spleen

脾脏
  • 文章类型: Journal Article
    MicroRNAs (miRNAs) have been demonstrated to act as crucial modulators with considerable impacts on the immune system. Cottonseed meal is often used as a protein source in aqua feed, cottonseed meal contains gossypol, which is harmful to animals. However, there is a lack of research on the role of miRNAs in fish exposed to gossypol stress. To determine the regulatory effects of miRNAs on gossypol toxicity, Cyprinus carpio were given to oral administration of 20 mg/kg gossypol for 7 days, and the gossypol concentration in the tissues was tested. Then, we detected spleen index, histology, immune enzyme activities of fish induced by gossypol. The results of miRNA sequencing revealed 8 differentially expressed miRNAs in gossypol group, and miR-214_L-1R+4 was found involved in immune response induced by gossypol. The potential targets of miR-214_L-1R+4 were predicted, and found a putative miR-214_L-1R+4 binding site in the 3\'UTR of MyD88a. Furthermore, dual-luciferase reporter assays displayed miR-214_L-1R+4 decreased MyD88a expression through binding to the 3\'UTR of MyD88a. Moreover, miR-214_L-1R+4 antagomir were intraperitoneally administered to C. carpio, down-regulated miR-214_L-1R+4 could increase MyD88a expression, as well as inflammatory cytokines and anti-inflammatory cytokines expression. These findings revealed that miR-214_L-1R+4 via the MyD88-dependent signaling pathway modulate the immune response to gossypol in C. carpio spleen.
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    文章类型: English Abstract
    目的探讨雪百草水提物(TCWE)对胶原性关节炎(CIA)大鼠细胞免疫及PD-1/PD-L1通路的影响。方法SD大鼠随机分为4组:对照组,aCIA组,TCWE组和甲氨蝶呤(MTX)组,每组15只大鼠。除了对照组,其余各组SD大鼠皮下注射Ⅱ型胶原建立胶原诱导性关节炎(CIA)模型。TCWE组的大鼠用20mg/(kg。d)TCWE和MTX组中的大鼠用1.67mg/(kg。d)MTX。治疗14天后,使用苏木精-伊红(HE)染色检查软骨形态,流式细胞术检测脾T淋巴细胞凋亡和Treg/Th17细胞比值。类维生素A相关孤儿核受体γt(RORγt)mRNA的表达,叉头箱P3(FOXP3),逆转录PCR检测脾脏中PD-1和PD-L1。免疫组化染色检测RORγt和FOXP3的表达及定位。Westernblot检测脾淋巴细胞PD-1和PD-L1蛋白表达,ELISA法检测大鼠血清白细胞介素17(IL-17)和转化生长因子β(TGF-β)水平。结果与CIA组相比,TCWE组和MTX组的软骨和滑膜病理变化明显减轻。脾脏T淋巴细胞凋亡率及Treg/Th17细胞比值均增高。RORγt的表达降低,脾淋巴细胞FOXP3、PD-1和PD-L1的表达增加。血清IL-17水平降低,而血清TGF-β水平升高。结论TCWE治疗可能通过激活脾细胞PD-1/PD-L1通路调节细胞免疫,从而减轻CIA大鼠的软骨损伤。
    Objective To investigate the effect of Terminalia chebula water extract (TCWE) on the cellular immunity and PD-1/PD-L1 pathway in rats with collagen-induced arthritis (CIA). Methods SD rats were randomly divided into four groups: a control group, a CIA group, a TCWE group and a methotrexate (MTX) group, with 15 rats in each group. Except for the control group, SD rats in other groups were subcutaneously injected with type II collagen to establish the model of collagen-induced arthritis (CIA). The rats in the TCWE group were treated with 20 mg/(kg.d) TCWE and the rats in the MTX group were treated with 1.67 mg/(kg.d) MTX. After 14 days of treatment, the cartilage morphology was examined using hematoxylin-eosin (HE) staining, and splenic T lymphocyte apoptosis and Treg/Th17 cell ratio were detected by flow cytometry. The mRNA expressions of retinoid-related orphan nuclear receptor γt (RORγt), forkhead box P3 (FOXP3), PD-1 and PD-L1 in spleen were detected by reverse transcription PCR. The expression and localization of RORγt and FOXP3 were detected by immunohistochemical staining. The protein expressions of PD-1 and PD-L1 in splenic lymphocytes were detected by Western blot, and the levels of serum interleukin 17 (IL-17) and transforming growth factor β (TGF-β) in rats were detected by ELISA. Results Compared with CIA group, the pathological changes of cartilage and synovium were significantly alleviated in the TCWE group and the MTX group. Both the apoptosis rate of T lymphocytes in spleen and the ratio of Treg/Th17 cells increased. The expression of RORγt decreased, while the expressions of FOXP3, PD-1 and PD-L1 increased in spleen lymphocytes. The level of serum IL-17 decreased, while the level of serum TGF-β increased. Conclusion TCWE treatment may activate PD-1/PD-L1 pathway in spleen cells to regulate cellular immunity, thus reducing cartilage injury in CIA rats.
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  • 文章类型: Journal Article
    共生微生物-宿主相互作用对宿主代谢至关重要,增长,发展,和豁免权。然而,在大型动物模型中对微生物-宿主免疫的研究一直很有限。本研究旨在研究共生微生物对两个模型组的免疫功能的影响:无菌(GF)和无特定病原体(SPF)仔猪。GF仔猪脾脏重量和脏器指数均年夜于SPF仔猪(P<0.05)。SPF仔猪的红髓面积和生发中心平均面积的组织学结构均大于GF仔猪(P<0.05),而GF仔猪脾脏和肠系膜淋巴结(MLN)中B细胞和T细胞的染色面积较低(P<0.05)。我们使用RNA测序鉴定了脾脏和MLNs中的免疫相关基因,并采用实时定量PCR对基因集富集分析中鉴定出的核心基因进行表达分析。转化生长因子-β/SMAD3信号通路中基因的表达水平,Toll样受体2/MyD88/核因子-κB信号通路,与GF和对照组相比,SPF仔猪和脾淋巴细胞中脾脏和MLN中的促炎因子基因IL-6和TNF-α较高,分别,在用乙酸处理下,丙酸,丁酸,脂多糖(LPS),或伴刀豆球蛋白A(ConA)。大量的浆细胞,CD8++T细胞,滤泡辅助性T细胞,SPF仔猪脾脏和MLNs中的静息自然杀伤细胞明显大于GF仔猪(P<0.05)。总之,共生微生物群影响免疫组织结构,大量的免疫细胞,和免疫相关途径的表达,表明共生微生物对脾脏和MLNs发育和功能的重要性。在我们的研究中,以GF仔猪为研究模型,消除了实验中微生物群的干扰,并为探索“微生物-宿主”相互作用的机制提供了一种合适而高效的大型动物研究模型。
    Commensal microbial-host interaction is crucial for host metabolism, growth, development, and immunity. However, research on microbial-host immunity in large animal models has been limited. This study was conducted to investigate the effects of the commensal microbiota on immune function in two model groups: germ-free (GF) and specific-pathogen-free (SPF) piglets. The weight and organ index of the spleen of the GF piglet were larger than those in the SPF piglet (P < 0.05). The histological structure of the red pulp area and mean area of germinal centers were larger in the SPF piglet than in the GF piglet (P < 0.05), whereas the areas of staining of B cells and T cells in the spleen and mesenteric lymph nodes (MLNs) were lower in the GF piglet (P < 0.05). We identified immune-related genes in the spleen and MLNs using RNA sequencing, and used real-time quantitative PCR to analyze the expression of core genes identified in gene set enrichment analysis. The expression levels of genes in the transforming growth factor-β/SMAD3 signaling pathway, Toll-like receptor 2/MyD88/nuclear factor-κB signaling pathway, and pro-inflammatory factor genes IL-6 and TNF-α in the spleen and MLNs were higher in the SPF piglet and in splenic lymphocytes compared with those in the GF and control group, respectively, under treatment with acetic acid, propionic acid, butyric acid, lipopolysaccharide (LPS), or concanavalin A (ConA). The abundances of plasma cells, CD8++ T cells, follicular helper T cells, and resting natural killer cells in the spleen and MLNs were significantly greater in the SPF piglet than in the GF piglet (P < 0.05). In conclusion, the commensal microbiota influenced the immune tissue structure, abundances of immune cells, and expression of immune-related pathways, indicating the importance of the commensal microbiota for spleen and MLNs development and function. In our study, GF piglet was used as the research model, eliminating the interference of microbiota in the experiment, and providing a suitable and efficient large animal research model for exploring the mechanism of \"microbial-host\" interactions.
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  • 文章类型: Journal Article
    目的:系统性红斑狼疮(SLE)是一种涉及多个器官以及细胞因子失调的自身免疫性疾病。由于所使用的不同药物的副作用,SLE的治疗仍然具有挑战性。受体相互作用蛋白激酶1(RIPK1)是参与T细胞稳态和自身炎症的激酶。尽管临床试验表明RIPK1抑制在不同的自身免疫性疾病中表现出显著的疗效,其在SLE中的作用尚不清楚。
    方法:MRL/lpr狼疮易感小鼠腹膜内接受RIPK1抑制剂ZJU37或载体10周。在RIPK1D138N小鼠或C57BL/6小鼠中引入BM12诱导的慢性移植物抗宿主病(cGVHD)狼疮样模型。肾炎,血清自身抗体水平,在治疗和未治疗的小鼠中比较了适应性免疫应答和细胞因子的失调。
    结果:ZJU37减轻了MRL/lpr小鼠的临床特征,包括肾炎和抗dsDNA抗体的产生。此外,ZJU37治疗降低了脾脏中双阴性T细胞的比例和TNFα的细胞因子,IFN-γ,血清中IL-6、IL-17和IL-1β。此外,RIPK1D138N小鼠能够预防cGVHD狼疮样模型的SLE发作,表现为抗dsDNA抗体生产,生发中心B细胞的增殖,浆细胞,和T滤泡辅助细胞以及IgG和C3沉积在肾脏。
    结论:抑制RIPK1在SLE小鼠模型中具有保护作用,并可能成为人类SLE的新治疗靶点。
    OBJECTIVE: Systemic lupus erythematosus (SLE) is a type of autoimmune disease that involves multiple organs involved as well as cytokine dysregulation. The treatment of SLE is still challenging due to the side effects of the different drugs used. Receptor-interacting protein kinase 1 (RIPK1) is a kinase involved in T cell homeostasis and autoinflammation. Although clinical trials have shown that RIPK1 inhibition exhibits significant efficacy in different autoimmune diseases, its role in SLE remains unclear.
    METHODS: MRL/lpr lupus-prone mice received RIPK1 inhibitor ZJU37 or vehicle intraperitoneally for 10 weeks. A BM12-induced chronic graft-versus-host-disease (cGVHD) lupus-like model was introduced in RIPK1 D138N mice or C57BL/6 mice. Nephritis, serum autoantibody levels, dysregulation of adaptive immune response and cytokines were compared in treated and untreated mice.
    RESULTS: ZJU37 alleviated the clinical features of the MRL/lpr mice including nephritis and anti-dsDNA antibody production. In addition, ZJU37 treatment reduced the proportion of double-negative T cells in the spleen and the cytokines of TNFα, IFN-γ, IL-6, IL-17 and IL-1β in the serum. Moreover, RIPK1 D138N mice were able to prevent the cGVHD lupus-like model from SLE attack, manifesting as anti-dsDNA antibody production, the proliferation of germinal centre B cells, plasma cells, and T follicular helper cells as well as IgG and C3 deposits in kidneys.
    CONCLUSIONS: RIPK1 inhibition has a protective effect in the mouse model of SLE and can potentially become a new therapeutic target for SLE in humans.
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  • 文章类型: Journal Article
    背景:病原体可以影响宿主RNA修饰机制,为其复制建立有利的细胞环境。在本研究中,我们研究了弓形虫感染对宿主RNA修饰谱的影响,并探讨了这些修饰如何影响宿主-寄生虫的相互作用.
    结果:我们分析了小鼠肝脏中~80nttRNA和17-50ntsncRNAs的修饰水平,脾,脾和血清使用液相色谱和串联质谱分析。结果揭示了RNA修饰谱的改变,特别是在急性感染期间。肝脏比脾脏表现出更多的差异丰富的RNA修饰。与对照小鼠相比,急性感染期间血清中的RNA修饰水平大部分下调。在感染期间肝脏和脾脏中的不同RNA修饰之间以及几种RNA修饰与许多细胞因子之间检测到相关性。RNA修饰的改变影响tRNA稳定性和蛋白质翻译。
    结论:这些发现为RNA修饰在介导鼠宿主对弓形虫感染的反应中的作用提供了新的见解。
    BACKGROUND: Pathogens can impact host RNA modification machinery to establish a favorable cellular environment for their replication. In the present study, we investigated the effect of Toxoplasma gondii infection on host RNA modification profiles and explored how these modifications may influence the host-parasite interaction.
    RESULTS: We analyzed the modification levels of ∼ 80 nt tRNA and 17-50 nt sncRNAs in mouse liver, spleen, and serum using liquid chromatography and tandem mass spectrometry analysis. The results revealed alterations in RNA modification profiles, particularly during acute infection. The liver exhibited more differentially abundant RNA modifications than the spleen. RNA modification levels in serum were mostly downregulated during acute infection compared to control mice. Correlations were detected between different RNA modifications in the liver and spleen during infection and between several RNA modifications and many cytokines. Alterations in RNA modifications affected tRNA stability and protein translation.
    CONCLUSIONS: These findings provide new insight into the role of RNA modifications in mediating the murine host response to T. gondii infection.
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  • 文章类型: Journal Article
    阿氯胺酮,氯胺酮的(R)-对映体,在小鼠中表现出抗抑郁样作用,尽管精确的分子机制仍然难以捉摸。在慢性社会失败压力(CSDS)抑郁模型中,它已被证明可以减少脾肿大和抑郁样行为。这项研究调查了脾脏是否有助于CSDS模型中arketamine的抗抑郁样作用。我们发现脾切除术显著抑制了Arketamine对CSDS敏感小鼠的抗抑郁作用。RNA测序分析确定前额叶皮质(PFC)中的氧化磷酸化(OXPHOS)途径是脾切除术对阿氯胺酮影响的关键介质。此外,寡霉素A,OXPHOS通路的抑制剂,逆转脾切除术对arketamine抗抑郁样作用的抑制作用。OCPHOS途径中的特定基因,如COX11、UQCR11和ATP5e,可能有助于这些抑制作用。值得注意的是,转化生长因子(TGF)-β1与COX11一起,似乎可以调节脾切除术的抑制作用,并有助于arketamine的抗抑郁作用。此外,SRI-01138,TGF-β1受体的激动剂,减轻脾切除术对arketamine抗抑郁样作用的抑制作用。膈下迷走神经切断术还抵消了脾切除术对CSDS易感小鼠的arketamine抗抑郁样作用的抑制作用。这些发现表明,PFC中的OXPHOS通路和TGF-β1在arketamine的抗抑郁样作用中起重要作用,通过迷走神经通过脾脑轴介导。
    Arketamine, the (R)-enantiomer of ketamine, exhibits antidepressant-like effects in mice, though the precise molecular mechanisms remain elusive. It has been shown to reduce splenomegaly and depression-like behaviors in the chronic social defeat stress (CSDS) model of depression. This study investigated whether the spleen contributes to the antidepressant-like effects of arketamine in the CSDS model. We found that splenectomy significantly inhibited arketamine\'s antidepressant-like effects in CSDS-susceptible mice. RNA-sequencing analysis identified the oxidative phosphorylation (OXPHOS) pathway in the prefrontal cortex (PFC) as a key mediator of splenectomy\'s impact on arketamine\'s effects. Furthermore, oligomycin A, an inhibitor of the OXPHOS pathway, reversed the suppressive effects of splenectomy on arketamine\'s antidepressant-like effects. Specific genes within the OXPHOS pathways, such as COX11, UQCR11 and ATP5e, may contribute to these inhibitory effects. Notably, transforming growth factor (TGF)-β1, along with COX11, appears to modulate the suppressive effects of splenectomy and contribute to arketamine\'s antidepressant-like effects. Additionally, SRI-01138, an agonist of the TGF-β1 receptor, alleviated the inhibitory effects of splenectomy on arketamine\'s antidepressant-like effects. Subdiaphragmatic vagotomy also counteracted the inhibitory effects of splenectomy on arketamine\'s antidepressant-like effects in CSDS-susceptible mice. These findings suggest that the OXPHOS pathway and TGF-β1 in the PFC play significant roles in the antidepressant-like effects of arketamine, mediated through the spleen-brain axis via the vagus nerve.
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  • 文章类型: Case Reports
    骨髓脂肪瘤是良性的,通常是不确定病因的惰性肿瘤,在猫中很少报道。虽然通常无症状,在某些情况下,骨髓脂肪瘤可引起腹部不适或出现破裂和出血。这里,我们描述了一种罕见的家养长毛猫的脾髓质脂肪瘤,经过广泛的诊断调查,缺氧和体重减轻的临床症状可归因于腹内肿块的存在.患者接受脾切除术治疗,术后意外死亡。尽管脾切除术似乎是对有症状患者的明智干预措施,猫脾髓性脂肪瘤的最佳治疗方法尚不清楚。手术管理的风险收益比需要仔细考虑,和治疗干预应针对每个患者单独定制。
    Myelolipoma is a benign, typically inert neoplasm of uncertain aetiology that is rarely reported in cats. Although commonly asymptomatic, in some cases, myelolipomas can cause abdominal discomfort or present with rupture and haemorrhage. Here, we describe a rare case of a splenic myelolipoma in a Domestic Long Hair cat in which, after extensive diagnostic investigations, clinical signs of hyporexia and weight loss were attributable to the presence of an intra-abdominal mass. The patient was treated by splenectomy and unexpectedly died during the post-operative period. Although splenectomy appears to be a sensible intervention in symptomatic patients, the optimal management of splenic myelolipomas in cats remains unknown. The risk-benefit ratio of surgical management needs to be carefully considered, and therapeutic intervention should be tailored individually to each patient.
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  • 文章类型: Journal Article
    简介:胶质母细胞瘤患者具有高度免疫抑制的肿瘤微环境和全身性免疫抑制,这是免疫检查点治疗的主要障碍。基于胶质母细胞瘤产生内源性大麻素,我们探讨了内源性大麻素受体2(CB2R)的参与,由CNR2基因编码,主要由免疫细胞表达,在胶质母细胞瘤相关的免疫抑制中。材料与方法:人类胶质母细胞瘤数据库的生物信息学用于关联参与内源性大麻素合成和降解的酶,以及CB2R,患者总体生存率。表达荧光素酶的纹状体内给药,鼠GL261胶质母细胞瘤细胞用于建立体内胶质母细胞瘤模型,以表征肿瘤生长和肿瘤内免疫细胞浸润,以及为体外共培养实验提供免疫细胞。通过用CB2R激动剂(GW405833)或CB2R拮抗剂(AM630)治疗确定CB2R的参与。ELISA,FACS,免疫细胞化学用于测定穿孔素,颗粒酶B,和表面标记水平。结果:人类胶质母细胞瘤数据库的生物信息学显示,CB2R的高表达和内源性大麻素的产生与预后较差相关。并涉及免疫相关途径。AM630对GL261胶质母细胞瘤小鼠的治疗诱导了有效的抗肿瘤反应,在第40天,当所有对照小鼠(中位存活28天)和用GW405833治疗的小鼠(中位存活21天)死亡时,存活稳定在50%。荧光素酶肿瘤成像显示GW405833治疗加速了肿瘤生长,但在AM630治疗的小鼠中肿瘤稳定或消退。值得注意的是,在脾脏中,AM630治疗导致单核细胞/巨噬细胞减少83%,CD8+和CD4+细胞增加1.8倍和1.6倍,分别。在肿瘤中,肿瘤相关巨噬细胞(TAMs)相应减少,CD8+T细胞增加.体外,来自AM630处理的小鼠的淋巴细胞显示出更大的细胞毒性功能(穿孔素和颗粒酶B阳性CD8+T细胞的百分比增加)。讨论:这些结果表明,抑制CB2R可通过激活CB2R增强免疫抑制性TAM浸润和全身性T细胞抑制,CB2R的抑制可以有效对抗免疫抑制肿瘤微环境,以及胶质母细胞瘤的全身性免疫抑制。
    Introduction: Glioblastoma patients have a highly immunosuppressive tumor microenvironment and systemic immunosuppression that comprise a major barrier to immune checkpoint therapy. Based on the production of endocannabinoids by glioblastomas, we explored involvement of endocannabinoid receptor 2 (CB2R), encoded by the CNR2 gene, which is predominantly expressed by immune cells, in glioblastoma-related immunosuppression. Materials & Methods: Bioinformatics of human glioblastoma databases was used to correlate enzymes involved in the synthesis and degradation of endocannabinoids, as well as CB2Rs, with patient overall survival. Intrastriatal administration of luciferase-expressing, murine GL261 glioblastoma cells was used to establish in in vivo glioblastoma model for characterization of tumor growth and intratumoral immune cell infiltration, as well as provide immune cells for in vitro co-culture experiments. Involvement of CB2Rs was determined by treatment with CB2R agonist (GW405833) or CB2R antagonist (AM630). ELISA, FACS, and immunocytochemistry were used to determine perforin, granzyme B, and surface marker levels. Results: Bioinformatics of human glioblastoma databases showed high expression of CB2R and elevated endocannabinoid production correlated with poorer prognosis, and involved immune-associated pathways. AM630treatment of GL261 glioblastoma-bearing mice induced a potent antitumor response, with survival plateauing at 50% on Day 40, when all control mice (median survival 28 days) and mice treated with GW405833 (median survival 21 days) had died. Luciferase tumor imaging revealed accelerated tumor growth by GW405833 treatment, but stable or regressing tumors in AM630-treated mice. Notably, in spleens, AM630 treatment caused an 83% decrease in monocytes/macrophages, and 1.8- and 1.6-fold increases in CD8+ and CD4+ cells, respectively. Within tumors, there was a corresponding decrease in tumor-associated macrophages (TAMs) and increase in CD8+ T cells. In vitro, lymphocytes from AM630-treated mice showed greater cytotoxic function (increased percentage of perforin- and granzyme B-positive CD8+ T cells). Discussion: These results suggest that inhibition of CB2R enhances both immunosuppressive TAM infiltration and systemic T-cell suppression through CB2R activation, and that inhibition of CB2Rs can potently counter both the immunosuppressive tumor microenvironment, as well as systemic immunosuppression in glioblastoma.
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  • 文章类型: Journal Article
    OBJECTIVE: To compare the clinical effect of intradermal needling and acupuncture in prevention and treatment of leukopenia after chemotherapy with spleen-kidney deficiency.
    METHODS: A total of 90 patients with malignant tumor who received chemotherapy were randomly divided into a intradermal needling group (30 cases, 1 case dropped out), an acupuncture group (30 cases, 2 cases dropped out, 1 case was eliminated) and a control group (30 cases). The control group received conventional symptomatic treatment after chemotherapy. On the basis of the treatment in the control group, the intradermal needling group received intradermal needling at Guanyuan (CV 4), Dazhui (GV 14) and bilateral Geshu (BL 17), Zusanli (ST 36),Shenshu (BL 23), the needles were retained for 48 h, once every other day. On the basis of the treatment in the control group, the acupuncture group received conventional acupuncture at the same acupoints as the intradermal needling group, once every other day. The treatment started from the first day of chemotherapy, for a total of 2 weeks in the three groups. The white blood cell count, neutrophil count, hemoglobin content, platelet count and Karnofsky performance status (KPS) score before treatment and on 3rd, 7th, 14th, and 21st days after treatment were compared among the three groups. The incidence and grading of leukopenia and the usage of leukocyte-boosting drug during chemotherapy cycle was recorded.
    RESULTS: On 7th day after treatment, the white blood cell count in the intradermal needling group and the acupuncture group was higher than that in the control group (P<0.01, P<0.05). On the 14th day after treatment, the hemoglobin content in the intradermal needling group and the acupuncture group was higher than that in the control group (P<0.01). On the 7th, 14th, and 21st days after treatment, the platelet count in the acupuncture group was higher than that in the control group (P<0.01), on the 14th and 21st days after treatment, the platelet count in the intradermal needling group was higher than that in the control group (P<0.01). There was no statistically significant difference among the three groups after treatment in terms of neutrophil count, KPS score, incidence and grading of leukopenia, and the usage of leukocyte-boosting drug (P>0.05).
    CONCLUSIONS: Both intradermal needling and acupuncture can effectively increase peripheral blood white blood cell count, hemoglobin content and platelet count during chemotherapy cycle, reduce the toxicity of chemotherapy drug to bone marrow hematopoietic function, and alleviate bone marrow suppression after chemotherapy. The two treatments are equally effective.
    目的:比较揿针和针刺防治脾肾两虚型化疗后白细胞减少症的临床疗效。方法:将90例接受化疗的恶性肿瘤患者随机分为揿针组(30例,脱落1例)、针刺组(30例,脱落2例,剔除1例)和对照组(30例)。对照组在化疗的基础上予常规对症治疗;在对照组治疗基础上,揿针组于关元、大椎及双侧膈俞、足三里、肾俞行揿针治疗,留针48 h,隔日1次;在对照组治疗基础上,针刺组于揿针组相同穴位行常规针刺治疗,隔日1次。均从化疗第1天开始,共治疗2周。比较各组患者治疗前及治疗第3、7、14、21天白细胞计数、中性粒细胞计数、血红蛋白含量、血小板计数、Karnofsky功能状态(KPS)评分;于治疗第21天评定白细胞减少症的分度、发生率,记录化疗周期中升白细胞药物使用情况。结果:治疗第7天,揿针组和针刺组白细胞计数高于对照组(P<0.01,P<0.05)。治疗第14天,揿针组和针刺组血红蛋白含量高于对照组(P<0.01)。治疗第7、14、21天,针刺组血小板计数高于对照组(P<0.01),治疗第14、21天,揿针组血小板计数高于对照组(P<0.01)。各组治疗后各时间点中性粒细胞计数、KPS评分及白细胞减少症分度、白细胞减少症发生率、升白细胞药物使用情况比较,差异无统计学意义(P>0.05)。结论:揿针和常规针刺在化疗周期中均可升高外周血白细胞计数、血红蛋白含量、血小板计数,减少化疗药物对骨髓造血功能的影响,减轻化疗后骨髓抑制,两种治疗方法疗效相当。.
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  • 文章类型: Journal Article
    这项研究的目的是研究在不同时间范围内暴露于急性和慢性束缚应激的小鼠的脾脏病理学和免疫细胞亚群变化。对应激诱导的脾损伤的更深入了解可以为应激诱导的疾病的潜在机制提供新的见解。将C57BL/6N小鼠每天抑制不同持续时间(1、3、7、14和21天)6-8小时。在相同的时间点观察对照小鼠。后约束,进行行为实验以评估脾脏重量,大体形态和微观组织学变化。免疫组化染色检测糖皮质激素受体(GR)表达变化,应激反应的免疫细胞亚群和细胞增殖。我们的分析揭示了应激小鼠的显著行为异常。特别是,GR的核表达在第3天开始增加,在第14天达到峰值。应激小鼠的脾脏显示大小减小,内部组织结构紊乱,细胞增殖减少。NK细胞和M2型巨噬细胞在应激下表现出免疫细胞亚群改变,而T或B细胞保持不变。限制应激可导致脾脏形态的病理形态学改变,小鼠的细胞增殖和免疫细胞计数。这些发现表明,应激诱导的病理变化可以破坏应激过程中的免疫调节。
    The objective of this study was to investigate spleen pathology and immune cell subset alterations in mice exposed to acute and chronic restraint stress over various timeframes. A deeper understanding of stress-induced spleen injuries can provide new insights into the mechanisms underlying stress-induced disorders. C57BL/6N mice were restrained for different durations (1, 3, 7, 14 and 21 days) for 6-8 h daily. The control mice were observed at the same time points. Post restraint, behavioural experiments were conducted to assess spleen weight, gross morphology and microscopic histological changes. Immunohistochemical staining was used to detect changes in glucocorticoid receptor (GR) expression, immune cell subsets and cell proliferation in response to stress. Our analysis revealed significant behavioural abnormalities in the stressed mice. In particular, there was an increase in the nuclear expression of GR beginning on Day 3, and it peaked on Day 14. The spleens of stressed mice displayed a reduction in size, disordered internal tissue structure and reduced cell proliferation. NK cells and M2-type macrophages exhibited immune cell subset alterations under stress, whereas T or B cells remained unaltered. Restraint stress can lead to pathomorphological alterations in spleen morphology, cell proliferation and immune cell counts in mice. These findings suggest that stress-induced pathological changes can disrupt immune regulation during stress.
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