deleterious effects

有害影响
  • 文章类型: Journal Article
    高血压(HTN)是一个全球性的健康问题,因为它的患病率越来越高,并且与危及生命的并发症有关。HTN研究中一个有趣的研究领域是HTN与高尿酸血症之间的关系。鉴于此,我们对探讨血清尿酸(sUA)浓度升高与新发HTN之间联系的相关研究进行了综述.通过对PubMedCentral的全面搜索,MEDLINE,和PubMed数据库,我们确定了20项符合纳入标准的研究.这项研究包括各种研究设计,包括队列研究,横断面研究,reviews,和临床试验。病理上,升高的sUA水平激活肾素-血管紧张素系统,也导致尿酸盐晶体的形成,引发肾脏炎症.此外,对内皮的直接影响导致炎症,氧化应激,一氧化氮消耗,和平滑肌细胞增殖,最终导致动脉粥样硬化.这些不同的机制共同在HTN的发病机理中发挥作用。有趣的是,已显示降低sUA可以逆转依赖尿酸的早期HTN。然而,在不依赖尿酸的第二阶段HTN中未观察到这种效应.各种研究表明,sUA水平与不同人群和性别之间的HTN患病率之间存在独立且剂量依赖性的关联。该综述强调了降尿酸药物的潜在作用,像别嘌呤醇,在HTN的预防和早期管理中。然而,关于其他降尿酸药物和联合疗法的疗效的研究很少.我们相信我们的评论提供了令人信服的证据,证明sUA浓度升高与新发HTN之间存在关联。识别和管理高尿酸血症可以提供一种预防方法,以减轻HTN及其相关并发症的负担。
    Hypertension (HTN) is a global health concern due to its increasing prevalence and association with life-threatening complications. An intriguing area of investigation in HTN research is the relationship between HTN and hyperuricemia. In light of this, we conducted a review to summarize the relevant studies exploring the link between elevated serum uric acid (sUA) concentration and new-onset HTN. Through a comprehensive search of PubMed Central, MEDLINE, and PubMed databases, we identified 20 studies that met our inclusion criteria. The research encompassed various study designs, including cohort studies, cross-sectional studies, reviews, and clinical trials. Pathologically, the elevated sUA levels activate the renin-angiotensin system and also cause the formation of urate crystals, triggering inflammation in the kidneys. Additionally, direct effects on the endothelium contribute to inflammation, oxidative stress, nitric oxide depletion, and smooth muscle cell proliferation, ultimately leading to atherosclerosis. These diverse mechanisms collectively play a role in the pathogenesis of HTN. Interestingly, lowering sUA has been shown to reverse early-stage HTN dependent on uric acid. However, this effect is not observed in the uric acid-independent second stage of HTN. Various studies have demonstrated an independent and dose-dependent association between sUA levels and the prevalence of HTN across different populations and genders. The review highlights the potential role of uric acid-lowering drugs, like allopurinol, in the prevention and early-stage management of HTN. However, there is scarce research on the efficacy of other uric acid-lowering agents and combination therapies. We believe our review provides compelling evidence of the association between elevated sUA concentration and new-onset HTN. Identifying and managing hyperuricemia can provide a preventive approach to reducing the burden of HTN and its associated complications.
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  • 文章类型: Journal Article
    简介:在金属毒性的情况下,铝(Al)作为一种普遍存在的金属,可以与其他元素结合并形成不同的化合物。Al每天广泛用作疫苗的佐剂,抗酸剂,食品添加剂(作为含AI食品添加剂的成分),护肤品,化妆品,和厨具,并且可能是我们日常生活中存在的元素或污染物。目的:综述铝对人类健康的主要有害影响。方法:搜索于2022年9月至2023年2月在Scopus进行,PubMed,科学直接,Scielo,和谷歌学者数据库,使用2012年至2023年的科学文章。研究的质量取决于GRADE仪器,并根据Cochrane仪器分析偏倚风险。结果与结论:共检索115个文件。Further,评估了95篇文章,44人被纳入本审查.根据结果,测量Al与健康的相关性在医学中至关重要。一些研究已经证明了铝暴露的临床结果和代谢改变。欧洲食品安全局(EFSA)规定的每周可容忍摄入量为1mgAl/kg体重,可以通过单独的饮食暴露来实现。在人类中证明的神经毒性是Al的关键不利影响。到目前为止,尚未证明Al的致癌作用。预防医学主张应尽可能低的暴露于铝。螯合剂,如乙二胺四乙酸钙二钠和去铁胺,是急性中毒的选择,补充单甲基硅烷三醇可能是具有螯合潜力的长期策略。需要进一步的研究来评估铝对人类健康的影响。
    Introduction: In the scenario of metal toxicity, aluminum (Al) stands out as a ubiquitous type of metal that can be combined with other elements and form different compounds. Al is widely used daily as an adjuvant in vaccines, antacids, food additives (as components of AI-containing food additives), skin care products, cosmetics, and kitchenware, and can be an element or contaminant present in our daily life. Objective: To present a review of the main deleterious effects of Al on human health. Methods: The search was carried out from September 2022 to February 2023 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases, using scientific articles from 2012 to 2023. The quality of the studies was based on the GRADE instrument, and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusions: A total of 115 files were search returned. Further, 95 articles were evaluated, and 44 were included in this review. Based on the results, measuring Al\'s relevance to health is essential in medicine. Several studies have demonstrated clinical outcomes and metabolic alterations with Al exposure. The tolerable weekly intake established by the European Food Safety Authority (EFSA) of 1 mg Al/kg body weight can be achieved through dietary exposure alone. Proven neurotoxicity in humans is the critical adverse effect of Al. A carcinogenic effect of Al has not been proven so far. Preventive medicine advocates that exposure to Al should be kept as low as possible. Chelating agents, such as calcium disodium ethylene diamine tetraacetic acid and deferoxamine, are options for acute poisoning, and monomethysilanetriol supplementation may be a long-term strategy with chelation potential. Further studies are needed to assess the impacts of Al on human health.
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  • 文章类型: Journal Article
    2型糖尿病和胰岛素抵抗的特征是脂蛋白谱的实质性改变,包括较高比例的较小和较致密的低密度脂蛋白(LDL)颗粒。此外,LDL的组成和结构发生质的变化,包括电泳迁移率的变化,用甘油三酯和神经酰胺富集LDL,血浆中修饰LDL的长期保留,巨噬细胞的摄取增加,和泡沫细胞的形成。这些修饰影响LDL功能并有利于增加糖尿病个体的心血管疾病风险。在这次审查中,我们讨论了糖尿病病理生理学中LDL颗粒结构和功能变化的主要发现,以及糖尿病患者针对LDL的治疗策略.
    Type 2 diabetes mellitus and insulin resistance feature substantial modifications of the lipoprotein profile, including a higher proportion of smaller and denser low-density lipoprotein (LDL) particles. In addition, qualitative changes occur in the composition and structure of LDL, including changes in electrophoretic mobility, enrichment of LDL with triglycerides and ceramides, prolonged retention of modified LDL in plasma, increased uptake by macrophages, and the formation of foam cells. These modifications affect LDL functions and favor an increased risk of cardiovascular disease in diabetic individuals. In this review, we discuss the main findings regarding the structural and functional changes in LDL particles in diabetes pathophysiology and therapeutic strategies targeting LDL in patients with diabetes.
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  • 文章类型: Journal Article
    The toxic reactive aldehyde 4-hydroxynonenal (4-HNE) belongs to the advanced lipid peroxidation end products. Accumulation of 4-HNE and formation of 4-HNE adducts induced by redox imbalance participate in several cytotoxic processes, which contribute to the pathogenesis and progression of oxidative stress-related human disorders. Medicinal plants and bioactive natural compounds are suggested to be attractive sources of potential agents to mitigate oxidative stress, but little is known about the therapeutic potentials especially on combating 4-HNE-induced deleterious effects. Of note, some investigations clarify the attenuation of medicinal plants and bioactive compounds on 4-HNE-induced disturbances, but strong evidence is needed that these plants and compounds serve as potent agents in the prevention and treatment of disorders driven by 4-HNE. Therefore, this review highlights the pharmacological basis of these medicinal plants and bioactive compounds to combat 4-HNE-induced deleterious effects in oxidative stress-related disorders, such as neurotoxicity and neurological disorder, eye damage, cardiovascular injury, liver injury, and energy metabolism disorder. In addition, this review briefly discusses with special attention to the strategies for developing potential therapies by future applications of these medicinal plants and bioactive compounds, which will help biological and pharmacological scientists to explore the new vistas of medicinal plants in combating 4-HNE-induced deleterious effects.
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  • 文章类型: Journal Article
    Dietary polyphenols, a natural component in many kinds of foods such as fruits and vegetables, play essential roles in a wide range of plant functions. Importantly, the discovery of the functions of polyphenols including anti-oxidant, anti-carcinogenic and anti-inflammatory has been appealing to researchers\' attentions. Dietary polyphenols have shown protective effects on chronic degenerative diseases (CDD) such as cardiovascular diseases, cancers, and neurodegenerative diseases by regulating gene expression. Dietary polyphenols also affect the composition and activity of gut microbiota, in reverse, gut microbiota influences the bioavailability and physiological activity of dietary polyphenols. However, not all kinds of dietary polyphenols are beneficial for human health. The potential deleterious effects of several dietary polyphenols have been reported by inducing DNA damage and gene mutants. This review summarizes the potential therapeutic effects of dietary polyphenols on chronic degeneration diseases, the polyphenols-gut microbiota interactions, and the potential dangers of individual dietary polyphenols on human health.
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  • 文章类型: Journal Article
    节肢动物的田间种群通常是Wolbachia的多态性,但通常不了解维持中等Wolbachia频率的因素。在黑腹果蝇中,Wolbachia频率在全球范围内变化很大。我们记录了至少20年来澳大利亚东部黑腹D.melanogaster种群中Wolbachia感染频率的持续存在,在热带地区频率通常很高,但在冷温带地区频率较低。使用包含细胞质不相容性(CI)的频率动力学模型来解释结果,不完善的母体传播和Wolbachia对健康的影响。在北美东部,临床变异不太明显,这可能反映了高纬度地区的年度重新定殖。来自非洲的有限样本与我们来自澳大利亚和北美的热带和亚热带样本相匹配,显示出相当高的感染频率,但是一些赤道样本显示较低的频率。寒冷时期的成年休眠可能会导致澳大利亚沃尔巴克氏菌。长时间暴露在寒冷条件下的受感染果蝇的繁殖力和生存力降低,在未暴露的对照中效果不明显。这些健身成本可能会导致澳大利亚温带地区相对较低的Wolbachia频率;而不同的过程,包括年轻男性诱导的CI,可能会导致热带地区出现更高的频率。
    Field populations of arthropods are often polymorphic for Wolbachia but the factors maintaining intermediate Wolbachia frequencies are generally not understood. In Drosophila melanogaster, Wolbachia frequencies are highly variable across the globe. We document the persistence of a Wolbachia infection frequency cline in D. melanogaster populations from eastern Australia across at least 20 years, with frequencies generally high in the tropics but lower in cool temperate regions. The results are interpreted using a model of frequency dynamics incorporating cytoplasmic incompatibility (CI), imperfect maternal transmission and Wolbachia effects on fitness. Clinal variation is less pronounced in eastern North America which may reflect annual recolonization at higher latitudes. Limited samples from Africa from latitudes matching our tropical and subtropical samples from Australia and North America show comparably high infection frequencies, but some equatorial samples show lower frequencies. Adult dormancy across cold periods may contribute to the Australian Wolbachia cline. Infected flies exposed to cold conditions for an extended period had reduced fecundity and viability, an effect not evident in unexposed controls. These fitness costs may contribute to the relatively low Wolbachia frequencies in Australian temperate areas; whereas different processes, including CI induced by young males, may contribute to higher frequencies in tropical locations.
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    文章类型: Journal Article
    Free radicals and oxidants play a dual role as both toxic and beneficial compounds, since they can be either harmful or helpful to the body. They are produced either from normal cell metabolisms in situ or from external sources (pollution, cigarette smoke, radiation, medication). When an overload of free radicals cannot gradually be destroyed, their accumulation in the body generates a phenomenon called oxidative stress. This process plays a major part in the development of chronic and degenerative illness such as cancer, autoimmune disorders, aging, cataract, rheumatoid arthritis, cardiovascular and neurodegenerative diseases. The human body has several mechanisms to counteract oxidative stress by producing antioxidants, which are either naturally produced in situ, or externally supplied through foods and/or supplements. This mini-review deals with the taxonomy, the mechanisms of formation and catabolism of the free radicals, it examines their beneficial and deleterious effects on cellular activities, it highlights the potential role of the antioxidants in preventing and repairing damages caused by oxidative stress, and it discusses the antioxidant supplementation in health maintenance.
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