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免疫治疗对老年非小细胞肺癌合并COPD病人气道高反应和肺功能的影响 被引量:2
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作者 霍树芬 尚文丽 +5 位作者 田应选 孙莉 任小平 王君 康慧芳 温红侠 《实用老年医学》 CAS 2022年第5期473-477,共5页
目的探讨程序性细胞死亡受体1/程序性细胞死亡配体1(PD-1/PD-L1)抑制剂治疗对老年非小细胞肺癌(NSCLC)合并COPD病人气道高反应和肺功能的影响。方法纳入30例接受PD-1/PD-L1抑制剂免疫治疗的NSCLC病人,分为合并COPD组和未合并COPD组,收... 目的探讨程序性细胞死亡受体1/程序性细胞死亡配体1(PD-1/PD-L1)抑制剂治疗对老年非小细胞肺癌(NSCLC)合并COPD病人气道高反应和肺功能的影响。方法纳入30例接受PD-1/PD-L1抑制剂免疫治疗的NSCLC病人,分为合并COPD组和未合并COPD组,收集治疗前后呼出气一氧化氮(FeNO)和肺功能指标,并进行统计学分析。结果30例病人中19例合并COPD,11例未合并COPD。治疗前,2组FeNO水平差异无统计学意义(P>0.05);治疗后,COPD组FeNO水平较治疗前显著升高,且明显高于非COPD组,差异均有统计学意义(P<0.01)。COPD组治疗后FEV1、FVC水平较治疗前均明显升高(P<0.05)。非COPD组治疗前后FVC和FEV1水平比较,差异无统计学意义(P>0.05)。2组治疗前后改良呼吸困难指数(mMRC)问卷评分或COPD评估测试(CAT)评分差异均无统计学意义(P>0.05),治疗期间无COPD急性加重发生。结论PD-1/PD-L1抑制剂免疫治疗可改变NSCLC合并COPD病人的FeNO水平和肺功能,且不会使COPD恶化。 展开更多
关键词 程序性细胞死亡受体1/程序性细胞死亡配体1抑制剂 非小细胞肺癌 慢性阻塞性肺疾病 呼出气一氧化氮 肺功能
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沉默lncRNA TPT1-AS1对非小细胞肺癌生物学行为的影响及机制研究 被引量:1
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作者 惠珂 霍树芬 +2 位作者 刘凌华 王君 田应选 《临床肺科杂志》 2021年第10期1545-1550,共6页
目的研究长链非编码RNA(lncRNA)TPT1-AS1在非小细胞肺癌组织中的表达及对沉默lncRNA TPT1-AS1非小细胞肺癌生物学行为的影响及机制。方法检测非小细胞肺癌组织和癌旁组织lncRNA TPT1-AS1表达情况,做细胞培养及lncRNA TPT1-AS1转染,分为... 目的研究长链非编码RNA(lncRNA)TPT1-AS1在非小细胞肺癌组织中的表达及对沉默lncRNA TPT1-AS1非小细胞肺癌生物学行为的影响及机制。方法检测非小细胞肺癌组织和癌旁组织lncRNA TPT1-AS1表达情况,做细胞培养及lncRNA TPT1-AS1转染,分为空白组、过表达组、沉默组,过表达组转染si-TPT1-AS1-NC质粒,沉默组转染si-TPT1-AS1质粒,空白组细胞不做任何处理,转染24h后鉴定转染效率。检测各组细胞增殖、凋亡、迁移、侵袭及PTEN-PI3K-AKT信号通路蛋白表达情况。结果与癌旁组织相比,癌组织TPT1-AS1 mRNA表达量升高(P<0.05)。与空白组相比,过表达组TPT1-AS1 mRNA表达量升高,沉默组TPT1-AS1 mRNA表达量降低(P<0.05),说明转染成功。与过表达组相比,沉默组各时间点细胞增殖率、细胞迁移数、侵袭数、p-PI3K、p-AKT、MMP-2、MMP-9、Bcl-2蛋白表达量降低,凋亡率、PTEN、Bax蛋白表达量升高(P<0.05)。结论lncRNA TPT1-AS1在非小细胞肺癌组织高表达,沉默lncRNA TPT1-AS1可抑制肺癌细胞增殖、迁移、侵袭,促进凋亡,其机制可能与调控PTEN-PI3K-AKT信号通路相关。 展开更多
关键词 长链非编码RNA TPT1-AS1 非小细胞肺癌 细胞生物学行为 PTEN-PI3K-AKT信号通路
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老年慢性阻塞性肺疾病急性加重期病人膈肌形态改变及相关因素分析 被引量:1
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作者 李艳 王肖潇 +5 位作者 孙莉 南淑良 霍树芬 任小平 王水利 温红侠 《实用老年医学》 CAS 2022年第11期1101-1105,共5页
目的分析老年慢性阻塞性肺疾病急性加重期(AECOPD)病人膈肌形态变化及相关因素分析。方法收集老年AECOPD病人58例为AECOPD组,49例健康体检者为对照组。使用超声检查测量膈肌平静呼气末膈肌厚度(Tdi)、尽力吸气末膈肌厚度(Tdi)、尽力呼... 目的分析老年慢性阻塞性肺疾病急性加重期(AECOPD)病人膈肌形态变化及相关因素分析。方法收集老年AECOPD病人58例为AECOPD组,49例健康体检者为对照组。使用超声检查测量膈肌平静呼气末膈肌厚度(Tdi)、尽力吸气末膈肌厚度(Tdi)、尽力呼气末膈肌厚度(Tdi)、平静呼吸时膈肌移动度(DD)、用力呼吸时膈肌移动度(DDmax),计算膈肌增厚分数(TF),采用多重线性回归分析TF和DD的相关因素。结果依据慢性阻塞性肺疾病全球倡议(GOLD)分级将AECOPD组分为轻-中度组和重-极重度组。老年重-极重度AECOPD病人的Tdi、Tdi、DD、DDmax、TF与轻-中度组、对照组比较,差异均有统计学意义(均P<0.05);轻-中度组与对照组比较,Tdi、DDmax及TF差异均有统计学意义(均P<0.05)。多元线性回归分析结果显示,TF与FEV1%pred呈正相关(β=0.547,P<0.05),与病程时间、近1年急性加重次数呈负相关(分别β=-0.959、-5.978,P<0.05),而DD与病程时间、1年内急性加重次数呈负相关(β=-0.027、-0.150,P<0.05)。结论AECOPD病人的TF与DDmax均出现明显下降,引起病人膈肌形态改变的因素主要在于疾病本身,积极控制疾病进展和减少急性加重次数至关重要。 展开更多
关键词 慢性阻塞性肺疾病急性加重 超声检查 膈肌
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Properties of a Bound Polaron under a Perpendicular Magnetic Field 被引量:3
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作者 LIU Jia XIAO Jing-Lin +1 位作者 huo shu-fen CHEN Zi-Yui 《Communications in Theoretical Physics》 SCIE CAS CSCD 2007年第5X期930-934,共5页
关键词 异质结构 电子 非对称性 物理学
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血清NSE、SCCA及CEA在肺癌早期诊断和预后预测中的应用价值研究 被引量:10
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作者 尚文丽 霍树芬 +3 位作者 王洁英 刘凌华 任小平 任亚娟 《现代生物医学进展》 CAS 2020年第2期308-312,共5页
目的:研究血清神经元特异性烯醇化酶(NSE)、鳞状细胞癌抗原(SCCA)及癌胚抗原(CEA)在肺癌早期诊断和预后预测中的应用价值。方法:选择我院2013年1月~2017年1月收治的110例肺癌患者(肺癌组)及同期96例肺部良性疾病患者(肺良性病组)和85例... 目的:研究血清神经元特异性烯醇化酶(NSE)、鳞状细胞癌抗原(SCCA)及癌胚抗原(CEA)在肺癌早期诊断和预后预测中的应用价值。方法:选择我院2013年1月~2017年1月收治的110例肺癌患者(肺癌组)及同期96例肺部良性疾病患者(肺良性病组)和85例门诊健康体检者(对照组)。比较各组血清NSE、SCCA及CEA水平,采用受试者工作特征(ROC)曲线分析以上指标对肺癌的诊断价值。结果:肺癌组血清NSE、SCCA、CEA水平高于肺良性病组及对照组,肺良性病组血清NSE、SCCA、CEA水平高于对照组(P<0.05)。肺癌Ⅲ+Ⅳ组血清NSE、SCCA及CEA水平高于Ⅰ+Ⅱ组(P<0.05)。小细胞肺癌组血清NSE水平高于鳞癌组、腺癌组,鳞癌组血清SCCA水平高于腺癌组及小细胞肺癌组,腺癌组血清CEA水平高于鳞癌组及小细胞肺癌组(P<0.05)。NSE<16.0μg/L者平均无疾病进展生存期(PFS)长于NSE≥16.0μg/L,SCCA<1.5μg/L者平均PFS长于SCCA≥1.5μg/L,CEA<5.0μg/L平均PFS长于CEA≥5.0μg/L(P<0.05)。NSE、SCCA和CEA及三者联合诊断肺癌的ROC曲线下面积分别为0.880、0.651、0.830及0.937,NSE+SCCA+CEA联合诊断的曲线下面积高于单个指标单独诊断(P<0.05)。结论:血清NSE、SCCA及CEA对肺癌的诊断有重要的参考价值,且有利于肺癌的分期、分型及预后评价。 展开更多
关键词 肺癌 神经元特异性烯醇化酶 鳞状细胞癌抗原 癌胚抗原 预后预测
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Detection of lung adenocarcinoma using magnetic beads based matrix-assisted laser desorption/ionization time-of-flight mass spectrometry serum protein profiling 被引量:13
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作者 LIN Xiu-li YANG Shuan-ying +5 位作者 DU Jie TIAN Ying-xuan BU Li-na huo shu-fen WANG Feng-peng NAN Yan-dong 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第1期34-39,共6页
Background Recently, due to the rapid development of proteomic techniques, great advance has been made in many scientific fields. We aimed to use magnetic beads (liquid chip) based matrix-assisted laser desorption/i... Background Recently, due to the rapid development of proteomic techniques, great advance has been made in many scientific fields. We aimed to use magnetic beads (liquid chip) based matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF-MS) technology to screen distinctive biomarkers for lung adenocarcinoma (adCA), and to establish the diagnostic protein profiles. Methods Using weak cation exchange magnetic beads (MB-WCX) to isolate and purify low molecular weight proteins from sera of 35 lung adCA, 46 benign lung diseases (BLDs) and 44 healthy individuals. The resulting spectra gained by anchor chip-MALDI-TOF-MS were analyzed by ClinProTools and a pattern recognition genetic algorithm (GA). Results In the working mass range of 800-10 000 Da, 99 distinctive peaks were resolved in lung adCA versus BLDs, while 101 peaks were resolved in lung adCA versus healthy persons. The profile gained by GA that could distinguish adCA from BLDs was comprised of 4053.88, 4209.57 and 3883.33 Da with sensitivity of 80%, specificity of 93%, while that could separate adCA from healthy control was comprised of 2951.83 Da and 4209.73 Da with sensitivity of 94%, specificity of 95%. The sensitivity provided by carcinoembryonic antigen (CEA) in this experiment was significantly lower than our discriminatory profiles (P 〈0.005). We further identified a eukaryotic peptide chain release factor GTP-binding subunit (eRF3b) (4209 Da) and a complement C3f (1865 Da) that may serve as candidate biomarkers for lung adCA. Conclusion Magnetic beads based MALDI-TOF-MS technology can rapidly and effectively screen distinctive proteins/polypeptides from sera of lung adCA patients and controls, which has potential value for establishing a new diagnostic method for lung adCA. 展开更多
关键词 magnetic beads matrix-assisted laser desorption/ionization-mass spectrometry lung adenocarcinoma SERUM PROTEOMICS
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Study of differential proteins in lung adenocarcinoma using laser capture microdissection combined with liquid chip-mass spectrometry technology
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作者 BU Li-na YANG Shuan-ying +10 位作者 LI Feng-tao SHANG Wen-li ZHANG Wei huo shu-fen NAN Yan-dong TIAN Ying-xuan DU Jie LIN Xiu-li LIU Yan-feng LIN Yu-rong RONG Biao-xue 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第22期3309-3313,共5页
Background In recent years the proportion of lung adenocarcinoma (adCA) which occurs in lung cancer patients has increased. Using laser capture microdissection (LCM) combined with liquid chip-mass spectrometry tec... Background In recent years the proportion of lung adenocarcinoma (adCA) which occurs in lung cancer patients has increased. Using laser capture microdissection (LCM) combined with liquid chip-mass spectrometry technology, we aimed to screen lung cancer biomarkers by studying the proteins in the tissues of adCA. Methods We used LCM and magnetic bead based weak cation exchange (MB-WCX) to separate and purify the homogeneous adCA cells and normal cells from six cases of fresh adCA and matched normal lung tissues. The proteins were analyzed and identified by matrix assisted laser desorption/ionization time-of-fight mass spectrometry (MALDI-OF-MS). We screened for the best pattern using a radial basic function neural network algorithm. Results About 2.895x10s and 1.584x10s cells were satisfactorily obtained by LCM from six cases of fresh lung adCA and matched normal lung tissues, respectively. The homogeneities of cell population were estimated to be over 95% as determined by microscopic visualization. Comparing the differentially expressed proteins between the lung adCA and the matched normal lung group, 221 and 239 protein peaks, respectively, were found in the mass-to-charge ration (M/Z) between 800 Da and 10 000 Da. According to ttest, the expression of two protein peaks at 7521.5 M/Zand 5079.3 M/Z had the largest difference between tissues. They were more weakly expressed in the lung adCA compared to the matched normal group. The two protein peaks could accurately separate the lung adCA from the matched normal lung group by the sample distribution chart. A discriminatory pattern which can separate the lung adCA from the matched normal lung tissue consisting of three proteins at 3358.1 M/Z, 5079.3 M/Z and 7521.5 M/Z was established by a radial basic function neural network algorithm with a sensitivity of 100% and a specificity of 100%. Conclusions Differential proteins in lung adCA were screened using LCM combined with liquid chip-mass spectrometry technology, and a biomarker model was established. It is possible that this technology is going to become a powerful tool in screening and early diagnosis of lung adCA. 展开更多
关键词 lung adenocarcinoma laser capture microdissection magnetic beads mass spectrometry
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