aquaporin

水通道蛋白
  • 文章类型: Journal Article
    最近的研究报道,在胆管结扎(BDL)大鼠中,AQP8和AQP9的肝表达下调,而人AQP1在大鼠肝脏中的过表达减轻了胆汁淤积。然而,AQP10在人胆汁淤积中的表达及其调控机制尚不清楚。
    收集34例梗阻性胆汁淤积患者和12例对照患者的血清和肝脏样本。将八周大的雄性C57BL/6J小鼠静脉注射编码由肝细胞特异性Alb启动子(AAV8-Alb启动子-hAQP10)驱动的人AQP10的腺相关病毒8(AAV8),以进行功能研究。AQP10启动子和PLC/PRF/5-ASBT细胞系的构建体用于调节机制研究。
    AQP10在梗阻性胆汁淤积患者中显著下调,与血清总胆汁酸(TBA)水平呈负相关。肝细胞特异性过表达hAQP10可显着减轻BDL小鼠的胆汁淤积性肝损伤和肝内胆汁酸(BA)积累。共轭BA,如TCA和炎症因子TNFα,显著抑制AQP10表达。此外,NFκBp65/p50直接与AQP10启动子结合,并降低其在PLC/RPF/5-ASBT细胞和阻塞性胆汁淤积患者肝脏中的活性。然而,BAY11-7082(NFκB信号的特异性抑制剂)减少了这些变化.
    我们是第一个报道在阻塞性胆汁淤积患者中AQP10明显下降的报告。AQP10过表达可显着减轻BDL小鼠胆汁淤积性肝损伤。因此,hAQP10在肝脏中的过度表达可能是一个有价值的胆汁淤积干预策略。
    UNASSIGNED: Recent studies reported that the hepatic expression of AQP8 and AQP9 was downregulated in bile duct-ligated (BDL) rats and that overexpression of human AQP1 in the rat liver attenuated cholestasis. However, the hepatic expression of AQP10 and its regulatory mechanism in human cholestasis remain unclear.
    UNASSIGNED: Serum and liver samples were collected from 34 patients with obstructive cholestasis and from 12 control patients. Eight-week-old male C57BL/6J mice were intravenously injected with an adeno-associated virus 8 (AAV8) encoding human AQP10 driven by a hepatocyte-specific Alb promotor (AAV8-Alb promotor-hAQP10) for functional studies. Constructs of the AQP10 promoter and PLC/PRF/5-ASBT cell lines were used for regulatory mechanism studies.
    UNASSIGNED: AQP10 was significantly downregulated in patients with obstructive cholestasis and negatively associated with the serum levels of total bile acid (TBA). The hepatocyte-specific overexpression of hAQP10 significantly attenuated the cholestatic liver injury and intrahepatic bile acids (BA) accumulation in BDL mice. Conjugated BAs, such as TCA and inflammatory factor TNFα, significantly repressed AQP10 expression. Furthermore, NFκB p65/p50 directly bound to the AQP10 promotor and decreased its activity in PLC/RPF/5-ASBT cells and in the livers of patients with obstructive cholestasis. However, these changes were diminished by BAY 11-7082 (a specific inhibitor of NFκB signaling).
    UNASSIGNED: We are the first to report that AQP10 was significantly decreased in patients with obstructive cholestasis. AQP10 overexpression significantly attenuated cholestatic liver injury in BDL mice. Therefore, overexpression of hAQP10 in the liver may be a valuable strategy for cholestasis intervention.
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  • 文章类型: Journal Article
    过氧化物酶是水通道蛋白的一个专门的子集,它们是主要已知的促进水跨细胞膜运输的完整膜蛋白。除了经典的水运输功能,过氧化物酶具有运输过氧化氢(H2O2)的独特能力,参与各种细胞信号传导途径和氧化应激反应调节的活性氧。H2O2水平的调节对于维持细胞稳态至关重要,和过氧化物酶通过调节其细胞内和细胞外浓度在这一过程中起重要作用。这种促进H2O2通过的能力将过氧化物酶定位为氧化还原生物学和细胞信号传导的关键参与者,对理解和治疗与氧化应激和炎症相关的各种疾病具有重要意义。这篇综述提供了关于过氧化物酶的生理作用及其在疾病中的意义的最新信息。强调它们在失调的条件下作为新型生物标志物和药物靶标的潜力,比如炎症和癌症。
    Peroxiporins are a specialized subset of aquaporins, which are integral membrane proteins primarily known for facilitating water transport across cell membranes. In addition to the classical water transport function, peroxiporins have the unique capability to transport hydrogen peroxide (H2O2), a reactive oxygen species involved in various cellular signaling pathways and regulation of oxidative stress responses. The regulation of H2O2 levels is crucial for maintaining cellular homeostasis, and peroxiporins play a significant role in this process by modulating its intracellular and extracellular concentrations. This ability to facilitate the passage of H2O2 positions peroxiporins as key players in redox biology and cellular signaling, with implications for understanding and treating various diseases linked to oxidative stress and inflammation. This review provides updated information on the physiological roles of peroxiporins and their implications in disease, emphasizing their potential as novel biomarkers and drug targets in conditions where they are dysregulated, such as inflammation and cancer.
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  • 文章类型: Journal Article
    背景:肥胖和超重在育龄妇女和孕妇中也越来越普遍。在产妇肥胖中,代谢的激活,炎症,氧化应激途径得到证实,这似乎是在胎盘和子宫功能观察到的病理变化的关键步骤。最近的几项研究表明,水通道蛋白(AQP)是脂肪组织生物学的关键参与者,并参与肥胖的发作。方法:我们的研究旨在研究肥胖和典型体重母亲胎盘体积和血管形成的变化,并测量胎盘和子宫组织中AQP5的表达和总抗氧化能力(TAC)。我们还旨在测量AQP5血浆浓度。结果:在正常妊娠34周时,我们发现子宫和血浆中AQP5占优势。与对照组相比,肥胖母亲的胎盘体积增加,血管形成减少。肥胖组子宫AQP5表达增加,胎盘无变化。超重母亲血浆中的TAC降低。结论:我们假设AQP5表达的增加延长了妊娠时间并抑制了宫缩的发生。根据我们的发现,我们可以开发诊断测试,并为保胎药物开发提供新的靶点。
    Background: Obesity and overweight are also becoming more prevalent among women of childbearing age and pregnant women. In maternal obesity, the activation of metabolic, inflammatory, and oxidative stress pathways is proven, which appears to be a key step in the pathological changes observed in placental and uterine function. Several recent studies have evidenced that aquaporins (AQPs) are critical players in adipose tissue biology and are involved in the onset of obesity. Methods: Our studies aimed to investigate the changes in placental volume and vascularization and measure the AQP5 expression and total antioxidant capacity (TAC) in the placenta and uterus tissues in obese and typical-weight mothers. We also aim to measure the AQP5 plasma concentration. Results: We found AQP5 dominance in the uterus and plasma at 34 weeks of normal pregnancy. The placental volume increased and the vascularization decreased in obese mothers compared to the control. The AQP5 expression increased in the uterus of the obese group and did not change in the placenta. The TAC decreased in the plasma of overweight mothers. Conclusions: We hypothesize that increased AQP5 expression prolongs the length of pregnancy and inhibits the onset of contractions. Based on our findings, we can develop diagnostic tests and provide new targets for tocolytic drug development.
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  • 文章类型: Journal Article
    AQP有助于乳腺癌的进展和转移。我们先前发现Aqp7的遗传抑制降低了乳腺癌的原发肿瘤负荷和转移。在这项研究中,我们使用了两种AQP抑制剂,Auphen和Z433927330,以评估治疗性抑制AQPs在乳腺癌治疗中的疗效。在乳腺癌中评估抑制剂在鼠和人乳腺癌细胞系中的细胞毒性和代谢稳定性测定。两种AQP抑制剂还影响其他AQP转录物和蛋白质的表达,这表明AQP家庭成员之间的补偿性调节。作为一个单一的代理人,体内Auphen治疗延长了总生存期,但不影响原发性或转移性肿瘤负荷。然而,Auphen治疗使细胞对化疗(阿霉素)或内分泌治疗(他莫昔芬,富维司坦)。事实上,用他莫昔芬治疗可降低整体AQP7蛋白表达。用Auphen治疗的乳腺癌细胞的RNA-seq鉴定了受Auphen影响的线粒体代谢基因,并可能有助于减少乳腺肿瘤的进展。肺转移,和提高内分泌治疗乳腺癌的疗效。有趣的是,我们发现Auphen和他莫昔芬合作降低乳腺癌细胞的活力,这表明Auphen治疗使细胞对他莫昔芬更敏感。一起,这项研究强调了AQPs作为乳腺癌转移的治疗弱点,是有希望的,应该加以利用.然而,药理学结果表明,需要对AQP抑制剂进行进一步的化学改进和优化,以使这些AQP抑制剂适用于克服内分泌治疗耐药的治疗获益.
    AQPs contribute to breast cancer progression and metastasis. We previously found that genetic inhibition of Aqp7 reduces primary tumor burden and metastasis in breast cancer. In this study, we utilized two AQP inhibitors, Auphen and Z433927330, to evaluate the efficacy of therapeutic inhibition of AQPs in breast cancer treatment. The inhibitors were evaluated in breast cancer for both cytotoxicity and metabolic stability assays across both murine and human breast cancer cell lines. Both AQP inhibitors also affected the expression of other AQP transcripts and proteins, which demonstrates compensatory regulation between AQP family members. As a single agent, Auphen treatment in vivo extended overall survival but did not impact primary or metastatic tumor burden. However, Auphen treatment made cells more responsive to chemotherapy (doxorubicin) or endocrine treatment (tamoxifen, fulvestrant). In fact, treatment with Tamoxifen reduced overall AQP7 protein expression. RNA-seq of breast cancer cells treated with Auphen identified mitochondrial metabolism genes as impacted by Auphen and may contribute to reducing mammary tumor progression, lung metastasis, and increased therapeutic efficacy of endocrine therapy in breast cancer. Interestingly, we found that Auphen and tamoxifen cooperate to reduce breast cancer cell viability, which suggests that Auphen treatment makes the cells more susceptible to Tamoxifen. Together, this study highlights AQPs as therapeutic vulnerabilities of breast cancer metastasis that are promising and should be exploited. However, the pharmacologic results suggest additional chemical refinements and optimization of AQP inhibition are needed to make these AQP inhibitors appropriate to use for therapeutic benefit in overcoming endocrine therapy resistance.
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  • 文章类型: Journal Article
    膳食纤维可以被肠道微生物群发酵和利用,以重塑肠道微生物群,从而缓解便秘。本试验主要研究山楂可溶性膳食纤维(HSDF)的理化功能及其缓解小鼠便秘的作用和机制。45只小鼠分为空白对照C组,模型组M,阳性对照HS组,低剂量LHSDF组(1g/kg/bw),和高剂量HHSDF组(2g/kg/bw)。以10mg/kg/bw盐酸洛哌丁胺的剂量对小鼠进行建模7天,其余各组口服等量的蒸馏水和测试样品。连续灌胃45天后,我们进行了肠道运动测试,然后继续灌胃7天,并进行小肠推进测试和指标测试。结果表明,HSDF主要由半乳糖醛酸组成,属于I型晶体结构,像雪花一样松散的表面,分子量小,和强大的持水和抗氧化能力。动物实验表明,与M组相比,HSDF显著上调AQP3和AQP8分别为52.67%和164.54%,分别,AQP9蛋白表达下调45.88%,从而促进肠蠕动。它还可以通过增加兴奋性激素如MTL的水平来缓解便秘,GAS,和胃肠道中的SP,降低抑制激素如SS的水平,NO,和MDA。此外,HSDF可降低IL-6和PL-1β等炎症因子水平,增加各种短链脂肪酸的含量,缓解肠道炎症,保持肠道完整性,促进排便。它还可以促进益生菌的生长,如拟杆菌,抑制有害细菌如双歧杆菌和乳酸菌的生长,并改变肠道微生物群的多样性。
    Dietary fiber can be fermented and utilized by gut microbiota to reshape the gut microbiota, thereby alleviating constipation. This experiment mainly studied the physicochemical functions of hawthorn soluble dietary fiber (HSDF)and its effect and mechanism in alleviating constipation in mice. Forty-five mice were divided into blank control group C, model group M, positive control HS group, low-dose LHSDF group (1 g/kg/bw), and high-dose HHSDF group (2 g/kg/bw). The mice were modeled at a dose of 10 mg/kg/bw of loperamide hydrochloride for 7 days, while the remaining groups were orally administered an equal amount of distilled water and test samples. After continuous gavage for 45 days we performed a bowel movement test, and then continued gavage for 7 days and performed a small intestine propulsion test and indicator testing. The results showed that HSDF is mainly composed of galacturonic acid, belonging to the type I crystal structure, with a loose surface resembling a snowflake, a small molecular weight, and strong water-holding and antioxidant abilities. Animal experiments showed that compared with group M, HSDF significantly upregulated AQP3 and AQP8 by 52.67% and 164.54%, respectively, and downregulated AQP9 protein expression by 45.88%, thereby promoting intestinal peristalsis. It can also alleviate constipation by increasing the levels of excitatory hormones such as MTL, GAS, and SP in the gastrointestinal tract, and reducing the levels of inhibitory hormones such as SS, NO, and MDA. In addition, HSDF can reduce the levels of inflammatory factors such as IL-6 and PL-1 β, increase the content of various short-chain fatty acids, alleviate intestinal inflammation, maintain intestinal integrity, and promote defecation. It can also promote the growth of probiotics such as Bacteroides, inhibit the growth of harmful bacteria such as Bifidobacterium and Lactobacillus, and alter the diversity of gut microbiota.
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  • 文章类型: Journal Article
    皱纹,最常见的衰老迹象之一,主要是由肌肉的持续收缩引起的。肌肉收缩是由乙酰胆碱(ACh)的结合引起的,在神经肌肉连接处释放,存在于肌肉细胞表面的烟碱乙酰胆碱受体(nAChR)。在这项研究中,我们的目的是使用肽噬菌体展示技术开发一种抑制ACh与nAChR结合的皱纹改善肽。我们的肽对nAChR亚基α1表现出非常高的结合亲和力,值低于1µM,并被发现通过与这些受体的相互作用来抑制ACh的作用。此外,它增加了皮肤细胞中胶原蛋白的合成,并上调了水通道蛋白3(AQP3)和透明质酸合酶2(HAS2)基因的表达。这些结果证实,该肽有效抑制肌肉收缩,增强皮肤弹性和水合作用,有助于其减少皱纹的效果。对人类的临床研究观察到使用三周后皱纹的显着改善,六周后观察到大幅减少。总之,这些发现证明了该肽(名为Medipep)在减少皱纹方面的功效。
    Wrinkles, one of the most common signs of aging, are primarily caused by the continuous contraction of muscles. Muscle contraction is induced by the binding of acetylcholine (ACh), released at the neuromuscular junction, to nicotinic acetylcholine receptor (nAChR) present on the muscle cell surface. In this study, we aimed to develop a wrinkle-improving peptide that inhibits the binding of ACh to nAChR using peptide phage display technology. Our peptide showed a remarkably high binding affinity to nAChR subunit α1, with a value below 1 µM, and was found to inhibit the action of ACh through its interaction with these receptors. Furthermore, it increased collagen synthesis in skin cells and upregulated the expression of the aquaporin-3 (AQP3) and hyaluronan synthase-2 (HAS2) genes. These results confirm that the peptide effectively inhibits muscle contraction and enhances skin elasticity and hydration, contributing to its wrinkle-reducing effects. Clinical studies on humans observed significant improvement in wrinkles after three weeks of use, with substantial reduction observed after six weeks. In conclusion, these findings demonstrate the efficacy of the peptide (named Medipep) in reducing wrinkles.
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  • 文章类型: Journal Article
    膜内在蛋白(MIP),包括水通道蛋白(AQPs)和水甘油(GLPs),形成了一个古老的跨生物膜的水和小溶质转运蛋白家族。已经在脊椎动物和陆地植物中广泛研究了MIP的进化史和功能,但是它们在真核生物树中的广泛存在表明了比以前认为的更复杂的进化史和更广泛的功能集。那就是说,MIP的早期演变仍然模糊。在细菌和古细菌中存在四个AQP和一个GLP进化枝,这表明第一个真核生物可能拥有多达五个MIP。这里,我们报告了一个以前未知的丰富的MIP多样性在所有主要的真核谱系,包括单细胞真核生物,构成了真核生物多样性的大部分。三个MIP进化枝可能有很深的进化起源,可以追溯到最后一个真核生物共同祖先(LECA),并支持早期真核生物中复杂的MIP库的存在。总的来说,我们的发现突出了重建的LECA基因组的日益复杂性:MIP的动态进化史在真核生物处于婴儿期时就开始了,随后在所有主要真核生物谱系中都出现了辐射爆发.
    Membrane intrinsic proteins (MIPs), including aquaporins (AQPs) and aquaglyceroporins (GLPs), form an ancient family of transporters for water and small solutes across biological membranes. The evolutionary history and functions of MIPs have been extensively studied in vertebrates and land plants, but their widespread presence across the eukaryotic tree of life suggests both a more complex evolutionary history and a broader set of functions than previously thought. That said, the early evolution of MIPs remains obscure. The presence of one GLP and four AQP clades across both bacteria and archaea suggests that the first eukaryotes could have possessed up to five MIPs. Here, we report on a previously unknown richness in MIP diversity across all major eukaryotic lineages, including unicellular eukaryotes, which make up the bulk of eukaryotic diversity. Three MIP clades have likely deep evolutionary origins, dating back to the last eukaryotic common ancestor (LECA), and support the presence of a complex MIP repertoire in early eukaryotes. Overall, our findings highlight the growing complexity of the reconstructed LECA genome: the dynamic evolutionary history of MIPs was set in motion when eukaryotes were in their infancy followed by radiative bursts across all main eukaryotic lineages.
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  • 文章类型: Journal Article
    在中国,樟脑(AFI)和厚朴(MOC)治疗便秘已有数千年的历史。在这项研究中,通过以10mg/kgbw/天的剂量灌胃洛哌丁胺7天,建立了慢传输型便秘(STC)小鼠模型。将72只小鼠随机分为6组(对照组,STC模型,3g/kgAFI+MOC,6g/kgAFI+MOC,12g/kgAFI+MOC,和莫沙必利)。从建模的第一天起,以相应的剂量向STC小鼠施用AFI和MOC的混合水性提取物。体重,粪便水含量,胃肠运输时间,和肠推进率进行了评估。血清神经递质和胃肠激素水平,水通道蛋白(AQP)的结肠表达,和Cajal间质细胞(ICC)使用ELISA进行评估,免疫组织化学,和蛋白质印迹分析。通过16SrRNA基因测序分析了肠道菌群的丰度和多样性。混合水提物可显著提高STC小鼠的粪便含水量和肠推进率,缩短胃肠运输时间。此外,AFI和MOC的给药显著降低血清血管活性肠肽(VIP),一氧化氮(NO),STC小鼠的生长抑素(SS)水平和血清胃动素(MTL)水平升高。AFI+MOC处理后,STC小鼠结肠组织AQP3和AQP4蛋白表达水平明显下降,而AQP9的显著增加。此外,AFI+MOC治疗导致ICC的数量和功能增加。此外,在STC小鼠中,响应于AFIMOC的施用,Ruminococus和Oscillospira的相对丰度增加。总之,AFI和MOC的混合水提物促进STC小鼠排便和增加肠道活动。其作用机制涉及对神经递质的调节作用,胃肠激素,AQPs,和ICC。AFI+MOC治疗还改善了STC小鼠肠道菌群的多样性和丰度,特别是产生短链脂肪酸的细菌,这可能在其对便秘的有益作用中起重要作用。
    Aurantii fructus immaturus (AFI) and Magnoliae Officinalis Cortex (MOC) have been used to treat constipation in China for thousands of years. In this study, a mouse model of slow transit constipation (STC) was established by gavage of loperamide at a dose of 10 mg/kg bw/day for seven days. Seventy-two mice were randomly allocated to six groups (control, STC model, 3 g/kg AFI + MOC, 6 g/kg AFI + MOC, 12 g/kg AFI + MOC, and mosapride). A mixed aqueous extract of AFI and MOC was administered to the STC mice at the corresponding doses from the first day of modelling. Body weight, faecal water content, gastrointestinal transit time, and intestinal propulsion rate were evaluated. Serum levels of neurotransmitters and gastrointestinal hormones, colonic expression of aquaporins (AQP), and interstitial cells of Cajal (ICC) were assessed using ELISA, immunohistochemistry, and Western blot analysis. The abundance and diversity of the gut microbiota were analysed by 16S rRNA gene sequencing. The mixed aqueous extract significantly increased faecal water content and intestinal propulsion rate and shortened gastrointestinal transit time in STC mice. Furthermore, the administration of AFI and MOC significantly decreased serum vasoactive intestinal peptide (VIP), nitric oxide (NO), and somatostatin (SS) levels and increased serum motilin (MTL) levels in STC mice. The protein expression levels of AQP3 and AQP4 in the colon tissue of STC mice significantly decreased following AFI + MOC treatment, whereas those of AQP9 significantly increased. Moreover, the AFI + MOC treatment led to an increase in the number and functionality of ICCs. In addition, the relative abundances of Ruminococcus and Oscillospira increased in response to the administration of AFI + MOC in STC mice. In conclusion, the mixed aqueous extract of AFI and MOC promoted defaecation and increased intestinal mobility in STC mice. Its mechanisms of action involve modulatory effects on neurotransmitters, gastrointestinal hormones, AQPs, and ICCs. AFI + MOC treatment also improved the diversity and abundance of the gut microbiota in STC mice, particularly short-chain fatty acid-producing bacteria, which may play an important role in its beneficial effect on constipation.
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  • 文章类型: Journal Article
    背景:AQP蛋白在人细胞代谢中表现出多种功能。不同AQP亚型在肿瘤代谢和预后中的作用是正在进行的研究主题。
    目的:探讨水通道蛋白(AQP)3、4、7和9在pT1非肌层浸润性膀胱癌(NMIBC)中的表达及其在治疗决策中的预后价值。
    方法:回顾性分析112例经尿道膀胱电切术(TURB)的福尔马林固定石蜡包埋(FFPE)组织的临床资料和治疗方法。使用RT-qPCR测量和定量AQP3、4、7和9的mRNA表达。
    结果:在112例患者中(83.9%为男性,中位年龄72岁),40例复发(35.7%),16个进展(14.3%)和14个患者(12.5%)死亡与肿瘤相关。AQP3的mRNA表达量为99.1%,AQP4占46.4%,AQP7占86.6%,AQP9占97.3%。Spearman分析显示,AQP3,AQP7和AQP9mRNA表达与不良临床和组织病理学参数(WHO19733级,伴随的顺式或多灶性)之间存在统计学上的显着相关性。在Kaplan-Meier分析中,高AQP9mRNA表达与总队列(p=0.034)和3级肿瘤(p=0.003)中PFS较差相关。在保留膀胱方法的患者中,在接受BCG治疗的患者中,高AQP3mRNA表达与CSS恶化显著相关(p=0.029).
    结论:AQP3、7和9的mRNA表达与不良临床和病理参数相关。AQP3和9可能有助于确定可能考虑早期膀胱切除术的高危患者亚组。
    BACKGROUND: AQP proteins show a variety of functions in human cell metabolism. The role of different AQP subtypes in tumor metabolism and prognosis are subject of ongoing research.
    OBJECTIVE: To investigate the mRNA expression of Aquaporin (AQP) 3, 4, 7 and 9 in pT1 non-muscle-invasive bladder cancer (NMIBC) and its prognostic value in therapeutic decision making.
    METHODS: Formalin-fixed-paraffin-embedded (FFPE) tissues from transurethral resection of the bladder (TURB) from 112 patients with initial diagnosis of stage pT1 NMIBC were analyzed retrospectively together with clinical data and therapeutic approaches. mRNA expression of AQP3, 4, 7 and 9 was measured and quantified using RT-qPCR.
    RESULTS: Of the 112 patients (83.9%male, median age 72 years), 40 had a recurrence (35.7%), 16 a progression (14.3%) and 14 patients (12.5%) died tumor-related. mRNA expression for AQP3 was detected in 99.1%, AQP4 in 46.4%, AQP7 in 86.6%and AQP9 in 97.3%. Spearman analysis revealed statistically significant correlations between AQP3, AQP7 and AQP9 mRNA expression with adverse clinical and histopathological parameters (WHO1973 grade 3, concomitant Cis or multifocality). High AQP9 mRNA expression was associated with worse PFS in the total cohort (p = 0.034) and in Grade 3 tumors (p = 0.003) in Kaplan-Meier analysis. In patients with bladder sparing approach, high AQP3 mRNA expression was significantly associated with worse CSS in patients receiving BCG therapy (p = 0.029).
    CONCLUSIONS: mRNA expression of AQP3, 7 and 9 correlates with adverse clinical and pathological parameters. AQP3 and 9 may help to identify a subgroup of highest risk patients who may be considered for early cystectomy.
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  • 文章类型: Journal Article
    尽管医学不断进步,创伤性脑损伤(TBI)仍然是全球范围内死亡和残疾的主要原因。因此,人们一直在寻求生物标志物,以允许对颅脑外伤后的患者进行非侵入性监测,有可能改善临床管理,降低并发症和死亡率。水通道蛋白(AQP),这对跨膜水运输至关重要,在这种情况下可能很重要。这项研究包括48名患者,其中27例患有急性(aSDH),21例患有慢性硬膜下血肿(cSDH)。以三个间隔从参与者那里收集血浆样本:手术前的第一个样本,第二个在15小时,第三个在手术后30小时。使用夹心ELISA技术测定AQP1,AQP2,AQP4和AQP9的血浆浓度。对所有患者在手术前后进行CT扫描。使用Spearman的非参数等级相关系数检查变量之间的相关性。水通道蛋白2水平与慢性硬膜下血肿体积和中线移位之间存在很强的相关性。然而,在急性硬膜下血肿手术前后,水通道蛋白水平(AQP1、AQP2、AQP4和AQP9)之间没有发现显著联系,慢性硬膜下血肿术后AQP1,AQP4和AQP9也没有。在慢性SDH组中,AQP2血浆浓度与术前测量的中线移位呈负相关(Spearman'sρ-0.54;p=0.017),与基线和术后30h之间的血肿体积变化呈正相关(Spearman'sρ0.627;p=0.007)。急性SDH患者水通道蛋白血浆AQP1、AQP2、AQP4和AQP9水平与血肿体积无统计学相关性。慢性硬膜下血肿体积之间存在相关性,放射学测量,和血清AQP2浓度,强调水通道蛋白作为临床生物标志物的潜力。
    Despite continuous medical advancements, traumatic brain injury (TBI) remains a leading cause of death and disability worldwide. Consequently, there is a pursuit for biomarkers that allow non-invasive monitoring of patients after cranial trauma, potentially improving clinical management and reducing complications and mortality. Aquaporins (AQPs), which are crucial for transmembrane water transport, may be significant in this context. This study included 48 patients, with 27 having acute (aSDH) and 21 having chronic subdural hematoma (cSDH). Blood plasma samples were collected from the participants at three intervals: the first sample before surgery, the second at 15 h, and the third at 30 h post-surgery. Plasma concentrations of AQP1, AQP2, AQP4, and AQP9 were determined using the sandwich ELISA technique. CT scans were performed on all patients pre- and post-surgery. Correlations between variables were examined using Spearman\'s nonparametric rank correlation coefficient. A strong correlation was found between aquaporin 2 levels and the volume of chronic subdural hematoma and midline shift. However, no significant link was found between aquaporin levels (AQP1, AQP2, AQP4, and AQP9) before and after surgery for acute subdural hematoma, nor for AQP1, AQP4, and AQP9 after surgery for chronic subdural hematoma. In the chronic SDH group, AQP2 plasma concentration negatively correlated with the midline shift measured before surgery (Spearman\'s ρ -0.54; p = 0.017) and positively with hematoma volume change between baseline and 30 h post-surgery (Spearman\'s ρ 0.627; p = 0.007). No statistically significant correlation was found between aquaporin plasma levels and hematoma volume for AQP1, AQP2, AQP4, and AQP9 in patients with acute SDH. There is a correlation between chronic subdural hematoma volume, measured radiologically, and serum AQP2 concentration, highlighting aquaporins\' potential as clinical biomarkers.
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