LAD

LAD
  • 文章类型: Journal Article
    基因组组织可以调节基因表达并促进细胞命运转变。果蝇种系干细胞(GSCs)向卵母细胞的分化涉及异染色质和核孔复合物(NPC)介导的基因组组织变化。异染色质在分化过程中抑制生殖细胞基因,NPC将这些沉默的基因锚定到核外围,保持沉默以允许卵母细胞发育。令人惊讶的是,我们发现基因组组织也有助于NPC的形成,由转录因子Stonewall(Stwl)介导。随着GSC的分化,Stwl在沉默的和活跃的基因区室之间的边界处积累。这些边界处的Stwl在将生殖细胞基因转变为沉默状态并激活一组卵母细胞基因和核孔蛋白(Nups)中起着关键作用。分化过程中这些Nups的上调对于NPC形成和进一步的基因组组织至关重要。因此,基因组结构和NPC之间的交叉对话对于成功的细胞命运转变至关重要。
    Genome organization can regulate gene expression and promote cell fate transitions. The differentiation of germline stem cells (GSCs) to oocytes in Drosophila involves changes in genome organization mediated by heterochromatin and the nuclear pore complex (NPC). Heterochromatin represses germ cell genes during differentiation, and NPCs anchor these silenced genes to the nuclear periphery, maintaining silencing to allow for oocyte development. Surprisingly, we found that genome organization also contributes to NPC formation, mediated by the transcription factor Stonewall (Stwl). As GSCs differentiate, Stwl accumulates at boundaries between silenced and active gene compartments. Stwl at these boundaries plays a pivotal role in transitioning germ cell genes into a silenced state and activating a group of oocyte genes and nucleoporins (Nups). The upregulation of these Nups during differentiation is crucial for NPC formation and further genome organization. Thus, cross-talk between genome architecture and NPCs is essential for successful cell fate transitions.
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  • 文章类型: Case Reports
    MI的第四个通用定义要求除v2-3外,在两个相邻的导联中存在j点升高,其中男性的升高应等于或>2mm(<40年为2.5mm),女性为1.5mm。(1)我们介绍了2例出现左前降支间隔穿支闭塞的心电图表现的患者,并讨论了此类患者的心电图显着特征。鉴于急性冠状动脉闭塞的动态性质和早期识别MI的压力,我们还提出了STEMI标准的局限性。
    The fourth universal definition of MI defines requires presence of j point elevation in two contiguous leads except v2-3 where the elevation should be equal to or >2 mm in men (2.5 mm in <40 years) and 1.5 mm in women.(1) We present two cases of patients who presented with electrocardiographic manifestations of occlusion of septal perforator of left anterior descending artery and discuss the salient feature of ECG in such patients. We also present the limitations of STEMI criteria given the dynamic nature of acute coronary occlusion and stress on early recognition of this MI.
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  • 文章类型: Journal Article
    小鼠心肌梗塞(MI)是临床前心脏修复研究中广泛使用的手术模型,可概括人类心血管缺血性疾病。可重现的梗死面积的诱导对于定量和分析目的至关重要。在这里,我们描述了一种快速可靠的方法,可以在不到一分钟的时间内在小鼠中诱导出一致的梗塞大小。
    Myocardial infarction (MI) in mice is a widely used surgical model in preclinical cardiac repair studies to recapitulate human cardiovascular ischemic disease. Induction of reproducible infarct size is crucial for quantitative and analytical purpose. Here we describe a quick and reliable method to induce consistent infarct size in mice in less than a minute.
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  • 文章类型: Journal Article
    背景:在心肌缺血/再灌注(I/R)损伤期间,肌球蛋白轻链1(MLC1)和肌钙蛋白I(TnI)被基质金属蛋白酶降解,在体外和离体研究中已经很好地确定了活性。然而,I/R损伤是基于几个重叠机制的复杂问题。由于氧化应激引起的肌球蛋白轻链激酶和一氧化氮合酶的活性增加导致MLC1的翻译后修饰,从而导致这些蛋白质的降解增加。
    方法:Wistar大鼠进行左冠状动脉前降支闭塞。为了测量多西环素的药理作用,经胸超声心动图以及生化检查,TnI的浓度,LDH,进行MLC1、MMP-2和MMP-9。还评估了糊化活性和细胞毒性水平;结果:I.p.在LAD闭塞手术前给予多西环素可增加心脏中TnI和LDH的含量并降低细胞毒性。服用Doxy后,还观察到MMP-2和MMP-9浓度和MMP-2活性降低,以及术后7天超声心动图参数的改善。
    结论:多西环素对基质金属蛋白酶的抑制作用,在体内,可以在未来的治疗中作为保护剂。
    BACKGROUND: The fact that during myocardial ischemia/reperfusion (I/R) injury, myosin light chain 1 (MLC1) and troponin I (TnI) are degraded by matrix metalloproteases activity has already been well established in both in vitro and ex vivo studies. However, I/R injury is a complex issue based on several overlapping mechanisms. Increased activity of myosin light chain kinase and nitric oxide synthase due to oxidative stress leads to post-translational modifications of MLC1, thus leading to the increased degradation of these proteins.
    METHODS: Wistar rats were subjected to left anterior descending coronary artery occlusion. To measure the pharmacological effect of doxycycline, transthoracic echocardiography as well as biochemical tests, concentrations of TnI, LDH, MLC1, MMP-2 and MMP-9 were performed. Gelatinize activity and cytotoxicity level were also assessed; Results: I.p., administration of doxycycline before LAD occlusion surgery increased TnI and LDH content in the heart and decreased cytotoxicity. A reduction of MMP-2 and MMP-9 concentration and MMP-2 activity after administration of Doxy was also observed, as well as improvement in echocardiographic parameters just 7 days after surgery.
    CONCLUSIONS: Inhibition of MMPs by doxycycline, in vivo, may serve as a protective agent in future therapy.
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  • 文章类型: Journal Article
    背景:氧化应激是急性冠状动脉综合征(ACS)的病理特征,具有不同临床结果的复杂疾病。氧化应激的替代生物标志物,包括,过氧化物酶2(PRDX2),PRDX4、硫氧还蛋白(TRX)和硫氧还蛋白还原酶(TRXR)在ACS患者就诊和随访时进行检测,评估其在诊断和风险分层中的临床效用。
    方法:诊断时145名参与者(80名ACS和65名健康者)的血浆,通过ELISA分析1-3个月(第一次)和6个月随访(第二次)。ACS患者被监测12个月。
    结果:ACS患者在诊断时的TRX浓度明显较高(p<0.05),TRXR(p<0.01)和PRDX4(p<0.01),与健康的捐赠者相比。这种增加是由TRX(p<0.01)和PRDX4(p<0.05)的非ST段抬高心肌梗死驱动的。对于TRXR,女性ACS显著高于男性(p<0.05)。在诊断时,老年女性(>55岁)的TRX也较高(p<0.05)。在第一次随访时,TRX降低了,而PRDX4仍然显著高(p<0.05)。根据经皮冠状动脉介入治疗(PCI)对ACS患者进行分层显示,接受PCI至右冠状动脉的患者TRXR显着升高(p<0.05)。而在接受左前降支(LAD)动脉PCI的患者中,TRXR(p<0.01)和PRDX4(p<0.01)均显著升高。第二次随访时血浆TRX>13.40ng/ml的ACS患者再次入院的风险较高(p<0.05),TRXR<1000pg/ml的患者在诊断为PCI至LAD时也是如此(p<0.05)。
    结论:这项研究表明,TRX,TRXR和PRDX4可能对ACS分层具有临床实用性。
    BACKGROUND: Oxidative stress is a pathological feature of acute coronary syndrome (ACS), a complex disease with varying clinical outcomes. Surrogate biomarkers of oxidative stress including, peroxiredoxin-2 (PRDX2), PRDX4, thioredoxin (TRX) and thioredoxin reductase (TRXR) were measured in ACS patients at presentation and follow-up, to assess their clinical utility in diagnosis and risk stratification.
    METHODS: Plasma from 145 participants (80 ACS and 65 healthy) at diagnosis, 1-3 month (first) and 6-month follow-up (second) was analysed by ELISA. ACS patients were monitored for 12-months.
    RESULTS: ACS patients at diagnosis had significantly higher concentrations of TRX (p < 0.05), TRXR (p < 0.01) and PRDX4 (p < 0.01), compared to healthy donors. This was increase was driven by non-ST elevated myocardial infarction for TRX (p < 0.01) and PRDX4 (p < 0.05). For TRXR, ACS females were significantly higher than males (p < 0.05). TRX was also higher in older females (>55 years) at diagnosis (p < 0.05). At first follow-up, TRX had lowered, whereas PRDX4 remained significantly high (p < 0.05). Stratification of ACS patients according to percutaneous coronary intervention (PCI) revealed that TRXR was significantly higher in patients receiving PCI to the right coronary artery (p < 0.05). Whereas both TRXR (p < 0.01) and PRDX4 (p < 0.01) were significantly higher in patients receiving PCI to the left anterior descending (LAD) artery. ACS patients who had plasma TRX >13.40 ng/ml at second follow-up were at high risk of readmission (p < 0.05), as were patients with TRXR of <1000 pg/ml at diagnosis having PCI to the LAD (p < 0.05).
    CONCLUSIONS: This study indicates that TRX, TRXR and PRDX4 may have clinical utility for ACS stratification.
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  • 文章类型: Journal Article
    对23例左乳腺癌患者进行了左前降支(LAD)和左心室(LV)的辐射暴露比较。对于每个参与者,两个切向场3D-CRT,创建了两个和七个场IMRT以及两个和四个部分弧VMAT计划。CTV的剂量限制,随访同侧肺和心脏。V40Gy,V30Gy,LAD和V23Gy的Dav,V5Gy,计算LV的Dav并从计划中提取。应用参数测试和非参数测试来比较从五种治疗技术得出的参数。所有生成的计划都满足剂量限制。所有检查技术的LAD和LV的Dav范围为11.77-14.73Gy和5.37-6.40Gy,分别。LAD的V40Gy和V30Gy范围分别为2.90-12.91%和10.80-18.51%,分别。LV的V23Gy和V5Gy分别为4.29-7.43%和18.24-30.05%,分别。VMAT计划和七场IMRT显着降低了V40Gy,LAD的V30Gy和LV的V23Gy与双场治疗相比(p<0.05)。然而,与其他技术相比,3D-CRT计划提供的LVV5Gy值在统计学上较低(p<0.05)。所呈现的结果提供了来自五种放射治疗技术的两个关键心脏结构的辐射负荷的详细数据集。
    A comparison of the radiation exposure to the left anterior descending artery (LAD) and left ventricle (LV) was performed for twenty-three left breast cancer patients. For each participant, two tangential fields 3D-CRT, two- and seven-field IMRT and two and four partial arcs VMAT plans were created. Dose constraints for CTV, ipsilateral lung and heart were followed. The V40Gy, V30Gy, Dav of LAD and V23Gy, V5Gy, Dav of LV were calculated and extracted from the plans. Parametric and non-parametric tests were applied to compare the parameters derived from the five treatment techniques. All generated plans fulfilled the dose constraints. The Dav ranges of the LAD and LV from all examined techniques were 11.77-14.73 Gy and 5.37-6.40 Gy, respectively. The V40Gy and V30Gy ranges of the LAD were 2.90-12.91% and 10.80-18.51%, respectively. The V23Gy and V5Gy of the LV were 4.29-7.43% and 18.24-30.05%, respectively. The VMAT plans and seven-field IMRT significantly reduced the V40Gy, V30Gy of LAD and V23Gy of LV compared with the two-field treatments (p < 0.05). However, 3D-CRT plans provided statistically lower values for V5Gy of LV over the other techniques (p < 0.05). The presented results provide a detailed dataset of the radiation burden of two critical cardiac structures from five radiotherapy techniques.
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  • 文章类型: Review
    异染色质和常染色质在相间核中形成不同的空间区室,异染色质主要位于核外围。负责异染色质外周定位的机制仍未完全理解。核层和核孔复合物是异染色质粘合剂作用的明显候选者。这篇综述集中在最近的研究表明,异染色质与核层和核孔复合物的相互作用保持其外周定位。还讨论了细胞群体和单个细胞中染色质与核膜相互作用的差异。
    Heterochromatin and euchromatin form different spatial compartments in the interphase nucleus, with heterochromatin being localized mainly at the nuclear periphery. The mechanisms responsible for peripheral localization of heterochromatin are still not fully understood. The nuclear lamina and nuclear pore complexes were obvious candidates for the role of heterochromatin binders. This review is focused on recent studies showing that heterochromatin interactions with the nuclear lamina and nuclear pore complexes maintain its peripheral localization. Differences in chromatin interactions with the nuclear envelope in cell populations and in individual cells are also discussed.
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  • 文章类型: Journal Article
    在进化过程中,功能上不可或缺的基因可能会被保留,否则会丢失。基因的这种进化命运也可能受到独立于基因可分配性的因素的影响,包括基因组位置的可变性,但是这些特征还没有得到很好的检验。为了揭示与基因丢失相关的基因组特征,我们研究了基因在多个谱系中独立丢失的基因组区域的特征。通过对脊椎动物的基因系统发育进行全面扫描,仔细检查进化基因丢失,我们确定了813个人类基因,其直系同源物在多个哺乳动物谱系中丢失:指定为“难以捉摸的基因”。这些难以捉摸的基因位于快速核苷酸取代的基因组区域,GC含量高,和高基因密度。对脊椎动物之间这种难以捉摸的基因的直系同源区域的比较表明,这些特征是在大约5亿年前对现存的脊椎动物进行辐射之前建立的。人类难以捉摸的基因与转录组和表观基因组特征的关联表明,包含此类基因的基因组区域受到抑制性转录调控。因此,驱动基因命运走向丧失的异质性基因组特征已经到位,有时可能已经放松了这些基因的功能不可或缺性。这项研究揭示了自脊椎动物祖先以来一直存在的基因功能和局部基因组特性在塑造基因进化中的复杂相互作用。
    Functionally indispensable genes are likely to be retained and otherwise to be lost during evolution. This evolutionary fate of a gene can also be affected by factors independent of gene dispensability, including the mutability of genomic positions, but such features have not been examined well. To uncover the genomic features associated with gene loss, we investigated the characteristics of genomic regions where genes have been independently lost in multiple lineages. With a comprehensive scan of gene phylogenies of vertebrates with a careful inspection of evolutionary gene losses, we identified 813 human genes whose orthologs were lost in multiple mammalian lineages: designated \'elusive genes.\' These elusive genes were located in genomic regions with rapid nucleotide substitution, high GC content, and high gene density. A comparison of the orthologous regions of such elusive genes across vertebrates revealed that these features had been established before the radiation of the extant vertebrates approximately 500 million years ago. The association of human elusive genes with transcriptomic and epigenomic characteristics illuminated that the genomic regions containing such genes were subject to repressive transcriptional regulation. Thus, the heterogeneous genomic features driving gene fates toward loss have been in place and may sometimes have relaxed the functional indispensability of such genes. This study sheds light on the complex interplay between gene function and local genomic properties in shaping gene evolution that has persisted since the vertebrate ancestor.
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  • 文章类型: Journal Article
    丁酸酯和丙酸酯代表由肠道微生物群产生的三种主要短链脂肪酸中的两种。在健康人群中,据报道,它们的水平是等摩尔的,而在各种患病队列中观察到它们的比率存在偏差。监测这样的比率代表了一个有价值的度量;然而,在临床环境中采用短链脂肪酸检测技术仍然是一个挑战,因为这些酸具有挥发性.在这里,我们旨在通过一种新的方法间接估计短链脂肪酸信息,针对有限数量的微生物组16S标记的简单定量PCR兼容测定(液体阵列诊断)。利用15个液体阵列诊断探针,通过结合偏最小二乘和线性判别分析的模型选择的微生物组标记,类别(正常与高丙酸/丁酸比率)的阈值为2.6,预测准确率为96%。
    Butyrate and propionate represent two of three main short-chain fatty acids produced by the intestinal microbiota. In healthy populations, their levels are reportedly equimolar, whereas a deviation in their ratio has been observed in various diseased cohorts. Monitoring such a ratio represents a valuable metric; however, it remains a challenge to adopt short-chain fatty acid detection techniques in clinical settings because of the volatile nature of these acids. Here we aimed to estimate short-chain fatty acid information indirectly through a novel, simple quantitative PCR-compatible assay (liquid array diagnostics) targeting a limited number of microbiome 16S markers. Utilizing 15 liquid array diagnostics probes to target microbiome markers selected by a model that combines partial least squares and linear discriminant analysis, the classes (normal vs high propionate-to-butyrate ratio) separated at a threshold of 2.6 with a prediction accuracy of 96%.
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  • 文章类型: Journal Article
    UNASSIGNED:分析深吸气屏气(DIBH)是否对需要辅助放疗的左乳腺癌患者的放疗计划技术有剂量学上的益处。
    UNASSIGNED:对于左乳腺癌需要辅助放疗的患者,在自由呼吸(FB)和深吸气屏气(DIBH)中进行计划CT扫描。注册后,三种放射治疗计划-3D适形放射治疗(3DCRT),强度调制RT(IMRT),和体积调制电弧治疗(VMAT)-为每位患者的FB和DIBH扫描生成。从剂量-体积直方图收集剂量-体积参数并进行分析。采用配对t检验对各参数进行统计分析。
    UNASSIGNED:该研究对13名患者进行。DIBH使左肺的平均剂量减少了32%,24%,和6%(8.6Gy,6.6Gy,和6.4Gy)与3DCRT,IMRT,和VMAT,分别。平均心脏剂量减少了3.3Gy(2.2对5.5Gy),2.2Gy(7.5对9.7Gy),和1.2Gy(5.8对7Gy),3DCRT,IMRT,和DIBH的VMAT。同样,左前降支(LAD)平均剂量相对减少了80%,34%,与3DCRT的FB扫描相比,20%,IMRT,和VMAT分别,3DCRT计划中的最大剂量。
    未经评估:DIBH似乎在为考虑进行3DCRT的患者实现更好的保护处于危险中的器官方面具有最大的益处,甚至在较小程度上使用IMRT和VMAT技术。
    UNASSIGNED: To analyze whether deep inspiratory breath hold (DIBH) would be dosimetrically beneficial irrespective of radiotherapy planning techniques for patients with left breast cancers requiring adjuvant radiotherapy.
    UNASSIGNED: Planning CT scans were taken in free-breathing (FB) as well as deep-inspiration breath hold (DIBH) for patients requiring adjuvant radiotherapy for left breast cancers. After registration, three radiotherapy plans - 3D-conformal radiotherapy (3DCRT), intensity modulated RT (IMRT), and volumetric modulated arc-therapy (VMAT) - were generated for both FB and DIBH scans for each patient. The dose-volume parameters were collected from the dose-volume histogram and analyzed. A paired t-test is used for statistical analysis of the parameters.
    UNASSIGNED: The study was conducted on thirteen patients. The mean dose of the left lung was reduced with DIBH by 32%, 24%, and 6% (8.6 Gy, 6.6 Gy, and 6.4 Gy) with 3DCRT, IMRT, and VMAT, respectively. The mean heart dose was reduced by 3.3 Gy (2.2 vs 5.5 Gy), 2.2 Gy (7.5 vs 9.7 Gy), and 1.2 Gy (5.8 vs 7 Gy) with 3DCRT, IMRT, and VMAT with DIBH. Similarly, the left anterior descending artery (LAD) mean dose was relatively reduced by 80%, 34%, and 20% when compared with the FB scans for 3DCRT, IMRT, and VMAT respectively, with max dose in the 3DCRT plan.
    UNASSIGNED: DIBH appears to have maximum benefit in achieving a better sparing of organs-at-risk for patients being considered for 3DCRT, and to a lesser extent with even IMRT and VMAT techniques.
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