REVIEW

Review
  • 文章类型: Journal Article
    目的:髋关节镜检查可有效治疗髋关节发育不良(BDDH),但是在中国只有很少的临床报道,其术后失败率仍然是一个不容忽视的问题。本研究旨在分析我国髋关节镜治疗BDDH的临床效果,探讨影响髋关节镜治疗BDDH疗效的危险因素。
    方法:对我院2017年3月至2022年2月采用关节镜治疗的22例BDDH患者进行回顾性分析。包括10名男性和12名女性,平均年龄34.7±9.5岁(19-53岁)。所有患者均接受关节镜下髋臼成形术治疗,唇修复,股骨骨成形术,和包膜折叠。视觉模拟量表(VAS),改良哈里斯髋关节得分(mHHS),在手术前和随访时测量髋关节结果评分-日常生活活动(HOS-ADL)和国际髋关节结果工具-12(iHOT-12),并进行统计学分析。还获得了最小临床显著差异(MCID)和患者可接受症状状态(PASS)。
    结果:22例患者获得随访,随访时间≥1年,平均21.4±8.2个月。术后VAS评分由术前5.27±1.58分下降至随访时1.96±0.92分,差异有统计学意义(t=9.05,P<0.001)。mHHS评分由术前64.84±13.58分提高至随访时90.4±10.11分,差异有统计学意义(t=-7.07,P<0.001)。HOS-ADL评分由术前68.92±11.76分上升至随访时88.91±9.51分,差异有统计学意义(t=-8.15,P<0.001)。iHOT-12评分由术前49.32±12.01分提高至随访时79.61±15.89分,差异有统计学意义(t=-7.66,P<0.001)。MCID(mHHS)和MCID(HOS-ADL)分别为81.8%和77.3%,随访时PASS(mHHS)和PASS(HOS-ADL)分别为86.4%和72.7%。
    结论:髋关节镜治疗BDDH可取得良好的短期疗效。
    方法:IV治疗性研究。
    OBJECTIVE: Hip arthroscopy is effective in treating bordline developmental dysplasia of the hip (BDDH), but there are only a few clinical reports in China, and its postoperative failure rate is still a problem that cannot be ignored. The aim of this study was to analyze the clinical effect of hip arthroscopy in BDDH treatment in China and to explore the risk factors influencing the efficacy of hip arthroscopy in BDDH treatment.
    METHODS: All of 22 cases of BDDH treated with arthroscopy in our hospital from November March 2017 to February 2022 were analyzed retrospectively, including ten males and 12 females, with an average age of 34.7 ± 9.5 years (19-53 years). All patients underwent arthroscopic treatment with acetabular plasty, labral repair, femoral osteoplasty, and capsular plication. Visual Analogue Scale (VAS), modified Harris Hip Scores (mHHS), Hip Outcome Score-activities of Daily Living (HOS-ADL) and International Hip Outcome Tool-12 (iHOT-12) were measured before operation and at the follow-up, and statistical analysis was performed. The Minimum clinically significant difference (MCID) and Patient Acceptable Symptom State (PASS) were also obtained.
    RESULTS: 22 patients were followed up, and the follow-up time was ≥ one year, with an average of 21.4 ± 8.2 months. The VAS score decreased from 5.27 ± 1.58 points before surgery to 1.96 ± 0.92 points at the follow-up, and the difference was statistically significant (t = 9.05,P < 0.001). The mHHS score increased from 64.84 ± 13.58 points before surgery to 90.4 ± 10.11 points at the follow-up, and the difference was statistically significant (t=-7.07, P < 0.001). The HOS-ADL score increased from 68.92 ± 11.76 points before surgery to 88.91 ± 9.51 points at the follow-up, and the difference was statistically significant (t=-8.15,P < 0.001). The iHOT-12 score increased from 49.32 ± 12.01 points before surgery to 79.61 ± 15.89 points at the follow-up, and the difference was statistically significant (t=-7.66,P < 0.001). The MCID (mHHS) and MCID (HOS-ADL) were 81.8% and 77.3% respectively, and the PASS (mHHS) and PASS (HOS-ADL) were 86.4% and 72.7% respectively at the follow-up.
    CONCLUSIONS: Hip arthroscopy can achieve good short-term outcomes in the treatment of BDDH.
    METHODS: IV Therapeutic Study.
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  • 文章类型: Journal Article
    系统性红斑狼疮(SLE)是一种影响多个系统的慢性自身免疫性疾病,其特征在于导致器官和组织损伤的有害自身抗体和免疫复合物的发展。中药(CM)在减轻并发症,提高治疗效果,减少并发药物的毒性,并确保安全怀孕。然而,CM主要通过多靶点、多渠道的调控过程综合解决疾病,因此,其治疗机制往往复杂,涉及许多分子链接。本文就SLE发病机制的研究进展从遗传学、表观遗传学,先天免疫和获得性免疫,探讨了临床常用且有效的单味中药及方剂治疗SLE的分子机制和作用靶点。
    Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder affecting multiple systems, characterized by the development of harmful autoantibodies and immune complexes that lead to damage in organs and tissues. Chinese medicine (CM) plays a role in mitigating complications, enhancing treatment effectiveness, and reducing toxicity of concurrent medications, and ensuring a safe pregnancy. However, CM mainly solves the disease comprehensively through multi-target and multi-channel regulation process, therefore, its treatment mechanism is often complicated, involving many molecular links. This review introduces the research progress of pathogenesis of SLE from the aspects of genetics, epigenetics, innate immunity and acquired immunity, and then discusses the molecular mechanism and target of single Chinese herbal medicine and prescription that are commonly used and effective in clinic to treat SLE.
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  • 文章类型: Journal Article
    心脏是一个多细胞系统,细胞间串扰机制对心脏甚至器官的生长发育非常重要,组织,和远处的细胞。作为一种细胞外囊泡,外泌体由不同类型的细胞释放,可以携带特定的遗传物质,内体蛋白,细胞因子,等。,这是调解细胞串扰机制的主要物质基础。其中,由心脏细胞来源的外泌体携带的microRNA具有高度保守的序列,在调节器官功能中起关键作用,组织,以及与心血管疾病及其并发症和合并症有关的细胞,近年来引起了医学界的广泛关注。跟踪国内外最新研究进展,本文系统综述了心脏细胞来源的外泌体microRNA在各种细胞串扰中的调节作用,不仅包括心肌细胞(包括心肌细胞,成纤维细胞,成肌纤维细胞,心脏祖细胞,心脏微血管内皮细胞,心球来源的细胞,等。)但也有肿瘤细胞,骨髓祖细胞,和其他组织细胞,为心血管疾病及其并发症和合并症的防治提供参考。
    The heart is a multicellular system, and the intercellular crosstalk mechanism is very important for the growth and development of the heart and even the organs, tissues, and cells at a distance. As a kind of extracellular vesicle, exosomes are released by different types of cells and can carry specific genetic material, endosomal proteins, cytokines, etc., which are the main material basis for mediating cell crosstalk mechanism. Among them, microRNA carried by cardiac cells-derived exosomes have highly conserved sequences and play a key role in regulating the function of organs, tissues, and cells related to cardiovascular diseases and their complications and comorbidities, which have attracted extensive attention in the medical community in recent years. Following up on the latest research progress at home and abroad, this review systematically summarized the regulatory role of microRNA from cardiac cells-derived exosomes in various cell crosstalk, including not only cardiac cells (including cardiomyocytes, fibroblasts, myofibroblast, cardiac progenitor cells, cardiac microvascular endothelial cells, cardiosphere-derived cells, etc.) but also tumor cells, bone marrow progenitor cells, and other tissue cells, in order to provide a reference for the prevention and treatment of cardiovascular diseases and their complications and comorbidities.
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  • 文章类型: Journal Article
    背景:越来越多的证据表明,lncRNAABHD11-AS1在肿瘤发生中起着至关重要的作用,并有望成为新的预测生物标志物和癌症治疗的理想靶点。而他们的一些发现由于个别研究的样本量相对较小而相互矛盾。因此,本荟萃分析旨在定量确定ABHD11-AS1与多种人类恶性肿瘤的相关性.
    方法:2024年1月1日对8个数据库进行了相关文章的综合筛选。ABHD11-AS1在恶性肿瘤中的意义通过比值比(ORs)或风险比(HRs)和相应的95%置信区间(CI)确定。应用亚组分析和敏感性分析来验证合并结果的可靠性和稳健性。同时,GEPIA2021和UCSCXena数据库被应用于进一步加强结果。
    结果:本荟萃分析纳入了14项临床研究,包括8种恶性肿瘤和1215例恶性肿瘤病例。合并结果显示ABHD11-AS1表达增加与淋巴结转移显著相关(OR=2.73,95CI[1.97,3.77],I2=0%,p<0.00001),晚期肿瘤分期(OR=3.14,95CI[2.34,4.21],I2=39%,p<0.00001),和不利的总生存期(OS)(HR=1.81,95CI[1.58,2.06],I2=0%,p<0.00001)。亚组分析和敏感性分析表明,合并结果可靠且稳健。此外,根据GEPIA2021数据库的验证,ABHD11-AS1在8种恶性肿瘤中显著升高。同时,UCSCXena数据库进一步显示ABHD11-AS1表达升高与无进展间期(PFI)评估的不良预后显著相关,无病间隔(DFI),疾病特异性生存率(DSS),和OS。
    结论:目前的证据支持ABHD11-AS1表达升高与不良预后相关。因此,ABHD11-AS1可能被认为是筛查癌症和预测恶性肿瘤预后的有前途的生物标志物。此外,有必要采用不同国家的统一研究方案进行更大规模的多中心研究,以进一步验证结论.
    BACKGROUND: Accumulating evidence has highlighted that lncRNA ABHD11-AS1 plays an essential role in tumorigenesis and is expected to become a new predictive biomarker and ideal target for cancer therapy, whereas some of their findings are conflicting due to the relatively small sample size of individual studies. Thus, this meta-analysis aimed to quantitatively ascertain the association of ABHD11-AS1 with diverse human malignancies.
    METHODS: Eight databases were comprehensively screened for relevant articles on January 1, 2024. The significance of ABHD11-AS1 in malignancies was determined by odds ratios (ORs) or hazard ratios (HRs) with corresponding 95% confidence interval (CI). Subgroup analyses and sensitivity analyses were applied to verify the reliability and robustness of the pooled results. Simultaneously, the GEPIA2021 and UCSC Xena databases were applied to further strengthen the results.
    RESULTS: Fourteen clinical studies comprising eight kinds of malignancies and 1215 malignancy cases were enrolled into this meta-analysis. The pooled results showed that increased ABHD11-AS1 expression was remarkably associated with lymph node metastasis (OR = 2.73, 95%CI [1.97, 3.77], I2 = 0%, p < 0.00001), advanced tumor stage ( OR = 3.14, 95%CI [2.34, 4.21], I2 = 39%, p < 0.00001), and unfavorable overall survival (OS) (HR = 1.81, 95%CI [1.58, 2.06], I2 = 0%, p < 0.00001). Subgroup analyses and sensitivity analyses indicated that the pooled results were reliable and robust. Additionally, ABHD11-AS1 was significantly increased in eight kinds of malignancies according to the validation of the GEPIA2021 database. Meanwhile, the UCSC Xena databases further revealed that elevated ABHD11-AS1 expression was significantly associated with poor prognosis as assessed by progression free interval (PFI), disease free interval (DFI), disease specific survival (DSS), and OS.
    CONCLUSIONS: Current evidence supports the association of elevated ABHD11-AS1 expression with poor prognosis. Thereby, ABHD11-AS1 may be considered as a promising biomarker to screen cancer and predict malignancy prognosis. Also, there is a necessity for larger-scale multicenter studies with uniform study protocols from different countries to further validate the conclusions.
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  • 文章类型: Journal Article
    振动控制对于无数的机械系统来说是极其重要的。Inerter是2002年提出的一种双端动态元件,基于机械系统和电气系统之间的类比。理想惰器的动态特性是纯惯性。施加在惰性器的每个端子上的力与两个端子的相对加速度成正比。自从惰性剂提出以来,它在振动控制系统方面取得了重大进展。本文是关于惰器的物理实现以及基于惰器的振动控制的综述。物理实现和在惯性器振动控制中的应用是重点。首先,介绍了惰性剂的发展和惰性剂的典型物理实现。总结了基于拉格朗日方程方法的不同惯性中动态关系的规范推导过程。然后,介绍了常见的基于惰器的振动控制系统的三类。最后,总结了惰性剂物理实现的研究趋势,并讨论了基于惰器的振动控制的可能研究。
    Vibration control is extremely important for countless mechanical systems. Inerter is a two-terminal dynamic element proposed in 2002, based on analogy between mechanical system and electric system. Dynamic characteristic of an ideal inerter is pure inertia. Force applied on each terminal of an inerter is directly proportional to relative acceleration of two terminals. Since inerter was put forward, it has made significant progress in vibration control systems. The paper is a review about physical realizations of inerter as well as inerter-based vibration control. Physical realizations and applications in vibration control of inerter are focused. First, the develop of inerter and typical physical realizations of inerter are introduced. The normative derivation processes based on Lagrange equation method of the dynamic relationships in the different inerters are summarized. And then, three categories of common inerter-based vibration control systems are explained. Finally, research trend of physical realizations of inerter are summarized, and the possible researches on inerter-based vibration control are discussed.
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  • 文章类型: Journal Article
    尽管癌症研究取得了进展,上皮性卵巢癌仍然是女性健康的主要威胁,五年生存率低,为48%。晚期病例的预后,特别是国际妇产科联合会(FIGO)III-IV,很穷。标准护理包括手术切除和铂类化疗,但70-80%面临复发和化疗耐药。近年来,三维(3D)癌症模型,尤其是患者来源的类器官(PDO),彻底改变了癌症研究的个性化治疗。通过超越传统模型的约束,类器官准确地概括了关键的形态学,组织学,和疾病的遗传特征,特别是在卵巢癌的背景下。探索了卵巢癌类器官的广泛潜力,从基础理论到尖端应用。作为有效的临床前模型,类器官为预测患者治疗反应和指导个性化治疗策略的开发提供了宝贵的工具。此外,在药物评估领域,类器官展示了它们作为平台的独特多功能性,能够对创新药物组合和新型候选药物进行全面测试,从而开拓了药物研究的新途径。值得注意的是,类器官模拟卵巢癌的动态进展,从开始到系统传播,揭示复杂而微妙的疾病机制,并提供关键的见解。在个性化水平上运作,类器官还揭示了耐药背后的复杂机制,为制定有效的治疗策略提供战略机遇。这篇综述总结了卵巢癌类器官的新兴作用,在三维模型中精心培育的细胞簇,作为一个开创性的研究范式。
    Despite advancements in cancer research, epithelial ovarian cancer remains a leading threat to women\'s health with a low five-year survival rate of 48%. Prognosis for advanced cases, especially International Federation of Gynecology and Obstetrics (FIGO) III-IV, is poor. Standard care includes surgical resection and platinum-based chemo, but 70-80% face recurrence and chemoresistance. In recent years, three- dimensional (3D) cancer models, especially patients-derived organoids (PDOs), have revolutionized cancer research for personalized treatment. By transcending the constraints of conventional models, organoids accurately recapitulate crucial morphological, histological, and genetic characteristics of diseases, particularly in the context of ovarian cancer. The extensive potential of ovarian cancer organoids is explored, spanning from foundational theories to cutting-edge applications. As potent preclinical models, organoids offer invaluable tools for predicting patient treatment responses and guiding the development of personalized therapeutic strategies. Furthermore, in the arena of drug evaluation, organoids demonstrate their unique versatility as platforms, enabling comprehensive testing of innovative drug combinations and novel candidates, thereby pioneering new avenues in pharmaceutical research. Notably, organoids mimic the dynamic progression of ovarian cancer, from inception to systemic dissemination, shedding light on intricate and subtle disease mechanisms, and providing crucial insights. Operating at an individualized level, organoids also unravel the complex mechanisms underlying drug resistance, presenting strategic opportunities for the development of effective treatment strategies. This review summarizes the emerging role of ovarian cancer organoids, meticulously cultivated cellular clusters within three-dimensional models, as a groundbreaking paradigm in research.
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  • 文章类型: Journal Article
    Taxus,一种稀有和受保护的属,主要分布在北半球的温带地区,由于其在医学研究和药物开发方面的巨大潜力而引起了全球关注,在栽培技术和医疗技术的进步的支持下。本文主要对红豆杉的化学成分和药理活性进行综述,强调这些组件在临床应用中的进展和潜力。最近的研究表明,红豆杉不仅含有紫杉烷活性成分,还含有具有不同活性的黄酮类化合物和多糖。这些来自红豆杉的化合物表现出有效的抗肿瘤作用,抗炎,免疫调节,抗菌,和具有明显作用机制的抗糖尿病特性。值得注意的是,代表性化合物,紫杉醇,在治疗各种癌症方面表现出显著的疗效,如卵巢,乳房,还有肺癌.本文还综述了红豆杉药物制剂的基本情况,与提取物主要口服和单体紫杉烷通常通过注射,反映了口服制剂正在进行的研究的成熟发展阶段。最后,这篇综述总结了红豆杉中关键化合物的药代动力学特征,包括它们的吸收,分布,新陈代谢,和人体的排泄模式。这些药代动力学曲线为评估紫杉及其成分的总体给药方案提供了至关重要的指导。本文最后对这些化合物在疾病治疗中的潜在应用进行了前瞻性分析,设想他们在未来医疗和制药进步中的作用。
    Taxus, a rare and protected genus predominantly distributed across the Northern Hemisphere\'s temperate regions, has garnered global attention due to its significant potential in medical research and pharmaceutical development, bolstered by advancements in cultivation techniques and medical technology. This review primarily focuses on the chemical constituents and pharmacological activities of Taxus, underscoring the progress and potential of these components in clinical applications. Recent studies have revealed that Taxus contains not only taxane active components but also flavonoids and polysaccharides with distinct activities. These compounds from Taxus exhibit potent antitumor, anti-inflammatory, immunomodulatory, antibacterial, and antidiabetic properties with evident mechanisms of action. Notably, the representative compound, paclitaxel, has demonstrated significant efficacy in treating various cancers, such as ovarian, breast, and lung cancer. This paper also reviews the basic situation of Taxus drug formulations, with extracts primarily administered orally and monomeric taxanes typically via injection, reflecting a mature development stage with ongoing research into oral formulations. Finally, this review summarizes the pharmacokinetic characteristics of crucial compounds in Taxus, including their absorption, distribution, metabolism, and excretion patterns in the human body. These pharmacokinetic profiles provide crucial guidance for evaluating the overall dosing regimen of Taxus and its components. The paper concludes with a forward-looking analysis of the potential applications of these compounds in disease treatment, envisioning their role in the future of medical and pharmaceutical advancements.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Published Erratum
    [这更正了文章DOI:10.3389/fpubh.2023.1167690。].
    [This corrects the article DOI: 10.3389/fpubh.2023.1167690.].
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  • 文章类型: Journal Article
    造影剂(CM)在临床诊断成像和介入程序中的使用已经升级,导致造影剂诱导的急性肾损伤(CI-AKI)的发生率逐渐增加。目前,缺乏有效的CI-AKI药物治疗对临床管理提出了重大挑战.首先,本文就CI-AKI的发病机制进行综述。除肾髓质缺血缺氧外,氧化应激,细胞凋亡,和炎症,新兴的机制,如铁死亡,释放中性粒细胞胞外陷阱(NET),和亚硝基胁迫,这为CI-AKI的管理提供了有希望的途径,被识别。其次,介绍了早期预防CI-AKI的综合策略。调查与CI-AKI相关的危险因素对于及时识别高危人群至关重要。此外,探索早期敏感的生物标志物对早期诊断至关重要.一种结合这些敏感生物标志物的协同方法,CI-AKI危险因素,和疾病风险预测模型提高了早期诊断过程的准确性和效率。最后,我们探讨了Cl-AKI管理的最新药物和非药物干预措施。除了传统的抗氧化剂N-乙酰半胱氨酸(NAC),我们看看中药中的活性化合物,包括四甲基吡嗪(TMP),丹酚酸B(SalB),以及新兴的预防药物,如N-乙酰半胱氨酸酰胺(NACA),前列地尔,和其他人,所有这些在动物和临床研究中都显示出预防CI-AKI的潜在益处。此外,创新策略,如卡路里限制(CR),增强型外部反搏(EECP),和间充质干细胞疗法被强调为Cl-AKI预防和管理提供了新的见解。
    The utilization of contrast media (CM) in clinical diagnostic imaging and interventional procedures has escalated, leading to a gradual increase in the incidence of contrast-induced acute kidney injury (CI-AKI). Presently, the scarcity of effective pharmacological treatments for CI-AKI poses significant challenges to clinical management. Firstly, we explore the pathogenesis of CI-AKI in this review. Beyond renal medullary ischemia and hypoxia, oxidative stress, cellular apoptosis, and inflammation, emerging mechanisms such as ferroptosis, release of neutrophil extracellular traps (NETs), and nitrosative stress, which offer promising avenues for the management of CI-AKI, are identified. Secondly, a comprehensive strategy for the early prevention of CI-AKI is introduced. Investigating the risk factors associated with CI-AKI is essential for the timely identification of high-risk groups. Additionally, exploring early sensitive biomarkers is crucial for early diagnosis. A synergistic approach that combines these sensitive biomarkers, CI-AKI risk factors, and disease risk prediction models enhances both the accuracy and efficiency of early diagnostic processes. Finally, we explore recent pharmacological and non-pharmacological interventions for the management of Cl-AKI. Beyond the traditional focus on the antioxidant N-acetylcysteine (NAC), we look at active compounds from traditional Chinese medicine, including tetramethylpyrazine (TMP), salvianolic acid B (Sal B), as well as emerging preventive medications like N-acetylcysteine amide (NACA), alprostadil, and others, which all showed potential benefits in animal and clinical studies for CI-AKI prevention. Furthermore, innovative strategies such as calorie restriction (CR), enhanced external counterpulsation (EECP), and mesenchymal stem cell therapy are highlighted as providing fresh insights into Cl-AKI prevention and management.
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