traps

陷阱
  • 文章类型: Case Reports
    背景:肿瘤坏死因子受体相关的周期性综合征(TRAPS)是一种常染色体显性遗传的自身炎症性疾病,源于影响肿瘤坏死因子受体(TNFR)-1的TNFRSF1A基因突变。这些突变导致炎症反应失调,主要由增加的白细胞介素(IL)-1β释放介导。
    方法:我们介绍一例29岁女性,有反复发热史,腹痛,和联合表现,基因检测显示TNFRSF1A中存在杂合子R92Q突变,最终诊断为TRAPS.进一步的基因检查揭示了额外的临床显著突变,使临床表现复杂化。我们的患者表现出延迟的结肠运输时间和右侧结肠淀粉样变性,罕见的并发症.压倒性的肠梗阻需要手术干预,组织学检查显示粘膜萎缩和密集的淋巴细胞浸润。
    结论:TRAPS的胃肠道受累是常见的,但可能存在诊断挑战。结肠切除后,组织学检查显示淀粉样蛋白沉积,强调对这些患者进行全面评估的重要性。孤立性绞痛淀粉样变具有重要的诊断和预后意义,保证谨慎的监控和量身定制的管理策略。TRAPS的治疗通常涉及抗炎药,如IL-1抑制剂,我们的患者在anakinra和canakinumab上经历了临床改善。
    结论:本病例报告强调TRAPS的不同表现和认识胃肠道并发症的重要性,特别是孤立性绞痛淀粉样变。综合评价,包括组织学检查,对于识别非典型疾病表现和指导管理决策至关重要。需要继续研究以阐明TRAPS及其相关并发症的潜在机制并优化治疗策略。
    BACKGROUND: Tumor Necrosis Factor Receptor-Associated Periodic Syndrome (TRAPS) is an autosomal dominant autoinflammatory disorder stemming from mutations in the TNFRSF1A gene affecting the tumor necrosis factor receptor (TNFR)-1. These mutations lead to dysregulated inflammatory responses, primarily mediated by augmented interleukin (IL)-1β release.
    METHODS: We present the case of a 29-year-old woman with a history of recurrent febrile episodes, abdominal pain, and joint manifestations, eventually diagnosed with TRAPS following genetic testing revealing a heterozygous R92Q mutation in TNFRSF1A. Further genetic examinations unveiled additional clinically significant mutations, complicating the clinical picture. Our patient exhibited delayed colonic transit time and right colonic amyloidosis, a rare complication. Surgical intervention was required for overwhelming intestinal obstruction, revealing mucosal atrophy and dense lymphocytic infiltrates on histological examination.
    CONCLUSIONS: Gastrointestinal involvement in TRAPS is common but can present diagnostic challenges. Following colon resection, histological examination revealed amyloid deposition, underscoring the importance of a comprehensive evaluation of these patients. Isolated colic amyloidosis has significant diagnostic and prognostic implications, warranting cautious monitoring and tailored management strategies. Treatment of TRAPS typically involves anti-inflammatory agents such as IL-1 inhibitors, with our patient experiencing clinical improvement on anakinra and canakinumab.
    CONCLUSIONS: This case report emphasizes the diverse manifestations of TRAPS and the importance of recognizing gastrointestinal complications, particularly isolated colic amyloidosis. Comprehensive evaluation, including histological examination, is crucial for identifying atypical disease presentations and guiding management decisions. Continued research is needed to elucidate the underlying mechanisms and optimize treatment strategies for TRAPS and its associated complications.
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  • 文章类型: Journal Article
    使用从发现的灯笼中收集的化学信息素,金丝雀(半翅目:Fulgoridae)(SLF)并使用圆形陷阱部署在野外,我们证明了SLF对SLF信息素的反应:特别是,男性在寻找伴侣时就是这种情况,女性在产卵时就是这种情况。引诱剂由从扩散器诱饵中发出的SLF体提取物和粗麻布丝带上的SLF蜜露组成,从严重出没的地方收集。具有引诱剂的诱捕器被部署在具有非常轻的SLF侵染的田间地点,以避免先前存在的聚集体的竞争信号。在剂量响应分析中使用每个捕获期每个扩散器发射的SLF当量的数量。每块三棵树都收到(1)对照己烷诱饵和干净的丝带,(2)含有SLF提取物和干净丝带的诱饵,或(3)含有SLF提取物和载有蜜露的丝带的诱饵。每周三次取样10个块,持续12周。我们发现,只有在存在SLF蜜露的情况下,男性对SLF身体提取物才会有明显的剂量反应,表明蜜露挥发物和身体挥发物之间存在协同作用。这种剂量反应发生在交配开始后的五个星期,之后,男性不再回应。随后,雌性仅在存在蜜露时对SLF提取物具有显着的阳性剂量反应,而产卵是它们的主要活性,持续两周,这表明雌性可能使用信息素来聚集产卵。在没有蜜露的情况下,提取物没有产生积极的剂量反应,己烷也没有控制。这些发现表明,SLF对SLF蜜露和SLF体内存在的信息素的组合具有协同作用。因此,结合两种来源的关键成分可能有助于SLF的信息素化学诱饵的发展。
    Using semiochemicals collected from spotted lanternflies Lycorma delicatula (Hemiptera: Fulgoridae) (SLF) and deployed in the field with circle traps, we demonstrated that SLF responded to SLF pheromones: in particular, this was the case for males while seeking mates and for females while ovipositing. The attractants consisted of SLF body extract emitted from diffuser lures and SLF honeydew on burlap ribbons, collected from heavily infested locations. Traps with attractants were deployed in field sites with very light SLF infestations to avoid competing signals of pre-existing aggregations. The number of SLF equivalents emitted by each diffuser per trapping period was used in a dose-response analysis. Three trees per block received either (1) a control hexane lure and a clean ribbon, (2) a lure containing SLF extract and a clean ribbon, or (3) a lure containing SLF extract and a honeydew-laden ribbon. Ten blocks were sampled three times per week for twelve weeks. We found a significant positive dose-response by males to SLF body extract only in the presence of SLF honeydew, indicating a synergistic effect between honeydew volatiles and body volatiles. This dose-response occurred for five weeks after mating started, after which males no longer responded. Subsequently, females had a significant positive dose-response to SLF extract only in the presence of honeydew when oviposition was their primary activity, continuing for two weeks, suggesting that females may use pheromones to aggregate for oviposition. The extract in the absence of honeydew did not result in a positive dose-response, nor did the hexane control. These findings suggest that SLF respond synergistically to the combination of pheromones present in both SLF honeydew and SLF bodies. Thus, combining key components from both sources may aid the development of semiochemical lures for SLF.
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  • 文章类型: Journal Article
    松材线虫引起的松材枯萎病对林业的经济和生态价值构成严重威胁。线虫诱捕真菌使用专门的诱捕装置诱捕和杀死线虫,高效且对环境无毒,并且非常有希望用作生物防治剂。在这项研究中,我们从各个地区分离出了几种捕食线虫的真菌,并筛选了三种杀线虫效率高的真菌。然而,这些真菌作为杀线虫剂的有效性受到温度的显著影响,并且在响应温度波动时表现出不同的形态,被归类为“NA,\"\"薄,\"\"密集,\"和\"稀疏。“陷阱随温度的形成趋势与杀线虫效率随温度的趋势一致。两者都随着温度的升高而先升高后降低。其中,在测试物种中,节肢动物的杀线虫活性和陷阱形成水平最高。从具有各种陷阱形态的A.cladode收集转录组数据。根据GO和KEGG富集分析,水解酶活性显著富集。发现与水解酶相关的八个基因与陷阱形态随温度的趋势一致。加权基因共表达分析和Cytoscape网络显示这8个基因与有丝分裂或自噬相关。这表明它们有助于线虫诱捕真菌中“致密”结构的形成。这些基因之一是参与自噬的丝氨酸蛋白水解酶基因。这项研究揭示了水解酶在陷阱形成和杀线虫效率中的潜在关键作用。并提出了一个模型,其中温度通过影响参与自噬过程的丝氨酸蛋白酶prb1来影响陷阱的形成和杀线虫效率。
    Pine wilt disease caused by Bursaphelenchus xylophilus poses a serious threat to the economic and ecological value of forestry. Nematode trapping fungi trap and kill nematodes using specialized trapping devices, which are highly efficient and non-toxic to the environment, and are very promising for use as biological control agents. In this study, we isolated several nematode-trapping fungi from various regions and screened three for their high nematocidal efficiency. However, the effectiveness of these fungi as nematicides is notably influenced by temperature and exhibits different morphologies in response to temperature fluctuations, which are categorized as \"NA,\" \"thin,\" \"dense,\" and \"sparse.\" The trend of trap formation with temperature was consistent with the trend of nematocidal efficiency with temperature. Both of which initially increased and then decreased with increasing temperature. Among them, Arthrobotrys cladodes exhibited the highest level of nematocidal activity and trap formation among the tested species. Transcriptome data were collected from A. cladodes with various trap morphologies. Hydrolase activity was significantly enriched according to GO and KEGG enrichment analyses. Eight genes related to hydrolases were found to be consistent with the trend of trap morphology with temperature. Weighted gene co-expression analysis and the Cytoscape network revealed that these 8 genes are associated with either mitosis or autophagy. This suggests that they contribute to the formation of \"dense\" structures in nematode-trapping fungi. One of these genes is the serine protein hydrolase gene involved in autophagy. This study reveals a potentially critical role for hydrolases in trap formation and nematocidal efficiency. And presents a model where temperature affects trap formation and nematocidal efficiency by influencing the serine protease prb1 involved in the autophagy process.
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  • 文章类型: Case Reports
    肿瘤坏死因子1A型受体相关周期性综合征(TRAPS)和冷冻比林相关自身炎症综合征(CAPS)是罕见的单基因自身炎症性疾病(AIDs),主要由TNFRSF1A和NLRP3基因的致病变异引起。分别。这里,我们描述了一个独特的患者,其症状与TRAPS和CAPS重叠,在各自的基因中没有已知的致病变异。患者在NLRP3中具有p.Val200Met变异,在TNFRSF1A中具有p.Ser226Cys变异,由于各种数据库中对变异体的致病性解释相互矛盾或不确定,因此促使我们更深入地研究功能分析。NLRP3中p.Val200Met变异的分子动力学分析揭示了NACHT结构域的螺旋结构域2亚结构域中的刚性构象。这种增加的刚性表明了一种潜在的机制,这种变化支持NLRP3炎性体的组装。值得注意的是,患者的外周单核细胞在脂多糖(LPS)诱导后表现出升高的IL-1β反应。随后开始抗IL-1β治疗导致患者症状显著缓解,进一步支持我们的假设。我们将这些发现解释为NLPR3p.Val200Met变异在塑造患者临床表型方面的潜在病理生理作用,这也得到了该家族的临床和遗传分析的支持。这一案例强调了艾滋病遗传格局的复杂性,并强调了将家族遗传和功能数据结合起来以完善对此类具有挑战性病例的理解和管理的价值。
    Tumor necrosis factor type 1A receptor-associated periodic syndrome (TRAPS) and cryopyrin-associated autoinflammatory syndrome (CAPS) are rare monogenic autoinflammatory diseases (AIDs) mainly caused by pathogenic variations in the TNFRSF1A and NLRP3 genes, respectively. Here, we describe a unique patient presenting with symptoms overlapping both TRAPS and CAPS, without known pathogenic variants in the respective genes. The patient harbored the p.Val200Met variation in NLRP3 and the p.Ser226Cys variation in TNFRSF1A, prompting us to delve deeper into the functional analysis due to conflicting or inconclusive pathogenicity interpretations of the variants across various databases. Molecular dynamics analysis of the p.Val200Met variation in NLRP3 revealed a rigid conformation in the helical domain 2 subdomain of the NACHT domain. This increased rigidity suggests a potential mechanism by which this variation supports the assembly of the NLRP3 inflammasome. Notably, the patient\'s peripheral mononuclear blood cells demonstrated an elevated IL-1β response upon lipopolysaccharides (LPS) induction. Subsequent initiation of anti-IL-1β therapy resulted in a significant alleviation of the patient\'s symptoms, further supporting our hypothesis. We interpret these findings as suggestive of a potential pathophysiological role for the NLPR3 p.Val200Met variation in shaping the patient\'s clinical phenotype, which was also supported by clinical and genetic analysis of the family. This case underscores the complexity of the genetic landscape in AIDs and highlights the value of combining family genetic and functional data to refine the understanding and management of such challenging cases.
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  • 文章类型: Journal Article
    背景:有效控制白细胞介素-1自身炎性疾病(IL-1AID)的疾病活动对于预防损伤至关重要。目的是纵向分析现实生活队列中基于原生质疾病活动的治疗调整的影响。方法:对2016年1月至2019年12月期间的IL-1AID患儿进行了一项单中心研究。人口统计,表型,基因型,炎症标志物,医师(PGA),和患者/父母(PPGA)的整体评估被捕获。评估疾病活动性和治疗变化。分析了不同参数对疾病活动轨迹的影响。结果:共纳入56名儿童,中位随访时间为2.1年,反映361次访视.家族性地中海热是最常见的IL-1AID。在第一次访问时,68%的患者有中度/重度疾病活动性。28/56的儿童(50%)需要基于疾病活动的治疗调整。在最后的随访中,79%的疾病控制良好。PGA和PPGA均随时间显著降低(p<0.001;p<0.017),然而,两者在最后一次访视时存在统计学差异(p<0.001).随着时间的推移,在所有IL-1AID中,仅PGA显示出显著的估计平均降低。结论:基于疾病活动的治疗调整可以有效地完善治疗目标策略,实现个性化的精准健康方法,并改善IL-1AID患儿的预后。
    Background: Effective control of disease activity in Interleukin-1 autoinflammatory diseases (IL-1 AID) is crucial to prevent damage. The aim was to longitudinally analyze the impact of protocolized disease activity-based treatment adjustments in a real-life cohort. Methods: A single-center study of consecutive children with IL-1 AID followed between January 2016 and December 2019 was performed. Demographics, phenotypes, genotypes, inflammatory markers, physician (PGA), and patient/parent (PPGA) global assessment were captured. Disease activity and treatment changes were assessed. The impact of distinct parameters on disease activity trajectories was analyzed. Results: A total of 56 children were included, median follow-up was 2.1 years reflecting 361 visits. Familial Mediterranean Fever was the most common IL-1 AID. At the first visit, 68% of the patients had moderate/severe disease activity. Disease activity-based treatment adjustments were required in 28/56 children (50%). At last follow-up, 79% had a well-controlled disease. Both PGA and PPGA decreased significantly over time (p < 0.001; p < 0.017, respectively), however, both differed statistically at last visit (p < 0.001). Only PGA showed a significant estimated mean decrease across all IL-1 AID over time. Conclusions: Disease activity-based treatment adjustments can effectively refine treat-to-target strategies, enable personalized precision health approaches, and improve outcomes in children with IL-1 AID.
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  • 文章类型: Journal Article
    背景:人类叮咬率(MBR)和昆虫接种率(EIR)是常规用于衡量疟疾传播风险的常用参数。这两个参数都可以使用人类着陆捕获量(HLC)来估计。虽然它被认为是黄金标准,HLC使收藏家感染蚊子传播病原体的风险更高。方法:一种新型的无暴露的寻求宿主的蚊虫电死诱捕器,Shockwè陷阱(SHK),已开发,并将其监测蚊子群落组成和丰度的效率与人类着陆捕获量(HLC)作为金标准进行了比较。在Massavasse村进行了田间试验,莫桑比克南部。使用SHK和HLC方法同时在室内和室外收集夜间寻找宿主的蚊子。SHK的相对采样效率被估计为与HLC相比在SHK中捕获的蚊子数量的比率。通过贝叶斯回归方法的平均值估计SHK和HLC渔获量之间的比例和密度依赖性。结果:共有69,758和27,359只寻求宿主的蚊子,包括19种和4属,分别通过HLC和SHK收集。总的来说,SHK和HLC对数量相似的蚊子进行了采样,除了最不常见的伊蚊,Ae.subargenteus,和Coquillettidiaversicolor只被HLC捕获。SHK和匹配的HLC渔获量之间的相对采样效率和比例在物种和收集地点之间差异很大。然而,SHK收集的所有蚊子都没有进食,确认Shockwè诱捕器设计的性能和可靠性是一种成功的无蚊虫暴露采样方法。结论:结果表明,SHK是一种安全可靠的无人体暴露设备,用于监测各种蚊子的发生,包括主要的疟疾和虫媒病毒。然而,需要改进以提高其对数量较少的蚊子的采样效率。
    Background: The human biting rate (MBR) and entomological inoculation rate (EIR) are common parameters routinely used to measure the risk of malaria transmission. Both parameters can be estimated using human landing catches (HLC). Although it is considered the gold-standard, HLC puts collectors at higher risk of infection with mosquito-transmitted pathogens. Methods: A novel exposure-free host-seeking mosquito electrocution trap, the Shockwè trap (SHK), was developed and its efficiency for monitoring mosquito community composition and abundance was compared with human landing catches (HLC) as the gold-standard. Field experiments were performed in Massavasse village, southern Mozambique. Simultaneous indoor and outdoor collections of nocturnal host-seeking mosquitoes were carried out using the SHK and HLC methods. The relative sampling efficiency of SHK was estimated as the ratio of the numbers of mosquitoes caught in SHK compared HLC. Proportionality and density-dependence between SHK and HLC catches were estimated by mean of Bayesian regression approaches. Results: A total of 69,758 and 27,359 host-seeking mosquitoes comprising nineteen species and four genera, were collected by HLC and SHK respectively. In general, SHK and HLC sampled similar numbers of mosquito species, with the exceptions of the least common species Aedes sudanensis, Ae. subargenteus, and Coquillettidia versicolor that were caught only by HLC. The relative sampling efficiency and proportionality between SHK and matched HLC catches varied greatly between species and collection site. However, all mosquitoes collected by SHK were unfed, confirming the Shockwè trap design\'s performance and reliability as a successful mosquito exposure free sampling approach. Conclusions: Results demonstrate that SHK is a safe and reliable human-exposure free device for monitoring the occurrence of a wide range of mosquito, including major malaria and arboviruses vector species. However, improvements are needed to increase its sampling efficiency for less abundant mosquito species.
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  • 文章类型: Journal Article
    背景:我们的研究旨在提供有关治疗模式的真实证据,法国canakinumab治疗家族性地中海热(FMF)的有效性和安全性,甲羟戊酸激酶缺乏症(MKD),和肿瘤坏死因子受体相关周期综合征(TRAPS)。
    方法:本研究使用JIR队列,2013年创建的多中心国际注册中心,旨在收集青少年炎症性风湿性疾病患者的数据。被诊断为FMF的法国患者,本研究包括MKD或TRAPS和用canakinumab治疗。
    结果:31FMF,在研究期间,有26名MKD和7名TRAPS患者接受了canakinumab。他们中的大多数以2mg/kg或150mg的推荐剂量开始canakinumab,但不到一半的FMF和MKD患者以推荐频率(每4周)开始治疗。入会两年后,FMF中仍在治疗的患者率为78.1%,MKD中的73.7%,TRAPS患者为85.7%。虽然在治疗过程中每次注射的剂量在全球范围内保持不变,观察到剂量间隔的一些调整.6例患者出现严重不良事件。其中,其中3例可能与canakinumab有关.
    结论:这项中期分析显示,在开始治疗2年后,canakinumab治疗得到了良好的维持,并证实了其在法国被诊断为FMF的患者的现实生活实践中的安全性,MKD和陷阱。在canakinumab治疗的患者中观察到的各种剂量和间隔组合让医生认为适应个体情况而不是固定的治疗计划。
    BACKGROUND: Our study aimed to provide real-world evidence on the treatment patterns, effectiveness and safety of canakinumab in France in Familial Mediterranean Fever (FMF), Mevalonate Kinase Deficiency (MKD), and Tumor necrosis factor Receptor Associated Periodic Syndrome (TRAPS).
    METHODS: This study used the JIR cohort, a multicentre international registry created in 2013 to collect data on patients with juvenile inflammatory rheumatic diseases. French patients diagnosed with FMF, MKD or TRAPS and treated with canakinumab were included in this study.
    RESULTS: 31 FMF, 26 MKD and 7 TRAPS patients received canakinumab during the study period. Most of them initiated canakinumab at the recommended dose of 2 mg/kg or 150 mg, but less than half of FMF and MKD patients initiated it at the recommended frequency (every 4 weeks). Two years after initiation, the rate of patients still on treatment was 78.1% in FMF, 73.7% in MKD, and 85.7% in TRAPS patients. While the dose per injection remained globally the same over the course of the treatment, some adjustments of the dose intervals were observed. Six patients had a severe adverse event reported. Of those, three were possibly related to canakinumab.
    CONCLUSIONS: This interim analysis showed a good maintenance of canakinumab treatment 2 years after initiation and confirmed its safety profile in real-life practice in France in patients diagnosed with FMF, MKD and TRAPS. The high variety of dose and interval combinations observed in canakinumab treated patients let suppose that physicians adapt the posology to individual situations rather than a fixed treatment plan.
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  • 文章类型: Journal Article
    Cu2AgBiI6(CABI)具有直接带隙和高吸收系数,是一种有前途的钙钛矿型太阳能电池吸收体。然而,由高外在陷阱密度引起的非辐射复合限制了基于CABI的太阳能电池的性能。在这项工作中,我们通过在CABI薄膜中掺杂溴阴离子(Br-)来采用卤化物工程,进而显著提高功率转换效率(PCE)。通过在CABI薄膜的合成路线中引入Br-,我们确定最佳组成为CABI-10Br(在卤化物位点具有10%Br)。如时间分辨光致发光和瞬态吸收光谱表征所示,定制的组成似乎降低了深阱密度。这导致电荷载流子的寿命急剧增加,因此提高了外部量子效率和集成短路电流。光伏性能显示出显着提升,因为标准1太阳照度下的PCE从1.32增加到1.69%(〜30%相对增强)。采用系统的理论和实验表征来研究Br掺入对CABI光电性能的影响。我们的结果强调了减轻无铅钙钛矿启发材料中的陷阱状态的重要性,并且在卤化物位点掺入Br是改善器件性能的有效策略。
    Cu2AgBiI6 (CABI) is a promising perovskite-inspired absorber for solar cells due to its direct band gap and high absorption coefficient. However, the nonradiative recombination caused by the high extrinsic trap density limits the performance of CABI-based solar cells. In this work, we employ halide engineering by doping bromide anions (Br-) in CABI thin films, in turn significantly improving the power conversion efficiency (PCE). By introducing Br- in the synthetic route of CABI thin films, we identify the optimum composition as CABI-10Br (with 10% Br at the halide site). The tailored composition appears to reduce the deep trap density as shown by time-resolved photoluminescence and transient absorption spectroscopy characterizations. This leads to a dramatic increase in the lifetime of charge carriers, which therefore improves both the external quantum efficiency and the integrated short-circuit current. The photovoltaic performance shows a significant boost since the PCE under standard 1 sun illumination increases from 1.32 to 1.69% (∼30% relative enhancement). Systematic theoretical and experimental characterizations were employed to investigate the effect of Br- incorporation on the optoelectronic properties of CABI. Our results highlight the importance of mitigating trap states in lead-free perovskite-inspired materials and that Br- incorporation at the halide site is an effective strategy for improving the device performance.
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  • 文章类型: Case Reports
    肿瘤坏死因子受体相关周期性综合征(TRAPS,OMIM:#142680)是一种罕见的自身炎性疾病(AID),伴有反复发热发作。据我们所知,我们在此报告了韩国首例TRAPS患者,其症状包括发烧,关节痛,腹痛,皮疹,肌痛,咳嗽,和淋巴结病。致病性从头突变,c.175T>C(第Cys59Arg),在肿瘤坏死因子受体超家族成员1A(TNFRSF1A)基因中,通过基因测序证实。患者已使用tocilizumab(一种白介素-6抑制剂);每隔一周服用tocilizumab已完全缓解患者的症状。我们的报告进一步扩大了TRAPS患者的临床范围,并重申了使用托珠单抗作为对其他常用生物制剂反应不满意的患者的可行替代治疗选择。比如canakinumab,anakinra,英夫利昔单抗,和etanercept。此外,我们的报告除了强调积极进行基因检测以正确诊断罕见AID的重要性外,还可能有助于提高韩国对突变证实的TRAPS存在的认识.
    Tumor necrosis factor receptor-associated periodic syndrome (TRAPS, OMIM: #142680) is a rare autoinflammatory disease (AID) with recurrent febrile episodes. To our knowledge, we report herein the first case of a patient with TRAPS in South Korea whose symptoms included fever, arthralgia, abdominal pain, rash, myalgia, cough, and lymphadenopathy. A pathogenic de novo mutation, c.175T>C (p.Cys59Arg), in the tumor necrosis factor receptor superfamily member 1A (TNFRSF1A) gene, was confirmed by gene sequencing. The patient has been with tocilizumab (an interleukin-6 inhibitor); tocilizumab administration every other week has completely alleviated the patient\'s symptoms. Our report further expands the clinical spectrum of patients with TRAPS and reaffirms the use of tocilizumab as a viable alternative treatment option for those patients who are unsatisfactorily responsive to other commonly used biologics, such as canakinumab, anakinra, infliximab, and etanercept. Furthermore, our report may aid in increasing awareness about the existence of mutation-confirmed TRAPS in South Korea in addition to emphasizing the importance of actively pursuing genetic testing to correctly diagnose rare AID.
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  • 文章类型: Journal Article
    非洲动物锥虫病是一种寄生虫病,因贫血而给家畜造成重大经济损失,失去条件,消瘦,和死亡率。这是埃塞俄比亚增加牛产量和生产力的关键障碍。在埃塞俄比亚西南部的甘贝拉地区州进行了横断面昆虫学和寄生虫学研究,以估计牛锥虫病的患病率,表观苍蝇密度,和潜在的风险因素。从546头牛中采集血样进行寄生虫学研究,并使用血沉棕黄层技术进行分析,并用Giemsa染色。在指定的地区共部署了189个双锥形(89个)和NGU(100个)陷阱,以进行昆虫学调查。在动物水平,锥虫病的总体患病率为5.5%(95%CI:3.86-7.75)。间日锥虫(50.0%),T、刚果(30.0%),T、布鲁塞伊(20.0%),没有发现混合锥虫物种。锥虫病患病率受海拔高度影响显著(p<0.05),身体评分条件,年龄,平均细胞体积(PCV),和农民协会,而性别和外套颜色没有显著影响。根据昆虫学调查结果,共捕获了2303只蝇,并鉴定为采采蝇(Glossinapallidipes(5.3%))和G.fuscipesfuscipes(3.3%)和其他叮咬蝇(Tabanus(60.1%)和Stomoxys(31.3%))。在目前的研究中,总表观密度为4.1只苍蝇/陷阱/天。这项研究表明,即使在旱季,在甘贝拉地区州,锥虫病仍然是一种严重的牛病。因此,研究结果支持有必要改善该地区的媒介和寄生虫控制措施。
    African animal trypanosomosis is a parasitic disease that causes significant economic losses in livestock due to anaemia, loss of condition, emaciation, and mortality. It is a key impediment to increased cattle output and productivity in Ethiopia. Cross-sectional entomological and parasitological studies were performed in the Gambella Region state of southwestern Ethiopia to estimate the prevalence of bovine trypanosomosis, apparent fly density, and potential risk factors. Blood samples were taken from 546 cattle for the parasitological study and analyzed using the buffy coat technique and stained with Giemsa. A total of 189 biconical (89) and NGU (100) traps were deployed in the specified districts for the entomological survey. The overall prevalence of trypanosomosis at the animal level was 5.5% (95% CI: 3.86-7.75). Trypanosoma vivax (50.0%), T. congolense (30.0%), T. brucei (20.0%), and no mixed trypanosome species were found. The prevalence of trypanosomosis was significantly (p < 0.05) affected by altitude, body score conditions, age, mean packed cell volume (PCV), and peasant associations, while sex and coat color had no significant effect. According to the entomological survey results, a total of 2303 flies were captured and identified as tsetse (Glossina pallidipes (5.3%)) and G. fuscipes fuscipes (3.3%) and other biting flies (Tabanus (60.1%) and Stomoxys (31.3%)). In the current study, the overall apparent density was 4.1 flies/trap/day. This study shows that trypanosomosis remains a significant cattle disease in the Gambella regional state even during the dry season. Thus, the findings support the necessity to improve vector and parasite control measures in the area.
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