rat model

大鼠模型
  • 文章类型: Journal Article
    阿尔茨海默病(AD),痴呆症最常见的原因之一,主要是零星发生,但由衰老和其他辅因子驱动。研究表明,过量饮酒可能会增加AD风险。
    我们的研究检查了短期中度乙醇暴露导致AD型神经变性的分子病理变化的程度。
    用含有24%或0%热量乙醇的等热量液体饮食喂养LongEvans雄性和雌性大鼠2周(n=8/组)。额叶用于测量对AD生物标志物的免疫反应性,胰岛素相关的内分泌代谢分子,和促炎细胞因子/趋化因子通过双重或多重酶联免疫吸附测定(ELISA)。
    乙醇显着增加了磷tau的额叶水平,但降低了Aβ,ghrelin,胰高血糖素,瘦素,PAI,IL-2和IFN-γ。
    慢性乙醇喂养的短期影响产生了反映代谢失调的神经内分泌分子病理变化,以及可能导致神经可塑性受损的异常。研究结果表明,长期饮酒迅速为AD和酒精相关脑变性的早期能量代谢受损建立了一个平台。
    UNASSIGNED: Alzheimer\'s disease (AD), one of the most prevalent causes of dementia, is mainly sporadic in occurrence but driven by aging and other cofactors. Studies suggest that excessive alcohol consumption may increase AD risk.
    UNASSIGNED: Our study examined the degree to which short-term moderate ethanol exposure leads to molecular pathological changes of AD-type neurodegeneration.
    UNASSIGNED: Long Evans male and female rats were fed for 2 weeks with isocaloric liquid diets containing 24% or 0% caloric ethanol (n = 8/group). The frontal lobes were used to measure immunoreactivity to AD biomarkers, insulin-related endocrine metabolic molecules, and proinflammatory cytokines/chemokines by duplex or multiplex enzyme-linked immunosorbent assays (ELISAs).
    UNASSIGNED: Ethanol significantly increased frontal lobe levels of phospho-tau, but reduced Aβ, ghrelin, glucagon, leptin, PAI, IL-2, and IFN-γ.
    UNASSIGNED: Short-term effects of chronic ethanol feeding produced neuroendocrine molecular pathologic changes reflective of metabolic dysregulation, together with abnormalities that likely contribute to impairments in neuroplasticity. The findings suggest that chronic alcohol consumption rapidly establishes a platform for impairments in energy metabolism that occur in both the early stages of AD and alcohol-related brain degeneration.
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  • 文章类型: Journal Article
    体外心肺复苏(ECPR)可通过即时精确的温度控制来促进复苏。本研究旨在确定最佳再灌注温度,以最大程度地减少室颤心脏骤停(VFCA)后的神经损伤。24只大鼠随机(每组8只)接受正常体温(NT=37℃),轻度低温(MH=33°C)或中度低温(MOD=27°C)。对大鼠进行10分钟的VFCA,在各自的目标温度下进行15分钟的ECPR。ECPR断奶后,MOD组大鼠迅速复温至33℃,和温度保持在33°C(MH/MOD)或37°C(NT)12小时,然后缓慢复温至正常体温(MH/MOD)。主要结果是30天生存率,总体表现类别(OPC)1或2(1=正常,2=轻微残疾,3=严重残疾,4=昏迷,5=死亡)。次要结局包括觉醒率(OPC≤3)和神经功能缺损评分(NDS,从0=正常到100=脑死亡)。再灌注温度之间的存活率没有差异(NT=25%,MH=63%,MOD=38%,p=0.301)。MH的NDS最低(NT=4[IQR3-4],MH=2[1-2],MOD=5[3-5],p=0.044)和最高觉醒率(NT=25%,MH=88%,MOD=75%,p=0.024)。总之,与37°C或27°C再灌注相比,33°C再灌注的ECPR在统计学上没有显着提高VFCA后的生存率,但通过觉醒率和神经功能来衡量具有神经保护作用。
    Extracorporeal cardiopulmonary resuscitation (ECPR) facilitates resuscitation with immediate and precise temperature control. This study aimed to determine the optimal reperfusion temperature to minimize neurological damage after ventricular fibrillation cardiac arrest (VFCA). Twenty-four rats were randomized (n = 8 per group) to normothermia (NT = 37°C), mild hypothermia (MH = 33°C) or moderate hypothermia (MOD = 27°C). The rats were subjected to 10 minutes of VFCA, before 15 minutes of ECPR at their respective target temperature. After ECPR weaning, rats in the MOD group were rapidly rewarmed to 33°C, and temperature maintained at 33°C (MH/MOD) or 37°C (NT) for 12 hours before slow rewarming to normothermia (MH/MOD). The primary outcome was 30-day survival with overall performance category (OPC) 1 or 2 (1 = normal, 2 = slight disability, 3 = severe disability, 4 = comatose, 5 = dead). Secondary outcomes included awakening rate (OPC ≤ 3) and neurological deficit score (NDS, from 0 = normal to 100 = brain dead). The survival rate did not differ between reperfusion temperatures (NT = 25%, MH = 63%, MOD = 38%, p = 0.301). MH had the lowest NDS (NT = 4[IQR 3-4], MH = 2[1-2], MOD = 5[3-5], p = 0.044) and highest awakening rate (NT = 25%, MH = 88%, MOD = 75%, p = 0.024). In conclusion, ECPR with 33°C reperfusion did not statistically significantly improve survival after VFCA when compared with 37°C or 27°C reperfusion but was neuroprotective as measured by awakening rate and neurological function.
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  • 文章类型: Journal Article
    在炎症条件下,巨噬细胞优势度影响炎症的程度。我们评估了活性维生素D(骨化三醇)给药对炎症过程和巨噬细胞优势的影响,并旨在确定大鼠超显微外科手术动脉吻合模型中潜在的积极宏观和组织学作用。将40只大鼠分为5组:对照手术(第1组),术前手术(第2组),术后(第3组),围手术期(第4组)全身骨化三醇和局部骨化三醇手术(第5组)。计划在大鼠的双腿中进行80次股动脉吻合。对相关组中的动物每日腹膜内施用全身性骨化三醇。在吻合前进行术前血管直径测量。手术后三周,术后血管直径测量,评估吻合通畅性,收集血管段进行组织学检查,其中包括M1和M2巨噬细胞去极化的评估,白细胞浸润,内膜中膜比和腔间隙评分。全身骨化三醇给药(前,术后或围手术期)显着改善了血管直径(p<0.001);第2-4组之间没有显着差异。组织学结果显示,第3组和第4组的内膜-中膜比率较低(p<0.05和p<0.01),较高的M2-M1巨噬细胞比率(p<0.01和p<0.001)和较低的白细胞浸润(p<0.05,p<0.01和p<0.001)。局部骨化三醇给药没有血管舒张作用或导致阳性组织学结果。虽然骨化三醇的给药术前和术后增加了血管直径,后者似乎对组织学分析有更有利的影响.
    Under inflammatory conditions, macrophage dominance affects the degree of inflammation. We assessed the effects of the active vitamin D (calcitriol) administration on inflammatory processes and macrophage dominance and aimed to determine the potential positive macroscopic and histological effects in supermicrosurgical arterial anastomosis model of rats. Forty rats were divided into five groups: control surgery (Group 1), surgery with preoperative (Group 2), post-operative (Group 3), perioperative (Group 4) systemic calcitriol and surgery with local calcitriol (Group 5). Eighty femoral artery anastomoses were planned in both legs of rats. Systemic calcitriol was administered intraperitoneally daily to the animals in the relevant groups. Preoperative vessel diameter measurements were taken before anastomosis. Three weeks post-surgery, post-operative vessel diameter measurements were taken, anastomosis patency was assessed and vascular segments were collected for histological examination, which included assessment of M1 and M2 macrophage depolarisation, leucocyte infiltration, intima-media ratio and luminal gap scoring. Systemic calcitriol administration (pre-, post- or perioperative) significantly improved the vessel diameter (p < 0.001); there was no significant difference among Groups 2-4. Histological findings revealed that Groups 3 and 4 had lower intima-media ratios (p < 0.05 and p < 0.01), higher M2-M1 macrophage ratios (p < 0.01 and p < 0.001) and lower leucocyte infiltration (p < 0.05, p < 0.01 and p < 0.001). Local calcitriol administration had no vasodilatory effects or resulted in positive histological outcomes. Although the administration of calcitriol pre- and post-operatively increased the vessel diameter, the latter appeared to have a more favourable impact on the histological analyses.
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  • 文章类型: Journal Article
    背景:帕金森病(PD)是世界范围内普遍存在的神经退行性疾病,根据运动功能障碍和认知障碍等经典症状进行诊断。随着各种放射性配体的发展,已证明,正电子发射断层扫描(PET)成像与特定的放射性标记探针相结合可有效帮助临床PD诊断。在这些探测器中,2β-甲氧基-3β-(4-氯苯基)-8-(2-[18F]-氟乙基)去甲氨烷([18F]FECNT)已被用作PET示踪剂,以对纹状体突触前多巴胺能终末的多巴胺转运蛋白(DAT)完整性进行成像。然而,[18F]FECNT产生的脑穿透性放射性代谢物的存在可能会影响PET成像的准确性.在以前的研究中,我们开发了2β-碳甲氧基-3β-(4-氯苯基)-8-(2-[18F]-氟乙基-1,1,2,2-d4)去甲氨烷([18F]FECNT-d4),在血浆和纹状体中具有增强的稳定性的氘代衍生物,以及较慢的冲洗速度。在这项研究中,我们进一步研究了[18F]FECNT-d4检测帕金森病多巴胺能神经元变性的潜力。这涉及单侧损伤的PD模型大鼠的PET成像以及在死后脑切片上进行的体外放射自显影。
    结果:PET图像显示立体定向注射6-羟基多巴胺盐酸盐(6-OHDA)的大鼠同侧纹状体的特异性摄取降低。与假手术组相比,同侧纹状体与对侧纹状体的标准化摄取值(SUV)的比率下降了13%,23%,63%的人在温和的情况下,中度,和严重病变的群体,分别。在PET成像中观察到的多巴胺能神经支配得到行为评估的进一步支持,免疫染色,和单胺浓度测试。此外,microPET结果与这些测量结果呈正相关,除了阿朴吗啡诱导的旋转行为试验,呈负相关。此外,与健康受试者相比,PD患者死后纹状体切片中的[18F]FECNT-d4摄取低约40%。此外,估计人体剂量测定(有效剂量当量:5.06E-03mSv/MBq),从大鼠生物分布数据推断,仍然低于当前的食品和药物管理局的辐射暴露限制。
    结论:我们的发现表明,[18F]FECNT-d4准确估计6-OHDA诱导的PD大鼠模型中多巴胺能神经元变性的水平,并有效区分PD患者和健康个体。这种高度敏感和安全的PET探针在帕金森病的诊断和监测中具有很好的临床应用潜力。
    BACKGROUND: Parkinson\'s disease (PD) is a prevalent neurodegenerative disorder worldwide, diagnosed based on classic symptoms like motor dysfunction and cognitive impairments. With the development of various radioactive ligands, positron emission tomography (PET) imaging combined with specific radiolabelling probes has proven to be effective in aiding clinical PD diagnosis. Among these probes, 2β-Carbomethoxy-3β-(4-chlorophenyl)-8-(2-[18F]-fluoroethyl) nortropane ([18F]FECNT) has been utilized as a PET tracer to image dopamine transporter (DAT) integrity in striatal presynaptic dopaminergic terminals. However, the presence of brain-penetrant radioactive metabolites produced by [18F]FECNT may impact the accuracy of PET imaging. In previous research, we developed 2β-Carbomethoxy-3β-(4-chlorophenyl)-8-(2-[18F]-fluoroethyl-1,1,2,2-d4) nortropane ([18F]FECNT-d4), a deuterated derivative with enhanced stability in plasma and the striatum, along with a slower washout rate. In this study, we further investigated the potential of [18F]FECNT-d4 to detect dopaminergic neuron degeneration in Parkinson\'s disease. This involved PET imaging in unilaterally-lesioned PD model rats and in vitro autoradiography conducted on postmortem brain sections.
    RESULTS: PET images revealed reduced specific uptake in the ipsilateral striatum of rats stereotactically injected with 6-hydroxydopamine hydrochloride (6-OHDA). Compared to the sham group, the ratio of standardized uptake value (SUV) in the ipsilateral to contralateral striatum decreased by 13%, 23%, and 63% in the mild, moderate, and severe lesioned groups, respectively. Dopaminergic denervation observed in PET imaging was further supported by behavioral assessments, immunostaining, and monoamine concentration tests. Moreover, the microPET results exhibited positive correlations with these measurements, except for the apomorphine-induced rotational behavior test, which showed a negative correlation. Additionally, [18F]FECNT-d4 uptake was approximately 40% lower in the postmortem striatal sections of a PD patient compared to a healthy subject. Furthermore, estimated human dosimetry (effective dose equivalent: 5.06 E-03 mSv/MBq), extrapolated from rat biodistribution data, remained below the current Food and Drug Administration limit for radiation exposure.
    CONCLUSIONS: Our findings demonstrate that [18F]FECNT-d4 accurately estimates levels of dopaminergic neuron degeneration in the 6-OHDA-induced PD rat model and effectively distinguishes between PD patients and healthy individuals. This highly sensitive and safe PET probe holds promising potential for clinical application in the diagnosis and monitoring of Parkinson\'s disease.
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  • 文章类型: Journal Article
    不可逆的泛HER酪氨酸激酶抑制剂neratinib被批准用于HER2阳性患者,早期和转移性乳腺癌(BC)。Neratinib相关性腹泻是早期停药的最常见原因。临床前研究确定了neratinib引起的腹泻的机制以及预防和预防措施的原理。我们研究了neratinib对大鼠肠道的影响,并对使用neratinib治疗的HER2阳性BC患者进行了结肠发病机制的2期研究(NCT04366713)。检查接受neratinib或媒介物的雌性白化病Wistar大鼠的结肠样品的组织病理学变化。HER2阳性BC患者每天一次接受neratinib240mg,为期1年。在基线和第28天收集结肠镜活检以鉴定与大鼠病理一致的变化。大鼠结肠外观明显改变,具有相似的短路电流(Isc)和对卡巴胆碱和毛喉素的响应。与对照治疗的动物相比,在neratinib治疗的动物中未观察到粘膜屏障丧失和/或分泌倾向的显着增加。四名可终点评估的患者中有两名表现为轻度病理变化,与大鼠模型相当。临床前证据支持neratinib诱导的腹泻的炎症成分而没有粘膜屏障功能丧失。BC患者的结肠镜检查结果表明,由于neratinib治疗,结肠有轻度或无病理变化。
    The irreversible pan-HER tyrosine kinase inhibitor neratinib is approved for patients with HER2-positive, early-stage and metastatic breast cancer (BC). Neratinib-associated diarrhea is the most common reason for early discontinuation. Preclinical studies identified mechanisms of neratinib-induced diarrhea and rationale for prophylactic and preventive measures. We studied effects of neratinib on rat intestines and conducted a phase 2 study of colon pathogenesis in patients with HER2-positive BC treated with neratinib (NCT04366713). Colon samples from female albino Wistar rats receiving neratinib or vehicle were examined for histopathological changes. Patients with HER2-positive BC received neratinib 240 mg once daily for up to 1 year. Colonoscopy biopsies were collected at baseline and at Day 28 to identify changes consistent with rat pathologies. Rat colons were markedly altered in appearance, with similar short circuit currents (Isc) and responses to carbachol and forskolin. Mucosal barrier loss and/or significant increase in secretory propensity in neratinib- versus control-treated animals were not seen. Two of four endpoint-evaluable patients presented with mild pathological changes, largely comparable with the rat model. Preclinical evidence supports an inflammatory component of neratinib-induced diarrhea without mucosal barrier function loss. Colonoscopy findings in patients with BC indicate mild or no pathological changes in the colon due to neratinib treatment.
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  • 文章类型: Journal Article
    糖尿病增加氧化应激由于高血糖,导致肩袖组织退化。目前,目前还没有建立非侵入性评估这种氧化应激程度的方法.为了解决这个问题,我们的目的是研究晚期糖基化终产物(AGEs),氧化应激的标志,糖尿病大鼠肩袖组织的经皮自发荧光强度。使用10只对照Sprague-Dawley(SD)大鼠和链脲佐菌素诱导的糖尿病大鼠(每组n=10)。在诱导糖尿病8周和16周后对大鼠实施安乐死,收集肩袖附着部位并进行组织学分析。在安乐死之前,经皮测量肩袖区域的自发荧光强度。用特异性抗体免疫组织化学评估AGEs和I型胶原的表达,并定量染色区域。所有数据均采用Mann-WhitneyU检验进行统计分析。采用Spearman秩相关系数对皮肤自发荧光强度和AGEs染色面积百分比进行相关性分析。16周时,糖尿病大鼠肩袖附着部位AGEs的免疫组织化学表达和经皮AGEs测量值明显高于对照组。两组间1型胶原程度差别无统计学意义。这项研究表明,由于糖尿病患者长期高血糖,肩袖组织中AGEs的积累增加。此外,经皮皮肤荧光强度可能与肩袖处的组织学氧化应激有关。
    Diabetes mellitus increases oxidative stress due to hyperglycemia, resulting in the degeneration of rotator cuff tissue. Currently, there is no established method to non-invasively assess the extent of this oxidative stress. To address this, we aimed to investigate the relationship between the accumulation of advanced glycation end-products (AGEs), a marker of oxidative stress, and transcutaneous autofluorescence intensity in rotator cuff tissue harvested from diabetic rats. Ten control Sprague-Dawley (SD) rats and streptozotocin-induced diabetic rats (n = 10 per group) were used. The rats were euthanized eight and 16 weeks after the induction of diabetes, and rotator cuff attachment sites were collected and histologically analyzed. Prior to euthanasia, autofluorescence intensity was measured transcutaneously in the rotator cuff area. The expressions of AGEs and type I collagen were evaluated immunohistochemically with specific antibodies and the stained areas were quantified. All data were statistically analyzed using the Mann-Whitney U test. Correlation analysis was performed for skin autofluorescence intensity and the percentage of AGEs staining area using Spearman\'s rank correlation coefficient. The immunohistochemical expression of AGEs at the rotator cuff attachment sites and transcutaneous AGEs measurements were significantly higher in diabetic rats than in the control group at 16 weeks. There was no significant difference in the level of type 1 collagen between the two groups. This study reveals that the accumulation of AGEs in rotator cuff tissue increases due to prolonged hyperglycemia in diabetes. In addition, transcutaneous skin fluorescence intensity may be related to histological oxidative stress at the rotator cuff.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    复合颅骨缺损具有个体功能和美学影响,以及社会负担,同时对重建外科医生构成重大挑战。这些畸形的单阶段复合重建需要复杂的手术,这些手术具有许多短期和长期风险和并发症。目前头皮-颅骨复合缺损的研究是稀疏的和一维的,通常只专注于骨骼或皮肤。因此,对一个简单的,啮齿动物的临床相关复合缺陷模型,在通过次要意图避免皮肤成分愈合方面存在挑战。通过使用可定制的(3D打印)伤口闭塞器,头皮伤口可以长时间(超过6周)不愈合,颅骨缺损专利。伤口闭塞器显示出最小的生物毒性,并且不会引起严重的内膜-肉芽粘连。这种复合缺损模型有效地减缓了头皮的愈合过程并保留了颅骨缺损,体现“慢性复合缺陷”的特征。并行,建立自体重建模型作为阳性对照。该阳性对照在3周内表现出皮肤的可重复愈合,骨整合程度不同。符合临床实践。两种模型不仅为复合组织工程和支架设计,而且为复合组织愈合的机理研究提供了稳定的平台。
    Composite cranial defects have individual functional and aesthetic ramifications, as well as societal burden, while posing significant challenges for reconstructive surgeons. Single-stage composite reconstruction of these deformities entail complex surgeries that bear many short- and long-term risks and complications. Current research on composite scalp-cranial defects is sparse and one-dimensional, often focusing solely on bone or skin. Thus, there is an unmet need for a simple, clinically relevant composite defect model in rodents, where there is a challenge in averting healing of the skin component via secondary intention. By utilizing a customizable (3D-printed) wound obturator, the scalp wound can be rendered non-healing for a long period (more than 6 weeks), with the cranial defect patent. The wound obturator shows minimal biotoxicity and will not cause severe endocranium-granulation adhesion. This composite defect model effectively slowed the scalp healing process and preserved the cranial defect, embodying the characteristics of a \"chronic composite defect\". In parallel, an autologous reconstruction model was established as the positive control. This positive control exhibited reproducible healing of the skin within 3 weeks with variable degrees of osseointegration, consistent with clinical practice. Both models provide a stable platform for subsequent research not only for composite tissue engineering and scaffold design but also for mechanistic studies of composite tissue healing.
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  • 文章类型: Journal Article
    目的:本研究探讨了秋水仙碱和褪黑素对实验性子宫内膜异位症大鼠模型子宫内膜异位植入物的治疗作用。
    方法:44只成年雌性Wistar白化病大鼠,体重在260至300克之间,8周大,被选中进行研究。切除双角子宫大鼠的单侧子宫角1cm,用无菌盐水清洗,纵向切开,子宫内膜暴露了.将用手术刀采集的0.5*0.5cm子宫内膜组织样品用缝合(4/0Vicryl)植入腹壁。将44只大鼠分为四组。第1组随机分为子宫内膜异位症组(对照组),组2为子宫内膜异位症+秋水仙碱治疗,第3组作为子宫内膜异位症+褪黑素治疗,第4组为子宫内膜异位症+褪黑素+秋水仙碱治疗组。秋水仙碱(西格玛化学公司,圣路易斯,密苏里)组口服给药剂量为0.1mg/kg,和褪黑激素组以褪黑激素的剂量(20mg/kg/天)口服。每天持续治疗30天。
    结果:在治疗后的焦点直径测量中,秋水仙碱和秋水仙碱+褪黑素组的子宫内膜病灶直径显著低于对照组(p=0.026)。秋水仙碱组的Bcl-2水平低于对照组和褪黑素组(p=0.021)。
    结论:秋水仙碱和褪黑素减少异位子宫内膜细胞与腹膜表面的粘附。它还通过增加细胞凋亡和降低细胞存活起作用。
    OBJECTIVE: This study investigates the therapeutic effects of colchicine and melatonin on endometriotic implants in an experimentally created endometriosis model in rats.
    METHODS: Forty-four adult female Wistar albino rats weighing between 260 and 300 g, 8 weeks old, were selected for the study. The unilateral uterine horn of rats with a bicornuate uterus was excised for 1 cm, washed with sterile saline, incised longitudinally, and the endometrium was exposed. A 0.5*0.5 cm endometrial tissue sample taken with a scalpel was implanted with suturing (4/0 Vicryl) to the abdominal wall. Forty-four rats were divided into four groups. Group 1 was randomized as the endometriosis group (control), Group 2 as endometriosis + colchicine treatment, Group 3 as endometriosis + melatonin treatment, and Group 4 as the endometriosis + melatonin + colchicine treatment group. The colchicine (Sigma Chemical Co., St Louis, Missouri) group was administered orally at a dose of 0.1 mg/kg, and the Melatonin group orally at a dose of melatonin (20 mg/kg per day). Treatment continued daily for 30 days.
    RESULTS: In the post-treatment focal diameter measurements, the endometrial focal diameter in the colchicine and colchicine + melatonin group was significantly lower than the control group (p=0.026). Bcl-2 levels of the colchicine group were lower than the control group and the melatonin group (p=0.021).
    CONCLUSIONS: Colchicine and melatonin reduce adhesion to the peritoneal surface in ectopic endometrial cells. It also acts by increasing apoptosis and decreasing cell survival.
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  • 文章类型: Journal Article
    利福昔明被FDA批准用于治疗腹泻型肠易激综合征(IBS-D),但是溶解性差可能会限制它对粘液层中的微生物的功效,例如大肠杆菌。在这里,我们评估添加粘液溶解N-乙酰半胱氨酸(NAC)以改善利福昔明功效。在刃天青棋盘试验中,利福昔明与NAC组合在降低大肠杆菌水平方面具有显著的协同作用。然后在经验证的IBS-D大鼠模型(由细胞致死膨胀毒素[CdtB]接种诱导)中测试最佳利福昔明+NAC组合。用载体接种大鼠并用安慰剂(对照-PBS)或利福昔明+NAC(对照-Rif+NAC,安全),或接种CdtB并用安慰剂(CdtB-PBS)治疗,利福昔明(CdtB-利福昔明),或利福昔明+NAC(CdtB-Rif+NAC)持续10天。CdtB接种的大鼠(CdtB-PBS)在粪便稠度(P=0.0014)与对照(对照PBS)。用利福昔明+NAC(CdtB-Rif+NAC)处理但不单独利福昔明(CdtB-利福昔明)处理的大鼠的大便变异性正常化。在CdtB-PBS大鼠中小肠细菌水平升高,但在CdtB-Rif+NAC而不是CdtB-利福昔明大鼠中正常化。在CdtB接种的(CdtB-PBS)中,大肠杆菌和脱硫弧菌的水平(各自与不同的IBS-D微类型相关)也升高,但在CdtB-Rif+NAC大鼠中正常化。细胞因子水平仅在CdtB-Rif+NAC大鼠中正常化,以预测与由减少的大肠杆菌引起的减少的腹泻相关的方式。这些发现表明利福昔明与NAC的组合可以改善对治疗有反应的IBS-D患者的百分比。
    Rifaximin is FDA-approved for treatment of irritable bowel syndrome with diarrhea (IBS-D), but poor solubility may limit its efficacy against microbes in the mucus layer, e.g. Escherichia coli. Here we evaluate adding the mucolytic N-acetylcysteine (NAC) to improve rifaximin efficacy. In a resazurin checkerboard assay, combining rifaximin with NAC had significant synergistic effects in reducing E. coli levels. The optimal rifaximin + NAC combination was then tested in a validated rat model of IBS-D (induced by cytolethal distending toxin [CdtB] inoculation). Rats were inoculated with vehicle and treated with placebo (Control-PBS) or rifaximin + NAC (Control-Rif + NAC, safety), or inoculated with CdtB and treated with placebo (CdtB-PBS), rifaximin (CdtB-Rifaximin), or rifaximin + NAC (CdtB-Rif + NAC) for 10 days. CdtB-inoculated rats (CdtB-PBS) developed wide variability in stool consistency (P = 0.0014) vs. controls (Control-PBS). Stool variability normalized in rats treated with rifaximin + NAC (CdtB-Rif + NAC) but not rifaximin alone (CdtB-Rifaximin). Small bowel bacterial levels were elevated in CdtB-PBS rats but normalized in CdtB-Rif + NAC but not CdtB-Rifaximin rats. E. coli and Desulfovibrio spp levels (each associated with different IBS-D microtypes) were also elevated in CdtB-inoculated (CdtB-PBS) but normalized in CdtB-Rif + NAC rats. Cytokine levels normalized only in CdtB-Rif + NAC rats, in a manner predicted to be associated with reduced diarrhea driven by reduced E. coli. These findings suggest that combining rifaximin with NAC may improve the percentage of IBS-D patients responding to treatment.
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