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Gut-liver axis in sepsis-associated liver injury:Epidemiology,challenges and clinical practice

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World Journal of Gastroenterology 2025年第1期31卷 163-166页

作者： Fabiana Andréa Moura Aryana Isabelle de Almeida Neves Siqueira College of nutrition Federal University of AlagoasMaceio 57072-970AlagoasBrazil College of Medicine Federal University of AlagoasMaceio 57072-970AlagoasBrazil

Although the liver has a remarkable regenerative capacity,sepsis-associated liver injury(SLI)is a complication often seen in intensive care *** to its role in immune and inflammatory regulation,the liver is particularly vulnerable during severe *** the global prevalence,causes,and management of SLI is essential to improve outcomes and reduce healthcare *** paper aims to explore these factors,with an emphasis on identifying effective strategies for clinical *** et al’s bibliometric analysis of 787 publications(745 original articles and 42 reviews,mostly in animal models)from 2000 to 2023 highlights the growing interest in SLI,focusing on oxidative stress,gut microbiota,and inflammatory *** components such as nuclear factor-kappa B and the NOD-like receptor thermal protein domain associated protein 3 inflammasome pathway,along with their links to gut microbiota imbalance and oxidative stress,are crucial for understanding SLI *** gut-liver axis,particularly the role of intestinal permeability and bacterial translocation in liver inflammation,is *** this context,bacterial translocation is especially relevant for critically ill patients,as it can exacerbate liver *** findings underscore the need for integrated care in intensive care units,prioritizing gut health and careful antibiotic use to prevent *** extensive research,there remains a lack of clinical trials to validate therapeutic *** abundance of experimental studies highlights potential therapeutic targets,stressing the need for high-quality randomized clinical trials to translate these findings into clinical practice.

关键词： Dysbiosis Oxidative stress Inflammation Microbiota Sepsis-associated liver injury

Context-dependent role of sirtuin 2 in inflammation

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Neural Regeneration Research 2025年第3期20卷 682-694页

作者： NoemíSola-Sevilla Maider Garmendia-Berges MCarmen Mera-Delgado Elena Puerta Department of Pharmaceutical Sciences Division of PharmacologySchool of Pharmacy and NutritionUniversity of NavarraPamplonaSpain Navarra Institute for Health Research(IdiSNA) PamplonaSpain

Sirtuin 2 is a member of the sirtuin family nicotinamide adenine dinucleotide(NAD~+)-dependent deacetylases, known for its regulatory role in different processes, including inflammation. In this context, sirtuin 2 has been involved in the modulation of key inflammatory signaling pathways and transcription factors by deacetylating specific targets, such as nuclear factor κB and nucleotide-binding oligomerization domain-leucine-rich-repeat and pyrin domain-containing protein 3(NLRP3). However, whether sirtuin 2-mediated pathways induce a pro-or an anti-inflammatory response remains controversial. Sirtuin 2 has been implicated in promoting inflammation in conditions such as asthma and neurodegenerative diseases, suggesting that its inhibition in these conditions could be a potential therapeutic strategy. Conversely, arthritis and type 2 diabetes mellitus studies suggest that sirtuin 2 is essential at the peripheral level and, thus, its inhibition in these pathologies would not be recommended. Overall, the precise role of sirtuin 2 in inflammation appears to be context-dependent, and further investigation is needed to determine the specific molecular mechanisms and downstream targets through which sirtuin 2 influences inflammatory processes in various tissues and pathological conditions. The present review explores the involvement of sirtuin 2 in the inflammation associated with different pathologies to elucidate whether its pharmacological modulation could serve as an effective strategy for treating this prevalent symptom across various diseases.

关键词： interferon inflammation lipopolysaccharide neuroinflammation NLRP3 nuclear factorκB sirtuin 2

nutrition status of patients with common cancer in China: gap,mission and challenge

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Science China(Life Sciences) 2021年第11期64卷 1980-1983页

作者： Chunlei Hu Qi Zhang Hanping Shi Department of Gastrointestinal Surgery Department of Clinical NutritionBeijing Shijitan HospitalCapital Medical UniversityBeijing 100038China Department of Oncology Capital Medical UniversityBeijing 100038China Beijing International Science and Technology Cooperation Base for Cancer metabolism and nutrition Beijing 100038China

Malnutrition reduces tolerance and effectiveness of anti-tumor treatment(ANT),increases the risk of complications,medical costs,and death(Arends et al.,2017).About 40%of patients with cancer die because of malnutrition rather than the disease itself(Barton,2017;Roeland et al.,2020).In order to set up a panorama for association among nutrition status,nutrition support treatment(NST),ANT and outcomes in patients with neoplasms,the Chinese Society of nutritional Oncology(CSNO)conducted a multicenter prospective cohort program called Investigation on nutrition Status and its Clinical Outcome of Common Cancers(INSCOC)from 2013.

关键词： al. patients neoplasms

Can Emax and platelet count truly differentiate between benign and malignant liver lesions?

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World Journal of Gastroenterology 2025年第3期31卷 120-122页

作者： Manjeet Kumar Goyal Omesh Goyal Department of Gastroenterology and Human nutrition Unit All India Institute of Medical SciencesNew Delhi 110029DelhiIndia Department of Gastroenterology Dayanand Medical College and HospitalLudhiana 141001PunjabIndia

This letter critically evaluates Jiang et al's article on the differentiation of benign and malignant liver lesions using Emax and platelet *** notable findings,significant methodological and interpretative limitations are *** study lacks detailed assay conditions for Emax measurement,employs inadequate statistical methods without robust multivariate analysis,and does not provide clinically relevant threshold *** nomogram's reliance on Emax as a major diagnostic contributor is questionable due to attenuation in hepatocellular carcinoma patients with ***,the study's limitations,such as selection bias and confounding factors,are not adequately *** research should adopt more rigorous methodologies,including prospective studies with larger cohorts and standardized protocols for biomarker measurement,to enhance validity and clinical applicability.

关键词： Emax Platelet count Benign liver lesions Malignant liver lesions Hepatocellular carcinoma Cirrhosis Diagnostic biomarkers Shear wave elastography Methodological limitations Clinical utility

Science as the Basis for Public Health Decisions in nutrition and Food Safety in Asia

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Biomedical and Environmental Sciences 2001年第1期14卷 1-13页

作者： KRAISID TONTISIRIN RENATA CLARKE Director Food and Nutrition DivisionNutrition OfficerFood Quality and Consumer Protection GroupFood and Nutrition DivisionFood and Agriculture Organization of the United NationsRomeItaly

Worldwide,great advances have been made in public health protection over the last *** this is most cogently illustrated by the improvements in life experctancy that have been achieved in countries throughout the ***,the average life expectancy at birth from 1950 to 1955 was 46.1 years.^[1]Forty years later,this statistic increased to 64.3 *** this global average masks important differences between less and more developed countries,for all countries at all stages of development,substantial increases in life expectancy at birth have been *** Asia,the average life expectancy increased from 56.3 years to 64.5years in the two decades between 1975 and 1995,While there remains much to be done to further improve public health and well-being of the people,the achievements are *** increase in the duration and quality of life has been largely attributable to advances in science and the sensible application of these scientific and medical advances in public health services,Developments in a wide range of scientific domains continue to abound and policy makers realize that it is necessary to develop processes and procedures that reliably utilize available acientific achivements to arrive at appropriate polity decisions in nutrition and food safety.

关键词： Science as the Basis for Public Health Decisions in nutrition and Food Safety in Asia

Life and death at the mucosal-luminal interface: New perspectives on human intestinal ischemia-reperfusion

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World Journal of Gastroenterology 2016年第9期22卷 2760-2770页

作者： Joep Grootjans Kaatje Lenaerts Wim A Buurman Cornelis HC Dejong Joep PM Derikx Department of Surgery NUTRIM School of Nutrition and Translational Research in Metabolism Maastricht University Medical Center Brigham and Women’s Hospital Harvard Medical School NUTRIM School of nutrition and Translational Research in metabolism Maastricht University Medical Center

Intestinal ischemia is a frequently observed phenomenon. Morbidity and mortality rates are extraordinarily high and did not improve over the past decades. This is in part attributable to limited knowledge on the pathophysiology of intestinal ischemia-reperfusion(IR) in man, the paucity in preventive and/or therapeutic options and the lack of early diagnostic markers for intestinal ischemia. To improve our knowledge and solve clinically important questions regarding intestinal IR, we developed a human experimental intestinal IR model. With this model, we were able to gain insight into the mechanisms that allow the human gut to withstand short periods of IR without the development of severe inflammatory responses. The purpose of this review is to overview the most relevant recent advances in our understanding of the pathophysiology of human intestinal IR, as well as the(potential) future clinical implications.

关键词： Small intestinal ischemia Colon ischemia Epithelial lining Ischemia-reperfusion Human models

Interactions of zinc and cadmium toxicity in their effects on growth and in antioxidative systems in tomato plants (Solanum lycopersicum)

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Journal of Environmental Sciences 2011年第5期23卷 837-844页

作者： Jaouhra Cherif Chamseddine Mediouni Wided Ben Ammar Fatma Jemal Unit of Research "Nitrogenized nutrition and metabolism and Stress Proteins" UR 99/09-20 Department of BiologyFaculty of Science University of Tunis Tunis 2092 Tunisia Unit of Research "Nitrogenized nutrition and metabolism and Stress Proteins" UR 99/09-20 Department of BiologyFaculty of ScienceUniversity of Tunis Tunis 2092 Tunisia

The interaction between zinc and cadmium was investigated in tomato plants （Solanum lycopersicum）. Ten-day-old seedlings were treated with 10 μmol/L CdC12 associated to different concentrations of ZnC12 （10, 50, 100, and 150 μmol/L）. Zn supply clearly reduced Cd accumulation in leaves and simultaneously increased Zn concentration. Cd induced oxidative stress in leaves as indicated by an increase in thiobarbituric acid-reactive substances （TBARS） level and chlorophyll breakdown. Furthermore, compared with control, Cd- treated plants had significantly higher activities of superoxide dismutase （SOD, EC 1.***.1.1）, whereas, catalase （CAT, EC 1.***.1.6）, ascorbate peroxidase （APX, EC 1.***.1.11）, and glutathione reductase （GR, EC 1.***.4.2） activities were significantly suppressed by Cd addition. Zn supplementation, at low level, restored and enhanced the functional activity of these enzymes （SOD, CAT, APX and GR） as compared to Cd-alone-treated plants. The beneficial effect of adequate Zn level on Cd toxicity was confirmed by a significant decrease in TBARS level and restoration of chlorophyll content. However, when Zn was added at high level in combination with Cd there was an accumulation of oxidative stress, which was higher than that for Cd or excess Zn alone treatments. These results suggested that higher Zn concentrations and Cd are synergistic in their effect on plant growth parameters and oxidative stress.

关键词： Solanum lycopersicum cadmium zinc oxidative stress antagonism synergism.

Gut microbiota and host metabolism in liver cirrhosis

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World Journal of Gastroenterology 2015年第41期21卷 11597-11608页

作者： Makoto Usami Makoto Miyoshi Hayato Yamashita Division of nutrition and metabolism Department of Biophysics Kobe University Graduate School of Health Sciences Department of nutrition Kobe University Hospital Kobe University School of Medicine

The gut microbiota has the capacity to produce a diverse range of compounds that play a major role in regulatingthe activity of distal organs and the liver is strategically positioned downstream of the gut. Gut microbiota linked compounds such as short chain fatty acids, bile acids, choline metabolites, indole derivatives, vitamins, polyamines, lipids, neurotransmitters and neuroactive compounds, and hypothalamic-pituitary-adrenal axis hormones have many biological functions. This review focuses on the gut microbiota and host metabolism in liver cirrhosis. Dysbiosis in liver cirrhosis causes serious complications, such as bacteremia and hepatic encephalopathy, accompanied by small intestinal bacterial overgrowth and increased intestinal permeability. Gut dysbiosis in cirrhosis and intervention with probiotics and synbiotics in a clinical setting is reviewed and evaluated. Recent studies have revealed the relationship between gut microbiota and host metabolism in chronic metabolic liver disease, especially, non-alcoholic fatty liver disease, alcoholic liver disease, and with the gut microbiota metabolic interactions in dysbiosis related metabolic diseases such as diabetes and obesity. Recently, our understanding of the relationship between the gut and liver and how this regulates systemic metabolic changes in liver cirrhosis has increased. The serum lipid levels of phospholipids, free fatty acids, polyunsaturated fatty acids, especially, eicosapentaenoic acid, arachidonic acid, and docosahexaenoic acid have significant correlations with specific fecal flora in liver cirrhosis. Many clinical and experimental reports support the relationship between fatty acid metabolism and gut-microbiota. Various blood metabolome such as cytokines, amino acids, and vitamins are correlated with gut microbiota in probioticstreated liver cirrhosis patients. The future evaluation of the gut-microbiota-liver metabolic network and the intervention of these relationships using probiotics, s

关键词： Liver cirrhosis Microbiota metabolism Fatty acids

Microbiota-host interplay at the gut epithelial level,health and nutrition

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Journal of Animal Science and Biotechnology 2017年第2期8卷 327-334页

作者： Jean-Paul Lallès Division of Human nutrition Division INRA Clermont-Ferrand France Human nutrition Research Center-West Nantes France

Growing evidence suggests the implication of the gut microbiota in various facets of health and disease. In this review, the focus is put on microbiota-host molecular cross-talk at the gut epithelial level with special emphasis on two defense systems： intestinal alkaline phosphatase（IAP） and inducible heat shock proteins（iHSPs）. Both IAP and iHSPs are induced by various microbial structural components（e.g. lipopolysaccharide, flagellin, CpG DNA motifs）,metabolites（e.g. n-butyrate） or secreted signal molecules（e.g., toxins, various peptides, polyphosphate）. IAP is produced in the small intestine and secreted into the lumen and in the interior milieu. It detoxifies microbial components by dephosphorylation and, therefore, down-regulates microbe-induced inflammation mainly by inhibiting NF-κB pro-inflammatory pathway in enterocytes. IAP gene expression and enzyme activity are influenced by the gut microbiota. Conversely, IAP controls gut microbiota composition both directly, and indirectly though the detoxification of pro-inflammatory free luminal adenosine triphosphate and inflammation inhibition. Inducible HSPs are expressed by gut epithelial cells in proportion to the microbial load along the gastro-intestinal tract. They are also induced by various microbial components, metabolites and secreted molecules. Whether iHSPs contribute to shape the gut microbiota is presently unknown. Both systems display strong anti-inflammatory and anti-oxidant properties that are protective to the gut and the host. Importantly, epithelial gene expressions and protein concentrations of IAP and iHSPs can be stimulated by probiotics, prebiotics and a large variety of dietary components, including macronutrients（protein and amino acids, especially L-glutamine, fat, fiber）, and specific minerals（e.g. calcium）and vitamins（e.g. vitamins K1 and K2）. Some food components（e.g. lectins, soybean proteins, various polyphenols） may inhibit or disturb these systems. The general cel ular and molecula

关键词： Diet Gut Inducible heat shock protein Inflammation Intestinal alkaline phosphatase Microbiota