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免疫球蛋白G4相关性肾脏病合并EB病毒感染1例并文献复习
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作者 韦旺 代维 +2 位作者 许三鹏 徐钢 董蕾 《临床肾脏病杂志》 2022年第4期349-352,共4页
免疫球蛋白G4(immunoglobulin G4,IgG4)相关性疾病是一组纤维硬化性疾病,可由于多克隆IgG4阳性浆细胞浸润、组织纤维化导致多脏器功能衰竭[1]。最常受累的脏器为胰腺、胆管、外分泌腺(涎腺、唾液腺等)、腹膜后和淋巴结[2],肾脏受累的比... 免疫球蛋白G4(immunoglobulin G4,IgG4)相关性疾病是一组纤维硬化性疾病,可由于多克隆IgG4阳性浆细胞浸润、组织纤维化导致多脏器功能衰竭[1]。最常受累的脏器为胰腺、胆管、外分泌腺(涎腺、唾液腺等)、腹膜后和淋巴结[2],肾脏受累的比例大约为15%,当肾脏受累的时候被称为IgG4相关性肾脏病[1]。IgG4相关性肾脏病病理常表现为肾小管间质性肾炎或膜性肾病[1],但是它的病因和病理生理目前所知甚少。 展开更多
关键词 IGG4相关性疾病 相关肾病 EB病毒感染
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Melatonin reduces acute lung injury in endotoxemic rats 被引量:11
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作者 SHANG You xu san-peng +4 位作者 WU Yan JIANG Yuan-xu WU Zhou-yang YUAN Shi-ying YAO Shang-long 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第12期1388-1393,共6页
Background Treatment with melatonin significantly reduces lung injury induced by bleomycin, paraquat and ischemia reperfusion. In the present study, we investigated the possible protective roles of melatonin in pulmon... Background Treatment with melatonin significantly reduces lung injury induced by bleomycin, paraquat and ischemia reperfusion. In the present study, we investigated the possible protective roles of melatonin in pulmonary inflammation and lung injury during acute endotoxemia. Methods Thirty-two male Sprague-Dawley rats were randomly assigned to four groups: vehicle + saline group, melatonin + saline group, vehicle + lipopolysaccharide group, melatonin + lipopolysaccharide group. The rats were treated with melatonin (10 mg/kg, intraperitoneal injection (i.p.)) or vehicle (1% ethanol saline), 30 minutes prior to lipopolysaccharide administration (6 mg/kg, intravenous injection). Four hours after lipopolysaccharide injection, samples of pulmonary tissue were collected. Blood gas analysis was carried out. Optical microscopy was performed to examine pathological changes in lungs and lung injury score was assessed. Wet/dry ratios (W/D), myeloperoxidase activity, malondialdehyde concentrations and tumor necrosis factor-alpha (TNF-α) and interleukin-10 (IL-10) levels in lungs were measured. The pulmonary expression of nuclear factor-kappa B (NF-κB) p65 was evaluated by Western blotting. Results PaO2 in the vehicle + lipopolysaccharide group decreased compared with that in the vehicle + saline group. This decrease was significantly reduced in the melatonin + lipopolysaccharide group. The lung tissues from the saline + lipopolysaccharide group were significantly damaged, which were less pronounced in the melatonin + lipopolysaccharide group. The W/D ratio increased significantly in the vehicle + lipopolysaccharide group (6.1±0.18) as compared with that in the vehicle + saline group (3.61±0.3) (P 〈0.01), which was significantly reduced in the melatonin + lipopolysaccharide group (4.8±0.25) (P 〈0.01). Myeloperoxidase activity and malondialdehyde levels increased significantly in the vehicle + lipopolysaccharide group compared with that in the vehicle + saline group, which was reduced in the melatonin + lipopolysaccharide group. The TNF-a level of pulmonary tissue increased significantly in the vehicle + lipopolysaccharide group ((8.7±0.91) pg/mg protein) compared with that in the vehicle + saline group ((4.3±0.62) pg/mg protein, P 〈0.01). However, the increase of TNF-a level of pulmonary tissue was significantly reduced in the melatonin + lipopolysaccharide group ((5.9±0.56) pg/mg protein, P 〈0.01). Pulmonary IL-10 levels were elevated markedly in the vehicle + lipopolysaccharide group in contrast to that in the vehicle + saline group, whereas the elevation was augmented in the melatonin + lipopolysaccharide group. The nuclear localization of p65 increased markedly in the vehicle + lipopolysaccharide group and this enhancement of nuclear p65 expression was much less in the melatonin + lipopolysaccharide group. Conclusion Melatonin reduces acute lung injury in endotoxemic rats by attenuating pulmonary inflammation and inhibiting NF-κB activation. 展开更多
关键词 ENDOTOXEMIA acute lung injuly melationin
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Valproic acid attenuates the multiple-organ dysfunction in a rat model of septic shock 被引量:7
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作者 SHANG You JIANG Yuan-xu +4 位作者 Ding Ze-jun Shen Ai-ling xu san-peng YUAN Shi-ying YAO Shang-long 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第19期2682-2687,共6页
Background Valproic acid (VPA) improves early survival and organ function in a highly lethal poly-trauma and hemorrhagic shock model or other severe insults. We assessed whether VPA could improve organ function in a... Background Valproic acid (VPA) improves early survival and organ function in a highly lethal poly-trauma and hemorrhagic shock model or other severe insults. We assessed whether VPA could improve organ function in a rat model of septic shock and illustrated the possible mechanisms. Methods Forty Sprague-Dawley rats were randomly assigned to four groups (n=-10): control group, VPA group, LPS group, and LPS+VPA group. Lipopolysaccharide (LPS) (10 mg/kg) was injected intravenously to replicate the experimental model of septic shock. Rats were treated with VPA (300 mg/kg, i.v.) or saline. Six hours after LPS injection, blood was sampled for gas analysis, measurement of serum alanine aminotransferase, aspartate aminotransferase, urine nitrogen, creatinine and tumor necrosis factor-alpha. Lung, liver and kidney were collected for histopathological assessment. In addition, myeloperoxidase activity and tumor necrosis factor-α in pulmonary tissue were measured. Acetylation of histone H3 in lung was also evaluated by Western blotting. Results LPS resulted in a significant decrease in PaO2, which was increased by VPA administration followed LPS injection. In addition, LPS also induced an increase in the serum levels of alanine aminotransferase, aspartate aminotransferase, urine nitrogen, creatinine, and tumor necrosis factor-alpha. However, these increases were attenuated in the LPS+VPA group. The lungs, liver and kidneys from the LPS group were significantly damaged compared with the control group. However, the damage was attenuated in the LPS+VPA group. Myeloperoxidase activity and tumor necrosis factor-alpha levels in pulmonary tissue increased significantly in the LPS group compared with the control group. These increases were significantly inhibited in the LPS+VPA group. Acetylation of histone H3 in lung tissue in the LPS group was inhibited compared with the control. However, the level of acetylation of histone H3 in the LPS+VPA group was markedly elevated in contrast to the LPS group. Conclusions Treatment with VPA can attenuate multiple organ damage caused by LPS induced septic shock. Our data also suggest that the beneficial effects are in part due to the decrease in inflammatory cytokines and restoration of normal acetylation homeostasis. 展开更多
关键词 valproic acid septic shock INFLAMMATION ACETYLATION
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Reduction of pulmonary inflammatory response by erythropoietin n a rat model of endotoxaemia 被引量:7
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作者 SHANG You JIANG Yuan-xu +4 位作者 xu san-peng WU Yan WU Zhou-yang YUAN Shi-ying YAO Shang-long 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第7期834-838,共5页
Background Erythropoietin elicits protective effects in lung tissue injury induced by ischaemic reperfusion and hyperoxia. We investigated the protective roles of erythropoietin in pulmonary inflammation and lung inju... Background Erythropoietin elicits protective effects in lung tissue injury induced by ischaemic reperfusion and hyperoxia. We investigated the protective roles of erythropoietin in pulmonary inflammation and lung injury during acute endotoxaemia.Methods A total of 32 male Sprague-Dawley rats were randomly assigned to four groups: saline group, erythropoietin+saline group, saline+lipopolysaccharide group and erythropoietin+lipopolysaccharide group. Rats were treated with erythropoietin (3000 U/kg, i.p.) or saline, 30 minutes prior to lipopolysaccharide administration (6 mg/kg, i.v.). Four hours after lipopolysaccharide injection, samples of pulmonary tissue were collected. Optical microscopy was performed to examine pathological changes in lungs. Wet/dry (W/D) ratios, myeloperoxidase activity, malondialdehyde concentrations and tumour necrosis factor-alpha (TNF-α) as well as interleukin 1 beta (IL-1β) levels in lungs were measured. The pulmonary expression of nuclear factor kappaB (NF-κB) p65 was evaluated by Western blotting. Differences between the different groups were analysed by one-way analysis of variance (ANOVA).Results The lung tissues from the saline+lipopolysaccharide group were significantly damaged, which were less pronounced in the erythropoietin+lipopolysaccharide group. The W/D ratio increased significantly in the saline+lipopolysaccharide group (5.75±0.22) as compared with the saline group (3.85±0.20) (P 〈0.01), which was significantly reduced in the erythropoietin+lipopolysaccharide group (4.50±0.35) (P 〈0.01). Myeloperoxidase activity and malondialdehyde levels increased significantly in the saline+lipopolysaccharide group compared with the saline group, which was reduced in the erythropoietin + lipopolysaccharide group. The TNF-α level of pulmonary tissue increased significantly in the saline+lipopolysaccharide group ((9.80±0.82) pg/mg protein) compared with the saline group ((4.20=L-0.42) pg/mg protein, P 〈0.01). However, the increase of TNF-α level of pulmonary tissue was significantly reduced in the erythropoietin+lipopolysaccharide group ((6.50±0.66) pg/mg protein, P 〈0.01). Similarly, pulmonary IL-1β levels were elevated markedly in the saline+lipopolysaccharide group in contrast to the saline group, whereas the elevation was much less in the erythropoietin+lipopolysaccharide group. The nuclear localization of p65 increased markedly in the saline+lipopolysaccharide group and this enhancement of nuclear p65 expression was much less in the erythropoietin+lipopolysacchadde group.Conclusion Erythropoietin attenuates pulmonary inflammation and suppresses TNF-α and IL-1β overproduction during acute endotoxaemia, which is partially mediated by inhibition of NF-KB. 展开更多
关键词 ENDOTOXAEMIA acute lung injury ERYTHROPOIETIN
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