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最近对TIA的看法及今后的问题
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作者 篠原幸人 梁亦邓 《日本医学介绍》 1993年第12期529-531,共3页
本专辑选自《现代医疗》杂志1993年第25卷第3期。专题对有关引起暂短性脑缺血的一系列问题,诸如病因、临床诊断、床边鉴别诊断及治疗等,均作了较全面论述,并对今后的问题及用药展望等也作了探讨。有很大参考价值。
关键词 短暂性 脑缺血 诊断
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Specific inhibiting effects of Ilexonin A on von Willebrand factor-dependent platelet aggregation under high shear rate 被引量:5
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作者 李敏 吴伟康 +4 位作者 刘良 廖福龙 篠原幸人 半田俊之介 後藤信哉 《Chinese Medical Journal》 SCIE CAS CSCD 2004年第2期241-246,共6页
Background llexonin A (IA), purified from the Chinese herbal medicine Maodongqing (Ilex pubescens Hook, et Am) has been commonly used in south China to treat thrombotic disorders. In this study, we aimed to study the ... Background llexonin A (IA), purified from the Chinese herbal medicine Maodongqing (Ilex pubescens Hook, et Am) has been commonly used in south China to treat thrombotic disorders. In this study, we aimed to study the inhibiting effects and mechanism of IA on von Willebrand factor (vWF)-dependent high shear-induced platelet aggregation.Methods vWF-dependent high shear (10 800 s-1) induced aggregation of platelets obtained from normal donors in the presence or absence of IA was measured by a modified cone-plate viscometer and shear-induced vWF binding was measured by quantitative flowcytometry with monoclonal antibody known to bind exclusively to the C-terminal domain of vWF (LJ-C3) directly labeled with fluorescein isothiocyanate (FITC). P-selectin surface expression was also measured by a similar method with FITC conjugated anti-P-selectin monoclonal antibody (WGA1).Results Shear-induced platelet aggregation was inhibited by IA in a dose-dependent manner. The extent of aggregation decreased from (78. 6 ±4. 6)% in the absence of IA to (36. 5 ±2.1)% in the presence of IA (3. 3 mmol/L) (P<0. 0001, n =9) with a high shear rate of 10800 s-1. vWF binding and P-selectin expression were also inhibited by IA in a dose dependent manner. The number of binding FITC-LJ-C3 molecules increased after exposure of platelet-rich plasma to a high shear rate of 10800 s-1 for 6 minutes, but this shear-induced increased binding platelet surface vWF molecules and P-selectin expression can be decreased in the presence of IA.Conclusion vWF binding and vWF mediated platelet activation, aggregation occurring under high shear rate were inhibited by IA. IA may be a unique antithrombotic drug inhibiting the vWF-GP Ibα interaction, and may thus facilitate drug design targeting arterial thrombosis. 展开更多
关键词 Ilexonin A platelet aggregation von Willebrand factor P-SELECTIN high shear rate
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