Mucin

黏蛋白
  • 文章类型: Journal Article
    研究了柑橘皮果胶(一种主要的食物碳水化合物)和粘蛋白(一种主要的口服胃肠道糖蛋白)的二元系统,了解口腔加工和消化过程中食物和生物流体之间的相互作用和热力学。通过在293、301、310和318K添加果胶来淬灭粘蛋白的荧光发射光谱,表明两个大分子群体之间的直接接触。一个红色的转变,提示果胶诱导的粘蛋白构象改变,在318K观察到基于强度的斯特恩-沃尔默图拟合二阶多项式方程,表明静态和动态淬火共存,而斜率随温度的增加表明动力学现象占优势。时间分辨荧光测量还指向与瞬态相互作用相关的动态猝灭,而不是特定的结合。热力学分析在所有情况下都会产生负自由能变化,焓的正变化和TΔS的大正值。这些与斯特恩-沃尔默的分析一致,表明了短暂的优势,动态(这里是熵)相互作用。这些提供了在食物的口腔加工和消化过程中粘蛋白与果胶大分子相互作用的图像,并且可以与纹理相关,以多糖为基础的食物的风味(如收敛性)和生物利用度。
    Binary systems of citrus peel pectin (a major food carbohydrate) and mucin (a principal oral-gastrointestinal glycoprotein) are studied, as to understand the interactions and thermodynamics between food and biofluids during oral processing and digestion. The fluorimetry emission spectra of mucin were quenched by pectin addition at 293, 301, 310 and 318 K, indicating direct contact between the two macromolecular populations. A red shift, suggesting pectin-induced alterations on mucin conformation, has been observed at 318 K. Intensity-based Stern - Volmer plots fitted second-order polynomial equations, suggesting the coexistence of both static and dynamic quenching, while the increase of the slopes with temperature points to the predominance of dynamic phenomena. Time-resolved fluorescence measurements also point to dynamic quenching related to transient interactions, rather than to specific bonding. Thermodynamic analysis yields negative free energy changes in all cases, with positive changes for enthalpy and large positive values for TΔS. These are in agreement with the Stern - Volmer analysis, suggesting the predominance of transient, dynamic (here entropic) interactions. These provide an image of mucin interacting with pectin macromolecules during the oral processing and digestion of foods, and can relate to the texture, flavor (e.g. astringency) and bioavailability of polysaccharide-based foods.
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  • 文章类型: Journal Article
    炎症性肠病(IBD)的发病率和患病率在全球范围内逐渐上升。已知高脂饮食(HFD)会破坏肠道稳态并加重IBD,然而,潜在的机制在很大程度上仍然不确定。这里,在IBD患者和小鼠结肠炎模型中,观察到膳食脂肪摄入与疾病严重程度呈正相关.HFD诱导吲哚-3-乙酸(IAA)的显著降低并导致肠屏障损伤。此外,IAA补充增强肠粘蛋白硫酸化并有效缓解结肠炎。机械上,IAA上调参与粘蛋白硫酸化的关键分子,包括3'-磷酸腺苷5'-磷酸硫酸合酶2(Papss2)和溶质载体家族35成员B3(Slc35b3),3'-磷酸腺苷-5'-磷酸硫酸盐(PAPS)的合成酶和转移酶,通过芳烃受体(AHR)。更重要的是,AHR可以直接结合Papss2的转录起始位点。口服罗伊氏乳杆菌,可以产生IAA,有助于防止结肠炎和促进粘蛋白硫酸化,而缺乏iaaM基因(乳杆菌ΔiaM)和产生IAA的能力的改良罗伊乳杆菌菌株未能表现出这种作用。总的来说,IAA通过AHR-Papss2-Slc35b3途径增强肠粘蛋白硫酸化,有助于保护肠道平衡。
    HFD可通过破坏肠道微生物组中的色氨酸代谢和降低IAA水平而导致结肠炎的发展。已显示补充IAA可缓解小鼠结肠炎并改善肠屏障功能。认为IAA可激活AHR上调Papss2和Slc35b3的表达,促进粘蛋白的硫酸化修饰,保护肠屏障。HFD,高脂肪饮食;AHR,芳烃受体;IAA,吲哚-3-乙酸;Papss2,3'-磷酸腺苷5'-磷酸硫酸合酶2;Slc35b3,溶质载体家族35成员B3。
    The global incidence and prevalence of inflammatory bowel disease (IBD) are gradually increasing. A high-fat diet (HFD) is known to disrupt intestinal homeostasis and aggravate IBD, yet the underlying mechanisms remain largely undefined. Here, a positive correlation between dietary fat intake and disease severity in both IBD patients and murine colitis models is observed. A HFD induces a significant decrease in indole-3-acetic acid (IAA) and leads to intestinal barrier damage. Furthermore, IAA supplementation enhances intestinal mucin sulfation and effectively alleviates colitis. Mechanistically, IAA upregulates key molecules involved in mucin sulfation, including 3\'-phosphoadenosine 5\'-phosphosulfate synthase 2 (Papss2) and solute carrier family 35 member B3 (Slc35b3), the synthesis enzyme and the transferase of 3\'-phosphoadenosine-5\'-phosphosulfate (PAPS), via the aryl hydrocarbon receptor (AHR). More importantly, AHR can directly bind to the transcription start site of Papss2. Oral administration of Lactobacillus reuteri, which can produce IAA, contributes to protecting against colitis and promoting mucin sulfation, while the modified L. reuteri strain lacking the iaaM gene (LactobacillusΔiaaM) and the ability to produce IAA fail to exhibit such effects. Overall, IAA enhances intestinal mucin sulfation through the AHR-Papss2-Slc35b3 pathway, contributing to the protection of intestinal homfeostasis.
    A HFD can lead to the development of colitis by disrupting tryptophan metabolism in the gut microbiome and lowering levels of IAA. Supplementation with IAA has been shown to alleviate colitis in mice and improve intestinal barrier function. It is believed that IAA may activate the AHR to upregulate the expression of Papss2 and Slc35b3, promoting sulfation modification of mucins and protecting the intestinal barrier. HFD, high-fat diet; AHR, aryl hydrocarbon receptor; IAA, indole-3-acetic acid; Papss2, 3’-phosphoadenosine 5’-phosphosulfate synthase 2; Slc35b3, solute carrier family 35 member B3.
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  • 文章类型: Case Reports
    肢端持续性丘疹性黏液病(APPM)是一种罕见的特发性局部扁平苔藓粘液症亚型。迄今为止,全球报告的APPM病例不到41例,然而,几乎所有患者年龄均大于18岁.本文首次报道了一个7岁的孩子。
    一名7岁男孩因右手食指中段的桡侧有一个孤立的皮肤色丘疹入院。患者想知道确切的诊断并将其移除,因为中段的屈曲运动已受到影响。因此,进行了手术。从右食指中段的丘疹放射状侧获得的活检标本的组织病理学检查显示,粘蛋白在乳头和中皮层中有局灶性和界限明确的沉积。沉积物从未深入网状真皮。粘蛋白避开了乳头状真皮的表皮下区域。Alcian蓝色污渍可以突出粘蛋白。丘疹在组织学上被诊断为APPM,并通过手术切除。手术后伤口逐渐愈合,没有明显的复发,到目前为止,在随访期间观察到疤痕或其他不适。
    据我们所知,这是罕见的儿童APPM表现为影响中段屈曲运动的孤立丘疹。因为它是一种罕见的疾病,我们报道该病例,为今后对APPM的诊断和发病机制的研究做出贡献。
    UNASSIGNED: Acral persistent papular mucinosis (APPM) is a rare idiopathic subtype of localized lichen myxedematosus. To date, there have been less than 41 APPM cases reported worldwide, however, almost all patients were older than 18 years of age. A 7-year-old child was first reported in this paper.
    UNASSIGNED: A 7-year-old boy was admitted to our hospital with a solitary skin-colored papule on the radial side of the middle segment of his right index finger. The patient wanted to know the exact diagnosis and remove it because the flexion movement of the middle segment had been affected. Thus, a surgery was performed. Histopathological examination of a biopsy specimen obtained from the papule on the radial side of the middle segment of his right index finger showed a focal and well-circumscribed deposit of mucin in the papillary and middermis. The deposit never extended deeply into the reticular dermis. Mucin spared a subepidermal area in the papillary dermis. Alcian blue stains can highlight the mucin. The papule was histologically diagnosed as an APPM and excised surgically. The wound gradually healed after the operation, and no obvious recurrence, scar or other discomfort was observed during follow-up so far.
    UNASSIGNED: To the best of our knowledge, this is the rare case of a child APPM presenting as a solitary papule affecting the flexion movement of the middle segment. Since it is a rare disease, we report this case to contribute to future research on the diagnosis and pathogenesis of APPM.
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  • 文章类型: Journal Article
    为了检测早期胃癌(EGC),本研究旨在评估放大内镜(ME)的诊断效用以及粘蛋白表型和微血管特征的意义.
    402名诊断为EGC的患者在2012年至2020年期间在ME部门接受了内镜黏膜下剥离术(ESD)。调整图像失真后,我们拍摄了高倍率内窥镜照片并进行了检查,以发现感兴趣区域的微血管.分割后,以每平方毫米的计数(计数/mm2)测量微血管密度,血管床的大小计算为感兴趣面积的百分比。为了识别微血管的某些特性,如终点,交叉点,分支位点,和连接点,使用骨架化像素进行进一步处理。
    根据研究,未分化肿瘤通常缺乏MS模式,并显示椭圆形和管状微表面(MS)模式,但是分化的EGC肿瘤通常缺乏MS模式,并呈现开瓶器MV模式。与未分化肿瘤相比,粘膜下浸润与分化肿瘤的破坏性MS模式更密切相关。虽然具有开瓶器MV模式和胃窦或身体MS模式的病变显示出更高的MUC5AC表达,具有环状MV模式的病变表明MUC2表达较高。此外,在具有乳头状模式和窦或身体MS模式的病变中,CD10表达更高。
    这些结果表明,结合放大内镜(ME)评估粘蛋白表型和微血管特征可能是早期胃癌(EGC)检测的有用诊断策略。然而,需要进一步的研究来确认这些发现,并确定EGC诊断的最佳措施.
    UNASSIGNED: In order to detect early gastric cancer (EGC), this research sought to assess the diagnostic utility of magnifying endoscopy (ME) as well as the significance of mucin phenotype and microvessel features.
    UNASSIGNED: 402 individuals with an EGC diagnosis underwent endoscopic submucosal dissection (ESD) at the Department of ME between 2012 and 2020. After adjusting for image distortion, high-magnification endoscopic pictures were taken and examined to find microvessels in the area of interest. The microvessel density was measured as counts per square millimeter (counts/mm2) after segmentation, and the vascular bed\'s size was computed as a percentage of the area of interest. To identify certain properties of the microvessels, such as end-points, crossing points, branching sites, and connection points, further processing was done using skeletonized pixels.
    UNASSIGNED: According to the research, undifferentiated tumors often lacked the MS pattern and showed an oval and tubular microsurface (MS) pattern, but differentiated EGC tumors usually lacked the MS pattern and presented a corkscrew MV pattern. Submucosal invasion was shown to be more strongly associated with the destructive MS pattern in differentiated tumors as opposed to undifferentiated tumors. While lesions with a corkscrew MV pattern and an antrum or body MS pattern revealed greater MUC5AC expression, lesions with a loop MV pattern indicated higher MUC2 expression. Furthermore, CD10 expression was higher in lesions with a papillary pattern and an antrum or body MS pattern.
    UNASSIGNED: These results imply that evaluating mucin phenotype and microvessel features in conjunction with magnifying endoscopy (ME) may be a useful diagnostic strategy for early gastric cancer (EGC) detection. Nevertheless, further investigation is required to confirm these findings and identify the best course of action for EGC diagnosis.
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  • 文章类型: Journal Article
    胆石症是一种常见的胆道疾病。然而,胆结石形成的确切机制尚不清楚.粘蛋白在胆固醇和色素结石的核形成和生长中起着至关重要的作用。粘蛋白分泌过多可导致胆汁淤积和胆囊活动减少,进一步促进结石的形成和生长。此外,胆结石可能导致炎症和炎症因子的分泌,可以进一步增加粘蛋白的表达和分泌,促进胆结石的生长。本文系统地总结和分析了粘蛋白在胆结石发生发展中的作用及其相关机制,为结石形成或复发的干预探索新思路。
    Cholelithiasis is a common biliary tract disease. However, the exact mechanism underlying gallstone formation remains unclear. Mucin plays a vital role in the nuclear formation and growth of cholesterol and pigment stones. Excessive mucin secretion can result in cholestasis and decreased gallbladder activity, further facilitating stone formation and growth. Moreover, gallstones may result in inflammation and the secretion of inflammatory factors, which can further increase mucin expression and secretion to promote the growth of gallstones. This review systematically summarises and analyses the role of mucins in gallstone occurrence and development and its related mechanisms to explore new ideas for interventions in stone formation or recurrence.
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  • 文章类型: Journal Article
    背景:B3GNT7,一种重要的糖基转移酶,在肠上皮细胞中高度表达,在肠道生理过程中起着举足轻重的作用。这项研究阐明了B3GNT7在溃疡性结肠炎(UC)中的潜在作用和潜在机制的新见解。
    方法:使用DSS在小鼠中诱导实验性结肠炎模型,以通过转录组学和免疫组织化学研究B3GNT7在结肠中的表达。生物信息学分析被用来描述B3GNT7的生物学功能。此外,UC患者结肠组织中B3GNT7转录水平的相关性,来自IBDMDB数据库,并分析结肠炎症的严重程度以阐明潜在的机制。
    结果:成功建立DSS诱导的结肠炎模型,和转录组学分析鉴定了与对照相比,结肠组织中B3GNT7表达的显著下调。功能富集分析表明B3GNT7在粘蛋白O-糖基化中的主要作用。蛋白质相互作用分析显示,B3GNT7主要与粘蛋白MUC家族成员相互作用,包括MUC2、MUC3和MUC6。在UC患者中,B3GNT7转录水平显著降低,特别是那些有中度到重度疾病活动的人。B3GNT7的表达水平与UC的严重程度呈负相关。基因集富集分析(GSEA)进一步证明了B3GNT7在粘蛋白O-糖基化合成途径中的显著富集。
    结论:UC患者结肠组织中B3GNT7表达下调可能导致粘蛋白屏障功能受损和结肠炎恶化。
    BACKGROUND: B3GNT7, a glycosyltransferase of significant importance that is highly expressed in intestinal epithelial cells, plays a pivotal role in intestinal physiological processes. This study elucidates novel insights into the potential role and underlying mechanisms of B3GNT7 in ulcerative colitis (UC).
    METHODS: An experimental colitis model was induced using DSS in mice to investigate B3GNT7 expression in the colon via transcriptomics and immunohistochemistry. Bioinformatics analysis was employed to delineate the biological functions of B3GNT7. Additionally, the correlation between the transcription levels of B3GNT7 in colonic tissues from patients with UC, sourced from the IBDMDB database, and the severity of colonic inflammation was analyzed to elucidate potential mechanisms.
    RESULTS: The DSS-induced colitis model was successfully established, and transcriptomic analysis identified a marked downregulation of B3GNT7 expression in the colonic tissues compared to the controls. Functional enrichment analysis indicated B3GNT7\'s predominant role in mucin O-glycosylation. Protein interaction analysis revealed that B3GNT7 predominantly interacts with members of the mucin MUC family, including MUC2, MUC3, and MUC6. In patients with UC, B3GNT7 transcription levels were significantly reduced, particularly in those with moderate to severe disease activity. The expression level of B3GNT7 exhibited a negative correlation with the endoscopic severity of UC. Gene set enrichment analysis (GSEA) further demonstrated significant enrichment of B3GNT7 in the mucin O-glycosylation synthesis pathway.
    CONCLUSIONS: The downregulation of B3GNT7 expression in the colonic tissues of UC patients may contribute to the compromised mucin barrier function and the exacerbation of colitis.
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  • 文章类型: Journal Article
    苦涩度对泡茶的口感品质有重要影响,当多酚与唾液蛋白复合形成不渗透膜时发生的过程。(-)-表没食子儿茶素没食子酸酯(EGCG)是绿茶中发现的主要收敛化合物,粘蛋白是唾液中存在的主要蛋白质。确定EGCG-粘蛋白混合物的浊度是量化EGCG溶液的收敛性强度的有效方法。在这项研究中,味觉相关的影响,绿茶输注过程中存在的物质,在pH值为5.0的反应条件下,在37°C下研究了EGCG-粘蛋白混合物的浊度,和30分钟。结果表明,表儿茶素,咖啡酸,绿原酸,没食子酸降低了EGCG-粘蛋白混合物的浊度,芦丁增加浊度。金属离子增加了EGCG-粘蛋白混合物的浊度。这些可以按效率排列为Al3+>K+>Mg2+>Ca2+。咖啡因,茶氨酸,和谷氨酸都降低了EGCG-粘蛋白混合物的浊度值,但蔗糖的作用较弱。进一步的实验证实,绿茶输液-粘蛋白混合物的浊度表明绿茶输液的收敛强度,浊度与茶多酚和EGCG含量显著相关。
    Astringency has an important impact on the taste quality of tea infusion, a process which occurs when polyphenols complex with salivary proteins to form an impermeable membrane. (-)-Epigallocatechin gallate (EGCG) is the main astringent compound found in green tea and mucin is the main protein present in saliva. Determining the turbidity of EGCG-mucin mixtures is an effective method to quantify the astringency intensity of EGCG solutions. In this study, the effects of taste-related, substances present during green tea infusion, on the turbidity of EGCG-mucin mixtures was investigated under the reacting conditions of a pH value of 5.0, at 37 °C, and for 30 min. The results showed that epicatechins, caffeic acid, chlorogenic acid, and gallic acid reduced the turbidity of EGCG-mucin mixtures, while rutin increased turbidity. Metal ions increased the turbidity of EGCG-mucin mixtures. These can be arranged by effectiveness as Al3+ > K+ > Mg2+ > Ca2+. Caffeine, theanine, and sodium glutamate all decreased the turbidity values of EGCG-mucin mixtures, but sucrose had a weak effect. Further experiments confirmed that the turbidity of green tea infusion-mucin mixture indicated the astringent intensity of green tea infusion, and that the turbidity was significantly correlated with the contents of tea polyphenols and EGCG.
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  • 文章类型: Journal Article
    背景:胆管癌(CCA)是一种高度恶性的癌症,以频繁的粘蛋白过表达为特征。MUC1已被确定为CCA进展中的关键癌基因。然而,关于黏蛋白家族如何影响CCA进展和预后的全面了解仍不完整.
    目的:研究粘蛋白在CCA进展中的作用,建立CCA患者分层的风险评估公式。
    方法:使用来自14个CCA样品的单细胞RNA测序数据来阐明粘蛋白的作用,辅以生物信息学分析。随后通过空间转录组学和免疫组织化学进行验证。利用最小绝对收缩和选择算子回归算法构建风险评价模型,独立队列和不同数据类型进一步证实了这一点.
    结果:MUC1和MUC4水平升高的CCA肿瘤细胞显示出激活的核苷酸代谢途径和增加的侵袭性。发现MUC5AC高细胞通过WNT信号传导促进CCA进展。MUC5B-high细胞表现出强大的细胞氧化活性,导致对抗肿瘤治疗的抵抗。MUC13高细胞被观察到秘密趋化因子,招募巨噬细胞并将其转化为M2极化状态,从而抑制抗肿瘤免疫。发现MUC16高细胞在与嗜中性粒细胞相互作用后通过激活的B细胞的白介素-1/核因子κ-轻链增强剂信号传导促进肿瘤进展。利用这些粘蛋白的表达水平,在多个队列中建立并验证了CCA的危险因素评估公式.具有较高风险因素的CCA样本表现出更强的转移潜力,化疗耐药,预后较差。
    结论:我们的研究阐明了粘蛋白促进CCA发育的功能机制,并为CCA中的风险分层提供了工具。
    BACKGROUND: Cholangiocarcinoma (CCA) is a highly malignant cancer, characterized by frequent mucin overexpression. MUC1 has been identified as a critical oncogene in the progression of CCA. However, the comprehensive understanding of how the mucin family influences CCA progression and prognosis is still incomplete.
    OBJECTIVE: To investigate the functions of mucins on the progression of CCA and to establish a risk evaluation formula for stratifying CCA patients.
    METHODS: Single-cell RNA sequencing data from 14 CCA samples were employed for elucidating the roles of mucins, complemented by bioinformatic analyses. Subsequent validations were conducted through spatial transcriptomics and immunohistochemistry. The construction of a risk evaluation model utilized the least absolute shrinkage and selection operator regression algorithm, which was further confirmed by independent cohorts and diverse data types.
    RESULTS: CCA tumor cells with elevated levels of MUC1 and MUC4 showed activated nucleotide metabolic pathways and increased invasiveness. MUC5AC-high cells were found to promote CCA progression through WNT signaling. MUC5B-high cells exhibited robust cellular oxidation activities, leading to resistance against antitumoral treatments. MUC13-high cells were observed to secret chemokines, recruiting and transforming macrophages into the M2-polarized state, thereby suppressing antitumor immunity. MUC16-high cells were found to promote tumor progression through interleukin-1/nuclear factor kappa-light-chain-enhancer of activated B cells signaling upon interaction with neutrophils. Utilizing the expression levels of these mucins, a risk factor evaluation formula for CCA was developed and validated across multiple cohorts. CCA samples with higher risk factors exhibited stronger metastatic potential, chemotherapy resistance, and poorer prognosis.
    CONCLUSIONS: Our study elucidates the functional mechanisms through which mucins contribute to CCA development, and provides tools for risk stratification in CCA.
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  • 文章类型: Journal Article
    背景:益生菌与肠道的粘附对其益生菌功能至关重要。银耳多糖(TPS)(含酪蛋白钠)在先前的研究中显示出封装益生菌并在模拟胃肠道中保护它们的潜力。本文进一步摸索了TPS(含酪蛋白钠)对益生菌粘附的影响。
    结果:将植物乳杆菌以不同比例包被在TPS和酪蛋白钠中,然后冷冻干燥。通过静态和动态流变分析确定了益生菌粉和粘蛋白溶液混合物的流变特性。益生菌粉末和粘蛋白混合物的水溶液表现出假塑性流体流变特性。TPS含量比例越高,表观粘度和屈服应力越高。混合细菌粉末和粘蛋白液表现出一定的触变性,符合Herschel-Bulkley模型。表明TPS增加了益生菌粉和粘蛋白的生物粘附力。当使用TPS作为唯一的碳源时,与体外葡萄糖相比,植物乳杆菌对Caco-2细胞的粘附力增加了228%。此外,在植物乳杆菌全细胞蛋白质组中检测到12种具有粘附功能的蛋白质。其中,当用TPS作为碳源生长时,10种具有粘附功能的蛋白质丰富。
    结论:因此,TPS具有益生元特性,可以促进植物乳杆菌的肠粘附。本文受版权保护。保留所有权利。
    BACKGROUND: The adhesion of probiotics to the intestine is crucial for their probiotic function. In previous studies, Tremella polysaccharides (TPS) (with sodium casein) have shown the potential to encapsulate probiotics and protect them in a simulated gastrointestinal tract. This study explored the effect of TPS (with sodium casein) on the adhesion of probiotics.
    RESULTS: Lactobacillus plantarum was coated with TPS and sodium casein in different proportions, and was freeze-dried. The rheological properties of the mixture of probiotics powder and mucin solution were determined by static and dynamic rheological analysis. Aqueous solutions of probiotic powder and mucin mixture exhibited pseudoplastic fluid rheological properties. The higher the proportion of TPS content, the higher the apparent viscosity and yield stress. The mixed bacterial powder and mucin fluid displayed thixotropy and was in accordance with the Herschel-Bulkley model. The TPS increased the bio-adhesive force of the probiotic powder and mucin. When using TPS as the only carbon source, the adhesion of L. plantarum to Caco-2 cells increased by 228% in comparison with glucose in vitro. Twelve adhesive proteins were also detected in the whole-cell proteome of L. plantarum. Among them, ten adhesive proteins occurred abundantly when grown with TPS as a carbon source.
    CONCLUSIONS: Tremella polysaccharides therefore possess probiotic properties and can promote the intestinal adhesion of L. plantarum. © 2024 Society of Chemical Industry.
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  • 文章类型: Journal Article
    腹膜假粘液瘤(PMP)是一种罕见的疾病,其特征是在阑尾或其他器官的原发性粘液性肿瘤破裂后广泛的腹膜植入和大量粘液分泌。细胞减灭术(CRS)联合腹腔热灌注化疗(HIPEC)是目前首选的治疗方法,具有优异的疗效和安全性,并与长期疾病控制和延长生存期的突破性进展有关。然而,PMP的高复发率是其治疗的关键挑战,这限制了多轮CRS-HIPEC的临床应用,并且不能从常规的全身化疗中获益。因此,针对难治性或复发性PMP患者开发替代疗法至关重要.有关PMP研究进展和治疗的文献在WebofScience中检索,PubMed,和谷歌学者数据库,并进行了文献综述。生物研究的概述,治疗状态,潜在的治疗策略,当前研究的局限性,并提出了与PMP相关的未来方向,专注于CRS-HIPEC治疗和替代或联合治疗策略,并强调了粘液溶解剂和靶向治疗等潜在治疗策略的临床转化前景。为PMP的治疗提供了理论参考和未来研究的主要方向。
    Pseudomyxoma peritonei (PMP) is a rare disease characterized by extensive peritoneal implantation and mass secretion of mucus after primary mucinous tumors of the appendix or other organ ruptures. Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) is currently the preferred treatment, with excellent efficacy and safety, and is associated with breakthrough progress in long-term disease control and prolonged survival. However, the high recurrence rate of PMP is the key challenge in its treatment, which limits the clinical application of multiple rounds of CRS-HIPEC and does not benefit from conventional systemic chemotherapy. Therefore, the development of alternative therapies for patients with refractory or relapsing PMP is critical. The literature related to PMP research progress and treatment was searched in the Web of Science, PubMed, and Google Scholar databases, and a literature review was conducted. The overview of the biological research, treatment status, potential therapeutic strategies, current research limitations, and future directions associated with PMP are presented, focuses on CRS-HIPEC therapy and alternative or combination therapy strategies, and emphasizes the clinical transformation prospects of potential therapeutic strategies such as mucolytic agents and targeted therapy. It provides a theoretical reference for the treatment of PMP and the main directions for future research.
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