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伊立替康联合沙利度胺治疗晚期原发性肝癌的疗效及对血清GP-73和GPC3水平的影响 被引量:8
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作者 梁善斌 韦良鹏 曹兴 《临床和实验医学杂志》 2019年第11期1185-1189,共5页
目的探讨伊立替康联合沙利度胺治疗晚期原发性肝癌的疗效及对血清高尔基Ⅱ型跨膜蛋白-73(GP-73)和磷脂酰基醇蛋白聚糖-3(GPC-3)水平的影响。方法前瞻性纳入钦州市第一人民医院60例晚期原发性肝癌患者,按数字表法将所有患者随机分为治疗... 目的探讨伊立替康联合沙利度胺治疗晚期原发性肝癌的疗效及对血清高尔基Ⅱ型跨膜蛋白-73(GP-73)和磷脂酰基醇蛋白聚糖-3(GPC-3)水平的影响。方法前瞻性纳入钦州市第一人民医院60例晚期原发性肝癌患者,按数字表法将所有患者随机分为治疗组和对照组,每组30例。对照组口服替吉奥胶囊,2次/d,连续给药28 d,休息14 d。治疗组在对照组基础上第1、8、15天予盐酸伊立替康注射液80 mg/(m^2·d)静脉滴注,1个疗程/3周;口服沙利度胺片。两组连续治疗12周。比较两组视觉模拟评分(VAS)、疼痛程度数字分级法评分(NRS)及生活质量和近期实体瘤疗效。检测两组血清GP-73和GPC3水平。结果治疗后,治疗组患者VAS、NRS评分显著少于对照组(P<0.01)。治疗组患者的生活质量总改善率为83.33%,显著高于对照组(56.67%)(χ^2=3.889,P<0.05)。治疗组患者的近期实体瘤总改善率为70.00%,显著高于对照组(40.00%)(χ^2=5.455,P<0.05)。治疗后,治疗组患者血清GP-73和GPC3水平显著低于对照组(P<0.01)。结论伊立替康联合沙利度胺治疗晚期原发性肝癌,可减轻患者的疼痛,提高生活质量和近期实体瘤疗效,可能与其下调血清GP-73和GPC3水平有关。 展开更多
关键词 原发性肝癌 伊立替康 沙利度胺 高尔基Ⅱ型跨膜蛋白-73 磷脂酰基醇蛋白聚糖-3
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S2B-5 Rapid Release of GABA Inhibiting Epilepsy in Vivo
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作者 DING Ran LI Yuan-yuan +15 位作者 QIAO Zhi-hong LIU Nan-nan ZHANG Xin wei liang-peng HOU Meng-zhu LIU Ai-li ZHENG Chen FU Bing XU Ying-shun MA Zheng-guan HOU Shao-wei WANG Fei-fei YUAN Shi-yang LIU Shu-jing ZHANG Yan SHEN Hui 《神经药理学报》 2018年第4期48-49,共2页
Objective:Epilepsy is a multi-etiological brain dysfunction syndrome characterized by synchronously repeated spontaneous discharges from neuronal cells.Its pathogenesis involves excitatory/inhibitory imbalance,ion cha... Objective:Epilepsy is a multi-etiological brain dysfunction syndrome characterized by synchronously repeated spontaneous discharges from neuronal cells.Its pathogenesis involves excitatory/inhibitory imbalance,ion channel abnormalities and may be related to the abnormal structure and function of neurotransmitter receptors.The research was to observe the effects of rapid increase inhbitory neurotransmitter GABA on the excitatory/inhibitory imbalance,ion channel abnormalities and abnormal neurotransmitter receptors in living epileptic mice from the level of free moving animal,cell,sub-cell and receptor.Methods:The techniques of fiber photometry and laser uncage of Rub-GABA for epileptic free moving mice induced by administration of Kainic acid(KA)or 4-AP,local field potentials(LFP),multicell bolus lording of calcium(OGB-1AM),virus transfection of calcium-sensitive protein GCaMP6f,transfection of fluorescent labeled AMPA receptors in cortical neurons by in utero electroporation,two-photon uncage of Rubi-GABA,two-photon imaging,two-photon calcium imaging,twophoton cell attach,two-photon targeted patch clamp and two-photon shadow patch clamp in living epileptic mice induced by 4-AP were used.Results:Laser photolysis of Rubi-GABA in hippocampal CA1 could immediately alleviate KA induced acute epileptic seizures in living mice.In cellular level,two-photon uncage Rub-GABA or rapid release of GABA significantly decreased the number of neurons releasing the calcium signals by multicell bolus lording of calcium,inhibited spikes recording by LFP and immediately inhibited both calcium signals and spikes using two-photon cell attaching technique in the living epileptic mice induced by 4-AP.Two-photon uncage Rub-GABA significantly decreased spikes induced by 4-AP recording with two-photon shadow patch clamp in vivo.In sub-cellular level,two-photon Rubi-GABA uncage of dendritic spines of cortical neurons transfected with GCaMP6f obviously decreased the frequency and amplitude of calcium signal on those dendritic spines in 4-AP induced epileptic living mice.Two-photon targeted patch clamp and shadow patch clamp were performed separately to both the cortical neurons transfected fluorescent labeled AMPA receptors in the mice by in utero electroporation and the cortical neurons with no fluorescent labeled AMPA receptors in control mice.The results showed that there was no difference in the electrophysiological indices between the two kinds of cortical neurons,meaning that there was no obvious change of electrophysiological characteristics in the cortical neurons transfected fluorescent labeled AMPA receptors.Further study showed that rapid disappearance of the AMPA receptors was found before disappearance of dendritic spines in epileptic living mice induced by high concentration of 4-AP,and the disappearance of the AMPA receptors was significantly delayed or the AMPA receptors even reappeared after rapid release of GABA with the different concentration of 4-AP in the living mice.Conlusion:Rapid release of GABA can rectify the excitatory/inhibitory imbalance and ion channel abnormalities of epilepsy,and rapidly inhibits epilepsy in free moving mice,and from cellular and sub-cellular level in vivo.It also protects the structure and function of neurotransmitter receptors during epilepsy in vivo. 展开更多
关键词 OGB-1AM labeled AMPA RECEPTORS
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