细胞放大,包括T淋巴细胞,与中枢神经系统相互作用。这里,我们使用磁共振波谱(MRS)对慢性疼痛患者进行了一项研究,以探讨外周免疫激活与前额叶兴奋性-抑制性失衡之间相互作用的临床证据.在30例慢性肌肉骨骼疼痛患者中,我们评估了外周免疫激活的标志物,包括可溶性白细胞介素2受体α链(sCD25)水平,以及大脑代谢物,包括ACC中的Glx(谷氨酸+谷氨酰胺)与GABA+(γ-氨基丁酸+大分子/高肌氨酸)的比率。我们发现sCD25的循环水平与前额叶Glx/GABA相关。更高的前额叶Glx/GABA+与更高的疼痛灾难相关,评估性疼痛评级,和焦虑抑郁症状.Further,sCD25和前额叶Glx/GABA+对疼痛灾难的交互作用显著,表明这两个标记与疼痛灾难的联合关联。我们的结果提供了第一个证据,表明外周T细胞激活,正如循环sCD25水平升高所反映的那样,可能与慢性疼痛患者的前额叶兴奋性抑制失衡有关。这两个系统之间的相互作用可能作为疼痛灾难化的潜在机制发挥作用。需要进一步的前瞻性和治疗研究来阐明免疫和大脑相互作用在疼痛灾难中的具体作用。
    Aberrant neuronal excitability in the anterior cingulate cortex (ACC) is implicated in cognitive and affective pain processing. Such excitability may be amplified by activated circulating immune cells, including T lymphocytes, that interact with the central nervous system. Here, we conducted a study of individuals with chronic pain using magnetic resonance spectroscopy (MRS) to investigate the clinical evidence for the interaction between peripheral immune activation and prefrontal excitatory-inhibitory imbalance. In thirty individuals with chronic musculoskeletal pain, we assessed markers of peripheral immune activation, including soluble interleukin-2 receptor alpha chain (sCD25) levels, as well as brain metabolites, including Glx (glutamate + glutamine) to GABA+ (γ-aminobutyric acid + macromolecules/homocarnosine) ratio in the ACC. We found that the circulating level of sCD25 was associated with prefrontal Glx/GABA+. Greater prefrontal Glx/GABA+ was associated with higher pain catastrophizing, evaluative pain ratings, and anxiodepressive symptoms. Further, the interaction effect of sCD25 and prefrontal Glx/GABA+ on pain catastrophizing was significant, indicating the joint association of these two markers with pain catastrophizing. Our results provide the first evidence suggesting that peripheral T cellular activation, as reflected by elevated circulating sCD25 levels, may be linked to prefrontal excitatory-inhibitory imbalance in individuals with chronic pain. The interaction between these two systems may play a role as a potential mechanism underlying pain catastrophizing. Further prospective and treatment studies are needed to elucidate the specific role of the immune and brain interaction in pain catastrophizing.
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  • 文章类型: Journal Article
    三种中链脂肪酸(辛酸,癸酸和月桂酸,OA,DA和LA,分别)关于结构特征,研究了木薯淀粉(CS)的理化性质和消化行为。目前的研究表明,LA更容易与CS合并(复杂指数88.9%),其次是DA(80.9%),这也与它们相应的复合脂质含量一致。在形态学研究之后,短程有序结构,螺旋结构,各种配合物的结晶/无定形区域和分形维数,所有木薯淀粉-脂肪酸复合物(CS-FA)的特征都是片状形态,而不是天然淀粉的圆形形态(对照CS)。X射线衍射表明,所有CS-FAs均具有V型晶体结构,和核磁共振波谱证实,由不同脂肪酸制成的复合物显示出相似的V6或V7型多晶型物。有趣的是,小角度X射线散射分析表明,随着脂肪酸碳链长度的增加,α值变得更大,表明在聚集体中形成了更有序的分形结构。流变参数G\'和G\'\'的变化表明与脂肪酸复合的淀粉更有可能形成凝胶网络,但三种CS-FAs复合物之间差异显著,这可能是由单个脂肪酸引起的相应的疏水性和亲水性。重要的是,消化表明CS-LA配合物的水解度最低,其次是最大的RS含量,表明脂肪酸链长对于操纵复合物的精细结构和功能的重要性。
    Effect of complexation of three medium-chain fatty acids (octanoic, decylic and lauric acid, OA, DA and LA, respectively) on structural characteristics, physicochemical properties and digestion behaviors of cassava starch (CS) was investigated. Current study indicated that LA was more easily to combine with CS (complex index 88.9%), followed by DA (80.9%), which was also consistent with their corresponding complexed lipids content. Following the investigation of morphology, short-range ordered structure, helical structure, crystalline/amorphous region and fractal dimension of the various complexes, all cassava starch-fatty acids complexes (CS-FAs) were characterized with a flaked morphology rather than a round morphology in native starch (control CS). X-ray diffraction demonstrated that all CS-FAs had a V-type crystalline structure, and nuclear magnetic resonance spectroscopy confirmed that the complexes made from different fatty acids displayed similar V6 or V7 type polymorphs. Interestingly, small-angle X-ray scattering analysis revealed that α value became greater following increased carbon chain length of fatty acids, indicating the formation of a more ordered fractal structure in the aggregates. Changes in rheological parameters G\' and G\'\' indicated that starch complexed with fatty acids was more likely to form a gel network, but difference among three CS-FAs complexes was significant, which might be contributed to their corresponding hydrophobicity and hydrophilicity raised from individual fatty acids. Importantly, digestion indicated that CS-LA complexes had the lowest hydrolysis degree, followed by the greatest RS content, indicating the importance of chain length of fatty acids for manipulating the fine structure and functionality of the complexes.
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  • 文章类型: Journal Article
    肝硬化患者通常进展为轻度肝性脑病(MHE),伴有认知障碍,血氨和促炎细胞因子水平升高。本研究旨在通过氢1磁共振(1H-MR)脑波谱来识别肝硬化患者MHE的受试者,血清促炎细胞因子,和神经精神测试.
    这项前瞻性研究是在2017年9月至2019年10月期间在印度东北部的一家三级保健医院对100名无明显肝性脑病(HE)的肝硬化患者进行的,并与100名健康对照进行了比较。心理测量肝性脑病评分(PHES)神经心理学测试,头颅磁共振与1H-MR波谱,并进行血清白细胞介素6(IL-6)和肿瘤坏死因子-α(TNF-α)的测定。PHES评分和血清促炎标志物水平与大脑的常规和1H-MR波谱检查结果相关。
    病例组的平均PHES评分为-7.58±3.43(标准差[SD]),对照组为-3.41±3.87(SD)。Child-PughA级患者(n=8)的PHES评分为-8.7±2.5(SD),B类(n=42)-7.62±3.7(SD),C级(n=50)得分为-7.36±3.3(SD)。病例组IL-6和TNF-α的平均值分别为219±180(SD)pg/mL和99±118(SD)pg/mL,对照组分别为67.4±77(SD)pg/mL和57.5±76(SD)pg/mL。在能见度量表上观察到苍白球T1加权高强度,能见度得分为0分的39例,38例1分,23例,得2分。与对照组相比,在MR光谱学上,病例组中发现谷氨酸/谷氨酰胺/肌酸(Glx/Cr)比率增加(0.95±0.24vs.0.31±0.19,P<0.0005),肌醇/肌酸(mI/Cr)比率降低(0.11±0.13vs.0.30±0.12,P<0.0005),并增加胆碱/肌酸(Cho/Cr)比(0.69±0.26vs.0.61±0.20,P<0.0005)。Glx/Cr有统计学意义的差异,病例组和对照组的mI/Cr和Cho/Cr比值,P<0.0005。
    使用PHES等非侵入性方式预测肝硬化既定病例中MHE的发展,IL-6,TNF-α水平,1H-MR波谱在进一步发展为明显HE和昏迷中起着重要作用。
    UNASSIGNED: Liver cirrhosis patients commonly progress to minimal hepatic encephalopathy (MHE) with cognitive impairment and raised blood ammonia and proinflammatory cytokines levels. This study aims to identify the subjects of MHE in patients with liver cirrhosis by hydrogen 1 magnetic resonance (1H-MR) spectroscopy of the brain, serum proinflammatory cytokines, and neuropsychiatric tests.
    UNASSIGNED: This prospective was carried out on 100 patients of liver cirrhosis without overt hepatic encephalopathy (HE) and compared with 100 healthy controls in a tertiary care hospital in Northeast India between September 2017 and October 2019. The psychometric hepatic encephalopathy score (PHES) neuropsychological tests, cranial MRIwith 1H-MR spectroscopy, and estimation of serum interleukin 6 (IL-6) and tumor necrosis factor-alpha (TNF-α) were done. The PHES scores and serum proinflammatory markers levels were correlated with the conventional and 1H-MR spectroscopy findings of the brain.
    UNASSIGNED: The mean PHES score in the case group was -7.58±3.43 (standard deviation [SD]) and the control group was -3.41 ± 3.87 (SD). Patients with Child-Pugh class A (n = 8) had a PHES score of -8.7 ± 2.5 (SD), class B (n = 42) -7.62 ± 3.7 (SD), and class C (n = 50) had a score of -7.36 ± 3.3 (SD). The mean value of IL-6 and TNF-α in the case group was 219 ± 180 (SD) pg/mL and 99 ± 118 (SD) pg/mL and the control group was 67.4 ± 77 (SD) pg/mL and 57.5 ± 76 (SD) pg/mL. Globus pallidus T1-weighted hyperintensities on the visibility scale with a visibility score of 0 were observed in 39 cases, a score of 1 in 38 cases, and a score of 2 in 23 cases. Increased glutamate/glutamine/creatine (Glx/Cr) ratio was identified in the case group on MR spectroscopy as compared to the control (0.95 ± 0.24 vs. 0.31 ± 0.19, P < 0.0005), a decrease of myoinositol/creatine (mI/Cr) ratio (0.11 ± 0.13 vs. 0.30 ± 0.12, P < 0.0005), and increase choline/creatine (Cho/Cr) ratio (0.69 ± 0.26 vs. 0.61 ± 0.20, P < 0.0005). There was a statistically significant difference in Glx/Cr, mI/Cr and Cho/Cr ratio between the case and control groups with P < 0.0005.
    UNASSIGNED: Predicting the development of MHE in established cases of liver cirrhosis using non-invasive modalities like PHES, IL-6, TNF-α levels, and 1H-MR spectroscopy plays an important role in further progression to overt HE and coma.
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  • 文章类型: Journal Article
    背景:在种族和地理上不同的人群中,全面的血液脂蛋白谱及其与冠心病(CHD)的关系仍未得到充分研究。
    结果:我们在3438名个体(1719对)中进行了冠心病的巢式病例对照研究,包括1084名美国白人(542对),1244美国黑人(622对),和1110名中国成年人(555对)。我们检查了36种血浆脂质,脂蛋白,和载脂蛋白,核磁共振波谱测量,根据人口统计学,所有参与者和亚组中的冠心病事件,生活方式,和代谢健康状况,使用条件或无条件逻辑回归校正潜在的混杂因素。常规测量血脂,也就是说,总胆固醇,甘油三酯,低密度脂蛋白胆固醇,高密度脂蛋白胆固醇,每个都与冠心病相关,所有参与者的比值比(ORs)分别为1.33、1.32、1.24和0.79/1-SD.17种脂蛋白生物标志物显示出数字上比常规脂质更强的关联,所有参与者中每1-SD的ORs范围为1.35至1.57,OR为阴性0.78(所有错误发现率<0.05),包括载脂蛋白B100与载脂蛋白A1的比率(OR,1.57[95%CI,1.45-1.7]),低密度脂蛋白甘油三酯(OR,1.55[95%CI,1.43-1.69]),和载脂蛋白B(OR,1.49[95%CI,1.37-1.62])。所有这些关联在种族群体和其他按年龄定义的亚组之间是显著和一致的,性别,吸烟,肥胖,和代谢健康状况,包括常规测量的脂质水平正常的个体。
    结论:我们的研究强调了几种脂蛋白生物标志物,包括载脂蛋白B/载脂蛋白A1比率,载脂蛋白B,和低密度脂蛋白甘油三酯,与冠心病事件密切相关。我们的结果表明,全面的脂蛋白测量可以补充标准脂质面板,以告知不同人群的CHD风险。
    BACKGROUND: Comprehensive blood lipoprotein profiles and their association with incident coronary heart disease (CHD) among racially and geographically diverse populations remain understudied.
    RESULTS: We conducted nested case-control studies of CHD among 3438 individuals (1719 pairs), including 1084 White Americans (542 pairs), 1244 Black Americans (622 pairs), and 1110 Chinese adults (555 pairs). We examined 36 plasma lipids, lipoproteins, and apolipoproteins, measured by nuclear magnetic resonance spectroscopy, with incident CHD among all participants and subgroups by demographics, lifestyle, and metabolic health status using conditional or unconditional logistic regression adjusted for potential confounders. Conventionally measured blood lipids, that is, total cholesterol, triglycerides, low-density lipoprotein-cholesterol, and high-density lipoprotein-cholesterol, were each associated with incident CHD, with odds ratios (ORs) being 1.33, 1.32, 1.24, and 0.79 per 1-SD increase among all participants. Seventeen lipoprotein biomarkers showed numerically stronger associations than conventional lipids, with ORs per 1-SD among all participants ranging from 1.35 to 1.57 and a negative OR of 0.78 (all false discovery rate <0.05), including apolipoprotein B100 to apolipoprotein A1 ratio (OR, 1.57 [95% CI, 1.45-1.7]), low-density lipoprotein-triglycerides (OR, 1.55 [95% CI, 1.43-1.69]), and apolipoprotein B (OR, 1.49 [95% CI, 1.37-1.62]). All these associations were significant and consistent across racial groups and other subgroups defined by age, sex, smoking, obesity, and metabolic health status, including individuals with normal levels of conventionally measured lipids.
    CONCLUSIONS: Our study highlighted several lipoprotein biomarkers, including apolipoprotein B/ apolipoprotein A1 ratio, apolipoprotein B, and low-density lipoprotein-triglycerides, strongly and consistently associated with incident CHD. Our results suggest that comprehensive lipoprotein measures may complement the standard lipid panel to inform CHD risk among diverse populations.
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