Nitric oxide (NO)

一氧化氮 ( 无 )
  • 文章类型: Journal Article
    一氧化氮(NO)已被牢固地确立为植物中的关键信号分子,在调节增长方面发挥了重要作用,发展和应激反应。鉴于可持续农业的必要性和满足不断增长的全球粮食需求的迫切需要,必须保护农作物免受气候波动的影响。植物通过产生氧化还原分子来应对环境挑战,包括活性氧(ROS)和活性氮(RNS),调节细胞,生理,和分子过程。一氧化氮(NO)在植物抗逆性中起着至关重要的作用,充当信号分子或自由基。NO通过多种机制参与植物的各种发育过程。外源NO的补充可以减轻非生物胁迫的毒性,增强植物的抗性。在这篇综述中,我们总结了有关过氧化物酶体中NO产生的研究,以及它的分子和衍生产品,(ONOO-)和S-亚硝基谷胱甘肽(GSNO)影响过氧化物酶体中的ROS代谢。过氧化物酶体抗氧化酶,包括过氧化氢酶(CAT),是NO介导的翻译后修饰(PTM)的关键靶标,突出了过氧化物酶体中ROS和RNS的动态代谢。
    Nitric oxide (NO) has been firmly established as a key signaling molecule in plants, playing a significant role in regulating growth, development and stress responses. Given the imperative of sustainable agriculture and the urgent need to meet the escalating global demand for food, it is imperative to safeguard crop plants from the effects of climate fluctuations. Plants respond to environmental challenges by producing redox molecules, including reactive oxygen species (ROS) and reactive nitrogen species (RNS), which regulate cellular, physiological, and molecular processes. Nitric oxide (NO) plays a crucial role in plant stress tolerance, acting as a signaling molecule or free radical. NO is involved in various developmental processes in plants through diverse mechanisms. Exogenous NO supplementation can alleviate the toxicity of abiotic stresses and enhance plant resistance. In this review we summarize the studies regarding the production of NO in peroxisomes, and how its molecule and its derived products, (ONOO-) and S-nitrosoglutathione (GSNO) affect ROS metabolism in peroxisomes. Peroxisomal antioxidant enzymes including catalase (CAT), are key targets of NO-mediated post-translational modification (PTM) highlighting the dynamic metabolism of ROS and RNS in peroxisomes.
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  • 文章类型: Journal Article
    背景:术后心房颤动(POAF)和急性肾损伤(AKI)是心脏手术后常见的并发症。每个人的发病率高达40%。这里,我们评估了心脏手术前后血浆亚硝酸盐和血清白细胞介素-6(IL-6)水平,以量化氧化应激和炎症对POAF和AKI发生的影响程度.方法:我们前瞻性纳入206例心脏手术患者。术前和24h测定血浆亚硝酸盐和血清IL-6水平,术后48h和72h。对患者进行持续心电图监测POAF的发生,同时每天测量血清肌酐以测定1期AKI。结果:术后,78例(38%)患者出现房颤,47例(23%)患者经历了1期AKI。POAF分析:年龄,使用ACE抑制剂,在多元logistic回归分析中,瓣膜手术和术后24h基线血浆亚硝酸盐变化百分比与POAF相关.纳入这种新的生物标志物显着改善了POAF预测模型(仅临床风险因素的AUC0.77,至AUC0.81)。AKI分析:在多因素logistic回归分析中,糖尿病病史与AKI相关。术前IL-6水平的增加改善了AKI发生的预测模型(AUC0.69至AUC0.74)。结论:我们先前观察到房颤患者NADPH氧化酶同工型4(NOX4)的选择性上调,在斑马鱼中,NOX4对AF的关键因果作用以及一氧化氮(NO)对NOX4的强大抑制作用。我们的数据创新性地表明,循环亚硝酸盐水平的降低,可能与NOX4介导的氧化应激升高有关,独立地与POAF关联,提高POAF预测,而纳入循环IL-6水平改善了AKI的预测模型。因此,减轻手术应激这些病理生理后遗症的治疗策略可能会降低POAF和AKI术后严重并发症的发生率。
    Background: Postoperative atrial fibrillation (POAF) and acute kidney injury (AKI) are common yet significant complications after cardiac surgery, with incidences of up to 40% for each. Here, we assessed plasma nitrite and serum interleukin-6 (IL-6) levels before and after cardiac surgery to quantify the extent to which oxidative stress and inflammation contribute to POAF and AKI occurrence. Methods: We prospectively enrolled 206 cardiac surgical patients. Plasma nitrite and serum IL-6 levels were determined preoperatively and at 24 h, 48 h and 72 h postoperatively. The patients had continuous EKG monitoring for occurrence of POAF, while daily serum creatinine was measured for determination of stage 1 + AKI. Results: Postoperatively, 78 (38%) patients experienced AF, and 47 (23%) patients experienced stage 1 + AKI. POAF analysis: Age, ACE-inhibitor use, valve surgery and percent change in baseline plasma nitrite at 24 h postoperatively were associated with POAF in multiple logistic regression analysis. The inclusion of this new biomarker significantly improved the POAF prediction model (AUC 0.77 for clinical risk factors alone, to AUC 0.81). AKI analysis: A history of diabetes mellitus was associated with AKI in multiple logistic regression analysis, and the addition of preoperative IL-6 levels improved the prediction model for AKI occurrence (AUC 0.69 to AUC 0.74). Conclusions: We previously observed selective upregulation of NADPH oxidase isoform 4 (NOX4) in patients with AF, a critical causal role of NOX4 for AF in zebrafish and a robust inhibitory effect of nitric oxide (NO) on NOX4. Our data innovatively demonstrate that a reduction in circulating nitrite levels, likely implicative of elevated NOX4-mediated oxidative stress, independently associates with POAF and improves POAF prediction, whereas the inclusion of circulating IL-6 levels improves the prediction model for AKI. Therefore, therapeutic strategies to mitigate these pathophysiological sequalae of surgical stress may reduce the incidence of severe postoperative complications of POAF and AKI.
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  • 文章类型: Journal Article
    背景与目的高血压(HTN)是全球范围内与健康相关的主要威胁,这通常是一种报道不足的临床病症,因为大多数I期高血压患者没有任何症状.内源性氧敏感蛋白[促红细胞生成素(EPO)和血管内皮生长因子(VEGF)]水平与高血压患者血管应激之间的关系尚未完全理解为这些氧敏感蛋白改变血管生理并引起高血压的机制途径。鉴于此,我们探讨了这两种蛋白在血管应激(包括脉搏波传导速度(PWV)增加)发展中的作用。我们旨在研究高血压患者中氧敏感蛋白与包括PWV在内的血管应激标志物之间的相关性。材料和方法我们进行了一项横断面研究,涉及年龄匹配的参与者,分为三组(第1组:血压正常的人,n=36;第2组:I期高血压患者,n=36;第3组,II期高血压患者,n=36)。与肥胖相关的参数,如腰围(WC),臀围(HC),BMI,测量腰臀比(WHR)。使用血压计以静息姿势手动记录BP。PWV,预测了BP的发展和HTN的发展,是用潜望镜记录的,基于示波法工作。还使用UV分光光度计估算了血管应激诱导的氧化应激参数[血清丙二醛(MDA)和血清一氧化氮(NO)]。使用ELISA试剂盒方法对氧敏感蛋白(血清EPO和血清VEGF)进行定量评估。结果表示为平均值±标准偏差(SD)。变量之间的相关性是使用Spearman相关性进行的。P值<0.05被认为是统计学上显著的。结果与第1组相比,第2组和第3组的脂肪指数和血管硬度参数显着增加(p<0.05)。第2组和第3组的血清MDA水平明显高于第1组(p<0.05),而第3组和第2组的血清NO水平明显低于第1组(p<0.05)。在研究人群中,PWV和EPO之间存在显着(p<0.05)正相关(r=0.492),而PWV和VEGF之间存在显着(p<0.05)负相关(r=-0.406)。结论该结果指示了I期和II期高血压患者血管应激的影响。此外,高血压患者的氧敏感蛋白与血管应激之间的关系也已建立。
    Background and objective While hypertension (HTN) is a major health-related threat globally, it is often an under-reported clinical condition as most of the stage I hypertensive patients do not present with any symptoms. The relationship between endogenous oxygen-sensing protein [erythropoietin (EPO) and vascular endothelial growth factor (VEGF)] levels and vascular stress in hypertensive patients is not fully understood as the mechanistic pathway by which these oxygen-sensing proteins alter the vascular physiology and cause hypertension is still a matter of debate. In light of this, we explored the role of these two proteins in the development of vascular stress including increased pulse wave velocity (PWV). We aimed to examine the correlation between oxygen-sensing proteins and vascular stress markers including PWV in hypertensive patients. Materials and methods We conducted a cross-sectional study involving age-matched participants classified into three groups (group 1: normotensive persons, n=36; group 2: stage I hypertensive patients, n=36; and group 3, stage II hypertensive patients, n=36). Adiposity-related parameters such as waist circumference (WC), hip circumference (HC), BMI, and waist-hip ratio (WHR) were measured. BP was recorded manually in resting posture by using a sphygmomanometer. PWV, which predicts the progression of BP and the development of HTN, was recorded using a periscope, which works based on the oscillometric method. Vascular stress-induced oxidative stress parameters [serum malondialdehyde (MDA) and serum nitric oxide (NO)] were also estimated by using a UV spectrophotometer. Quantitative estimations of oxygen-sensing proteins (serum EPO and serum VEGF) were done by using the ELISA kit method. The results were expressed as mean ± standard deviation (SD). The correlation between the variables was done using Spearman\'s correlation. A p-value <0.05 was considered statistically significant. Results Adiposity indices and vascular stiffness parameters were found to be significantly (p <0.05) increased in group 2 and group 3 compared to group 1. The levels of serum MDA were found to be significantly (p<0.05) increased in group 2 and group 3 than group 1, whereas the levels of serum NO were significantly (p<0.05) decreased in group 3 and group 2 than group 1. A significant (p<0.05) positive correlation was observed between the PWV and EPO (r=0.492) while a significant (p<0.05) negative correlation was observed between PWV and VEGF (r=-0.406) among the study population. Conclusion The results are indicative of the influence of vascular stress in stage I and II hypertensive patients. Furthermore, the relationship between oxygen-sensing proteins and vascular stress in hypertensive patients has also been established.
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  • 文章类型: Journal Article
    牙周病,一个巨大的全球健康负担,以慢性炎症和牙周组织破坏为特征,包括牙骨质,牙周膜(PDL),牙槽骨,和牙龈组织.最近的研究将牙周病的发展和进展与氧化应激联系起来。本研究为牙周病氧化应激背后的机制提供了全面的解释。重点研究了活性氧(ROS)的产生及其对牙周组织的影响。氧化应激会引发许多有害反应,包括脂质过氧化,蛋白质氧化,和脱氧核糖核酸(DNA)的损伤。牙槽骨吸收,结缔组织降解,和牙周炎症进一步加剧了这些过程。此外,抗氧化剂和氧化剂之间的微妙平衡被氧化应激破坏,这损害了抗氧化防御系统并加剧了牙周组织的损伤。这篇综述强调了氧化应激的负面影响,并增强了牙周健康结果。
    Periodontal disease, a significant worldwide health burden, is characterized by chronic inflammation and destruction of periodontal tissues, including the cementum, periodontal ligament (PDL), alveolar bone, and gingival tissue. Recent research has linked the development and progression of periodontal disease to oxidative stress. This study provides comprehensive explanations of the mechanisms behind oxidative stress in periodontal disease, with a focus on the generation of reactive oxygen species (ROS) and their effects on periodontal tissues. Oxidative stress triggers a number of detrimental reactions, including lipid peroxidation, protein oxidation, and damage to deoxyribonucleic acid (DNA). Alveolar bone resorption, connective tissue degradation, and periodontal inflammation are further conditions exacerbated by these processes. In addition, the delicate balance between antioxidants and oxidants is upset by oxidative stress, which impairs antioxidant defense systems and exacerbates periodontal tissue damage. This review highlights the negative effects of oxidative stress and enhances periodontal health outcomes.
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  • 文章类型: Journal Article
    八种以前没有描述的二萜,维生素A-H(1-8),从CaesalpiniaminaxHance的种子中分离并鉴定。它们的结构通过广泛的光谱数据和X射线晶体学分析进行了表征。在结构上,caesaminA(1)是第一种具有C23碳骨架的卡萨烷型二萜,其中含有不寻常的异丙基。CaesaminF(6)代表来自Caesalpinia属的cleistanthane二萜的第一个例子。维生素B(2)和F(6)在RAW264.7巨噬细胞中表现出对LPS诱导的一氧化氮产生的抑制活性,IC50值为45.67±0.92和42.99±0.24μM,与阳性对照43.69±2.62μM的NG-甲基-L-精氨酸相当。此外,讨论了分离株的化学分类学意义。
    Eight previously undescribed diterpenoids, caesamins A-H (1-8), were separated and identified from the seeds of Caesalpinia minax Hance. Their structures were characterized by extensive spectroscopic data and X-ray crystallographic analysis. Structurally, caesamin A (1) is the first cassane-type diterpenoid with a C23 carbon skeleton containing an unusual isopropyl. Caesamin F (6) represents the first example of cleistanthane diterpenoid from the genus Caesalpinia. Caesamins B (2) and F (6) exhibited inhibitory activity against LPS-induced nitric oxide production in RAW 264.7 macrophages with IC50 values of 45.67 ± 0.92 and 42.99 ± 0.24 μM, comparable to positive control 43.69 ± 2.62 μM of NG-Monomethyl-L-arginine. Furthermore, the chemotaxonomic significance of the isolates was discussed.
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  • 文章类型: Journal Article
    这项研究的目的是研究LW-1在野生型和水杨酸(SA)缺陷的NahG转基因烟草植物中诱导对TMV抗性的潜在机制。我们的发现表明,LW-1未能诱导抗病毒感染活性并增加NahG烟草中的SA含量,表明SA在这些过程中的关键作用。同时,LW-1触发防御相关的早期信号一氧化氮(NO)的产生,然而,正如在用LW-1处理后两种类型的烟草中NO荧光的出现所证明的那样,与野生型烟草相比,NahG中的NO荧光更强。值得注意的是,它们都被NO清除剂cPTIO消除,这也逆转了LW-1诱导的防病毒活性和SA含量的增加,表明NO参与LW-1诱导的TMV抗性,并且可能在SA途径的上游起作用。在有或没有接种TMV的烟草中检测到防御相关的酶和基因,结果表明,LW-1调节两种酶的活性(β-1,3-葡聚糖酶[GLU],过氧化氢酶[CAT]和苯丙氨酸解氨酶[PAL])和基因表达(PR1,PAL,WYKY4)通过SA依赖性和SA非依赖性途径中的NO信号传导。
    The objective of this study was to investigate the mechanism underlying LW-1-induced resistance to TMV in wild-type and salicylic acid (SA)-deficient NahG transgenic tobacco plants. Our findings revealed that LW-1 failed to induce antivirus infection activity and increase SA content in NahG tobacco, indicating the crucial role of SA in these processes. Meanwhile, LW-1 triggered defense-related early-signaling nitric oxide (NO) generation, as evidenced by the emergence of NO fluorescence in both types of tobacco upon treatment with LW-1, however, NO fluorescence was stronger in NahG compared to wild-type tobacco. Notably, both of them were eliminated by the NO scavenger cPTIO, which also reversed LW-1-induced antivirus activity and the increase of SA content, suggesting that NO participates in LW-1-induced resistance to TMV, and may act upstream of the SA pathway. Defense-related enzymes and genes were detected in tobacco with or without TMV inoculation, and the results showed that LW-1 regulated both enzyme activity (β-1,3-glucanase [GLU], catalase [CAT] and phenylalanine ammonia-lyase [PAL]) and gene expression (PR1, PAL, WYKY4) through NO signaling in both SA-dependent and SA-independent pathways.
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  • 文章类型: Journal Article
    虽然轻度热疗在实体瘤的治疗中具有巨大的潜力,热应激触发的自我修复自噬显著损害其功效.为了绕过这个障碍,开发了一种可注射水凝胶(NO-Gel),该凝胶由热敏聚(乙二醇)-多肽共聚物组成,该共聚物在其侧链上具有丰富的NO供体。同时,合成了具有高磁热转化效率的铁磁Zn0.5Fe2.5O4磁性纳米颗粒(MNPs),并将其负载到NO-Gel中,以获得MNPs@NO-Gel。MNPs@NO-Gel系统在加热时表现出溶胶-凝胶转变,由于MNPs在NO-Gel中的均匀分布和强固定,仅一次给药后就具有进行多次磁热治疗(MHT)的能力。NO可以从NO-凝胶中连续释放,并且MHT显著加速了该过程。此外,MNPs@NO-凝胶在体内维持其完整性超过一个月,释放的MNPs被脾脏代谢。在肿瘤部位单次施用MNPs@NO-Gel后,实现了三种具有相似效果的轻度MHT治疗,充足的NO通过阻断自噬体的形成和同步破坏溶酶体,有效抑制MHT诱导的自噬通量,从而显著提高轻度MHT的功效。因此,CT-26结肠肿瘤完全消除,不会引起严重的副作用。
    While mild hyperthermia holds great potential in the treatment of solid tumors, the thermal stress-triggered self-repairing autophagy significantly compromises its efficacy. To circumvent this obstacle, an injectable hydrogel (NO-Gel) composed of thermosensitive poly(ethylene glycol)-polypeptide copolymers modified with abundant NO donors on their side chains is developed. Meanwhile, ferrimagnetic Zn0.5Fe2.5O4 magnetic nanoparticles (MNPs) with high magnetic-heat conversion efficiency are synthesized and loaded into NO-Gel to obtain MNPs@NO-Gel. The MNPs@NO-Gel system exhibits a sol-gel transition upon heating, and has the ability to perform multiple magnetic hyperthermia therapy (MHT) after only one administration due to the even distribution and strong immobilization of MNPs in NO-Gel. NO can be continuously liberated from NO-Gel and this process is markedly accelerated by MHT. Additionally, MNPs@NO-Gel maintains its integrity in vivo for over one month and the released MNPs are metabolized by the spleen. After a single administration of MNPs@NO-Gel at the tumor site, three mild MHT treatments with similar effects are fulfilled, and the sufficient supply of NO effectively inhibits MHT-induced autophagic flux via blocking the formation of autophagosomes and synchronously destroying lysosomes, thereby substantially boosting the efficacy of mild MHT. As a consequence, CT-26 colon tumors are completely eliminated without causing severe side-effects.
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  • 文章类型: Journal Article
    肠移植是一项复杂的技术程序,为患有终末期肠衰竭的患者提供了享受改善生活质量的机会,营养和生存。与其他类型的器官移植相比,这是器官移植领域相对较新的进步。然而,在过去的几十年里取得了巨大的进步,包括使用缺血预处理,基因治疗,并在保存溶液中添加药物补充剂。然而,尽管取得了这些进展,由于几个因素,肠道移植仍然是一项具有挑战性的工作。其中值得注意的是缺血再灌注损伤(IRI),这导致细胞完整性和粘膜屏障功能的丧失。此外,IRI导致移植失败,延迟的移植物功能,移植物和受体存活率下降。这需要寻找新的治疗途径和改进的移植方案以预防或减弱肠IRI。在许多正在研究的对抗IRI及其相关并发症的候选药物中,一氧化氮(NO)。NO是一种内源性产生的气态信号分子,具有几种治疗特性。这篇小型综述的目的是讨论肠移植中的IRI及其相关并发症,和NO作为一种新兴的药理学工具来对抗这种具有挑战性的病理状况。I.
    Intestinal transplantation is a complex technical procedure that provides patients suffering from end-stage intestinal failure an opportunity to enjoy improved quality of life, nutrition and survival. Compared to other types of organ transplants, it is a relatively new advancement in the field of organ transplantation. Nevertheless, great advances have been made over the past few decades to the present era, including the use of ischemic preconditioning, gene therapy, and addition of pharmacological supplements to preservation solutions. However, despite these strides, intestinal transplantation is still a challenging endeavor due to several factors. Notable among them is ischemia-reperfusion injury (IRI), which results in loss of cellular integrity and mucosal barrier function. In addition, IRI causes graft failure, delayed graft function, and decreased graft and recipient survival. This has necessitated the search for novel therapeutic avenues and improved transplantation protocols to prevent or attenuate intestinal IRI. Among the many candidate agents that are being investigated to combat IRI and its associated complications, nitric oxide (NO). NO is an endogenously produced gaseous signaling molecule with several therapeutic properties. The purpose of this mini-review is to discuss IRI and its related complications in intestinal transplantation, and NO as an emerging pharmacological tool against this challenging pathological condition. i.
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  • 文章类型: Journal Article
    伤口感染和过度失血是与外伤相关的两个主要挑战,在美国,外伤占每年死亡人数的10%。一氧化氮(NO)是一种气体转运细胞信号分子,由于其抗菌作用,在自然伤口愈合过程中起着至关重要的作用,抗炎,细胞增殖,和组织重塑能力。氨甲环酸(TXA),一种促血栓形成的药物,已局部和全身用于控制所报告的鼻出血和与战斗有关的外伤病例的失血。它的特性可以结合在伤口敷料中,以诱导立即形成凝块,这是控制过度失血的关键因素。这项研究介绍了一部小说,即时凝块形成NO释放敷料,并使用战略双层配置制造。伤口附近的层设计有TXA悬浮在蜂胶树脂床上,这是一种具有抗菌和抗炎特性的天然生物粘合剂。基层,离伤口最远,没有捐赠者,S-亚硝基-N-乙酰青霉胺(SNAP),嵌入Carbosil®聚合物床中,聚碳酸酯聚氨酯和硅酮的共聚物。蜂胶与TXA的均匀层整合在一起,浓度可变:2.5、5.0和7.5vol%的蜂胶。TXA-SNAP-蜂胶(T-SP)伤口敷料的这种设计允许TXA通过防止纤维蛋白溶解而形成更稳定的凝块。基于乳酸脱氢酶的血小板粘附测定法显示,在其应用的前15分钟内,与对照组相比,使用7.5%T-SP的纤维蛋白活化增加。扫描电子显微镜(SEM)证实了用于制造敷料的稳定凝块的致密纤维蛋白网络的存在。NO和蜂胶的抗菌活性导致金黄色葡萄球菌和多重耐药鲍曼不动杆菌的菌落形成单位减少98.9±1%和99.4±1%,分别,提出了制作的敷料作为创伤的紧急急救,防止过度失血和土传感染。
    Wound infection and excessive blood loss are the two major challenges associated with trauma injuries that account for 10% of annual deaths in the United States. Nitric oxide (NO) is a gasotransmitter cell signaling molecule that plays a crucial role in the natural wound healing process due to its antibacterial, anti-inflammatory, cell proliferation, and tissue remodeling abilities. Tranexamic acid (TXA), a prothrombotic agent, has been used topically and systemically to control blood loss in reported cases of epistaxis and combat-related trauma injuries. Its properties could be incorporated in wound dressings to induce immediate clot formation, which is a key factor in controlling excessive blood loss. This study introduces a novel, instant clot-forming NO-releasing dressing, and fabricated using a strategic bi-layer configuration. The layer adjacent to the wound was designed with TXA suspended on a resinous bed of propolis, which is a natural bioadhesive possessing antibacterial and anti-inflammatory properties. The base layer, located furthest away from the wound, has an NO donor, S-nitroso-N-acetylpenicillamine (SNAP), embedded in a polymeric bed of Carbosil®, a copolymer of polycarbonate urethane and silicone. Propolis was integrated with a uniform layer of TXA in variable concentrations: 2.5, 5.0, and 7.5 vol % of propolis. This design of the TXA-SNAP-propolis (T-SP) wound dressing allows TXA to form a more stable clot by preventing the lysis of fibrin. The lactate dehydrogenase-based platelet adhesion assay showed an increase in fibrin activation with 7.5% T-SP as compared with control within the first 15 min of its application. A scanning electron microscope (SEM) confirmed the presence of a dense fibrin network stabilizing the clot for fabricated dressing. The antibacterial activity of NO and propolis resulted in a 98.9 ± 1% and 99.4 ± 1% reduction in the colony-forming unit of Staphylococcus aureus and multidrug-resistant Acinetobacter baumannii, respectively, which puts forward the fabricated dressing as an emergency first aid for traumatic injuries, preventing excessive blood loss and soil-borne infections.
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  • 文章类型: Journal Article
    背景:慢性阻塞性肺疾病(COPD)在普通人群中发病率较高,所以早期识别和预防是目标。COPD发展的机制尚未完全确定,尽管已经证明内皮功能障碍起着重要作用。然而,到目前为止,内皮功能障碍的测量仍然是侵入性的或尚未完全建立。甲折视频毛细管镜检查(NVC)是一种安全的,非侵入性诊断工具,可用于轻松评估微循环,并可在早期显示任何可能的内皮功能障碍。这篇综述的目的是评估甲皱微循环异常是否可以反映肺血管系统的改变,并可以预测COPD患者心血管合并症的风险。
    方法:在电子数据库中进行了有关COPD的系统文献检索(PUBMED,UpToDate,谷歌学者,ResearchGate),辅以手工研究。我们在这些数据库中搜索了直到2024年3月发表的文章。在数据库中以所有可能的组合搜索以下搜索词:慢性阻塞性肺疾病(COPD),内皮损伤,血管损伤,功能评估,毛细血管镜检查,视频毛细管镜检查,甲折视频毛细管镜检查。这篇评论只考虑了用英语写的手稿。仅在能够定义COPD与内皮功能障碍之间的关系时,才包括论文。
    结果:搜索选择了10篇文章,其中,只有三个以前的评论可用。视网膜血管成像,流动介导的扩张(FMD),据报道,皮肤自发荧光(AF)是评估COPD患者内皮功能障碍的最有价值的方法。
    结论:据推测,一氧化氮(NO)水平降低会导致COPD患者的微血管损伤。这一发现使我们能够假设NVC在COPD患者中的潜在有效性。然而,这种潜在的联系是基于假设;需要进一步的调查来证实这一假设.
    BACKGROUND: Chronic obstructive pulmonary disease (COPD) has higher rates among the general population, so early identification and prevention is the goal. The mechanisms of COPD development have not been completely established, although it has been demonstrated that endothelial dysfunction plays an important role. However, to date, the measurement of endothelial dysfunction is still invasive or not fully established. Nailfold video capillaroscopy (NVC) is a safe, non-invasive diagnostic tool that can be used to easily evaluate the microcirculation and can show any possible endothelial dysfunctions early on. The aim of this review is to evaluate if nailfold microcirculation abnormalities can reflect altered pulmonary vasculature and can predict the risk of cardiovascular comorbidities in COPD patients.
    METHODS: A systematic literature search concerning COPD was performed in electronic databases (PUBMED, UpToDate, Google Scholar, ResearchGate), supplemented with manual research. We searched in these databases for articles published until March 2024. The following search words were searched in the databases in all possible combinations: chronic obstructive pulmonary disease (COPD), endothelial damage, vascular impairment, functional evaluation, capillaroscopy, video capillaroscopy, nailfold video capillaroscopy. Only manuscripts written in English were considered for this review. Papers were included only if they were able to define a relationship between COPD and endothelium dysfunction.
    RESULTS: The search selected 10 articles, and among these, only three previous reviews were available. Retinal vessel imaging, flow-mediated dilation (FMD), and skin autofluorescence (AF) are reported as the most valuable methods for assessing endothelial dysfunction in COPD patients.
    CONCLUSIONS: It has been assumed that decreased nitric oxide (NO) levels leads to microvascular damage in COPD patients. This finding allows us to assume NVC\'s potential effectiveness in COPD patients. However, this potential link is based on assumption; further investigations are needed to confirm this hypothesis.
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