背景:铁死亡是一种铁依赖性脂质过氧化调控的程序性细胞死亡方式,与缺血性脑损伤的发生、发展及转归密切相关。近年来,随着对铁死亡研究的不断深入,发现中药复方、中药单体可通过减轻铁超载、减少活性氧产生、调控脂质合成等方式调节铁...背景:铁死亡是一种铁依赖性脂质过氧化调控的程序性细胞死亡方式,与缺血性脑损伤的发生、发展及转归密切相关。近年来,随着对铁死亡研究的不断深入,发现中药复方、中药单体可通过减轻铁超载、减少活性氧产生、调控脂质合成等方式调节铁死亡,减轻脑缺血损伤,促进神经功能恢复。目的:探讨铁死亡与缺血性脑损伤的关系及中药调控铁死亡治疗缺血性脑损伤的作用机制。方法:以“铁死亡,缺血性中风,脑损伤,活性氧,脂质代谢,中药复方,萜类,黄酮,酚类,生物碱,苯酞类等”为中文检索词,以“Iron death,ischemic stroke,brain injury,reactive oxygen species,lipid metabolism,traditional Chinese medicine formulas,terpenes,flavonoids,phenols,alkaloids,phthalides,etc”为英文检索词,检索2018年1月至2024年5月中国知网和PubMed数据库中有关铁死亡与缺血性脑损伤及中药调控机制的文献,排除与文章相关性不高及重复、过时的文献。共检索出1526篇相关文献,最终纳入87篇文献进行综述。结果与结论:大量实验研究证实,铁死亡在缺血性脑损伤中具有重要作用,中医方药可通过多种方式调节铁死亡,如三七总皂苷可调节铁代谢,抑制脂质过氧化;香芹酚通过增加谷胱甘肽过氧化物酶4表达,抑制神经元铁死亡;中药复方和单体有效成分可调控铁死亡相关通路——谷胱甘肽/谷胱甘肽过氧化物酶4(GPX4)、核因子E2相关因子2(Nrf2)/血红素加氧酶1(HO-1)、铁死亡抑制蛋白1(FSP1)/CoQ10及鸟苷三磷酸环水解酶1(GCH1)/四氢生物喋呤(BH4)等,减少神经元损伤和死亡,发挥脑保护作用。展开更多
The utilization of arsenic-containing gold dressing tailings is an urgent issue faced by gold production companies worldwide.The thermodynamic analysis results indicate that ferrous arsenate(FeAsO_(4)),pyrite(FeS_(2))...The utilization of arsenic-containing gold dressing tailings is an urgent issue faced by gold production companies worldwide.The thermodynamic analysis results indicate that ferrous arsenate(FeAsO_(4)),pyrite(FeS_(2))and sodium cyanide(NaCN)in the arsenic-containing gold metallurgical tailings can be effectively removed using straight grate process,and the removal of pyrite and sodium cyanide is basically completed during the preheating stage,while the removal of ferrous arsenate requires the roasting stage.The pellets undergo a transformation from magnetite to hematite during the preheating process,and are solidified through micro-crystalline bonding and high-temperature recrystallization of hematite(Fe_(2)O_(3))during the roasting process.Ultimately,pellets with removal rates of 80.77% for arsenic,88.78% for sulfur,and 99.88% for cyanide are obtained,as well as the iron content is 61.1% and the compressive strength is 3071 N,meeting the requirements for blast furnace burden.This study provides an industrially feasible method for treating arsenic-containing gold smelting tailings,benefiting gold production enterprises.展开更多
The effective and safe healing of chronic wounds,such as diabetic ulcers,presents a significant clinical challenge due to the adverse microenvironment in the wound that hinders essential processes of wound healing,inc...The effective and safe healing of chronic wounds,such as diabetic ulcers,presents a significant clinical challenge due to the adverse microenvironment in the wound that hinders essential processes of wound healing,including angiogenesis,inflammation resolution,and bacterial control.Therefore,there is an urgent demand for the development of safe and cost-effective multifunctional therapeutic dressings.Silicon nitride,with its distinctive antibacterial properties and bioactivities,shows great potential as a promising candidate for the treatment of chronic wounds.In this study,a silicon nitride-incorporated collagen/chitosan nanofibrous dressing(CCS)were successfully fabricated using the solution blow spinning technique(SBS).SBS offers compelling advantages in fabricating uniform nanofibers,resulting in a three-dimensional fluffy nanofibrous scaffold that creates an optimal wound healing environment.This blow-spun nanofibrous dressing exhibits excellent hygroscopicity and breathability,enabling effective absorption of wound exudate.Importantly,the incorporated silicon nitride within the fibers triggers surface chemical reactions in the aqueous environment,leading to the release of bioactive ions that modulate the wound microenvironment.Here,the CCS demonstrated exceptional capabilities in absorbing wound exudate,facilitating water vapor transmission,and displaying remarkable antibacterial properties in vitro and in a rat infected wound model(up to 99.7%,4.5×10^(7)CFU/cm^(2)for Staphylococcus aureus).Furthermore,the CCS exhibited an enhanced wound closure rate,angiogenesis,and anti-inflammatory effects in a rat diabetic wound model,compared to the control group without silicon nitride incorporation.展开更多
Conventional wound dressings only protect passively against bacterial infection.Emerging mechanically active adhesive dressings(AADs)are inspired by the active closure of embryonic wounds.It can promote wound healing ...Conventional wound dressings only protect passively against bacterial infection.Emerging mechanically active adhesive dressings(AADs)are inspired by the active closure of embryonic wounds.It can promote wound healing by actively con-tracting the wound bed.AADs meet the requirements of high toughness,stimulus-response,and dynamic adhesion proper-ties,which are challenging.Hence,we construct a water-responsive shape memory polyurea fibrous membrane(PU-fm)featuring favorable toughness,wet-adhesion,breathability,absorbency of four times its weight,and antibacterial.First,the water-toughened electrospun PU-fm is fabricated using a homemade polyurea(PU)elastomer with multistage hydrogen bond networks as a spinning solution.Furthermore,a Janus-structured polyurea-polydopamine-silver fibrous membrane(PU@PDA@Ag-fm)is engineered,integrating antibacterial properties without compromising mechanical robustness.It demonstrates strong adhesion to the skin,actively promotes wound contraction,and enables adaptive wrapping of tissues of varying sizes by the water-driven shape memory effect.Antibacterial tests and wound healing experiments indicate that the PU@PDA@Ag-fm has favorable antibacterial properties against Escherichia coli(E.coli)and accelerates the wound healing rate by 20%.For the first time,water-responsive shape memory PU-fm as the AADs is constructed,providing a new strategy for wound management.This can be extended to applications in other smart devices for biomedicine such as tendon repair,and bioelectronic interfaces.展开更多
BACKGROUND Pressure ulcer(PU)are prevalent among critically ill trauma patients,posing substantial risks.Bundled care strategies and silver nanoparticle dressings offer potential solutions,yet their combined effective...BACKGROUND Pressure ulcer(PU)are prevalent among critically ill trauma patients,posing substantial risks.Bundled care strategies and silver nanoparticle dressings offer potential solutions,yet their combined effectiveness and impact on patient satisfaction remain insufficiently investigated.AIM To assess the impact of bundled care along with silver nanoparticle dressing on PUs management and family satisfaction in critically ill trauma patients.METHODS A total of 98 critically ill trauma patients with PUs in intensive care unit(ICU)were included in this study.Patients were randomly assigned to either the control group(conventional care with silver nanoparticle dressing,n=49)or the intervention group(bundled care with silver nanoparticle dressing,n=49).The PU Scale for Healing(PUSH)tool was used to monitor changes in status of pressure injuries over time.Assessments were conducted at various time points:Baseline(day 0)and subsequent assessments on day 3,day 6,day 9,and day 12.Family satisfaction was assessed using the Family Satisfaction ICU 24 ques-tionnaire.RESULTS No significant differences in baseline characteristics were observed between the two groups.In the intervention group,there were significant reductions in total PUSH scores over the assessment period.Specifically,surface area,exudate,and tissue type parameters all showed significant improvements compared to the control group.Family satisfaction with care and decision-making was notably higher in the intervention group.Overall family satisfaction was significantly better in the intervention group.CONCLUSION Bundled care in combination with silver nanoparticle dressings effectively alleviated PUs and enhances family satisfaction in critically ill trauma patients.This approach holds promise for improving PUs management in the ICU,benefiting both patients and their families.展开更多
Background:Excessive exudate secreted from chronic wounds often leads to overhydration and infection.Although a variety of dressings are currently available in clinical applications,they frequently fail to provide mul...Background:Excessive exudate secreted from chronic wounds often leads to overhydration and infection.Although a variety of dressings are currently available in clinical applications,they frequently fail to provide multifunction to promote chronic wound healing.The dressings with a Janus structure,featuring distinct properties on each side,are potential to improve wound healing.Methods:Composite dressings with a Janus structure were fabricated,comprising freeze-dried polycaprolactone(PCL)electrospun membrane and alginate-based hydrogel.The PCL fibrous membrane provided air permeability,while the hydrogel loaded with Deferoxamine,composed of alginate and poly(N-isopropylacrylamide)(PNIPAM),exhibited hygroscopic properties.The inclusion of PNIPAM imparted thermo-responsivity.Results:The hydrogel(thickness of 2.778±0.082 mm)exhibited a robust adhesion to the fiber membrane(thickness of 0.261±0.041 mm).For ANDC(Alginate-PNIPAM hydrogel with Deferoxamine/PCL membrane)samples,the water vapor transmission rate(WVTR)was measured to be 3364.80±23.23 g∙m−2∙day−1 and the swelling ratio at 2 h was determined to be 1179±125%.The thermo-responsivity of ANDC samples manifested in an increased swelling rate,escalating from 797±189%at 37°C to 1132±147%at 4°C.The elastic modulus was assessed for lyophilized and rehydrated ANDC sample.When theωof the rheometer rotor was decreased from 10 rad/s to 0.1 rad/s,the lyophilized dressing exhibited a decrease from 2.65±0.01 MPa to 1.80±0.90 MPa,while the rehydrated dressing demonstrated an increase from 133.65±55.68 Pa to 264.23±141.71 Pa.The pro-healing properties of the dressings were evaluated using full-thickness skin defect model on SD rats,and a circular wound of diameter 10 mm healed completely by day 12.Conclusion:The dressings not only protected the wound and absorbed excess exudate,but also demonstrated nondestructive peelability upon cooling,providing a novel approach for accelerating wound healing and management.展开更多
Background:Skin,being a vital organ that regulates physiological responses in the human body,is prone to injury from external environmental factors.Healing full-thickness skin defects becomes especially challenging wh...Background:Skin,being a vital organ that regulates physiological responses in the human body,is prone to injury from external environmental factors.Healing full-thickness skin defects becomes especially challenging when infections and vascular injuries are involved.Traditional wound dressings with single functions,such as antibacterial or angiogenic properties,fall short in achieving rapid wound healing.To address this,there is a need to develop wound dressing materials that possess both effective antibacterial and angiogenic properties.Methods:In this study,we utilized electrospinning technology to fabricate hyaluronic acid-cellulose acetate fibrous membrane dressings,incorporating poly(ionic liquid)as an antibacterial polymer and deferoxamine as an angiogenic agent.Results:The resulting fibrous membrane dressing contained poly(ionic liquid)and deferoxamin showcased a microporous structure,drug-releasing capabilities,and excellent air permeability.It not only demonstrated highly effective antibacterial properties but also exhibited remarkable angiogenesis,thereby promoting the healing of full-thickness skin defect wounds in both in vitro and in vivo assays.Conclusion:These findings highlight the immense potential of this wound dressing material for future clinical applications.展开更多
背景:巨噬细胞胞葬作用障碍引起的局部和系统炎症损害与多种肥胖相关代谢性疾病有关,且以胞葬作用为靶向的化合物表现出良好的治疗效果。目的:通过综述肥胖对巨噬细胞胞葬作用各个阶段的影响结果分析肥胖抑制胞葬作用的关键机制,总结以...背景:巨噬细胞胞葬作用障碍引起的局部和系统炎症损害与多种肥胖相关代谢性疾病有关,且以胞葬作用为靶向的化合物表现出良好的治疗效果。目的:通过综述肥胖对巨噬细胞胞葬作用各个阶段的影响结果分析肥胖抑制胞葬作用的关键机制,总结以胞葬作用为靶向的化合物治疗代谢性疾病的研究现状,以进一步阐明胞葬作用及其与肥胖相关代谢性疾病的关系,为疾病防治策略提供新思路。方法:以“efferocytosis,metabolism,obesity,obese,atherosclerosis,non-alcoholic steatohepatitis,neurodegeneration,tumor,osteoarthritis,diabetes,compound,medicine,treatment”为英文检索词在PubMed和Web of Science数据库检索英文文献,以“胞葬作用”为中文检索词,在中国知网、万方和维普数据库检索中文文献。经严格筛选最终纳入99篇文献进入综述分析。结果与结论:①参与巨噬细胞胞葬作用“寻我”“食我”过程的因子中含有大量凋亡细胞源性因子,因此“寻我”“食我”过程主要受凋亡细胞调控;参与骨架重组和消化过程的胞葬因子主要来源于巨噬细胞,对巨噬细胞胞葬作用活性具有决定性作用。此结果提示,“寻我”“食我”过程的因子表达水平主要反映细胞凋亡情况,在评价巨噬细胞胞葬作用活性时,选择骨架重组和消化阶段的胞葬因子的表达更具科学性。②肥胖抑制巨噬细胞胞葬作用,但肥胖对多数“寻我”“食我”因子及骨架重组因子具有应激性激活作用,对多数消化因子具有抑制作用。此结果进一步说明,消化阶段对胞葬作用活性的决定性意义,并提示部分研究以“寻我”“食我”胞葬因子表达增加作为胞葬作用增强的依据不可靠;且提示未来在探讨以巨噬细胞胞葬作用为靶向的干预策略时,靶向消化阶段胞葬因子可能更有效。③巨噬细胞胞葬作用激活物对多种代谢性疾病治疗有效,但肿瘤组织巨噬细胞胞葬作用抑制物表现出良好的抗癌效果,说明应根据组织炎症特点合理评价胞葬作用的意义。④胞葬作用是2003年提出的一个较新概念,研究历程较短,胞葬因子复杂,目前关于肥胖对胞葬作用影响的研究仅涉及冰山一角并且大部分处于粗浅水平,对其更深入的机制探讨仍需大量科学实验的进一步验证。展开更多
文摘背景:铁死亡是一种铁依赖性脂质过氧化调控的程序性细胞死亡方式,与缺血性脑损伤的发生、发展及转归密切相关。近年来,随着对铁死亡研究的不断深入,发现中药复方、中药单体可通过减轻铁超载、减少活性氧产生、调控脂质合成等方式调节铁死亡,减轻脑缺血损伤,促进神经功能恢复。目的:探讨铁死亡与缺血性脑损伤的关系及中药调控铁死亡治疗缺血性脑损伤的作用机制。方法:以“铁死亡,缺血性中风,脑损伤,活性氧,脂质代谢,中药复方,萜类,黄酮,酚类,生物碱,苯酞类等”为中文检索词,以“Iron death,ischemic stroke,brain injury,reactive oxygen species,lipid metabolism,traditional Chinese medicine formulas,terpenes,flavonoids,phenols,alkaloids,phthalides,etc”为英文检索词,检索2018年1月至2024年5月中国知网和PubMed数据库中有关铁死亡与缺血性脑损伤及中药调控机制的文献,排除与文章相关性不高及重复、过时的文献。共检索出1526篇相关文献,最终纳入87篇文献进行综述。结果与结论:大量实验研究证实,铁死亡在缺血性脑损伤中具有重要作用,中医方药可通过多种方式调节铁死亡,如三七总皂苷可调节铁代谢,抑制脂质过氧化;香芹酚通过增加谷胱甘肽过氧化物酶4表达,抑制神经元铁死亡;中药复方和单体有效成分可调控铁死亡相关通路——谷胱甘肽/谷胱甘肽过氧化物酶4(GPX4)、核因子E2相关因子2(Nrf2)/血红素加氧酶1(HO-1)、铁死亡抑制蛋白1(FSP1)/CoQ10及鸟苷三磷酸环水解酶1(GCH1)/四氢生物喋呤(BH4)等,减少神经元损伤和死亡,发挥脑保护作用。
基金Project(52274343)supported by the National Natural Science Foundation of ChinaProjects(2023YFC3903900,2023YFC3903904)supported by the National Key R&D Program of China。
文摘The utilization of arsenic-containing gold dressing tailings is an urgent issue faced by gold production companies worldwide.The thermodynamic analysis results indicate that ferrous arsenate(FeAsO_(4)),pyrite(FeS_(2))and sodium cyanide(NaCN)in the arsenic-containing gold metallurgical tailings can be effectively removed using straight grate process,and the removal of pyrite and sodium cyanide is basically completed during the preheating stage,while the removal of ferrous arsenate requires the roasting stage.The pellets undergo a transformation from magnetite to hematite during the preheating process,and are solidified through micro-crystalline bonding and high-temperature recrystallization of hematite(Fe_(2)O_(3))during the roasting process.Ultimately,pellets with removal rates of 80.77% for arsenic,88.78% for sulfur,and 99.88% for cyanide are obtained,as well as the iron content is 61.1% and the compressive strength is 3071 N,meeting the requirements for blast furnace burden.This study provides an industrially feasible method for treating arsenic-containing gold smelting tailings,benefiting gold production enterprises.
基金support from the National Key R&D Program of China(No.2023YFC2412302)the National Natural Science Foundation of China(No.32271414,52172065)+2 种基金the Key R&D Program in Shandong Province(No.2019JZZY011106)the Foshan-Tsinghua Innovation Special Fund(No.2020THFS05)the Beijing Natural Science Foundation(No.L234075).
文摘The effective and safe healing of chronic wounds,such as diabetic ulcers,presents a significant clinical challenge due to the adverse microenvironment in the wound that hinders essential processes of wound healing,including angiogenesis,inflammation resolution,and bacterial control.Therefore,there is an urgent demand for the development of safe and cost-effective multifunctional therapeutic dressings.Silicon nitride,with its distinctive antibacterial properties and bioactivities,shows great potential as a promising candidate for the treatment of chronic wounds.In this study,a silicon nitride-incorporated collagen/chitosan nanofibrous dressing(CCS)were successfully fabricated using the solution blow spinning technique(SBS).SBS offers compelling advantages in fabricating uniform nanofibers,resulting in a three-dimensional fluffy nanofibrous scaffold that creates an optimal wound healing environment.This blow-spun nanofibrous dressing exhibits excellent hygroscopicity and breathability,enabling effective absorption of wound exudate.Importantly,the incorporated silicon nitride within the fibers triggers surface chemical reactions in the aqueous environment,leading to the release of bioactive ions that modulate the wound microenvironment.Here,the CCS demonstrated exceptional capabilities in absorbing wound exudate,facilitating water vapor transmission,and displaying remarkable antibacterial properties in vitro and in a rat infected wound model(up to 99.7%,4.5×10^(7)CFU/cm^(2)for Staphylococcus aureus).Furthermore,the CCS exhibited an enhanced wound closure rate,angiogenesis,and anti-inflammatory effects in a rat diabetic wound model,compared to the control group without silicon nitride incorporation.
基金supported by the National Key R&D Program of China(No.2022YFB3805700)National Natural Science Foundation of China(No.92271206).
文摘Conventional wound dressings only protect passively against bacterial infection.Emerging mechanically active adhesive dressings(AADs)are inspired by the active closure of embryonic wounds.It can promote wound healing by actively con-tracting the wound bed.AADs meet the requirements of high toughness,stimulus-response,and dynamic adhesion proper-ties,which are challenging.Hence,we construct a water-responsive shape memory polyurea fibrous membrane(PU-fm)featuring favorable toughness,wet-adhesion,breathability,absorbency of four times its weight,and antibacterial.First,the water-toughened electrospun PU-fm is fabricated using a homemade polyurea(PU)elastomer with multistage hydrogen bond networks as a spinning solution.Furthermore,a Janus-structured polyurea-polydopamine-silver fibrous membrane(PU@PDA@Ag-fm)is engineered,integrating antibacterial properties without compromising mechanical robustness.It demonstrates strong adhesion to the skin,actively promotes wound contraction,and enables adaptive wrapping of tissues of varying sizes by the water-driven shape memory effect.Antibacterial tests and wound healing experiments indicate that the PU@PDA@Ag-fm has favorable antibacterial properties against Escherichia coli(E.coli)and accelerates the wound healing rate by 20%.For the first time,water-responsive shape memory PU-fm as the AADs is constructed,providing a new strategy for wound management.This can be extended to applications in other smart devices for biomedicine such as tendon repair,and bioelectronic interfaces.
文摘BACKGROUND Pressure ulcer(PU)are prevalent among critically ill trauma patients,posing substantial risks.Bundled care strategies and silver nanoparticle dressings offer potential solutions,yet their combined effectiveness and impact on patient satisfaction remain insufficiently investigated.AIM To assess the impact of bundled care along with silver nanoparticle dressing on PUs management and family satisfaction in critically ill trauma patients.METHODS A total of 98 critically ill trauma patients with PUs in intensive care unit(ICU)were included in this study.Patients were randomly assigned to either the control group(conventional care with silver nanoparticle dressing,n=49)or the intervention group(bundled care with silver nanoparticle dressing,n=49).The PU Scale for Healing(PUSH)tool was used to monitor changes in status of pressure injuries over time.Assessments were conducted at various time points:Baseline(day 0)and subsequent assessments on day 3,day 6,day 9,and day 12.Family satisfaction was assessed using the Family Satisfaction ICU 24 ques-tionnaire.RESULTS No significant differences in baseline characteristics were observed between the two groups.In the intervention group,there were significant reductions in total PUSH scores over the assessment period.Specifically,surface area,exudate,and tissue type parameters all showed significant improvements compared to the control group.Family satisfaction with care and decision-making was notably higher in the intervention group.Overall family satisfaction was significantly better in the intervention group.CONCLUSION Bundled care in combination with silver nanoparticle dressings effectively alleviated PUs and enhances family satisfaction in critically ill trauma patients.This approach holds promise for improving PUs management in the ICU,benefiting both patients and their families.
基金supported by the Shenzhen Basic Research Project,No.JCYJ20190807155805818the Foundation of Guangdong Provincial Key Laboratory of Sensor Technology and Biomedical Instrument,No.2020B1212060077the Sun Yat-sen University Training Program of Research for Undergraduates,No.76190-51200001.
文摘Background:Excessive exudate secreted from chronic wounds often leads to overhydration and infection.Although a variety of dressings are currently available in clinical applications,they frequently fail to provide multifunction to promote chronic wound healing.The dressings with a Janus structure,featuring distinct properties on each side,are potential to improve wound healing.Methods:Composite dressings with a Janus structure were fabricated,comprising freeze-dried polycaprolactone(PCL)electrospun membrane and alginate-based hydrogel.The PCL fibrous membrane provided air permeability,while the hydrogel loaded with Deferoxamine,composed of alginate and poly(N-isopropylacrylamide)(PNIPAM),exhibited hygroscopic properties.The inclusion of PNIPAM imparted thermo-responsivity.Results:The hydrogel(thickness of 2.778±0.082 mm)exhibited a robust adhesion to the fiber membrane(thickness of 0.261±0.041 mm).For ANDC(Alginate-PNIPAM hydrogel with Deferoxamine/PCL membrane)samples,the water vapor transmission rate(WVTR)was measured to be 3364.80±23.23 g∙m−2∙day−1 and the swelling ratio at 2 h was determined to be 1179±125%.The thermo-responsivity of ANDC samples manifested in an increased swelling rate,escalating from 797±189%at 37°C to 1132±147%at 4°C.The elastic modulus was assessed for lyophilized and rehydrated ANDC sample.When theωof the rheometer rotor was decreased from 10 rad/s to 0.1 rad/s,the lyophilized dressing exhibited a decrease from 2.65±0.01 MPa to 1.80±0.90 MPa,while the rehydrated dressing demonstrated an increase from 133.65±55.68 Pa to 264.23±141.71 Pa.The pro-healing properties of the dressings were evaluated using full-thickness skin defect model on SD rats,and a circular wound of diameter 10 mm healed completely by day 12.Conclusion:The dressings not only protected the wound and absorbed excess exudate,but also demonstrated nondestructive peelability upon cooling,providing a novel approach for accelerating wound healing and management.
基金support from National Natural Science Foundation of China(Grant No 52105295)the Natural Science Foundation of Jiangsu Province(Grant No BK20210082)+3 种基金Natural Science of Foundation of the Jiangsu Higher Education Institutions of China(Grant No 21KJB460003)Basic Research Project of Changzhou Medical Center of Nanjing Medical University(CMCB202314),Qinghai Province Health System Guidance Plan Project(2022-wjzdx-106 and 2023-wjzdx-104)Top Talent of Changzhou“The 14th Five-Year Plan”High-Level Health Talents Training Project(2022CZBJ059 and 2022CZBJ061)Nursing research project of the Second People's Hospital of Changzhou(2022HZD002).
文摘Background:Skin,being a vital organ that regulates physiological responses in the human body,is prone to injury from external environmental factors.Healing full-thickness skin defects becomes especially challenging when infections and vascular injuries are involved.Traditional wound dressings with single functions,such as antibacterial or angiogenic properties,fall short in achieving rapid wound healing.To address this,there is a need to develop wound dressing materials that possess both effective antibacterial and angiogenic properties.Methods:In this study,we utilized electrospinning technology to fabricate hyaluronic acid-cellulose acetate fibrous membrane dressings,incorporating poly(ionic liquid)as an antibacterial polymer and deferoxamine as an angiogenic agent.Results:The resulting fibrous membrane dressing contained poly(ionic liquid)and deferoxamin showcased a microporous structure,drug-releasing capabilities,and excellent air permeability.It not only demonstrated highly effective antibacterial properties but also exhibited remarkable angiogenesis,thereby promoting the healing of full-thickness skin defect wounds in both in vitro and in vivo assays.Conclusion:These findings highlight the immense potential of this wound dressing material for future clinical applications.
文摘背景:巨噬细胞胞葬作用障碍引起的局部和系统炎症损害与多种肥胖相关代谢性疾病有关,且以胞葬作用为靶向的化合物表现出良好的治疗效果。目的:通过综述肥胖对巨噬细胞胞葬作用各个阶段的影响结果分析肥胖抑制胞葬作用的关键机制,总结以胞葬作用为靶向的化合物治疗代谢性疾病的研究现状,以进一步阐明胞葬作用及其与肥胖相关代谢性疾病的关系,为疾病防治策略提供新思路。方法:以“efferocytosis,metabolism,obesity,obese,atherosclerosis,non-alcoholic steatohepatitis,neurodegeneration,tumor,osteoarthritis,diabetes,compound,medicine,treatment”为英文检索词在PubMed和Web of Science数据库检索英文文献,以“胞葬作用”为中文检索词,在中国知网、万方和维普数据库检索中文文献。经严格筛选最终纳入99篇文献进入综述分析。结果与结论:①参与巨噬细胞胞葬作用“寻我”“食我”过程的因子中含有大量凋亡细胞源性因子,因此“寻我”“食我”过程主要受凋亡细胞调控;参与骨架重组和消化过程的胞葬因子主要来源于巨噬细胞,对巨噬细胞胞葬作用活性具有决定性作用。此结果提示,“寻我”“食我”过程的因子表达水平主要反映细胞凋亡情况,在评价巨噬细胞胞葬作用活性时,选择骨架重组和消化阶段的胞葬因子的表达更具科学性。②肥胖抑制巨噬细胞胞葬作用,但肥胖对多数“寻我”“食我”因子及骨架重组因子具有应激性激活作用,对多数消化因子具有抑制作用。此结果进一步说明,消化阶段对胞葬作用活性的决定性意义,并提示部分研究以“寻我”“食我”胞葬因子表达增加作为胞葬作用增强的依据不可靠;且提示未来在探讨以巨噬细胞胞葬作用为靶向的干预策略时,靶向消化阶段胞葬因子可能更有效。③巨噬细胞胞葬作用激活物对多种代谢性疾病治疗有效,但肿瘤组织巨噬细胞胞葬作用抑制物表现出良好的抗癌效果,说明应根据组织炎症特点合理评价胞葬作用的意义。④胞葬作用是2003年提出的一个较新概念,研究历程较短,胞葬因子复杂,目前关于肥胖对胞葬作用影响的研究仅涉及冰山一角并且大部分处于粗浅水平,对其更深入的机制探讨仍需大量科学实验的进一步验证。
