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椎体强化术术后残余腰背痛的影响因素及防治措施 被引量:10
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作者 田保磊 姚啸生 +2 位作者 戚晓楠 智猛 王国威 《中国医药导报》 CAS 2019年第32期27-29,46,共4页
椎体强化术包括椎体成形术和椎体后凸成形术,是治疗骨质疏松性椎体压缩骨折的经典方法 ,在临床中被广泛应用。但部分患者术后仍伴有不同程度的残余腰背痛,使患者延迟卧床时间,增加相关并发症风险,降低手术满意度及对医生信任度。然而,... 椎体强化术包括椎体成形术和椎体后凸成形术,是治疗骨质疏松性椎体压缩骨折的经典方法 ,在临床中被广泛应用。但部分患者术后仍伴有不同程度的残余腰背痛,使患者延迟卧床时间,增加相关并发症风险,降低手术满意度及对医生信任度。然而,椎体强化术术后残余腰背痛确切原因及对策目前尚无统一定论。因此,本综述从骨质疏松、软组织损伤、腰椎退变、矢状面失衡和椎体再发骨折等方面对椎体强化术术后残余腰背痛的影响因素及防治措施进行探讨,有助于预防和治疗此类疾病。 展开更多
关键词 残余腰背痛 骨质疏松 软组织损伤 椎体再发骨折
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PML contributes to p53-independent p21 up-regulation in gamma-irradiation induced DNA damage responses 被引量:1
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作者 CAO Lin SONG Yi +4 位作者 tian baolei LIU JiLai LIU Bin ZHANG JiaNing SUN ZhiXian 《Chinese Science Bulletin》 SCIE EI CAS 2011年第30期3148-3154,共7页
The cyclin-dependent kinase inhibitor p21 WAF1/Cip1 is a critical cell cycle regulator which translocates into the nucleus to participate in DNA repair during DNA damage responses. In the present study, we showed that... The cyclin-dependent kinase inhibitor p21 WAF1/Cip1 is a critical cell cycle regulator which translocates into the nucleus to participate in DNA repair during DNA damage responses. In the present study, we showed that the tumor suppressor, promyelocytic leukemia protein (PML) contributes to the up-regulation of p21 in a p53-independent pathway. Knock-down of PML in p53-null H1299 and HCT 116 (p53 –/– ) tumor cells by specific siRNA resulted in down-regulation of p21 protein expression, inhibition of -irradiation-induced p21 up-regulation, and a decrease in p21 protein half-life. In PML knockdown H1299 cells, the down-regulation of p21 protein expression was reversed by MG132 treatment indicating that the proteasomal degradation of p21 protein was increased. Thus, PML positively regulates p21 expression by inhibiting proteasome-mediated proteolysis. Knockdown of PML decreased the repair of -irradiation-induced double strand breaks (DSBs) as indicated by the delayed disappearance of -H2AX foci and a decreased association between p21 and proliferating cell nuclear antigen (PCNA). Over-expression of p21 significantly restored the delayed DSB repair function. Taken together, these data provide evidence for a p53-independent functional relationship between PML and p21 in -irradiation-induced DNA damage responses, and identify PML as a positive post-translational regulator of p21 in p53-deficient tumor cells. 展开更多
关键词 DNA损伤 Γ射线照射 PML P21 P53 反应 增殖细胞核抗原 细胞周期蛋白
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