肝硬化患者细菌DNA移位及临床意义
摘要
细菌移位,即细菌或细菌产物(如细菌DNA、内毒素)从肠腔移位到肠系膜淋巴结或其他肠外组织和部位,反映宿主和微生物平衡的破坏,导致一种自我保护的炎性反应,最终引起感染。细菌移位已成为肝硬化自发感染以及高动力循环状态的主要发病机制,门脉高压形成的关键因素,并在腹水和肝肾综合征的发生发展中起重要作用。细菌移位经典的诊断标准要求肠系膜淋巴结细菌培养阳性,但获取肠系膜淋巴结需外科侵入性操作,且培养阳性率不高,使细菌移位的临床研究受到限制。新近研究建议,
出处
《中华传染病杂志》
CAS
CSCD
北大核心
2009年第2期124-126,共3页
Chinese Journal of Infectious Diseases
参考文献13
-
1Frances R, Benlloch S, Zapater P, et al. A sequential study of serum bacterial DNA in patients with advanced cirrhosis and ascites. Hepatology, 2004, 39:484-491.
-
2袁春,黄长形,连建奇.肝硬化患者腹水中细菌DNA的检测及临床意义[J].中华传染病杂志,2007,25(2):109-111. 被引量:1
-
3Guarner C, Gonzdlez-Navajas JM, Sdnchez E, et al. The detection of bacterial DNA in blood of rats with CCl4-induced cirrhosis with ascites represents episodes of bacterial translocation. Hepatology, 2006, 44:633-639.
-
4苟艳子,连建奇,聂青和.肝硬化细菌移位及其后果[J].中华肝脏病杂志,2006,14(10):796-797. 被引量:5
-
5Pardo A, Bartoli R, Lorenzo-Zuniga V, et al. Effect of cisapride on intestinal bacterial overgrowth and bacterial translocation in cirrhosis. Hepatology, 2000,31 : 858-863.
-
6Riordan SM, Skinner N, Nagree A, et al. Peripheral blood mononuclear cell expression of toll-like receptors and relation to cytokine levels in cirrhosis. Hepatology, 2003,37: 1154- 1164.
-
7Paik YH, Schwabe RF, Bataller R, et al. Toll-like receptor 4 mediates inflammatory signaling by bacterial lipopolysaceharide in human hepatic stellate cells. Hepatology, 2003, 37: 1043-1055.
-
8Munoz L, Albillos A, Nieto M, et al. Mesenteric Th1 polarization and monocyte TNF-alpha production: first steps to systemic inflammation in rats with cirrhosis. Hepatology, 2005,42:411-419.
-
9Frances R, Munoz C, Zapater P, et al. Bacterial DNA activates cell mediated immune response and nitric oxide overproduction in peritoneal macrophages from patients with cirrhosis and ascites. Gut, 2004, 53:860-864.
-
10Such J, Munoz C, Zapater P, et al. Bacterial DNA induces a proinflammatory immune response in patients with decompensated cirrhosis. Gut, 2005,54 : 1500.
二级参考文献19
-
1袁春,叶进,黄长形,连建奇.聚合酶链反应检测肝硬化患者腹水中细菌DNA[J].中西医结合肝病杂志,2005,15(2):100-102. 被引量:6
-
2Guarner C, Soriano G. Bacterial translocation and its consequences in patients with cirrhosis. Eur J Gastroenterol Hepatol, 2005, 17:27-31.
-
3Ljungdahl M, Lundholm M, Katouli M, et al. Bacterial translocation in experimental shock is dependent on the strains in the intestinal flora.Scand J Gastroenterol, 2000, 35: 389-397.
-
4Bauer TM, Steinbruckner B, Brinkmann FE, et al. Small intestinal bacterial overgrowth in patients with cirrhosis: prevalence and relation with spontaneous bacterial peritonitis. Am J Gastroenterol, 2001, 96: 2962-2967.
-
5Pardo A, Bartoil R, Lorenzo-Zuniga V, et al. Effect of cisapride on intestinal bacterial overgrowth and bacterial translocation in cirrhosis.Hepatology, 2000, 31: 858-863.
-
6Perez-Paramo M, Munoz J, Albillos A, et al. Effect of propranolol on the factors promoting bacterial translocation in cirrhotic rats with ascites.Hepatology, 2000, 31: 43-48.
-
7Sharma M, Rai K, Sharma SS, et al. Effect of anfioxidants on pyrogallol-induced delay in gastric emptying in rats. Pharmacology, 2000, 60: 90-96.
-
8Such J, Guardiola JV, de Juan J, et al. Ultrastructural characteristics of distal duodenum mucosa in patients with cirrhosis. Eur J Gastroenterol Hepatol, 2002, 14:371-376.
-
9Chiva M, Guarner C, Peralta C, et al. Intestinal mucosal oxidative damage and bacterial translocation in cirrhotic rats. Eur J Gastroenterol Hepatol, 2003, 15: 145-150.
-
10Wiest R, Garcia-Tsao G. Bacterial translocation (BT) in cirrhosis.Hepatology, 2005, 41: 422-433.
共引文献4
-
1苟艳子,连建奇,聂青和,庄严,刘清泉,邵彬.肝硬化患者外周血单核细胞表面TLR4和TLR2表达的临床意义[J].世界华人消化杂志,2006,14(34):3278-3283. 被引量:6
-
2侯明亮.小儿肠套叠并发中毒性脑病的高危因素[J].神经损伤与功能重建,2007,2(5):299-299. 被引量:3
-
3曹庆隽,刘雪雁,王华.以惊厥为早期表现的婴儿肠套叠二例[J].中国小儿急救医学,2009,16(6):601-602.
-
4公彦雪,崔速南,李莉,汪明明,郭楠.人中性粒细胞防御素对自发性细菌性腹膜炎的诊断价值[J].中华肝脏病杂志,2013,21(12):944-948. 被引量:10
-
1丁惠国.门脉高压症高动力循环状态[J].肝脏病杂志,1994,2(3):189-190. 被引量:4
-
2王天才,康静.肿瘤坏死因子和内皮素在门脉高压大鼠高动力循环状态及肝损害中的作用[J].胃肠病学,2002,7(B11):46-46.
-
3严喜章,常树森.肝硬化细菌移位免疫机制研究进展[J].临床肝胆病杂志,2006,22(5):392-394.
-
4赵越,江芳,张卓然.E.coliDNA抗肿瘤免疫的实验研究[J].免疫学杂志,2000,16(4):278-282. 被引量:5
-
5姚国相,沈忠义.门静脉高压症高动力循环状态及其临床意义[J].中国微循环,2002,6(2):122-123. 被引量:1
-
6康谊,王天才.一氧化氮和P物质对肝硬化门脉高压大鼠循环动力状态的影响[J].胃肠病学,2001,6(C00):210-210.
-
7李俊英,李洪芹,宗晓■.原发性肝癌并肝肾综合征的护理[J].河北中西医结合杂志,1999,8(1):141-142.
-
8朱仁秀.原发性肝癌主要并发症的护理[J].湖南中医学院学报,1995,15(3):66-67.
-
9屈顺喜,谭长军,曹立瀛,赵晓娟.肝硬化高动力循环状态发病机理的研究进展[J].中华腹部疾病杂志,2003,3(6):458-460.
-
10赵海文,赵海潇,金瑞.肝硬化患者小肠细菌过度生长与肠道通透性和高动力循环状态的相关性研究[J].中华消化杂志,2006,26(7):479-480. 被引量:11