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经口内镜下贲门缩窄术治疗胃食管反流病的疗效分析 被引量:7
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作者 王珏磊 南寿山 +3 位作者 王超 李朝霞 窦广仙 孙光斌 《世界华人消化杂志》 CAS 2020年第23期1177-1182,共6页
背景胃食管反流病(gastroesophageal reflux disease,GERD)是一种慢性疾病,其发病率近年在世界范围内呈上升趋势.传统的质子泵抑制剂(proton pump inhibitors,PPIs)治疗具有停药后易复发,副作用等风险.经口内镜下贲门缩窄术(peroral end... 背景胃食管反流病(gastroesophageal reflux disease,GERD)是一种慢性疾病,其发病率近年在世界范围内呈上升趋势.传统的质子泵抑制剂(proton pump inhibitors,PPIs)治疗具有停药后易复发,副作用等风险.经口内镜下贲门缩窄术(peroral endoscopic cardial constriction,PECC)是一种新型治疗GERD的内镜下微创手术,其操作简单,疗效显著,创伤少,国内外鲜有报道.目的本研究选取15例经食管24 h pH-阻抗监测、胃镜检查后接受PECC治疗的患者临床资料,对PECC治疗胃食管反流病的疗效进行分析.方法选取天津市第五中心医院2018-06/2020-07期间15例接受PECC治疗的GERD患者进行回顾性研究,比较手术前后胃镜、食管24 h pH-阻抗监测、GerdQ量表评分、患者症状满意度评分,随访观察其疗效.结果15例接受PECC治疗后的GERD患者术后反流相关症状均呈不同程度缓解,无严重术后并发症.术后2 mo复查DeMeester评分、pH<4时间百分比、反流次数、长反流次数及长反流持续时间、GerdQ评分均明显下降,患者满意度评分明显升高.结论经口内镜下贲门缩窄术治疗胃食管反流病临床疗效显著,术后恢复快,安全有效,可广泛应用于临床. 展开更多
关键词 经口内镜下贲门缩窄术 胃食管反流病 内窥镜检查
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胃食管反流病患者CYP2C19基因启动子的遗传变异和功能分析
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作者 王珏磊 南寿山 +4 位作者 王柏清 王超 李朝霞 窦广仙 孙光斌 《世界华人消化杂志》 CAS 2020年第24期1229-1234,共6页
背景胃食管反流病(gastroesophageal reflux disease,GERD)是一种慢性疾病,其发病率在世界范围内呈上升趋势.质子泵抑制剂(proton pump inhibitors,PPIs)作为抑酸药物,在临床上常用于治疗GERD,经肝脏中CYP2C19代谢后,血药浓度逐渐降低.... 背景胃食管反流病(gastroesophageal reflux disease,GERD)是一种慢性疾病,其发病率在世界范围内呈上升趋势.质子泵抑制剂(proton pump inhibitors,PPIs)作为抑酸药物,在临床上常用于治疗GERD,经肝脏中CYP2C19代谢后,血药浓度逐渐降低.先前的研究已证明CYP2C19基因多态性导致PPIs在代谢速率、半衰期和药效等方面个体差异大,影响疗效.目的筛选正常代谢型(*1/*1)的GERD患者CYP2C19基因启动子区的变异,并在细胞水平验证基因变异对启动子功能的影响,进而分析CYP2C19启动子区功能改变与GERD经PPIs治疗效果的相关性.方法收集入院治疗的散发性GERD患者全血163例,实验组患者经PPIs诊断性治疗后,症状积分降低>50%,症状未完全消失(n=82);对照组患者治疗后症状完全消失(n=81);全部患者CYP2C19基因型经检测为*1/*1.利用PCR扩增并结合Sanger测序筛选入组患者CYP2C19启动子区的基因变异;将CYP2C19启动子片段(野生型/变异型)克隆至pGL3 basic载体,并转染HEK 293T细胞,通过双荧光素酶报告基因系统,检测基因变异对启动子功能的影响.结果我们在3个正常代谢型GERD患者的CYP2C19基因启动子中分别发现了3个新的杂合变异:g.94761364 T>A,g.94762112 T>A,g.94762514 G>T;与野生型相比,携带g.94761364 T>A变异的CYP2C19启动子的转录活性显著升高(P=0.034).结论变异位点g.94761364 T>A使得CYP2C19启动子转录活性在细胞水平升高,可能会进一步影响PPIs的代谢和血药浓度,这一发现为中国人群中GERD患者的临床用药和治疗提供了新的思路. 展开更多
关键词 胃食管反流病 CYP2C19启动子 基因变异 质子泵抑制剂
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A fractional differential constitutive model for dynamic stress intensity factors of an anti-plane crack in viscoelastic materials 被引量:2
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作者 Run-Tao Zhan zhao-xia li Lei Wang 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2014年第3期403-409,共7页
Fractional differential constitutive relationships are introduced to depict the history of dynamic stress inten- sity factors (DSIFs) for a semi-infinite crack in infinite viscoelastic material subjected to anti-pla... Fractional differential constitutive relationships are introduced to depict the history of dynamic stress inten- sity factors (DSIFs) for a semi-infinite crack in infinite viscoelastic material subjected to anti-plane shear impact load. The basic equations which govern the anti-plane deformation behavior are converted to a fractional wave-like equation. By utilizing Laplace and Fourier integral transforms, the fractional wave-like equation is cast into an ordinary differential equation (ODE). The unknown function in the solution of ODE is obtained by applying Fourier transform directly to the boundary conditions of fractional wave-like equation in Laplace domain instead of solving dual integral equations. Analytical solutions of DSIFs in Laplace domain are derived by Wiener-Hopf technique and the numerical solutions of DSIFs in time domain are obtained by Talbot algorithm. The effects of four parameters α, β, b1, b2 of the fractional dif- ferential constitutive model on DSIFs are discussed. The numerical results show that the present fractional differential constitutive model can well describe the behavior of DSIFs of anti-plane fracture in viscoelastic materials, and the model is also compatible with solutions of DSIFs of anti-plane fracture in elastic materials. 展开更多
关键词 Dynamic fracture Stress intensity factors Fractional differentiation - Anti-plane fracture Viscoelasticmaterial WIENER-HOPF
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Correlation of Primary Hepatocellular Carcinoma with HBV Genotypes, Subgenotypes and Gene Mutations in Gansu Province
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作者 Wen-jie Zhang zhao-xia li +5 位作者 Deng-hai Mi Jing li Jian-jun Yang Wei-wu Mao Yan-xuan Gong Yan Qu 《国际感染病学(电子版)》 CAS 2014年第2期92-96,共5页
Objective To investigate the occurrence of basal core promoter(BCP) and pre-C mutations in patients with hepatitis B virus(HBV) infection in Gansu Province, China, and to analyze the correlation of HBV mutation and HB... Objective To investigate the occurrence of basal core promoter(BCP) and pre-C mutations in patients with hepatitis B virus(HBV) infection in Gansu Province, China, and to analyze the correlation of HBV mutation and HBV genotype with primary hepatocellular carcinoma(HCC). Methods PCR-RFLP was applied to detect HBV subgenotypes, and the presence of the pre-C and BCP mutations in 62 patients with HCC, 70 patients with hepatitis B induced liver cirrhosis(LC) and 90 patients with chronic hepatitis B(CHB). Results In HCC patients, genotype C was the major genotype(70.97%). The pre-C mutation was found in 59.68%, 31.43% and 16.67% patients with HCC, LC and CHB, respectively. The frequency of BCP mutations was significantly different between patients with HCC, LC and CHB(74.19%, 51.43% and 37.78%, respectively; χ2=30.727, 19.540, respectively, P < 0.01). Patients in HCC group had a higher incidence of pre-C as well as BCP mutations compared to the other groups. The prevalence of pre-C and BCP mutations was significantly higher in patients with genotype C1(44.32% and 69.32%, respectively) compared to patients with other subgenotypes(P < 0.05). Conclusions The incidence of pre-C and BCP mutations increases with disease progression. Pre-C and BCP mutations frequently occur in patients with genotype C1. HBV genotype C, pre-C mutations and BCP mutations are closely related to the occurrence of HCC. 展开更多
关键词 Hepatitis B virus Hepatocellular carcinoma GENOTYPE SUBGENOTYPE MUTATION
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Inhibition of smoothened decreases proliferation of Synoviocytes in rheumatoid arthritis 被引量:9
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作者 Shang-ling Zhu Jian-lin Huang +10 位作者 Wei-xiang Peng Dan-chun Wu Min-qi Luo Qiu-xia li zhao-xia li Xiao-xue Feng Fang liu Ming-xia Wang Wei-qian Chen Nancy Olsen Song Guo Zheng 《Cellular & Molecular Immunology》 SCIE CAS CSCD 2017年第2期214-222,共9页
Fibroblast-like synoviocytes (FLSs) contribute to synovial hyperplasia in rheumatoid arthritis (RA). Smoothened (Smo) is a key component of sonic hedgehog (Shh) signaling and contributes to tumor cell prolifer... Fibroblast-like synoviocytes (FLSs) contribute to synovial hyperplasia in rheumatoid arthritis (RA). Smoothened (Smo) is a key component of sonic hedgehog (Shh) signaling and contributes to tumor cell proliferation. The objective of this study was to investigate the role of Smo in RA synoviocyte proliferation. FLSs were isolated from RA synovium. Shh signaling was studied using a Smo antagonist (GDC-0449) and small interfering RNA (siRNA) targeting the Smo gene in FLSs. Cell proliferation was quantified by using kit-8 assay and cell cycle distribution and apoptosis were evaluated by flow cytometry. Cell cycle-related genes and proteins were detected by real-time PCR and western blot. FLSs treated with GDC-0449 or Smo-siRNA showed significantly decreased proliferation compared to controls (P〈0.05). Incubation with GDC-0449 or transfection with Smo-siRNA resulted in a significant increase of G1 phase cells compared to controls (P 〈 0.05). Cell cycle arrest was validated by the significant increase in cyclin D1 and E1 mRNA expression, decrease in cyclin-dependent kinase p21 mRNA expression in Smo-siRNA transfected cells (P 〈 0.05). Protein expression of cyclin D1 was also downregulated after Smo gene knockdown (P 〈0.05).The results suggest that Shh signaling plays an important role in RA-FLSs proliferation in a Smo-dependent manner and may contribute to synovial hyperplasia. Targeting Shh signaling may help control joint damage in patients with RA. 展开更多
关键词 cell proliferation rheumatoid arthritis smoothened protein sonic hedgehog signaling SYNOVIOCYTE
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