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不同切口白内障联合青光眼手术对眼表的影响 被引量:13
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作者 江明洁 范伟杰 《国际眼科杂志》 CAS 北大核心 2019年第2期310-312,共3页
目的:探讨单切口和双切口白内障超声乳化联合小梁切除术治疗闭角型青光眼合并年龄相关性白内障术后眼表的影响。方法:随机抽取在我院行单切口和双切口白内障超声乳化吸除、人工晶状体植入联合小梁切除术患者各26例26眼,对临床资料进行... 目的:探讨单切口和双切口白内障超声乳化联合小梁切除术治疗闭角型青光眼合并年龄相关性白内障术后眼表的影响。方法:随机抽取在我院行单切口和双切口白内障超声乳化吸除、人工晶状体植入联合小梁切除术患者各26例26眼,对临床资料进行回顾性分析。比较两组病例术前1d和术后1wk,1、3mo时的泪膜破裂时间(break up time,BUT),泪液分泌试验Ⅰ(SchirmerⅠtime,SⅠt),角膜荧光素染色程度(corneal fluorescein staining,FL)等,并对结果进行统计学分析。结果:所有入选的病例均在局部麻醉下行手术治疗,术后随访3mo。两组患者术后1wk,1mo的BUT,FL,SⅠt指标数值与术前相比均有明显差异(P<0.01),术后3mo基本恢复术前水平。术后1wk,1mo双切口组BUT,SⅠt均明显短于单切口组(P<0.05); FL双切口组术后1wk明显高于单切口组(P<0. 05),而术后1mo两组差异无统计学意义(P>0.05)。术后3mo,两组患者的BUT,FL,SⅠt相比差异均无统计学意义(P>0.05)。结论:单切口和双切口的白内障超声乳化联合显微小梁切除术术后均对术眼眼表有影响,双切口组影响更大,且相关指标异常的高峰期出现在术后1mo之内。 展开更多
关键词 白内障超声乳化联合小梁切除术 眼表改变 单切口 双切口
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KMT2D deficiency enhances the anti-cancer activity of L48H37 in pancreatic ductal adenocarcinoma 被引量:4
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作者 Si-Si Li Wei-Liang jiang +8 位作者 Wen-Qin Xiao Kai Li Ye-Fei Zhang Xing-Ya Guo Yi-Qi Dai Qiu-Yan Zhao ming-jie jiang Zhan-Jun Lu Rong Wan 《World Journal of Gastrointestinal Oncology》 SCIE CAS 2019年第8期599-621,共23页
BACKGROUND Novel therapeutic strategies are urgently needed for patients with a delayed diagnosis of pancreatic ductal adenocarcinoma(PDAC)in order to improve their chances of survival.Recent studies have shown potent... BACKGROUND Novel therapeutic strategies are urgently needed for patients with a delayed diagnosis of pancreatic ductal adenocarcinoma(PDAC)in order to improve their chances of survival.Recent studies have shown potent anti-neoplastic effects of curcumin and its analogues.In addition,the role of histone methyltransferases on cancer therapeutics has also been elucidated.However,the relationship between these two factors in the treatment of pancreatic cancer remains unknown.Our working hypothesis was that L48H37,a novel curcumin analog,has better efficacy in pancreatic cancer cell growth inhibition in the absence of histonelysine N-methyltransferase 2D(KMT2D).AIM To determine the anti-cancer effects of L48H37 in PDAC,and the role of KMT2D on its therapeutic efficacy.METHODS The viability and proliferation of primary(PANC-1 and MIA PaCa-2)and metastatic(SW1990 and ASPC-1)PDAC cell lines treated with L48H37 was determined by CCK8 and colony formation assay.Apoptosis,mitochondrial membrane potential(MMP),reactive oxygen species(ROS)levels,and cell cycle profile were determined by staining the cells with Annexin-V/7-AAD,JC-1,DCFH-DA,and PI respectively,as well as flow cytometric acquisition.In vitro migration was assessed by the wound healing assay.The protein and mRNA levels of relevant factors were analyzed using Western blotting,immunofluorescence and real time-quantitative PCR.The in situ expression of KMT2D in both human PDAC and paired adjacent normal tissues was determined by immunohistochemistry.In vivo tumor xenografts were established by injecting nude mice with PDAC cells.Bioinformatics analyses were also conducted using gene expression databases and TCGA.RESULTS L48H37 inhibited the proliferation and induced apoptosis in SW1990 and ASPC-1 cells in a dose-and time-dependent manner,while also reducing MMP,increasing ROS levels,arresting cell cycle at the G2/M stages and activating the endoplasmic reticulum(ER)stress-associated protein kinase RNA-like endoplasmic reticulum kinase/eukaryotic initiation factor 2α/activating transcription factor 4(ATF4)/CHOP signaling pathway.Knocking down ATF4 significantly upregulated KMT2D in PDAC cells,and also decreased L48H37-induced apoptosis.Furthermore,silencing KMT2D in L48H37-treated cells significantly augmented apoptosis and the ER stress pathway,indicating that KMT2D depletion is essential for the anti-neoplastic effects of L48H37.Administering L48H37 to mice bearing tumors derived from control or KMT2Dknockdown PDAC cells significantly decreased the tumor burden.We also identified several differentially expressed genes in PDAC cell lines expressing very low levels of KMT2D that were functionally categorized into the extrinsic apoptotic signaling pathway.The KMT2D high-and low-expressing PDAC patients from the TCGA database showed similar survival rates,but higher KMT2D expression was associated with poor tumor grade in clinical and pathological analyses.CONCLUSION L48H37 exerts a potent anti-cancer effect in PDAC,which is augmented by KMT2D deficiency. 展开更多
关键词 PANCREATIC NEOPLASMS CURCUMIN analog HISTONE METHYLTRANSFERASE 2D Therapeutic effects Bioinformatics
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