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高迁移率族蛋白1和髓过氧化物酶预测冠状动脉病变程度和斑块易损性的临床研究 被引量:5
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作者 黄景欢 刘洋 +3 位作者 马冬冬 刘同涛 陈文强 杨发林 《中华老年医学杂志》 CAS CSCD 北大核心 2013年第1期9-13,共5页
目的研究高迁移率族蛋白1(HMGB1)、髓过氧化物酶(MPO)在预测冠状动脉(冠脉)病变程度和粥样硬化易损斑块破裂中的作用。方法对50例急性心肌梗死(AMI)、50例不稳定型心绞痛(UAP)及50例稳定型心绞痛(SAP)患者分别进行冠脉造影(CAG)和选择... 目的研究高迁移率族蛋白1(HMGB1)、髓过氧化物酶(MPO)在预测冠状动脉(冠脉)病变程度和粥样硬化易损斑块破裂中的作用。方法对50例急性心肌梗死(AMI)、50例不稳定型心绞痛(UAP)及50例稳定型心绞痛(SAP)患者分别进行冠脉造影(CAG)和选择性血管内超声(IVUS)检查以判断冠脉管腔狭窄程度、斑块性质及斑块破裂和血栓形成情况。30例CAG正常的患者为对照组。酶联免疫吸附法(EuSA)检测4组患者血清HMGB和MPO的水平,透视免疫法测定高敏c-反应蛋白(hsC-RP)水平。Gensini评分分析冠脉病变程度,相关性分析判断HMGB、MPO及hsC—RP与IVUS结果和Gensini评分的关系。结果AMI和uAP组的HMGB、MPO及hs-CRP血清水平高于SAP组和对照组(均P〈0.01),AMI组高于UAP组(P〈0.05)。IVUS结果显示AMI和UAP组主要为脂质性斑块,分别为51.3Yoo(20/39)和46.7Voo(43/92),而SAP组主要为纤维性斑块,脂质斑块仅占17.2%(15/87)。与SAP组比较,AMI和UAP组斑块负荷和血管重构指数增大(均P〈0.01)。AMI组HMGB、MPO水平分别与Gensini评分及IVUs测得的重构指数呈正相关(r值分别为0.54、0.48,均P〈0.05),UAP组HMGB、MPO分别与Geasini评分及IVUs测得的斑块负荷呈正相关(r值分别为0.43、0.56,均P〈0.05)。结论HMGB和MPO与冠脉狭窄程度呈正相关,可作为判断ACS病情严重程度的预测指标;HMGB和MPO与斑块的不稳定及破裂关系密切。 展开更多
关键词 动脉粥样硬化 高迁移率族蛋白质类 氧化物酶 C反应蛋白质
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Association of nicotinamide adenine dinucleotide phosphate oxidase p22phox gene 549C〉T polymorphism with coronary artery disease
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作者 liu tong-tao WANG Li-li +1 位作者 FANG Sheng-xia JIA Chong-qi 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第8期1416-1419,共4页
Background The p22phox is a critical component of the superoxide-generating vascular nicotinamide adenine dinucleotide phosphate (NADPH) oxidase. Several polymorphisms in p22phox gene are studied for their associati... Background The p22phox is a critical component of the superoxide-generating vascular nicotinamide adenine dinucleotide phosphate (NADPH) oxidase. Several polymorphisms in p22phox gene are studied for their association with cardiovascular diseases. However, no publication is available to assess the relation of 549C〉T polymorphism in p22pho~ gene to coronary artery disease (CAD) risk. This study was to investigate the effect of the p22phox gene 549C〉T polymorphism on CAD risk. Methods Hospital-based case-control study was conducted with 297 CAD patients and 343 healthy persons as the control group. Polymerase chain reaction and pyrosequencing using PSQ 96 MA Pyrosequencer (Biotage AB) were used to detect the polymorphisms. Multiple Logistic regression model was used to adjust the potential confounders and to estimate odds ratio (OR) with 95% confidence intervals (CIs). Results The observed genotype frequencies of this polymorphism obeyed the Hardy-Weinberg equilibrium in both cases (P=0.439) and controls (P=-0.668). The frequency of mutant genotypes ('I-I-+CT) in cases (41.08%) was higher than that in controls (36.73%) with an OR=1.20 (95% C1=0.87-1.65). After the adjustment of the potential confounders, there was a significant association of the mutant genotypes with increased risk of CAD (OR=1.57, 95% C1=1.01-2.46, P=0.047). Conclusions The mutant genotypes of the p22phox gene 549C〉T polymorphism had a significant effect on the increased risk of CAD in this studied population. 展开更多
关键词 coronary artery disease nicotinamide adenine dinucleotide phosphate oxidase oxidative stress P22PHOX POLYMORPHISM
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