目的:抑郁症是全球疾病负担的五大主要原因之一,目前可用的抗抑郁药物疗效低、起效慢、不良反应严重,而运动是治疗抑郁症的一种较好的方式。文章系统评价了运动对慢性不可预知轻度应激(CUMS)模型鼠抑郁相关行为的干预效果。方法:检索万...目的:抑郁症是全球疾病负担的五大主要原因之一,目前可用的抗抑郁药物疗效低、起效慢、不良反应严重,而运动是治疗抑郁症的一种较好的方式。文章系统评价了运动对慢性不可预知轻度应激(CUMS)模型鼠抑郁相关行为的干预效果。方法:检索万方、中国知网、PubMed、Embase和Web of Science数据库,检索文献时限为2000-01-01/2022-02-28,收集跑台、游泳、转轮等运动对慢性不可预知轻度应激(CUMS)抑郁动物模型强迫游泳、悬尾、糖水偏好行为学影响的研究。由2位研究者按照纳入标准独立完成文献筛选、资料提取及SYRCLE动物实验偏倚风险评估工具进行方法学质量评价,运用RevMan 5.3和Stata 13.0分析软件进行统计分析。结果:共纳入23篇对照动物实验文献,运动组实验动物301只,对照组302只。Meta分析结果显示:①运动能够显著降低抑郁模型鼠强迫游泳测试潜伏期[SMD=-3.93,95%CI:(-4.88,-2.98),P<0.00001]及悬尾测试潜伏期[SMD=-4.42,95%CI:(-5.62,-3.23),P<0.00001];②运动同样可以提高糖水偏好指数[SMD=2.37,95%CI:(1.62,3.11),P<0.00001];③悬尾测试中对运动方式进行亚组分析可以降低异质性[SMD=-3.68,95%CI:(-4.16,-3.21),P<0.00001],但并不影响运动效果。结论:运动能有效改善慢性不可预知轻度应激(CUMS)模型鼠强迫游泳、悬尾、糖水偏好的抑郁样行为。运动方式可能是影响悬尾测试行为的异质性来源;造模时间、干预阶段、运动方式及运动时间不是影响运动改善抑郁效果的主要因素。展开更多
Objective:Physical exercise,a common non-drug intervention,is an important strategy in cancer treatment,including hepatocellular carcinoma(HCC).However,the mechanism remains largely unknown.Due to the importance of hy...Objective:Physical exercise,a common non-drug intervention,is an important strategy in cancer treatment,including hepatocellular carcinoma(HCC).However,the mechanism remains largely unknown.Due to the importance of hypoxia and cancer stemness in the development of HCC,the present study investigated whether the anti-HCC effect of physical exercise is related to its suppression on hypoxia and cancer stemness.Methods:A physical exercise intervention of swimming(30 min/d,5 d/week,for 4 weeks)was administered to BALB/c nude mice bearing subcutaneous human HCC tumor.The anti-HCC effect of swimming was assessed in vivo by tumor weight monitoring,hematoxylin and eosin(HE)staining,and immunohistochemistry(IHC)detection of proliferating cell nuclear antigen(PCNA)and Ki67.The expression of stemness transcription factors,including Nanog homeobox(NANOG),octamer-binding transcription factor 4(OCT-4),v-Myc avian myelocytomatosis viral oncogene homolog(C-MYC)and hypoxia-inducible factor-1a(HIF-1a),was detected using real-time reverse transcription polymerase chain reaction.A hypoxia probe was used to explore the intratumoral hypoxia status.Western blot was used to detect the expression of HIF-1a and proteins related to protein kinase B(Akt)/glycogen synthase kinase-3β(GSK-3β)/β-catenin signaling pathway.The IHC analysis of platelet endothelial cell adhesion molecule-1(CD31),and the immunofluorescence co-location of CD31 and desmin were used to analyze tumor blood perfusion.SMMC-7721 cells were treated with nude mice serum.The inhibition effect on cancer stemness in vitro was detected using suspension sphere experiments and the expression of stemness transcription factors.The hypoxia status was inferred by measuring the protein and mRNA levels of HIF-1a.Further,the expression of proteins related to Akt/GSK-3β/β-catenin signaling pathway was detected.Results:Swimming significantly reduced the body weight and tumor weight in nude mice bearing HCC tumor.HE staining and IHC results showed a lower necrotic area ratio as well as fewer PCNA or Ki67 positive cells in mice receiving the swimming intervention.Swimming potently alleviated the intratumoral hypoxia,attenuated the cancer stemness,and inhibited the Akt/GSK-3β/β-catenin signaling pathway.Additionally,the desmin+/CD31+ratio,rather than the number of CD31+vessels,was significantly increased in swimming-treated mice.In vitro experiments showed that treating cells with the serum from the swimming intervention mice significantly reduced the formation of SMMC-7721 cell suspension sphere,as well as the m RNA expression level of stemness transcription factors.Consistent with the in vivo results,HIF-1a and Akt/GSK-3β/β-catenin signaling pathway were also inhibited in cells treated with serum from swimming group.Conclusion:Swimming alleviated hypoxia and attenuated cancer stemness in HCC,through suppression of the Akt/GSK-3β/β-catenin signaling pathway.The alleviation of intratumoral hypoxia was related to the increase in blood perfusion in the tumor.展开更多
文摘目的:抑郁症是全球疾病负担的五大主要原因之一,目前可用的抗抑郁药物疗效低、起效慢、不良反应严重,而运动是治疗抑郁症的一种较好的方式。文章系统评价了运动对慢性不可预知轻度应激(CUMS)模型鼠抑郁相关行为的干预效果。方法:检索万方、中国知网、PubMed、Embase和Web of Science数据库,检索文献时限为2000-01-01/2022-02-28,收集跑台、游泳、转轮等运动对慢性不可预知轻度应激(CUMS)抑郁动物模型强迫游泳、悬尾、糖水偏好行为学影响的研究。由2位研究者按照纳入标准独立完成文献筛选、资料提取及SYRCLE动物实验偏倚风险评估工具进行方法学质量评价,运用RevMan 5.3和Stata 13.0分析软件进行统计分析。结果:共纳入23篇对照动物实验文献,运动组实验动物301只,对照组302只。Meta分析结果显示:①运动能够显著降低抑郁模型鼠强迫游泳测试潜伏期[SMD=-3.93,95%CI:(-4.88,-2.98),P<0.00001]及悬尾测试潜伏期[SMD=-4.42,95%CI:(-5.62,-3.23),P<0.00001];②运动同样可以提高糖水偏好指数[SMD=2.37,95%CI:(1.62,3.11),P<0.00001];③悬尾测试中对运动方式进行亚组分析可以降低异质性[SMD=-3.68,95%CI:(-4.16,-3.21),P<0.00001],但并不影响运动效果。结论:运动能有效改善慢性不可预知轻度应激(CUMS)模型鼠强迫游泳、悬尾、糖水偏好的抑郁样行为。运动方式可能是影响悬尾测试行为的异质性来源;造模时间、干预阶段、运动方式及运动时间不是影响运动改善抑郁效果的主要因素。
基金supported by the National Natural Science Foundation of China(No.82104977)Youth Start-up Foundation of Changhai Hospital(No.2019QNB05)。
文摘Objective:Physical exercise,a common non-drug intervention,is an important strategy in cancer treatment,including hepatocellular carcinoma(HCC).However,the mechanism remains largely unknown.Due to the importance of hypoxia and cancer stemness in the development of HCC,the present study investigated whether the anti-HCC effect of physical exercise is related to its suppression on hypoxia and cancer stemness.Methods:A physical exercise intervention of swimming(30 min/d,5 d/week,for 4 weeks)was administered to BALB/c nude mice bearing subcutaneous human HCC tumor.The anti-HCC effect of swimming was assessed in vivo by tumor weight monitoring,hematoxylin and eosin(HE)staining,and immunohistochemistry(IHC)detection of proliferating cell nuclear antigen(PCNA)and Ki67.The expression of stemness transcription factors,including Nanog homeobox(NANOG),octamer-binding transcription factor 4(OCT-4),v-Myc avian myelocytomatosis viral oncogene homolog(C-MYC)and hypoxia-inducible factor-1a(HIF-1a),was detected using real-time reverse transcription polymerase chain reaction.A hypoxia probe was used to explore the intratumoral hypoxia status.Western blot was used to detect the expression of HIF-1a and proteins related to protein kinase B(Akt)/glycogen synthase kinase-3β(GSK-3β)/β-catenin signaling pathway.The IHC analysis of platelet endothelial cell adhesion molecule-1(CD31),and the immunofluorescence co-location of CD31 and desmin were used to analyze tumor blood perfusion.SMMC-7721 cells were treated with nude mice serum.The inhibition effect on cancer stemness in vitro was detected using suspension sphere experiments and the expression of stemness transcription factors.The hypoxia status was inferred by measuring the protein and mRNA levels of HIF-1a.Further,the expression of proteins related to Akt/GSK-3β/β-catenin signaling pathway was detected.Results:Swimming significantly reduced the body weight and tumor weight in nude mice bearing HCC tumor.HE staining and IHC results showed a lower necrotic area ratio as well as fewer PCNA or Ki67 positive cells in mice receiving the swimming intervention.Swimming potently alleviated the intratumoral hypoxia,attenuated the cancer stemness,and inhibited the Akt/GSK-3β/β-catenin signaling pathway.Additionally,the desmin+/CD31+ratio,rather than the number of CD31+vessels,was significantly increased in swimming-treated mice.In vitro experiments showed that treating cells with the serum from the swimming intervention mice significantly reduced the formation of SMMC-7721 cell suspension sphere,as well as the m RNA expression level of stemness transcription factors.Consistent with the in vivo results,HIF-1a and Akt/GSK-3β/β-catenin signaling pathway were also inhibited in cells treated with serum from swimming group.Conclusion:Swimming alleviated hypoxia and attenuated cancer stemness in HCC,through suppression of the Akt/GSK-3β/β-catenin signaling pathway.The alleviation of intratumoral hypoxia was related to the increase in blood perfusion in the tumor.
