ICAM-1

ICAM - 1
  • 文章类型: Journal Article
    肝细胞癌(HCC)是一种高致命性癌症,全球发病率不断增长,并且由于其转移趋势,通常与预后不良有关。细胞间粘附分子(ICAM)1是在各种癌细胞中发现的跨膜蛋白,并且与癌症的扩散和不良预后相关。趋化因子(C-X-C基序)配体1(CXCL1)是显著影响各种癌症的细胞运动性的趋化因子。然而,CXCL1在肝细胞癌ICAM-1表达和转移中的作用尚不清楚.我们确定CXCL1表达与HCC组织阵列中的晚期肿瘤呈正相关且显着相关。Kaplan-Meier分析显示,CXCL1高表达组的总生存率较差,提示其作为癌症进展的生物标志物和刺激具有CXCL1的肝细胞癌细胞的潜力通过上调ICAM-1表达来增强迁移能力。CXCL1显示通过抑制miR-30b-5p增强ICAM-1依赖性细胞运动。这项研究提供了新的证据,表明CXCL1可以作为肝细胞癌转移的治疗靶标。
    Hepatocellular carcinoma (HCC) is a highly lethal cancer with a growing global incidence and is often associated with poor prognosis due to its tendency to metastasize. Intercellular adhesion molecule (ICAM) 1 is a transmembrane protein found in various cancer cells and is associated with the spread of cancer and poor prognosis. Chemokine (C-X-C motif) ligand 1 (CXCL1) is a chemokine that significantly affects the cell motility of various cancers. However, the role of CXCL1 in ICAM-1 expression and in metastasis of hepatocellular carcinoma remains unclear. We determined that CXCL1 expression is positively and significantly associated with advanced-stage tumors in the HCC tissue array. Kaplan-Meier analysis revealed worse overall survival rates in the high CXCL1 expression group, suggesting its potential as a biomarker for cancer progression and stimulating hepatocellular carcinoma cells with CXCL1 enhanced migration abilities by upregulating ICAM-1 expression. CXCL1 was shown to enhance ICAM-1-dependent cell motility by inhibiting miR-30b-5p. This study provides novel evidence that CXCL1 could serve as a therapeutic target for metastasis in hepatocellular carcinoma.
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  • 文章类型: Journal Article
    背景:1型糖尿病(T1DM)的特征是免疫和代谢失调。Apo1/Fas与维持免疫系统的稳态有关。细胞角蛋白-18(cCK-18)是T2DM肝脏疾病的预测标志物。细胞间粘附分子-1(ICAM-1)被认为增加对糖尿病的易感性。所有这三种标志物都与内皮功能有关,细胞凋亡和糖尿病相关并发症。Apo1/Fas的可能作用,研究了儿童和青少年T1DM患者的cCK-18和ICAM-1。
    方法:本研究纳入了49名患有T1DM的儿童和青少年以及49名对照。获得体测量值,并计算参与者的体重指数(BMI)。生化参数通过标准实验室方法和Apo1/Fas测量,使用适当的ELISA试剂盒测量cCK-18和ICAM-1。使用IBMSPSSStatistics23程序进行统计分析。
    结果:Apo1/Fas(p=0.001),与对照组相比,T1DM患者的cCK-18(p<0.001)和ICAM-1(p<0.001)较高。Apo1Fas与血糖呈负相关(p=0.042),尿酸(p=0.026),肌酐(p=0.022),对照组总胆固醇(p=0.023)和LDL(p=0.005)。在患有T1DM的儿童和青少年中,Apo1/Fas与总胆固醇(p=0.013)、LDL(p=0.003)呈正相关。对照组ICAM-1与肌酐呈负相关(p=0.019),而T1DM患者与HbA1c呈负相关(p=0.05)。
    结论:Apo1/Fas,cCK-18和ICAM-1可能是T1DM儿童和青少年免疫和代谢失调的血清学标志物。此外,Apo1/Fas可能对健康儿童的代谢并发症具有保护作用。
    BACKGROUND: Type 1 diabetes mellitus (T1DM) is characterized by immune and metabolic dysregulation. Apo1/Fas is implicated in maintaining homeostasis of the immune system. Cytokeratin-18 (cCK-18) is a predictive marker of liver disorders in T2DM. Intercellular adhesion molecule-1 (ICAM-1) is considered to increase susceptibility to diabetes mellitus. All three markers are associated with endothelial function, apoptosis and diabetes-related complications. The possible role of Apo1/Fas, cCK-18 and ICAM-1 was investigated in children and adolescents with T1DM.
    METHODS: Forty-nine (49) children and adolescents with T1DM and 49 controls were included in the study. Somatometric measurements were obtained and the Body Mass Index (BMI) of the participants was calculated. Biochemical parameters were measured by standard laboratory methods and Apo1/Fas, cCK-18 and ICAM-1 were measured using appropriate ELISA kits. The statistical analysis was performed using the IBM SPSS Statistics 23 program.
    RESULTS: Apo1/Fas (p = 0.001), cCK-18 (p < 0.001) and ICAM-1 (p < 0.001) were higher in patients with T1DM compared to the controls. Apo1Fas was negatively correlated with glucose (p = 0.042), uric acid (p = 0.026), creatinine (p = 0.022), total cholesterol (p = 0.023) and LDL (p = 0.005) in the controls. In children and adolescents with T1DM, Apo1/Fas was positively correlated with total cholesterol (p = 0.013) and LDL (p = 0.003). ICAM-1 was negatively correlated with creatinine (p = 0.019) in the controls, whereas in patients with T1DM it was negatively correlated with HbA1c (p = 0.05).
    CONCLUSIONS: Apo1/Fas, cCK-18 and ICAM-1 may be useful as serological markers for immune and metabolic dysregulation in children and adolescents with T1DM. Also, Apo1/Fas may have a protective role against metabolic complications in healthy children.
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  • 文章类型: Journal Article
    粘附分子,sICAM-1和sE-选择素似乎在冠状动脉疾病(CAD)的发病机制中起主要作用。本研究的重点是研究巴基斯坦急性心肌梗死(AMI)住院患者中sICAM-1和sE-选择素与ABO血型的关系。
    在一项病例对照研究中,从阿加汗大学和美国国家心血管疾病研究所随机选择116例急性心肌梗死(AMI)患者和116例健康对照(年龄范围:30至70岁;男性和女性),卡拉奇知情同意。获得血液样品并使用试剂盒方法分析ABO血型和sICAM-1和sE-选择素的血清水平。使用包括独立样本t检验和双向ANOVA的统计检验来研究这些粘附分子与AMI患者和健康对照中的血型的关联。研究时间为2021年7月至2023年6月30日。
    与健康对照组相比,AMI患者sICAM-1的平均血清水平明显更高(342±159mg/dlvs.227±104mg/dl;p值<0.001)。同样,与健康对照组相比,AMI患者的sE-选择素血清水平也显着较高(53.6±26.9mg/dlvs.40.7±mg/dl;p值<0.001)。此外,对于受试者类型(病例和对照组)和血型之间的相互作用,sICAM-1和sE-选择素的平均浓度具有统计学显著性(分别为p值=0.007和p值=0.035).
    存在粘附分子的缔合,巴基斯坦AMI住院患者中sICAM-1和sE-选择素与ABO血型的关系。
    UNASSIGNED: Adhesion molecules, sICAM-1 and sE-selectin appear to have a major role in the pathogenesis of coronary artery disease (CAD). The focus of this study was to investigate the relationship of sICAM-1 and sE-selectin with ABO blood groups in Pakistani patients hospitalized with acute myocardial infarction (AMI).
    UNASSIGNED: In a case-control study, 116 patients of acute myocardial infarction (AMI) and 116 healthy controls (age range for both: 30 years to 70 years; both males and females) were randomly selected from the Aga Khan University and National Institute of Cardiovascular Diseases, Karachi with informed consent. The blood samples were obtained and analyzed for ABO blood groups and serum levels of sICAM-1 and sE-selectin using kit methods. Statistical tests including independent sample t-test and Two-way ANOVA were used to study the association of these adhesion molecules with blood groups in AMI patients and healthy controls. Duration of the study was from July 2021 to June 30, 2023.
    UNASSIGNED: Mean serum levels of sICAM-1 were significantly higher in AMI patients compared to healthy controls (342±159 mg/dl vs. 227±104 mg/dl; p-value<0.001). Similarly, serum levels of sE-selectin were also significantly higher in AMI patients compared to healthy controls (53.6±26.9 mg/dl vs. 40.7± mg/dl; p-value<0.001). Moreover, mean concentrations of sICAM-1 and sE-selectin for the interaction between subject type (cases and control) and blood groups were statistically significant (p-value = 0.007 and p-value = 0.035, respectively).
    UNASSIGNED: There is an association of adhesion molecules, sICAM-1 and sE-selectin with ABO blood groups in Pakistani patients hospitalized with AMI.
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  • 文章类型: Published Erratum
    [这更正了文章DOI:10.3389/fgene.2020.616988。].
    [This corrects the article DOI: 10.3389/fgene.2020.616988.].
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  • 文章类型: Journal Article
    ICAM-1(细胞间粘附分子1)和MPZ(髓磷脂蛋白零)被认为是神经组织完整性的一个因素。在这份报告中,我们试图追踪ICAM-1的表达,负责细胞间粘附,和MPZ,髓鞘的主要成分,在近交雄性哥本哈根大鼠的坐骨神经(SN)恶性组织中。AT-1细胞(间变性肿瘤1)被注射到神经鞘中,在7、14和21天后收集SNs的组织,并与假手术组大鼠(每组n=6)进行比较。对组织进行了切片和组织学检查,在光学显微镜下,并在激光扫描显微镜下染色以测量ICAM-1和MPZ的免疫反应性。建立癌症模型,肿瘤生长得到证实。ICAM-1显示严重下降,与生长的间变性细胞成正比,与假手术组相比。MPZ透露,然而,与假相比,在大幅下降之前有明显的防御模式。这些结果支持恶性肿瘤损伤周围神经并导致严重的轴突损伤和神经元完整性丧失的观点。明确ICAM-1和MPZ在保护神经组织中的作用。
    ICAM-1 (intercellular adhesion molecule 1) and MPZ (myelin protein zero) are thought to be a factor in the integrity of nerve tissues. In this report, we attempted to trace the expression of ICAM-1, responsible for cell-to-cell adhesion, and of MPZ, the main constituent of myelin sheath, in malignant tissues of the sciatic nerve (SN) in inbred male Copenhagen rats. AT-1 Cells (anaplastic tumor 1) were injected in the perineurial sheath, and tissues of the SNs were collected after 7, 14 and 21 days and compared to a sham-operated group of rats (n = 6 each). Tissues were sectioned and histologically examined, under light microscope, and stained for measuring the immunoreactivity of ICAM-1 and MPZ under laser scanning microscope. The cancer model was established, and the tumor growth was confirmed. ICAM-1 showed severe decreases, proportional to the growing anaplastic cells, as compared to the sham group. MPZ revealed, however, a distinct defensive pattern before substantially decreasing in a comparison with sham. These results support the notion that malignancies damage peripheral nerves and cause severe axonal injury and loss of neuronal integrity, and clearly define the role of ICAM-1 and MPZ in safeguarding the nerve tissues.
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  • 文章类型: Journal Article
    急性髓性白血病(AML)是一种异质性疾病,其特征是骨髓祖细胞的克隆性扩增。尽管AML的治疗最近取得了进展,复发仍然是一个重大挑战,有必要开发创新疗法以消除微小残留疾病。解决这些未满足的临床需求的一种有希望的方法是自然杀伤(NK)细胞免疫疗法。为了有效地实施这种治疗,了解AML细胞如何逃避NK细胞监测是至关重要的.信号转导和转录激活因子3(STAT3),Janus激酶(JAK)-STAT信号通路的一个组成部分,以其在各种癌症类型中驱动免疫逃避的作用而闻名。然而,STAT3在AML细胞逃逸NK细胞中的特定功能尚未得到深入研究.在这项研究中,我们揭示了STAT3在使AML细胞对NK细胞监测敏感中的新作用。我们证明STAT3缺陷型AML细胞系被NK细胞无效消除。机械上,由于细胞间粘附分子1(ICAM-1)的表面表达显著降低,缺乏STAT3的AML细胞不能像它们的野生型对应物那样有效地形成免疫突触。可以通过ICAM-1过表达来挽救STAT3缺陷细胞的受损杀伤,证明其在观察到的表型中的核心作用。重要的是,我们对AML患者队列的分析显示,ICAM1和STAT3表达呈正相关,提示STAT3在该疾病的ICAM-1调控中具有主要作用.在一条线上,ICAM1高表达与AML患者更好的生存率相关,这突显了我们研究结果的转化相关性.一起来看,我们的数据揭示了STAT3在防止AML细胞逃避NK细胞监测方面的新作用,并强调了STAT3/ICAM-1轴是AML中NK细胞治疗的潜在生物标志物.
    Acute myeloid leukemia (AML) is a heterogenous disease characterized by the clonal expansion of myeloid progenitor cells. Despite recent advancements in the treatment of AML, relapse still remains a significant challenge, necessitating the development of innovative therapies to eliminate minimal residual disease. One promising approach to address these unmet clinical needs is natural killer (NK) cell immunotherapy. To implement such treatments effectively, it is vital to comprehend how AML cells escape the NK-cell surveillance. Signal transducer and activator of transcription 3 (STAT3), a component of the Janus kinase (JAK)-STAT signaling pathway, is well-known for its role in driving immune evasion in various cancer types. Nevertheless, the specific function of STAT3 in AML cell escape from NK cells has not been deeply investigated. In this study, we unravel a novel role of STAT3 in sensitizing AML cells to NK-cell surveillance. We demonstrate that STAT3-deficient AML cell lines are inefficiently eliminated by NK cells. Mechanistically, AML cells lacking STAT3 fail to form an immune synapse as efficiently as their wild-type counterparts due to significantly reduced surface expression of intercellular adhesion molecule 1 (ICAM-1). The impaired killing of STAT3-deficient cells can be rescued by ICAM-1 overexpression proving its central role in the observed phenotype. Importantly, analysis of our AML patient cohort revealed a positive correlation between ICAM1 and STAT3 expression suggesting a predominant role of STAT3 in ICAM-1 regulation in this disease. In line, high ICAM1 expression correlates with better survival of AML patients underscoring the translational relevance of our findings. Taken together, our data unveil a novel role of STAT3 in preventing AML cells from escaping NK-cell surveillance and highlight the STAT3/ICAM-1 axis as a potential biomarker for NK-cell therapies in AML.
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  • 文章类型: Journal Article
    细胞间粘附分子1(ICAM-1)是非感染性后葡萄膜炎中白细胞经视网膜内皮迁移的中枢细胞粘附分子。抑制ICAM-1基因转录降低了ICAM-1在发炎的视网膜内皮中的诱导。根据已发表的文献,暗示转录因子ETS-1是ICAM1基因转录的激活因子,我们研究了ETS-1阻断对细胞因子刺激的人视网膜内皮细胞ICAM-1水平的影响.我们首先检查了暴露于肿瘤坏死因子-α(TNF-α)或白介素-1β(IL-1β)的人视网膜内皮细胞中的ICAM1和ETS1转录本表达。用TNF-α或IL-1β刺激4小时后,原代人视网膜内皮细胞分离株(n=5)的ICAM1和ETS1转录物平行增加(分别为p≤0.012和≤0.032)。然后,我们评估了小干扰(si)RNA阻断ETS-1对细胞ICAM1转录本和膜结合ICAM-1蛋白的影响。用两种ETS-1靶向siRNA处理48小时后,在细胞因子刺激和非刺激的人视网膜内皮细胞单层中,ETS1转录物减少了90%以上。与阴性对照非靶向siRNA相比(p≤0.0002)。ETS-1阻断并没有降低ICAM1转录物的表达,也没有降低膜结合ICAM-1蛋白的水平,相反,它在大多数siRNA治疗和细胞因子刺激条件下都增加(分别为p≤0.018和≤0.004).这些意外发现表明ETS-1阻断增加了人视网膜内皮细胞中的ICAM-1转录物和蛋白质水平。因此,预期ETS-1靶向在非感染性后葡萄膜炎中促进而不是抑制白细胞的视网膜跨内皮迁移。
    Intercellular adhesion molecule 1 (ICAM-1) is a central cell adhesion molecule for retinal transendothelial migration of the leukocytes in non-infectious posterior uveitis. Inhibiting ICAM1 gene transcription reduces induction of ICAM-1 in inflamed retinal endothelium. Based on published literature implicating transcription factor ETS-1 as an activator of ICAM1 gene transcription, we investigated the effect of ETS-1 blockade on ICAM-1 levels in cytokine-stimulated human retinal endothelial cells. We first examined ICAM1 and ETS1 transcript expression in human retinal endothelial cells exposed to tumor necrosis factor-alpha (TNF-α) or interleukin-1beta (IL-1β). ICAM1 and ETS1 transcripts were increased in parallel in primary human retinal endothelial cell isolates (n = 5) after a 4-hour stimulation with TNF-α or IL-1β (p ≤ 0.012 and ≤ 0.032, respectively). We then assessed the effect of ETS-1 blockade by small interfering (si)RNA on cellular ICAM1 transcript and membrane-bound ICAM-1 protein. ETS1 transcript was reduced by greater than 90% in cytokine-stimulated and non-stimulated human retinal endothelial cell monolayers following a 48-hour treatment with two ETS-1-targeted siRNA, in comparison to negative control non-targeted siRNA (p ≤ 0.0002). The ETS-1 blockade did not reduce ICAM1 transcript expression nor levels of membrane-bound ICAM-1 protein, rather it increased both for a majority of siRNA-treatment and cytokine-stimulation conditions (p ≤ 0.018 and ≤ 0.004, respectively). These unexpected findings indicate that ETS-1 blockade increases ICAM-1 transcript and protein levels in human retinal endothelial cells. Thus ETS-1-targeting would be expected to promote rather than inhibit retinal transendothelial migration of leukocytes in non-infectious posterior uveitis.
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  • 文章类型: Journal Article
    血管源性脑水肿,急性缺血性中风后可能危及生命的后果,是一个主要的临床问题。本研究旨在探索尼莫地平的治疗益处,钙通道阻滞剂,在缺血性中风大鼠模型中减轻血管源性脑水肿和保留血脑屏障(BBB)功能。在这项研究中,动物通过阻断大脑中动脉60分钟诱发缺血性卒中,并接受非低血压剂量的尼莫地平(1mg/kg/天)治疗5天.采用湿/干法鉴定脑水肿,用伊文思蓝染料外渗技术评估血脑屏障的通透性。此外,免疫荧光染色用于评估基质金属蛋白酶-9(MMP-9)和细胞间粘附分子-1(ICAM-1)的蛋白质表达水平。该研究还通过评估线粒体肿胀来检查线粒体功能,琥珀酸脱氢酶(SDH)活性,线粒体膜电位(MMP)的崩溃,和活性氧(ROS)的产生。中风后给予尼莫地平导致脑水肿的显着减少并保持BBB的完整性。观察到的保护作用与细胞凋亡的减少以及MMP-9和ICAM-1表达的减少有关。此外,观察到尼莫地平可降低线粒体肿胀和ROS水平,同时恢复MMP和SDH活性。这些结果表明,尼莫地平可以减轻缺血/再灌注引起的脑水肿和BBB破坏。这种作用可能通过降低MMP-9和ICAM-1水平以及增强线粒体功能来介导。
    Vasogenic brain edema, a potentially life-threatening consequence following an acute ischemic stroke, is a major clinical problem. This research aims to explore the therapeutic benefits of nimodipine, a calcium channel blocker, in mitigating vasogenic cerebral edema and preserving blood-brain barrier (BBB) function in an ischemic stroke rat model. In this research, animals underwent the induction of ischemic stroke via a 60-min blockage of the middle cerebral artery and treated with a nonhypotensive dose of nimodipine (1 mg/kg/day) for a duration of five days. The wet/dry method was employed to identify cerebral edema, and the Evans blue dye extravasation technique was used to assess the permeability of the BBB. Furthermore, immunofluorescence staining was utilized to assess the protein expression levels of matrix metalloproteinase-9 (MMP-9) and intercellular adhesion molecule-1 (ICAM-1). The study also examined mitochondrial function by evaluating mitochondrial swelling, succinate dehydrogenase (SDH) activity, the collapse of mitochondrial membrane potential (MMP), and the generation of reactive oxygen species (ROS). Post-stroke administration of nimodipine led to a significant decrease in cerebral edema and maintained the integrity of the BBB. The protective effects observed were associated with a reduction in cell apoptosis as well as decreased expression of MMP-9 and ICAM-1. Furthermore, nimodipine was observed to reduce mitochondrial swelling and ROS levels while simultaneously restoring MMP and SDH activity. These results suggest that nimodipine may reduce cerebral edema and BBB breakdown caused by ischemia/reperfusion. This effect is potentially mediated through the reduction of MMP-9 and ICAM-1 levels and the enhancement of mitochondrial function.
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  • 文章类型: Journal Article
    心血管疾病(CVD)仍然是全球死亡的主要原因,主要由动脉粥样硬化驱动。糖尿病,作为一个可修改的风险因素,显着有助于动脉粥样硬化。单核细胞募集到内膜是动脉粥样硬化斑块形成的关键步骤,涉及趋化因子和粘附分子如选择素,ICAM-1和MCP-1。胰高血糖素样肽1受体激动剂(GLP-1RAs)是一组有前途的药物,用于降低糖尿病患者的心血管风险,促使调查他们的作用机制。本研究纳入50例糖尿病患者的动脉粥样硬化斑块,给予GLP-1RA180天。在治疗前和治疗后测量MCP-1,ICAM-1和L-选择素的血清浓度。还评估了人体测量和生化参数。GLP-1RA治疗导致人体测量参数的显着改善,血糖控制,血压,和肝脏脂肪变性的生化标志物。生物标志物实验室分析显示,与健康对照组相比,患有动脉粥样硬化斑块的糖尿病患者的MCP-1,ICAM-1和L-选择素的基线水平更高。治疗后,MCP-1和L-选择素水平显著降低(p<0.001),而ICAM-1水平升高(p<0.001)。患有动脉粥样硬化斑块的糖尿病患者的GLP-1RA治疗导致与单核细胞向内皮募集相关的血清分子水平的有利变化。观察到的MCP-1和L-选择素的减少表明GLP-1RA介导的心血管风险降低的潜在机制。需要进一步的研究来阐明这些发现在患有动脉粥样硬化的糖尿病患者中的确切机制和临床意义。
    Cardiovascular disease (CVD) remains a prominent cause of global mortality, primarily driven by atherosclerosis. Diabetes mellitus, as a modifiable risk factor, significantly contributes to atherogenesis. Monocyte recruitment to the intima is a critical step in atherosclerotic plaque formation, involving chemokines and adhesion molecules such as selectins, ICAM-1, and MCP-1. Glucagon-like peptide 1 receptor agonists (GLP-1RAs) are a promising group of drugs for reducing cardiovascular risk in diabetic patients, prompting investigation into their mechanisms of action. This interventional study enrolled 50 diabetes patients with atherosclerotic plaque, administering GLP-1RA for 180 days. Serum concentrations of MCP-1, ICAM-1, and L-selectin were measured before and after treatment. Anthropometric and biochemical parameters were also assessed. GLP-1RA treatment resulted in significant improvements in anthropometric parameters, glycemic control, blood pressure, and biochemical markers of liver steatosis. Biomarker laboratory analysis revealed higher baseline levels of MCP-1, ICAM-1, and L-selectin in diabetic patients with atherosclerotic plaque compared to healthy controls. Following treatment, MCP-1 and L-selectin levels decreased significantly (p < 0.001), while ICAM-1 levels increased (p < 0.001). GLP-1RA treatment in diabetic patients with atherosclerotic plaque leads to favorable changes in serum molecule levels associated with monocyte recruitment to the endothelium. The observed reduction in MCP-1 and L-selectin suggests a potential mechanism underlying GLP-1RA-mediated cardiovascular risk reduction. Further research is warranted to elucidate the precise mechanisms and clinical implications of these findings in diabetic patients with atherosclerosis.
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  • 文章类型: Journal Article
    背景:了解严重COVID-19的持久呼吸后果对于全面的患者护理至关重要。本研究旨在评估COVID后条件对严重急性呼吸窘迫综合征(ARDS)的呼吸后遗症的影响。
    方法:我们检查了重症监护病房(ICU)出院后6个月的88名COVID-19相关严重ARDS幸存者。评估包括临床和功能评估以及内皮功能障碍的血浆生物标志物,炎症,和病毒反应。此外,使用人脐静脉内皮细胞(HUVECs)的体外模型研究了COVID后血浆对内皮功能的直接影响.
    结果:COVID后气体交换受损患者表现出持续的内皮炎症,表现为ICAM-1,IL-8,CCL-2和ET-1血浆水平升高。同时,全身性炎症,NLRP3过表达和IL-6,sCD40-L,和C反应蛋白,与内皮功能障碍生物标志物相关,并且在患有气体交换受损的COVID后患者中增加。T细胞激活,反映在CD69表达中,持续升高的干扰素-β(IFN-β)水平进一步导致持续的炎症。体外模型证实,患者血浆,随着sCD40-L和IFN-β蛋白水平的改变,有能力改变内皮功能.
    结论:ICU出院后六个月,COVID-19相关ARDS的幸存者表现出内皮功能障碍生物标志物的持续升高,与气体交换受损的严重程度相关。NLRP3炎性体活性和持续的T细胞活化表明持续的炎症有助于持续的内皮功能障碍,持续的病毒免疫反应可能会加剧。
    BACKGROUND: Understanding the enduring respiratory consequences of severe COVID-19 is crucial for comprehensive patient care. This study aims to evaluate the impact of post-COVID conditions on respiratory sequelae of severe acute respiratory distress syndrome (ARDS).
    METHODS: We examined 88 survivors of COVID-19-associated severe ARDS six months post-intensive care unit (ICU) discharge. Assessments included clinical and functional evaluation as well as plasma biomarkers of endothelial dysfunction, inflammation, and viral response. Additionally, an in vitro model using human umbilical vein endothelial cells (HUVECs) explored the direct impact of post-COVID plasma on endothelial function.
    RESULTS: Post-COVID patients with impaired gas exchange demonstrated persistent endothelial inflammation marked by elevated ICAM-1, IL-8, CCL-2, and ET-1 plasma levels. Concurrently, systemic inflammation, evidenced by NLRP3 overexpression and elevated levels of IL-6, sCD40-L, and C-reactive protein, was associated with endothelial dysfunction biomarkers and increased in post-COVID patients with impaired gas exchange. T-cell activation, reflected in CD69 expression, and persistently elevated levels of interferon-β (IFN-β) further contributed to sustained inflammation. The in vitro model confirmed that patient plasma, with altered levels of sCD40-L and IFN-β proteins, has the capacity to alter endothelial function.
    CONCLUSIONS: Six months post-ICU discharge, survivors of COVID-19-associated ARDS exhibited sustained elevation in endothelial dysfunction biomarkers, correlating with the severity of impaired gas exchange. NLRP3 inflammasome activity and persistent T-cell activation indicate on going inflammation contributing to persistent endothelial dysfunction, potentially intensified by sustained viral immune response.
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