目的系统评价逍遥散加减对比常规西药治疗高泌乳素血症(HPRL)的有效性及安全性。方法检索中国知识资源总库(CNKI)、中文科技期刊数据库(维普网)、中国生物医学文献数据库(CBM)、万方数据知识服务平台(万方数据)、EMbase、PubMed、Cochra...目的系统评价逍遥散加减对比常规西药治疗高泌乳素血症(HPRL)的有效性及安全性。方法检索中国知识资源总库(CNKI)、中文科技期刊数据库(维普网)、中国生物医学文献数据库(CBM)、万方数据知识服务平台(万方数据)、EMbase、PubMed、Cochrane Library、Web of Science建库至2022年1月31日国内外公开发表的关于逍遥散加减治疗HPRL的随机对照试验(RCT)研究,对经筛选纳入的文献进行信息提取、Meta分析及证据质量评价。结果最终纳入13项研究,涉及患者888例,其中试验组447例,对照组441例。试验组干预措施为中药逍遥散组方加减,对照组均使用西药溴隐亭治疗。Meta分析结果:与对照组比较,试验组治疗HPRL的总有效率[OR=1.05,95%CI(0.71,1.54),Z=0.23,P=0.82]、治疗后PRL水平[MD=2.48,95%CI(-0.51,5.48),Z=1.62,P=0.10]、妊娠率[OR=2.19,95%CI(0.82,5.82),Z=1.56,P=0.12]均差异无统计学意义;复发率[OR=0.23,95%CI(0.11,0.47),Z=4.03,P<0.0001]、不良反应发生率[OR=0.03,95%CI(0.01,0.09),Z=6.40,P<0.00001]均低于对照组。结论逍遥散加减治疗HPRL疗效显著,且复发率、不良反应率均低于溴隐亭治疗。但本结果因纳入研究数量有限且水平偏低,今后仍有必要开展更多大范围、高标准的RCT研究以提供更高质量证据支持。展开更多
RNA silencing is a conserved mechanism found ubiquitously in eukaryotic organisms.It has been used to regulate gene expression and development.In addition,RNA silencing serves as an important mechanism in plants' ...RNA silencing is a conserved mechanism found ubiquitously in eukaryotic organisms.It has been used to regulate gene expression and development.In addition,RNA silencing serves as an important mechanism in plants' defense against invasive nucleic acids,such as viruses,transposons,and transgenes.As a counter-defense,most plants,and some animal viruses,encode RNA silencing suppressors to interfere at one or several points of the silencing pathway.In this study,we showed that Pns12 of RGDV (Rice gall dwarf virus) exhibits silencing suppressor activity on the reporter green fluorescent protein in transgenic Nicotiana benthamiana line 16c.Pns12 of RGDV suppressed local silencing induced by sense RNA but had no effect on that induced by dsRNA.Expression of Pns12 also enhanced Potato virus X pathogenicity in N.benthamiana.Collectively,these results suggested that RGDV Pns12 functions as a virus suppressor of RNA silencing,which might target an upstream step of dsRNA formation in the RNA silencing pathway.Furthermore,we showed that Pns12 is localized mainly in the nucleus of N.benthamiana leaf cells.展开更多
文摘目的系统评价逍遥散加减对比常规西药治疗高泌乳素血症(HPRL)的有效性及安全性。方法检索中国知识资源总库(CNKI)、中文科技期刊数据库(维普网)、中国生物医学文献数据库(CBM)、万方数据知识服务平台(万方数据)、EMbase、PubMed、Cochrane Library、Web of Science建库至2022年1月31日国内外公开发表的关于逍遥散加减治疗HPRL的随机对照试验(RCT)研究,对经筛选纳入的文献进行信息提取、Meta分析及证据质量评价。结果最终纳入13项研究,涉及患者888例,其中试验组447例,对照组441例。试验组干预措施为中药逍遥散组方加减,对照组均使用西药溴隐亭治疗。Meta分析结果:与对照组比较,试验组治疗HPRL的总有效率[OR=1.05,95%CI(0.71,1.54),Z=0.23,P=0.82]、治疗后PRL水平[MD=2.48,95%CI(-0.51,5.48),Z=1.62,P=0.10]、妊娠率[OR=2.19,95%CI(0.82,5.82),Z=1.56,P=0.12]均差异无统计学意义;复发率[OR=0.23,95%CI(0.11,0.47),Z=4.03,P<0.0001]、不良反应发生率[OR=0.03,95%CI(0.01,0.09),Z=6.40,P<0.00001]均低于对照组。结论逍遥散加减治疗HPRL疗效显著,且复发率、不良反应率均低于溴隐亭治疗。但本结果因纳入研究数量有限且水平偏低,今后仍有必要开展更多大范围、高标准的RCT研究以提供更高质量证据支持。
基金supported by the National Basic Research Program of China(Grant No. 2010CB126203)the National Transgenic Major Program(Grant Nos. 2009ZX08009-044B and 2009ZX08001-018B)+2 种基金the National Natural Science Foundation of China(Grant No. 30970135)the Fujian Province Education Department(Grant No. JB08078)Specialized Research Fund for the Ministry of Agriculture(Grant No. nyhyzx07-051)
文摘RNA silencing is a conserved mechanism found ubiquitously in eukaryotic organisms.It has been used to regulate gene expression and development.In addition,RNA silencing serves as an important mechanism in plants' defense against invasive nucleic acids,such as viruses,transposons,and transgenes.As a counter-defense,most plants,and some animal viruses,encode RNA silencing suppressors to interfere at one or several points of the silencing pathway.In this study,we showed that Pns12 of RGDV (Rice gall dwarf virus) exhibits silencing suppressor activity on the reporter green fluorescent protein in transgenic Nicotiana benthamiana line 16c.Pns12 of RGDV suppressed local silencing induced by sense RNA but had no effect on that induced by dsRNA.Expression of Pns12 also enhanced Potato virus X pathogenicity in N.benthamiana.Collectively,these results suggested that RGDV Pns12 functions as a virus suppressor of RNA silencing,which might target an upstream step of dsRNA formation in the RNA silencing pathway.Furthermore,we showed that Pns12 is localized mainly in the nucleus of N.benthamiana leaf cells.
