TNF-α, tumor necrosis factor alpha

TNF - α,肿瘤坏死因子 α
  • 文章类型: Journal Article
    褪黑素是松果体分泌的激素,它可能与昼夜节律有关,衰老和神经保护。褪黑激素水平在散发性阿尔茨海默病(sAD)患者中降低,这表明了褪黑能系统和sAD之间的关系。褪黑素可以减少炎症,氧化应激,TAU蛋白过度磷酸化,和β-淀粉样蛋白(Aβ)聚集体的形成。因此,这项工作的目的是研究用10mg/kg褪黑激素治疗的影响(i。p)在脑室内(ICV)输注3mg/kg链脲佐菌素(STZ)诱导的sAD动物模型中。ICV-STZ引起大鼠大脑的变化,类似于sAD患者的变化。这些变化包括;进行性记忆下降,神经原纤维缠结的形成,老年斑,葡萄糖代谢紊乱,胰岛素抵抗,甚至反应性星形胶质细胞增生,其特征是葡萄糖水平和胶质纤维酸性蛋白(GFAP)的上调。结果表明,在STZ输注30天后,ICV-STZ在大鼠中引起短期空间记忆障碍,而没有运动能力障碍,这在损伤后第27天进行了评估。此外,我们观察到,在Y-迷宫测试中,用褪黑激素延长30天的治疗可以改善动物的认知障碍,但不在对象位置测试中。最后,我们证明,接受ICV-STZ的动物在海马中具有高水平的Aβ和GFAP,用褪黑激素治疗可降低Aβ水平,但不降低GFAP水平。结论褪黑激素可能有助于控制大脑中淀粉样蛋白病理的进展。
    Melatonin is a hormone secreted by the pineal gland, it can be associated with circadian rhythms, aging and neuroprotection. Melatonin levels are decreased in sporadic Alzheimer\'s disease (sAD) patients, which suggests a relationship between the melatonergic system and sAD. Melatonin may reduce inflammation, oxidative stress, TAU protein hyperphosphorylation, and the formation of β-amyloid (Aβ) aggregates. Therefore, the objective of this work was to investigate the impact of treatment with 10 mg/kg of melatonin (i.p) in the animal model of sAD induced by the intracerebroventricular (ICV) infusion of 3 mg/kg of streptozotocin (STZ). ICV-STZ causes changes in the brain of rats similar to those found in patients with sAD. These changes include; progressive memory decline, the formation of neurofibrillary tangles, senile plaques, disturbances in glucose metabolism, insulin resistance and even reactive astrogliosis characterized by the upregulation of glucose levels and glial fibrillary acidic protein (GFAP). The results show that ICV-STZ caused short-term spatial memory impairment in rats after 30 days of STZ infusion without locomotor impairment which was evaluated on day 27 post-injury. Furthermore, we observed that a prolonged 30-day treatment with melatonin can improve the cognitive impairment of animals in the Y-maze test, but not in the object location test. Finally, we demonstrated that animals receiving ICV-STZ have high levels of Aβ and GFAP in the hippocampus and that treatment with melatonin reduces Aβ levels but does not reduce GFAP levels, concluding that melatonin may be useful to control the progression of amyloid pathology in the brain.
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  • 文章类型: Journal Article
    未经批准:脓毒症是一个严重的全球健康问题,高发病率和死亡率。在脓毒症中,受影响的主要器官之一是肝脏。肝脏改变表征阴性预后。ω-3脂肪酸(ω3),二十碳五烯酸,和二十二碳六烯酸,是多不饱和脂肪酸主要家族的一部分。ω3已在研究中用作脓毒症治疗和非酒精性肝病的治疗。
    UNASSIGNED:我们旨在评估富含ω3的鱼油(FO)治疗对实验性败血症引起的肝脏变化和损害的影响。
    UNASSIGNED:使用Wistar大鼠的严重脓毒症模型。通过硫代巴比妥酸反应性物质的测试来评估肝组织中的氧化应激,2,7-二氢二氯荧光素二乙酸酯,过氧化氢酶,和谷胱甘肽过氧化物酶,在血清TBARS中,DCF,硫醇和,评估肝功能障碍,丙氨酸转氨酶和天冬氨酸转氨酶。使用H&E组织学评价肝组织损伤。
    未经证实:在评估肝脏组织的氧化应激时,在TBARS的测试中观察到保护作用,DCF,CAT,和GPx,当比较脓毒症与脓毒症+ω3组时。关于血清中的氧化应激,在TBARS中观察到用ω3治疗的保护作用,DCF,和硫醇分析,在脓毒症和脓毒症+ω3组之间的比较中。ω3在ALT分析中对血清生化参数也有有益的影响,肌酐,尿素,和乳酸,在脓毒症和脓毒症+ω3组之间的比较中观察到。
    未经证实:结果表明ω3在脓毒症期间作为肝脏保护剂具有抗氧化作用,减轻损伤和功能障碍。
    UNASSIGNED: Sepsis is a severe global health problem, with high morbidity and mortality. In sepsis, one of the main affected organs is the liver. Hepatic alterations characterize a negative prognostic. Omega-3 fatty acids (ω3), eicosapentaenoic acid, and docosahexaenoic acid, are part of the main families of polyunsaturated fatty acids. ω3 has been used in studies as sepsis treatment and as a treatment for non-alcoholic liver disease.
    UNASSIGNED: We aimed to evaluate the effects of treatment with fish oil (FO) rich in ω3 on liver changes and damage resulting from experimental sepsis.
    UNASSIGNED: A model of severe sepsis in Wistar rats was used. Oxidative stress in the liver tissue was evaluated by means of tests of thiobarbituric acid reactive substances, 2,7-dihydrodichlorofluorescein diacetate , catalase, and glutathione peroxidase, in the serum TBARS, DCF, thiols and, to assess liver dysfunction, alanine aminotransferase and aspartate aminotransferase. Hepatic tissue damage was evaluated using H&E histology.
    UNASSIGNED: In assessments of oxidative stress in liver tissue, a protective effect was observed in the tests of TBARS, DCF, CAT, and GPx, when compared the sepsis versus sepsis+ω3 groups. Regarding the oxidative stress in serum, a protective effect of treatment with ω3 was observed in the TBARS, DCF, and thiols assays, in the comparison between the sepsis and sepsis+ω3 groups. ω3 had also a beneficial effect on biochemical parameters in serum in the analysis of ALT, creatinine, urea, and lactate, observed in the comparison between the sepsis and sepsis+ω3 groups.
    UNASSIGNED: The results suggest ω3 as a liver protector during sepsis with an antioxidant effect, alleviating injuries and dysfunctions.
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  • 文章类型: Journal Article
    糖脂代谢紊乱是威胁人类健康和生命的主要因素。遗传,环境,心理,细胞,和分子因素有助于其发病机制。一些研究表明,神经内分泌轴功能障碍,胰岛素抵抗,氧化应激,慢性炎症反应,肠道菌群失调是与其相关的核心病理联系。然而,糖脂代谢紊乱的潜在分子机制和治疗靶点仍有待阐明。高通量技术的进展有助于阐明糖脂代谢紊乱的病理生理学。在本次审查中,我们探索了基因组学的方法和方法,转录组学,蛋白质组学,代谢组学,和肠道微生物可以帮助识别新的候选生物标志物,用于糖脂代谢紊乱的临床管理。我们还讨论了这些疾病的多组学研究的局限性和建议的未来研究方向。
    Glycolipid metabolism disorder are major threats to human health and life. Genetic, environmental, psychological, cellular, and molecular factors contribute to their pathogenesis. Several studies demonstrated that neuroendocrine axis dysfunction, insulin resistance, oxidative stress, chronic inflammatory response, and gut microbiota dysbiosis are core pathological links associated with it. However, the underlying molecular mechanisms and therapeutic targets of glycolipid metabolism disorder remain to be elucidated. Progress in high-throughput technologies has helped clarify the pathophysiology of glycolipid metabolism disorder. In the present review, we explored the ways and means by which genomics, transcriptomics, proteomics, metabolomics, and gut microbiomics could help identify novel candidate biomarkers for the clinical management of glycolipid metabolism disorder. We also discuss the limitations and recommended future research directions of multi-omics studies on these diseases.
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  • 文章类型: Journal Article
    非酒精性脂肪性肝病(NAFLD)和非酒精性脂肪性肝炎(NASH)是以肝脏炎症和纤维化为特征的高度流行的疾病,如果不及时治疗,可以进展为肝硬化和肝细胞癌。常规方式主要是症状,没有明确的解决方案。基于β-葡聚糖的生物反应调节剂是代替其有益代谢作用的潜在策略。在本研究中,在NASH动物模型中评价了普鲁兰梭菌菌株AFO-202和N-163β-葡聚糖的抗纤维化和抗炎肝保护潜力。
    在NASH的STAM™鼠模型中,五组研究8周:(1)载体(RO水),(2)AFO-202β-葡聚糖;(3)N-163β-葡聚糖,(4)AFO-202+N-163β-葡聚糖,和(5)替米沙坦(标准药物干预)。进行血浆和肝组织学中的生化参数评估,包括天狼星红染色和F4/80免疫染色。
    AFO-202β-葡聚糖显著降低了炎症相关的肝细胞膨胀和脂肪变性。N-163β-葡聚糖显著降低纤维化和炎症(P<0.05)。与其他组相比,AFO-202与N-163的组合显著降低NAFLD活性评分(NAS)。
    这项临床前研究支持N-163和AFO-202β-葡聚糖单独或联合作为潜在的预防和治疗剂的潜力,对于NASH。
    UNASSIGNED: Non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH) are highly prevalent conditions characterized by inflammation and fibrosis of the liver, which can progress to cirrhosis and hepatocellular carcinoma if left untreated. Conventional modalities are mainly symptomatic, with no definite solution. Beta-glucan-based biological response modifiers are a potential strategy in lieu of their beneficial metabolic effects. Aureobasidium pullulans strains AFO-202 and N-163 beta-glucans were evaluated for anti-fibrotic and anti-inflammatory hepatoprotective potentials in a NASH animal model in this study.
    UNASSIGNED: In the STAM™ murine model of NASH, five groups were studied for 8 weeks: (1) vehicle (RO water), (2) AFO-202 beta-glucan; (3) N-163 beta-glucan, (4) AFO-202+N-163 beta-glucan, and (5) telmisartan (standard pharmacological intervention). Evaluation of biochemical parameters in plasma and hepatic histology including Sirius red staining and F4/80 immunostaining were performed.
    UNASSIGNED: AFO-202 beta-glucan significantly decreased inflammation-associated hepatic cell ballooning and steatosis. N-163 beta-glucan decreased fibrosis and inflammation significantly (P value < 0.05). The combination of AFO-202 with N-163 significantly decreased the NAFLD Activity Score (NAS) compared with other groups.
    UNASSIGNED: This preclinical study supports the potential of N-163 and AFO-202 beta-glucans alone or in combination as potential preventive and therapeutic agent(s), for NASH.
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  • 文章类型: Journal Article
    UNASSIGNED:关于正念冥想的先前研究已经证明了抗炎和免疫调节作用,但是在线提供的冥想课程是否可以发挥类似的作用却知之甚少。大规模实施传统正念冥想计划的障碍增加了人们对时间和资源密集型在线冥想课程的影响的兴趣。这项研究的目的是确定对护士的时间要求低的6周在线正念计划是否会导致基因表达的变化,细胞因子谱,端粒酶活性,和皮质醇档案。
    未经批准:这是一个随机的,从2018年12月至2019年5月,将基于在线正念的压力管理计划与主动对照组进行比较的平行试点研究。具有高于平均水平的感知压力的健康护士被随机接受为期6周的基于在线正念的压力管理计划,包括每天≥5分钟的冥想练习或每天听放松音乐≥5分钟作为控制臂。在基线和6周后收集血液样本,和各种自我报告的压力测量,在基线时收集身体和情绪健康,6周后,12周后。在基线和6周后进行全血的全转录组mRNA测序,同时测量血浆IL-6,IL-8,IL-10,TNF-α,和IFN-γ。分离外周血单核细胞,并测定端粒酶活性。在基线和6周后评估昼夜唾液皮质醇谱。主要结果是一组预先确定的53个基因随时间的变化,这些基因代表了与压力有关的免疫相关变化。这是使用混合线性模型进行分析的。次要结果包括上述所有其他自我报告的测量和生物标志物。
    未经评估:共有61名护士被随机分配,52有足够的数据包括在最终分析中。6周后,对照组的护士报告了通过感知压力量表测量的压力显着降低,而正念组的护士则没有。然而,12周后,正念组的压力也显著减少。与对照组相比,在参与正念计划的护士中,未观察到RNA基因表达或任何其他生物标志物的显著变化.
    UNASSIGNED:我们的研究发现,这种简短的基于在线正念的干预措施可以有效地减轻护士的压力,尽管与听轻松的音乐相比有延迟的效果。关于免疫调节作用,治疗组和对照组在转录组或其他免疫功能检测生物标志物方面没有显著差异.这项研究为正念对免疫功能的转录和循环生物标志物的影响提供了证据。
    UNASSIGNED: Prior studies of mindfulness meditation have demonstrated anti-inflammatory and immunoregulatory effects but whether meditation courses delivered online can exert similar effects is poorly understood. Barriers to large scale implementation of traditional mindfulness meditation programs has created an increased interest in the effect of less time- and resource-intensive online meditation courses. The purpose of this study was to determine whether a 6-week online mindfulness program with low time demands on nurses would lead to changes in gene expression, cytokine profiles, telomerase activity, and cortisol profiles.
    UNASSIGNED: This was a randomized, parallel pilot study comparing an online mindfulness-based stress management program to an active control group from December 2018 to May 2019. Healthy nurses with above average levels of perceived stress were randomized to receive a 6-week online mindfulness-based stress management program including ≥5 min daily meditation practice or listen to relaxing music for ≥5 min daily as the control arm. Blood samples were collected at baseline and after 6 weeks, and various self-reported measures of stress, physical and emotional health were collected at baseline, after 6 weeks, and after 12 weeks. Whole transcriptome mRNA sequencing of whole blood at baseline and after 6 weeks was performed along with measurement of plasma IL-6, IL-8, IL-10, TNF-α, and IFN-γ. Peripheral blood mononuclear cells were isolated, and telomerase activity was measured. Diurnal salivary cortisol profiles were assessed at baseline and after 6 weeks. The primary outcome was change over time in a pre-determined set of 53 genes representative of the immune-related changes seen with stress, which was analyzed using a mixed linear model. Secondary outcomes included all other self-reported measures and biomarkers mentioned above.
    UNASSIGNED: A total of 61 nurses were randomized, with 52 having sufficient data to include in the final analysis. After 6 weeks, nurses in the control group reported significant reductions in stress as measured by the Perceived Stress Scale while those in the mindfulness group did not. However, after 12 weeks, the mindfulness group also showed a significant reduction in stress. When compared to the control group, no significant changes in RNA gene expression or any other biomarkers were observed in the nurses who participated in the mindfulness program.
    UNASSIGNED: Our study found that this brief online mindfulness-based intervention was effective in reducing stress in nurses, albeit with a delayed effect compared to listening to relaxing music. Regarding immunoregulatory effects, there were no significant differences between treatment and control groups in transcriptomic or other tested biomarkers of immune function. This study provides evidence for a floor effect of mindfulness on transcriptional and circulating biomarkers of immune function.
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  • 文章类型: Journal Article
    在过去的十年里,我们对人类疾病的理解已经从单细胞空间生物学的兴起迅速发展起来。虽然传统的组织成像专注于可视化形态学特征,从基于荧光的方法到基于DNA和质量细胞计数的方法的多重组织成像的发展已经允许在单个组织切片上可视化超过60个标志物。具有单细胞分辨率的空间生物学的进步使细胞-细胞相互作用和组织微环境的可视化成为可能,理解潜在发病机制的关键部分。随着广泛的标记面板的发展,可以区分不同的细胞表型,多重组织成像促进了高维数据的分析,以识别新的生物标志物和治疗目标,同时考虑蜂窝环境的空间背景。这篇小型综述概述了多重成像技术的最新进展,并探讨了这些方法如何用于探索癌症的发病机制和生物标志物发现。自身免疫性和感染性疾病。
    Over the past decade, our understanding of human diseases has rapidly grown from the rise of single-cell spatial biology. While conventional tissue imaging has focused on visualizing morphological features, the development of multiplex tissue imaging from fluorescence-based methods to DNA- and mass cytometry-based methods has allowed visualization of over 60 markers on a single tissue section. The advancement of spatial biology with a single-cell resolution has enabled the visualization of cell-cell interactions and the tissue microenvironment, a crucial part to understanding the mechanisms underlying pathogenesis. Alongside the development of extensive marker panels which can distinguish distinct cell phenotypes, multiplex tissue imaging has facilitated the analysis of high dimensional data to identify novel biomarkers and therapeutic targets, while considering the spatial context of the cellular environment. This mini-review provides an overview of the recent advancements in multiplex imaging technologies and examines how these methods have been used in exploring pathogenesis and biomarker discovery in cancer, autoimmune and infectious diseases.
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  • 文章类型: Journal Article
    皮肤屏障功能障碍,特应性皮炎(AD)的定义特征,来自多个相互作用的系统。在AD中,皮肤炎症是由宿主-环境相互作用引起的,涉及角质形成细胞以及组织驻留的免疫细胞,如2型先天淋巴细胞,嗜碱性粒细胞,肥大细胞,和2型辅助性T细胞,产生2型细胞因子,包括IL-4、IL-5、IL-13和IL-31。2型炎症广泛影响屏障功能相关基因的表达,如细胞内结构蛋白,细胞外脂,和连接蛋白,并增强金黄色葡萄球菌的皮肤定植。全身性抗2型炎症疗法可能会改善AD患者功能失调的皮肤屏障。
    Skin barrier dysfunction, a defining feature of atopic dermatitis (AD), arises from multiple interacting systems. In AD, skin inflammation is caused by host-environment interactions involving keratinocytes as well as tissue-resident immune cells such as type 2 innate lymphoid cells, basophils, mast cells, and T helper type 2 cells, which produce type 2 cytokines, including IL-4, IL-5, IL-13, and IL-31. Type 2 inflammation broadly impacts the expression of genes relevant for barrier function, such as intracellular structural proteins, extracellular lipids, and junctional proteins, and enhances Staphylococcus aureus skin colonization. Systemic anti‒type 2 inflammation therapies may improve dysfunctional skin barrier in AD.
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  • 文章类型: Journal Article
    动脉粥样硬化是一种慢性多因素心血管疾病。据报道,西方饮食通过调节脂肪功能影响动脉粥样硬化。在高胆固醇饮食喂养的ApoE-/-小鼠中,脂肪细胞HIF-1α缺乏或通过选择性药理学HIF-1α抑制剂PX-478直接抑制HIF-1α,通过减少脂肪神经酰胺的产生减轻高胆固醇饮食诱导的动脉粥样硬化,降低胆固醇水平,减少炎症反应,导致改善血脂异常和动脉粥样硬化。Smpd3,编码中性鞘磷脂酶的基因,被鉴定为由参与神经酰胺生成的HIF-1α直接调控的新靶基因。在附睾脂肪组织中注射慢病毒-SMPD3逆转了脂肪细胞中神经酰胺的减少,并消除了脂肪细胞HIF-1α缺陷型小鼠动脉粥样硬化的改善。因此,抑制HIF-1α可能是减缓动脉粥样硬化进展的新方法。
    Atherosclerosis is a chronic multifactorial cardiovascular disease. Western diets have been reported to affect atherosclerosis through regulating adipose function. In high cholesterol diet-fed ApoE -/- mice, adipocyte HIF-1α deficiency or direct inhibition of HIF-1α by the selective pharmacological HIF-1α inhibitor PX-478 alleviates high cholesterol diet-induced atherosclerosis by reducing adipose ceramide generation, which lowers cholesterol levels and reduces inflammatory responses, resulting in improved dyslipidemia and atherogenesis. Smpd3, the gene encoding neutral sphingomyelinase, is identified as a new target gene directly regulated by HIF-1α that is involved in ceramide generation. Injection of lentivirus-SMPD3 in epididymal adipose tissue reverses the decrease in ceramides in adipocytes and eliminates the improvements on atherosclerosis in the adipocyte HIF-1α-deficient mice. Therefore, HIF-1α inhibition may constitute a novel approach to slow atherosclerotic progression.
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  • 文章类型: Journal Article
    SARS-CoV-2(严重急性呼吸系统综合症-冠状病毒-2)是最危险的冠状病毒形式,导致COVID-19。在患有严重COVID-19的患者中,免疫系统变得明显过度活跃。有证据表明,补充精选的微量营养素可能在维持该患者人群的免疫系统功能方面发挥作用。在整个COVID-19大流行期间,由于维生素C和锌(Zn)的免疫调节作用,人们非常重视补充关键微量营养素的重要性。病毒感染,像COVID-19一样,增加了对这些微量营养素的生理需求。因此,本综述的目的是提供有关病毒感染期间补充维生素C和锌的潜在有效性的全面信息,特别是COVID-19.这篇综述证明了维生素C和锌缺乏与先天免疫反应减少之间的关系。最终会使COVID-19患者更容易受到病毒感染。因此,摄入足够的维生素C和锌,作为任何必要的药物治疗的辅助治疗方法,可能是减轻COVID-19的不良生理影响所必需的。要真正阐明补充维生素C和锌在COVID-19管理中的作用,我们必须等待正在进行的随机对照试验的结果。还应考虑维生素C和锌的毒性以防止过度补充。过度补充维生素C会导致草酸盐毒性,而锌摄入增加会降低免疫系统功能。总之,补充维生素C和锌可能有助于缓解COVID-19症状。
    SARS-CoV-2 (Severe Acute Respiratory Syndrome-Coronavirus-2) is the most dangerous form of the coronavirus, which causes COVID-19. In patients with severe COVID-19, the immune system becomes markedly overactive. There is evidence that supplementation with select micronutrients may play a role in maintaining immune system function in this patient population. Throughout the COVID-19 pandemic, significant emphasis has been placed on the importance of supplementing critical micronutrients such as Vitamin C and Zinc (Zn) due to their immunomodulatory effects. Viral infections, like COVID-19, increase physiological demand for these micronutrients. Therefore, the purpose of this review was to provide comprehensive information regarding the potential effectiveness of Vitamin C and Zn supplementation during viral infection and specifically COVID-19. This review demonstrated a relation between Vitamin C and Zn deficiency and a reduction in the innate immune response, which can ultimately make patients with COVID-19 more vulnerable to viral infection. As such, adequate intake of Vitamin C and Zn, as an adjunctive therapeutic approach with any necessary pharmacological treatment(s), may be necessary to mitigate the adverse physiological effects of COVID-19. To truly clarify the role of Vitamin C and Zn supplementation in the management of COVID-19, we must wait for the results of ongoing randomized controlled trials. The toxicity of Vitamin C and Zn should also be considered to prevent over-supplementation. Over-supplementation of Vitamin C can lead to oxalate toxicity, while increased Zn intake can reduce immune system function. In summary, Vitamin C and Zn supplementation may be useful in mitigating COVID-19 symptomology.
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  • 文章类型: Case Reports
    脑膜瘤是第二常见的原发性脑肿瘤。每100,000名孕妇中大约有5.6例脑膜瘤。枕骨孔区脑膜瘤很罕见,和诊断,治疗,孕妇的预后很复杂。
    这里,我们报道了一例妊娠32周时孕妇的大孔脑膜瘤,患有慢性颈痛和脊髓型颈椎病.她的COVID-19感染检测呈阳性。磁共振成像结果与大孔脑膜瘤相符,病理分析显示WHOI级脑膜瘤。由于胎儿窘迫和快速恶化,该患者接受了剖宫产术,然后进行了肿瘤切除。
    妊娠期脑膜瘤的治疗需要多学科方法。没有手术干预指南,终止妊娠的时机,已经建立了大孔脑膜瘤孕妇的分娩方式。虽然最好尽可能延长怀孕时间,剖宫产是避免颅内压升高的首选.如果肿瘤正在生长或有症状,则需要对脑膜瘤进行手术治疗。该患者因COVID-19的额外并发症死亡。尽管大孔脑膜瘤的预后通常是有利的,COVID-19合并症会增加疾病的严重程度。
    必须评估孕产妇和胎儿的健康状况,以决定是否需要手术切除和终止妊娠。在这种情况下,COVID-19感染和脑膜瘤病程需要进一步调查。
    UNASSIGNED: Meningioma is the second most common primary brain tumor. There are approximately 5.6 cases of meningioma per 100,000 pregnant women. Foramen magnum meningioma is rare, and the diagnosis, treatment, and prognosis are complex in pregnant women.
    UNASSIGNED: Herein, we report a case of foramen magnum meningioma in a pregnant woman at 32 weeks of gestation, who presented with chronic neck pain and cervical myelopathy. She tested positive for COVID-19 infection. Magnetic resonance imaging findings were compatible with foramen magnum meningioma, and the pathologic analysis revealed a WHO grade-I meningioma. The patient underwent cesarean section followed by tumor excision due to fetal distress and rapid deterioration.
    UNASSIGNED: Management of meningioma during pregnancy requires a multidisciplinary approach. No guidelines for surgical intervention, timing of pregnancy termination, or mode of delivery for pregnant patients with foramen magnum meningioma have been established. While it is best to prolong the pregnancy for as long as possible, a cesarean delivery is preferred to avoid increased intracranial pressure. Operative management of meningioma is warranted if the tumor is growing or symptomatic. This patient died due to the added complication of COVID-19. Although the prognosis of foramen magnum meningioma is usually favorable, COVID-19 comorbidity can increase illness severity.
    UNASSIGNED: Maternal and fetal health status must be evaluated to decide whether surgical excision and pregnancy termination are needed. In this case, COVID-19 infection and meningioma disease course required further investigation.
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