Arf

Arf
  • 文章类型: Journal Article
    在急性肾衰竭(ARF)中,肾小球滤过率降低,含氮废物持续积累,可以持续几个小时到几天。有希望逆转由这种情况引起的肾功能的快速丧失。这项研究,以庆大霉素诱导的急性ARF为前瞻性背景,着手研究初榨椰子油(VCO)和GSH的肾脏保护益处。此外,该研究评估了药物纳米颗粒组合物对几种肾功能标志物的影响。通过腹膜内注射庆大霉素实现ARF的诱导。为了评估肾功能,老鼠在死前经历了24小时的脱水和饥饿。这项研究检查了各个方面,包括肾功能测试,氧化应激的标志物,肾组织的组织学,炎性细胞因子,核因子-κB(NF-κB)的免疫组化表达,和肾组织损伤的特定生物标志物,如肾损伤分子-1(KIM-1)和中性粒细胞明胶酶相关脂质运载蛋白(NGAL)。我们的研究结果表明,VCO和GSH的组合,使用常规和纳米颗粒配方,与单独使用这两种药物相比,对肾脏有更好的保护作用。肾组织和血清标志物的恢复,这是器官损伤的症状,表明改进。TNF-α的肾小管表达减少也证明了这一点。IL-1β,KIM-1和NGAL.免疫组织化学研究表明,联合治疗,尤其是纳米形式,大大改善了肾脏受损的细胞变化,如较高水平的NF-κB所示。研究表明,VCO和GSH,当单独或联合给药时,在庆大霉素诱导的大鼠模型中显著改善ARF,强调潜在的治疗意义。值得注意的是,组合的纳米颗粒制剂表现出实质性的有效性。
    In acute renal failure (ARF), the glomerular filtration rate is reduced, and nitrogenous waste products accumulate persistently, which can last anywhere from a few hours to several days. There is hope for a reversal of the rapid loss of renal function caused by this condition. This study, with gentamicin-induced acute ARF as a prospective setting, sets out to examine the reno-protective benefits of virgin coconut oil (VCO) and GSH. Furthermore, the study evaluated the effect of medication nanoparticle compositions on several kidney function markers. The induction of ARF is achieved with the intraperitoneal injection of gentamicin. To assess renal function, rats underwent 24 h of dehydration and hunger before their deaths. The study examined various aspects, including kidney function tests, markers of oxidative stress, histology of kidney tissue, inflammatory cytokines, immunohistochemistry expression of nuclear factor-kappa B (NF-κB), and specific biomarkers for kidney tissue damage, such as kidney injury molecule-1 (KIM-1) and neutrophil gelatinase-associated lipocalin (NGAL). The results of our study indicated that the combination of VCO and GSH, using both regular and nanoparticle formulations, had a better protective impact on the kidneys compared to using either drug alone. The recovery of renal tissue and serum markers, which are symptomatic of organ damage, indicates improvement. This was also demonstrated by the reduction in tubular expression of TNF-α, IL-1β, KIM-1, and NGAL. The immunohistochemical studies showed that the combination therapy, especially with the nanoforms, greatly improved the damaged cellular changes in the kidneys, as shown by higher levels of NF-κB. The study shows that VCO and GSH, when administered individually or combined, significantly improve ARF in a gentamicin-induced rat model, highlighting potential therapeutic implications. Notably, the combined nanoparticulate formulations exhibit substantial effectiveness.
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    非生物和生物胁迫在全球范围内限制了植物的生长并阻碍了作物生产力的优化。植物激素生长素几乎涉及植物发育的各个方面。生长素作为一种化学信使,通过短核途径影响基因表达,由称为生长素反应因子(ARF)的特异性DNA结合转录因子家族介导。因此,ARF充当生长素应答的效应子,并将化学信号翻译成生长素应答基因的调节。自从在拟南芥中首次发现第一个ARF以来,遗传学的进步,生物化学,基因组学,和结构生物学促进了阐明ARF作用及其对产生特定生长素反应的贡献的模型的开发。然而,尽管进行了这些努力,但我们对ARF转录因子的理解仍存在显著差距.解开ARF在调节应激反应中的功能作用,除了阐明它们的遗传和分子机制,仍处于起步阶段。这里,我们回顾了最近关于ARF的研究结果,详细说明他们参与调节树叶,花,和根器官的发生和发育,以及应激反应及其相应的调控机制:包括基因表达模式,功能表征,转录,跨不同胁迫条件的转录后和翻译后调控。此外,我们描述了ARF研究中未解决的问题和即将面临的挑战。
    Abiotic and biotic stresses globally constrain plant growth and impede the optimization of crop productivity. The phytohormone auxin is involved in nearly every aspect of plant development. Auxin acts as a chemical messenger that influences gene expression through a short nuclear pathway, mediated by a family of specific DNA-binding transcription factors known as Auxin Response Factors (ARFs). ARFs thus act as effectors of auxin response and translate chemical signals into the regulation of auxin responsive genes. Since the initial discovery of the first ARF in Arabidopsis, advancements in genetics, biochemistry, genomics, and structural biology have facilitated the development of models elucidating ARF action and their contributions to generating specific auxin responses. Yet, significant gaps persist in our understanding of ARF transcription factors despite these endeavors. Unraveling the functional roles of ARFs in regulating stress response, alongside elucidating their genetic and molecular mechanisms, is still in its nascent phase. Here, we review recent research outcomes on ARFs, detailing their involvement in regulating leaf, flower, and root organogenesis and development, as well as stress responses and their corresponding regulatory mechanisms: including gene expression patterns, functional characterization, transcriptional, post-transcriptional and post- translational regulation across diverse stress conditions. Furthermore, we delineate unresolved questions and forthcoming challenges in ARF research.
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  • 文章类型: Journal Article
    在髓鞘形成期间,大量的蛋白质被合成并从内质网(ER)-反式高尔基网络(TGN)转运到胞内区域和/或质膜内的适当位置。广泛认为少突胶质细胞从神经元摄取神经元信号以调节主要髓磷脂蛋白如髓磷脂相关糖蛋白(MAG)和蛋白脂质蛋白1(PLP1)的胞吞作用和胞吐作用介导的细胞内运输。二磷酸腺苷(ADP)核糖基化因子(Arf)家族的小GTP酶构成了一大组信号转导分子,充当细胞内信号传导的调节剂,囊泡分选,或者细胞中的膜运输。对缺乏雪旺氏细胞特异性Arfs相关基因的小鼠的研究表明,周围神经中的髓鞘形成异常,表明Arfs介导的信号转导是施万细胞髓鞘形成所必需的。然而,这些事件中的复杂角色仍然知之甚少。这篇综述旨在提供有关信号转导的最新信息,重点研究了少突胶质细胞和雪旺细胞中的Arf及其激活剂ArfGEF(Arf的鸟嘌呤核苷酸交换因子)。预计未来的研究将提供有关少突胶质细胞和雪旺氏细胞髓鞘形成的细胞和生理过程以及它们在调节神经活动中的功能的重要信息。
    During myelination, large quantities of proteins are synthesized and transported from the endoplasmic reticulum (ER)-trans-Golgi network (TGN) to their appropriate locations within the intracellular region and/or plasma membrane. It is widely believed that oligodendrocytes uptake neuronal signals from neurons to regulate the endocytosis- and exocytosis-mediated intracellular trafficking of major myelin proteins such as myelin-associated glycoprotein (MAG) and proteolipid protein 1 (PLP1). The small GTPases of the adenosine diphosphate (ADP) ribosylation factor (Arf) family constitute a large group of signal transduction molecules that act as regulators for intracellular signaling, vesicle sorting, or membrane trafficking in cells. Studies on mice deficient in Schwann cell-specific Arfs-related genes have revealed abnormal myelination formation in peripheral nerves, indicating that Arfs-mediated signaling transduction is required for myelination in Schwann cells. However, the complex roles in these events remain poorly understood. This review aims to provide an update on signal transduction, focusing on Arf and its activator ArfGEF (guanine nucleotide exchange factor for Arf) in oligodendrocytes and Schwann cells. Future studies are expected to provide important information regarding the cellular and physiological processes underlying the myelination of oligodendrocytes and Schwann cells and their function in modulating neural activity.
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  • 文章类型: Journal Article
    Sirtuin7(SIRT7)是哺乳动物烟酰胺腺嘌呤二核苷酸(NAD)依赖性组蛋白/蛋白质脱乙酰酶家族的成员,被称为sirtuins。它在许多恶性肿瘤中充当有效的癌基因,但SIRT7用于维持肺癌进展的分子机制在很大程度上仍未表征.我们证明SIRT7通过使肿瘤抑制因子替代阅读框(ARF)不稳定而在肺癌细胞中发挥致癌功能。SIRT7直接与ARF相互作用,阻止ARF与核蛋白结合,从而促进ARF的蛋白酶体依赖性降解。我们表明SIRT7介导的ARF降解增加了原瘤基因的表达,并在小鼠异种移植模型中刺激了非小细胞肺癌(NSCLC)细胞的体外和体内增殖。人类肺腺癌转录组数据的生物信息学分析显示,SIRT7表达与通常被ARF抑制的基因活性增加之间存在相关性。我们认为SIRT7-ARF信号的破坏可以稳定ARF,从而减弱癌细胞的增殖。提供缓解NSCLC进展的策略。
    Sirtuin 7 (SIRT7) is a member of the mammalian family of nicotinamide adenine dinucleotide (NAD+)-dependent histone/protein deacetylases, known as sirtuins. It acts as a potent oncogene in numerous malignancies, but the molecular mechanisms employed by SIRT7 to sustain lung cancer progression remain largely uncharacterized. We demonstrate that SIRT7 exerts oncogenic functions in lung cancer cells by destabilizing the tumor suppressor alternative reading frame (ARF). SIRT7 directly interacts with ARF and prevents binding of ARF to nucleophosmin, thereby promoting proteasomal-dependent degradation of ARF. We show that SIRT7-mediated degradation of ARF increases expression of protumorigenic genes and stimulates proliferation of non-small-cell lung cancer (NSCLC) cells both in vitro and in vivo in a mouse xenograft model. Bioinformatics analysis of transcriptome data from human lung adenocarcinomas revealed a correlation between SIRT7 expression and increased activity of genes normally repressed by ARF. We propose that disruption of SIRT7-ARF signaling stabilizes ARF and thus attenuates cancer cell proliferation, offering a strategy to mitigate NSCLC progression.
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  • 文章类型: Journal Article
    正常受体酪氨酸激酶(RTK)需要到达质膜(PM)以进行配体诱导的激活,而其致癌突变体可以在到达细胞器的PM之前被激活,例如高尔基/跨高尔基网络(TGN)。来自内质网(ER)的蛋白质输出抑制剂,如brefeldinA(BFA)和2-甲基亲原酰胺(M-COPA),可以抑制癌细胞中突变RTK的激活,表明RTK突变体不能在ER中启动信号传导。BFA和M-COPA阻断在ER-高尔基体蛋白运输中起关键作用的ADP-核糖基化因子(ARFs)的功能。然而,在ARF家族蛋白中,BFA或M-COPA抑制的特定ARF,也就是说,从ER传输RTK所涉及的ARF,仍然不清楚。在这项研究中,我们表明,M-COPA不仅阻断了试剂盒的输出,而且还阻断了PDGFRA/EGFR/METRTK从ER的输出。ER保留的RTK不能完全转导抗凋亡信号,从而导致癌细胞凋亡。此外,ARF1、ARF3、ARF4、ARF5或ARF6的单次击倒不能阻止RTK的ER输出,表明BFA/M-COPA治疗不能通过仅一个ARF成员的击倒来模仿。有趣的是,同时转染ARF1、ARF4和ARF5siRNA反映了BFA/M-COPA处理的效果。与这些结果一致,体外下拉实验显示BFA/M-COPA阻断ARF1、ARF4和ARF5的功能。一起来看,这些结果表明,BFA/M-COPA至少靶向ARF1,ARF4和ARF5;换句话说,RTK需要同时激活ARF1、ARF4和ARF5来导出它们的ER。
    Normal receptor tyrosine kinases (RTKs) need to reach the plasma membrane (PM) for ligand-induced activation, whereas its cancer-causing mutants can be activated before reaching the PM in organelles, such as the Golgi/trans-Golgi network (TGN). Inhibitors of protein export from the endoplasmic reticulum (ER), such as brefeldin A (BFA) and 2-methylcoprophilinamide (M-COPA), can suppress the activation of mutant RTKs in cancer cells, suggesting that RTK mutants cannot initiate signaling in the ER. BFA and M-COPA block the function of ADP-ribosylation factors (ARFs) that play a crucial role in ER-Golgi protein trafficking. However, among ARF family proteins, the specific ARFs inhibited by BFA or M-COPA, that is, the ARFs involved in RTKs transport from the ER, remain unclear. In this study, we showed that M-COPA blocked the export of not only KIT but also PDGFRA/EGFR/MET RTKs from the ER. ER-retained RTKs could not fully transduce anti-apoptotic signals, thereby leading to cancer cell apoptosis. Moreover, a single knockdown of ARF1, ARF3, ARF4, ARF5, or ARF6 could not block ER export of RTKs, indicating that BFA/M-COPA treatment cannot be mimicked by the knockdown of only one ARF member. Interestingly, simultaneous transfection of ARF1, ARF4, and ARF5 siRNAs mirrored the effect of BFA/M-COPA treatment. Consistent with these results, in vitro pulldown assays showed that BFA/M-COPA blocked the function of ARF1, ARF4, and ARF5. Taken together, these results suggest that BFA/M-COPA targets at least ARF1, ARF4, and ARF5; in other words, RTKs require the simultaneous activation of ARF1, ARF4, and ARF5 for their ER export.
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  • 文章类型: Journal Article
    梨果实中的石细胞会引起粗糙的果肉和低汁,严重影响口味。木质素已被证明是石细胞的主要成分。生长素,最重要的植物激素之一,调节植物中的大多数生理过程,包括木质化。然而,生长素的浓度和调节剂对梨果核细胞形成的影响尚不清楚。这里,通过免疫荧光定位分析发现内源性吲哚-3-乙酸(IAA)和石细胞共定位在木质化细胞中。不同浓度的IAA的外源处理表明,200µMIAA的应用显着降低了石细胞含量,而大于500µM的浓度显着增加石细胞含量。此外,在梨基因组中鉴定出31个生长素响应因子(ARFs)。通过系统发育关系和表达分析,推定的ARFs被预测为参与梨肉细胞木质化的关键调节因子。此外,梨果实和拟南芥中的过表达证明了PbARF19对梨果实石细胞形成的负调控作用。这些结果表明,PbARF19介导的生长素信号通过调节木质素生物合成基因在梨石细胞的木质化中起关键作用。本研究为梨生产中提高果实品质提供了理论和实践指导。
    The stone cells in pear fruits cause rough flesh and low juice, seriously affecting the taste. Lignin has been demonstrated as the main component of stone cells. Auxin, one of the most important plant hormone, regulates most physiological processes in plants including lignification. However, the concentration effect and regulators of auxin on pear fruits stone cell formation remains unclear. Here, endogenous indole-3-acetic acid (IAA) and stone cells were found to be co-localized in lignified cells by immunofluorescence localization analysis. The exogenous treatment of different concentrations of IAA demonstrated that the application of 200 µM IAA significantly reduced stone cell content, while concentrations greater than 500 µM significantly increased stone cell content. Besides, 31 auxin response factors (ARFs) were identified in pear genome. Putative ARFs were predicted as critical regulators involved in the lignification of pear flesh cells by phylogenetic relationship and expression analysis. Furthermore, the negative regulation of PbARF19 on stone cell formation in pear fruit was demonstrated by overexpression in pear fruitlets and Arabidopsis. These results illustrated that the PbARF19-mediated auxin signal plays a critical role in the lignification of pear stone cell by regulating lignin biosynthetic genes. This study provides theoretical and practical guidance for improving fruit quality in pear production.
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  • 文章类型: Journal Article
    背景:生长素反应因子(ARF),一种控制对生长素有反应的基因表达的转录因子,在植物生长发育的调控中起着关键作用。缺乏旨在鉴定ARF家族基因并表征其在JuglanssigilataDode中的功能的分析。
    结果:我们使用生物信息学方法来鉴定J.sigillataARF基因家族的成员,并分析它们的进化关系,共线性,顺式作用元素,和组织特异性表达模式。同时分析了ARF基因家族成员在自然干旱条件下的表达模式。J.sigillataARF基因家族包含31个成员,在16条染色体上分布不均.我们构建了JsARF基因和其他植物ARF基因的系统发育树。预测了JsARF启动子中的顺式作用元件。JsARF28在根和叶中均显示出较高的表达。干旱胁迫下聚类分析的转录组数据的热图表明JsARF3/9/11/17/20/26对干旱有响应。11种ARF基因的表达在PEG处理下变化,JsARF18和JsARF20显著上调。
    结论:非生物胁迫与植物激素之间的相互作用得到了我们的累积数据的支持,这也为理解吉吉拉塔的ARF机制和抗旱提供了理论基础。
    BACKGROUND: Auxin response factor (ARF), a transcription factors that controls the expression of genes responsive to auxin, plays a key role in the regulation of plant growth and development. Analyses aimed at identifying ARF family genes and characterizing their functions in Juglans sigillata Dode are lacking.
    RESULTS: We used bioinformatic approaches to identify members of the J. sigillata ARF gene family and analyze their evolutionary relationships, collinearity, cis-acting elements, and tissue-specific expression patterns. The expression patterns of ARF gene family members under natural drought conditions were also analyzed. The J. sigillata ARF gene family contained 31 members, which were unevenly distributed across 16 chromosomes. We constructed a phylogenetic tree of JsARF genes and other plant ARF genes. Cis-acting elements in the promoters of JsARF were predicted. JsARF28 showed higher expressions in both the roots and leaves. A heat map of the transcriptome data of the cluster analysis under drought stress indicated that JsARF3/9/11/17/20/26 are responsive to drought. The expression of the 11 ARF genes varied under PEG treatment and JsARF18 and JsARF20 were significantly up-regulated.
    CONCLUSIONS: The interactions between abiotic stresses and plant hormones are supported by our cumulative data, which also offers a theoretical groundwork for comprehending the ARF mechanism and drought resistance in J. sigillata.
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  • 文章类型: Journal Article
    生长素响应因子(ARF)和生长素/吲哚-3-乙酸(Aux/IAA)基因家族是生长素信号通路的核心组成部分,在植物的生长发育中起着至关重要的作用。他们的大规模分析和起源的进化轨迹目前尚不清楚。这里,我们鉴定了相应的ARF和Aux/IAA家族成员,并通过扫描406个植物基因组进行了大规模分析.结果表明,ARF和Aux/IAA基因家族起源于木薯。ARF家族序列比Aux/IAA家族序列更保守。分散的重复是苔藓植物中ARF和Aux/IAA家族的常见扩展模式,蕨类植物,和裸子植物;然而,全基因组复制是基底被子植物ARF和Aux/IAA家族的常见扩增模式,木兰,单子叶植物,还有双子叶.表达和调控网络分析显示拟南芥ARF和Aux/IAA家族对多种激素有反应,生物,和非生物胁迫。APETALA2和血清反应因子-转录因子基因家族通常富集在ARF和Aux/IAA基因家族的上游和下游基因中。我们的研究提供了进化轨迹的全面概述,结构功能,扩展机制,表达模式,以及这两个基因家族的调控网络。
    The auxin response factor (ARF) and auxin/indole-3-acetic acid (Aux/IAA) family of genes are central components of the auxin signaling pathway and play essential roles in plant growth and development. Their large-scale analysis and evolutionary trajectory of origin are currently not known. Here, we identified the corresponding ARF and Aux/IAA family members and performed a large-scale analysis by scanning 406 plant genomes. The results showed that the ARF and Aux/IAA gene families originated from charophytes. The ARF family sequences were more conserved than the Aux/IAA family sequences. Dispersed duplications were the common expansion mode of ARF and Aux/IAA families in bryophytes, ferns, and gymnosperms; however, whole-genome duplication was the common expansion mode of the ARF and Aux/IAA families in basal angiosperms, magnoliids, monocots, and dicots. Expression and regulatory network analyses revealed that the Arabidopsis thaliana ARF and Aux/IAA families responded to multiple hormone, biotic, and abiotic stresses. The APETALA2 and serum response factor-transcription factor gene families were commonly enriched in the upstream and downstream genes of the ARF and Aux/IAA gene families. Our study provides a comprehensive overview of the evolutionary trajectories, structural functions, expansion mechanisms, expression patterns, and regulatory networks of these two gene families.
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  • 文章类型: Journal Article
    乳腺癌(BC)是女性最常见的癌症类型,并且仍然是全世界妇女死亡的主要原因之一。现在已经确定,膜运输的改变与BC的进展有关。的确,膜运输途径调节BC细胞增殖,迁移,入侵,和转移。ADP-核糖基化因子(ARF)的22个成员和大鼠肉瘤(RAS)相关的脑小GTP结合蛋白(GTPases)家族的>60个成员,属于RAS超家族,是膜贩运途径的主要调控者。类ARF(ARL)亚家族成员参与各种过程,包括囊泡出芽和货物选择。此外,ARFs调节细胞骨架组织和信号转导。RAB是膜贩运所有步骤的关键监管机构。有趣的是,发现这些蛋白质中的一些的活性和/或表达在BC中失调。这里,我们回顾了ARF和RAB监管的过程在公元前是如何被颠覆的,包括分泌/胞吐,内吞作用/再循环,自噬/溶酶体贩运,细胞骨架动力学,整合素介导的信号,在其他人中。因此,我们全面概述了ARF和RAB家庭成员所扮演的角色,以及他们在BC进展中的监管机构,旨在为该领域未来的研究奠定基础。这项研究应该集中在进一步剖析在BC中被颠覆的ARFs和RABs调节的分子机制。并探索它们作为治疗靶标或预后标志物的用途。
    Breast cancer (BC) is the most common type of cancer in women, and remains one of the major causes of death in women worldwide. It is now well established that alterations in membrane trafficking are implicated in BC progression. Indeed, membrane trafficking pathways regulate BC cell proliferation, migration, invasion, and metastasis. The 22 members of the ADP-ribosylation factor (ARF) and the >60 members of the rat sarcoma (RAS)-related in brain (RAB) families of small GTP-binding proteins (GTPases), which belong to the RAS superfamily, are master regulators of membrane trafficking pathways. ARF-like (ARL) subfamily members are involved in various processes, including vesicle budding and cargo selection. Moreover, ARFs regulate cytoskeleton organization and signal transduction. RABs are key regulators of all steps of membrane trafficking. Interestingly, the activity and/or expression of some of these proteins is found dysregulated in BC. Here, we review how the processes regulated by ARFs and RABs are subverted in BC, including secretion/exocytosis, endocytosis/recycling, autophagy/lysosome trafficking, cytoskeleton dynamics, integrin-mediated signaling, among others. Thus, we provide a comprehensive overview of the roles played by ARF and RAB family members, as well as their regulators in BC progression, aiming to lay the foundation for future research in this field. This research should focus on further dissecting the molecular mechanisms regulated by ARFs and RABs that are subverted in BC, and exploring their use as therapeutic targets or prognostic markers.
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  • 文章类型: Journal Article
    背景:无医院天数(HFDs),衡量在医院外存活的天数,越来越多地用作急性呼吸衰竭(ARF)或其他危重和严重疾病患者研究的终点。目前测量HFDs的方法没有考虑ARF幸存者和家庭成员所重视的功能状态或生活质量的下降。
    目的:开发一种可接受的方法,使用患者报告的结果来测量质量加权HFDs。
    方法:我们在ARF专家中进行了4轮修改的Delphi,这些专家具有生活或专业经验。专家对生存领域进行了评级,仪器和数据收集特性,以及将响应转化为质量加权HFDs的方法。共识阈值是,>70%的受访者将项目评为“完全可接受”或“可接受”,而<15%的受访者将项目评为“完全不可接受”,\"不可接受\",或\"有点不可接受。\"
    结果:57名专家参加了第一轮。随后几轮的反应率为82-93%。优先生存领域是身体功能和健康相关的生活质量。与会者达成共识,即ARF恢复期间的数据收集每次评估应少于15分钟,当患者无法完成时,允许代孕完成,并持续至少24个月的随访。使用EuroQol-5尺寸(EQ-5D)对HFDs进行质量称重符合可接受性的共识标准。大多数小组成员更喜欢质量加权的HFDs而不是未加权的HFDs或生存率,以便在未来的ARF研究中使用。
    结论:使用患者和/或对EQ-5D的替代反应的质量加权HFDs捕获了利益相关者的优先级,并且在本Delphi小组中可以接受。
    Rationale: Hospital-free days (HFDs), a measure of the number of days alive spent outside the hospital, is increasingly used as an endpoint in studies of patients with acute respiratory failure (ARF) or other critical and serious illnesses. Current approaches to measuring HFDs do not account for decrements in functional status or quality of life that ARF survivors and family members value. Objectives: To develop an acceptable approach to measure quality-weighted HFDs using patient-reported outcomes. Methods: We conducted a four-round modified Delphi process among ARF experts: those with lived or professional experience. Experts rated survivorship domains, instrument and data collection characteristics, and methods to translate responses into quality-weighted HFDs. The consensus threshold was that ⩾70% of respondents rated an item \"totally acceptable\" or \"acceptable\" and ⩽15% of respondents rated the item \"totally unacceptable,\" \"unacceptable,\" or \"slightly unacceptable.\" Results: Fifty-seven experts participated in round 1. Response rates were 82-93% for subsequent rounds. Priority survivorship domains were physical function and health-related quality of life. Participants reached a consensus that data collection during ARF recovery should take less than 15 minutes per assessment, allow surrogate completion when patients are unable, and continue for at least 24 months of follow-up. Using the EuroQol-5 Dimensions (EQ-5D) questionnaire to quality weight HFDs met consensus criteria for acceptability. A majority of panelists preferred quality-weighted HFDs to unweighted HFDs or survival for use in future ARF studies. Conclusions: Quality-weighting HFDs using patient and/or surrogate responses to the EQ-5D captured stakeholder priorities and was acceptable to this Delphi panel.
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