motility

运动性
  • 文章类型: Journal Article
    体积调节对于细胞稳态和生理功能至关重要。与体积调节相关的感觉分子是瞬时受体电位香草酸4(TRPV4),它是一种与水通道蛋白结合的非选择性阳离子通道,通常控制调节量减少(RVD)。在这里,我们表明直系同源AQP4(Aqp4a)和TRPV4(Trpv4)之间的相互作用对于高渗透胁迫下激活后的海洋鱼类精子的调节体积增加(RVI)很重要。基于电生理学,体积,以及使用Aqp4a和Trpv4的药理学和免疫学抑制的体内和离体功能实验我们的模型表明,在射精和暴露于高渗海水时,精子收缩最初是由鞭毛尾部的Aqp1aa流出的水介导的。收缩导致细胞内Ca2+浓度增加,精子活力和Na+/K+/2Cl-(NKCC1)协同转运蛋白的激活。NKCC1的活性是启动细胞肿胀所必需的,其次激活Aqp4a-Trpv4复合物,以促进水通过Aqp4a-M43和Ca2通过Trpv4和L型通道流入,以介导RVI。抑制性实验表明,阻断这些事件中的每一个可防止收缩或RVI。因此,我们的数据表明,激活后的海洋鱼类精子能够在高渗胁迫下引发RVI,这对维持精子活力至关重要。
    Volume regulation is essential for cell homeostasis and physiological function. Amongst the sensory molecules that have been associated with volume regulation is the transient receptor potential vanilloid 4 (TRPV4), which is a non-selective cation channel that in conjunction with aquaporins, typically controls regulatory volume decrease (RVD). Here we show that the interaction between orthologous AQP4 (Aqp4a) and TRPV4 (Trpv4) is important for regulatory volume increase (RVI) in post-activated marine fish spermatozoa under high osmotic stress. Based upon electrophysiological, volumetric, and in vivo and ex vivo functional experiments using the pharmacological and immunological inhibition of Aqp4a and Trpv4 our model suggests that upon ejaculation and exposure to the hypertonic seawater, spermatozoon shrinkage is initially mediated by water efflux through Aqp1aa in the flagellar tail. The shrinkage results in an increase in intracellular Ca2+ concentration, and the activation of sperm motility and a Na+/K+/2Cl- (NKCC1) cotransporter. The activity of NKCC1 is required for the initiation of cell swelling, which secondarily activates the Aqp4a-Trpv4 complex to facilitate the influx of water via Aqp4a-M43 and Ca2+ via Trpv4 and L-type channels for the mediation of RVI. The inhibitory experiments show that blocking of each of these events prevents either shrinkage or RVI. Our data thus reveal that post-activated marine fish spermatozoa are capable of initiating RVI under a high hypertonic stress, which is essential for the maintenance of sperm motility.
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  • 文章类型: Journal Article
    光学相干层析成像对于捕获动态过程具有很大的实用性,但此类应用尤其是数据密集型。生物组织等样本在不同的时间尺度上表现出时间特征,这使得数据缩减具有挑战性。
    我们提出了一种使用非均匀时间采样以压缩方式捕获样本的短期和长期相关性的方法,以减少扫描时间和内存开销。
    所提出的方法分离了白噪声的相对贡献,波动特征,和固定特征。该方法已在三维培养的乳腺上皮细胞球体上证明,可捕获细胞内运动而不损失信号完整性。
    结果表明,保留了运动性的空间模式,并且用blebbistatin处理的球体的假设检验,一种运动蛋白抑制剂,在高达8倍的压缩下保持不变。
    压缩测量短期和长期相关性的能力将在(3+1)D成像和高通量筛选中实现新的应用。
    UNASSIGNED: Optical coherence tomography has great utility for capturing dynamic processes, but such applications are particularly data-intensive. Samples such as biological tissues exhibit temporal features at varying time scales, which makes data reduction challenging.
    UNASSIGNED: We propose a method for capturing short- and long-term correlations of a sample in a compressed way using non-uniform temporal sampling to reduce scan time and memory overhead.
    UNASSIGNED: The proposed method separates the relative contributions of white noise, fluctuating features, and stationary features. The method is demonstrated on mammary epithelial cell spheroids in three-dimensional culture for capturing intracellular motility without loss of signal integrity.
    UNASSIGNED: Results show that the spatial patterns of motility are preserved and that hypothesis tests of spheroids treated with blebbistatin, a motor protein inhibitor, are unchanged with up to eightfold compression.
    UNASSIGNED: The ability to measure short- and long-term correlations compressively will enable new applications in (3+1)D imaging and high-throughput screening.
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  • 文章类型: Journal Article
    金奇乳球菌是从商业泡菜中分离出来的,这是一种传统的韩国发酵食品。进行这项研究以评估L.kimchii的益生菌作用。秀丽隐杆线虫被喂食了金奇乳杆菌,和它的寿命,运动性,和基因表达进行了检查。当饲喂大肠杆菌OP50和L.kimchii(OP+LK)的1:1混合物时,与单独喂食OP相比,秀丽隐杆线虫的寿命和运动能力明显更长。OP+LK组和OP组之间的育苗大小没有显著差异,这表明这些影响是以不依赖饮食限制的方式发生的.RNA测序和基因本体分析表明,胰岛素样肽和胰岛素受体激动剂ins-20的表达,在OP+LK组中显著上调。ins-20突变消除了OPLK对寿命延长和运动的影响。此外,OP+LK未能延长缺乏胰岛素样信号通路受体daf-2的秀丽隐杆线虫的寿命。这些结果表明,L.kimchii延长了寿命,并通过胰岛素信号通路缓解了C.elegans的运动能力下降,强调使用L.kimchii作为益生菌和益生菌的有益细菌的潜力。
    Lactococcus kimchii is isolated from commercial kimchi, which is a traditional Korean fermented food. This study was conducted to evaluate the probiotic effects of L. kimchii. Caenorhabditis elegans was fed L. kimchii, and its longevity, motility, and gene expression were examined. When fed a 1:1 mixture of Escherichia coli OP50 and L. kimchii (OP+LK), C. elegans had a significantly longer lifespan and increased locomotion than when it was fed OP alone. There was no significant difference in brood size between the OP+LK and OP groups, suggesting that these effects occurred in a dietary restriction-independent manner. RNA sequencing and Gene Ontology analysis showed that the expression of ins-20, an insulin-like peptide and agonist of the insulin receptor, was significantly upregulated in the OP+LK group. The ins-20 mutation annulled the effects of OP+LK on lifespan extension and motility. In addition, OP+LK failed to extend the lifespan of C. elegans deficient in daf-2, a receptor for the insulin-like signaling pathway. These results suggest that L. kimchii extends the lifespan and alleviates motility decline in C. elegans through the insulin signaling pathway, highlighting the potential of using L. kimchii as a beneficial bacterium for probiotics and postbiotics.
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  • 文章类型: Journal Article
    葡萄球菌的鼻咽部携带会将潜在的致病菌株传播到(周围)口腔区域,并增加交叉感染的机会。一些实验室菌株也可以在水合琼脂表面快速移动,但是这些观察结果的生物学相关性尚不清楚。使用软琼脂[0.3%(wt/vol)]平板测定,我们证明了在存在粘蛋白糖蛋白的情况下,金黄色葡萄球菌和表皮葡萄球菌的(围)口腔分离株以及密切相关的实验室菌株的快速表面扩散。粘蛋白诱导的分散是一个逐步过程,由生长中的菌落被动扩散,然后从菌落边缘快速分支(树突)开始。尽管大多数传播菌株使用粘蛋白作为生长基质,分散主要取决于粘蛋白的润滑和水合特性。使用金黄色葡萄球菌JE2作为基因可处理的代表,我们证明了粘蛋白诱导的树突扩散,但不是殖民地蔓延,在由agr群体感应系统调节的过程中,表面活性剂活性的酚可溶性调节蛋白(PSM)的分泌促进了这一过程。此外,在从金黄色葡萄球菌和表皮葡萄球菌的最稳健(围)口腔涂布器回收的表面活性剂活性上清液存在下,进一步刺激金黄色葡萄球菌JE2菌落的树突状分散.这些发现表明,在从口周粘膜到呼吸道粘膜的潜在致病菌株的积极扩散中,润滑粘蛋白和葡萄球菌PSM具有互补作用。其中凝胶形成,水合粘蛋白比比皆是。他们还强调了种间相互作用对金黄色葡萄球菌与其他口腔周细菌共分散的影响,增加多重微生物感染的风险和临床结果的严重程度。
    目标:尽管缺乏经典的运动机制,鼻咽葡萄球菌在(周围)口腔和呼吸道粘膜中迅速传播,并引起交叉感染。我们描述了实验室条件,用于对粘膜样表面上的葡萄球菌扩散进行可重复研究,并鉴定了粘蛋白糖蛋白刺激的两个扩散阶段(菌落扩散和树突状扩增)。重要的粘蛋白类型是分散,需要一些粘蛋白糖蛋白提供的表面活性剂活性和水合作用。虽然菌落扩散是由粘蛋白润滑的被动扩散模式,金黄色葡萄球菌和表皮葡萄球菌的树突状扩张更快速和更侵入性的形式需要通过群体感应在高细胞密度下分泌的表面活性剂活性肽(酚溶性调节蛋白)进行额外的润滑.这些结果突显了凝胶形成粘蛋白在与交叉感染相关的葡萄球菌菌株扩散中的作用,并指出口周区域是葡萄球菌的运输和感染的被忽视来源。
    Nasopharyngeal carriage of staphylococci spreads potentially pathogenic strains into (peri)oral regions and increases the chance of cross-infections. Some laboratory strains can also move rapidly on hydrated agar surfaces, but the biological relevance of these observations is not clear. Using soft-agar [0.3% (wt/vol)] plate assays, we demonstrate the rapid surface dispersal of (peri)oral isolates of Staphylococcus aureus and Staphylococcus epidermidis and closely related laboratory strains in the presence of mucin glycoproteins. Mucin-induced dispersal was a stepwise process initiated by the passive spreading of the growing colonies followed by their rapid branching (dendrites) from the colony edge. Although most spreading strains used mucin as a growth substrate, dispersal was primarily dependent on the lubricating and hydrating properties of the mucins. Using S. aureus JE2 as a genetically tractable representative, we demonstrate that mucin-induced dendritic dispersal, but not colony spreading, is facilitated by the secretion of surfactant-active phenol-soluble modulins (PSMs) in a process regulated by the agr quorum-sensing system. Furthermore, the dendritic dispersal of S. aureus JE2 colonies was further stimulated in the presence of surfactant-active supernatants recovered from the most robust (peri)oral spreaders of S. aureus and S. epidermidis. These findings suggest complementary roles for lubricating mucins and staphylococcal PSMs in the active dispersal of potentially pathogenic strains from perioral to respiratory mucosae, where gel-forming, hydrating mucins abound. They also highlight the impact that interspecies interactions have on the co-dispersal of S. aureus with other perioral bacteria, heightening the risk of polymicrobial infections and the severity of the clinical outcomes.
    OBJECTIVE: Despite lacking classical motility machinery, nasopharyngeal staphylococci spread rapidly in (peri)oral and respiratory mucosa and cause cross-infections. We describe laboratory conditions for the reproducible study of staphylococcal dispersal on mucosa-like surfaces and the identification of two dispersal stages (colony spreading and dendritic expansion) stimulated by mucin glycoproteins. The mucin type mattered as dispersal required the surfactant activity and hydration provided by some mucin glycoproteins. While colony spreading was a passive mode of dispersal lubricated by the mucins, the more rapid and invasive form of dendritic expansion of Staphylococcus aureus and Staphylococcus epidermidis required additional lubrication by surfactant-active peptides (phenol-soluble modulins) secreted at high cell densities through quorum sensing. These results highlight a hitherto unknown role for gel-forming mucins in the dispersal of staphylococcal strains associated with cross-infections and point at perioral regions as overlooked sources of carriage and infection by staphylococci.
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  • 文章类型: Journal Article
    肿瘤干细胞(CSCs)在肿瘤转移发展中发挥重要作用,肿瘤复发,和治疗抗性,对根除癌症至关重要。目前,由于治疗应激诱导的细胞逃逸,治疗无法根除CSC,与从未接受过治疗的CSC相比,这会导致攻击行为增强。然而,调节治疗逃逸的潜在机制仍然未知。为此,我们建立了从乳腺CSC中分离出治疗性逃逸CSC(TSCC)的模型,并进行了转录谱以揭示其机制。机械上,我们证明了治疗逃逸的行为是通过p38/MAPK信号通路调节的,导致TSCSC表现出增强的运动性和转移。值得注意的是,阻断p38/MAPK信号通路可有效降低体内外运动和转移能力,下调的运动相关基因和上皮间质转化(EMT)相关蛋白波形蛋白和N-钙黏着蛋白进一步支持。获得的发现揭示了p38/MAPK途径作为TSCSC的潜在治疗靶标,并将为癌症治疗提供深远的意义。
    Cancer stem cells (CSCs) play an important role in metastasis development, tumor recurrence, and treatment resistance, and are essential for the eradication of cancer. Currently, therapies fail to eradicate CSCs due to their therapeutic stress-induced cellular escape, which leads to enhanced aggressive behaviors compared with CSCs that have never been treated. However, the underlying mechanisms regulating the therapeutic escape remain unknown. To this end, we established a model to isolate the therapeutic escaped CSCs (TSCSCs) from breast CSCs and performed the transcription profile to reveal the mechanism. Mechanistically, we demonstrated that the behavior of therapeutic escape was regulated through the p38/MAPK signaling pathway, resulting in TSCSCs exhibiting enhanced motility and metastasis. Notably, blocking the p38/MAPK signaling pathway effectively reduced motility and metastasis ability both in vitro and in vivo, which were further supported by downregulated motility-related genes and epithelial-mesenchymal transition (EMT)-related proteins vimentin and N-cadherin. The obtained findings reveal the p38/MAPK pathway as a potential therapeutic target for TSCSCs and would provide profound implications for cancer therapy.
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  • 文章类型: Journal Article
    副溶血性弧菌利用极性鞭毛在液体中游泳,并利用多个侧向鞭毛在表面和粘性环境中成群。VPA0961蛋白是LysR家族转录调节因子,可以调节副溶血性弧菌的游泳和成群运动,但是详细的监管机制尚未完全理解。在这里,我们把蛋白质命名为AcsS,代表游泳和蜂群运动的活化剂。我们的数据提供了证据,表明删除acsS基因可显着降低副溶血性弧菌的游泳和成群运动。此外,发现AcsS激活两种极性(flgA,flgM,flgB,和flgK)和横向(moty,flim,Lafa,和FLID)鞭毛基因。在大肠杆菌中过表达AcsS诱导表达flgA,莫蒂,还有Lafa,但不影响flgB的表达,flgK,flgM,flim,和翻转。有趣的是,His标记的AcsS没有与所有测试基因的上游DNA区域结合,建议间接调控。总之,AcsS通过激活极性和侧向鞭毛基因的转录,正向调节副溶血弧菌的游泳和成群运动。这项工作丰富了我们对副溶血性弧菌双鞭毛系统内基因表达调控的理解。
    Vibrio parahaemolyticus utilizes a polar flagellum for swimming in liquids and employs multiple lateral flagella to swarm on surfaces and in viscous environments. The VPA0961 protein is an LysR family transcriptional regulator that can regulate the swimming and swarming motility of V. parahaemolyticus, but the detailed regulatory mechanisms are not yet fully understood. Herein, we designated the protein as AcsS, which stands for activator of swimming and swarming motility. Our data provided evidence that deleting the acsS gene significantly reduced both swimming and swarming motility of V. parahaemolyticus. Furthermore, AcsS was found to activate the expression of both polar (flgA, flgM, flgB, and flgK) and lateral (motY, fliM, lafA, and fliD) flagellar genes. Overexpression of AcsS in Escherichia coli induced the expression of flgA, motY, and lafA, but did not affect the expression of flgB, flgK, flgM, fliM, and fliD. Interestingly, His-tagged AcsS did not bind to the upstream DNA regions of all the tested genes, suggesting indirect regulation. In conclusion, AcsS positively regulated the swimming and swarming motility of V. parahaemolyticus by activating the transcription of polar and lateral flagellar genes. This work enriched our understanding of the gene expression regulation within the dual flagellar systems of V. parahaemolyticus.
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  • 文章类型: Journal Article
    化学感觉系统允许细菌响应和适应环境条件。许多细菌含有不止一个化学感应系统,但是关于它们在调节不同功能中的具体作用的知识仍然很少。这里,我们通过分析模型植物病原体丁香假单胞菌pv的F6,F8和替代(非运动性)细胞功能(ACF)化学感应系统的功能来解决此问题。番茄。在这项工作中,我们将PsPto化学感受器分配给每个化学感应系统,我们首次使用低温电子层析成像技术可视化了PsPto的F6和F8化学感应系统。我们确认趋化性和游泳运动受F6系统控制,我们演示了F8和ACF系统中的不同组件如何调节游泳运动。我们还确定了来自F6和F8化学感应系统的激酶和反应调节剂如何在生物膜的调节中不协同工作,而来自ACF系统的两种组分共同调节这些性状。此外,我们展示了F6,F8和ACF激酶如何与ACF反应调节因子WspR相互作用,支持化学感应系统之间的串扰。最后,我们揭示了所有化学感应系统如何在调节毒力中发挥作用。
    目的:通过化学感应系统进行化学感知是细菌生存的基本特征,因为它允许细菌与周围环境相互作用。在植物病原体的情况下,进入宿主并达到完全毒力是特别相关的。多种化学感应系统使细菌在对外部信号的反应中表现出更广泛的可塑性。这里,我们对模型植物病原体丁香假单胞菌pv中的F6,F8和替代(非运动性)细胞功能化学感应系统进行了深入表征。番茄DC3000.这些化学感应系统调节关键的毒力相关性状,像运动性和生物膜的形成。此外,我们揭示了在激酶和反应调节剂之间的相互作用水平上,这些化学感应系统之间的意外串扰。这项工作显示了新颖的结果,有助于了解化学感应系统及其在替代趋化性功能中的作用。
    Chemosensory systems allow bacteria to respond and adapt to environmental conditions. Many bacteria contain more than one chemosensory system, but knowledge of their specific roles in regulating different functions remains scarce. Here, we address this issue by analyzing the function of the F6, F8, and alternative (non-motility) cellular functions (ACF) chemosensory systems of the model plant pathogen Pseudomonas syringae pv. tomato. In this work, we assign PsPto chemoreceptors to each chemosensory system, and we visualize for the first time the F6 and F8 chemosensory systems of PsPto using cryo-electron tomography. We confirm that chemotaxis and swimming motility are controlled by the F6 system, and we demonstrate how different components from the F8 and ACF systems also modulate swimming motility. We also determine how the kinase and response regulators from the F6 and F8 chemosensory systems do not work together in the regulation of biofilm, whereas both components from the ACF system contribute together to regulate these traits. Furthermore, we show how the F6, F8, and ACF kinases interact with the ACF response regulator WspR, supporting crosstalk among chemosensory systems. Finally, we reveal how all chemosensory systems play a role in regulating virulence.
    OBJECTIVE: Chemoperception through chemosensory systems is an essential feature for bacterial survival, as it allows bacterial interaction with its surrounding environment. In the case of plant pathogens, it is especially relevant to enter the host and achieve full virulence. Multiple chemosensory systems allow bacteria to display a wider plasticity in their response to external signals. Here, we perform a deep characterization of the F6, F8, and alternative (non-motility) cellular functions chemosensory systems in the model plant pathogen Pseudomonas syringae pv. tomato DC3000. These chemosensory systems regulate key virulence-related traits, like motility and biofilm formation. Furthermore, we unveil an unexpected crosstalk among these chemosensory systems at the level of the interaction between kinases and response regulators. This work shows novel results that contribute to the knowledge of chemosensory systems and their role in functions alternative to chemotaxis.
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  • 文章类型: Journal Article
    目的:研究男性不育和失眠是否具有遗传风险变异,并识别任何分子,这些性状之间的细胞和生物相互作用。
    方法:进行了计算机模拟研究。通过文献综述手动策划了两个遗传变异列表,其中一个与男性不育有关,另一个与失眠有关。将基因分配给这些变体以组成男性不育(454个基因)和失眠(921个基因)相关的基因列表。
    方法:不适用。
    方法:不适用。
    方法:生物途径的富集和蛋白质-蛋白质相互作用(PPI)分析。
    结果:28个基因在两个列表中是共同的,代表比偶然预期的更大的重叠。在交叉列表中包含的28个基因中,与驱动蛋白结合相关的通路显著富集。使用交叉列表作为输入的PPI分析检索到25个节点,并表明其中2个是驱动蛋白相关蛋白(PLEKHM2和KCL1)。
    结论:男性不育和失眠的共同基因,以及这项研究中强调的生物学途径,这表明有必要对生育能力和睡眠之间的相互作用进行进一步的功能性研究.
    OBJECTIVE: To study whether male infertility and insomnia share genetic risk variants, and to identify any molecular, cellular and biological interactions between these traits.
    METHODS: The in silico study was performed. Two lists of genetics variants were manually curated through a literature review, 1 of those associated with male infertility and the other with insomnia. Genes were assigned to these variants to compose male infertility (454 genes) and insomnia (921 genes)-associated gene lists.
    METHODS: Not applicable.
    METHODS: Not applicable.
    METHODS: Enrichment of biological pathways and protein-protein interaction (PPI) analysis.
    RESULTS: Twenty-eight genes were common to both lists, representing a greater overlap than would be expected by chance. In the 28 genes contained in the intersection list, there was a significant enrichment of pathways related to kinesin binding. A PPI analysis using the intersection list as input retrieved 25 nodes and indicated that 2 of them were kinesin-related proteins (PLEKHM2 and KCL1).
    CONCLUSIONS: The shared male infertility and insomnia genes, and the biological pathways highlighted in this study, suggest that further functional investigations into the interplay between fertility and sleep are warranted.
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  • 文章类型: Journal Article
    背景:经口内镜肌切开术(POEM)治疗的非贲门失弛缓性食管运动障碍的长期结果数据有限。我们调查了一部分有症状的食管过度收缩(Jachammer食管)患者。
    方法:42例患者(平均年龄60.9岁;57%为女性,回顾性分析2012-2018年在7个欧洲中心对有症状的Jackhammer食管行原发性经口肌切开术治疗的平均Eckardt评分6.2±2.1);肌切开术包括食管下括约肌,但延伸进贲门不超过1cm,而POEM用于贲门失弛缓症.独立专家重新审查了测压数据。主要结果是在POEM后至少两年后,由再治疗或Eckardt评分>3定义的失败率。
    结果:尽管技术上取得了100%的成功(平均干预时间107±48.9分钟,平均肌切开术长度16.2±3.7cm),全组2年成功率为64.3%。在亚组分析中,POEM失败率在无创手的患者(n=22)之间有显著差异,以及食管胃结合部流出道梗阻(EGJOO,n=20)(13.6%与60%,p=0.003),随访46.5±19.0个月。不良事件发生在9例(21.4%)。14例(33.3%)患者接受复治,两个由于反流导致的胃底折叠术。包括再治疗,随访结束时,33例(78.6%)患者症状严重程度改善(Eckardt评分≤3分,平均Eckardt变化4.34,p<0.001).EGJOO(p=0.01)和吞下过度收缩的频率(p=0.02)是POEM失败的预测因子。在EGJOO亚组的4例中观察到假憩室的发展。
    结论:在长期随访中,没有EGJOO的有症状的手提钻患者受益于POEM。EGJOO治疗手提钻,然而,仍然具有挑战性,可能需要完整的括约肌切开术和未来的研究,这些研究应解决这种变异和替代策略的发病机制。
    BACKGROUND: Long-term outcome data are limited for non-achalasia esophageal motility disorders treated by peroral endoscopy myotomy (POEM) as a separate group. We investigated a subset of symptomatic patients with hypercontractile esophagus (Jackhammer esophagus).
    METHODS: Forty two patients (mean age 60.9 years; 57% female, mean Eckardt score 6.2 ± 2.1) treated by primary peroral myotomy for symptomatic Jackhammer esophagus 2012-2018 in seven European centers were retrospectively analyzed; myotomy included the lower esophageal sphincter but did not extend more than 1 cm into the cardia in contrast to POEM for achalasia. Manometry data were re-reviewed by an independent expert. The main outcome was the failure rate defined by retreatment or an Eckardt score >3 after at least two years following POEM.
    RESULTS: Despite 100% technical success (mean intervention time 107 ± 48.9 min, mean myotomy length 16.2 ± 3.7 cm), the 2-year success rate was 64.3% in the entire group. In a subgroup analysis, POEM failure rates were significantly different between Jackhammer-patients without (n = 22), and with esophagogastric junction outflow obstruction (EGJOO, n = 20) (13.6% % vs. 60%, p = 0.003) at a follow-up of 46.5 ± 19.0 months. Adverse events occurred in nine cases (21.4%). 14 (33.3%) patients were retreated, two with surgical fundoplication due to reflux. Including retreatments, an improvement in symptom severity was found in 33 (78.6%) at the end of follow-up (Eckardt score ≤3, mean Eckardt change 4.34, p < 0.001). EGJOO (p = 0.01) and frequency of hypercontractile swallows (p = 0.02) were predictors of POEM failure. The development of a pseudodiverticulum was observed in four cases within the subgroup of EGJOO.
    CONCLUSIONS: Patients with symptomatic Jackhammer without EGJOO benefit from POEM in long-term follow-up. Treatment of Jackhammer with EGJOO, however, remains challenging and probably requires full sphincter myotomy and future studies which should address the pathogenesis of this variant and alternative strategies.
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  • 文章类型: Journal Article
    肠神经病的特征是肠道神经支配异常,包括肠神经系统,在其他功能障碍中诱导严重的肠道运动障碍。大部分胃肠道受迷走神经支配,其传出分支与肠神经系统有密切的联系,其传入分布在消化壁的不同层。迷走神经是自主神经系统的重要组成部分,参与应激反应,在微生物群-肠道-大脑轴的界面,具有抗炎和促动力特性,调节肠道通透性,具有显著的可塑性和再生能力。针对迷走神经的这些特性,迷走神经刺激(或非刺激/药理学方法),可能对肠神经病的治疗管理感兴趣。
    Enteric neuropathies are characterized by abnormalities of gut innervation, which includes the enteric nervous system, inducing severe gut dysmotility among other dysfunctions. Most of the gastrointestinal tract is innervated by the vagus nerve, the efferent branches of which have close interconnections with the enteric nervous system and whose afferents are distributed throughout the different layers of the digestive wall. The vagus nerve is a key element of the autonomic nervous system, involved in the stress response, at the interface of the microbiota-gut-brain axis, has anti-inflammatory and prokinetic properties, modulates intestinal permeability, and has a significant capacity of plasticity and regeneration. Targeting these properties of the vagus nerve, with vagus nerve stimulation (or non-stimulation/ pharmacological methods), could be of interest in the therapeutic management of enteric neuropathies.
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