目的探讨白细胞介素10(interleukin-10,IL-10)、interferon-γ(IFN-γ)在腺样体肥大(adenoidal hypertrophy,AH)导致分泌性中耳炎(otitis media with effusion,OME)发生发展中的作用。方法以2015年5月~2016年12月期间完成腺样体切除术...目的探讨白细胞介素10(interleukin-10,IL-10)、interferon-γ(IFN-γ)在腺样体肥大(adenoidal hypertrophy,AH)导致分泌性中耳炎(otitis media with effusion,OME)发生发展中的作用。方法以2015年5月~2016年12月期间完成腺样体切除术的72例腺样体肥大患儿为研究对象,其中单纯腺样体肥大42例(单纯AH组),伴OME的腺样体肥大30例(AH伴OME组),以20例同期住院行甲状舌管囊肿切除或者耳前瘘管切除手术且腺样体正常大小患儿做对照组,采用ELISA方法检测所有研究对象腺样体组织和外周血中IL-10、IFN-γ的表达水平,比较各组结果。结果AH伴OME组、单纯AH组腺样体组织中的IL-10浓度分别为125.95±21.74、51.62±18.79 pg/l,明显高于正常对照组(27.48±10.52 pg/L)(P<0.05),AH伴OME组高于单纯AH组,差异也有统计学意义(P<0.05);AH伴OME组、单纯AH组腺样体组织的IFN-γ浓度分别为622.35±72.14和610.27±45.18 pg/l,两组间差异无统计学意义(P>0.05),但高于正常对照组(341.18±32.11 pg/l),差异有统计学意义(P<0.05);AH伴OME组IFN-γ/IL-10比值明显低于AH组和正常对照组(P<0.01);三组间外周血中IL-10、IFN-γ以及IFN-γ/IL-10值差异无统计学意义(P>0.05)。结论AH伴OME组患儿腺样体组织中IFN-γ/IL-10比值下降,致Th1/Th2失衡,推测以IFN-γ/IL-10比值下降为代表的TH2优势可能是腺样体肥大导致分泌性中耳炎的发病机制之一。展开更多
Summary： Obstructive sleep apnea-hypopnea syndrome （OSAHS） is a serious health issue, which can impact the hormone secretion. The aim of this study is to analyze the relationship between serum sex hormone concentra...Summary： Obstructive sleep apnea-hypopnea syndrome （OSAHS） is a serious health issue, which can impact the hormone secretion. The aim of this study is to analyze the relationship between serum sex hormone concentrations and different severity degree of OSAHS, and to evaluate the influence of OSAHS on sex hormone levels. We enrolled 116 subjects who were subjected to polysomnography （PSG）. They were divided into three groups： control group （n=10） [apnea hypopnea index （AHI） 〈5/h], mild-moderate OSAHS group ,（n=15） （5〈AHI〈30/h）, and severe OSAHS group （n=91） （AHI〉30/h）. The patients in OSAHS group were subdivided into obesity and non-obesity subgroups. The parameters such as AHI, body mass index （BMI）, lowest oxygen saturation （LSaO2）, and mean oxygen saturation （MSaO2） were recorded. Serum levels of testosterone, polactin, estradiol, follicle stimulating hormone （FSH） and luteinizing hormone （LH） were determined in the morning immediately after waking up. Mean levels of hormones were compared among groups. The correlation between hormone levels and sleep-breathing parameters was analyzed. No significant differences in serum sex hormone levels were found among control, mild-moderate OSAHS, and severe OSAHS groups （P〉0.05）. There was no cor- relation between AHI and sex hormone levels （P〉0.05）. Testosterone was significantly negatively cor- related with BMI （P〈0.05）. These results suggested that BMI might have a direct effect on testosterone level, and it might be an important factor affecting testosterone level in male OSAHS patients, and there may be no correlation between severity of OSAHS and sex hormones levels.展开更多
目的通过生物信息学角度挖掘骨形态发生蛋白(BMP)2、Smad同源蛋白(SMAD)1蛋白生信数据,解析BMP2/SMAD1信号通路蛋白互作功能在骨质疏松中发挥的作用及影响。方法基于UniPort数据库进行检索,联合STRING、Ensemble、SWISS-MODEL等数据库,...目的通过生物信息学角度挖掘骨形态发生蛋白(BMP)2、Smad同源蛋白(SMAD)1蛋白生信数据,解析BMP2/SMAD1信号通路蛋白互作功能在骨质疏松中发挥的作用及影响。方法基于UniPort数据库进行检索,联合STRING、Ensemble、SWISS-MODEL等数据库,挖掘BMP2、SNAD1理化信息并结合相关文献进行分析。构建BMP2/SMAD1蛋白互作通路等。查询BMP2/SMAD1信号通路在骨质疏松中的表达,利用CNKI、Web of science、万方数据库、Springer、Elsevier SD等数据库检索相关文献。中文检索关键词为“BMP2蛋白、SMDA1蛋白、骨质疏松”,英文检索关键词为“BMP2、SMAD1、Osteoporosis”。排除重复性文献、与主题无关性文献。结果获取BMP2、SMAD1基本信息,绘制分子、生物功能图;构建二元互作蛋白通路图及BMP2/SMAD1信号通路网络图;将糖基化磷脂酰肌醇锚蛋白(RGMB)、血色素沉着(HFE2)、泛素连接酶(SMURF)1、SMURF2、丝裂原活化蛋白激酶分子(MAP3K7)、锌指蛋白(ZNF)521蛋白作为潜在关键位点蛋白进行下一步研究;SMAD家族蛋白作为受体位点在BMP通路中发挥关键作用;丝裂原活化蛋白激酶(MAPK)间接参与BMP2/SMAD1通路调控成骨分化。结论BMP2/SMAD1信号通路中,位于胞外的BMP2蛋白与细胞膜上受体蛋白BMPR1、BMPR2蛋白结合,通过磷酸化激活胞质中SMAD1/5与SMAD4协同调控核内铁代谢;SMAD6/7抑制SMAD1/5协同调控成骨分化表达。在BMP2/SMAD1信号通路蛋白互作网络中,除同族蛋白外,以RGMB、HFE2、SMURF1、SMURF2、MAP3K7、ZNF521为代表的蛋白参与其中,可作为深入研究对象解析BMP2/SMAD1信号通路。在骨质疏松发生过程中,除BMP2/SMAD1信号通路外,包括但不限于MAPK通路的参与,而MAPK的关键作用还有待深究。展开更多
This study examined the dynamic characteristics of upper airway collapse at soft palate level in patients with obstructive sleep apnea/hypopnea syndrome（OSAHS） by using dynamic 3-Dimensional（3-D） CT imaging.A tota...This study examined the dynamic characteristics of upper airway collapse at soft palate level in patients with obstructive sleep apnea/hypopnea syndrome（OSAHS） by using dynamic 3-Dimensional（3-D） CT imaging.A total of 41 male patients who presented with 2 of the following symptoms,i.e.,daytime sleepiness and fatigue,frequent snoring,and apnea with witness,were diagnosed as having OSAHS.They underwent full-night polysomnography and then dynamic 3-D CT imaging of the upper airway during quiet breathing and in Muller＇s maneuver.The soft palate length（SPL）,the minimal cross-sectional area of the retropalatal region（mXSA-RP）,and the vertical distance from the hard palate to the upper posterior part of the hyoid（hhL） were compared between the two breathing states.These parameters,together with hard palate length（HPL）,were also compared between mild/moderate and severe OSAHS groups.Association of these parameters with the severity of OSAHS [as reflected by apnea hypopnea index（AHI） and the lowest saturation of blood oxygen（LSaO2）] was examined.The results showed that 31 patients had severe OSAHS,and 10 mild/moderate OSAHS.All the patients had airway obstruction at soft palate level.mXSA-RP was significantly decreased and SPL remarkably increased during Muller＇s maneuver as compared with the quiet breathing state.There were no significant differences in these airway parameters（except the position of the hyoid bone） between severe and mild/moderate OSAHS groups.And no significant correlation between these airway parameters and the severity of OSAHS was found.The position of hyoid was lower in the severe OSAHS group than in the mild/moderate OSAHS group.The patients in group with body mass index（BMI）≥26 had higher collapse ratio of mXSA-RP,greater neck circumference and smaller mXSA-RP in the Muller＇s maneuver than those in group with BMI26（P0.05 for all）.It was concluded that dynamic 3-D CT imaging could dynamically show the upper airway changes at soft palate level in OSAHS patients.All the OSAHS patients had airway obstruction of various degrees at soft palate level.But no correlation was observed between the airway change at soft palate level and the severity of OSAHS.The patients in group with BMI≥26 were more likely to develop airway obstruction at soft palate level than those with BMI26.展开更多
文摘目的探讨白细胞介素10(interleukin-10,IL-10)、interferon-γ(IFN-γ)在腺样体肥大(adenoidal hypertrophy,AH)导致分泌性中耳炎(otitis media with effusion,OME)发生发展中的作用。方法以2015年5月~2016年12月期间完成腺样体切除术的72例腺样体肥大患儿为研究对象,其中单纯腺样体肥大42例(单纯AH组),伴OME的腺样体肥大30例(AH伴OME组),以20例同期住院行甲状舌管囊肿切除或者耳前瘘管切除手术且腺样体正常大小患儿做对照组,采用ELISA方法检测所有研究对象腺样体组织和外周血中IL-10、IFN-γ的表达水平,比较各组结果。结果AH伴OME组、单纯AH组腺样体组织中的IL-10浓度分别为125.95±21.74、51.62±18.79 pg/l,明显高于正常对照组(27.48±10.52 pg/L)(P<0.05),AH伴OME组高于单纯AH组,差异也有统计学意义(P<0.05);AH伴OME组、单纯AH组腺样体组织的IFN-γ浓度分别为622.35±72.14和610.27±45.18 pg/l,两组间差异无统计学意义(P>0.05),但高于正常对照组(341.18±32.11 pg/l),差异有统计学意义(P<0.05);AH伴OME组IFN-γ/IL-10比值明显低于AH组和正常对照组(P<0.01);三组间外周血中IL-10、IFN-γ以及IFN-γ/IL-10值差异无统计学意义(P>0.05)。结论AH伴OME组患儿腺样体组织中IFN-γ/IL-10比值下降,致Th1/Th2失衡,推测以IFN-γ/IL-10比值下降为代表的TH2优势可能是腺样体肥大导致分泌性中耳炎的发病机制之一。
文摘Summary： Obstructive sleep apnea-hypopnea syndrome （OSAHS） is a serious health issue, which can impact the hormone secretion. The aim of this study is to analyze the relationship between serum sex hormone concentrations and different severity degree of OSAHS, and to evaluate the influence of OSAHS on sex hormone levels. We enrolled 116 subjects who were subjected to polysomnography （PSG）. They were divided into three groups： control group （n=10） [apnea hypopnea index （AHI） 〈5/h], mild-moderate OSAHS group ,（n=15） （5〈AHI〈30/h）, and severe OSAHS group （n=91） （AHI〉30/h）. The patients in OSAHS group were subdivided into obesity and non-obesity subgroups. The parameters such as AHI, body mass index （BMI）, lowest oxygen saturation （LSaO2）, and mean oxygen saturation （MSaO2） were recorded. Serum levels of testosterone, polactin, estradiol, follicle stimulating hormone （FSH） and luteinizing hormone （LH） were determined in the morning immediately after waking up. Mean levels of hormones were compared among groups. The correlation between hormone levels and sleep-breathing parameters was analyzed. No significant differences in serum sex hormone levels were found among control, mild-moderate OSAHS, and severe OSAHS groups （P〉0.05）. There was no cor- relation between AHI and sex hormone levels （P〉0.05）. Testosterone was significantly negatively cor- related with BMI （P〈0.05）. These results suggested that BMI might have a direct effect on testosterone level, and it might be an important factor affecting testosterone level in male OSAHS patients, and there may be no correlation between severity of OSAHS and sex hormones levels.
文摘目的通过生物信息学角度挖掘骨形态发生蛋白(BMP)2、Smad同源蛋白(SMAD)1蛋白生信数据,解析BMP2/SMAD1信号通路蛋白互作功能在骨质疏松中发挥的作用及影响。方法基于UniPort数据库进行检索,联合STRING、Ensemble、SWISS-MODEL等数据库,挖掘BMP2、SNAD1理化信息并结合相关文献进行分析。构建BMP2/SMAD1蛋白互作通路等。查询BMP2/SMAD1信号通路在骨质疏松中的表达,利用CNKI、Web of science、万方数据库、Springer、Elsevier SD等数据库检索相关文献。中文检索关键词为“BMP2蛋白、SMDA1蛋白、骨质疏松”,英文检索关键词为“BMP2、SMAD1、Osteoporosis”。排除重复性文献、与主题无关性文献。结果获取BMP2、SMAD1基本信息,绘制分子、生物功能图;构建二元互作蛋白通路图及BMP2/SMAD1信号通路网络图;将糖基化磷脂酰肌醇锚蛋白(RGMB)、血色素沉着(HFE2)、泛素连接酶(SMURF)1、SMURF2、丝裂原活化蛋白激酶分子(MAP3K7)、锌指蛋白(ZNF)521蛋白作为潜在关键位点蛋白进行下一步研究;SMAD家族蛋白作为受体位点在BMP通路中发挥关键作用;丝裂原活化蛋白激酶(MAPK)间接参与BMP2/SMAD1通路调控成骨分化。结论BMP2/SMAD1信号通路中,位于胞外的BMP2蛋白与细胞膜上受体蛋白BMPR1、BMPR2蛋白结合,通过磷酸化激活胞质中SMAD1/5与SMAD4协同调控核内铁代谢;SMAD6/7抑制SMAD1/5协同调控成骨分化表达。在BMP2/SMAD1信号通路蛋白互作网络中,除同族蛋白外,以RGMB、HFE2、SMURF1、SMURF2、MAP3K7、ZNF521为代表的蛋白参与其中,可作为深入研究对象解析BMP2/SMAD1信号通路。在骨质疏松发生过程中,除BMP2/SMAD1信号通路外,包括但不限于MAPK通路的参与,而MAPK的关键作用还有待深究。
文摘This study examined the dynamic characteristics of upper airway collapse at soft palate level in patients with obstructive sleep apnea/hypopnea syndrome（OSAHS） by using dynamic 3-Dimensional（3-D） CT imaging.A total of 41 male patients who presented with 2 of the following symptoms,i.e.,daytime sleepiness and fatigue,frequent snoring,and apnea with witness,were diagnosed as having OSAHS.They underwent full-night polysomnography and then dynamic 3-D CT imaging of the upper airway during quiet breathing and in Muller＇s maneuver.The soft palate length（SPL）,the minimal cross-sectional area of the retropalatal region（mXSA-RP）,and the vertical distance from the hard palate to the upper posterior part of the hyoid（hhL） were compared between the two breathing states.These parameters,together with hard palate length（HPL）,were also compared between mild/moderate and severe OSAHS groups.Association of these parameters with the severity of OSAHS [as reflected by apnea hypopnea index（AHI） and the lowest saturation of blood oxygen（LSaO2）] was examined.The results showed that 31 patients had severe OSAHS,and 10 mild/moderate OSAHS.All the patients had airway obstruction at soft palate level.mXSA-RP was significantly decreased and SPL remarkably increased during Muller＇s maneuver as compared with the quiet breathing state.There were no significant differences in these airway parameters（except the position of the hyoid bone） between severe and mild/moderate OSAHS groups.And no significant correlation between these airway parameters and the severity of OSAHS was found.The position of hyoid was lower in the severe OSAHS group than in the mild/moderate OSAHS group.The patients in group with body mass index（BMI）≥26 had higher collapse ratio of mXSA-RP,greater neck circumference and smaller mXSA-RP in the Muller＇s maneuver than those in group with BMI26（P0.05 for all）.It was concluded that dynamic 3-D CT imaging could dynamically show the upper airway changes at soft palate level in OSAHS patients.All the OSAHS patients had airway obstruction of various degrees at soft palate level.But no correlation was observed between the airway change at soft palate level and the severity of OSAHS.The patients in group with BMI≥26 were more likely to develop airway obstruction at soft palate level than those with BMI26.
