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静脉置管模式与HM患者CRBSI的病原菌分布及耐药性评估的相关性研究 被引量:7
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作者 戢敏 陈星 +5 位作者 刘娇 王川林 敬雪明 梅怡晗 李芸 梅小平 《中国现代医学杂志》 CAS 2018年第18期67-71,共5页
目的探讨静脉置管模式与恶性血液病(HM)患者导管相关性血流感染(CRBSI)及耐药性评估的相关性研究。方法回顾性分析1 335例在四家三级甲等医院血液肿瘤科住院的HM患者行静脉置管后发生CRBSI的病例资料。结果股静脉置管模式的CRBSI感染率... 目的探讨静脉置管模式与恶性血液病(HM)患者导管相关性血流感染(CRBSI)及耐药性评估的相关性研究。方法回顾性分析1 335例在四家三级甲等医院血液肿瘤科住院的HM患者行静脉置管后发生CRBSI的病例资料。结果股静脉置管模式的CRBSI感染率与锁骨下静脉、颈内静脉置管模式的CRBSI感染率比较差异有统计学意义(P<0.05)。CRBSI发生率高低与HM患者年龄、静脉穿刺次数、导管留置时间、规范换药与否、白细胞水平、是否合并糖尿病和激素及免疫抑制剂的使用与否相关(P<0.05)。头孢哌酮/舒巴坦、阿米卡星及亚胺培南西司他丁对革兰阴性菌耐药率<20.00%;鲍曼不动杆菌耐药率>50.00%;铜绿假单胞菌、肺炎克雷伯菌及大肠埃希菌耐药率均<50.00%。万古霉素、利奈唑胺及替加环素对3种革兰阳性菌不耐药;对利福平的耐药率<20.00%;对青霉素、苯唑西林、头孢哌酮/舒巴坦的抗菌药物敏感试验耐药率>50.00%。结论静脉置管模式与CRBSI有关,CRBSI病原菌以革兰阴性菌分布最多,对常用抗菌药物的耐药率较高。 展开更多
关键词 恶性血液病 静脉置管模式 导管相关性血流感染 病原菌 耐药性
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Role of selenium in cell death
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作者 Peng-Ning Gao chuan-lin wang +2 位作者 Jia-Li Xu Shan-Ling Liu Lan Zhou 《Journal of Nutritional Oncology》 2023年第2期94-100,共7页
Selenium is an essential nutrient closely related to redox homeostasis in the body.A redox imbalance will adversely affect the microenvironment inside and outside the cell,leading to cell death.Various types of cell d... Selenium is an essential nutrient closely related to redox homeostasis in the body.A redox imbalance will adversely affect the microenvironment inside and outside the cell,leading to cell death.Various types of cell death have been discovered in recent years,but the role(s)of selenium and the associated mechanism(s)of action require further elaboration.We review the roles and mechanisms of action of selenium in cell necrosis,apoptosis,ferroptosis,autophagy,and pyroptosis.Under normal conditions,selenium inhibits cell necrosis,apoptosis,ferroptosis,autophagy,and pyroptosis by downregulating the nuclear factorκB pathway,upregulating antiapoptotic proteins,decreasing oxidative stress,increasing antioxidant enzyme activity,enhancing the mTOR pathway,and downregulating the NLRP3/caspase-1 pathway,thereby helping to maintain the normal physiological functions of cells.On the other hand,selenium deficiency leads to activation of the PI3K/AKT and Notch/Hes1 pathways,causing a significant increase in the level of oxidative stress in the organism,resulting in cell necrosis,apoptosis,and pyroptosis.In the case of malignancy,the in vivo metabolite of inorganic selenium,hydrogen selenide,plays an antitumor role by inducing apoptosis and ferroptosis in tumor cells because of its high redox activity.In conclusion,an adequate level of selenium in the body is essential for maintaining normal cellular physiological functions and reducing fibrotic alterations.Furthermore,the in vivo metabolites of inorganic selenium may have some clinical value in antitumor therapy. 展开更多
关键词 Apoptosis AUTOPHAGY Cell death Ferroptosis NECROSIS Oxidative stress PYROPTOSIS SELENIUM
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Design, synthesis and systematic evaluation of all possible cyclic dinucleotides (CDNs) that activate human stimulator of interferon genes (STING) variants 被引量:1
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作者 Zheng-Hua wang Can-Can Zhao +7 位作者 Qiang-Zhe Zhang chuan-lin wang Hang Zhang De-Jun Ma Da-Wei wang Xin Wen Lu-Yuan Li Zhen Xi 《Science China Chemistry》 SCIE EI CAS CSCD 2020年第4期534-545,共12页
Cyclic dinucleotides(CDNs) are known to activate stimulator of interferon genes(STING) and induce type I interferon responses, therefor possess great potentials to be of immunotherapeutic value for cancers and infecti... Cyclic dinucleotides(CDNs) are known to activate stimulator of interferon genes(STING) and induce type I interferon responses, therefor possess great potentials to be of immunotherapeutic value for cancers and infectious diseases. However, the existence of different single nucleotide polymorphism(SNP) of human STING(hSTING) gene poses an obstacle to achieve broad-spectrum activation by CDNs. We reported here the design and synthesis of a total of 36 CDNs, representing all structural variations, that contain four bases(A, G, C, U) and two linkage directions(2′-5′-linked and 3′-5′-linked phosphodiester).Through systematic evaluation of IFN-β induction with a dual-luciferase reporter assay, we discovered that wild type hSTING and two isoforms(HAQ and AQ) showed strong response while hSTING-R232 H and R293 Q exhibited the relatively weak response to CDNs stimulation. For the first time, we found that the c[G(2′,5′)U(2′,5′)] showed excellent activity against all five hSTING variants even equivalent to the endogenous ligand c[G(2′,5′)A(3′,5′)]. Furthermore, we have also demonstrated that 3′-3′CDNs with two 3′-5′ phosphodiesters showed higher serum and hydrolase stability than 2′-2′ CDNs with two 2′-5′ phosphodiesters and 2′-3′ CDNs with one 2′-5′ and one 3′-5′ phosphodiester. It is very interesting to note that 2′-2′ CDNs has been found for the first time to show strong activity. These findings will stimulate our exploration for the new functional role of CDNs, and provide guidelines to design CDNs based hSTING targeted drugs. 展开更多
关键词 CYCLIC dinucleotides(CDNs) STIMULATOR of INTERFERON genes(STING) pyrimidine CDNs interferonβ ecto-nucleotide pyrophosphatase/phosphodiesterase 1(ENPP1)
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