Skip to main content
Erschienen in: Advances in Gerontology 3/2020

01.07.2020

U-133, a Chaperone Inducer, Eliminates Sleep Disturbances in a Model of the Preclinical Stage of Parkinson’s Disease in Aged Rats

verfasst von: Yu. F. Pastukhov, V. V. Simonova, T. S. Shemyakova, M. A. Guzeev, S. G. Polonik, I. V. Ekimova

Erschienen in: Advances in Gerontology | Ausgabe 3/2020

Einloggen, um Zugang zu erhalten

Abstract

Parkinson’s disease (PD) is a chronic, progressive neurodegenerative disease that is closely associated with aging. It is considered incurable due to its late diagnosis and the use of symptomatic treatment, which cannot alter the molecular mechanisms of sleep disruption nor the neurodegenerative processes that develop with aging and PD progression. The present study assesses the therapeutic potential of a novel chaperone inducer, U-133 (acetyl 2,3,7-tris-O-glucoside echinochrome), in the preclinical stage of PD modelled in aged rats via inhibition of the proteasomal system in the brain. U-133 is a derivative of the sea-urchin pigment echinochrome (2,3,5,7,8-pentahydroxy-1,4-naphthoquinone). It is produced by glycosylation, which possesses neuroprotective, antioxidant, and anticancer properties. The administration of U-133, which induces the synthesis of Hsp 70i and HSP 40 heat-shock proteins in the brain, precludes an increase in the light-sleep (drowsiness) stage and a decrease in the total time of deep, slow-wave sleep, both of which occur with the progression of the preclinical stage of PD modelled in aged Wistar rats. Deep, slow-wave sleep is thought to promote glymphatic clearance and to accelerate protein synthesis. Thus, the U-133-induced increase in the proportion of deep, slow-wave sleep as compared to the preclinical model is considered to have a neuroprotective effect that contributes to the intensification of the restorative function of neurons and counteracts the progression of neurodegeneration.
Literatur
1.
Zurück zum Zitat Abdurasulova, N.N., Ekimova, I.V., Chernyshev, M.V., et al., Impairment to cognitive functions in Wistar rats in a model of the preclinical stage of Parkinson’s disease, Neurosci. Behav. Physiol., 2020, vol. 50, no. 4, pp. 439–450.CrossRef Abdurasulova, N.N., Ekimova, I.V., Chernyshev, M.V., et al., Impairment to cognitive functions in Wistar rats in a model of the preclinical stage of Parkinson’s disease, Neurosci. Behav. Physiol., 2020, vol. 50, no. 4, pp. 439–450.CrossRef
2.
Zurück zum Zitat Ekimova, I.V., Gazizova, A.R., Karpenko, M.N., and Plaksina, D.V., Anhedonia features and destructive changes in the ventral region of the mesencephalic tegmentum in a modeled preclinical stage of Parkinson’s disease, Zh. Nevropatol. Psikhiatr. im. S. S. Korsakova, 2018, vol. 118, no. 9, pp. 61–67.CrossRef Ekimova, I.V., Gazizova, A.R., Karpenko, M.N., and Plaksina, D.V., Anhedonia features and destructive changes in the ventral region of the mesencephalic tegmentum in a modeled preclinical stage of Parkinson’s disease, Zh. Nevropatol. Psikhiatr. im. S. S. Korsakova, 2018, vol. 118, no. 9, pp. 61–67.CrossRef
3.
Zurück zum Zitat Ekimova, I.V., Plaksina, D.V., Pazi, M.B., and Nikotina, A.D., Chaperone inducer U133 in neuroprotective therapy strategies for Parkinson’s disease: an experimental study, Asimmetriya, 2018, vol. 12, no. 4, pp. 192–203. Ekimova, I.V., Plaksina, D.V., Pazi, M.B., and Nikotina, A.D., Chaperone inducer U133 in neuroprotective therapy strategies for Parkinson’s disease: an experimental study, Asimmetriya, 2018, vol. 12, no. 4, pp. 192–203.
4.
Zurück zum Zitat Litvinenko, I.V., Kraskov, I.V., and Tikhomirova, O.V., Sleep disorders in Parkinson’s disease: pathophysiological mechanisms, clinical variants, and possible correction, in Bolezn’ Parkinsona i rasstroistva dvizhenii: Rukovodstvo dlya vrachei (Parkinson’s Disease and Movement Disorder: Manual for Physicians), Moscow, 2011, pp. 93–97. Litvinenko, I.V., Kraskov, I.V., and Tikhomirova, O.V., Sleep disorders in Parkinson’s disease: pathophysiological mechanisms, clinical variants, and possible correction, in Bolezn’ Parkinsona i rasstroistva dvizhenii: Rukovodstvo dlya vrachei (Parkinson’s Disease and Movement Disorder: Manual for Physicians), Moscow, 2011, pp. 93–97.
5.
Zurück zum Zitat Pastukhov, Yu.F., Changes in paradoxical sleep characteristics as an early feature of Parkinson’s disease, Zh. Nevropatol. Psikhiatr. im. S. S. Korsakova, 2013, vol. 63, no. 1, pp. 75–85. Pastukhov, Yu.F., Changes in paradoxical sleep characteristics as an early feature of Parkinson’s disease, Zh. Nevropatol. Psikhiatr. im. S. S. Korsakova, 2013, vol. 63, no. 1, pp. 75–85.
6.
Zurück zum Zitat Pastukhov, Yu.F., Ekimova, I.V., and Chesnokova, A.Yu., Molecular mechanisms of the pathogenesis of Parkinson’s disease and possible preventive therapy, in Neirodegenerativnye zabolevaniya—ot genoma do tselostnogo organizma (Neurodegenerative Diseases: From Genome to the Whole Organism), Moscow: Nauchnyi Mir, 2014, part 1, pp. 316–355. Pastukhov, Yu.F., Ekimova, I.V., and Chesnokova, A.Yu., Molecular mechanisms of the pathogenesis of Parkinson’s disease and possible preventive therapy, in Neirodegenerativnye zabolevaniya—ot genoma do tselostnogo organizma (Neurodegenerative Diseases: From Genome to the Whole Organism), Moscow: Nauchnyi Mir, 2014, part 1, pp. 316–355.
7.
Zurück zum Zitat Plaksina, D.V. and Ekimova, I.V., Age-related features of α-synuclein pathology in the brain on modeling the preclinical stage of Parkinson’s disease in rats, Neurosci. Behav. Physiol., 2020, vol. 50, no. 1, pp. 109–114.CrossRef Plaksina, D.V. and Ekimova, I.V., Age-related features of α-synuclein pathology in the brain on modeling the preclinical stage of Parkinson’s disease in rats, Neurosci. Behav. Physiol., 2020, vol. 50, no. 1, pp. 109–114.CrossRef
8.
Zurück zum Zitat Polonik, S.G., Tolkach, A.M., and Uvarova, N.I., Glycosylation of echinochrome and related hydroxynaphthazarines by the orthoester method, Zh. Org. Khim., 1994, vol. 30, no. 2, pp. 248–253. Polonik, S.G., Tolkach, A.M., and Uvarova, N.I., Glycosylation of echinochrome and related hydroxynaphthazarines by the orthoester method, Zh. Org. Khim., 1994, vol. 30, no. 2, pp. 248–253.
9.
Zurück zum Zitat Simonova, V.V., Guzeev, M.A., Karpenko, M.N., et al., Changes in sleep characteristics and total motor activity in a model of the preclinical stage of Parkinson’s disease in old rats, Zh. Nevropatol. Psikhiatr. im. S.S. Korsakova, 2018, vol. 118, no. 4-2, pp. 14–20. Simonova, V.V., Guzeev, M.A., Karpenko, M.N., et al., Changes in sleep characteristics and total motor activity in a model of the preclinical stage of Parkinson’s disease in old rats, Zh. Nevropatol. Psikhiatr. im. S.S. Korsakova, 2018, vol. 118, no. 4-2, pp. 14–20.
10.
Zurück zum Zitat Chernyshev, M.V., Ekimova, I.V., Gazizova, A.R., et al., Peculiarities of emotional behavior of aged rats in preclinical Parkinson’s disease model, J. Evol. Biochem. Phys., 2018, vol. 54, no. 6, pp. 502–505.CrossRef Chernyshev, M.V., Ekimova, I.V., Gazizova, A.R., et al., Peculiarities of emotional behavior of aged rats in preclinical Parkinson’s disease model, J. Evol. Biochem. Phys., 2018, vol. 54, no. 6, pp. 502–505.CrossRef
11.
Zurück zum Zitat Ugryumov, M.V., Translational and preventive medicine as the basis for the therapy of Parkinson’s disease, in Bolezn’ Parkinsona i rasstroistva dvizhenii: Rukovodstvo dlya vrachei (Parkinson’s Disease and Movement Disorder: Manual for Physicians), Moscow, 2014, pp. 14–16. Ugryumov, M.V., Translational and preventive medicine as the basis for the therapy of Parkinson’s disease, in Bolezn’ Parkinsona i rasstroistva dvizhenii: Rukovodstvo dlya vrachei (Parkinson’s Disease and Movement Disorder: Manual for Physicians), Moscow, 2014, pp. 14–16.
12.
Zurück zum Zitat Abbott, R.D., Ross, G.W., White, L.R., et al., Excessive daytime sleepiness and subsequent development of Parkinson disease, Neurology, 2005, vol. 65, no. 9, pp. 1442–1446.PubMedCrossRef Abbott, R.D., Ross, G.W., White, L.R., et al., Excessive daytime sleepiness and subsequent development of Parkinson disease, Neurology, 2005, vol. 65, no. 9, pp. 1442–1446.PubMedCrossRef
13.
Zurück zum Zitat Balchin, D., Hayer-Hartl, M., and Hartl, F.U., In vivo aspects of protein folding and quality control, Science, 2016, vol. 53, no. 6294, art. ID aac4354.CrossRef Balchin, D., Hayer-Hartl, M., and Hartl, F.U., In vivo aspects of protein folding and quality control, Science, 2016, vol. 53, no. 6294, art. ID aac4354.CrossRef
14.
Zurück zum Zitat Bao, X.Q., Wang, X.L., and Zhang, D., FLZ attenuates α-synuclein-induced neurotoxicity by activating heat shock protein 70, Mol. Neurobiol., 2017, vol. 54, no. 1, pp. 349–361.PubMedCrossRef Bao, X.Q., Wang, X.L., and Zhang, D., FLZ attenuates α-synuclein-induced neurotoxicity by activating heat shock protein 70, Mol. Neurobiol., 2017, vol. 54, no. 1, pp. 349–361.PubMedCrossRef
15.
Zurück zum Zitat Calamini, B. and Morimoto, R.I., Protein homeostasis as a therapeutic target for system diseases, Biochem. Res. Int., 2011, no. 306, pp. 199–208. Calamini, B. and Morimoto, R.I., Protein homeostasis as a therapeutic target for system diseases, Biochem. Res. Int., 2011, no. 306, pp. 199–208.
16.
Zurück zum Zitat Ciechanover, A. and Kwon, Y.T., Degradation of misfolded proteins in neurodegenerative diseases: therapeutic targets and strategies, Exp. Mol. Med., 2015, vol. 47, no. 3, p. e147.PubMedPubMedCentralCrossRef Ciechanover, A. and Kwon, Y.T., Degradation of misfolded proteins in neurodegenerative diseases: therapeutic targets and strategies, Exp. Mol. Med., 2015, vol. 47, no. 3, p. e147.PubMedPubMedCentralCrossRef
17.
Zurück zum Zitat Chesnokova, A.Yu., Ekimova, I.V., and Pastukhov, Yu.F., Parkinson’s disease and aging, Adv. Gerontol., 2019, vol. 9, no. 2, pp. 164–173.CrossRef Chesnokova, A.Yu., Ekimova, I.V., and Pastukhov, Yu.F., Parkinson’s disease and aging, Adv. Gerontol., 2019, vol. 9, no. 2, pp. 164–173.CrossRef
18.
Zurück zum Zitat De Lau, L.M. and Breteler, M.M., Epidemiology of Parkinson’s disease, Lancet Neurol., 2006, vol. 5, pp. 525–535.PubMedCrossRef De Lau, L.M. and Breteler, M.M., Epidemiology of Parkinson’s disease, Lancet Neurol., 2006, vol. 5, pp. 525–535.PubMedCrossRef
19.
Zurück zum Zitat Dorsey, E.R., Constantinescu, R., Thompson, J.P., et al., Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030, Neurology, 2007, vol. 68, no. 5, pp. 384–386.PubMedCrossRef Dorsey, E.R., Constantinescu, R., Thompson, J.P., et al., Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030, Neurology, 2007, vol. 68, no. 5, pp. 384–386.PubMedCrossRef
20.
Zurück zum Zitat Ebrahimi-Fakhari, D., Wahlster, L., and McLean, P.J., Molecular chaperones in Parkinson’s disease—present and future, J. Parkinson’s Dis., 2011, vol. 1, no. 4, pp. 299–320.CrossRef Ebrahimi-Fakhari, D., Wahlster, L., and McLean, P.J., Molecular chaperones in Parkinson’s disease—present and future, J. Parkinson’s Dis., 2011, vol. 1, no. 4, pp. 299–320.CrossRef
21.
Zurück zum Zitat Ekimova, I.V., Plaksina, D.V., Pastukhov, Yu.F., et al., New HSF1 inducer as a therapeutic agent in a rodent model of Parkinson’s disease, Exp. Neurol., 2018, vol. 306, pp. 199–208.PubMedCrossRef Ekimova, I.V., Plaksina, D.V., Pastukhov, Yu.F., et al., New HSF1 inducer as a therapeutic agent in a rodent model of Parkinson’s disease, Exp. Neurol., 2018, vol. 306, pp. 199–208.PubMedCrossRef
22.
Zurück zum Zitat Ekimova, I.V., Simonova, V.V., Guzeev, M.A., et al., Changes in sleep characteristics of rat preclinical model of Parkinson’s disease based on attenuation of the ubiquitin-proteasome system activity in the brain, J. Evol. Biochem. Physiol., 2016, vol. 52, no. 6, pp. 463–474.CrossRef Ekimova, I.V., Simonova, V.V., Guzeev, M.A., et al., Changes in sleep characteristics of rat preclinical model of Parkinson’s disease based on attenuation of the ubiquitin-proteasome system activity in the brain, J. Evol. Biochem. Physiol., 2016, vol. 52, no. 6, pp. 463–474.CrossRef
23.
Zurück zum Zitat Friesen, E.L., De Snoo, M.L., Rajendran, L., et al., Chaperone-based therapies for disease modification in Parkinson’s disease, Parkinson’s Dis., 2017, vol. 2017, art. ID 5015307. Friesen, E.L., De Snoo, M.L., Rajendran, L., et al., Chaperone-based therapies for disease modification in Parkinson’s disease, Parkinson’s Dis., 2017, vol. 2017, art. ID 5015307.
24.
25.
Zurück zum Zitat Lazarev, V.F., Nikotina, A.D., Mikhaylova, E.R., et al., Hsp70 chaperone rescues C6 rat glioblastoma cells from oxidative stress by sequestration of aggregating GAPDH, Biochem. Biophys. Res. Commun., 2016, vol. 470, pp. 766–771.PubMedCrossRef Lazarev, V.F., Nikotina, A.D., Mikhaylova, E.R., et al., Hsp70 chaperone rescues C6 rat glioblastoma cells from oxidative stress by sequestration of aggregating GAPDH, Biochem. Biophys. Res. Commun., 2016, vol. 470, pp. 766–771.PubMedCrossRef
26.
Zurück zum Zitat Lazarev, V.F., Onokhin, K.V., Antimonova, O.I., et al., Kinetics of chaperone activity of proteins Hsp70 and Hdj1 in human leukemia U-937 cells after preconditioning with thermal shock or compound U-133, Biochemistry (Moscow), 2011, vol. 76, no. 5, pp. 590–595.PubMed Lazarev, V.F., Onokhin, K.V., Antimonova, O.I., et al., Kinetics of chaperone activity of proteins Hsp70 and Hdj1 in human leukemia U-937 cells after preconditioning with thermal shock or compound U-133, Biochemistry (Moscow), 2011, vol. 76, no. 5, pp. 590–595.PubMed
27.
Zurück zum Zitat Leng, Y., Goldman, S.M., Cawthon, P.M., et al., Excessive daytime sleepiness, objective napping and 11-year risk of Parkinson’s disease in older men, Int. J. Epidemiol., 2018, vol. 47, no. 5, pp. 1679–1686.PubMedPubMedCentralCrossRef Leng, Y., Goldman, S.M., Cawthon, P.M., et al., Excessive daytime sleepiness, objective napping and 11-year risk of Parkinson’s disease in older men, Int. J. Epidemiol., 2018, vol. 47, no. 5, pp. 1679–1686.PubMedPubMedCentralCrossRef
28.
Zurück zum Zitat Mishchenko, N.P, Fedoreev, S.A., and Bagirova, V.L., Histochrome: a new original domestic drug, Pharm. Chem. J., 2003, vol. 37, no. 1, pp. 48–52.CrossRef Mishchenko, N.P, Fedoreev, S.A., and Bagirova, V.L., Histochrome: a new original domestic drug, Pharm. Chem. J., 2003, vol. 37, no. 1, pp. 48–52.CrossRef
29.
Zurück zum Zitat Nakanishi, H., Sun, Y., Nakamura, R.K., Mori, K., et al., Positive correlations between cerebral protein synthesis rates and deep sleep in Macacamulatta, Eur. J. Neurosci., 1997, vol. 9, pp. 271–279.PubMedCrossRef Nakanishi, H., Sun, Y., Nakamura, R.K., Mori, K., et al., Positive correlations between cerebral protein synthesis rates and deep sleep in Macacamulatta, Eur. J. Neurosci., 1997, vol. 9, pp. 271–279.PubMedCrossRef
30.
Zurück zum Zitat Ohayon, M.M., Carskadon, M.A., Guilleminault, C., and Vitiello, M.V., Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan, Sleep, 2004, vol. 27, no. 7, pp. 1255–1273.PubMedCrossRef Ohayon, M.M., Carskadon, M.A., Guilleminault, C., and Vitiello, M.V., Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan, Sleep, 2004, vol. 27, no. 7, pp. 1255–1273.PubMedCrossRef
31.
Zurück zum Zitat Pastukhov, Yu.F., Slow-wave sleep and molecular chaperones, J. Evol. Biochem. Physiol., 2016, vol. 52, no. 1, pp. 87–101.CrossRef Pastukhov, Yu.F., Slow-wave sleep and molecular chaperones, J. Evol. Biochem. Physiol., 2016, vol. 52, no. 1, pp. 87–101.CrossRef
32.
Zurück zum Zitat Pastukhov, Yu.F., Chesnokova, A.Yu., Yakimchuk, A.A., et al., Changes in sleep during degeneration of neurons in the substantia nigra induced by the proteasome inhibitor lactacystin, Neurosci. Behav. Physiol., 2012, vol. 42, no. 4, pp. 392–400.CrossRef Pastukhov, Yu.F., Chesnokova, A.Yu., Yakimchuk, A.A., et al., Changes in sleep during degeneration of neurons in the substantia nigra induced by the proteasome inhibitor lactacystin, Neurosci. Behav. Physiol., 2012, vol. 42, no. 4, pp. 392–400.CrossRef
33.
Zurück zum Zitat Pastukhov, Yu.F., Ekimova, I.V., Romanova, I.V., et al., Chaperone Hsp70 content in dopaminergic neurons of the substantia nigra increases in proteasome dysfunction, Neurosci. Behav. Physiol., 2013, vol. 43, no. 3, pp. 380–387.CrossRef Pastukhov, Yu.F., Ekimova, I.V., Romanova, I.V., et al., Chaperone Hsp70 content in dopaminergic neurons of the substantia nigra increases in proteasome dysfunction, Neurosci. Behav. Physiol., 2013, vol. 43, no. 3, pp. 380–387.CrossRef
34.
Zurück zum Zitat Pastukhov, Yu.F., Plaksina, D.V., Lapshina, K.V., et al., Exogenous protein Hsp70 blocks neurodegeneration in the rat model of the clinical stage of Parkinson’s disease, Dokl. Biol. Sci., 2014, vol. 457, no. 1, pp. 225–227.PubMedCrossRef Pastukhov, Yu.F., Plaksina, D.V., Lapshina, K.V., et al., Exogenous protein Hsp70 blocks neurodegeneration in the rat model of the clinical stage of Parkinson’s disease, Dokl. Biol. Sci., 2014, vol. 457, no. 1, pp. 225–227.PubMedCrossRef
35.
Zurück zum Zitat Pastukhov, Yu.F., Simonova, V.V., Chernyshev, M.V., et al., Signs of sleep and behavior disorders indicating the initial stage of neurodegeneration in a rat model of Parkinson’s disease, J. Evol. Biochem. Physiol., 2017, vol. 53, no. 5, pp. 431–434.CrossRef Pastukhov, Yu.F., Simonova, V.V., Chernyshev, M.V., et al., Signs of sleep and behavior disorders indicating the initial stage of neurodegeneration in a rat model of Parkinson’s disease, J. Evol. Biochem. Physiol., 2017, vol. 53, no. 5, pp. 431–434.CrossRef
36.
Zurück zum Zitat Rodriguez, M., Rodriguez-Sabate, C., Morales, I., et al., Parkinson’s disease as a result of aging, Aging Cell, 2015, vol. 14, no. 3, pp. 293–308.PubMedPubMedCentralCrossRef Rodriguez, M., Rodriguez-Sabate, C., Morales, I., et al., Parkinson’s disease as a result of aging, Aging Cell, 2015, vol. 14, no. 3, pp. 293–308.PubMedPubMedCentralCrossRef
37.
38.
Zurück zum Zitat Shokri-Kojori, E., Wang, G.J., Wiers, C.E., et al., β‑Amyloid accumulation in the human brain after one night of sleep deprivation, Proc. Natl. Acad. Sci. U.S.A., 2018, vol. 115, no. 17, pp. 4483–4488.PubMedPubMedCentralCrossRef Shokri-Kojori, E., Wang, G.J., Wiers, C.E., et al., β‑Amyloid accumulation in the human brain after one night of sleep deprivation, Proc. Natl. Acad. Sci. U.S.A., 2018, vol. 115, no. 17, pp. 4483–4488.PubMedPubMedCentralCrossRef
39.
Zurück zum Zitat Swick, T.J. and Ondo, W.G., Parkinson’s disease and sleep/wake disturbances, in Dopamine and Sleep, New York: Springer-Verlag, 2016, pp. 115–146. Swick, T.J. and Ondo, W.G., Parkinson’s disease and sleep/wake disturbances, in Dopamine and Sleep, New York: Springer-Verlag, 2016, pp. 115–146.
40.
Zurück zum Zitat Xie, L., Kang, H., Xu, Q., et al., Sleep drives metabolite clearance from the adult brain, Science, 2013, vol. 342, no. 6156, pp. 373–377.PubMedCrossRef Xie, L., Kang, H., Xu, Q., et al., Sleep drives metabolite clearance from the adult brain, Science, 2013, vol. 342, no. 6156, pp. 373–377.PubMedCrossRef
41.
Zurück zum Zitat Yurchenko, E.A., Menchinskaya, E.S., Polonik, S.G., et al., Hsp70 induction and anticancer activity of U‑133, the acytilated trisglucosydic derivative of echinochrome, Med. Chem., 2015, vol. 5, no. 6, pp. 263–271.CrossRef Yurchenko, E.A., Menchinskaya, E.S., Polonik, S.G., et al., Hsp70 induction and anticancer activity of U‑133, the acytilated trisglucosydic derivative of echinochrome, Med. Chem., 2015, vol. 5, no. 6, pp. 263–271.CrossRef
Metadaten
Titel
U-133, a Chaperone Inducer, Eliminates Sleep Disturbances in a Model of the Preclinical Stage of Parkinson’s Disease in Aged Rats
verfasst von
Yu. F. Pastukhov
V. V. Simonova
T. S. Shemyakova
M. A. Guzeev
S. G. Polonik
I. V. Ekimova
Publikationsdatum
01.07.2020
Verlag
Pleiades Publishing
Erschienen in
Advances in Gerontology / Ausgabe 3/2020
Print ISSN: 2079-0570
Elektronische ISSN: 2079-0589
DOI
https://doi.org/10.1134/S2079057020030133

Weitere Artikel der Ausgabe 3/2020

Advances in Gerontology 3/2020 Zur Ausgabe

Leitlinien kompakt für die Allgemeinmedizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Facharzt-Training Allgemeinmedizin

Die ideale Vorbereitung zur anstehenden Prüfung mit den ersten 24 von 100 klinischen Fallbeispielen verschiedener Themenfelder

Mehr erfahren

Reizdarmsyndrom: Diäten wirksamer als Medikamente

29.04.2024 Reizdarmsyndrom Nachrichten

Bei Reizdarmsyndrom scheinen Diäten, wie etwa die FODMAP-arme oder die kohlenhydratreduzierte Ernährung, effektiver als eine medikamentöse Therapie zu sein. Das hat eine Studie aus Schweden ergeben, die die drei Therapieoptionen im direkten Vergleich analysierte.

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Allgemeinmedizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.