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反复玻璃体腔注射雷珠单抗与阿柏西普对黄斑水肿患者角膜神经的影响 被引量:2
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作者 祁媛媛 崔林 +5 位作者 张莉 姜瑶 纪莉莉 邱媛媛 闫春晓 张立军 《国际眼科杂志》 CAS 北大核心 2023年第5期848-851,共4页
目的:探讨反复玻璃体腔注射雷珠单抗与阿柏西普对黄斑水肿患者角膜神经的影响。方法:选取2021-06/2022-06在我院进行玻璃体腔注射抗血管内皮生长因子(VEGF)药物治疗的患者64例64眼,其中糖尿病性黄斑水肿20例20眼,湿性年龄相关性黄斑变... 目的:探讨反复玻璃体腔注射雷珠单抗与阿柏西普对黄斑水肿患者角膜神经的影响。方法:选取2021-06/2022-06在我院进行玻璃体腔注射抗血管内皮生长因子(VEGF)药物治疗的患者64例64眼,其中糖尿病性黄斑水肿20例20眼,湿性年龄相关性黄斑变性19例19眼,视网膜静脉阻塞25例25眼。采取3+PRN治疗方案,注药前和每次玻璃体腔注药后1mo时采用共聚焦显微镜采集角膜上皮基底膜下神经丛图像,测量角膜神经纤维长度和密度。结果:玻璃体腔注射阿柏西普的患者注药前后术眼角膜神经纤维密度无显著变化(P>0.05),但第2、3次注药后角膜神经纤维长度均低于注药前(均P<0.01);玻璃体腔注射雷珠单抗的患者注药前后术眼角膜神经纤维密度和长度均无显著变化(均P>0.05)。第3次注药后,两组患者术眼角膜神经纤维长度和密度均无显著差异(均P>0.05)。结论:反复玻璃体内注射抗VEGF药物会一定程度影响角膜神经,对多次注射抗VEGF药物的患者需关注角膜神经变化。 展开更多
关键词 血管内皮生长因子 角膜 共聚焦显微镜 神经纤维长度 神经纤维密度 阿柏西普 雷珠单抗
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康柏西普联合全视网膜激光光凝治疗缺血型视网膜中央静脉阻塞的疗效 被引量:16
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作者 刘育榕 刘丁熙 +2 位作者 纪莉莉 王丽晶 张立军 《国际眼科杂志》 CAS 北大核心 2021年第1期115-119,共5页
目的:探讨康柏西普联合全视网膜激光光凝治疗缺血型视网膜中央静脉阻塞的临床疗效。方法:选取2017-01/2019-01在我院诊治的缺血型视网膜中央静脉阻塞患者80例80眼进行回顾性研究。根据治疗方式分为两组,A组40例40眼采用玻璃体腔注射康... 目的:探讨康柏西普联合全视网膜激光光凝治疗缺血型视网膜中央静脉阻塞的临床疗效。方法:选取2017-01/2019-01在我院诊治的缺血型视网膜中央静脉阻塞患者80例80眼进行回顾性研究。根据治疗方式分为两组,A组40例40眼采用玻璃体腔注射康柏西普3+PRN治疗联合全视网膜激光光凝治疗;B组40例40眼采用玻璃体腔注射康柏西普3+PRN治疗。分别记录治疗前及治疗后3、6、12mo患者的最佳矫正视力(BCVA)和黄斑中心凹视网膜厚度(CMT),观察药物注射次数及不良反应。结果:治疗后12mo与治疗前比较,A组BCVA由1.05±0.58改善至0.41±0.37(P<0.01),B组由0.98±0.51改善至0.63±0.53(P<0.01),两组间比较无差异(P>0.05);A组CMT由592.30±79.75μm下降至260.08±86.23μm(P<0.01),B组CMT由604.98±81.73μm下降至406.83±162.97μm(P<0.01),且两组间比较有差异(P<0.01)。A组康柏西普注射3.15±0.43次,B组3.83±1.06次,两组间比较有差异(P<0.01)。随访期间,A组患者均未出现不良反应,B组继发新生血管性青光眼2例2眼。结论:康柏西普治疗缺血型视网膜中央静脉阻塞安全有效,联合全视网膜激光光凝可以显著改善视力,黄斑水肿消退效果更佳更稳定,降低复发率,减少并发症。 展开更多
关键词 视网膜中央静脉阻塞 康柏西普 全视网膜激光光凝 玻璃体腔注射 黄斑水肿
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Streptozotocin induced diabetic retinopathy in rat and the expression of vascular endothelial growth factor and its receptor 被引量:12
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作者 Chen-Yuan Gong Bin Lu +1 位作者 Qian-Wen Hu li-li ji 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2013年第5期573-577,共5页
AIM:To establish the rat model of streptozotocin(STZ)induced diabetic retinopathy(DR),which is the most common cause of visual loss and blindness in patients with diabetes,and observe the gene expression of vascular e... AIM:To establish the rat model of streptozotocin(STZ)induced diabetic retinopathy(DR),which is the most common cause of visual loss and blindness in patients with diabetes,and observe the gene expression of vascular endothelial growth factor(VEGF) and its receptors during the development of DR.METHODS:A rat model of diabetes was established by intraperitoneal injection of STZ.The diabetic rats were housed for 2,3 and 4 months after the development of diabetes.Retinal histopathological observation was performed.The retinal vessels were observed by immunofluorescence staining by CD31.The mRNA expression of VEGF,VEGF receptor 1 and 2(VEGFR1/2) in rat retina was detected by reverse transcription polymerase chain reaction(RT-PCR) analysis. RESULTS:Retinal histopathological observation showed the morphological changes of inner nuclear layer(INL) and outer nuclear layer(ONL) at any time-point,and also demonstrated the increased new vessels at both 3,4 months after the development of diabetes.The CD31 staining results showed that the number of vessels was increased in the retinas of diabetic rats at both 3 and 4 months after the development of diabetes.As compared to the normal rats,the mRNA expression of VEGF was increased in retinas of diabetic rats at 3 months after the development of diabetes,while VEGFR1 and VEGFR2 mRNA expression was increased at 2,3 and 4 months after the development of diabetes.CONCLUSION:Takentogether,ourresultsdemonstrated that DR was occurred at 3 months after the development of diabetes,and the mRNA expression of VEGF,VEGFR1 and VEGFR2 were increased in the process of DR.The present study further evidenced the involvement of VEGF and its receptors in the process of DR. 展开更多
关键词 diabetic retinopathy VASCULAR ENDOTHELIAL GROWTH FACTOR VASCULAR ENDOTHELIAL GROWTH FACTOR RECEPTOR
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Scutellaria barbata attenuates diabetic retinopathy by preventing retinal inflammation and the decreased expression of tight junction protein 被引量:5
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作者 Xi-Yu Mei Ling-Yu Zhou +2 位作者 Tian-Yu Zhang Bin Lu li-li ji 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2017年第6期870-877,共8页
AIM: To observe the attenuation of ethanol extract of Herba Scutellaria barbata(SE) against diabetic retinopathy(DR) and its engaged mechanism.METHODS: C57BL/6J mice were intraperitoneally injected with streptozotocin... AIM: To observe the attenuation of ethanol extract of Herba Scutellaria barbata(SE) against diabetic retinopathy(DR) and its engaged mechanism.METHODS: C57BL/6J mice were intraperitoneally injected with streptozotocin(STZ, 55 mg/kg) for 5 consecutive days to induce diabetes. The diabetic mice were orally given with SE(100, 200 mg/kg) for 1mo at 1mo after STZ injection. Blood-retinal barrier(BRB) breakdown was detected by using Evans blue permeation assay. Real-time polymerase chain reaction(RT-PCR), Western blot and immunofluorescence staining were used to detect m RNA and protein expression. Enzyme-linked immunosorbent assay(ELISA) was used to detect serum contents of tumor necrosis factor-α(TNF-α) and interleukin(IL)-1β.RESULTS: SE(100, 200 mg/kg) reversed the breakdown of BRB in STZ-induced diabetic mice. The decreased expression of retinal claudin-1 and claudin-19, which are both tight junction(TJ) proteins, was reversed by SE. SE decreased the increased serum contents and retinal m RNA expression of TNF-α and IL-1β. SE also decreased the increased retinal expression of intercellular cell adhesion molecule-1(ICAM-1). SE reduced the increased phosphorylation of nuclear factor kappa B(NFκB) p65 and its subsequent nuclear translocation in retinas from STZinduced diabetic mice. Results of Western blot and retinal immunofluorescence staining of ionized calcium-binding adapter molecule 1(Iba1) demonstrated that SE abrogated the activation of microglia cells in STZ-induced diabetic mice.CONCLUSION: SE attenuates the development of DR by inhibiting retinal inflammation and restoring the decreased expression of TJ proteins including claudin-1 and claudin-19. 展开更多
关键词 黄芩 barbata 糖尿病的 retinopathy 紧密的连接 发炎 原子因素 kappa B MICROGLIA
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Effect of transplantation of bone marrow stem cells on myocardial infarction size in a rabbit model 被引量:3
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作者 li-li ji Xiao-feng Long +1 位作者 Hui Tian Yu-fei Liu 《World Journal of Emergency Medicine》 CAS 2013年第4期304-310,共7页
BACKGROUND:Intravenous transplantation has been regarded as a most safe method in stem cell therapies.There is evidence showing the homing of bone marrow stem cells(BMSCs) into the injured sites,and thus these cells c... BACKGROUND:Intravenous transplantation has been regarded as a most safe method in stem cell therapies.There is evidence showing the homing of bone marrow stem cells(BMSCs) into the injured sites,and thus these cells can be used in the treatment of acute myocardial infarction(Ml).This study aimed to investigate the effect of intravenous and epicardial transplantion of BMSCs on myocardial infarction size in a rabbit model.METHODS:A total of 60 New Zealand rabbits were randomly divided into three groups:control group,epicardium group(group Ⅰ) and ear vein group(group Ⅱ).The BMSCs were collected from the tibial plateau in group Ⅰ and group Ⅱ,cultured and labeled.In the three groups,rabbits underwent thoracotomy and ligation of the middle left anterior descending artery.The elevation of ST segment>0.2 mV lasting for 30 minutes on the lead Ⅱ and Ⅲ of electrocardiogram suggested successful introduction of myocardial infarction.Two weeks after myocardial infarction,rabbits in group Ⅰ were treated with autogenous BMSCs at the infarct region and those in group Ⅱ received intravenous transplantation of BMSCs.In the control group,rabbits were treated with PBS following thoracotomy.Four weeks after myocardial infarction,the heart was collected from all rabbits and the infarct size was calculated.The heart was cut into sections followed by HE staining and calculation of infarct size with an image system.RESULTS:In groups Ⅰ and Ⅱ,the infarct size was significantly reduced after transplantation with BMSCs when compared with the control group(P<0.05).However,there was no significant difference in the infarct size between groups Ⅰ and Ⅱ(P>0.05).CONCLUSION:Transplantation of BMSCs has therapeutic effect on Ml.Moreover,epicardial and intravenous transplantation of BMSCs has comparable therapeutic efficacy on myocardial infarction. 展开更多
关键词 Bone marrow stem cells Acute myocardial infarction Epicardial transplantation Intravenous transplantation Infarct size RABBIT
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Effect of Mn Promoter on Structure and Performance of K-Co-Mo Catalyst for Synthesis of Higher Alcohols from CO Hydrogenation
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作者 Wei Xie li-li ji +6 位作者 ji-long Zhou Hai-bin Pan Jun-fa Zhu Yi Zhang Song Sun Jun Bao Chen Gao 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2016年第6期671-680,I0001,共11页
A series of Mn-doped K-Co-Mo catalysts were prepared by a sol-gel method. The catalyst structure was well characterized by X-ray diffraction, N<sub>2</sub> physisorption, NH<sub>3</sub> tempera... A series of Mn-doped K-Co-Mo catalysts were prepared by a sol-gel method. The catalyst structure was well characterized by X-ray diffraction, N<sub>2</sub> physisorption, NH<sub>3</sub> temperature-programmed adsorption, in situ diffuse reflectance infrared Fourier transform spectroscopy, and X-ray absorption fine structure spectroscopy. The catalytic performance for higher alcohol synthesis from syngas was measured. It was found that the Mn-doped catalysts exhibited a much higher activity as compared to the unpromoted catalyst, and in particular the C<sub>2+</sub> alcohol selectivity increased significantly. The distribution of alcohol products deviated from the Anderson-Schulz-Flory law. The portion of methanol in total alcohol was suppressed remarkably and the ethanol became the predominant product. Characterization results indicated that the incorporation of Mn enhanced the interaction of Co and Mo and thus led to the formation of Co-Mo-O species, which was regarded as the active site for the alcohol synthesis. Secondly, the presence of Mn reduced the amount of strong acid sites significantly and meanwhile promoted the formation of weak acid sites, which had a positive effect on the synthesis of alcohol. Furthermore, it was found that the incorporation of Mn can enhance the adsorption of linear- and bridge-type CO significantly, which contributed to the formation of alcohol and growth of carbon chain and thus increased the selectivity to C<sub>2+</sub>OH. 展开更多
关键词 催化剂性能 MN掺杂 催化剂结构 加氢合成 低碳醇 K-CO-MO催化剂 CO X射线吸收精细结构
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槲皮素对四氯化碳引起的小鼠急性肝损伤治疗作用及其机理(英文) 被引量:8
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作者 jia-qi ZHANG Liang SHI +4 位作者 Xi-ning XU Si-chong HUANG Bin LU li-li ji Zheng-tao WANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2014年第12期1039-1047,共9页
研究目的:本研究旨在观察槲皮素对四氯化碳(CCl4)诱导的肝损伤的治疗解毒作用及其机理。创新要点:首次发现槲皮素对CCl4诱导的肝损伤有治疗作用,并且首次发现Prx和Trx家族参与其中。研究方法 :检测小鼠血清转氨酶含量,并检测肝组织中丙... 研究目的:本研究旨在观察槲皮素对四氯化碳(CCl4)诱导的肝损伤的治疗解毒作用及其机理。创新要点:首次发现槲皮素对CCl4诱导的肝损伤有治疗作用,并且首次发现Prx和Trx家族参与其中。研究方法 :检测小鼠血清转氨酶含量,并检测肝组织中丙二醛(MDA)、谷胱甘肽(GSH)和4-羟基壬烯醛(4-HNE)含量,并用实时聚合酶链式反应(PCR)检测肝组织中Prx 1–6、Trx R1/2、Trx1/2、Nrf2和HO-1的mR NA表达情况。重要结论:CCl4造模成功后口服槲皮素对其造成的急性肝损伤有治疗作用,给药组小鼠血清中的转氨酶与模型组相比均有显著下降,通过MDA和免疫组化分析其机理可能和保护氧化应激损伤有关,通过实时PCR分析发现CCl4抑制了抗氧化酶Prx家族、Trx Rd1、TrxR d2、Trx1、Trx2和Nrf2及其下游HO-1的基因表达,而槲皮素可以逆转CCl4降低的这些基因的表达。 展开更多
关键词 肝毒性 氧应激损伤 Prx NRF2 TrxRd Trx HO-1
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阿魏酸降低黄独素B肝毒性并提高其抗肿瘤活性(英文) 被引量:8
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作者 Jun-ming WANG Yu-chen SHENG +1 位作者 li-li ji Zheng-tao WANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2014年第6期540-547,共8页
研究目的:观察阿魏酸对黄独素B诱导肝毒性的抑制活性及其机理,同时探索阿魏酸对黄独素B抗肿瘤活性的增效作用。创新要点:黄独素B为中药黄药子抗肿瘤的主要药效活性成分,但同时又是其致肝毒性的主要毒性成分。本研究立足于中医药配伍减... 研究目的:观察阿魏酸对黄独素B诱导肝毒性的抑制活性及其机理,同时探索阿魏酸对黄独素B抗肿瘤活性的增效作用。创新要点:黄独素B为中药黄药子抗肿瘤的主要药效活性成分,但同时又是其致肝毒性的主要毒性成分。本研究立足于中医药配伍减毒增效理论,试图通过试验考察配伍阿魏酸对黄独素B肝毒性/抗肿瘤活性的减毒增效作用,为黄独素B与阿魏酸联合应用于抗肿瘤提供了一定的临床前试验依据。研究方法:荷瘤小鼠(S180肉瘤)连续12天灌胃给药阿魏酸和黄独素B。通过对血清丙氨酸/天冬氨酸转氨酶活性(见图2)、肝脂质过氧化(见图3)和肝组织病理分析(见图4)考察阿魏酸对黄独素B肝毒性的抑制作用;通过对铜锌-超氧化物歧化酶和过氧化氢酶的活性(见图5a、5b)和基因表达分析(见图5c)探讨阿魏酸抑制黄独素B肝毒性的机理;通过对瘤重、抑瘤率的统计分析阿魏酸增加的黄独素B抗肿瘤活性。重要结论:阿魏酸可以通过改善黄独素B诱导的氧应激损伤从而抑制其肝毒性,同时还可以协同增加黄独素B的抗肿瘤活性。 展开更多
关键词 阿魏酸 黄独素B 肝毒性 氧应激损伤 抗肿瘤
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CYP450代谢酶和一些抗氧化信号参与调控了绿原酸抑制对乙酰氨基酚的肝毒性(英文) 被引量:6
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作者 Chun PANG Yu-chen SHENG +2 位作者 Ping jiANG Hai WEI li-li ji 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2015年第7期602-610,共9页
目的:本研究旨在观察绿原酸对乙酰氨基酚诱导肝损伤的解毒作用及其机理。创新点:发现CYP450代谢酶和一些重要的抗氧化信号分子(如Prx家族蛋白等)参与调控了绿原酸抑制对乙酰氨基酚的肝毒性。方法:检测小鼠血清转氨酶含量,检测体外CYP2E1... 目的:本研究旨在观察绿原酸对乙酰氨基酚诱导肝损伤的解毒作用及其机理。创新点:发现CYP450代谢酶和一些重要的抗氧化信号分子(如Prx家族蛋白等)参与调控了绿原酸抑制对乙酰氨基酚的肝毒性。方法:检测小鼠血清转氨酶含量,检测体外CYP2E1、CYP3A4和CYP1A2酶活性,检测肝组织中丙二醛(MDA)、谷胱甘肽(GSH)和活性氧(ROS)含量,用实时聚合酶链反应(real-time PCR)检测肝组织中Prx1-6、Ephx2、Polr2k、Fmo5、Nrf2等的m RNA表达情况。结论:绿原酸可以明显抑制对乙酰氨基酚造成的急性肝损伤。给药组小鼠血清中的转氨酶与模型组相比均有显著下降,绿原酸在体外可以微弱抑制CYP2E1和CYP1A2代谢酶的活性,通过MDA、GSH和ROS分析发现绿原酸可以抑制对乙酰氨基酚造成的氧化应激损伤。通过real-time PCR分析发现对乙酰氨基酚降低了抗氧化酶Prx家族、Ephx2、Polr2k和Nrf2的基因表达,而绿原酸可以逆转对乙酰氨基酚降低的这些基因的表达。 展开更多
关键词 绿原酸 对乙酰氨基酚 CYP450 氧应激损伤
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Clinical and electrophysiological profiles in early recognition of polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes syndrome 被引量:2
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作者 Qin Wang Peng Liu +4 位作者 li-li ji Shuai Wu Guo-Dong Feng Xin Wang ji-Hong Dong 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第14期1666-1672,共7页
Background:The detection of polyneuropathy,organomegaly,endocrinopathy,M-protein,and skin changes (POEMS) syndrome at early stage is challenging for neurologists.Since polyneuropathy could be the first manifestation,i... Background:The detection of polyneuropathy,organomegaly,endocrinopathy,M-protein,and skin changes (POEMS) syndrome at early stage is challenging for neurologists.Since polyneuropathy could be the first manifestation,it could be misdiagnosed as chronic inflammatory demyelinating polyneuropathy (CIDP).The present study aimed to determine the clinical and electrophysiological features of POEMS syndrome to distinguish from CIDP.Methods:The data of a group of patients with POEMS (n =17) and patients with CIDP (n =17) in Zhongshan Hospital Fudan University from January 2015 to September 2017 were analyzed in this retrospective study.The clinical features,neurological symptoms,and electrophysiological findings were compared between the two groups.Results:Clinically,patients with POEMS demonstrated significantly more neuropathic pain in the lower extremities than patients with CIDP (58.8 % vs.11.8 %,P =0.01).Multisystem features like edema,skin change,organomegaly,and thrombocytosis were also pointed towards the diagnosis of POEMS syndrome.Electrophysiologically,terminal latency index (TLI) was significantly higher in patients with POEMS than that in patients with CIDP (median nerve:0.39 [0.17-0.52] vs.0.30 (0.07-0.69),Z =-2.413,P =0.016;ulnar nerve:0.55 [0.23-0.78] vs.0.42 [0.12-0.70],Z =-2.034,P =0.042).Patients with POEMS demonstrated a higher frequency of absent compound muscle action potential of the tibial nerve (52.9% vs.17.6%,P =0.031),less conduction block (ulnar nerve:0 vs.35.3%,P =0.018),and less temporal dispersion (median nerve:17.6% vs.58.8%,P =0.032) than CIDP group.The combination of positive serum monoclonal protein and high TLI (if either one or both were present) discriminated POEMS from CIDP with a sensitivity of 94.1% and 47.1% and specificity of 76.5% and 100.0%,respectively.Conclusions:POEMS syndrome could be distinguished from CIDP through typical clinical and electrophysiological characteristics in practice.The combination of serum monoclonal protein and high TLI might raise the sensitivity of detecting POEMS syndrome. 展开更多
关键词 POLYNEUROPATHY Organomegaly ENDOCRINOPATHY M protein and skin changes SYNDROME Chronic inflammatory DEMYELINATING polyradiculoneuropathy Terminal LATENCY index
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Investigating pharmacological mechanisms of andrographolide on non-alcoholic steatohepatitis(NASH):A bioinformatics approach of network pharmacology 被引量:1
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作者 Lei Li Sheng-he Li +2 位作者 jin-peng jiang Chang Liu li-li ji 《Chinese Herbal Medicines》 CAS 2021年第3期342-350,共9页
Objective:To investigate the mechanisms of andrographolide against non-alcoholic steatohepatitis(NASH)based on network pharmacology,so as to provide a reference for further study of andrographolide in the treatment of... Objective:To investigate the mechanisms of andrographolide against non-alcoholic steatohepatitis(NASH)based on network pharmacology,so as to provide a reference for further study of andrographolide in the treatment of NASH and other metabolic diseases.Methods:The methionine-and choline-deficient(MCD)diet-induced NASH mice were treated by administration of andrographolide,and serum transaminase and pathological changes were analyzed.The network pharmacology-based bioinformatic strategy was then used to search the potential targets,construct protein–protein interaction(PPI)network,analyze gene ontology(GO)and Kyoto encyclopedia of genes and genomes(KEGG)pathway enrichment,and conduct molecular docking to explore the molecular mechanisms.Results:The predicted core targets TNF,MAPK8,IL6,IL1B and AKT1 were enriched in non-alcoholic fatty liver disease(NAFLD)signaling pathway and against NASH by regulation of de novo fatty acids synthesis,anti-inflammation and anti-oxidation.Conclusion:This work provides a scientific basis for further demonstration of the anti-NASH mechanisms of andrographolide. 展开更多
关键词 ANDROGRAPHOLIDE network pharmacology non-alcoholic steatohepatitis molecular docking
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