Gamma-aminobutyric acid

γ - 氨基丁酸
  • 文章类型: Journal Article
    中风患者的主要负担是认知共病和癫痫发生。用于快速网络活动的神经网络去抑制和抑制脉冲不足可能是由于抑制性神经递质GABA的突触前释放受损所致。为了检验这个假设,在SpragueDawley大鼠中诱发皮质光血栓性中风,7天后通过膜片钳电生理学在CA1锥体细胞(PC)中记录梗死周围血脑屏障破坏(BBBd)海马的抑制电流。微型抑制性突触后电流(mIPSC)频率降低到大约一半,mIPSCs在BBBd海马中衰减更快。此外,诱发GABA释放的成对脉冲比在100Hz时增加,和训练刺激与100赫兹显示,容易释放池(RRP),通常假定与紧密对接的突触前囊泡的数量相对应,在BBBd海马中减少了大约一半。这些病理生理变化可能会显著导致快速振荡活动受到干扰,例如与认知相关的伽马振荡或尖锐的波波纹和BBBd海马中的癫痫发生。
    Major burdens for patients suffering from stroke are cognitive co-morbidities and epileptogenesis. Neural network disinhibition and deficient inhibitive pulses for fast network activities may result from impaired presynaptic release of the inhibitory neurotransmitter GABA. To test this hypothesis, a cortical photothrombotic stroke was induced in Sprague Dawley rats, and inhibitory currents were recorded seven days later in the peri-infarct blood-brain barrier disrupted (BBBd) hippocampus via patch-clamp electrophysiology in CA1 pyramidal cells (PC). Miniature inhibitory postsynaptic current (mIPSC) frequency was reduced to about half, and mIPSCs decayed faster in the BBBd hippocampus. Furthermore, the paired-pulse ratio of evoked GABA release was increased at 100 Hz, and train stimulations with 100 Hz revealed that the readily releasable pool (RRP), usually assumed to correspond to the number of tightly docked presynaptic vesicles, is reduced by about half in the BBBd hippocampus. These pathophysiologic changes are likely to contribute significantly to disturbed fast oscillatory activity, like cognition-associated gamma oscillations or sharp wave ripples and epileptogenesis in the BBBd hippocampus.
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  • 文章类型: Journal Article
    限制转基因鱼对于防止其在自然生态系统中的逃逸和繁殖至关重要。可逆转基因灭菌是控制转基因鱼繁殖的一种有前途的方法。因此,本研究旨在通过转基因过表达金鱼(Carassiusauratus)谷氨酸脱羧酶(GAD)基因来开发可逆无菌通道cat鱼(Ictaluruspunctatus),该基因由鲤鱼(Cyprinuscarpio)β-肌动蛋白启动子驱动,以破坏正常的γ-氨基丁酸(GABA)调节。产生了三代GAD转基因鱼。所有研究的世代都表现出压抑的生殖表现;然而,这并不总是具有统计学意义.在F1中,5.4%的转基因鱼在5岁时表现出性成熟评分≥4(最大=5),低于对照组(16.8%)(p=0.07)。在对6岁和9岁的F1转基因鱼进行的产卵实验中,45.5%和20.0%的鱼是自然产卵的,代表较低的值(分别为p=0.09和0.12)比同龄同胞对照鱼的百分比(83.3%和66.7%,分别)。在黄体生成素释放激素类似物(LHRHa)治疗后,六对推定的六岁不育鱼中的四对成功产卵。在三岁的F2鱼中也发现了类似的结果,转基因鱼的产卵百分比(20.0%)低于对照(66.7%)。在一岁的F2代转基因鱼中,女性和男性的平均血清促性腺激素释放激素(GnRH)水平分别为9.23±2.49和8.14±2.21ng/mL,分别。在控制鱼,女性和男性的GnRH平均水平分别为11.04±4.06和9.03±2.36ng/mL,分别,与对照组没有显着差异(女性和男性的p=0.15和0.27,分别)。在一岁和四岁的F2代鱼类中,雌性转基因和非转基因鱼类的雌二醇水平没有显着差异。4岁的F2代雄性转基因鱼的GnRH和睾酮水平明显低于对照鱼(p<0.05)。总之,而过度表达GAD抑制了channel鱼的繁殖能力,它没有完全消毒转基因鱼。通过后代的选择,可以提高灭菌率。
    The confinement of transgenic fish is essential to prevent their escape and reproduction in natural ecosystems. Reversible transgenic sterilization is a promising approach to control the reproduction of transgenic fish. Therefore, the present study was conducted to develop a reversibly sterile channel catfish (Ictalurus punctatus) via the transgenic overexpression of the goldfish (Carassius auratus) glutamic acid decarboxylase (GAD) gene driven by the common carp (Cyprinus carpio) β-actin promoter to disrupt normal gamma-aminobutyric acid (GABA) regulation. Three generations of GAD-transgenic fish were produced. All studied generations showed repressed reproductive performance; however, this was not always statistically significant. In F1, 5.4% of the transgenic fish showed a sexual maturity score ≥ 4 (maximum = 5) at five years of age, which was lower (p = 0.07) than that of the control group (16.8%). In the spawning experiments conducted on F1 transgenic fish at six and nine years of age, 45.5% and 20.0% of fish spawned naturally, representing lower values (p = 0.09 and 0.12, respectively) than the percentages in the sibling control fish of the same age (83.3% and 66.7%, respectively). Four of six pairs of the putative infertile six-year-old fish spawned successfully after luteinizing hormone-releasing hormone analog (LHRHa) therapy. Similar outcomes were noted in the three-year-old F2 fish, with a lower spawning percentage in transgenic fish (20.0%) than in the control (66.7%). In one-year-old F2-generation transgenic fish, the observed mean serum gonadotropin-releasing hormone (GnRH) levels were 9.23 ± 2.49 and 8.14 ± 2.21 ng/mL for the females and males, respectively. In the control fish, the mean levels of GnRH were 11.04 ± 4.06 and 9.03 ± 2.36 ng/mL for the females and males, respectively, which did not differ significantly from the control (p = 0.15 and 0.27 for females and males, respectively). There was no significant difference in the estradiol levels of the female transgenic and non-transgenic fish in the one- and four-year-old F2-generation fish. The four-year-old F2-generation male transgenic fish exhibited significantly (p < 0.05) lower levels of GnRH and testosterone than the control fish. In conclusion, while overexpressing GAD repressed the reproductive abilities of channel catfish, it did not completely sterilize transgenic fish. The sterilization rate might be improved through selection in future generations.
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  • 文章类型: Journal Article
    目前1型糖尿病(T1DM)患者高血糖的金标准管理是胰岛素治疗。然而,这种疗法与并发症的高发生率有关,并且延迟这种疾病的发作对有T1DM倾向的个体的生活质量产生了实质性的积极影响,尤其是儿童。本综述旨在评估γ-氨基丁酸(GABA)在儿童T1DM发病中的应用。GABA以两种方式产生保护和增殖作用,β细胞和免疫细胞调节。各种体外和体内研究表明,GABA诱导β细胞增殖,增加胰岛素水平,抑制β细胞凋亡,并抑制针对胰岛抗原的T辅助细胞1活性。口服GABA是安全的,因为在本综述中包含的任何研究中均未报告严重的不良反应。这些发现证明了使用GABA治疗延迟T1DM的有希望的结果。特别是在有遗传倾向的儿童中,通过免疫调节作用和诱导β细胞增殖的能力。
    The current gold-standard management of hyperglycemia in individuals with type 1 diabetes mellitus (T1DM) is insulin therapy. However, this therapy is associated with a high incidence of complications, and delaying the onset of this disease produces a substantially positive impact on quality of life for individuals with a predisposition to T1DM, especially children. This review aimed to assess the use of gamma-aminobutyric acid (GABA) to delay the onset of T1DM in children. GABA produces protective and proliferative effects in 2 ways, β cell and immune cell modulation. Various in vitro and in vivo studies have shown that GABA induces proliferation of β cells, increases insulin levels, inhibits β-cell apoptosis, and suppresses T helper 1 cell activity against islet antigens. Oral GABA is safe as no serious adverse effects were reported in any of the studies included in this review. These findings demonstrate promising results for the use of GABA treatment to delay T1DM, specifically in genetically predisposed children, through immunoregulatory effects and the ability to induce β-cell proliferation.
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  • 文章类型: Journal Article
    L-茶氨酸在绿茶中的含量为1-3%,作为具有鲜味的氨基酸,以及对小鼠应激性脑萎缩的抗抑郁作用和保护作用,以及相关机制已有报道。然而,从蛋白质组分析茶氨酸对海马的影响和作用机制尚未研究。在这项研究中,我们主要通过蛋白质组学研究茶氨酸在SAMP8海马中预防认知损害功能的可能性和作用机制。除了通过茶氨酸给药改善衰老评分外,在蛋白质组学中,突触素2,α-突触核蛋白,β-突触核蛋白,通过茶氨酸给药观察到tau蛋白,CAM激酶IIβ和α的表达随着茶氨酸的给药而表现出明显的增加和增加趋势,分别。通过茶氨酸给药,酪氨酸3-单加氧酶/色氨酸5-单加氧酶激活蛋白的表达趋于增加。另一方面,血清素/色氨酸,海马中的GABA/谷氨酸和谷氨酰胺/谷氨酸比值呈增加趋势,显著增加,以及茶氨酸给药的增加趋势,分别。这些结果表明茶氨酸可能通过抑制突触素的产生而参与改善神经变性或认知障碍。突触核蛋白和tau蛋白被认为是随着老化和氧化而产生的,并通过增加CAM激酶II的表达来增强5-羟色胺的产生,并进一步影响谷氨酸的代谢。
    L-Theanine is contained in green tea at 1-3% per dry matter as an amino acid with an umami taste, and the antidepressant effect and protective effect against stress-induced brain atrophy in mice, as well as the related mechanism have been reported. However, effects of theanine on the hippocampus from the proteome analysis and the action mechanism have not been examined. In this study, we mainly investigated the possibility of theanine\'s cognitive impairment-preventing function and the action mechanism by proteomics in the hippocampus of SAMP8 administered with theanine. In addition to improvement in the aging score with theanine administration, in proteomics, significant suppressions in the expressions of synapsin 2, α-synuclein, β-synuclein, and protein tau were observed by theanine administration, and the expression of CAM kinase II beta and alpha exhibited a significant increase and increasing tendency with theanine administration, respectively. The expression of tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein tended to increase by theanine administration. On the other hand, serotonin/tryptophan, GABA/glutamic acid and glutamine/glutamic acid ratios in the hippocampus showed an increasing tendency, a significant increase, and an increasing tendency with theanine administration, respectively. These results suggested that theanine might have been involved in the improvement of neurodegeneration or cognitive impairment by suppressing the productions of synapsin, synuclein and protein tau which are considered to be produced along with aging and oxidation, and by enhancing the production of serotonin by increasing the expression of CAM kinase II, and further by affecting the metabolism of glutamate.
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  • 文章类型: Journal Article
    背景:γ-氨基丁酸(GABA),被称为大脑中的主要抑制性神经递质,通过与免疫细胞的相互作用发挥免疫调节功能,包括T细胞。T细胞的代谢程序与其效应子功能密切相关,包括增殖,分化,和细胞因子的产生。生理分子葡萄糖和胰岛素可以提供环境线索和指导,但它们是否协调调节GABA介导的T细胞免疫调节仍在研究中。
    方法:从健康个体和1型糖尿病(T1D)患者的血液样本中分离的CD4+T细胞在体外被激活。我们进行了代谢测定,多重邻近延伸测定(PEA),ELISA,qPCR,免疫印迹,免疫荧光染色,流式细胞术分析,基于MS的蛋白质组学,以及电生理学和活细胞Ca2+成像。
    结果:我们证明了GABA介导的代谢活性降低和炎症蛋白的释放,当葡萄糖浓度升高到高于健康人中通常观察到的水平时,包括IFNγ和IL-10在来自健康个体和患有T1D的患者的人CD4+T细胞中被废除。胰岛素增加GABAA受体亚基ρ2表达,增强了GABAA受体介导的电流和Ca2流入。GABA下降,而胰岛素持续,己糖激酶活性和糖酵解呈葡萄糖浓度依赖性。
    结论:这些发现支持代谢因素,如葡萄糖和胰岛素,影响GABA介导的人原代T细胞效应功能的免疫调节。
    背景:瑞典儿童糖尿病基金会,瑞典糖尿病基金会TheSwedishResearchCouncil2018-02952,EXODIAB,Ernfors基金会,图林斯基金会和生命科学实验室。
    BACKGROUND: γ-aminobutyric acid (GABA), known as the main inhibitory neurotransmitter in the brain, exerts immunomodulatory functions by interaction with immune cells, including T cells. Metabolic programs of T cells are closely linked to their effector functions including proliferation, differentiation, and cytokine production. The physiological molecules glucose and insulin may provide environmental cues and guidance, but whether they coordinate to regulate GABA-mediated T cell immunomodulation is still being examined.
    METHODS: CD4+ T cells that were isolated from blood samples from healthy individuals and from patients with type 1 diabetes (T1D) were activated in vitro. We carried out metabolic assays, multiple proximity extension assay (PEA), ELISA, qPCR, immunoblotting, immunofluorescence staining, flow cytometry analysis, MS-based proteomics, as well as electrophysiology and live-cell Ca2+ imaging.
    RESULTS: We demonstrate that GABA-mediated reduction of metabolic activity and the release of inflammatory proteins, including IFNγ and IL-10, were abolished in human CD4+ T cells from healthy individuals and patients with T1D when the glucose concentration was elevated above levels typically observed in healthy people. Insulin increased GABAA receptor-subunit ρ2 expression, enhanced the GABAA receptors-mediated currents and Ca2+ influx. GABA decreased, whereas insulin sustained, hexokinase activity and glycolysis in a glucose concentration-dependent manner.
    CONCLUSIONS: These findings support that metabolic factors, such as glucose and insulin, influence the GABA-mediated immunomodulation of human primary T cells effector functions.
    BACKGROUND: The Swedish Children\'s Diabetes Foundation, The Swedish Diabetes Foundation, The Swedish Research Council 2018-02952, EXODIAB, The Ernfors Foundation, The Thurings Foundation and the Science for Life Laboratory.
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  • 文章类型: Journal Article
    稳态可塑性代表一组机制,被认为可以恢复神经功能的某些方面。一种称为AMPAergic缩放的机制被认为是稳态控制尖峰活动的可能候选者。然而,最近的研究结果迫使我们重新考虑这一观点,因为几项研究表明,AMPAergic缩放并不是由尖峰的变化直接触发的.此外,研究体内稳态扰动的研究表明,GABA能突触在增加稳态方面可能更为关键。这里,我们的结果表明,GABA能缩放可以稳态控制尖峰水平。我们发现,在皮质培养物中增加或减少尖峰的扰动触发了乘法GABA能的放大和缩小,分别。相比之下,我们发现AMPA受体(AMPAR)或GABAR传递的变化仅通过它们对加标的间接作用影响GABA能缩放。我们建议GABA能缩放比AMPAergic缩放代表了更强的峰值速率稳态指标。
    Homeostatic plasticity represents a set of mechanisms that are thought to recover some aspect of neural function. One such mechanism called AMPAergic scaling was thought to be a likely candidate to homeostatically control spiking activity. However, recent findings have forced us to reconsider this idea as several studies suggest AMPAergic scaling is not directly triggered by changes in spiking. Moreover, studies examining homeostatic perturbations in vivo have suggested that GABAergic synapses may be more critical in terms of spiking homeostasis. Here, we show results that GABAergic scaling can act to homeostatically control spiking levels. We found that perturbations which increased or decreased spiking in cortical cultures triggered multiplicative GABAergic upscaling and downscaling, respectively. In contrast, we found that changes in AMPA receptor (AMPAR) or GABAR transmission only influence GABAergic scaling through their indirect effect on spiking. We propose that GABAergic scaling represents a stronger candidate for spike rate homeostat than AMPAergic scaling.
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  • 文章类型: Journal Article
    γ-氨基丁酸(GABA)是成人大脑中的主要抑制性神经递质,它通过离子型GABAA受体介导其对神经元兴奋性的快速影响。大脑中的GABA水平严重依赖于促进其降解的GABA-氨基转移酶(GABA-AT)。Vigabatrin,低亲和力GABA-AT抑制剂,具有抗惊厥功效,但由于累积的眼部毒性,其使用受到限制。OV329是一个合理设计的,具有增强效力的下一代GABA-AT抑制剂。我们证明,在小鼠中持续暴露于OV329会降低GABA-AT活性,并随后提高大脑中的GABA水平。GABA能抑制作用的平行增加是明显的,以及EEGδ功率的升高。与此一致,OV329暴露降低了癫痫持续状态的严重程度和苯二氮卓类药物难治性癫痫发作的发展。因此,OV329可用于治疗由神经元兴奋过度引起的癫痫发作病症和相关病理。重要性声明增强对神经元的抑制性控制以降低兴奋性是治疗癫痫发作性疾病的常见策略。这里,我们描述了一种新的化合物,OV329,在低重复剂量范例后,作用于共同的vigabatrin途径以增加抑制性信号。OV329的体内应用在海马突触水平上表现出小鼠补品GABA信号增强,并且在网络水平上降低了癫痫发作的严重程度和苯二氮卓类药物难治性癫痫发作的发展。这表明OV329可能在癫痫发作性疾病的治疗中具有临床用途。
    γ-Aminobutyric acid (GABA) is the principal inhibitory neurotransmitter in the adult brain which mediates its rapid effects on neuronal excitability via ionotropic GABAA receptors. GABA levels in the brain are critically dependent upon GABA-aminotransferase (GABA-AT) which promotes its degradation. Vigabatrin, a low-affinity GABA-AT inhibitor, exhibits anticonvulsant efficacy, but its use is limited due to cumulative ocular toxicity. OV329 is a rationally designed, next-generation GABA-AT inhibitor with enhanced potency. We demonstrate that sustained exposure to OV329 in mice reduces GABA-AT activity and subsequently elevates GABA levels in the brain. Parallel increases in the efficacy of GABAergic inhibition were evident, together with elevations in electroencephalographic delta power. Consistent with this, OV329 exposure reduced the severity of status epilepticus and the development of benzodiazepine refractory seizures. Thus, OV329 may be of utility in treating seizure disorders and associated pathologies that result from neuronal hyperexcitability.
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  • 文章类型: Journal Article
    植物自发积累γ-氨基丁酸(GABA),一种非蛋白质氨基酸,以应对各种压力。然而,关于植物用来应对盐胁迫的精确分子机制的知识有限。本研究的目的是通过检查植物的生长速率以及生理和分子响应特性,研究GABA对八个不同品种的面包小麦(TriticumaestivumL.)的耐盐性的影响。盐胁迫的应用对植物生长标记具有不利影响。然而,与对照治疗相比,通过给予GABA减轻了影响.当品种Gemmiza7,Gemmiza9和Gemmiza12暴露于两种不同盐浓度的GABA时,叶片叶绿素含量和光合速率均有大幅增加。对照小麦品种和暴露于盐处理和GABA处理的植物均显示出与胁迫相关的生物标志物和抗氧化剂的变化。这一发现表明,GABA在减轻盐处理对小麦品种的影响中起着关键作用。在八种小麦中,CV.Gemmiza7和CV。Gemmiza11在其TaSOS1基因的表达中表现出最显著的改变。CV.小姐2,简历。Sakha94和CV。Sakha95在NHX1,DHN3和GR基因的表达中表现出最高程度的变异性,分别。将GABA应用于小麦植株,通过减少活性氧(ROS)和其他胁迫指标的存在,增强了它们应对盐胁迫的能力,调节气孔孔径,增强光合作用,激活抗氧化酶,以及与盐胁迫耐受性有关的上调基因。
    Plants spontaneously accumulate γ-aminobutyric acid (GABA), a nonprotein amino acid, in response to various stressors. Nevertheless, there is limited knowledge regarding the precise molecular mechanisms that plants employ to cope with salt stress. The objective of this study was to investigate the impact of GABA on the salt tolerance of eight distinct varieties of bread wheat (Triticum aestivum L.) by examining plant growth rates and physiological and molecular response characteristics. The application of salt stress had a detrimental impact on plant growth markers. Nevertheless, the impact was mitigated by the administration of GABA in comparison to the control treatment. When the cultivars Gemmiza 7, Gemmiza 9, and Gemmiza 12 were exposed to GABA at two distinct salt concentrations, there was a substantial increase in both the leaf chlorophyll content and photosynthetic rate. Both the control wheat cultivars and the plants exposed to salt treatment and GABA treatment showed alterations in stress-related biomarkers and antioxidants. This finding demonstrated that GABA plays a pivotal role in mitigating the impact of salt treatments on wheat cultivars. Among the eight examined kinds of wheat, CV. Gemmiza 7 and CV. Gemmiza 11 exhibited the most significant alterations in the expression of their TaSOS1 genes. CV. Misr 2, CV. Sakha 94, and CV. Sakha 95 exhibited the highest degree of variability in the expression of the NHX1, DHN3, and GR genes, respectively. The application of GABA to wheat plants enhances their ability to cope with salt stress by reducing the presence of reactive oxygen species (ROS) and other stress indicators, regulating stomatal aperture, enhancing photosynthesis, activating antioxidant enzymes, and upregulating genes involved in salt stress tolerance.
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  • 文章类型: Journal Article
    玫瑰花(RosahybridaL.)非常易腐,花瓶寿命有限。这项研究评估了收获前叶面施用γ-氨基丁酸(GABA)和氯化钙(CaCl2)的影响,单独和组合,月季切花的抗氧化反应和花瓶寿命。处理包括0、20、40和60mM的GABA和0、0.75%的CaCl2的叶面喷雾,和1.5%,在收获前的完全随机设置中应用于阶乘设计。结果表明GABA和CaCl2相互作用(特别是,60mMGABA和1.5%CaCl2)显着增加了酶促抗氧化剂,包括超氧化物歧化酶,过氧化氢酶,和过氧化物酶,以及类黄酮等非酶抗氧化剂,类胡萝卜素,酚类物质,与对照相比,花瓣中的抗氧化活性。玫瑰中的SOD活性,用CaCl2(1.5%)和GABA(60mM)处理,峰值为7.86个单位。mg-1蛋白质min-1,显示比对照增加近2.93倍(2.68单位。mg-1蛋白质min-1)。观察到CAT活性的平行趋势。这些处理还降低了花瓣丙二醛含量和多酚氧化酶活性。在所有处理中,蛋白质含量和花瓶寿命都增加了。用GABA(20mM)和CaCl2(0.75%)的组合处理的植物,GABA(60mM)和CaCl2(1.5%),或GABA(40mM)分别表现出最长的花瓶寿命。GABA和CaCl2的共同施用通过降低PPO活性和MDA含量来提高切花玫瑰的抗氧化活性和采后品质。增加蛋白质含量,延长花瓶寿命。这种处理是一种潜在的采后策略,可以提高切花玫瑰的抗氧化能力并延缓衰老。
    Rose flowers (Rosa hybrida L.) are highly perishable and have a limited vase life. This study evaluated the effects of preharvest foliar applications of γ-aminobutyric acid (GABA) and calcium chloride (CaCl2), individually and combined, on antioxidant responses and vase life of cut Jumilia rose flowers. Treatments included foliar sprays of GABA at 0, 20, 40, and 60 mM and CaCl2 at 0, 0.75%, and 1.5%, applied in a factorial design within a completely randomized setup before harvest. Results showed GABA and CaCl2 interaction (especially, 60 mM GABA and 1.5% CaCl2) significantly increased enzymatic antioxidants including superoxide dismutase, catalase, and peroxidase, as well as non-enzymatic antioxidants such as flavonoids, carotenoids, phenolics, and antioxidant activity in petals compared to control. SOD activity in roses, treated with CaCl2 (1.5%) and GABA (60 mM), peaked at 7.86 units. mg-1 protein min-1, showing a nearly 2.93-fold increase over the control (2.68 units. mg-1 protein min-1). A parallel trend was observed for CAT activity. These treatments also reduced petal malondialdehyde content and polyphenol oxidase activity. Protein content and vase life duration increased in all treatments. Plants treated with a combination of GABA (20 mM) and CaCl2 (0.75%), GABA (60 mM) and CaCl2 (1.5%), or GABA (40 mM) individually exhibited the longest vase life duration. The co-application of GABA and CaCl2 improved the antioxidant activity and postharvest quality of cut roses by reducing PPO activity and MDA contents, increasing protein content and prolonging vase life. This treatment is a potential postharvest strategy to improve antioxidant capacity and delay senescence in cut roses.
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  • 文章类型: Journal Article
    目的:观察电针联合棕榈酸帕潘立酮长效注射液(PP-LAI)对甲基苯丙胺(MA)成瘾者戒断症状及神经递质的影响。
    方法:共有109名甲基苯丙胺成瘾者,从2021年10月至2022年10月在医院接受治疗的人被选中。根据随机数表,将患者分为研究组(n=54)和对照组(n=55),其中对照组采用PP-LAI治疗,研究组在对照组基础上采用电针治疗;治疗前及治疗后12个月内采用甲基苯丙胺戒断症状评分量表评定疗效;γ-氨基丁酸,血清素,比较两组的乙酰胆碱值。
    结果:1)两组治疗前MA戒断症状评分无统计学差异(p>0.05);2)研究组治疗3、6个月后MA戒断症状评分与对照组比较差异有统计学意义;3)治疗6个月后研究组多巴胺水平明显高于对照组,和γ-氨基丁酸值及5-羟色胺值均显著低于对照组(p<0.05)。
    结论:电针联合PP-LAI可部分改善甲基苯丙胺成瘾者的戒断症状和焦虑。这是预防戒断症状复发的潜在治疗方法。
    OBJECTIVE: To investigate the effects of electroacupuncture combined with paliperidone palmitate long-acting injection (PP-LAI) on withdrawal symptoms and neurotransmitters in methamphetamine (MA) addicts.
    METHODS: A total of 109 methamphetamine addicts, who were treated in the hospital from October 2021 to October 2022, were selected. According to the random number table, the patients were divided into the study group (n=54) and the control group (n=55), in which the control group was treated with PP-LAI and the study group was treated with electroacupuncture on the basis of the control group; the methamphetamine withdrawal symptom score scale was used to assess the therapeutic effect before treatment and within 12 months after treatment; the changes of brain neurotransmitters dopamine, γ-aminobutyric acid, serotonin, acetylcholine values were compared between the two groups.
    RESULTS: 1) There was no statistical difference in MA withdrawal symptom scores between the two groups before treatment (p>0.05); 2) MA withdrawal symptom scores have a statistically significant difference between the study group and the control group after 3 and 6 months of treatment; 3) dopamine levels in the study group were significantly higher than those in the control group after 6 months of completion of treatment, and γ-aminobutyric acid values and 5- serotonin values in the study group were significantly lower than those in the control group (p<0.05).
    CONCLUSIONS: Electroacupuncture combined with PP-LAI can partially improve the withdrawal symptoms and anxiety of methamphetamine addicts. This is a potential treatment for preventing relapse of withdrawal symptoms.
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