Dose-response

剂量反应
  • 文章类型: Journal Article
    许多研究表明,靶向白斑综合症病毒(WSSV)必需基因的长双链RNA(dsRNA)可以在虾中诱导序列特异性抗病毒RNA干扰(RNAi)反应,从而提供对WSSV感染的保护。然而,进一步的实验数据所需剂量的dsRNA和保护的持续时间从单次给药是必要的,以建立RNAi介导的方法作为有效和实用的抗病毒措施。在这项研究中,我们评估了在白腿虾凡纳滨对虾中单次施用不同剂量的靶向WSSV核糖核苷酸还原酶2(rr2)的长dsRNA的保护效力和保护持续时间.长dsRNA靶向WSSVrr2的保护功效不会因剂量减少至100ngg-1体重而减弱,表明相对较低的剂量可以有效地诱导虾的RNAi反应。此外,虾在施用rr2靶向长dsRNA后长达4周,对WSSV挑战有很好的保护,尽管保护作用在给药后6周几乎消失。这些结果表明,长dsRNA可以提供至少1个月的抗WSSV保护,并且每月施用长dsRNA可以作为对虾对抗WSSV的长期保护策略。
    Many studies have demonstrated that long double-stranded RNAs (dsRNAs) targeting essential genes of white spot syndrome virus (WSSV) can induce a sequence-specific antiviral RNA interference (RNAi) response in shrimp, thereby offering protection against WSSV infection. However, further experimental data on the required dose of dsRNAs and the duration of protection from a single administration are necessary to establish RNAi-mediated methods as effective and practical antiviral measures. In this study, we evaluated the protective efficacy and the duration of protection provided by a single administration of various doses of long dsRNA targeting WSSV ribonucleotide reductase 2 (rr2) in white-leg shrimp Litopenaeus vannamei. The protective efficacy of long dsRNA targeting WSSV rr2 was not diminished by the reduction of the dose to 100 ng g-1 of body weight, suggesting that a relatively low dose can effectively induce an RNAi response in shrimp. Furthermore, shrimp were well-protected against WSSV challenges for up to 4 wk post-administration of the rr2-targeting long dsRNA, although the protective effect almost disappeared at 6 wk post-administration. These results suggest that long dsRNAs can provide protection against WSSV for at least 1 mo, and monthly administration of long dsRNAs could serve as a long-term protective strategy for shrimp against WSSV.
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  • 文章类型: Journal Article
    接触和碰撞运动的运动员可以承受频繁的脑震荡下的头部撞击。尽管大多数冲击在10g头部线性加速度左右或以下表现出低运动学,人们越来越关注重复运动头部撞击的累积效应。即使是轻微的撞击也会导致大脑变形,如神经成像和有限元建模所示,因此可能会对大脑产生轻微和短暂的影响,促使进一步研究生物力学剂量-脑反应关系。在这里,我们报告了一项新颖的实验室研究的发现,该研究通过受控的足球头部撞击期间通过脑电图(EEG)连续监测大脑活动。八名健康参与者在2个轻度水平上进行了模拟足球头球(6克,4rad/s和10g,8rad/s)和三个方向(正面,向左倾斜,斜向右)。在整个实验过程中,为参与者配备了惯性测量单元(IMU)咬合杆和EEG电极,以进行同步的头部运动学和大脑活动测量。撞击之后,EEG显示出相对和绝对增量功率的统计学显着升高,在撞击时刻的两秒钟内恢复。与某些地形区域的6g影响相比,10g影响的这些变化在统计学上显着更高。倾斜冲击导致对侧三角洲功率增加。会话后的静息状态测量没有显示任何累积效应。我们的研究结果表明,即使是轻微的足球头部撞击也可能立即导致,短暂的神经生理变化。本研究为进一步的剂量效应研究铺平了道路,以调查轻度运动头部撞击的累积效应,对长期运动员的大脑健康有影响。
    Athletes in contact and collision sports can sustain frequent subconcussive head impacts. Although most impacts exhibit low kinematics around or below 10 g of head linear acceleration, there is growing concern regarding the cumulative effects of repetitive sports head impacts. Even mild impacts can lead to brain deformations as shown through neuroimaging and finite element modeling, and thus may result in mild and transient effects on the brain, prompting further investigations of the biomechanical dose-brain response relationship. Here we report findings from a novel laboratory study with continuous monitoring of brain activity through electroencephalography (EEG) during controlled soccer head impacts. Eight healthy participants performed simulated soccer headers at 2 mild levels (6 g, 4 rad/s and 10 g, 8 rad/s) and three directions (frontal, oblique left, oblique right). Participants were instrumented with an inertial measurement unit (IMU) bite bar and EEG electrodes for synchronized head kinematics and brain activity measurements throughout the experiment. After an impact, EEG exhibited statistically significant elevation of relative and absolute delta power that recovered within two seconds from the impact moment. These changes were statistically significantly higher for 10 g impacts compared with 6 g impacts in some topographical regions, and oblique impacts resulted in contralateral delta power increases. Post-session resting state measurements did not indicate any cumulative effects. Our findings suggest that even mild soccer head impacts could lead to immediate, transient neurophysiological changes. This study paves the way for further dose-response studies to investigate the cumulative effects of mild sports head impacts, with implications for long-term athlete brain health.
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  • 文章类型: Journal Article
    植物必须应对环境中不断变化的温度条件。在许多植物物种中,次优的高温和低温会引起适应性机制,从而实现最佳性能。热形态发生是对高环境温度的适应,而冷适应是指在一段低温之后获得耐寒性。热形态发生和冷适应的分子机制越来越被人们所理解,但信号成分在适应寒冷和温暖方面都没有明显的作用。也不是决定剂量反应性的因素,目前定义良好。这可以部分解释为实际的局限性,因为应用温度梯度需要同时使用多个生长条件,通常在研究实验室中不可用。在这里,我们证明了市售的热梯度表可用于在一个实验中在定义的和可调节的陡峭温度梯度下生长和评估植物。我们描述了技术和热力学方面,并提供了植物生长和处理的注意事项。我们表明植物表现出预期的形态,生理,发育和分子反应通常与高温和冷适应有关。这包括温度对种子萌发的剂量效应,下胚轴伸长,叶片发育,催眠,玫瑰花结生长,温度标记基因表达,气孔导度,叶绿素含量,离子泄漏和过氧化氢水平。总之,热梯度表系统使标准化和可预测的环境能够研究植物对不同温度状态的响应,并且可以在温度信号和响应研究中迅速实施。
    Plants must cope with ever-changing temperature conditions in their environment. In many plant species, suboptimal high and low temperatures can induce adaptive mechanisms that allow optimal performance. Thermomorphogenesis is the acclimation to high ambient temperature, whereas cold acclimation refers to the acquisition of cold tolerance following a period of low temperatures. The molecular mechanisms underlying thermomorphogenesis and cold acclimation are increasingly well understood but neither signalling components that have an apparent role in acclimation to both cold and warmth, nor factors determining dose-responsiveness, are currently well defined. This can be explained in part by practical limitations, as applying temperature gradients requires the use of multiple growth conditions simultaneously, usually unavailable in research laboratories. Here we demonstrate that commercially available thermal gradient tables can be used to grow and assess plants over a defined and adjustable steep temperature gradient within one experiment. We describe technical and thermodynamic aspects and provide considerations for plant growth and treatment. We show that plants display the expected morphological, physiological, developmental and molecular responses that are typically associated with high temperature and cold acclimation. This includes temperature dose-response effects on seed germination, hypocotyl elongation, leaf development, hyponasty, rosette growth, temperature marker gene expression, stomatal conductance, chlorophyll content, ion leakage and hydrogen peroxide levels. In conclusion, thermal gradient table systems enable standardized and predictable environments to study plant responses to varying temperature regimes and can be swiftly implemented in research on temperature signalling and response.
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  • 文章类型: Journal Article
    脆弱是老龄化社会面临的重大公共卫生问题,可以通过体育锻炼(PA)来减少,但PA与虚弱之间的剂量-反应关系尚不清楚。本系统评价和剂量反应荟萃分析旨在通过汇总观察性研究的数据来评估PA对成人虚弱的影响。
    PubMed,Embase,WebofScience,科克伦图书馆,Scopus,SAGE在线参考,SinoMed,CINAHL和CNKI检索了2024年5月之前发表的文章。经过质量评估,提取PA和虚弱风险的数据.Stata/MP17.0用于剂量反应荟萃分析。
    共包括15篇文章,涉及34,754名参与者,包括4250名虚弱或预虚弱的受试者。剂量反应荟萃分析的结果显示,与那些根本不活跃的人相比,累积活动量为11.25METh/周的个体衰弱风险降低22%(95%CI,16%-28%),累积活动量为22.5METh/周的个体衰弱风险降低55%(95%CI,44%-63%);对于较高的活动水平(36.75METh/周),衰弱风险降低了68%(95%CI,58%-76%),并随着PA体积的增加而持续降低.
    PA与虚弱风险之间存在非线性剂量反应关系。即使少量的PA也可以降低虚弱的风险。达到PA建议的最低目标可以降低一些风险,将推荐的PA容量增加一倍可以降低大多数风险,随着PA的体积积累,它继续增加。
    UNASSIGNED: Frailty is a significant public health issue facing aging societies and can be reduced by physical activity (PA), but the dose-response relationship between PA and frailty is not clear. This systematic review and dose-response meta-analysis aimed to assess the effect of PA on frailty in adults by aggregating data from observational studies.
    UNASSIGNED: PubMed, Embase, Web of Science, Cochrane Library, Scopus, SAGE Reference Online, SinoMed, CINAHL and CNKI were retrieved for articles published before May 2024. After quality evaluation, data on PA and the risk of frailty were extracted. Stata/MP 17.0 was used for dose-response meta-analysis.
    UNASSIGNED: A total of 15 articles were included, involving 34,754 participants, including 4250 subjects with frailty or pre-frailty. The consequence of the dose-response meta-analysis revealed that compared with those who were not active at all, a 22 % (95 % CI, 16 %-28 %) reduction in the risk of frailty in individuals with 11.25 MET h/week of cumulative activity and a 55 % (95 % CI, 44 %-63 %) reduction in the risk of frailty in those with 22.5 MET h/week of cumulative activity; for higher activity levels (36.75 MET h/week), the risk of frailty was reduced by 68 % (95 % CI, 58 %-76 %) and continued to be reduced as PA volum increased.
    UNASSIGNED: There is a non-linear dose-response relationship between PA and frailty risk. Even small amounts of PA could reduce the risk of frailty. Meeting the minimum recommended PA target could reduce some risks, and doubling the recommended PA volumes could reduce most risks, which continue to increase as the volum of PA accumulates.
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  • 文章类型: Journal Article
    裂殖酵母裂殖酵母经常被用作可遗传操纵的模型系统,为细胞机制提供有价值的理解。在本研究中,显示了一种全面的逐步方法,用于研究外排泵的作用机理和解毒。该方案涉及在受控条件下在液体培养基中解冻和培养酵母细胞以确保指数生长。之后,通过在液体培养基中培养野生型细胞进行剂量反应评估,其次是接触浓度不断增加的有毒物质。光密度测量在曝光后进行分光光度测量,并且该过程重复至少三次以进行定量分析。随后,选择有缺陷的突变体来探索外排泵的作用或解毒的具体机制,用类似于野生型的培养物制备和处理。在暴露后再次进行光密度测量以进行定量分析。这种方法确保了研究有毒物质对S.pombe的影响的可靠和可重复的结果。-裂殖酵母是评估污染物毒性的适当工具。-在野生型上获得剂量-反应曲线以评估毒性机制。-该方法确保了对S.pombe的研究有毒物质影响的可靠和可重复的结果。
    The fission yeast Schizosaccharomyces pombe is frequently used as a genetically manipulable model system, offering valuable understandings into cellular mechanisms. In the present study, a comprehensive step-by-step methodology for the research of the action mechanisms and detoxification by efflux pumps is showed. The protocol involves the thawing and culture of yeast cells in liquid medium under controlled conditions to ensure exponential growth. After that, a dose-response assessment is carried out by culturing wild-type cells in liquid medium, followed by exposure to increasing concentrations of the toxic substances. Optical density measurements are taken spectrophotometrically after exposure, and the process is repeated at least three times for quantitative analysis. Subsequently, defective mutants are selected to explore specific mechanisms of action or detoxification by efflux pumps, with cultures prepared and treated similarly to the wild type. Optical density measurements are again taken after exposure for quantitative analysis. This methodology ensures robust and reproducible results for the research toxic substances effects on S. pombe.-Schizosaccharomyces pombe is an adequate tool to evaluate contaminants toxicity.-Dose-responses curves are obtained on wild type to evaluate toxicity mechanisms.-This methodology ensures robust and reproducible results for the research toxic substances effects on S. pombe.
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  • 文章类型: Journal Article
    要综合有关总体力活动(TPA)的关联的知识,休闲体育活动(LTPA),职业体力活动(OPA)与肺癌发病风险的关系,探讨LTPA水平与肺癌的剂量-反应关系。
    PubMed和WebofScience在2021年11月17日之前进行了搜索。通过随机效应或固定效应模型计算总相对风险(RR)和95%置信区间(CI)。使用有限的三次样条进行剂量反应分析。
    我们确定了25篇文章(42项队列研究),这些文章评估了体力活动与肺癌的关联,包括9,983,295名研究参与者和85,988例肺癌事件。当比较TPA和LTPA的最高和最低水平时,肺癌风险降低22%(RR,0.78;95%CI:0.70,0.86)和12%(RR,0.88;95%CI:0.83,0.93),分别。我们发现LTPA和肺癌之间存在近似U形的关联(P非线性<0.001),在每周任务小时数(h/wk)的15个代谢当量时,风险最低。与坐着职业的参与者相比,失业者患肺癌的风险显著增加(RR,1.33;95%CI:1.17,1.51)或有常设职业(RR,1.37;95%CI:1.15,1.63),但不是那些光或高OPA。
    我们的荟萃分析支持TPA和LTPA的保护作用,但不是OPA,肺癌风险。LTPA与肺癌风险之间U形关联的新发现值得进一步研究。
    UNASSIGNED: To synthesize the knowledge about the association of total physical activity (TPA), leisure-time physical activity (LTPA), occupational physical activity (OPA) and lung cancer risk and explore the dose-response relationship between LTPA level and lung cancer.
    UNASSIGNED: PubMed and Web of Science were searched up to 17 November 2021. The summary relative risks (RRs) and 95% confidence intervals (CIs) were calculated by random-effects or fixed-effects model. The dose-response analysis was conducted with restricted cubic splines.
    UNASSIGNED: We identified 25 articles (42 cohort studies) that assessed the physical activity-lung cancer association, including 9,983,295 study participants and 85,988 incident cases of lung cancer. When comparing the highest to the lowest level of TPA and LTPA, lung cancer risk reduced 22% (RR, 0.78; 95% CI: 0.70, 0.86) and 12% (RR, 0.88; 95% CI: 0.83, 0.93), respectively. We found an approximately U-shaped association between LTPA and lung cancer (P non-linearity < 0.001), with the lowest risk at 15 metabolic equivalent of task hours per week (h/wk) of LTPA. Compared to participants with sitting occupations, lung cancer risk significantly increased among those being unemployed (RR, 1.33; 95% CI: 1.17, 1.51) or with standing occupations (RR, 1.37; 95% CI: 1.15, 1.63), but not among those with light or high OPA.
    UNASSIGNED: Our meta-analysis supported a protective effect of TPA and LTPA, but not OPA, on lung cancer risk. The novel finding of a U-shaped association between LTPA and lung cancer risk warrants further investigation.
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  • 文章类型: Journal Article
    评估特定非药物治疗(NPT)在改善阿尔茨海默病(AD)患者整体认知功能方面的有效性并进行排名,并检查剂量-反应关系。
    我们在PubMed中进行了系统搜索,MEDLINE,Embase,PsycINFO,中部,WOS,和CNKI从成立到2023年2月15日。使用随机效应模型计算结果的标准化平均差异(SMD)和95%置信区间(CI)。
    在这项荟萃分析中,我们纳入了68项研究,涉及5053名参与者。改善整体认知功能的累积概率最高的治疗方法是经颅直流电刺激(tDCS)。其次是体育锻炼(PE),和重复经颅磁刺激(rTMS)。此外,认知刺激(CS),认知训练CT),多学科计划(MD),和回忆治疗(RT)也显着改善了AD患者的整体认知功能。观察到tDCS的非线性剂量反应关联,PE,rTMS,CS,和CT与整体认知改善。值得注意的是,未发现PE对认知有益影响的最小阈值.对于tDCS,临床相关认知变化的估计最小剂量为每周33分钟,PE每周330MET-min,rTMS每周8000次脉冲。
    tDCS,PE,rTMS和rTMS是增强AD患者整体认知功能的更有效的NPT。适当地给药这些治疗可以产生显著的临床益处。我们的发现支持低剂量运动在改善AD患者认知方面的临床应用。
    UNASSIGNED: To evaluate and rank the effectiveness of specific non-pharmacological treatments (NPTs) in improving the global cognitive function in individuals with Alzheimer\'s disease (AD) and to examine the dose-response relationship.
    UNASSIGNED: We conducted a systematic search in PubMed, MEDLINE, Embase, PsycINFO, CENTRAL, WOS, and CNKI from their inception to 15 February 2023. Standardized mean differences (SMD) and 95% confidence intervals (CI) were calculated for outcomes using random effects models.
    UNASSIGNED: We included 68 studies involving 5053 participants in this meta-analysis. The treatments with the highest cumulative probabilities for improving global cognitive function were transcranial direct current stimulation (tDCS), followed by physical exercise (PE), and repetitive transcranial magnetic stimulation (rTMS). Additionally, cognitive stimulation (CS), cognitive training CT), multidisciplinary program (MD), and reminiscence treatment (RT) also significantly improve the global cognitive function of people with AD. A non-linear dose-response association was observed for tDCS, PE, rTMS, CS, and CT with global cognitive improvement. Notably, no minimal threshold was identified for the beneficial effects of PE on cognition. The estimated minimal doses for clinically relevant changes in cognition were 33 min per week for tDCS, 330 MET-min per week for PE, and 8000 pulses per week for rTMS.
    UNASSIGNED: tDCS, PE, and rTMS are the better effective NPTs for enhancing global cognitive function in individuals with AD. Properly dosing these treatments can yield significant clinical benefits. Our findings support the clinical utility of low-dose exercise in improving cognition in people with AD.
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  • 文章类型: Journal Article
    背景:优化吡嗪酰胺给药对于提高治疗功效,同时使结核病治疗期间的毒性最小化至关重要。研究31/ACTGA5349代表了迄今为止针对此类研究的最大的3期随机对照治疗试验。
    目的:我们试图报告吡嗪酰胺的药代动力学参数,吡嗪酰胺暴露较低的危险因素,以及吡嗪酰胺暴露与疗效和安全性结果之间的关系。我们旨在确定优化风险和益处的吡嗪酰胺给药策略。
    方法:我们使用群体非线性混合效应模型分析了吡嗪酰胺稳态药代动力学数据。我们使用参数时间至事件模型评估了吡嗪酰胺暴露对长期疗效的贡献,并使用逻辑回归评估了安全性结果。我们在观察到的主要安全性结果比例范围内,以≥95%持久治愈和安全性为目标的治疗窗口评估了最佳剂量。
    结果:在2255名参与者和6978个血浆样本中,吡嗪酰胺表现出7倍的暴露变异性(151-1053mg·h/L)。体重不是药物清除的临床相关预测指标,因此不能证明需要按体重标准给药。临床和安全性结果均与吡嗪酰胺暴露相关,导致对照组的治疗窗口为231-355mg·h/L,利福喷丁-莫西沙星方案的治疗窗口为226-349mg·h/L。吡嗪酰胺在1000毫克的平分剂量将允许另外13.1%(n=96)的参与者分配给对照组,9.2%(n=70)的参与者在治疗窗口内给予利福喷丁-莫西沙星方案,与目前的体重带给药相比。
    结论:吡嗪酰胺每日1000mg的平分剂量易于实施,并可优化药物易感结核病的治疗结果。临床试验注册可在www.
    结果:政府,ID:NCT02410772。
    BACKGROUND: Optimizing pyrazinamide dosing is critical to improve treatment efficacy while minimizing toxicity during tuberculosis treatment. Study 31/ACTG A5349 represents the largest Phase 3 randomized controlled therapeutic trial to date for such investigation.
    OBJECTIVE: We sought to report pyrazinamide pharmacokinetic parameters, risk factors for lower pyrazinamide exposure, and relationships between pyrazinamide exposure with efficacy and safety outcomes. We aimed to determine pyrazinamide dosing strategies that optimize risks and benefits.
    METHODS: We analyzed pyrazinamide steady-state pharmacokinetic data using population nonlinear mixed-effects models. We evaluated the contribution of pyrazinamide exposure to long-term efficacy using parametric time-to-event models and safety outcomes using logistic regression. We evaluated optimal dosing with therapeutic windows targeting ≥95% durable cure and safety within the observed proportion of the primary safety outcome.
    RESULTS: Among 2255 participants with 6978 plasma samples, pyrazinamide displayed 7-fold exposure variability (151-1053 mg·h/L). Body weight was not a clinically relevant predictor of drug clearance and thus did not justify the need for weight-banded dosing. Both clinical and safety outcomes were associated with pyrazinamide exposure, resulting in a therapeutic window of 231-355 mg·h/L for the control and 226-349 mg·h/L for the rifapentine-moxifloxacin regimen. Flat dosing of pyrazinamide at 1000 mg would have permitted an additional 13.1% (n=96) participants allocated to the control and 9.2% (n=70) to the rifapentine-moxifloxacin regimen dosed within the therapeutic window, compared to the current weight-banded dosing.
    CONCLUSIONS: Flat dosing of pyrazinamide at 1000 mg daily would be readily implementable and could optimize treatment outcomes in drug-susceptible tuberculosis. Clinical trial registration available at www.
    RESULTS: gov, ID: NCT02410772. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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  • 文章类型: Journal Article
    尽管剂量反应分析是发育毒理学的基本工具,很少有研究研究毒物剂量对后代疾病和发育不良的非遗传父系遗传的影响。在这项研究中,我们使用几何形态计量学分析来检查不同水平的孕前父亲酒精暴露对小鼠模型后代颅面形状和对称性的影响。Procrustes方差分析,然后对几何面部关系进行规范变异分析,Medium-,高剂量治疗均可引起颅面形状和对称性的明显变化。我们的分析确定了1.543和2.321g/kg/天之间的剂量阈值。低于这个门槛,孕前父亲酒精暴露引起面部形状的变化,包括面部特征的右移。相比之下,在这个门槛之上,父系暴露导致形状和中心的变化,破坏面部对称.与以前的临床研究一致,颅面形状的变化主要映射到面部下部的区域,包括下颌骨(下颌)和上颌骨(上颌)。值得注意的是,高剂量照射也会影响右眼的定位。我们的研究表明,父亲饮酒可能是导致与酒精相关的颅面缺损的发生率和严重程度的一个未被识别的因素。使胎儿酒精谱系障碍的诊断复杂化。
    Although dose-response analyses are a fundamental tool in developmental toxicology, few studies have examined the impacts of toxicant dose on the non-genetic paternal inheritance of offspring disease and dysgenesis. In this study, we used geometric morphometric analyses to examine the impacts of different levels of preconception paternal alcohol exposure on offspring craniofacial shape and symmetry in a mouse model. Procrustes ANOVA followed by canonical variant analysis of geometric facial relationships revealed that Low-, Medium-, and High-dose treatments each induced distinct changes in craniofacial shape and symmetry. Our analyses identified a dose threshold between 1.543 and 2.321 g/kg/day. Below this threshold, preconception paternal alcohol exposure induced changes in facial shape, including a right shift in facial features. In contrast, above this threshold, paternal exposures caused shifts in both shape and center, disrupting facial symmetry. Consistent with previous clinical studies, changes in craniofacial shape predominantly mapped to regions in the lower portion of the face, including the mandible (lower jaw) and maxilla (upper jaw). Notably, high-dose exposures also impacted the positioning of the right eye. Our studies reveal that paternal alcohol use may be an unrecognized factor contributing to the incidence and severity of alcohol-related craniofacial defects, complicating diagnostics of fetal alcohol spectrum disorders.
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  • 文章类型: Journal Article
    已发现甲状腺激素(THs)与非酒精性脂肪性肝病(NAFLD)的发病和进展密切相关。然而,目前的研究无法验证甲状腺激素和NAFLD之间的内在关系,这需要进一步的研究。
    在PubMed,WebofScience,科克伦图书馆,和Embase数据库。我们将总体荟萃分析与剂量反应荟萃分析相结合,以评估甲状腺功能水平与NAFLD风险之间的相关性和剂量反应关系。
    总的来说,共纳入10项研究,共38,425人。我们发现,非线性剂量反应模型显示,FT4中每增加1ng/dL,NAFLD的风险降低10.56%(p=0.003)。与低FT3相比,高游离三碘甲状腺原氨酸(FT3)暴露的NAFLD的比值比(ORs)为1.580(95%CI1.370至1.830,I2=0.0%,p<0.001)在整体荟萃分析中。连续变量荟萃分析表明,TSH水平高(SMD=1.32,95%CI0.660至1.970,p<0.001)的个体肝纤维化水平明显高于低水平的个体。
    我们的发现仅验证了NAFLD的发生与THs异常水平之间存在相关性,预计未来仍将进行更多的观察性研究,以进一步证明甲状腺激素与NAFLD之间的关系。
    PROSPERO中的注册号:CRD42023405052。
    UNASSIGNED: Thyroid hormones (THs) have been found that it is closely associated with the onset and progression of non-alcoholic fatty liver disease (NAFLD). However, the current study could not verify the intrinsic relationship between thyroid hormones and NAFLD, which requires further research.
    UNASSIGNED: The searches of studies reported both TH level in serum and NAFLD were performed in PubMed, Web of Science, Cochrane Library, and Embase databases. We combined an overall meta-analysis with a dose-response meta-analysis to assess the correlation and dose-response relationship between thyroid function levels and the risk of NAFLD.
    UNASSIGNED: Overall, 10 studies were included with a total of 38,425 individuals. We found that the non-linear dose-response model showed that for every 1 ng/dL increase in FT4, the risk of NAFLD was reduced by 10.56% (p=0.003). The odds ratios (ORs) for NAFLD with high free triiodothyronine (FT3) exposure compared to those with low FT3 were 1.580 (95% CI 1.370 to 1.830, I2 = 0.0%, p<0.001) in the overall meta-analysis. The continuous variable meta-analysis indicated that individuals with high levels of TSH (SMD=1.32, 95% CI 0.660 to 1.970, p<0.001) had significantly higher levels of liver fibrosis than those with low levels.
    UNASSIGNED: Our findings only validate that there is a correlation between the occurrence of NAFLD and abnormal levels of THs, and it is expected that more observational studies will still be conducted in the future to further demonstrate the relationship between thyroid hormones and NAFLD.
    UNASSIGNED: Registered number in PROSPERO: CRD42023405052.
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