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非酒精性脂肪性肝病患者粪便中PKS岛分布与外周血内生性乙醇的检测
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作者 李炜 王艺璇 +3 位作者 朱富高 朱琳 程丹颖 邢卉春 《中国肝脏病杂志(电子版)》 CAS 2019年第3期64-68,共5页
目的分析非酒精性脂肪性肝病(non-alcoholic fatty liver disease,NAFLD)患者粪便中聚酮合酶(polyketide synthase,PKS)基因簇(即PKS岛)分布及外周血内生性乙醇水平.方法以2018年4月至2018年9月于首都医科大学附属北京地坛医院门诊及住... 目的分析非酒精性脂肪性肝病(non-alcoholic fatty liver disease,NAFLD)患者粪便中聚酮合酶(polyketide synthase,PKS)基因簇(即PKS岛)分布及外周血内生性乙醇水平.方法以2018年4月至2018年9月于首都医科大学附属北京地坛医院门诊及住院部就诊的32例NAFLD患者为NAFLD组,选取同期37例本院健康体检志愿者为对照组,留取受试者粪便标本及血液标本,提取粪便标本的全基因组模板,采用PCR法检测PKS岛的分布,采用Biovison试剂盒对血液标本中乙醇浓度进行检测.采用HITACHI 7600型自动生化分析仪检测丙氨酸氨基转移酶(alanine transaminase,ALT)、天门冬氨酸氨基转移酶(aspartate transaminase,AST)、总胆红素(total bilirubin,TBil)、总胆固醇(total cholesterol,TC)、甘油三酯(triglyceride,TG)、高密度脂蛋白胆固醇(high-density lipoprotein cholesterol,HDL-C)及低密度脂蛋白胆固醇(low-density lipoprotein cholesterol,LDL-C)等生物化学指标.结果 NAFLD组ALT为[28.55(17.33,39.55)]U/L,高于健康对照组的[12.80(9.60,22.75)]U/L,差异有统计学意义(z=-4.073,P<0.01);NAFLD组TG为(2.35±2.40)mmol/L,高于健康对照组的(0.92±0.70)mmol/L,差异有统计学意义(t=-3.466,P=0.001);AST、TBil、TC、HDL-C及LDL-C差异无统计学意义(均P>0.05).NAFLD组粪便标本PKS岛阳性率为6.25%(2/32),健康对照组为24.32%(9/37),差异有统计学意义(χ2=4.183,P=0.041).NAFLD组中3例患者外周血中检出乙醇,浓度分别为13.24 mg/L、1.32 mg/L、0.06 mg/L;健康对照组外周血中均未检出乙醇.结论NAFLD患者粪便中PKS岛阳性率低于健康对照组;部分NAFLD患者外周血中有内生性乙醇的存在. 展开更多
关键词 脂肪性肝病 非酒精性 聚酮合酶基因簇 内生性乙醇
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An increase in intracelluar free calcium ions modulated by cholinergic receptors in rat facial nucleus 被引量:6
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作者 SUN Da-wei ZHOU Rui +2 位作者 LI Na ZHANG Qiu-gui zhu fu-gao 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第9期1049-1055,共7页
Background Ca^2+ in the central nervous system plays important roles in brain physiology, including neuronal survival and regeneration in rats with injured facial motoneurons. The present research was to study the mo... Background Ca^2+ in the central nervous system plays important roles in brain physiology, including neuronal survival and regeneration in rats with injured facial motoneurons. The present research was to study the modulations of intracellular free Ca^2+ concentrations by cholinergic receptors in rat facial nucleus, and the mechanisms of the modulations. Methods The fluorescence intensity of facial nucleus in Fluo-3 AM loaded acute brainstem slices was detected by applying intracellular free Ca^2+ measurement technique via confocal laser scanning microscope. The changes of fluorescence intensity of facial nucleus indicate the average changes of intracellular free Ca^2+ levels of the neurons. Results Acetylcholine was effective at increasing the fluorescence intensity of facial nucleus. Muscarine chloride induced a marked increase of fluorescence intensity in a concentration dependent fashion. The enhancement of fluorescence intensity by muscarine chloride was significantly reduced by thapsigargin (depletor of intracellular Ca^2+ store; P 〈0.01), rather than Ca^2+ free artifical cerebrospinal fluid or EGTA (free Ca^2+ chelator; P〉0.05). And the increase of fluorescence intensity was also significantly inhibited by pirenzepine (M1 subtype selective antagonist; P 〈0.01) and 4-DAMP (M3 subtype selective antagonist; P 〈0.01). In addition, fluorescence intensity was markedly increased by nicotine. The enhancement of fluorescence intensity by nicotine was significantly reduced by EGTA, nifedipine (L-type voltage-gated Ca^2+ channel blocker), dihydro-β-erythroidine (α4β2 subtype selective antagonist), and in Ca^2+ free artificial cerebrospinal fluid (P 〈0.01), but not in the presence of mibefradil (M-type voltage-gated Ca^2+ channel blocker) or thapsigargin (P〉0.05). Conclusions The data provide the evidence that muscarinic receptors may induce the increase of intracellular free Ca^2+ levels through the Ca^2+ release of intracellular Ca^2+ stores, in a manner related to M1 and M3 subtypes of muscarinic receptors in rat facial nucleus. Nicotine may increase intracellular free Ca^2+ concentrations via the influx of extracellular Ca^2+ mainly across L-type voltacle-clated Ca^2+ channels, in a manner related to the α4β2 subtype of nicotinic receptors. 展开更多
关键词 calcium signaling receptors cholinergic facial nerve
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