通过便携式自动采集设备,每天高分辨率地绘制组织上腺类固醇的样本
Thomas J Upton1, Eder Zavala2, Paal Methlie3,4
1Henry Wellcome Laboratories for Integrative Neuroscience and Endocrinology, Translational Health Sciences, Faculty of Health Sciences, University of Bristol, Bristol BS1 3NY, UK.
Science translational medicine
|June 21, 2023
概括
被破坏的上腺激素节律是早期疾病的信号. 这项研究使用微透析在健康个体中创建组织上腺类固醇的高分辨率24小时概况,建立正常性的动态标记.
科学领域:
- 内分泌学 在内分泌学.
- 时间生物学 时间生物学
- 生物标志物发现发现
背景情况:
- 内分泌系统依赖于荷尔蒙波动;干扰是早期疾病指标.
- 循环和超定时上腺激素分泌模式限制了来自单次时间点测量的信息.
- 为了监测荷尔蒙,在夜间采取血液样本是侵入性的,并且会扰乱睡眠.
研究的目的:
- 开发一种微创方法,在24小时内高分辨率地对组织中的自由上腺类固醇进行分析.
- 克服传统血液采样的局限性,以评估激素节律性,特别是在睡眠期间.
- 在健康个体中建立上腺类固醇水平的规范性动态标记.
主要方法:
- 使用微透析和门诊分数采集器进行持续24小时的组织采样.
- 采用液体染色学-并联质谱法 (LC-MS/MS) 精确量化上腺类固醇.
- 验证的组织测量与参与者的子集中的血度相比.
主要成果:
- 证明了门诊微透析用于皮下组织采样的安全性和耐受性.
- 在多种自由上腺类固醇中确定了每日和超日变化,包括皮质醇,皮质素和阿尔多斯特.
- 量化了个体间的变异性,并开发了性别,年龄和BMI分层的动态参考范围.
结论:
- 微透析提供高分辨率的组织激素配置文件,提供了对实际环境中的上腺类固醇动态的洞察力.
- 这种方法克服了评估激素节律性的传统血液采样的局限性.
- 已建立的动态标记可以作为诊断内分泌疾病的潜在规范性参考.
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