• 文章类型: Journal Article
    褪黑激素(MT)是由身体分泌的具有抗氧化和抗炎特性的胺激素。本研究的目的是研究MT对热应激鸡的病理生理保护作用。通过对热应激鸡建模并用MT处理。给药21天后,血清抗氧化酶,生化指标,检测炎性细胞因子和热应激指标,以及鸡的心肺功能指标和组织学观察。结果表明,热应激引起的体重下降(P<0.05)和体温升高,在MT干预后被逆转。MT治疗可抑制促炎因子白细胞介素-1β的分泌(P<0.05),白细胞介素-6,肿瘤坏死因子α,血清热休克蛋白70,皮质酮,生化因子总蛋白水平升高(P<0.05),白蛋白,球蛋白,并增加了抗氧化酶超氧化物歧化酶的活性(P<0.05),热应激引起的鸡血清中的谷胱甘肽过氧化物酶和过氧化氢酶,中剂量MT效果最佳。热应激导致心脏萎缩和肺充血,肌酸激酶同工酶降低(P<0.05),心肌肌钙蛋白I,血管紧张素受体I,肌酸激酶和肺功能指标髓过氧化物酶,血管紧张素II,热冲击因子I,并升高(P<0.05)肺血管内皮生长因子Ⅱ。观察到施用MT后心脏和肺的切片更完整,组织指数更正常。同时,与热应激相比,MT给药后,分级鸡的心肺功能指标显著降低(P<0.05),趋于正常水平,中剂量MT效果最佳。总之,热应激可引起鸡的病理生理损伤,1mg/kg/d的外源性褪黑素可以减轻这种不良作用。
    Melatonin (MT) is an amine hormone secreted by the body that has antioxidant and anti-inflammatory properties. The aim of this study was to investigate pathophysiological protection of MT in heat-stressed chickens. By modelling heat-stressed chickens and treating them with MT. After 21 days of administration, serum antioxidant enzymes, biochemical indices, inflammatory cytokine and heat-stress indices were detected, along with cardiopulmonary function indices and histological observations in chickens. The results show heat-stress induced a decrease (P < 0.05) in body weight and an increase in body temperature, which was reversed after MT intervention. Treatment with MT inhibited (P < 0.05) the secretion of pro-inflammatory factors interleukin-1β, interleukin-6, tumor necrosis factor α, serum heat shock protein 70, corticosterone, and elevated (P < 0.05) the levels of biochemical factors total protein, albumin, globulin, and increased (P < 0.05) the activities of antioxidant enzymes superoxide dismutase, glutathione peroxidase and catalase in chicken serum caused by heat stress, and the best effect was observed with the medium dose of MT. The heat-stress caused cardiac atrophy and pulmonary congestion, decreased (P < 0.05) the cardiac function indices creatine kinase isoenzyme, cardiac troponin I, angiotensin receptor I, creatine kinase and lung function indices myeloperoxidase, angiotensin-II, heat shock factor I, and increased (P < 0.05) the lung vascular endothelial growth factor II. Sections of the heart and lungs after administration of MT were observed to be more complete with more normal tissue indices. At the same time, compared with heat stress, heart and lung function indices of grade chickens after MT administration were significantly (P < 0.05)reduced and tended to normal levels, and the best effect was observed in the medium-dose MT. In conclusion, heat stress can cause pathophysiological damage in chickens, and 1 mg/kg/d of exogenous melatonin can attenuate this adverse effect.
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  • 文章类型: Journal Article
    肌营养不良和先天性肌病包括由于临床复杂性和遗传异质性而提出诊断挑战的各种遗传性肌肉疾病。
    本研究旨在探讨全外显子组测序(WES)在台湾儿科患者肌肉疾病诊断中的应用。在161名怀疑患有遗传性/遗传性肌病的儿科患者中,115通过常规测试接受了分子诊断,单基因检测,和基因面板。其余46例患者分为三组:第1组(多重结扎依赖性探针扩增阴性Duchenne型肌营养不良症),其中3例(6.5%),第2组(各种形式的肌营养不良)21例(45.7%),第3组(先天性肌病)22例(47.8%)。
    对这些组进行的WES分析发现致病性变异为100.0%(3/3),57.1%(12/21),和68.2%(15/22)的患者组1至3,分别。WES的诊断率为65.2%(46名患者中有30名),检测28个基因的30个致病性或潜在致病性变异。
    WES能够诊断具有类似于先天性肌病和肌营养不良的症状和特征的罕见疾病,比如肌肉无力。因此,这种方法有利于针对性治疗的实施和适当的遗传咨询.
    UNASSIGNED: Muscular dystrophies and congenital myopathies encompass various inherited muscular disorders that present diagnostic challenges due to clinical complexity and genetic heterogeneity.
    UNASSIGNED: This study aimed to investigate the use of whole exome sequencing (WES) in diagnosing muscular disorders in pediatric patients in Taiwan. Out of 161 pediatric patients suspected to have genetic/inherited myopathies, 115 received a molecular diagnosis through conventional tests, single gene testing, and gene panels. The remaining 46 patients were divided into three groups: Group 1 (multiplex ligation-dependent probe amplification-negative Duchenne muscular dystrophy) with three patients (6.5%), Group 2 (various forms of muscular dystrophies) with 21 patients (45.7%), and Group 3 (congenital myopathies) with 22 patients (47.8%).
    UNASSIGNED: WES analysis of these groups found pathogenic variants in 100.0% (3/3), 57.1% (12/21), and 68.2% (15/22) of patients in Groups 1 to 3, respectively. WES had a diagnostic yield of 65.2% (30 patients out of 46), detecting 30 pathogenic or potentially pathogenic variants across 28 genes.
    UNASSIGNED: WES enables the diagnosis of rare diseases with symptoms and characteristics similar to congenital myopathies and muscular dystrophies, such as muscle weakness. Consequently, this approach facilitates targeted therapy implementation and appropriate genetic counseling.
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  • 文章类型: Letter
    暂无摘要。
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  • 文章类型: Case Reports
    99m-甲氧基异丁基异腈(99mTc-MIBI)心肌灌注成像(MPI)是一种功能成像方法,其特异性相对较差,但灵敏度较高。我们目前的48岁男性因肌肉营养不良(MD)引起心脏受累。心肌灌注成像静息图像显示多壁局部心肌灌注减少,心脏增大和左心室收缩功能下降。MPI的病变位置与CMR上的一致。我们的病例显示,MPI可用于检测和评估患有心脏受累的MD患者。此外,影像学检查结果结合临床病史和其他资料非常重要.病例亮点是MPI在心肌病中的价值。
    Technetium-99m-methoxy isobutyl isonitrile (99mTc-MIBI) myocardial perfusion imaging (MPI) is a functional imaging method with relatively poor specificity but high sensitivity. We present 48-year-old man with cardiac involvement due to muscular dystrophies (MD). Myocardial perfusion imaging rest images revealed regional myocardial perfusion decrease in multiple walls, enlarged heart and decreased left ventricular systolic function. The lesion location of MPI was consistent with that seen on CMR. Our case showed MPI was useful for detection and evaluation of the MD patient with cardiac involvement. In addition, imaging findings in combination with clinical history and other data are important. The case highlight is thevalue of MPI in myocardiopathy.
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  • 文章类型: Journal Article
    背景:原发性周期性麻痹(PPP)是一种遗传性离子通道功能障碍,其特征是反复发作的弛缓性肌肉无力,可以归类为低钾血症(HypoPP),normokalemic(NormoPP),根据麻痹性发作期间的钾水平或高钾血症(HyperPP)。然而,PPP具有显著的临床和遗传异质性,可疑患者的诊断是基于特征临床表现,然后通过基因检测证实。目前,在中国人群中,关于PPP的队列研究有限。
    结果:我们纳入了37例临床诊断为PPP的患者。11名(29.7%)患者使用特定基因组进行了测试,26名(70.3%)患者通过全外显子组测序(WES)进行了测试。22例病例发现了遗传变异,诊断率为59.5%(22/37)。所有鉴定的突变都在SCN4A或CACNA1S基因中。总体检出率在面板(54.5%:6/11)和WES(61.5%:16/26)之间相当。通过WES进一步分析了通过小组测序未解决的其余患者,没有检测到任何突变。新型非典型剪接变体c.2020-5G>A影响SCN4AmRNA的正常剪接,通过小基因剪接试验证实。在21例HypoPP患者中,15例患者被分类为具有SCN4A变体的HypoPP-2,6例HypoPP-1患者有CACNA1S变异。
    结论:我们的结果表明,SCN4A等位基因是我们队列中的主要原因,其余的由CACNA1S等位基因引起,这是欧洲和美国的主要原因。此外,这项研究鉴定了3个新的SCN4A和2个新的CACNA1S变体,拓宽与PPP相关基因的突变谱。
    BACKGROUND: Primary periodic paralysis (PPP) is an inherited disorders of ion channel dysfunction characterized by recurrent episodes of flaccid muscle weakness, which can classified as hypokalemic (HypoPP), normokalemic (NormoPP), or hyperkalemic (HyperPP) according to the potassium level during the paralytic attacks. However, PPP is charactered by remarkable clinical and genetic heterogeneity, and the diagnosis of suspected patients is based on the characteristic clinical presentation then confirmed by genetic testing. At present, there are only limited cohort studies on PPP in the Chinese population.
    RESULTS: We included 37 patients with a clinical diagnosis of PPP. Eleven (29.7%) patients were tested using a specific gene panel and 26 (70.3%) by the whole-exome sequencing (WES). Twenty-two cases had a genetic variant identified, representing a diagnostic rate of 59.5% (22/37). All the identified mutations were either in the SCN4A or the CACNA1S gene. The overall detection rate was comparable between the panel (54.5%: 6/11) and WES (61.5%: 16/26). The remaining patients unresolved through panel sequencing were further analyzed by WES, without the detection of any mutation. The novel atypical splicing variant c.2020-5G > A affects the normal splicing of the SCN4A mRNA, which was confirmed by minigene splicing assay. Among 21 patients with HypoPP, 15 patients were classified as HypoPP-2 with SCN4A variants, and 6 HypoPP-1 patients had CACNA1S variants.
    CONCLUSIONS: Our results suggest that SCN4A alleles are the main cause in our cohort, with the remainder caused by CACNA1S alleles, which are the predominant cause in Europe and the United States. Additionally, this study identified 3 novel SCN4A and 2 novel CACNA1S variants, broadening the mutation spectrum of genes associated with PPP.
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  • 文章类型: Journal Article
    随着全球变暖加剧,极端高温变得越来越频繁。这些极端的热浪降低了奶牛和山羊等产奶动物的产奶量,并对整个乳制品行业造成了重大损害。已知热应激(HS)可诱导乳腺上皮细胞(MECs)凋亡和自噬,导致泌乳MECs减少。L-精氨酸能有效减轻HS诱导的产奶量下降,但确切的机制还不完全清楚。在这项研究中,我们发现HS上调小鼠MEC中的精氨酸传感器CASTOR1。精氨酸通过CASTOR1激活mTORC1活性,并通过mTORC1/PGC-1α/NRF1途径促进线粒体生物发生。此外,精氨酸通过CASTOR1/PINK1/Parkin途径抑制线粒体自噬。线粒体稳态确保ATP合成和HS下MEC的稳定细胞氧化还原状态,进一步减轻HS诱导的损伤,提高MECs的泌乳性能。总之,这些发现揭示了L-精氨酸减轻HS诱导的乳腺损伤的分子机制,并建议摄入基于精氨酸的饲料或饲料添加剂是在极端高温条件下增加产奶动物产奶量的有前途的方法。
    As global warming intensifies, extreme heat is becoming increasingly frequent. These extreme heatwaves have decreased the milk production of dairy animals such as cows and goats and have caused significant damage to the entire dairy industry. It is known that heat stress (HS) can induce the apoptosis and autophagy of mammary epithelial cells (MECs), leading to a decrease in lactating MECs. L-arginine can effectively attenuate HS-induced decreases in milk yield, but the exact mechanisms are not fully understood. In this study, we found that HS upregulated the arginine sensor CASTOR1 in mouse MECs. Arginine activated mTORC1 activity through CASTOR1 and promoted mitochondrial biogenesis through the mTORC1/PGC-1α/NRF1 pathway. Moreover, arginine inhibited mitophagy through the CASTOR1/PINK1/Parkin pathway. Mitochondrial homeostasis ensures ATP synthesis and a stable cellular redox state for MECs under HS, further alleviating HS-induced damage and improving the lactation performance of MECs. In conclusion, these findings reveal the molecular mechanisms by which L-arginine relieves HS-induced mammary gland injury, and suggest that the intake of arginine-based feeds or feed additives is a promising method to increase the milk yield of dairy animals in extreme heat conditions.
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  • 文章类型: Systematic Review
    交叉适应(CA)是指在一种环境应激源下成功诱导生理适应(例如,heat),以实现另一个人的后续利益(例如,缺氧)。这项系统综述和探索性荟萃分析研究了热适应(HA)对生理,休息期间的知觉和身体表现结果测量,低氧下的次最大和最大强度运动。在Scopus和MEDLINE中进行数据库搜索。研究包括在他们遇到人口时,干预,比较,和结果标准,是英语语言,同行评审,全文原创文章,使用人类参与者。使用基于CONSensus的健康状态测量指标清单选择标准评估偏倚风险和研究质量。包括九项研究,共有79名参与者(100%接受过娱乐训练的男性)。最常见的HA方法包括固定强度的锻炼,包括9±3个疗程,持续时间为89±24分钟,发生在39±2°C和32±13%相对湿度内。CA诱导中度,对休息时(氧饱和度:g=0.60)和次最大运动时(心率:g=-0.65,核心温度:g=-0.68和皮肤温度:g=-0.72)的生理措施的有益效果。在最大强度运动期间,对通气(g=0.24)和性能测量(峰值功率:g=0.32和时间试验时间:g=-0.43)的影响很小。没有观察到感知结果测量的效果。CA可能适合个人,如职业或军事工人,其在低氧条件下进行次最大活动之前的海拔暴露受到限制。当前文献中存在方法差异,女性和训练有素的个人尚未接受调查。未来的研究应该集中在这些队列上,并探索CA的机制基础。
    Cross-adaptation (CA) refers to the successful induction of physiological adaptation under one environmental stressor (e.g., heat), to enable subsequent benefit in another (e.g., hypoxia). This systematic review and exploratory meta-analysis investigated the effect of heat acclimation (HA) on physiological, perceptual and physical performance outcome measures during rest, and submaximal and maximal intensity exercise in hypoxia. Database searches in Scopus and MEDLINE were performed. Studies were included when they met the Population, Intervention, Comparison, and Outcome criteria, were of English-language, peer-reviewed, full-text original articles, using human participants. Risk of bias and study quality were assessed using the COnsensus based Standards for the selection of health status Measurement INstruments checklist. Nine studies were included, totalling 79 participants (100 % recreationally trained males). The most common method of HA included fixed-intensity exercise comprising 9 ± 3 sessions, 89 ± 24-min in duration and occurred within 39 ± 2 °C and 32 ± 13 % relative humidity. CA induced a moderate, beneficial effect on physiological measures at rest (oxygen saturation: g = 0.60) and during submaximal exercise (heart rate: g = -0.65, core temperature: g = -0.68 and skin temperature: g = -0.72). A small effect was found for ventilation (g = 0.24) and performance measures (peak power: g = 0.32 and time trial time: g = -0.43) during maximal intensity exercise. No effect was observed for perceptual outcome measures. CA may be appropriate for individuals, such as occupational or military workers, whose access to altitude exposure prior to undertaking submaximal activity in hypoxic conditions is restricted. Methodological variances exist within the current literature, and females and well-trained individuals have yet to be investigated. Future research should focus on these cohorts and explore the mechanistic underpinnings of CA.
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  • 文章类型: Randomized Controlled Trial, Veterinary
    本研究进行了1)研究性别和温度对肉鸡生长性能的影响;2)建立不同环境温度下两种性别肉鸡的体内蛋白质和脂肪沉积曲线以及氨基酸模式。将雄性/雌性比例为1:1的1日龄(d)ArborAcres鸡432只随机分为以下4个处理组:雄性热中性组,女性热中性组,男性热应激组,和女性热应激组。热中性组的鸡在舒适的温度下饲养1至42d,而热应激组的鸡在舒适的温度下保持1至28d,在高环境温度下保持29至42d。通过比较屠宰方法获得身体成分保留数据,模型由Gompertz模型构建。结果表明,两种性别和两种温度之间的体内蛋白质含量(BPC)和体内脂肪沉积效率(BFE)存在显着差异。此外,在BPC和蛋白质沉积效率(BPE)方面,观察到性别和温度之间的显着相互作用。获得了热中性组中的身体蛋白质和身体脂肪沉积的以下方程:雄性肉鸡的身体蛋白质重量:[配方:见文本];雌性肉鸡的身体蛋白质重量:[配方:见文本];雄性肉鸡的身体脂肪重量:[配方:见文本];雌性肉鸡的身体脂肪重量:[配方:见文本]。其中t表示年龄(d)。获得了热应激组中的身体蛋白质和身体脂肪沉积的以下方程:雄性肉鸡的身体蛋白质重量:[配方:见文本];雌性肉鸡的身体蛋白质重量:[配方:见文本];雄性肉鸡的身体脂肪重量:[配方:见文本];雌性肉鸡的身体脂肪重量:[配方:见文本]。其中t表示年龄(d)。此外,不同性别和温度之间氨基酸含量没有显着差异。氨基酸模式可分为2个阶段:0至14d和15至42d。我们的方程式和模式使人们能够更深入地了解各种温度条件下肉鸡的营养需求。这使研究人员能够开发更准确的喂养计划,以满足肉鸡的生长和健康要求。
    The present study was conducted 1) to investigate the effects of gender and temperature on growth performance in broiler chickens and 2) to establish body protein and fat deposition curves and amino acid patterns for broilers of both genders at different ambient temperatures. A total of 432 1-day-old (d) Arbor Acres chickens with a male/female ratio of 1:1 were randomly divided into the following 4 treatment groups: the male thermoneutral group, the female thermoneutral group, the male heat stress group, and the female heat stress group. The chickens in the thermoneutral groups were kept at a comfortable temperature from 1 to 42 d, while chickens in the heat stress groups were kept at a comfortable temperature from 1 to 28 d and at a high ambient temperature from d 29 to 42. The body composition retention data were obtained by comparative slaughter method, and the models were constructed by the Gompertz model. The results revealed significant variation in body protein content (BPC) and body fat deposition efficiency (BFE) between both genders and the 2 temperatures. Moreover, a noteworthy interaction between gender and temperature was observed in terms of the BPC and protein deposition efficiency (BPE). The following equations for body protein and body fat deposition in the thermoneutral groups were obtained: Body protein weight of male broilers: [Formula: see text] ; Body protein weight of female broilers: [Formula: see text] ; Body fat weight of male broilers: [Formula: see text] ; Body fat weight of female broilers: [Formula: see text] . Where t means age (d). The following equations for body protein and body fat deposition in the heat stress groups were obtained: Body protein weight of male broilers: [Formula: see text] ; Body protein weight of female broilers: [Formula: see text] ; Body fat weight of male broilers: [Formula: see text] ; Body fat weight of female broilers: [Formula: see text] . Where t means age (d). In addition, no significant difference in amino acid content was found between different genders and temperatures. The amino acid pattern could be divided into 2 stages: 0 to 14 d and 15 to 42 d. Our equations and patterns enable a deeper understanding of the nutritional requirements in broiler chickens under various temperature conditions. This enables researchers to develop more accurate feeding programs to fulfill the growth and health requirements of broiler chickens.
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  • 文章类型: English Abstract
    Objective: Through the analysis of five cases of occupational heat illness caused by high temperature, we expounded the pathogenesis and summarized the clinical characteristics of heat cramp and heat exhaustion of the newly revised diagnostic criteria for occupational heat illness (GBZ41-2019), in order to prevent the occurrence of occupational heat illness to put forward controllable countermeasures. Methods: According to the occupational history, clinical diagnosis and treatment and the other relevant data submitted by five patients, the diagnosis process was analyzed and summarized. Results: Five patients developed symptoms from July to August in summer, belonging to high-temperature operation. They improved by timely treatment. The symptoms, signs and laboratory tests of the five patients were different, but they were diagnosed as occupational heat illness. Conclusion: Employers should pay attention to the high temperature protection and cooling work, and strengthen the labor protection. If patients with heat cramp and heat exhaustion were timely treated, they could basically recover. Occupational disease diagnosticians should seriously study the new diagnostic criteria of occupational disease and constantly improve their diagnostic ability.
    目的: 通过对5例因高温导致的职业性中暑病例分析,阐述发病机制,总结新修订GBZ 41-2019《职业性中暑诊断标准》热痉挛、热衰竭的临床特点,为预防职业性中暑疾病的发生提出可控对策。 方法: 于2021年11月,以2020年9月10日至2021年9月30日期间苏州市疾病预防控制中心职业卫生科收治并诊断的5例职业性中暑患者作为研究对象,调查职业史、临床诊疗等相关资料,并对诊断过程加以分析与总结。 结果: 5例患者发病于夏季7~8月份,属于高温作业,经及时治疗后好转而出院。5例患者自身的症状、体征及实验室检查存在差异性,但均被诊断为职业性中暑。 结论: 用人单位应重视夏季高温防护降温工作,加强劳动保护。热痉挛、热衰竭患者若及时救治,基本能康复痊愈。职业病诊断医师应认真学习新的职业病诊断标准,不断提升诊断能力。.
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  • 文章类型: Journal Article
    LMNA基因突变可引起肌营养不良,翻译后修饰在调节其功能中起着关键作用。这里,我们确定层粘连蛋白A在半胱氨酸522、588和591个残基处被棕榈酰化,它们由棕榈酰基转移酶锌指DHHC型棕榈酰基转移酶5(ZDHHC5)和脱棕榈酰基转移酶α/β水解酶结构域7(ABHD7)反向催化。此外,代谢产物乳酸通过抑制层粘连蛋白A与ABHD7之间的相互作用来促进层粘连蛋白A的棕榈酰化。有趣的是,层粘连蛋白A的低水平棕榈酰化促进,而高水平的层粘连蛋白A的棕榈酰化抑制,小鼠成肌细胞分化。一起,这些观察结果表明,ABHD7介导的层粘连蛋白A的脱棕榈酰化控制成肌细胞分化。
    LMNA gene mutation can cause muscular dystrophy, and post-translational modification plays a critical role in regulating its function. Here, we identify that lamin A is palmitoylated at cysteine 522, 588, and 591 residues, which are reversely catalyzed by palmitoyltransferase zinc finger DHHC-type palmitoyltransferase 5 (ZDHHC5) and depalmitoylase α/β hydrolase domain 7 (ABHD7). Furthermore, the metabolite lactate promotes palmitoylation of lamin A by inhibiting the interaction between it and ABHD7. Interestingly, low-level palmitoylation of lamin A promotes, whereas high-level palmitoylation of lamin A inhibits, murine myoblast differentiation. Together, these observations suggest that ABHD7-mediated depalmitoylation of lamin A controls myoblast differentiation.
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