王 爽1,王涵学1,孟晓彤1,朱晓双1,王亚蕊1,2,陈 蕴1,2△ (1.新疆医科大学护理学院,乌鲁木齐 830000;2.新疆区域人群疾病与健康照护研究中心,乌鲁木齐 830000)
[摘要] 近年来,1型糖尿病发病率呈上升趋势,其发病原因极为复杂,发生机制尚未完全阐明。已有研究证实1型糖尿病的发生和演变是典型的多基因、多因素、多阶段和多途径的过程,是遗传和环境因素共同作用所致。目前认为环境因素与感染因素、饮食因素、早期暴露事件、肠道菌群、免疫因素、其他因素及遗传因素的交互作用有关。该文对近年来1型糖尿病多重环境因素的相关研究进行综述。
[关键词] 1型糖尿病;环境因素;多重;自身免疫;综述
[中图法分类号] R587.1
[文献标识码] A
[文章编号] 1671-8348(2025)05-1255-05
Advancesonmultipleenvironmentalfactorsaffectingtype1diabetes *
WANGShuang 1,WANG Hanxue 1,MENGXiaotong 1,ZHU Xiaoshuang 1,WANGYarui 1,2,CHEN Yun 1,2△ (1.NursingSchool,XinjiangMedicalUniversity,Urumqi,Xinjiang830000,China; 2.HealthCareResearchCenterforXinjiangRegionalPopulation,Urumqi,Xinjiang830000,China)
[Abstract]
In recent years, the incidence rate of type 1 diabetes is on the rise. The causes of the diseaseare extremely complex, and the pathogenesis has not yet been fully clarified. Different types of studies haveconfirmed that the occurrence and evolution of type 1 diabetes is a typical process of polygene, multifactor.multi-stage and multi-channel,which is considered to be caused by the combined effect of genetic and environmental factors, At present.it is believed that environmental factors are related to the interaction of infectionactors, diet factors,early exposure events,intestinal flora,immune factors,other factors and genetic factors.This article reviews the research on environmental factors of type 1 diabetes in recent years.
[Key words] type 1 diabetes;environmental factors; multiple;autoimmunity; review
Christopher David Chapman 1,2☯*, Myles Hyla Edward Dakin 2 , Richard Aspinall1☯
1 Centre for Intelligent Healthcare, Coventry University, United Kingdom, 2 Hypo-stream Limited, Cambridge, United Kingdom
☯ These authors contributed equally to this work.
Abstract
Background
Hypochlorite is an antiseptic that has been used for over a century for industrial sterilisation and antisepsis. More recently, the topical application of hypochlorite to severe burn patients increased their rate of survival post infection with Gram-negative bacteria, of which antisepsis cannot be solely responsible.
Methodology
Broth microdilution experiments were performed to confirm anti-microbial activity. Cytokine exposure was performed by dialytic exposure of serum spiked with either interleukin-6 or interleukin-10, accounting for contextually appropriate organic load. Cytokine degradation was measured by immunoassay and by functional bioassay utilising HEK-Blue cells. Hypochlorite mediated cytotoxicity against dermal cells was assessed via direct exposure, followed by a 1-hour attenuation period. Resazurin was utilised to assay the impact of hypochlorite on cell viability.
Results
We have shown that this formulation of hypochlorite in isotonic saline has multiple mechanisms. The first is that 7 mmol/L hypochlorite is capable of eliminating both Gram-negative and Gram-positive bacteria, and that the same concentration differentially degrades the function of IL-6 and IL-10. IL-6 was seen to be 3 times more susceptible to loss of function than IL-10 after only 5 minutes of exposure (P<0.005). The asymmetrical effect on these cytokines was observed between 7 and 1.75 mmol/L, and across the entire time scale examined. This hypochlorite formulation has the capability to sterilize a wound, and by altering the cytokine profile reduce inflammation and scarring, and improve wound healing.
Conclusions
These findings, taken with the burn survival study, suggest that the increased survival rate after application of hypochlorite could be due to the combined effect of elimination of infective pathogens, and the differential degradation of interleukin-6 and interleukin-10 at the site of injury
This article is excerpted from the 《Small Science》 by Wound World
伤口世界平台生态圈,以“关爱人间所有伤口患者”为愿景,连接、整合和拓展线上和线下的管理慢性伤口的资源,倡导远程、就近和居家管理慢性伤口,解决伤口专家的碎片化时间的价值创造、诊疗经验的裂变复制、和患者的就近、居家和低成本管理慢性伤口的问题。
2019广东省医疗行业协会伤口管理分会年会
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