• 【高血压中动脉僵硬度的评估:示波法(Arteriograph),压电(Complior)和眼压法(SphygmoCor)的比较。】 复制标题 收藏 收藏
    DOI:10.1097/HJH.0b013e32833057e8 复制DOI
    作者列表:Jatoi NA,Mahmud A,Bennett K,Feely J
    BACKGROUND & AIMS: BACKGROUND:Arterial stiffness, measured as aortic pulse wave velocity (PWV), and wave reflection, measured as augmentation index (AIx), are independent predictors for total and cardiovascular morbidity and mortality. The aim of this study was to compare a new device, based on oscillometric pressure curves (Arteriograph), which simultaneously measures PWV and AIx, with standard techniques for measuring PWV (Complior) and AIx (SphygmoCor) in untreated hypertensive patients. METHODS:We compared PWV and AIx measured using the Arteriograph with corresponding Complior and SphygmoCor measurements in 254 untreated hypertensive patients, age 48 +/- 14 years (mean +/- SD, range 17-85 years). RESULTS:Arteriograph PWV and AIx were closely related with Complior (r = 0.60, P < 0.001) and SphygmoCor (r = 0.89, P < 0.001), respectively. Using stepwise regression analysis, the independent determinants of Arteriograph PWV were age, mean arterial pressure, heart rate and sex (r(2) = 0.44, P < 0.0001) and for AIx were age, weight, mean arterial pressure, heart rate and sex (r(2) = 0.65, P < 0.0001). The bias between the different techniques was determined by age and sex for PWV and age, body weight, sex, heart rate and mean arterial pressure for AIx. Bland-Altman plots showed that although the techniques were closely related, the limits of agreement were wide. CONCLUSION:Although Arteriograph values and the determinants of PWV and AIx are in close agreement with corresponding parameters obtained by Complior and SphygmoCor, respectively, the techniques are not interchangeable.
    背景与目标: 背景:以主动脉脉搏波速度(PWV)衡量的动脉僵硬度和以增强指数(AIx)衡量的波反射是总和心血管发病率和死亡率的独立预测因子。这项研究的目的是比较一种基于示波压力曲线(动脉造影仪)的新设备,该设备可同时测量PWV和AIx,以及用于测量未经治疗的高血压患者的PWV(Complior)和AIx(SphygmoCor)的标准技术。
    方法:我们比较了使用动脉造影仪测量的PWV和AIx以及相应的Complior和SphygmoCor测量值,对254位年龄在48岁至14岁(平均SD,范围17-85岁)的未经治疗的高血压患者进行了比较。
    结果:动脉造影PWV和AIx分别与Complior(r = 0.60,P <0.001)和SphygmoCor(r = 0.89,P <0.001)密切相关。使用逐步回归分析,动脉造影PWV的独立决定因素是年龄,平均动脉压,心率和性别(r(2)= 0.44,P <0.0001),对于AIx,年龄,体重,平均动脉压,心率和性别是(r(2)= 0.65,P <0.0001)。不同技术之间的偏差由PWV的年龄和性别以及AIx的年龄,体重,性别,心率和平均动脉压确定。布兰德-奥特曼(Bland-Altman)图表明,尽管技术密切相关,但是一致的范围却很广。
    结论:尽管动脉造影值和PWV和AIx的决定因素分别与Complior和SphygmoCor获得的相应参数紧密一致,但这些技术不可互换。
  • 【比较两种测量仪器,以B-pro和SphygmoCor系统为参考,以评估中央收缩压和radial骨增强指数。】 复制标题 收藏 收藏
    DOI:10.1038/hr.2012.3 复制DOI
    作者列表:Garcia-Ortiz L,Recio-Rodríguez JI,Canales-Reina JJ,Cabrejas-Sánchez A,Gomez-Arranz A,Magdalena-Belio JF,Guenaga-Saenz N,Agudo-Conde C,Gomez-Marcos MA,EVIDENT Group.
    BACKGROUND & AIMS: :A comparison is made of central aortic systolic pressure (CASP) and the radial augmentation index (rAIx) estimated with the B-Pro device and SphygmoCor (as reference) in 104 healthy Caucasians without drug treatment, together with an analysis of the relationship between CASP and rAIx, and arterial stiffness. Peripheral and central blood pressure, and the rAIx were measured with B-pro and SphygmoCor, with determination of the central augmentation index (CAIx), pulse wave velocity (PWV), carotid intima-media thickness (IMT) and the ankle-brachial index (ABI). rAIx as determined with B-Pro was greater than measured with SphygmoCor (5.85; 95%CI: 1.75-9.96), in the same way as CASP, estimated from the transfer function (1.47; 95%CI: 0.47-2.47 mm Hg) and with the second peak of the radial wave (4.46; 95%CI: 2.80-6.12 mm Hg). The Pearson correlation coefficient for CASP with B-Pro and SphygmoCor was r = 0.937 (P < 0.01), with an intraclass correlation of 0.972 (95%CI: 0.959-0.981). In the case of rAIx, the correlation coefficient was r = 0.436 (P < 0.01), with an intraclass correlation of 0.599 (95% CI: 0.409-0.728). The correlation of CASP (B-pro) with PWV was r = 0.558 (P < 0.01), with CAIx r = 0.253 (P < 0.01) and with carotid IMT r = 0.442 (P < 0.01). The correlation of rAIx (B-Pro) with age was r = 0.369 (r < 0.01), and with CAIx r = 0.463 (P < 0.001). Central arterial pressure estimated with B-Pro in healthy Caucasians without drug treatment offers adequate validity vs. the reference standard (SphygmoCor). However, in the estimation of rAIx, some differences with respect to the reference standard have been detected, probably related to measurement of the second peak of the radial wave.
    背景与目标: :比较了104名未接受药物治疗的健康白种人中,使用B-Pro设备和SphygmoCor(作为参考)估算的中心主动脉收缩压(CASP)和径向增强指数(rAIx) CASP和rAIx,以及动脉僵硬度。用B-pro和SphygmoCor测量周围和中心血压以及rAIx,并测定中心增强指数(CAIx),脉搏波速度(PWV),颈动脉内膜中层厚度(IMT)和踝肱指数(ABI)。 B-Pro测定的rAIx大于SphygmoCor测量的rAIx(5.85; 95%CI:1.75-9.96),与CASP相同,根据传递函数估算(1.47; 95%CI:0.47-2.47 mm Hg)并具有径向波的第二个峰值(4.46; 95%CI:2.80-6.12 mm Hg)。 CASP与B-Pro和SphygmoCor的皮尔逊相关系数为r = 0.937(P <0.01),组内相关系数为0.972(95%CI:0.959-0.981)。在rAIx的情况下,相关系数为r = 0.436(P <0.01),组内相关系数为0.599(95%CI:0.409-0.728)。 CASP(B-pro)与PWV的相关性为r = 0.558(P <0.01),CAIx r = 0.253(P <0.01)和颈动脉IMT r = 0.442(P <0.01)。 rAIx(B-Pro)与年龄的相关性为r = 0.369(r <0.01),而CAIx r = 0.463(P <0.001)。与参考标准(SphygmoCor)相比,未经药物治疗的健康高加索人使用B-Pro估算的中央动脉压具有足够的有效性。但是,在rAIx的估算中,已经发现了相对于参考标准品的一些差异,这可能与径向波第二个峰值的测量有关。
  • 【比较三种技术测量的主动脉脉搏波速度:Complior,SphygmoCor和Arteriograph。】 复制标题 收藏 收藏
    DOI:10.1097/HJH.0b013e32830a4a25 复制DOI
    作者列表:Rajzer MW,Wojciechowska W,Klocek M,Palka I,Brzozowska-Kiszka M,Kawecka-Jaszcz K
    BACKGROUND & AIMS: BACKGROUND:New 2007 European Society of Hypertension guidelines recommend measuring arterial stiffness in patients with arterial hypertension, suggesting a carotid-femoral pulse wave velocity over 12 m/s as an estimate of subclinical organ damage. Considering this cutoff point, it is worth exploring whether or not there are significant differences in results obtained using various techniques for measuring aortic pulse wave velocity. The aim of the study was to compare aortic pulse wave velocity measurements using Complior, SphygmoCor, and Arteriograph devices, and to assess the effect of pulse wave transit time and traveled distance on pulse wave velocity values. METHODS:Aortic pulse wave velocity was measured on a single visit, using these devices, in randomized order, in a group of 64 patients with grade 1 or 2 arterial hypertension. RESULTS:Aortic pulse wave velocity measured using Complior (10.1 +/- 1.7 m/s) was significantly higher than that obtained using SphygmoCor (8.1 +/- 1.1 m/s) or Arteriograph (8.6 +/- 1.3 m/s). No differences were noted between pulse wave velocity measurements using SphygmoCor and Arteriograph. Between-method comparison revealed that differences in traveled distance were significant: Complior versus Arteriograph [0.09 m, Confidence interval (CI): 0.08-0.12 m, P < 0.05], Complior versus SphygmoCor (0.15 m, CI: 0.13-0.16 m, P < 0.05), Arteriograph versus SphygmoCor (0.05 m, CI: 0.03-0.07 m, P < 0.05). No between-method differences were found for transit times. CONCLUSION:Differences in pulse wave velocity obtained by compared devices resulted primarily from using various methods for measuring traveled distance. It appears reasonable to establish uniform principles for the measurement of traveled distance. Because a large number of prognosis/survival studies used direct distance between carotid and femoral sites of pulse wave recording, this distance should be mostly recommended.
    背景与目标: 摘要背景:2007年新的欧洲高血压学会指南建议测量高血压患者的动脉僵硬度,建议将颈股脉搏波速度超过12 m / s作为亚临床器官损伤的估计值。考虑到这个截止点,值得探讨使用各种测量主动脉脉搏波速度的技术所获得的结果是否存在显着差异。该研究的目的是比较使用Complior,SphygmoCor和Arteriograph装置测量的主动脉脉搏波速度,并评估脉搏波传播时间和行进距离对脉搏波速度值的影响。
    方法:随机选择64例1级或2级动脉高压患者使用这些设备,随机访问一次主动脉脉搏波速度。
    结果:使用Complior(10.1 /-1.7 m / s)测量的主动脉脉搏波速度显着高于使用SphygmoCor(8.1 /-1.1 m / s)或动脉造影仪(8.6 /-1.3 m / s)测得的主动脉脉搏波速度。使用SphygmoCor和Arteriograph测量脉搏波速度之间没有发现差异。方法之间的比较显示,行进距离差异很大:Complior与动脉造影仪[0.09 m,置信区间(CI):0.08-0.12 m,P <0.05],Complior与SphygmoCor(0.15 m,CI:0.13-0.16 m, P <0.05),动脉造影仪与SphygmoCor的比较(0.05 m,CI:0.03-0.07 m,P <0.05)。在运输时间上未发现方法间差异。
    结论:比较装置获得的脉搏波速度差异主要是由于使用各种测量行进距离的方法引起的。建立行进距离测量的统一原理似乎是合理的。由于大量的预后/生存研究均使用脉搏波记录的颈动脉和股骨部位之间的直接距离,因此应主要建议使用该距离。
  • 【一种用于测量中心血压的新型基于臂袖的示波计(SphygmoCor XCEL)的侵入式验证。】 复制标题 收藏 收藏
    DOI:10.1097/HJH.0000000000001135 复制DOI
    作者列表:Shoji T,Nakagomi A,Okada S,Ohno Y,Kobayashi Y
    BACKGROUND & AIMS: BACKGROUND:Studies have established the prognostic value of central SBP and pulse pressure (PP). The SphygmoCor XCEL (AtCor Medical, Sydney, Australia) device provides practical central blood pressure (BP) measurement for daily clinical use with its easy-to-use, operator-independent procedure. However, this device has not been validated against invasive measurement. METHOD:Simultaneous oscillometric and high-fidelity invasive measurements of central SBP and PP were compared for 36 patients who underwent coronary arteriography. Invasive measurement of brachial BP was also performed. Oscillometrically measured brachial SBP and DBP were used for calibration. RESULTS:The differences between the invasive and the oscillometric measurements were -4.6 ± 9.9 mmHg for central SBP and -18.5 ± 10.6 mmHg for central PP (mean ± SD). We found strong correlation between the invasive and oscillometric measurements (central SBP and central PP, respectively: r = 0.91 and 0.89; slope, 1.28 and 1.38; both P < 0.001). Although the large slopes of the regression lines indicated a systemic bias toward lower values when measuring in high pressure ranges, the bias was mainly due to calibration error rather than device-specific error because errors of the central measurements correlated well with those of brachial measurements (SBP and PP, respectively: r = 0.80 and 0.77; both P < 0.001). CONCLUSION:The impaired accuracy of central BP measurement was mainly due to calibration-derived, but not device-dependent, bias. Strong correlation between oscillometric and invasive measurements indicates that SphygmoCor XCEL warrants future investigations to determine the clinical validity of this device.
    背景与目标: 背景:研究已经确定了中央SBP和脉压(PP)的预后价值。 SphygmoCor XCEL(澳大利亚悉尼AtCor Medical)设备以其易于使用,独立于操作员的程序为日常临床使用提供实用的中心血压(BP)测量。但是,该设备尚未针对侵入式测量进行验证。
    方法:比较了36例行冠状动脉造影的患者同时进行示波和高保真中央SBP和PP的侵入性测量。还进行了肱动脉血压的侵入性测量。用示波法测量的肱动脉SBP和DBP进行校准。
    结果:侵入式和示波测量之间的差异在中央SBP为-4.6±±9.9 mmHg,在中央PP为-18.5±±10.6 mmHg(平均值±SD)。我们发现,侵入式和示波测量之间有很强的相关性(中央SBP和中央PP:r = 0.91和0.89;斜率分别为1.28和1.38; P <0.001)。尽管回归线的大斜率表明在高压范围内进行测量时系统会向较低的值倾斜,但该偏差主要是由于校准误差而不是特定于设备的误差,因为中央测量值的误差与肱动脉测量值的误差具有很好的相关性( SBP和PP:r = 0.80和0.77;均P <0.001)。
    结论:中心血压测量准确性受损主要是由于校准引起的,而不是与设备有关的偏差。示波法和侵入式测量之间的强相关性表明,SphygmoCor XCEL值得进一步研究以确定该设备的临床有效性。
  • 【校准模式会影响SphygmoCor与两种新设备Arteriograph和Omron HEM-9000之间的中央血压差。】 复制标题 收藏 收藏
    DOI:10.1038/hr.2011.75 复制DOI
    作者列表:Rezai MR,Goudot G,Winters C,Finn JD,Wu FC,Cruickshank JK
    BACKGROUND & AIMS: :The objective of this study was to compare central systolic blood pressure (cSBP) and augmentation index (AIx) from two recently introduced devices, Omron HEM-9000 (OM) and Arteriograph (AG), not using a transfer function with those of the widely used SphygmoCor (SC) calibrated on brachial blood pressure like OM. Random-order manufacturer-recommended measurements using SC and OM by radial tonometry and AG were taken on the left arm in 35 men (54±10 years) after 5 min supine rest. Results are means (95% confidence interval) of differences using paired t-tests. cSBP by OM was 4.1 (1.0-7.1) mm Hg higher than by AG. Both OM and AG estimated the mean cSBP to be significantly higher than did SC (114.8 mm Hg) by 12.5 (10.3-14.7) and 8.6 (4.9-12.3) mm Hg, respectively, although closely correlating with SC (r=0.9). Calibrating SC with diastolic blood pressure (DBP) and more accurate mean arterial pressure (as DBP+0.4 × PP) resulted in significantly higher cSBP statistically not different from AG's cSBP: 0.9 (-1.1 to +2.9) mm Hg, and closer to OM's: 5.1 (3.4-6.8) mm Hg. Radial AIx from SC and OM disagreed by 3 (0.7-5.4)%, and correlated (r=0.8) with AG's brachial AIx. AG's aortic AIx was 7.9 (5.7-10.2)% higher than SC's, but closely correlated (r=0.9). Clinically significant, higher cSBP measured by AG, OM and more accurately calibrated SC adds to previous data suggesting that SC measurements by classic calibration underestimate cSBP. Invasive studies involving all three devices would be more illuminating.
    背景与目标: :这项研究的目的是比较两种最新推出的设备Omron HEM-9000(OM)和动脉造影仪(AG)的中心收缩压(cSBP)和增强指数(AIx),不使用与广泛使用的SphygmoCor(SC)可以像OM一样根据臂式血压进行校准。仰卧休息5分钟后,对35名男性(54±10岁)的左臂进行了放射状眼压计和AG的SC和OM随机测量,制造商建议进行测量。结果是使用配对t检验的均值(95%置信区间)。 OM的cSBP比AG高4.1(1.0-7.1)mm Hg。 OM和AG均估计平均cSBP分别比SC(114.8 mm Hg)分别高12.5(10.3-14.7)和8.6(4.9-12.3)mm Hg,尽管与SC密切相关(r = 0.9)。用舒张压(DBP)和更准确的平均动脉压(如DBP 0.4×PP)校准SC导致cSBP明显更高,与AG的cSBP统计学上无差异:0.9(-1.1至2.9)mm Hg,更接近OM:5.1 (3.4-6.8)毫米汞柱。来自SC和OM的径向AIx差异为3(0.7-5.4)%,并且与AG的臂膀AIx相关(r = 0.8)。 AG的主动脉AIx比SC高7.9(5.7-10.2)%,但密切相关(r = 0.9)。临床上有意义的是,通过AG,OM测量的cSBP较高,并且对SC进行了更准确的校准,这增加了以前的数据,这表明通过经典校准进行的SC测量低估了cSBP。涉及所有三个设备的侵入性研究将更具启发性。
  • 【SphygmoCor XCEL设备与压平眼压计在青年中对脉搏波速度和中心血压评估的比较。】 复制标题 收藏 收藏
    DOI:10.1097/HJH.0000000000001819 复制DOI
    作者列表:Stabouli S,Printza N,Zervas C,Dotis J,Chrysaidou K,Maliahova O,Antza C,Papachristou F,Kotsis V
    BACKGROUND & AIMS: :A series of novel selective BRAFV600E inhibitory agents (Compound 1-16) 5-(2,3-dihydrobenzo[b][1,4]dioxane-6-yl)-N,3-diaryl-4,5-dihydro-1H-pyrazole-1-carbothioamides have been designed and synthesized. Their anti-proliferation and BRAF inhibitory activities were evaluated. Though 15, 4 and 12 all displayed comparable activity with the positive control Vemurafenib, only 12 indicated fine selectivity on BRAFV600E (IC50 = 0.06 μM for BRAFV600E; GI50 = 0.52 μM for A375) over BRAFWT at both kinase and cell levels. This result satisfied the designing concept of improving activity and introducing selectivity. Flow cytometry analysis and western blot convinced the apoptosis induction and kinase inhibitory activity. Docking simulation inferred the differences in binding patterns of BRAFV600E and BRAFWT, pointing out that the future orientation might be seeking for outer space binding of BRAFV600E and avoiding interactions with HIS573 of BRAFWT. These results brought potent BRAF inhibitors one step further to selective agents, enhancing the potential for safe medication.
    背景与目标: :一系列新型的选择性BRAFV600E抑制剂(化合物1-16)5-(2,3-二氢苯并[b] [1,4]二恶烷-6-基)-N,3-二芳基-4,5-二氢-已经设计并合成了1H-吡唑-1-碳硫酰胺。对它们的抗增殖和BRAF抑制活性进行了评估。尽管15、4和12均显示出与阳性对照Vemurafenib相当的活性,但在激酶和细胞水平上,只有12个表明对BRAFV600E有很好的选择性(对于BRAFV600E,IC50 =0.06μM;对于A375,GI50 =0.52μM)。该结果满足了提高活性和引入选择性的设计思想。流式细胞仪分析和免疫印迹证实了细胞凋亡的诱导和激酶抑制活性。对接模拟推断出BRAFV600E和BRAFWT的结合方式有所不同,指出未来的方向可能是寻求BRAFV600E的外层空间结合,并避免与BRAFWT的HIS573相互作用。这些结果使有效的BRAF抑制剂向选择性药物迈出了一步,从而提高了安全用药的潜力。
  • 【运动对从SphygmoCor设备获得的中心压力和增强指数的派生度量的影响。】 复制标题 收藏 收藏
    DOI:10.1152/japplphysiol.91564.2008 复制DOI
    作者列表:Dawson EA,Black MA,Pybis J,Cable NT,Green DJ
    BACKGROUND & AIMS: :We modeled the mobility of mobile phone users in order to study the fundamental spreading patterns that characterize a mobile virus outbreak. We find that although Bluetooth viruses can reach all susceptible handsets with time, they spread slowly because of human mobility, offering ample opportunities to deploy antiviral software. In contrast, viruses using multimedia messaging services could infect all users in hours, but currently a phase transition on the underlying call graph limits them to only a small fraction of the susceptible users. These results explain the lack of a major mobile virus breakout so far and predict that once a mobile operating system's market share reaches the phase transition point, viruses will pose a serious threat to mobile communications.
    背景与目标: :我们对手机用户的移动性进行了建模,以研究表征手机病毒爆发的基本传播方式。我们发现,尽管蓝牙病毒可以随时间传播到所有易受感染的手机,但由于人类移动性,它们传播缓慢,为部署抗病毒软件提供了充足的机会。相比之下,使用多媒体消息服务的病毒可能会在数小时内感染所有用户,但是当前基础调用图上的相变将它们限制为仅一小部分易受影响的用户。这些结果说明了到目前为止尚无重大的移动病毒爆发,并预测,一旦移动操作系统的市场份额达到阶段性转变点,病毒将对移动通信构成严重威胁。
  • 【在MRI采集过程中使用SphygmoCor Xcel同时测量中心血压对更好地估计主动脉扩张性的影响。】 复制标题 收藏 收藏
    DOI:10.1097/HJH.0000000000002061 复制DOI
    作者列表:Soulat G,Millasseau S,Stroer S,Tavolaro S,Kachenoura N,Khettab H,Boutouyrie P,Laurent S,Mousseaux E
    BACKGROUND & AIMS: :Hepatocellular carcinoma (HCC) is one of the fastest-rising causes of cancer-related death worldwide, but its deficiency of specific biomarkers and therapeutic targets in the early stages lead to severe inadequacy in the early diagnosis and treatment of HCC. Covalently closed circular RNA (circRNA), which was once considered an aberrant splicing by-product, is now drawing new interest in cancer research because of its remarkable functionality. Beneath the surface of the dominant functional proteins events, a hidden circRNA-centric noncoding regulatory RNAs network active in the very early stage of HCC is here revealed by a genome-wide analysis of mRNA, circRNA, and microRNA (miRNA) expression profiles. Circ-CDYL (chromodomain Y like) is specifically up-regulated in the early stages of HCC and therefore contributes to the properties of epithelial cell adhesion molecule (EPCAM)-positive liver tumor-initiating cells. Circ-CDYL interacts with mRNAs encoding hepatoma-derived growth factor (HDGF) and hypoxia-inducible factor asparagine hydroxylase (HIF1AN) by acting as the sponge of miR-892a and miR-328-3p, respectively. Subsequently, activation of the phosphoinositide 3-kinase (PI3K)-AKT serine/threonine kinase-mechanistic target of rapamycin kinase complex 1/β-catenin and NOTCH2 pathways, which promote the expression of the effect proteins, baculoviral IAP repeat containing 5 (BIRC5 or SURVIVIN) and MYC proto-oncogene, is influenced by circ-CDYL. A treatment incorporating circ-CDYL interference and traditional enzyme inhibitors targeting PI3K and HIF1AN demonstrated highly effective inhibition of stem-like characteristics and tumor growth in HCC. Finally, we demonstrated that circ-CDYL expression or which combined with HDGF and HIF1AN are both independent markers for discrimination of early stages of HCC with the odds ratios of 1.09 (95% confidence interval [CI], 1.02-1.17) and 124.58 (95% CI, 13.26-1170.56), respectively. Conclusion: These findings uncover a circRNA-centric noncoding regulatory RNAs network in the early stages of HCC and thus provide a possibility for surveillance and early treatment of HCC.
    背景与目标: :肝细胞癌(HCC)是世界范围内与癌症相关的死亡的最快上升原因之一,但是其早期缺乏特定的生物标志物和治疗靶标导致HCC的早期诊断和治疗严重不足。共价封闭的环状RNA(circRNA)曾经被认为是异常的剪接副产物,由于其卓越的功能性,现在正引起癌症研究的新兴趣。在主要功能性蛋白质事件的表面之下,这里通过在全基因组范围内对mRNA,circRNA和microRNA(miRNA)表达谱进行分析,揭示了在HCC早期阶段活跃的以circRNA为中心的隐藏非编码调控RNA网络。在HCC的早期阶段,Circ-CDYL(类似Y的色域)被上调,因此有助于上皮细胞粘附分子(EPCAM)阳性的肝肿瘤起始细胞的特性。 Circ-CDYL分别充当miR-892a和miR-328-3p的海绵,与编码肝癌衍生生长因子(HDGF)和缺氧诱导因子天冬酰胺羟化酶(HIF1AN)的mRNA相互作用。随后,激活雷帕霉素激酶复合物1 /β-catenin和NOTCH2途径的磷酸肌醇3-激酶(PI3K)-AKT丝氨酸/苏氨酸激酶机制靶标,从而促进效应蛋白的表达,杆状病毒IAP重复序列包含5(BIRC5或SURVIVIN)和MYC原癌基因,受circ-CDYL的影响。结合了circ-CDYL干扰和靶向PI3K和HIF1AN的传统酶抑制剂的治疗显示出可有效抑制肝癌中的茎样特征和肿瘤生长。最后,我们证明circ-CDYL表达或与HDGF和HIF1AN结合使用都是区分HCC早期阶段的独立标志物,比值比为1.09(95%置信区间[CI],1.02-1.17)和124.58(95 %CI,13.26-1170.56)。结论:这些发现揭示了在HCC早期以circRNA为中心的非编码RNA的网络,从而为HCC的监测和早期治疗提供了可能。
  • 【通过SphygmoCor估算中心主动脉压力需要动脉内的外周压力。】 复制标题 收藏 收藏
    DOI:10.1042/CS20030012 复制DOI
    作者列表:Cloud GC,Rajkumar C,Kooner J,Cooke J,Bulpitt CJ
    BACKGROUND & AIMS: :Central arterial pressure, measured close to the heart, may be of more patho-physiological importance than conventional non-invasive cuff blood pressure. The technique of applanation tonometry using SphygmoCor has been proposed as a non-invasive method of estimating central pressure. This relies on mathematically derived generalized transfer functions, which have been previously validated using invasive peripheral pressure measurements. We compared simultaneous estimates of central aortic pressure using this technique with those measured directly during the routine diagnostic cardiac catheterization of 30 subjects (age range 27-84 years), half of whom were aged 65 years or more. This was done by applanating the left radial artery and recording the non-invasive brachial cuff blood pressure to generate a central aortic pressure estimate, using the SphygmoCor radial transfer function. The comparative results were analysed using Bland-Altman plots of mean difference. SphygmoCor, on average, underestimated systolic central arterial pressure by 13.3 mmHg and overestimated diastolic pressure by 11.5 mmHg. The results were similar in patients aged under and above 65 years. Furthermore, non-invasively measured brachial pressures were seen to give an overall closer estimate of the central arterial pressure than the SphygmoCor system. The transfer function has been validated from invasively measured arterial pressures and the current use by the system of non-invasive measures may explain the discrepancies. However, age, drugs and arterial disease would also be expected to play a role.
    背景与目标: :靠近心脏测得的中央动脉压可能比常规的非侵入式袖带血压更重要的病理生理意义。已经提出了使用SphygmoCor进行压平眼压术的技术,作为估计中心压力的一种非侵入性方法。这依赖于数学推导的广义传递函数,该函数先前已使用侵入性外周压力测量进行了验证。我们将使用该技术对主动脉中心压的同时估计与在30名受试者(年龄范围27-84岁)的常规诊断性心脏导管插入术中直接测量的估计值进行了比较,其中一半年龄在65岁以上。这是通过使用SphygmoCor径向传递函数,通过压平左radial动脉并记录非侵入性肱动脉袖套血压以生成中心主动脉压力估算值来完成的。使用均值差的Bland-Altman图分析比较结果。 SphygmoCor平均将收缩期中央动脉压低估了13.3 mmHg,将舒张压高估了11.5 mmHg。 65岁以下及以上的患者的结果相似。此外,与SphygmoCor系统相比,非侵入式测量的肱动脉压可以总体上估计中心动脉压。传递函数已通过有创测量的动脉压得到验证,无创测量系统的当前使用可能解释了这种差异。但是,年龄,毒品和动脉疾病也有望发挥作用。
  • 【需要发布所有测试SphygmoCor设备的研究的信息。】 复制标题 收藏 收藏
    DOI:10.1046/j.1523-1755.2001.060002801.x 复制DOI
    作者列表:Lehmann ED
    BACKGROUND & AIMS:
    背景与目标:
  • 【如何解释24小时动脉僵硬标记:将24小时动态Mobil-O-Graph与SphygmoCor办公值进行比较。】 复制标题 收藏 收藏
    DOI:10.1097/MBP.0000000000000369 复制DOI
    作者列表:Berukstis A,Jarasunas J,Daskeviciute A,Ryliskyte L,Baranauskas A,Steponeniene R,Laucevicius A
    BACKGROUND & AIMS:
    背景与目标:
  • 【脉搏波速度及其评估所采用的非侵入性方法:Complior,SphygmoCor,Arteriograph和Vicorder。】 复制标题 收藏 收藏
    DOI:10.1258/vasc.2011.ra0054 复制DOI
    作者列表:Davies JM,Bailey MA,Griffin KJ,Scott DJ
    BACKGROUND & AIMS:
    背景与目标:
  • 【比较SphygmoCor和Omron设备在针对有创导管测量的压力放大倍数估算中。】 复制标题 收藏 收藏
    DOI:10.1097/HJH.0b013e32835a8eca 复制DOI
    作者列表:Ding FH,Li Y,Zhang RY,Zhang Q,Wang JG
    BACKGROUND & AIMS:
    背景与目标:
  • 【示波法估算中心血压:与SphygmoCor设备相比,对Mobil-O-Graph的验证。】 复制标题 收藏 收藏
    DOI:10.1097/MBP.0b013e328353ff63 复制DOI
    作者列表:Weiss W,Gohlisch C,Harsch-Gladisch C,Tölle M,Zidek W,van der Giet M
    BACKGROUND & AIMS:
    背景与目标:
  • 【引用了基于sphygmocor的主动脉血压估计值的“验证”参考。】 复制标题 收藏 收藏
    DOI:10.1210/jcem.86.4.7436-13 复制DOI
    作者列表:Lehmann ED
    BACKGROUND & AIMS:
    背景与目标:

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