血清sST2在心力衰竭诊断、预后中的应用价值

心力衰竭(心衰)的发病率正随着人口老龄化的加速而显著上升,目前仍然是一个重大的公共健康问题。尽管近年来在心衰治疗方面取得了显著成效,但患者的生存率依旧很低,预后差,确诊心衰后5年内死亡率高达50%。如果能够对心衰进行快速有效的诊断并按危险程度进行合理分层,将为临床医生制定治疗方案提供重要的参考依据。生物标志物在心衰的诊断、疗效评估及预后判断方面都具有重要的意义。心力衰竭是一种复杂的疾病,涉及多种生理病理过程。心力衰竭时,神经内分泌系统被激活,同时伴随着血容量和心室壁压力增加,心室肌细胞分泌NT-proBNP/BNP,因此,其可作为心衰诊断和预后生物标志物。然而血浆中NT-proBNP/BNP易受到年龄、性别、体型、左室肥大、心动过速、右心室过载、低氧血症、肾脏功能等诸多因素影响。sST2作为一种新型心力衰竭标志物,近年来备受关注,它不仅能够反映心肌纤维化程度并预测是否发生心室重构,且不受年龄、性别、肾功能等因素的影响,同时具有更低的参考变化值和个体指数,更适合用于连续监测和指导治疗,是评价心力衰竭的理想指标之一。文中对近年来sST2在心衰诊断和预后方面的研究进展进行总结归纳,并对其发展趋势进行展望。     

肠道微生物与性激素相关疾病研究进展

数以万亿计的微生物生活在人类肠道中,形成了一个复杂的微生态群落。肠道微生物可为宿主提供营养和能量,并与人类疾病的发生发展密切相关。随着研究的不断深入,越来越多的证据表明肠道微生物的改变可引起性激素水平变化,进而导致一系列相关的疾病发生。本文就肠道微生物与多囊卵巢综合征、乳腺癌、卵巢癌等性激素相关疾病之间的关系进行阐述,旨在为人类疾病诊疗提供新思路。     

Stem cells from human exfoliated deciduous teeth ameliorate concanavalin A-induced autoimmune hepatitis by protecting hepatocytes from apoptosis

BACKGROUNDAutoimmune hepatitis is a serious autoimmune liver disease that threatens human health worldwide, which emphasizes the urgent need to identify novel treatments. Stem cells from human exfoliated deciduous teeth (SHED), which are easy to obtain in a non-invasive manner, show pronounced proliferative and immunomodulatory capacities.AIMTo investigate the protective effects of SHED on concanavalin A (ConA)-induced hepatitis in mice, and to elucidate the associated regulatory mechanisms.METHODSWe used a ConA-induced acute hepatitis mouse model and an in vitro co-culture system to study the protective effects of SHED on ConA-induced autoimmune hepatitis, as well as the associated underlying mechanisms.RESULTSSHED infusion could prevent aberrant histopathological liver architecture caused by ConA-induced infiltration of CD3⁺, CD4⁺, tumor necrosis-alpha⁺, and interferon-gamma⁺ inflammatory cells. Alanine aminotransferase and aspartate aminotransferase were significantly elevated in hepatitis mice. SHED infusion could therefore block ConA-induced alanine aminotransferase and aspartate aminotransferase elevations. Mechanistically, ConA upregulated tumor necrosis-alpha and interferon-gamma expression, which was activated by the nuclear factor-kappa B pathway to induce hepatocyte apoptosis, resulting in acute liver injury. SHED administration protected hepatocytes from ConA-induced apoptosis. CONCLUSIONSHED alleviates ConA-induced acute liver injury via inhibition of hepatocyte apoptosis mediated by the nuclear factor-kappa B pathway. Our findings could provide a potential treatment strategy for hepatitis.     

大口黑鲈的卵巢发育周年变化及反季节繁殖研究

文章研究了华中地区池塘养殖大口黑鲈(Micropterus salmoides)卵巢的发育规律, 分析了水温与光照条件变化对卵巢发育的影响, 探究了大口黑鲈反季节繁殖的方法, 旨在充分利用本地区的气候条件, 化劣势为优势, 从根本上解决本地大口黑鲈产业所面临的问题。实验采用形态学、组织学等方法比较分析了大口黑鲈卵巢发育特征, 采用人工控温和人工促熟的方法探究了温度和性激素对大口黑鲈性腺启动发育的影响。研究发现, 华中地区大口黑鲈雌鱼性腺指数(GSI)周年变化在0.63%—7.95%, 10月中旬至12月初水温由20.6℃降至11.0℃期间, 卵巢开始发育至Ⅲ期, 并以Ⅲ期越冬, 至4月中旬繁殖产卵, 5月底结束, 繁殖前约80%的雌鱼绝对繁殖力在4.5万—6.5万粒, 但受水温升高的影响, 卵巢中15%成熟卵母细胞未能产出而逐步退化, 产卵结束时仍有一半以上卵未产出(GSI为4.6%); 雌鱼GSI与肠系膜脂肪系数(MFI)、肝体比(HSI)在10月份至次年4月份呈显著负相关(P<0.05), 表明在此期间, 机体储存的营养物质部分转移至性腺, 优先保证性腺发育。在大口黑鲈反季节繁殖实验中, 采用井水[水温(20±1)℃]降温和控温处理的方法能够促进大口黑鲈性腺的启动发育, 经过3个月处理, 控温组雌鱼卵巢发育至Ⅳ期末, GSI达到4.06%, 而对照组雌鱼卵巢处于Ⅲ期, GSI为2.52%, 两组差异显著(P<0.05), 两组雄鱼精巢均发育至Ⅳ期末, 控温组GSI达0.89%, 对照组为0.73%, 这表明可以通过温度处理来调控大口黑鲈性腺的发育。最后针对反季节繁殖中亲本的培育方法和处理时间等进行了总结, 以期为后续培育反季节大口黑鲈提供依据。     

Therapeutic potential of α,β‐thujone through metabolic reprogramming and caspase‐dependent apoptosis in ovarian cancer cells

The therapeutic potential of α,β‐thujone, a functional compound found in many medicinal plants of the Cupressaceae, Asteraceae, and Lamiaceae families, has been demonstrated, including in inflammation and cancers. However, its pharmacological functions and mechanisms of action in ovarian cancer remain unclear. We investigated the anticancer properties of α,β‐thujone in ES2 and OV90 human ovarian cancer cells and its effect on sensitization to cisplatin. α,β‐thujone inhibited cancer cell proliferation and induced cell death through caspase‐dependent intrinsic apoptotic pathways. Moreover, α,β‐thujone‐mediated endoplasmic reticulum stress was associated with the loss of mitochondrial functions and altered metabolic landscape of ovarian cancer cells. α,β‐Thujone attenuated blood vessel formation in transgenic zebrafish, implying it has significant antiangiogenic potential. In addition, α,β‐thujone sensitized ovarian cancer cells to cisplatin, causing synergistic pharmacological effects. Collectively, our results suggest that α,β‐thujone has therapeutic potential in human ovarian cancer and functions via regulating multiple intracellular stress‐associated metabolic reprogramming and caspase‐dependent apoptotic pathways.