coagulation alteration

  • 文章类型: Journal Article
    禽球虫病,一种常见的由艾美球虫引起的疾病,导致全球家禽生产的重大损失。霉菌毒素是低分子量的天然产物(即,小分子)由丝状真菌作为次生代谢产物产生,它们具有经济上和显着影响全球家禽生产的潜力。关于霉菌毒素与禽球虫病之间的关系知之甚少,尽管它们经常在现场共同出现。这篇全面的综述探讨了真菌毒素与禽球虫病之间的复杂关系,特别是霉菌毒素,包括黄曲霉毒素,曲霉毒素,以及镰刀菌真菌毒素,损害家禽群的健康,并为肠道中的艾美球虫寄生虫打开大门。此外,本文综述了霉菌毒素的免疫抑制作用,它们对细胞信号通路的破坏,以及随之而来的球虫病感染恶化。还对霉菌毒素的毒性机制进行了综述。强调对肠上皮细胞的直接损伤,营养吸收受损,炎症,氧化应激,和肠道微生物群的变化。最后,讨论了当饲料中存在霉菌毒素时,对球虫病的预防和治疗的后果。这篇综述强调需要有效的管理策略来减轻霉菌毒素和球虫病的综合风险,并强调了诊断和控制家禽中这些相关问题的复杂性。该审查提倡一种全面的方法,包括严格的饲料管理,疾病预防措施和定期监测,以保持家禽的健康和生产力,应对这些重大挑战。
    Avian coccidiosis, a common disease caused by Eimeria species, results in significant losses in global poultry production. Mycotoxins are low-molecular-weight natural products (i.e., small molecules) produced as secondary metabolites by filamentous fungi and they have the potential to economically and significantly affect global poultry production. Little is known about the relationship between mycotoxins and avian coccidiosis, although they often co-occur in the field. This comprehensive review examines the intricate relationship between mycotoxins and avian coccidiosis, in particular how mycotoxins, including aflatoxins, ochratoxins, trichothecenes as well as Fusarium mycotoxins, compromise the health of the poultry flock and open the door to Eimeria parasites in the gut. In addition, this review sheds light on the immunosuppressive effects of mycotoxins, their disruption of cellular signaling pathways, and the consequent exacerbation of coccidiosis infections. The mechanisms of mycotoxin toxicity are also reviewed, emphasizing direct damage to intestinal epithelial cells, impaired nutrient absorption, inflammation, oxidative stress, and changes in the gut microbiota. Finally, the consequences for the prevention and treatment of coccidiosis when mycotoxins are present in the feed are discussed. This review emphasizes the need for effective management strategies to mitigate the combined risks of mycotoxins and coccidiosis and highlights the complexity of diagnosing and controlling these interrelated problems in poultry. The review advocates a holistic approach that includes strict feed management, disease prevention measures and regular monitoring to maintain the health and productivity of poultry against these significant challenges.
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  • 文章类型: Journal Article
    探讨新诊断的多发性骨髓瘤(MM)患者在不同阶段和不同M蛋白类型时凝血功能的变化,并分析凝血指标与β2-微球蛋白(β2-MG)的相关性。
    从2016年1月至2022年12月共选择371例新诊断的MM患者(n=371)和健康对照(n=48)。基线数据,收集β2-MG和凝血指数值。指标包括凝血酶原时间(PT),活化部分凝血活酶时间(APPT),纤维蛋白原(FIB),凝血酶时间(TT),纤维蛋白原降解产物(FDP),和D-二聚体(D-D)。根据Durie-Salmon分期系统(DS)将患者分为不同的组,国际分期系统(ISS)和疾病分类(M蛋白类型)。比较各组间6项指标水平,分析各指标与β2-MG的相关性。
    与正常对照组相比,PT的水平,FIB,TT,MM组FDP和D-D显著增高(均P<0.001)。随着DS和ISS分期的增加,PT的水平,TT,FDP和D-D也显著增加(均P<0.001)。β2-MG与PT呈正相关,TT,和FDP水平(Spearmanr分别为0.157、0.270、0.108;所有P<0.05),与FIB呈负相关(r=-0.220,P<0.001)。6项指标在不同M蛋白类型间存在显著差异(均P<0.001)。其中,IgA-κ组PT和APTT明显升高,FIB在λ轻链基团中增加,IgG-κ组TT升高,FDP在κ轻链基团中增加,IgG-λ组的D-D增加。
    MM患者的凝血功能障碍程度随疾病分期而加重,各种凝血指标的异常升高发生在不同的M蛋白类型中,与β2-MG密切相关。
    UNASSIGNED: To explore the changes in the coagulation function of patients newly diagnosed with multiple myeloma (MM) at different stages and with different M protein types, and to analyze the correlation between coagulation indexes and β2-microglobulin (β2-MG).
    UNASSIGNED: A total of 371 Patients with newly diagnosed MM (n = 371) and healthy controls (n = 48) were selected from January 2016 to December 2022. Baseline data, β2-MG and coagulation index values were collected. Indexes included prothrombin time (PT), activated partial thromboplastin time (APPT), fibrinogen (FIB), thrombin time (TT), fibrinogen degradation products (FDP), and D-dimer(D-D). Patients were divided into different groups according to the Durie-Salmon staging system (DS), the International Staging System (ISS) and disease classification (M protein type). The levels of these six indexes were compared among the groups and the correlation between each index and β2-MG was analyzed.
    UNASSIGNED: Compared to the normal control group, the levels of PT, FIB, TT, FDP and D-D in the MM group were significantly higher (all P < 0.001). As DS and ISS staging increased, the levels of PT, TT, FDP and D-D also increased significantly (all P < 0.001). β2-MG was positively correlated with PT, TT, and FDP levels (Spearman r = 0.157, 0.270, 0.108, respectively; all P < 0.05), and negatively correlated with FIB (r = -0.220, P < 0.001). Significant differences existed in the levels of these six indexes among different M protein types (all P < 0.001). Among them, PT and APTT increased significantly in the IgA-κ group, FIB increased in the λ light chain group, TT increased in the IgG-κ group, FDP increased in the κ light chain group, and D-D increased in the IgG-λ group.
    UNASSIGNED: The degree of coagulation dysfunction in MM patients increases with disease stage and abnormal increases of various coagulation indicators occur in different M protein types and are closely related to β2-MG.
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