isothiocyanates

异硫氰酸酯
  • 文章类型: Journal Article
    与烯丙基反应-,乙酰-,在3-氨基-4,6-二甲基吡啶-2(1H)-酮的基础上研究了异硫氰酸苯酯,3-氨基-4-苯基吡啶-2-酮,和3-氨基-4-(噻吩-2-基)吡啶-2(1H)-酮(苯甲酰基-)异硫氰酸酯,得到相应的硫脲衍生物8-11a-c。与标准药物阿卡波糖相比,获得了十二种硫脲衍生物,并研究了它们对α-葡萄糖苷酶的抗糖尿病活性。比较药物阿卡波糖在15mM的浓度下抑制α-葡糖苷酶的活性达46.1%(阿卡波糖的IC50为11.96mM)。根据所进行的研究的结果,结果表明,烷基和苯基硫脲衍生物8,9a-c,与它们的乙酰基-(苯甲酰基)衍生物和10,11a-c相反,显示高抗糖尿病活性。因此,1-(4,6-二甲基-2-氧代-1,2-二氢吡啶-3-基)-3-苯基硫脲9a对酶α-葡萄糖苷酶具有最高的抑制活性,超过比较药物阿卡波糖的活性,其在15mm的浓度下抑制α-葡糖苷酶的活性56.6%(IC50=9,77mM)。1-(6-甲基-2-氧代4-(噻吩-2-基)-1,2-二氢吡啶-3-基)-3-苯基硫脲9c对酶α-葡萄糖苷酶具有抑制活性,与比较药物阿卡波糖相当,抑制α-葡萄糖苷酶的活性,浓度为15mm/41.2%(IC50=12,94mM)。化合物8a,8b,和9b显示出抑制酶α-葡萄糖苷酶的活性,与阿卡波糖相比活性较低,抑制浓度为15mM的α-葡萄糖苷酶的活性23.3%,26.9%,和35.2%,分别。化合物8a对α-葡萄糖苷酶的IC50,8b,发现9b为16.64mM,19.79mM,和21.79mM,分别。其他化合物8c,10a,10b,10c,11a,11b,和11c未显示对α-葡糖苷酶的抑制活性。因此,基于3-氨基吡啶-2(1H)-酮的新合成的硫脲衍生物是进一步修饰和研究其潜在抗糖尿病活性的有希望的候选者。这些积极的生物分析结果将刺激进一步深入的研究,包括体内模型。
    Reactions with allyl-, acetyl-, and phenylisothiocyanate have been studied on the basis of 3-amino-4,6-dimethylpyridine-2(1H)-one, 3-amino-4-phenylpyridine-2-one, and 3-amino-4-(thiophene-2-yl)pyridine-2(1H)-one (benzoyl-)isothiocyanates, and the corresponding thioureide derivatives 8-11a-c were obtained. Twelve thiourea derivatives were obtained and studied for their anti-diabetic activity against the enzyme α-glucosidase in comparison with the standard drug acarbose. The comparison drug acarbose inhibits the activity of α-glucosidase at a concentration of 15 mM by 46.1% (IC50 for acarbose is 11.96 mM). According to the results of the conducted studies, it was shown that alkyl and phenyl thiourea derivatives 8,9a-c, in contrast to their acetyl-(benzoyl) derivatives and 10,11a-c, show high antidiabetic activity. Thus, 1-(4,6-dimethyl-2-oxo-1,2-dihydropyridin-3-yl)-3-phenylthiourea 9a has the highest inhibitory activity against the enzyme α-glucosidase, exceeding the activity of the comparison drug acarbose, which inhibits the activity of α-glucosidase by 56.6% at a concentration of 15 mm (IC50 = 9,77 mM). 1-(6-methyl-2-oxo 4-(thiophen-2-yl)-1,2-dihydropyridin-3-yl)-3-phenylthiourea 9c has inhibitory activity against the enzyme α-glucosidase, comparable to the comparison drug acarbose, inhibiting the activity of α-glucosidase at a concentration of 15 mm per 41.2% (IC50 = 12,94 mM). Compounds 8a, 8b, and 9b showed inhibitory activity against the enzyme α-glucosidase, with a lower activity compared to acarbose, inhibiting the activity of α-glucosidase at a concentration of 15 mM by 23.3%, 26.9%, and 35.2%, respectively. The IC50 against α-glucosidase for compounds 8a, 8b, and 9b was found to be 16.64 mM, 19.79 mM, and 21.79 mM, respectively. The other compounds 8c, 10a, 10b, 10c, 11a, 11b, and 11c did not show inhibitory activity against α-glucosidase. Thus, the newly synthesized derivatives of thiourea based on 3-aminopyridine-2(1H)-ones are promising candidates for the further modification and study of their potential anti-diabetic activity. These positive bioanalytical results will stimulate further in-depth studies, including in vivo models.
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  • 文章类型: Journal Article
    多年来,组织工程在解决关节软骨缺损方面的治疗潜力一直是研究的重点。尽管前景看好,该领域的一个持续挑战是工程组织和天然组织之间缺乏足够的功能整合。这项研究介绍了一种新颖的方法,该方法采用萝卜硫烷(SFN)纳米乳液和单宁酸的组合来增强软骨组织工程并促进大鼠膝关节软骨缺损模型中的组织整合。为了证实我们的假设,我们进行了一系列的体外和体内实验。使用DLS表征SFN纳米乳液,zeta电位,和TEM分析。随后,它被掺入由壳聚糖组成的三元聚合物水凝胶中,明胶,和聚乙二醇。我们通过一套全面的物理化学方法评估了具有(H-SFN)和不具有(H)SFN纳米乳液的水凝胶,机械,和生物分析。对于体内研究,将9只雄性Wistar大鼠分为三组:不植入(Ctrl),H,H-SFN。诱发软骨缺损后,受影响的区域用单宁酸治疗,随后植入水凝胶。植入后四周,采用H&E对收获的软骨进行组织学检查,SafraninO/fastgreen,阿尔西亚蓝,和免疫组织化学染色技术。我们的结果表明,SFN纳米液滴的平均直径为75nm,表面电荷为-11.58mV。此外,降解,溶胀率,亲水性,并改善了加入SFN的水凝胶的弹性特性。组织病理学分析表明H-SFN组中GAG和胶原的产生较高。此外,与Ctrl组和H组相比,H-SFN组表现出优越的软骨再生和组织整合。总之,这项研究的结果表明,在制造膝关节软骨缺损支架时考虑细胞保护特性的重要性,强调了提出的SFN纳米乳液和单宁酸方法在推进软骨组织工程领域中的潜在意义。
    The therapeutic potential of tissue engineering in addressing articular cartilage defects has been a focal point of research for numerous years. Despite its promising outlook, a persistent challenge within this domain is the lack of sufficient functional integration between engineered and natural tissues. This study introduces a novel approach that employs a combination of sulforaphane (SFN) nanoemulsion and tannic acid to enhance cartilage tissue engineering and promote tissue integration in a rat knee cartilage defect model. To substantiate our hypothesis, we conducted a series of in vitro and in vivo experiments. The SFN nanoemulsion was characterized using DLS, zeta potential, and TEM analyses. Subsequently, it was incorporated into a ternary polymer hydrogel composed of chitosan, gelatin, and polyethylene glycol. We evaluated the hydrogel with (H-SFN) and without (H) the SFN nanoemulsion through a comprehensive set of physicochemical, mechanical, and biological analyses. For the in vivo study, nine male Wistar rats were divided into three groups: no implant (Ctrl), H, and H-SFN. After inducing a cartilage defect, the affected area was treated with tannic acid and subsequently implanted with the hydrogels. Four weeks post-implantation, the harvested cartilage underwent histological examination employing H&E, safranin O/fast green, alcian blue, and immunohistochemistry staining techniques. Our results revealed that the SFN nanodroplets had an average diameter of 75 nm and a surface charge of -11.58 mV. Moreover, degradation, swelling rates, hydrophilicity, and elasticity features of the hydrogel incorporating SFN were improved. Histopathological analysis indicated a higher production of GAGs and collagen in the H-SFN group. Furthermore, the H-SFN group exhibited superior cartilage regeneration and tissue integration compared to the Ctrl and H groups. In conclusion, the findings of this study suggest the importance of considering cell protective properties in the fabrication of scaffolds for knee cartilage defects, emphasizing the potential significance of the proposed SFN nanoemulsion and tannic acid approach in advancing the field of cartilage tissue engineering.
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  • 文章类型: Journal Article
    由于抗生素的处方过多,抗菌素耐药性已成为全球关注的关键问题。许多国家加强了对抗生素使用的控制,which,反过来,促进寻找抗生素的替代品。已经研究了相当多的植物化学物质。异硫氰酸苄酯(BITC)是十字花科物种中重要的次生代谢产物,在体外条件下表现出有效的抗菌活性。在这项研究中,我们进行了BITC与硫酸庆大霉素(阳性抗生素对照)和盐酸头孢噻呋对铜绿假单胞菌感染的比较小鼠模型研究。我们的结果表明,与硫酸庆大霉素相比,BITC表现出相当或更好的抗微生物活性和较低的小鼠免疫细胞浸润。此外,BITC对气囊皮肤组织没有任何毒性。总之,我们目前的研究表明,BITC可以替代抗生素,值得进一步的体内和临床试验研究.
    Due to over-prescription of antibiotics, antimicrobial resistance has emerged to be a critical concern globally. Many countries have tightened the control of antibiotic usage, which, in turn, promotes the search for alternatives to antibiotics. Quite a few phytochemicals have been investigated. Benzyl isothiocyanate (BITC) is an important secondary metabolite in cruciferous species and exhibited potent antimicrobial activity under in vitro conditions. In this research, we undertook a comparative mouse model study of BITC with gentamycin sulfate (positive antibiotic control) and ceftiofur hydrochloride (negative antibiotic control) against Pseudomonas aeruginosa infection. Our results showed that BITC exhibited comparable or better antimicrobial activity and lower infiltration of mouse immune cells upon comparing to gentamycin sulfate. Furthermore, BITC did not impose any toxicity to the air pouch skin tissues. In summary, our current study suggests that BITC could be an alternative to antibiotics and deserves further in vivo and clinical trial studies.
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  • 文章类型: Journal Article
    方法:饮食中异硫氰酸盐(ITC)暴露于十字花科蔬菜(CV)摄入可能会改善非肌层浸润性膀胱癌(NMIBC)的预后。这项研究旨在调查关键ITC代谢/功能基因的遗传变异是否会改变饮食ITC暴露与NMIBC预后结果之间的关联。
    结果:在膀胱癌流行病学中,健康,和生活方式研究(Be-WellStudy),1472例NMIBC患者的前瞻性队列,通过自我报告的CV摄入量评估膳食ITC暴露,并在血浆ITC-白蛋白加合物中测量。使用Cox比例风险回归模型,通过9个关键ITC代谢/功能基因的单核苷酸多态性(SNP)分层,计算复发和进展的风险比(HR)和95%置信区间(CIs).N-乙酰转移酶1(NAT1)中的rs15561改变了CV摄入与进展风险之间的关联。核因子E2相关因子2(NRF2)和核因子κB(NFκB)中的多个SNP修饰了血浆ITC-白蛋白加合物水平与进展风险之间的关联(pint<0.05)。没有观察到与复发风险的显著关联。总的来说,>80%的研究参与者每个基因至少有一个保护性基因型,显示高膳食ITC暴露的进展风险平均降低65%。
    结论:尽管ITC代谢/功能基因的遗传变异可能会改变膳食ITC对NMIBC预后的影响,饮食建议食用CV可能有助于提高NMIBC的生存率。
    METHODS: Dietary isothiocyanate (ITC) exposure from cruciferous vegetable (CV) intake may improve non-muscle invasive bladder cancer (NMIBC) prognosis. This study aims to investigate whether genetic variations in key ITC-metabolizing/functioning genes modify the associations between dietary ITC exposure and NMIBC prognosis outcomes.
    RESULTS: In the Bladder Cancer Epidemiology, Wellness, and Lifestyle Study (Be-Well Study), a prospective cohort of 1472 incident NMIBC patients, dietary ITC exposure is assessed by self-reported CV intake and measured in plasma ITC-albumin adducts. Using Cox proportional hazards regression models, stratified by single nucleotide polymorphisms (SNPs) in nine key ITC-metabolizing/functioning genes, it is calculate hazard ratios (HRs) and 95% confidence intervals (CIs) for recurrence and progression. The rs15561 in N-acetyltransferase 1 (NAT1) is alter the association between CV intake and progression risk. Multiple SNPs in nuclear factor E2-related factor 2 (NRF2) and nuclear factor kappa B (NFκB) are modify the associations between plasma ITC-albumin adduct level and progression risk (pint < 0.05). No significant association is observed with recurrence risk. Overall, >80% study participants are present with at least one protective genotype per gene, showing an average 65% reduction in progression risk with high dietary ITC exposure.
    CONCLUSIONS: Despite that genetic variations in ITC-metabolizing/functioning genes may modify the effect of dietary ITCs on NMIBC prognosis, dietary recommendation of CV consumption may help improve NMIBC survivorship.
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  • 文章类型: Journal Article
    背景:氧化应激通过诱导骨细胞死亡在许多骨骼疾病的发病机制中起着至关重要的作用。转录因子核因子红系2相关因子2(Nrf2)是通过抗氧化反应元件(ARE)抵抗细胞氧化应激的各种抗氧化基因表达的主要调节因子,可被各种兴奋剂诱导,包括植物化学物质甲基粘菌素(MET)和L-萝卜硫烷(SFN)。本研究旨在建立骨细胞体外模型,探讨MET和SFN对Nrf2/ARE通路的药理作用。
    方法:使用MLO-Y4鼠骨细胞和稳定转导的MLO-Y4-SIN-lenti-ARE报告基因细胞系。MET和SFN用作Nrf2诱导物。MET的细胞毒性,SFN,和过氧化氢(H2O2)使用CytoTox-Glo™测定进行评估。通过单亮氨酸酶测定检查时间和剂量依赖性的ARE诱导。Nrf2靶标记物的mRNA和蛋白表达,如血红素加氧酶1(Ho-1),NADPH醌脱氢酶1(Nqo1),和硫氧还蛋白还原酶1(Txnrd1),通过RT-qPCR检测,西方印迹,免疫荧光染色,分别。成骨标志物,骨桥蛋白,通过免疫荧光染色比较了是否治疗和未治疗的骨钙蛋白。
    结果:实验数据显示,与媒介物处理的对照相比,MET和SFN以时间和剂量依赖性方式诱导ARE活性,并增加了抗氧化剂标记的mRNA和蛋白质表达。用SFN处理的样本中骨桥蛋白和骨钙蛋白的表达明显高于未处理的样本。在H2O2诱导的应激条件下,用SFN处理的细胞死亡数显着低于未处理的细胞死亡数。
    结论:Nrf2诱导物MET和SFN通过Nrf2/ARE途径增加骨细胞中抗氧化基因的mRNA表达。值得注意的是,在H2O2诱导的应激条件下,SFN增加骨细胞相关成骨标志物的蛋白表达并抑制细胞死亡。因此,Nrf2刺激剂可以对骨细胞发挥缓解应力和成骨作用。
    BACKGROUND: Oxidative stress plays a crucial role in the pathogenesis of many skeletal diseases by inducing osteocyte death. The transcription factor nuclear factor erythroid 2-related factor 2 (Nrf2) is a master regulator of various antioxidant gene expressions through antioxidant response element (ARE) against cellular oxidative stress and can be induced by various stimulants, including the phytochemicals methysticin (MET) and L-sulforaphane (SFN). This study aimed to establish an osteocyte in vitro model to investigate the pharmacological effects of MET and SFN on the Nrf2/ARE pathway.
    METHODS: MLO-Y4 murine osteocytes and the stably transduced MLO-Y4-SIN-lenti-ARE reporter gene cell line were used. MET and SFN were used as Nrf2 inducers. The cytotoxicity of MET, SFN, and hydrogen peroxide (H2O2) was evaluated using the CytoTox-Glo™ Assay. Time- and dose-dependent ARE induction was examined by Monoluciferase Assay. The mRNA and protein expressions of Nrf2 target markers, such as heme-oxygenase 1 (Ho-1), NADPH quinone dehydrogenase 1 (Nqo1), and thioredoxin reductase 1 (Txnrd1), were detected by RT-qPCR, Western Blot, and immunofluorescence staining, respectively. Osteogenesis markers, osteopontin, and osteocalcin were compared with and without treatment by immunofluorescence staining.
    RESULTS: The experimental data showed that MET and SFN induced ARE activity in a time- and dose-dependent manner and increased the mRNA and protein expression of antioxidant markers compared to vehicle-treated controls. The protein expression of osteopontin and osteocalcin in the samples treated with SFN were significantly higher than without treatment, and the number of cell death treated with SFN was significantly lower than without treatment under H2O2-induced stress conditions.
    CONCLUSIONS: Nrf2 inducers MET and SFN increased the mRNA expression of antioxidant genes through the Nrf2/ARE pathway in osteocytes. Notably, SFN increased the protein expression of osteocyte-associated osteogenic markers and suppressed cell death under H2O2-induced stress condition. Thus, Nrf2 stimulators can exert stress-relieving and osteogenic effects on osteocytes.
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  • 文章类型: Journal Article
    我读了你最近由Magner等人进行的有趣的双盲研究。[...].
    I read your recent interesting double-blind study by Magner et al. [...].
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  • 文章类型: Randomized Controlled Trial
    尽管研究的异质性很大,有证据表明,初级保健中常用的抗生素在改变其组成和/或多样性方面会影响胃肠道微生物群的组成.来自食品和药用植物金莲花(Tropaeolummajus)的异硫氰酸苄酯(BITC)以其抗微生物活性而闻名,并用于治疗泌尿道和上呼吸道的感染。在这种背景下,我们提出了一个问题,即是否进行14d的金莲花干预(每天3克,N=30名健康女性)也可能影响正常的肠道微生物群组成。点尿BITC排泄与对大肠杆菌的弱但显着的抗菌作用高度相关。在尿液和呼气冷凝液(EBC)中观察到人β防御素1作为宿主防御参数的显着增加。前后分析显示,各组之间的平均肠道微生物组组成没有显着差异,循环血清代谢组也没有。在个人层面上,在采样点之间观察到一些大的变化,however.亚组中的探索性Spearman秩相关分析揭示了肠道菌群与循环代谢组之间的关联,以及血液标记和细菌肠道物种之间的变化。
    Despite substantial heterogeneity of studies, there is evidence that antibiotics commonly used in primary care influence the composition of the gastrointestinal microbiota in terms of changing their composition and/or diversity. Benzyl isothiocyanate (BITC) from the food and medicinal plant nasturtium (Tropaeolum majus) is known for its antimicrobial activity and is used for the treatment of infections of the draining urinary tract and upper respiratory tract. Against this background, we raised the question of whether a 14 d nasturtium intervention (3 g daily, N = 30 healthy females) could also impact the normal gut microbiota composition. Spot urinary BITC excretion highly correlated with a weak but significant antibacterial effect against Escherichia coli. A significant increase in human beta defensin 1 as a parameter for host defense was seen in urine and exhaled breath condensate (EBC) upon verum intervention. Pre-to-post analysis revealed that mean gut microbiome composition did not significantly differ between groups, nor did the circulating serum metabolome. On an individual level, some large changes were observed between sampling points, however. Explorative Spearman rank correlation analysis in subgroups revealed associations between gut microbiota and the circulating metabolome, as well as between changes in blood markers and bacterial gut species.
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  • 文章类型: Journal Article
    基于胃蛋白酶敏感肽(PSP)报告物降解策略,报告了一种简单有效的胃蛋白酶检测测定法。PSP,可以被胃蛋白酶特异性裂解,在N和C末端用异硫氰酸荧光素(FITC)和生物素进行修饰,以用作试纸的比色检测的报告子。使用由用于生物素结合的链霉亲和素测试线和固定有金标记的多克隆(兔)抗FITC抗体的样品垫组成的通用侧流试纸来验证基于PSP的胃蛋白酶检测。当PSP报道者与胃蛋白酶在试管中反应时,它分裂成两个碎片,并且切割的碎片在测试线上不显示任何颜色。因此,胃蛋白酶的浓度越高,测试线强度(IT线)的降低越大,并且对照线强度(IC线)越高。首先,优化了用于胃蛋白酶检测的PSP裂解和试纸测定条件。基于PSP的试纸测定的颜色强度比(IT线/IC线)显示出与胃蛋白酶的对数浓度在4至500ng/mL之间的线性关系(R2=0.98,n=6),检测限为1.4ng/mL。它还表现出高特异性和良好的重现性。最后,胃蛋白酶水平在健康对照(n=34)和咽喉反流患者的唾液样本中进行定量(LPR,n=61)。LPR患者的唾液胃蛋白酶水平高于健康对照组。唾液胃蛋白酶水平与使用常规酶联免疫吸附测定试剂盒测量的水平相关。因此,这种基于PSP的试纸测定法是评估唾液胃蛋白酶水平的便捷工具.
    A simple and effective pepsin detection assay is reported based on a pepsin-susceptible peptide (PSP) reporter degradation strategy. PSP, which can be specifically cleaved by pepsin, was modified with fluorescein isothiocyanate (FITC) and biotin at the N- and C-terminals to be used as a reporter for colorimetric detection of dipsticks. A universal lateral flow dipstick consisting of a streptavidin test line for biotin binding and a sample pad immobilized with a gold-labeled polyclonal (rabbit) anti-FITC antibody was used to verify PSP-based pepsin detection. When the PSP reporter reacts with pepsin in a tube, it cleaves into two fragments, and the cleaved fragments do not display any color on the test line. Therefore, the higher the concentration of pepsin is, the greater is the decrease in test line intensity (IT-line) and the higher is the control line intensity (IC-line). First, the PSP cleavage and dipstick assay conditions for pepsin detection was optimized. The ratio of color intensity (IT-line/IC-line) of PSP-based dipstick assay showed a linear relationship with log concentration of pepsin ranging between 4 and 500 ng/mL (R2 = 0.98, n = 6), with a limit of detection of 1.4 ng/mL. It also exhibited high specificity and good reproducibility. Finally, pepsin levels were quantified in saliva samples from healthy controls (n = 34) and patients with laryngopharyngeal reflux (LPR, n = 61). Salivary pepsin levels were higher in patients with LPR than in healthy controls. The salivary pepsin levels correlated with those measured using a conventional enzyme-linked immunosorbent assay kit. Therefore, this PSP-based dipstick assay is a convenient tool for assessing salivary pepsin levels.
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  • 文章类型: Journal Article
    内质网(ER)在细胞稳态中起着至关重要的作用。当ER应力产生时,自噬的自我消化过程被激活以促进细胞存活;然而,在ER应激水平过高的情况下诱导细胞死亡。本研究的目的是研究称为萝卜硫烷(SFN)的天然化合物对ER应激的影响。我们的目标是研究SFN依赖性自噬激活如何影响ER应激诱导的不同阶段。我们使用理论和分子生物学技术从系统生物学的角度进行了科学分析。我们发现SFN以浓度和时间依赖性方式诱导各种细胞死亡机制。低浓度的短SFN处理促进自噬,而在较高浓度的时间较长的处理激活细胞死亡。我们证明了SFN以mTORC1依赖性方式激活自噬,并且ULK1的存在是其功能所必需的。低浓度的SFN预处理或共同处理结合短内质网和长内质网应激能够通过自噬诱导在每种处理中促进细胞存活。提示SFN在ER应激相关疾病中的潜在医学重要性。
    The endoplasmic reticulum (ER) plays a crucial role in cellular homeostasis. When ER stress is generated, an autophagic self-digestive process is activated to promote cell survival; however, cell death is induced in the case of excessive levels of ER stress. The aim of the present study was to investigate the effect of a natural compound called sulforaphane (SFN) upon ER stress. Our goal was to investigate how SFN-dependent autophagy activation affects different stages of ER stress induction. We approached our scientific analysis from a systems biological perspective using both theoretical and molecular biological techniques. We found that SFN induced the various cell-death mechanisms in a concentration- and time-dependent manner. The short SFN treatment at low concentrations promoted autophagy, whereas the longer treatment at higher concentrations activated cell death. We proved that SFN activated autophagy in a mTORC1-dependent manner and that the presence of ULK1 was required for its function. A low concentration of SFN pre- or co-treatment combined with short and long ER stress was able to promote cell survival via autophagy induction in each treatment, suggesting the potential medical importance of SFN in ER stress-related diseases.
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  • 文章类型: Multicenter Study
    背景:额颞叶痴呆(bvFTD)的行为变异在病理学上非常异质,遗传学,和疾病过程。不像老年痴呆症,缺乏可靠的生物标志物,散发性bvFTD由于临床特征重叠,常被误诊为原发性精神疾病(PPD).当前表征和改进诊断的努力集中在少数遗传病例上。
    目的:多中心研究DIPPA-FTD旨在开发诊断和预后算法,以帮助区分散发性bvFTD和晚发性PPD的早期阶段。
    方法:前瞻性DIPPA-FTD研究招募具有晚年行为变化的参与者,怀疑bvFTD或迟发性PPD诊断为FTD和/或肌萎缩侧索硬化症家族史阴性。在参与的记忆诊所进行诊断筛查后,邀请受试者参加,或由精神科的转介招募。在基线访问时,参与者接受神经和精神检查,问卷,神经心理学测试,和大脑成像。获得血液以研究生物标志物。患者被告知大脑捐赠计划。随访发生在基线访问后10-14个月,其中重复所有检查。DIPPA-FTD研究的结果将整合到数据驱动的方法中,以开发诊断和预后模型。
    结论:DIPPA-FTD将对早期散发性bvFTD识别做出重要贡献。通过招募诊断模糊或前驱的受试者,我们的研究策略将允许对当前零星FTD研究中未涵盖的早期疾病阶段进行表征.结果有望提高早期诊断散发性bvFTD和预测进展率的能力,这对于患者分层和试验设计至关重要。
    BACKGROUND: The behavioral variant of frontotemporal dementia (bvFTD) is very heterogeneous in pathology, genetics, and disease course. Unlike Alzheimer\'s disease, reliable biomarkers are lacking and sporadic bvFTD is often misdiagnosed as a primary psychiatric disorder (PPD) due to overlapping clinical features. Current efforts to characterize and improve diagnostics are centered on the minority of genetic cases.
    OBJECTIVE: The multi-center study DIPPA-FTD aims to develop diagnostic and prognostic algorithms to help distinguish sporadic bvFTD from late-onset PPD in its earliest stages.
    METHODS: The prospective DIPPA-FTD study recruits participants with late-life behavioral changes, suspect for bvFTD or late-onset PPD diagnosis with a negative family history for FTD and/or amyotrophic lateral sclerosis. Subjects are invited to participate after diagnostic screening at participating memory clinics or recruited by referrals from psychiatric departments. At baseline visit, participants undergo neurological and psychiatric examination, questionnaires, neuropsychological tests, and brain imaging. Blood is obtained to investigate biomarkers. Patients are informed about brain donation programs. Follow-up takes place 10-14 months after baseline visit where all examinations are repeated. Results from the DIPPA-FTD study will be integrated in a data-driven approach to develop diagnostic and prognostic models.
    CONCLUSIONS: DIPPA-FTD will make an important contribution to early sporadic bvFTD identification. By recruiting subjects with ambiguous or prodromal diagnoses, our research strategy will allow the characterization of early disease stages that are not covered in current sporadic FTD research. Results will hopefully increase the ability to diagnose sporadic bvFTD in the early stage and predict progression rate, which is pivotal for patient stratification and trial design.
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