therapeutic interventions

治疗干预措施
  • 文章类型: Journal Article
    纳米酶,可以选择性地清除活性氧(ROS),最近已成为临床前模型中治疗缺血性中风和创伤性脑损伤(TBI)的有希望的候选人。在这些疾病的早期阶段,ROS过量产生会导致氧化脑损伤,这一直是全世界死亡的主要原因。然而,ROS清除酶的临床应用受到其体内半衰期短和不能穿过血脑屏障的限制。纳米酶,模拟天然酶的催化功能,有几个优点,包括成本效益,高稳定性,和易于存储。这些优点使它们优于用于疾病诊断和治疗干预的天然酶。这篇综述强调了纳米酶在缺血性卒中和TBI中应用的最新进展。强调它们减轻ROS生产过剩的有害影响的潜力,氧化性脑损伤,炎症,和血脑屏障妥协。因此,纳米酶代表了未来医疗实践中ROS生产过剩条件的一种有希望的治疗方式。
    Nanozymes, which can selectively scavenge reactive oxygen species (ROS), have recently emerged as promising candidates for treating ischemic stroke and traumatic brain injury (TBI) in preclinical models. ROS overproduction during the early phase of these diseases leads to oxidative brain damage, which has been a major cause of mortality worldwide. However, the clinical application of ROS-scavenging enzymes is limited by their short in vivo half-life and inability to cross the blood-brain barrier. Nanozymes, which mimic the catalytic function of natural enzymes, have several advantages, including cost-effectiveness, high stability, and easy storage. These advantages render them superior to natural enzymes for disease diagnosis and therapeutic interventions. This review highlights recent advancements in nanozyme applications for ischemic stroke and TBI, emphasizing their potential to mitigate the detrimental effect of ROS overproduction, oxidative brain damage, inflammation, and blood-brain barrier compromise. Therefore, nanozymes represent a promising treatment modality for ROS overproduction conditions in future medical practices.
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  • 文章类型: Journal Article
    下丘是海马结构的关键输出成分,神经科学研究中经常被忽视的结构。这里,这篇综述旨在探讨下膜在各种脑部疾病中的作用,阐明其在神经系统疾病的功能神经解剖学观点中的重要性。彻底检查了下膜在多种脑部疾病中的参与。在阿尔茨海默病中,下膜改变先于认知能力下降,在癫痫中,下膜在癫痫发作中起关键作用。应力涉及下丘脑对下丘脑-垂体-肾上腺皮质轴的影响。此外,下膜表现出焦虑的结构和功能变化,精神分裂症,和帕金森病,导致认知缺陷。双相情感障碍与下膜结构异常有关,而自闭症谱系障碍揭示了下膜向内变形的改变。最后,额颞叶痴呆显示下膜的体积差异,强调它对无序的复杂性的贡献。一起来看,这篇综述巩固了关于下膜在脑部疾病中的作用的现有知识,并可能促进未来的研究,诊断策略,以及各种神经系统疾病的治疗干预措施。
    Subiculum is a pivotal output component of the hippocampal formation, a structure often overlooked in neuroscientific research. Here, this review aims to explore the role of the subiculum in various brain disorders, shedding light on its significance within the functional-neuroanatomical perspective on neurological diseases. The subiculum\'s involvement in multiple brain disorders was thoroughly examined. In Alzheimer\'s disease, subiculum alterations precede cognitive decline, while in epilepsy, the subiculum plays a critical role in seizure initiation. Stress involves the subiculum\'s impact on the hypothalamic-pituitary-adrenocortical axis. Moreover, the subiculum exhibits structural and functional changes in anxiety, schizophrenia, and Parkinson\'s disease, contributing to cognitive deficits. Bipolar disorder is linked to subiculum structural abnormalities, while autism spectrum disorder reveals an alteration of inward deformation in the subiculum. Lastly, frontotemporal dementia shows volumetric differences in the subiculum, emphasizing its contribution to the disorder\'s complexity. Taken together, this review consolidates existing knowledge on the subiculum\'s role in brain disorders, and may facilitate future research, diagnostic strategies, and therapeutic interventions for various neurological conditions.
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  • 文章类型: Journal Article
    5'非翻译区内的非编码CGG重复扩增与一系列神经系统疾病有关,包括脆性X相关震颤/共济失调综合征,眼咽肌病伴白质营养不良,和眼咽远端肌病。这篇综述概述了与非编码CGG重复扩增相关的疾病的一般特征,详细说明他们的临床表现和神经影像学模式,通常重叠并表明共同的病理生理特征。我们总结了这些疾病的潜在分子机制,提供对DNA角色的新见解,RNA,和有毒蛋白质发挥作用。了解这些机制对于制定有针对性的治疗策略至关重要。这些策略包括一系列方法,如反义寡核苷酸,RNA干扰,基因组DNA编辑,小分子干预,以及其他旨在纠正这些疾病固有的失调过程的治疗方法。更深入地了解非编码CGG重复扩增障碍之间的共同机制,可能会促进创新疗法的发展。最终为患有这些使人衰弱的神经系统疾病的人提供救济。
    Non-coding CGG repeat expansions within the 5\' untranslated region are implicated in a range of neurological disorders, including fragile X-associated tremor/ataxia syndrome, oculopharyngeal myopathy with leukodystrophy, and oculopharyngodistal myopathy. This review outlined the general characteristics of diseases associated with non-coding CGG repeat expansions, detailing their clinical manifestations and neuroimaging patterns, which often overlap and indicate shared pathophysiological traits. We summarized the underlying molecular mechanisms of these disorders, providing new insights into the roles that DNA, RNA, and toxic proteins play. Understanding these mechanisms is crucial for the development of targeted therapeutic strategies. These strategies include a range of approaches, such as antisense oligonucleotides, RNA interference, genomic DNA editing, small molecule interventions, and other treatments aimed at correcting the dysregulated processes inherent in these disorders. A deeper understanding of the shared mechanisms among non-coding CGG repeat expansion disorders may hold the potential to catalyze the development of innovative therapies, ultimately offering relief to individuals grappling with these debilitating neurological conditions.
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  • 文章类型: Journal Article
    目前,糖尿病(DM)是危害健康的疾病之一。目前的疗法包括控制高血糖,减少肥胖等风险因素,高血压,等等;然而,DM患者不可避免地并最终发展成不同类型的糖尿病并发症,导致生活质量差。不幸的是,由于复杂的全身系统,糖尿病并发症的病因和发病机制尚未阐明。免疫系统负责通过触发或解决炎症反应来调节体内平衡,提示糖尿病并发症可能是必要的。事实上,既往研究表明,炎症在糖尿病并发症的发病机制中起着多功能作用,并成为有意义的治疗策略。为此,这篇综述系统地总结了目前关于易感糖尿病并发症关系的研究(例如,糖尿病性心肌病,糖尿病视网膜病变,糖尿病周围神经病变,和糖尿病肾病)和炎症,从免疫细胞反应,细胞因子与器官损伤病理机制的相互作用。此外,我们还总结了通过从特殊治疗到常规生活方式改变的靶向炎症改善糖尿病并发症的各种治疗策略.这篇综述将从炎症角度提供对糖尿病并发症机制的全景见解,并讨论当代临床干预措施。
    At present, diabetes mellitus (DM) has been one of the most endangering healthy diseases. Current therapies contain controlling high blood sugar, reducing risk factors like obesity, hypertension, and so on; however, DM patients inevitably and eventually progress into different types of diabetes complications, resulting in poor quality of life. Unfortunately, the clear etiology and pathogenesis of diabetes complications have not been elucidated owing to intricate whole-body systems. The immune system was responsible to regulate homeostasis by triggering or resolving inflammatory response, indicating it may be necessary to diabetes complications. In fact, previous studies have been shown inflammation plays multifunctional roles in the pathogenesis of diabetes complications and is attracting attention to be the meaningful therapeutic strategy. To this end, this review systematically concluded the current studies over the relationships of susceptible diabetes complications (e.g., diabetic cardiomyopathy, diabetic retinopathy, diabetic peripheral neuropathy, and diabetic nephropathy) and inflammation, ranging from immune cell response, cytokines interaction to pathomechanism of organ injury. Besides, we also summarized various therapeutic strategies to improve diabetes complications by target inflammation from special remedies to conventional lifestyle changes. This review will offer a panoramic insight into the mechanisms of diabetes complications from an inflammatory perspective and also discuss contemporary clinical interventions.
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  • 文章类型: Journal Article
    这篇综述全面探索了核骨架和细胞骨架(LINC)复合物的接头所起的关键作用,特别关注奈斯普林蛋白,在细胞力学和肌肉疾病的发病机理中。区别于以前的作品,分析深入研究了LINC复合体的复杂相互作用,强调其对维持细胞结构完整性不可或缺的贡献,特别是在机械敏感的组织,如心脏和横纹肌。此外,强调了Nesprin蛋白突变与扩张型心肌病(DCM)和Emery-Dreifuss肌营养不良(EDMD)的发病之间的显着关联,强调它们在疾病发病机制中的关键作用。通过对DCM和EDMD病例的全面检查,这篇评论阐明了LINC复合体的中断,核形态学改变,和肌肉发育障碍,因此强调了完整的LINC复合物在保持肌肉生理功能方面的基本功能。此外,这篇综述为Nesprin突变对肌肉疾病发病机制中细胞动力学的影响提供了新的见解,特别是在保持心脏结构和功能的完整性。此外,先进的治疗策略,包括纠正Nesprin基因突变,控制Nesprin蛋白表达,增强LINC复杂功能,并提出了增强心肌细胞功能的方法。通过阐明核-细胞骨架相互作用的复杂分子机制,这篇综述为未来旨在解决遗传性肌肉疾病的研究和治疗干预奠定了基础.
    This review presents a comprehensive exploration of the pivotal role played by the Linker of Nucleoskeleton and Cytoskeleton (LINC) complex, with a particular focus on Nesprin proteins, in cellular mechanics and the pathogenesis of muscular diseases. Distinguishing itself from prior works, the analysis delves deeply into the intricate interplay of the LINC complex, emphasizing its indispensable contribution to maintaining cellular structural integrity, especially in mechanically sensitive tissues such as cardiac and striated muscles. Additionally, the significant association between mutations in Nesprin proteins and the onset of Dilated Cardiomyopathy (DCM) and Emery-Dreifuss Muscular Dystrophy (EDMD) is highlighted, underscoring their pivotal role in disease pathogenesis. Through a comprehensive examination of DCM and EDMD cases, the review elucidates the disruptions in the LINC complex, nuclear morphology alterations, and muscular developmental disorders, thus emphasizing the essential function of an intact LINC complex in preserving muscle physiological functions. Moreover, the review provides novel insights into the implications of Nesprin mutations for cellular dynamics in the pathogenesis of muscular diseases, particularly in maintaining cardiac structural and functional integrity. Furthermore, advanced therapeutic strategies, including rectifying Nesprin gene mutations, controlling Nesprin protein expression, enhancing LINC complex functionality, and augmenting cardiac muscle cell function are proposed. By shedding light on the intricate molecular mechanisms underlying nuclear-cytoskeletal interactions, the review lays the groundwork for future research and therapeutic interventions aimed at addressing genetic muscle disorders.
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  • 文章类型: Journal Article
    这篇综述探讨了神经损伤后轴突再生和功能恢复的分子和遗传基础。强调其在逆转神经功能缺损中的重要性。它系统地探索了各种基因在外周和中枢神经损伤中轴突再生中的作用。最初,它突出了对轴突生长和指导至关重要的基因和基因家族,深入研究它们在再生中的作用。然后检查再生微环境,关注神经胶质细胞通过去分化在神经修复中的作用,扩散,和移民。讨论了中枢神经系统(CNS)和周围神经系统(PNS)内的“创伤性微环境”的概念,注意它们对再生能力的影响及其在治疗策略制定中的重要性。此外,这篇综述深入研究了轴突运输机制对准确生长和神经支配至关重要,整合蛋白质组学的见解,全基因组筛查,和基因编辑的进步。最后,它综合了这些见解,提供了轴突再生的分子编排的全面理解,旨在告知有效的神经损伤疗法,并为再生神经科学做出贡献。
    This review explores the molecular and genetic underpinnings of axonal regeneration and functional recovery post-nerve injury, emphasizing its significance in reversing neurological deficits. It presents a systematic exploration of the roles of various genes in axonal regrowth across peripheral and central nerve injuries. Initially, it highlights genes and gene families critical for axonal growth and guidance, delving into their roles in regeneration. It then examines the regenerative microenvironment, focusing on the role of glial cells in neural repair through dedifferentiation, proliferation, and migration. The concept of \"traumatic microenvironments\" within the central nervous system (CNS) and peripheral nervous system (PNS) is discussed, noting their impact on regenerative capacities and their importance in therapeutic strategy development. Additionally, the review delves into axonal transport mechanisms essential for accurate growth and reinnervation, integrating insights from proteomics, genome-wide screenings, and gene editing advancements. Conclusively, it synthesizes these insights to offer a comprehensive understanding of axonal regeneration\'s molecular orchestration, aiming to inform effective nerve injury therapies and contribute to regenerative neuroscience.
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  • 文章类型: Systematic Review
    这项荟萃分析的主要目的是全面了解免疫衰老及其对肺癌进展和皮肤伤口恢复的影响之间存在的复杂相关性。通过利用PubMed和WebofScience等数据库对六项严格的研究进行系统的审查,这项研究检查了与免疫老化有关的多个方面及其对健康结果的影响。纳入的研究涵盖了广泛的地理和方法论观点,特别强调非小细胞肺癌和与伤口恢复相关的各种情况。这项分析综合了有关治疗反应的发现,细胞和分子机制以及生活方式因素对免疫衰老的影响。研究结果表明,免疫衰老对肺癌的治疗效果和皮肤伤口愈合过程有重大影响;因此,靶向治疗和整体方法可能能够减轻这些影响。通过遵循修订后的PRISMA准则,这种荟萃分析保证了对现有文献进行合并的全面和道德上合理的方法。该研究最后强调了在临床实践中理解免疫衰老的关键性质,并提出了进一步研究以增强老年人健康结果的途径。
    The primary objective of this meta-analysis was to provide the comprehensive understanding of the intricate correlation that existed between immune senescence and its effects on the advancement of lung cancer as well as recovery of cutaneous wounds. By conducting this systematic review of six rigorous studies utilizing databases such as PubMed and Web of Science, this research examined the multitude of facets pertaining to immune aging and consequences it bear on the health outcomes. The incorporated studies encompassed wide range of geographical and methodological viewpoints, with the specific emphasis on non-small-cell lung cancer and diverse scenarios related to wound recovery. This analysis synthesized discoveries regarding therapeutic responses, cellular and molecular mechanisms and impact of lifestyle factors on immune senescence. The findings suggested that immune senescence has substantial impact on the effectiveness of treatments for lung cancer and cutaneous wounds healing process; therefore, targeted therapies and holistic approaches may be able to mitigate these effects. By following the revised PRISMA guidelines, this meta-analysis guarantee thorough and ethically sound methodology for amalgamating pre-existing literature. The study concluded by emphasizing the critical nature of comprehending immune senescence in the context of clinical practice and proposed avenues for further investigation to enhance health results among the elderly.
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  • 文章类型: Journal Article
    N6-甲基腺苷(m6A),细胞内最丰富的RNA修饰,参与各种生物和病理过程,包括自我更新,入侵和增殖,耐药性,和干细胞特征。m6A甲基化通过调节转录等多种RNA过程在肿瘤中起着至关重要的作用,processing,和翻译。三种蛋白质类型主要参与m6A甲基化:甲基转移酶(如METTL3,METTL14,ZC3H13和KIAA1429),去甲基酶(如FTO,ALKBH5),和RNA结合蛋白(例如YTHDF家族,YTHDC1、YTHDC2和IGF2BPs)。各种代谢途径在消化性肿瘤中被重新编程以满足增加的生长需求并维持细胞功能。最近的研究强调了m6A对消化道肿瘤代谢调节的广泛影响,进一步调节肿瘤的启动和进展。我们的审查旨在全面了解表达模式,功能角色,m6A在消化道肿瘤代谢相关分子和通路中的调控机制。对消化系统肿瘤中m6A调控因子表达谱的表征和m6A甲基化的深入研究可能为临床预测和创新治疗干预提供新的方向。
    N6-methyladenosine (m6A), the most abundant RNA modification within cells, participates in various biological and pathological processes, including self-renewal, invasion and proliferation, drug resistance, and stem cell characteristics. The m6A methylation plays a crucial role in tumors by regulating multiple RNA processes such as transcription, processing, and translation. Three protein types are primarily involved in m6A methylation: methyltransferases (such as METTL3, METTL14, ZC3H13, and KIAA1429), demethylases (such as FTO, ALKBH5), and RNA-binding proteins (such as the family of YTHDF, YTHDC1, YTHDC2, and IGF2BPs). Various metabolic pathways are reprogrammed in digestive tumors to meet the heightened growth demands and sustain cellular functionality. Recent studies have highlighted the extensive impact of m6A on the regulation of digestive tract tumor metabolism, further modulating tumor initiation and progression. Our review aims to provide a comprehensive understanding of the expression patterns, functional roles, and regulatory mechanisms of m6A in digestive tract tumor metabolism-related molecules and pathways. The characterization of expression profiles of m6A regulatory factors and in-depth studies on m6A methylation in digestive system tumors may provide new directions for clinical prediction and innovative therapeutic interventions.
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  • 文章类型: Journal Article
    联合抗逆转录病毒治疗已证明在抑制病毒复制和显著恢复HIV-1(HIV-1)感染患者的CD4+T细胞计数方面有效。有助于大幅降低艾滋病的发病率和死亡率。然而,影响免疫重建的因素非常复杂。人口因素,合并感染,基线CD4细胞水平,异常免疫激活,和细胞因子失调都可能影响免疫重建。据报道,10-40%的HIV-1感染患者未能恢复CD4T细胞计数和功能的正常化。它们被称为免疫非应答者(INR),其不能实现完全免疫重建,并且与实现完全免疫重建的那些相比具有更高的死亡率和更高的发展其他非AIDS疾病的风险。在此之前,HIV中不完全免疫重建的潜在机制仍然难以捉摸,和INR没有得到有效治疗或缓解。本文综述了艾滋病免疫重建不完全的机制和因素的最新进展,并根据不同的机制总结了相应的治疗策略,以改善个体化治疗。
    Combination antiretroviral therapy has demonstrated proved effectiveness in suppressing viral replication and significantly recovering CD4+ T cell count in HIV type-1 (HIV-1)-infected patients, contributing to a dramatic reduction in AIDS morbidity and mortality. However, the factors affecting immune reconstitution are extremely complex. Demographic factors, co-infection, baseline CD4 cell level, abnormal immune activation, and cytokine dysregulation may all affect immune reconstitution. According to report, 10-40% of HIV-1-infected patients fail to restore the normalization of CD4+ T cell count and function. They are referred to as immunological non-responders (INRs) who fail to achieve complete immune reconstitution and have a higher mortality rate and higher risk of developing other non-AIDS diseases compared with those who achieve complete immune reconstitution. Heretofore, the mechanisms underlying incomplete immune reconstitution in HIV remain elusive, and INRs are not effectively treated or mitigated. This review discusses the recent progress of mechanisms and factors responsible for incomplete immune reconstitution in AIDS and summarizes the corresponding therapeutic strategies according to different mechanisms to improve the individual therapy.
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  • 文章类型: Journal Article
    胃肠道癌症仍然是一个重大的全球健康负担。追求推进对肿瘤发生的理解,随着可靠生物标志物的识别和精确治疗策略的发展,代表了这一领域的迫切目标。外泌体,大多数细胞释放的小膜囊泡,通常携带功能性生物分子,包括非编码RNA(ncRNAs),它们被外来体专门分类和封装。外泌体介导的通讯涉及外泌体从肿瘤或基质细胞的释放以及附近或远程受体细胞的摄取。这些外泌体中包含的生物活性物质对受体细胞产生深远的影响,导致肿瘤微环境(TME)的显着改变和胃肠道肿瘤行为的明显改变。由于从各种体液中分离外泌体的可行性,外泌体ncRNAs已显示出作为基于液体活检的不同胃肠道癌症指标的巨大潜力。使用血液,腹水,唾液,或胆汁样本。此外,外泌体越来越被认为是基于ncRNA的治疗干预的天然递送载体.在这次审查中,我们阐明了富含ncRNA的外泌体生物发生和摄取的过程,检查外泌体ncRNA介导的细胞间串扰在胃肠道TME和肿瘤行为中的调控和功能作用,并探索它们在诊断中的潜在临床效用,预测,和治疗学。
    Gastrointestinal cancer remains a significant global health burden. The pursuit of advancing the comprehension of tumorigenesis, along with the identification of reliable biomarkers and the development of precise therapeutic strategies, represents imperative objectives in this field. Exosomes, small membranous vesicles released by most cells, commonly carry functional biomolecules, including noncoding RNAs (ncRNAs), which are specifically sorted and encapsulated by exosomes. Exosome-mediated communication involves the release of exosomes from tumor or stromal cells and the uptake by nearby or remote recipient cells. The bioactive cargoes contained within these exosomes exert profound effects on the recipient cells, resulting in significant modifications in the tumor microenvironment (TME) and distinct alterations in gastrointestinal tumor behaviors. Due to the feasibility of isolating exosomes from various bodily fluids, exosomal ncRNAs have shown great potential as liquid biopsy-based indicators for different gastrointestinal cancers, using blood, ascites, saliva, or bile samples. Moreover, exosomes are increasingly recognized as natural delivery vehicles for ncRNA-based therapeutic interventions. In this review, we elucidate the processes of ncRNA-enriched exosome biogenesis and uptake, examine the regulatory and functional roles of exosomal ncRNA-mediated intercellular crosstalk in gastrointestinal TME and tumor behaviors, and explore their potential clinical utility in diagnostics, prognostics, and therapeutics.
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