目的系统评估不同中药复方制剂联合高效抗反转录病毒疗法(highly active anti-retroviral therapy,HAART)治疗艾滋病的疗效与安全性。方法计算机检索知网(CNKI)、维普(VIP)、万方、中国生物医学文献数据库(CBM)、Embase、PubMed、Cochra...目的系统评估不同中药复方制剂联合高效抗反转录病毒疗法(highly active anti-retroviral therapy,HAART)治疗艾滋病的疗效与安全性。方法计算机检索知网(CNKI)、维普(VIP)、万方、中国生物医学文献数据库(CBM)、Embase、PubMed、Cochrane Library、Web of Science数据库中口服中药复方制剂联合HAART治疗艾滋病的随机对照试验,检索时限为自建库至2022年1月28日。筛选文献及提取数据后,通过Cochrane推荐的风险偏倚评价工具评估纳入文献的质量,运用Stata14.0分析数据。结果最终纳入28篇文献,共2566例患者,治疗组1442例,对照组1124例,中药复方制剂9种。在提升CD4+T细胞水平方面,抗艾扶正胶囊[SMD=1.33,95%CI(0.38,2.28)]>艾复康胶囊[SMD=0.91,95%CI(-0.03,1.85)]>艾灵颗粒[SMD=0.54,95%CI(-0.22,1.30)];在改善CD8+T细胞水平方面,清毒胶囊[SMD=-0.67,95%CI(-1.39,0.05)]>艾可清胶囊(颗粒)[SMD=-0.32,95%CI(-0.79,0.14)]>芪灵汤[SMD=-0.33,95%CI(-0.87,0.21)];在提升CD4/CD8值方面,艾复康胶囊[MD=0.15,95%CI(0.03,0.27)]>康爱保生胶囊(胶囊)[MD=0.11,95%CI(-0.03,0.25)]>艾灵颗粒[MD=0.02,95%CI(-0.12,0.15)];在控制病毒载量方面,艾复康胶囊/艾可清胶囊(颗粒)[SMD=-0.34,95%CI(-0.59,-0.08)]>康生爱保胶囊(胶囊)[SMD=-0.27,95%CI(-0.47,-0.07)]>艾复康胶囊[SMD=-0.21,95%CI(-0.54,0.12)]。在不良反应方面,中西医结合疗法发生不良反应的情况较少,安全性较高。结论在抗病毒的基础上联合中药复方制剂治疗能提高艾滋病临床的综合疗效,其中艾复康胶囊和艾灵颗粒总体疗效较突出,但因纳入文献质量偏低,故需更多高质量的临床研究加以验证。展开更多
Background The high mobility group A1 (HMGA1) proteins are architectural transcription factors found to be overexpressed in iung adenocarcinoma. Lentivirus-mediated RNA interference (RNAi) technology is a powerful...Background The high mobility group A1 (HMGA1) proteins are architectural transcription factors found to be overexpressed in iung adenocarcinoma. Lentivirus-mediated RNA interference (RNAi) technology is a powerful tool for silencing endogenous or exogenous genes in human cancer cells. Our preliminary study shows that gemcitabine inhibits growth of the human lung cancer cell line SPCA-1 and induces apoptosis, and this effect might link with down-regulation of HMGA1 expression. This study aimed to investigate the chemosensitivity change of the lung adenocarcinoma cells SPCA-1 after HMGA1 inhibition by Jentivirus-mediated RNAi.展开更多
文摘目的系统评估不同中药复方制剂联合高效抗反转录病毒疗法(highly active anti-retroviral therapy,HAART)治疗艾滋病的疗效与安全性。方法计算机检索知网(CNKI)、维普(VIP)、万方、中国生物医学文献数据库(CBM)、Embase、PubMed、Cochrane Library、Web of Science数据库中口服中药复方制剂联合HAART治疗艾滋病的随机对照试验,检索时限为自建库至2022年1月28日。筛选文献及提取数据后,通过Cochrane推荐的风险偏倚评价工具评估纳入文献的质量,运用Stata14.0分析数据。结果最终纳入28篇文献,共2566例患者,治疗组1442例,对照组1124例,中药复方制剂9种。在提升CD4+T细胞水平方面,抗艾扶正胶囊[SMD=1.33,95%CI(0.38,2.28)]>艾复康胶囊[SMD=0.91,95%CI(-0.03,1.85)]>艾灵颗粒[SMD=0.54,95%CI(-0.22,1.30)];在改善CD8+T细胞水平方面,清毒胶囊[SMD=-0.67,95%CI(-1.39,0.05)]>艾可清胶囊(颗粒)[SMD=-0.32,95%CI(-0.79,0.14)]>芪灵汤[SMD=-0.33,95%CI(-0.87,0.21)];在提升CD4/CD8值方面,艾复康胶囊[MD=0.15,95%CI(0.03,0.27)]>康爱保生胶囊(胶囊)[MD=0.11,95%CI(-0.03,0.25)]>艾灵颗粒[MD=0.02,95%CI(-0.12,0.15)];在控制病毒载量方面,艾复康胶囊/艾可清胶囊(颗粒)[SMD=-0.34,95%CI(-0.59,-0.08)]>康生爱保胶囊(胶囊)[SMD=-0.27,95%CI(-0.47,-0.07)]>艾复康胶囊[SMD=-0.21,95%CI(-0.54,0.12)]。在不良反应方面,中西医结合疗法发生不良反应的情况较少,安全性较高。结论在抗病毒的基础上联合中药复方制剂治疗能提高艾滋病临床的综合疗效,其中艾复康胶囊和艾灵颗粒总体疗效较突出,但因纳入文献质量偏低,故需更多高质量的临床研究加以验证。
文摘Background The high mobility group A1 (HMGA1) proteins are architectural transcription factors found to be overexpressed in iung adenocarcinoma. Lentivirus-mediated RNA interference (RNAi) technology is a powerful tool for silencing endogenous or exogenous genes in human cancer cells. Our preliminary study shows that gemcitabine inhibits growth of the human lung cancer cell line SPCA-1 and induces apoptosis, and this effect might link with down-regulation of HMGA1 expression. This study aimed to investigate the chemosensitivity change of the lung adenocarcinoma cells SPCA-1 after HMGA1 inhibition by Jentivirus-mediated RNAi.