Neuropeptide Y

神经肽 Y
  • 文章类型: Journal Article
    Maternal separation can have long-lasting effects on an individual\'s susceptibility to stress later in life. Maternal separation during the postnatal period is a commonly used paradigm in rodents to investigate the effects of early life stress on neurobehavioural changes and stress responsiveness. However, maternal separation during stress hyporesponsive and responsive periods of postnatal development may differ in its effects on stress resilience. Therefore, we hypothesised that late maternal separation (LMS) from postnatal day 10 to 21 in mice may have different effect on resilience than early maternal separation during the first week of postnatal life. Our results suggested that male LMS mice are more resilient to chronic variable stress (CVS)-induced anxiety and depressive-like behaviour as confirmed by the open field, light-dark field, elevated plus maze, sucrose preference and tail suspension tests. In contrast, female LMS mice were equally resilient as non-LMS female mice. We found increased expression of NPY, NPY1R, NPY2R, NPFFR1, and NPFFR2 in the hypothalamus of male LMS mice whereas the opposite effect was observed in the hippocampus. LMS in male and female mice did not affect circulating corticosterone levels in response to psychological or physiological stressors. Thus, LMS renders male mice resilient to CVS-induced neurobehavioural disorders in adulthood.
    Sexual dimorphism exists in the effects of late maternal separation (LMS)LMS provides resilience to stress-induced anxiety and depression in male miceLMS upregulates NPY and NPVF system in the hypothalamus of male miceNo effect of LMS on stress-induced corticosterone levels.
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  • 文章类型: Journal Article
    目的:研究1型糖尿病患者的泪液神经肽Y(NPY)和P物质浓度,比较有和没有糖尿病视网膜病变(DR)和周围神经病变的患者。
    方法:这项横断面研究涉及41名1型糖尿病患者,无1至中度DR,和22个健康对照。评估包括临床眼表参数,角膜神经属性的量化(基于体内共聚焦显微镜成像),DR分级,和评估小纤维神经病变和大纤维神经病变。使用酶联免疫吸附测定法测量泪液样品中NPY和P物质的浓度。
    结果:患有1型糖尿病和长度依赖性小纤维神经病变(SFN)的参与者的平均(±标准偏差)泪液NPY浓度低于对照组(10.84±4.10ng/mLvs14.72±3.12ng/mL;p=0.004),但与无SFN的1型糖尿病参与者无显著差异(13.39±4.66ng/mL;p=0.11)。与无/最小DR(13.79±4.76ng/mL;p=0.0005)和对照组相比,1型糖尿病和轻度/中度非增殖性DR(10.44±3.46ng/mL)的泪液NPY水平较低。在单独的线性回归模型中,相对于对照组,SFN的存在((β=-0.75,p=0.02)和轻度/中度DR的存在(β=-0.84,p=0.009)与泪液NPY水平显着相关,在调整参与者年龄后,性别,和干眼症。泪液P物质浓度没有组间差异。
    结论:泪液NPY作为与1型糖尿病相关的外周微血管并发症的指标具有潜在的实用性。
    OBJECTIVE: To investigate tear neuropeptide Y (NPY) and substance P concentrations in individuals with type 1 diabetes, comparing those with and without both diabetic retinopathy (DR) and peripheral neuropathy.
    METHODS: This cross-sectional study involved 41 participants with type 1 diabetes and none to moderate DR, and 22 healthy controls. Assessments included clinical ocular surface parameters, quantification of corneal nerve attributes (based on in vivo confocal microscopy imaging), DR grading, and evaluation for small and large fibre neuropathy. Concentrations of NPY and substance P in tear samples were measured using enzyme-linked immunosorbent assay.
    RESULTS: Mean (±standard deviation) tear NPY concentrations in participants with type 1 diabetes and length-dependent small fibre neuropathy (SFN) was lower than in controls (10.84±4.10 ng/mL vs 14.72±3.12 ng/mL; p=0.004), but not significantly different from type 1 diabetes participants without SFN (13.39±4.66 ng/mL; p=0.11). Tear NPY levels were lower in individuals with type 1 diabetes and mild/moderate non-proliferative DR (10.44±3.46 ng/mL) compared to none/minimal DR (13.79±4.76 ng/mL; p=0.0005) and controls. In separate linear regression models, both the presence of SFN ((β=-0.75, p=0.02) and the presence of mild/moderate DR (β=-0.84, p=0.009) were significantly associated with tear NPY levels relative to controls, after adjusting for participant age, sex, and dry eye disease. There were no inter-group differences for tear substance P concentrations.
    CONCLUSIONS: Tear NPY has potential utility as an indicator of peripheral microvascular complications associated with type 1 diabetes.
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  • 文章类型: Journal Article
    使用标记辅助选择等现代方法对当地兔品种进行遗传改良需要有关具有不同遗传背景的动物的标记性状关联的准确和精确的信息。因此,这项研究旨在估计位于神经肽Y(NPY,g.1778G>C)和磷酸甘油酸突变酶2(PGAM2,c.195C>T)基因在新西兰白人(NZW),Baladi(BR),V线兔子第一个突变是使用高分辨率熔解基因分型的,第二个突变采用PCR-RFLP方法进行基因分型。结果显示,NPY突变与10(V线)和12周龄时的体重之间存在显着关联(NZW,BR,和V线),10至12周龄(BR)的体重增加(BWG),BWG从6到12周龄(NZW,BR,和V线),平均每日收益(新西兰元,BR,和V线,和BR),生长速率(GR)从8到10周(V线),10至12周(BR),和6至12周龄的GR(BR,和V线)。PGAM2突变与体重在10(V线)和12(NZW,和V线)周龄,在所有品种中,在12周龄时都有显著的正累加效应,并与BR中的BWG从8到10和10到12相关联,和6至12周龄的BWG(NZW,和BR),和平均每日收益(新西兰元,和BR),并与8至10周(BR)的GR形式有关,从10到12周(BR,和V线)以及6至12周(BR)。结果强调了这两种突变在生长发育中的重要性,以及将它们视为兔子晚期生长的候选基因的可能性。
    Genetic improvement of local rabbit breeds using modern approaches such as marker-assisted selection requires accurate and precise information about marker‒trait associations in animals with different genetic backgrounds. Therefore, this study was designed to estimate the association between two mutations located in the Neuropeptide Y (NPY, g.1778G > C) and Phosphoglycerate Mutase 2 (PGAM2, c.195 C > T) genes in New Zealand White (NZW), Baladi (BR), and V-line rabbits. The first mutation was genotyped using high-resolution melting, and the second mutation was genotyped using the PCR-RFLP method. The results revealed significant associations between the NPY mutation and body weight at 10 (V-line) and 12 weeks of age (NZW, BR, and V-line), body weight gain (BWG) from 10 to 12 weeks of age (BR), BWG from 6 to 12 weeks of age (NZW, BR, and V-line), average daily gain (NZW, BR, and V-line, and BR), growth rate (GR) from 8 to10 weeks (V-line), 10 to 12 weeks (BR), and GR from 6 to 12 weeks of age (BR, and V-line). The PGAM2 mutation was associated with body weight at 10 (V-line) and 12 (NZW, and V-line) weeks of age, with significant positive additive effects at 12 weeks of age in all breeds, and was associated with BWG from 8 to 10 and 10 to 12 in BR, and BWG from 6 to 12 weeks of age (NZW, and BR), and average daily gain (NZW, and BR), and was associated with GR form 8 to 10 weeks (BR), from10 to 12 weeks (BR, and V-line) and from 6 to 12 weeks (BR). The results highlighted the importance of the two mutations in growth development, and the possibility of considering them as candidate genes for late growth in rabbits.
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  • 文章类型: Journal Article
    (1)背景:我们检查了橄榄油(EVOO)的急性给药效果,亚麻籽油(GLO),大豆油(SO),和棕榈油(PO)对大鼠胃运动和食欲的影响。(2)方法:我们评估食物摄入量,胃潴留(GR),和所有组的基因表达。(3)结果:EVOO和GLO均能提高胃潴留率,减少饥饿。另一方面,SO引起的食物摄入量减少伴随着对胃retention留的延迟作用。PO引起NPYmRNA表达的改变,POMC,和cart。尽管PO在180分钟后增加了胃retention留,它不影响食物摄入。随后证实,缺乏自主反应并没有消除EVOO在减少食物消耗方面的影响。此外,在没有副交感神经反应的情况下,接受PO的动物表现出食物消耗的显着减少,可能由较低的NPY表达介导。(4)结论:本研究发现,不同的油会对与食物消耗相关的参数产生各种影响。具体来说,EVOO主要通过对胃肠道的影响来减少食物消耗,使其成为减肥的推荐辅助手段。相反,在没有自主反应的情况下,PO的摄入限制了食物的消耗,但由于它对心脏代谢紊乱的发展有贡献,因此不建议这样做。
    (1) Background: We examined the effect of the acute administration of olive oil (EVOO), linseed oil (GLO), soybean oil (SO), and palm oil (PO) on gastric motility and appetite in rats. (2) Methods: We assessed food intake, gastric retention (GR), and gene expression in all groups. (3) Results: Both EVOO and GLO were found to enhance the rate of stomach retention, leading to a decrease in hunger. On the other hand, the reduction in food intake caused by SO was accompanied by delayed effects on stomach retention. PO caused an alteration in the mRNA expression of NPY, POMC, and CART. Although PO increased stomach retention after 180 min, it did not affect food intake. It was subsequently verified that the absence of an autonomic reaction did not nullify the influence of EVOO in reducing food consumption. Moreover, in the absence of parasympathetic responses, animals that received PO exhibited a significant decrease in food consumption, probably mediated by lower NPY expression. (4) Conclusions: This study discovered that different oils induce various effects on parameters related to food consumption. Specifically, EVOO reduces food consumption primarily through its impact on the gastrointestinal tract, making it a recommended adjunct for weight loss. Conversely, the intake of PO limits food consumption in the absence of an autonomic reaction, but it is not advised due to its contribution to the development of cardiometabolic disorders.
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  • 文章类型: Journal Article
    高环境温度(HT)可增加二脑神经肽Y(NPY)的表达,和中央注射NPY减弱热应激反应,同时诱导鸡脾脏的抗氧化状态。然而,缺乏关于NPY受体表达的知识,以及它通过HT的调节,在小鸡的脾脏里.在目前的研究中,用雄性雏鸡测定急性时脾脏和其他免疫器官中NPY受体的表达(30vs.40±1°C持续3小时)或慢性(30与40±1°C持续3小时/天,持续3天)暴露于HT并响应于中心注射NPY(47pmol,188pmol,或1nmol)。我们发现NPY-Y4受体mRNA在脾脏中表达,但没有在其他免疫器官研究。免疫荧光染色显示NPY-Y4受体位于脾髓中。此外,急性和慢性接触HT时,鸡脾脏中NPY-Y4受体mRNA均增加。在两种剂量水平(47和188pmol)和更高剂量(1nmol)的中枢NPY在HT(35±1°C)下没有增加脾NPY-Y4受体mRNA表达或脾肾上腺素,在HT(40±1°C)下,3-甲氧基-4-羟基苯基乙二醇(MHPG)浓度显着增加。总之,HT下脾脏中NPY-Y4受体mRNA的表达增加表明Y4受体可能在雄性雏鸡对HT的反应中起生理作用。
    High ambient temperatures (HT) can increase diencephalic neuropeptide Y (NPY) expression, and central injection of NPY attenuates heat stress responses while inducing an antioxidative state in the chick spleen. However, there is a lack of knowledge about NPY receptor expression, and its regulation by HT, in the chick spleen. In the current study, male chicks were used to measure the expression of NPY receptors in the spleen and other immune organs under acute (30 vs. 40 ± 1°C for 3 h) or chronic (30 vs. 40 ± 1°C for 3 h/day for 3 days) exposure to HT and in response to central injection of NPY (47 pmol, 188 pmol, or 1 nmol). We found that NPY-Y4 receptor mRNA was expressed in the spleen, but not in other immune organs studied. Immunofluorescence staining revealed that NPY-Y4 receptors were localized in the splenic pulp. Furthermore, NPY-Y4 receptor mRNA increased in the chick spleen under both acute and chronic exposure to HT. Central NPY at two dose levels (47 and 188 pmol) and a higher dose (1 nmol) did not increase splenic NPY-Y4 receptor mRNA expression or splenic epinephrine under HT (35 ± 1°C), and significantly increased 3-methoxy-4-hydroxyphenylglycol (MHPG) concentrations under HT (40 ± 1°C). In conclusion, increased expression of NPY-Y4 receptor mRNA in the spleen under HT suggest that Y4 receptor may play physiological roles in response to HT in male chicks.
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  • 文章类型: Journal Article
    神经肽Y(NPY),由36个氨基酸组成的内源性肽,由于其神经保护特性,已被研究作为神经退行性疾病的潜在治疗剂。这项研究调查了NPY在以眼内压(IOP)升高和进行性视网膜神经节细胞变性为特征的青光眼小鼠模型中的神经保护作用。通过前房微珠注射诱导小鼠IOP升高,伴有NPY肽的玻璃体内给药。结果表明,在高IOP条件下,NPY治疗保留了内部视网膜的结构和功能完整性,并减轻了视神经的轴突损伤和退行性变化。Further,NPY治疗可有效减少炎性胶质细胞活化,神经胶质原纤维酸性蛋白和Iba-1的表达降低证明了这一点。值得注意的是,内源性NPY表达及其受体(NPY-Y1R和NPY-Y4R)水平在升高的IOP条件下在视网膜中受到负面影响。NPY治疗在很大程度上恢复了这些变化。分子分析显示,NPY通过丝裂原活化蛋白激酶(MAPK)和PI3K/Akt信号通路介导其保护作用。这些发现强调了NPY在青光眼治疗中的治疗潜力,强调其保护视网膜健康的能力,调节应激下的受体表达,减少神经炎症,并赋予抗轴突损伤的保护。
    Neuropeptide Y (NPY), an endogenous peptide composed of 36 amino acids, has been investigated as a potential therapeutic agent for neurodegenerative diseases due to its neuroprotective attributes. This study investigated the neuroprotective effects of NPY in a mouse model of glaucoma characterized by elevated intraocular pressure (IOP) and progressive retinal ganglion cell degeneration. Elevated IOP in mice was induced through intracameral microbead injections, accompanied by intravitreal administration of NPY peptide. The results demonstrated that NPY treatment preserved both the structural and functional integrity of the inner retina and mitigated axonal damage and degenerative changes in the optic nerve under high IOP conditions. Further, NPY treatment effectively reduced inflammatory glial cell activation, as evidenced by decreased expression of glial fibrillary acidic protein and Iba-1. Notably, endogenous NPY expression and its receptors (NPY-Y1R and NPY-Y4R) levels were negatively affected in the retina under elevated IOP conditions. NPY treatment restored these changes to a significant extent. Molecular analysis revealed that NPY mediates its protective effects through the mitogen-activated protein kinase (MAPK) and PI3K/Akt signaling pathways. These findings highlight the therapeutic potential of NPY in glaucoma treatment, underscoring its capacity to preserve retinal health, modulate receptor expression under stress, reduce neuroinflammation, and impart protection against axonal impairment.
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  • 文章类型: Journal Article
    OBJECTIVE: To observe the effects of acupuncture at \"antihypertensive acupoint prescription\" on endothelial active factors and related autonomic neurotransmitters in spontaneous hypertension rats, and explore the vascular regulation and central regulation mechanisms of acupuncture for anti-hypertension.
    METHODS: Thirty SPF grade male spontaneous hypertension rats were randomly divided into a model group (15 rats) and an acupuncture group (15 rats). Besides, 15 Wistar Kyoto rats were collected as a blank control group (normal group). In the acupuncture group, acupuncture was delivered at the \"antihypertensive acupoint prescription\" (bilateral \"Renying\" [ST 9], \"Quchi\" [LI 11], \"Zusanli\" [ST 36], \"Taichong\" [LR 3] and \"Neiguan\" [PC 6]), with needles retained for 30 min, once daily. The duration of intervention was 28 days. Every week, using the the irritation scale, the sign of sympathetic irritation was evaluated dynamically. The arterial blood pressure of the rats tail was determined, using non-invasive blood pressure measurement system. ELISA was adopted to detect the levels of calcitonin gene-related peptide (CGRP), nitric oxide (NO), endothelin-1 (ET-1), neuropeptide Y (NPY) in the serum. DAB chromogenic in situ hybridization (CISH) was provided to detect the mRNA expression of endothelial nitric oxide synthase (eNOS) in the internal carotid artery and the arcuate nucleus (ARC), and that of CGRP in the paraventricular nucleus posterior (PVP) and the ventrolateral medulla (VLM). Liquid chromatography-mass spectrometry (LC-MS) was used to detect the levels of epinephrine (E) and norepinephrine (NE) in the paraventricular nucleus anterior (PVA).
    RESULTS: Compared with the normal group, the irritation scores, systolic blood pressure and diastolic blood pressure were increased at each time point in the model group (P<0.05). When compared with the model group, the irritation scores after the intervention for 3 and 4 weeks, and systolic and diastolic blood pressure after intervention for 2, 3 and 4 weeks were reduced in the acupuncture group (P<0.05). In comparison with the normal group, the serum CGRP and NO levels of the rats were decreased (P<0.05), and the serum ET-1 and NPY levels, as well as E and EN levels in PVA were increased (P<0.05) in the model group. The levels of serum CGRP and NO were elevated (P<0.05), and the serum ET-1 and NPY levels, as well as E and EN levels of PVA were reduced (P<0.05) in the acupuncture group when compared with those of the model group. In the model group, the media of internal carotid artery exhibited thickening and remodeling, while the neuron volume in ARC was small. In the acupuncture group, every layer of internal carotid artery was acceptably arranged, and the parvicellular neuron of ARC was moderate in volume. For the in situ hybridization of eNOS mRNA for the rats of each group, the smooth muscle cells were predominantly expressed in each layer of the internal carotid artery, whereas the expression of parvicellular neurons was dominated in ARC. In the model group, the large and small neurosecretory cells were distributed sparsely in the nerves of PVP; in the acupuncture group, the cells of these two species were distributed regularly; and there were few species of glial cell in the VLM of either the model group or the acupuncture group. In each group, for the in situ hybridization of CGRP mRNA, the small neurosecretory cells were expressed predominately in the PVP, while, the expression of glial cell nuclei and the cell cytoplasm was dominated in the VLM. Compared with the normal group, the mRNA expression of eNOS in the internal carotid artery and ARC and that of CGRP mRNA in the PVP and VLM was decreased in the model group (P<0.05). In the acupuncture group, when compared with the model group, the mRNA expression of eNOS in the internal carotid artery and ARC and that of CGRP in the PVP and VLM was increased in the acupuncture group (P<0.05).
    CONCLUSIONS: Acupuncture at \"antihypertensive acupoint prescription\" can upregulate the level of vascular relaxing factors, downregulate the level of contracting factors, enhance the response of relaxing factors in targeting blood vessels and regulating the center. The mechanism may be related to the modulation of the sympathetic-adrenergic autonomic neurotransmitters in the paraventricular nucleus in spontaneous hypertension rats.
    目的:观察针刺“降压方”对自发性高血压大鼠(SHR)内皮活性因子及相关自主神经递质的影响,探讨针刺降压的血管调节和中枢调控机制。方法:将30只SPF级雄性SHR随机分为模型组(15只)、针刺组(15只),另以15只京都种Wistar大鼠(WKR)为空白对照组(正常组)。针刺组予“降压方”(双侧“人迎”“曲池”“足三里”“太冲”“内关”)针刺,留针30 min,每日1次,共干预28 d。每周采用激惹评分动态评价大鼠交感激惹表征;通过全自动无创血压测量系统检测大鼠尾动脉血压;ELISA法检测血清降钙素基因相关肽(CGRP)、一氧化氮(NO)、内皮素-1(ET-1)、神经肽Y(NPY)含量;DAB显色原位杂交(CISH)检测颈内动脉、弓状核内皮型一氧化氮合酶(eNOS)及室旁核后部、延髓腹外侧CGRP mRNA表达;液相色谱及质谱联用检测室旁核前部肾上腺素(E)、去甲肾上腺素(NE)含量。结果:与正常组比较,模型组大鼠观察期间各时间点激惹评分及收缩压、舒张压升高(P<0.05);与模型组比较,针刺组大鼠干预第3、4周后激惹评分及干预第2、3、4周后收缩压、舒张压降低(P<0.05)。与正常组比较,模型组大鼠血清CGRP、NO含量降低(P<0.05),血清ET-1、NPY含量及室旁核前部E、NE含量升高(P<0.05);与模型组比较,针刺组大鼠血清CGRP、NO含量升高(P<0.05),血清ET-1、NPY含量及室旁核前部E、NE含量降低(P<0.05)。模型组大鼠颈内动脉中膜增厚且有重构表现,弓状核神经元体积较小;针刺组大鼠颈内动脉各层排布尚可,弓状核小细胞神经元适中。各组大鼠eNOS mRNA在颈内动脉主要表达于各层中平滑肌细胞,而在弓状核主要表达于小细胞神经元。模型组大鼠室旁核后部神经分泌大细胞及小细胞分布较为稀疏,针刺组大鼠两类细胞排布尚可;模型组、针刺组大鼠延髓腹外侧区胶质细胞种类相对较少。各组大鼠CGRP mRNA在室旁核后部主要表达于神经分泌小细胞,而在延髓腹外侧主要表达于胶质细胞核及细胞质。与正常组比较,模型组大鼠颈内动脉及弓状核eNOS mRNA、室旁核后部及延髓腹外侧CGRP mRNA表达降低(P<0.05);与模型组比较,针刺组大鼠颈内动脉及弓状核eNOS mRNA、室旁核后部及延髓腹外侧CGRP mRNA表达增加(P<0.05)。结论:针刺“降压方”可上调血管舒张因子水平,下调血管收缩因子水平,同时增强血管舒缩因子靶向血管及调控中枢的响应,其机制可能与调节SHR室旁核交感肾上腺素能自主神经递质有关。.
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  • 文章类型: Journal Article
    导管消融(CA)是心房颤动(AF)介入治疗的重要手段,减少CA术后远期复发非常重要。CA后复发的机制尚不清楚。我们建立了环肺静脉消融(CPVA)后比格犬的长期模型。使用高通量测序和TMT标记的LC-MS/LC分析获得转录组和蛋白质组,分别。筛选并富集差异表达基因和蛋白质,在组织中发现并验证了纤维化的作用。一种下调的蛋白质,神经肽Y(NPY),选择进行验证,结果表明NPY可能在CPVA后AF的长期再诱导中起作用。然后,进一步研究了NPY的分子机制。结果表明,CPVA后心房有效不应期(AERP)缩短,纤维化增加。NPY干预减轻心房肌细胞凋亡,心肌成纤维细胞中Akt的激活受到抑制。这些结果表明,CPVA后NPY的长期抑制可能通过促进心肌细胞凋亡和激活心肌成纤维细胞中的Akt通路来诱导AF。这可能使房颤更有可能再次诱发。
    Catheter ablation (CA) is an essential method for the interventional treatment of atrial fibrillation (AF), and it is very important to reduce long-term recurrence after CA. The mechanism of recurrence after CA is still unclear. We established a long-term model of beagle canines after circumferential pulmonary vein ablation (CPVA). The transcriptome and proteome were obtained using high-throughput sequencing and TMT-tagged LC-MS/LC analysis, respectively. Differentially expressed genes and proteins were screened and enriched, and the effect of fibrosis was found and verified in tissues. A downregulated protein, neuropeptide Y (NPY), was selected for validation and the results suggest that NPY may play a role in the long-term reinduction of AF after CPVA. Then, the molecular mechanism of NPY was further investigated. The results showed that the atrial effective refractory period (AERP) was shortened and fibrosis was increased after CPVA. Atrial myocyte apoptosis was alleviated by NPY intervention, and Akt activation was inhibited in cardiac fibroblasts. These results suggest that long-term suppression of NPY after CPVA may lead to induction of AF through promoting cardiomyocyte apoptosis and activating the Akt pathway in cardiac fibroblasts, which may make AF more likely to reinduce.
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  • 文章类型: Journal Article
    背景:神经肽Y是神经系统中的神经递质,属于增加食欲的食欲系统。其过度分泌导致肥胖。瘦素是肥胖中诱导的促炎性脂肪因子(在脂肪组织中产生),并且可以介导肥胖中增加的抗肿瘤免疫(包括促进M1巨噬细胞)。瘦素和神经肽Y基因多态性,导致瘦素水平升高和肥胖的发生,和血脂异常,可能会增加免疫疗法的有效性。
    方法:121例EGFR基因突变和ALK、ROS1基因重排的晚期NSCLC患者,接受免疫治疗(一线和二线治疗)或化学免疫治疗(一线治疗),我们评估了BMI,血脂谱,使用免疫组织化学方法(克隆SP263抗体)在癌细胞上的PD-L1表达,血清中的瘦素浓度通过ELISA,通过实时PCR,瘦素(LEP)和神经肽Y(NPY)基因启动子区域的多态性。
    结果:肥胖患者的瘦素浓度明显高于正常或低体重患者(p=0.00003),而疾病稳定的患者与免疫治疗期间观察到的进展患者相比(p=0.012)。在LEP基因的rs779039多态性中,GA或AA基因型的患者比GG基因型的患者发生疾病控制的频率明显更高。整个研究组的中位PFS为5个月(95%CI:3-5.5),中位OS为12个月(95%CI:8-16)。TPS≥50%(6.5个月)和肥胖患者(6.6个月)的中位PFS最高。与其他患者相比,肥胖患者的中位OS也略长(23.8vs.13个月)。多因素Coxlogistic回归检验显示,降低疾病进展风险的唯一因素是TPS≥50%(HR=0.6068,95%CI:0.4001-0.9204,p=0,0187),降低死亡风险的唯一因素是高瘦素浓度(HR=0.6743,95%CI:0.4243-1.0715,p=0.0953)。
    结论:营养状况评估,LEP基因中的血清瘦素浓度和多态性在预测晚期NSCLC患者的免疫治疗和化学免疫治疗的有效性方面可能具有额外的重要性.
    BACKGROUND: Neuropeptide Y is a neurotransmitter in the nervous system and belongs to the orexigenic system that increases appetite. Its excessive secretion leads to obesity. Leptin is a pro-inflammatory adipokine (produced in adipose tissue) induced in obesity and may mediate increased antitumor immunity in obesity (including the promotion of M1 macrophages). Leptin and neuropeptide Y gene polymorphisms, causing increased leptin levels and the occurrence of obesity, and lipid profile disorders, may increase the effectiveness of immunotherapy.
    METHODS: In 121 patients with advanced NSCLC without mutations in the EGFR gene and rearrangements of the ALK and ROS1 genes, undergoing immunotherapy (1st and 2nd line of treatment) or chemoimmunotherapy (1st line of treatment), we assessed BMI, lipid profile, PD-L1 expression on cancer cells using the immunohistochemical method (clone SP263 antibody), leptin concentration in blood serum by ELISA, polymorphisms in the promoter region of the genes for leptin (LEP) and neuropeptide Y (NPY) by real-time PCR.
    RESULTS: Leptin concentration was significantly higher in obese patients than in patients with normal or low weight (p = 0.00003) and in patients with disease stabilization compared to patients with progression observed during immunotherapy (p = 0.012). Disease control occurred significantly more often in patients with the GA or AA genotype than patients with the GG genotype in the rs779039 polymorphism of the LEP gene. The median PFS in the entire study group was five months (95% CI: 3-5.5), and the median OS was 12 months (95% CI: 8-16). Median PFS was highest in patients with TPS ≥ 50% (6.5 months) and in obese patients (6.6 months). Obese patients also had a slightly longer median OS compared to other patients (23.8 vs. 13 months). The multivariate Cox logistic regression test showed that the only factor reducing the risk of progression was TPS ≥ 50% (HR = 0.6068, 95% CI: 0.4001-0.9204, p = 0, 0187), and the only factor reducing the risk of death was high leptin concentration (HR = 0.6743, 95% CI: 0.4243-1.0715, p = 0.0953).
    CONCLUSIONS: Assessment of nutritional status, serum leptin concentration and polymorphisms in the LEP gene may be of additional importance in predicting the effectiveness of immunotherapy and chemoimmunotherapy in patients with advanced NSCLC.
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  • 文章类型: Journal Article
    在这个分析中,我们的目的是调查COVID-19疾病对饮食行为的影响。共有55名惯用右手的成年人,<50岁,没有超重或肥胖,纳入了两项横断面研究.第一个受试者在2018年9月至2019年12月期间注册(非COVID-19组)。第二个包括2022年3月至2023年5月之间注册的受试者;对于此分析,保留有COVID-19病史的28例(COVID-19组)。饥饿,TFEQ-18血浆生长素释放肽,在禁食期间评估神经肽Y(NPY)和静息状态fMRI。通过基于体素的区域同质性(ReHo)和中心性(DC)评估区域内神经元的同步性和连通性。COVID-19组的ghrelin和NPY水平明显高于非COVID-19组(ghrelin197.5pg/mL与67.1pg/mL,p<0.001;NPY128.0pg/mL与84.5pg/mL,p=0.005)。NPY水平与左侧舌侧DC和ReHo呈正相关(分别为r=0.67785和r=0.73604)。认知克制的得分相似,根据TFEQ-18问卷结果,两组均有不受控制的进食和情绪进食(均p>0.05)。我们的数据显示食欲相关激素水平升高,与食欲调节相关的大脑区域的活动,在COVID-19感染后持续很长时间。
    In this analysis, we aimed to investigate the effect of COVID-19 disease on eating behavior. A total of 55 right-handed adults, <50 years of age, without overweight or obesity, from two cross-sectional studies were included. The first one enrolled subjects between September 2018 and December 2019 (non-COVID-19 group). The second one included subjects enrolled between March 2022 and May 2023; for this analysis, 28 with a history of COVID-19 (COVID-19 group) were retained. Hunger, TFEQ-18, plasma ghrelin, neuropeptide Y (NPY) and resting-state fMRI were assessed during fasting. Intraregional neuronal synchronicity and connectivity were assessed by voxel-based regional homogeneity (ReHo) and degree of centrality (DC). Significantly higher ghrelin and NPY levels were observed in the COVID-19 group than in the non-COVID-19 group (ghrelin 197.5 pg/mL vs. 67.1 pg/mL, p < 0.001; NPY 128.0 pg/mL vs. 84.5 pg/mL, p = 0.005). The NPY levels positively correlated with the DC and ReHo in the left lingual (r = 0.67785 and r = 0.73604, respectively). Similar scores were noted for cognitive restraint, uncontrolled eating and emotional eating in both groups according to the TFEQ-18 questionnaire results (p > 0.05 for all). Our data showed increased levels of appetite-related hormones, correlated with activity in brain regions involved in appetite regulation, persisting long after COVID-19 infection.
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