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溃疡性结肠炎患者结肠黏膜组织叉头框转录因子M1、核因子-κΒmRNA表达与病情严重程度关系研究
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作者 池文婕 靳改玲 +2 位作者 王佳敏 魏岚 王利民 《陕西医学杂志》 CAS 2024年第9期1264-1268,共5页
目的:探究溃疡性结肠炎(UC)患者结肠黏膜组织叉头框转录因子M1(FoxM1)、核因子-κΒ(NF-κΒ)mRNA表达与病情严重程度的关系。方法:选取活动期UC患者128例为活动期UC组、缓解期UC患者81例为缓解期UC组、结肠单发息肉切除术后肠镜复查正... 目的:探究溃疡性结肠炎(UC)患者结肠黏膜组织叉头框转录因子M1(FoxM1)、核因子-κΒ(NF-κΒ)mRNA表达与病情严重程度的关系。方法:选取活动期UC患者128例为活动期UC组、缓解期UC患者81例为缓解期UC组、结肠单发息肉切除术后肠镜复查正常者88例为对照组。以改良Truelove和Witts分型标准将活动期UC患者按病情严重程度分成活动期轻度组(53例)和活动期中度组(46例)和活动期重度组(29例)。荧光定量PCR法检测受试者结肠黏膜组织FoxM1、NF-κΒmRNA表达。比较对照组、缓解期UC组、活动期UC组和不同病情严重程度活动期UC患者FoxM1 mRNA、NF-κΒmRNA表达及改良Mayo评分。分析UC患者结肠黏膜组织FoxM1 mRNA、NF-κΒmRNA、改良Mayo评分的相关性,影响活动期UC患者重度病情发生的因素,FoxM1 mRNA、NF-κΒmRNA预测活动期UC患者重度病情发生的价值。结果:与对照组和缓解期UC组比较,活动期UC组结肠黏膜组织FoxM1、NF-κΒmRNA表达水平升高(均P<0.05)。与缓解期UC组比较,活动期UC组改良Mayo评分升高(P<0.05)。活动期轻度组、活动期中度组、活动期重度组结肠黏膜组织FoxM1 mRNA、NF-κΒmRNA表达水平及改良Mayo评分依次升高(均P<0.05)。UC患者结肠黏膜组织FoxM1 mRNA与NF-κΒmRNA表达呈正相关(P<0.05)。FoxM1 mRNA、NF-κΒmRNA与改良Mayo评分呈正相关(均P<0.05)。FoxM1 mRNA、NF-κΒmRNA、改良Mayo评分是活动期UC患者发生重度病情的危险因素(均P<0.05)。FoxM1、NF-κΒmRNA两项联合预测活动期UC患者发生重度病情的曲线下面积(AUC)高于FoxM1、NF-κΒmRNA各自单独预测的AUC(均P<0.05)。结论:FoxM1、NF-κΒmRNA在活动期UC患者结肠黏膜组织中呈高表达,且病情越重两者升高趋势越明显,可用于预测活动期UC患者重度病情的发生。 展开更多
关键词 溃疡性结肠 结肠黏膜组织 叉头框转录因子M1 核因子-κΒ 活动期 缓解期 病情严重程度
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辨证分型治疗溃疡性结肠炎肠黏膜组织炎症随机平行对照研究 被引量:1
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作者 郑剑波 《实用中医内科杂志》 2015年第2期117-119,共3页
[目的]观察辨证分型治疗溃疡性结肠炎肠黏膜组织炎症疗效。[方法]使用随机平行对照方法,将90例门诊及住院患者按病志号抽签法简单随机分为两组。对照组45例柳氮磺吡啶,2g/次,3次/d。治疗组45例辨证分型:脾胃虚寒(党参24g,茯苓20g,白术1... [目的]观察辨证分型治疗溃疡性结肠炎肠黏膜组织炎症疗效。[方法]使用随机平行对照方法,将90例门诊及住院患者按病志号抽签法简单随机分为两组。对照组45例柳氮磺吡啶,2g/次,3次/d。治疗组45例辨证分型:脾胃虚寒(党参24g,茯苓20g,白术14g,山药、川楝子、白芍、陈皮、补骨脂、扁豆各12g,山楂10g,肉桂9g,吴茱萸、五味子、甘草炙各6g,鸡内金5g);湿热蕴结(葛根、金银花各24g,薏苡仁30g,白芍、陈皮、连翘各14g,木香12g,厚朴10g,生甘草6g);肝郁脾虚(党参24g,白芍、白术、当归各14g,柴胡、乌梅、陈皮、防风各12g,干姜10g,甘草、吴茱萸各6g);脾肾阳虚(党参20g,当归14g,肉豆蔻、吴茱萸、诃子、白术、白芍、木香各12g,肉桂9g,补骨脂12g,甘草、五味子各6g);均1剂/d,水煎200m L,早晚口服。连续治疗3d为1疗程。观测临床症状、腹痛、腹泻、肠黏膜、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈43例,有效2例,无效0例,总有效率100.00%。对照组痊愈28例,有效9例,无效8例,总有效率82.22%。治疗组疗效优于对照组(P<0.05)。[结论]辨证分型治疗溃疡性结肠炎肠黏膜组织炎症效果显著,无严重不良反应,值得推广。 展开更多
关键词 溃疡性结肠炎肠黏膜组织炎症 辨证分型 脾胃虚寒 肝郁脾虚 湿热蕴结 脾肾阳虚 腹痛 腹泻 黏膜 中医药疗法 随机平行对照研究
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免疫致敏结合局部乙酸刺激法建立大鼠溃疡性结肠炎模型 被引量:18
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作者 吴玉泓 李海龙 +3 位作者 段永强 吴建军 王宏伟 魏彦明 《中国实验动物学报》 CAS CSCD 2010年第1期65-68,I0005,共5页
目的结肠黏膜组织致敏法加乙酸局部刺激法建立复合大鼠溃疡性结肠炎模型。方法30只Wistar大鼠随机分为正常对照组、模型对照组、用药组(各10只),用结肠黏膜组织致敏法加乙酸局部刺激法建立大鼠复合溃疡性结肠炎模型后,用药组给予SASP灌... 目的结肠黏膜组织致敏法加乙酸局部刺激法建立复合大鼠溃疡性结肠炎模型。方法30只Wistar大鼠随机分为正常对照组、模型对照组、用药组(各10只),用结肠黏膜组织致敏法加乙酸局部刺激法建立大鼠复合溃疡性结肠炎模型后,用药组给予SASP灌胃,模型对照组和正常对照组给予生理盐水,均灌胃2周后处死大鼠,分离其结肠组织和血清。生化法检测各组结肠中MDA、SOD、GSH-PX、NO、TNOS和iNOS值,放免法测定大鼠血清及结肠IL-4及TNF-α含量变化,酶联免疫法测定大鼠血清IFN-γ含量变化。结果与空白对照组比较,模型组大鼠结肠组织MDA、NO、TNOS及iNOS含量升高,SOD、GSH-Px水平显著降低。与模型组比较,SASP组SOD、GSH-Px计数水平显著升高,组织MDA、NO、TNOS及iNOS含量降低。模型组血清和结肠IL-4含量较对照组明显降低,而模型大鼠血清和结肠TNF-α含量明显升高,模型组大鼠血清IFN-γ含量明显升高。SASP组IL-4含量升高,TNF-α和IFN-γ含量明显降低。结论改进的复合造模方法,可以较好的模拟人类UC病变的慢性活动性特点,适合药效观察和评价。 展开更多
关键词 结肠黏膜组织致敏法 乙酸局部刺激法 溃疡性结肠 复合动物模型
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溃疡性结肠炎大鼠实验模型的建立与评价 被引量:22
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作者 范恒 邱明义 《中医药学刊》 CAS 2004年第5期865-866,905,共3页
通过对溃疡性结肠炎 (UC)大鼠动物模型的一般情况 (包括大鼠的饮食、饮水、体重、大小便、皮毛、活动情况、精神状态等 )、结肠黏膜组织细胞因子 (IL -8、IL -6)、肠黏膜损伤积分、病理结构等方面的变化 ,来评价用 2 ,4-二硝基氯苯免疫... 通过对溃疡性结肠炎 (UC)大鼠动物模型的一般情况 (包括大鼠的饮食、饮水、体重、大小便、皮毛、活动情况、精神状态等 )、结肠黏膜组织细胞因子 (IL -8、IL -6)、肠黏膜损伤积分、病理结构等方面的变化 ,来评价用 2 ,4-二硝基氯苯免疫加醋酸局部灌肠法建立的大鼠模型 ,说明实验模型为研究UC的理想模型。 展开更多
关键词 溃疡性结肠 实验研究 动物模型 结肠黏膜组织细胞因子 黏膜损伤 病理结构
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通过结肠黏膜活组织检查确诊贾第虫病一例
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作者 黄丽彬 唐承薇 刘卫平 《中华消化内镜杂志》 2004年第4期247-247,共1页
关键词 结肠黏膜组织 贾第虫病 诊断 肠道寄生虫病 鞭毛虫
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白介素-15和其受体可能参与增强炎性肠病患者肠固有层B细胞的活化和分化
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作者 Nishiwaki T Ina K +2 位作者 Goto H. K. Kusugami 杨雪娟 《世界核心医学期刊文摘(胃肠病学分册)》 2005年第8期55-56,共2页
Background. We investigated the possible roles of the interleukin(IL)-15 and IL-15 receptor (IL-15R) system in a heightened state of B-cell activation and differentiation in intestinal mucosa with inflammatory bowel d... Background. We investigated the possible roles of the interleukin(IL)-15 and IL-15 receptor (IL-15R) system in a heightened state of B-cell activation and differentiation in intestinal mucosa with inflammatory bowel disease (IBD).Meth ods. The expression of IL-15 and IL-15RαmRNA and protein in inflamed colonic mucosal tissues with IBD, and in control tissues was examined by reverse transcr iptase-polymerase chain reaction and immunohistological methods. The effects of recombinant(r)IL-15 on the expression of IL-15Rαon lamina propria B cells an d the production of immunoglobulin G (IgG) were analyzed in vitro, using lamina propria mononuclear cells (LPMCs)isolated from control tissues. Results. The int ensity of IL-15 and IL-15RαmRNA was greater in the mucosal tissues of patient s with IBD, especially in those of patients with ulcerative colitis (UC), than i n control tissues. Compared to control tissues, mononuclear cells positive for I L-15Rαprotein were observed in greater proportions in tissue sections from pat ients with IBD, especially in those from patients with UC, where IL-15Rαprotei n was localized to CD20-positive B cells to a significant degree. There were in creases in the proportions of IL-15Rα-positive B cells and IgG-producing cel ls in rIL-15-or rCD40L-stimulated cultures of LPMCs, with stimulatory effects being greater in the presence of their combination.Conclusions. These data sugg est that the IL-15 and IL-15R system may play important roles in the activatio n and differentiation of lamina propria B cells in patients with IBD, especially in those with UC. 展开更多
关键词 炎性肠病 B细胞 固有层 细胞活化 黏膜 溃疡性结肠 α蛋白 结肠黏膜组织 组织 免疫球蛋白
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Determination of optical properties of normal and adenomatous human colon tissues in vitro using integrating sphere techniques 被引量:2
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作者 Hua-JiangWei DaXing +3 位作者 Jian-JunLu Huai-MinGu Guo-YongWu YingJin 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第16期2413-2419,共7页
AIM: The purpose of the present study is to compare the optical properties of normal human colon mucosa/submucosa and muscle layer/chorion, and adenomatous human colon mucosa/submucosa and muscle layer/chorion in vitr... AIM: The purpose of the present study is to compare the optical properties of normal human colon mucosa/submucosa and muscle layer/chorion, and adenomatous human colon mucosa/submucosa and muscle layer/chorion in vitro at 476.5, 488, 496.5, 514.5 and 532 nm. We believe these differences in optical properties should help differential diagnosis of human colon tissues by using optical methods.METHODS: In vitro optical properties were investigated for four kinds of tissues: normal human colon mucosa/submucosa and muscle layer/chorion, and adenomatous human colon mucosa/submucosa and muscle layer/chorion. Tissue samples were taken from 13 human colons (13 adenomatous, 13 normal). From the normal human colons a total of 26 tissue samples, with a mean thickness of 0.40 mm, were used (13 from mucosa/submucosa and 13 from muscle layer/chorion), and from the adenomatous human bladders a total of 26 tissue samples, with a mean thickness of 0.40 mm, were used (13 from mucosa/submucosa and 13 from muscle layer/chorion). The measurements were performed using a double-integratingsphere setup and the optical properties were assessed from these measurements using the adding-doubling method that was considered reliable.RESULTS: The results of measurement showed that there were significant differences in the absorption coefficients and scattering coefficients between normal and adenomatous human colon mucosa/submucosa at the same wavelength,and there were also significant differences in the two optical parameters between both colon muscle layer/chorion at the same wavelength. And there were large differences in the anisotropy factors between both colon mucosa/submucosa at the same wavelength, there were also large differences in the anisotropy factors between both colon muscle layer/chorion at the same wavelength.There were large differences in the value ranges of the absorption coefficients, scattering coefficients and anisotropy factors between both colon mucosa/submucosa,and there were also large differences in these value ranges between both colon muscle layer/chorion. There are the same orders of magnitude in the absorption coefficients for four kinds of colon tissues. The scattering coefficients of these tissues exceed the absorption coefficients by at least two orders of magnitude.CONCLUSION: There were large differences in the three optical parameters between normal and adenomatous human colon mucosa/submucosa at the same laser wavelength, and there were also large differences in these parameters between both colon muscle layer/chorion at the same laser wavelength. Large differences in optical parameters indicate that there were large differences in compositions and structures between both colon mucosa/submucosa, and between both colon muscle layer/chorion.Optical parameters for four kinds of colon tissues are wavelength dependent, and these differences would be useful and helpful in clinical applications of laser and tumors photodynamic therapy (PDT). 展开更多
关键词 Optical properties LASER Normal and adenomatous human colon tissues Integrating sphere
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Expression of matrix metalloproteinase-1 and tumor necrosis factor-α in ulcerative colitis 被引量:6
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作者 Ying-De Wang Jing-Wei Mao 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第44期5926-5932,共7页
AIM: To examine the expression of matrix metalloproteinase-1 (MMP-1) and tumor necrosis factor-α (TNF-~~) in the colon mucosa of patients with ulcerative colitis (UC).METHODS: Reverse transcription-polymerase... AIM: To examine the expression of matrix metalloproteinase-1 (MMP-1) and tumor necrosis factor-α (TNF-~~) in the colon mucosa of patients with ulcerative colitis (UC).METHODS: Reverse transcription-polymerase chain reaction (RT-PCR) and immunohistochemistry were used to examine the expression of MMP-1 and TNF-α at both mRNA and protein levels in the colon mucosa of patients with UC. Correlation between MMP-1 and TNF-α and their correlation with the severity of the disease were also analyzed statistically.RESULTS: The expression of MMP-1 and TNF-α in the ulcerated and inflamed colon mucosa of patients with UC was significantly higher than that in the non-inflamed mucosa of normal controls at both mRNA and protein levels. Furthermore, the expression of MMP-1 and TNF-α in the ulcerated area was significantly higher than that in the inflamed area of patients with UC (0.9797 ± 0.1433 vs 0.6746 ± 0.0373, 0.8669 ± 0.0746 vs 0.5227 ± 0.0435, P 〈 0.05). There was no statistically significant difference in the non-inflamed area of normal controls. There was a significant correlation between MMP-1 and TNF-c~ expression (0.9797 ± 0.1433 vs 0.8669 ± 0.0746, P 〈 0.05), the correlating factor was 0.877. MMP-1 and TNF-α showed a significant correlation with the severity of the disease (0.0915 :e 0.0044 vs 0.0749 vs 0.0032, 0.0932 ± 0.0019 vs 0.0724 ± 0.0043, P 〈 0.05), their correlating factors were 0.942 and 0.890, respectively.CONCLUSION: Excessively expressed MMP-1 directly damages the colon mucosa by degrading extracellular matrix (ECM) in patients with UC. While damaging colon mucosa, excessively expressed TNF-α stimulates MMPs secreting cells to produce more MMP-1 and aggravates the mucosa damage. MMP-1 promotes secretion of TNF-α in a positive feedback manner to cause further injury in the colon mucosa. MMP-1 and TNF-α correlate well with the severity of the disease, and therefore, can be used clinically as biological markers to judge the severity of UC. 展开更多
关键词 Ulcerative colitis Matrix metalloproteinase-1 Tumor necrosis factor-α Reverse transcriptionpolymerase chain reaction IMMUNOHISTOCHEMISTRY
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Mucosa-associated lymphoid tissue lymphoma of the transverse colon: A case report 被引量:2
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作者 Shigetoshi Matsuo Yohei Mizuta +4 位作者 Tomayoshi Hayashi Seiya Susumu Ryuji Tsutsumi Takashi Azuma Satoshi Yamaguchi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第34期5573-5576,共4页
We herein present a case of a 75-year-old female with mucosa-associated lymphoid tissue (MALT) lymphoma of the transverse colon with the stage IE (Ann Arbor classification). Colonoscopy revealed the tumor's appea... We herein present a case of a 75-year-old female with mucosa-associated lymphoid tissue (MALT) lymphoma of the transverse colon with the stage IE (Ann Arbor classification). Colonoscopy revealed the tumor's appearance as a IIa plus Ⅱ c-like early colon cancer as defined according to the macroscopic classification of the Japanese Research Society for Cancer of Colon, Rectum and Anus, measuring less than 2 cm in diameter. Histologically, the tumor was diagnosed as MALT lymphoma because of the presence of lymphoepithelial lesions consisting of diffuse proliferation of atypical lymphocytes and glandular destruction. The majority of these lymphocytes immunohistochemically stained for the B-lymphocyte marker. The patient first underwent H pylori eradication therapy with Lansap. However, the tumor size gradually increased over the next 4 mo and the patient eventually underwent surgical resection. The operative procedure included a partial colectomy with dissection of the paracolic lymph nodes. The tumor measured 45 mm × 30 mm in diameter and histological examination showed that the lymphoma cells had infiltrated the muscle layer of the colon without nodal involvement. The patient has had no recurrence postoperatively without any chemotherapy. 展开更多
关键词 Mucosa-associated lymphoid tissue Malignant lymphoma
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