eph

Eph
  • 文章类型: Journal Article
    眼睛的晶状体是透明的,前房中的椭圆形组织,需要将光精细聚焦到视网膜上以传输清晰的图像。透镜的聚焦功能与组织透明度有关,折射率,和生物力学特性。人晶状体的刚度和弹性或弹性允许在调节期间的形状变化,以聚焦来自近处和远处的物体的光。长期以来,人们一直认为,随着年龄的增长,晶状体生物力学特性的变化会导致调节能力的丧失,并且随着年龄的增长,需要阅读眼镜。然而,影响晶状体生物力学特性和/或随年龄变化的细胞和分子机制尚不清楚.在具有遗传缺陷或高龄的小鼠模型中对晶状体硬度和弹性的研究告诉我们细胞骨架,结构,和形态测量参数对生物力学稳定性很重要。在这次审查中,我们将探讨是否:1)组织水平变化,包括胶囊,透镜体积,和细胞核体积,2)细胞水平改变,包括细胞包装,缝合组织,和复杂的膜交叉,和3)分子尺度修饰,包括F-肌动蛋白和中间丝网络,蛋白质修饰,细胞膜中的脂质,和静水压力,影响晶状体整体生物力学特性。
    The eye lens is a transparent, ellipsoid tissue in the anterior chamber that is required for the fine focusing of light onto the retina to transmit a clear image. The focusing function of the lens is tied to tissue transparency, refractive index, and biomechanical properties. The stiffness and elasticity or resilience of the human lens allows for shape changes during accommodation to focus light from objects near and far. It has long been hypothesized that changes in lens biomechanical properties with age lead to the loss of accommodative ability and the need for reading glasses with age. However, the cellular and molecular mechanisms that influence lens biomechanical properties and/or change with age remain unclear. Studies of lens stiffness and resilience in mouse models with genetic defects or at advanced age inform us of the cytoskeletal, structural, and morphometric parameters that are important for biomechanical stability. In this review, we will explore whether: 1) tissue level changes, including the capsule, lens volume, and nucleus volume, 2) cellular level alterations, including cell packing, suture organization, and complex membrane interdigitations, and 3) molecular scale modifications, including the F-actin and intermediate filament networks, protein modifications, lipids in the cell membrane, and hydrostatic pressure, influence overall lens biomechanical properties.
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  • 文章类型: Journal Article
    骨稳态是一个复杂的过程,其中一些Eph激酶受体及其ephrin配体似乎参与其中。在本研究中,我们通过研究来解决这个问题,在体外和体内,EphB2和EphB3在MSC向骨组织分化中的作用。首先通过RT-qPCR和在特定培养基中培养的MSCs的组织学染色进行评估,而EphB2-/-MSCs主要表达促脂肪转录因子,EphB3-/-MSCs显示丰富的成骨转录本,例如Runx2、Msx2和Sp7。为了阐明潜在的分子机制,我们发现EphB3信号的缺乏改变了分化MSCs的遗传概况,减少BMP信号通路的许多抑制分子和拮抗剂的表达,增加Bmp7表达,一个强大的骨感应器。然后,为了证实EphB3在体内的成骨作用,我们研究了两种诱导骨丢失(卵巢切除术或长期糖皮质激素治疗)小鼠模型的情况。有趣的是,在这两种模型中,WT和EphB2-/-小鼠同样发展疾病,但EphB3-/-小鼠没有表现出典型的骨丢失,也不增加尿Ca2+或血清CTX-1。EphB3-KO小鼠的这种表型可能是由于其骨祖细胞和前成骨细胞的比例明显更高,破骨细胞数量较少,与WT和EphB2-KO小鼠相比。因此,我们得出结论,EphB3作为成骨分化的负调节因子,和它的缺乏防止骨丢失的小鼠接受卵巢切除术或地塞米松治疗。
    骨质疏松影响超过2亿人,主要是女人。我们的工作表明EphB3受体限制骨形成,它的缺失可以防止骨质疏松小鼠的骨质流失。在EphB3缺陷小鼠中观察到的骨保护是由于存在更多的骨形成细胞和更少的骨降解细胞。分子上,我们发现当间充质干细胞中没有EphB3时,一些骨促进基因增加,而许多抑制剂减少。因此,这种受体可能成为新疗法的关键靶标,这将有助于改善患有骨骼疾病的人的生活质量。我们很高兴能与广大观众分享我们的发现,包括患者,医疗保健专业人员,研究人员,和生命科学产业。
    Bone homeostasis is a complex process in which some Eph kinase receptors and their ephrin ligands appear to be involved. In the present study, we address this issue by examining, both in vitro and in vivo, the role of EphB2 and EphB3 in mesenchymal stromal/stem cell (MSC) differentiation into bone tissue. This was first evaluated by quantitative reverse transcription PCR (RT-qPCR) and histological staining in MSCs cultured in specific mediums revealing that although EphB2-/- MSCs mainly expressed pro-adipogenic transcription factors, EphB3-/- MSCs showed abundant osteogenic transcripts, such as Runx2, Msx2, and Sp7. To clarify the underlying molecular mechanisms, we found that the lack of EphB3 signaling alters the genetic profile of differentiating MSCs, reducing the expression of many inhibitory molecules and antagonists of the BMP signaling pathway, and increasing Bmp7 expression, a robust bone inductor. Then, to confirm the osteogenic role of EphB3 in vivo, we studied the condition of 2 mouse models of induced bone loss (ovariectomy or long-term glucocorticoid treatment). Interestingly, in both models, both WT and EphB2-/- mice equally developed the disease but EphB3-/- mice did not exhibit the typical bone loss, nor an increase in urine Ca2+ or blood serum CTX-1. This phenotype in EphB3-KO mice could be due to their significantly higher proportions of osteoprogenitor cells and preosteoblasts, and their lower number of osteoclasts, as compared with WT and EphB2-KO mice. Thus, we conclude that EphB3 acts as a negative regulator of the osteogenic differentiation, and its absence prevents bone loss in mice subjected to ovariectomy or dexamethasone treatment.
    Osteoporosis affects more than 200 million people, mostly women. Our work shows that the EphB3 receptor restricts bone formation, and its absence prevents bone loss in osteoporotic mice. The bone protection observed in EphB3-deficient mice is due to the presence of more bone-forming cells and fewer bone-degrading cells. Molecularly, we found that when there’s no EphB3 in mesenchymal stem cells, some bone-promoting genes are increased while many inhibitors are reduced. Therefore, this receptor could become a key target for new therapies that would help to improve the quality of life for those suffering from bone diseases. We’re really excited to share our findings with a broad audience, including patients, healthcare professionals, researchers, and the life sciences industry.
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  • 文章类型: Journal Article
    小儿肿瘤代表了一组复杂的恶性肿瘤,在诊断方面提出了独特的挑战。治疗,以及对潜在分子致病机制的理解。促红细胞生成素产生肝细胞受体(EPHs),受体酪氨酸激酶及其膜连接配体的最大家族,ephrins,协调短距离细胞-细胞信号传导,并且错综复杂地参与细胞模式形态发生和各种发育过程。揭示EPH/ephrin信号通路在儿科肿瘤病理生理学中的作用及其临床意义有助于破译这些恶性肿瘤的复杂景观。EPH/ephrin轴的双向性质由显示其驱动肿瘤发生的能力的新证据强调。促进肿瘤微环境内的细胞间通讯。在致癌作用的背景下,EPH/ephrin信号通路促使重新评估治疗策略,特别是在儿科肿瘤学中,在生存率和持久治疗毒性的适度进步需要新的方法。分子靶向药物已经成为有希望的替代品,促使焦点转移。通过对途径的复杂性的细微差别的理解,我们的目标是为个性化的诊断和治疗策略奠定基础,最终有助于改善年轻患者应对肿瘤挑战的结局。
    Pediatric neoplasms represent a complex group of malignancies that pose unique challenges in terms of diagnosis, treatment, and understanding of the underlying molecular pathogenetic mechanisms. Erythropoietin-producing hepatocellular receptors (EPHs), the largest family of receptor tyrosine kinases and their membrane-tethered ligands, ephrins, orchestrate short-distance cell-cell signaling and are intricately involved in cell-pattern morphogenesis and various developmental processes. Unraveling the role of the EPH/ephrin signaling pathway in the pathophysiology of pediatric neoplasms and its clinical implications can contribute to deciphering the intricate landscape of these malignancies. The bidirectional nature of the EPH/ephrin axis is underscored by emerging evidence revealing its capacity to drive tumorigenesis, fostering cell-cell communication within the tumor microenvironment. In the context of carcinogenesis, the EPH/ephrin signaling pathway prompts a reevaluation of treatment strategies, particularly in pediatric oncology, where the modest progress in survival rates and enduring treatment toxicity necessitate novel approaches. Molecularly targeted agents have emerged as promising alternatives, prompting a shift in focus. Through a nuanced understanding of the pathway\'s intricacies, we aim to lay the groundwork for personalized diagnostic and therapeutic strategies, ultimately contributing to improved outcomes for young patients grappling with neoplastic challenges.
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  • 文章类型: Journal Article
    从细胞走向恶性转化的那一刻起,它与微环境中其他细胞的相互作用发生了改变。分子信息流是肿瘤细胞和全身命运的核心,和各种过程参与从或向某些癌细胞传递关键分子信息。例如,紧密连接分子的丢失是向癌细胞发送信号的一部分,因此它们不再与原发性肿瘤结合,因此可以自由移动和转移。在治疗药物靶向单个细胞时,缝隙连接能够将死亡信息传达给备用细胞。细胞间通讯的新模式(如不同类型的细胞外囊泡或隧道纳米管)的重要性的发现正在改变科学家对这些过程的看法。然而,他们是同时积极参与不同的环境,还是被招募来完成特定的任务?模式的多样性对疾病的整体进展意味着什么?这里,我们公开邀请思考这些问题的总体意义,而不是进行难以捉摸的尝试,以系统地保留发挥作用的机制。
    From the moment a cell is on the path to malignant transformation, its interaction with other cells from the microenvironment becomes altered. The flow of molecular information is at the heart of the cellular and systemic fate in tumors, and various processes participate in conveying key molecular information from or to certain cancer cells. For instance, the loss of tight junction molecules is part of the signal sent to cancer cells so that they are no longer bound to the primary tumors and are thus free to travel and metastasize. Upon the targeting of a single cell by a therapeutic drug, gap junctions are able to communicate death information to by-standing cells. The discovery of the importance of novel modes of cell-cell communication such as different types of extracellular vesicles or tunneling nanotubes is changing the way scientists look at these processes. However, are they all actively involved in different contexts at the same time or are they recruited to fulfill specific tasks? What does the multiplicity of modes mean for the overall progression of the disease? Here, we extend an open invitation to think about the overall significance of these questions, rather than engage in an elusive attempt at a systematic repertory of the mechanisms at play.
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  • 文章类型: Journal Article
    背景:胞吞作用是去除凋亡细胞和细胞碎片的过程。清除这些细胞可以缓解神经炎症,防止炎症分子的释放,并促进抗炎细胞因子的产生,以帮助维持组织稳态。损伤后在大脑中发生这种情况的潜在机制仍然不明确。
    方法:我们使用GFP骨髓嵌合基因敲除(KO)小鼠证明轴突引导分子EphA4受体酪氨酸激酶参与抑制脑中的MERTK,以限制常驻小胶质细胞和外周来源的单核细胞/巨噬细胞的有效胞吞作用。
    结果:单细胞RNAseq鉴定了MERTK表达,主要的受体参与了红细胞增生,在单核细胞上,小胶质细胞,和脑损伤后受损皮质中的星形胶质细胞子集。EphA4在浸润性GFP表达免疫细胞上的缺失改善了功能结果,同时增强了p-MERTK的有效细胞作用和整体蛋白表达,p-ERK,和p-Stat6。在KO嵌合小鼠中,吞噬NeuN+或TUNEL+细胞的GFP+单核细胞/巨噬细胞和驻留小胶质细胞的百分比显著较高。重要的是,与野生型相比,这些小鼠中Mertk及其同源配体Gas6的mRNA表达显着升高。细胞特异性表达的分析显示,p-ERK和p-Stat6与表达MERTK的GFP+细胞共定位在脑损伤后皮质的病灶周围区域。使用体外efferocytosis检测,共培养pHrodo标记的凋亡Jurkat细胞和骨髓(BM)衍生的巨噬细胞,我们证明,在不存在EphA4的情况下,Mertk和Gas6的细胞增殖效率和mRNA表达增强。ERK和Stat6的选择性抑制剂减弱了这种作用,证实EphA4通过抑制ERK/Stat6途径抑制单核细胞/巨噬细胞的有效细胞增殖。
    结论:我们的发现暗示ERK/Stat6/MERTK轴是脑损伤中凋亡碎片清除的新型调节因子,受到外周髓源性EphA4的限制,以防止炎症消退。
    BACKGROUND: Efferocytosis is a process that removes apoptotic cells and cellular debris. Clearance of these cells alleviates neuroinflammation, prevents the release of inflammatory molecules, and promotes the production of anti-inflammatory cytokines to help maintain tissue homeostasis. The underlying mechanisms by which this occurs in the brain after injury remain ill-defined.
    METHODS: We used GFP bone marrow chimeric knockout (KO) mice to demonstrate that the axon guidance molecule EphA4 receptor tyrosine kinase is involved in suppressing MERTK in the brain to restrict efferocytosis of resident microglia and peripheral-derived monocyte/macrophages.
    RESULTS: Single-cell RNAseq identified MERTK expression, the primary receptor involved in efferocytosis, on monocytes, microglia, and a subset of astrocytes in the damaged cortex following brain injury. Loss of EphA4 on infiltrating GFP-expressing immune cells improved functional outcome concomitant with enhanced efferocytosis and overall protein expression of p-MERTK, p-ERK, and p-Stat6. The percentage of GFP+ monocyte/macrophages and resident microglia engulfing NeuN+ or TUNEL+ cells was significantly higher in KO chimeric mice. Importantly, mRNA expression of Mertk and its cognate ligand Gas6 was significantly elevated in these mice compared to the wild-type. Analysis of cell-specific expression showed that p-ERK and p-Stat6 co-localized with MERTK-expressing GFP + cells in the peri-lesional area of the cortex following brain injury. Using an in vitro efferocytosis assay, co-culturing pHrodo-labeled apoptotic Jurkat cells and bone marrow (BM)-derived macrophages, we demonstrate that efferocytosis efficiency and mRNA expression of Mertk and Gas6 was enhanced in the absence of EphA4. Selective inhibitors of ERK and Stat6 attenuated this effect, confirming that EphA4 suppresses monocyte/macrophage efferocytosis via inhibition of the ERK/Stat6 pathway.
    CONCLUSIONS: Our findings implicate the ERK/Stat6/MERTK axis as a novel regulator of apoptotic debris clearance in brain injury that is restricted by peripheral myeloid-derived EphA4 to prevent the resolution of inflammation.
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  • 文章类型: Preprint
    背景技术效应细胞作用是去除凋亡细胞和细胞碎片的过程。这些细胞的清除减轻了神经炎症并防止了炎症分子的释放并促进了抗炎细胞因子的产生以帮助维持组织稳态。损伤后在大脑中发生这种情况的潜在机制仍然不明确。方法我们证明使用GFP骨髓嵌合敲除(KO)小鼠,轴突导向分子EphA4受体酪氨酸激酶参与抑制大脑中的Mertk信号传导,以限制常驻小胶质细胞和外周来源的单核细胞/巨噬细胞的有效细胞功能。结果单细胞RNAseq鉴定了Mertk表达,主要的受体参与了红细胞增生,在单核细胞上,小胶质细胞,和脑损伤后受损皮质中的星形胶质细胞子集。EphA4在浸润性表达GFP的免疫细胞上的缺失改善了功能结果,伴随着增强的有效细胞作用,和p-Mertk的整体蛋白表达,p-ERK,和p-Stat6。在KO嵌合小鼠中,吞噬NeuN+或TUNEL+细胞的GFP+单核细胞/巨噬细胞和驻留小胶质细胞的百分比显著较高。重要的是,与野生型相比,这些小鼠中Mertk及其同源配体Gas6的mRNA表达显着升高。细胞特异性表达的分析显示,p-ERK和p-Stat6与表达Mertk的GFP+细胞共定位在脑损伤后皮质的病灶周围区域。使用体外efferocytosis检测,共培养pHrodo标记的凋亡Jurkat细胞和骨髓(BM)衍生的巨噬细胞,我们证明,在不存在EphA4的情况下,Mertk和Gas6的细胞增殖效率和mRNA表达增强。选择ERK和Stat6的抑制剂减弱了这种作用,证实EphA4通过抑制ERK/Stat6途径来抑制单核细胞/巨噬细胞的红细胞增多。结论我们的发现暗示Mertk/ERK/Stat6轴是脑损伤中凋亡碎片清除的新型调节因子,受到外周髓源性EphA4的限制,以防止炎症消退。
    UNASSIGNED: Efferocytosis is a process that removes apoptotic cells and cellular debris. Clearance of these cells alleviates neuroinflammation and prevents the release of inflammatory molecules and promotes the production of anti-inflammatory cytokines to help maintain tissue homeostasis. The underlying mechanisms by which this occurs in the brain after injury remains ill-defined.
    UNASSIGNED: We demonstrate using GFP bone marrow chimeric knockout (KO) mice, that the axon guidance molecule EphA4 receptor tyrosine kinase is involved in suppressing Mertk signaling in the brain to restrict the function of efferocytosis on resident microglia and peripheral-derived monocyte/macrophages.
    UNASSIGNED: Single-cell RNAseq identified Mertk expression, the primary receptor involved in efferocytosis, on monocytes, microglia, and a subset of astrocytes in the damaged cortex following brain injury. Loss of EphA4 on infiltrating GFP-expressing immune cells improved functional outcome concomitant with enhanced efferocytosis, and overall protein expression of p-Mertk, p-ERK, and p-Stat6. The percentage of GFP+ monocyte/macrophages and resident microglia engulfing NeuN+ or TUNEL+ cells was significantly higher in KO chimeric mice. Importantly, mRNA expression of Mertk and its cognate ligand Gas6 was significantly elevated in these mice compared to wild-type. Analysis of cell-specific expression showed that p-ERK and p-Stat6 co-localized with Mertk-expressing GFP + cells in the peri-lesional area of the cortex following brain injury. Using an in vitro efferocytosis assay, co-culturing pHrodo-labeled apoptotic Jurkat cells and bone marrow (BM)-derived macrophages, we demonstrate that efferocytosis efficiency and mRNA expression of Mertk and Gas6 was enhanced in the absence of EphA4. Select inhibitors of ERK and Stat6 attenuated this effect confirming that EphA4 suppresses monocyte/macrophage efferocytosis via inhibition of the ERK/Stat6 pathway.
    UNASSIGNED: Our findings implicate the Mertk/ERK/Stat6 axis as a novel regulator of apoptotic debris clearance in brain injury that is restricted by peripheral myeloid-derived EphA4 to prevent the resolution of inflammation.
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  • 文章类型: Journal Article
    表面活性剂可以通过三种主要机制-增溶,动员和/或乳化。在这些机制中,在多孔介质中的乳化通常没有得到很好的研究或很好的理解;特别是在处理含有多组分NAPL的来源的情况下。这项研究的目的是阐明当将表面活性剂溶液引入多孔介质中以促进动力学稳定的水包油乳液的形成时,负责回收多组分烃NAPL的过程。选择此处考虑的乳化剂配方以提供类似的性能特征,同时依赖于不同家族的非离子表面活性剂-壬基酚乙氧基化物或醇乙氧基化物-用于乳化。表面活性剂家族具有特殊的环境相关性,作为醇乙氧基化物经常使用的壬基酚含量的替换是必要的。来自批次和柱研究的结果表明两种制剂的性能是相似的。两者,乳化和动员的协同组合导致合成汽油NAPL的回收。发现溶解对回收率的相对贡献较小。此外,与乳化和移动相关的物理过程限制了多组分NAPL的优先回收(或分馏)的量。
    Surfactants can aid subsurface remediation through three primary mechanisms - solubilization, mobilization and/or emulsification. Among these mechanisms, emulsification in porous media is generally not well studied or well understood; particularly in the context of treating sources containing multicomponent NAPL. The objective of this research was to elucidate the processes responsible for recovery of a multicomponent hydrocarbon NAPL when surfactant solutions are introduced within a porous medium to promote the formation of kinetically-stable oil-in-water emulsions. Emulsifier formulations considered here were selected to offer similar performance characteristics while relying on different families of non-ionic surfactants - nonylphenol ethoxylates or alcohol ethoxylates - for emulsification. The families of surfactants have particular environment relevance, as alcohol ethoxylates are often used where replacement of nonylphenol content is necessary. Results from batch and column studies suggest performance of the two formulations was similar. With both, a synergistic combination of emulsification and mobilization led to recovery of a synthetic gasoline NAPL. The relative contribution of solubilization to the recovery was found to be minor. Moreover, the physical processes associated with emulsification and mobilization acted to limit the amount of preferential recovery (or fractionation) of the multicomponent NAPL.
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  • 文章类型: Journal Article
    肺癌(LC)是美国癌症死亡的主要原因。产生促红细胞生成素的肝细胞受体(EPH)包括哺乳动物中最大的受体酪氨酸激酶(RTK)家族。EPHs及其配体,EPH家族受体相互作用蛋白(ephrins),已经发现在LC细胞中上调或下调,因此在LC癌变和肿瘤进展中表现出决定性的作用。以它们作为膜结合分子的能力,EPHs/ephrins可能代表精确癌症治疗的可行目标。为了研究LC中针对EPH/ephrin系统的可用疗法,进行了文献综述,使用MEDLINE,LIVIVIVO,和谷歌学者数据库。EPHA2是LC治疗中研究最充分的EPH/ephrin靶标。在LC细胞或异种移植模型中,EPHA2、EPHA3、EPHA5、EPHA7、EPHB4、EPHB6、ephrin-A1、ephrin-A2、ephrin-B2和ephrin-B3的靶向不仅与深度LC抑制直接相关,而且丰富了完善的治疗方案的效果。然而,纳入NSCLC患者的唯一临床试验无法描述抗EPHA2抗体给药后的客观抗癌效果.总的来说,EPHs/ephrins似乎代表了LC中有希望的治疗目标。然而,大型临床试验仍需进行,为了检查EPH/ephrin靶向在临床上的作用。
    Lung cancer (LC) is the leading cause of cancer death in the United States. Erythropoietin-producing hepatocellular receptors (EPHs) comprise the largest receptor tyrosine kinases (RTKs) family in mammals. EPHs along with their ligands, EPH-family receptor-interacting proteins (ephrins), have been found to be either up- or downregulated in LC cells, hence exhibiting a defining role in LC carcinogenesis and tumor progression. In their capacity as membrane-bound molecules, EPHs/ephrins may represent feasible targets in the context of precision cancer treatment. In order to investigate available therapeutics targeting the EPH/ephrin system in LC, a literature review was conducted, using the MEDLINE, LIVIVO, and Google Scholar databases. EPHA2 is the most well-studied EPH/ephrin target in LC treatment. The targeting of EPHA2, EPHA3, EPHA5, EPHA7, EPHB4, EPHB6, ephrin-A1, ephrin-A2, ephrin-B2, and ephrin-B3 in LC cells or xenograft models not only directly correlates with a profound LC suppression but also enriches the effects of well-established therapeutic regimens. However, the sole clinical trial incorporating a NSCLC patient could not describe objective anti-cancer effects after anti-EPHA2 antibody administration. Collectively, EPHs/ephrins seem to represent promising treatment targets in LC. However, large clinical trials still need to be performed, with a view to examining the effects of EPH/ephrin targeting in the clinical setting.
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  • 文章类型: Journal Article
    目的:急诊外科手术涉及相当大的风险。其中,术后早期低氧血症(EPH)是麻醉后监护病房(PACU)常见的麻醉并发症.卫生专业人员对EPH非常关注,具体来说,那些在夜间提供紧急手术的人。这增加了与麻醉结束时间相关的EPH风险问题。因此,本研究旨在确定在全身麻醉下接受急诊手术的成年患者的EPH程度及其相关因素.
    方法:通过连续采样技术进行前瞻性观察研究。采用二元Logistic回归分析确定相关危险因素。将在双变量分析中发现有统计学意义的所有变量输入到多变量逻辑回归分析中。
    结果:在352名接受急诊手术的患者中,149例(42.3%)患者发生了EPH。与EPH显著相关的因素是夜间麻醉结束(AOR=1.76,95CI[1.01,3.05],p=0.045),ASAIII(AOR=12.35,95CI:[4.5,34.02],p≤0.001),年龄大于55岁(AOR=3.2,95CI:[1.7,5.91],p≤0.001),手术持续时间大于2小时(AOR=2.012,95CI:[1.2,3.51],p=0.014),低血压(AOR=10.3,95CI:[2.4,44.16],p=0.002),肌肉力量评分为零(AOR=2.944,95CI:[1.8,4.82],p≤0.001),术前氧饱和度低于95%(AOR=2.371,95CI:[1.35,4.16],p=0.003)。
    结论:急诊手术患者的EPH程度较高,因此建议应及时提供氧气以减少EPH。确定的危险因素是夜间结束麻醉,ASAIII,年龄大于55,手术持续时间大于2小时,低血压,肌肉力量得分为零,术前氧饱和度低于95%。这项研究发现,在清晨结束麻醉有利于清晨早期术后低氧血症(EMEPH)。为了避免EMEPH,麻醉师应避免有利于肺部早间麻醉增强EPH昼夜节律的因素。
    OBJECTIVE: Emergency surgical procedures involve considerable risks. Among these, early postoperative hypoxemia (EPH) is a frequent anesthetic complication in the post-anesthetic care unit (PACU). There is a great concern for EPH among health professionals, specifically, those providing emergency surgery during the nighttime. This raised anesthesia-ended time-related risk of EPH question. Thus, this study aimed to determine the magnitude of EPH and its associated factors among adult patients who undergo emergency surgery under general anesthesia.
    METHODS: A prospective observational study through a consecutive sampling technique was conducted. Binary logistic regression analysis was used to identify associated risk factors. All variables that were found statistically significant on bivariable analysis were entered into a multivariable logistic regression analysis.
    RESULTS: Of 352 patients who had undergone emergency surgery, 149 (42.3%) patients developed EPH. Factors significantly associated with EPH were anesthesia ended during nighttime (AOR = 1.76, 95%CI [1.01, 3.05], p = 0.045), ASA III (AOR = 12.35, 95%CI: [4.5, 34.02], p ≤ 0.001), age greater than 55 (AOR = 3.2, 95%CI: [1.7, 5.91], p ≤ 0.001), surgery duration greater than 2 h (AOR = 2.012, 95%CI: [1.2, 3.51], p = 0.014), hypotension (AOR = 10.3, 95%CI: [2.4, 44.16], p = 0.002), muscular strength score zero (AOR = 2.944, 95%CI: [1.8, 4.82], p ≤ 0.001), and preoperative oxygen saturation less than 95% (AOR = 2.371, 95%CI: [1.35,4.16], p = 0.003).
    CONCLUSIONS: The magnitude of EPH among patients who have undergone emergency surgery was high and thus recommended that oxygen should be provided timely to decrease it. Identified risk factors were night-time ended anesthesia, ASA III, age greater than 55, surgery duration greater than 2 h, hypotension, muscular strength score zero, and preoperative oxygen saturation less than 95%. This study found anesthesia ended during early morning favors early morning early postoperative hypoxemia (EMEPH). To avert EMEPH, the anesthetist should avoid factors that favor the circadian rhythm of the lung-based early morning anesthesia augmented EPH.
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  • 文章类型: Journal Article
    枯否细胞通过自我更新维持在特定的微环境生态位,主要是肝窦内皮细胞(LSEC)。在这项研究中,我们使用与肝成纤维细胞的混合培养物,从小鼠肝脏繁殖组织常驻巨噬细胞(Mø)。传播的肝脏Mø表达Id3,Lxra和Spic转录因子,这是Kupffer细胞表征所必需的。因此,Kupffer细胞特性可能在使用与成纤维细胞的混合培养物繁殖的肝脏Mø中得以维持。我们揭示了(i)某些Eph受体和ephrin配体(包括EphA2,ephrin-A1,EphB4和ephrin-B1)在繁殖的肝脏Mø和原发性LSEC中的基因表达,(ii)这些Eph/ephrin成员分子的免疫组织化学定位表明在Kupffer细胞和LSEC中共同表达,和(iii)几个整合素α和β亚基的表面表达,包括α4β1,αLβ2,αMβ2和αXβ2整联蛋白在繁殖的肝脏Mø中以及相应的配体ICAM-1和VCAM-1在原代LSEC中。此外,EphA/ephrin-A和EphB/ephrin-B相互作用促进肝脏Mø粘附到ICAM-1吸附表面,它模仿了LSEC,可能与Kupffer细胞在肝窦中的驻留有关。需要进一步研究调节Kupffer细胞在相关肝病中的驻留和再生,以验证我们的发现。
    Kupffer cells are maintained via self-renewal in specific microenvironmental niches, primarily the liver sinusoidal endothelial cells (LSECs). In this study, we propagated tissue-resident macrophages (Mø) from mouse liver using mixed culture with hepatic fibroblastic cells. Propagated liver Mø express Id3, Lxra and Spic transcription factors, which are required for Kupffer cell characterization. Thus, Kupffer cell properties are likely to be maintained in liver Mø propagated using mixed culture with fibroblastic cells. We revealed (i) gene expression of certain Eph receptors and ephrin ligands including EphA2, ephrin-A1, EphB4, and ephrin-B1 in propagated liver Mø and primary LSECs, (ii) immunohistochemical localization of these Eph/ephrin member molecules indicating common expression in Kupffer cells and LSECs, and (iii) surface expression of several integrin α and β subunits, including α4β1, αLβ2, αMβ2, and αXβ2 integrin in propagated liver Mø and that of the corresponding ligands ICAM-1 and VCAM-1 in primary LSECs. Moreover, EphA/ephrin-A and EphB/ephrin-B interactions promoted liver Mø adhesion to the ICAM-1-adsorbed surface, which mimicked that of LSECs and may be implicated in the residence of Kupffer cells in the liver sinusoid. Further studies on regulating the residence and regeneration of Kupffer cells in related hepatic disorders are required to validate our findings.
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