Therapeutic interventions

治疗干预措施
  • 文章类型: Journal Article
    世界范围内死亡的主要原因之一是肺癌,这主要是由吸烟引起的。关键转录因子NF-κB,控制炎症反应和各种细胞过程,是由抑制剂如IκB蛋白严格调节的组成型存在的细胞质蛋白。在被外部刺激激活后,它经历磷酸化,转移到细胞核,并调节特定基因的表达。肺部恶性肿瘤与烟草消费之间无可争议的关联强调并突出了公共卫生问题。多环芳烃和亚硝胺,燃烧烟草排放的气溶胶中存在的有效致癌化合物,在吸入时引起深远的有害影响,导致肺组织完整性的严重扰动。吸烟诱导的肺癌的发病机制包括一个复杂的过程,其中NF-κB的激活起着关键作用,通过不同的信号通路暴露于香烟烟雾,包括与氧化应激和促炎细胞因子相关的那些。揭示NF-κB在吸烟诱导的肺癌中的参与为分子过程提供了关键的见解。其中NF-κB与MAPK和PI3K-Akt等通路之间的复杂串扰放大了炎症反应,培养有利于肺癌形成的环境。本研究回顾了NF-κB在与肺癌发生的开始和发展相关的复杂分子途径中的关键功能以及潜在的治疗靶标。另见图形摘要(图。1).
    One of the main causes of death worldwide is lung cancer, which is largely caused by cigarette smoking. The crucial transcription factor NF-κB, which controls inflammatory responses and various cellular processes, is a constitutively present cytoplasmic protein strictly regulated by inhibitors like IκB proteins. Upon activation by external stimuli, it undergoes phosphorylation, translocates into the nucleus, and modulates the expression of specific genes. The incontrovertible association between pulmonary malignancy and tobacco consumption underscores and highlights a public health concern. Polycyclic aromatic hydrocarbons and nitrosamines, potent carcinogenic compounds present in the aerosol emitted from combusted tobacco, elicit profound deleterious effects upon inhalation, resulting in severe perturbation of pulmonary tissue integrity. The pathogenesis of smoking-induced lung cancer encompasses an intricate process wherein NF-κB activation plays a pivotal role, triggered by exposure to cigarette smoke through diverse signaling pathways, including those associated with oxidative stress and pro-inflammatory cytokines. Unraveling the participation of NF-κB in smoking-induced lung cancer provides pivotal insights into molecular processes, wherein intricate crosstalk between NF-κB and pathways such as MAPK and PI3K-Akt amplifies the inflammatory response, fostering an environment conducive to the formation of lung cancer. This study reviews the critical function of NF-κB in the complex molecular pathways linked to the initiation and advancement of lung carcinogenesis as well as potential treatment targets. See also the graphical abstract(Fig. 1).
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    肠道微生物群从出生开始就与宿主建立了互惠互利的关系,影响不同的代谢和免疫过程。菌群失调,以微生物的不平衡为特征,与许多医疗条件有关,包括胃肠道疾病,心血管疾病,和自身免疫性疾病。这种不平衡促进了毒素产生菌的增殖,破坏宿主的平衡,并引发炎症。遗传因素,饮食选择,和药物的使用可以改变肠道微生物群。然而,有乐观。几种治疗方法,比如益生菌,益生元,合生元,postbiotics,微生物衍生产品,和微生物底物,旨在改变微生物组。这篇综述彻底探讨了这些微生物群调节剂的治疗潜力,分析最近的研究,以评估其疗效和局限性。它强调了基于微生物群的疗法用于治疗与菌群失调相关的疾病的前景。本文旨在通过对当前研究的全面回顾,确保从业人员对这一不断发展的领域中最有影响力的方法感到知情和最新。
    The gut microbiota establishes a mutually beneficial relationship with the host starting from birth, impacting diverse metabolic and immunological processes. Dysbiosis, characterized by an imbalance of microorganisms, is linked to numerous medical conditions, including gastrointestinal disorders, cardiovascular diseases, and autoimmune disorders. This imbalance promotes the proliferation of toxin-producing bacteria, disrupts the host\'s equilibrium, and initiates inflammation. Genetic factors, dietary choices, and drug use can modify the gut microbiota. However, there is optimism. Several therapeutic approaches, such as probiotics, prebiotics, synbiotics, postbiotics, microbe-derived products, and microbial substrates, aim to alter the microbiome. This review thoroughly explores the therapeutic potential of these microbiota modulators, analysing recent studies to evaluate their efficacy and limitations. It underscores the promise of microbiota-based therapies for treating dysbiosis-related conditions. This article aims to ensure practitioners feel well-informed and up to date on the most influential methods in this evolving field by providing a comprehensive review of current research.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    骨质疏松(osteoporosis,OP)是一种以低骨量为特征的常见代谢性骨病,骨密度降低,和骨组织微结构的降解。然而,我们对骨重建的机制和影响骨量的因素的理解仍然不完整。Sirtuin1(SIRT1)是一种烟酰胺腺嘌呤二核苷酸依赖性脱乙酰酶,可调节多种细胞代谢,包括炎症,肿瘤发生,和骨骼代谢。最近的研究强调了SIRT1在骨稳态中的重要作用。本文综述了SIRT1在骨代谢和OP中的作用,并讨论了靶向SIRT1的治疗策略和未来的研究方向。
    Osteoporosis (OP) is a common metabolic bone disease characterized by low bone mass, decreased bone mineral density, and degradation of bone tissue microarchitecture. However, our understanding of the mechanisms of bone remodeling and factors affecting bone mass remains incomplete. Sirtuin1 (SIRT1) is a nicotinamide adenine dinucleotide-dependent deacetylase that regulates a variety of cellular metabolisms, including inflammation, tumorigenesis, and bone metabolism. Recent studies have emphasized the important role of SIRT1 in bone homeostasis. This article reviews the role of SIRT1 in bone metabolism and OP and also discusses therapeutic strategies and future research directions for targeting SIRT1.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    自噬,一种进化上保守的细胞机制,对于维持内部稳定性至关重要,对女性生殖能力起着至关重要的作用。在这次审查中,我们讨论了自噬与女性生殖健康几个方面之间复杂的相互作用,包括怀孕,卵巢功能,妇科恶性肿瘤,子宫内膜异位症,和不孕症。现有研究强调自噬在胚胎着床中的重要意义,特别是在子宫内膜,强调其在确保胎儿正常发育方面的必要性。虽然已经获得了一些知识,自噬对卵母细胞质量的具体分子影响尚缺乏研究,卵泡的生长,和一般生殖健康。自噬在成熟过程中发挥作用,质量,和卵母细胞的发育。它还参与生殖衰老,随着年龄增长导致生殖功能下降。本文就自噬在女性生殖系统中的生理功能进行综述,它参与生殖毒性,以及它与子宫内膜和胚胎的重要联系。此外,这项研究调查了旨在修饰自噬的新兴治疗方法的可能性,使用天然物质和合成分子,改善女性生育能力和生殖结果。此外,本综述旨在通过回顾最近的研究并指出当前知识缺乏的领域,启发对自噬在女性生殖健康中的复杂作用的未来探索。随后的调查应优先考虑将这些发现转化为医学领域的实际用途,这可能会导致对不孕症和其他与生殖相关的困难的开创性治疗。因此,全面了解自噬对女性生育能力的许多影响,不仅将进一步推进生殖生物学领域,还将为诊断和治疗方法开辟新的可能性。
    Autophagy, an evolutionarily conserved cellular mechanism essential for maintaining internal stability, plays a crucial function in female reproductive ability. In this review, we discuss the complex interplay between autophagy and several facets of female reproductive health, encompassing pregnancy, ovarian functions, gynecologic malignancies, endometriosis, and infertility. Existing research emphasizes the crucial significance of autophagy in embryo implantation, specifically in the endometrium, highlighting its necessity in ensuring proper fetal development. Although some knowledge has been gained, there is still a lack of research on the specific molecular impacts of autophagy on the quality of oocytes, the growth of follicles, and general reproductive health. Autophagy plays a role in the maturation, quality, and development of oocytes. It is also involved in reproductive aging, contributing to reductions in reproductive function that occur with age. This review explores the physiological functions of autophagy in the female reproductive system, its participation in reproductive toxicity, and its important connections with the endometrium and embryo. In addition, this study investigates the possibility of emerging treatment approaches that aim to modify autophagy, using both natural substances and synthetic molecules, to improve female fertility and reproductive outcomes. Additionally, this review intends to inspire future exploration into the intricate role of autophagy in female reproductive health by reviewing recent studies and pinpointing areas where current knowledge is lacking. Subsequent investigations should prioritize the conversion of these discoveries into practical uses in the medical field, which could potentially result in groundbreaking therapies for infertility and other difficulties related to reproduction. Therefore, gaining a comprehensive understanding of the many effects of autophagy on female fertility would not only further the field of reproductive biology but also open new possibilities for diagnostic and treatment methods.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    选择素是一组依赖Ca2+的,吸引细胞粘附和迁移的跨膜I型糖蛋白。E-选择素仅在内皮细胞中表达,并且其表达在被促炎细胞因子激活时强烈增强。E-选择素与其配体在循环白细胞上的相互作用捕获并减慢它们,进一步促进整合素激活,牢固粘附于内皮细胞并迁移至组织。氧化应激诱导内皮细胞损伤,导致E-选择素的异常表达。此外,E-选择素水平升高与炎症的高风险呈正相关。在包括急性肾损伤(AKI)在内的几种病理状况中发现了E-选择素的失调,肺部疾病,肝脏病理学,静脉血栓栓塞症(VTE)。小鼠中E-选择素基因的缺失在一定程度上改善了这些并发症。在这次审查中,我们描述了调节E-选择素表达的机制,E-选择素与其配体的相互作用,E-选择素的生理和病理生理作用,以及靶向E-选择素的治疗潜力。
    Selectins are a group of Ca2+-dependent, transmembrane type I glycoproteins which attract cell adhesion and migration. E-selectin is exclusively expressed in endothelial cells, and its expression is strongly enhanced upon activation by pro-inflammatory cytokines. The interaction of E-selectin with its ligands on circulating leukocytes captures and slows them down, further facilitating integrin activation, firm adhesion to endothelial cells and transmigration to tissues. Oxidative stress induces endothelial cell injury, leading to aberrant expression of E-selectin. In addition, the elevated level of E-selectin is positively related to high risk of inflammation. Dysregulation of E-selectin has been found in several pathological conditions including acute kidney injury (AKI), pulmonary diseases, hepatic pathology, Venous thromboembolism (VTE). Deletion of the E-selectin gene in mice somewhat ameliorates these complications. In this review, we describe the mechanisms regulating E-selectin expression, the interaction of E-selectin with its ligands, the E-selectin physiological and pathophysiological roles, and the therapeutical potential of targeting E-selectin.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    睡眠对健康至关重要,新兴的研究揭示了与肠道微生物群的深刻联系。这篇综述探讨了肠道菌群与睡眠之间的双向关系,探索所涉及的机制及其提供的治疗机会。肠-脑轴是肠道微生物群和中枢神经系统之间串扰的管道,微生物群的生态失调会损害睡眠质量,反之亦然。饮食,昼夜节律,和免疫调节都起作用。特定的肠道细菌,比如乳酸菌和双歧杆菌,通过5-羟色胺和γ-氨基丁酸的产生增强睡眠,举例说明直接的微生物组影响。相反,睡眠不足会减少有益细菌,加剧生态失调。益生菌,益生元,postbiotics,粪便移植显示出治疗潜力,在动物和人类研究的支持下,但需要进一步研究安全性和长期效果。解开这个复杂的链接为量身定制的睡眠疗法铺平了道路,利用微生物组操纵来改善睡眠和健康。加速研究对于充分挖掘睡眠障碍管理这个有前途的领域至关重要。
    Sleep is crucial for wellness, and emerging research reveals a profound connection to gut microbiota. This review explores the bidirectional relationship between gut microbiota and sleep, exploring the mechanisms involved and the therapeutic opportunities it presents. The gut-brain axis serves as a conduit for the crosstalk between gut microbiota and the central nervous system, with dysbiosis in the microbiota impairing sleep quality and vice versa. Diet, circadian rhythms, and immune modulation all play a part. Specific gut bacteria, like Lactobacillus and Bifidobacterium, enhance sleep through serotonin and gamma-aminobutyric acid production, exemplifying direct microbiome influence. Conversely, sleep deprivation reduces beneficial bacteria, exacerbating dysbiosis. Probiotics, prebiotics, postbiotics, and fecal transplants show therapeutic potential, backed by animal and human research, yet require further study on safety and long-term effects. Unraveling this intricate link paves the way for tailored sleep therapies, utilizing microbiome manipulation to improve sleep and health. Accelerated research is essential to fully tap into this promising field for sleep disorder management.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    年龄的增长与几种与年龄有关的疾病(ARD)有关,肌肉骨骼疾病影响着全球数百万老年人。由于骨科疾病导致相当多的患者,对骨骼老化有更深入的了解是小时的需要。骨老化的潜在因素之一是细胞衰老及其相关的衰老相关分泌表型(SASP)。SASP包括促炎标志物,抑制细胞生长和发育的细胞因子和趋化因子。SASP的积累超过几年导致慢性低度炎症随着年龄的增长,也被称为发炎。聚焦于骨衰老和炎症的途径和分子机制目前是有限的,但正在越来越多地探索。大部分的基因,涉及衰老和炎症的途径和机制与癌症和其他ARDs如骨关节炎(OA)相关的途径和机制一致。因此,使用测序等技术探索这些途径,识别这些因素并用最合适的方法与之对抗对于健康衰老和早期发现ARD至关重要。可以使用几种方法来帮助再生和减少骨中的衰老。这些可能是药理学的,非药物和生活方式干预。随着越来越多的证据表明衰老之间错综复杂的关系,衰老,炎症和ARD,这些方法也可用作衰老骨髓(BM)的抗衰老策略.
    Advancing age is associated with several age-related diseases (ARDs), with musculoskeletal conditions impacting millions of elderly people worldwide. With orthopedic conditions contributing towards considerable number of patients, a deeper understanding of bone aging is the need of the hour. One of the underlying factors of bone aging is cellular senescence and its associated senescence associated secretory phenotype (SASP). SASP comprises of pro-inflammatory markers, cytokines and chemokines that arrest cell growth and development. The accumulation of SASP over several years leads to chronic low-grade inflammation with advancing age, also known as inflammaging. The pathways and molecular mechanisms focused on bone senescence and inflammaging are currently limited but are increasingly being explored. Most of the genes, pathways and mechanisms involved in senescence and inflammaging coincide with those associated with cancer and other ARDs like osteoarthritis (OA). Thus, exploring these pathways using techniques like sequencing, identifying these factors and combatting them with the most suitable approach are crucial for healthy aging and the early detection of ARDs. Several approaches can be used to aid regeneration and reduce senescence in the bone. These may be pharmacological, non-pharmacological and lifestyle interventions. With increasing evidence towards the intricate relationship between aging, senescence, inflammation and ARDs, these approaches may also be used as anti-aging strategies for the aging bone marrow (BM).
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    这项全面的探索探讨了microRNAs(miRNAs)在复杂的细胞调节挂毯中的关键作用。作为基因表达的有力协调者,miRNA在细胞过程中表现出不同的功能,将它们的影响从细胞核扩展到细胞质。miRNA生物发生的复杂旅程,涉及转录,processing,整合到RNA诱导的沉默复合物中,展示他们的多功能性。在细胞质中,成熟的miRNA通过调节靶mRNA表达来微调细胞功能,当它们延伸到细胞核时,影响转录调控和表观遗传修饰。miRNA的失调在各种病理中变得明显,比如癌症,自身免疫性疾病,和炎症条件。miRNA对环境信号的适应性,与转录因子的相互作用,参与复杂的监管网络强调了它们的重要性。DNA甲基化和组蛋白修饰有助于深入理解miRNAs的动态调控。与RNA结合蛋白竞争等机制,海绵,而通过降解和编辑对miRNA水平的控制有助于这一复杂的调控过程。在这次审查中,我们主要关注miRNA表达失调如何与皮肤相关的自身免疫性疾病和自身炎症性疾病有关,关节炎,心血管疾病,炎症性肠病,自身免疫性和自身炎症性疾病,和神经退行性疾病。我们还强调了miRNAs的多方面作用,敦促继续研究以解开其复杂性。控制miRNA功能的机制有望在治疗干预方面取得进步,并增强对健康和疾病中细胞动力学的见解。
    This comprehensive exploration delves into the pivotal role of microRNAs (miRNAs) within the intricate tapestry of cellular regulation. As potent orchestrators of gene expression, miRNAs exhibit diverse functions in cellular processes, extending their influence from the nucleus to the cytoplasm. The complex journey of miRNA biogenesis, involving transcription, processing, and integration into the RNA-induced silencing complex, showcases their versatility. In the cytoplasm, mature miRNAs finely tune cellular functions by modulating target mRNA expression, while their reach extends into the nucleus, influencing transcriptional regulation and epigenetic modifications. Dysregulation of miRNAs becomes apparent in various pathologies, such as cancer, autoimmune diseases, and inflammatory conditions. The adaptability of miRNAs to environmental signals, interactions with transcription factors, and involvement in intricate regulatory networks underscore their significance. DNA methylation and histone modifications adds depth to understanding the dynamic regulation of miRNAs. Mechanisms like competition with RNA-binding proteins, sponging, and the control of miRNA levels through degradation and editing contribute to this complex regulation process. In this review, we mainly focus on how dysregulation of miRNA expression can be related with skin-related autoimmune and autoinflammatory diseases, arthritis, cardiovascular diseases, inflammatory bowel disease, autoimmune and autoinflammatory diseases, and neurodegenerative disorders. We also emphasize the multifaceted roles of miRNAs, urging continued research to unravel their complexities. The mechanisms governing miRNA functions promise advancements in therapeutic interventions and enhanced insights into cellular dynamics in health and disease.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    脚偏离正常姿势会影响脚和下肢的功能,并导致正常人和运动员的下肢受伤。扁平足或扁平足畸形通常与足部疼痛和足部正常功能下降有关,这会对运动员的运动能力产生负面影响。因此,我们旨在调查训练中扁平足的异常,锻炼到治疗干预。
    通过搜索五个数据库来识别文章:PubMed,Scopus,谷歌学者,科学直接,和盖茨和巴斯德从2000年到2022年。对关键词进行了具体而正确的选择,并对与文章标题相关的所有研究和文章进行了搜索和查找。这项研究还在波斯语数据库中搜索,该数据库,包括:伊朗医生,Mag伊朗和Noormagz。
    最后,30项研究符合进入本研究的标准,选择并用于进行本研究。
    通过使用研究中获得的结果,其中包括矫正练习和治疗干预,尤其是矫形器和各种医用鞋垫的使用,有可能帮助治疗和改善这种异常。
    UNASSIGNED: Deviation of the foot from the normal posture affects the function of the foot and lower limb and causes lower limb injuries in normal people and athletes. Flat feet or flatfoot deformity are usually associated with pain in the foot area and a decrease in the normal function of the foot, which can negatively affect the sports ability of athletes. Therefore, we aimed to investigate the abnormality of flat feet from training, exercise to therapeutic interventions.
    UNASSIGNED: Articles were identified by searching five databases: PubMed, Scopus, Google Scholar, Science Direct, and Gate & Pasteur from 2000 to 2022. The keywords were selected specifically and correctly and all the researches and articles related to the title of the article were searched and found. This research was also searched in Persian databases that this database, included: Irandoc, Mag Iran and Noormagz.
    UNASSIGNED: Finally, 30 studies met the criteria for entering this study, selected and used to conduct this study.
    UNASSIGNED: By using the results obtained in the research, which include corrective exercises and therapeutic interventions, especially the use of orthoses and various medical insoles, it is possible to help in the treatment and improvement of this anomaly.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:呼吸道合胞病毒(RSV)是全球儿童急性下呼吸道感染的主要原因。了解其普遍性,变体,特征是至关重要的,特别是在COVID-19大流行的背景下。
    目的:本研究旨在调查RSV阳性率,亚型患病率,年龄和性别分布,症状学,大流行前和大流行期间的合并感染率。
    方法:我们分析了2017年至2023年接受RSV测试的15381例患者的数据。
    结果:我们的分析显示,在大流行前,RSV的平均阳性率为7.2%,大流行期间波动显著(2020年为1.5%,2021年为32.0%)。我们观察到RSVA和RSVB检出率的变化。0-4岁年龄组一直受影响最严重,有轻微的男性优势。发热和咳嗽是常见症状。治疗干预措施,特别是抗病毒的使用和通风要求,在大流行期间减少。我们还确定了与其他呼吸道病毒共感染率的差异。
    结论:我们的研究提供了关于COVID-19大流行对RSV流行影响的重要见解,亚型分布,患者特征,和临床管理。这些发现强调了持续监测和适应性公共卫生对策的必要性。
    BACKGROUND: Respiratory Syncytial Virus (RSV) is a leading cause of acute lower respiratory infection in children worldwide. Understanding its prevalence, variations, and characteristics is vital, particularly in the context of the COVID-19 pandemic.
    OBJECTIVE: The study aimed to investigate the RSV positivity rate, subtype prevalence, age and gender distribution, symptomatology, and co-infection rates during pre-pandemic and pandemic periods.
    METHODS: We analyzed data from 15,381 patients tested for RSV between 2017 and 2023.
    RESULTS: Our analysis revealed a 7.2% average RSV positivity rate in the pre-pandemic period, with significant fluctuations during the pandemic (1.5% in 2020 to 32.0% in 2021). We observed variations in RSVA and RSVB detection rates. The 0-4 years\' age group was consistently the most affected, with a slight male predominance. Fever and cough were common symptoms. Therapeutic interventions, particularly antiviral usage and ventilation requirements, decreased during the pandemic. We also identified variations in co-infection rates with other respiratory viruses.
    CONCLUSIONS: Our study offers critical insights into the impact of the COVID-19 pandemic on RSV prevalence, subtype distribution, patient characteristics, and clinical management. These findings underscore the need for ongoing surveillance and adaptive public health responses.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号