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免疫检查点抑制剂相关神经系统不良反应的临床诊治建议 被引量:20
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作者 史佳宇 牛婧雯 +6 位作者 沈东超 李亦 刘明生 谭颖 崔丽英 管宇宙 张力 《中国肺癌杂志》 CAS CSCD 北大核心 2019年第10期633-638,共6页
免疫检查点抑制剂(immune checkpoint inhibitors, ICIs)可引起神经系统的不良反应,发生率在0.1%-12%,80%发生在应用前4个月内。可以引起神经系统各部位的病变,包括无菌性脑膜炎,脑膜脑炎,坏死性脑炎,脑干脑炎,横贯性脊髓炎等中枢神经... 免疫检查点抑制剂(immune checkpoint inhibitors, ICIs)可引起神经系统的不良反应,发生率在0.1%-12%,80%发生在应用前4个月内。可以引起神经系统各部位的病变,包括无菌性脑膜炎,脑膜脑炎,坏死性脑炎,脑干脑炎,横贯性脊髓炎等中枢神经系统病变,也可引起颅神经周围神经病、多灶性神经根神经病、格林巴利综合征、脊神经根神经病、重症肌无力、肌病等周围神经病变。对于神经系统的这些并发症,均需要症状体征,并结合影像学、脑脊液细胞学、脑电图或肌电图等检查,除外感染或恶性肿瘤后获得诊断。治疗中,在严重病例需停用ICIs,并用大剂量糖皮质激素或丙种球蛋白治疗和对症支持治疗。在出现神经系统不良反应后,严重病例预后较差。 展开更多
关键词 免疫检查点抑制剂 神经系统不良反应 糖皮质激素
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Impact of particle size and pH on protein corona formation of solid lipid nanoparticles:A proof-of-concept study 被引量:4
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作者 Wenhao Wang Zhengwei Huang +6 位作者 Yanbei Li Wenhua Wang jiayu shi Fangqin Fu Ying Huang Xin Pan Chuanbin Wu 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2021年第4期1030-1046,共17页
When nanoparticles were introduced into the biological media,the protein corona would be formed,which endowed the nanoparticles with new bio-identities.Thus,controlling protein corona formation is critical to in vivo ... When nanoparticles were introduced into the biological media,the protein corona would be formed,which endowed the nanoparticles with new bio-identities.Thus,controlling protein corona formation is critical to in vivo therapeutic effect.Controlling the particle size is the most feasible method during design,and the infuence of media pH which varies with disease condition is quite important.The impact of particle size and pH on bovine serum albumin(BSA)corona formation of solid lipid nanoparticles(SLNs)was studied here.The BSA corona formation of SLNs with increasing particle size(120-480 nm)in pH 6.0 and 7.4 was investigated.Multiple techniques were employed for visualization study,conformational structure study and mechanism study,etc."BSA corona-caused aggregation"of SLN2-3 was revealed in pH 6.0 while the dispersed state of SLNs was maintained in pH 7.4,which signifcantly affected the secondary structure of BSA and cell uptake of SLNs.The main interaction was driven by van der Waals force plus hydrogen bonding in p H 7.4,while by electrostatic attraction in pH 6.0,and size-dependent adsorption was confrmed.This study provides a systematic insight to the understanding of protein corona formation of SLNs. 展开更多
关键词 Protein corona Solid lipid nanoparticles BSA corona-Caused aggregation Nanoparticle-protein interaction Size effect Cell uptake Medium pH Conformational structure
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