spleen

脾脏
  • 文章类型: Journal Article
    阿霉素(DOX),蒽环类抗生素,已被广泛用作治疗人类实体和造血肿瘤的有效化学治疗剂。在暴露于不同压力条件下,生物体迅速启动热休克蛋白(HSPs)的合成,一组高度保守的蛋白质。单宁酸(TA)因其特殊的化学性质而受到越来越多的研究关注,健康益处,和广泛的可用性。本研究的主要目的是阐明DOX和TA对Hsp90aa1、Hspa1a表达水平的影响。年夜鼠脾组织中Hspa4、Hspa5。SpragueDawley大鼠(Rattusnorvegicus,男性,9-10周大,180±20g)随机分为4组:对照组,DOX(30mg/kg累积),TA(50mg/kg),和DOX+TA(5mg/kg和50mg/kg,分别)。随后,收集大鼠脾组织,和互补DNA文库在应用过程后产生。采用实时定量PCR方法检测并定量检测Hsp90aa1、Hspa1a、我们的结果表明,在暴露于DOX的大鼠脾组织中,Hspa4和Hspa5基因的mRNA表达上调。然而,TA处理显著抑制了这种增加。这些发现表明TA可以作为保护剂,减轻DOX对大鼠脾脏的毒性作用。
    Doxorubicin (DOX), an anthracycline group antibiotic, has been extensively employed as a potent chemotherapeutic agent for treating solid and hematopoietic tumors in humans. Amid exposure to diverse stress conditions, living organisms swiftly initiate the synthesis of heat shock proteins (HSPs), a set of highly conserved proteins. Tannic acid (TA) has garnered increasing study attention due to its special chemical properties, health benefits, and wide availability. This study\'s primary aim is to elucidate the impact of DOX and TA on the expression levels of Hsp90aa1, Hspa1a, Hspa4, and Hspa5 in the spleen tissues of rats. Sprague Dawley rats (Rattus norvegicus, male, 9-10 weeks old, 180 ± 20 g) were randomly divided into 4 groups: control, DOX (30 mg/kg cumulative), TA (50 mg/kg), and DOX + TA (5 mg/kg and 50 mg/kg, respectively). Subsequently, spleen tissues were collected from rats, and complementary DNA libraries were generated after the application process. The quantitative real-time PCR method was used to detect and quantify the mRNA expression changes of the Hsp90aa1, Hspa1a, Hspa4, and Hspa5 genes our results showed that the mRNA expressions of the targeted genes were up-regulated in rat spleen tissues exposed to DOX. However, this increase was remarkably suppressed by TA treatment. These findings suggest that TA may serve as a protective agent, mitigating the toxic effects of DOX in the rat spleen.
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  • 文章类型: Journal Article
    脾脏是最大的次级淋巴器官,在病原体清除中具有重要作用。它与几种禽类疾病有关。牛白鹭是一种具有农业和社会经济重要性的野生食虫鸟类。缺乏与牛白鹭脾脏微观结构特征相关的数据。本研究调查了大体解剖学,牛白鹭脾的组织学和免疫组织化学特征。增殖(PCNA和PHH3),评估细胞凋亡(裂解的caspase3,C.CASP3)和T细胞(CD3和CD8)标志物。严重的,脾脏呈棕红色,椭圆形,位于食道-前室交界处。组织学上,脾脏被一个薄薄的囊包围,发出许多包含脾血管分支的小梁。白髓由小动脉周围淋巴鞘和椭球周围淋巴鞘(PELS)组成。红色纸浆由正弦曲线和绳索形成。毛细血管,代表脾动脉树的末端节段高度分支,由突出的椭圆体包裹,并直接连接到脾窦,暗示了一种封闭的循环。免疫组织化学,增殖细胞核抗原(PCNA)表达细胞在整个脾实质中呈高计数分布,在脾脏帘线和PELS中最高。表达PHH3-和C.CASP3的细胞都显示出与PCNA相似的模式,虽然计数较少。在整个脾实质中观察到大量的T细胞,主要是在绳索内,如CD3和CD8免疫反应所揭示。本研究为牛白鹭脾脏的精确结构提供了清晰的见解,从而提高了我们对鸟类免疫力的理解。
    The spleen is the largest secondary lymphoid organ with significant roles in pathogen clearance. It is involved in several avian diseases. The cattle egret is a wild insectivorous bird of agricultural and socioeconomic importance. Data related to microstructural features of cattle egret spleen are lacking. The present study investigated the gross anatomical, histological and immunohistochemical characteristics of the cattle egret spleen. Proliferation (PCNA and PHH3), apoptosis (cleaved caspase 3, C.CASP3) and T-cell (CD3 and CD8) markers were assessed. Grossly, the spleen appeared brownish red, oval-shaped and located at the oesophago-proventricular junction. Histologically, the spleen was surrounded by a thin capsule sending a number of trabeculae which contained branches of the splenic vessels. The white pulp consisted of the periarteriolar lymphoid sheath and periellipsoidal lymphatic sheath (PELS). The red pulp was formed of sinusoids and cords. The penicillar capillaries, which represent the terminal segments of the splenic arterial tree were highly branched, wrapped by prominent ellipsoids and directly connected to the splenic sinusoids, suggesting a closed type of circulation. Immunohistochemically, proliferating cell nuclear antigen (PCNA)-expressing cells were distributed with high counts throughout the splenic parenchyma, being highest within the splenic cords and PELS. Both PHH3- and C.CASP3-expressing cells revealed a similar pattern to that of PCNA, although with fewer counts. Large numbers of T cells were observed throughout the splenic parenchyma, mainly within the cords, as revealed by CD3 and CD8 immunoreaction. The present study provides a clear insight into the precise structure of the spleen in cattle egrets and thus improves our understanding about birds\' immunity.
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  • 文章类型: Journal Article
    疟疾流行地区的儿童可以在短时间内反复感染疟原虫。再感染对多个共存的CD4+T细胞亚群的影响仍未解决。这里,我们检查了在小鼠再感染过程中经历抗原的CD4+T细胞,使用scRNA-seq/TCR-seq和空间转录组学。TCR转基因TEM细胞在增殖之前启动快速的Th1/Tr1回忆反应,虽然GCTfh同行是耐火的,TCM/Tfh样细胞表现出适度的非增殖反应。Th1召回是主要Th1响应的部分传真,没有上调的效应子相关基因是唯一的回忆。多克隆,TCR多样化,CD4+T细胞表现出相似的回忆动态,单个克隆产生多种效应物,包括高度增殖的Th1/Tr1细胞,以及缺乏增殖能力的GCTfh和Tfh样细胞。因此,我们显示了由脾脏中多个共存的CD4+T细胞亚群安装的回忆反应的实质性多样性,并提供图形用户界面,用于研究再感染期间的基因表达动力学和克隆关系。
    Children in malaria-endemic regions can experience repeated Plasmodium infections over short periods of time. Effects of re-infection on multiple co-existing CD4+ T cell subsets remain unresolved. Here, we examine antigen-experienced CD4+ T cells during re-infection in mice, using scRNA-seq/TCR-seq and spatial transcriptomics. TCR transgenic TEM cells initiate rapid Th1/Tr1 recall responses prior to proliferating, while GC Tfh counterparts are refractory, with TCM/Tfh-like cells exhibiting modest non-proliferative responses. Th1-recall is a partial facsimile of primary Th1-responses, with no upregulated effector-associated genes being unique to recall. Polyclonal, TCR-diverse, CD4+ T cells exhibit similar recall dynamics, with individual clones giving rise to multiple effectors including highly proliferative Th1/Tr1 cells, as well as GC Tfh and Tfh-like cells lacking proliferative capacity. Thus, we show substantial diversity in recall responses mounted by multiple co-existing CD4+ T cell subsets in the spleen, and present graphical user interfaces for studying gene expression dynamics and clonal relationships during re-infection.
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  • 文章类型: Journal Article
    目的:钝性脾损伤(BSI)的非手术治疗(NOM)在适当的患者中被广泛接受。脾动脉栓塞术(SAE)在高级别损伤中可能在增加NOM的成功率中起重要作用。我们以前实施了一项协议,要求转诊所有接受NOM的BSIIII-V级SAE。目前尚不清楚并发症的风险以及纵向结果。我们旨在检查该方案的脾残率和安全性。我们假设脾抢救率会很高,并发症会很低。
    方法:在我们的1级创伤中心进行了为期9年的回顾性研究。收集了维持BSIIII-V级的患者的损伤特征和结果。比较NOM方案(SAE)和非方案(无血管造影或血管造影但无栓塞)的结果。检查血管造影的并发症。
    结果:在2010年1月至2019年2月之间,570名患者患有III-V级BSI。在359(63%)中尝试了NOM,总抢救率为91%(328)。其中,305个符合协议,54个不符合协议(41个没有血管造影,13个没有血管造影,但没有SAE)。在学习期间,对于每一个级别的损伤,与非协议组相比,在协议组中观察到较高的抢救率(III级,97%(181/187)与89%(32/36),四级,91%(98/108)与69%(9/13)和V级,80%(8/10vs.0%(0/5)。方案与方案的总体抢救率为94%(287)。76%(41)偏离方案(p<0.001,Cochran-Mantel-Haenszel检验)。在318例接受血管造影的患者中,仅有8例发生并发症(2%)。其中包括5个通路并发症和3个脓肿。
    结论:对于非手术治疗的所有严重脾损伤,使用需要常规脾动脉栓塞的方案是安全的,并发症发生率非常低。与非SAE患者相比,具有脾血管栓塞失败率的NOM在所有较高等级的损伤中都得到了改善。因此,对于所有血液动力学稳定的所有高级类型的患者,应将SAE视为此类损伤的主要治疗形式。
    OBJECTIVE: Nonoperative management (NOM) of blunt splenic injury (BSI) is well accepted in appropriate patients. Splenic artery embolization (SAE) in higher-grade injuries likely plays an important role in increasing the success of NOM. We previously implemented a protocol requiring referral of all BSI grades III-V undergoing NOM for SAE. It is unknown the risk of complications as well as longitudinal outcomes. We aimed to examine the splenic salvage rate and safety profile of the protocol. We hypothesized the splenic salvage rate would be high and complications would be low.
    METHODS: A retrospective study was performed at our Level 1 trauma center over a 9-year period. Injury characteristics and outcomes in patients sustaining BSI grades III-V were collected. Outcomes were compared for NOM on protocol (SAE) and off protocol (no angiography or angiography but no embolization). Complications for angiographies were examined.
    RESULTS: Between January 2010 and February 2019, 570 patients had grade III-V BSI. NOM was attempted in 359 (63 %) with overall salvage rate of 91 % (328). Of these, 305 were on protocol while 54 were off protocol (41 no angiography and 13 angiography but no SAE). During the study period, for every grade of injury a pattern was seen of a higher salvage rate in the on-protocol group when compared to the off-protocol group (Grade III, 97 %(181/187) vs. 89 %(32/36), Grade IV, 91 %(98/108) vs. 69 %(9/13) and Grade V, 80 %(8/10 vs. 0 %(0/5). The overall salvage rate was 94 %(287) on protocol vs. 76 %(41) off protocol (p < 0.001, Cochran-Mantel-Haenszel test). Complications occurred in only 8 of the 318 who underwent angiography (2 %). These included 5 access complications and 3 abscesses.
    CONCLUSIONS: The use of a protocol requiring routine splenic artery embolization for all high-grade spleen injuries slated for non-operative management is safe with a very low complication rate. NOM with splenic angioembolization failure rate is improved as compared to non-SAE patients\' at all higher grades of injury. Thus, SAE for all hemodynamically stable patients of all high-grade types should be considered as a primary form of therapy for such injuries.
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  • 文章类型: Journal Article
    最近,广泛的良性和恶性原发性间充质肿瘤和脾脏肿瘤样病变被纳入“基质衍生的肿瘤和肿瘤样病变”这一术语。这些包括树突细胞肿瘤,如滤泡树突细胞肉瘤,EBV阳性炎性滤泡树突状细胞肉瘤,和纤维母细胞网状细胞肿瘤;平滑肌和肌纤维母细胞病变,如炎性假瘤,EBV相关的平滑肌肿瘤和未分化的多形性肉瘤以及多种血管和血管间质肿瘤和肿瘤样病变。虽然有些肿瘤和肿瘤样病变是脾脏特有的,其他也可能发生在不同的脾外内脏。这些肿瘤和肿瘤样病变表现出特征性的组织病理学,免疫细胞化学和生物学行为。虽然横断面成像研究允许检测,这些脾病变的分期和有限的特征,组织病理学确认允许最佳管理和监测策略。
    A wide spectrum of benign and malignant primary mesenchymal tumors and tumor-like lesions of the spleen has been recently included under the umbrella term \'stroma-derived\' neoplasms and tumor-like lesions. These include dendritic cell neoplasms such as follicular dendritic cell sarcoma, EBV-positive inflammatory follicular dendritic cell sarcoma, and fibroblastic reticular cell tumor; smooth muscle and myofibroblastic lesions such as inflammatory pseudotumor, EBV-associated smooth muscle tumor and undifferentiated pleomorphic sarcoma as well as a diverse spectrum of vascular and vascular-stromal tumors and tumor-like lesions. While some tumor and tumor-like lesions are unique to the spleen, others may also occur in diverse extra-splenic viscera. These tumors and tumor-like lesions demonstrate characteristic histopathology, immunocytochemistry and biological behavior. While cross-sectional imaging studies allow detection, staging and limited characterization of these splenic lesions, histopathological confirmation permits optimal management and surveillance strategies.
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  • 文章类型: Journal Article
    来自普通创始人群体的白来汉鸡被不同地选择了49代对绵羊红细胞(SRBC)的高(HAS)或低(LAS)抗体反应,从而产生了2种不同的品系。在这两条线上已经研究了很多;然而,这些选择压力对细胞因子和趋化因子表达的影响尚不完全清楚.这项研究的目的是确定对SRBC的抗体应答的选择是否影响HAS和LAS鸡的外周血白细胞(PBL)和脾脏中的细胞因子和趋化因子表达。从PBL和脾分离总RNA,之后通过定量实时RT-PCR(qRT-PCR)测定细胞因子(IL4、IL6、IL10、TGF-β4)和趋化因子(CXCL8、CCL4)的mRNA表达。使用Studentt检验分析数据,比较HAS和LAS(P<0.05),并报告为校正的40-CT。分别分析PBL和脾样品。关于PBL,与HAS系相比,从LAS鸡分离的PBL中IL6的表达更高(P<0.05),而在IL4,IL10,CXCL8,CCL4或TGF-β4中没有差异(P>0.05)。两种细胞系之间的脾脏中细胞因子和趋化因子mRNA表达谱不同。HAS鸡的脾脏样本中IL4和CXCL8的表达高于LAS(P<0.05)。脾脏中IL6,IL10,CCL4或TGF-β4的表达在品系之间没有差异(P>0.05)。数据表明,针对SRBC的特异性抗体应答的选择影响PBL和脾脏中的细胞因子和趋化因子表达谱,但在HAS和LAS中以不同的方式。这些研究提供了对抗体反应的选择压力对不同免疫反应成分的影响的见解。特别是细胞因子和趋化因子通常参与先天反应。
    White Leghorn chickens from a common founder population have been divergently selected for high (HAS) or low (LAS) antibody responses to sheep red blood cells (SRBC) for 49 generations resulting in 2 diverse lines for this trait. Much has been studied in these two lines; however, the impact of these selection pressures on cytokine and chemokine expression is not fully understood. The purpose of this study is to determine if selection for antibody response to SRBC impacts cytokine and chemokine expression in peripheral blood leukocytes (PBL) and spleen from HAS and LAS chickens. Total RNA was isolated from PBL and spleen after which mRNA expression of cytokines (IL4, IL6, IL10, TGF-β4) and chemokines (CXCL8, CCL4) were determined by quantitative real-time RT-PCR (qRT-PCR). The data were analyzed using Student\'s t test comparing HAS and LAS (P < 0.05) and are reported as corrected 40-CT. PBL and spleen samples were analyzed separately. With respect to PBL, expression of IL6 was higher (P < 0.05) in PBL isolated from LAS chickens compared to those from the HAS line whereas there were no differences (P > 0.05) in IL4, IL10, CXCL8, CCL4, or TGF-β4. The cytokine and chemokine mRNA expression profiles were different in the spleen between the two lines. IL4 and CXCL8 expression were higher (P < 0.05) in spleen samples from HAS chickens than LAS. The expression of IL6, IL10, CCL4, or TGF-β4 in the spleens did not differ (P > 0.05) between the lines. The data indicate that selection for specific antibody responses to SRBC impacts the cytokine and chemokine expression profile in PBL and spleens but in different ways in HAS and LAS. These studies provide insight into the influence that selection pressures for antibody responses have on different immune response components, specifically cytokines and chemokines typically involved in the innate response.
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  • 文章类型: Journal Article
    共生微生物-宿主相互作用对宿主代谢至关重要,增长,发展,和豁免权。然而,在大型动物模型中对微生物-宿主免疫的研究一直很有限。本研究旨在研究共生微生物对两个模型组的免疫功能的影响:无菌(GF)和无特定病原体(SPF)仔猪。GF仔猪脾脏重量和脏器指数均年夜于SPF仔猪(P<0.05)。SPF仔猪的红髓面积和生发中心平均面积的组织学结构均大于GF仔猪(P<0.05),而GF仔猪脾脏和肠系膜淋巴结(MLN)中B细胞和T细胞的染色面积较低(P<0.05)。我们使用RNA测序鉴定了脾脏和MLNs中的免疫相关基因,并采用实时定量PCR对基因集富集分析中鉴定出的核心基因进行表达分析。转化生长因子-β/SMAD3信号通路中基因的表达水平,Toll样受体2/MyD88/核因子-κB信号通路,与GF和对照组相比,SPF仔猪和脾淋巴细胞中脾脏和MLN中的促炎因子基因IL-6和TNF-α较高,分别,在用乙酸处理下,丙酸,丁酸,脂多糖(LPS),或伴刀豆球蛋白A(ConA)。大量的浆细胞,CD8++T细胞,滤泡辅助性T细胞,SPF仔猪脾脏和MLNs中的静息自然杀伤细胞明显大于GF仔猪(P<0.05)。总之,共生微生物群影响免疫组织结构,大量的免疫细胞,和免疫相关途径的表达,表明共生微生物对脾脏和MLNs发育和功能的重要性。在我们的研究中,以GF仔猪为研究模型,消除了实验中微生物群的干扰,并为探索“微生物-宿主”相互作用的机制提供了一种合适而高效的大型动物研究模型。
    Commensal microbial-host interaction is crucial for host metabolism, growth, development, and immunity. However, research on microbial-host immunity in large animal models has been limited. This study was conducted to investigate the effects of the commensal microbiota on immune function in two model groups: germ-free (GF) and specific-pathogen-free (SPF) piglets. The weight and organ index of the spleen of the GF piglet were larger than those in the SPF piglet (P < 0.05). The histological structure of the red pulp area and mean area of germinal centers were larger in the SPF piglet than in the GF piglet (P < 0.05), whereas the areas of staining of B cells and T cells in the spleen and mesenteric lymph nodes (MLNs) were lower in the GF piglet (P < 0.05). We identified immune-related genes in the spleen and MLNs using RNA sequencing, and used real-time quantitative PCR to analyze the expression of core genes identified in gene set enrichment analysis. The expression levels of genes in the transforming growth factor-β/SMAD3 signaling pathway, Toll-like receptor 2/MyD88/nuclear factor-κB signaling pathway, and pro-inflammatory factor genes IL-6 and TNF-α in the spleen and MLNs were higher in the SPF piglet and in splenic lymphocytes compared with those in the GF and control group, respectively, under treatment with acetic acid, propionic acid, butyric acid, lipopolysaccharide (LPS), or concanavalin A (ConA). The abundances of plasma cells, CD8++ T cells, follicular helper T cells, and resting natural killer cells in the spleen and MLNs were significantly greater in the SPF piglet than in the GF piglet (P < 0.05). In conclusion, the commensal microbiota influenced the immune tissue structure, abundances of immune cells, and expression of immune-related pathways, indicating the importance of the commensal microbiota for spleen and MLNs development and function. In our study, GF piglet was used as the research model, eliminating the interference of microbiota in the experiment, and providing a suitable and efficient large animal research model for exploring the mechanism of \"microbial-host\" interactions.
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  • 文章类型: Journal Article
    栖息地的碎片化可能会从其潜在的本地栖息地的某些部分中切断原始的鲑鱼,并将以前相连的种群分开。了解其后果对于鱼类管理和恢复活动的优先次序至关重要。这里,我们发现身体形态存在显著差异,生理应激反应,以及有助于幼年无缘褐鳟鱼之间有氧能力的方面,SalmoTrutta,在下游站点和上游站点收集,由2公里和几个具有挑战性的溪流部分隔开,在瑞典西部的一个小的未分散的河流系统中。在标准化压力测试之后,上游和下游位点的鱼之间存在显著差异(血浆皮质醇浓度,血浆渗透压,血细胞比容,血红蛋白浓度,和平均红细胞血红蛋白浓度)。两个地点的鱼之间的血浆葡萄糖浓度没有显着差异。上游的鱼有较大的脾脏肿块,尽管没有证据表明心室质量或紧凑型心室心肌比例存在差异。这些生理差异表明应激反应的局部变化,并强调了在河流管理中考虑局部性状变化的重要性。如果一段河流变得支离破碎或退化,河流不同部分的青少年有差异,对种群的影响可能大于栖息地的比例损失。
    Habitat fragmentation may cut off anadromous salmonids from parts of their potential native habitat and separate previously connected populations. Understanding the consequences of this is vital for fish management and prioritization of restoration activities. Here, we show that there is a significant difference in the body morphology, physiological stress response, and aspects contributing to aerobic capacity between juvenile anadromous brown trout, Salmo trutta, collected at a downstream site and an upstream site, separated by 2 km and several challenging stream sections, in a small unfragmented stream system in western Sweden. Following a standardized stress test, there were significant differences between fish from the upstream and downstream sites (plasma cortisol concentration, plasma osmolality, hematocrit, hemoglobin concentration, and mean corpuscular hemoglobin concentration). Plasma glucose concentration did not significantly differ between fish from the two sites. Fish from the upstream site had larger spleen mass, although there was no evidence of differences in ventricle mass or proportion of compact ventricular myocardium. These physiological differences indicate local variation in stress response and highlight the importance of considering local trait variation in river management. If a section of the river becomes fragmented or degraded, and there are differences in the juveniles in different parts of the river, the consequence for the population might be larger than the proportional loss of habitat.
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  • 文章类型: Journal Article
    实体器官损伤(SOI)在经历腹部创伤的儿童中很常见,在过去的几十年里,这种伤害的管理已经发生了显著的变化。2000年,美国小儿外科协会(APSA)发布了第一份关于钝性脾和/或肝损伤(BLSI)的社会指南。倡导优化资源利用,同时保持患者安全。非手术治疗(NOM)已成为SOI的主要治疗方法,自从APSA指南发布以来,许多小组已经评估了侵入性程序,住院治疗,在SOI儿童中,活动限制可以安全地最小化。这里,我们回顾了目前用于治疗脾脏损伤的循证管理指南,肝脏,肾,儿童的胰腺,包括初步评估,住院管理,和长期护理,以及当前文献中存在的可能针对进一步优化儿科SOI方案的空白。
    Solid organ injury (SOI) is common in children who experience abdominal trauma, and the management of such injuries has evolved significantly over the past several decades. In 2000, the American Pediatric Surgical Association (APSA) published the first societal guidelines for the management of blunt spleen and/or liver injury (BLSI), advocating for optimized resource utilization while maintaining patient safety. Nonoperative management (NOM) has become the mainstay of treatment for SOI, and since the publication of the APSA guidelines, numerous groups have evaluated how invasive procedures, hospitalization, and activity restrictions may be safely minimized in children with SOI. Here, we review the current evidence-based management guidelines in place for the treatment of injuries to the spleen, liver, kidney, and pancreas in children, including initial evaluation, inpatient management, and long-term care, as well as gaps that exist in the current literature that may be targeted for further optimization of protocols for pediatric SOI.
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  • 文章类型: Journal Article
    破坏铁稳态的任何阶段,包括摄取,利用率,外排,和存储,会对周围器官造成进行性损害。与职业性接触吸入麻醉药(IA)以及慢性铁超负荷有关的健康危害尚未得到充分记录。本研究旨在研究铁过载与IA联合后大鼠外周器官中必需金属浓度的变化。目的还在于确定铁过载与IA结合如何影响组织金属稳态,铁调素-铁蛋白水平,和MMP水平根据生理,功能,和组织特征。根据得到的结果,铁积累在肝脏中最明显(19倍),脾脏(6.7×),肺(3.1×),与对照组相比,肾脏(2.5倍)。铁的积累与由于氧化应激(OS)导致的重金属水平升高和必需金属浓度受损有关。值得注意的是,IA的使用增加了铁过载毒性,特别是在异氟烷暴露后。结果表明,铁稳态的调节是基于铁调素的相互作用,铁蛋白,和其他受炎症调节的蛋白质,操作系统,自由铁含量,红细胞生成,和缺氧。长期暴露于IA和铁导致许多适应机制的发展,以应对毒性,操作系统,和炎症。这些铁调节的适应性机制导致MMP活性的抑制和氧化应激的减少,保护生物体免受可能的损害。
    Disruption of any stage of iron homeostasis, including uptake, utilization, efflux, and storage, can cause progressive damage to peripheral organs. The health hazards associated with occupational exposure to inhalation anesthetics (IA) in combination with chronic iron overload are not well documented. This study aimed to investigate changes in the concentration of essential metals in the peripheral organs of rats after iron overload in combination with IA. The aim was also to determine how iron overload in combination with IA affects tissue metal homeostasis, hepcidin-ferritin levels, and MMP levels according to physiological, functional, and tissue features. According to the obtained results, iron accumulation was most pronounced in the liver (19×), spleen (6.7×), lungs (3.1×), and kidneys (2.5×) compared to control. Iron accumulation is associated with elevated heavy metal levels and impaired essential metal concentrations due to oxidative stress (OS). Notably, the use of IA increases the iron overload toxicity, especially after Isoflurane exposure. The results show that the regulation of iron homeostasis is based on the interaction of hepcidin, ferritin, and other proteins regulated by inflammation, OS, free iron levels, erythropoiesis, and hypoxia. Long-term exposure to IA and iron leads to the development of numerous adaptation mechanisms in response to toxicity, OS, and inflammation. These adaptive mechanisms of iron regulation lead to the inhibition of MMP activity and reduction of oxidative stress, protecting the organism from possible damage.
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