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姜黄素后处理对缺血再灌注肾损伤大鼠Notch2/Hes-1通路的影响 被引量:7
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作者 邹海波 孙晓峰 《中国现代医学杂志》 CAS 2019年第19期17-22,共6页
目的探讨姜黄素后处理大鼠肢体缺血再灌注肾损伤对Notch2/Hes-1通路的影响。方法选取成年雄性SD大鼠80只,体重280~320 g,6~8月龄,采用随机数字表法,将其分成4组(各20例):假手术组(Sham组)、缺血再灌注组(I/R组)、姜黄素后处理组(I/R+Cur... 目的探讨姜黄素后处理大鼠肢体缺血再灌注肾损伤对Notch2/Hes-1通路的影响。方法选取成年雄性SD大鼠80只,体重280~320 g,6~8月龄,采用随机数字表法,将其分成4组(各20例):假手术组(Sham组)、缺血再灌注组(I/R组)、姜黄素后处理组(I/R+Cur组)及抑制剂组(I/R+DAPT组)。采用夹闭双下肢股动脉4 h再灌注4 h复制肢体缺血再灌注肾损伤模型。在大鼠肢体缺血后4 h,I/R+Cur组经腹腔注射姜黄素200 mg/kg;I/R+DAPT组经腹腔注射DAPT 0.5μmol。于再灌注4 h时经颈动脉取血,待检血浆肌酐、尿素氮、丙二醛等指标。随后处死大鼠,采用HE染色检测肾组织病理变化,并对肾小管间质进行半定量评分;应用Western blotting和RT-PCR分别测定Notch2受体蛋白和靶分子Hes-1 mRNA的表达;通过ELISA测定肾组织TNF-α及IL-1β的表达。结果与Sham组比较,I/R组可见肾小管出现小管明显扩张,管腔内可见管型,刷状缘消失、肾间质炎症细胞浸润等病变,肾小管间质半定量评分升高(P <0.05);组织中Notch2、Hes-1 mRNA、TNF-α和IL-1β的表达升高(P <0.05);与I/R组比较,I/R+Cur组肾间质炎症细胞浸润减少,视野内未见肾小管扩张,偶可见少量管型等病理改变,肾小管间质半定量评分下降(P <0.05);组织中Notch2、Hes-1 mRNA、TNF-α和IL-1β的表达升高(P <0.05);I/R+DAPT组各指标与I/R+Cur组比较,差异无统计学意义(P>0.05)。结论姜黄素后处理可减轻大鼠肢体缺血再灌注时肾损伤,其作用机制可能与下调Notch2/Hes-1信号通路有关。 展开更多
关键词 再灌注损伤 姜黄素 Notch2/Hes-1通路 肢体
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抗病毒治疗对乙型肝炎相关性肝癌术后肝内复发患者生存状况的影响 被引量:6
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作者 骆乐 薛华 +4 位作者 罗兰云 姚豫桐 邹海波 胡晓 黄孝伦 《中国现代医学杂志》 CAS 2018年第10期89-93,共5页
目的探讨抗病毒治疗对乙型肝炎病毒(HBV)相关肝癌术后肝内复发患者生存状况的影响。方法回顾性分析2012年1月-2013年6月四川省人民医院107例乙型肝炎相关性肝癌术后发生肝内复发患者的临床资料,根据患者复发后抗病毒治疗情况分为抗病毒... 目的探讨抗病毒治疗对乙型肝炎病毒(HBV)相关肝癌术后肝内复发患者生存状况的影响。方法回顾性分析2012年1月-2013年6月四川省人民医院107例乙型肝炎相关性肝癌术后发生肝内复发患者的临床资料,根据患者复发后抗病毒治疗情况分为抗病毒组(68例)和对照组(39例)。比较两组患者复发后累积生存时间、复发后6个月乙型肝炎-DNA(HBV-DNA)、乙型肝炎病毒e抗原(HBe-Ag)及甲胎蛋白(AFP)水平。采用Kaplan-Meier法统计两组患者的2年生存率,Cox回归模型分析与患者复发后2年生存率相关的因素。结果抗病毒组的中位生存时间为24个月(15.6~26.1个月),对照组的中位生存时间为14个月(11.2~20.3个月),差异均有统计学意义(P<0.05)。抗病毒组1和2年累积生存率分别为79.71%和39.12%,对照组1和2年累积生存率分别为58.41%和15.71%,差异有统计学意义(P<0.05)。经过正规抗病毒治疗6个月后,抗病毒组患者的HBV-DNA拷贝数低于对照组(P<0.05)。Cox多因素分析显示:原发肝癌的组学分化程度、复发肿瘤≥2 cm及抗病毒治疗是影响肝癌患者肝内复发后2年生存率的主要因素。结论对存在抗病毒治疗指征的肝癌术后肝内复发患者采用正规的抗病毒治疗对提高患者的生存率有积极的作用。 展开更多
关键词 抗病毒治疗 乙型肝炎病毒 肝细胞肝癌 肝内复发
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Tectonic evolution of the West Kunlun Orogenic Belt along the northern margin of the Tibetan Plateau:Implications for the assembly of the Tarim terrane to Gondwana 被引量:20
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作者 Chuan-Lin Zhang hai-bo zou +1 位作者 Xian-Tao Ye Xiang-Yan Chen 《Geoscience Frontiers》 SCIE CAS CSCD 2019年第3期973-988,共16页
The West Kunlun orogenic belt(WKOB) along the northern margin of the Tibetan Plateau is important for understanding the evolution of the Proto-and Paleo-Tethys oceans. Previous investigations have focused on the igneo... The West Kunlun orogenic belt(WKOB) along the northern margin of the Tibetan Plateau is important for understanding the evolution of the Proto-and Paleo-Tethys oceans. Previous investigations have focused on the igneous rocks and ophiolites distributed mostly along the Xinjiang-Tibet road and the China-Pakistan road, and have constructed a preliminary tectonic model for this orogenic belt. However, few studies have focused on the so-called Precambrian basement in this area. As a result, the tectonic affinity of the individual terranes of the WKOB and their detailed evolution process are uncertain. Here we report new field observations, zircon and monazite U-Pb ages of the "Precambrian basement" of the South Kunlun terrane(SKT) and the Tianshuihai terrane(TSHT), two major terranes in the WKOB. Based on new zircon U-Pb age data, the amphibolite-facies metamorphosed volcanosedimentary sequence within SKT was deposited during the late Neoproterozoic to Cambrian(600-500 Ma), and the flysch-affinity Tianshuihai Group, as the basement of the TSHT, was deposited during the late Neoproterozoic rather than Mesoproterozoic. The rock association of the volcano-sedimentary sequence within SKT suggests a large early Paleozoic accretionary wedge formed by the long-term lowangle southward subduction of the Proto-Tethys Ocean between Tarim and TSHT. The amphibolitefacies metamorphism in SKT occurred at ca. 440 Ma. This ca. 440 Ma metamorphism is genetically related to the closure of the Proto-Tethys Ocean between Tarim and the Tianshuihai terrane, which led to the assembly of Tarim to Eastern Gondwana and the final formation of the Gondwana. Since the late Paleozoic to early Mesozoic, the northward subduction of the Paleo-Tethys Ocean along the HongshihuQiaoertianshan belt produced the voluminous early Mesozoic arc-signature granites along the southern part of NKT-TSHT. The Paleo-Tethys ocean between TSHT and Karakorum closed at ca. 200 Ma, as demonstrated by the monazite age of the paragneiss in the Kangxiwa Group. Our study does not favor the existence of a Precambrian basement in SKT. 展开更多
关键词 West KUNLUN OROGENIC Belt TECTONIC unit Metamorphic basement Zircon and MONAZITE U-Pb dating TECTONIC evolution
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Clinical Outcome of Autologous Hematopoietic Stem Cell Infusion via Hepatic Artery or Portal Vein in Patients with End-stage Liver Diseases 被引量:4
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作者 Xiao-lun Huang Le Luo +10 位作者 Lan-yun Luo Hua Xue Ling-ling Wei Yu-tong Yao hai-bo zou Xiao-bing Huang Yi-fan Zhu Tian Zhang Ping Xie Mao-zhu Yang Shao-ping Deng 《Chinese Medical Sciences Journal》 CAS CSCD 2014年第1期15-22,共8页
Objective To investigate the efficacy of hematopoietic stem cell(HSC) transplantation via the hepatic artery vs.the portal vein for end-stage liver disease(ESLD).Methods Patients with hepatic decompensation were prosp... Objective To investigate the efficacy of hematopoietic stem cell(HSC) transplantation via the hepatic artery vs.the portal vein for end-stage liver disease(ESLD).Methods Patients with hepatic decompensation were prospectively recruited from September 2010 to September 2012 to receive HSC transplantation via the hepatic artery or the portal vein.Liver function was examined at 3,6,and 12 months after transplantation.Liver biopsy results were analyzed using the Knodell score.Results Eighty patients(58 males and 22 females) were enrolled in the study.The Child-Pugh score was grade B in 69 cases,and grade C in the remaining 11 cases.HSC transplantation was performed via the portal vein in 36 patients and via the hepatic artery in 44 patients.ALT levels decreased while serum albumin levels increased significantly in both groups at 6 and 12 months after HSC transplantation(P<0.05 compared with pre-transplantation levels).Total bilirubin levels decreased significantly in both groups at 3,6,and 12 months after HSC transplantation(P<0.05 compared with pre-transplantation levels).Additionally,prothrombin time decreased in both groups at 12 months after HSC transplantation(P<0.05 compared with pre-transplantation level).There were no significant differences in ALT,total bilirubin and prothrombin time between the two groups either before or after transplantation.Moreover,Knodell score decreased significantly at 6 and 12 months.Histological examination showed that liver cell edema,degeneration,necrosis,and inflammation were significantly relieved at 3,6,and 12 months after transplantation.The incidence of portal vein thrombosis,upper gastrointestinal bleeding,and hepatic encephalopathy were 1.25%,3.75%,and 2.5% respectively.The one-year survival rate was 100%.Conclusions Autologous HSC transplantation improves liver function and histology in ESLD patients.The administration route of HSC has no significant impact on the efficacy of transplantation. 展开更多
关键词 造血干细胞 门静脉 肝动脉 肝病 患者 末期 自体 组织学检查
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