Optical Imaging

光学成像
  • 文章类型: Journal Article
    背景:谷胱甘肽(GSH),细胞内的一种高度丰富的硫醇化合物,在生理过程中起着关键作用,并与癌症密切相关。在分子成像技术中,大多数探头的发射波长相对较短,缺乏光声成像(PA)能力,导致无法获得高穿透深度的组织图像。肿瘤微环境中GSH的存在可以中和ROS,降低PDT的治疗效果,因此通常导致不令人满意的治疗效果。因此,因此,研制一种检测GSH和诊断治疗肿瘤的双模态探针势在必行。
    结果:在这项研究中,我们合成了一种新颖的双模态探针,Cy-Bio-GSH,利用近红外荧光(NIRF)和光声(PA)成像技术进行GSH检测。该探针整合了花青染料作为荧光团,硝基偶氮苯作为识别部分,和生物素作为肿瘤靶向部分。与GSH反应后,探针在820nm处发射NIR荧光并产生PA信号。重要的是,该反应激活探针的光动力和光热特性。通过消耗GSH并采用协同光热疗法(PTT)治疗,光动力疗法(PDT)的疗效显着增强。体内实验证实了探针通过NIRF和PA成像检测GSH的能力。值得注意的是,联合的肿瘤靶向能力和PDT/PTT协同治疗可提高肿瘤的治疗效果并促进其消融。
    结论:合成了一种新型的肿瘤靶向和双模态成像探针(Cy-Bio-GSH),对GSH表现出显著的灵敏度和选择性,使细胞中GSH的可视化以及正常细胞和癌细胞之间的分化。Cy-Bio-GSH增强PDT/PTT,有效杀死癌细胞,并消融小鼠的肿瘤。这项工作代表了第一个用于GSH检测的肿瘤靶向探针,并通过双模态成像和改进的PDT/PTT协同治疗为癌症诊断和治疗提供了关键工具。
    BACKGROUND: Glutathione (GSH), a highly abundant thiol compound within cells, plays a critical role in physiological processes and exhibits close correlation with cancer. Among molecular imaging technologies, most probes have relatively short emission wavelengths and lack photoacoustic imaging (PA) capability, resulting in the inability to obtain tissue images with high penetration depth. The presence of GSH in the tumor microenvironment neutralizes ROS, diminishing the therapeutic effect of PDT, thus resulting in often unsatisfactory therapeutic efficacy. Therefore, it is imperative to develop a dual-modal probe for the detection of GSH and the diagnosis and treatment of cancer.
    RESULTS: In this study, we synthesized a novel dual-modal probe, Cy-Bio-GSH, utilizing near-infrared fluorescence (NIRF) and photoacoustic (PA) imaging techniques for GSH detection. The probe integrates cyanine dye as the fluorophore, nitroazobenzene as the recognition moiety, and biotin as the tumor-targeting moiety. Upon reacting with GSH, the probe emits NIR fluorescence at 820 nm and generates a PA signal. Significantly, this reaction activates the photodynamic and photothermal properties of the probe. By depleting GSH and employing a synergistic photothermal therapy (PTT) treatment, the therapeutic efficacy of photodynamic therapy (PDT) is remarkably enhanced. In-vivo experiments confirm the capability of the probe to detect GSH via NIRF and PA imaging. Notably, the combined tumor-targeting ability and PDT/PTT synergistic therapy enhance therapeutic outcomes for tumors and facilitate their ablation.
    CONCLUSIONS: A novel tumor-targeting and dual-modal imaging probe (Cy-Bio-GSH) is synthesized, exhibiting remarkable sensitivity and selectivity to GSH, enabling the visualization of GSH in cells and the differentiation between normal and cancer cells. Cy-Bio-GSH enhances PDT/PTT with effective killing of cancer cells and makes the ablation of tumors in mice. This work represents the first tumor-targeting probe for GSH detection, and provides crucial tool for cancer diagnosis and treatment by dual-modal imaging with improved PDT/PTT synergistic therapy.
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  • 文章类型: Journal Article
    背景:肝硬化是肝脏疾病进展的终末阶段,对患病肝脏的及时干预可以提高康复的可能性。粘度,细胞微环境的一个关键参数,与肝硬化的发展有着千丝万缕的联系.然而,粘度监测在实现肝硬化的非侵入性和快速早期诊断方面仍然面临重大挑战。近红外(NIR)荧光成像具有灵敏度高的优点,无损检测,忽略背景荧光干扰,在诊断和治疗各种生物疾病中起着重要作用。因此,利用近红外荧光探针监测细胞粘度变化对肝硬化的早期诊断具有重要意义。
    结果:在这项研究中,基于分子内电荷转移(TICT)机制的近红外荧光探针被开发用于肝硬化小鼠模型的成像应用。通过碳-碳双键连接二氧杂蒽基团,合成了分子转子型粘度响应探针。探针显示出显著的灵敏度,高选择性和光稳定性,其对粘度的响应性在很大程度上不受极性等因素的影响,pH值,和干扰离子。该探针能有效检测各种药物引起的细胞粘度变化,能够区分正常细胞和癌细胞。此外,探针增强的组织穿透能力促进了其在肝硬化小鼠模型中的成功应用,允许根据荧光强度评估肝脏疾病的严重程度,并为肝硬化的早期诊断提供强大的工具。
    结论:专门设计了一种NIR粘度敏感的荧光探针,用于有效监测细胞和器官粘度的变化,从而提高对肿瘤生物学特性的认识,为肝硬化的早期诊断提供理论支持。总的来说,该探针在监测粘度相关条件方面具有巨大潜力,扩大生物医学工具的范围。
    BACKGROUND: Cirrhosis represents the terminal stage of liver disease progression and timely intervention in a diseased liver can enhance the likelihood of recovery. Viscosity, a crucial parameter of the cellular microenvironment, is intricately linked to the advancement of cirrhosis. However, viscosity monitoring still faces significant challenges in achieving non-invasive and rapid early diagnosis of cirrhosis. Near-infrared (NIR) fluorescence imaging has the advantages of high sensitivity, non-destructive detection, and ignoring background fluorescence interference, plays an important role in diagnosing and treating various biological diseases. Hence, monitoring cellular viscosity changes with NIR fluorescence probe holds great significance in the early diagnosis of cirrhosis.
    RESULTS: In this study, the NIR fluorescence probe based on the intramolecular charge transfer (TICT) mechanism was developed for imaging applications in mouse model of liver cirrhosis. A molecular rotor-type viscosity-responsive probe was synthesized by linking dioxanthracene groups via carbon-carbon double bonds. The probe demonstrated remarkable sensitivity, high selectivity and photostability, with its responsiveness to viscosity largely unaffected by factors such as polarity, pH, and interfering ions. The probe could effectively detect various drug-induced changes in cellular viscosity, enabling the differentiation between normal cells and cancerous cells. Furthermore, the enhanced tissue penetration capabilities of probe facilitated its successful application in mouse model of liver cirrhosis, allowing for the assessment of liver disease severity based on fluorescence intensity and providing a powerful tool for early diagnosis of cirrhosis.
    CONCLUSIONS: A NIR viscosity-sensitive fluorescent probe was specifically designed to effectively monitor alterations in cellular and organ viscosity, which could advance the understanding of the biological characteristics of cancer and provide theoretical support for the early diagnosis of cirrhosis. Overall, this probe held immense potential in monitoring viscosity-related conditions, expanding the range of biomedical tools available.
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  • 文章类型: Journal Article
    荧光分析因其操作简单,被认为是常用的分析方法之一,快速反应,成本低,灵敏度高。到目前为止,各种荧光探针,贵金属纳米团簇,量子点,有机染料和金属有机骨架为代表,已被广泛报道。然而,单个荧光探针往往存在一些不足,如低量子产率,化学稳定性差,低水溶性和毒性。为了克服这些缺点,将环糊精引入荧光探针已成为一种引人入胜的方法。本文综述了近年来基于环糊精的荧光复合材料的研究进展(参考文献218篇)。准备策略,荧光特性,传感中的响应机制和应用(离子,有机污染物,生物相关分子,温度,详细总结了基于环糊精的荧光复合材料的pH)和生物成像。最后,讨论了这些复合材料在相关研究领域的当前挑战和未来前景。
    Fluorescence analysis has been regarded as one of the commonly used analytical methods because of its advantages of simple operation, fast response, low cost and high sensitivity. So far, various fluorescent probes, with noble metal nanoclusters, quantum dots, organic dyes and metal organic frameworks as representatives, have been widely reported. However, single fluorescent probe often suffers from some deficiencies, such as low quantum yield, poor chemical stability, low water solubility and toxicity. To overcome these disadvantages, the introduction of cyclodextrins into fluorescent probes has become a fascinating approach. This review (with 218 references) systematically covers the research progress of fluorescent composites based on cyclodextrins in recent years. Preparation strategies, fluorescence properties, response mechanisms and applications in sensing (ions, organic pollutants, bio-related molecules, temperature, pH) and bioimaging of fluorescent composites based on cyclodextrins are summarized in detail. Finally, the current challenges and future perspectives of these composites in relative research fields are discussed.
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  • 文章类型: Journal Article
    背景技术近年来,人们对调整有机半导体的光学性质以用于多种应用的兴趣激增。然而,在第二近红外(NIR-II)窗口中实现对光学带隙的控制仍然是主要挑战。为了解决这个问题,在这里,我们报告了一种极化子工程策略,该策略将各种缺陷引入碳量子点(CQD)。这些缺陷会引起晶格畸变,从而形成极化子,可以吸收近场散射光。此外,N相关空位中形成的极化子可以通过晶格振动的耦合产生热能,而与O相关缺陷相关的部分可以以NIR-II荧光的形式返回基态。在此光吸收模型的基础上,这些CQDs已成功应用于NIR-II荧光成像和光热治疗。这一发现可以为有机半导体材料的极化子作为纳米医学应用中的NIR-II吸收剂开辟一条有希望的途径。
    Recent years have witnessed a surge of interest in tuning the optical properties of organic semiconductors for diverse applications. However, achieving control over the optical bandgap in the second near-infrared (NIR-II) window has remained a major challenge. To address this, here we report a polaron engineering strategy that introduces diverse defects into carbon quantum dots (CQDs). These defects induce lattice distortions resulting in the formation of polarons, which can absorb the near-field scattered light. Furthermore, the formed polarons in N-related vacancies can generate thermal energy through the coupling of lattice vibrations, while the portion associated with O-related defects can return to the ground state in the form of NIR-II fluorescence. On the basis of this optical absorption model, these CQDs have been successfully applied to NIR-II fluorescence imaging and photothermal therapy. This discovery could open a promising route for the polarons of organic semiconductor materials as NIR-II absorbers in nanomedical applications.
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  • 文章类型: Journal Article
    只有30%来自体外受精卵母细胞的胚胎成功植入并发育至足月,导致重复的传输周期。为了减少患者的怀孕时间和压力,需要一种诊断工具,以更好地选择胚胎和卵母细胞的基础上,他们的生理。当前的标准采用明场成像,提供有限的生理信息。这里,我们介绍了METAPOR:通过基于相量的高光谱成像和细胞器识别进行代谢评估。这种非侵入性的,无标记成像方法结合了双光子照明和AI,以提供基于固有自发荧光信号的胚胎和卵母细胞的代谢谱。我们用它来分类i)在标准条件下培养的小鼠胚泡或消耗选定的代谢物(葡萄糖,丙酮酸,乳酸);和ii)来自年轻和老年小鼠雌性的卵母细胞,或体外老化的卵母细胞。成像过程对胚泡和卵母细胞是安全的。对照与对照的METAPHOR分类代谢物耗尽的胚胎达到了93.7%的ROC曲线下面积(AUC),相比之下,使用明场成像进行人体分级的比例为51%。青年与青年的二元分类使用METAPHOR进行的老年/体外衰老卵母细胞及其囊胚形成的AUC分别为96.2%和82.2%,分别。最后,基于黄素腺嘌呤二核苷酸信号的细胞器识别和分割表明,线粒体大小和分布的定量可以作为生物标志物对卵母细胞和胚胎进行分类。该方法的性能和安全性突出了非侵入性代谢成像的准确性,作为根据其生理学评估卵母细胞和胚胎的补充方法。
    Only 30% of embryos from in vitro fertilized oocytes successfully implant and develop to term, leading to repeated transfer cycles. To reduce time-to-pregnancy and stress for patients, there is a need for a diagnostic tool to better select embryos and oocytes based on their physiology. The current standard employs brightfield imaging, which provides limited physiological information. Here, we introduce METAPHOR: Metabolic Evaluation through Phasor-based Hyperspectral Imaging and Organelle Recognition. This non-invasive, label-free imaging method combines two-photon illumination and AI to deliver the metabolic profile of embryos and oocytes based on intrinsic autofluorescence signals. We used it to classify i) mouse blastocysts cultured under standard conditions or with depletion of selected metabolites (glucose, pyruvate, lactate); and ii) oocytes from young and old mouse females, or in vitro-aged oocytes. The imaging process was safe for blastocysts and oocytes. The METAPHOR classification of control vs. metabolites-depleted embryos reached an area under the ROC curve (AUC) of 93.7%, compared to 51% achieved for human grading using brightfield imaging. The binary classification of young vs. old/in vitro-aged oocytes and their blastulation prediction using METAPHOR reached an AUC of 96.2% and 82.2%, respectively. Finally, organelle recognition and segmentation based on the flavin adenine dinucleotide signal revealed that quantification of mitochondria size and distribution can be used as a biomarker to classify oocytes and embryos. The performance and safety of the method highlight the accuracy of noninvasive metabolic imaging as a complementary approach to evaluate oocytes and embryos based on their physiology.
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  • 文章类型: Journal Article
    自适应光学荧光寿命检眼镜(AOFLIO)提供了一种无标记的方法,可以在体内观察细胞规模的功能和分子变化。由于视网膜色素上皮(RPE)中的单个荧光团,添加多光谱功能可改善对寿命波动的解释。
    为了量化由于脂褐素变化引起的自发荧光随年龄和偏心的细胞尺度变化,黑色素,使用多光谱AOFLIO在RPE中的黑色素脂褐素。
    AOFLIO在7个偏心率下对6名受试者进行。使用了四个成像通道(λex/λem):473/SSC,473/LSC,532/LSC,和765/NIR。对细胞进行分段,并将细胞中每个像素的时序信号组合成单个直方图,然后用于计算寿命和相量参数。进行方差分析以研究偏心率和光谱对每个参数的影响。
    重复性分析显示,532/LSC的重复访问中寿命参数的变化<11.8%。765/NIR和532/LSC的偏心和年龄效应与以前的报告相似。473/LSC的偏心率随平均寿命和相量分量而变化。473/LSC和473/SSC在短寿命组件及其相对贡献中的偏心率都有变化。473/SSC在相量中没有偏心率的趋势。四个通道之间的比较显示了寿命和相量参数的差异。
    多光谱AOFLIO可以提供更全面的随年龄和偏心率变化的图片。这些结果表明,细胞分割有可能允许在低光子情况下进行研究,例如在老年或患病的受试者中,共捕获NIR通道(例如765/NIR)与所需的光谱通道。这项工作代表了第一个多光谱,在人RPE中体内进行细胞尺度荧光寿命比较,可能是追踪疾病的有用方法。
    UNASSIGNED: Adaptive optics fluorescence lifetime ophthalmoscopy (AOFLIO) provides a label-free approach to observe functional and molecular changes at cellular scale in vivo. Adding multispectral capabilities improves interpretation of lifetime fluctuations due to individual fluorophores in the retinal pigment epithelium (RPE).
    UNASSIGNED: To quantify the cellular-scale changes in autofluorescence with age and eccentricity due to variations in lipofuscin, melanin, and melanolipofuscin in RPE using multispectral AOFLIO.
    UNASSIGNED: AOFLIO was performed on six subjects at seven eccentricities. Four imaging channels ( λ ex / λ em ) were used: 473/SSC, 473/LSC, 532/LSC, and 765/NIR. Cells were segmented and the timing signals of each pixel in a cell were combined into a single histogram, which were then used to compute the lifetime and phasor parameters. An ANOVA was performed to investigate eccentricity and spectral effects on each parameter.
    UNASSIGNED: A repeatability analysis revealed < 11.8 % change in lifetime parameters in repeat visits for 532/LSC. The 765/NIR and 532/LSC had eccentricity and age effects similar to previous reports. The 473/LSC had a change in eccentricity with mean lifetime and a phasor component. Both the 473/LSC and 473/SSC had changes in eccentricity in the short lifetime component and its relative contribution. The 473/SSC had no trend in eccentricity in phasor. The comparison across the four channels showed differences in lifetime and phasor parameters.
    UNASSIGNED: Multispectral AOFLIO can provide a more comprehensive picture of changes with age and eccentricity. These results indicate that cell segmentation has the potential to allow investigations in low-photon scenarios such as in older or diseased subjects with the co-capture of an NIR channel (such as 765/NIR) with the desired spectral channel. This work represents the first multispectral, cellular-scale fluorescence lifetime comparison in vivo in the human RPE and may be a useful method for tracking diseases.
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  • 文章类型: Journal Article
    晚期糖基化终产物(AGEs)已被报道与骨质疏松症有关,老化,少肌症,和脆弱。本研究旨在探讨AGEs与机车综合征(LS)的相关性。参与者是参加Yakumo研究的39岁或以上的日本人(n=230)。使用AGE读数器通过皮肤自发荧光(SAF)测量AGEs。我们调查了每个机车级的SAF值。采用多因素logistic回归模型计算LS相关因素的比值比。研究了SAF与物理性能和骨密度(BMD)之间的关系。产生受试者工作特征(ROC)曲线以确定用于预测LS的SAF的最佳截止值。SAF值倾向于随着LS严重程度而相应增加。SAF是LS的独立解释因素(比值比2.70;95%置信区间[CI]1.040-6.990)。SAF与10米步行速度呈正相关,TimedUpandGo测试结果,与骨密度呈负相关。由SAF表示的存在或不存在LS风险的ROC曲线具有0.648的曲线下面积(95%CI:0.571-0.726)。高SAF值被确定为LS的独立危险因素。AGEs可能是人们进行LS的潜在筛查工具。
    Advanced glycation end products (AGEs) have been reported to be associated with osteoporosis, aging, sarcopenia, and frailty. This study aimed to investigate the association AGEs with locomotive syndrome (LS). Participants were Japanese individuals aged 39 years or older who participated in the Yakumo Study (n=230). AGEs were measured by skin autofluorescence (SAF) using an AGE reader. We investigated SAF values for each locomotive stage. Multivariate logistic regression models were used to calculate the odds ratios of LS-associated factors. The relationships between SAF and physical performance and bone mineral density (BMD) were investigated. A receiver operating characteristic (ROC) curves were generated to determine the optimal cut-off value of SAF for predicting LS. SAF values tended to increase correspondingly with LS severity. SAF was an independently explanatory factor for LS (odds ratio 2.70; 95% confidence interval [CI] 1.040-6.990). SAF was positively correlated with the 10-m walking speed, The Timed Up and Go test results, and was negatively correlated with BMD. ROC curve represented by SAF for the presence or absence of LS risk had an area under the curve of 0.648 (95% CI: 0.571-0.726). High SAF values were identified as an independent risk factor for LS. AGEs could be a potential screening tool for people for LS.
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  • 文章类型: Journal Article
    标记的抗体是肿瘤学中用于非侵入性可视化癌症相关抗原表达水平的优异成像剂。然而,在某些情况下,体内特异性抗体的肿瘤示踪剂摄取(TTU)可能不如非特异性IgG。
    通过裸鼠肿瘤的PD-L1特异性和非特异性成像,探讨影响标记抗体可视化的因素。
    在RKO模型中观察到TTU对放射性核素131I或NIRF染料标记的Atezolizumab和IgG的切伦科夫发光(CL)和近红外荧光(NIRF)成像。注射NIRF染料标记的Atezolizumab和131I标记的IgG的混合物,通过NIRF/CL双模态原位成像在RKO和HCT8模型中观察到TTU。通过131I标记的阿替珠单抗和IgG在体外分布观察到TTU。
    标记的IgG在肿瘤中的浓度高于阿特珠单抗。NIRF/CL在24至168h成像显示,随着时间的推移,TTU逐渐降低,与NIRF成像相比,CL成像降低更慢。体外分布数据显示131I标记的IgG的TTU在任何时间点都高于131I标记的阿替珠单抗的TTU。
    非特异性IgG在某些情况下通过标记的抗体光学成像比较裸鼠中的肿瘤PD-L1表达时可能不适合作为阿特珠单抗的对照。
    UNASSIGNED: Labeled antibodies are excellent imaging agents in oncology to non-invasively visualize cancer-related antigens expression levels. However, tumor tracer uptake (TTU) of specific antibodies in-vivo may be inferior to non-specific IgG in some cases.
    UNASSIGNED: To explore factors affecting labeled antibody visualization by PD-L1 specific and non-specific imaging of nude mouse tumors.
    UNASSIGNED: TTU was observed in RKO model on Cerenkov luminescence (CL) and near-infrared fluorescence (NIRF) imaging of radionuclide 131I or NIRF dyes labeled Atezolizumab and IgG. A mixture of NIRF dyes labeled Atezolizumab and 131I-labeled IgG was injected, and TTU was observed in the RKO and HCT8 model by NIRF/CL dual-modality in-situ imaging. TTU were observed by 131I-labeled Atezolizumab and IgG in-vitro distribution.
    UNASSIGNED: Labeled IgG concentrated more in tumors than Atezolizumab. NIRF/CL imaging in 24 to 168 h showed that TTU gradually decreased over time, which decreased more slowly on CL imaging compared to NIRF imaging. The distribution data in-vitro showed that TTU of 131I-labeled IgG was higher than that of 131I-labeled Atezolizumab at any time point.
    UNASSIGNED: Non-specific IgG may not be suitable as a control for Atezolizumab in comparing tumor PD-L1 expression in nude mice via labeled antibody optical imaging under certain circumstances.
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  • 文章类型: Journal Article
    羧酸酯酶(CE),一种广泛存在于生物体中的酶,参与各种生理和病理过程。肝脏中CE水平的变化可以预测2型糖尿病(T2DM)的存在。这里,提出了一种新型的基于双氰基异佛尔酮(DCI)的具有内质网靶向性的邻近标记远红荧光探针DCI2F-Ac,用于实时监测和成像CEs活性.DCI2F-Ac具有非常低的细胞毒性和生物毒性,对CEs具有高度选择性和敏感性。与传统CEs探头相比,DCI2F-Ac直接共价锚定在CEs上,从而有效地减少了由于扩散引起的原位荧光信号的损失。通过“开-关”荧光信号读出,DCI2F-Ac能够区分细胞系并筛选CEs抑制剂。在内质网(ER)应激方面,发现thapsigargin(Tg)诱导CEs水平上调,而不是衣霉素(Tm),这与ER的钙稳态有关。DCI2F-Ac可以有效检测T2DM肝脏中下调的CE,和二甲双胍的治疗效果,阿卡波糖,通过跟踪CEs水平的波动来评估这两种药物的组合。结果表明,二甲双胍和阿卡波糖联合使用可以使CEs水平恢复到接近正常水平,具有最佳的抗糖尿病作用。因此,DCI2F-Ac探针为探索CEs在肝脏代谢紊乱和药物疗效评估中的未开发潜力提供了一个很好的机会.
    Carboxylesterase (CE), an enzyme widely present in organisms, is involved in various physiological and pathological processes. Changes in the levels of CEs in the liver may predict the presence of type 2 diabetes mellitus (T2DM). Here, a novel dicyanoisophorone (DCI)-based proximity-labeled far-red fluorescent probe DCI2F-Ac with endoplasmic reticulum targeting was proposed for real-time monitoring and imaging of the CEs activity. DCI2F-Ac featured very low cytotoxicity and biotoxicity and was highly selective and sensitive for CEs. Compared with traditional CEs probes, DCI2F-Ac was covalently anchored directly to CEs, thus effectively reducing the loss of in situ fluorescent signals due to diffusion. Through the \"on-off\" fluorescence signal readout, DCI2F-Ac was able to distinguish cell lines and screen for CEs inhibitors. In terms of endoplasmic reticulum (ER) stress, it was found that thapsigargin (Tg) induced upregulation of CEs levels but not tunicamycin (Tm), which was related to the calcium homeostasis of the ER. DCI2F-Ac could efficiently detect downregulated CEs in the livers of T2DM, and the therapeutic efficacy of metformin, acarbose, and a combination of these two drugs was assessed by tracking the fluctuation of CEs levels. The results showed that combining metformin and acarbose could restore CEs levels to near-normal levels with the best antidiabetic effect. Thus, the DCI2F-Ac probe provides a great opportunity to explore the untapped potential of CEs in liver metabolic disorders and drug efficacy assessment.
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  • 文章类型: Journal Article
    为了评估形态学之间的关系,眼底自发荧光(FAF),增殖性糖尿病视网膜病变患者在全视网膜光凝术后1年以上对光凝病变的视网膜敏感性和良好视力。
    这项回顾性队列研究纳入了1年前接受全视网膜光凝治疗的增生性糖尿病视网膜病变患者。光凝病变根据FAF水平分类:A组,无FAF;B组,弥漫性FAF;C组,带有弥漫性FAF的白点中心;D组,没有FAF的白点中心;和E组,controls.主要结果指标是FAF,视网膜敏感性,和光凝病变的形态。
    A组(n=37)的中位值和光凝病变的数量,B(n=39),C(n=4),D(n=15),E(n=39)为0dB,18.0dB,13.9dB,0.3dB,和21.5dB,分别。在93.5%中没有EZ系,18.1%,50%,93.3%,A组有0%的病变,B,C,D,E,分别。45.2%的视网膜内层受损,3.0%,50%,73.3%,A组有0%的病变,B,C,D,E,分别。在光凝病变的视网膜敏感性方面观察到有统计学意义的组间差异,EZ线的存在,对视网膜内层的损伤(p<0.05)。
    大多数具有弥漫性FAF的光凝性病变中的光感受器保留了其形态和功能。
    使用眼底自发荧光,糖尿病患者全视网膜光凝术后对光感受器的损害可以通过非侵入性的方式进行评估.该过程可以帮助确定对额外的全视网膜光凝的需要。
    UNASSIGNED: To evaluate the relationships among morphology, fundus autofluorescence (FAF), and retinal sensitivity of photocoagulated lesions more than 1 year after panretinal photocoagulation in patients with proliferative diabetic retinopathy and good vision.
    UNASSIGNED: This retrospective cohort study included patients with proliferative diabetic retinopathy who had undergone panretinal photocoagulation more than 1 year ago. The photocoagulated lesions were classified according to FAF levels: group A, no FAF; group B, diffuse FAF; group C, white-dotted centers with diffuse FAF; group D, white-dotted centers without FAF; and group E, controls. The main outcome measures were FAF, retinal sensitivity, and morphology of the photocoagulated lesions.
    UNASSIGNED: The median sensitivity values and number of photocoagulated lesions in groups A (n = 37), B (n = 39), C (n = 4), D (n = 15), and E (n = 39) were 0 dB, 18.0 dB, 13.9 dB, 0.3 dB, and 21.5 dB, respectively. EZ lines were absent in 93.5%, 18.1%, 50%, 93.3%, and 0% of lesions in groups A, B, C, D, and E, respectively. The inner retinal layer was damaged in 45.2%, 3.0%, 50%, 73.3%, and 0% lesions in groups A, B, C, D, and E, respectively. Statistically significant between-group differences were observed in the retinal sensitivities of the photocoagulated lesions, presence of EZ lines, and damage to the inner retinal layer (p < 0.05).
    UNASSIGNED: The photoreceptors in most photocoagulated lesions with diffuse FAF retain their morphology and function.
    UNASSIGNED: Using fundus autofluorescence, the damage to photoreceptors after panretinal photocoagulation in patients with diabetes can be estimated in a noninvasive manner. This process can help in determining the need for additional panretinal photocoagulation.
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