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白化病皮肤癌的发病率

白化病皮肤癌的发病率

白化病皮肤癌的发病率文章目录*一、白化病皮肤癌的发病率1. 白化病皮肤癌的发病率2. 白化病的症状3. 白化病的危害*二、白化病的预防*三、白化病的日常保健白化病皮肤癌的发病率1、白化病皮肤癌的发病率白化病的发病是由于酪氨酸代谢障碍导致黑色素合成减少所致。

正常人含有酪氨酸酶,它是合成黑色素的限速酶,可以将体内的酪氨酸转变成黑色素。

而白化病病人由于控制酪氨酸酶的基因发生突变,不能合成酪氨酸酶,进而不能使酪氨酸转变成黑色素。

因此,体内缺乏黑色素的白化病病人可以出现皮肤、粘膜、毛发、眼等白化的症状,并且皮肤癌的发病率较正常人高2、白化病的症状各型白化病患者主要表现为皮肤黑色素减少、对紫外光辅射敏感,易患皮肤癌; 眼部白化病可导致畏光、眼视网膜和虹膜色素减低、并引起视网膜中央凹发育不良、眼球震颤、斜视、视神经根发育异常等导致视力减退,甚至双眼视力丧失。

各类亚型白化病患者的临床表现有所不同。

多数患者的寿命和智力等不受影响,一些重型的白化病可表现出出血倾向、肺纤维化、结肠炎、神经损害症状等。

一些白化病患者因免疫缺陷可导致患者易受感染。

3、白化病的危害 3.1、严重影响外貌,皮肤上出现突兀的白斑,十分难看,尤其是脸上、手上等比较暴露的部位,无异于一次毁容。

在日益重视外在美的当今社会,有很多人会对白化病患者产生一定的歧视现象。

严重伤害了患者的自尊心,很多患者长期不愿意出门,不愿意和家人朋友呆在一起。

长期的精神压抑,不仅容易导致心理障碍,反还会加重病情,这是白化病对人们的主要危害。

3.2、皮肤受到损害,色素细胞凋零,导致皮肤中的色素脱失,从而使皮肤阻挡紫外线的能力大大降低,容易被紫外线伤害而导致光敏性皮炎等疾病。

3.3、自尊心受到严重的打击,患者会因身上的白斑受人排挤,导致患者自尊心我伤害,从而有可能产生精神方面的疾病,对患者的正常学习、工作、家庭、社交等的方面造成严重的影响。

白化病的预防1、要避免环境、食品污染对人体的损害。

脑白质病变英文解释

脑白质病变英文解释

脑白质病变英文解释White Matter Lesions (WML): A Comprehensive Understanding.White matter lesions, also known as white matter hyperintensity (WMH) or simply WMLs, are a common findingin neuroimaging, particularly in Magnetic Resonance Imaging (MRI). These lesions are characterized by hyperintense signals on T2-weighted and FLAIR sequences in the MRI scan. WMLs are a marker of small vessel disease in the brain, affecting the white matter tracts that connect different regions of the brain.The white matter of the brain is composed of nerve fibers, which are bundles of axons that transmit signals between neurons. These axons are myelinated, meaning they are coated with a fatty substance called myelin, which allows for faster and more efficient signal transmission. When these axons are damaged, due to various factors, they can develop into WMLs.The etiology of WMLs is multifactorial, with age, hypertension, diabetes, smoking, and other vascular risk factors playing a significant role. As people age, the blood vessels in the brain become less elastic and more prone to damage, leading to ischemia (lack of blood flow) and subsequent white matter damage. Hypertension, in particular, is a strong predictor of WMLs, as it increases the risk of small vessel disease and microbleeds in the brain.The clinical significance of WMLs varies depending on their location, severity, and extent. Mild to moderate WMLs are relatively common in older adults and may not cause any significant symptoms. However, severe WMLs or those located in critical areas of the brain can lead to cognitive impairment, dementia, stroke, and other neurological disorders.One of the most significant associations of WMLs is with cognitive decline and dementia. Multiple studies have demonstrated a strong correlation between the presence andseverity of WMLs and cognitive impairment, particularly in older adults. These lesions are thought to disrupt the neural networks responsible for cognitive functions such as memory, attention, and executive function.WMLs are also closely associated with stroke. The presence of WMLs in the brain increases the risk of stroke, particularly ischemic stroke, due to the damage to small blood vessels and the subsequent reduction in blood flow to critical areas of the brain. Conversely, stroke itself can lead to the development of new WMLs due to the ischemic insult to the brain tissue.The management of WMLs is primarily focused on addressing the underlying vascular risk factors. This includes controlling hypertension, diabetes, and other modifiable risk factors such as smoking and obesity. Medications such as antihypertensives and statins are commonly prescribed to reduce the risk of stroke andfurther progression of WMLs.In addition to medical management, lifestylemodifications such as a healthy diet, regular exercise, and cognitive training have also been shown to benefit individuals with WMLs. These interventions can help improve cognitive function, reduce the risk of stroke, and slow down the progression of WMLs.In conclusion, WMLs are a common finding in neuroimaging, particularly in older adults. They are a marker of small vessel disease in the brain and are associated with cognitive impairment, dementia, and stroke. The management of WMLs is multifaceted, involving both medical management and lifestyle modifications to address the underlying vascular risk factors and slow down the progression of the disease. As the population ages and the prevalence of vascular risk factors increases, the importance of early detection and management of WMLs cannot be overstated.。

缺血修饰白蛋自在老年急性冠脉综合征早期诊断中的价值

缺血修饰白蛋自在老年急性冠脉综合征早期诊断中的价值
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华氏巨球蛋白血症诊疗规范(刘庭波组)

华氏巨球蛋白血症诊疗规范(刘庭波组)

华氏巨球蛋白血症诊疗规范(2014版)原发性巨球蛋白血症是一种B淋巴细胞克隆增殖性疾病。

因首先被瑞典学者Waldenstrom发现,故又称华氏巨球蛋白血症(Waldenstrom macroglobulinemia,WM)。

其特点是浆细胞样淋巴细胞浸润骨髓及髓外组织,合成及分泌单克隆性IgM。

WM以高粘滞血症、肝脾大、血清单克隆IgM增多,骨髓象显示弥漫性增生浆细胞样淋巴细胞为特征,病因还不明确。

据国外统计,WM年发病率为0.3/10万,约占血液系统肿瘤的1%-2%。

一、临床表现多见于老年,中位发病年龄为63岁,40岁以下患者罕见,男性多于女性,起病缓慢,早期仅有乏力、纳差、消瘦等一般症状,随着疾病的进展,出现贫血、出血、肝、脾和/或淋巴结肿大、高粘滞综合征、周围感觉、运动神经病变、淀粉样变性、冷球蛋白血症、肾功能损害等特殊的临床表现。

高粘滞血症的患者常有视网膜静脉扩张、扭曲和双侧视盘水肿。

淋巴结、肝和脾可肿大。

该病呈惰性过程,患者可能几年不需要特殊的治疗。

二、实验室检查1.血常规检查患者大多数有贫血,l轻度至中度贫血,l呈正细胞正色素性,红细胞呈缗钱样排列。

通常白细胞和血小板计数正常,偶见严重血小板减少。

2.骨髓检查WM因累及骨髓,因此骨髓穿刺可“干抽”,因此必须进行骨髓活检。

根据骨髓浸润的形式将其分为3个亚型:①淋巴浆细胞样型(占47%),由浆细胞样分化的小淋巴细胞构成,呈结节型;②淋巴浆细胞型(占42%),主要由小淋巴细胞和成熟浆细胞混合构成,肥大细胞也可明显存在,呈间质性或结节样;③多形型,细胞类型多,包括小淋巴细胞,浆细胞样细胞,浆细胞,大变形细胞及含有丝分裂的免疫母细胞。

核内过碘酸-雪夫(PAS)反应常呈块状强阳性。

3.免疫学检查WM的淋巴样浆细胞表达全B细胞标志物(CD19、CD20、CD22)、胞质Ig、FMC7、BCL-2、PAX5、CD38和CD79α。

5%-20%的患者表达CD5,CD10和CD23一般不表达。

白化病科普文章范文

白化病科普文章范文

白化病科普文章范文白化病是一种罕见的遗传病,也被称为白化症。

它会导致皮肤、毛发和眼睛的色素缺失,使患者看起来非常苍白。

这个病症在世界各地都有报道,但并不常见。

那么,白化病到底是什么呢?英文回答:Albinism is a genetic condition characterized by the absence of pigmentation in the skin, hair, and eyes. It is caused by a lack of melanin, the pigment responsible for determining the color of these body parts. Individuals with albinism often have very pale skin, white or light-colored hair, and light-colored or even pinkish eyes. Thiscondition affects people of all races and ethnicities, although it is more commonly seen in certain populations, such as those of African descent.Albinism is caused by a mutation in one of severalgenes involved in the production of melanin. This mutation can be inherited from one or both parents who carry thegene. There are different types of albinism, including oculocutaneous albinism (affecting the eyes, skin, and hair) and ocular albinism (primarily affecting the eyes). The severity of the condition can vary greatly among individuals, with some having only mild symptoms while others may have more significant impairments.People with albinism are more susceptible to sunburnand skin damage due to the lack of melanin, which provides natural protection against the harmful effects of the sun's ultraviolet (UV) rays. They may also have vision problems, such as decreased visual acuity, nystagmus (involuntary eye movements), and photophobia (sensitivity to light). Additionally, individuals with albinism may experiencesocial challenges and discrimination due to their appearance.中文回答:白化病是一种遗传病,其特点是皮肤、毛发和眼睛缺乏色素。

阿尔茨海默病 淀粉样斑块里面的结构

阿尔茨海默病 淀粉样斑块里面的结构

阿尔茨海默病(Alzheimer's disease, AD)是一种逐渐加重的神经系统退行性疾病,主要表现为认知功能障碍和记忆力减退。

目前,全球范围内已有数百万人患有阿尔茨海默病,且患病人数还在不断增加。

由于该病的致命性和影响范围,对其深入研究显得尤为重要。

其中,淀粉样斑块是阿尔茨海默病的一个重要病理特征。

淀粉样斑块是指在患者大脑组织中发现的一种斑块状结构,主要由β淀粉样蛋白(Aβ)组成。

Aβ是一种由蛋白质多肽组成的蛋白质片段,积聚在脑组织中形成淀粉样斑块,是导致神经细胞损伤和大脑功能障碍的重要因素之一。

淀粉样斑块的结构至今尚未完全明确,但通过科学研究和实验,已经对其组成和形成机理有了一定的了解。

下面将结合相关研究成果,对淀粉样斑块里面的结构进行分析和概述。

1. 淀粉样斑块的主要组成成分在淀粉样斑块中,主要成分是由Aβ蛋白片段聚集形成的斑块结构。

Aβ蛋白片段是由β-淀粉样前体蛋白(amyloid precursor protein, APP)经过酶解作用产生的,有两种主要类型:Aβ40和Aβ42。

其中,Aβ42对淀粉样斑块的形成作用更为显著,因其更容易聚集形成斑块结构。

2. 淀粉样斑块的结构特点淀粉样斑块的结构特点主要包括形态和成分两个方面。

在形态上,淀粉样斑块呈斑块状结构,通过光镜和电镜观察可见其丰富的纤维结构。

在成分上,淀粉样斑块主要富集了Aβ蛋白片段,而且还伴随有其他蛋白质和神经元降解产物的积累。

这些结构特点是阿尔茨海默病病理学特征的重要组成部分,了解其结构有助于深入研究疾病的发病机制和诊断治疗方法。

3. 淀粉样斑块的形成机理至今对于淀粉样斑块形成的具体机制仍不十分清楚,但目前学术界普遍认为是由Aβ蛋白片段的异常聚集和沉淀所致。

研究表明,Aβ蛋白片段的过度产生和沉积是形成淀粉样斑块的重要原因,而这一过程可能受到遗传、环境和芳龄等多种因素的影响。

4. 对淀粉样斑块的治疗研究针对淀粉样斑块结构和形成机理的研究,科研工作者们也开展了诸多治疗研究。

奥斯曼生眉液对C57BL/6小鼠毛发生长影响的研究

奥斯曼生眉液对C57BL/6小鼠毛发生长影响的研究

奥斯曼生眉液对C57BL/6小鼠毛发生长影响的研究目的:以C57BL/6小鼠为动物模型,观察奥斯曼生眉液对毛发生长及生长周期的影响。

方法:采用8%硫化钠脱毛法诱导小鼠毛发由休止期进入生长期。

脱毛次日,分组涂药,每日涂抹小鼠脱毛区,连续23天,记录小鼠皮肤颜色变化时间及脱毛区毛发生长状况及对毛囊组织学特征和毛囊数目的影响。

结果:①与蒸馏水对照组比较,osm01、02样品及阳性对照均可明显缩短C57BL/6小鼠脱毛后皮肤颜色由粉红变黑的时间(P<0.05),osm01样品还可明显缩短皮肤颜色由黑到毛发长出皮表的时间;②小鼠皮肤结构完整,组织无炎症;与蒸馏水对照组比较,osm01和阳性对照组真皮浅层毛囊数明显增加(P<0.05)。

结论:奥斯曼生眉液可诱导和延长毛发生长期,推迟毛发退行期,促进C57BL/6小鼠毛发生长。

Abstract:ObjectiveTo observe the effects of Osmen Plant Eyebrow Growing liquid on hair growth and hair cycle of C57BL/6 mouse alopecia mode.MethodsAnagen was induced over the back of telogen mice by epilation of 8% Na2S.The experimental mice were using respectively medication for 23 days,meanwhile the daily changes of skin color and the final hair growth characteristic were observed.Furthermore,the effects of its on hair growth were evaluated by measuring morphology and the number of follicle in mice.Resultsosm01,02 samples and the positive control can significantly shorten the C57BL / 6 mice after depilation turned from pink to black time (P<0.05),osm01 sample can be significantly reduced skin darkening of the skin to grow hair time table.Skin structure intact mice,tissue without inflammation,compared with distilled water control group,osm01 superficial dermis and positive control group significantly increased the number of follicles (P<0.05).ConclusionOsmen Plant Eyebrow Growing 1iquid not only can induce and prolong anagen,but also postpone catagen in C57BL/6 mice.Moreover,it can promote hair growth of experimental mice.Key words:Osmen Plant Eyebrow Growing liquid;C57BL/6 mice;hair growt;gmwing phase of hair cycle奥斯曼生眉液,由欧洲菘蓝叶、何首乌根、诃子、侧柏叶和黑种草籽五味中药组成,具生眉、养眉功能,产品一经上市,便以它鲜明的民族性、天然性和功效性立即引起社会各方面的关注,受到消费者的青睐,显示出巨大的市场潜力[1]。

白化病是什么遗传遗传病判断方法

白化病是什么遗传遗传病判断方法

白化病是什么遗传-遗传病判断方法白化病是什么遗传-遗传病判断方法白化病是什么遗传_遗传病判断方法病因介绍白化病可分为两大群,一为较常见的眼睛皮肤白化病,身体不能制造黑色素。

另一类为伴有异常免疫系统的白化病,包括谢迪亚克-东综合征、海-普综合征、格里塞利综合征、克罗斯综合征,这类是和黑色素及其它细胞蛋白的缺陷有关。

白化病是依据临床表型特征分为三大类别:(1)眼白化病(ocular albinism,OA), 病人仅眼色素减少或缺乏,具有不同程度的视力低下,畏光等症状,国外群体发病率约为1/60,000;(2)眼皮肤白化病(oculocutaneous albi-nism,OCA),除眼色素缺乏和视力低下、畏光等症状外,病人皮肤和毛发均有明显色素缺乏,国外报道发病率为1/20,000~1/10,000;眼皮肤白化病又可以根据致病基因的不同分为四型(OCA1~OCA4),在我国,OCA1和OCA2较为常见。

(3)白化病相关综合征,病人除具有一定程度的眼皮肤白化病表现外,还有其他特定异常,如同时具有免疫功能低下的Chediak-Higashi综合征和具有出血素质的Hermansky-Pudlak 综合征,这类疾病较为罕见。

人体影响皮肤白化病对病人的影响以眼损害最为明显。

多数病人视力严重低下,大部分病人接近或达到法定“盲”的范围(20/200~20/400),可有近视、远视、散光、眼球震颤等表现,且难以由佩戴眼镜等有效矫正,严重者可能失明。

这使得他们的学习和生活非常不方便,也不能适应多种工作和职业的要求。

病人的皮肤由于缺乏黑色素的保护,极容易被日光中的紫外光晒伤,经常暴露在太阳光下可能会导致皮肤癌的发生,因此他们不适宜暴露于阳光下的室外作业。

不容忽视的另一个影响是白化病病人可能存在的心理问题。

他们特殊的外表、陌生人不友好不容纳的态度、同龄人对他们的排斥都将使他们产生强烈的自卑感,久而久之会影响到他们的'身心健康,甚至造成性格扭曲。

医学美图:十二指肠白色化病变鉴别小结

医学美图:十二指肠白色化病变鉴别小结

医学美图:十二指肠白色化病变鉴别小结【本公众号内容仅做为学习笔记使用】在十二指肠中我们经常会发现一些伴白色化的病变,有些呈弥漫性分布,有些呈局灶性分布,今日列举一些常见的十二指肠白色化病变的鉴别诊断图例。

小结列表如下:十二指肠弥漫性白色化病变:•散在性白点(淋巴管扩张)•细菌感染(Whipple病、非结核杆菌感染)•医源性十二指肠炎(碳酸镧相关性胃肠病)•AA型淀粉样变性•寄生虫·原虫感染......十二指肠局灶性白色化病变:•肠型腺瘤•淋巴管瘤•滤泡性淋巴瘤•脂肪瘤•其他...鉴别诊断之前我们先来了解一下正常的十二指肠粘膜内镜表现,球部与降部粘膜的绒毛形态稍有不同:▼十二指肠球部正常粘膜:▼十二指肠降部正常粘膜:下面列举一部分常见的十二指肠白色化病变内镜及病理表现:散在性白点(淋巴管扩张)▲NBI-ME观察所见绒毛外形稍肥大,绒毛边缘部分呈白色调,表层有微小血管。

▲HE染色:粘膜固有层淋巴管扩张。

▲脂肪染色像(油红O染色):粘膜固有层扩张的淋巴管内被可见被红染的脂肪滴。

Whipple病▲绒毛边缘上皮可见,绒毛内呈白色,绒毛外形部分为棍棒状肿大、大小不一,表层观察到了微小血管。

▲粘膜固有层汇集了许多巨噬细胞,间质扩张,并可见脂肪滴。

▲adipophilin免疫染色像:与粘膜固有层的泡沫状巨噬细胞的聚集一致,adipophilin阳性。

▲PAS染色像:粘膜固有层PAS染色阳性泡沫状巨噬细胞。

碳酸镧相关性胃十二指肠病碳酸镧是对慢性肾脏病患者的高磷血症的治疗药物,服用后可在胃·十二指肠粘膜上沉着呈现而出白色改变。

▲NBI-ME:白色颗粒状隆起表层可见微小血管。

▲粘膜固有层里聚集着淡褐色、含有嗜酸性物质的巨噬细胞。

▲adipophilin免疫染色像:粘膜固有层的巨噬细胞部分adipophilin呈阳性。

肠型腺瘤▲NBI非放大可见WOS▲NBI-ME:WOS粘膜上皮下的微小血管不可见。

白化病的皮肤是白的吗

白化病的皮肤是白的吗

白化病的皮肤是白的吗文章目录*一、白化病的皮肤是白的吗*二、白化病如何预防*三、白化病怎么治疗白化病的皮肤是白的吗1、白化病的皮肤是白的吗白化病是由于酪氨酸酶缺乏或功能减退引起的一种皮肤及附属器官黑色素缺乏或合成障碍所导致的遗传性白斑病。

患者视网膜无色素,虹膜和瞳孔呈现淡粉色,怕光。

皮肤、眉毛、头发及其他体毛都呈白色或黄白色。

白化病属于家族遗传性疾病,为常染色体隐性遗传,常发生于近亲结婚的人群中。

所以白化病的皮肤是白的。

2、白化病的分类眼白化病(OA)病人仅眼色素减少或缺乏,具有不同程度的视力低下,畏光等症状。

眼皮肤白化病(OCA)除眼色素缺乏和视力低下、畏光等症状外,病人皮肤和毛发均有明显色素缺乏。

白化病相关综合征病人除具有一定程度的眼皮肤白化病表现外,还有其他异常,如同时具有免疫功能低下的Chediak-Higashi综合征和具有出血素质的Hermansky-Pudlak综合征,这类疾病较为罕见。

3、白化病的临床表现白化病全身皮肤呈乳白或粉红色,毛发为淡白或淡黄色。

由于缺乏黑色素的保护,患者皮肤对光线高度敏感,日晒后易发生晒斑和各种光感性皮炎。

并可发生基底细胞癌或鳞状细胞癌。

眼部由于色素缺乏,虹膜为粉红或淡蓝色,常有畏光、流泪、眼球震颤及散光等症状。

白化病如何预防预防上应尽量减少紫外辐射对眼睛和皮肤的损害,在饮食上可以吃些黑色素多的食品。

同时产前基因诊断也是预防此病患儿出生的重要保障措施,所以孕妈妈在怀孕的时候要做好检查。

白化病是基因遗传病,由于父母双方均携带有致病基因,导致下一代子女发病,白化病多发生在近亲结婚的人群中,所以避免近亲结婚,能很大程度地避免白化病的发生几率。

白化病患者外出时同样也要做好相应的护理措施,适当的日晒对于白化病患者来说是有益的,但是长期处于暴晒阶段下则会导致白化病患者的病情出现加重的情况。

在日常生活中,要端正生活态度,摒弃不良的生活习惯。

还有要在饮食方面进行节制,切勿吃辛辣和生冷、油腻的食物。

白化病

白化病

上表反映白化病群体发病率为0.0066%。运用Hardyweiberg定律数学公式(P2+2pq+q2=1)计算得到湖南省白化 病致病基因频率(p)为0.0081,致病基因携带者频率为 (2pq)为0.0161。
白化病的最新研究成果
此前美国科学家已定位克隆了HPS1、 HPS2、HPS3三种同样导致相同疾病的 基因。 据论文主要完成者之一中山大学 青年学者李巍博士介绍,白化病在临床 分类约有8种,其中HPS危害最大,是常 染色体隐性遗传病,可导致出血时间延 长、白化病、溶酶体胶质样沉积等病状。 患者通常于30~50岁之间死于肺纤维化、 出血、结肠炎等严重并发症。目前对该 病仍缺乏有效的治疗办法。
白化病的遗传
白化病一般表现为 常染色体隐性遗传方 式 。就是说患者的双 亲都携带了白化病基 本身不发病。如果夫 妇双方同时将所携带 的致病基因传给子女, 就会患病,而且子女 中男女患病机会均等, 这种情况的发生几率 是 ¼。研究表明,近 亲结婚会增大患病。
有一种以眼睛损害为主的白化病类型, 及眼白化病,表现为 X 连锁隐性遗传,是 一种中间型遗传,是由母亲所携带的白化 病基因传给儿子时才患病,传给女儿一般 不患病,这种传递的概率是 1/2 。这种类 型在所有白化病类型中所占比例相对较少。 大约70个表现型正常的人中有一个白化基 因的杂合子。
人类遗传病—白化病
白化病的症状及分类 白化病的发病机制(重点) 白化病的遗传机制(重点)
• 定义:白化病(albinism)是一种较常见的 皮肤及其附属器官黑色素缺乏所引起的疾 病,由于先天性缺乏酪氨酸酶,或酪氨酸 酶功能减退,黑色素合成发生障碍所导致 的遗传性白斑病。
• 表现:视网膜无色素,虹膜和瞳孔呈现淡 粉色或淡灰,畏光,眯眼。皮肤、眉毛、 头发及其他体毛都呈白色或白里带黄。俗 称为“羊白头”。

皮肤异常蛋白

皮肤异常蛋白

皮肤异常蛋白简介皮肤异常蛋白是指在人体皮肤中出现异常表达或功能的蛋白质。

这些异常蛋白可能与皮肤疾病的发生和发展密切相关。

了解和研究这些异常蛋白的表达和功能变化对于理解皮肤疾病的机制和发展具有重要意义。

皮肤异常蛋白的类型皮肤异常蛋白有多种类型,其中一些常见的包括:1. 细胞凋亡相关蛋白:这些蛋白参与了皮肤细胞凋亡的调控,如Bcl-2家族蛋白、caspase家族蛋白等。

2. 炎症相关蛋白:这些蛋白在皮肤炎症过程中发挥重要角色,如TNF-α、IL-1家族蛋白等。

3. 皮肤屏障相关蛋白:这些蛋白参与了维持皮肤屏障功能的调控,如角蛋白家族蛋白、表皮脂家族蛋白等。

4. 细胞外基质相关蛋白:这些蛋白参与了皮肤组织结构的建立和维护,如胶原蛋白、弹力蛋白等。

皮肤异常蛋白与皮肤疾病皮肤异常蛋白在多种皮肤疾病中发挥重要作用。

以下是一些例子:1. 白癜风:在白癜风病变部位,常见的异常蛋白包括酪氨酸酶、黑色素细胞表面抗原等。

2. 银屑病:银屑病患者皮肤中出现了多种细胞因子和炎症相关蛋白的异常表达,如IL-17、TNF-α等。

3. 痤疮:痤疮患者皮脂中的异常脂质和皮脂腺过度分泌相关蛋白可能导致痤疮的发生和发展。

研究意义和应用前景深入研究皮肤异常蛋白的表达和功能变化对于促进皮肤疾病的诊断和治疗具有重要意义。

通过发现和理解这些异常蛋白的作用机制,可以为开发新的治疗方法和药物提供理论依据。

另外,皮肤异常蛋白的检测和监测也有望作为临床的诊断和评估指标,为个体化治疗提供帮助。

总结皮肤异常蛋白是与皮肤疾病密切相关的蛋白质,其表达和功能变化与疾病的发生和发展有关。

研究这些异常蛋白的意义在于深入了解皮肤疾病的机制,并为诊断和治疗提供新的思路和方法。

未来,我们可以期待在皮肤异常蛋白领域取得更多的突破和应用。

怎么判断得了白化病

怎么判断得了白化病

怎么判断得了白化病文章目录*一、怎么判断得了白化病*二、白化病对人体的伤害*三、白化病的饮食怎么判断得了白化病白化病的诊断主要靠医生对患者眼部症状与体征来判断,其中对各类型白化病的诊断分型非常重要。

体征观察:根据皮肤、毛发、虹膜等组织器官的颜色深浅进行初步诊断。

色素含量测定,根据皮肤、毛发等部位色素含量的测定结果,对白化病的类型进行定性诊断。

另外,还可以进行酪氨酸酶活性测定,根据酪氨酸酶活性的高低对本病的杂合型与纯合型以及其他白化皮肤病进行鉴别诊断。

基因诊断。

现已知道,TYR基因的突变类型有:错义突变、无义突变、终止密码突变、移码突变、插入突变和缺失突变等,因此可根据突变类型的不同采用相应的检测手段。

常用的技术和方法有:RFLP连锁分析法、ASO、Southern印迹杂交、PCR-SSCP、Sequencing等。

据专家介绍,采用基因干预的方法从根本上治疗白化病,是国内外医学界正在攻克的难题,在不远的将来,包括白化病在内的许多遗传性疾病,都可望从基因干预角度得到根治。

白化病对人体的伤害1、此病是皮肤、毛发、眼角色素缺乏的一种先天性皮肤病。

患者由于全身皮肤色素缺乏,致使内皮毛细血管显露而呈现红色,对紫外线高度敏感,约较正常人高6-12倍,毛发呈纯白色、银色、淡白色、黄白色等。

有涓丝样光泽,并且纤细如丝。

眼睛具有特征性,伴有白的或淡黄色的眉毛和睫毛。

由于缺乏色素,小儿期虹膜为透明淡灰色,瞳孔为红色,成人期呈青灰色、淡褐色。

有昼盲状态。

白化病人因为情况跟正常人不一样,所以很容易受到社会人士的歧视,心理压力较大。

2、白化病的主要危害是对视力的损害,部分白化病患者因并发免疫缺陷或肺纤维化,可在幼年或中年死亡,是需要干预的严重遗传病之一。

局部白化病病情虽然不是很严重,但病变若发生在面部或肢体远端,严重影响外观。

3、另外白化病患者对光线敏感,不能长期暴露在紫外线下,很容易得皮肤癌。

白化病的饮食1、黑芝麻又名胡麻,性甘、平、无毒。

有皮肤异色症表现的皮肤病

有皮肤异色症表现的皮肤病

有皮肤异色症表现的皮肤病
常建民
【期刊名称】《临床皮肤科杂志》
【年(卷),期】2011(40)6
【摘要】皮肤异色症既可以是独立的疾病,也可以是某些皮肤病的并发表现,在临床上并不少见。

该文综述了有皮肤异色症表现的皮肤病如Kindler综合征、Rothmund-Thomson综合征、先天性角化不良、Civatte皮肤异色症、持久性发疹性毛细血管扩张等。

了解该类疾病所具有的特殊形态有助于临床上更好地鉴别诊断。

【总页数】2页(P377-378)
【关键词】皮肤异色症
【作者】常建民
【作者单位】卫生部北京医院皮肤科
【正文语种】中文
【中图分类】R758.59
【相关文献】
1.皮肤异色病样表现的慢性移植物抗宿主病一例 [J], 魏云;孙澜;吴丽娟;丁高中;冯雨苗;姚盛;潘春梅;马伟;陈朝潮;华纲
2.表现为血管萎缩性皮肤异色病样改变的蕈样肉芽肿一例 [J], 盛珉旻;薛燕宁;陈芳;闵仲生
3.以高热、皮肤异色病为主要表现的复发性皮肌炎1例 [J], 杨雅骊;温海;雷文知;都琳;刘晓刚;陈江汉;陈裕充
4.皮肤美容——采用脉冲染料激光治疗皮肤异色症可引起严重的色素减退 [J],
5.先天性血管萎缩性皮肤异色症并发汗孔角化症及双侧虹膜发育不全的特殊病例1例 [J], Mak R.K.H.;Griffiths W.A.D.;Mellerio J.E.;吴佳纹
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超白基因组成

超白基因组成

超白基因组成超白基因组是指一种具有特殊基因组组成的个体,其基因组中包含了使其皮肤颜色呈现出超白特征的基因。

超白基因组的出现源于人类基因的多样性,是基因突变和自然选择的结果。

人类的皮肤颜色是由多个基因的复杂互作所决定的,其中最重要的基因是MC1R基因。

MC1R基因编码了一种称为麦拉宁-1受体的蛋白质,该蛋白质在皮肤细胞中调控黑色素的产生。

黑色素是一种可以吸收紫外线的天然色素,它赋予了皮肤颜色。

当MC1R基因突变时,会导致黑色素的产生减少,从而使皮肤呈现出超白特征。

超白基因组的形成可能是由于MC1R基因发生了一系列突变。

这些突变可能导致MC1R蛋白质功能的改变,从而影响黑色素的产生。

这些突变可能发生在个体的早期胚胎发育阶段,也可能发生在其后的生长和发育过程中。

超白基因组的形成可能是一种自然选择的结果,因为在某些环境条件下,超白的皮肤可能更具有生存优势。

超白基因组的出现并不意味着这些个体的皮肤就一定是白色的。

事实上,超白基因组的个体可能具有不同的肤色,包括白色、黄色、棕色等。

这是因为MC1R基因仅仅是决定皮肤颜色的一个因素,其他基因和环境因素也会对皮肤颜色产生影响。

超白基因组的研究对于人类进化和种群遗传学的研究具有重要意义。

通过分析超白基因组的变异和分布情况,可以揭示人类不同种群之间的遗传关系和迁移历史。

此外,超白基因组的研究还可以帮助我们更好地理解黑色素的合成和调控机制,对于预防和治疗与黑色素相关的疾病具有潜在的临床应用价值。

虽然超白基因组在科学研究中具有重要意义,但需要注意的是,我们应当避免将超白基因组与种族、民族等概念混淆。

超白基因组的存在并不代表一个人的种族或民族身份,它仅仅是一种基因组的特征。

人类的基因组是极其多样化的,没有任何一个基因组可以代表整个人类群体。

超白基因组是一种具有特殊基因组组成的个体,其皮肤颜色呈现出超白特征。

超白基因组的形成源于基因突变和自然选择,其研究对于人类进化和种群遗传学具有重要意义。

伊文思蓝(EB)检测血脑屏障(BBB)通透性

伊文思蓝(EB)检测血脑屏障(BBB)通透性

1、测定血脑屏障完整性原理之南宫帮珍创作伊文思蓝属于一种经常使用的偶氮染料制剂,因其分子量年夜小与血浆白卵白相近, 而且在血液中与血浆白卵白有很高的亲和力, 由于正常状态下血浆白卵白无法透过血脑屏障, 所以染色时, 如神经系统是完整的, 与血浆白卵白结合的依文思蓝无法使其着色.相反如果神经系统血脑屏障被破坏, 依文思蓝就可以进入神经系统并使其着色.在荧光波长470与540 nm 各有一强峰, 680 nm 处有一弱峰.其在组织中的含量常使用化学透析法和比色法进行检测.脑组织中血脑屏障的破坏, 可以引起毛细血管的通透性增加, 结合EB的白卵白可通过BBB进入脑组织, 应用化学比色法甲酰胺测定脑组织EB渗出量, 可以反映血脑屏障的开放水平, 并在此基础上进一步探讨分歧细胞移植干预与BBB通透性的效应关系.伊文思蓝灌注染色法结合共聚焦激光扫描显微镜观察脑切片中EB 荧光强度, 可以检测血脑屏障中血管形态的改变, 同时对脑组织中渗入的EB含量进行定量分析.两者结合可以从形态学、组织定量上相互弥补完善.2、实验准备试剂:2%EB、1%戊巴比妥钠、0.9%氯化钠、20U/ml肝素钠、二甲基甲酰胺器材:冰冻切片机、共聚焦激光扫描显微镜、分光光度计、恒温箱、离心机、注射器、输液器、解剖器械等3、测定方法1、各组植物正法前0.5h(也有的为1h、2h)尾静脉(或股静脉)注入2%EB(2ml/kg, 也有的用3、4ml/kg)(剂量与提前时间成反比?)2、1%戊巴比妥钠30-40 mg/kg麻醉后翻开胸腔, 心内灌注肝素生理盐水(0.9%氯化钠+20U/ml肝素钠)200-300ml(有文献提出当右心房流出液体变清澈时即可停止灌注), 断头取脑作矢状切取半脑分离海马, 一半脑组织进行冰冻切片, 应用冰冻切片机行10-20μm切片, 于共聚焦激光扫描显微镜下观察 EB通透情况.3、另一半脑组织称重, 剪碎置于二甲基甲酰胺(1ml/100mg脑组织, 也可用三氯乙酸、甲酰胺)60℃孵育24h, 1000r/min离心5min(有的作者认为脑组织在甲酰胺中匀浆呈胶状, 上清液不能通过离心取得, 水浴后直接取上清液比色), 用分光光度计检测波长为620 nm的吸光度.4、采纳软件(Oringen7.0)进行数据分析, 根据绘制的EB标准曲线计算EB含量.4、试剂购买EB二甲基甲酰胺。

白化病缺少多少染色体

白化病缺少多少染色体

白化病缺少多少染色体文章目录*一、白化病缺少多少染色体*二、白化病的病因是哪些*三、白化病饮食注意事项白化病缺少多少染色体 1、白化病缺少多少染色体白化病是由于先天性缺乏一种酶酪氨酸酶,当这种酶缺乏以后,会导致皮肤黑色素合成缺乏,导致全身的皮肤出现白斑。

白化病的患者的临床表现为视网膜里缺乏正常的黑色素,虹膜、瞳孔是粉色的,患者对光线比较敏感。

由于缺乏黑色素,患者的头发、眉毛等毛发部位都不能显示出正常的黑色,一般表现为白色或者黄色。

2、白化病的表现2.1、泛发型白化病(又称皮肤白化病):全身皮肤呈白色或粉红色,毛发为白色或淡黄色,虹膜透明,脉络膜也失去色素,瞳孔发红,畏光,皮肤对光高度敏感,晒后易发生皮炎,本病常属染色体隐性遗传。

2.2、部分白化病:出生时额上方即有一撮白发,其下皮肤也呈白色,此外鼻、额、胸、腹部也有不规则排列的大小、多少不等的色素脱失斑,一般终身不消退。

部分患者日晒后可产生少量色素,有人认为本病与黑色素细胞功能障碍有关。

2.3、眼白化病:患者皮肤色素正常,仅眼呈白化病表现,虹膜色素缺乏。

3、白化病的护理知识首先还是要进行一些对症治疗,这样能把病情减弱不少,后期的一些相关治疗和护理就相对容易不少了。

患者要尽量避免强烈的日光照射。

可以戴遮阳帽、穿长袖衣裤,尽量减少强光下的户外活动,由此来发日光性皮炎甚至皮肤癌的可能性;患者要注意保护眼睛。

平常可以佩戴太阳镜,避免长时间用眼并定期去医院进行视力检查。

应该到正规医院的眼科去咨询,采用科学正确的方法来纠正斜视等问题,尽可能改善视力或防止视力下降过快。

要提高患者的心理素质。

绝大多数白化病病人虽然外表特殊、视力低下,但是智力正常,需要社会更多的理解与帮助,同时也应该注意自我培养开朗乐观的性格;通过遗传咨询减少近亲结婚。

这是重要的预防白化病的措施之一。

白化病的病因是哪些白化病的发病机制为基因遗传性疾病,基因遗传的类型为常染色体隐性遗传性疾病。

患病基因位于父母双方的性染色体上,性染色体为XX或者XY,只携带有其中一个致病基因,患者可以表现为正常体征,不会出现白化病的形状,但是当性染色体均出现了致病基因,患者就可以表现为患病的特征。

白化病的确诊检查方法

白化病的确诊检查方法

白化病的确诊检查方法白化病的诊断主要依据眼部的症状与体征。

各类亚型的鉴别诊断很关键。

酪氨酸酶活性测定有助于其分类诊断。

基因诊断是目前鉴别诊断和产前诊断中最可靠的方法。

某些白化病亚型可能因为其致病未阐明,其基因诊断尚难进行。

确诊白化病检查:1、体征:观察根据皮肤、毛发、虹膜等组织器官的颜色深浅进行初步诊断。

2、色素含量测定:根据皮肤、毛发等部位色素含量的测定结果,对白化病的类型进行定性诊断。

3、酪氨酸酶活性测定:根据酪氨酸酶活性的高低对本病的杂合型与纯合型以及其他白化皮肤病进行鉴别诊断。

4、基因诊断:现已知道,TYR基因的突变类型有:错义突变、无义突变、终止密码突变、移码突变、插入突变和缺失突变等,因此可根据突变类型的不同采用相应的检测手段。

常用的技术和方法有:RFLP连锁分析法、ASO、Southern印迹杂交、PCR-SSCP、Sequencing 等。

不少人认为,白化病与白斑的共通点有很多,那么该如何区分两者呢?皮肤白斑是色素出现障碍的一种皮肤疾病,主要一白斑为主要特征,给患者的生活及心理健康造成严重影响。

由于症状与白化病有所相近,因此很难对此区分,但是皮肤白斑与白化病有一定不同,下边一起来更详细的了解下。

1、白化病自出生时就有明显的白色症状表现,皮肤白斑为后天发生,可开始于任何年龄,但以20岁以前发病人数最多。

2、白化病有典型的家族遗传史,皮肤白斑的发病与遗传有一定关系,但无大量的统计资料来证实。

3、泛发性白化病是全身的皮肤、毛发及眼睛均变白;皮肤白斑可发生在任何部位,但好发于暴露及皱褶部位。

4、白化病在显微镜下观察表皮黑色素完全消失,皮肤白斑患者白斑区黑色素减少或完全消失,而边缘则黑色素相对增加。

一般基因型的病症是很难通过后期治疗治愈的,针对这种情况,患者需要注意接受日常的常规检查,如果没有其他的身体病变的话,一般就可以继续接受药物治疗,但是如果皮肤受到外界刺激后出现明显地炎症、皮肤颜色改变、畏光等因素可能就需要进一步接受其他的药物治疗了,提醒担心孩子患上白化病的朋友,应该在怀孕前做好产前检查。

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F ORUM O RIGINAL R ESEARCH C OMMUNICATIONThe Effect of Hydrogen Sulfide Donors on Lipopolysaccharide-Induced Formation of Inflammatory Mediators in MacrophagesMatthew Whiteman,1Ling Li,2Peter Rose,2Choon-Hong Tan,3David B.Parkinson,4and Philip K.Moore 2AbstractThe role of hydrogen sulfide (H 2S)in inflammation is controversial,with both pro-and antiinflammatory effects documented.Many studies have used simple sulfide salts as the source of H 2S,which give a rapid bolus of H 2S in aqueous solutions and thus do not accurately reflect the enzymatic generation of H 2S.We therefore compared the effects of sodium hydrosulfide and a novel slow-releasing H 2S donor (GYY4137)on the release of pro-and antiinflammatory mediators in lipopolysaccharide (LPS)-treated murine RAW264.7macrophages.For the first time,we show that GYY4137significantly and concentration-dependently inhibits LPS-induced release of proinflammatory mediators such as IL-1b ,IL-6,TNF-a ,nitric oxide ( NO),and PGE 2but increased the synthesis of the antiinflammatory chemokine IL-10through NF-k B =ATF-2=HSP-27–dependent pathways.In contrast,NaHS elicited a biphasic effect on proinflammatory mediators and,at high concentrations,increased the syn-thesis of IL-1b ,IL-6,NO,PGE 2and TNF-a .This study clearly shows that the effects of H 2S on the inflammatory process are complex and dependent not only on H 2S concentration but also on the rate of H 2S generation.This study may also explain some of the apparent discrepancies in the literature regarding the pro-versus antiin-flammatory role of H 2S.Antioxid.Redox Signal.12,1147–1154.IntroductionHydrogen sulfide (H 2S)is a pungent gas that is formed endogenously in mammalian tissues from the amino acids cysteine and homocysteine by pyridoxal-50-phosphate–dependent enzymes such as cystathionine-g -lyase (CSE;E.C.4.4.1.1)and cystathionine-b -synthetase (CBS;E.C.4.2.1.22)(12,28).To date,H 2S biosynthesis has been identified in a variety of mammalian tissues,notably in the brain,heart,and the gastrointestinal tract,as well as in isolated vascular smooth muscle and endothelial cells and neurons (19,29).A number of possible physiologic and pathophysiologic roles for this gas have been put forward,and a range of potential therapeutic uses of this gas has been proposed (10,21,28).It is now becoming increasingly apparent that H 2S exerts complex effects on inflammation.For example,we previously reported that administration of sodium hydrosulfide (NaHS),a ‘‘fast releasing’’H 2S donor,to mice (9)provokes an in-flammatory reaction,as evidenced by increased liver and lungmyeloperoxidase (MPO)activity (a marker for tissue leuko-cyte infiltration)and histologically by the presence of accu-mulated leukocytes extravascularly in the lung.These results suggest a proinflammatory effect of H 2S,as does the finding that dl -propargylglycine (PAG),an irreversible inhibitor of CSE,exhibits antiinflammatory activity in a range of animal models of inflammation (2,4,14).However,NaHS also has been reported to inhibit leukocyte adhesion to gastric mucosal blood vessels (30),which may be suggestive of an antiinflammatory effect.In addition,H 2S ‘‘scavenges’’proinflammatory oxidants such nitric oxide ( NO),peroxynitrite (ONOO -),hypochlorous acid (HOCl)(25,26),superoxide,and hydrogen peroxide (3,6,15);such effects might be expected to alleviate inflammation.Finally,S -diclofenac (an H 2S-releasing derivative of the nonsteroidal antiinflammatory drug,diclofenac)exhibits more-pronounced antiinflammatory activity in endotoxic shock (11)and against carrageenan-induced hindpaw edema (18)in the rat than does diclofenac.In each case,evidence has been presented that the1Peninsula Medical School,University of Exeter,St.Luke’s Campus,Exeter,Devon;and 2Pharmaceutical Science Research Division,King’s College,University of London,London,England.3Department of Chemistry,National University of Singapore,Singapore.4Peninsula Medical School,University of Plymouth,Tamar Science Park,Plymouth,Devon,England.ANTIOXIDANTS &REDOX SIGNALING Volume 12,Number 10,2010ªMary Ann Liebert,Inc.DOI:10.1089=ars.2009.28991147augmented antiinflammatory action of this compound is sec-ondary to the release of H2S from the parent molecule. Recently,this group reported that GYY4137[morpholin-4-ium4methoxyphenyl(morpholino)phosphinodithioate]re-leases H2S slowly over a period of hours both in vitro and after injection in the rat in vivo(13).In addition,GYY4137exhibits antiinflammatory activity in vivo,as evidenced by a reduction in the lipopolysaccharide(LPS)-induced increase in plasma proinflammatory cytokines(TNF-a,IL-1b,IL-6),nitrite=nitrate, C-reactive protein,and l-selectin in the conscious rat(12).H2S exerts complex and,at times,opposing effects on in-flammation in whole animals.One possible explanation for these discrepant data may be the choice of H2S donor used in these various studies.The available H2S donors release H2S at different rates and therefore give rise to different concentra-tions of the gas over different time periods.In the present work,we therefore compared the effect on LPS-induced proinflammatory enzyme=metabolite generation in cultured RAW264.7macrophages of the fast-releasing H2S donor, NaHS,and the slow-releasing H2S donor,GYY4137. Materials and MethodsCulture of RAW264.7cellsThe murine RAW264.7macrophage cell line was pur-chased from the American Type Culture Collection(Rock-ville,MD).RAW264.7cells were chosen for the present experiments,as macrophages play an integral part in the etiology of inflammation,and their response to LPS has been intensively characterized.Cells were cultured in complete Dulbecco’s Modified Eagle Medium(containing10%vol=vol fetal bovine serum,100U=ml penicillin,and100mg=ml streptomycin,pH7.4)at378C in5%CO2until*70–80% confluence.Cells(0.2Â106cells=ml)were then cultured over-night before the addition of either NaHS or GYY4137(both 0–1,000m M)along with an appropriate volume of vehicle,as well as LPS(1m g=ml).After a further24-h incubation period, medium or cells or both were harvested and assayed,as de-scribed later.For some experiments,GYY4137was prepared in aqueous solution and left unstoppered at room temperature for5days. Such‘‘decomposed GYY4137’’failed to release H2S on incu-bation and was therefore used as a control to assess the role of released H2S in the effect of GYY4137.To determine whether H2S donors were cytotoxic in these cells,cellular viability was assessed by using3-(4,5-dimethyl-2-yl)-2,5-diphenylte-trazolium bromide(MTT),as described(25).Assay of CSE=CBS enzyme activityand measurement of H2SCSE and CBS recombinant protein(12.5m g;Abnova Ltd, Taiwan)were added to Tris-HCl buffer(100m M;pH7.4; 258C)containing l-cysteine(10m M)and pyridoxal phosphate (10m M).H2S generation was detected by using a World Pre-cision Instruments H2S-selective membrane and electrode (ISO-H2S-2;2mm,Sarasota,FL),with four-channel TBR4100-416radical detector equipped with a Lab-Trax-4four-channel data-acquisition system,as described previously(13).In separate experiments,H2S generation from added NaHS (1m M)and GYY4137(100m M)in phosphate-buffered saline (3ml;pH7.4;258C)also was determined for comparison.Assay of nitrite,PGE2,H2S,IL-1b,TNF-a,IL-6,and IL-10in mediumLevels of nitrite(NO2À),PGE2,IL-1b,TNF-a,IL-6,and IL-10 were assayed in culture media.NO2Àwas determined spec-trophotometrically in aliquots of culture medium by using the Griess reagent,as described elsewhere(17).H2S in culture medium was measured spectrophotometrically by using the methylene blue assay,as described previously(9).IL-1b,TNF-a,IL-6,and IL-10were assayed with ELISA,according to the manufacturer’s instructions(R&D Systems,Inc.,Minneapolis, MN).PGE2production was determined by using a PGE2 enzyme immunoassay kit according to the manufacturer’s instructions(Cayman,Ann Arbor,MI).Assay of NF-k B,HSP-27,and pATF-2in cellsRAW264.7cells treated as described earlier were har-vested,and the nuclear proteins extracted by using a nuclear extraction kit(Panomics,Fremont,CA),as described previ-ously(11,27).The nuclear extracts(10–20m g)were assayed in duplicate for activity by using TransAM NF-k B p65assay kit (Active Motif,Carlsbad,CA),according to the manufacturer’s instructions.Data are shown as relative light units(RLUs). Phosphorylation of HSP-27and ATF-2was assayed quanti-tatively by using Fast Activated Cell-based ELISA(FACE) HSP27(S82)and ATF2(T71)kits(Active Motif Europe,Rix-ensart,Belgium),again according to the manufacturer’s in-struction.Chemicals and data analysisGYY4137was synthesised chemically by Dr.Choon-Hong Tan(Department of Chemistry,National University of Sin-gapore),as described previously(13).Analytic kits were purchased from suppliers,as stated in the text.All drugs and chemicals were obtained from Sigma Chemical Company (Peele,U.K.).Data are show as meanÆSEM,with the number of observations indicated in parentheses.Statistical analysis was with one-way ANOVA followed by the post hoc Tukey test.A p value of<0.05was taken to indicate a statistically significant difference.ResultsRelease of H2S from CSE=CBS,GYY4137,and NaHS in vitroIncubation of either recombinant CSE or CBS enzyme with added l-cysteine and cofactor resulted in the time-dependent formation of H2S(Fig.1A).CSE produced more H2S than CBS under these experimental conditions,with the amount gen-erated still increasing at180s for both enzymes.Incubation of GYY4137in aqueous solution also resulted in the release of similar amounts of H2S over a similar time frame(Fig.1C).In contrast,release of H2S from incubated NaHS was much greater(*200-fold)and occurred over a much shorter time period(Fig.1B).Effect of GYY4137and NaHS on LPS-evoked PGE2and NO2ÀformationAs expected(17),treatment of RAW264.7cells with LPS resulted in a significant increase in both PGE2and NO2À1148WHITEMAN ET AL.concentrations in the medium.Treatment of LPS-exposed RAW 264.7cells with GYY4137(0–1,000m M )resulted in a concentration-dependent inhibition of the biosynthesis of both PGE 2(Fig.2A)and NO 2À(Fig.2B),with half-maximal inhibitory concentration (IC 50)values of 210.9Æ4.5and 127.2Æ32.4m M (n ¼5).Furthermore,similar treatment of RAW 264.7cells with GYY4137(100m M )resulted in a sig-nificant increase in the concentration of H 2S detected in the culture medium after 24h (29.2Æ1.8m M ,c.f.1.6Æ0.7m M ;n ¼5;p <0.05).Inhibition of LPS-evoked formation of both PGE 2and NO 2Àwas >90%inhibition at the higher con-centration (>500m M )of GYY4137used.‘‘Decomposed GYY4137’’did not significantly affect LPS-evoked formation of either PGE 2or NO 2À(p >0.05).In contrast,the effect of NaHS (0–1,000m M )on LPS-evoked PGE 2formation in cul-tured RAW 264.7cells was seemingly biphasic,with modest inhibition (*40%of control values)apparent at lower con-centrations (i.e .,200m M ).This effect was gradually reversed as the concentration of NaHS was increased,with no sig-nificant effect noted at concentrations in excess of 500m M (Fig.2A and B).In contrast,NaHS (0–1,000m M )did not significantly affect LPS-evoked NO 2Àformation,although a trend toward activation of LPS-evoked NO 2Àgeneration was evident at higher concentrations.Interestingly,treatment of RAW 264.7cells with NaHS (100m M )did not increase the concentration of H 2S detected in the culture medium after 24h (1.8Æ0.6m M,c.f.1.6Æ0.8m M;n ¼5;p >0.05).Control experiments showed that neither GYY4137(1m M )nor NaHS (1m M )induced a significant loss of cell viability (percentage)assessed by using the MTT assay;GYY4137,98.3Æ2.5%;NaHS,95.4Æ8.3%;vehicle-treated control cells,102.9Æ3.2%(all n ¼5;p >0.05).Effect of GYY4137and NaHS on LPS-evoked cytokine formationTreatment of RAW 264.7cells with LPS also resulted in a significant increase in both TNF-a and IL-1b concentrations in the medium.Co-treatment of LPS-exposed RAW 264.7cells with GYY4137(0–1,000m M )resulted in a concentration-re-lated inhibition of the formation of both TNF-a (Fig.3A)and IL-1b (Fig.3B)with IC 50values of 70.4Æ4.4and 134.1Æ10.1m M (n ¼5),respectively.In both cases,substantial inhi-bition was achieved at higher concentrations of GYY4137(>500m M ).In contrast,NaHS (0–1,000m M )did not inhibit the biosynthesis of either cytokine (Fig.3A and B).Indeed,at the highest concentration of NaHS used,a significant enhance-ment of the LPS-evoked generation of both TNF-a and IL-1b .Because GYY4137elicited concentration-dependent inhi-bition of LPS-induced TNF-a and IL-1b formation,we also investigated the effect of this H 2S donor on the generation of both proinflammatory IL-6and antiinflammatory IL-10in cultured RAW 264.7cells under identical experimental con-ditions.GYY4137(10–500m M )inhibited the LPS-evoked in-crease in IL-6concentration (Fig.4A),while potentiating the LPS-evoked increase in biosynthesis of IL-10(Fig.4B).Even the lowest concentration of GYY4137used (i.e .,10m M )re-duced IL-6formation by >50%.In comparison,NaHSFIG.1.Time course of in vitro enzymatic formation of H 2S from l -cysteine by recombinant CSE and CBS (A)and spontaneous H 2S release from incubated NaHS (1l M ,B)and GYY4137(100l M ,C).H 2S was detected amperometrically.Results show representative traces from at least four separate experiments.H 2S EFFECT ON MACROPHAGES 1149(100m M )also inhibited IL-6production but failed to affect the generation of IL-10(Fig.4A and B).Effect of GYY4137on phosphorylation of HSP 27and ATF-2Incubation of RAW 264.7cells with LPS resulted in marked phosphorylation of both HSP27and ATF-2(Fig.5A and B).In both cases,inclusion of GYY4137(10–500m M )significantly inhibited LPS-evoked phosphorylation.GYY4137was par-ticularly effective as an inhibitor of HSP-27phosphorylation with an IC 50of 14.0Æ1.1m M (n ¼5).Similarly,relatively low concentrations of GYY4137(10–100m M )also inhibited ATF-2phosphorylation,with an IC 50of 35.1Æ6.7m M (n ¼5).How-ever,in this case,inhibition declined and was partially re-versed at the highest concentration (500m M ).Effect of GYY4137and NaHS on LPS-evoked activation of NF-k BTreatment of RAW 264.7cells with LPS resulted in a significant increase in NF-k B activation.Treatment of LPS-exposed RAW 264.7cells with GYY4137(0–1,000m M )caused a concentration-related inhibition of the activation of NF-k B (Fig.5),with an IC 50value of 214.8Æ10.0m M (n ¼5).Inter-estingly,the effect of NaHS (0–1,000m M )was biphasic,with lower concentrations (100–200m M )promoting NF-k B activa-tion,whereas a high concentration (1,000m M )caused inhibi-tion (Fig.6).DiscussionThe role of H 2S as an inflammatory mediator is clearly complex.The vast majority of studies carried out used simple sulfide salts such as sodium hydrosulfide (NaHS)and so-dium sulfide (Na 2S),which generate H 2S instantaneously in aqueous solutions.Indeed,we show here,by using an H 2S-selective probe,that NaHS releases large amounts of H 2S over a period of a few seconds.Although undoubtedly useful in that these salts are convenient and circumvent the necessity for the somewhat more-complex preparation of authentic H 2S gas solutions,the manner in which cells and tissuesareFIG.2.Effect of NaHS (black columns )and GYY4137(open columns )on LPS (1l g/ml)-evoked release of PGE 2(A )and nitrite (B )in incubated (24h)RAW 264.7cells.Results show concentration of PGE 2(ng =ml)or nitrite (micromolar)and are expressed as mean ÆSEM;n ¼5;*p <0.05(c.f.LPS group);þp <0.05(c.f.saline group);ANOVA plus post hoc Tukeytest.FIG. 3.Effect of NaHS (black columns )and GYY4137(open columns )on LPS (1l g/ml)-evoked release of TNF-a (A )and IL-1b (B )in incubated (24h)RAW 264.7cells.Re-sults show concentration of each cytokine (ng =ml)and are expressed as mean ÆSE;n ¼5;*p <0.05(c.f,LPS group);þp <0.05(c.f.saline group);ANOVA plus post hoc Tukey test.1150WHITEMAN ET AL.exposed to the gas via NaHS,Na 2S,and H 2S gas solutions is unlikely to reflect accurately either the physiologic or the pathophysiologic situation.Thus,these approaches generate an instant ‘‘bolus’’of H 2S rather than release H 2S in a slow and sustained manner,as occurs enzymatically from CSE and CBS and as would be expected to occur in intact cells =tissues.Therefore,we investigated whether the effects of bolus H 2S (generated by NaHS)or slow and sustained H 2S release (via GYY4137)elicited differential responsiveness to LPS in mu-rine RAW264.7macrophages.In contrast to NaHS,the pres-ent data reveal a very much slower and sustained release of H 2S,again measured by using an H 2S-selective probe,from incubated GYY4137.The present study serves,(a)to highlight important differences in the effect of these two H 2S donors on the inflammatory response of cultured macrophages to LPS,and (b)to shed new light on the possible mechanism(s)un-derlying the recently reported antiinflammatory effect of the slow-releasing H 2S donor GYY4137in LPS-evoked endotoxic shock in vivo (12).GYY4137consistently inhibited LPS-evoked formation of PGE 2, NO (as measured by NO 2Àaccumulation),TNF-a ,IL-1b ,IL-6,and consistently augmented LPS-induced formation of IL-10in cultured RAW 264.7cells.In contrast,the effect of NaHS was very much less consistent,with a biphasic (inhi-bition at a concentration of 200m M ;no action at higher con-centrations)effect on LPS-induced PGE 2and NO 2Àformation and no statistically significant inhibitory effect on the evoked biosynthesis of either TNF-a or IL-1b .Indeed,at the highest concentration studied,NaHS actually promoted LPS-evoked cytokine generation in these cells.Whether such an effect might contribute to the reported proinflammatory effect of this H 2S donor (e.g .,9)is not yet clear.Decomposed GYY4137(left at room temperature for 5days)did not affect LPS-induced biosynthesis of either PGE 2or NO 2À,demonstrating that the effects of GYY4137observed in this study were largely due to released H 2S.Furthermore,GYY4137caused a concentration-dependent inhibition of the LPS-induced NF-k B activation in RAW 264.7cells,togetherFIG.4.Effect of NaHS (black column )and GYY4137(open columns )on LPS (1l g/ml)-evoked release of IL-6(A )and IL-10(B )in incubated (24h)RAW 264.7cells.Saline-treated control cells are shown by the grey column .Results show concentration of cytokines (pg =ml)and are expressed as mean ÆSEM;n ¼5–9;*p <0.05(c.f.LPS group);þp <0.05(c.f.saline group);ANOVA plus post hoc Tukeytest.FIG.5.Effect of GYY4137on phosphorylation of ATF-2(A )and HSP-27(B )in LPS (1l g/ml)-treated (24h)RAW 264.7cells.Saline-treated control cells are shown by the grey column .Results show ratio of phosphorylated to nonpho-sphorylated product and are expressed as mean ÆSEM;n ¼5;*p <0.05(c.f.LPS group);þp <0.05(c.f.saline group);ANOVA plus post hoc Tukey test.H 2S EFFECT ON MACROPHAGES 1151with a concentration-dependent reduction of the phosphor-ylation of both ATF-2and HSP-27.In contrast,the effects of NaHS on NF-k B activation was biphasic,in that lower con-centrations increased activation,but higher concentrations were inhibitory (500m M or greater).Neither GYY4137nor NaHS at the highest concentration used in this study (1,000m M )affected cell viability and thus the observed effect of these H 2S donors on macrophage inflammatory mediator release are unlikely to be secondary to any toxic effect of H 2S,at least under the experimental conditions used in the present work.We previously reported that GYY4137reduced LPS-evoked hypotension and organ damage while reducing plasma cytokine levels in the rat in vivo (12).The present data confirm that GYY4137inhibits LPS-induced release of in-flammatory mediators (i.e .,PGE 2, NO,TNF-a ,and IL1b )from macrophages in vitro and show for the first time that this H 2S donor increases the release of antiinflammatory IL-10under the same experimental conditions.The finding that GYY4137also inhibited LPS-induced NF-k B activation is consistent with previous reports in the literature suggesting an inhibi-tory effect of H 2S on transcription via NF-k B.For example ,H 2S (derived from NaHS)inhibited NF-k B activation in LPS-challenged RAW 264.7macrophages maintained in culture (16),whereas exposure of rats to gaseous H 2S reduced brain (cortical)NF-k B mRNA (5).The H 2S donor drug,S -diclofenac,also reduced liver NF-k B activation in LPS-injected rats (11).In addition,H 2S reduced kidney NF-k B activation in a rat model of renal ischemia =reperfusion injury (22).Other po-tential H 2S donors,such as the garlic constituent,dially-sulfide,also inhibit NF-k B activation in primary cultures of human articular chondrocytes (8)and in lung fibrosis induced by bleomycin in rats (7).In contrast,we show here that only a high concentration of NaHS inhibits NF-k B activation.Indeed,at lower concentra-tions of NaHS (e.g .,100and 200m M ),a small but significant activation of NF-k B is apparent.Interestingly,a similar acti-vating effect of this H 2S donor was reported in an interferon-g (IFN-g )Àprimed human monocytic cell line (U937),most likely by rapid degradation of I k B a (31).It is paradoxic that NaHS (1m M )inhibits NF-k B activation in RAW 264.7cells but promotes the LPS-evoked formation of TNF-a and IL-1b without significantly altering PGE 2or NO 2Àgeneration.These data suggest that NaHS at such high concentrations may also be able to affect the function of transcription factors other than NF-k B.In this respect,we previously reported that adminis-tration of the H 2S donor,S -diclofenac,reduced liver AP-1activation in LPS-injected rats.An identical effect also was observed with the parent compound,diclofenac (11),which would argue against a direct effect of H 2S on AP-1.However,other H 2S donors,such as diallysulfide and diallytrisulfide,have both been reported to increase the DNA-binding activity of AP-1in rat epithelial clone 9cells (23).Certainly,the present data suggest that the effect of NaHS on NF-k B activation under these experimental conditions is biphasic,and further experiments are required to determine whether high con-centrations of NaHS are able to affect other transcription factors in these cells.To the best of our knowledge,no other reports exist of the effect of H 2S donors on either ATF-2or HSP-27.As such,both should now be considered as potential targets for GYY4137=H 2S.In this respect,HSP-27was recently im-plicated as a regulator of the increased expression of both cyclooxygenase-2(COX-2)and IL-6in inflammatory cells exposed to LPS (1),most probably by modulating NF-k B signaling (20),whereas ATF-2is a member of the ATF =cAMP-response element–binding protein family,which play an important role in the cellular stress response.Interestingly,TNF-a is one of the major target genes for ATF-2(24).Growing evidence suggests that ATF-2plays an important role in the stress response,cell growth and differentiation,as well as the immune response,and the finding that it is tar-geted by GYY4137is potentially of wider interest.An important feature of the present study is the finding that,although GYY4137consistently reduced LPS-evoked inflammatory mechanisms in RAW 264.7cells,the response to NaHS was less consistent.It should perhaps be noted that other authors have detected an effect of NaHS on LPS-evoked inflammatory changes (e.g .,NO 2Àformation,iNOS expres-sion,and NF-k B activation)in RAW 264.7cells in culture (16).The reason for the discrepancy between the two studies in not clear.However,important differences exist in the experi-mental conditions used.For example,we incubated cells with either GYY4137or NaHS concurrent with LPS for 24h,whereas in the previous study,macrophages were pre-incubated with NaHS for 12h before addition of LPS,and further incubation for an additional 18h.Bearing in mind the transient stability of NaHS in culture medium,it is likely that the time course of exposure of cells to NaHS will be a very important factor in determining the effect of H 2S on LPS-induced inflammatory mediator release under these experi-mental conditions.With this in mind,it is interesting that,in the present experiments,H 2S was detectable in the culture medium at the end of the incubation period when macro-phages were incubated with GYY4137but not with an equivalent concentration of NaHS.We previously reported that GYY4137releases H 2S slowly (i.e .,over a period of several hours)in aqueous buffer and produces a sustained increase in plasma H 2S concentrationinFIG. 6.Effect of NaHS (black columns )and GYY4137(open columns )on activation of NF-j B in LPS (1l g/ml)-treated (24h)RAW 264.7cells.Results show relative light units (RLU)and are expressed as mean ÆSEM;n ¼5;*p <0.05(c.f.LPS group);þp <0.05(c.f.saline group);AN-OVA plus post hoc Tukey test.1152WHITEMAN ET AL.the anesthetized rat after parenteral injection(13).When dis-solved in water,H2S rapidly forms the hydrosulfide anion (HSÀ),which enters into an equilibrium with Hþto yield H2S. Consequently,GYY4137is best considered a‘‘slow releasing’’H2S donor.In contrast,release of H2S from NaHS is rapid. Indeed,NaHS injection did not result in measurable increase in plasma H2S in the anesthetized rat.Thus,NaHS is con-sidered a‘‘fast releasing’’donor of this gas(13).With this in mind,it is conceivable that RAW264.7cells were exposed to very much higher concentrations of H2S but for a very much shorter time in the presence of NaHS(c.f.GYY4137).In conclusion,the effect of H2S on inflammatory mecha-nisms in isolated macrophages seems to be dependent to a large extent on the choice of H2S donor.It is known that dif-ferent donors release H2S at different rates.It is likely that both the absolute concentration of this gas and the time course of its presence after provocation of an inflammatory response by LPS,in this instance,are critical.Drugs that release small amounts of H2S over an extended time appear to be more effective than drugs that release larger amounts of the gas over a shorter time.This should perhaps be borne in mind in the search for novel H2S donors with potential antiin-flammatory activity in the clinic.Furthermore,the antiin-flammatory effect of GYY4137,which we previously identified in intact rats,is likely to be dependent on inhibition of transcription through the NF-k B pathway.The possibility that GYY4137may also interfere with both ATF-2and HSP-27 is an intriguing one and warrants further study. AcknowledgmentsWe are grateful to the Arthritis Research Campaign (MP=8471,U.K.)and the Northcott Devon Medical Founda-tion for their continued and generous research support. 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