Clinical hemorheology and microcirculation最新文献

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An alternative second performance of contrast-enhanced ultrasound for large focal liver lesion is necessary for sufficient characterization. 对于大的局灶性肝脏病变,超声造影的替代性第二表现对于充分表征是必要的。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-231721
Yang Wang, Size Wu
{"title":"An alternative second performance of contrast-enhanced ultrasound for large focal liver lesion is necessary for sufficient characterization.","authors":"Yang Wang,&nbsp;Size Wu","doi":"10.3233/CH-231721","DOIUrl":"10.3233/CH-231721","url":null,"abstract":"<p><p>Focal liver lesions (FFLs) evaluated using contrast-enhanced ultrasound (CEUS) and contrast-enhanced computed tomography (CECT) may have the same or similar findings or substantial discrepant findings. Such phenomenon can be found in two performances of CEUS that the second performance of CEUS conducted shortly following the initial performance of CEUS. Discrepancy of two performances of CEUS for FFLs occurring in the same patient at a short internal has not been well addressed, which raises challenge for CEUS for the evaluation of FFLs. In this case study, such phenomenon is illustrated and implication is obtained.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Effect of pathological high shear exposure time on platelet activation and aggregation. 病理性高剪切暴露时间对血小板活化和聚集的影响。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-221567
Tiancong Zhang, Xiaojing Huang, Xuemei Gao, Ling Liu, Dan Chen, Xuanrong Huan, Cui He, Yuan Li
{"title":"Effect of pathological high shear exposure time on platelet activation and aggregation.","authors":"Tiancong Zhang,&nbsp;Xiaojing Huang,&nbsp;Xuemei Gao,&nbsp;Ling Liu,&nbsp;Dan Chen,&nbsp;Xuanrong Huan,&nbsp;Cui He,&nbsp;Yuan Li","doi":"10.3233/CH-221567","DOIUrl":"https://doi.org/10.3233/CH-221567","url":null,"abstract":"<p><p>Circulating platelets are sometimes exposed to high shear rate environments due to vascular stenosis, and the effect of transiently elevated pathological high shear rates on platelet activation and aggregation function has not been clarified. The aim of this study was to investigate the effect of pathological high shear rate (8302s-1) exposure time (3.16-25.3 ms) on platelet activation and aggregation function. In addition, by adding active ingredients of antiplatelet drugs such as ASA (an active ingredient of aspirin), Ticagrelor, Tirofiban and GP1BA (platelet membrane protein GPIb inhibitor) in vitro, we studied TXA2, P2Y12-ADP, GPIIb/IIIa-fibrinogen and GPIb /IX/V-vWF receptor pathways to determine platelet activation function mediated by pathological high shear rate. In this study, we designed a set of microfluidic chips with stenosis lengths of 0.5 mm, 1 mm, 2 mm, 3 mm, and 4 mm, all with 80% stenosis, to generate pathological high shear forces that can act at different times. The whole blood flowing through the microchannels was collected by perfusion of sodium citrate anticoagulated whole blood at a physiological arterial shear rate (1500 s-1), and the expression levels of platelet surface activation markers (P-selectin and GP IIb/IIIa) and the degree of platelet aggregation were analyzed by flow cytometry; platelet aggregation patterns were observed by microscopic examination of blood smears. The results showed that shearing significantly increased platelet activation and aggregation levels compared to un-sheared whole blood, and the activation and aggregation levels increased with increasing duration of pathological high shear rate. In vitro inhibition studies showed that ASA barely inhibited the expression of P-selectin and PAC-1 on the platelet surface; Ticagrelor effectively inhibited the expression of both P-selectin and PAC-1; Tirofiban significantly inhibited the expression of PAC-1 on the platelet surface and slightly inhibited the expression of P-selectin; GP1BA significantly inhibited the expression of both. Our results suggest that transient pathological high shear rate (8302s-1) exposure can induce platelet activation in a time-dependent manner; however, the mechanism is more complex and may be due to the following reasons: transient elevated pathological high shear rate activates platelets through the GPIb/IX/V-vWF receptor pathway, and after platelet activation, its surface membrane protein GPIIb/IIIa receptors activate platelets through fibrinogen to form platelet-platelet aggregates, and further activation of active substances such as ADP and TXA2 released by platelet alpha particles, which contribute to the formation of irreversible platelet aggregation.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9863132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Qualitative and quantitative features of deep endometriosis in contrast-enhanced ultrasound: An initial experience and literature review. 超声造影中深层子宫内膜异位症的定性和定量特征:初步经验和文献综述。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-231843
Zijie Zheng, Shen Zhang, Cheng Zheng, Ruxue Wang, Yanping Zhang, Peixin Chen, Shanglan Zhou, Baoming Luo, Na Di
{"title":"Qualitative and quantitative features of deep endometriosis in contrast-enhanced ultrasound: An initial experience and literature review.","authors":"Zijie Zheng,&nbsp;Shen Zhang,&nbsp;Cheng Zheng,&nbsp;Ruxue Wang,&nbsp;Yanping Zhang,&nbsp;Peixin Chen,&nbsp;Shanglan Zhou,&nbsp;Baoming Luo,&nbsp;Na Di","doi":"10.3233/CH-231843","DOIUrl":"10.3233/CH-231843","url":null,"abstract":"<p><strong>Purpose: </strong>This research aims to present the findings of contrast-enhanced ultrasound (CEUS) in a series of patients with proven deep endometriosis (DE) and provide an updated literature review.</p><p><strong>Materials and methods: </strong>Between January 2018 and October 2022, seven patients with DE lesions had their imaging and medical records retrospectively reviewed. Clinical data, recorded images of a standardized conventional B-mode ultrasound, and Sonovue® CEUS were interpreted by two blinded, independent, experienced radiologists in consensus. The enhanced characteristics of the DE lesion on CEUS were also assessed using VueBox® software quantitatively.</p><p><strong>Results: </strong>DE lesion appeared as irregular hypoechoic or heterogeneous on conventional ultrasound with dotted blood flow signal on color Doppler. Six of seven DE lesions showed heterogeneous hypo-enhancement in arterial phases. All the lesions showed a heterogeneous washout rapidly that began in the late arterial phase. In quantified analysis, the mean relative peak enhancement compared with adjacent tissue was 0.47±0.25.</p><p><strong>Conclusion: </strong>Our findings and literature review suggested that CEUS could be a feasible and promising non-invasive modality for diagnosing DE.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9898302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of anemia and blood transfusions with mortality in old, critically ill COVID-19 patients - Results from the prospective COVIP Study. 老年危重COVID-19患者贫血和输血与死亡率的关系——来自前瞻性COVIP研究的结果
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-231790
Ralf Erkens, Dragos Duse, Bernhard Wernly, Hans Flaatten, Jesper Fjølner, Raphael Romano Bruno, Georg Wolff, Antonio Artigas, Malte Kelm, Michael Beil, Sigal Sviri, Stefan J Schaller, Kristina Fuest, Wojciech Szczeklik, Kerstin Piayda, Muhammed Elhadi, Michael Joannidis, Helene Korvenius Nedergaard, Sandra Oeyen, Rui Moreno, Susannah Leaver, Dylan W de Lange, Bertrand Guidet, Christian Jung
{"title":"Associations of anemia and blood transfusions with mortality in old, critically ill COVID-19 patients - Results from the prospective COVIP Study.","authors":"Ralf Erkens,&nbsp;Dragos Duse,&nbsp;Bernhard Wernly,&nbsp;Hans Flaatten,&nbsp;Jesper Fjølner,&nbsp;Raphael Romano Bruno,&nbsp;Georg Wolff,&nbsp;Antonio Artigas,&nbsp;Malte Kelm,&nbsp;Michael Beil,&nbsp;Sigal Sviri,&nbsp;Stefan J Schaller,&nbsp;Kristina Fuest,&nbsp;Wojciech Szczeklik,&nbsp;Kerstin Piayda,&nbsp;Muhammed Elhadi,&nbsp;Michael Joannidis,&nbsp;Helene Korvenius Nedergaard,&nbsp;Sandra Oeyen,&nbsp;Rui Moreno,&nbsp;Susannah Leaver,&nbsp;Dylan W de Lange,&nbsp;Bertrand Guidet,&nbsp;Christian Jung","doi":"10.3233/CH-231790","DOIUrl":"https://doi.org/10.3233/CH-231790","url":null,"abstract":"<p><strong>Aims: </strong>Anemia is common in the old and often observed in critically ill patients. Increased age is associated with higher mortality following a COVID-19 infection, making old patients prone to poor outcomes. We investigated whether anemia at admission to the ICU or the need for blood transfusion was associated with 90-day mortality in older, critically ill COVID-19 patients.</p><p><strong>Methods: </strong>In this prospective multicenter study, the 90-day mortality of COVID-19 patients≥70 years treated in 138 intensive care units (ICU) was analyzed. Associations between anemia (WHO definition) at admission and discharge from ICU and the use of red blood cell (RBC) transfusions with mortality were assessed. Hemoglobin thresholds of RBC transfusions in old, critically ill COVID-19 patients were recorded.</p><p><strong>Results: </strong>In 493 patients (350 anemic, 143 non-anemic), anemia (WHO definition) at the time of ICU admission was not associated with impaired overall survival. Transfusion and severe anemia (hemoglobin≤10 g/dL) at ICU discharge were independently associated with a higher risk of 90-day mortality.</p><p><strong>Conclusion: </strong>The need for red blood cell transfusions and severe anemia at ICU discharge, but not at the timepoint of admission, were independently associated with 90-day mortality in critically-ill old COVID-19 patients.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10090391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of microvascular flow imaging and contrast-enhanced ultrasound for blood flow analysis of cervical lymph node lesions. 微血管血流成像与对比增强超声在宫颈淋巴结病变血流分析中的比较。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-231860
Tianqi Wang, Mingda Xu, Changyu Xu, Yuqing Wu, Xiaoqiu Dong
{"title":"Comparison of microvascular flow imaging and contrast-enhanced ultrasound for blood flow analysis of cervical lymph node lesions.","authors":"Tianqi Wang, Mingda Xu, Changyu Xu, Yuqing Wu, Xiaoqiu Dong","doi":"10.3233/CH-231860","DOIUrl":"10.3233/CH-231860","url":null,"abstract":"<p><strong>Objective: </strong>To compare the diagnostic value of microvascular flow imaging (MVFI) with that of contrast-enhanced ultrasound (CEUS) for the analysis of blood flow in benign and malignant cervical lymph nodes.</p><p><strong>Material and methods: </strong>As a prospective study, 95 cervical enlarged lymph nodes (43 benign and 52 malignant) were observed in 95 patients using conventional ultrasonography (including gray and Color Doppler Flow Imaging), CEUS, and MVFI. Two researchers evaluated vascular parameters of MVFI (vascular distribution, internal vascular features, vascular index) and CEUS (enhancement mode, enhancement type) and compared the diagnostic effects of MVFI and CEUS.All results were compared with pathological findings.</p><p><strong>Results: </strong>There were significant differences in the vascular distribution and internal vascular features of benign and malignant lymph nodes on MVFI (P < 0.05). The vascular distribution of benign lymph nodes was mainly of the central and avascular types, the internal blood vessels were mostly normal, the vascular distribution of malignant lymph nodes was mainly mixed, the internal vessels were mainly tortuous and displaced. The optimal cut-off value of the benign and malignant lymph node vascular index (VI) was 15.55%, and the area under the receiver operating characteristic curve (AUC) of the VI was 0.876. There were also significant differences in the enhancement mode and types of benign and malignant lymph nodes in CEUS (P < 0.05). The benign lymph nodes showed centrifugal perfusion, and the enhancement types were mostly type I and type II. Most malignant lymph nodes showed centripetal or mixed perfusion, and the enhancement types were usually type III and type IV. The accuracy, sensitivity, and specificity of CEUS in the diagnosis of lymph node lesions were 84.2%, 84.6% and 83.7%, respectively, and the AUC was 0.845. The accuracy, sensitivity, and specificity of MVFI in the diagnosis of lymph node lesions were 85.3%, 84.6%, and 86.0%, respectively, and the AUC was 0.886.</p><p><strong>Conclusion: </strong>Both CEUS and MVFI are valuable in differentiating benign and malignant lesions of lymph nodes and have a similar diagnostic performance; however, MVFI is less invasive and simpler than CEUS. Therefore it is preferred for auxiliary examination of enlarged lymph nodes that are difficult to diagnose by conventional ultrasound.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10570826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interstitial washdown during crystalloid fluid loading in graded hypovolemia -A retrospective analysis in volunteers. 分级低血容量情况下晶体液加载过程中的间质冲洗 - 志愿者的回顾性分析。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-221531
Robert G Hahn
{"title":"Interstitial washdown during crystalloid fluid loading in graded hypovolemia -A retrospective analysis in volunteers.","authors":"Robert G Hahn","doi":"10.3233/CH-221531","DOIUrl":"10.3233/CH-221531","url":null,"abstract":"<p><strong>Background: </strong>\"Interstitial washdown\" is an edema-preventing mechanism that implies a greater redistribution of interstitial albumin occurs whenever the capillary filtration is increased.</p><p><strong>Objective: </strong>To study the effect of interstitial washdown on fluid distribution in normovolemic and hypovolemic volunteers.</p><p><strong>Methods: </strong>Capillary filtration was increased by infusing 25 mL/kg Ringer's acetate intravenously over 30 min 10 male just after withdrawal of 0, 450, and 900 mL of blood. Population volume kinetic analysis was used to assess the effects of washdown and hemorrhage on fluid distribution, using the difference in plasma dilution based on hemoglobin and albumin as biomarker of washdown.</p><p><strong>Results: </strong>Blood withdrawal during 10-15 min recruited 100-150 mL of fluid of high albumin content to the plasma, which was probably lymph. The albumin recruitment was temporarily reduced during the fluid loading but increased from 40 min post-infusion and was then greater when preceded by hemorrhage. Simulations suggested that interstitial washdown decreased the extravascular fluid volume by 200 mL over 3 h. The plasma volume and urinary excretion both increased by approximately half this amount.</p><p><strong>Conclusions: </strong>Blood loss without hypotension probably recruited lymph to the plasma, but interstitial washdown played no major role in determining the distribution of crystalloid fluid after hemorrhage.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/37/8d/ch-83-ch221531.PMC9986696.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9417091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A nomogram based on the risk factors of cervical lymph node metastasis in papillary thyroid carcinoma coexistent with Hashimoto's thyroiditis. 基于甲状腺乳头状癌合并桥本氏甲状腺炎颈淋巴结转移风险因素的提名图。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-221673
Huanhuan Miao, Jingwen Zhong, Xuesha Xing, Jiawei Sun, Jiaqi Wu, Chengwei Wu, Yan Yuan, Xianli Zhou, Hongbo Wang
{"title":"A nomogram based on the risk factors of cervical lymph node metastasis in papillary thyroid carcinoma coexistent with Hashimoto's thyroiditis.","authors":"Huanhuan Miao, Jingwen Zhong, Xuesha Xing, Jiawei Sun, Jiaqi Wu, Chengwei Wu, Yan Yuan, Xianli Zhou, Hongbo Wang","doi":"10.3233/CH-221673","DOIUrl":"10.3233/CH-221673","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to explore the risk factors of cervical lymph node metastasis(LNM) in papillary thyroid carcinoma(PTC) coexistent with Hashimoto's thyroiditis(HT).</p><p><strong>Methods: </strong>The clinical data of patients who underwent thyroid operation between November 2016 and January 2020 in our hospital were analyzed retrospectively. The association between sonographic features and the risk factors of cervical LNM in PTC coexistent with HT was analyzed and a nomogram based on the risk factors was built.</p><p><strong>Results: </strong>Age, US features as calcification, blood flow type, distance between thyroid nodule and fibrous capsule were risk factors of cervical LNM(P < 0.05).Size, SWVmax and SWVmean of thyroid nodule, SWVratio between thyroid nodule and thyroid gland were higher in PTCs with LNM than those without LNM(P < 0.05). The ROC curve showed that the cutoff value of SWVratio for predicting LNM was 1.29 (Sensitivity = 0.806, Specificity = 0.775, AUC = 0.823, P < 0.001). Based on the risk factors above, a relevant nomogram prediction model was established. The model verification showed that the C-index of the modeling set was 0.814, indicating that the nomogram model had good predicted accuracy.</p><p><strong>Conclusion: </strong>Based on the risk factors above, a relevant nomogram prediction model was established. The model verification showed that the C-index of the modeling set was 0.814, indicating that the nomogram model had good predicted accuracy. The nomogram based on the risk factors above had good prediction ability, which could optimize thyroidectomy and cervical lymph node dissection and improving prognosis.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10651984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Circ_0091822 aggravates ox-LDL-induced endothelial cell injury through targeting the miR-661/RAB22A axis. Circ_0091822通过靶向miR-661/RAB22A轴加重ox- ldl诱导的内皮细胞损伤。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-221453
Lingfeng Zhu, Ping Zhao, Xianwei Meng, Hong Jin, Baojuan Tuo
{"title":"Circ_0091822 aggravates ox-LDL-induced endothelial cell injury through targeting the miR-661/RAB22A axis.","authors":"Lingfeng Zhu,&nbsp;Ping Zhao,&nbsp;Xianwei Meng,&nbsp;Hong Jin,&nbsp;Baojuan Tuo","doi":"10.3233/CH-221453","DOIUrl":"https://doi.org/10.3233/CH-221453","url":null,"abstract":"<p><strong>Background: </strong>Endothelial dysfunction is considered to be an important factor in the pathogenesis of atherosclerosis. Circular RNAs (circRNAs) have been confirmed to participate in the development of atherosclerosis. Nevertheless, the role and mechanism of circ_0091822 in atherosclerosis have not been studied yet.</p><p><strong>Methods: </strong>The expression of circ_0091822, miR-661 and RAB22A were analyzed by quantitative real-time polymerase chain reaction (qRT-PCR). The levels of interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) were estimated by enzyme-linked immunosorbent assay (ELISA). Cell viability was analyzed by Cell Counting Kit-8 (CCK-8) assay, cell proliferation was evaluated by EdU assay, and cell apoptosis was gauged by flow cytometry. Western blot was performed to assess the protein levels of Bax, Cleaved-caspase-3 and RAB22A. The interaction among miR-661 and circ_0091822 or RAB22A was verified by dual-luciferase reporter assayRESULTS:Ox-LDL enhanced the expression of circ_0091822 in HUVECs. It also constrained proliferation, promotes apoptosis and inflammation in HUVECs, and down-regulation of circ_0091822 attenuated these effects. Mechanically, circ_0091822 could serve as a sponge of miR-661, miR-661 interference rescued circ_0091822 inhibition-mediated effect on the biological functions in ox-LDL-induced HUVECs. Additionally, RAB22A was a target of miR-661, and its overexpression could partially overturn the negative regulation of miR-661 on ox-LDL-treated HUVECs injury. Importantly, circ_0091822 sponged miR-661 to positively regulate RAB22A expression.</p><p><strong>Conclusion: </strong>Circ_0091822 contributed to cell injury by targeting miR-661/RAB22A axis in ox-LDL-stimulated HUVECs.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10778705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Can we predict critical care mortality with non-conventional inflammatory markers in SARS-CoV-2 infected patients? 我们可以用非常规炎症标志物预测SARS-CoV-2感染患者的重症监护死亡率吗?
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-231697
Martin Rozanovic, Kamilla Domokos, Gergő Márovics, Mirtill Rohonczi, Csaba Csontos, Lajos Bogár, Szilárd Rendeki, Tamás Kiss, Melánia Nacira Rozanovic, Csaba Loibl
{"title":"Can we predict critical care mortality with non-conventional inflammatory markers in SARS-CoV-2 infected patients?","authors":"Martin Rozanovic,&nbsp;Kamilla Domokos,&nbsp;Gergő Márovics,&nbsp;Mirtill Rohonczi,&nbsp;Csaba Csontos,&nbsp;Lajos Bogár,&nbsp;Szilárd Rendeki,&nbsp;Tamás Kiss,&nbsp;Melánia Nacira Rozanovic,&nbsp;Csaba Loibl","doi":"10.3233/CH-231697","DOIUrl":"https://doi.org/10.3233/CH-231697","url":null,"abstract":"<p><strong>Background: </strong>Severe COVID-19 disease is associated with multiple organ involvement,then failure and often fatal outcomes.In addition,inflammatory mechanisms and cytokine storms,documented in many COVID-19 patients,are responsible for the progression of the disease and high mortality rates.Inflammatory parameters,such as procalcitonin(PCT) and C-reactive protein(CRP), are widely used in clinical practice.</p><p><strong>Objective: </strong>To evaluate the predictive power of non-conventional inflammatory markers regarding mortality risk.</p><p><strong>Methods: </strong>In our prospective study 52 patients were followed for 5 days after admission to an intensive care unit immediately with severe SARS-CoV-2 infection.We compared leukocyte-,platelet antisedimentation rate (LAR, PAR),neutrophil lymphocyte ratio(NLR), CRP, PCT levels.</p><p><strong>Results: </strong>In non-surviving(NSU) patients LAR remained largely constant from D1 to D4 with a statistically significant drop(p < 0.05) only seen on D5.The NSU group showed statistically significant(p < 0.05) elevated LAR medians on D4 and D5, compared to the SU group.NLR values were continually higher in the non-survivor group.The difference between the SU and NSU groups were statistically significant on every examined day.PAR, CRP and PCT levels didn't show any significant differences between the SU and NSU groups.</p><p><strong>Conclusions: </strong>In conclusion, this study suggests that LAR and NLR are especially worthy of further investigation as prognostic markers.LAR might be of particular relevance as it is not routinely obtained in current clinical practice.It would seem beneficial to include LAR in data sets to train prognostic artificial intelligence.</p>","PeriodicalId":10425,"journal":{"name":"Clinical hemorheology and microcirculation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10038571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Conventional and contrast-enhanced ultrasound of scleroring angiomatoid nodular transformation of the spleen. 硬化性脾脏血管瘤样结节性转化的常规及增强超声。
IF 2.1 4区 医学
Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI: 10.3233/CH-221601
Wei-Chen Xu, Qiao Wang, Li-Ping Sun, Hui-Xiong Xu
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