vitamin D

维生素 D
  • 文章类型: Journal Article
    目的:本研究旨在研究蛋黄补充剂中补充维生素D对冻融RAM精液特性的影响。
    方法:将从成年公羊获得的精液样本合并并分成5个相等的体积。它是用含有不同浓度的维生素D:0(对照)的增量剂重建的,12.5(VITD12.5),25(VITD25),50(VITD50),和100ng/mL(VITD100),然后他们被冷冻了.精子运动参数,质膜功能完整性,顶体完整性,DNA片段化,精子解冻后评估各组的线粒体膜电位。
    结果:VITD50的总运动性和进行性运动性高于所有其他组(p<0.05)。更高的精子直线度,线性度VITD50和羊毛高于对照组(p<0.05)。在质膜完整性和线粒体膜电位方面观察到类似的VITD50模式(p>0.05)。
    结论:在研究中,观察到向补充剂中添加维生素D对公羊精子参数具有有益作用。此外,结论是,在补充剂中使用50ng/mL维生素D比其他剂量提供了更有效的保护.
    OBJECTIVE: This study aimed to examine the effects of supplementation of vitamin D to the egg-yolk extender on characteristics of frozen-thawed ram semen.
    METHODS: Semen samples obtained from adult rams were pooled and divided into five equal volumes. It was reconstituted with extenders containing different concentrations of vitamin D: 0 (control), 12.5 (VITD 12.5), 25 (VITD 25), 50 (VITD 50), and 100 ng/mL (VITD 100), and then they were frozen. Sperm motility parameters, plasma membrane functional integrity, acrosomal integrity, DNA fragmentation, and mitochondrial membrane potential of the groups were evaluated after sperm thawing.
    RESULTS: Total motility and progressive motility were higher in VITD 50 than in all other groups (p < 0.05). Higher sperm straightness, linearity, and wooble were higher in VITD 50 than in the control group (p < 0.05). A similar pattern of VITD 50 was observed for plasma membrane integrity and mitochondrial membrane potential (p > 0.05).
    CONCLUSIONS: In the study, it was observed that adding vitamin D to the extender had a beneficial effect on ram spermatological parameters. In addition, it was concluded that the use of the 50 ng/mL vitamin D in the extender provided more effective protection than the other doses.
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  • 文章类型: Journal Article
    累积证据表明,维生素D缺乏与各种癌症的易感性增加有关。然而,维生素D与甲状腺癌(TC)之间的关系尚不清楚.因此,迫切需要进行荟萃分析,以总结维生素D水平和TC风险的现有证据.
    这项荟萃分析旨在找出维生素D水平与TC风险之间的关联。
    根据PubMed,Embase,WebofScience,科克伦,和ClinicalTrials.gov.结果是与对照组相比,TC患者的维生素D水平以及TC患者维生素D缺乏的发生率。效果测量包括标准化平均差(SMD),均值比(RoM),和比值比(OR)。进行剂量反应荟萃分析以评估维生素D水平与TC风险之间的相关性。进行亚组分析和荟萃回归以探索异质性的来源。并通过Begg\和Egger\的测试对发表偏倚进行了评估。
    荟萃分析的结果表明,与对照组相比,TC病例中的维生素D水平较低[SMD=-0.25,95%CI:(-0.38,-0.12);RoM=0.87,95%CI:(0.81,0.94)],TC病例中的1,25(OH)D水平也低于对照组[SMD=-0.49,95%CI=0.85:0.维生素D缺乏与TC风险增加相关[OR=1.49,95%CI:(1.23,1.80)]。此外,剂量-反应荟萃分析结果显示,25(OH)D水平每降低10ng/ml,TC风险就会增加6%[OR=0.94;95%CI:(0.89,0.99)].
    与对照组相比,TC患者的维生素D水平较低,维生素D缺乏与TC风险增加相关。
    https://www.crd.约克。AC.uk/PROSPERO/display_record。php?RecordID=504417,标识符:CRD42024504417。
    UNASSIGNED: Cumulative evidence has suggested that vitamin D deficiency is related with an increased susceptibility to various types of cancers. However, the association between vitamin D and thyroid cancer (TC) has remained to be unknown. Thus, there has been an urgent need for a meta-analysis to summarize existing evidence on vitamin D levels and the risk of TC.
    UNASSIGNED: This meta-analysis aimed to figure out the association between vitamin D level and the risk of TC.
    UNASSIGNED: A systematic search was performed for eligible articles on the association between vitamin D and TC based on PubMed, Embase, Web of Science, Cochrane, and ClinicalTrials.gov. Outcomes were the vitamin D level of cases with TC and the incidence of vitamin D deficiency in cases with TC comparing with the controls. The effect measures included standardized mean difference (SMD), ratio of means (RoM), and odds ratio (OR). A dose-response meta-analysis was performed to assess the correlation between vitamin D level and the risk of TC. Subgroup analyses and meta-regressions were conducted to explore the source of heterogeneity. And publication bias was evaluated through Begg\'s and Egger\'s tests.
    UNASSIGNED: Results of the meta-analysis revealed lower levels of vitamin D in TC cases comparing with those in control [SMD = -0.25, 95% CI: (-0.38, -0.12); RoM = 0.87, 95% CI: (0.81, 0.94)] and the levels of 1,25 (OH)D in cases with TC were also lower than controls [SMD = -0.49, 95% CI: (-0.80, -0.19); RoM = 0.90, 95% CI: (0.85, 0.96)]. And vitamin D deficiency was associated with the increased risk of TC [OR = 1.49, 95% CI: (1.23, 1.80)]. Additionally, results from the dose-response meta-analysis showed that there is a 6% increase in the risk of TC for each 10 ng/ml decrease in 25 (OH)D levels [OR = 0.94; 95% CI: (0.89, 0.99)].
    UNASSIGNED: Individuals with TC had lower levels of vitamin D compared to controls, and vitamin D deficiency was correlated with an increase risk of TC.
    UNASSIGNED: https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=504417, identifier: CRD42024504417.
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  • 文章类型: Journal Article
    背景:脂肪组织与炎症性肠病(IBD)密切相关。维生素D可以影响脂肪生成和炎症。这项研究的目的是比较选定的脂肪因子的产生,可能参与IBD-脂联素的发病机制,抵抗素,视黄醇结合蛋白4(RBP-4),根据存在25-羟基维生素D(25(OH)D)缺乏症,IBD儿童的脂肪细胞脂肪酸结合蛋白和nesfatin-1。
    方法:本研究作为病例对照研究在IBD患儿和相同性别和年龄的健康儿童中进行。除了脂肪因子和25(OH)D,人体测量参数,在所有参与者中评估炎症和疾病活动的标志物.
    结果:无论25(OH)D水平如何,IBD患儿的抵抗素水平均明显较高。与健康对照相比,并且与没有25(OH)D缺乏的IBD患者相比,具有25(OH)D缺乏的IBD患者仅具有显著更低的RBP-4。在患有或不患有25(OH)D缺乏症的IBD儿童中,没有发现脂肪因子的其他显着差异。仅与RBP-4相关的IBD患者的25(OH)D水平,与其他脂肪因子无关。
    结论:在IBD患者中,25(OH)D缺乏组的较低RBP-4水平是否直接反映维生素D缺乏仍不确定。其他脂肪因子的产生似乎与维生素D缺乏没有直接关系。
    BACKGROUND: Adipose tissue is significantly involved in inflammatory bowel disease (IBD). Vitamin D can affect both adipogenesis and inflammation. The aim of this study was to compare the production of selected adipokines, potentially involved in the pathogenesis of IBD - adiponectin, resistin, retinol binding protein 4 (RBP-4), adipocyte fatty acid binding protein and nesfatin-1 in children with IBD according to the presence of 25-hydroxyvitamin D (25(OH)D) deficiency.
    METHODS: The study was conducted as a case-control study in pediatric patients with IBD and healthy children of the same sex and age. In addition to adipokines and 25(OH)D, anthropometric parameters, markers of inflammation and disease activity were assessed in all participants.
    RESULTS: Children with IBD had significantly higher resistin levels regardless of 25(OH)D levels. IBD patients with 25(OH)D deficiency only had significantly lower RBP-4 compared to healthy controls and also compared to IBD patients without 25(OH)D deficiency. No other significant differences in adipokines were found in children with IBD with or without 25(OH)D deficiency. 25(OH)D levels in IBD patients corelated with RBP-4 only, and did not correlate with other adipokines.
    CONCLUSIONS: Whether the lower RBP-4 levels in the 25(OH)D-deficient group of IBD patients directly reflect vitamin D deficiency remains uncertain. The production of other adipokines does not appear to be directly related to vitamin D deficiency.
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  • 文章类型: Journal Article
    目的:根据血清维生素D(SVD)水平,比较被诊断为皮肤松弛症(DC)并接受上眼睑成形术(ULB)的患者和对照组(C组)的组织病理学发现。
    方法:前瞻性研究包括来自68例接受DC手术的患者的136个上眼睑皮肤和来自53例接受ULB提肌手术的患者的53个上眼睑皮肤。然后根据边缘反射距离(MRD4)将DC组分为3个亚组。记录淋巴管(LV)计数和最大LV(DLLV)的直径,观察到基质胶原床(SCB),测量了它的深度,检查了纤维间水肿,弹性纤维和巨噬细胞计数并记录,分别,然后对所有这些进行了评估。比较DC患者和C组的SVD水平。
    结果:与C组相比,在扩张的LV中看到了显著的变化,DLLV,SCB深度,纤维间水肿,弹性纤维密度,和DC亚组的巨噬细胞计数(全部P<0.001)。DC亚组1(MRD4>4mm)与C组比较差异无统计学意义(P>0.05),DC亚组2(MRD42~4mm)和DC亚组3(MRD4<2mm)的所有参数均存在显著差异(P<0.05).在DC亚组1和DC亚组2-3之间的SVD水平中也发现了统计学上的显着差异(分别为P<0.017,P<0.001)。
    结论:根据本研究的结果,DC组SVD水平明显降低。此外,LV计数和直径增加,弹性纤维计数减少,胶原纤维和基质水肿不规则,巨噬细胞计数增加与SVD水平相关。
    OBJECTIVE: To compare the histopathological findings of patients who had been diagnosed with dermatochalasis (DC) and had undergone upper eyelid blepharoplasty (ULB) as well as those of controls (C-Group) according to their serum vitamin D (SVD) levels.
    METHODS: The prospective study included 136 upper eyelid skin from 68 patients who underwent surgery for DC and 53 upper eyelid skin from 53 patients who underwent levator surgery with ULB. The DC Group was then divided into 3 subgroups according to the marginal reflex distance (MRD4). The lymphatic vessel (LV) count and diameter of the largest LV (DLLV) were recorded, the stromal collagen bed (SCB) was observed, and its depth was measured, the interfibrillar edema was examined, and the elastic fiber and macrophage counts and recorded, respectively, and then all of these were evaluated. The SVD levels were compared between the DC patients and the C-Group.
    RESULTS: In comparison to the C-Group, significant changes were seen in the dilated LV, DLLV, SCB depth, interfibrillar edema, elastic fiber density, and macrophage count in the DC sub-Groups (P < 0.001 for all). While no difference was found between DC sub-Group 1 (MRD4 > 4 mm) and the C-Group (P > 0.05), a significant difference was found between DC sub-Group 2 (MRD4 2-4 mm) and DC sub-Group 3 (MRD4 < 2 mm) for all of the parameters (P < 0.05). A statistically significant difference was also found in the SVD levels between the DC sub-Group 1 and DC sub-Groups 2-3 (P < 0.017, P < 0.001 respectively).
    CONCLUSIONS: According to the results of this study, SVD level was significantly lower in DC group. Moreover, an increased LV count and diameter, decreased elastic fiber count, collagen fiber and stromal edema irregularity, and increased macrophage count were found to be associated with the SVD level.
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  • 文章类型: Journal Article
    腿部疾病在肉鸡中变得越来越普遍,导致肉质下降和重大经济损失。这项研究评估了饮食中添加丁酸梭菌(C.通过比较生长性能,丁酸)和25-羟基维生素D3(25-OH-D3)对骨骼发育的影响,胫骨参数,胫骨灰中Ca、P含量,骨发育相关指标水平,和Cobb肉鸡的盲肠短链脂肪酸。将所有鸟类分为四个治疗组,哪些鸟类喂食基础饮食(Con),基础饮食+75毫克金霉素/千克(抗),基础饮食+109CFU/kg(Cb)的丁酸梭菌,基础饮食109CFU/kg的丁酸梭菌和25μg/kg的25-OH-D3(CbD),或基础饮食25-OH-D3,25μg/kg(CD)。我们的结果表明,Cb中的膳食补充剂,CbD,和CD显着增加体重(BW)和平均日增重(ADG),并降低了不同生长阶段的饲料重量比(F/G)(P<0.05)。Cb的膳食补充剂,CbD,和CD延长(P<0.05)行为反应潜伏期说谎(LTL)时间,降低骨钙蛋白(BGP)和肽酪氨酸(PYY)水平(P<0.05),5-羟色胺(5-HT)和多巴胺(DA)升高(P<0.05)。用Cb处理增加了乙酸的水平(P<0.05),异丁酸,丁酸,和异戊酸与Con组相比。盲肠宏基因组显示Alistipesspp。在Cb中明显更丰富,CbD,与CD组比较(P<0.05)。共有12个代谢途径受到补充的显著影响,包括胰高血糖素的信号通路,胰岛素,和PI3K-AKT;初级和次级胆汁酸生物合成;和P型Ca2转运蛋白(P<0.05)。因此,补充CbD通过调节肠-脑轴的介质来调节骨代谢,这可能为预防肉鸡腿部疾病和改善肉质的策略提供信息。
    Leg disorders have become increasingly common in broilers, leading to lower meat quality and major economic losses. This study evaluated the effects of dietary supplementation with Clostridium butyricum (C. butyricum) and 25-hydroxyvitamin D3 (25-OH-D3) on bone development by comparing growth performance, tibial parameters, Ca and P contents of tibial ash, bone development-related indicators\' level, and cecal short-chain fatty acids in Cobb broilers. All birds were divided into four treatment groups, which birds fed either a basal diet (Con), basal diet + 75 mg chlortetracycline/kg (Anti), basal diet + C. butyricum at 109 CFU/kg (Cb), basal diet + C. butyricum at 109 CFU/kg and 25-OH-D3 at 25 μg/kg (CbD), or basal diet + 25-OH-D3 at 25 μg/kg (CD). Our results suggest that the dietary supplementation in Cb, CbD, and CD significantly increased the body weight (BW) and average daily gain (ADG), and reduced the feed-to-weight ratio (F/G) at different stages of growth (P < 0.05). Dietary supplementation in Cb, CbD, and CD prolonged (P < 0.05) the behavioral responses latency-to-lie (LTL) time, reduced (P < 0.05) the levels of osteocalcin (BGP) and peptide tyrosine (PYY), and increased (P < 0.05) serotonin (5-HT) and dopamine (DA). Treatment with Cb increased (P < 0.05) the levels of acetic acid, isobutyric acid, butyric acid, and isovaleric acid compared with those in Con group. The cecal metagenome showed that Alistipes spp. were significantly more abundant in Cb, CbD, and CD groups (P < 0.05). A total of 12 metabolic pathways were significantly affected by supplementation, including the signaling pathways of glucagon, insulin, and PI3K-AKT; primary and secondary bile acid biosynthesis; and P-type Ca 2+ transporters (P < 0.05). Hence, the CbD supplementation modulates bone metabolism by regulating the mediators of gut-brain axis, which may inform strategies to prevent leg diseases and improve meat quality in broilers.
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  • 文章类型: Journal Article
    目的:在早期妊娠评估诊所(EPAC)出现先兆流产的妇女中,血清25-羟基维生素D(25(OH)D)水平低是否与流产风险增加有关?
    方法:这是一项二级回顾性分析,使用来自随机,双盲,安慰剂对照试验。通过液相色谱-质谱法测定了在妊娠早期有先兆流产的371名妇女的血清样本中的25(OH)D。
    结果:在整个队列中,总体流产率为45/371(12.1%)。在将维生素D不足和维生素D充足性分组为“非缺乏”组并排除终止妊娠的参与者后,与维生素D缺乏者相比,流产率没有差异(25/205,12.2%与20/157,12.7%,P=0.877,比值比0.951,95%CI0.507-1.784)。当根据妊娠周数进行分析时,在妊娠6周或更早出现的妇女中,维生素D非缺乏组的流产率显著高于维生素D缺乏组(13/33[39.4%]对10/58[17.2%],P=0.019),但两组在妊娠后期表现出的差异无统计学意义.与活产妇女相比,流产妇女的维生素D水平没有差异(48[37-57]与47[37-58]nmol/l,P=0.725中位数[第25-75百分位数])。
    结论:低血清维生素D浓度与出现EPAC的先兆流产的女性流产风险增加无关。
    OBJECTIVE: Is low serum 25-hydroxyvitamin D (25(OH)D) associated with an increased risk of miscarriage in women who presented with threatened miscarriage to the Early Pregnancy Assessment Clinic (EPAC)?
    METHODS: This was a secondary retrospective analysis using archived serum samples from a randomized, double-blind, placebo-controlled trial. Stored serum samples from 371 women presenting to the EPAC with threatened miscarriage during the first trimester were assayed for 25(OH)D by liquid chromatography-mass spectrometry.
    RESULTS: The overall miscarriage rate was 45/371 (12.1%) in the whole cohort. After grouping vitamin D insufficiency and vitamin D sufficiency together into a \'non-deficient\' group and excluding participants who underwent termination of pregnancy, there was no difference in the miscarriage rate between those who were vitamin D deficient compared with those who were not (25/205, 12.2% versus 20/157, 12.7%, P= 0.877, odds ratio 0.951, 95% CI 0.507-1.784). When analysed according to the number of gestational weeks, the miscarriage rate was significantly higher in the vitamin D non-deficient group than the vitamin D-deficient group in women who presented at 6 gestational weeks or earlier (13/33 [39.4%] versus 10/58 [17.2%], P= 0.019), but there were no statistically significant differences between the two groups presenting at later gestations. There was no difference in the vitamin D level in women who had a miscarriage compared with those who had a live birth (48 [37-57] versus 47 [37-58] nmol/l, P= 0.725 median [25th-75th percentile]).
    CONCLUSIONS: A low serum vitamin D concentration was not associated with an increased risk of miscarriage in women with threatened miscarriage presenting to the EPAC.
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  • 文章类型: Journal Article
    几种自身免疫性疾病与维生素D缺乏有关,是一种环境因素。它对免疫系统的多效性作用,尤其是它在维持免疫耐受方面的重要作用,使维生素D途径引起了极大的兴趣。在这项研究中,我们专注于突尼斯人群中的天疱疮(PF)。我们的目的是量化血清25[OH]D水平使用化学发光测定和分析差异表达的VDR,使用Q-PCR在PF患者的循环血细胞和皮损组织中的CYP27B1和CYP24A1基因。然后寻求遗传解释以探索标签多态性与PF遗传特征之间的任何直接关系。结果证实突尼斯PF患者维生素D维生素D缺乏症。有趣的是,注意到与疾病分层相关的差异基因表达。的确,在系统层面,与PF患者相比,在健康对照组中观察到VDR和CYP27B1基因上调.值得注意的是,在皮损组织中,临床和血清学缓解期与VDR基因的高转录水平以及CYP24A1基因的表达下降相关.遗传分析表明涉及最吸引人的多态性,rs2228570和poly(A)微卫星,在PF病因中。的确,CAC13单倍型与较高的PF发展风险相关。我们的研究结果表明,维生素D-VDR通路的改变可能会影响PF的病理生理学。使这一途径成为药理调节的潜在目标,特别是对于抗皮质PF患者。
    Several auto-immune diseases have been linked to vitamin D deficiency as a contributing environmental factor. Its pleiotropic effects on the immune system, especially its essential role in maintaining immune tolerance, make the vitamin D pathway of great interest. In this study, we focused on Pemphigus foliaceous (PF) in Tunisian population. we aimed to quantify the Serum 25[OH]D levels using chemiluminescence assay and to analyze the differential expression of the VDR, CYP27B1 and CYP24A1 genes in the circulating blood cells and lesional skin tissue of PF patients using Q-PCR. A genetic explanation was then sought to explore any direct relationship between tag polymorphisms and the inherited features of PF. Results confirmed a vitamin D hypovitaminosis in Tunisian PF patients. Interestingly, a differential gene expression correlated to the disease stratification was noted. Indeed, at the systemic level, an upregulation of VDR and CYP27B1 genes was observed in healthy controls compared to PF patients. Notably, in lesional skin tissue, the clinical and serological remission phase was correlated with high transcriptional levels of the VDR gene and conversely a drop in expression of the CYP24A1 gene. Genetic analysis indicated the involvement of the most appealing polymorphisms, rs2228570 and poly (A) microsatellite, in PF etiopathogenesis. Indeed, CAC13 haplotype was associated with a higher risk of PF development. Our findings suggest that alterations in the vitamin D-VDR pathway may influence PF physiopathology, making this pathway a potential target for pharmacological modulation, especially for cortico-resistant PF patients.
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  • 文章类型: Journal Article
    痤疮是毛囊皮脂腺单位的炎性病症。以前的研究已经建立了痤疮和维生素D缺乏之间的联系,以及维生素D补充剂在治疗中的潜在有效性。然而,维生素D辅助治疗痤疮的疗效尚不清楚.
    评估每周口服维生素D2作为痤疮标准局部护理的辅助治疗的功效。
    这项研究是一项随机研究,双盲,安慰剂对照试验,包括轻度至中度痤疮受试者。向所有受试者每天两次施用局部2.5%过氧化苯甲酰,持续12周。在治疗期间,受试者被随机分配每周接受口服维生素D240,000IU或每周接受安慰剂。在4周的随访期间不给予额外的治疗。
    本研究共纳入44名受试者。它们都具有不足的25(OH)D水平。两种方案均显示在治疗期间痤疮的显著改善。每周补充维生素D2可显着预防炎症性痤疮病变的复发(P=.048)。未观察到不良反应或生化变化。
    没有严重寻常痤疮的受试者。
    每周补充维生素D2到标准的局部过氧化苯甲酰可以减少轻度至中度痤疮的炎性病变的复发。
    UNASSIGNED: Acne is an inflammatory condition of the pilosebaceous unit. Previous studies have established a link between acne and vitamin D deficiency and the potential effectiveness of vitamin D supplementation in treatment. However, the efficacy of vitamin D as an adjuvant treatment for acne remains unknown.
    UNASSIGNED: To evaluate the efficacy of weekly vitamin D2 oral administration as an adjunctive treatment to standard topical care for acne.
    UNASSIGNED: This study was a randomized, double-blind, placebo-controlled trial including subjects with mild-to-moderate acne. Topical 2.5% benzoyl peroxide was applied twice daily for 12 weeks to all subjects. Subjects were randomly allocated to receive either oral vitamin D2 40,000 IU weekly or placebo weekly during the treatment period. No additional treatment was administered during the 4-week follow-up period.
    UNASSIGNED: A total of 44 subjects were included in this study. All of them had inadequate 25(OH)D levels. Both regimens showed significant improvement in acne during the treatment period. Weekly vitamin D2 supplementation significantly prevented the relapse of inflammatory acne lesions (P = .048) at the follow-up visit. No adverse effects or biochemical changes were observed.
    UNASSIGNED: There were no subjects of severe acne vulgaris.
    UNASSIGNED: Adjunctive weekly vitamin D2 supplementation to standard topical benzoyl peroxide could reduce relapses of inflammatory lesions in mild-to-moderate acne.
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  • 文章类型: Journal Article
    在实验性过敏性脑脊髓炎中,缺乏的严重程度与轴突的丢失有关,细胞毒性T细胞8(CD8T)可能起重要作用。在复发缓解型多发性硬化症中,病变的炎症活动与轴突横断之间存在相关性。为了了解病理机制,评估疾病过程中血清促炎和抗炎细胞因子浓度的变化非常重要。共有46名患者和40名健康人参加了开放标签,prospective,2012-2014年病例对照研究。使用酶联免疫吸附测定(ELISA)测量细胞因子的血清浓度。与对照组相比,在复发和缓解期观察到免疫失衡。在复发期间,与缓解期相比,干扰素-γ(IFN-γ)水平显着升高(p=0.017)。在缓解期间,缺陷有所改善(p<0.001),与复发患者相比,抗炎细胞因子转化生长因子-β(TGF-β)和白介素4(IL4)增加(p=0.006;p=0.009)。发现复发期间肿瘤坏死因子-α(TNF-α)的血清浓度与扩展的残疾状态量表(EDSS)之间存在相关性(相关系数:0.301;显著性(Sig。)(双尾0.042)。在恶化期间,白细胞介素17(IL17)和25-羟基维生素D(25(OH)D)之间存在中等关系(P(p值(概率值)=0.02)).TNF-α,IFN-γ,IL17和TGF-β血清水平是评估复发和缓解期免疫炎症活性的标准。
    In experimental allergic encephalomyelitis, the severity of the deficiency is associated with the loss of axons, and it is likely that cytotoxic T-cells 8 (CD8 T) play an important role. In relapsing-remitting multiple sclerosis, there is a correlation between the inflammatory activity in the lesion and the transection of axons. To understand the pathological mechanisms, it is important to evaluate the changes in serum concentrations of pro- and anti-inflammatory cytokines during the disease course. A total of 46 patients and 40 healthy individuals participated in an open-label, prospective, case-control study from 2012 to 2014. The serum concentrations of cytokines were measured using enzyme-linked immunosorbent assay (ELISA). An immune imbalance was observed during relapse and remission phases compared to the control group. During relapse, the levels of interferon-gamma (IFN-γ) were significantly higher compared to those in remission (p=0.017). During remission, there was an improvement in the deficiency (p<0.001), and the anti-inflammatory cytokines transforming growth factor-beta (TGF-β) and interleukin 4 (IL4) increased compared to those in relapse (p=0.006; p=0.009). A correlation was found between the serum concentrations of tumor necrosis factor-alpha (TNF-α) and Expanded Disability Status Scale (EDSS) during relapse (correlation coefficient: 0.301; significance (Sig.) (2-tailed 0.042). During the exacerbation, there was a moderate relationship between interleukin 17 (IL17) and 25-hydroxyvitamin D (25(OH)D) (P (p-value (probability value) = 0.02)). TNF-α, IFN-γ, IL17, and TGF-β serum levels are criteria for evaluating immune inflammatory activity during relapse and remission periods.
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  • 文章类型: Journal Article
    背景:到目前为止,高密度脂蛋白胆固醇(HDL-C)水平与死亡率呈U型关系.此外,高HDL-C水平会增加患多种疾病的风险。然而,关于高HDL-C水平人群的特征的数据很少。这项研究的目的是评估高HDL-C水平患者的人口统计学和特征,并将其特征与正常和低HDL-C组进行比较。
    方法:作为横截面,配对病例对照研究,共有510例2型糖尿病(T2D)患者纳入研究,并根据HDL-C浓度分为3组.研究组的年龄和性别相匹配。设计了限制三次样条(RCS)曲线来评估高度之间的关系,血压,甘油三酯,和维生素D浓度具有高HDL-C水平的可能性。此外,进行了小提琴图,以说明各组中连续变量的分布。
    结果:这项研究表明,高HDL-C(超过70mg/dL)与低HDL-C(男性低于40mg/dL,女性低于50mg/dL)相比,与身高显着相关(OR0.918,95%CI0.866-0.974),收缩压(SBP)(0.941,0.910-0.972),维生素D(0.970,0.941-0.999),和甘油三酯(0.992,0.987-0.998)血清浓度。进一步的分析研究表明,与所需的HDL-C水平相比,HDL-C水平较高(男性40≤HDL-C水平<70,女性50≤HDL-C水平<70)与SPB值大于130mmHg成反比。此外,与正常HDL-C水平相比,足够的维生素D水平(高于20ng/ml)可使HDL-C升高的几率降低0.349倍.
    结论:足够的维生素D水平,SPB值高于130mmHg,以及增加的甘油三酯水平,与高HDL水平呈负相关。然而,较高的身高值与高HDL的可能性降低相关.
    BACKGROUND: So far, high-density lipoprotein cholesterol (HDL-C) levels and mortality were shown to have a U-shaped relationship. Additionally, high HDL-C levels increase the risk of developing a variety of diseases. However, a paucity of data exists regarding the characteristics of people with high HDL-C levels. The aim of this study was to assess the demographics and characteristics of patients with high HDL-C levels and compare their features with normal and low HDL-C groups.
    METHODS: As a cross-sectional, matched case-control study, a total of 510 patients with type 2 diabetes (T2D) were enrolled in the study and categorized into three matched groups according to their HDL-C concentrations. The studied groups were matched by their age and gender. Restricted cubic spline (RCS) curves were designed to evaluate the relationship between height, blood pressure, triglyceride, and vitamin D concentrations with the probability of having high HDL-C levels. Furthermore, violin plots were conducted to illustrate the distribution of continuous variables within each group.
    RESULTS: This study showed that having high HDL-C (more than 70 mg/dL) compared to having low HDL-C (less than 40 mg/dL in men and 50 mg/dL in women) was significantly associated with height (OR 0.918, 95% CI 0.866-0.974), systolic blood pressure (SBP) (0.941, 0.910-0.972), vitamin D (0.970, 0.941-0.999), and triglyceride (0.992, 0.987-0.998) serum concentrations. Further analysis investigated that having high HDL-C levels compared to desired HDL-C levels (40 ≤ HDL-C levels < 70 in men and 50 ≤ HDL-C levels < 70 in women) was inversely associated with having SPB values greater than 130 mmHg. Besides, sufficient vitamin D levels (above 20 ng/ml) could 0.349 times decrease the odds of having high HDL-C versus normal HDL-C levels.
    CONCLUSIONS: Sufficient vitamin D levels, SPB values higher than 130 mmHg, as well as increased triglyceride levels, were inversely associated with having high HDL levels. However, higher height values were associated with a decreased likelihood of having high HDL.
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