TIMP-1

TIMP - 1
  • 文章类型: Journal Article
    目的:基质金属蛋白酶(MMPs)催化降解细胞外基质蛋白。MMP的活性受金属蛋白酶组织抑制剂(TIMPs)控制。MMP-9/TIMP-1比率的失衡与慢性牙周炎(CP)有关。光动力疗法(PDT)使用可见光,光敏剂和氧气根除病原体。该研究的目的是评估慢性牙周炎患者在采用其他PDT进行非手术牙周治疗前后的龈沟液(GCF)中MMP-9和TIMP-1的存在。
    方法:19名患者,每个都有CP,包括在研究中。牙周检查后,选择一个探测深度(PD)≥4mm的部位。患者通过HELBO®二极管微型激光器接受了带有额外PDT的缩放和根部平整(SRP)。治疗前,三个月和六个月后,以下参数是从同一地点估计的:PD,牙龈衰退(GR),临床依恋水平(CAL),菌斑指数(PI),探查出血(BOP)和沟液流速(SFFR)。测定GCF中MMP-9和TIMP-1的水平。
    结果:与基线相比,3个月和6个月后MMP-9和TIMP-1水平无统计学差异.根据斯皮尔曼的等级相关性,MMP-9在所有时间点与SFFR呈正相关。PD,与基线相比,CAL和PI显示出统计学上显著的降低(p<0.001)。SFFR降低但不显著。
    结论:牙周非手术治疗联合PDT在临床上是有效的,但对GCF中MMP-9和TIMP-1的水平没有影响。
    OBJECTIVE: Matrix metalloproteinases (MMPs) catalyze degradation of extracellular matrix proteins. The activity of MMPs is controlled by tissue inhibitors of metalloproteinases (TIMPs). An imbalance in the MMP-9/TIMP-1 ratio has been linked with chronic periodontitis (CP). Photodynamic therapy (PDT) uses visible light, photosensitizer and oxygen to eradicate pathogens. The aim of the study was to evaluate the presence of MMP-9 and TIMP-1 in gingival crevicular fluid (GCF) in chronic periodontitis patients before and after nonsurgical periodontal therapy with additional PDT.
    METHODS: Nineteen patients, each with CP, were included in the study. After periodontal examination one site with a probing depth (PD) ​≥ ​4 ​mm was selected. The patients received scaling and root planing (SRP) with additional PDT by means of HELBO® diode minilaser. Prior to treatment, and after 3 and 6 months, the following parameters were estimated from the same site: PD, gingival recession (GR), clinical attachment level (CAL), plaque index (PI), bleeding on probing (BOP) and sulcus fluid flow rate (SFFR). The levels of MMP-9 and TIMP-1 in GCF were determined.
    RESULTS: Compared to baseline, the levels of MMP-9 and TIMP-1 did not show statistically significant differences after 3 and 6 months. According to Spearman\'s rank correlations, MMP-9 was positively correlated with SFFR at all time points. PD, CAL and PI showed a statistically significant decrease compared to baseline (p ​< ​0.001). SFFR decreased but not significantly.
    CONCLUSIONS: Nonsurgical periodontal therapy in conjunction with PDT was clinically effective but it had no effect on the levels of MMP-9 and TIMP-1 in GCF.
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  • 文章类型: Journal Article
    糖尿病肾病代表糖尿病的显著微血管并发症,以细胞外基质积累为特征,细胞-细胞连接的丢失,微量白蛋白尿,肌酐清除率下降。尽管流行,目前缺乏专门针对这种情况的治疗选择。像生物类黄酮这样的天然产品因其潜在的治疗益处而受到关注。本研究旨在评估生物类黄酮组合的功效,包括生姜提取物,大豆提取物,和Hesperetin,在糖尿病大鼠模型中。
    在出生后第5天通过腹膜内注射链脲佐菌素在幼鼠中引发糖尿病。六周后,将血糖水平超过160mg/dL的大鼠分为糖尿病对照组和治疗组,每个有八只动物。一部分大鼠接受柠檬酸盐缓冲液作为对照。治疗组口服生物类黄酮组合24周。各种参数,包括血糖水平,尿参数,抗氧化状态,通过Westernblot表达,凝胶酶谱,和免疫组织化学,在研究结论中进行了评估。
    与对照相比,生物类黄酮组合显示出高血糖症和各种尿液参数的显着降低。值得注意的是,它调节MMP-9/TIMP-1表达,上调GLUT-4,下调TGF-β。此外,该组合增强了总抗氧化能力,表明潜在的抗氧化益处。
    这项研究强调了生物类黄酮组合(生姜提取物,大豆提取物,和橙皮素)改善糖尿病肾病的肾功能。通过调节MMP-9/TIMP-1、TGF-β、和GLUT-4,这种组合为进一步探索糖尿病肾病提供了有希望的途径。这些发现强调了天然产物作为解决糖尿病并发症的潜在治疗剂的重要性。
    UNASSIGNED: Diabetic nephropathy represents a significant microvascular complication of diabetes, characterized by extracellular matrix accumulation, loss of cell-cell junctions, microalbuminuria, and diminished creatinine clearance. Despite its prevalence, therapeutic options dedicated to this condition are currently lacking. Natural products like bioflavonoids have garnered attention for their potential therapeutic benefits. The present study aimed to evaluate the efficacy of a bioflavonoid combination, including ginger extract, soy extract, and hesperetin, in a diabetic rat model.
    UNASSIGNED: Diabetes was initiated in the rat pups via intraperitoneal injection of streptozotocin on the fifth postnatal day. After six weeks, rats exhibiting blood sugar levels exceeding 160 mg/dL were allocated into diabetic control and treatment groups, with eight animals each. A subset of rats received citrate buffer as a control. The treatment group received the bioflavonoid combination orally for twenty-four weeks. Various parameters, including glycemic levels, urinary parameters, antioxidant status, mRNA expression via Western blot, gel zymography, and immunohistochemistry, were assessed at the study\'s conclusion.
    UNASSIGNED: The bioflavonoid combination demonstrated significant reductions in hyperglycemia and various urinary parameters compared to controls. Notably, it modulated MMP-9/TIMP-1 expression, upregulated GLUT-4, and downregulated TGF-β. Additionally, the combination enhanced total antioxidant capacity, indicating potential antioxidative benefits.
    UNASSIGNED: This study highlights the therapeutic potential of a bioflavonoid combination (ginger extract, soy extract, and hesperetin) in improving renal function in diabetic nephropathy. By modulating key factors such as MMP-9/TIMP-1, TGF-β, and GLUT-4, this combination presents a promising avenue for further exploration in managing diabetic nephropathy. These findings underscore the importance of natural products as potential therapeutic agents in addressing diabetic complications.
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  • 文章类型: Journal Article
    金属蛋白酶-1的组织抑制剂(TIMP-1)在肝纤维化中细胞外基质的过度生成中起作用。本研究旨在探索TIMP-1调控单核细胞趋化蛋白-1(MCP-1)表达和促进肝巨噬细胞募集的途径。
    肝纤维化是通过四氯化碳引发的,和包含靶向TIMP-1的小干扰RNA的腺相关病毒(siRNA-TIMP-1)被给予大鼠和小鼠。我们评估了纤维化和巨噬细胞募集的程度。通过transwell迁移实验研究了通过TIMP-1调节巨噬细胞募集的分子机制,荧光素酶报告基因测定,使用药物调节剂,和细胞外囊泡(EV)的分析。
    siRNA-TIMP-1减轻四氯化碳诱导的肝纤维化,减少巨噬细胞迁移和MCP-1表达。TIMP-1下调后共培养巨噬细胞与肝星状细胞(HSC)抑制巨噬细胞迁移。在siRNA-TIMP-1处理的HSC中,microRNA-145(miRNA-145)表达增加,而Friend白血病病毒整合-1(Fli-1)和MCP-1的表达受到抑制。Fli-1的下调导致MCP-1表达降低,而Fli-1过表达增加了HSC内MCP-1的表达。用miRNA-145模拟物转染降低Fli-1和MCP-1的表达,而miRNA-145抑制剂提高HSC中Fli-1和MCP-1的表达。miRNA-145直接与Fli-1的3'-UTR结合,并且在TIMP-1下调后由HSC分泌的miRNA-145富集的EV影响巨噬细胞募集。
    TIMP-1通过miRNA-145诱导Fli-1表达,随后增加MCP-1表达和巨噬细胞募集。来自HSC的miRNA-145富集的EV可以传递生物信息并放大TIMP-1的功能。
    UNASSIGNED: Tissue inhibitor of metalloproteinase-1 (TIMP-1) plays a role in the excessive generation of extracellular matrix in liver fibrosis. This study aimed to explore the pathways through which TIMP-1 controls monocyte chemoattractant protein-1 (MCP-1) expression and promotes hepatic macrophage recruitment.
    UNASSIGNED: Liver fibrosis was triggered through carbon tetrachloride, and an adeno-associated virus containing small interfering RNA targeting TIMP-1 (siRNA-TIMP-1) was administered to both rats and mice. We assessed the extent of fibrosis and macrophage recruitment. The molecular mechanisms regulating macrophage recruitment by TIMP-1 were investigated through transwell migration assays, luciferase reporter assays, the use of pharmacological modulators, and an analysis of extracellular vesicles (EVs).
    UNASSIGNED: siRNA-TIMP-1 alleviated carbon tetrachloride-induced liver fibrosis, reducing macrophage migration and MCP-1 expression. Co-culturing macrophages with hepatic stellate cells (HSCs) post-TIMP-1 downregulation inhibited macrophage migration. In siRNA-TIMP-1-treated HSCs, microRNA-145 (miRNA-145) expression increased, while the expression of Friend leukemia virus integration-1 (Fli-1) and MCP-1 was inhibited. Downregulation of Fli-1 led to decreased MCP-1 expression, whereas Fli-1 overexpression increased MCP-1 expression within HSCs. Transfection with miRNA-145 mimics reduced the expression of both Fli-1 and MCP-1, while miRNA-145 inhibitors elevated the expression of both Fli-1 and MCP-1 in HSCs. miRNA-145 bound directly to the 3\'-UTR of Fli-1, and miRNA-145-enriched EVs secreted by HSCs after TIMP-1 downregulation influenced macrophage recruitment.
    UNASSIGNED: TIMP-1 induces Fli-1 expression through miRNA-145, subsequently increasing MCP-1 expression and macrophage recruitment. MiRNA-145-enriched EVs from HSCs can transmit biological information and magnify the function of TIMP-1.
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  • 文章类型: Journal Article
    动脉瘤由于动脉的扩张而构成危及生命的风险,并且携带破裂的高风险。尽管不断的研究努力,对于这种情况,仍然没有令人满意或临床有效的药物治疗方法。在动脉瘤发展过程中加速的炎症过程导致基质金属蛋白酶(MMPs)水平升高,并通过细胞外基质(ECM)的结构成分的降解使血管壁不稳定。主要是胶原蛋白和弹性蛋白。金属蛋白酶的组织抑制剂(TIMPs)直接调节MMP活性并因此抑制ECM蛋白水解。在这项工作中,通过将编码TIMP-1的合成mRNA外源性递送至主动脉血管组织以试图抑制MMP-9,TIMP-1蛋白的合成得以增加.体外,TIMP-1mRNA转染导致各种细胞中TIMP-1蛋白表达显著增加。在适当的离体主动脉血管模型中评估表达的蛋白质的功能性。在将5µgTIMP-1mRNA显微注射入主动脉血管壁后24小时和48小时,使用原位酶谱检测到MMP-9活性降低。这些结果表明,TIMP-1mRNA给药是治疗动脉瘤的一种有希望的方法。
    Aneurysms pose life-threatening risks due to the dilatation of the arteries and carry a high risk of rupture. Despite continuous research efforts, there are still no satisfactory or clinically effective pharmaceutical treatments for this condition. Accelerated inflammatory processes during aneurysm development lead to increased levels of matrix metalloproteinases (MMPs) and destabilization of the vessel wall through the degradation of the structural components of the extracellular matrix (ECM), mainly collagen and elastin. Tissue inhibitors of metalloproteinases (TIMPs) directly regulate MMP activity and consequently inhibit ECM proteolysis. In this work, the synthesis of TIMP-1 protein was increased by the exogenous delivery of synthetic TIMP-1 encoding mRNA into aortic vessel tissue in an attempt to inhibit MMP-9. In vitro, TIMP-1 mRNA transfection resulted in significantly increased TIMP-1 protein expression in various cells. The functionality of the expressed protein was evaluated in an appropriate ex vivo aortic vessel model. Decreased MMP-9 activity was detected using in situ zymography 24 h and 48 h post microinjection of 5 µg TIMP-1 mRNA into the aortic vessel wall. These results suggest that TIMP-1 mRNA administration is a promising approach for the treatment of aneurysms.
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  • 文章类型: Journal Article
    目的:虽然MMPs在黑色素瘤发病机制中的作用是已知的,很少有研究调查它们在痣和发育不良痣发展中的作用。本研究旨在探讨MMP-9、MMP-13、MMP-21和TIMP-1在恶性黑色素瘤(MM)中的表达差异。皮内痣(IDN),和发育不良痣(DN)。
    方法:在2013年至2014年期间,我们对60例病理诊所档案中的MMP-9,MMP-13,MMP-21和TIMP-1抗体进行了免疫组化研究。
    结果:MM组MMP-9的表达百分比和强度最高(p<0.001)。病变细胞和基质细胞的MMP-13表达强度与基质表达强度之间无统计学意义(p>0.05)。与IDN相比,DN和MM中的MMP-21病变染色强度具有统计学意义(分别为p=0.001,p=0.011)。对于TIMP-1,在病变细胞的染色比例方面,IDN组和MM组之间存在显著差异(p<0.01)。根据病变细胞的表达强度,所有组的差异均具有统计学意义。(IDN-DNp<0.001,IDN-MMp=0.044,DN-MMp<0.001)。
    结论:当病变无法分化时,以下标志物可能是有帮助的;在MM和IDN无法分化的情况下,病变和基质细胞中MMP-9染色比例和强度的增加有利于MM。在病理学家无法区分DN和MM的情况下,病变细胞的MMP-13染色比例增加可有利于DN。在DN和IDN不能分化的情况下,病变细胞对MMP-21的强烈表达可能是评估病变有利于DN的潜在标志物。在DN和MM之间存在歧义的情况下,TIMP-1在病变细胞中的高表达强度可有利于DN。在MM和DN不能分化的情况下,TIMP-1基质细胞的高表达比例和强度可用于有利于MM。
    OBJECTIVE: Although the role of MMPs in the pathogenesis of melanoma is known, few studies have investigated their role in the development of nevi and dysplastic nevi. This study aims to search the expression differences of MMP-9, MMP-13, MMP-21, and TIMP-1 between malignant melanoma (MM), intradermal nevi (IDN), and dysplastic nevi (DN).
    METHODS: MMP-9, MMP-13, MMP-21, and TIMP-1 antibodies were studied immunohistochemically for 60 cases in our pathology clinic archive between 2013 and 2014.
    RESULTS: The MM group had the highest expression percentage and intensity for MMP-9 (p<0.001). There was no statistical significance between MMP-13 expression intensities of lesion cells and stromal cells and stromal expression intensities (p>0.05). MMP-21 lesion staining intensities in DN and MM compared to IDN were statistically significant (p=0.001, p=0.011, respectively). For TIMP-1, there was a significant difference between the IDN and the MM group regarding the staining proportion of lesion cells (p<0.01). There was a statistically significant difference in all groups according to lesion cells\' expression intensity. (IDN-DN p<0.001, IDN-MM p=0.044, DN-MM p<0.001).
    CONCLUSIONS: The following markers can be helpful when lesions cannot be differentiated; increased staining proportions and intensity of MMP-9 in both lesion and stromal cells favor MM in cases where MM and IDN cannot be differentiated. The increased MMP-13 staining proportion of lesion cells can favor DN in cases where the pathologist cannot differentiate DN and MM. Intense expression of MMP-21 by lesion cells can be a potential marker for evaluating the lesion in favor of DN in cases where DN and IDN cannot be differentiated. The high expression intensity of TIMP-1 in lesion cells can favor DN in cases where there is ambiguity between DN and MM. High expression proportion and intensity of stromal cells of TIMP-1 can be useable in favor of MM in cases where MM and DN cannot be differentiated.
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  • 文章类型: Journal Article
    目的:基质金属蛋白酶(MMPs)是钙依赖性含锌内肽酶,参与许多生物过程,包括脂肪形成,血管生成,和组织重塑。周围白细胞浸润的脂肪组织在脂肪组织残留的转变中起着重要作用,非炎性状态转化为促炎状态,导致脂肪组织炎症和扩张以及许多介质如脂肪因子和细胞因子的产生。这项研究的目的是研究MMPs的表达,它们的内源性组织抑制剂(TIMPs),选择单纯性肥胖儿童白细胞和血浆中的炎症介质,以发现它们与肥胖相关表型的关联。
    方法:26名超重/肥胖儿童和23名健康志愿者参与了这项研究。通过实时定量PCR分析MMP-2,-9,-12-14,TIMP-1,-2和IL-6的白细胞mRNA表达水平。血浆MMP-9/TIMP-1和MMP-2/TIMP-2的比例以及MMP-9,TIMP-1,IL-1β的浓度,IL-6,TNF-α,用ELISA法检测瘦素和抵抗素。使用明胶酶谱来评估白细胞MMP蛋白的活性。
    结果:肥胖儿童表现出以下情况:a)白细胞TIMP-1的表达增加,白细胞MMP-9的轻度升高(接近统计学意义)(p=0.054),MMP-2的下降,b)血浆MMP-9,瘦素的升高,和MMP9/TIMP1比值,c)血浆TNF-α和MMP-2/TIMP-2比率的表达降低。发现了几个负相关:TIMP2与ALT(r=-0.536),AST(r=-0.645)和TTG(r=-0.438),IL-6vs.GGTP(r=-0.815),和MMP12vs.TTG(r=-0.488),瘦素vs.ALT(r=-0.569),MMP-9vs.总胆固醇(r=-0.556)。唯一的正相关是血浆瘦素水平与GGTP(r=0.964)。
    结论:在肥胖发展初期(儿童),可能存在补偿性反应,这里反映了白细胞MMPs抑制剂TIMP-1的表达增加,白细胞MMP-2和血浆MMP-2的水平降低,MMP2/TIMP-2的比例,低血浆TNF-α和TIMP-2表达与肝脏呈负相关(AST,ALT)或脂肪(TTG)炎症标志物。
    OBJECTIVE: Matrix metalloproteinases (MMPs) are calcium-dependent zinc-containing endo-peptidases engaged in many biological processes including adipogenesis, angiogenesis, and tissue remodeling. Fat tissue infiltration by peripheral leukocytes plays an important role in transition of fat tissue residual, non-inflammatory status into the pro-inflammatory one, resulting in fat tissue inflammation and expansion as well as production of many mediators like adipokines and cytokines. The aim of this study was to investigate the expression of MMPs, their endogenous tissue inhibitors (TIMPs), and selected inflammatory mediators in leukocytes and plasma of children with simple obesity to find their associations with obesity-related phenotypes.
    METHODS: Twenty-six overweight/obese children and twenty-three healthy volunteers participated in the study. The leukocyte mRNA expression levels of MMP-2, -9, -12 -14, TIMP-1, -2, and IL-6 were analyzed by the real time quantitative PCR. Plasma MMP-9/TIMP-1 and MMP-2/TIMP-2 ratios as well as the concentrations of MMP-9, TIMP-1, IL-1 beta, IL-6, TNF- alpha, leptin and resistin were tested by ELISA assays. Gelatin zymography was used to assess the activity of the leukocyte MMPs proteins.
    RESULTS: The obese children showed the following: a) increased expression of leukocyte TIMP-1 and slight elevation (close to statistical significance) of leukocyte MMP-9 (p = 0.054), the decline in MMP-2, b) elevation of plasma MMP-9, leptin, and MMP9/TIMP1 ratio, c) reduced expression of plasma TNF-alpha and MMP-2/TIMP-2 ratio. Several negative correlations were found: TIMP2 vs. ALT (r = -0.536), AST (r = -0.645) and TTG (r = -0.438), IL-6 vs. GGTP (r = -0.815), and MMP12 vs. TTG (r = -0.488), leptin vs. ALT (r = -0.569), MMP-9 vs. total cholesterol (r = -0.556). The only positive correlation was that of plasma leptin level vs. GGTP (r = 0.964).
    CONCLUSIONS: At the beginning of obesity development (children), possibly compensatory reactions prevail, reflected here by an increase in the expression of leukocyte MMPs inhibitor TIMP-1, decrease in the level of leukocyte MMP-2 and plasma MMP-2, MMP2/TIMP-2 ratio, low plasma TNF-alpha and negative correlations between the expression of TIMP-2 and liver (AST, ALT) or fat (TTG) inflammatory markers.
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  • 文章类型: Journal Article
    大脑中的铁积累会导致氧化应激,血脑屏障(BBB)破坏,和神经变性。与N-乙酰半胱氨酸(NAC)相比,我们研究了乳清蛋白的乙酰化寡肽(AOP)对铁诱导的海马损伤的预防作用。这项为期5周的研究使用了40只雄性白化病大鼠。一开始,所有大鼠接受150mg/kg/天的口服NAC治疗一周。然后将40只动物随机分为四组:第I组(对照组)接受正常饮食;第II组(铁超负荷)每周5天接受60mg/kg/天的腹膜内右旋糖酐铁;第III组(NAC组)接受150mg/kg/天的NAC和右旋糖酐铁;第IV组(AOP组)接受150mg/kg/天的AOP和右旋糖酐铁。酶联免疫吸附测定,分光光度法,和qRT-PCR用于测量MMP-9,组织抑制剂金属蛋白酶-1(TIMP-1),MDA,还原型谷胱甘肽(GSH)水平,核因子红系2相关因子2(Nrf2)和血红素加氧酶-1(HO-1)基因表达。巢蛋白的组织病理学和免疫组织化学检测,Claudin,caspase,GFAP也做了。MMP-9,TIMP-1,MDA,caspase,GFAP在铁过载组上升,而GSH,Nrf2,HO-1,巢蛋白,Claudin减少了.NAC和AOP给药改善了铁过载诱导的生化和组织学改变。我们发现AOP和NAC可以保护大脑海马免受铁过载,改善BBB中断,并且提供神经保护,与健康对照相比没有显着差异。
    Iron accumulation in the brain causes oxidative stress, blood-brain barrier (BBB) breakdown, and neurodegeneration. We examined the preventive effects of acetylated oligopeptides (AOP) from whey protein on iron-induced hippocampal damage compared to N-acetyl cysteine (NAC). This 5-week study used 40 male albino rats. At the start, all rats received 150 mg/kg/day of oral NAC for a week. The 40 animals were then randomly divided into four groups: Group I (control) received a normal diet; Group II (iron overload) received 60 mg/kg/day intraperitoneal iron dextran 5 days a week for 4 weeks; Group III (NAC group) received 150 mg/kg/day NAC and iron dextran; and Group IV (AOP group) received 150 mg/kg/day AOP and iron dextran. Enzyme-linked immunosorbent assay, spectrophotometry, and qRT-PCR were used to measure MMP-9, tissue inhibitor metalloproteinase-1 (TIMP-1), MDA, reduced glutathione (GSH) levels, and nuclear factor erythroid 2-related factor 2 (Nrf2) and heme oxygenase-1 (HO-1) gene expression. Histopathological and immunohistochemical detection of nestin, claudin, caspase, and GFAP was also done. MMP-9, TIMP-1, MDA, caspase, and GFAP rose in the iron overload group, while GSH, Nrf2, HO-1, nestin, and claudin decreased. The NAC and AOP administrations improved iron overload-induced biochemical and histological alterations. We found that AOP and NAC can protect the brain hippocampus from iron overload, improve BBB disruption, and provide neuroprotection with mostly no significant difference from healthy controls.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    基质金属蛋白酶(MMPs)和金属蛋白酶组织抑制剂(TIMPs)与冠状动脉疾病(CAD)患者的临床结果有关。然而,TIMP-1在接受冠状动脉旁路移植术(CABG)的CAD患者中的预后价值尚未阐明.我们旨在研究TIMP-1与高敏C反应蛋白(hs-CRP)和N末端脑钠肽前体(NT-proBNP)在连续CABG患者长期预后中的相关性。
    共有234名患者(年龄:70.4±10.5岁,84.6%的男性)接受CABG的CAD患者被前瞻性纳入。术前MMPs水平,TIMP-1,hs-CRP,记录NT-proBNP。主要不良心血管事件(MACE)定义为非致死性心肌梗死,非致命性中风,心血管死亡。
    在12.1年的中位随访期间,记录了120人死亡。死者年龄较大,有更明显的急性冠脉综合征(ACS),较低的左心室射血分数(LVEF),和估计的肾小球滤过率(eGFR),但显著高于MMP13,TIMP-1,hs-CRP,和NT-proBNP与幸存者相比。在调整了年龄之后,性别,清单ACS,eGFR,LVEF,总胆固醇,和甘油三酯,TIMP-1(每SD的风险比和95%置信区间:1.506,1.183-1.917),hs-CRP(1.349,1.183-1.561),NT-ProBNP(1.707,1.326-2.199)均与全因死亡率独立相关.中介分析显示,TIMP-1的死亡风险部分由NT-proBNP(62.2%)和hs-CRP(25.3%)介导。TIMP-1与MACE的相关性部分由NT-proBNP介导(54.4%),而非hs-CRP。
    TIMP-1是CABG术后长期结局的独立预测因子,可能在亚临床炎症和术后心脏重塑中发挥作用。
    UNASSIGNED: Matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs) have been linked to clinical outcomes in patients with coronary artery disease (CAD). However, the prognostic value of TIMP-1 in patients with CAD who underwent coronary artery bypass grafting (CABG) has not been elucidated. We aimed to investigate the correlations of TIMP-1 with high-sensitivity C-reactive protein (hs-CRP) and N-terminal pro-brain natriuretic peptide (NT-proBNP) in the long-term prognosis of consecutive patients who underwent CABG.
    UNASSIGNED: A total of 234 patients (age: 70.4 ± 10.5 years, 84.6% men) with CAD who underwent CABG were prospectively enrolled. Preoperative levels of MMPs, TIMP-1, hs-CRP, and NT-proBNP were recorded. Major adverse cardiovascular events (MACE) were defined as non-fatal myocardial infarction, non-fatal stroke, and cardiovascular death.
    UNASSIGNED: During a median follow-up of 12.1 years, 120 deaths were recorded. The deceased were older, had more manifest acute coronary syndrome (ACS), a lower left ventricular ejection fraction (LVEF), and an estimated glomerular filtration rate (eGFR), but significantly higher MMP13, TIMP-1, hs-CRP, and NT-proBNP compared with the survivors. After adjusting for age, sex, manifest ACS, eGFR, LVEF, total cholesterol, and triglycerides, TIMP-1 (hazard ratio and 95% confidence intervals per SD: 1.506, 1.183-1.917), hs-CRP (1.349, 1.183-1.561), and NT-ProBNP (1.707, 1.326-2.199) were all independently associated with all-cause mortality. The mediation analysis revealed that the mortality risks of TIMP-1 were partially mediated by NT-proBNP (62.2%) and hs-CRP (25.3%). The associations of TIMP-1 with MACE were partially mediated by NT-proBNP (54.4%) but not hs-CRP.
    UNASSIGNED: TIMP-1 was an independent predictor of long-term outcomes after CABG, with possible roles in subclinical inflammation and postoperative cardiac remodeling.
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  • 文章类型: Journal Article
    颗粒细胞分散(GCD)是在内侧颞叶癫痫(MTLE)中看到的海马硬化的病理特征。目前的动物研究表明Reelin的缺乏与导致GCD的异常颗粒细胞迁移有关。本研究旨在评估完整的Reelin信号通路,以评估Reelin缺乏是否与MTLE有关。
    通过H和E染色证实海马硬化。为了探索Reelin级联分子的数量和细胞位置,使用免疫组织化学(IHC)研究了来自MTLE手术和对照组的海马组织(各n=15).此外,共聚焦成像用于通过不同蛋白的共定位来验证IHC结果.通过ImageJ软件使用组织评分和共聚焦图像进行IHC图像的定量。
    患者体内活性Reelin的免疫表达显著降低。Reelin受体精神错乱,载脂蛋白E受体2增加,而极低密度脂蛋白受体减少。Disabled-1,MTLE中的下游分子显著减少。它的最终目标,因此,cofilin在MTLE中被抑制并表达更多。Reelin裂解蛋白酶,基质金属蛋白酶-9(MMP-9)和MMP-9抑制剂,基质蛋白酶-1的组织抑制剂在细胞外基质中的表达减少。使用Histo(H)评分进行免疫组织化学的半定量。患病患者Reelin的H评分为15,对照组为125。通过共聚焦荧光显微镜验证了这些结果。
    Reelin信号级联在慢性MTLE中紊乱。Reelin级联的药理学操作可以在各种水平上进行,并且可以为MTLE提供新的治疗选择。
    UNASSIGNED: Granule cell dispersion (GCD) is pathognomonic of hippocampal sclerosis seen in the mesial temporal lobe epilepsy (MTLE). Current animal studies indicate deficiency of Reelin is associated with abnormal granule cell migration leading to GCD. The present study aimed to evaluate complete Reelin signalling pathway to assess whether Reelin deficiency is related to MTLE.
    UNASSIGNED: Hippocampal sclerosis was confirmed by H and E stain. To explore the amount and cellular location of the Reelin cascade molecules, the hippocampal tissues from MTLE surgery and controls (n = 15 each) were studied using Immuno-histochemistry (IHC). Additionally, confocal imaging was used to validate the IHC findings by co-localization of different proteins. Quantification of IHC images was performed using histo-score and confocal images by Image J software.
    UNASSIGNED: Immune expression of active Reelin was significantly reduced in patients. Reelin receptors were deranged, apolipoprotein E receptor 2 was increased while very low-density lipoprotein receptor was reduced. Disabled-1, a downstream molecule was significantly reduced in MTLE. Its ultimate target, cofilin was thus disinhibited and expressed more in MTLE. Reelin cleaving protease, matrix metalloprotease-9 (MMP-9) and MMP-9 inhibitor, tissue inhibitor of matrix protease-1, showed reduced expression in extracellular matrix. Semi-quantification of immunohistochemistry was done using Histo (H) score. H score of Reelin in diseased patients was 15 against 125 for control patients. These results were validated by confocal fluorescence microscopy.
    UNASSIGNED: Reelin signalling cascade was deranged in chronic MTLE. Pharmacological manipulation of Reelin cascade can be done at various levels and it may provide novel treatment options for MTLE.
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