1.The application of temperature-controlled bipolar radiofrequency ablation in treatment of snoring and obstructive sleep apnea hyponea syndrome
Yong ZENG ; Runhan LI ; Yuejian WANG ; Weixiong CHEN ; Jianxiang XIAO ; Guocui ZHEN
Chinese Archives of Otolaryngology-Head and Neck Surgery 2006;0(03):-
OBJECTIVE To explore the clinical effect of tonsil temperature-controlled bipolar radiofrequency ablation technology in the treatment of snoring and mild-moderate-obstructive sleep apnea hyponea syndrome(OSAHS). METHODS Forty-six patients were selected,of which 17 were snoring and 29 were mild-moderate-obstructive sleep apnea-hyponea syndrome cases. Tonsil temperature-controlled bipolar radiofrequency with varying probes was used for all patients. RESULTS A follow-up of 6~18 months was carried out. 9 of 17 snoring cases resulted in recovery. The procedure was effective in 6 cases and not effective in 2 cases. 15 of 29 OSAHS cases resulted in recovery. The procedure was effective in 10 cases and not effective in 4 cases. Overall successful rate was 86.9 %(40/46). The size of tonsils, apnea hyponea index(AHI),snoring scale and Epworth sleepiness score(ESS)were significantly decrease dafter operation(P
2.Effect of artesunate on neuroinflammation in depressed mouse model by regulating cGAS-STING signaling pathway
Chao GAO ; Runhan ZHANG ; Wei WANG ; Manting ZHAO ; Yan JIAO ; Zhe LI
Basic & Clinical Medicine 2024;44(8):1126-1132
Objective To investigate the effect of artesunate(ART)on neuroinflammation in depressed mice by regulating the cyclic guanosine monophosphate-adenosine monophosphate synthase(cGAS)-stimulator of interferon gene(STING)pathway.Methods Mice were divided into model group,control group,low-dose ART group,high-dose ART group,fluoxetine group,and high-dose ART+RocA(cGAS-STING pathway activator)group.Sugar solution consumption experiment and forced swimming experiment were applied to evaluate the depressive behavior of mice;HE staining microscopy was applied to detect pathological changes in hippocampal tissue;ELISA method was applied to detect the level of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),serotonin(5-HT)and dopa-mine(DA);TUNEL staining microscopy was applied to detect neuronal apoptosis;Western blot was applied to detect Bcl-2 associated X protein(Bax),p53,cGAS,and STING proteins.Results Compared to the control group,the mice in the model group exhibited neuronal pustule degeneration,the sugar water consumption rate,level of 5-HT and DA decreased,the rest time of forced swimming increased.The level of IL-6 and TNF-α,neuronal apoptosis rate,expression of Bax,p53,cGAS,and STING proteins all elevated(P<0.05);Compared with model group,the damage to hippocampus neurons in the ART low-dose group,ART high-dose group and fluoxetine group neuronal pus-tular degeneration was alleviated,while sugar water consumption rate,5-HT,and DA levels increased,the rest time of forced swimming reduced,the level of IL-6 and TNF-α,neuronal apoptosis rate and the expression of Bax,p53,cGAS,and STING proteins reduced(P<0.05);RocA reversed the improvement effect of high-dose ART on depression in mice.Conclusions ART inhibits neuroinflammation and neuronal apoptosis in depressed mice,and up-regulates amine neurotransmitters expression.The mechanism is potentially related to the blocking of cGAS-STING pathway.