heterogeneous disease

  • 文章类型: Journal Article
    成人隐匿性自身免疫性糖尿病(LADA)是一种异质性疾病,共有一些表型,遗传,1型和2型糖尿病的免疫学特征。LADA患者的自身免疫过程相对较慢,发病时残留的胰岛β细胞功能较多,允许一个时间窗口来保护残留的胰岛β细胞并延迟或抑制疾病进展。发现影响胰岛β细胞功能的各种异质性因素对于精确的LADA治疗至关重要。在这次审查中,我们首先描述了LADA的自然历史。此后,我们总结了LADA中β细胞功能相关的异质性因子,包括发病年龄,身体质量指数,遗传背景,免疫,生活方式,和环境因素。并行,我们评估了目前降糖药和免疫干预疗法对胰岛β细胞保护的影响.最后,从胰岛β细胞功能保护的角度探讨LADA治疗的机遇与挑战。
    Latent autoimmune diabetes in adults (LADA) is a heterogeneous disease sharing some phenotypic, genetic, and immunological features with both type 1 and 2 diabetes. Patients with LADA have a relatively slow autoimmune process and more residual islet β-cell function at onset, allowing a time window to protect residual islet β cells and delay or inhibit disease progression. It is crucial to discover various heterogeneous factors affecting islet β-cell function for precise LADA therapy. In this review, we first describe the natural history of LADA. Thereafter, we summarize β-cell function-related heterogeneous factors in LADA, including the age of onset, body mass index, genetic background, and immune, lifestyle, and environmental factors. In parallel, we evaluate the impact of current hypoglycemic agents and immune intervention therapies for islet β-cell protection. Finally, we discuss the opportunities and challenges of LADA treatment from the perspective of islet β-cell function protection.
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  • 文章类型: Journal Article
    乳腺癌是最常见的恶性肿瘤之一,也是全世界妇女死亡的主要原因之一。尽管化疗取得了进展,耐药性仍然是一个主要的临床问题,迫切需要探索新的抗乳腺癌药物。1,2,3-三唑是特权部分,其衍生物具有抑制癌细胞增殖、诱导细胞周期阻滞和凋亡的作用。因此,1,2,3-三唑衍生物对各种癌症具有深远的活性,包括乳腺癌.本文综述了1,2,3-三唑衍生物抗乳腺癌潜能的最新进展,涵盖2017年1月至2021年12月发表的文章。还讨论了作用机制和结构-活动关系(SAR),以进一步合理设计更有效的候选人。
    Breast cancer is one of the most prevalent malignant diseases, and one of the main causes of mortality among women across the world. Despite advances in chemotherapy, drug resistance remains a major clinical concern, creating an urgent need to explore novel anti-breast cancer drugs. 1,2,3-triazole is a privileged moiety, and its derivatives could inhibit cancer cell proliferation and induce cell cycle arrest and apoptosis. Accordingly, 1,2,3-triazole derivatives possess profound activity against various cancers, including breast cancer. This review summarizes the latest progress related to the anti-breast cancer potential of 1,2,3-triazole derivatives, covering articles published from January 2017 to December 2021. The mechanisms of action and structure-activity relationships (SARs) are also discussed for the further rational design of more effective candidates.
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  • 文章类型: Journal Article
    一名15岁的男性患者在过去三年中反复出现骨折,因此入院。主要是由于跌倒或过度劳累。临床体征和放射学特征,比如复发性骨折,蓝色巩膜和低骨矿物质密度(BMD)水平,所有这些都导致了I型轻度成骨不全症(OI)的诊断。患者开始定期摄入钙(1,000毫克/天),摄入足够的维生素D(800U/天)和静脉注射帕米膦酸盐(60mg)。经过4个月的治疗,患者的症状和生活质量得到改善。该患者似乎是I型OI的罕见病例。
    A 15-year-old male patient was admitted to hospital having experienced repeated fractures over the previous three years, predominantly due to falling down or overexertion. The clinical signs and radiological features, such as recurrent fractures, blue sclera and low bone mineral density (BMD) level, all led to the diagnosis of a mild form of osteogenesis imperfecta (OI) type I. The patient began treatment with a regular intake of calcium (1,000 mg/day), an adequate intake of vitamin D (800 U/day) and intravenous pamidronate (60 mg). Following four months of treatment, the symptoms and quality of life of the patient improved. This patient appears to be a rare case of OI type I.
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