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血清microRNA-122a、microRNA-124a及microRNA-125b对脓毒症休克并发肝损伤早期诊断及预后评估的临床价值 被引量:13
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作者 桑珍珍 高杰 +1 位作者 贾春梅 李勇 《中国现代医学杂志》 CAS 2020年第2期27-33,共7页
目的探讨microRNA-122a(miR-122a)、microRNA-124a(miR-124a)及microRNA-125b(miR-125b)对脓毒症休克合并肝损伤的早期诊断及预后评估的临床价值。方法选取2016年12月-2019年2月沧州市中心医院急诊重症监护室收治的254例脓毒症休克患者... 目的探讨microRNA-122a(miR-122a)、microRNA-124a(miR-124a)及microRNA-125b(miR-125b)对脓毒症休克合并肝损伤的早期诊断及预后评估的临床价值。方法选取2016年12月-2019年2月沧州市中心医院急诊重症监护室收治的254例脓毒症休克患者作为研究对象。将患者分为肝损伤组和无肝损伤组。肝损伤组按肝损伤严重程度分为轻、中、重度肝损伤组。肝损伤组根据28 d转归分为存活组和死亡组。选取同期该院健康体检者40例作为对照组。采用RT-PCR测定血清miR-122a、miR-124a及miR-125b的相对表达量,并绘制受试者工作特征曲线分析其对脓毒症休克合并肝损伤的早期诊断价值。采用二元Logistic回归法分析影响脓毒症休克合并肝损伤患者预后的危险因素。结果肝损伤组急性生理学和慢性健康状况评估Ⅱ(APACHEⅡ)评分、序贯器官衰竭估计(SOFA)评分、28 d后的病死率及降钙素原(PCT)高于无肝损伤组(P<0.05),重度肝损伤组APACHEⅡ评分、SOFA评分、28 d后的病死率及PCT高于轻度、中度肝损伤组(P<0.05),肝损伤组、无肝损伤组血清miR-122a、miR-124a及miR-125b相对表达量均高于对照组(P <0.05),重度肝损伤组血清miR-122a、miR-124a及miR-125b相对表达量高于轻、中度肝损伤组(P <0.05),血清miR-122a、miR-124a及miR-125b诊断脓毒症休克合并肝损伤的AUC分别为:0.796(95%CI:0.728,0.854)、0.771(95%CI:0.701,0.832)和0.784(95%CI:0.715,0.840),死亡组治疗28 d后APACHEⅡ评分、SOFA评分、PCT、乳酸、肝损伤严重程度,血清miR-122a、miR-124a及miR-125b相对表达量高于存活组(P<0.05)。肝损伤严重程度[OR=5.396(95%CI:2.024,9.631)]、APACHEⅡ评分[OR=4.565(95%CI:1.965,7.323)]、SOFA评分[OR=4.623(95%CI:2.538,6.835)]和miR-122a[OR=2.818(95%CI:1.082,5.726)]是影响脓毒症休克合并肝损伤患者预后的危险因素。结论血清miR-122a、miR-124a及miR-125b可作为脓毒症休克患者合并肝损伤早期诊断的新型生物标志物,且miR-122a对脓毒症休克合并肝损伤患者的预后评估有一定的临床价值。 展开更多
关键词 脓毒症 休克 药物性肝损伤 诊断 预后
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Hypoxic preconditioning reduces NLRP3 inflammasome expression and protects against cerebral ischemia/reperfusion injury 被引量:8
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作者 Yi-Qiang Pang Jing Yang +2 位作者 chun-mei jia Rui Zhang Qi Pang 《Neural Regeneration Research》 SCIE CAS CSCD 2022年第2期395-400,共6页
Hypoxic preconditioning can protect against cerebral ischemia/reperfusion injury. However, the underlying mechanisms that mediate this effect are not completely clear. In this study, mice were pretreated with continuo... Hypoxic preconditioning can protect against cerebral ischemia/reperfusion injury. However, the underlying mechanisms that mediate this effect are not completely clear. In this study, mice were pretreated with continuous, intermittent hypoxic preconditioning;1 hour later, cerebral ischemia/reperfusion models were generated by middle cerebral artery occlusion and reperfusion. Compared with control mice, mice with cerebral ischemia/reperfusion injury showed increased Bederson neurological function scores, significantly increased cerebral infarction volume, obvious pathological damage to the hippocampus, significantly increased apoptosis;upregulated interleukin-1β, interleukin-6, and interleukin-8 levels in brain tissue;and increased expression levels of NOD-like receptor family pyrin domain containing 3(NLRP3), NLRP inflammasome-related protein caspase-1, and gasdermin D. However, hypoxic preconditioning significantly inhibited the above phenomena. Taken together, these data suggest that hypoxic preconditioning mitigates cerebral ischemia/reperfusion injury in mice by reducing NLRP3 inflammasome expression. This study was approved by the Medical Ethics Committee of the Fourth Hospital of Baotou, China(approval No. DWLL2019001) in November 2019. 展开更多
关键词 apoptosis CASPASE-1 cell death cerebral ischemia/reperfusion injury gasdermin D hippocampus hypoxic preconditioning NLRP3 inflammasome
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