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Human survival and immune mediated mitophagy in neuroplasticity disorders 被引量:3
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作者 Ian James Martins 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第4期735-735,共1页
Dear editors,Neurodegenerative diseases are now associated with the global obesity and diabetes epidemic in the developing and developed world.Neurodegenerative diseases are a heterogeneous group of disorders with com... Dear editors,Neurodegenerative diseases are now associated with the global obesity and diabetes epidemic in the developing and developed world.Neurodegenerative diseases are a heterogeneous group of disorders with complex factors such as neurohumoral,endocrine and environmental factors involved in induction of these neurodegenerative diseases.The future of science and medicine in neurodegenerative diseases is now dependent on nutritional genomics with insulin resistance a major factor in the induction of neurodegenerative diseases.Nutritional genomics now involves the anti-aging gene Sirtuin 1(Sirt 1)that is important to the prevention of insulin resistance with its critical involvement in the immune system(Martins,2018a,b).Sirt 1 inactivation leads to toxic immune reactions connected to the acceleration of neuron death in various communities.Appetite control with relevance to immunometabolism has become of critical importance to the treatment of neurodegeneration(Figure 1).Nutritional diets activate the heat shock gene Sirt 1 to prevent the increase in heat shock proteins connected to autoimmune disease,mitophagy(Martins,2018a,b)and irreversible programmed cell death in global populations(Figure 1). 展开更多
关键词 Human SURVIVAL immunE mediated MITOPHAGY NEUROPLASTICITY DISORDERS
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Causal genetic regulation of DNA replication on immune microenvironment in colorectal tumorigenesis: Evidenced by an integrated approach of trans-omics and GWAS
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作者 Sumeng Wang Silu Chen +6 位作者 Huiqin Li Shuai Ben Tingyu Zhao Rui Zheng Meilin Wang Dongying Gu Lingxiang Liu 《The Journal of Biomedical Research》 CAS CSCD 2024年第1期37-50,共14页
The interplay between DNA replication stress and immune microenvironment alterations is known to play a crucial role in colorectal tumorigenesis,but a comprehensive understanding of their association with and relevant... The interplay between DNA replication stress and immune microenvironment alterations is known to play a crucial role in colorectal tumorigenesis,but a comprehensive understanding of their association with and relevant biomarkers involved in colorectal tumorigenesis is lacking.To address this gap,we conducted a study aiming to investigate this association and identify relevant biomarkers.We analyzed transcriptomic and proteomic profiles of 904 colorectal tumor tissues and 342 normal tissues to examine pathway enrichment,biological activity,and the immune microenvironment.Additionally,we evaluated genetic effects of single variants and genes on colorectal cancer susceptibility using data from genome-wide association studies(GWASs)involving both East Asian(7062 cases and 195745 controls)and European(24476 cases and 23073 controls)populations.We employed mediation analysis to infer the causal pathway,and applied multiplex immunofluorescence to visualize colocalized biomarkers in colorectal tumors and immune cells.Our findings revealed that both DNA replication activity and the flap structure-specific endonuclease 1(FEN1)gene were significantly enriched in colorectal tumor tissues,compared with normal tissues.Moreover,a genetic variant rs4246215 G>T in FEN1 was associated with a decreased risk of colorectal cancer(odds ratio=0.94,95%confidence interval:0.90–0.97,P_(meta)=4.70×10^(-9)).Importantly,we identified basophils and eosinophils that both exhibited a significantly decreased infiltration in colorectal tumors,and were regulated by rs4246215 through causal pathways involving both FEN1 and DNA replication.In conclusion,this trans-omics incorporating GWAS data provides insights into a plausible pathway connecting DNA replication and immunity,expanding biological knowledge of colorectal tumorigenesis and therapeutic targets. 展开更多
关键词 trans-omics DNA replication tumor immune microenvironment causal mediation colorectal tumorigenesis
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A Patient with Post Infectious Immune Mediated Neuropathy (Miller Fisher Syndrome)
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作者 Sharlene Sanchez Azad Esack 《International Journal of Clinical Medicine》 2017年第3期123-127,共5页
The Miller Fisher variant is an uncommon but well known syndrome being described as a triad of areflexia, ataxia and complex ophthalmoplegia. It is characterized by antibodies against myelin that affects peripheral ne... The Miller Fisher variant is an uncommon but well known syndrome being described as a triad of areflexia, ataxia and complex ophthalmoplegia. It is characterized by antibodies against myelin that affects peripheral nerves, extraocular muscles and Schwann cells. Anti-ganglioside antibodies have been recognized in disease pathogenesis and decreasing antibody production is the mainstay of treatment. The course is usually benign with improvement after immunomodulation. This case report describes the approach to a patient suspected of having a demyelinating disorder. It delineates the subsets of immune mediated neuropathies in evaluating the diagnosis and emphasizes the need for early therapeutic intervention in achieving a good clinical outcome. 展开更多
关键词 Miller Fisher Anti-Ganglioside DEMYELINATING immunE mediated
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Triple hit to the kidney-dual pathological crescentic glomerulonephritis and diffuse proliferative immune complexmediated glomerulonephritis: A case report
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作者 Dalia Ibrahim Sergey V Brodsky +2 位作者 Anjali A Satoskar Laura Biederman Natallia Maroz 《World Journal of Clinical Cases》 SCIE 2022年第32期11869-11876,共8页
BACKGROUND Anti-glomerular basement membrane(GBM)disease is a rare rapidly progressive glomerulonephritis,frequently associated with alveolar hemorrhage in the lungs and involving the kidney by crescentic glomerulonep... BACKGROUND Anti-glomerular basement membrane(GBM)disease is a rare rapidly progressive glomerulonephritis,frequently associated with alveolar hemorrhage in the lungs and involving the kidney by crescentic glomerulonephritis.It has been described in association with other glomerulonephritides[such as anti-neutrophilic antibody(ANCA)-glomerulonephritis,membranous nephropathy,and immunoglobulin(Ig)A nephropathy].CASE SUMMARY Herein we present an unusual case of concurrent anti-GBM disease,ANCAassociated crescentic glomerulonephritis and diffuse proliferative immune complex mediated glomerulonephritis with predominant staining for IgA and C3 by immunofluorescence.The patient is a 46-year-old Caucasian male who presented to the emergency department with acute onset of flank pain and was found to have high serum creatinine levels of 15 mg/dL,proteinuria,and hematuria.He rapidly deteriorated and became anuric.He was found to have high anti-GBM antibodies titers(151 units)and high anti-neutrophil cytoplasmic-ANCA.Despite prompt and early treatment,the patient’s condition worsened,and he succumbed to his illness.CONCLUSION Our case emphasizes the importance of a renal biopsy in anti-GBM disease,even in the presence of positive serum anti-GBM antibodies,to identify other potential causes of rapidly progressive glomerulonephritis.The challenge in treating such cases lies in the different therapy modalities. 展开更多
关键词 Anti-glomerular basement membrane disease Anti-neutrophilic antibody-associated glomerulonephritis Diffuse proliferative glomerulone-phritis immune complex mediated glomerulonephritis Case report
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Inhibition of Rgs10 Expression Prevents Immune Cell Infiltration in Bacteria-induced Inflammatory Lesions and Osteoclast-mediated Bone Destruction
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作者 Sen Yang Liang Hao +8 位作者 Matthew McConnell Xuedong Zhou Min Wang Yan Zhang John D Mountz Michael Reddy Paul D. Eleazer Yi-Ping Li Wei Chen 《Bone Research》 SCIE CAS 2013年第3期267-281,共15页
Regulator of G-protein Signaling 10 (Rgsl0) plays an important function in osteoclast differentiation. However, the role of Rgsl0 in immune cells and inflammatory responses, which activate osteoclasts in inflam- mat... Regulator of G-protein Signaling 10 (Rgsl0) plays an important function in osteoclast differentiation. However, the role of Rgsl0 in immune cells and inflammatory responses, which activate osteoclasts in inflam- matory lesions, such as bacteria-induced periodontal disease lesions, remains largely unknown. In this study, we used an adeno-associated virus (AAV-) mediated RNAi (AAV-shRNA-Rgs10) knockdown approach to study Rgsl0's function in immune cells and osteoclasts in bacteria-induced inflammatory lesions in a mouse model of periodontal disease. We found that AAV-shRNA-Rgs10 mediated Rgs10 knockdown impaired osteoclastogenesis and osteoclast-mediated bone resorption, in vitro and in vivo. Interestingly, local injection of AAV-shRNA-Rgs10 into the periodontal tissues in the bacteria-induced inflammatory lesion greatly decreased the number of dendritic cells, T-cells and osteoclasts, and protected the periodontal tissues from local inflammatory damage and bone destruction. Importantly, AAV-mediated Rgs10 knockdown also reduced local expression of osteoclast markers and pro-inflammatory cytokines. Our results demonstrate that AAV- shRNA-Rgs10 knockdown in periodontal disease tissues can prevent bone resorption and inflammation simultaneously. Our data indicate that Rgsl0 may regulate dendritic cell proliferation and maturation, as well as the subsequent stimulation of T-cell proliferation and maturation, and osteoclast differentiation and acti- vation. Our study suggests that AAV-shRNA-Rgs10 can be useful as a therapeutic treatment of periodontal disease. 展开更多
关键词 Rgs10 immune cell AAV-mediated RNAi knockdown gene therapy periodontal disease gingivalinflammation bone resorption
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Effects of smilax bockii warb polysaccharide on inflammatory mediators, apoptosis and immune cell function in rats with chronic pelvic inflammatory disease
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作者 Jin Qi Ying-Na Cui 《Journal of Hainan Medical University》 2018年第13期1-4,共4页
Objective:To study the effects of smilax bockii warb polysaccharide on inflammatory mediators, apoptosis and immune cell function in rats with chronic pelvic inflammatory disease.Methods:Female SD rats were chosen as ... Objective:To study the effects of smilax bockii warb polysaccharide on inflammatory mediators, apoptosis and immune cell function in rats with chronic pelvic inflammatory disease.Methods:Female SD rats were chosen as experimental animals and divided into control group, pelvic inflammation group and smilax bockii warb group, pelvic inflammation group and smilax bockii warb group were made into pelvic inflammation models, and smilax bockii warb group were given intragastric administration of smilax bockii warb. The contents of inflammatory mediators and the expression of apoptosis genes in uterine muscle as well as the contents of immune cells in peripheral blood were determined 21 d after molding and intervention.Results:TLR4, NF-κB, TNF-α, ICAM-1 and IL-8 levels as well as Fas, TNFR-1, GRP78, CHOP and Caspase-3 mRNA expression in uterine muscle tissue and CD3+CD8+T cell in peripheral blood of pelvic inflammation group were higher than those of control group whereas peripheral blood CD3+CD4+T cell, red blood cell C3b receptor rosette rate and erythrocyte immune complex rosette were lower than those of control group;TLR4, NF-κB, TNF-α, ICAM-1 and IL-8 levels as well as Fas, TNFR-1, GRP78, CHOP and Caspase-3 mRNA expression in uterine muscle tissue as well as CD3+CD8+T cell in peripheral blood of smilax bockii warb group were lower than those of pelvic inflammation group whereas peripheral blood CD3+CD4+T cell, red blood cell C3b receptor rosette rate and erythrocyte immune complex rosette were higher than those of pelvic inflammation group. Conclusion:Smilax bockii warb polysaccharide for chronic pelvic inflammatory disease intervention can inhibit the inflammatory mediator secretion, apoptosis and regulate the immune cell function. 展开更多
关键词 Chronic PELVIC INFLAMMATORY disease Smilax bockii warb INFLAMMATORY mediatOR APOPTOSIS immune FUNCTION
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Changes of Immune Cell and Immune-Mediators in CC14 Induced Liver Injury Mice
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作者 ZHU Shan- Liang CHEN Long GAO Wei 《江苏教育学院学报(自然科学版)》 2005年第3期1-7,共7页
关键词 免疫细胞 腹腔 淋巴细胞 巨噬细胞
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肥大细胞在哮喘发生发展中的作用机制及中医药调控作用
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作者 刘珈含 袁星星 +2 位作者 吕健 安妮玛·纳西姆 杨炳友 《世界中医药》 CAS 北大核心 2024年第14期2203-2211,共9页
哮喘在中医学中属于哮病、喘症的范畴,是以气道平滑肌收缩、免疫细胞浸润和气道重塑等为特征的气道炎症疾病。肥大细胞为非特异性免疫细胞,在哮喘的形成和发展中扮演关键角色。中医药对哮喘的防治具有独特优势,但具体机制尚不明确。通... 哮喘在中医学中属于哮病、喘症的范畴,是以气道平滑肌收缩、免疫细胞浸润和气道重塑等为特征的气道炎症疾病。肥大细胞为非特异性免疫细胞,在哮喘的形成和发展中扮演关键角色。中医药对哮喘的防治具有独特优势,但具体机制尚不明确。通过对相关研究综述后发现,肥大细胞活化后释放的组胺、蛋白酶、细胞因子等介质在哮喘气道损伤及重塑的病理过程中起重要作用。此外,中药复方制剂、单味中药及其活性成分、中成药及中医外治法等中医药方法可通过调节肥大细胞活化,抑制多种炎症介质和细胞因子的表达,进而发挥对哮喘的治疗作用。 展开更多
关键词 支气管哮喘 肥大细胞 中医药 气道慢性炎症反应 气道损伤 气道重塑 免疫细胞 生物活性介质
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Acute Morphine Administration Reduces Cell-Mediated Immunity and Induces Reactivation of Latent Herpes Simplex Virus Type 1 in BALB/c Mice 被引量:3
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作者 Shafi Mojadadi Abbas Jamali +2 位作者 Behzad Khansarine jad Hoorieh Soleimanjahi Taravat Bamdad 《Cellular & Molecular Immunology》 SCIE CAS CSCD 2009年第2期111-116,共6页
Acute morphine administration is known to alter the course of herpes simplex virus infection. In this study, the effect of acute morphine administration on the reactivation of latent herpes was investigated in a mouse... Acute morphine administration is known to alter the course of herpes simplex virus infection. In this study, the effect of acute morphine administration on the reactivation of latent herpes was investigated in a mouse model. Because of the important role of cytolytic T lymphocyte (CTL) activity in the inhibition of herpes simplex virus type 1 (HSV-1) reactivation, the effect of acute morphine administration on CTL responses was also evaluated. Furthermore, lymphocyte proliferation and IFN-γ production were evaluated for their roles in the induction of the CTL response. The findings showed that acute morphine administration significantly reduced CTL responses, lymphocyte proliferation, and IFN-γ production. Furthermore, acute morphine administration has been shown to reactivate latent HSV-γ. Previous studies have shown that cellular immune responses have important roles in the inhibition of HSV reactivation. These findings suggest that suppression of a portion of the cellular immune response after acute morphine administration may constitute one part of the mechanism that induces HSV reactivation. 展开更多
关键词 acute morphine herpes simplex virus-1 reactivation cell-mediated immunity
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葛根汤颗粒对甲型流感病毒感染小鼠TNFR1/NF-κB/JNK等炎症和免疫指标的影响
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作者 马媛虹 程淼 +15 位作者 王明哲 李长安 于会勇 徐红日 李磊 骆长永 郭雨菲 黄廷轩 赵荣华 高双荣 张敬升 崔晓兰 陶夏莉 张光明 郭姗姗 王成祥 《中国中医急症》 2024年第8期1332-1335,1361,共5页
目的基于PR8感染所致病毒性肺炎小鼠模型,探寻葛根汤颗粒抗流感病毒性肺炎损伤的作用机制。方法32只雌性SPF级ICR小鼠随机分为空白组、模型组、奥司他韦组、葛根汤颗粒组,每组8只。滴鼻法建立PR8毒株感染所致病毒性肺炎小鼠模型,计算肺... 目的基于PR8感染所致病毒性肺炎小鼠模型,探寻葛根汤颗粒抗流感病毒性肺炎损伤的作用机制。方法32只雌性SPF级ICR小鼠随机分为空白组、模型组、奥司他韦组、葛根汤颗粒组,每组8只。滴鼻法建立PR8毒株感染所致病毒性肺炎小鼠模型,计算肺指数和肺指数抑制率,应用光镜观察各组肺组织病理变化,运用ELISA和Western blotting法检测各组肺组织炎性细胞因子白细胞介素-6(IL-6)、细胞间黏附分子-1(ICAM1)、血管细胞黏附分子-1(VCAM1)和炎性免疫蛋白人肿瘤坏死因子受体-1(TNFR1)、核转录因子-κB(NF-κB)、Jun氨基末端激酶(JNK1)表达情况。结果与模型组比较,奥司他韦组和葛根汤颗粒组可降低小鼠肺指数(P<0.001),葛根汤颗粒组对肺指数抑制效果优于奥司他韦组。病理提示,与模型组比较,葛根汤颗粒组可显著减轻支气管炎症反应渗出,减轻肺泡、肺间质和红细胞渗出。ELISA结果显示,与模型组比较,奥司他韦组和葛根汤颗粒组可显著降低IL-6、ICAM1、VCAM1的表达(P<0.001);与奥司他韦组相比,葛根汤颗粒组IL-6含量降低(P<0.01)。Western blotting结果显示,与模型组比较,奥司他韦组和葛根汤颗粒组可降低TNFR1、JNK1蛋白的表达(P<0.05或P<0.01),葛根汤颗粒可降低NF-κB蛋白的表达(P<0.05)。结论葛根汤颗粒可以降低甲型流感病毒感染小鼠肺组织中IL-6、ICAM1、VCAM1、TNFR1、NF-κB、JNK等炎性因子和炎性免疫蛋白的表达,调节炎症和免疫紊乱,为仲景经典处方临床应用提供基础理论依据。 展开更多
关键词 甲型流感病毒PR8 肺炎 葛根汤颗粒 细胞因子 炎性免疫介质 病理损伤 小鼠
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嗜血支原体感染患猫继发埃文斯综合征的病例报告
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作者 杨腾昆 周媛媛 +1 位作者 陆梓杰 夏兆飞 《中国兽医杂志》 CAS 北大核心 2024年第2期137-140,共4页
本文报道了1例加州型嗜血支原体感染患猫疑似继发埃文斯综合征的病例。患猫因精神沉郁、皮肤散在淤血斑和血便来本院就诊,体格检查发现患猫全身皮肤和黏膜苍白伴自发出血,血常规检查提示贫血和严重血小板减少,血清生化检查显示肌酸激酶... 本文报道了1例加州型嗜血支原体感染患猫疑似继发埃文斯综合征的病例。患猫因精神沉郁、皮肤散在淤血斑和血便来本院就诊,体格检查发现患猫全身皮肤和黏膜苍白伴自发出血,血常规检查提示贫血和严重血小板减少,血清生化检查显示肌酸激酶和天冬氨酸转氨酶显著升高,库姆斯试验结果呈阳性,PCR检查结果显示加州型嗜血支原体阳性,超声检查发现胆囊壁水肿、脾肿大和多个淋巴结增大,诊断为加州型嗜血支原体感染并继发埃文斯综合征。给予患猫糖皮质激素、多西环素和支持性治疗后好转,完全停药后未再复发。本病例是国内外首次报道加州型嗜血支原体感染猫后可导致血小板减少,继发埃文斯综合征,这一新发现提示临床兽医师在血小板减少患猫诊疗中应将嗜血支原体感染纳入鉴别诊断列表。 展开更多
关键词 嗜血支原体 埃文斯综合征 免疫介导性溶血性贫血 免疫介导性血小板减少
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免疫检查点抑制剂所致免疫相关性肝损伤的真实世界研究 被引量:1
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作者 唐亚娟 史金平 +2 位作者 张琰 白娟 袁海玲 《中南药学》 CAS 2024年第3期772-777,共6页
目的探讨免疫相关性肝损伤(IMH)的临床特征、危险因素、治疗方案及预后等情况,为临床识别IMH的高危患者提供依据,并对临床IMH患者的治疗及预后评估提供参考。方法收集我院2021年7月—2022年7月接受免疫检查点抑制剂(ICIs)治疗后出现IMH... 目的探讨免疫相关性肝损伤(IMH)的临床特征、危险因素、治疗方案及预后等情况,为临床识别IMH的高危患者提供依据,并对临床IMH患者的治疗及预后评估提供参考。方法收集我院2021年7月—2022年7月接受免疫检查点抑制剂(ICIs)治疗后出现IMH的肿瘤患者临床资料,分析IMH的临床特征、危险因素、治疗方案及预后。结果IMH发生率为6.6%,≥3级IMH的发生率为6.2%;70.7%的IMH发生于用药3个月内;34.1%的IMH表现为无症状的转氨酶升高,65.9%的IMH表现为全身皮肤巩膜黄染或乏力。43.9%的IMH为肝细胞损伤型,36.6%为胆汁淤积型,19.5%为混合型。IMH的发生在患者是否发生肝转移及联合用药方面差异具有统计学意义;39例IMH经糖皮质激素或联合吗替麦考酚酯、他克莫司等药物积极治疗后缓解,1例患者经糖皮质激素单药治疗效果不佳出现肝功能衰竭,1例患者停药后未经治疗出现肝功能衰竭;随访6个月,4例患者出现IMH复发,2例患者再次使用ICIs未发现IMH复发。结论IMH总体发生率与患者的年龄、性别、体质量指数及是否合并乙肝病史无相关性,患者原发肿瘤类型、是否发生肝转移及联合用药为IMH的危险因素;IMH的预后总体较好,复发率低。 展开更多
关键词 免疫相关性肝损伤 临床特征 危险因素 风险评估 预后
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免疫介导坏死性肌病诊治进展
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作者 刘洪江 谢其冰 《诊断学理论与实践》 2024年第3期270-277,共8页
免疫介导坏死性肌病(immune-mediated necrotizing myopathy,IMNM)是一种特发性炎性肌病(Idiopathic Inflammatory Myopathy,IIM)的重要亚型。IMNM的典型临床表现包括对称性四肢近端肌无力,伴随血清肌酸激酶(creatine kinase,CK)等肌酶... 免疫介导坏死性肌病(immune-mediated necrotizing myopathy,IMNM)是一种特发性炎性肌病(Idiopathic Inflammatory Myopathy,IIM)的重要亚型。IMNM的典型临床表现包括对称性四肢近端肌无力,伴随血清肌酸激酶(creatine kinase,CK)等肌酶谱的显著升高。此外,部分患者还可能出现皮疹、间质性肺病和心肌受累等骨骼肌外表现。自2003年首次被国际医学界命名以来,IMNM逐渐被研究者和临床医师所认识。IMNM的发病率和患病率在不同地域和种族间可能有所不同,如在美国的小样本调查中,IMNM的发病率为0.83/10万,患病率为1.85/10万;而在欧洲西班牙北部地区,抗HMGCR抗体阳性患者的IMNM发病率为0.6/10万,患病率为3/10万,目前中国尚缺乏相关数据。IMNM的患病风险因素包括易感等位基因如HLA-DRB1*11,以及使用他汀类药物、免疫检查点抑制剂和感染病毒感染等。诊断IMNM需要综合考虑肌肉受累症状、肌炎特异性自身抗体、肌酶谱水平和肌活检病理等检查结果。目前,IMNM的治疗主要基于临床经验,包括使用糖皮质激素和传统免疫抑制剂。对于难治性患者,可能采用利妥昔单抗和静脉注射人免疫球蛋白等治疗方案。针对B细胞及其致病性自身抗体的产生过程,未来的研究可能揭示新的治疗靶点。本文旨在系统介绍IMNM的临床特征、诊断方法及相关辅助检查,并探讨当前的治疗策略,以期为临床医师提供诊治IMNM的参考和借鉴。 展开更多
关键词 免疫介导坏死性肌病 肌炎特异性抗体 靶向治疗
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火针联合滋肾清肝汤治疗肝经郁热证带状疱疹的临床观察 被引量:1
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作者 闫智会 王玉 +1 位作者 袁鹏飞 李苗 《广州中医药大学学报》 CAS 2024年第7期1812-1819,共8页
【目的】观察火针联合滋肾清肝汤治疗肝经郁热证带状疱疹的临床疗效。【方法】将60例肝经郁热证带状疱疹患者随机分为观察组和对照组,每组各30例,对照组给予火针刺入疱疹处治疗,观察组在对照组治疗的基础上,给予滋肾清肝汤联合治疗。2... 【目的】观察火针联合滋肾清肝汤治疗肝经郁热证带状疱疹的临床疗效。【方法】将60例肝经郁热证带状疱疹患者随机分为观察组和对照组,每组各30例,对照组给予火针刺入疱疹处治疗,观察组在对照组治疗的基础上,给予滋肾清肝汤联合治疗。2组均治疗4周。治疗1个月后,评价2组临床疗效,观察2组患者治疗后临床症状消退时间,包括疱疹停止出现(无新水疱出现的时间)、疱疹完全消退(疱疹出现至完全消退的时间)、疼痛消失(疼痛发作至开始减轻的时间)、结痂(疱疹治疗后至结痂的时间)、脱痂(结痂至脱痂的时间)。比较2组患者治疗前后疼痛视觉模拟量表(VAS)评分以及P物质(SP)、前列腺素E2(PGE2)和β-内啡肽(β-EP)的变化情况,以及免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)的情况。并评价2组的安全性及不良反应的发生情况。【结果】(1)观察组总有效率为96.67%(29/30),对照组为80.00%(24/30)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,观察组的疱疹停止出现时间、疱疹完全消退时间、疼痛消失时间、结痂时间、脱痂时间均明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的SP、PGE2、β-EP水平均明显改善(P<0.05),且观察组在改善SP、PGE2、β-EP水平方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者的VAS评分明显改善(P<0.05),且观察组在改善VAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(5)治疗后,2组患者的IgA、IgG、IgM水平明显改善(P<0.05),且观察组在改善IgA、IgG、IgM水平方面明显优于对照组,差异有统计学意义(P<0.05)。(6)观察组不良反应发生率为10.00%(3/30),对照组为6.67%(2/30)。观察组与对照组的不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】火针联合滋肾清肝汤治疗肝经郁热证带状疱疹,能明显缩短患者临床症状的消退时间,减轻患者的疼痛症状,疗效显著,且安全性高。 展开更多
关键词 火针 针刺 滋肾清肝汤 体液免疫 疼痛介质 带状疱疹 临床观察
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肿瘤微环境免疫细胞浸润在肺腺癌进展中的作用机制研究
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作者 唐柯 代文雪 《成都医学院学报》 CAS 2024年第4期679-683,688,共6页
目的通过生物信息学技术,筛选出与肺腺癌(LUAD)复发相关的关键基因和信号通路,为探讨LUAD复发的分子机制提供理论支持。方法从TCGA和GEO数据库中下载LUAD相关数据集,利用加权基因共表达网络分析(WGCNA)算法挑选关键基因模块,采用LASSO-... 目的通过生物信息学技术,筛选出与肺腺癌(LUAD)复发相关的关键基因和信号通路,为探讨LUAD复发的分子机制提供理论支持。方法从TCGA和GEO数据库中下载LUAD相关数据集,利用加权基因共表达网络分析(WGCNA)算法挑选关键基因模块,采用LASSO-Cox回归分析构建预后模型;Limma算法筛选差异表达基因;Estimate和MCP算法评估免疫细胞浸润。结果共筛选出29个相关基因模块。单因素Cox分析结果显示,仅有4个基因与患者预后显著相关。基于该基因集进行的LASSO-Cox预后模型显示,风险评分高的患者其预后差,提示该模型具有良好的预测能力。该模型筛选出4个关键基因,分别为丝氨酸-苏氨酸激酶受体相关蛋白(STRAP)、G蛋白亚基γ12(GNG 12)、线粒体甘油-3-磷酸酰基转移酶(GPAM)、锚蛋白重复和泛素结构域蛋白1(ANKUB 1)。本研究对STRAP进行了深入分析,结果显示,STRAP在泛癌中呈现广泛高表达,且与多种肿瘤的不良预后及临床病理特征显著相关。STRAP与免疫抑制分子的表达呈显著正相关。高表达STRAP的患者其微环境CD8+T细胞、NK细胞等多种免疫细胞浸润降低,抑癌基因的单核苷酸多态性(SNP)显著升高,呈现“冷肿瘤”表型。此外,免疫组织化学表明,STRAP在肿瘤组织中显著高表达。结论基因模型能够较好地预测患者复发风险,其中STRAP在LUAD发展中可能发挥重要作用。 展开更多
关键词 丝氨酸-苏氨酸激酶受体相关蛋白介导 肿瘤微环境 免疫细胞浸润 肺腺癌
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免疫检查点抑制剂相关性肝毒性研究进展
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作者 李瑜文 张俊萍 《河北医药》 CAS 2024年第16期2521-2526,共6页
免疫检查点抑制剂(immune checkpoint inhibitors, ICIs)作为肿瘤治疗领域近年来取得的重大进展之一,通过阻断免疫抑制进而重新激活T细胞,恢复其对肿瘤细胞的杀伤发挥抗肿瘤作用,极从而大程度地改善肿瘤患者的生存获益。但ICIs在发挥作... 免疫检查点抑制剂(immune checkpoint inhibitors, ICIs)作为肿瘤治疗领域近年来取得的重大进展之一,通过阻断免疫抑制进而重新激活T细胞,恢复其对肿瘤细胞的杀伤发挥抗肿瘤作用,极从而大程度地改善肿瘤患者的生存获益。但ICIs在发挥作用的同时也会非特异性激活免疫系统,导致免疫耐受失衡,损伤正常器官组织,这类不良事件即为免疫相关不良反应(immune-related adverse events, irAEs)。随着ICIs的广泛应用,其引发的irAEs的数量及类型不断增多已成为不容忽视的临床问题。其中,免疫检查点抑制剂相关性肝毒性(ICI-induced immune mediated hepatitis, IMH)作为一种潜在的致命性不良反应,对于其时间及结果尚无透彻的研究。 展开更多
关键词 免疫相关性肝毒性 免疫治疗 免疫不良反应 免疫检查抑制剂 PD-1/PD-L1 细胞毒性T淋巴细胞抗原4
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Therapeutic effects of Buzhong Yiqi decoction in patients with spleen and stomach qi deficiency after routine surgery and chemotherapy for colorectal cancer
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作者 Qi Hu Xiao-Pin Chen +2 位作者 Zhi-Jun Tang Xue-Yuan Zhu Chun Liu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第7期2183-2193,共11页
BACKGROUND According to the theory of traditional Chinese medicine(TCM),the spleen and stomach are the basis of acquired nature and the source of qi and blood biochemistry.After surgery and chemotherapy,patients with ... BACKGROUND According to the theory of traditional Chinese medicine(TCM),the spleen and stomach are the basis of acquired nature and the source of qi and blood biochemistry.After surgery and chemotherapy,patients with colorectal cancer often develop spleen and stomach qi deficiency syndrome,leading to decreased immune function.Buzhong Yiqi decoction,a classic TCM prescription,has the effect of tonifying middle-jiao and invigorating qi,boosting Yang,and suppressing immune-related inflammation.Moreover,it is widely used in the treatment of spleen and stomach qi deficiency syndrome.AIM To investigate the effect of Buzhong Yiqi decoction on spleen and stomach qi deficiency in patients with colorectal cancer.METHODS One hundred patients with colorectal cancer who underwent preoperative chemotherapy and laparoscopy at The First TCM Hospital of Changde from January 2022 to October 2023 were retrospectively analyzed.The patients were divided equally into control and observation groups.Both groups underwent conventional rehabilitation surgery,and the observation group was supplemented with Buzhong Yiqi decoction.SPSS 26.0 was used for statistical analyses.Theχ2 test was used for univariate analysis;independent sample t-tests were used in all cases.RESULTS No significant differences were observed preoperatively in the general characteristics of the two groups.Fourteen days post-surgery,the abdominal distension,emaciation,loose stool,loss of appetite,and vomiting scores were significantly lower in the observation group than in the control group(P<0.05).Immune function and interleukin(IL)-10 levels in the observation group were significantly higher than those of the control group,whereas IL-6,tumor necrosis factor-α,and C-reactive protein levels,tumor biological indexes,and adverse reactions in the observation group were significantly lower than those of the control group(P<0.05).One month after surgery,the patients’quality of life in the observation group was significantly higher than that of the patients in the control group(P<0.05).CONCLUSION Buzhong Yiqi decoction can regulate inflammatory responses and metabolic processes by enhancing immune function,thereby promoting overall immune nutrition and restoring the body’s balance. 展开更多
关键词 Buzhong Yiqi decoction Colorectal cancer Laparoscopic radical surgery immune function Inflammatory mediators SPLEEN
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免疫组库测序在实体器官移植中的应用
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作者 梁厉飞 陈婷婷 杨橙 《器官移植》 CAS CSCD 北大核心 2024年第2期207-213,共7页
免疫组库一般指T细胞和B细胞的总称,它有着巨大的多样性,使免疫系统能够对多种抗原刺激做出反应。随着测序技术的发展,免疫组库测序可以从基因水平深入了解排斥反应发生时淋巴细胞克隆的变化,也为基于免疫组库测序的新型无创诊断技术的... 免疫组库一般指T细胞和B细胞的总称,它有着巨大的多样性,使免疫系统能够对多种抗原刺激做出反应。随着测序技术的发展,免疫组库测序可以从基因水平深入了解排斥反应发生时淋巴细胞克隆的变化,也为基于免疫组库测序的新型无创诊断技术的产生提供了可能。近年来,免疫组库测序在实体器官移植中的尝试不断增多,特别是在肾移植、肝移植、心脏移植以及移植后感染等领域。本文对以上领域中应用免疫组库测序的研究进行了综述,总结器官移植中免疫组库测序使用的现状和作为早期无创诊断排斥反应的新技术的潜力,以期为这项技术进一步发展并应用于临床提供借鉴。 展开更多
关键词 免疫组库 T细胞受体 B细胞受体 器官移植 排斥反应 感染 供者来源性细胞游离DNA(dd-cfDNA) T细胞介导的排斥反应(TCMR) 抗体介导的排斥反应(AMR) 供者特异性抗体(DSA) 程序性细胞死亡蛋白1
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免疫介导的肝炎研究进展
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作者 皮加 曹冠柏 刘先齐 《中国医学创新》 CAS 2024年第13期168-172,共5页
近年来,以程序性死亡受体1(PD-1)抗体、程序性死亡配体1(PD-L1)抗体和细胞毒性T淋巴细胞相关抗原4(CTLA-4)抗体为代表的免疫检查点抑制剂(ICIs)彻底改变了肿瘤治疗。然而,伴随着涉及多个器官的免疫相关不良反应。肝脏不断暴露于外来抗原... 近年来,以程序性死亡受体1(PD-1)抗体、程序性死亡配体1(PD-L1)抗体和细胞毒性T淋巴细胞相关抗原4(CTLA-4)抗体为代表的免疫检查点抑制剂(ICIs)彻底改变了肿瘤治疗。然而,伴随着涉及多个器官的免疫相关不良反应。肝脏不断暴露于外来抗原,已经进化出很高的免疫耐受能力。本文主要综述与免疫介导的肝炎相关的CTLA-4、ICIs、肝脏免疫耐受及免疫介导的肝炎发生机制的研究进展。 展开更多
关键词 免疫介导的肝炎 免疫治疗 免疫检查点抑制剂
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低分子肝素与脂肪乳联合抗复发性流产作用及对促炎介质、免疫功能的调节作用
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作者 刘纯 《河南医学研究》 CAS 2024年第10期1842-1845,共4页
目的 探讨低分子肝素联合脂肪乳治疗复发性流产(RSA)的效果,分析其对妊娠结局、炎症介质、免疫功能的影响。方法 选取2021年2月至2022年3月驻马店市中医院收治的101例RSA患者为研究对象,随机分为单一组50例、联合组51例。两组接受常规... 目的 探讨低分子肝素联合脂肪乳治疗复发性流产(RSA)的效果,分析其对妊娠结局、炎症介质、免疫功能的影响。方法 选取2021年2月至2022年3月驻马店市中医院收治的101例RSA患者为研究对象,随机分为单一组50例、联合组51例。两组接受常规基础治疗,在此基础上单一组接受脂肪乳治疗,联合组接受低分子肝素联合脂肪乳治疗,两组连续治疗至妊娠12周。对比两组临床疗效、妊娠结局、安全性。比较两组治疗前后T淋巴细胞亚群(CD4^(+)、CD8^(+)、CD4^(+)/CD8^(+))、炎症介质[白介素-10(IL-10)、白介素-17(IL-17)、巨噬细胞炎性蛋白1α(MIP-1α)]水平。结果 联合组总有效率、妊娠成功率高于单一组(P<0.05),两组不良反应发生率差异无统计学意义(P>0.05)。联合组妊娠12周CD4^(+)、CD4^(+)/CD8^(+)低于单一组,CD8^(+)高于单一组(P<0.05),血清IL-10、MIP-1α水平高于单一组,IL-17水平低于单一组(P<0.05)。结论 低分子肝素联合脂肪乳治疗RSA的效果确切且具有一定安全性,可改善妊娠结局,减少炎症介质生成,调节机体免疫功能。 展开更多
关键词 复发性流产 低分子肝素 脂肪乳 炎症介质 免疫功能
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