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系统性红斑狼疮心脏受累患者临床特征及免疫抑制干预对并发全心脏扩大者的效果 被引量:2
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作者 丛珊 高翠荣 +3 位作者 李潭 张倩楠 孙蛟 罗莉 《中国现代医学杂志》 CAS 2019年第15期87-92,共6页
目的总结心脏受累系统性红斑狼疮(SLE)患者临床特征,分析该类患者临床特点及免疫抑制治疗后的预后。方法回顾性分析2010年1月-2017年1月新疆医科大学第一附属医院风湿免疫科诊治的902例SLE患者临床资料。结果 902例患者中,532例无心脏损... 目的总结心脏受累系统性红斑狼疮(SLE)患者临床特征,分析该类患者临床特点及免疫抑制治疗后的预后。方法回顾性分析2010年1月-2017年1月新疆医科大学第一附属医院风湿免疫科诊治的902例SLE患者临床资料。结果 902例患者中,532例无心脏损害,370例出现心脏损害。370例心脏损害患者中,男性45例,女性325例。男女间比较,心悸、胸痛、胸闷表现差异有统计学意义(P<0.05);心电图方面,T波改变、房室传导阻滞、PR间期延长差异有统计学意义(P<0.05);心脏超声(UCG)中,少量、中量的心包积液差异有统计学意义(P<0.05);有无心脏损害两者间比较,贫血、肾脏病变比例差异有统计学意义(P<0.05)。有心脏损害患者的补体C3、高密度脂蛋白低于无心脏损害者(P<0.05),而起病至免疫抑制剂治疗前的时间大于无心脏损害者(P<0.05)。有无全心扩大两者间比较,贫血、肾脏病变比例差异有统计学意义(P<0.05),全心扩大组贫血、肾脏病变比例高于无全心扩大组。全心扩大组左心室射血分数(LVEF)低于无全心扩大组(P<0.05),病程、起病至免疫抑制剂治疗前的时间、左心室舒张末期内径(LVEDD)大于无全心扩大组(P<0.05)。心脏扩大7例患者UCG指标治疗前后水平差异有统计学意义(P<0.05)。结论 SLE患者心脏损害较为常见,全心脏扩大者早期免疫干预治疗对保护心脏有益。免疫抑制治疗对心脏扩大SLE患者心脏结构及功能的变化有改善。 展开更多
关键词 系统性红斑狼疮 心脏肥大 免疫抑制治疗
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Recombinant adeno-associated virus carrying thymosin β4 suppresses experimental colitis in mice 被引量:5
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作者 Xiao-Yan Zheng Yi-Fei Lv +4 位作者 Shuang Li Qian Li qian-nan zhang Xue-Ting zhang Zhi-Ming Hao 《World Journal of Gastroenterology》 SCIE CAS 2017年第2期242-255,共14页
AIM To investigate the protective effect of a recombinant adeno-associated virus carrying thymosin β4(AAV-Tβ4) on murine colitis via intracolonic administration.METHODS AAV-Tβ4 was prepared and intracolonically use... AIM To investigate the protective effect of a recombinant adeno-associated virus carrying thymosin β4(AAV-Tβ4) on murine colitis via intracolonic administration.METHODS AAV-Tβ4 was prepared and intracolonically used to mediate the secretory expression of Tβ4 in mouse colons. Dextran sulfate sodium(DSS) was applied to induce the murine ulcerative colitis, and 2,4,6-trinitrobenzene sulfonic acid(TNBS) was used to establish a mouse colitis model resembling Crohn's disease. The disease severity and colon injuries were observed and graded to reveal the effects of AAV-Tβ4 on colitis. The activities of myeloperoxidase(MPO) and superoxide dismutase(SOD) and the content of malondialdehyde(MDA) were determined using biochemical assays. Colonic levels of tumor necrosis factor-α(TNF-α), interleukin(IL)-1β and IL-10 were measured using ELISA, and mucosal epithelial cell apoptosis andproliferation were detected by TUNEL assay and immunochemistry, respectively.RESULTS Recombinant AAVs efficiently delivered Lac Z and Tβ4 into the colonic tissues of the mice, and AAV-Tβ4 led to a strong expression of Tβ4 in mouse colons. In both the DSS and TNBS colitis models, AAV-Tβ4-treated mice displayed distinctly attenuated colon injuries and reduced apoptosis rate of colonic mucosal epithelia. AAV-Tβ4 significantly reduced inflammatory cell infiltrations and relieved oxidative stress in the inflamed colons of the mice, as evidenced by decreases in MPO activity and MDA content and increases in SOD activity. AAV-Tβ4 also modulated colonic TNF-α, IL-1β and IL-10 levels and suppressed the compensatory proliferation of colonic epithelial cells in DSS- and TNBS-treated mice.CONCLUSION Tβ4 exerts a protective effect on murine colitis, indicating that AAV-Tβ4 could potentially be developed into a promising agent for the therapy of inflammatory bowel diseases. 展开更多
关键词 Thymosin β 4 老鼠 大肠炎 葡聚糖硫酸盐钠 2 4 6-trinitrobenzene 酸性硫酸基的酸
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Nebulized Mycobacterium vaccae protects against asthma by attenuating the imbalance of IRF4/IRF8 expression in dendritic cells
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作者 Qi-Xiang Sun Si-Yue Xu +3 位作者 Lao-Dong Li Huan Xiao qian-nan zhang Chao-Qian Li 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2022年第12期520-529,共10页
Objective:To assess the effects of nebulized inhaled Mycobacterium vaccae on allergic airway inflammation,airway hyperresponsiveness,and Th1/Th2 cell imbalance in mice with ovalbumin(OVA)-induced asthma.Methods:Mice r... Objective:To assess the effects of nebulized inhaled Mycobacterium vaccae on allergic airway inflammation,airway hyperresponsiveness,and Th1/Th2 cell imbalance in mice with ovalbumin(OVA)-induced asthma.Methods:Mice received OVA sensitization and challenge for establishment of the asthmatic model.For intervention,mice received Mycobacterium vaccae nebulization once every other day from the first day of sensitization to the day before challenge.After challenge,pulmonary histological analysis and airway responsiveness measurement were performed.In addition,Th1/Th2 cytokines and OVA-specific IgE levels in bronchoalveolar lavage fluid were measured by ELISA.Th1/Th2 subset ratios and the expression of interferon-regulatory factor 4(IRF4),IRF8 and Toll-like receptor 4(TLR4)in dendritic cells were evaluated by flow cytometry.Results:Severe inflammatory infiltration and airway hyperresponsiveness were observed in OVA-induced asthmatic mice.Asthmatic mice showed higher Th2 cytokine concentration and increased percentage of Th2 cells,along with lower Th1 cytokine concentration and reduced percentage of Th1 cells compared with the normal control.Moreover,an imbalance of IRF4^(+)and IRF8^(+)in dendritic cells was found in asthmatic mice.Nebulized inhaled Mycobacterium vaccae reduced airway hyperresponsiveness and inflammation in OVA-induced asthmatic mice.In addition,nebulized inhaled Mycobacterium vaccae enhanced TLR4 and IRF8 expression,and alleviated the imbalance of Th1/Th2 as well as IRF4^(+)and IRF8^(+)in dendritic cells.Conclusions:Nebulized inhaled Mycobacterium vaccae protects against asthma by alleviating the imbalance of Th1/Th2 and IRF4/IRF8 in OVA-induced asthmatic mice. 展开更多
关键词 Mycobacterium vaccae ASTHMA NEBULIZATION IRF4 IRF8 TLR4
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