目的:系统评价富血小板血浆(PRP)对宫腔粘连(IUA)患者的治疗效果。方法:检索PubMed、Scopus、Web of Science、Cochrane Central Register of Controlled Trials(CENTRAL)和Google Scholar,检索时间截至2023年3月。纳入关于PRP宫腔灌注...目的:系统评价富血小板血浆(PRP)对宫腔粘连(IUA)患者的治疗效果。方法:检索PubMed、Scopus、Web of Science、Cochrane Central Register of Controlled Trials(CENTRAL)和Google Scholar,检索时间截至2023年3月。纳入关于PRP宫腔灌注治疗IUA患者的所有随机对照研究和队列研究,随机对照研究采用Cochrane偏倚风险评估工具,队列研究运用纽卡斯尔-渥太华量表(NOS)系统评价文献质量,使用RevMan5.4.1软件进行meta分析。结果:共纳入5篇随机对照研究,3篇队列研究,共677例。与对照组相比,PRP组宫腔镜二探粘连严重程度(RR=1.21,95%CI为1.11~1.79,P<0.001)、术后妊娠率(RR=1.53,95%CI为1.12~2.10,P=0.008)、月经持续时间(MD=1.12,95%CI为0.84~1.39,P<0.001)和月经量(MD=2.96,95%CI为2.30~3.61,P<0.001)的差异均有统计学意义。结论:PRP宫腔治疗具有改善IUA严重程度、妊娠率和月经模式的临床效果,对于IUA患者是一种安全、有效的治疗方法。展开更多
The inclusion membrane proteins play potentially important roles in chlamydial biology and pathogenesis.Here we localized and characterized the hypothetical protein CT440 in Chlamydia trachomatis-infected cells.The op...The inclusion membrane proteins play potentially important roles in chlamydial biology and pathogenesis.Here we localized and characterized the hypothetical protein CT440 in Chlamydia trachomatis-infected cells.The open reading frame(ORF) encoding the CT440 protein from the C.trachomatis serovar D genome was cloned into the prokaryotic expression vector pGEX-6p and expressed as a glutathione-S-transferase(GST) fusion protein in E.coli XL1-Blue.The CT440 fusion protein was used to immunize mice to raise antigen-specific antibody.After verification by Western blot and immunofluorescence assay(IFA),the specific antibody was used to localize the endogenous CT440 protein and to detect its expression pattern in Chlamydia-infected cells.Cytosolic expression of CT440 in HeLa cells was also carried out to evaluate the effect of the CT440 protein on the subsequent chlamydial infection.The results showed that the hypothetical protein CT440 was localized in the C.trachomatis inclusion membrane,and was detectable 12 h after chlamydial infection.Expression of CT440 in the cytoplasm did not inhibit the subsequent chlamydial infection.In summary,we have identified a new inclusion membrane protein that may be an important candidate for understanding C.trachomatis pathogenesis.展开更多
文摘目的:系统评价富血小板血浆(PRP)对宫腔粘连(IUA)患者的治疗效果。方法:检索PubMed、Scopus、Web of Science、Cochrane Central Register of Controlled Trials(CENTRAL)和Google Scholar,检索时间截至2023年3月。纳入关于PRP宫腔灌注治疗IUA患者的所有随机对照研究和队列研究,随机对照研究采用Cochrane偏倚风险评估工具,队列研究运用纽卡斯尔-渥太华量表(NOS)系统评价文献质量,使用RevMan5.4.1软件进行meta分析。结果:共纳入5篇随机对照研究,3篇队列研究,共677例。与对照组相比,PRP组宫腔镜二探粘连严重程度(RR=1.21,95%CI为1.11~1.79,P<0.001)、术后妊娠率(RR=1.53,95%CI为1.12~2.10,P=0.008)、月经持续时间(MD=1.12,95%CI为0.84~1.39,P<0.001)和月经量(MD=2.96,95%CI为2.30~3.61,P<0.001)的差异均有统计学意义。结论:PRP宫腔治疗具有改善IUA严重程度、妊娠率和月经模式的临床效果,对于IUA患者是一种安全、有效的治疗方法。
基金supported by the National Natural Science Foundation of China (Grant Nos. 30970165 and 81102230)the Hunan Provincial Natu-ral Science Foundation of China (Grant No. 09JJ3059)the Team Project for the Technology Innovation of Higher Education of Hunan Province,China
文摘The inclusion membrane proteins play potentially important roles in chlamydial biology and pathogenesis.Here we localized and characterized the hypothetical protein CT440 in Chlamydia trachomatis-infected cells.The open reading frame(ORF) encoding the CT440 protein from the C.trachomatis serovar D genome was cloned into the prokaryotic expression vector pGEX-6p and expressed as a glutathione-S-transferase(GST) fusion protein in E.coli XL1-Blue.The CT440 fusion protein was used to immunize mice to raise antigen-specific antibody.After verification by Western blot and immunofluorescence assay(IFA),the specific antibody was used to localize the endogenous CT440 protein and to detect its expression pattern in Chlamydia-infected cells.Cytosolic expression of CT440 in HeLa cells was also carried out to evaluate the effect of the CT440 protein on the subsequent chlamydial infection.The results showed that the hypothetical protein CT440 was localized in the C.trachomatis inclusion membrane,and was detectable 12 h after chlamydial infection.Expression of CT440 in the cytoplasm did not inhibit the subsequent chlamydial infection.In summary,we have identified a new inclusion membrane protein that may be an important candidate for understanding C.trachomatis pathogenesis.
