Background: Hypertension is a common disease worldwide not just in Vietnam. Hypertension causes a series of metabolic disorders such as illness and death from kidney failure, heart failure, cerebral vascular calamity and various other chronic diseases.\r\n', u'Objectives: To discover the real situation of hypertension and to determine various related factors in Hoa Thuong commune/ Dong Hy district Thai Nguyen province \r\n', u'Subjects and methods: A cross-sectional and retrospective study was carried out involving 1970 people;.\r\n', u'Results: 17.7% of them had high blood pressure. The rate of hypertension in men was higher than that in women (20.3% and 15.4%, respectively). The related factors were found in the hypertension group/ including: high rate of glucose metabolic disorder (3.7%J cholesterol metabolic disorder (7.9%), creatinine metabolic disorder (34.1%). The rate of hypertension in the alcoholic consumption group was 1.28 times higher than that in non-drinking group. This difference between smoking group and nonsmoking group was 1.64 times. \r\n', u'Conclusion: Intervention for primary health care should be applied. A health care network for high blood pressure prevention in community should be established. \r\n', u'
Hypertension ; real situation ; related factor

Background: Caesarean section is a common surgical practice in gynecology. The rate of caesarean section is on the increase not only in Vietnam but also worldwide.\r\n', u'Objectives: To determine the rates of the caesarean section and related factors in mothers delivering from Jan 1st 2007 to Mar 31st 2007. Subjects and Methods: The cross-sectional study was carried out on 423 women (219 in Hoan Kiem district and 204 in Gia Lam district) from April to September 2007.\r\n', u'Results:Caesarean section rates in Hoan Kiem and Gia Lam district were 37.9% and 22.1%, respectively; total caesarean section rate was 30.3%. About 96-98% women who had history of caesarean delivery were going to give birth by caesarean sections. Caesarean section for non-medical reasons accounted for 14.6% of the women. There were 14% of mothers choosing caesarean sections for selecting the good day or the good hour and 16.7% for the impact of their family. \r\n', u'Conclusion: Caesarean section rate in this study were quite high, previous caesarean sections in patient history were one of the main reasons, non-medical caesarean reasons were not low in rate, the age of the women was one of the factors associated with caesarean sections. \r\n', u'\r\n', u'
Caesarean sections ; real situation ; related factor

Background: Nowadays, Computed Tomography (CT) plays an important role not only in diagnosis but also in evaluating the severity of cranial lesions, especially brain injuries. Objectives: (1) To determine the related factors of brain injury. (2) To identify the rate of discovering brain injuries in CT film. (3) To propose appropriate an time for performing CT examinations. Subjects and method: The retrospective study was carried out on 413 cranial traumatic cases admitted to Viet Tiep Hospital from 1/1/2006 to 31/12/2007. All of them were taken with a CT - scanner. Results: The percentage of male - patient is 4 times higher than this of female. Most of the patients were 21-30 year olds (69%). The most common cause was motor accidents (64%). The indirect (dislocation of middle line) and direct pathogenic images can be found in CT-scanner in 210/413 cases (50.85%) and 216/413 (52.30%), respectively. 114 cases (27.60%) underwent surgical treatments. 20 patients died (4.84%) because of severe and complex injuries. Conclusion: It is necessary to closely monitor all the changes of the signs and symptoms in order to specify CT-scanner examination on time.
related factor ; brain injury ; CT scanner

Brain-derived neurotrophic factor (BDNF) is linked to numerous brain functions. In addition, BDNF alterations contribute to neurological, mental, and addictive disorders. Cocaine dependence has received much attention recently due to its prevalence and psychological effects. Symptoms of psychosis are one of the most serious adverse events precipitated by cocaine use. It is particularly important to identify patients at risk of developing cocaine-induced psychosis (CIP). We described two cases of patients with cocaine dependence who presented with CIP and had changes in their BDNF levels during the psychotic episode. BDNF levels were initially low in both patients, and then decreased by more than 50% in association with CIP. The relationship between BDNF and psychosis is described in the literature. These cases revealed that BDNF levels decreased during a CIP episode and, thus, it is necessary to investigate BDNF and its relationship with CIP further.
Biomarkers ; Brain ; Brain-Derived Neurotrophic Factor ; Cocaine* ; Cocaine-Related Disorders* ; Humans ; Prevalence ; Psychotic Disorders*

In the development of oxidative stress-relevant diseases, reactive oxygen species (ROS) removal obstacle or excess production results in the damage of the body tissues and organs. Recent studies have demonstrated that nuclear factor E2-related factor 2/heme oxygenase-1 (Nrf2/HO-1) axis played a significant role in anti-oxidative stress. The Nrf2/HO-1 axis counteracts oxidative stress injury by its resistance to inflammation, oxidation, mitochondrial damage and calcium influx, apoptosis, pyroptosis, ferroptosis and autophagy, which provides a theoretical basis for its therapeutic effect on various oxidative stress-relevant diseases in multiple organs (respiratory, cardiovascular, nervous, digestive, urinary and blood systems). Therefore, effective regulation of the Nrf2/HO-1 signal axis can be an important strategy for treatment of oxidative stress-relevant diseases.
Heme Oxygenase-1 ; NF-E2-Related Factor 2 ; Oxidative Stress ; Reactive Oxygen Species ; Signal Transduction

Nuclear factor E2-related factor 2 (NRF2) plays an important role in redox metabolism and antioxidant defense. Under normal conditions, NRF2 proteins are maintained at very low levels because of their ubiquitination and proteasomal degradation via binding to the kelch-like ECH associated protein 1 (KEAP1)-E3 ubiquitin ligase complex. However, oxidative and/or electrophilic stresses disrupt the KEAP1-NRF2 interaction, which leads to the accumulation and transactivation of NRF2. During recent decades, a growing body of evidence suggests that NRF2 is frequently activated in many types of cancer by multiple mechanisms, including the genetic mutations in the KEAP1-NRF2 pathway. This suggested that NRF2 inhibition is a promising strategy for cancer therapy. Recently, several NRF2 inhibitors have been reported with anti-tumor efficacy. Here, we review the mechanisms whereby NRF2 is dysregulated in cancer and its contribution to the tumor development and radiochemoresistance. In addition, among the NRF2 inhibitors reported so far, we summarize and discuss repurposed NRF2 inhibitors with their potential mechanisms and provide new insights to develop selective NRF2 inhibitors.
Metabolism ; NF-E2-Related Factor 2 ; Oxidation-Reduction ; Transcriptional Activation ; Ubiquitin ; Ubiquitination

Wound healing is one of the common pathophysiological processes in the body. How to improve the condition of wound healing to promote rapid wound healing has always been a hotspot in research. Oxidative stress is one of the important factors affecting wound healing. Nuclear factor-erythroid 2-related factor 2 (Nrf2) is a classic antioxidant stress factor as well as a factor with great potential in facilitating wound healing. The activation of Nrf2 can regulate the downstream antioxidant stress elements and play roles of anti-apoptosis and cell homeostasis maintaining, which improves wound healing environment and promotes wound repair. This paper summarized the common agonists and inhibitors of Nrf2 and reviewed the roles of Nrf2 in promoting skin wound healing including diabetic ulcers, radiation injury, and ischemia-reperfusion injury, etc.
Antioxidants/pharmacology* ; NF-E2-Related Factor 2/metabolism* ; Oxidative Stress ; Wound Healing/physiology*

PTH-related peptide (PTHrP) improves the bone marrow micro-environment to activate the bone-remodelling, but the coordinated regulation of PTHrP and transforming growth factor-β (TGFβ) signalling in TMJ-OA remains incompletely understood. We used disordered occlusion to establish model animals that recapitulate the ordinary clinical aetiology of TMJ-OA. Immunohistochemical and histological analyses revealed condylar fibrocartilage degeneration in model animals following disordered occlusion. TMJ-OA model animals administered intermittent PTHrP (iPTH) exhibited significantly decreased condylar cartilage degeneration. Micro-CT, histomorphometry, and Western Blot analyses disclosed that iPTH promoted subchondral bone formation in the TMJ-OA model animals. In addition, iPTH increased the number of osterix (OSX)-positive cells and osteocalcin (OCN)-positive cells in the subchondral bone marrow cavity. However, the number of osteoclasts was also increased by iPTH, indicating that subchondral bone volume increase was mainly due to the iPTH-mediated increase in the bone-formation ability of condylar subchondral bone. In vitro, PTHrP treatment increased condylar subchondral bone marrow-derived mesenchymal stem cell (SMSC) osteoblastic differentiation potential and upregulated the gene and protein expression of key regulators of osteogenesis. Furthermore, we found that PTHrP-PTH1R signalling inhibits TGFβ signalling during osteoblastic differentiation. Collectively, these data suggested that iPTH improves OA lesions by enhancing osteoblastic differentiation in subchondral bone and suppressing aberrant active TGFβ signalling. These findings indicated that PTHrP, which targets the TGFβ signalling pathway, may be an effective biological reagent to prevent and treat TMJ-OA in the clinic.
Animals ; Osteoclasts ; Osteogenesis ; Parathyroid Hormone-Related Protein/pharmacology* ; Temporomandibular Joint ; Transforming Growth Factor beta/pharmacology*

This study aims to investigate the detoxification effects of different processing methods on the cardiotoxicity induced by radix Tripterygium wilfordii, and preliminarily explore the detoxification mechanism via the nuclear factor E2-related factor 2(Nrf2)/heme oxygenase 1(HO-1) pathway. The raw and processed products [stir-fried product, product stir-fried with Lysimachiae Herba(JQC), product stir-fried with Phaseoli Radiati Semen(LD), product stir-fried with Paeoniae Radix Alba(BS), product stir-fried with Glycyrrhizae Radix et Rhizoma(GC), and product stir-fried with vinegar(CZ)] of radix T. wilfordii were administrated to mice by gavage at a dose of 2 g·kg~(-1)(based on crude drugs) for 28 days. Twenty-four hours after the last administration, we measured the serum biochemical indexes of mice to evaluate the detoxification effect. Furthermore, we determined the expression of key proteins of Nrf2/HO-1 pathway in mouse heart tissue by Western blot and some oxidation/antioxidation-related indexes by corresponding kits to explore the detoxification mechanism. The administration of the raw product elevated the levels of serum creatine kinase, lactate dehydrogenase, and malondialdehyde, a product of cardiac lipid peroxidation(P<0.01), down-regulated the protein levels of Nrf2 and HO-1(P<0.01), and reduced the levels of total superoxide dismutase, glutathione, glutathione peroxidase, and glutathione S-transferase(P<0.01). However, after the administration of the products stir-fried with JQC, LD, BS, GC, and CZ, the abnormalities of the above indexes induced by the raw product were recovered(P<0.05 or P<0.01). In particular, the product stir-fried with JQC showed the best performance. Taken all together, the cardiotoxicity induced by radix T. wilfordii could be attenuated by stir-frying with JQC, LD, BS, GC, and CZ, and the stir-frying with JQC showed the best detoxification effect. The mechanism might be associated with the cardiac antioxidant defense and oxidative damage mitigation mediated by the up-regulated Nrf2.
Animals ; Antioxidants/pharmacology* ; Cardiotoxicity ; Mice ; NF-E2-Related Factor 2/metabolism* ; Oxidative Stress ; Tripterygium

Lung cancer is one of the most common cancers in the world, and its treatment strategy is mainly surgery combined with radiotherapy and chemotherapy. However, long-term chemotherapy will result in drug resistance, which is also one of the difficulties in the treatment of lung cancer. Ferroptosis is an iron-dependent and lipid peroxidation-driven non-apoptotic cell death cascade, occurring when there is an imbalance of redox homeostasis in the cell. Nuclear factor erythroid 2-related factor 2 (Nrf2) is key for cellular antioxidant responses. Numerous studies suggest that Nrf2 assumes an extremely important role in regulation of ferroptosis, for its various functions in iron, lipid, and amino acid metabolism, and so on. In this review, a brief overview of the research progress of ferroptosis over the past decade will be presented. In particular, the mechanism of ferroptosis and the regulation of ferroptosis by Nrf2 will be discussed, as well as the role of the Nrf2 pathway and ferroptosis in tumor drug resistance, which will provide new research directions for the treatment of drug-resistant lung cancer patients.
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Humans ; Ferroptosis ; NF-E2-Related Factor 2/genetics* ; Lung Neoplasms/genetics* ; Drug Resistance, Neoplasm ; Iron