目的:在前期发现琐琐葡萄总黄酮(Flavones from Vitis vinifera L,VTF)可改善APP/PS-1双转基因(Alzheimer's disease,AD)小鼠认知功能的基础上,进一步验证“VTF是否通过重塑肠道菌群-肠-脑轴而发挥神经保护作用”,并阐明其潜在机制...目的:在前期发现琐琐葡萄总黄酮(Flavones from Vitis vinifera L,VTF)可改善APP/PS-1双转基因(Alzheimer's disease,AD)小鼠认知功能的基础上,进一步验证“VTF是否通过重塑肠道菌群-肠-脑轴而发挥神经保护作用”,并阐明其潜在机制。方法:本研究将从天然药物琐琐葡萄中提取活性成分总黄酮VTF,作用于APP/PS-1小鼠,VTF灌胃8周,通过Morris水迷宫实验评估小鼠空间学习能力;ELISA检测小鼠脑组织中IL-1β、IL-6、TNF-α因子,血清中5-HT、GABA因子的含量;苏木精-伊红(Hematoxylin and eosin staining,HE)染色法观察结肠组织形态,免疫组化法检测Occludin、Claudin、Zo-1、NLRP3蛋白表达;高通量测序检测小鼠粪便肠道菌群;结果:1)水迷宫实验结果显示:VTF低剂量组平均逃逸潜伏期缩短(P<0.05);VTF低、中剂量组有效区域运动距离,运动时间以及进入次数显著增多(P<0.01);2)结肠组织HE染色结果显示;AD模型小鼠肠粘膜膜层萎缩,隐窝丢失和绒毛断裂,而VTF干预之后小鼠上述情况均有所减轻;3)结肠组织免疫组化结果显示:VTF干预可以上调Occludin、Claudin、Zo-1等紧密连接蛋白阳性表达(P<0.01),减少NLRP3炎症相关蛋白的表达(P<0.01);4)ELISA结果:VTF各剂量组小鼠脑组织中IL-1β、IL-6、TNFα等炎症因子水平降低(P<0.01);VTF各剂量组中5-HT和GABA的含量增多(P<0.01);5)肠道菌群检测结果显示:VTF高剂量干预后的AD小鼠厚壁菌门相对丰度增多(P<0.05),与模型组小鼠相比,VTF中、高剂量组中乳杆菌科(Lactobacillaceae)相对丰度增多,VTF低剂量组中Muribaculaceae相对丰度增多,多奈哌齐组,VTF各剂量组中丹毒科(Erysipelotrichaceae)、瘤胃球菌科(Ruminococcaceae)相对丰度增多;而VTF各剂量组中毛螺菌科(Lachnospiraceae)、螺杆菌科(Helicobacteraceae),脱铁杆菌科(Deferribacteraceae)相对丰度减少。结论:这些结果表明,VTF调节肠道菌群可能具有治疗衰老过程中微生物导致脑轴和认知功能缺陷的潜力,其机制可能与改变肠道菌群组成,修复受损的肠道屏障,炎症反应和神经递质有关。因此,调节肠道微生物群可能是治疗AD相关神经疾病的一种潜在策略。展开更多
Objective:To evaluate mobile applications available for patients undergoing assisted reproduction and assess the extent of their clinical validation.Methods:A systematic search was conducted in the Apple App Store and...Objective:To evaluate mobile applications available for patients undergoing assisted reproduction and assess the extent of their clinical validation.Methods:A systematic search was conducted in the Apple App Store and Google Play between September 1,2023 and September 30,2023 to identify mobile applications related to assisted reproduction.Apps were evaluated using the mobile app rating scale(MARS).In parallel,a literature search of PubMed,Scopus,Embase,and Web of Science was performed to identify clinical studies related to mobile applications in assisted reproduction.Clinical validation status and MARS scores were recorded,and findings were synthesized to highlight the gap between commercially available apps and research-based evidence.Results:From 1143 apps screened,11 met the inclusion criteria.Mean MARS score across apps was 3.63,with Leeaf scoring the highest(4.60).However,only one application(Embie)was supported by published research.The literature research identified 13 relevant studies,mostly randomized controlled trials,cohort studies,or usability studies.While research-based apps demonstrated clinical utility(e.g.,MediEmo,PreLiFe,Patient Journey App),most were unavailable on app stores.This revealed a disconnect between research-backed applications and those accessible to patients.Conclusions:Although several mobile apps for assisted reproduction demonstrate high usability and quality,few are clinically validated.The lack of integration between research and practice highlights the need for stronger collaboration between researchers,developers,and policymakers to ensure that patients access safe and effective tools.展开更多
文摘目的:在前期发现琐琐葡萄总黄酮(Flavones from Vitis vinifera L,VTF)可改善APP/PS-1双转基因(Alzheimer's disease,AD)小鼠认知功能的基础上,进一步验证“VTF是否通过重塑肠道菌群-肠-脑轴而发挥神经保护作用”,并阐明其潜在机制。方法:本研究将从天然药物琐琐葡萄中提取活性成分总黄酮VTF,作用于APP/PS-1小鼠,VTF灌胃8周,通过Morris水迷宫实验评估小鼠空间学习能力;ELISA检测小鼠脑组织中IL-1β、IL-6、TNF-α因子,血清中5-HT、GABA因子的含量;苏木精-伊红(Hematoxylin and eosin staining,HE)染色法观察结肠组织形态,免疫组化法检测Occludin、Claudin、Zo-1、NLRP3蛋白表达;高通量测序检测小鼠粪便肠道菌群;结果:1)水迷宫实验结果显示:VTF低剂量组平均逃逸潜伏期缩短(P<0.05);VTF低、中剂量组有效区域运动距离,运动时间以及进入次数显著增多(P<0.01);2)结肠组织HE染色结果显示;AD模型小鼠肠粘膜膜层萎缩,隐窝丢失和绒毛断裂,而VTF干预之后小鼠上述情况均有所减轻;3)结肠组织免疫组化结果显示:VTF干预可以上调Occludin、Claudin、Zo-1等紧密连接蛋白阳性表达(P<0.01),减少NLRP3炎症相关蛋白的表达(P<0.01);4)ELISA结果:VTF各剂量组小鼠脑组织中IL-1β、IL-6、TNFα等炎症因子水平降低(P<0.01);VTF各剂量组中5-HT和GABA的含量增多(P<0.01);5)肠道菌群检测结果显示:VTF高剂量干预后的AD小鼠厚壁菌门相对丰度增多(P<0.05),与模型组小鼠相比,VTF中、高剂量组中乳杆菌科(Lactobacillaceae)相对丰度增多,VTF低剂量组中Muribaculaceae相对丰度增多,多奈哌齐组,VTF各剂量组中丹毒科(Erysipelotrichaceae)、瘤胃球菌科(Ruminococcaceae)相对丰度增多;而VTF各剂量组中毛螺菌科(Lachnospiraceae)、螺杆菌科(Helicobacteraceae),脱铁杆菌科(Deferribacteraceae)相对丰度减少。结论:这些结果表明,VTF调节肠道菌群可能具有治疗衰老过程中微生物导致脑轴和认知功能缺陷的潜力,其机制可能与改变肠道菌群组成,修复受损的肠道屏障,炎症反应和神经递质有关。因此,调节肠道微生物群可能是治疗AD相关神经疾病的一种潜在策略。
基金funded by Vietnam National University Ho Chi Minh City(VNU-HCM)under grant number NCM2020-28-01.
文摘Objective:To evaluate mobile applications available for patients undergoing assisted reproduction and assess the extent of their clinical validation.Methods:A systematic search was conducted in the Apple App Store and Google Play between September 1,2023 and September 30,2023 to identify mobile applications related to assisted reproduction.Apps were evaluated using the mobile app rating scale(MARS).In parallel,a literature search of PubMed,Scopus,Embase,and Web of Science was performed to identify clinical studies related to mobile applications in assisted reproduction.Clinical validation status and MARS scores were recorded,and findings were synthesized to highlight the gap between commercially available apps and research-based evidence.Results:From 1143 apps screened,11 met the inclusion criteria.Mean MARS score across apps was 3.63,with Leeaf scoring the highest(4.60).However,only one application(Embie)was supported by published research.The literature research identified 13 relevant studies,mostly randomized controlled trials,cohort studies,or usability studies.While research-based apps demonstrated clinical utility(e.g.,MediEmo,PreLiFe,Patient Journey App),most were unavailable on app stores.This revealed a disconnect between research-backed applications and those accessible to patients.Conclusions:Although several mobile apps for assisted reproduction demonstrate high usability and quality,few are clinically validated.The lack of integration between research and practice highlights the need for stronger collaboration between researchers,developers,and policymakers to ensure that patients access safe and effective tools.
