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预测脓毒症患者心脏功能障碍和死亡率的多生物标记物策略 被引量:8
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作者 Fa-chao CHEN yin-chuan xu Zhao-cai ZHANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2020年第7期537-548,共12页
目的:评估联合应用多种生物标记物以预测脓毒症患者早期心脏功能障碍及28天死亡率的可行性。创新点:(1)通过净重分类改善(NRI)和综合辨别改善(IDI)指标,评估多种生物标志物策略相比单一生物标志物策略对脓毒症患者心脏功能障碍及28天死... 目的:评估联合应用多种生物标记物以预测脓毒症患者早期心脏功能障碍及28天死亡率的可行性。创新点:(1)通过净重分类改善(NRI)和综合辨别改善(IDI)指标,评估多种生物标志物策略相比单一生物标志物策略对脓毒症患者心脏功能障碍及28天死亡率的预测价值。(2)评估心脏型脂肪酸结合蛋白(h-FABP)、髓过氧化物酶(MPO)以及妊娠相关血浆蛋白A(PAPP-A)等新型生物标记物在脓毒症中的临床预测价值。方法:检测147例脓毒症患者在入院后6小时内血浆中脑钠肽(BNP)、心肌肌钙蛋白I(cTnI)、h-FABP、MPO及PAPP-A的水平。使用受试者工作特征(ROC)曲线来评估各种单一生物标志物在脓毒症患者心脏功能障碍诊断和28天死亡率预测中的最佳截止值。采用ROC曲线、NRI和IDI指标评估多种生物标志物策略相比单一生物标志物策略在预测脓毒症相关心脏功能障碍及28天死亡率中的价值。结论:MPO、cTnI和h-FABP联合应用显著提高了对脓毒症患者心脏功能障碍的预测能力,同时PAPP-A、MPO和h-FABP联合应用显著提高了预测脓毒症患者28天死亡率的能力。 展开更多
关键词 多种生物标志物 心脏功能障碍 脓毒症 死亡率
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β-氨基丙腈相关的小鼠胸主动脉夹层模型的综述 被引量:6
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作者 Hai-qiong ZHENG Jia-bing RONG +3 位作者 Fei-ming YE yin-chuan xu Hong S.LU Jian-an WANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2020年第8期603-610,共8页
胸主动脉夹层具有发病急、发展迅速、主动脉破裂率高的特点,是最致命的大动脉疾病之一。但是胸主动脉夹层的发病机制目前还没有被完全了解。本综述介绍了三种新兴的β-氨基丙腈相关的小鼠胸主动脉夹层模型,分别是:单用β-氨基丙腈;先用... 胸主动脉夹层具有发病急、发展迅速、主动脉破裂率高的特点,是最致命的大动脉疾病之一。但是胸主动脉夹层的发病机制目前还没有被完全了解。本综述介绍了三种新兴的β-氨基丙腈相关的小鼠胸主动脉夹层模型,分别是:单用β-氨基丙腈;先用β-氨基丙腈处理(四周)再用血管紧张素2(Ang II)处理;β-氨基丙腈和Ang II同时进行处理。希望通过更好地运用这三种β-氨基丙腈相关的小鼠胸主动脉夹层模型,从而对胸主动脉夹层的分子机制有更深入的了解。 展开更多
关键词 胸主动脉夹层 β-氨基丙腈 血管紧张素2 小鼠模型 高血压
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Angiopoietin-1 preconditioning enhances survival and functional recovery of mesenchymal stem cell transplantation 被引量:3
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作者 Xian-bao LIU Han CHEN +7 位作者 Hui-qiang CHEN Mei-fei ZHU Xin-yang HU Ya-ping WANG Zhi JIANG yin-chuan xu Mei-xiang XIANG Jian-an WANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2012年第8期616-623,共8页
Objective:Mesenchymal stem cell (MSC) transplantation is a promising therapy for ischemic heart diseases. However, poor cell survival after transplantation greatly limits the therapeutic efficacy of MSCs. The purpose ... Objective:Mesenchymal stem cell (MSC) transplantation is a promising therapy for ischemic heart diseases. However, poor cell survival after transplantation greatly limits the therapeutic efficacy of MSCs. The purpose of this study was to investigate the protective effect of angiopoietin-1 (Ang1) preconditioning on MSC survival and sub-sequent heart function improvement after transplantation. Methods: MSCs were cultured with or without 50 ng/ml Ang1 in complete medium for 24 h prior to experiments on cell survival and transplantation. 3-(4,5- Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) and Hoechst staining were applied to evaluate MSC survival after serum deprivation in vitro, while cell survival in vivo was detected by terminal deoxynucleotidyl trans-ferase biotin-dUPT nick end labeling (TUNEL) assay 24 and 72 h after transplantation. Heart function and infarct size were measured four weeks later by small animal echocardiography and Masson's trichrome staining, respectively. Results: Ang1 preconditioning induced Akt phosphorylation and increased expression of Bcl-2 and the ratio of Bcl-2/Bax. In comparison with non-preconditioned MSCs, Ang1-preconditioned cell survival was significantly increased while the apoptotic rate decreased in vitro. However, the PI3K/Akt pathway inhibitor, LY294002, abrogated the protective effect of Ang1 preconditioning. After transplantation, the Ang1-preconditioned-MSC group showed a lower death rate, smaller infarct size, and better heart functional recovery compared to the non-preconditioned-MSC group. Conclusions:Ang1 preconditioning enhances MSC survival, contributing to further improvement of heart function. 展开更多
关键词 间充质的干细胞 ANGIOPOIETIN-1 PRECONDITIONING 幸存 心肌的梗塞
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