心瑞康治疗轻中度高血压患者血压及动脉僵硬的疗效:双盲、随机对照试验。

IF 4.4 1区 农林科学 Q1 AGRICULTURE, DAIRY & ANIMAL SCIENCE
Journal of Dairy Science Pub Date : 2025-10-01 Epub Date: 2025-08-05 DOI:10.3168/jds.2025-26516
Kexin Wang, Guowen Liu, Ke Zhang, Zhiyong Li, Yan Ren, Shang Jiang, Xiliang Du, Lin Lei, Wenwen Gao, Zhe Wang, Xinwei Li, Yuxiang Song
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引用次数: 0

摘要

高血压影响全球超过14亿人,是心血管发病率和死亡率的主要可改变危险因素。血管内皮功能障碍和动脉僵硬是高血压相关并发症的关键因素,但有效的辅助治疗仍未得到充分探索。新瑞康是一种从发酵羊奶中提取的克菲尔肽专利产品,在临床前研究中显示出抗高血压和血管保护特性,尽管缺乏临床证据支持其在人群中的有效性和安全性。本研究旨在评价心瑞康作为标准降压治疗的辅助药物,是否能改善轻中度高血压患者的血压控制和动脉弹性。本研究从中国山东省招募122例高血压患者(年龄40-75岁)进行为期12周的单中心双盲随机对照试验。参与者随机接受新瑞康(2 g,每日2次)或山羊奶粉,同时接受现有的降压药治疗。主要结局包括收缩压(SBP)、舒张压(DBP)和脉搏波速度(PWV)的变化,而次要结局包括脂质谱、肝肾功能和不良事件。在基线和第4、8和12周采用标准化的血压测量和动脉硬度评估方案进行评估。两组均表现出收缩压和舒张压的显著降低,但新瑞康表现出更好的疗效,平均收缩压降低-22.91 mmHg,而对照组为-12.36 mmHg,舒张压降低-12.91 mmHg,而对照组为-9.36 mmHg。新瑞康显著改善双侧动脉僵硬度,使左、右PWV分别降低-140.55 cm/s和-178.33 cm/s。两组之间的安全性具有可比性,在不良事件或生化指标方面没有统计学上的显著差异。本研究首次为新瑞康作为一种安全有效的高血压辅助治疗提供了临床证据。然而,局限性,如单中心设计,随访时间短,缺乏机制生物标志物,需要通过更大的多中心试验和更长的观察期来进一步验证。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
β-Hydroxybutyrate inhibits the spontaneous apoptosis of neutrophils through a degranulation-macrophage-1 antigen axis in cows with subclinical ketosis.

Subclinical ketosis (SCK), a common metabolic disorder in dairy cows during the peripartum period, is accompanied by systemic inflammation and elevated circulating BHB. β-Hydroxybutyrate contributes to the development of systemic inflammation by inhibiting the spontaneous apoptosis of neutrophils in SCK cows. However, the underlying molecular mechanism is still unclear. This study investigated the role of the degranulation-macrophage-1 antigen (Mac-1) axis in this process. The results demonstrated that BHB promoted the degranulation process and activated membrane Mac-1 (CD11b/CD18) on neutrophils both ex vivo and in vitro. Neutrophils were isolated from healthy cows and treated with 2 mM BHB, a specific degranulation inhibitor, or a Mac-1 blocking antibody in vitro. We found that the released granule contents during degranulation activated the intracellular Mac-1 signaling pathway, which was involved in BHB-mediated inhibition of bovine neutrophil apoptosis. Overall, our findings reveal that the degranulation-Mac-1 axis plays a critical role in regulating BHB-induced inhibition of spontaneous neutrophil apoptosis in dairy cows with SCK.

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来源期刊
Journal of Dairy Science
Journal of Dairy Science 农林科学-奶制品与动物科学
CiteScore
7.90
自引率
17.10%
发文量
784
审稿时长
4.2 months
期刊介绍: The official journal of the American Dairy Science Association®, Journal of Dairy Science® (JDS) is the leading peer-reviewed general dairy research journal in the world. JDS readers represent education, industry, and government agencies in more than 70 countries with interests in biochemistry, breeding, economics, engineering, environment, food science, genetics, microbiology, nutrition, pathology, physiology, processing, public health, quality assurance, and sanitation.
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