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        west china medical publishers
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        find Keyword "clinical transformation" 2 results
        • Research progress of vitamin D in the development and progression of hepatocellular carcinoma and its clinical transformation

          ObjectiveTo summarize the current research progress of the relationship between vitamin D and the development and progression of hepatocellular carcinoma (HCC), and relevant clinical translational application researches.MethodsThe related literatures at home and abroad were searched to review the studies on the synthesis and metabolism of vitamin D, classic and non-classical effects of vitamin D, and the relationship between vitamin D and the development and progression of HCC, as well as relevant clinical translational application.ResultsVitamin D was an important cytokine that regulated the body’s mineral and bone metabolism, and its anti-proliferation, pro-differentiation, pro-apoptosis, anti-inflammation, immune regulation, and other non-classical effects, had received more and more attentions in recent years. The existing studies had found that vitamin D was closely associated with HCC, which affected the development and progression of HCC through various mechanisms. Epidemiology showed that vitamin D levels were closely related to the prognosis of HCC patients. Whether vitamin D could be used as a clinical prognostic indicator and treatment plan for HCC still needed further clinical evidence to confirm.ConclusionVitamin D plays an important role in the regulation of the development and progression of HCC, and exploration of the association between vitamin D and HCC and related clinical translation problems are expected to provide a new approach for the prevention and treatment of HCC.

          Release date:2021-05-14 09:39 Export PDF Favorites Scan
        • Research progress on clinical transformation of Piezo1 in osteoarthritis

          Objective To review the role of the mechanosensitive ion channel Piezo1 in osteoarthritis (OA) pathogenesis and summarize recent advances in its clinical transformation as a potential therapeutic target. Methods The recent domestic and international research literature was reviewed. Recent studies on Piezo1 in chondrocyte injury, inflammation, extracellular matrix degradation, and osteophyte formation were analyzed, along with Piezo1-targeted inhibitors, activators, and modulators. Results Piezo1 senses abnormal mechanical stress and mediates Ca2+ influx, activating PI3K/AKT/mTOR and MAPK/ERK signaling pathways, thereby promoting chondrocyte apoptosis, impaired autophagy, and matrix degradation. Preclinical studies suggest that GsMTx4, Piezo1-siRNA, Dooku1, and artemisinin may confer chondroprotective effects, but their specificity, stability, delivery efficiency, and safety require further verification. Conclusion Piezo1 is a critical link between mechanical stress and OA progression, representing a potential therapeutic target. Future research should focus on elucidating mechanisms, developing highly specific modulators and targeted delivery systems, and conducting rigorous preclinical and clinical studies to promote clinical transformation.

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