PGE2, prostaglandin E2

PGE2, 前列腺素 E2
  • 文章类型: Journal Article
    哮喘是一种复杂的肺部疾病,这在全球范围内增加了发病率和死亡率。哮喘的病理生理学与线粒体功能障碍存在重叠,MSCs可能对线粒体功能障碍具有调节作用并治疗哮喘。因此,研究了MSCs和线粒体信号通路在哮喘中的免疫调节作用。在培养MSCs并产生哮喘动物模型后,通过IV通过IT用MSC治疗小鼠。BALf的嗜酸性粒细胞计数,IL-4、-5、-13、-25、-33、INF-γ、Cys-LT,检测LTB4,LTC4,线粒体COX-1,COX-2,ND1,Nrf2,Cytb基因的表达,并进行肺组织病理学研究。BALf的嗜酸性粒细胞,IL-4、-5、-13、-25、-33、LTB4、LTC4、Cys-LT、线粒体基因表达(COX-1,COX-2,Cytb和ND-1),血管周围和支气管周围炎症,病理研究中杯状细胞的粘液过度产生和增生在MSCs治疗的哮喘小鼠中明显减少,发现Nrf-2基因表达呈逆转趋势,IFN-γ水平和INF-γ/IL-4的比率。MSC治疗可以控制炎症,哮喘免疫炎症因子与线粒体相关基因,预防哮喘免疫病理。
    Asthma is a complicated lung disease, which has increased morbidity and mortality rates in worldwide. There is an overlap between asthma pathophysiology and mitochondrial dysfunction and MSCs may have regulatory effect on mitochondrial dysfunction and treats asthma. Therefore, immune-modulatory effect of MSCs and mitochondrial signaling pathways in asthma was studied. After culturing of MSCs and producing asthma animal model, the mice were treated with MSCs via IV via IT. BALf\'s eosinophil Counting, The levels of IL-4, -5, -13, -25, -33, INF-γ, Cys-LT, LTB4, LTC4, mitochondria genes expression of COX-1, COX-2, ND1, Nrf2, Cytb were measured and lung histopathological study were done. BALf\'s eosinophils, the levels of IL-4, -5, -13, -25, -33, LTB4, LTC4, Cys-LT, the mitochondria genes expression (COX-1, COX-2, Cytb and ND-1), perivascular and peribronchial inflammation, mucus hyper-production and hyperplasia of the goblet cell in pathological study were significantly decreased in MSCs-treated asthma mice and reverse trend was found about Nrf-2 gene expression, IFN-γ level and ratio of the INF-γ/IL-4. MSC therapy can control inflammation, immune-inflammatory factors in asthma and mitochondrial related genes, and prevent asthma immune-pathology.
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  • 文章类型: Journal Article
    糖尿病肾病(DN)是糖尿病的严重并发症,是终末期肾病的主要病因,这给全世界的人类社会造成了严重的健康问题和巨大的经济负担。常规战略,如肾素-血管紧张素-醛固酮系统阻断,血糖水平控制,和减轻体重,在许多DN管理的临床实践中,可能无法获得令人满意的结果。值得注意的是,由于多目标函数,中药作为DN治疗的主要或替代疗法具有很好的临床益处。越来越多的研究强调确定中药的生物活性化合物和肾脏保护作用的分子机制。参与糖/脂代谢调节的信号通路,抗氧化,抗炎,抗纤维化,足细胞保护已被确定为重要的作用机制。在这里,在回顾临床试验结果后,我们总结了中药及其生物活性成分在治疗和管理DN中的临床疗效,系统评价,和荟萃分析,对动物和细胞实验中报道的相关潜在机制和分子靶标进行了彻底讨论。我们旨在全面了解中药对DN的保护作用。
    Diabetic nephropathy (DN) has been recognized as a severe complication of diabetes mellitus and a dominant pathogeny of end-stage kidney disease, which causes serious health problems and great financial burden to human society worldwide. Conventional strategies, such as renin-angiotensin-aldosterone system blockade, blood glucose level control, and bodyweight reduction, may not achieve satisfactory outcomes in many clinical practices for DN management. Notably, due to the multi-target function, Chinese medicine possesses promising clinical benefits as primary or alternative therapies for DN treatment. Increasing studies have emphasized identifying bioactive compounds and molecular mechanisms of reno-protective effects of Chinese medicines. Signaling pathways involved in glucose/lipid metabolism regulation, antioxidation, anti-inflammation, anti-fibrosis, and podocyte protection have been identified as crucial mechanisms of action. Herein, we summarize the clinical efficacies of Chinese medicines and their bioactive components in treating and managing DN after reviewing the results demonstrated in clinical trials, systematic reviews, and meta-analyses, with a thorough discussion on the relative underlying mechanisms and molecular targets reported in animal and cellular experiments. We aim to provide comprehensive insights into the protective effects of Chinese medicines against DN.
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  • 文章类型: Journal Article
    长期以来,骨骼肌损伤一直困扰着医生,并给公共医疗保险制度带来了巨大的负担。一旦受伤,骨骼肌通常经历炎症过程,修复和重塑。如果修复和改造阶段失去平衡,将形成疤痕以取代受伤的骨骼肌。目前,临床医生通常使用常规方法来恢复受损的骨骼肌,如皮瓣移植。然而,皮瓣移植有时需要牺牲健康的自体组织,会给患者带来额外的伤害。近年来,基于干细胞的组织工程为骨骼肌损伤提供了新的治疗思路。干细胞是具有多向分化潜能的细胞,在特殊条件下具有向成体细胞分化的能力。骨骼肌组织也有干细胞,叫做卫星细胞,但是它们数量很少,从它们衍生的新肌肉纤维可能不足以替代受伤的纤维。骨髓间充质干细胞(BM-MSCs)能促进肌肉骨骼组织再生,激活卫星细胞成肌分化。生物材料是促进组织再生并大大增强体内干细胞生理活性的另一个重要因素。干细胞和生物材料的联合使用将逐渐成为未来恢复受伤骨骼肌的主流。本文主要对近年来BM-MSCs和几种主要生物材料在骨骼肌再生中的应用研究进展进行综述。
    Skeletal muscle injuries have bothered doctors and caused great burdens to the public medical insurance system for a long time. Once injured, skeletal muscles usually go through the processes of inflammation, repairing and remodeling. If repairing and remodeling stages are out of balance, scars will be formed to replace injured skeletal muscles. At present, clinicians usually use conventional methods to restore the injured skeletal muscles, such as flap transplantation. However, flap transplantation sometimes needs to sacrifice healthy autologous tissues and will bring extra harm to patients. In recent years, stem cells-based tissue engineering provides us new treatment ideas for skeletal muscle injuries. Stem cells are cells with multiple differentiation potential and have ability to differentiate into adult cells under special condition. Skeletal muscle tissues also have stem cells, called satellite cells, but they are in small amount and new muscle fibers that derived from them may not be enough to replace injured fibers. Bone marrow mesenchymal stem cells (BM-MSCs) could promote musculoskeletal tissue regeneration and activate the myogenic differentiation of satellite cells. Biomaterial is another important factor to promote tissue regeneration and greatly enhance physiological activities of stem cells in vivo. The combined use of stem cells and biomaterials will gradually become a mainstream to restore injured skeletal muscles in the future. This review article mainly focuses on the review of research about the application of BM-MSCs and several major biomaterials in skeletal muscle regeneration over the past decades.
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  • 文章类型: Journal Article
    随着生物治疗的发展,生物大分子药物最近获得了极大的关注,特别是在药物开发领域由于复杂的体内功能。在过去的几年里,已经开发了各种各样的生物大分子药物给药策略,以克服成药的困难,例如,不稳定,容易受到生理障碍的限制。应用新型递送系统递送生物大分子药物通常可以延长半衰期,增加生物利用度,或提高患者的依从性,大大提高了生物大分子药物的疗效和临床应用潜力。在这次审查中,总结了近年来关于高分子药物在癌症治疗中的药物递送策略的研究,主要是借鉴过去五年的发展。
    With the development of biotherapy, biomacromolecular drugs have gained tremendous attention recently, especially in drug development field due to the sophisticated functions in vivo. Over the past few years, a motley variety of drug delivery strategies have been developed for biomacromolecular drugs to overcome the difficulties in the druggability, e.g., the instability and easily restricted by physiologic barriers. The application of novel delivery systems to deliver biomacromolecular drugs can usually prolong the half-life, increase the bioavailability, or improve patient compliance, which greatly improves the efficacy and potentiality for clinical use of biomacromolecular drugs. In this review, recent studies regarding the drug delivery strategies for macromolecular drugs in cancer therapy are summarized, mainly drawing on the development over the last five years.
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  • 文章类型: Journal Article
    原发性肥厚性骨关节病(PHO)是一种罕见的疾病,涉及关节,骨头和皮肤。负责这种疾病的两个潜在基因-羟基前列腺素脱氢酶(HPGD)和溶质载体有机阴离子转运蛋白家族,成员2A1(SLCO2A1)-均与前列腺素E2(PGE2)的异常积累有关。环氧合酶-2(COX-2)是PGE2合成的关键酶。本研究旨在评估COX-2抑制剂治疗PHO的安全性和有效性。
    我们招募了2009年1月至2016年12月期间到北京协和医院就诊并被诊断为PHO的患者。给予COX-2抑制剂依托考昔(60mg,每日一次),随访9个月。在基线进行基因分析。在基线和治疗期间收集以下数据:视觉模拟评分(VAS),远端中指的体积(VDMF),膝关节围(KJC),血清和尿液中前列腺素E2(PGE2)和PGE代谢物(PGE-M)的水平以及血清炎症标志物的水平。
    共招募了27名患者,包括7例携带HPGD基因突变的PHOI型(PHOAR1)患者和20例携带SLCO2A1基因突变的PHOII型(PHOAR2)患者。用依托考昔治疗后,大多数患者经历了症状的缓解,包括厚皮症(60.9%),关节肿胀(100%),数字俱乐部(74.1%)和多汗症(55.0%)。在这两种PHO亚型中,血清和尿中PGE2水平在基线时升高,治疗后急剧下降.对于PHOAR1患者,血清和尿PGE-M水平相对较低,对COX-2抑制反应最小.在PHOAR2患者中,PGE-M的平均血清和尿水平在基线时呈现高水平,治疗3个月后恢复正常.在研究期间没有报告严重的不良反应。
    在我们的队列中,我们发现COX-2抑制剂对于治疗PHO是安全有效的。
    导致PHO的潜在基因表明COX抑制剂是潜在的治疗方法,我们的研究证明了这种治疗的有效性和安全性.
    UNASSIGNED: Primary hypertrophic osteoarthropathy (PHO) is a rare disease involving joint, bone and skin. Two underlying genes responsible for this disease-hydroxyprostaglandin dehydrogenase (HPGD) and solute carrier organic anion transporter family, member 2A1 (SLCO2A1)-are both associated with aberrant accumulation of prostaglandin E2 (PGE2). Cyclooxygenase-2 (COX-2) is a key enzyme in PGE2 synthesis. This study was intended to evaluate the safety and efficacy of COX-2 inhibitor in the treatment of PHO.
    UNASSIGNED: We recruited patients presenting to Peking Union Medical Hospital between January 2009 and December 2016 who were diagnosed with PHO. Participants were given the COX-2 inhibitor etoricoxib (60 mg once daily) and followed up for 9 months. Gene analysis was performed at baseline. The following data were collected at baseline and during treatment: visual analogue score (VAS), volume of the distal middle finger (VDMF), knee joint circumference (KJC), serum and urinary levels of prostaglandin E2 (PGE2) and PGE metabolite (PGE-M) and serum levels of inflammatory markers.
    UNASSIGNED: A total of 27 patients were recruited, including seven patients with PHO type I (PHOAR1) carrying HPGD gene mutations and 20 patients with PHO type II (PHOAR2) carrying SLCO2A1 gene mutations. After treatment with etoricoxib, the majority of patients experienced resolution of symptoms including pachydermia (60.9%), joint swelling (100%), digital clubbing (74.1%) and hyperhidrosis (55.0%). In both the PHO subtypes, serum and urinary levels of PGE2 were elevated at baseline and declined sharply upon treatment. For PHOAR1 patients, serum and urinary PGE-M levels were relatively low and demonstrated minimal response to COX-2 inhibition. Among PHOAR2 patients, mean serum and urinary levels of PGE-M presented at a high level at baseline and were normalized after 3 months of treatment. No severe adverse effects were reported during the study period.
    UNASSIGNED: We found COX-2 inhibitor to be safe and effective for the treatment of PHO in our cohort.
    UNASSIGNED: The underlying genes responsible for PHO suggest COX inhibitor as potential therapy, and our study demonstrates the efficacy and safety of this treatment.
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  • 文章类型: Journal Article
    Chronic inflammation has been linked to cancer development and metastasis. We have recently demonstrated that γδ T cells are the major cellular source of IL-17 (γδT17) and accumulation of γδT17 cells correlates with human colorectal cancer progression through recruitment and expansion of myeloid-derived suppressor cells, thus converting tumor-elicited inflammation into immunosuppression.
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