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分泌性中耳炎耳鸣症状发生情况及与炎症反应的关联性
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作者 刘龙生 万玉峰 +2 位作者 丁绍慧 周涛 高俊康 《安徽医药》 2025年第2期298-301,共4页
目的探讨分泌性中耳炎(OME)耳鸣症状发生情况及与炎症反应的关联性。方法选取2021年1月至2022年8月安徽医科大学附属巢湖医院收治的104例OME病人为研究对象,另取同期104例体检健康者为对照组,比较两组炎症反应指标及耳鸣发生情况,并根... 目的探讨分泌性中耳炎(OME)耳鸣症状发生情况及与炎症反应的关联性。方法选取2021年1月至2022年8月安徽医科大学附属巢湖医院收治的104例OME病人为研究对象,另取同期104例体检健康者为对照组,比较两组炎症反应指标及耳鸣发生情况,并根据耳鸣发生情况将OME病人分为耳鸣组(n=19)和无耳鸣组(n=85),比较两组OME病人炎症反应指标,分析炎症反应指标对OME病人耳鸣的诊断价值。结果OME组白细胞介素(IL)-6、IL-8及肿瘤坏死因子-α(TNF-α)水平高于对照组(P<0.05);OME组耳鸣发生率为18.27%,高于对照组的4.81%(P<0.05);耳鸣组IL-6、IL-8及TNF-α水平高于无耳鸣组(P<0.05);ROC曲线显示,IL-6诊断OME病人耳鸣的AUC和截断值分别为0.77、4.04 ng/L,IL-8诊断OME病人耳鸣的AUC和截断值分别为0.81、12.41 ng/L,TNF-α诊断OME病人耳鸣的AUC和截断值分别为0.69、3.96 ng/L,三者联合诊断OME病人耳鸣的AUC为0.89,高于单项预测(P<0.05)。结论OME病人耳鸣发生情况较为严重,IL-6、IL-8及TNF-α均可以用来诊断OME病人耳鸣症状,且联合诊断价值更高。 展开更多
关键词 伴渗出液中耳炎 耳鸣 白细胞介素-6 白细胞介素-8 肿瘤坏死因子-Α
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术后腹腔粘连形成机制及间充质干细胞外泌体的治疗前景
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作者 张兴洲 魏明 +3 位作者 董国强 杜为 罗依雯 张楠 《中国组织工程研究》 CAS 北大核心 2025年第1期147-155,共9页
背景:术后腹腔粘连的形成是一个复杂的过程,预防术后粘连是临床上亟待解决的问题。目的:旨在从细胞及分子水平分析粘连的发生机制,为间充质干细胞外泌体预防和治疗粘连提供理论依据。方法:以“腹腔粘连,盆腔粘连,术后粘连,上皮间充质转... 背景:术后腹腔粘连的形成是一个复杂的过程,预防术后粘连是临床上亟待解决的问题。目的:旨在从细胞及分子水平分析粘连的发生机制,为间充质干细胞外泌体预防和治疗粘连提供理论依据。方法:以“腹腔粘连,盆腔粘连,术后粘连,上皮间充质转化,间充质干细胞,干细胞外泌体,间充质干细胞外泌体”为中文检索词,以“Abdominal adhesion,pelvic adhesion,postoperative adhesion,epithelial mesenchymal transformation,mesenchymal stem cell,stem cell exosomes,mesenchymal stem cell exosomes”为英文检索词,检索PubMed、中国知网和中国生物医学文献数据库,筛选各数据库建库至2023年8月发表的术后腹腔粘连及间充质干细胞外泌体干预研究的相关文章,并进行系统的整理分析,最终纳入54篇文献进行综述。结果与结论:(1)任何腹膜炎症、机械损伤、组织缺血和异物植入等病理因素均可引起腹膜表面的损伤,引起术后腹腔粘连;腹腔粘连的形成过程包括腹膜间皮细胞修复、炎性反应、纤溶系统及凝血途径等过程的相互作用,涉及多种细胞因子及信号通路,包括Wnt/β-catenin通路能诱导纤维化和血管生成,并与转化生长因子β/Smads信号通路相互协同,能刺激成纤维细胞增殖,引起腹膜纤维化;同时,核转录因子kB信号通路上调细胞炎症因子的表达,促进成纤维细胞增生,组织纤维化的过程中发挥关键作用。(2)干细胞的旁分泌功能是目前以再生医学为基础的分子干预腹腔粘连的重要方向,可以参与作用于腹腔粘连中的多种复杂细胞因子及信号通路。(3)相对于传统治疗腹腔粘连的方法,间充质干细胞外泌体具有生物活性、使用安全、无需特殊培养和扩增、更低的免疫原性及较长的稳定性等优势,能通过多种途径引导一种正常的修复和愈合。(4)间充质干细胞外泌体在以往研究中均被证明可以参与调节粘连形成的上述各过程,在临床研究中显示出潜在的应用前景,但需要进一步临床研究以探索适当的间充质干细胞外泌体治疗方案,来解决临床转化的问题。 展开更多
关键词 术后腹腔粘连 上皮间质转化 炎症反应 纤溶系统 间充质干细胞外泌体 肿瘤坏死因子α 白细胞介素 生长因子 转化生长因子β/Smads信号通路 Wnt/β-catenin 核转录因子kB信号通路
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A new tumor necrosis factor(TNF)-α regulator,lipopolysaccharides-induced TNF-α factor,is associated with obesity and insulin resistance 被引量:9
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作者 JI Zhen-zhong DAI Zhe XU Yan-cheng 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第2期177-182,共6页
Background Tumor necrosis factor (TNF)-α plays an important role in mediating inflammatory state in obesity and related disorders.Lipopolysaccharides (LPS)-induced TNF-α factor (LITAF) is recently verified as ... Background Tumor necrosis factor (TNF)-α plays an important role in mediating inflammatory state in obesity and related disorders.Lipopolysaccharides (LPS)-induced TNF-α factor (LITAF) is recently verified as a regulator of TNF-α and other inflammatory cytokines,and maybe act as a transcriptional factor.The aim of this study was to confirm the association between LITAF and obesity and insulin resistance.Methods Forty-seven subjects with a wide range of body mass index (BMI) were included.Subjects were divided intothree groups according to the criteria of normal weight,overweight and obese.Anthropometrics and metabolic profile were tested for all the subjects.Peripheral monocytes were isolated and purified.LITAF transcription was detected by real time PCR,and the protein expression in whole cell and nucleus extracts was detected by Western blotting analysis;transcriptional activity of LITAF was detected by ELISA like assay using a probe containing the DNA binding sequence of LITAF.Plasma TNF-α and interleukin (IL)-6 concentrations were determined with ELISA kit.Results The LITAF mRNA and protein expression in whole cell were higher in overweight (P 〈0.05) and obese group (P 〈0.05) compared with that in normal weight group.The LITAF protein expression in the nucleus and transcriptional activity could not be detected.LITAF protein expression was positively correlated with BMI (r=0.541,P 〈0.001),waist circumference (r=0.391,P=0.007),the homeostasis model assessment for insulin resistance (r=0.372,P=0.011) and fasting insulin levels (r=0.359,P=0.013).As a regulator of inflammatory cytokines,LITAF protein expression was positively correlated with plasma TNF-α (r=0.621,P=0.002) and IL-6 (r=0.407,P=0.039) concentration.Multiple variant regression analysis indicated that BMI (P=0.002) and waist circumference (P=0.017) were independent predictors of LITAF protein expression.Conclusions LITAF is associated with obesity and insulin resistance,as well as inflammatory cytokine secretion.The results indicate LITAF to be a new mediator between inflammation and the obesity related disorders. 展开更多
关键词 OBESITY insulin resistance lipopolysaccharides-induced TNF-α factor TNF-Α
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巨噬细胞活化相关因子与精神分裂症临床症状的关系
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作者 方姣 陈闻锦 +8 位作者 郑文凯 勾梦壮 刘永利 陈松 李娜 黄隽超 李艳丽 潘淑娟 谭云龙 《中国心理卫生杂志》 北大核心 2025年第1期1-7,共7页
目的:探讨巨噬细胞活化相关因子与精神分裂症(SCZ)临床症状的关系。方法:选取符合精神障碍诊断与统计手册第4版诊断标准的门诊或住院SCZ患者(n=166)和正常对照(n=71)为对象。采用阳性和阴性症状量表(PANSS)评估患者精神病理症状,用酶联... 目的:探讨巨噬细胞活化相关因子与精神分裂症(SCZ)临床症状的关系。方法:选取符合精神障碍诊断与统计手册第4版诊断标准的门诊或住院SCZ患者(n=166)和正常对照(n=71)为对象。采用阳性和阴性症状量表(PANSS)评估患者精神病理症状,用酶联免疫吸附法实验(ELISA)测定α-NaGalases、MAF和IL-18浓度。分析生物学指标和临床症状的相关性并进行中介效应检验。结果:SCZ组α-NaGalases (P<0.001)和MAF(P<0.01)浓度低于正常对照组。SCZ组中,IL-18与α-NaGalases浓度(r=-0.24,P<0.01)负相关;α-NaGalases与MAF浓度(r=0.67,P<0.001),PANSS阳性症状量表总分与IL-18 (r=0.21,P <0.05)、MAF浓度(r=0.22,P <0.01)正相关。α-NaGalases和MAF的中介效应有统计学意义,相对中介效应占比25.47%。结论:IL-18水平升高可能提示精神分裂症阳性症状的发生,α-NaGalases和MAF可能会负性调节IL-18对SCZ的炎性损伤作用,从而代偿性缓解阳性症状。 展开更多
关键词 精神分裂症 白细胞介素-18 α-N-乙酰半乳糖胺酶 巨噬细胞活化因子
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体质结合辨证分型中医疗法辅助治疗活动期溃疡性结肠炎的效果及对炎症免疫的影响
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作者 孙岩 井晓峰 +3 位作者 陆莎 李梅素 赵黎 李家明 《临床误诊误治》 2025年第2期67-71,89,共6页
目的探讨体质结合辨证分型中医疗法辅助治疗活动期溃疡性结肠炎(UC)的效果及对炎症、免疫的影响。方法收集2021年7月至2022年1月活动期UC患者60例,按照随机数字表法分为中医组和西医组各30例。西医组给予美沙拉嗪肠溶片治疗,在此基础上... 目的探讨体质结合辨证分型中医疗法辅助治疗活动期溃疡性结肠炎(UC)的效果及对炎症、免疫的影响。方法收集2021年7月至2022年1月活动期UC患者60例,按照随机数字表法分为中医组和西医组各30例。西医组给予美沙拉嗪肠溶片治疗,在此基础上,中医组给予体质结合辨证分型的中医疗法治疗,疗程均为6周。比较2组治疗效果,治疗前后中医证候积分、肿瘤坏死因子-α(TNF-α)、白细胞介素-2(IL-2)、白细胞介素-6(IL-6)、CD3+、CD4+、CD8+、CD4+/CD8+水平,以及治疗期间不良反应。结果中医组总有效率为96.67%(29/30)高于西医组的66.67%(20/30),差异有统计学意义(P<0.01);治疗6周后,中医组腹泻、脓血便、腹痛、里急后重积分低于西医组(P<0.01);治疗6周后,中医组TNF-α、IL-2、IL-6、CD8+低于西医组,CD3+、CD4+、CD4+/CD8+高于西医组(P<0.01);2组治疗期间不良反应总发生率比较无差异(P>0.05)。结论体质结合辨证分型的中医疗法辅助治疗活动期UC效果良好,可有效减轻患者炎症损伤,提高免疫水平,从而改善症状,促进病情好转,且安全性好。 展开更多
关键词 溃疡性结肠炎 活动期 中医疗法 体质 证型 肿瘤坏死因子-α CD3+ 药物毒性
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MicroRNA-214调控骨关节炎软骨和软骨下骨代谢的机制
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作者 天生 王玺 +2 位作者 王永成 刘亚宁 阳鸿全 《中国组织工程研究》 CAS 北大核心 2025年第12期2466-2474,共9页
背景:microRNA-214(miR-214)在骨质疏松中的作用国内外已有相关报道,而miR-214与骨关节炎关节软骨及软骨下骨退变之间的相互关系尚不清楚。目的:探讨miR-214与小鼠膝骨关节炎软骨及软骨下骨退变之间存在的关系。方法:取30只C57BL/6J小... 背景:microRNA-214(miR-214)在骨质疏松中的作用国内外已有相关报道,而miR-214与骨关节炎关节软骨及软骨下骨退变之间的相互关系尚不清楚。目的:探讨miR-214与小鼠膝骨关节炎软骨及软骨下骨退变之间存在的关系。方法:取30只C57BL/6J小鼠随机分组:①实验一:分为假手术组和内侧半月板失稳组(n=3),分别进行苏木精-伊红染色和荧光定量PCR检测miR-214基因的表达变化;②实验二:分为假手术组、内侧半月板失稳组、内侧半月板失稳+空载腺病毒组(空载组)、内侧半月板失稳+miR-214拮抗剂过表达腺病毒组(拮抗剂组)(n=6),术后4周各组分别取软骨组织,进行苏木精-伊红、番红O固绿、甲苯胺蓝染色分析;荧光定量PCR、Western blot检测关节软骨中相关因子的表达情况。结果与结论:①实验一中,苏木精-伊红染色结果显示,与假手术组相比,内侧半月板失稳组可见软骨退变;荧光定量PCR检测结果显示,所有样本均有miR-214表达,而内侧半月板失稳组软骨样本中miR-214的表达水平明显高于假手术组(P<0.05);②实验二中,苏木精-伊红染色、番红O固绿染色、甲苯胺蓝染色结果显示,拮抗剂组软骨退变程度低于内侧半月板失稳组;腺病毒验证PCR检测结果显示,空载组软骨中miR-214表达水平高于拮抗剂组(P<0.05);③实验二中,X射线片显示,内侧半月板失稳组和空载组呈典型骨关节炎影像学变化,拮抗剂组关节退行性病变程度相对较轻;Mirco-CT检测结果显示,拮抗剂组在注入miR-214拮抗剂后,骨小梁结构模型指数变小,各项数据整体好于内侧半月板失稳组及空载组;④实验二Western blot检测结果显示,内侧半月板失稳组、空载组软骨标本中软骨相关因子Ⅱ型胶原α1、性别决定区Y框转录因子9、Runt相关转录因子2、骨桥蛋白的相对表达水平低于假手术组及拮抗剂组(P<0.05);而金属基质蛋白酶13的相对表达水平在内侧半月板失稳组、空载组高于假手术组及拮抗剂组(P<0.05);⑤实验二荧光定量PCR检测结果显示,与假手术组比较,肿瘤坏死因子α和白细胞介素6 mRNA的相对表达量在内侧半月板失稳组、空载组中表达相对较高,拮抗剂组中表达相对较低(P<0.05);内侧半月板失稳组、空载组高于拮抗剂组(P<0.05);⑥结果表明,骨关节炎小鼠模型的关节软骨中miR-214表达水平明显升高,提示miR-214表达水平的升高与骨关节炎有密切联系;而在骨关节炎小鼠模型膝关节腔内注入miR-214拮抗剂,可以延缓关节软骨退化、促进软骨下骨重塑,改善骨关节炎进展。 展开更多
关键词 microRNA-214 骨关节炎 关节软骨 肿瘤坏死因子Α 白细胞介素6 软骨下骨
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湿润烧伤膏治疗寻常型银屑病临床研究
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作者 陈栋 李奇俊 《中国烧伤创疡杂志》 2025年第1期79-82,共4页
目的研究湿润烧伤膏治疗寻常型银屑病的临床疗效。方法选取2021年7月至2023年4月濮阳市油田总医院收治的68例中重度寻常型银屑病患者作为研究对象,按照不同治疗方法将其分为观察组(34例)与对照组(34例)。对照组患者采用异维A酸软胶囊口... 目的研究湿润烧伤膏治疗寻常型银屑病的临床疗效。方法选取2021年7月至2023年4月濮阳市油田总医院收治的68例中重度寻常型银屑病患者作为研究对象,按照不同治疗方法将其分为观察组(34例)与对照组(34例)。对照组患者采用异维A酸软胶囊口服治疗,观察组患者在异维A酸软胶囊口服基础上加用湿润烧伤膏治疗,对比观察两组患者血清血管内皮生长因子(VEGF)与肿瘤坏死因子-α(TNF-α)水平、皮损严重程度、生活质量及临床疗效。结果治疗8周后,观察组患者血清VEGF、TNF-α水平以及银屑病皮损面积和严重性指数(PASI)与皮肤病生活质量指数(DLQI)评分均明显低于对照组(t=5.047、3.921、3.539、4.236,P均<0.001)。观察组患者临床总有效率为94.12%,明显高于对照组患者的临床总有效率76.47%(χ^(2)=4.221,P=0.040)。结论湿润烧伤膏能够通过降低局部增生及炎症水平改善寻常型银屑病患者临床症状,疗效显著。 展开更多
关键词 湿润烧伤膏 银屑病 血管内皮生长因子 异维A酸软胶囊 肿瘤坏死因子-Α
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血清骨钙素、肿瘤坏死因子-α和金属基质蛋白酶-1联合检测对膝关节半月板撕裂患者关节镜下半月板成形术疗效的预测价值
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作者 杜中华 《新乡医学院学报》 2025年第1期47-51,共5页
目的探讨血清骨钙素(BGP)、肿瘤坏死因子-α(TNF-α)、金属基质蛋白酶-1(MMP-1)联合检测对膝关节半月板撕裂患者行关节镜下半月板成形术(AMP)疗效的预测价值。方法选择2021年12月至2023年3月就诊于黄河三门峡医院的146例膝关节半月板撕... 目的探讨血清骨钙素(BGP)、肿瘤坏死因子-α(TNF-α)、金属基质蛋白酶-1(MMP-1)联合检测对膝关节半月板撕裂患者行关节镜下半月板成形术(AMP)疗效的预测价值。方法选择2021年12月至2023年3月就诊于黄河三门峡医院的146例膝关节半月板撕裂患者为研究对象。患者均行AMP,术后3个月根据治疗效果分为有效组(n=125)和无效组(n=21)。比较2组患者临床资料及血清BGP、TNF-α、MMP-1水平,采用logistic回归分析血清BGP、TNF-α、MMP-1水平与患者行AMP疗效的关系,受试者操作特征(ROC)曲线分析血清BGP、TNF-α、MMP-1水平对患者行AMP疗效的预测价值。结果2组患者年龄、术后是否冷敷、术后负重时间、Lysholm评分、国际膝关节文献委员会膝关节评估表(IKDC)评分比较差异有统计学意义(P<0.05);有效组患者血清BGP水平显著高于无效组,血清TNF-α、MMP-1水平显著低于无效组(P<0.05);排除年龄、术后是否冷敷、术后负重时间、Lysholm评分、IKDC评分等影响疗效的因素后,经logistic回归分析发现,血清BGP、TNF-α、MMP-1水平与患者行AMP疗效显著相关(P<0.05);ROC曲线分析结果显示,血清BGP、TNF-α、MMP-1水平联合预测患者行AMP疗效的曲线下面积为0.882,敏感度、特异度分别为85.71%、87.20%,高于各指标单独预测。结论血清BGP、TNF-α、MMP-1水平变化与膝关节半月板撕裂患者行AMP疗效密切相关,可作为临床预测AMP疗效的可靠指标,且三者联合具有较高预测效能。 展开更多
关键词 骨钙素 肿瘤坏死因子-Α 金属基质蛋白酶-1 膝关节半月板撕裂 关节镜下半月板成形术
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胎盘组织肿瘤坏死因子-α基因表观遗传修饰与胎盘血肿患者发生早产相关性研究
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作者 杨标 李慧 +3 位作者 吴盈 林静 张琼霞 胡春霞 《陕西医学杂志》 2025年第2期263-267,共5页
目的:探究胎盘组织肿瘤坏死因子-α(TNF-α)基因表观遗传修饰与胎盘血肿患者发生早产的相关性。方法:选取34例胎盘血肿合并早产患者(血肿早产组)、23例胎盘血肿未合并早产患者(血肿足月组)和30例足月分娩的健康孕妇(对照组)。收集孕妇... 目的:探究胎盘组织肿瘤坏死因子-α(TNF-α)基因表观遗传修饰与胎盘血肿患者发生早产的相关性。方法:选取34例胎盘血肿合并早产患者(血肿早产组)、23例胎盘血肿未合并早产患者(血肿足月组)和30例足月分娩的健康孕妇(对照组)。收集孕妇胎盘组织,分别采用免疫组织化学染色法检测TNF-α蛋白表达,甲基化特异性聚合酶链式反应检测TNF-α基因启动子区域甲基化状态,RT-qPCR法检测TNF-αmRNA表达,ELISA法检测TNF-α蛋白含量,染色质免疫共沉淀测序分析TNF-α基因启动子区域组蛋白H3K4me3、H3K27me3、H3K4me1和H3K27ac的修饰程度。结果:血肿早产组孕周短于血肿足月组和对照组(均P<0.05)。免疫组化染色结果显示,血肿早产组胎盘组织可见大片棕黄色,细胞质中有大量棕黄色颗粒;血肿足月组有少量黄色区域,颜色较浅;对照组基本无黄色颗粒,仅部分细胞质中有黄色。血肿早产组和血肿足月组患者TNF-α基因启动子区域完全甲基化占比低于对照组,TNF-α基因启动子区域未甲基化占比高于对照组(均P<0.05)。血肿早产组、血肿足月组和对照组胎盘组织TNF-αmRNA及蛋白表达水平依次递减(均P<0.05)。血肿早产组、血肿足月组和对照组胎盘组织TNF-α基因启动子区域组蛋白H3K4me3的修饰程度逐渐升高,H3K4me1和H3K27ac的修饰程度逐渐降低(均P<0.05)。与血肿早产组和血肿足月组比较,对照组胎盘组织TNF-α基因启动子区域组蛋白H3K27me3修饰程度升高(均P<0.05)。结论:胎盘血肿患者胎盘组织TNF-α高表达,TNF-α基因甲基化和组蛋白修饰可能与孕妇胎盘血肿和早产有关。 展开更多
关键词 胎盘血肿 肿瘤坏死因子-α 早产 表观遗传修饰 DNA甲基化 组蛋白修饰
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参附注射液联合辅酶Q10治疗急性一氧化碳中毒并发心肌损伤的临床研究
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作者 孟曙龙 纪朋曼 《中西医结合心脑血管病杂志》 2025年第2期246-250,共5页
目的:探讨参附注射液联合辅酶Q10治疗急性一氧化碳中毒(ACOP)并发心肌损伤的临床疗效,并观察其对病人超声心动图指标和血清心肌损伤标志物、肿瘤坏死因子-α(TNF-α)、总抗氧化能力(T-AOC)、诱导型一氧化氮合酶(iNOS)水平的影响。方法:... 目的:探讨参附注射液联合辅酶Q10治疗急性一氧化碳中毒(ACOP)并发心肌损伤的临床疗效,并观察其对病人超声心动图指标和血清心肌损伤标志物、肿瘤坏死因子-α(TNF-α)、总抗氧化能力(T-AOC)、诱导型一氧化氮合酶(iNOS)水平的影响。方法:选取2020年1月—2023年1月我院收治的116例ACOP并发心肌损伤病人,按随机数字表法分为观察组和对照组,每组58例。观察组采用参附注射液联合辅酶Q10氯化钠注射液治疗,对照组单独采用辅酶Q10氯化钠注射液治疗,连续治疗10 d后观察两组临床疗效。比较两组治疗前后超声心动图指标[左室舒张末期内径(LVEDD)、左室射血分数(LVEF)、二尖瓣舒张早期血流峰速度(E)与二尖瓣环舒张早期运动峰速度(e')比值(E/e')]、血清心肌损伤标志物[心肌肌钙蛋白I(cTnI)、肌酸激酶同工酶(CK-MB)、心肌型脂肪酸结合蛋白(H-FABP)、N末端B型利钠肽原(NT-proBNP)]及TNF-α、T-AOC、iNOS水平。统计两组不良反应情况。结果:观察组总有效率为93.10%(54/58),高于对照组的77.59%(45/58),差异有统计学意义(P<0.05)。治疗后,两组LVEDD、E/e'及血清cTnI、CK-MB、H-FABP、NT-proBNP、TNF-α、iNOS水平均较治疗前降低,LVEF和血清T-AOC水平较治疗前增加,且观察组优于对照组,差异均有统计学意义(P<0.05)。两组不良反应均少而轻微。结论:参附注射液联合辅酶Q10治疗ACOP并发心肌损伤可调节病人血清心肌损伤标志物及TNF-α、T-AOC、iNOS水平,改善心功能,提高临床疗效。 展开更多
关键词 急性一氧化碳中毒 心肌损伤 参附注射液 辅酶Q10 肿瘤坏死因子-α 氧化应激
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清热解毒方联合纤维支气管镜治疗儿童难治性肺炎支原体肺炎痰热闭肺证的效果及对肺功能、炎性因子和免疫功能的影响
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作者 张思源 《临床误诊误治》 2025年第2期90-95,共6页
目的探究清热解毒方联合纤维支气管镜治疗难治性肺炎支原体肺炎(RMPP)痰热闭肺证患儿的效果及对肺功能、炎性因子和免疫功能的影响。方法选取2024年1月至2024年8月收治的106例RMPP痰热闭肺证患儿,依据不同治疗方案分为观察组(清热解毒... 目的探究清热解毒方联合纤维支气管镜治疗难治性肺炎支原体肺炎(RMPP)痰热闭肺证患儿的效果及对肺功能、炎性因子和免疫功能的影响。方法选取2024年1月至2024年8月收治的106例RMPP痰热闭肺证患儿,依据不同治疗方案分为观察组(清热解毒方联合纤维支气管镜治疗)和对照组(纤维支气管镜治疗)各53例。2组治疗2周后评估治疗效果和支气管黏膜损伤修复情况,比较2组治疗前、治疗2周后肺功能指标、中医证候积分、炎性因子、免疫功能指标以及不良反应发生情况。结果治疗2周后,观察组愈显率高于对照组(P<0.05),且观察组治疗后支气管黏膜修复效果优于对照组。治疗2周后,2组最大呼气流量、第一秒用力呼气容积、用力肺活量较治疗前升高,且观察组高于对照组(P<0.05)。2组治疗2周后咳嗽、发热、咳黄黏痰、气喘积分低于治疗前,且观察组各项积分均低于对照组(P<0.05,P<0.01)。治疗2周后,2组血清肿瘤坏死因子-α、淀粉样蛋白A/C反应蛋白、白细胞介素-23、γ-干扰素水平较治疗前降低,且观察组较对照组低(P<0.05,P<0.01)。2组治疗2周后CD3+、免疫球蛋白A、CD4+/CD8+、免疫球蛋白G水平高于治疗前,且观察组高于对照组(P<0.05,P<0.01)。2组治疗期间不良反应总发生率比较差异无统计学意义(P>0.05)。结论清热解毒方联合纤维支气管镜治疗能抑制RMPP痰热闭肺证患儿体内炎症反应,改善临床症状及免疫功能,增强肺功能,且安全较好。 展开更多
关键词 支原体肺炎 难治性 儿童 清热解毒方 纤维支气管镜 用力肺活量 肿瘤坏死因子-α 免疫球蛋白
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泻心导赤散加味联合西药治疗心脾积热型复发性口腔溃疡临床研究
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作者 郑岩兵 章才博 《新中医》 2025年第1期28-31,共4页
目的:观察泻心导赤散加味联合西药治疗心脾积热型复发性口腔溃疡(ROU)的临床疗效。方法:采用随机数字表法将2020年6月—2023年4月玉环海成口腔门诊部收治的82例心脾积热型ROU患者分为观察组与对照组各41例。对照组给予常规西药治疗,观... 目的:观察泻心导赤散加味联合西药治疗心脾积热型复发性口腔溃疡(ROU)的临床疗效。方法:采用随机数字表法将2020年6月—2023年4月玉环海成口腔门诊部收治的82例心脾积热型ROU患者分为观察组与对照组各41例。对照组给予常规西药治疗,观察组在对照组基础上加用泻心导赤散加味治疗。2组均连续治疗2周。比较2组治疗前后中医证候评分、视觉模拟评分法(VAS)评分、溃疡直径、免疫功能指标以及血清肿瘤坏死因子(TNF)-α和白细胞介素(IL)-6水平,评估2组临床疗效、疾病复发情况。结果:治疗后,观察组总有效率高于对照组(P<0.05)。治疗后,2组中医证候评分、VAS评分、溃疡直径及CD8^(+)、TNF-α和IL-6水平均较治疗前降低,CD3^(+)、CD4^(+)水平升高(P<0.05),且观察组中医证候评分、VAS评分、溃疡直径及CD8^(+)、TNF-α和IL-6水平低于对照组,CD3^(+)、CD4^(+)水平高于对照组(P<0.05)。观察组疾病复发率4.76%(1/21),低于对照组42.86%(6/14)(P<0.05)。结论:泻心导赤散加味联合西药治疗心脾积热型ROU疗效确切,能够减轻患者疼痛,提高免疫功能,降低炎症反应及疾病复发率。 展开更多
关键词 复发性口腔溃疡 心脾积热型 泻心导赤散 免疫功能 肿瘤坏死因子-Α 白细胞介素-6
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针刺联合核心稳定训练对颈椎病颈痛患者中医症候积分、颈痛程度、生活质量和炎症因子水平的影响
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作者 许华峰 周伶 +1 位作者 付军杰 隆豫 《检验医学与临床》 2025年第2期242-246,共5页
目的评价针刺联合核心稳定训练对颈椎病颈痛患者中医症候积分、颈痛程度、生活质量和炎症因子水平的影响。方法将2023年1-12月丰都县人民医院收治的80例颈椎病颈痛患者分为对照组(40例)和观察组(40例),对照组予以针刺治疗,观察组予以针... 目的评价针刺联合核心稳定训练对颈椎病颈痛患者中医症候积分、颈痛程度、生活质量和炎症因子水平的影响。方法将2023年1-12月丰都县人民医院收治的80例颈椎病颈痛患者分为对照组(40例)和观察组(40例),对照组予以针刺治疗,观察组予以针刺联合核心稳定训练治疗。比较治疗前后两组中医症候积分(颈肩部疼痛、颈部压痛、头晕、颈部活动受限、肢端麻木疼痛)、颈痛程度、生活质量和炎症因子水平。结果治疗后,两组颈肩部疼痛、颈部压痛、头晕、颈部活动受限、肢端麻木疼痛症状评分均低于治疗前(P<0.05),且治疗后观察组颈肩部疼痛、颈部压痛、头晕、颈部活动受限、肢端麻木疼痛症状评分均低于对照组(P<0.05)。治疗后,两组Northwick Park颈痛量表(NPQ)评分均较治疗前降低(P<0.05),且治疗后观察组NPQ评分低于对照组(P<0.05)。治疗后,两组汉化版简明健康调查量表(SF-36)各维度评分均高于治疗前(P<0.05),且治疗后观察组SF-36各维度评分高于对照组(P<0.05)。治疗后,两组血清白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、前列腺素E2(PGE2)、P物质(SP)水平均较治疗前降低(P<0.05),且治疗后观察组血清IL-6、TNF-α、PGE2、SP水平低于对照组(P<0.05)。结论针刺联合核心稳定训练治疗可有效改善颈椎病颈痛患者的各项中医症候积分,缓解颈痛程度,减轻炎症反应,提高其生活质量。 展开更多
关键词 颈椎病 颈痛 针刺 核心稳定训练 中医症候积分 白细胞介素 肿瘤坏死因子-α 前列腺素E2 P物质
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异维A酸间歇给药联合超分子水杨酸换肤治疗玫瑰痤疮的临床效果
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作者 税利 冉小红 +1 位作者 雷启蓉 杨毅 《临床误诊误治》 2025年第3期89-93,100,共6页
目的探讨异维A酸间歇给药联合超分子水杨酸换肤治疗玫瑰痤疮的临床效果。方法选取2021年5月至2022年5月收治的玫瑰痤疮患者94例,采用随机数字表法分为对照组和观察组,每组47例。2组均行超分子水杨酸换肤治疗,在此基础上,对照组给予常规... 目的探讨异维A酸间歇给药联合超分子水杨酸换肤治疗玫瑰痤疮的临床效果。方法选取2021年5月至2022年5月收治的玫瑰痤疮患者94例,采用随机数字表法分为对照组和观察组,每组47例。2组均行超分子水杨酸换肤治疗,在此基础上,对照组给予常规疗法异维A酸治疗,观察组给予间歇疗法异维A酸治疗。比较2组治疗效果、治疗前后皮肤屏障功能指标[表皮含水量、红斑数量、经皮水分流失(TEWL)、油脂含量]、炎性因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、超敏C反应蛋白(hs-CRP)]、面部美观评分、生活质量、不良反应发生情况,治疗后随访1年,统计2组复发率。结果观察组总有效率[93.62%(44/47)]与对照组[97.87%(46/47)]比较差异无统计学意义(P>0.05)。2组治疗后红斑数量、TEWL、油脂含量少于治疗前,表皮含水量大于治疗前,血清TNF-α、IL-6、hs-CRP水平低于治疗前(P<0.05)。2组治疗后数字等级量表(NRS)评分高于治疗前,皮肤病生活质量量表(DLQI)评分低于治疗前(P<0.05);2组治疗后NRS和DLQI评分比较差异无统计学意义(P>0.05)。观察组治疗期间不良反应发生率[6.38%(3/47)]低于对照组[21.28%(10/47)],差异有统计学意义(P<0.05);2组复发率比较差异无统计学意义(P>0.05)。结论常规疗法、间歇疗法异维A酸联合超分子水杨酸换肤治疗玫瑰痤疮患者均能获得较好近远期疗效,间歇疗法异维A酸治疗安全性较高。 展开更多
关键词 玫瑰痤疮 异维A酸 间歇疗法 超分子水杨酸换肤 表皮含水量 经皮水分流失 油脂含量 肿瘤坏死因子-α 生活质量
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Helicobacter pylori tumor necrosis factor-α inducing protein promotes cytokine expression via nuclear factor-κB 被引量:9
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作者 Chun-Li Tang Bo Hao +2 位作者 Guo-Xin Zhang Rui-Hua Shi Wen-Fang Cheng 《World Journal of Gastroenterology》 SCIE CAS 2013年第3期399-403,共5页
AIM:To study the effects of Helicobacter pylori(H. pylori)tumor necrosis factor-α(TNF)inducing protein (Tip-α)on cytokine expression and its mechanism. METHODS:We cloned Tip-αfrom the H.pylori strain 26695,transfor... AIM:To study the effects of Helicobacter pylori(H. pylori)tumor necrosis factor-α(TNF)inducing protein (Tip-α)on cytokine expression and its mechanism. METHODS:We cloned Tip-αfrom the H.pylori strain 26695,transformed Escherichia coli with an expression plasmid,and then confirmed the expression product by Western blotting.Using different concentrations of Tip-αthat affected SGC7901 and GES-1 cells at different times,we assessed cytokine levels using enzyme-linked immunosorbent assay.We blocked SGC7901 cells with pyrrolidine dithiocarbamate(PDTC),a specific inhibitor of nuclear factorκB(NF-κB).We then detected interleukin(IL)-1βand TNF-αlevels in SGC7901 cells. RESULTS:Western blot analysis using an anti-Tip-α antibody revealed a 23-kDa protein,which indicated that recombinant Tip-αprotein was recombined successfully.The levels of IL-1β,IL-8 and TNF-αwere sig-nificantly higher following Tip-αinterference,whether GES-1 cells or SGC-7901 cells were used(P<0.05).However,the levels of cytokines(including IL-1β,IL-8 and TNF-α)secreted by SGC-7901 cells were greater than those secreted by GES-1 cells following treatment with Tip-αat the same concentration and for the same duration(P<0.05).After blocking NF-κB with PDTC, the cells(GES-1 cells and SGC-7901 cells)underwent interference with Tip-α.We found that IL-1βand TNF-αlevels were significantly decreased compared to cells that only underwent Tip-αinterference(P<0.05). CONCLUSION:Tip-αplays an important role in cyto-kine expression through NF-κB. 展开更多
关键词 Helicobacter pylori TUMOR NECROSIS factor INDUCING PROTEIN Interleukin-1β INTERLEUKIN-8 TUMOR NECROSIS factor Nuclear factor-κB
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Effect of oxymatrine on interferon-gamma and tumor necrosis factor-alpha serum levels in an experimental rat model of autoimmune encephalomyelitis 被引量:3
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作者 Xiaobin Guo Quancheng Kan +4 位作者 Yifan Song Lin Zhu Xiang Li Haiying Hua GuangxianZhang 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第10期729-734,共6页
BACKGROUND: Studies have demonstrated that experimental autoimmune encephalomyelitis (EAE) onset correlates with increased interferon-v (IFN-γ) and tumor necrosis factor-α (TNF-α) expression. Oxymatrine (OM... BACKGROUND: Studies have demonstrated that experimental autoimmune encephalomyelitis (EAE) onset correlates with increased interferon-v (IFN-γ) and tumor necrosis factor-α (TNF-α) expression. Oxymatrine (OM) has been shown to inhibit autoimmune responses, but there are no reports showing that it could prevent the development of EAE. OBJECTIVE: To observe the effect of OM on serum levels of IFN-γ and TNF-α in a rat model of EAE.DESIGN, TIME AND SETTING: A randomized, controlled, animal study was performed at the Experimental Animal Center of Henan Academy of Chinese Medicine and at the Key Disciplines Laboratory Clinical Medicine of Henan Province between July and December 2008. MATERIALS: OM was purchased from Chia-tai Tianqing Pharmaceutical, China; complete Freund's adjuvant was purchased from Sigma, USA. METHODS: Forty female Wistar rats were randomly assigned to four groups: EAE model (M), low-dose OM treatment (OM-L), high-dose OM treatment (OM-H), and normal control (N, no immunization), with 10 rats in each group. EAE was established in the M, OM-L, and OM-H groups following immunization with Guinea pig spinal cord homogenate and complete Freund's adjuvant. The M and N groups were intraperitoneally injected with normal saline (6.7 mL/kg per day), the OM-L group received an intraperitoneal injection of OM (100 mg/kg per day), and the OM-H group received OM (150 mg/kg per day). MAIN OUTCOME MEASURES: At 16 days after immunization, the degree of histopathological changes in the spinal cord was assessed by hematoxylin-eosin stanining. Enzyme-linked immunosorbent assay was used to detect serum levels of IFN-γ, and radioimmunoassay was utilized to determine serum TNF-α level. Neurological scores were measured on a daily basis according to a 0-5 scale. RESULTS: Daily injections of OM, both high and low doses, resulted in decreased neurological scores in EAE rats (P〈0.01), as well as reduced cellular infiltration in the spinal cord and decreased levels of serum IFN-γ and TNF-α (P〈 0.01). CONCLUSION: OM reduced the onset and severity of EAE, which correlated with decreased IFN-γ and TNF-α expression. 展开更多
关键词 OXYMATRINE experiment allergic encephalomyelitis INTERFERON-Γ tumor necrosis factor nerve factor neural regeneration rats
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Changes of Tumor Necrosis Factor-α and the Effects of Ulinastatin Injection during Cardiopulmonary Cerebral Resuscitation 被引量:9
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作者 王卫 黄唯佳 +3 位作者 陈寿权 李章平 王万铁 王明山 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2004年第3期269-271,共3页
Summary: The changes of tumor necrosis factor-α (TNF-α) and brain ultrastructure during cardiopulmonary resuscitation and the effects of ulinastation injection were observed, and the mechanism was investigated. Twen... Summary: The changes of tumor necrosis factor-α (TNF-α) and brain ultrastructure during cardiopulmonary resuscitation and the effects of ulinastation injection were observed, and the mechanism was investigated. Twenty-four adult healthy Sprague-Dawley rats were randomly divided into control group (8 rats), resuscitation group (8 rats) and ulinastatin (UTI) group (8 rats). Rats in control group underwent tracheotomy without clipping the trachea to induce circulatory and respiratory standstill. Rats in resuscitation and ulinastatin group were subjected to the procedure of establishing the model of cardiopulmonary cerebral resuscitation (CPCR). Rats in ulinastatin group were given with UTI 104 U/kg once after CPCR. In the control group, the plasma was collected immediate, 30 min, 2 h, 4 h, and 6 h after tracheotomy. In resuscitation group and UTI group, plasma was collected immediate after tracheotomy, 30 min, 2 h, 4 h and 6 h after successful resuscitation. The plasma levels of TNF-α were determined by radioimmunoassay (RIA). At the end of the experiment, 2 rats were randomly selected from each group and were decapitated. The cortex of the brain was taken out immediately to observe the ultrastructure changes. In control group, there were no significant differences in the level of TNF-α among different time points (P>0.05). In resuscitation group, the level of TNF-α was increased obviously after resuscitation (P<0.01) and reached its peak 2 h later after resuscitation. An increasing trend of TNF-α showed in UTI group. There were no differences in TNF-α among each sample taken after successful resuscitation and that after tracheotomy. The utrastructure of brains showed the injury in UTI group was ameliorated as compared with that in resuscitation group. In early period of CPCR, TNF-α was expressed rapidly and kept increasing. It indicated that TNF-α might take part in the tissue injury after CPCR. The administration of UTI during CACR could depress TNF-α and ameliorate brain injury. By regulating the expression of damaging mediator, UTI might provide a protective effect on the tissue injury after CPCR. 展开更多
关键词 cardiopulmonary cerebral resuscitation tumor necrosis factor ULTRASTRUCTURE ulinastation BRAIN
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Tumor necrosis factor-α inhibitor therapy and fetal risk:A systematic literature review 被引量:11
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作者 Renée M Marchioni Gary R Lichtenstein 《World Journal of Gastroenterology》 SCIE CAS 2013年第17期2591-2602,共12页
Tumor necrosis factor-α inhibitors (anti-TNFs) are effective in the treatment of inflammatory bowel disease (IBD) recalcitrant to conventional medical therapy. As the peak incidence of IBD overlaps with the prime rep... Tumor necrosis factor-α inhibitors (anti-TNFs) are effective in the treatment of inflammatory bowel disease (IBD) recalcitrant to conventional medical therapy. As the peak incidence of IBD overlaps with the prime reproductive years, it is crucial to establish pharmacologic regimens for women of childbearing age that achieve effective disease control without posing significant fetal harm. A systematic literature review was performed to identify all human studies with birth outcomes data after maternal exposure to infliximab, adalimumab, or certolizumab pegol within 3 mo of conception or during any trimester of pregnancy. Live births, spontaneous abortions or stillbirths, preterm or premature births, low birth weight or small for gestational age infants, and congenital abnormalities were recorded. Fifty selected references identified 472 pregnancy exposures. The subsequent review includes general information regarding anti-TNF therapy in pregnancy followed by a summary of our findings. The benefits of biologic modalities in optimizing disease control during pregnancy must be weighed against the potential toxicity of drug exposure on the developing fetus. Although promising overall, there is insufficient evidence to prove absolute safety for use of anti-TNFs during pregnancy given the limitations of available data and lack of controlled trials. 展开更多
关键词 Tumor NECROSIS factor inhibitors Pregnancy CONGENITAL ABNORMALITIES Safety INFLIXIMAB ADALIMUMAB Certolizumab
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Elevated levels of interleukin-1β, interleukin-6, tumor necrosis factor-α and vascular endothelial growth factor in patients with knee articular cartilage injury 被引量:11
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作者 Zhen-Wei Wang Le Chen +5 位作者 Xiao-Rui Hao Zhen-An Qu Shi-Bo Huang Xiao-Jun Ma Jian-Chuan Wang Wei-Ming Wang 《World Journal of Clinical Cases》 SCIE 2019年第11期1262-1269,共8页
BACKGROUND Inflammatory cytokines play a vital role in the occurrence of osteoarticular injury and inflammation. Whether inflammation-associated factors interleukin-1β(IL- 1β), IL-6, tumor necrosis factor-α(TNF-α)... BACKGROUND Inflammatory cytokines play a vital role in the occurrence of osteoarticular injury and inflammation. Whether inflammation-associated factors interleukin-1β(IL- 1β), IL-6, tumor necrosis factor-α(TNF-α) and vascular endothelial growth factor (VEGF) are involved in the pathogenesis of keen articular cartilage injury remains poorly understood. AIM To measure the levels of inflammatory factors [IL-1β, IL-6, TNF-α and VEGF] in patients with knee articular cartilage injury. METHODS Fifty-five patients with knee articular cartilage injury were selected as patient groups, who were divided into three grades [mild (n = 20), moderate (n = 19) and severe (n = 16)] according to disease severity and X-ray examinations. Meanwhile, 30 healthy individuals who underwent physical examination were selected as the control group. The levels of IL-1β, IL-6, TNF-α and VEGF were measured by ELISA and immunohistochemical staining. RESULTS Compared with the control group, patient groups displayed significantly higher levels of IL-1β, IL-6, TNF-α and VEGF, and the extent of increase was directly proportional to the severity of injury (P < 0.05). In addition, the number of cells with positive staining of IL-1β, IL-6, TNF-α and VEGF in the synovial membrane were significantly increased, along with increased disease severity (P < 0.05). After treatment, the scores of visual analogue scale and the Western Ontario and McMaster University of Orthopaedic Index in patient groups were 2.26 ± 1.13 and 15.56 ± 7.12 points, respectively, which were significantly lower than those before treatment (6.98 ± 1.32 and 49.48 ± 8.96). Correlation analysis suggested that IL-1β and TNF-α were positively correlated with VEGF. CONCLUSION IL-1β, IL-6, TNF-α and VEGF levels are increased in patients with knee articular cartilage injury, and are associated with the disease severity, indicating they might play an important role in the occurrence and development of knee articular cartilage injury. Furthermore, therapeutically targeting them might be a novel approach for the treatment of keen articular cartilage injury. 展开更多
关键词 KNEE ARTICULAR cartilage injury INTERLEUKIN-1Β INTERLEUKIN-6 Tumor necrosis factor Vascular endothelial growth factor
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Tumor necrosis factor-α mediates JNK activation response to intestinal ischemia-reperfusion injury 被引量:9
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作者 Qi Yang Feng-Ping Zheng +4 位作者 Ya-Shi Zhan Jin Tao Si-Wei Tan Hui-Ling Liu Bin Wu 《World Journal of Gastroenterology》 SCIE CAS 2013年第30期4925-4934,共10页
AIM:To investigate whether tumor necrosis factor-α(TNF-α)mediates ischemia-reperfusion(I/R)-induced intestinal mucosal injury through c-Jun N-terminal kinase(JNK)activation.METHODS:In this study,intestinal I/R was i... AIM:To investigate whether tumor necrosis factor-α(TNF-α)mediates ischemia-reperfusion(I/R)-induced intestinal mucosal injury through c-Jun N-terminal kinase(JNK)activation.METHODS:In this study,intestinal I/R was induced by 60-min occlusion of the superior mesenteric artery in rats followed by 60-min reperfusion,and the rats were pretreated with a TNF-α inhibitor,pentoxifylline,or the TNF-α antibody infliximab.After surgery,part of the intestine was collected for histological analysis.The mucosal layer was harvested for RNA and protein extraction,which were used for further real-time polymerase chain reaction,enzyme-linked immunosorbent assay and Western blotting analyses.The TNF-α expression,intestinal mucosal injury,cell apoptosis,activation of apoptotic protein and JNK signaling pathway were analyzed.RESULTS:I/R significantly enhanced expression of mucosal TNF-α at both the mRNA and protein levels,induced severe mucosal injury and cell apoptosis,activated caspase-9/caspase-3,and activated the JNK signaling pathway.Pretreatment with pentoxifylline markedly downregulated TNF-α at both the mRNA and protein levels,whereas infliximab pretreatment did not affect the expression of TNF-α induced by I/R.However,pretreatment with pentoxifylline or infliximab dramatically suppressed I/R-induced mucosal injury and cell apoptosis and significantly inhibited the activation of caspase-9/3 and JNK signaling.CONCLUSION:The results indicate there was a TNFα-mediated JNK activation response to intestinal I/R injury. 展开更多
关键词 Tumor NECROSIS factor INTESTINE MUCOSA Apoptosis C-JUN N-TERMINAL KINASE
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