Acute inflammation

急性炎症
  • 文章类型: Journal Article
    子宫收缩乏力是产后出血的主要原因。我们先前提出了产后急性肌层炎(PAM)的新组织学概念,以阐明子宫收缩乏力的病理生理学。这个概念涉及巨噬细胞和中性粒细胞的浸润,以及子宫肌层中的肥大细胞和补体激活。然而,PAM背景下子宫收缩乏力的病理机制尚不清楚.在这里,我们关注子宫收缩相关蛋白(CAPs),包括连接蛋白43(Cx43),催产素受体(OXR),前列腺素受体EP1,EP3,FP,和蛋白酶激活受体(PAR)-1。这项后续研究旨在比较PAM和对照组之间的CAP表达。我们从2011年至2018年羊水栓塞登记的病例中选择了38名PAM受试者。在剖宫产期间收集10例产妇的对照组织。我们用以下CAP标记对子宫肌层组织进行染色,炎症细胞标志物,和其他标记:Cx43,OXR,EP1,EP3,FP,PAR-1,C5a受体,胰蛋白酶,中性粒细胞弹性蛋白酶,CD68,β-肌动蛋白,和Na+/K+-ATP酶。Cx43,OXR的免疫染色阳性区域,PAM组织中β-肌动蛋白标准化的EP1、EP3和FP明显小于对照组,而PAM组中PAR-1和Na/K-ATPase的含量显着增加。Cx43和OXR阳性区域与CD68和类胰蛋白酶的免疫染色阳性细胞数呈负相关,分别。PAM可能损害个体和同步的心肌细胞收缩,导致子宫收缩难以治疗的子宫收缩。需要进一步的基于细胞的研究来阐明炎症细胞抑制CAP表达的分子机制。
    Uterine atony is a major contributor to postpartum hemorrhage. We previously proposed the novel histological concept of postpartum acute myometritis (PAM) to elucidate the pathophysiology of uterine atony. This concept involves the infiltration of macrophages and neutrophils, as well as mast cell and complement activation in the myometrium. However, the pathological mechanism underlying uterine atony in the context of PAM remains unclear. Herein, we focused on uterine contraction-associated proteins (CAPs) including connexin 43 (Cx43), oxytocin receptors (OXR), prostaglandin receptors EP1, EP3, FP, and protease-activated receptor (PAR)-1. This follow-up study aimed to compare CAP expression between PAM and control groups. We selected 38 PAM subjects from the cases enrolled in our amniotic fluid embolism registry between 2011 and 2018. Control tissues from 10 parturients were collected during cesarean section. We stained the myometrial tissues with the following CAP markers, inflammatory cell markers, and other markers: Cx43, OXR, EP1, EP3, FP, PAR-1, C5a receptor, tryptase, neutrophil elastase, CD68, β-actin, and Na+/K+-ATPase. The immunostaining-positive areas of Cx43, OXR, EP1, EP3, and FP standardized by β-actin in the PAM tissue were significantly smaller than in the control group, whereas those of PAR-1 and Na+/K+-ATPase increased significantly in the PAM group. The Cx43- and OXR-positive areas correlated negatively with the immunostaining-positive cell numbers of CD68 and tryptase with halo, respectively. PAM may impair individual and synchronized myocyte contraction, leading to uterine atony refractory to uterotonics. Further cell-based studies are needed to elucidate the molecular mechanism by which inflammatory cells suppress CAP expression.
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  • 文章类型: Journal Article
    背景:生物入侵可能会促进符合连续性肾脏替代治疗(CRRT)条件的患者全身炎症反应综合征的发作,导致预后不良。因此,我们旨在使用维生素E涂层聚砜中空纤维膜(ViLIFE)检查循环中的炎症反应。
    方法:猪静脉注射脂多糖(2μg/kg/30min),建立急性炎症模型。使用充有聚砜中空纤维膜或ViLIFE的用于CRRT的血液过滤器,以连续静脉静脉血液透析滤过模式进行体外循环6小时。并评估炎症反应的差异。
    结果:ViLIFE组的血小板和细胞因子水平较低(p<0.05vs.假CRRT组)。此外,ViLIFE组的乳酸水平和高迁移率组1水平低于其他组.
    结论:ViLIFE代表了一种有前途的CRRT模式,可以抑制循环中的炎症反应并抑制进一步的生物入侵。
    BACKGROUND: Biological invasions may promote the onset of systemic inflammatory response syndrome in patients eligible for continuous renal replacement therapy (CRRT), leading to poor prognosis. Hence, we aimed to examine the inflammatory reactions in circulation using vitamin E-coated polysulfone hollow fiber membrane (ViLIFE).
    METHODS: Lipopolysaccharides were intravenously administered to pigs (2 μg/kg/30 min) to establish an acute inflammation model. Extracorporeal circulation was performed for 6 h in continuous venovenous hemodiafiltration mode using a hemofilter for CRRT filled with a polysulfone hollow fiber membrane or ViLIFE, and the differences in inflammatory reactions were evaluated.
    RESULTS: The ViLIFE group exhibited low platelet and cytokine levels (p < 0.05 vs. sham-CRRT group). Additionally, the ViLIFE group had lower lactate and high mobility group box 1 levels than the other groups.
    CONCLUSIONS: ViLIFE represents a promising CRRT modality that can inhibit the inflammatory response in circulation and inhibit further biological invasions.
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  • 文章类型: Journal Article
    背景:TchinusterterbinthifoliaRaddi(Anacardiaceae),被称为巴西胡椒树,作为一种广泛用于传统医学的药用植物。叶子通常用作抗炎剂和缓解炎症,如支气管炎,溃疡,和伤口,例如。
    目的:本研究评估了急性毒性,遗传毒性,和小鼠(Musmusculus)中的S.terbinthifolia叶凝集素(SteLL)的抗炎活性。
    方法:在急性毒性试验中,用100mg/kg的单剂量对动物进行腹膜内(i.p.)或口服(每os)处理。通过彗星和微核试验评估遗传毒性。角叉菜胶诱导的腹膜炎和爪水肿模型用于评估SteLL(1、5和10mg/kg,i.p.)。
    结果:在急性毒性试验中没有动物死亡,也没有观察到中毒或组织病理学损伤的迹象。未检测到遗传毒性作用。在腹膜炎检测中,SteLL减少56-69%的白细胞迁移到腹膜腔;中性粒细胞计数减少25-32%,而单核细胞计数增加了67-74%。SteLL促进4h后爪水肿的显着减少(61.1-63.4%)。形态分析表明,SteLL还降低了表皮水肿的厚度(30.2-40.7%)。此外,SteLL降低了MPO活性,等离子体泄漏,没有释放,并调节腹膜液和爪匀浆中的细胞因子。
    结论:SteLL在小鼠中没有诱导急性毒性或遗传毒性,并且在具有抗炎作用的新型植物药物的开发中脱颖而出。
    BACKGROUND: Schinus terebinthifolia Raddi (Anacardiaceae), known as Brazilian pepper tree, stands out as a medicinal plant widely used in traditional medicine. The leaves are popularly used as anti-inflammatory agent and to relieve inflammatory conditions such as bronchitis, ulcers, and wounds, for example.
    OBJECTIVE: The present study evaluated the acute toxicity, genotoxicity, and anti-inflammatory activity of S. terebinthifolia leaf lectin (SteLL) in mice (Mus musculus).
    METHODS: In the acute toxicity assay, the animals were treated intraperitoneally (i.p.) or orally (per os) with a single dose of 100 mg/kg. Genotoxicity was assessed by the comet and micronucleus assays. Carrageenan-induced peritonitis and paw edema models were used to evaluate the anti-inflammatory effects of SteLL (1, 5 and 10 mg/kg, i.p.).
    RESULTS: No animal died and no signs of intoxication or histopathological damage were observed in the acute toxicity assay. Genotoxic effect was not detected. In peritonitis assay, SteLL reduced in 56-69% leukocyte migration to the peritoneal cavity; neutrophil count decreased by 25-32%, while mononuclear cell count increased by 67-74%. SteLL promoted a notable reduction of paw edema after 4 h (61.1-63.4%). Morphometric analysis showed that SteLL also decreased the thickness of epidermal edema (30.2-40.7%). Furthermore, SteLL decreased MPO activity, plasma leakage, NO release, and modulated cytokines in both peritoneal fluid and paw homogenate.
    CONCLUSIONS: SteLL did not induce acute toxicity or genotoxicity in mice and stands out as a promising candidate in the development of new phytopharmaceuticals with anti-inflammatory action.
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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
    破译急性炎症的复杂和冗余过程仍然具有挑战性。许多评估具有有希望的临床前效果的抗炎剂的临床试验的失败不可避免地质疑了当前炎症动物模型的有效性。本研究旨在更好地了解免疫炎症反应的过程,并选择更合适的模型来评估潜在的抗炎药物的效果。酵母聚糖和λ-角叉菜胶是在气囊炎症模型中引发急性炎症的颗粒和可溶性刺激物的最常用代表。当使用酵母聚糖时,渗出物细胞数量在4h-8h首次增加,随后在12h-24h下降。同时,外周血白细胞数量和骨髓中中性粒细胞比例的变化趋势相反。同时,中性粒细胞释放中性粒细胞胞外陷阱(NETs)以清洁酵母聚糖颗粒。相比之下,细胞对角叉菜胶的迁移反应在4小时至24小时内增加,没有观察到明显的NET,外周血白细胞数量增加,骨髓中中性粒细胞比例略有下降。这项研究表明,虽然酵母聚糖和角叉菜胶都是无菌刺激物,彼此诱导的炎症反应特点不同。在炎症的急性期,酵母聚糖刺激的中性粒细胞被动员起来,招募,被吞没了,然后死于NET。角叉菜胶刺激中性粒细胞或巨噬细胞产生细胞因子/趋化因子,但并没有因为释放网络而导致明显的死亡。
    Deciphering the complex and redundant process of acute inflammation remains challenging. The failure of numerous clinical trials assessing anti-inflammation agents which had promising preclinical effects inevitably questions the validity of current animal models of inflammation. This study aimed to better understand the process of immune inflammatory response and to select more suitable models to evaluate the effect of potential anti-inflammatory drugs. Zymosan and λ-carrageenan are the most used representatives of particulate and soluble irritants that trigger acute inflammation in the air pouch inflammation model. When zymosan was used, the number of exudate cells first increased at 4 h-8 h, followed by a drop at 12 h-24 h. While, the changes in number of leukocytes in peripheral blood and proportion of neutrophils in bone marrow have the opposite trend. Meanwhile, neutrophils released neutrophil extracellular traps (NETs) to clean zymosan particles. In contrast, the cell migration response to carrageenan increased during 4 h to 24 h, no obvious NETs were observed, and the number of leukocytes in peripheral blood increased and the proportion of neutrophils in bone marrow decreased slightly. This study indicated that although both zymosan and carrageenan are sterile irritants, the characteristics of the inflammatory response induced by each other were different. In the acute phase of inflammation, zymosan-stimulated neutrophils were mobilized, recruited, and engulfed, and then died by NETs. Carrageenan stimulated the production of cytokines/chemokines by neutrophils or macrophages, but did not lead to an obvious death by releasing NETs.
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  • 文章类型: Journal Article
    活性氧是急性炎症反应的重要效应因子和调节剂,招募包括中性粒细胞在内的吞噬细胞到组织损伤部位。反过来,吞噬细胞如嗜中性粒细胞是活性氧的消耗者和产生者。包括嗜中性粒细胞的吞噬细胞通过多聚体吞噬烟酰胺腺嘌呤二核苷酸磷酸氧化酶复合物的活性在氧化爆发中产生活性氧。NOX2/CYBB(以前为gp91phox)烟酰胺腺嘌呤二核苷酸磷酸氧化酶亚基的突变是慢性肉芽肿疾病的最常见原因,一种以感染易感性和炎症表型为特征的疾病。建立慢性肉芽肿病模型,我们制作了nox2/cybb斑马鱼(Daniorerio)突变体,并证明它严重损害了骨髓细胞活性氧的产生。nox2突变胚胎的早期存活率降低表明在早期发育过程中对nox2的基本需求。在nox2/cybb斑马鱼突变体中,初始中性粒细胞募集到轻度和重度外科尾鳍伤口的动力学是正常的,提示炎症开始时中性粒细胞过度募集不是慢性肉芽肿病患者“无菌”炎症表型的主要原因。这种nox2斑马鱼突变体增加了现有的体内模型,用于研究骨髓细胞(包括中性粒细胞)在发育和疾病中的活性氧功能。
    Reactive oxygen species are important effectors and modifiers of the acute inflammatory response, recruiting phagocytes including neutrophils to sites of tissue injury. In turn, phagocytes such as neutrophils are both consumers and producers of reactive oxygen species. Phagocytes including neutrophils generate reactive oxygen species in an oxidative burst through the activity of a multimeric phagocytic nicotinamide adenine dinucleotide phosphate oxidase complex. Mutations in the NOX2/CYBB (previously gp91phox) nicotinamide adenine dinucleotide phosphate oxidase subunit are the commonest cause of chronic granulomatous disease, a disease characterized by infection susceptibility and an inflammatory phenotype. To model chronic granulomatous disease, we made a nox2/cybb zebrafish (Danio rerio) mutant and demonstrated it to have severely impaired myeloid cell reactive oxygen species production. Reduced early survival of nox2 mutant embryos indicated an essential requirement for nox2 during early development. In nox2/cybb zebrafish mutants, the dynamics of initial neutrophil recruitment to both mild and severe surgical tailfin wounds was normal, suggesting that excessive neutrophil recruitment at the initiation of inflammation is not the primary cause of the \"sterile\" inflammatory phenotype of chronic granulomatous disease patients. This nox2 zebrafish mutant adds to existing in vivo models for studying reactive oxygen species function in myeloid cells including neutrophils in development and disease.
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  • 文章类型: Journal Article
    我们通过物理包封法成功制备了硫化汞纳米粒子水凝胶。成功制备的硫化汞纳米水凝胶是叶酸锌水凝胶,显示出明显的多孔结构,具有互连且均匀分布的孔,孔径范围约为20μm。水凝胶的最大载药量为3%,体外累积释放度符合一级动力学方程Mt=149.529(1-e-0.026t)。硫化汞纳米颗粒水凝胶中的颗粒显著下调细胞表面共刺激分子CD86的表达(p<0.0001)。同时,LPS诱导的炎症细胞通过NF-κB通路调节炎症反应。稍后,据观察,硫化汞纳米粒子水凝胶可以通过小鼠耳肿胀模型显著抵消炎症和免疫模型,大鼠足-足底肿胀模型和类风湿性关节炎模型。本设计以免疫调节为目标,和抗炎作用通过纳米复合水凝胶技术。它减少了低汞利用率和毒性累积敏感性的缺点。旨在为硫化汞的开发以及炎症和免疫相关疾病的治疗提供实验依据。Highlights硫化汞纳米粒子水凝胶的最佳硫化汞纳米粒子含量为2%,结构均匀稳定,并且不表现出明显的肝或肾毒性。硫化汞纳米颗粒水凝胶在细胞和大鼠中发挥抗炎作用,调控巨噬细胞表面分子及NF-κB通路相关因子的表达。硫化汞纳米颗粒水凝胶改善类风湿性关节炎大鼠模型中踝关节滑膜的状况。
    We successfully prepared mercury sulphide nanoparticle hydrogels by physical encapsulation method. The successfully prepared mercuric sulphide nanoparticle hydrogel was a zinc folate hydrogel, which showed an obvious porous structure with interconnected and uniformly distributed pores and a pore size range of about 20 μm. The maximum drug loading of the hydrogels was 3%, and the in vitro cumulative release degree was in accordance with the first-order kinetic equation Mt = 149.529 (1 - e-0.026t). The particles in mercuric sulphide nanoparticle hydrogels significantly down-regulated the expression of the cell surface co-stimulatory molecule CD86 (p < .0001). Meanwhile, the inflammatory response was regulated through the NF-κB pathway in LPS-induced inflammatory cells. Later, it was observed that mercuric sulphide nanoparticle hydrogels could significantly counteract the inflammatory and immune models through a mouse ear swelling model, a rat foot-plantar swelling model and a rheumatoid arthritis model. This design targets the immunomodulatory, and anti-inflammatory effects through nanocomposite hydrogel technology. It reduces the drawbacks of low mercury utilisation and susceptibility to accumulation of toxicity. It aims to provide an experimental basis for the development of mercuric sulphide and the treatment of inflammatory and immune-related diseases.HighlightsMercury sulphide nanoparticle hydrogel has an optimal mercury sulphide nanoparticle content of 2%, is structurally homogeneous and stable, and does not exhibit significant liver or kidney toxicity.Mercuric sulphide nanoparticle hydrogel exerts anti-inflammatory effects in cells and rats, and regulates the expression of macrophage surface molecules and factors related to the NF-κB pathway.Mercuric sulphide nanoparticle hydrogel improves the condition of ankle synovial joints in a rat model of rheumatoid arthritis.
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  • 文章类型: Journal Article
    已知人参果由于其大量的皂苷如人参皂苷而具有多种生物学效应。在本研究中,人参浆果汁被证实对急性炎症有效。人参浆果汁用于活性成分分析,抗氧化功效,和体内炎症。采用高效液相色谱法对人参皂苷进行分析。在HCl/乙醇诱导的急性胃损伤模型中,微观,免疫荧光,和免疫组织化学技术用于胃损伤的抑制分析和机制研究。在HCl/乙醇诱导的小鼠急性胃炎模型中,人参浆果汁(GBJ,250mg/kg)显示出与白菜水提取物(CB,500mg/kg,P.O).GBJ剂量依赖性调节促炎细胞因子,如肿瘤坏死因子-α(TNF-α),白细胞介素-6(IL-6),和白细胞介素-13(IL-13)。GBJ抑制核因子κbB(NF-κB)的活化,抑制环氧化酶-2(COX-2)和前列腺素2(PGE2)的表达。GBJ的抗炎作用归因于具有抗炎作用的人参皂苷。对作为急性胃炎有效食物来源的生产力进行了分析,结果表明GBJ优于CB。此外,作为抑制急性溃疡性症状的功能性食物,据认为,如果以果汁形式而不是通过各种提取方法生产GBJ,则胃保护产品的功效会更高。
    Panax ginseng fruit is known to have various biological effects owing to its large amount of saponins such as ginsenosides. In the present study, ginseng berry juice was confirmed to be effective against acute inflammation. Ginseng berry juice was used for analysis of active constituents, antioxidant efficacy, and in vivo inflammation. A high-performance liquid chromatography method was used for analysis of ginsenosides. In an HCl/ethanol-induced acute gastric injury model, microscopic, immunofluorescent, and immunohistochemical techniques were used for analysis of inhibition of gastric injury and mechanism study. In a mouse model of acute gastritis induced with HCl/ethanol, ginseng berry juice (GBJ, 250 mg/kg) showed similar gastric injury inhibitory effects as cabbage water extract (CB, 500 mg/kg, P.O). GBJ dose-dependently modulated the pro-inflammatory cytokines such as Tumor Necrosis Factor-α (TNF-α), Interleukin-6 (IL-6), and Interleukin-13 (IL-13). GBJ inhibited the activation of Nuclear Factor kappa bB (NF-κB) and suppressed the expressions of cyclooxigenase-2 (COX-2) and prostaglandin 2 (PGE2). The anti-inflammatory effect of GBJ is attributed to ginsenosides which have anti-inflammatory effects. Productivity as an effective food source for acute gastritis was analyzed and showed that GBJ was superior to CB. In addition, as a functional food for suppressing acute ulcerative symptoms, it was thought that the efficacy of gastric protection products would be higher if GBJ were produced in the form of juice rather than through various extraction methods.
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  • 文章类型: Journal Article
    慢性炎性疾病被认为是世界上最重要的死亡原因。由于缺乏对早期疾病进展中涉及的生物学因素的了解,目前对炎性疾病的治疗是有限的。神经生长因子(nervegrowthfactor,NGF)是一种与骨关节炎等炎症和自身免疫性疾病直接相关的神经营养因子。多发性硬化症,和类风湿性关节炎。已经显示,NGF水平在炎症部位显著上调,并且在发展强烈的炎症反应中起关键作用。然而,在炎症的初始进展阶段,对NGF的时间表达谱知之甚少。本研究旨在确定佐剂性关节炎(AIA)期间大鼠皮肤(表皮)中NGF的时间表达模式。将SD大鼠随机分为对照组和完全弗氏佐剂(CFA)治疗组。在不同时间点的单侧AIA后评估NGF水平,发现AIA引起的外周炎症以双相模式显著上调NGFmRNA和蛋白的表达。这些结果表明,在AIA期间,NGF信号传导对于启动和维持大鼠周围神经源性炎症至关重要。
    Chronic inflammatory diseases are considered the most significant cause of death worldwide. Current treatments for inflammatory diseases are limited due to the lack of understanding of the biological factors involved in early-stage disease progression. Nerve growth factor (NGF) is a neurotrophic factor directly associated with inflammatory and autoimmune diseases like osteoarthritis, multiple sclerosis, and rheumatoid arthritis. It has been shown that NGF levels are significantly upregulated at the site of inflammation and play a crucial role in developing a robust inflammatory response. However, little is known about NGF\'s temporal expression profile during the initial progressive phase of inflammation. This study aimed to determine the temporal expression patterns of NGF in rat skin (epidermis) during adjuvant-induced arthritis (AIA). Sprague Dawley rats were randomly divided into control and complete Freund\'s adjuvant (CFA)-treated groups. Levels of NGF were evaluated following unilateral AIA at different time points, and it was found that peripheral inflammation due to AIA significantly upregulated the expression of NGF mRNA and protein in a biphasic pattern. These results suggest that NGF signaling is crucial for initiating and maintaining peripheral neurogenic inflammation in rats during AIA.
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  • 文章类型: Journal Article
    微核糖核酸(miRNA)是主要从脱氧核糖核酸(DNA)的内含子区域转录的遗传物质的小序列。它们在调节信使RNA(mRNA)表达方面至关重要。首先发现miRNA调节转录它们的相同细胞的mRNA。最近的研究揭示了它们穿越细胞的能力,封装在囊泡中或与蛋白质自由结合,影响远处的受体细胞。在临床相关病理中的急性炎症期间已经观察到细胞外miRNA的活性,比如败血症,震惊,创伤,和缺血/再灌注(I/R)损伤。本文综述了miRNAs在急性炎症过程中的活性及其胞外转运和活性的机制。评估细胞外miRNA在急性炎症中作为诊断生物标志物和治疗靶标的潜力代表了这篇综述的一个关键方面。最后,这篇综述总结了在减轻炎症的背景下miRNA活性的新概念,为推进miRNA治疗领域提供潜在的未来方向。
    Micro-ribonucleic acids (miRNAs) are small sequences of genetic materials that are primarily transcribed from the intronic regions of deoxyribonucleic acid (DNAs), and they are pivotal in regulating messenger RNA (mRNA) expression. miRNAs were first discovered to regulate mRNAs of the same cell in which they were transcribed. Recent studies have unveiled their ability to traverse cells, either encapsulated in vesicles or freely bound to proteins, influencing distant recipient cells. Activities of extracellular miRNAs have been observed during acute inflammation in clinically relevant pathologies, such as sepsis, shock, trauma, and ischemia/reperfusion (I/R) injuries. This review comprehensively explores the activity of miRNAs during acute inflammation as well as the mechanisms of their extracellular transport and activity. Evaluating the potential of extracellular miRNAs as diagnostic biomarkers and therapeutic targets in acute inflammation represents a critical aspect of this review. Finally, this review concludes with novel concepts of miRNA activity in the context of alleviating inflammation, delivering potential future directions to advance the field of miRNA therapeutics.
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