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骨坏死
  • 文章类型: Journal Article
    评估暴露于低水平苯的职业人群的白血病风险。
    使用线性化多阶段(LMS)模型拟合来自中国苯队列研究的白血病发病率数据。个别苯暴露水平,尿S-苯基巯基尿酸(S-PMA)和反式,反式粘康酸(t,t-MA)是对来自中国工厂的98名接触苯的工人进行测量的。通过四舍五入累积苯浓度的四分位数(<3、3-5、5-12、≥12mg/m3·年,分别)。使用LMS模型评估苯诱发白血病的风险,并使用EPA模型和新加坡半定量风险评估模型对结果进行了验证。
    LMS模型显示,在四个暴露组中,白血病风险与累积浓度的增加呈正相关(额外的白血病风险分别为4.34、4.37、4.44和5.52×10-4;Ptrend<0.0001)。我们还发现,使用尿t估计的白血病风险,与S-PMA相比,LMS模型中的t-MA与空气中的苯估计的t-MA更相似。LMS模型估计的白血病风险在所有浓度下与新加坡半定量风险评估模型一致,在高浓度下(5-12,≥12mg/m3·年)与EPA模型一致,在低浓度(<3和3-5mg/m3·年)时超过EPA模型。然而,在所有四个苯暴露组中,这三种模型估计的白血病风险超过了EPA设定的致癌风险的最低可接受限值1×10-6.
    这项研究证明了源自中国苯队列的LMS模型在评估与低水平苯暴露相关的白血病风险方面的实用性,并提示在累积浓度低于3mg/m3·年时可能发生白血病风险。
    UNASSIGNED: To assess leukemia risk in occupational populations exposed to low levels of benzene.
    UNASSIGNED: Leukemia incidence data from the Chinese Benzene Cohort Study were fitted using the Linearized multistage (LMS) model. Individual benzene exposure levels, urinary S-phenylmercapturic acid (S-PMA) and trans, trans-muconic acid (t, t-MA) were measured among 98 benzene-exposed workers from factories in China. Subjects were categorized into four groups by rounding the quartiles of cumulative benzene concentrations (< 3, 3-5, 5-12, ≥12 mg/m3·year, respectively). The risk of benzene-induced leukemia was assessed using the LMS model, and the results were validated using the EPA model and the Singapore semi-quantitative risk assessment model.
    UNASSIGNED: The leukemia risks showed a positive correlation with increasing cumulative concentration in the four exposure groups (excess leukemia risks were 4.34, 4.37, 4.44 and 5.52 × 10-4, respectively; Ptrend < 0.0001) indicated by the LMS model. We also found that the estimated leukemia risk using urinary t, t-MA in the LMS model was more similar to those estimated by airborne benzene compared to S-PMA. The leukemia risk estimated by the LMS model was consistent with both the Singapore semi-quantitative risk assessment model at all concentrations and the EPA model at high concentrations (5-12, ≥12 mg/m3·year), while exceeding the EPA model at low concentrations (< 3 and 3-5 mg/m3·year). However, in all four benzene-exposed groups, the leukemia risks estimated by these three models exceeded the lowest acceptable limit for carcinogenic risk set by the EPA at 1 × 10-6.
    UNASSIGNED: This study demonstrates the utility of the LMS model derived from the Chinese benzene cohort in assessing leukemia risk associated with low-level benzene exposure, and suggests that leukemia risk may occur at cumulative concentrations below 3 mg/m3·year.
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  • 文章类型: Journal Article
    Harness®是一种商业除草剂,其含有浓度为84%的乙草胺作为活性成分。无处不在,持久性,在农业过程中大量使用Harness®导致了附近水源的污染,对各种水生生物构成威胁,包括鱼。Harness®毒性对鱼类健康的影响鲜为人知。所以,这项研究旨在描述除草剂Harness®对雄性和雌性罗非鱼(Oreochromisniloticus)的氧化应激以及生殖和甲状腺性能的影响,并研究补充天然抗氧化剂番茄红素在消除Harness®不利特性方面的预期作用。抗氧化酶(过氧化氢酶,超氧化物歧化酶,和总抗氧化能力)和激素测量(T,E2,T3和T4)进行,检查了性腺和甲状腺滤泡组织切片,以研究Harness®毒性对鱼类的影响。将雄性和雌性罗非鱼暴露于10μmol/L和100μmol/L的Harness®,并用10mg番茄红素/kg处理15天暴露。我们的结果表明,抗氧化剂酶活性因线束暴露而改变,男性和女性的血清T下降;同时,女性E2水平下降,但男性E2增加。暴露于较高剂量的Harness®导致T3和T4水平升高,虽然低暴露剂量刺激T4水平。Harness®暴露促使睾丸组织学变化和退行性变化,卵巢,和甲状腺滤泡组织。番茄红素补充剂的给药减少了由Harness®引起的氧化应激,通过中和T3、T4、T、和E2,改善性腺和甲状腺组织的组织学结构。总之,补充番茄红素是为了使由Harness®在尼罗罗非鱼中引起的改变和氧化损伤正常化,这表明补充番茄红素的饮食可以作为有效的抗氧化剂,并且能够减轻除草剂Harness®引起的氧化应激以及甲状腺和生殖毒性。此外,在食用除草剂以保护水生环境时,采取适当的措施至关重要。
    Harness® is a commercial herbicide that contains acetochlor at a concentration of 84% as an active ingredient. Ubiquitous, persistent, and substantial uses of Harness® in agricultural processes have resulted in the pollution of nearby water sources, posing a threat to various aquatic biotas, including fish. The effects of Harness® toxicity on fish health are little known. So, this study aimed to describe the impact of herbicide Harness® on the oxidative stress and reproductive and thyroid performance of male and female tilapia (Oreochromis niloticus) and also investigate the prospective role of the natural antioxidant lycopene supplementation in dismissing the adverse properties of Harness®. Antioxidant enzyme (catalase, superoxide dismutase, and total antioxidant capacity) and hormone measurements (T, E2, T3, and T4) were carried out, and gonadal and thyroid follicle histological sections were examined as a method to investigate the effects of Harness® toxicity on fish. Male and female tilapia were exposed to 10 μmol/L and 100 μmol/L of Harness® and treated with 10 mg lycopene/kg for 15 days of exposure. Our results demonstrated that the antioxidant enzyme activity was altered by Harness exposure and serum T for both males and females dropped; also, female E2 levels decreased, but male E2 increased. Exposure to higher dose of Harness® induced elevation in both T3 and T4 levels, although the low exposure dose stimulated T4 levels. Harness® exposure prompted histological variations and degenerative changes in testicular, ovarian, and thyroid follicle tissues. Lycopene supplement administration diminished oxidative stress induced by Harness®, alleviating its endocrine disparaging effects by neutralizing T3, T4, T, and E2 and ameliorating the histological structure of gonadal and thyroid tissues. In conclusion, lycopene supplementation was preformed to normalize the alterations and oxidative damage caused by Harness® in Nile tilapia, suggesting that lycopene-supplemented diet functioned as potent antioxidants and had the ability to alleviate oxidative stress and thyroid and reproductive toxicity caused by herbicide Harness®. Moreover, it is crucial to take appropriate care when consuming herbicides to defend the aquatic environment.
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  • 文章类型: Journal Article
    缺乏T细胞浸润是癌症有效免疫疗法的主要障碍。相反,肿瘤相关三级淋巴样结构(TA-TLLS)的形成,它们是针对癌症的体液和细胞免疫反应的局部位点,与良好的预后有关,最近在免疫检查点阻断(ICB)反应患者中发现了它们。然而,这些淋巴聚集体是如何发展的仍然知之甚少。通过使用单细胞转录组学,内皮命运图,和功能多重免疫分析,我们证明,抗血管生成免疫调节疗法通过淋巴毒素/淋巴毒素β受体(LT/LTβR)信号传导,诱导毛细血管后小静脉转分化为发炎的高内皮小静脉(HEV).反过来,肿瘤HEV促进肿瘤内淋巴细胞流入,并促进PD1-和PD1+TCF1+CD8T细胞祖细胞分化为GrzB+PD1+CD8T效应细胞的许可淋巴细胞生态位。肿瘤HEV需要连续的CD8和NK细胞衍生的信号,这表明肿瘤HEV的维持是由适应性免疫系统通过前馈回路积极塑造的。
    The lack of T cell infiltrates is a major obstacle to effective immunotherapy in cancer. Conversely, the formation of tumor-associated tertiary-lymphoid-like structures (TA-TLLSs), which are the local site of humoral and cellular immune responses against cancers, is associated with good prognosis, and they have recently been detected in immune checkpoint blockade (ICB)-responding patients. However, how these lymphoid aggregates develop remains poorly understood. By employing single-cell transcriptomics, endothelial fate mapping, and functional multiplex immune profiling, we demonstrate that antiangiogenic immune-modulating therapies evoke transdifferentiation of postcapillary venules into inflamed high-endothelial venules (HEVs) via lymphotoxin/lymphotoxin beta receptor (LT/LTβR) signaling. In turn, tumor HEVs boost intratumoral lymphocyte influx and foster permissive lymphocyte niches for PD1- and PD1+TCF1+ CD8 T cell progenitors that differentiate into GrzB+PD1+ CD8 T effector cells. Tumor-HEVs require continuous CD8 and NK cell-derived signals revealing that tumor HEV maintenance is actively sculpted by the adaptive immune system through a feed-forward loop.
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  • 文章类型: Journal Article
    急性腹泻是患病旅行者中最常见的诊断。睡眠不足可能会削弱身体对病原体的防御,并增加对感染的易感性。尚未研究睡眠与感染性腹泻之间的关系,并利用来自产肠毒性大肠杆菌(ETEC)的受控人类感染模型(CHIM)的数据进行了评估。
    在CHIM评估免疫预防性靶向ETEC对攻击后中度至重度腹泻(MSD)的疗效期间,我们通过肌动描记术测量了8天住院期间的睡眠。我们假设更好的睡眠前挑战可以预测挑战后的疾病症状学。
    在57名参与者中(年龄34.4±8.1岁,64%男性),睡眠指标与MSD发生率之间没有关系.然而,ETEC攻击前一晚总睡眠时间越长,24h最大腹泻量(B=-1.80,p=0.01)和总腹泻量(B=-2.45,p=0.01)越低.
    这项新的研究表明,在ETEC感染过程中,较短的睡眠时间可以预测腹泻的严重程度。未来的工作应该通过实验操纵睡眠,以进一步阐明其对ETEC和其他重要肠道病原体的腹泻相关结果的影响。
    Acute diarrhea is the most frequent diagnosis among ill travelers. Sleep loss may weaken the body\'s defense against pathogens and increase susceptibility to infection. The relationship between sleep and infectious diarrhea has not been studied and was assessed utilizing data from a controlled human infection model (CHIM) for enterotoxigenic Escherichia coli (ETEC).
    During a CHIM assessing the efficacy of an immunoprophylactic targeting ETEC against moderate-to-severe diarrhea (MSD) following challenge, we measured sleep via actigraphy over an 8-day inpatient period. We hypothesized better sleep pre-challenge would predict illness symptomatology following challenge.
    Among 57 participants (aged 34.4 ± 8.1 years, 64% male), there was no relationship between sleep metrics and incidence of MSD. However, longer total sleep time the night preceding ETEC challenge was associated with lower maximum 24 h diarrhea volume (B = -1.80, p = 0.01) and total diarrhea volume (B = -2.45, p = 0.01).
    This novel study showed that shorter sleep duration predicted diarrhea severity over the course of an ETEC infection. Future work should experimentally manipulate sleep to further clarify its impact on diarrhea-related outcomes for ETEC and other important enteric pathogens.
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  • 文章类型: Journal Article
    基于细胞的免疫疗法,如嵌合抗原受体(CAR)T细胞疗法,彻底改变了血液恶性肿瘤的治疗方法,尤其是对其他疗法难以治疗的患者。然而,有严重的障碍阻碍了目前自体疗法的广泛临床应用,例如高成本,挑战大规模制造,以及淋巴细胞减少症患者无法接受治疗。因此,生成具有显著可扩展性的通用现成电池产品的需求很大。人类诱导多能干细胞(iPSCs)由于其独特的自我更新特性和基因工程能力,为细胞治疗提供了“无限供应”。iPSCs可以分化为不同的免疫细胞,比如T细胞,自然杀伤(NK)细胞,不变的自然杀伤T(iNKT)细胞,γδT(γδT),粘膜相关不变T(MAIT)细胞,和巨噬细胞(Mφs)。在这次审查中,我们描述了基于iPSC的同种异体细胞疗法,产生iPSC来源的免疫细胞的不同培养方法(例如,iPSC-T,iPSC-NK,iPSC-iNKT,iPSC-γδT,iPSC-MAIT和iPSC-Mφ),以及iPSC-T和iPSC-NK细胞疗法的最新进展,特别是与汽车工程的组合。我们还讨论了基于iPSC的免疫疗法的可预见应用的当前挑战和该领域的未来前景。
    Cell-based immunotherapy, such as chimeric antigen receptor (CAR) T cell therapy, has revolutionized the treatment of hematological malignancies, especially in patients who are refractory to other therapies. However, there are critical obstacles that hinder the widespread clinical applications of current autologous therapies, such as high cost, challenging large-scale manufacturing, and inaccessibility to the therapy for lymphopenia patients. Therefore, it is in great demand to generate the universal off-the-shelf cell products with significant scalability. Human induced pluripotent stem cells (iPSCs) provide an \"unlimited supply\" for cell therapy because of their unique self-renewal properties and the capacity to be genetically engineered. iPSCs can be differentiated into different immune cells, such as T cells, natural killer (NK) cells, invariant natural killer T (iNKT) cells, gamma delta T (γδ T), mucosal-associated invariant T (MAIT) cells, and macrophages (Mφs). In this review, we describe iPSC-based allogeneic cell therapy, the different culture methods of generating iPSC-derived immune cells (e.g., iPSC-T, iPSC-NK, iPSC-iNKT, iPSC-γδT, iPSC-MAIT and iPSC-Mφ), as well as the recent advances in iPSC-T and iPSC-NK cell therapies, particularly in combinations with CAR-engineering. We also discuss the current challenges and the future perspectives in this field towards the foreseeable applications of iPSC-based immune therapy.
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  • 文章类型: Journal Article
    未经评估:本研究旨在研究体重指数(BMI)之间的关系,性激素,瘦素,和irisin在不同体型的儿童和青少年中。
    未经批准:在这项研究中,采用分层整群随机抽样方法,从两所9年制学校中选取8~15岁的学生作为研究对象.基于一项病例对照研究,选择了183名超重/肥胖学生。在使用性别和年龄匹配创建匹配的正常加权学生样本后,共计366名学生,包括214名男孩(58.5%)和152名女孩(41.5%)。我们测量了他们的身高和体重,并计算了他们的体重指数BMI。之后,它们的瘦素浓度,irisin,雌二醇(E2),检测血清中的睾酮(T)。
    未经评估:T,E2,瘦素,正常体重男孩和女孩之间的irisin(p<0.05)。T差异有统计学意义,超重/肥胖男孩和女孩之间的E2和irisin(p<0.05)。超重/肥胖学生的irisin和瘦素浓度高于正常体重学生(p<0.05)。在正常或超重/肥胖学生中,BMI对irisin的直接影响均无统计学意义,但是它们通过瘦素的间接作用具有统计学意义(对于体重正常的男孩和女孩,标准化间接影响系数:分别为0.29和0.38;对于超重/肥胖的男孩和女孩,标准化间接影响系数:分别为0.36和0.34)。正常体重男孩存在E2→瘦素→irisin的负途径(标准化间接效应系数:-0.24),超重/肥胖男孩存在T→瘦素→irisin的负途径(标准化间接效应系数:-0.27)。
    UNASSIGNED:BMI通过瘦素对irisin的间接影响存在于不同体型的儿童和青少年中。在正常体重男孩中,E2与瘦素呈负相关。而在超重/肥胖男孩中,T与瘦素呈负相关。
    UNASSIGNED: The present research aimed to study the relationship between body mass index (BMI), sex hormones, leptin, and irisin in children and adolescents with different body types.
    UNASSIGNED: In this study, a stratified cluster random sampling method was used to select students aged 8-15 years from two 9-year schools as the research subjects. Based on a case-control study, 183 overweight/obese students were selected. After using sex and age matching to create a matched sample of normal-weighted students, a total of 366 students, including 214 boys (58.5%) and 152 girls (41.5%) were included. We measured their height and weight and calculated their body mass index BMI. Afterward, their concentrations of leptin, irisin, oestradiol (E2), and testosterone (T) in the serum were detected.
    UNASSIGNED: There were significant differences in T, E2, leptin, and irisin between normal-weighted boys and girls (p < 0.05). There were statistically significant differences in T, E2, and irisin between overweight/obese boys and girls (p < 0.05). Overweight/obese students had higher concentrations of irisin and leptin than normal-weight students (p < 0.05). The direct effect of BMI on irisin was not statistically significant in either normal or overweight/obese students, but their indirect effects via leptin were statistically significant (for normal-weight boys and girls, standardized indirect effect coefficient: 0.29 and 0.38, respectively; for overweight/obese boys and girls, standardized indirect effect coefficient: 0.36 and 0.34, respectively). There was a negative pathway of E2 → leptin → irisin in normal-weight boys (standardized indirect effect coefficient: -0.24) and a negative pathway of T → leptin → irisin in overweight/obese boys (standardized indirect effect coefficient: -0.27).
    UNASSIGNED: The indirect effects of BMI on irisin via leptin exist in children and adolescents of different body types. E2 was negatively correlated with leptin in normal-weight boys, whereas T was negatively correlated with leptin in overweight/obese boys.
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  • 文章类型: Journal Article
    T是T-box转录因子家族的创始成员;家族成员对于整个动物界的细胞命运决定和组织形态发生至关重要。T在原始条纹和脊索中表达,小鼠突变体研究揭示了其在原始条纹和脊索完整性中中胚层形成中的关键作用。我们先前证明了Tbx6在中胚层和外侧板中胚层中的错误表达会导致类似于Tbx15和Tbx18空位的胚胎。这个,以及体外转录测定的结果,提示异位表达的Tbx6可以在靶基因的结合位点与内源性表达的Tbx15和Tbx18竞争。由于T-box蛋白共享相似的DNA结合域,我们假设T在近轴和外侧板中胚层中的错误表达也会干扰内源性Tbx15和Tbx18,导致胚胎表型,类似于Tbx6在体节和四肢中表达时看到的表型。有趣的是,异位T表达导致不同的胚胎表型,具体来说,表达最高水平T的胚胎中缩小大小的体节,最终影响轴长和神经管形态发生。我们进一步证明异位T导致T的已知靶标Tbx6和中生蛋白1的异位表达。这些结果表明,异位T表达通过激活其自身靶标而不是通过与内源性T-box因子的直接竞争来促成表型。
    T is the founding member of the T-box family of transcription factors; family members are critical for cell fate decisions and tissue morphogenesis throughout the animal kingdom. T is expressed in the primitive streak and notochord with mouse mutant studies revealing its critical role in mesoderm formation in the primitive streak and notochord integrity. We previously demonstrated that misexpression of Tbx6 in the paraxial and lateral plate mesoderm results in embryos resembling Tbx15 and Tbx18 nulls. This, together with results from in vitro transcriptional assays, suggested that ectopically expressed Tbx6 can compete with endogenously expressed Tbx15 and Tbx18 at the binding sites of target genes. Since T-box proteins share a similar DNA binding domain, we hypothesized that misexpressing T in the paraxial and lateral plate mesoderm would also interfere with the endogenous Tbx15 and Tbx18, causing embryonic phenotypes resembling those seen upon Tbx6 expression in the somites and limbs. Interestingly, ectopic T expression led to distinct embryonic phenotypes, specifically, reduced-sized somites in embryos expressing the highest levels of T, which ultimately affects axis length and neural tube morphogenesis. We further demonstrate that ectopic T leads to ectopic expression of Tbx6 and Mesogenin 1, known targets of T. These results suggests that ectopic T expression contributes to the phenotype by activating its own targets rather than via a straight competition with endogenous T-box factors.
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  • 文章类型: Journal Article
    Prostate cancer (PCa) is the most common non-cutaneous cancer in men in Europe and is predicted to exhibit declining mortality in the European Union (EU) due to various recent improvements in treatment. The goal of this short review is to give insight into the European treatment landscape of PCa, while focusing on improvements in care.
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  • 文章类型: Case Reports
    Human herpesvirus 6 (HHV-6) reactivation can occur in patients who are highly immunosuppressed, including those who have undergone hematopoietic stem cell transplantation (HSCT). HHV-6 encephalitis is a severe manifestation that is well described in the HSCT population. Chimeric antigen receptor T-cell (CAR-T) therapy is a novel cancer-directed immunotherapy that results in severe immunosuppression. Patients undergoing CAR-T therapy may be at risk for HHV-6 encephalitis, which can be difficult to distinguish from a common adverse effect of CAR-T therapy, neurotoxicity. Herein, we describe 2 patients diagnosed with HHV-6 encephalitis after CAR-T therapy and discuss the diagnostic approach and differential diagnosis for altered mental status after CAR-T therapy. Diagnosing HHV-6 encephalitis can be difficult in this patient population as altered mental status is common after CAR-T therapy and may be attributed to CAR-T-associated neurotoxicity.
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  • 文章类型: Journal Article
    Schuurs-Hoeijmakers综合征(SHMS)或PACS1神经发育障碍是一种罕见的以智力障碍为特征的疾病,颅面畸形和先天性畸形。SHMS是由PACS1基因的致病变异所惹起的常染色体显性遗传性疾病。PACS1是一种跨高尔基膜交通调节因子,可指导蛋白质货物和几种病毒包膜蛋白。它在人类胚胎脑发育过程中上调,出生后表达低。到目前为止,仅有54例SHMS患者被报告.在这项工作中,我们报告了七个新鉴定的SHMS个体,其经典c.607C>T:p.Arg206TrpPACS1致病变异,并回顾了文献中报道的所有患者的临床和分子方面,提供非常频繁的临床发现的总结(≥75%的患者),频繁(50-74%),罕见(26-49%)和罕见(小于≤25%)。
    Schuurs-Hoeijmakers syndrome (SHMS) or PACS1 Neurodevelopmental disorder is a rare disorder characterized by intellectual disability, abnormal craniofacial features and congenital malformations. SHMS is an autosomal dominant hereditary disease caused by pathogenic variants in the PACS1 gene. PACS1 is a trans-Golgi-membrane traffic regulator that directs protein cargo and several viral envelope proteins. It is upregulated during human embryonic brain development and has low expression after birth. So far, only 54 patients with SHMS have been reported. In this work, we report on seven new identified SHMS individuals with the classical c.607C > T: p.Arg206Trp PACS1 pathogenic variant and review clinical and molecular aspects of all the patients reported in the literature, providing a summary of clinical findings grouped as very frequent (≥75% of patients), frequent (50-74%), infrequent (26-49%) and rare (less than ≤25%).
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