treatment target

治疗目标
  • 文章类型: Review
    由于复杂的因素,糖尿病足溃疡(DFU)通常会发展为难以愈合的伤口。已经报道了几种能够鉴定有延迟伤口愈合风险的生物标志物。控制或靶向这些生物标志物可以防止DFU进展为难以愈合的伤口。这项范围审查旨在确定可以预测难以治愈的DFU的关键生物标志物。研究报告了与难以治愈的DFU相关的生物标志物,从1980年到2023年,都是地图。研究来自以下数据库:MEDLINE,CINAHL,EMBASE,和ICHUSHI(JapanaCentraRevuoMedicina),搜索词包括“糖尿病,\"\"溃疡,\"\"不愈合,\"和\"生物标记。“总共绘制了808篇文章,14项(10项人类研究和4项动物研究)纳入本综述。临床研究中的溃疡特征各不相同。大多数研究集中在感染伤口或神经性伤口上,缺血患者通常被排除在外。在报道的用于预测难以治愈的DFU的生物标志物中,来自未感染和非缺血性伤口的伤口液中的促炎细胞因子CXCL-6具有最高的预测准确性(曲线下面积:0.965;敏感性:87.27%;特异性:95.56%).CXCL-6水平可能是难以治愈的DFU的有用预测生物标志物。然而,CXCL6,一种嗜中性粒细胞的化学引诱物,通过与趋化因子受体CXCR1和CXCR2结合引起其趋化作用,并且涉及多种疾病。因此,很难将CXCL6作为预防或治疗靶点。需要确定难以治愈的DFU的可靶向特异性生物标志物。
    Diabetic foot ulcers (DFUs) often develop into hard-to-heal wounds due to complex factors. Several biomarkers capable of identifying those at risk of delayed wound healing have been reported. Controlling or targeting these biomarkers could prevent the progression of DFUs into hard-to-heal wounds. This scoping review aimed to identify the key biomarkers that can predict hard-to-heal DFUs. Studies that reported biomarkers related to hard-to-heal DFUs, from 1980 to 2023, were mapped. Studies were collected from the following databases: MEDLINE, CINAHL, EMBASE, and ICHUSHI (Japana Centra Revuo Medicina), search terms included \"diabetic,\" \"ulcer,\" \"non-healing,\" and \"biomarker.\" A total of 808 articles were mapped, and 14 (10 human and 4 animal studies) were included in this review. The ulcer characteristics in the clinical studies varied. Most studies focused on either infected wounds or neuropathic wounds, and patients with ischemia were usually excluded. Among the reported biomarkers for the prediction of hard-to-heal DFUs, the pro-inflammatory cytokine CXCL-6 in wound fluid from non-infected and non-ischemic wounds had the highest prediction accuracy (area under the curve: 0.965; sensitivity: 87.27%; specificity: 95.56%). CXCL-6 levels could be a useful predictive biomarker for hard-to-heal DFUs. However, CXCL6, a chemoattractant for neutrophilic granulocytes, elicits its chemotactic effects by combining with the chemokine receptors CXCR1 and CXCR2, and is involved in several diseases. Therefore, it\'s difficult to use CXCL6 as a prevention or treatment target. Targetable specific biomarkers for hard-to-heal DFUs need to be determined.
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  • 文章类型: Journal Article
    情绪障碍是导致显著功能损害的致残病症。由于这些疾病的临床异质性和复杂性,诊断和治疗策略面临挑战。心境障碍的病因是多方面的,涉及与包括炎症在内的特定生物学途径相关的遗传和环境因素,氧化应激,和神经保护。这些途径的改变可能会降低细胞从情绪发作期间发生的压力状况中恢复的能力。内溶酶体和自噬途径(ELAP)和泛素-蛋白酶体系统(UPS)在蛋白质稳态中起关键作用,影响神经可塑性和神经发育。因此,新出现的证据表明,这些途径在精神障碍中起作用。在神经退行性疾病(NDD)的情况下,深入了解ELAP和UPS的作用对于发现新的治疗靶点至关重要.由于建议NDD和情绪障碍具有共同的临床症状和危险因素,据推测,可能存在共同的潜在分子途径。这里,我们回顾了ELAP和UPS对中枢神经系统和情绪障碍的重要性。最后,我们讨论了与这些通路相关的重度抑郁障碍和双相情感障碍的诊断和治疗的潜在转化策略.
    Mood disorders are disabling conditions that cause significant functional impairment. Due to the clinical heterogeneity and complex nature of these disorders, diagnostic and treatment strategies face challenges. The etiology of mood disorders is multifactorial, involving genetic and environmental aspects that are associated with specific biological pathways including inflammation, oxidative stress, and neuroprotection. Alterations in these pathways may reduce the cell\'s ability to recover from stress conditions occurring during mood episodes. The endo-lysosomal and autophagy pathway (ELAP) and the ubiquitin-proteasome system (UPS) play critical roles in protein homeostasis, impacting neuroplasticity and neurodevelopment. Thus, emerging evidence has suggested a role for these pathways in mental disorders. In the case of neurodegenerative diseases (NDDs), a deeper understanding in the role of ELAP and UPS has been critical to discover new treatment targets. Since it is suggested that NDDs and mood disorders share clinical symptomatology and risk factors, it has been hypothesized that there might be common underlying molecular pathways. Here, we review the importance of the ELAP and UPS for the central nervous system and for mood disorders. Finally, we discuss potential translational strategies for the diagnosis and treatment of major depressive disorder and bipolar disorder associated with these pathways.
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  • 文章类型: Journal Article
    支气管肺发育不良(BPD)是早产儿常见的呼吸系统疾病,特别是低出生体重儿(LBWIs)和极低出生体重儿(VLBWIs)。尽管BPD是50年前首次报道的,目前尚无特定的药物或有效的预防或治疗措施。胰岛素样生长因子-1(IGF-1)属于胰岛素家族。它促进有丝分裂,刺激细胞增殖和DNA合成,胎儿和出生后肺发育的主要因素。一些研究报道IGF-1通过调节BPD相关的生物学过程对BPD的发生和发展发挥一定的作用。此外,外源性添加IGF-1可以缓解肺部炎症,BPD患儿的细胞凋亡和消除肺泡发育障碍。这些发现表明IGF-1可能是治疗BPD的新靶点。这里,我们总结和分析了定义,发病机制,以及BPD的研究现状,以及IGF-1在BPD中的发病机制和相关生物学过程的最新发现。
    Bronchopulmonary dysplasia (BPD) is a common respiratory disorder among preterm infants, particularly low-birth-weight infants (LBWIs) and very-low-birth-weight infants (VLBWIs). Although BPD was first reported 50 years ago, no specific drugs or efficient measures are yet available for prevention or treatment. Insulin-like growth factor-1 (IGF-1) belongs to the insulin family. It promotes mitosis and stimulates cell proliferation and DNA synthesis, the primary factors involved in pulmonary development during the fetal and postnatal periods. Several studies have reported that IGF-1 exerts certain effects on BPD genesis and progression by regulating BPD-related biological processes. In addition, exogenous addition of IGF-1 can alleviate lung inflammation, cell apoptosis and eliminate alveolar development disorders in children with BPD. These findings suggest that IGF-1 could be a new target for treating BPD. Here, we summarize and analyze the definition, pathogenesis, and research status of BPD, as well as the pathogenesis of IGF-1 in BPD and the latest findings in related biological processes.
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  • 文章类型: Published Erratum
    [这修正了文章DOI:10.3389/fhar.2021.743945。].
    [This corrects the article DOI: 10.3389/fphar.2021.743945.].
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  • 文章类型: Journal Article
    Pulmonary embolism (PE) is a common pathologic condition that frequently occurs in patients with deep venous thrombosis. Severe PE may critically suppress cardiopulmonary function, thereby threatening the life of patients. Chronic pulmonary hypertension caused by PE may lead to deterioration of respiratory dysfunction, resulting in complete disability. MicroRNAs (miRNAs) are a group of abundantly expressed non-coding RNAs that exert multiple functions in regulating the transcriptome via post-transcriptional targeting of mRNAs. Specifically, miRNAs bind to target mRNAs in a matching mechanism between the miRNA seed sequence and mRNA 3\' UTR, thus modulating the transcript stability or subsequent translation activity by RNA-induced silencing complex. Current studies have reported the function of miRNAs as biomarkers of PE, revealing their mechanism, function, and targetome in venous thrombophilia. This review summarizes the literature on miRNA functions and downstream mechanisms in PE. We conclude that various related miRNAs play important roles in PE and have great potential as treatment targets. For clinical application, we propose that miRNA biomarkers combined with traditional biomarkers or miRNA signatures generated from microchips may serve as a great predictive tool for PE occurrence and prognosis. Further, therapies targeting miRNAs or their upstream/downstream molecules need to be developed more quickly to keep up with the progress of routine treatments, such as anticoagulation, thrombolysis, or surgery.
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  • 文章类型: Journal Article
    网络成瘾(IA)可能构成广泛而严重的精神问题。以前的评论没有充分考虑可能导致治疗结果或预测行为变化的潜在因素。这些信息与了解干预措施的活性成分以及开发针对IA特征的更有效的治疗相关。这篇系统综述旨在将IA理论与治疗联系起来,描述IA的心理治疗研究,并在现有研究的基础上提出了成瘾和干预的模型。PubMed的计算机数据库搜索,心理信息,ScienceDirect,中国国家知识基础设施,和谷歌学者进行,以确定所有可用的研究证据的心理治疗IA(N=31项研究)。在这些心理干预中,有针对性地减少与成瘾相关的冲动和渴望,改善认知适应不良,在IA干预措施中已经调查了家庭问题的缓解。目标领域和干预方法并不相互排斥,需要进一步的研究来证明IA治疗的有效成分和作用机制。这样的研究将有助于产生更有效的循证干预措施。
    Internet addiction (IA) may constitute a widespread and serious mental problem. Previous reviews have not fully considered potential factors that may contribute to therapeutic outcomes or predict behavioral changes. Such information is relevant to understand the active ingredients of interventions and to develop more efficacious treatments that target features of IA. This systematic review was designed to relate theories of IA to treatments, describe studies of psychotherapies for IA, and propose a model of addiction and interventions based on extant studies. A computer database search of PubMed, PsychINFO, ScienceDirect, China National Knowledge Infrastructure, and Google Scholar was conducted to identify all available research evidence on psychological treatments for IA (N = 31 studies). Among these psychological interventions, the targeted reduction of addiction-related impulsivity and craving, improvement of cognitive maladjustment, and alleviation of family problems have been investigated in IA interventions. The targeted domains and intervention methods are not mutually exclusive, and further research is needed to demonstrate the effective components and mechanisms of action for treatments of IA. Such research will help generate more efficacious evidence-based interventions.
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