Impaired decidualization was recognized as one of the crucial pathomechanisms accounting for unexplained recurrent spontaneous abortion (URSA). Currently, the exact molecular mechanism and targeted clinical decision are still in exploration. Bushen Huoxue decoction (BSHXD) has previously been proved effective in treating URSA, but its mechanism remains to be elucidated. This study aimed to explore the regulation mechanism of BSHXD in decidualization from its intervention in autophagy so as to rationalize its potential as a novel therapeutic regime for URSA. Decidua tissues were collected from patients with URSA and healthy pregnant women who underwent legal terminations for non-medical reasons at the first trimester. Besides, cell line T-hESCs was utilized to establish induced decidualization model, and were randomly divided into ESC group, DSC group, 3-MA group, AMPK siRNA group, scrambled siRNA group and AMPK siRNA + BSHXD group. Transmission electron microscopy, Monodansylcadaverine (MDC) assay, qRT-PCR, immunohistochemistry, immunofluorescence and Western blotting were used to evaluate the level of decidualization, autophagy and activation of AMPK signaling pathway in decidua tissues and cell experiments. Experiments on decidua tissues showed that decidualization was impaired in URSA with inhibited autophagy. Besides, pAMPK T172 and pULK1 S556 were decreased, and pmTOR S2448 and pULK1 S757 were increased. Cell experiments showed that the level of autophagy increased during induced decidualization, but when autophagy was inhibited, decidualization was impaired. In addition, AMPK/mTOR/ULK1 affected decidualization by mediating autophagy, and BSHXD improved decidualization through this mechanism. In conclusion, this study clarified that the inhibition of autophagy mediated by AMPK/mTOR/ULK1 was associated with impaired decidualization, and the intervention of BSHXD on this pathological process may be a vital mechanism for its treatment of URSA. This study laid the foundation for further research and application of BSHXD.
IntroductionOral mucositis is one of the most common and serious complications during orthodontic process. As the pathogenesis of oral mucositis has not been fully explored, effective prevention and treatment measures are currently lacking 1, 2 . This article aimed to develop new candidates for oral mucositis treatment. Revealing the direct and indirect mechanisms and exploring the related causative factors of oral mucositis plays an important role in prevention and treatment of acute oral mucositis 3 . AKT pathway is an inflammatory signaling pathway, which could lead to the secretion of inflammatory cells, such as TNF-α. The activation of AKT pathway could aggravate oral mucositis.In recent ten years, coordination polymers CPs has been widely used in gas storage, catalysis, nonlinear optics, ion exchange, optics, magnetism and other fields due to its good properties and reasonable structure. It is a new material with very good application prospect 4 9 . Generally speaking, the structural characteristics of CPs and the extended coordination framework solids mainly depend on the properties of organic ligands and metal ions 10 12 .
In orthodontics treatment, scholars have tried to introduce nano antibacterial materials into the materials used in orthodontics to reduce the occurrence of enamel demineralization, caries and periodontitis. The experiment investigated the effect of adding titanium dioxide nanoparticles in different proportions on the flexural strength, compressive strength, surface hardness, tribological properties, adhesion properties, fluorine release properties and antibacterial properties of glass ionomer cement. The effect of water cement on orthodontics, the experiment added different proportions of titanium dioxide nanoparticles to traditional glass ion cement, which greatly improved the mechanical strength of glass ion cement, and significantly improved the antibacterial effect of glass ion cement, bending strength, compressive strength and surface hardness. The addition of titanium dioxide nanoparticles produced a significant antibacterial effect on Streptococcus mutants. Nano- TiO2 glass ionomer cement has a significant effect on orthodontics, and the damage to patients’ teeth is significantly lower, which is worthy of clinical popularization.
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