Vitis vinifera

葡萄
  • 文章类型: Journal Article
    在葡萄栽培中,为特定的接穗品种选择最合适的砧木是提高产量和增强果实理化特性的有效和经济的方法。这项研究的目的是评估在圣弗朗西斯科谷次中部条件下,“BRSTainá”葡萄在不同砧木上的农艺性能。主要实验因子包括八个砧木(IAC313,IAC572,IAC766,101-14MgT,Paulsen1103Ramsey,SO4和Teleki5C),随机排列,重复四次。实验进行了四个生产周期,从2021年到2023年,在Petrolina的一个商业作物区,PE,巴西。砧木对单株的产量和束数有显着影响,以及浆果的长度和硬度。当嫁接到Paulsen1103砧木上时,\'BRSTainá\'获得了最高的产量(每株22.2公斤),优于101-14MgT的产率,IAC313和IAC572砧木。在Paulsen1103上嫁接的“BRSTainá”获得的聚束数最高(88),而在IAC572上获得的聚束数最低(63);这些砧木与其他砧木都没有显着差异。对于所有接穗-砧木组合,可溶性固体(SS)含量的平均值,可滴定酸度(TA),SS/TA比率与之前描述的“BRSTainá”相似,符合商业化标准。单株产量和束数的结果表明,在圣弗朗西斯科山谷的半干旱热带条件下,在保尔森1103上嫁接“BRSTainá”的适用性。
    In viticulture, choosing the most suitable rootstock for a specific scion cultivar is an efficient and cost-effective way to increase yield and enhance the physicochemical characteristics of the fruit. The objective of this study was to evaluate the agronomic performance of the \'BRS Tainá\' grapevine on different rootstocks under the conditions of the Sub-Middle São Francisco Valley. The main experimental factor consisted of eight rootstocks (IAC 313, IAC 572, IAC 766, 101-14 MgT, Paulsen 1103, Ramsey, SO4, and Teleki 5C), arranged in randomized blocks with four replicates. The experiment was conducted over four production cycles, from 2021 to 2023, in a commercial crop area in Petrolina, PE, Brazil. There were significant effects of rootstocks for the yield and number of bunches per plant, as well as berry length and firmness. \'BRS Tainá\' achieved the highest yield (22.2 kg per plant) when grafted onto the Paulsen 1103 rootstock, which was superior to the yield on 101-14 MgT, IAC 313, and IAC 572 rootstocks. The highest number of bunches (88) was obtained with \'BRS Tainá\' grafted on Paulsen 1103, while the lowest number (63) was obtained on IAC 572; both these rootstocks were not significantly different from the other rootstocks. For all scion-rootstock combinations, the mean values for soluble solid (SS) content, titratable acidity (TA), and the SS/TA ratio were similar to those previously described for \'BRS Tainá\', meeting the commercialization standard. The results for the yield and number of bunches per plant indicate the suitability of grafting \'BRS Tainá\' on Paulsen 1103 under the semi-arid tropical conditions of the São Francisco Valley.
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  • 文章类型: Journal Article
    这项研究检查了三种细菌菌株Paraburkholderiasp的潜在用途。菌株CRV74,假单胞菌属。菌株CRV21和不动杆菌。菌株CRV19-作为葡萄灰霉病的生物防治剂。选择这些菌株具有体外抑制灰霉病菌生长的能力,并在田间条件下用于控制“Glera”葡萄的灰霉病症状。为此,在将这些微生物接种到喷洒了灰芽孢杆菌孢子的植物上之后,最终产量,必须的物理化学特性,疾病发病率,并评估了对植物防御蛋白表达的可能影响。菌株CRV21导致在对抗灰霉病中最有效(约20%的疾病发生率)。虽然产量没有受到影响,观察到总可溶性固形物含量的显着不同值。此外,基因PR-1,PR-5,β-1,3-葡聚糖酶的显着上调,并观察到III类几丁质酶。这些发现强调了具有抗葡萄孢菌活性的菌株作为控制该病原体的化学防御的可持续替代品的潜在应用。
    This study examined the potential use of three bacterial strains-Paraburkholderia sp. strain CRV74, Pseudomonas sp. strain CRV21, and Acinetobacter sp. strain CRV19-as biocontrol agents of Botrytis cinerea in grapevine. These strains were selected for their ability to inhibit B. cinerea growth in vitro and used in field conditions for the control of grey mould symptoms in \'Glera\' grapes. To this end, after inoculating these microorganisms onto plants sprayed with B. cinerea spores, the final yield, the physicochemical characteristics of the must, disease incidence, and the possible influence on the expression of plant-defence proteins were evaluated. Strain CRV21 resulted as being the most effective in combating grey mould (-20% of disease incidence). Although yield was not affected, significantly different values of total soluble solids content was observed. Additionally, a significant up-regulation of the genes PR-1, PR-5, β-1,3-glucanase, and class III chitinase was observed. These findings highlight the potential application of strains with anti-botrytis activity as sustainable alternatives to chemical defence for the control of this pathogen.
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  • 文章类型: Journal Article
    背景:由于没有明确的毒性剂量,对葡萄果实(VVF)摄入的治疗可能具有挑战性,信号因素和可变的临床体征。目前的治疗指导是普遍的:去污,积极的液体疗法,监测和/或治疗肾功能不全。这项研究的目的是对有关狗摄入VVF的科学证据进行范围审查。回顾了三个主要领域:摄入的VVF类型,报告临床体征并给予治疗。纳入标准是呈现关于已摄入VVF(仅未经处理的VVF)的狗的临床体征或治疗的数据的任何论文。
    方法:搜索了以下数据库:CAB摘要,Medline,Embase和Scopus。语言或日期没有限制。审查遵循了乔安娜·布里格斯研究所的范围审查方法。
    结果:确定了24篇论文。摄入了多种VVF类型,但毒性剂量难以确定。最常见的症状是胃肠道,肾,神经和血液学。治疗通常包括液体治疗,利尿剂和止吐剂。
    结论:这项范围审查既没有探索经过处理的VVF摄入病例,也没有记录实验室检查结果;因此,可能错过了这些领域潜在的临床重大发现.
    结论:VVF摄入通常会导致胃肠道/肾功能障碍,没有明显的毒性可归因于VVF类型。治疗根据临床体征的存在/不存在而有所不同,预后各不相同。有必要对当前的治疗效果进行进一步的研究,允许基于证据的,临床医生采用的风险-效益方法。
    BACKGROUND: Treatment of Vitis vinifera fruit (VVF) ingestion can be challenging due to no clear toxic dose, signalment factors and variable clinical signs. Current treatment guidance is generalised: decontamination, aggressive fluid therapy, monitoring and/or treatment of renal dysfunction. The objective of this study was to conduct a scoping review of scientific evidence regarding the ingestion of VVF in dogs. Three primary areas were reviewed: VVF types ingested, clinical signs reported and treatments given. The inclusion criterion was any paper presenting data on clinical signs or treatments of dogs that had ingested VVF (unprocessed VVF only).
    METHODS: The following databases were searched: CAB Abstracts, Medline, Embase and Scopus. No limits were placed on language or date. The review followed the Joanna Briggs Institute scoping review methodology.
    RESULTS: Twenty-four papers were identified. A wide range of VVF types were ingested, but the toxic dose was difficult to ascertain. The most commonly reported signs were gastrointestinal, renal, neurological and haematological. Treatment commonly consisted of fluid therapy, diuretics and antiemetics.
    CONCLUSIONS: This scoping review neither explored cases of processed VVF ingestion nor did it chart laboratory findings; therefore, potentially clinically significant findings in these areas may have been missed.
    CONCLUSIONS: VVF ingestion typically causes gastrointestinal/renal dysfunction, with no clear toxicity attributable to VVF type. Treatments varied according to the presence/absence of clinical signs, and the prognosis was varied. Further research on current treatment efficacy is warranted, permitting an evidence-based, risk-benefit approach to be adopted by clinicians.
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  • 文章类型: Journal Article
    坏死病原体灰霉病菌与葡萄浆果之间相互作用的复杂性(Vitisviniferaspp。)可能导致首选的贵族腐烂(NR)或亏损的灰腐病(GR)的形成,取决于当时的气候条件。在这项研究中,我们通过进行多维缩放,然后进行差异表达和富集分析,专注于V.vinifera的功能基因集。这项研究的目的是确定葡萄浆果在灰腐病阶段的基因表达差异,高贵的腐烂,和发展腐烂(DR,在早期阶段)。发现NR阶段的葡萄转录组与DR和GR阶段的葡萄转录组具有显着差异,表现出强烈的相似性。同样,几种植物防御相关途径,包括植物-病原体相互作用,因为发现了超敏的植物反应。分析的结果确定了潜在的植物应激反应途径(SGT1激活的超敏反应),该途径在GR浆果中被上调,但在NR浆果中被下调。该研究表明,在NR阶段,葡萄弧菌基因中与防御相关的基因减少,具有高度的功能可变性,特别是在富集途径中。这表明该植物没有积极防御灰霉病,否则在其表面上存在高生物量。这种差异强调了在NR阶段,葡萄和病原真菌在平衡状态下相互作用。相反,葡萄孢菌感染的初始阶段表现为有毒的真菌-植物相互作用,不管结果是灰色还是高贵的腐烂。
    The complexity of the interaction between the necrotrophic pathogen Botrytis cinerea and grape berries (Vitis vinifera spp.) can result in the formation of either the preferred noble rot (NR) or the loss-making grey rot (GR), depending on the prevailing climatic conditions. In this study, we focus on the functional gene set of V. vinifera by performing multidimensional scaling followed by differential expression and enrichment analyses. The aim of this study is to identify the differences in gene expression between grape berries in the phases of grey rot, noble rot, and developing rot (DR, in its early stages) phases. The grapevine transcriptome at the NR phase was found to exhibit significant differences from that at the DR and GR stages, which displayed strong similarities. Similarly, several plant defence-related pathways, including plant-pathogen interactions as hypersensitive plant responses were found to be enriched. The results of the analyses identified a potential plant stress response pathway (SGT1 activated hypersensitive response) that was found to be upregulated in the GR berry but downregulated in the NR berry. The study revealed a decrease in defence-related in V. vinifera genes during the NR stages, with a high degree of variability in functions, particularly in enriched pathways. This indicates that the plant is not actively defending itself against Botrytis cinerea, which is otherwise present on its surface with high biomass. This discrepancy underscores the notion that during the NR phase, the grapevine and the pathogenic fungi interact in a state of equilibrium. Conversely the initial stages of botrytis infection manifest as a virulent fungus-plant interaction, irrespective of whether the outcome is grey or noble rot.
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  • 文章类型: Journal Article
    背景:从酿酒行业的废弃副产品中回收生物活性物质的方法考虑到环境和经济方面都具有很大的价值。
    目的:本研究的目的是研究通过基于羧酸的低共熔溶剂(DES)从葡萄(Vitisvinifera)种子中提取酚类抗氧化剂,以提出一种基于多变量优化方法的环境友好方法。
    方法:设计了几种摩尔比(1/1、1/2和2/1)的基于羧酸的DES。两种多元醇(甘油和乙二醇)被用作氢键供体,而甲酸,乙酸,选择丙酸作为氢键受体。工艺参数(含水量、提取时间,和固体质量)进行了分析,以通过响应面法进行Box-Behnken设计来优化工艺,在测定了最高总酚含量(TPC)和抗氧化活性产率的最佳组合后。
    结果:最大的TPC产率(153.17±0.003mg-GAE/g-GS)和抗氧化活性产率(82.26±0.004mg-GAE/g-GS)通过向DES中添加50%的水实现(乙二醇/乙酸,1/1),85秒提取时间,和0.1克葡萄籽。
    BACKGROUND: The recovery process for bioactives from discarded by-products of the winemaking industry is of great value considering both environmental and economic aspects.
    OBJECTIVE: The goal of this study is to investigate the extraction of phenolic antioxidants from grape (Vitis vinifera) seeds by means of carboxylic acid-based deep eutectic solvents (DESs) in order to propose an environmentally friendly method based on a multivariate optimization approach.
    METHODS: Carboxylic acid-based DESs were designed with several molar ratios (1/1, 1/2, and 2/1). Two polyols (glycerol and ethylene glycol) were used as hydrogen bond donors, while formic acid, acetic acid, and propionic acid were selected as hydrogen bond acceptors. The process parameters (water content, extraction time, and solid mass) were analyzed to optimize the process through Box-Behnken design with response surface method, after determination of the best combination for the highest total phenolic content (TPC) and the antioxidant activity yields.
    RESULTS: The maximum TPC yield (153.17 ± 0.003 mg-GAE/g-GS) and antioxidant activity yield (82.26 ± 0.004 mg-GAE/g-GS) were achieved by 50% water addition into the DES (ethylene glycol/acetic acid, 1/1), 85 sec extraction time, and 0.1 g grape seed.
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  • 文章类型: Journal Article
    碳曲霉在葡萄园中的浆果上引起严重腐烂,并且是导致曲霉毒素A(OTA)污染葡萄的主要真菌之一,这是这种真菌产生的最重要的霉菌毒素。这项研究的主要目标是在转录组水平上调查两种食用葡萄品种(Victoria和Fraoula,白色和红色的品种,分别)接种强毒的OTA产生型碳曲霉菌株后。这两个品种揭示了完全不同的转录组特征,差异表达基因(DEGs)的表达谱突出了感染期间不同的和品种特异性的反应。与转录动力学调节相关的通路显着富集,以激活防御反应,次生代谢产物生物合成的代谢分流的触发,主要是苯丙素类化合物,以及编码植物抗毒素的DEGs的上调,转录因子,在Fraoula的早期时间点揭示了参与植物-病原体相互作用和免疫信号转导的基因,然而,在维多利亚,延迟后观察到任何转录重编程。然而,这两个品种,在某种程度上,还显示了特定DEG家族的共同表达动力学,例如编码漆酶和二苯乙烯合酶的那些。茉莉酸(JA)可能在防御机制中起关键的调节剂作用,因为各种JA生物合成DEG被上调。随着在白葡萄中观察到的转录组的更广泛的调节,与发病机制相关的特定碳曲霉基因的表达谱,真菌孢子形成,分生孢子凸显了维多利亚的更高易感性。此外,与病原体OTA生物合成基因簇的调节直接相关的碳曲霉转录模式在维多利亚州比在Fraoula中被更高的诱导。后者受OTA污染较少,孢子形成明显较低。这些发现有助于揭示这种植物-微生物相互作用之外的相互作用。
    Aspergillus carbonarius causes severe decays on berries in vineyards and is among the main fungal species responsible for grape contamination by ochratoxin A (OTA), which is the foremost mycotoxin produced by this fungus. The main goal of this study was to investigate at the transcriptome level the comparative profiles between two table grape varieties (Victoria and Fraoula, the white and red variety, respectively) after their inoculation with a virulent OTA-producing A. carbonarius strain. The two varieties revealed quite different transcriptomic signatures and the expression profiles of the differential expressed genes (DEGs) highlighted distinct and variety-specific responses during the infection period. The significant enrichment of pathways related to the modulation of transcriptional dynamics towards the activation of defence responses, the triggering of the metabolic shunt for the biosynthesis of secondary metabolites, mainly phenylpropanoids, and the upregulation of DEGs encoding phytoalexins, transcription factors, and genes involved in plant-pathogen interaction and immune signaling transduction was revealed in an early time point in Fraoula, whereas, in Victoria, any transcriptional reprogramming was observed after a delay. However, both varieties, to some extent, also showed common expression dynamics for specific DEG families, such as those encoding for laccases and stilbene synthases. Jasmonate (JA) may play a critical modulator role in the defence machinery as various JA-biosynthetic DEGs were upregulated. Along with the broader modulation of the transcriptome that was observed in white grape, expression profiles of specific A. carbonarius genes related to pathogenesis, fungal sporulation, and conidiation highlight the higher susceptibility of Victoria. Furthermore, the A. carbonarius transcriptional patterns directly associated with the regulation of the pathogen OTA-biosynthesis gene cluster were more highly induced in Victoria than in Fraoula. The latter was less contaminated by OTA and showed substantially lower sporulation. These findings contribute to uncovering the interplay beyond this plant-microbe interaction.
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  • 文章类型: Journal Article
    黑腐病(Guignardiabidwellii)和霜霉病(Plasmoparaviticola)是两种主要的葡萄病,在可持续葡萄栽培的背景下,需要开发有效的生物防治解决方案。这项研究旨在评估和比较来自BacillusvelezensisBuz14和B.ginsigihumiS38的细菌培养上清液的功效和作用方式。两种生物控制剂(BCA)先前都被证明对葡萄中的灰葡萄孢具有高度的防效。在半受控条件下,两种上清液均对黑腐病和霜霉病具有显着的保护作用。他们通过显着降低G.bidwellii菌丝生长表现出对病原体的抗菌作用,而且还释放和运动性的假单胞菌游动孢子。它们还显著诱导了葡萄藤防御,作为二苯乙烯生产。LB培养基,用于细菌培养,还显示了对病原体和诱导植物防御的部分作用。在研究BCA上清液的生物活性时,将根据实验对照的选择进行讨论。因此,我们确定了两种细菌培养上清液是新的潜在生物防治产品,对不同的葡萄关键病原体具有多光谱拮抗活性,并具有双重作用模式。
    Black rot (Guignardia bidwellii) and downy mildew (Plasmopara viticola) are two major grapevine diseases against which the development of efficient biocontrol solutions is required in a context of sustainable viticulture. This study aimed at evaluating and comparing the efficacy and modes of action of bacterial culture supernatants from Bacillus velezensis Buz14 and B. ginsengihumi S38. Both biocontrol agents (BCA) were previously demonstrated as highly effective against Botrytis cinerea in grapevines. In semi-controlled conditions, both supernatants provided significant protection against black rot and downy mildew. They exhibited antibiosis against the pathogens by significantly decreasing G. bidwellii mycelial growth, but also the release and motility of P. viticola zoospores. They also significantly induced grapevine defences, as stilbene production. The LB medium, used for the bacterial cultures, also showed partial effects against both pathogens and induced plant defences. This is discussed in terms of choice of experimental controls when studying the biological activity of BCA supernatants. Thus, we identified two bacterial culture supernatants as new potential biocontrol products exhibiting multi-spectrum antagonist activity against different grapevine key pathogens and having a dual mode of action.
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  • 文章类型: Journal Article
    灰霉病会导致灰霉病,降低鲜食葡萄的质量。本研究探讨了浆果对灰芽孢杆菌感染的反应,关注自噬的存在与程序性细胞死亡(PCD)之间的关系。结果表明,灰霉病菌感染降低了细胞活力,触发细胞死亡,可能导致PCD的发生。通过增加的末端脱氧核苷酸转移酶dUTP缺口末端标记(TUNEL)阳性细胞核进一步证实,提高半胱天冬酶3样和半胱天冬酶9样蛋白酶活性,和β-aspase基因的表达升高。此外,自噬由增加的VvATG表达和自噬体形成指示。值得注意的是,自噬激活剂雷帕霉素减少TUNEL阳性细胞核,而自噬抑制剂3-甲基腺嘌呤增加了caspase9样蛋白酶的活性。PCD激活剂C2-神经酰胺抑制自噬,而PCD抑制剂乙酰-Asp-Glu-Val-Asp-醛(Ac-DEVD-CHO)增强自噬基因表达。浆果细胞中的自噬和灰霉病菌诱导的PCD相互负调控;雷帕霉素和Ac-DEVD-CHO可能潜在地维持鲜食葡萄的食用品质。
    Botrytis cinerea causes gray mold, decreasing the quality of table grapes. The berry response to B. cinerea infection was explored in present study, focusing on the relationship between presence of autophagy and programmed cell death (PCD). Results demonstrated B. cinerea infection decreased cell viability, triggering cell death, possibly resulting in PCD occurrence. It was further verified by increased terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL)-positive nuclei, heightened caspase 3-like and caspase 9-like protease activity, and elevated expression of metacaspase genes. Additionally, autophagy was indicated by the increased VvATG expression and autophagosome formation. Notably, the autophagy activator rapamycin reduced TUNEL-positive nuclei, whereas the autophagy inhibitor 3-methyladenine increased caspase 9-like protease activity. The PCD activator C2-ceramide inhibited autophagy, whereas the PCD inhibitor Acetyl-Asp-Glu-Val-Asp-aldehyde (Ac-DEVD-CHO) enhanced autophagy gene expression. Autophagy and B. cinerea-induced PCD in berry cells are reciprocally negatively regulated; and the rapamycin and Ac-DEVD-CHO could potentially maintain table grape edible quality.
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  • 文章类型: Journal Article
    酸腐(SR)是影响葡萄树浆果的主要疾病之一,导致严重的产量损失和葡萄酒质量恶化。SR是由微生物的病因学复合体引起的,包括酵母,细菌,和丝状真菌。这篇系统的综述侧重于病因,流行病学,和SR的控制。这篇综述共评估了1986年至2023年之间发表的74篇论文。论文中对疾病症状的描述相当一致,包括葡萄皮的氧化,内部组织的分解,腐烂的浆果从花梗上脱落。受影响的束的特征是乙酸和乙酸乙酯的气味吸引果蝇(果蝇属。).然而,在SR病因方面发现了一些知识空白和/或不一致之处,流行病学,和控制。总的来说,从受影响的浆果中分离出146种微生物(44.5%的酵母,34.3%细菌,和21.2%的丝状真菌);然而,选定的论文无法明确阐明主要涉及该疾病病因的物种。在用于评估葡萄园中SR的发生率和严重程度的方法中也观察到一般的不一致。使研究间比较极具挑战性。在人工接种研究中用于致病性评估的方法中也发现了不一致。此外,在SR流行病学方面发现了差距,重点关注影响疾病发展的环境条件。SR管理选项有限,和疗效试验往往导致差,变量,和不一致的控制水平,这可能归因于缺乏疾病流行病学知识。在这篇综述中分析了这些知识差距和不一致之处,以告知未来的研究活动。
    Sour rot (SR) is one of the major diseases affecting grapevine berries, causing severe yield losses and deterioration of wine quality. SR is caused by an etiologic complex of microorganisms, including yeasts, bacteria, and filamentous fungi. This systematic review focuses on the etiology, epidemiology, and control of SR. A total of 74 papers published between 1986 and 2023 were assessed in this review. Description of disease symptoms was quite consistent across the papers, including oxidation of the grape skin, disaggregation of the internal tissues, and detachment of the rotten berries from the pedicel. The affected bunches are characterized by the smell of acetic acid and ethyl acetate that attracts fruit flies (Drosophila spp.). However, several knowledge gaps and/or inconsistencies were identified with respect to SR etiology, epidemiology, and control. Overall, 146 microorganisms were isolated from the affected berries (44.5% yeasts, 34.3% bacteria, and 21.2% filamentous fungi); however, the selected papers could not definitively clarify which species are primarily involved in the etiology of the disease. A general inconsistency was also observed in the methods used to assess the incidence and severity of SR in vineyards, making inter-study comparisons extremely challenging. Inconsistencies were also found in the methods used for pathogenicity assessment in artificial inoculation studies. Furthermore, gaps were detected in terms of SR epidemiology, with a focus on environmental conditions affecting the disease development. The SR management options are limited, and efficacy trials often result in poor, variable, and inconsistent levels of control, which might be attributed to the lack of knowledge on disease epidemiology. These knowledge gaps and inconsistencies were analyzed in this review to inform future research activities.
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  • 文章类型: Journal Article
    背景:基于葡萄提取物的静脉活性药物(VAD)在韩国被广泛使用。然而,关于VAD的临床效果以及与其他组的正面比较的研究有限.该试验旨在评估葡萄种子提取物在缓解慢性静脉疾病(CVD)患者的静脉症状和改善生活质量方面是否不劣于微粉化纯化的类黄酮成分(MPFF)。
    方法:在这项双盲前瞻性随机试验中,13家医院的病人,通过双工超声诊断为静脉功能不全,并在临床中将其分类为临床1、2或3级,病因学,解剖学,并纳入病理生理学分类。主要结果是慢性静脉疾病生活质量问卷(CIVIQ-20)评分在8周时从基线的变化。次要结局包括阿伯丁静脉曲张问卷(AVVQ)的变化,视觉模拟量表(VAS),和静脉临床严重程度评分(VCSS)在4周和8周从基线。此外,在第8周时测量了腿围的变化,并与基线进行了比较.
    结果:总计,纳入303名患者,并随机分配接受葡萄种子提取物(n=154)或MPFF(n=149)。与基线相比,两组在8周时的CIVIQ-20评分均显着降低。从基线开始8周时,CIVIQ-20的变化在组间没有显着差异(-8.31±14.63vs.-10.35±14.38,P=0.29,95%置信区间[CI]-1.65至5.72)。95%CI的下限在6.9的预定义非劣效性范围内。此外,AVVQ,VAS,与基线相比,两组在随机分组后4周和8周VCSS评分均显著下降。组间各评分的降低没有观察到显著差异。与接受葡萄种子提取物的患者的基线相比,在8周时测量的小腿周长显着降低。
    结论:葡萄籽提取物在缓解静脉症状和改善CVD患者生活质量方面不劣于MPFF。
    BACKGROUND: Venoactive drugs (VADs) based on Vitis vinifera extract are widely used in Korea. However, studies on the clinical effects and head-to-head comparisons with other groups of VADs are limited. This trial aimed to evaluate whether Vitis vinifera seed extract was noninferior to the micronized purified flavonoid fraction (MPFF) in relieving venous symptoms and improving quality of life in patients with chronic venous disease.
    METHODS: In this double-blind prospective randomized trial, patients from 13 hospitals, who were diagnosed with venous incompetence by duplex ultrasound and classified as clinical class 1, 2, or 3 in the Clinical, Etiological, Anatomical, and Pathophysiological classifications were enrolled. The primary outcome was the change in the Chronic Venous Disease Quality of Life Questionnaire (CIVIQ-20) score at 8 weeks from baseline. Secondary outcomes included changes in the Aberdeen Varicose Vein Questionnaire, visual analog scale, and Venous Clinical Severity Score at 4 and 8 weeks from baseline. Moreover, the change in leg circumferences was measured at 8 weeks and compared to baseline.
    RESULTS: In total, 303 patients were enrolled and randomly assigned to receive either Vitis vinifera seed extract (n = 154) or MPFF (n = 149). The CIVIQ-20 scores at 8 weeks were significantly reduced compared to those at baseline in both groups. No significant intergroup difference in the change of CIVIQ-20 at 8 weeks from baseline was observed (-8.31 ± 14.63 vs. -10.35 ± 14.38, P = 0.29, 95% confidence interval -1.65 to 5.72). The lower limit of the 95% confidence interval was within the predefined noninferiority margin of 6.9. Furthermore, the Aberdeen Varicose Vein Questionnaire, visual analog scale, and Venous Clinical Severity Score scores significantly decreased at 4 and 8 weeks after randomization compared with baseline in both groups. No significant differences were observed in the reduction of each score between groups. The calf circumference measured at 8 weeks was significantly reduced compared to that at baseline in patients receiving Vitis vinifera seed extract.
    CONCLUSIONS: Vitis vinifera seed extract was noninferior to MPFF in relieving venous symptoms and improving the quality of life in patients with chronic venous disease.
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