Research Square (Research Square),
Год журнала:
2023,
Номер
unknown
Опубликована: Ноя. 16, 2023
Abstract
Background:
Sepsis-associated
encephalopathy
(SAE)
is
associated
with
systemic
inflammation
caused
by
sepsis.
It
estimated
that
a
majority
of
sepsis
patients
develop
severe
acute
effects
during
their
stay
in
the
intensive
care
unit
(ICU),
and
significant
number
survivors
have
persistent
cognitive
impairment
even
after
they
recovered
from
illness.
The
aim
this
study
was
to
useful
predictive
nomogram
for
ICU
screen
SAE
risk
factors.
Methods:
We
conducted
retrospective
cohort
using
Medical
Information
Mart
Intensive
Care
IV
(MIMIC-IV)
database,
defining
as
Glasgow
Coma
Scale
(GCS)
score
≤15
or
delirium.
randomly
divided
into
training
validation
cohorts,
used
least
absolute
shrinkage
selection
operator
(LASSO)
regression
modeling
optimize
feature
selection.
independent
factors
were
determined
through
multivariable
logistic
analysis,
prediction
model
built.
Nomogram
performance
evaluated
area
under
receiver
operating
characteristic
curve
(AUC),
calibration
plots,
Hosmer-Lemeshow
test,
decision
analysis
(DCA),
net
reclassification
improvement
(NRI)
integrated
discrimination
(IDI).
Results:
Among
4476
screened,
2781
(62.1%)
developed
SAE.
In-hospital
mortality
higher
group
than
non-SAE
(9.5%
vs
3.7%
p<0.001).
A
variables
such
patient's
age,
gender,
BMI
on
first
day
admission,
mean
arterial
pressure,
body
temperature,
platelet
count,
sodium
level,
use
midazolam.
assessed
encompassed
upon
initial
utilization
midazolam,
SOFA
score.
These
construct
validate
nomogram.
Comparisons
between
nomogram's
AUC,
NRI,
IDI,
DCA
those
conventional
conjunction
delirium
revealed
superior
performance.
plots
results
test
indicated
accurate
calibration.
Enhanced
NRI
IDI
values
demonstrated
our
scoring
system
surpassed
traditional
diagnostic
approaches.
Furthermore,
favorable
clinical
applicability
Conclusion:
This
identified
development
them
model.
findings
can
provide
reference
early
diagnosis
patients.
Frontiers in Aging Neuroscience,
Год журнала:
2024,
Номер
16
Опубликована: Май 15, 2024
There
are
sex
differences
in
vulnerability
and
resilience
to
the
stressors
of
aging
subsequent
age-related
cognitive
decline.
Cellular
senescence
occurs
as
a
response
damaging
or
stress-inducing
stimuli.
The
includes
state
irreversible
growth
arrest,
development
senescence-associated
secretory
phenotype,
release
pro-inflammatory
cytokines
associated
with
diseases.
Senolytics
compounds
designed
eliminate
senescent
cells.
Our
recent
work
indicates
that
senolytic
treatment
preserves
function
male
F344
rats.
current
study
examined
effect
on
female
Female
rats
(12
months)
were
treated
dasatinib
(1.2
mg/kg)
+
quercetin
ABT-263
vehicle
for
7
months.
Examination
estrus
cycle
indicated
females
had
undergone
estropause
during
treatment.
Senolytic
may
have
increased
behavioral
stress
responsivity,
particularly
initial
training
cued
version
watermaze.
However,
pre-training
cue
task
reduced
responsivity
spatial
all
groups
learned
discrimination.
In
contrast
preserved
memory
observed
senolytic-treated
males,
older
exhibited
impaired
episodic
relative
young
(6-month)
females.
We
suggest
not
been
able
compensate
loss
estradiol,
which
can
act
mechanisms
anxiety
independent
cellular
senescence.
The Journal of Infectious Diseases,
Год журнала:
2024,
Номер
230(Supplement_2), С. S95 - S108
Опубликована: Март 29, 2024
Abstract
Background
Klebsiella
pneumoniae
is
infamous
for
hospital-acquired
infections
and
sepsis,
which
have
also
been
linked
to
Alzheimer
disease
(AD)-related
neuroinflammatory
neurodegenerative
impairment.
However,
its
causative
mechanistic
role
in
AD
pathology
remains
unstudied.
Methods
A
preclinical
model
of
K.
enteric
infection
colonization
developed
an
(3xTg-AD
mice)
investigate
whether
how
pathogenesis
exacerbates
neuropathogenesis
via
the
gut-blood-brain
axis.
Results
pneumoniae,
particularly
under
antibiotic-induced
dysbiosis,
was
able
translocate
from
gut
bloodstream
by
penetrating
epithelial
barrier.
Subsequently,
infiltrated
brain
breaching
blood-brain
Significant
phenotype
observed
mice
with
infection.
pneumoniae-infected
exhibited
impaired
neurobehavioral
function
elevated
total
tau
levels
brain.
Metagenomic
analyses
revealed
inverse
correlation
biome
diversity
commensal
bacteria,
highlighting
dysbiosis
triggers
enteroseptic
“pathobiome”
signature
implicated
gut-brain
perturbations.
Conclusions
The
findings
demonstrate
infectious
agents
following
consequent
antibiotic
regimen
may
induce
pathobiome
increase
risk
thereby
increasing
predisposition
impairments
NeuroImage,
Год журнала:
2025,
Номер
unknown, С. 120995 - 120995
Опубликована: Янв. 1, 2025
Sepsis
is
a
state
of
systemic
immune
dysregulation
and
organ
failure
that
frequently
associated
with
severe
brain
disability.
Epidemiological
studies
have
indicated
younger
females
better
prognosis
clinical
outcomes
relative
to
males,
though
the
sex-dependent
response
sepsis
during
post-sepsis
recovery
remains
largely
uncharacterized.
Using
modified
polymicrobial
intra-abdominal
murine
model
surgical
sepsis,
we
characterized
acute
effects
on
peripheral
inflammation,
inflammation
functional
connectivity
in
young
adult
mice
both
sexes.
Following
male
female
survived
procedure,
regained
body
weight
within
7
days
showed
reduced
diversity
their
gut
microbiome.
Interestingly,
compared
sepsis-induced
changes
observed
mice,
post-septic
exhibited
comparatively
robust
profile
splenic
cell
expansion
intracerebral
glial
proliferation
healthy
counterparts.
Analysis
resting-state
Magnetic
Resonance
Imaging
(fMRI)
data
collected
from
revealed
while
somatosensory
cortex
were
affected
equally
sexes,
intra-network
strength
striatum
preferentially
increased
males
but
remained
near
baseline
mice.
Additionally,
network
alterations
projections
periaqueductal
gray
superior
colliculus
as
also
between
anterior
cingulate
striatum.
Coupled
sustained
gliosis
response,
intra-striatal
fMRI
patterns
could
signify
delayed
sepsis.
Together,
our
study
provides
evidence
influences
immunity,
immunity
manner,
strongly
indicating
cognitive
benefits
recovering
Frontiers in Aging Neuroscience,
Год журнала:
2025,
Номер
17
Опубликована: Март 4, 2025
This
review
focuses
on
sexual
dimorphism
in
cellular
senescence
and
senolytic
treatment
relation
to
brain
health
age-related
cognitive
decline.
The
stressors
of
aging,
DNA
damage,
inflammation,
oxidative
stress
induce
cell
senescence,
a
hallmark
aging.
Senescent
cells
change
their
function
molecular
profile
are
primed
release
pro-inflammatory
cytokines.
functional
changes
include
the
activation
signals
prevent
death.
cytokines
from
peripheral
senescent
during
middle
age
induces
neighbor
heightens
level
systemic
contributing
neuroinflammation.
In
response
neuroinflammation
stress,
some
neurons
alter
physiology,
decreasing
neuronal
excitability
synaptic
transmission.
neurophysiology
is
protective
against
death
due
excitotoxicity,
at
expense
loss
normal
function,
inflammation
may
underlie
prevalence,
symptoms,
pathogenesis
diseases,
including
neurodegenerative
diseases.
Sex
differences
have
been
observed
for
astrocytes,
microglia,
cells,
those
involved
innate
adaptive
immune
responses.
Interventions
that
remove
such
as
drugs,
can
reduce
or
ameliorate
aging-related
function.
Similarities
responses
males
females
depend
system
examined,
regimen,
burden,
when
initiated.
Estrogen
impacts
several
these
factors
influences
transcription
genes
promoting
growth,
proliferation,
survival
programs
manner
opposite
drugs.
addition,
estrogen
has
anti-aging
effects
independent
rapidly
modifying
neurophysiology.
Thus,
it
important
recognize
that,
addition
sex
there
other
sexually
dimorphic
mechanisms
contribute
aging
process.
results
indicate
senolytics
interact
with
fundamental
biology,
hormones.
Frontiers in Neurology,
Год журнала:
2024,
Номер
15
Опубликована: Фев. 20, 2024
Background
Sepsis-associated
encephalopathy
(SAE)
occurs
as
a
result
of
systemic
inflammation
caused
by
sepsis.
It
has
been
observed
that
the
majority
sepsis
patients
experience
SAE
while
being
treated
in
intensive
care
unit
(ICU),
and
significant
number
survivors
continue
suffering
from
cognitive
impairment
even
after
recovering
illness.
The
objective
this
study
was
to
create
predictive
nomogram
could
be
used
identify
risk
factors
with
ICU
Methods
We
conducted
retrospective
cohort
using
Medical
Information
Mart
for
Intensive
Care
IV
(MIMIC-IV)
database.
defined
Glasgow
Coma
Scale
(GCS)
score
15
or
less,
delirium.
were
randomly
divided
into
training
validation
cohorts.
least
absolute
shrinkage
selection
operator
(LASSO)
regression
modeling
optimize
feature
selection.
Independent
determined
through
multivariable
logistic
analysis,
prediction
model
built.
performance
evaluated
various
metrics
including
area
under
receiver
operating
characteristic
curve
(AUC),
calibration
plots,
Hosmer-Lemeshow
test,
decision
analysis
(DCA),
net
reclassification
improvement
(NRI),
integrated
discrimination
(IDI).
Results
Among
4,476
screened,
2,781
(62.1%)
developed
SAE.
In-hospital
mortality
higher
group
compared
non-SAE
(9.5%
vs.
3.7%,
p
<
0.001).
Several
variables
analyzed,
patient’s
age,
gender,
BMI
on
admission,
mean
arterial
pressure,
body
temperature,
platelet
count,
sodium
level,
use
midazolam.
These
validate
nomogram.
nomogram’s
performance,
assessed
AUC,
NRI,
IDI,
DCA,
found
superior
conventional
SOFA
combined
Calibration
plots
test
confirmed
accuracy
enhanced
NRI
IDI
values
demonstrated
our
scoring
system
outperformed
traditional
diagnostic
approaches.
Additionally,
DCA
indicated
practicality
clinical
settings.
Conclusion
This
successfully
identified
autonomous
associated
emergence
utilized
them
formulate
model.
outcomes
investigation
have
potential
serve
valuable
resource
timely
detection
patients.
Frontiers in Immunology,
Год журнала:
2024,
Номер
15
Опубликована: Фев. 7, 2024
Background
Neurological
dysfunction
and
glial
activation
are
common
in
severe
infections
such
as
sepsis.
There
is
a
sexual
dimorphism
the
response
to
systemic
inflammation
both
patients
animal
models,
but
there
few
comparative
studies.
Here,
we
investigate
effect
of
induced
by
intraperitoneal
administration
lipopolysaccharide
(LPS)
on
retina
male
female
mice
determine
whether
antagonism
NLRP3
inflammasome
extrinsic
pathway
apoptosis
have
protective
effects
retina.
Methods
A
single
injection
LPS
(5
mg/kg)
was
administered
two
months
old
C57BL/6J
mice.
Retinas
were
examined
longitudinally
vivo
using
electroretinography
spectral
domain
optical
coherence
tomography.
Retinal
ganglion
cell
(RGC)
survival
microglial
analysed
flat-mounts.
extracts
used
for
flow
cytometric
analysis
CD45
CD11b
positive
cells.
Matched
plasma
retinal
levels
proinflammatory
cytokines
measured
ELISA.
function
RGC
assessed
animals
treated
with
P2X7R
TNFR1
antagonists
alone
or
combination.
Results
In
LPS-treated
sexes,
transient
dysfunction,
loss
vision-forming
not
non-vision
forming
RGCs,
swelling,
activation,
infiltration,
increases
TNF
IL-1β.
Compared
females,
males
showed
higher
death,
slower
functional
recovery,
overexpression
lymphotoxin
alpha
their
retinas.
antagonism,
combination,
rescued
RGCs.
also
function.
Response
treatment
better
females
than
males.
Conclusions
Systemic
has
neuronal
sex-specific
adverse
mouse
retina,
which
counteracted
targeting
apoptosis.
Our
results
highlight
need
analyse
preclinical
studies
inflammatory
diseases
affecting
central
nervous
system
Heliyon,
Год журнала:
2024,
Номер
10(11), С. e31907 - e31907
Опубликована: Май 24, 2024
This
work
aimed
to
investigate
the
adoption
value
of
blood
lactic
acid
(BLA)
combined
with
National
Early
Warning
Score
(NEWS)
in
early
screening
sepsis
patients
and
assessing
their
severity.
The
data
materials
utilized
this
were
obtained
from
electronic
medical
record
system
537
anonymized
who
received
emergency
rescue
area
Liuzhou
People's
Hospital,
Guangxi,
July
1,
2020,
December
26,
2020.
Based
on
28-day
outcomes
patients,
records
rolled
into
Group
S
(407
survival
cases)
D
(130
dead
cases).
Basic
information
such
as
mode
hospital
admission,
initial
management,
use
ventilator
within
24
hours
NEWS
score,
arterial
oxygen
pressure/alveolar
pressure
ratio
(PaO2/PAO2),
alveolar-arterial
difference
(A-aDO2),
serum
creatinine
(SCr),
urea
nitrogen
(BUN),
oxygenation
index
(OI),
Glasgow
Coma
Scale
(GCS),
D-dimer,
vasoactive
drugs
C-reactive
protein
(CRP),
procalcitonin
(PCT),
interleukin-6
(IL-6),
N-terminal
pro-B-type
natriuretic
peptide
(NT-proBNP),
quick
Sequential
Organ
Failure
Assessment
(qSOFA)
SOFA
BLA
level,
lactate
(NEWS-L)
score
including
level
(SOFA-L)
Intensive
Care
Unit
(ICU)
length
stay,
total
ICU
stay/total
septic
shock
condition
compared
between
groups.
Logistic
regression
analysis
was
performed
assess
impact
various
predictive
factors
prognosis
plot
receiver
operating
characteristic
(ROC)
curve.
results
suggested
marked
differences
terms
mean
age
(t=-5.620;
OR=-9.96,
95%
CI:
-13.44∼-6.47;
P<0.001).
showed
drastic
admission
(χ2=9.618,
P<0.01),
method
management
(χ2=51.766,
P<0.001),
(χ2=98.564,
incidence
(χ2=77.545,
(χ2=102.453,
heart
rate
(t=-4.063,
respiratory
(t=-4.758,
status
(χ2=20.547,
(t=-6.120,
PaO2/PAO2
(t=2.625,
A-aDO2
(Z=-3.581,
OI
(Z=-3.106,
PLT
(Z=-2.305,
P<0.05),
SCr
(Z=-3.510,
BUN
(Z=-3.170,
D-dimer
(Z=-4.621,
CRP
(Z=-4.057,
PCT
(Z=-2.783,
IL-6
(Z=-2.904,
stay
(Z=-4.138,
(Z=-8.488,
CCU/total
(Z=-9.118,
(t=-6.961,
SOFA-L
(Z=-4.609,
NEWS-L
(Z=-5.845,
(Z=-6.557,
GCS
(Z=6.909,
P<0.001)
when
D.
ventilators,
shock,
PCT,
identified
independent
risk
for
predicting
(P<0.001).
areas
under
ROC
curve
(AUC)
acid,
NEWS,
NEWS-L,
GCS,
SOFA,
0.695,
0.665,
0.692,
0.698,
0.477,
0.700,
0.653,
respectively.
These
findings
indicate
that
combination
has
certain
advantages
sepsis.
Alzheimer s & Dementia,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 18, 2024
Abstract
The
immune
system
is
a
key
player
in
the
onset
and
progression
of
neurodegenerative
disorders.
While
brain
resident
cell‐mediated
neuroinflammation
peripheral
cell
(eg,
T
cell)
infiltration
into
have
been
shown
to
significantly
contribute
Alzheimer's
disease
(AD)
pathology,
nature
extent
responses
context
AD
related
dementias
(ADRD)
remain
unclear.
Furthermore,
roles
driving
ADRD
pathology
incompletely
elucidated.
In
March
2023,
Association
convened
International
Conference
(AAIC),
Advancements:
Immunity,
discuss
ADRD.
A
wide
range
topics
were
discussed,
such
as
animal
models
that
replicate
human
immune‐related
biomarkers
clinical
trials,
lessons
from
other
fields
describing
neurodegeneration.
This
manuscript
presents
highlights
conference
outlines
avenues
for
future
research
on
immunity
Highlights
plays
central
role
pathogenesis
disease.
exerts
numerous
effects
throughout
amyloid‐beta,
tau,
pathways.
2023
AAIC,
encouraged
discussions
collaborations
understanding
system.