Caveolin 1

小窝蛋白 1
  • 文章类型: Journal Article
    质膜小窝蛋白-1(CAV-1)通过抑制多种激酶和其他酶来调节信号传导。我们之前的研究表明,银屑病表皮细胞中CAV-1的下调通过增强JAK/STAT信号传导促进炎症,细胞增殖,和趋化因子生产。CAV-1支架结构域(CSD)肽的施用抑制了咪喹莫特(IMQ)诱导的牛皮癣样皮炎。为了鉴定源自CAV-1的最佳治疗性肽,我们比较了CSD和CSD的亚区的功效,所述亚区已被修饰以使它们溶于水。我们将这些修饰的肽称为sCSD,sA,某人,sC.在IMQ诱导的牛皮癣样皮炎中,虽然所有四种肽都显示出主要的有益作用,sB引起皮肤表型和浸润细胞数量的最显著改善,与sCSD的效果相当或优于sCSD的效果。STAT3的磷酸化也被sB抑制。此外,sB通过阻断源自CAV-1沉默的角质形成细胞的条件培养基抑制HUVEC形成的管的能力,在IMQ诱导的牛皮癣小鼠的真皮中体内和体外都抑制了血管生成。总之,sB具有与sCSD相似或更大的有益作用,不仅通过细胞因子抑制,而且通过血管生成抑制增加其靶向银屑病炎症的能力。
    The plasma membrane protein caveolin-1 (CAV-1) regulates signaling by inhibiting a wide range of kinases and other enzymes. Our previous study demonstrated that the downregulation of CAV-1 in psoriatic epidermal cells contributes to inflammation by enhancing JAK/STAT signaling, cell proliferation, and chemokine production. Administration of the CAV-1 scaffolding domain (CSD) peptide suppressed imiquimod (IMQ)-induced psoriasis-like dermatitis. To identify an optimal therapeutic peptide derived from CAV-1, we have compared the efficacy of CSD and subregions of CSD that have been modified to make them water soluble. We refer to these modified peptides as sCSD, sA, sB, and sC. In IMQ-induced psoriasis-like dermatitis, while all four peptides showed major beneficial effects, sB caused the most significant improvements of skin phenotype and number of infiltrating cells, comparable or superior to the effects of sCSD. Phosphorylation of STAT3 was also inhibited by sB. Furthermore, sB suppressed angiogenesis both in vivo in the dermis of IMQ-induced psoriasis mice and in vitro by blocking the ability of conditioned media derived from CAV-1-silenced keratinocytes to inhibit tube formation by HUVEC. In conclusion, sB had similar or greater beneficial effects than sCSD not only by cytokine suppression but by angiogenesis inhibition adding to its ability to target psoriatic inflammation.
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  • 文章类型: Journal Article
    我们的研究检查了巨蛋白的免疫表达模式,Cubilin,小窝蛋白-1、Gibc1和Dab2IP在胚胎发育(E)和出生后(P)小鼠肾脏中,重点是区分野生型(wt)和Yotari之间的模式,Dab1-/-(yot)小鼠。免疫荧光显示,在所有发育阶段,壶腹/收集管和曲小管中受体Megalin和Cubilin的免疫表达均升高。在Bowman囊的回旋小管和顶叶上皮中观察到最突出的免疫表达。定量分析显示,与E13.5小鼠相比,重量中Megalin和Cubilin的百分比更高。在回旋小管的顶膜和Bowman囊的顶层观察到Megalin和Cubilin的共表达。Megalin的染色强度随发育阶段而变化,在wt小鼠中,在胚胎天(E)13.5在壶腹和收集管处观察到最强的反应性。相比之下,小窝蛋白-1在后肾间质中表现出高免疫表达,血管,后肾间质和肾囊泡之间的边界区域,随着发育的进展,免疫表达降低。Gibc1显示后肾间质弥漫性细胞质染色,复杂的小管和收集管,在两个研究的胚胎时间点,野生型和yot小鼠之间的免疫表达存在显着差异。Dab2IP免疫荧光染色在E13.5的肾囊泡/肾小球和壶腹/收集管中最为明显,在出生后的远曲小管中观察到轻度染色强度。我们的发现阐明了这些蛋白质在肾脏发育和功能中的模式和潜在部分的独特免疫表达,强调进一步调查其监管机制的重要性。
    Our study examines the immunoexpression patterns of Megalin, Cubilin, Caveolin-1, Gipc1 and Dab2IP in the embryonic development (E) and postnatal (P) mouse kidney, with a focus on differentiating patterns between wild-type (wt) and yotari, Dab1-/- (yot) mice. Immunofluorescence revealed raised immunoexpression of receptors Megalin and Cubilin at the ampulla/collecting ducts and convoluted tubules across all developmental stages, with the most prominent immunoexpression observed in the convoluted tubules and the parietal epithelium of the Bowman\'s capsule. Quantitative analysis showed a higher percentage of Megalin and Cubilin in wt compared to yot mice at E13.5. Co-expression of Megalin and Cubilin was observed at the apical membrane of convoluted tubules and the parietal layer of the Bowman\'s capsule. The staining intensity of Megalin varied across developmental stages, with the strongest reactivity observed at the ampulla and collecting ducts at embryonic day (E) 13.5 in wt mice. In contrast, Caveolin-1 exhibited high immunoexpression in the metanephric mesenchyme, blood vessels, and the border area between the metanephric mesenchyme and renal vesicle, with a decrease in immunoexpression as development progressed. Gipc1 showed diffuse cytoplasmic staining in metanephric mesenchyme, convoluted tubules and collecting ducts, with significant differences in immunoexpression between wild-type and yot mice at both investigated embryonic time points. Dab2IP immunofluorescent staining was most prominent in renal vesicle/glomeruli and ampulla/collecting ducts at E13.5, with mild staining intensity observed in the distal convoluted tubules postnatally. Our findings elucidate distinct immunoexpression of patterns and potential parts of these proteins in the development and function of the kidney, highlighting the importance of further investigation into their regulatory mechanisms.
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  • 文章类型: Journal Article
    迁徙者,在迁移细胞的回缩纤维上产生的囊泡细胞器,在迁徙过程中起着至关重要的作用,介导细胞间通讯。货物决定了迁移体的功能特异性。Migrasomes藏有许多管腔内囊泡,他们货物的关键组成部分。这些腔内囊泡运输到迁移体的潜在机制仍然是神秘的。在这项研究中,我们发现Rab10和Caveolin-1(CAV1)标记了迁移体中的腔内囊泡。Rab10-CAV1囊泡向迁移体的转运需要运动蛋白肌球蛋白Va和衔接蛋白RILPL2。值得注意的是,激酶LRRK2对Rab10的磷酸化调节了这一过程。此外,CSF-1可以通过这种机制转运到迁移体,随后促进皮肤伤口愈合中的单核细胞-巨噬细胞分化,这证明了这种运输机制的生理重要性。
    Migrasomes, vesicular organelles generated on the retraction fibers of migrating cells, play a crucial role in migracytosis, mediating intercellular communication. The cargoes determine the functional specificity of migrasomes. Migrasomes harbor numerous intraluminal vesicles, a pivotal component of their cargoes. The mechanism underlying the transportation of these intraluminal vesicles to the migrasomes remains enigmatic. In this study, we identified that Rab10 and Caveolin-1 (CAV1) mark the intraluminal vesicles in migrasomes. Transport of Rab10-CAV1 vesicles to migrasomes required the motor protein Myosin Va and adaptor proteins RILPL2. Notably, the phosphorylation of Rab10 by the kinase LRRK2 regulated this process. Moreover, CSF-1 can be transported to migrasomes through this mechanism, subsequently fostering monocyte-macrophage differentiation in skin wound healing, which served as a proof of the physiological importance of this transporting mechanism.
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  • 文章类型: Journal Article
    小窝蛋白是位于小窝中的跨膜蛋白家族,质膜的小脂筏内陷。富含小窝蛋白的脂筏的作用是多种多样的,包括机械保护,脂质稳态,新陈代谢,运输,和细胞信号。小窝蛋白-1(Cav-1)和其他小窝蛋白在内皮细胞中描述,后来在中枢神经系统(CNS)的其他细胞类型中描述,包括神经元,星形胶质细胞,少突胶质细胞,小胶质细胞,和周细胞.小窝蛋白的这种细胞存在需要更好地了解它们在每种细胞类型中的功能作用。在这篇综述中,我们描述了Cav-1在正常和病理大脑细胞中的各种功能。一些新兴的临床前发现表明,Cav-1可能是脑部疾病的潜在治疗靶标。
    Caveolins are a family of transmembrane proteins located in caveolae, small lipid raft invaginations of the plasma membrane. The roles of caveolin-enriched lipid rafts are diverse, and include mechano-protection, lipid homeostasis, metabolism, transport, and cell signaling. Caveolin-1 (Cav-1) and other caveolins were described in endothelial cells and later in other cell types of the central nervous system (CNS), including neurons, astrocytes, oligodendrocytes, microglia, and pericytes. This pancellular presence of caveolins demands a better understanding of their functional roles in each cell type. In this review we describe the various functions of Cav-1 in the cells of normal and pathological brains. Several emerging preclinical findings suggest that Cav-1 could represent a potential therapeutic target in brain disorders.
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  • 文章类型: Journal Article
    背景:目前,三阴性乳腺癌(TNBC)的治疗预测和预后生物标志物很少.Caveolin-1(CAV1)与化疗耐药和一些重要的肿瘤进展和转移过程有关。例如上皮-间质转化(EMT)。在这里,我们报道,高CAV1基因表达是TNBC预后不良的独立因素。
    方法:在不同的分子特征中比较了CAV1基因表达(例如,PAM50亚型)。使用Cox回归校正临床病理预测因子评估CAV1表达与临床结果的关系。差异基因表达和基因集富集分析用于比较高表达和低表达的CAV1肿瘤。使用ECOTYPER估计高表达和低表达CAV1肿瘤的肿瘤微环境组成。肿瘤组织微阵列用于评估基质和恶性细胞中的CAV1蛋白水平。
    结果:在SCAN-B(n=525)和GSE31519(n=327)队列中,CAV1高肿瘤患者的早期复发校正HR1.78(95%CI1.12-2.81)和2.20(95%CI1.39-3.47)的发生率增加,分别。在进一步分析中,高CAV1基因表达与表明代谢改变的分子谱相关,新生血管形成,化学抗性,EMT,抑制免疫反应,和活跃的肿瘤微环境。恶性和基质细胞中CAV1的蛋白质水平与CAV1基因表达无关。
    结论:TNBC中的CAV1基因表达是一种生物标志物,值得在临床试验中进一步研究并作为治疗靶标。
    BACKGROUND: Currently, there are few treatment-predictive and prognostic biomarkers in triple-negative breast cancer (TNBC). Caveolin-1 (CAV1) is linked to chemoresistance and several important processes involved in tumor progression and metastasis, such as epithelial-mesenchymal transition (EMT). Herein, we report that high CAV1 gene expression is an independent factor of poor prognosis in TNBC.
    METHODS: CAV1 gene expression was compared across different molecular features (e.g., PAM50 subtypes). CAV1 expression was assessed in relation to clinical outcomes using Cox regression adjusted for clinicopathological predictors. Differential gene expression and gene set enrichment analyses were applied to compare high- and low-expressing CAV1 tumors. Tumor microenvironment composition of high- and low-expressing CAV1 tumors was estimated using ECOTYPER. Tumor tissue microarrays were used to evaluate CAV1 protein levels in stromal and malignant cells.
    RESULTS: In the SCAN-B (n = 525) and GSE31519 (n = 327) cohorts, patients with CAV1-high tumors had an increased incidence of early recurrence adjusted HR 1.78 (95% CI 1.12-2.81) and 2.20 (95% CI 1.39-3.47), respectively. In further analysis, high CAV1 gene expression was associated with a molecular profile indicating altered metabolism, neovascularization, chemoresistance, EMT, suppressed immune response, and active tumor microenvironment. Protein levels of CAV1 in malignant and stromal cells were not correlated with CAV1 gene expression.
    CONCLUSIONS: CAV1 gene expression in TNBC is a biomarker that merits further investigation in clinical trials and as a therapeutic target.
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  • 文章类型: Journal Article
    背景:放射性纤维化(RIF)是放射治疗的重要晚期并发症,RIF的破坏性影响会显著影响重建结果。目前缺乏有效的治疗方案,可能是由于围绕所涉及的细胞机制的持续知识差距。在这项研究中,我们对辐照和未辐照人类皮肤样本进行了详细分析,结合组织学和单细胞转录分析,以确定指导放射性损伤后皮肤纤维化发展的新特征.
    方法:从6名接受肿瘤后乳房再造的女性患者中获得了配对的照射和对侧未照射的皮肤样本。皮肤样本进行组织学评估,免疫组织化学,和生物力学测试。使用10X单细胞平台进行单细胞RNA测序。使用R中的Seurat将细胞分成簇。应用SingleR分类器将细胞类型身份归因于每个簇。然后使用非参数测试确定每个簇的差异表达基因特征。
    结果:比较辐照和未辐照的皮肤,表皮萎缩,真皮增厚,和厚的证据,在组织学上很容易理解辐照皮肤的细胞外基质内无序的胶原蛋白沉积。这些组织学特征与辐照皮肤中更高的硬度相关。单细胞RNA测序揭示了六种主要的细胞类型。专注于成纤维细胞/基质谱系细胞,鉴定了五个不同的转录簇(簇0-4)。有趣的是,尽管注意到所有簇都表达Cav1,但簇2是唯一也表达Cav2的簇。免疫组织化学显示照射的皮肤中Cav2的表达增加,而Cav1在未照射的皮肤中更容易识别,提示Cav1和Cav2可能拮抗调节纤维化细胞反应。
    结论:对放射治疗的反应,成纤维细胞亚群的特异性变化和Cav2表达增强可能导致纤维化。总之,这项研究引入了一个新的小窝蛋白参与途径,该途径可能有助于放射损伤后的纤维化发展。
    BACKGROUND: Radiation-induced fibrosis (RIF) is an important late complication of radiation therapy, and the resulting damaging effects of RIF can significantly impact reconstructive outcomes. There is currently a paucity of effective treatment options available, likely due to the continuing knowledge gap surrounding the cellular mechanisms involved. In this study, detailed analyses of irradiated and non-irradiated human skin samples were performed incorporating histological and single-cell transcriptional analysis to identify novel features guiding development of skin fibrosis following radiation injury.
    METHODS: Paired irradiated and contralateral non-irradiated skin samples were obtained from six female patients undergoing post-oncologic breast reconstruction. Skin samples underwent histological evaluation, immunohistochemistry, and biomechanical testing. Single-cell RNA sequencing was performed using the 10X single cell platform. Cells were separated into clusters using Seurat in R. The SingleR classifier was applied to ascribe cell type identities to each cluster. Differentially expressed genes characteristic to each cluster were then determined using non-parametric testing.
    RESULTS: Comparing irradiated and non-irradiated skin, epidermal atrophy, dermal thickening, and evidence of thick, disorganized collagen deposition within the extracellular matrix of irradiated skin were readily appreciated on histology. These histologic features were associated with stiffness that was higher in irradiated skin. Single-cell RNA sequencing revealed six predominant cell types. Focusing on fibroblasts/stromal lineage cells, five distinct transcriptional clusters (Clusters 0-4) were identified. Interestingly, while all clusters were noted to express Cav1, Cluster 2 was the only one to also express Cav2. Immunohistochemistry demonstrated increased expression of Cav2 in irradiated skin, whereas Cav1 was more readily identified in non-irradiated skin, suggesting Cav1 and Cav2 may act antagonistically to modulate fibrotic cellular responses.
    CONCLUSIONS: In response to radiation therapy, specific changes to fibroblast subpopulations and enhanced Cav2 expression may contribute to fibrosis. Altogether, this study introduces a novel pathway of caveolin involvement which may contribute to fibrotic development following radiation injury.
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  • 文章类型: Journal Article
    肺部疾病中的气道重塑可以通过抑制过度的平滑肌细胞增殖来治疗。Zedoarondiol(Zed)是从中药姜黄中分离出的天然化合物。小窝蛋白-1(CAV-1)在肺细胞中广泛表达,并在血小板衍生生长因子(PDGF)信号传导和细胞增殖中起关键作用。本研究旨在研究Zed对人支气管平滑肌细胞(HBSMC)增殖的影响,并探讨其潜在的分子机制。我们评估了Zed对PDGF刺激的HBSMC增殖的影响,并进行了蛋白质组学分析以鉴定潜在的分子靶标和途径。CAV1siRNA用于在体外验证我们的发现。在PDGF刺激的HBSMC中,Zed显著抑制HBSMC的过度增殖。对zedoarondiol处理的HBSMC的蛋白质组学分析显示,在细胞增殖相关途径和生物学过程中差异表达的蛋白质显着富集。Zed抑制HBSMC增殖与CAV1的上调,CAV-1/PDGF途径的调节以及MAPK和PI3K/AKT信号通路激活的抑制有关。用CAV1siRNA处理HBSMC部分逆转了Zed对HBSMC增殖的抑制作用。因此,这项研究表明,zedoarondiol通过上调CAV-1表达有效抑制HBSMC增殖,强调其在气道重塑和相关疾病中的潜在价值。
    Airway remodelling in lung diseases can be treated by inhibiting excessive smooth muscle cell proliferation. Zedoarondiol (Zed) is a natural compound isolated from the Chinese herb Curcuma longa. The caveolin-1 (CAV-1) is widely expressed in lung cells and plays a key role in platelet-derived growth factor (PDGF) signalling and cell proliferation. This study aims to investigate the effect of Zed on human bronchial smooth muscle cell (HBSMC) proliferation and explore its potential molecular mechanisms. We assessed the effect of Zed on the proliferation of PDGF-stimulated HBSMCs and performed proteomic analysis to identify potential molecular targets and pathways. CAV1 siRNA was used to validate our findings in vitro. In PDGF-stimulated HBSMCs, Zed significantly inhibited excessive proliferation of HBSMCs. Proteomic analysis of zedoarondiol-treated HBSMCs revealed significant enrichment of differentially expressed proteins in cell proliferation-related pathways and biological processes. Zed inhibition of HBSMC proliferation was associated with upregulation of CAV1, regulation of the CAV-1/PDGF pathway and inhibition of MAPK and PI3K/AKT signalling pathway activation. Treatment of HBSMCs with CAV1 siRNA partly reversed the inhibitory effect of Zed on HBSMC proliferation. Thus, this study reveals that zedoarondiol potently inhibits HBSMC proliferation by upregulating CAV-1 expression, highlighting its potential value in airway remodelling and related diseases.
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  • 文章类型: Journal Article
    ZFYVE21是一个古老的,在内皮细胞(ECs)中高度表达但其体内功能未定义的内体相关蛋白。这里,我们确定ZFYVE21是衰老肾脏血管屏障功能的重要调节因子.ZFYVE21水平在老年人和小鼠肾脏中的ECs中显著下降。为了调查随之而来的影响,我们产生了EC特异性ZFVYE21-/-报告小鼠。这些基因敲除小鼠出现加速衰老的表型,包括内皮一氧化氮(ENOS)活性降低,未能茁壮成长,和肾功能不全。ZFYVE21EC-/-小鼠的肾脏显示间质水肿和肾小球EC损伤。ZFYVE21介导的表型在发育上没有编程,因为在成年期间EC中ZFYVE21的丢失在产前出现,一氧化氮供体使成年宿主的肾功能正常化。使用活细胞成像和人体肾脏器官培养,我们发现GTPaseRab5-和蛋白激酶Akt依赖性方式,ZFYVE21降低了抑制性小窝蛋白1的囊泡水平,并促进了高尔基衍生的ENOS转移到核周Rab5囊泡群以在功能上维持ENOS活性。因此,我们的工作定义了ZFYVE21介导的维持ENOS活性的转运机制,并证明了该途径与衰老时维持肾功能的相关性.
    ZFYVE21 is an ancient, endosome-associated protein that is highly expressed in endothelial cells (ECs) but whose function(s) in vivo are undefined. Here, we identified ZFYVE21 as an essential regulator of vascular barrier function in the aging kidney. ZFYVE21 levels significantly decline in ECs in aged human and mouse kidneys. To investigate attendant effects, we generated EC-specific Zfyve21-/- reporter mice. These knockout mice developed accelerated aging phenotypes including reduced endothelial nitric oxide (ENOS) activity, failure to thrive, and kidney insufficiency. Kidneys from Zfyve21 EC-/- mice showed interstitial edema and glomerular EC injury. ZFYVE21-mediated phenotypes were not programmed developmentally as loss of ZFYVE21 in ECs during adulthood phenocopied its loss prenatally, and a nitric oxide donor normalized kidney function in adult hosts. Using live cell imaging and human kidney organ cultures, we found that in a GTPase Rab5- and protein kinase Akt-dependent manner, ZFYVE21 reduced vesicular levels of inhibitory caveolin-1 and promoted transfer of Golgi-derived ENOS to a perinuclear Rab5+ vesicular population to functionally sustain ENOS activity. Thus, our work defines a ZFYVE21- mediated trafficking mechanism sustaining ENOS activity and demonstrates the relevance of this pathway for maintaining kidney function with aging.
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  • 文章类型: Journal Article
    降主动脉中的内皮细胞(ECs)暴露于高层切应力,这支持抗炎表型。高层流剪切应力还诱导流动对齐的细胞伸长和前后极性,但这些是否是抗炎表型所必需的尚不清楚.这里,我们表明,富含Caveolin-1的微域极化到暴露于连续高层流的EC的下游端。这些微域的特点是膜的刚性高,丝状肌动蛋白(F-肌动蛋白),和与移植物相关的脂质。瞬时受体电位香草素4型(TRPV4)离子通道在质膜上普遍表达,但仅在这些微域处介导局部Ca2进入,在这些微域中它们与聚集的Caveolin-1物理相互作用。这些局灶性Ca2爆发激活了这些结构域范围内的内皮一氧化氮合酶(eNOS)。重要的是,我们发现,在这些结构域的信号需要细胞体延伸和持续流动。最后,TRPV4信号在这些结构域是必要的,足以抑制炎症基因表达,TRPV4通道的外源性激活改善了体外和体内对刺激的炎症反应。我们的工作揭示了动脉内皮细胞中极化的机械敏感信号枢纽,可以抑制炎症基因表达并促进细胞弹性。
    Endothelial cells (ECs) in the descending aorta are exposed to high laminar shear stress, and this supports an antiinflammatory phenotype. High laminar shear stress also induces flow-aligned cell elongation and front-rear polarity, but whether these are required for the antiinflammatory phenotype is unclear. Here, we showed that caveolin-1-rich microdomains polarize to the downstream end of ECs that are exposed to continuous high laminar flow. These microdomains were characterized by high membrane rigidity, filamentous actin (F-actin), and raft-associated lipids. Transient receptor potential vanilloid (TRPV4) ion channels were ubiquitously expressed on the plasma membrane but mediated localized Ca2+ entry only at these microdomains where they physically interacted with clustered caveolin-1. These focal Ca2+ bursts activated endothelial nitric oxide synthase within the confines of these domains. Importantly, we found that signaling at these domains required both cell body elongation and sustained flow. Finally, TRPV4 signaling at these domains was necessary and sufficient to suppress inflammatory gene expression and exogenous activation of TRPV4 channels ameliorated the inflammatory response to stimuli both in vitro and in vivo. Our work revealed a polarized mechanosensitive signaling hub in arterial ECs that dampened inflammatory gene expression and promoted cell resilience.
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  • 文章类型: Journal Article
    目的:据报道,Caveolin-1(Cav-1)可介导缺血性卒中后的血脑屏障完整性。我们的目的是评估循环Cav-1水平在预测血管内血栓切除术(EVT)后缺血性卒中患者症状性颅内出血(sICH)中的作用。
    方法:前瞻性纳入来自两个卒中中心的大血管闭塞性卒中EVT后患者。入院后检测血清Cav-1水平。根据海德堡出血分类诊断为sICH。
    结果:包括325名患者(平均年龄68.6岁;207名男性),47例(14.5%)被诊断为sICH。与无sICH患者相比,sICH患者的Cav-1浓度较低。在调整了潜在的混杂因素后,多变量回归分析表明,Cav-1水平升高与sICH风险降低相关(比值比0.055;95%置信区间0.005-0.669;p=0.038)。当将Cav-1水平作为分类变量进行分析时,获得了类似的结果。使用具有受限三次样条的逻辑回归模型,发现Cav-1浓度与sICH风险呈线性和负相关性(线性p=0.001).此外,在添加Cav-1水平后,常规危险因素模型在预测sICH方面的性能得到了显著提高(综合判别指数2.7%,p=0.002;净重新分类改善39.7%,p=0.007)。
    结论:我们的数据表明,EVT后Cav-1水平降低与sICH相关。将Cav-1纳入临床决策可能有助于识别sICH高风险患者,值得进一步考虑。
    OBJECTIVE: Caveolin-1 (Cav-1) is reported to mediate blood-brain barrier integrity after ischaemic stroke. Our purpose was to assess the role of circulating Cav-1 levels in predicting symptomatic intracranial haemorrhage (sICH) amongst ischaemic stroke patients after endovascular thrombectomy (EVT).
    METHODS: Patients with large-vessel occlusive stroke after EVT from two stroke centres were prospectively included. Serum Cav-1 level was tested after admission. sICH was diagnosed according to the Heidelberg Bleeding Classification.
    RESULTS: Of 325 patients (mean age 68.6 years; 207 men) included, 47 (14.5%) were diagnosed with sICH. Compared with patients without sICH, those with sICH had a lower concentration of Cav-1. After adjusting for potential confounders, multivariate regression analysis demonstrated that the increased Cav-1 level was associated with a lower sICH risk (odds ratio 0.055; 95% confidence interval 0.005-0.669; p = 0.038). Similar results were obtained when Cav-1 levels were analysed as a categorical variable. Using a logistic regression model with restricted cubic splines, a linear and negative association of Cav-1 concentration was found with sICH risk (p = 0.001 for linearity). Furthermore, the performance of the conventional risk factors model in predicting sICH was substantially improved after addition of the Cav-1 levels (integrated discrimination index 2.7%, p = 0.002; net reclassification improvement 39.7%, p = 0.007).
    CONCLUSIONS: Our data demonstrate that decreased Cav-1 levels are related to sICH after EVT. Incorporation of Cav-1 into clinical decision-making may help to identify patients at a high risk of sICH and warrants further consideration.
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