AIM: To observe the regional distributions and morphological features of nesfatin-1/nucleobindin-2 (NUCB2) immunoreactive (IR) cells in the rodent digestive system. METHODS: Paraffin-embedded sections of seven organs ...AIM: To observe the regional distributions and morphological features of nesfatin-1/nucleobindin-2 (NUCB2) immunoreactive (IR) cells in the rodent digestive system. METHODS: Paraffin-embedded sections of seven organs (pancreas, stomach, duodenum, esophagus, liver, small intestine and colon) dissected from sprague-dawley (SD) rats and institute of Cancer Research (ICR) mice were prepared. The regional distributions of nesfatin-1/NUCB2 IR cells were observed by immunohistochemical staining. The morphological features of the nesfatin-1/NUCB2 IR cells were evaluated by hematoxylin and eosin (HE) staining. Fresh tissues of the seven organs were prepared for Western blotting to analyze the relative protein levels of NUCB2 in each organ.RESULTS: Immunohistochemical staining showed that the nesfatin-1/NUCB2 IR cells were localized in the central part of the pancreatic islets, the lower third and middle portion of the gastric mucosal gland, and the submucous layer of the duodenum in SD rats and ICR mice. HE staining revealed that the morphological features of nesfatin-1/NUCB2 IR cells were mainly islet cells in the pancreas, endocrine cells in the stomach, and Brunner’s glands in the duodenum. Western blotting revealed that NUCB2 protein expression was higher in the pancreas, stomach and duodenum than in the esophagus, liver, small intestine and colon (P = 0.000). CONCLUSION: Nesfatin-1/NUCB2 IR cells are expressed in the pancreas, stomach and duodenum in rodents. These cells may play an important role in the physiological regulation of carbohydrate metabolism, gastrointestinal function and nutrient absorption.展开更多
目的探讨利拉鲁肽联合达格列净对老年2型糖尿病患者血糖波动、服药安全性及热休克蛋白60(HSP60)、Nesfatin-1水平的影响。方法选取我院2019年5月至2021年3月收治的96例老年2型糖尿病患者,根据入院顺序将其分为对照组和观察组,各48例。...目的探讨利拉鲁肽联合达格列净对老年2型糖尿病患者血糖波动、服药安全性及热休克蛋白60(HSP60)、Nesfatin-1水平的影响。方法选取我院2019年5月至2021年3月收治的96例老年2型糖尿病患者,根据入院顺序将其分为对照组和观察组,各48例。对照组采用达格列净治疗,观察组采用利拉鲁肽联合达格列净治疗。比较两组的治疗效果。结果治疗后,观察组的空腹血糖(FPG)、餐后2 h血糖(2 h PG)、总胆固醇(TC)及甘油三酯(TG)水平均低于对照组(P<0.05)。治疗后,观察组的平均血糖(MBG)、血糖水平标准差(SDBG)、最大血糖波动幅度(LAGE)及餐后血糖波动幅度(PPGE)水平均低于对照组(P<0.05)。治疗后,观察组的脂联素、一氧化氮(NO)水平高于对照组,内皮素(ET)水平低于对照组(P<0.05)。两组的胃肠道不适、头晕、低血糖、皮疹发生率及不良反应总发生率比较,差异无统计学意义(P>0.05)。治疗后,观察组的HSP60及Nesfatin-1水平均低于对照组(P<0.05)。结论采用利拉鲁肽联合达格列净治疗老年2型糖尿病患者有助于降低血糖和血脂水平,减轻血糖波动,改善脂联素和血管内皮功能指标水平,降低HSP60、Nesfatin-1水平,且不会增加不良反应的发生。展开更多
Objective: Appetite loss is seen in 90% to 95% of patients with acute appendicitis;however, the cause of this symptom remains unknown. This study is performed to determine whether changes in the blood levels of two an...Objective: Appetite loss is seen in 90% to 95% of patients with acute appendicitis;however, the cause of this symptom remains unknown. This study is performed to determine whether changes in the blood levels of two anorexigenic hormones, leptin and NUCB2/nesfatin-1, can help to diagnose acute appendicitis in children and whether these two parameters can distinguish acute appendicitis from abdominal pain. Methods: Sixty children with comparable ages and body mass indices are divided into three groups of 20 children each: those with acute appendicitis, those with abdominal pain, and controls. The blood sample with acute appendicitis is taken preoperatively (T1), and subsequent samples are taken 24 hrs postoperatively (T2) and 3 days postoperatively (T3). The blood sample with abdominal pain subjects is also taken in the corresponding times with those with acute appendicitis while blood sample from controls is only taken in the T1 corresponding time. Leptin and NUCB2/nesfatin-1 levels are measured by enzyme-linked immunosorbent assay. Results: The serum leptin levels are significantly higher preoperatively than postoperatively in all three groups. The NUCB2/nesfatin-1 levels at T1 in acute appendicitis are significantly higher than those at T2 in all three groups, but are restored at T3 to levels similar to those of controls. Neutrophil percentage has a sensitivity of 100%, and specificity of 76.32%, NUCB2/nesfatin-1 level has a sensitivity of 47% and specificity of 95%, and the leptin level has a sensitivity of 64% and specificity of 51% in the diagnosis of acute appendicitis. Conclusions: High preoperative leptin and NUCB2/nesfatin-1 levels may be a causative factor for appetite suppression observed in patients with acute appendicitis. High preoperative and low postoperative serum leptin and NUCB2/nesfatin-1 concentrations may serve as new candidate biomarkers that help to distinguish acute appendicitis from abdominal pain in children in addition to high CRP concentration, high WBC count, and neutrophilia.展开更多
基金Supported by The Science and Technology Foundation ofHealth Department of Jiangsu Province, No. H200607Janssen Research Council China Research Fund (2008)
文摘AIM: To observe the regional distributions and morphological features of nesfatin-1/nucleobindin-2 (NUCB2) immunoreactive (IR) cells in the rodent digestive system. METHODS: Paraffin-embedded sections of seven organs (pancreas, stomach, duodenum, esophagus, liver, small intestine and colon) dissected from sprague-dawley (SD) rats and institute of Cancer Research (ICR) mice were prepared. The regional distributions of nesfatin-1/NUCB2 IR cells were observed by immunohistochemical staining. The morphological features of the nesfatin-1/NUCB2 IR cells were evaluated by hematoxylin and eosin (HE) staining. Fresh tissues of the seven organs were prepared for Western blotting to analyze the relative protein levels of NUCB2 in each organ.RESULTS: Immunohistochemical staining showed that the nesfatin-1/NUCB2 IR cells were localized in the central part of the pancreatic islets, the lower third and middle portion of the gastric mucosal gland, and the submucous layer of the duodenum in SD rats and ICR mice. HE staining revealed that the morphological features of nesfatin-1/NUCB2 IR cells were mainly islet cells in the pancreas, endocrine cells in the stomach, and Brunner’s glands in the duodenum. Western blotting revealed that NUCB2 protein expression was higher in the pancreas, stomach and duodenum than in the esophagus, liver, small intestine and colon (P = 0.000). CONCLUSION: Nesfatin-1/NUCB2 IR cells are expressed in the pancreas, stomach and duodenum in rodents. These cells may play an important role in the physiological regulation of carbohydrate metabolism, gastrointestinal function and nutrient absorption.
文摘目的探讨利拉鲁肽联合达格列净对老年2型糖尿病患者血糖波动、服药安全性及热休克蛋白60(HSP60)、Nesfatin-1水平的影响。方法选取我院2019年5月至2021年3月收治的96例老年2型糖尿病患者,根据入院顺序将其分为对照组和观察组,各48例。对照组采用达格列净治疗,观察组采用利拉鲁肽联合达格列净治疗。比较两组的治疗效果。结果治疗后,观察组的空腹血糖(FPG)、餐后2 h血糖(2 h PG)、总胆固醇(TC)及甘油三酯(TG)水平均低于对照组(P<0.05)。治疗后,观察组的平均血糖(MBG)、血糖水平标准差(SDBG)、最大血糖波动幅度(LAGE)及餐后血糖波动幅度(PPGE)水平均低于对照组(P<0.05)。治疗后,观察组的脂联素、一氧化氮(NO)水平高于对照组,内皮素(ET)水平低于对照组(P<0.05)。两组的胃肠道不适、头晕、低血糖、皮疹发生率及不良反应总发生率比较,差异无统计学意义(P>0.05)。治疗后,观察组的HSP60及Nesfatin-1水平均低于对照组(P<0.05)。结论采用利拉鲁肽联合达格列净治疗老年2型糖尿病患者有助于降低血糖和血脂水平,减轻血糖波动,改善脂联素和血管内皮功能指标水平,降低HSP60、Nesfatin-1水平,且不会增加不良反应的发生。
文摘Objective: Appetite loss is seen in 90% to 95% of patients with acute appendicitis;however, the cause of this symptom remains unknown. This study is performed to determine whether changes in the blood levels of two anorexigenic hormones, leptin and NUCB2/nesfatin-1, can help to diagnose acute appendicitis in children and whether these two parameters can distinguish acute appendicitis from abdominal pain. Methods: Sixty children with comparable ages and body mass indices are divided into three groups of 20 children each: those with acute appendicitis, those with abdominal pain, and controls. The blood sample with acute appendicitis is taken preoperatively (T1), and subsequent samples are taken 24 hrs postoperatively (T2) and 3 days postoperatively (T3). The blood sample with abdominal pain subjects is also taken in the corresponding times with those with acute appendicitis while blood sample from controls is only taken in the T1 corresponding time. Leptin and NUCB2/nesfatin-1 levels are measured by enzyme-linked immunosorbent assay. Results: The serum leptin levels are significantly higher preoperatively than postoperatively in all three groups. The NUCB2/nesfatin-1 levels at T1 in acute appendicitis are significantly higher than those at T2 in all three groups, but are restored at T3 to levels similar to those of controls. Neutrophil percentage has a sensitivity of 100%, and specificity of 76.32%, NUCB2/nesfatin-1 level has a sensitivity of 47% and specificity of 95%, and the leptin level has a sensitivity of 64% and specificity of 51% in the diagnosis of acute appendicitis. Conclusions: High preoperative leptin and NUCB2/nesfatin-1 levels may be a causative factor for appetite suppression observed in patients with acute appendicitis. High preoperative and low postoperative serum leptin and NUCB2/nesfatin-1 concentrations may serve as new candidate biomarkers that help to distinguish acute appendicitis from abdominal pain in children in addition to high CRP concentration, high WBC count, and neutrophilia.