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平均血小板体积和平均血小板体积/血小板计数比值对血液透析患者血管通路失功的潜在预测价值
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作者 马丽洁 赵素梅 +1 位作者 孙芳 孙倩美 《中华肾病研究电子杂志》 2024年第2期61-67,共7页
目的探讨平均血小板体积(MPV)和平均血小板体积/血小板计数比值(MPV/PLT)与血液透析患者血管通路失功(VAF)的相关性,评估MPV和MPV/PLT对VAF的潜在预测价值。方法本研究为单中心回顾性研究。选取2015年1月至2021年6月北京朝阳医院肾内科... 目的探讨平均血小板体积(MPV)和平均血小板体积/血小板计数比值(MPV/PLT)与血液透析患者血管通路失功(VAF)的相关性,评估MPV和MPV/PLT对VAF的潜在预测价值。方法本研究为单中心回顾性研究。选取2015年1月至2021年6月北京朝阳医院肾内科血液净化中心以自体动静脉内瘘(AVF)为血管通路的维持性血液透析患者为研究对象,以是否发生血管通路功能障碍分为血管通路失功(VAF)组和非血管通路失功(非VAF)组。应用混合线性模型比较两组的MPV和MPV/PLT变化差异,Kaplan-Meier曲线比较不同MPV及MPV/PLT水平的VAF发生率,多因素Cox回归模型分析VAF发生的独立危险因素,以受试者工作特征(ROC)曲线评估MPV、MPV/PLT对血液透析患者VAF的预测价值。结果本研究共纳入307例MHD患者,其中VAF组99例、非VAF组208例。VAF组患者MPV、MPV/PLT、总胆固醇、尿酸、透析龄均较非VAF组高(P均<0.05)。混合线性模型比较发现,两组MPV无显著差异,而VAF组的MPV/PLT随着随访时间延长则显著高于非VAF组(P<0.001)。Kaplan-Meier曲线显示在不同MPV和MPV/PLT水平,VAF发生率的差异均有统计学意义(χ^(2)=30.580,P<0.001和χ^(2)=9.599,P=0.008)。MPV、MPV/PLT水平越高,VAF发生率越高。矫正总胆固醇、尿酸、透析龄后,多因素Cox回归模型分析显示MPV(HR=1.97,95%CI:1.60~2.42,P<0.001)、MPV/PLT(HR=1.59,95%CI:1.32~1.92,P<0.001)是VAF发生的独立危险因素。MPV和MPV/PLT的ROC曲线下面积(AUC)分别为0.713和0.643,两者联合预测的AUC为0.716。结论维持性血液透析患者MPV和MPV/PLT增高与VAF发生相关,对VAF事件发生具有潜在的预测价值。 展开更多
关键词 血管通路失功 血液透析 平均血小板体积 平均血小板体积/血小板计数比值
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Liposome trade-off strategy in mitochondria-targeted NIR-cyanine: balancing blood circulation and cell retention for enhanced antitumor phototherapy in vivo
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作者 Xianghan Zhang sumei zhao +5 位作者 Zhiqing Gao Jialin Zhou Yuqiong Xia Jie Tian Changhong Shi Zhongliang Wang 《Nano Research》 SCIE EI CSCD 2021年第7期2432-2440,共9页
Cancer phototheranostics involving optical imaging-guided photodynamic therapy(PDT)and photothermal therapy(PTT)is a localized noninvasive approach in treating cancer.Mitochondria-targeted near-infrared(NIR)cyanines a... Cancer phototheranostics involving optical imaging-guided photodynamic therapy(PDT)and photothermal therapy(PTT)is a localized noninvasive approach in treating cancer.Mitochondria-targeted near-infrared(NIR)cyanines are excellent therapeutic photosensitizers of cancer.However,most mitochondria-targeted cyanines exist in the form of hydrophobic structures,which in vivo may cause cyanine aggregation during blood circulation,resulting in poor biocompatibility and limited therapeutic efficacy.Therefore,we developed a trade-off strategy by encapsulating mitochondria-targeted cyanines into liposomal bilayers(CyBI7-LPs),which balanced hydrophilicity that favored blood circulation and hydrophobicity that enhanced mitochondria tumor targeting.Moreover,CyBI7-LPs greatly minimized photobleaching of cyanine as self-generated reactive oxygen species(ROS)could rapidly escape from the liposomal bilayer,affording enhanced PTT/PDT efficacy.Bioorthogonal-mediated targeting strategy was further employed to improve uptake of tumor cells by modifying the liposomal surface to generate CyBI7-LPB.The CyBI7-LPB probe produced a tumor-to-background ratio(TBR)of approximately 6.4 at 24 HPI.Guiding by highly sensitive imaging resulted in excellent anti-tumor therapy outcomes using CyBI7-LPB due to the enhanced photothermal and photodynamic effects.This proposed liposomal nanoplatform exhibited a simple and robust approach as an imaging-guided synergistic anti-tumor therapeutic strategy. 展开更多
关键词 cancer phototheranostics NIR cyanine LIPOSOME mitochondria-targeted phototherapy
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