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脂必泰胶囊联合他汀调节冠心病患者血脂水平的Meta分析 被引量:13
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作者 黎美欢 李颖 +3 位作者 陈铭泰 林海丹 巫燕慧 张忠 《中国中药杂志》 CAS CSCD 北大核心 2020年第12期2966-2974,共9页
为系统评价脂必泰胶囊联合他汀降低冠心病血脂水平的有效性及安全性,该研究采用计算机检索PubMed,EMbase,Cochrane图书馆、中国期刊全文数据库、维普中文期刊、万方数据,全面收集脂必泰联合他汀对比单用他汀对冠心病调脂治疗的随机对照... 为系统评价脂必泰胶囊联合他汀降低冠心病血脂水平的有效性及安全性,该研究采用计算机检索PubMed,EMbase,Cochrane图书馆、中国期刊全文数据库、维普中文期刊、万方数据,全面收集脂必泰联合他汀对比单用他汀对冠心病调脂治疗的随机对照试验(RCT),检索时限均为建库至2019年10月,对符合纳入标准的临床研究进行资料提取,并采用Cochrane 5.1.0质量评价工具进行质量评价后,采用RevMan 5.3统计软件进行Meta分析(血脂水平、中医证候积分、炎症指标、不良反应等)。共纳入11项RCT,合计1538例患者。Meta分析结果显示,试验组患者在降低总胆固醇(MD=-0.15,95%CI[-0.25,-0.05],P=0.004)、甘油三酯(MD=-0.16,95%CI[-0.23,-0.10],P<0.00001)、低密度脂蛋白水平(MD=-0.08,95%CI[-0.15,-0.01],P=0.03),升高高低密度脂蛋白(MD=0.06,95%CI[0.03,0.10],P=0.0002)等方面均优于对照组,且不良反应发生率低(OR=0.40,95%CI[0.18,0.85],P=0.02)。该系统评价结果提示,对比常规西医治疗,脂必泰联合他汀用于冠心病调脂在降低总胆固醇、甘油三酯、低密度脂蛋白水平,升高高密度脂蛋白水平均较好,患者不良事件发生率低,但异质性稍高,结果稳定性欠佳。 展开更多
关键词 脂必泰胶囊 他汀 冠心病 血脂水平 META分析 系统评价
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基于网络药理学探讨逍遥散对动脉粥样硬化和抑郁症“异病同治”的作用机制 被引量:39
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作者 陈铭泰 肖娇 +4 位作者 林海丹 李颖 黎美欢 栾杰男 张忠 《中国中药杂志》 CAS CSCD 北大核心 2020年第17期4099-4111,共13页
通过网络药理学方法探讨逍遥散对动脉粥样硬化和抑郁症的"异病同治"的作用机制。通过TCMSP(Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform)、SymMap数据库检索逍遥散中8味中药相关的所... 通过网络药理学方法探讨逍遥散对动脉粥样硬化和抑郁症的"异病同治"的作用机制。通过TCMSP(Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform)、SymMap数据库检索逍遥散中8味中药相关的所有化学成分和作用靶点,经初步筛选后构建"中药-化合物-靶点"作用网络,通过DisGeNET、CTD(Comparative Toxicogenomics Database)和TTD(Therapeutic Target Database)数据库获取动脉粥样硬化和抑郁症的相关基因,将药物作用靶点和疾病基因靶点整合获得共有靶点,使用STRING 11.0和Cytoscape进行共有靶点的蛋白质间相互作用分析筛选关键共有靶点,应用BioGPS获取其在器官组织的分布信息,并使用Metascape对关键共有靶点进行基因本体(gene ontology,GO)分析、京都基因与基因组百科全书(Kyoto encyclopedia of genes and genomes,KEGG)分析。结果显示,检索到逍遥散化合物共1355个,据口服生物利用度≥30%和类药性指数≥0.18标准筛选出161个活性化合物,获得274个药物作用靶点,构建"中药-化合物-靶点"作用网络;检索到动脉粥样硬化疾病基因靶点共1004个,抑郁症578个,通过与药物作用靶点取交集后获得37个共有靶点;使用STRING和Cytoscape进行共有靶点的蛋白质间相互作用分析筛选关键共有靶点18个,BioGPS显示关键共有靶点主要分布在心脏、杏仁核、松果体、肝脏、平滑肌中;Metascape进行GO功能富集分析得到生物过程929个、细胞组成25个、分子功能23个,KEGG富集分析获得108条信号通路,靠前排序的信号通路如AGE-RAGE,HIF-1,FoxO,Th17细胞分化和IL-17信号通路,主要与神经内分泌、代谢、免疫炎症以及氧化应激相关。该研究表明,逍遥散"异病同治"动脉粥样硬化和抑郁症的主要机制涉及神经内分泌、代谢、免疫炎症以及氧化应激相关信号通路,为进一步试验验证、潜在药理学机制及临床拓展应用提供参考依据。 展开更多
关键词 网络药理学 逍遥散 动脉粥样硬化 抑郁症 异病同治
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Pollen Typhae Total Flavone Inhibits Endoplasmic Reticulum Stress-Induced Apoptosis in Human Aortic-Vascular Smooth Muscle Cells through Down-Regulating PERK-eIF2α-ATF4-CHOP Pathway 被引量:10
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作者 chen ming-tai HUANG Ruo-lan +6 位作者 OU Li-jun chen Ying-nan MEN Ling CHANG Xiao WANG Ling YANG Yu-zhu ZHANG Zhong 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2019年第8期604-612,共9页
Objective: To test the hypothesis that the inhibition of endoplasmic reticulum(ER) stress-induced apoptosis in oxidized low-density lipoproteins(ox-LDL)-induced human aortic-vascular smooth muscle cells(HA-VSMCs) was ... Objective: To test the hypothesis that the inhibition of endoplasmic reticulum(ER) stress-induced apoptosis in oxidized low-density lipoproteins(ox-LDL)-induced human aortic-vascular smooth muscle cells(HA-VSMCs) was associated with suppression of the protein kinase RNA-like ER kinase(PERK)-eukaryotic translation initiation factor 2α(e IF2α)-activating transcription factor 4(ATF4)-CCAAT/enhancer binding protein homologous protein(CHOP) signaling pathway by Pollen Typhae total flavone(PTF). Methods: Primary HA-VSMCs were cultured and identified. The cultured HA-VSMCs were randomized into 5 groups, including a normal control group, an ox-LDL group(70 μg/m L high ox-LDL), an HPTF group(70 μg/m L high ox-LDL+500 μg/m L PTF), an MPTF group(70 μg/m L high ox-LDL+250 μg/m L PTF), and a LPTF group(70 μg/m L high ox-LDL+100 μg/m L PTF) in the first part;and a normal control group, an ox-LDL group(70 μg/mL high ox-LDL), an MPTF group(70 μg/m L high ox-LDL+250 μg/m L PTF), a sh RNA group(transducted with PERK shRNA lentiviral particles), a scramble shRNA group(transducted with control shRNA lentiviral particles), an MPTF+ox-LDL+shRNA group(250 μg/mL PTF+70 μg/mL high ox-LDL+PERK shRNA lentiviral particles) and an ox-LDL+shRNA group(70 μg/mL high ox-LDL+PERK shRNA lentiviral particles) in the second part. The protein expression levels of ER-associated apoptosis proteins were detected by Western blot, and their m RNA expression levels were detected by quantitative real-time reverse transcription-polymerase chain reaction. The 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide(MTT) assay was applied to test cel viability, and the level of apoptosis was monitored by flow cytometry. Results: The MTT assay and flow cytometry showed that the ox-LDL group had a significant increase in apoptosis, which was attenuated in PTF treatment groups and sh RNA groups. Moreover, the ox-LDL group had increased protein and m RNA levels of binding immunoglobulin protein and ER-associated apoptosis proteins, such as PERK, e IF2α, ATF4 and CHOP, which were attenuated in PTF treatment groups and sh RNA groups. Conclusions: The apoptosis induced by ox-LDL had a strong relation to ER stress. The protective effect of PTF on ER stressinduced apoptosis was associated with inhibition of the PERK-eIF2α-ATF4-CHOP pathway, which might be a potential therapeutic strategy for enhancing the stability of atherosclerotic plaques. 展开更多
关键词 Pollen Typhae total flavone endoplasmic reticulum stress PROTEIN KINASE RNA-like endoplasmic reticulum kinase-eukaryotic translation initiation FACTOR 2a -activating transcription FACTOR 4-CCAAT/enhancer binding PROTEIN homologous PROTEIN PATHWAY apoptosis vulnerable atherosclerotic plaque
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