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超声在无症状高尿酸血症关节病变中的应用 被引量:6
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作者 刘慧聪 宋星慧 +2 位作者 唐开奖 覃玉花 蒋茵 《中国现代医学杂志》 CAS 2018年第32期73-76,共4页
目的探讨高频超声对无症状高尿酸血症患者关节病变的早期筛查价值。方法选取164例无症状高尿酸血症患者及100例健康对照者。对双侧第一跖趾关节、踝关节及膝关节进行高频超声检查,分析两组病变关节阳性率、病变关节分布情况及超声表现... 目的探讨高频超声对无症状高尿酸血症患者关节病变的早期筛查价值。方法选取164例无症状高尿酸血症患者及100例健康对照者。对双侧第一跖趾关节、踝关节及膝关节进行高频超声检查,分析两组病变关节阳性率、病变关节分布情况及超声表现结果。对患者进行2年随访,观察患者出现急性痛风性关节炎的阳性率。结果经过高频关节超声检查,无症状高尿酸血症患者中发现病变关节阳性率高于对照组(P<0.05)。无症状高尿酸血症组第一跖趾关节病变66个,踝关节病变17个,膝关节病变10个。随访2年,各组的急性痛风性关节炎的发生率比较有差异(P<0.05)。结论可以利用高频超声对无症状高尿酸血症患者早期关节病变情况进行筛查,为患者开始降尿酸的时机提供更多依据,减少高尿酸血症带来的关节损害。 展开更多
关键词 痛风性关节炎 无症状高尿酸血症 高频超声
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Effects of Adipose-derived Mesenchymal Stem Cell Exosomes on Corneal Stromal Fibroblast Viability and Extracellular Matrix Synthesis 被引量:23
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作者 Ting Shen Qing-Qing Zheng +5 位作者 Jiang Shen Qiu-Shi Li xing-hui song Hong-Bo Luo Chao-Yang Hong Ke Yao 《Chinese Medical Journal》 SCIE CAS CSCD 2018年第6期704-712,共9页
Background: Corneal stromal cells (CSCs) are components of the corneal endothelial microenvironment that can be induced to form a functional tissue-engineered corneal endothelium. Adipose-derived mesenchymal stem c... Background: Corneal stromal cells (CSCs) are components of the corneal endothelial microenvironment that can be induced to form a functional tissue-engineered corneal endothelium. Adipose-derived mesenchymal stem cells (ADSCs) have been reported as an important component of regenerative medicine and cell therapy for corneal stromal damage. We have demonstrated that the treatment with ADSCs leads to phenotypic changes in CSCs in vitro. However, the underlying mechanisms of such ADSC-induced changes in CSCs remain unclear. Methods: ADSCs and CSCs were isolated from New Zealand white rabbits and cultured in vitro. An Exosome Isolation Kit, Western blotting, and nanoparticle tracking analysis (NTA) were used to isolate and confirm the exosomes from ADSC culture medium. Meanwhile, the optimal exosome concentration and treatment time were selected. Cell Counting Kit-8 and annexin V-fluorescein isothiocyanate/ propidium iodide assays were used to assess the effect of ADSC-derived exosomes on the proliferation and apoptosis of CSCs. To evaluate the effects ofADSC-derived exosomes on CSC invasion activity, Western blotting was used to detect the expression of matrix metalloproteinases (MMPs) and collagens. Results: ADSCs and CSCs were successfully isolated from New Zealand rabbits. The optimal concentration and treatment time of exosomes for the following study were 100 μg/ml and 96 h, respectively. NTA revealed that the ADSC-derived exosomes appeared as nanoparticles (40-200 nm), and Western blotting confirmed positive expression of CD9, CDSI, flotillin-1, and HSP70 versus ADSC cytoplasmic proteins (all P〈 0.01 ). ADSC-derived exosomes (50μg/ml and 100μg/ml) significantly promoted proliferation and inhibited apoptosis (mainly early apoptosis) of CSCs versus non-exosome-treated CSCs (all P 〈 0.05). Interestingly, MMPs were downregulated and extracellular matrix (ECM)-related proteins including collagens and fibronectin were upregulated in the exosome-treated CSCs versus non-exosome-treated CSCs (MMPI: t = 80.103, P 〈 0.01; MMP2: t = 114.778, P 〈 0.01; MMP3: t = 56.208, P 〈 0.01; and MMP9: t = 60.617, P〈 0.01; collagen I: t = -82.742, P〈 0.01; collagen II: t = -72.818, P〈 0.01; collagen III: t = -104.452, P〈 0.01; collagen IV: t = - 133.426, P 〈 0.01, and collagen V: t - -294.019, P 〈 0.01 ; and fibronectin: t = -92.491, P 〈 0.01, respectively). Conclusion: The findings indicate that ADSCs might play an important role in CSC viability regulation and ECM remodeling, partially through the secretion of exosomes. 展开更多
关键词 Adipose-derived Mesenchymal Stem Cell Corneal Stromal Cells EXOSOMES Extracellular Matrix Synthesis
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