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QT离散度在猪和患者中估测整体心室复极离散度没有价值 被引量:1
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作者 梁延春 shiwen yuan +4 位作者 韩雅玲 王祖禄 Ole Kongstad Magnus Holm Bertil Olsson 《介入放射学杂志》 CSCD 2003年第S1期138-139,共2页
目的 评价从体表ECG测得的QT离散度能否估测整体心室复极离散度 (dispersionofven tricularrepolarization ,DVR)。 方法 应用CARTO标测系统 ,平均在 10头猪左心室的 75± 12个位点以及在患者左或右心室的 4 8± 16个位点记... 目的 评价从体表ECG测得的QT离散度能否估测整体心室复极离散度 (dispersionofven tricularrepolarization ,DVR)。 方法 应用CARTO标测系统 ,平均在 10头猪左心室的 75± 12个位点以及在患者左或右心室的 4 8± 16个位点记录了单相动作电位 ,并且建立了关于复极结束时间 (end of repolariza tiontime ,EORT)和动作电位时程 (monophasicactionpotentialduration ,MAPD)的三维标测图。测量了E ORT和MAPD的整体DVR。QTpeak和QTend分别指从体表ECG的QRS起点到T波高峰和结尾的QT间期。QT离散度用QTpeak和QTend的最大值减去各自的最小值表示 (QTdpeak和QTdend)。结果 在猪和患者中QT离散度明显小于整体DVR(P <0 .0 5 )。虽然在患者中QT离散度与MAPD的整体DVR呈弱相关 (r=0 .5 6和 0 .5 7,P =0 .0 3) ,但总体上在猪和患者中QT离散度与整体DVR相关性差 (P <0 .0 5 )。一致性分析显示应用这两种测量方法所得到的结果间存在着巨大差异 ,缺乏一致性。患者数据分析显示 ,在室性心动过速时整体DVR较其在窦性心律时明显增加 (P <0 .0 5 ) ,然而QT离散度却无明显变化。结论 从体表ECG测得的QT离散度不能估测整体DVR。本文结果与以前报道的一些观察结果不甚一致 。 展开更多
关键词 离散度 ECG DVR 体表 QT MAPD 患者
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IL-17 sustains the plasma cell response via p38-mediated Bcl-xL RNA stability in lupus pathogenesis 被引量:6
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作者 Kongyang Ma Wenhan Du +16 位作者 Fan Xiao Man Han Enyu Huang Na Peng yuan Tang Chong Deng Lixiong Liu Yulan Chen Jingjing Li shiwen yuan Qin Huang Xiaoping Hong Dajun Hu Xiaoyan Cai Quan Jiang Dongzhou Liu Liwei Lu 《Cellular & Molecular Immunology》 SCIE CAS CSCD 2021年第7期1739-1750,共12页
Recent studies have demonstrated a central role for plasma cells in the development of autoimmune diseases,such as systemic lupus erythematosus(SLE).Currently,both the phenotypic features and functional regulation of ... Recent studies have demonstrated a central role for plasma cells in the development of autoimmune diseases,such as systemic lupus erythematosus(SLE).Currently,both the phenotypic features and functional regulation of autoreactive plasma cells during SLE pathogenesis remain largely unclear.In this study,we first found that a major subset of IL-17 receptor-expressing plasma cells potently produced anti-dsDNA IgG upon IL-17A(IL-17)stimulation in SLE patients and lupus mice.Using a humanized lupus mouse model,we showed that the transfer of Th17 cell-depleted PBMCs from lupus patients resulted in a significantly reduced plasma cell response and attenuated renal damage in recipient mice compared to the transfer of total SLE PBMCs.Moreover,long-term BrdU incorporation in lupus mice detected highly enriched long-lived BrdU+subsets among IL-17 receptor-expressing plasma cells.Lupus mice deficient in IL-17 or IL-17 receptor C(IL-17RC)exhibited a diminished plasma cell response and reduced autoantibody production with attenuated renal damage,while the adoptive transfer of Th17 cells triggered the plasma cell response and renal damage in IL-17-deficient lupus mice.In reconstituted chimeric mice,IL-17RC deficiency resulted in severely impaired plasma cell generation but showed no obvious effect on germinal center B cells.Further mechanistic studies revealed that IL-17 significantly promoted plasma cell survival via p38-mediated Bcl-xL transcript stabilization.Together,our findings identified a novel function of IL-17 in enhancing plasma cell survival for autoantibody production in lupus pathogenesis,which may provide new therapeutic strategies for the treatment of SLE. 展开更多
关键词 Systemic lupus erythematosus(SLE) Plasma cell(PC) AUTOANTIBODY Interleukin-17A(IL-17)
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