metabolic disease

代谢性疾病
  • 文章类型: Journal Article
    目的:代谢疾病是一种多方面的疾病,其特征是宿主体内许多代谢参数的破坏。近年来,其患病率大幅上升,已成为世界范围内一种突出的非传染性疾病。肠道菌群对各种米色脂肪诱导的影响已得到充分研究,而这种联系背后的机制仍不清楚。鉴于肠道中分泌的肠道微生物群衍生的代谢物(代谢产物)是通过直接循环或间接宿主生理学修饰与宿主交流的关键模式,了解代谢产物对脂肪组织的影响至关重要.
    方法:在我们之前的体内研究中,我们观察到肠道菌群与米色脂肪形成之间的相关性。在这项研究中,我们进一步旨在通过用从表现为米色脂肪组织形成的小鼠盲肠中收集的代谢产物处理脂肪细胞系(3T3-L1)来验证这种相关性.此外,我们用已知的米色脂肪诱导物(L-鼠李糖和人参皂苷)处理脂肪细胞系,以评估代谢产物对米色脂肪形成的功效。
    结果:用抗生素治疗小鼠的代谢产物治疗后,我们观察到脂质代谢和米色特异性基因表达显着增加。分析这些细胞中的代谢物发现,一组代谢物潜在地控制脂肪细胞,有助于代谢活跃状态。这些效果与用L-鼠李糖或人参皂甙处理的细胞的效果相当或甚至更好。
    结论:这项研究揭示了微生物代谢产物与脂肪组织之间复杂的相互作用,提供有价值的线索,为理解和潜在的操纵这些过程的治疗目的。
    OBJECTIVE: Metabolic disease is a multifaceted condition characterized by the disruption of numerous metabolic parameters within the host. Its prevalence has surged significantly in recent years and it has become a prominent non-communicable disease worldwide. The effect of gut microbiota on various beige fat induction is well studied, while the mechanisms behind the link remain unclear. Given that gut microbiota-derived metabolites (meta-metabolites) secreted in the gut serve as a key mode of communication with their host through direct circulation or indirect host physiology modification, understanding the effect of meta-metabolites on adipose tissue is essential.
    METHODS: In our previous in-vivo studies, we observed a correlation between gut microbiota and the formation of beige fat. In this study, we further aimed to validate this correlation by treating the adipocyte cell line (3T3-L1) with meta-metabolites collected from the cecum of mice exhibiting beige adipose tissue formation. Additionally, we treated the adipocyte cell line with known beige fat inducers (L-Rhamnose and Ginsenoside) to assess meta-metabolites\' efficacy on beige fat formation.
    RESULTS: Upon treatment with the meta-metabolites from the antibiotic-treated mice, we observed a significant increase in lipid metabolism and beige-specific gene expression. Analyzing the metabolites in these cells revealed that a set of metabolites potentially govern adipocytes, contributing to a metabolically active state. These effects were at par or even better than those of cells treated with L-Rhamnose or Ginsenoside.
    CONCLUSIONS: This research sheds light on the intricate interplay between microbial metabolites and adipose tissue, offering valuable clues for understanding and potentially manipulating these processes for therapeutic purposes.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    据报道,睡眠投诉与中风有关,然而,中国人健康睡眠模式与卒中风险相关的证据有限.
    这项研究的目的是调查健康睡眠模式与中国人中风之间的关系,以及代谢性疾病对关联的影响。
    共有11,851名来自中国开luan研究的基线无卒中参与者被纳入。我们根据四个睡眠因素计算出健康睡眠评分,并将低风险人群定义为:没有失眠,没有过度的白天嗜睡,没有经常打鼾,和睡眠7-8h/d。每个低危睡眠因子的评分为1分。Cox比例风险模型用于评估健康睡眠评分与卒中之间的关联。中介分析用于估计代谢性疾病(肥胖,糖尿病,和高血压)在健康睡眠评分-中风关联中。
    在平均7.7年的随访期内,确定了504例中风。较高的健康睡眠评分以剂量反应方式与较低的中风风险相关(P趋势=0.03)。健康睡眠评分为4与≤2的参与者的校正风险比(HR)为0.75(95%置信区间[CI]:0.56,0.96)。此外,肥胖,糖尿病,和高血压共同解释了21.9%(95%CI:17.2,26.5)的健康睡眠评分与卒中之间的关联.
    坚持健康的睡眠模式与较低的中风风险相关,有利的关联部分由代谢性疾病介导。
    UNASSIGNED: Sleep complaints were reported to be associated with stroke, however, the evidence on the association between healthy sleep pattern and stroke risk in Chinese is limited.
    UNASSIGNED: The aim of this study was to investigate the association between healthy sleep pattern and stroke in Chinese, and the influence of metabolic diseases on the association.
    UNASSIGNED: A total of 11,851 participants from the Kailuan study in China without stroke at baseline were included. We calculated a healthy sleep score according to four sleep factors, and defined the low-risk groups as follows: no insomnia, no excessive daytime sleepiness, no frequent snoring, and sleep 7-8h/d. Each low-risk sleep factor was assigned a score of 1. Cox proportional hazard models were used to assess the association between healthy sleep score and stroke. Mediation analysis was used to estimate the role of metabolic diseases (obesity, diabetes, and hypertension) in the healthy sleep score-stroke association.
    UNASSIGNED: During a mean follow-up period of 7.7 years, 504 cases of stroke were identified. A higher healthy sleep score was associated with a lower risk of stroke in a dose-response manner (P-trend=0.03). The adjusted hazard ratio (HR) for participants with a healthy sleep score of 4 versus ≤2 was 0.75 (95% confidence interval [CI]: 0.56, 0.96). In addition, obesity, diabetes, and hypertension collectively explained 21.9% (95% CI: 17.2, 26.5) of the association between healthy sleep score and stroke.
    UNASSIGNED: Adherence to healthy sleep pattern was associated with a lower risk of stroke, and the favorable association was partially mediated by metabolic diseases.
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  • 文章类型: Journal Article
    肠-肝轴在维持身体稳态中起着关键作用。肠-肝轴的破坏与多种疾病有关,包括代谢功能障碍相关的脂肪变性肝病(MASLD)。来自乳杆菌科的益生菌菌株通常用于减轻实验性MASLD。多年来,许多研究已经证明了这些益生菌的功效,经常关注肝病的结果。这篇综述旨在进一步了解MASLD作为一种全身代谢功能障碍,并强调益生菌对多器官轴的影响,包括胃肠道等器官,胰腺,肌肉,脂肪组织,和免疫系统。我们专门讨论了补充乳杆菌科菌株如何通过不仅恢复肝脏健康,而且通过调节其他器官系统的生理学来减轻MASLD的证据。
    The gut-liver axis plays a pivotal role in maintaining body homeostasis. Disruption of the gut-liver axis is linked to a multitude of diseases, including metabolic dysfunction-associated steatotic liver disease (MASLD). Probiotic strains from the Lactobacillaceae family are commonly used to mitigate experimental MASLD. Over the years, numerous studies have demonstrated the efficacy of these probiotics, often focusing on the outcome of liver disease. This review aims to further understand MASLD as a systemic metabolic dysfunction and to highlight the effects of probiotics on multi-organ axis, including organs such as the gastrointestinal tract, pancreas, muscle, adipose tissue, and the immune system. We specifically discuss evidence on how supplementation with Lactobacillaceae strains may alleviate MASLD by not only restoring liver health but also by modulating the physiology of other organ systems.
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  • 文章类型: Journal Article
    每个人都知道感染会让你感到恶心。尽管我们认为感染引起的代谢变化是一种病理,它们是精心调节过程的一部分,该过程取决于免疫系统和参与调节全身稳态的器官之间的组织特异性相互作用。免疫介导的稳态参数的变化导致循环中营养素的产生和摄取的改变,改变关键器官的代谢率。这就是我们生病的经历。疾病代谢的目的是产生一种代谢环境,在这种环境中,身体能够最佳地抵抗感染,同时否认病原体复制的重要营养素。疾病代谢依赖于组织特异性免疫细胞,调解针对威胁的性质和规模做出的反应。随着感染严重程度的增加,涉及的免疫细胞的数量和类型以及器官受到影响的水平也是如此,这决定了我们感到不舒服的程度。有趣的是,许多与代谢性疾病相关的改变似乎与感染后观察到的免疫介导的改变重叠.因此,涉及激活的免疫细胞和代谢器官之间的组织特异性相互作用的靶向过程在治疗严重感染患者和代谢疾病患者方面具有巨大潜力。在这次审查中,我们将讨论免疫系统如何与参与体内稳态调节的器官进行原位通信,以及这种通信如何受到感染的影响。
    Everyone knows that an infection can make you feel sick. Although we perceive infection-induced changes in metabolism as a pathology, they are a part of a carefully regulated process that depends on tissue-specific interactions between the immune system and organs involved in the regulation of systemic homeostasis. Immune-mediated changes in homeostatic parameters lead to altered production and uptake of nutrients in circulation, which modifies the metabolic rate of key organs. This is what we experience as being sick. The purpose of sickness metabolism is to generate a metabolic environment in which the body is optimally able to fight infection while denying vital nutrients for the replication of pathogens. Sickness metabolism depends on tissue-specific immune cells, which mediate responses tailored to the nature and magnitude of the threat. As an infection increases in severity, so do the number and type of immune cells involved and the level to which organs are affected, which dictates the degree to which we feel sick. Interestingly, many alterations associated with metabolic disease appear to overlap with immune-mediated changes observed following infection. Targeting processes involving tissue-specific interactions between activated immune cells and metabolic organs therefore holds great potential for treating both people with severe infection and those with metabolic disease. In this review, we will discuss how the immune system communicates in situ with organs involved in the regulation of homeostasis and how this communication is impacted by infection.
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  • 文章类型: Journal Article
    夜晚的光线会扰乱昼夜节律,昼夜节律紊乱是2型糖尿病的危险因素。个人光照是否预测糖尿病风险尚未在大型前瞻性队列中得到证实。因此,我们评估了个人光暴露模式是否可以预测英国生物银行参与者发生2型糖尿病的风险。使用1300万小时的光传感器数据。
    参与者(N=84,790,年龄(M±SD)=62.3±7.9岁,58%的女性)佩戴光传感器一周,记录白天和黑夜的光线暴露。根据每周的光数据对昼夜节律振幅和相位进行建模。记录了2型糖尿病的发生率(1997例;7.9±1.2年的随访;在光跟踪之前排除糖尿病病例)。2型糖尿病的风险被评估为白天和黑夜的功能,昼夜节律阶段,和昼夜节律幅度,调整年龄,性别,种族,社会经济和生活方式因素,和多基因风险。
    与黑夜(0-50百分位数)的人相比,在更亮的夜间光线暴露百分位数中,糖尿病风险逐渐升高(50-70:多变量校正HR=1.29[1.14-1.46];70-90:1.39[1.24-1.57];90-100:1.53[1.32-1.77]).在模拟昼夜节律振幅较低的人群中,糖尿病风险较高(aHR=1.07[1.03-1.10]/SD),并具有早或晚昼夜节律阶段(aHR范围:1.06-1.26)。夜光和多基因风险独立预测更高的糖尿病风险。夜晚明亮和黑暗的人之间的糖尿病风险差异与遗传风险低和中等的人之间的差异相似。
    暴露于更亮的夜光下的人患2型糖尿病的风险更高,以及暴露于可能破坏昼夜节律的光线模式的人。晚上避光可能是一个简单且具有成本效益的建议,可以降低患糖尿病的风险。即使是那些遗传风险很高的人。
    澳大利亚政府研究培训计划。
    UNASSIGNED: Light at night disrupts circadian rhythms, and circadian disruption is a risk factor for type 2 diabetes. Whether personal light exposure predicts diabetes risk has not been demonstrated in a large prospective cohort. We therefore assessed whether personal light exposure patterns predicted risk of incident type 2 diabetes in UK Biobank participants, using ∼13 million hours of light sensor data.
    UNASSIGNED: Participants (N = 84,790, age (M ± SD) = 62.3 ± 7.9 years, 58% female) wore light sensors for one week, recording day and night light exposure. Circadian amplitude and phase were modeled from weekly light data. Incident type 2 diabetes was recorded (1997 cases; 7.9 ± 1.2 years follow-up; excluding diabetes cases prior to light-tracking). Risk of incident type 2 diabetes was assessed as a function of day and night light, circadian phase, and circadian amplitude, adjusting for age, sex, ethnicity, socioeconomic and lifestyle factors, and polygenic risk.
    UNASSIGNED: Compared to people with dark nights (0-50th percentiles), diabetes risk was incrementally higher across brighter night light exposure percentiles (50-70th: multivariable-adjusted HR = 1.29 [1.14-1.46]; 70-90th: 1.39 [1.24-1.57]; and 90-100th: 1.53 [1.32-1.77]). Diabetes risk was higher in people with lower modeled circadian amplitude (aHR = 1.07 [1.03-1.10] per SD), and with early or late circadian phase (aHR range: 1.06-1.26). Night light and polygenic risk independently predicted higher diabetes risk. The difference in diabetes risk between people with bright and dark nights was similar to the difference between people with low and moderate genetic risk.
    UNASSIGNED: Type 2 diabetes risk was higher in people exposed to brighter night light, and in people exposed to light patterns that may disrupt circadian rhythms. Avoidance of light at night could be a simple and cost-effective recommendation that mitigates risk of diabetes, even in those with high genetic risk.
    UNASSIGNED: Australian Government Research Training Program.
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  • 文章类型: Journal Article
    NLRP3在自身炎性疾病的发展中起作用。NLRP3,ASC,和胱天蛋白酶1或8组成NLRP3炎性体,是先天免疫系统的重要组成部分。NLRP3炎性小体介导的炎性细胞因子也可能参与代谢紊乱,比如糖尿病,高脂血症,动脉粥样硬化,非酒精性脂肪性肝病,还有痛风.因此,概述NLRP3在这些代谢性疾病中的调控作用以及靶向NLRP3的潜在药物是本综述的重点.
    NLRP3 plays a role in the development of autoinflammatory diseases. NLRP3, ASC, and Caspases 1 or 8 make up the NLRP3 inflammasome, which is an important part of innate immune system. The NLRP3 inflammasome-mediated inflammatory cytokines may also participate in metabolic disorders, such as diabetes, hyperlipidemia, atherosclerosis, non-alcoholic fatty liver disease, and gout. Hence, an overview of the NLRP3 regulation in these metabolic diseases and the potential drugs targeting NLRP3 is the focus of this review.
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  • 文章类型: Journal Article
    人类微生物组在与宿主的共生关系中作为单独的器官发挥作用。这种宿主-微生物共生的破坏会导致严重的健康问题。微生物组的组成和功能的改变与宿主代谢结果的变化有关。高消费加工食品的工业生活方式,酒精饮料和抗生素的使用以不利的方式显著改变了肠道微生物组。因此,了解人类微生物组和宿主代谢之间的因果关系将为我们如何更好地干预代谢健康提供重要的见解。在这次审查中,我将讨论人类微生物组作为改善宿主代谢的治疗靶标的潜在用途。
    The human microbiome functions as a separate organ in a symbiotic relationship with the host. Disruption of this host-microbe symbiosis can lead to serious health problems. Modifications to the composition and function of the microbiome have been linked to changes in host metabolic outcomes. Industrial lifestyles with high consumption of processed foods, alcoholic beverages and antibiotic use have significantly altered the gut microbiome in unfavorable ways. Therefore, understanding the causal relationship between the human microbiome and host metabolism will provide important insights into how we can better intervene in metabolic health. In this review, I will discuss the potential use of the human microbiome as a therapeutic target to improve host metabolism.
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  • 文章类型: Journal Article
    背景与目的:苯丙酮尿症(PKU)是一种罕见的遗传性疾病,其特征是无法将必需氨基酸苯丙氨酸转化为酪氨酸。早期饮食治疗可以成功预防并发症,但在这些患者的正常生长方面仍然存在争议。材料和方法:将来自两个罗马尼亚参考中心的18例PKU患者与18例非PKU对照进行比较,年龄和性别相匹配。比较使用身高比体重,体重的年龄,身高/年龄长度,以及从出生到三岁的年龄体重指数z评分。结果:PKU研究组由9名男孩和9名女孩组成,中位随访期为36个月(四分位距=9.75)。虽然在整个研究期间,所有四个生长指标的中值都保持在正常范围内,在大部分研究中,PKU患者的年龄体重z评分均显著较低(p<0.001).结论:与对照组相比,PKU患者的年龄体重z评分持续较低,这表明持续监测和饮食治疗的潜在调整可能是进一步优化生长结果的必要。
    Background and Objectives: Phenylketonuria (PKU) is a rare genetic disorder characterized by the inability to convert the essential amino acid phenylalanine into tyrosine. Early dietary treatment can successfully prevent complications, but controversies still exist regarding the attainment of normal growth in these patients. Materials and Methods: Eighteen patients with PKU from two Romanian reference centers were compared to eighteen non-PKU controls, matched for age and gender. The comparisons used weight-for-height, weight-for-age, height/length-for-age, and body mass index-for-age z-scores from birth to three years of age. Results: The PKU study group consisted of nine boys and nine girls, with a median follow-up period of thirty-six months (interquartile range = 9.75). While median values of all four growth metrics remained within the normal range across the entire study period, weight-for-age z-scores were significantly lower in PKU patients throughout most of the study (p < 0.001). Conclusions: The persistent lower weight-for-age z-scores of the PKU patients compared to controls indicate that ongoing monitoring and potential adjustments in dietary therapy may be necessary to further optimize growth outcomes.
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  • 文章类型: Journal Article
    据报道,在工业国家中,果糖消耗的增加显着导致肥胖和代谢疾病的发病率增加。机械上,高果糖的摄入会导致葡萄糖的失调,甘油三酯,肝脏中的胆固醇代谢,并导致炎症升高并推动非酒精性脂肪性肝病(NAFLD)的进展。高果糖消耗被认为对身体有毒,并且有正在进行的措施来开发针对果糖代谢的药物疗法。虽然大量的工作总结了肠道内果糖暴露的影响,肝脏,和肾脏,关于果糖如何间接和直接影响免疫细胞募集,我们的知识仍然存在差距,激活,以及在代谢组织中的功能,对组织和全身炎症至关重要。最近的文献表明,直接接触果糖调节巨噬细胞的氧化代谢,导致炎症。本综述强调(1)果糖代谢影响组织间串扰的机制,非实质细胞,微生物,(2)果糖对免疫细胞代谢和功能的直接影响;(3)果糖代谢治疗NAFLD的治疗靶点。此外,该综述强调了果糖如何破坏肝脏组织稳态,并确定了治疗NAFLD和肥胖症的新治疗靶点.
    Elevations in fructose consumption have been reported to contribute significantly to an increased incidence of obesity and metabolic diseases in industrial countries. Mechanistically, a high fructose intake leads to the dysregulation of glucose, triglyceride, and cholesterol metabolism in the liver, and causes elevations in inflammation and drives the progression of nonalcoholic fatty liver disease (NAFLD). A high fructose consumption is considered to be toxic to the body, and there are ongoing measures to develop pharmaceutical therapies targeting fructose metabolism. Although a large amount of work has summarized the effects fructose exposure within the intestine, liver, and kidney, there remains a gap in our knowledge regarding how fructose both indirectly and directly influences immune cell recruitment, activation, and function in metabolic tissues, which are essential to tissue and systemic inflammation. The most recent literature demonstrates that direct fructose exposure regulates oxidative metabolism in macrophages, leading to inflammation. The present review highlights (1) the mechanisms by which fructose metabolism impacts crosstalk between tissues, nonparenchymal cells, microbes, and immune cells; (2) the direct impact of fructose on immune cell metabolism and function; and (3) therapeutic targets of fructose metabolism to treat NAFLD. In addition, the review highlights how fructose disrupts liver tissue homeostasis and identifies new therapeutic targets for treating NAFLD and obesity.
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