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儿童药物性肝病临床特征及基因突变分析 被引量:2
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作者 邓诗桦 付溪 +1 位作者 刘艳 黄志华 《临床儿科杂志》 CAS CSCD 北大核心 2015年第12期1035-1039,共5页
目的探讨儿童药物性肝病(DILD)的临床特点、肝组织病理改变及基因突变。方法回顾性分析4例DILD患儿的临床资料,并复习国内外相关文献。结果 4例患儿起病前均有相关用药病史,病程5~90 d,首诊症状多样,以黄疸、尿黄、肝功能异常、肝脏... 目的探讨儿童药物性肝病(DILD)的临床特点、肝组织病理改变及基因突变。方法回顾性分析4例DILD患儿的临床资料,并复习国内外相关文献。结果 4例患儿起病前均有相关用药病史,病程5~90 d,首诊症状多样,以黄疸、尿黄、肝功能异常、肝脏肿大就诊。2例患儿行肝穿刺活检术,肝组织病理主要表现为广泛水变性,出现灶状坏死,汇管区可见炎性细胞浸润;超微病理可见大量糖原累积、胆色素颗粒沉积及淋巴细胞浸润。2例患儿及其父母行药物性肝病相关基因检测,ABCB11基因测序显示1例患儿存在杂合突变,分别在第13号外显子13311 T〉C(V444A)及第21号外显子2594 C〉T(A865V);另1例患儿基因检测无异常。检索国内外文献,国内药物性肝病临床分型以肝细胞为主,最常见药物为抗生素,而国外为解热镇痛药;目前已发现的ABCB11基因突变超过100多种,V444A为最常见突变位点。结论儿童药物性肝病首发症状多样,起病前有药物史、肝组织病理学检查及ABCB11基因的检测有助于诊断。 展开更多
关键词 药物性肝病 临床表现 肝脏病理 基因突变 儿童
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Protective Effects of Activated Protein C on Neurovascular Unit in a Rat Model of Intrauterine Infection-Induced Neonatal White Matter Injury 被引量:3
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作者 金圣娟 刘艳 +5 位作者 邓诗桦 林土连 Abid Rashid 廖立红 宁琴 罗小平 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2015年第6期904-909,共6页
Summary: Activated protein C (APC), a natural anticoagulant, has been reported to exert direct vascu- loprotective, neural protective, anti-inflammatory, and proneurogenic activities in the central nervous system. ... Summary: Activated protein C (APC), a natural anticoagulant, has been reported to exert direct vascu- loprotective, neural protective, anti-inflammatory, and proneurogenic activities in the central nervous system. This study was aimed to explore the neuroprotective effects and potential mechanisms of APC on the neurovascular unit of neonatal rats with intrauterine infection-induced white matter injury. In- traperitoneal injection of 300 ~tg/kg lipopolysaccharide (LPS) was administered consecutively to preg- nant Sprague-Dawley rats at embryonic days 19 and 20 to establish the rat model of intrauterine infec- tion-induced white matter injury. Control rats were injected with an equivalent amount of sterile saline on the same time. APC at the dosage of 0.2 mg/kg was intraperitoneally injected to neonatal rats imme- diately after birth. Brain tissues were collected at postnatal day 7 and stained with hematoxylin and eo- sin (H&E). Immunohistochemistry was used to evaluate myelin basic protein (MBP) expression in the periventricular white matter region. Blood-brain barrier (BBB) permeability and brain water content ~were measured using Evens Blue dye and wet/dry weight method. Double immunofluorescence staining and real-time quantitative PCR were performed to detect microglial activation and the expression of protease activated receptor 1 (PAR1). Typical pathological changes of white matter injury were ob- served in rat brains exposed to LPS, and MBP expression in the periventricular region was significantly decreased. BBB was disrupted and the brain water content was increased. Microglia were largely acti- vated and the mRNA and protein levels of PAR1 were elevated. APC administration ameliorated the pathological lesions of the white matter and increased MBP expression. BBB permeability and brain water content were reduced. Microglia activation was inhibited and the PAR1 mRNA and protein ex- pression levels were both down-regulated. Our results suggested that APC exerted neuroprotective ef- fects on multiple components of the neurovascular unit in neonatal rats with intrauterine infec- tion-induced white matter injury, and the underlying mechanisms might involve decreased expression of PAR1. 展开更多
关键词 activated protein C white matter injury neurovascular unit intrauterine infection proteaseactivated receptor 1
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活化蛋白C在脂多糖诱导小胶质细胞活化中的作用 被引量:1
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作者 邓诗桦 金圣娟 +3 位作者 付溪 刘艳 宁琴 罗小平 《中华围产医学杂志》 CAS CSCD 2016年第4期294-300,共7页
目的探讨活化蛋白C在脂多糖诱导的小胶质细胞活化中的作用。方法取新生1日龄Sprague—Dawley大鼠,分离脑组织,原代培养小胶质细胞并进行分离纯化及鉴定。纯化小胶质细胞随机分成4组,分别为脂多糖组(1.0μg/ml脂多糖,12h后给予10... 目的探讨活化蛋白C在脂多糖诱导的小胶质细胞活化中的作用。方法取新生1日龄Sprague—Dawley大鼠,分离脑组织,原代培养小胶质细胞并进行分离纯化及鉴定。纯化小胶质细胞随机分成4组,分别为脂多糖组(1.0μg/ml脂多糖,12h后给予10μl磷酸盐缓冲液)、脂多糖+活化蛋白C组(1.0μg/ml脂多糖,12h后给予0.1μg/ml活化蛋白C)、活化蛋白C组(10p1磷酸盐缓冲液,12h后给予0.1μg/ml活化蛋白C)和对照组(相应时间点各10μl磷酸盐缓冲液)。观察各组小胶质细胞形态变化,并通过免疫荧光标记技术检测肿瘤坏死因子-α及蛋白酶活化受体-1的表达情况。采用方差分析及LSD检验进行统计分析。结果成功培养小胶质细胞,且纯度≥99%。脂多糖组小胶质细胞形态出现活化,肿瘤坏死因子-α表达较对照组明显增强(2.11±0.35与1.38±0.28,LSD检验,P=0.002);脂多糖+活化蛋白C组脂多糖诱发的小胶质细胞形态学改变被逆转,肿瘤坏死因子-α的表达与对照组差异无统计学意义(1.35±0.36与1.38±0.28,LSD检验,P〉0.05)。脂多糖+活化蛋白C组蛋白酶活化受体-1的表达明显高于对照组(4.60±0.84与2.64±0.41,LSD检验,P=0.008)和脂多糖组(2.44±0.86,LSD检验,P=0.002);但活化蛋白C组和脂多糖组蛋白酶活化受体-1的表达与对照组差异均无统计学意义(2.62±0.69、2.44±0.86与2.64±O.41,LSD检验,P值均〉0.05)。结论活化蛋白C可通过上调小胶质细胞蛋白酶活化受体-1的表达,抑制脂多糖诱导的小胶质细胞活化及肿瘤坏死因子-α的表达,从而保护炎症诱发的脑组织损伤。 展开更多
关键词 小神经胶质细胞 蛋白质C 肿瘤坏死因子α 脂多糖类
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