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胃食管反流疾病

2017-09-15 MedSci MedSci原创

食管腺癌(EA)是一种越来越常见的癌症,它会悄无声息地影响食管--将食物送入胃的肌肉管。引起EA的原因并不为人所知,但胃食管反流疾病(GERD),其特征是慢性胃灼热和胃酸反流,是已知最强烈的危险因素。现在在《科学报告》杂志亚历山大·齐卡(Scientific Reports)博士和同事们发现,酸性胆汁反流引起的食道细胞DNA损伤(BA / A)会激活线粒体(细胞动力室)中称为NADPH氧化酶的酶,


食管腺癌(EA)是一种越来越常见的癌症,它会悄无声息地影响食管--将食物送入胃的肌肉管。引起EA的原因并不为人所知,但胃食管反流疾病(GERD),其特征是慢性胃灼热和胃酸反流,是已知最强烈的危险因素。

现在在《科学报告》杂志亚历山大·齐卡(Scientific Reports)博士和同事们发现,酸性胆汁反流引起的食道细胞DNA损伤(BA / A)会激活线粒体(细胞动力室)中称为NADPH氧化酶的酶,以释放出高活性氧(ROS)。

Zaika和他的团队发现了两个特异性酶,NOX1和NOX2,分别负责ROS生成。当他们用小干扰RNA(siRNA)或化学抑制剂阻断NOX1和NOX2时,BA / A诱导的ROS产生和DNA损伤明显减少。

他们总结说,抑制反流引起的ROS可能是一种有用的策略,可以防止DNA损伤,降低由GERD引起的肿瘤形成的风险。

原文出处:Vikas Bhardwaj et al. Activation of NADPH oxidases leads to DNA damage in esophageal cells, Scientific Reports (2017).

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    2017-09-17 zhouqu_8
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target=_blank style='color:#2F92EE;'>#反流#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37761, encryptionId=41e33e76137, topicName=反流)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=220d15750403, createdName=feifers, createdTime=Sun Sep 17 11:53:00 CST 2017, time=2017-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=244671, encodeId=204b2446e10d, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/y6Sk2KiaDibWSs0icexcRzKWXKao9dILdyaB6olvWApA1uiaapa4T9XMiaU7hTZA04uj2iavabfdCT5iaO6AYue5qSJ7MzXaAVSqh6j/0, createdBy=08e01983553, createdName=执迷不悔, createdTime=Sat Sep 16 17:07:04 CST 2017, time=2017-09-16, status=1, ipAttribution=), 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level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Fri Sep 15 22:38:38 CST 2017, time=2017-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=244406, encodeId=f5c824440606, content=学习了.涨知识了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Fri Sep 15 21:40:46 CST 2017, time=2017-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=244400, encodeId=126a2444009e, content=Emmmmmmm.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/21/b08f46ccefbf795993994115d0854e54.jpg, createdBy=16d21717631, createdName=吴晶晶, createdTime=Fri Sep 15 21:03:19 CST 2017, time=2017-09-15, status=1, ipAttribution=)]
    2017-09-17 feifers
  5. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/21/b08f46ccefbf795993994115d0854e54.jpg, createdBy=16d21717631, createdName=吴晶晶, createdTime=Fri Sep 15 21:03:19 CST 2017, time=2017-09-15, status=1, ipAttribution=)]
    2017-09-16 执迷不悔

    学习了

    0

  6. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/21/b08f46ccefbf795993994115d0854e54.jpg, createdBy=16d21717631, createdName=吴晶晶, createdTime=Fri Sep 15 21:03:19 CST 2017, time=2017-09-15, status=1, ipAttribution=)]
    2017-09-16 1e0f8808m18(暂无匿称)

    胃食道反流病.学习了.

    0

  7. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/21/b08f46ccefbf795993994115d0854e54.jpg, createdBy=16d21717631, createdName=吴晶晶, createdTime=Fri Sep 15 21:03:19 CST 2017, time=2017-09-15, status=1, ipAttribution=)]
    2017-09-15 luominglian113

    学习了.谢谢分享

    0

  8. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/21/b08f46ccefbf795993994115d0854e54.jpg, createdBy=16d21717631, createdName=吴晶晶, createdTime=Fri Sep 15 21:03:19 CST 2017, time=2017-09-15, status=1, ipAttribution=)]
    2017-09-15 131****2916

    不错的文章值得学习

    0

  9. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/21/b08f46ccefbf795993994115d0854e54.jpg, createdBy=16d21717631, createdName=吴晶晶, createdTime=Fri Sep 15 21:03:19 CST 2017, time=2017-09-15, status=1, ipAttribution=)]
    2017-09-15 王秀

    学习了.涨知识了!

    0

  10. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/07/21/b08f46ccefbf795993994115d0854e54.jpg, createdBy=16d21717631, createdName=吴晶晶, createdTime=Fri Sep 15 21:03:19 CST 2017, time=2017-09-15, status=1, ipAttribution=)]
    2017-09-15 吴晶晶

    Emmmmmmm.学习了

    0

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本文是对2006ACCP反流性咳嗽综合征临床实践指南的更新,指南小组成员通过使用一个诊断/治疗法则解决常见咳嗽的病因包括反流症状,2.改变生活方式以及减重可能对疑似反流性咳嗽综合征有益,单独使用PPIs未显示益处;3.难治性患者考虑抗反流手术或临床高度怀疑其中有需要进行诊断测试的患者可进行生理检测。 全文获取:下载地址:指南下载 (需要扣积分2分, 梅斯医学APP免积

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胃食管反流病(GERD),是一种极为常见的疾病,在西方国家成人中的发病率为10%-20%。越来越多的研究已经证明了身体质量指数增加和胃酸反流症状恶化之间的直接联系。胃食管反流患可能会影响越来越多的人。随着肥胖情况日益严重严重,胃食管反流病可能更加流行。尽管治疗胃食管反流病的非处方疗法很多,持续或预警症状应始终及时咨询医生。那么近期关于胃食管反流指南共识一览有哪些,梅斯医学小编为您盘点。【1】201

Ann Surg:腹腔镜术后发生胃食管反流的结果

腹腔镜手术虽然与优质的短期和中期临床结果有关,但其导致症状的复发是一个重大挑战。术后pH监测被认为是诊断复发性GERD的“黄金标准”,常用于常规术后随访。近期,一项发表在杂志Ann Surg上的研究旨在通过常规术后24小时pH监测来评估病理性食管酸暴露患者的症状和再次手术的需要。此项研究收集了1994年4月至2015年6月进行腹腔镜治疗患者的数据并进行分析;常规术后24小时pH监测。在病理和生理学

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胃食管反流伴喉咽反流患者的生活质量、治疗满意度以及疾病负担均较重

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