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Apolipoprotein A-V gene therapy for disease prevention/treatment:a critical analysis
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作者 Trudy M.Forte Vineeta Sharma Robert O.Ryan 《The Journal of Biomedical Research》 CAS CSCD 2016年第2期88-93,共6页
Apolipoprotein(apo) A-V is a novel member of the class of exchangeable apo's involved in triacylglycerol(TG)homeostasis.Whereas a portion of hepatic-derived apoA-V is secreted into plasma and functions to facilit... Apolipoprotein(apo) A-V is a novel member of the class of exchangeable apo's involved in triacylglycerol(TG)homeostasis.Whereas a portion of hepatic-derived apoA-V is secreted into plasma and functions to facilitate lipoprotein Iipase-mediated TG hydrolysis,another portion is recovered intracellularly,in association with cytosolic lipid droplets.Loss of apo A-V function is positively correlated with elevated plasma TG and increased risk of cardiovascular disease.Single nucleotide polymorphisms(SNP) in the APOA5 locus can affect transcription efficiency or introduce deleterious amino acid substitutions.Likewise,rare mutations in APOA5 that compromise functionality are associated with increased plasma TG and premature myocardial infarction.Genetically engineered mouse models and human population studies suggest that,in certain instances,supplementation with wild type(WT) apoA-V may have therapeutic benefit.It is hypothesized that individuals that manifest elevated plasma TG owing to deleterious APOA5 SNPs or rare mutations would respond to WT apoA-V supplementation with improved plasma TG clearance.On the other hand,subjects with hypertriglyceridemia of independent origin(unrelated to apoA-V function) may not respond to apoA-V augmentation in this manner.Improvement in the ability to identify individuals predicted to benefit,advances in gene transfer technology and the strong connection between HTG and heart disease,point to apoA-V supplementation as a viable disease prevention / therapeutic strategy.Candidates would include individuals that manifest chronic TG elevation,have low plasma apoA-V due to an APOA5 mutation/polymorphism and not have deleterious mutations/polymorphisms in other genes known to influence plasma TG levels. 展开更多
关键词 apolipoprotein a-v adeno-associated virus triacylglycerol lipoprotein lipase atherosclerosis single nucleotide polymorphism gene therapy
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Prevalence,risk factors and clinical features of sensory A-V pattern exotropia
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作者 Bin-Bin Zhu Shi-Yu Tang +2 位作者 Xiang-Jun Wang Li-Cheng Fu Jian-Hua Yan 《International Journal of Ophthalmology(English edition)》 2025年第2期323-329,共7页
AIM:To investigate the potential mechanisms of A-V pattern and evaluate the surgical outcomes used in the treatment of sensory exotropia.METHODS:The medical records of patients with sensory A-V pattern exotropia who u... AIM:To investigate the potential mechanisms of A-V pattern and evaluate the surgical outcomes used in the treatment of sensory exotropia.METHODS:The medical records of patients with sensory A-V pattern exotropia who underwent strabismus surgery between May 2014 to June 2019 was retrospectively reviewed.The control group included sensory exotropia patients without A-V pattern and concomitant A-V pattern exotropia patients with normal vision who undergone strabismus surgery over this same time period.Ocular alignment,best corrected visual acuity,oblique muscle function,and stereopsis records were collected.RESULTS:Among the 843 eligible patients,91(10.79%;39 males and 52 females)had A-pattern(54,6.4%)or V-pattern(37,4.4%).Age at onset of vision impairment was 4±5y and at the time of surgery was 25±9y.Statistically significant negative correlations were present between impaired visual acuity and the pre-operative exodeviation(r=-0.198,P=0.016)and patterns(r=-0.207,P=0.015).Age at surgery and exodeviation in patients with concomitant A-V pattern exotropia was significantly earlier as compared with that of sensory A-V pattern exotropia and sensory exotropia(both P<0.0001).There were no significant differences in these clinical variables between sensory exotropia with or without A-V pattern.Deviation and pattern were significantly reduced in patients receiving horizontal rectus surgery with or without oblique muscle surgery(both P<0.0001).CONCLUSION:The prevalence of sensory A-V pattern exotropia in our study is 10.79%.Visual acuity represents an important factor contributing to the occurrence and development of A-V pattern.Isolated horizontal rectus surgery can provide a good option for the correction of sensory A-V pattern exotropia. 展开更多
关键词 sensory exotropia a-v pattern oblique muscle dysfunction horizontal rectus surgery
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Impact of apolipoprotein E isoforms on sporadic Alzheimer's disease:beyond the role of amyloid beta 被引量:3
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作者 Madia Lozupone Francesco Panza 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第1期80-83,共4页
The impact of apolipoprotein E(ApoE)isoforms on sporadic Alzheimer's disease has long been studied;however,the influences of apolipoprotein E gene(APOE)on healthy and pathological human brains are not fully unders... The impact of apolipoprotein E(ApoE)isoforms on sporadic Alzheimer's disease has long been studied;however,the influences of apolipoprotein E gene(APOE)on healthy and pathological human brains are not fully understood.ApoE exists as three common isoforms(ApoE2,ApoE3,and ApoE4),which differ in two amino acid residues.Traditionally,ApoE binds cholesterol and phospholipids and ApoE isoforms display diffe rent affinities for their receptors,lipids transport and distribution in the brain and periphery.The role of ApoE in the human depends on ApoE isoforms,brain regions,aging,and neural injury.APOE E4 is the strongest genetic risk factor for sporadic Alzheimer's disease,considering its role in influencing amyloid-beta metabolism.The exact mechanisms by which APOE gene variants may increase or decrease Alzheimer's disease risk are not fully understood,but APOE was also known to affect directly and indirectly tau-mediated neurodegeneration,lipids metabolism,neurovascular unit,and microglial function.Consistent with the biological function of ApoE,ApoE4 isoform significantly alte red signaling pathways associated with cholesterol homeostasis,transport,and myelination.Also,the rare protective APOE variants confirm that ApoE plays an important role in Alzheimer's disease pathogenesis.The objectives of the present mini-review were to describe classical and new roles of various ApoE isoforms in Alzheimer's disease pathophysiology beyond the deposition of amyloid-beta and to establish a functional link between APOE,brain function,and memory,from a molecular to a clinical level.APOE genotype also exerted a heterogeneous effect on clinical Alzheimer's disease phenotype and its outcomes.Not only in learning and memory but also in neuro psychiatric symptoms that occur in a premorbid condition.Cla rifying the relationships between Alzheimer's disease-related pathology with neuropsychiatric symptoms,particularly suicidal ideation in Alzheimer's disease patients,may be useful for elucidating also the underlying pathophysiological process and its prognosis.Also,the effects of anti-amyloid-beta drugs,recently approved for the treatment of Alzheimer's disease,could be influenced by the APOE genotype. 展开更多
关键词 Alzheimer's disease AMYLOID-BETA apolipoprotein E DEMENTIA glymphatic transport LIPIDS neuropsychiatric symptoms neurovascular unit tau protein
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27-Hydroxycholesterol/liver X receptor/apolipoprotein E mediates zearalenone-induced intestinal immunosuppression:A key target potentially linking zearalenone and cancer
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作者 Haonan Ruan Jing Zhang +6 位作者 Yunyun Wang Ying Huang Jiashuo Wu Chunjiao He Tongwei Ke Jiaoyang Luo Meihua Yang 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2024年第3期371-388,共18页
Zearalenone(ZEN)is a mycotoxin that extensively contaminates food and feed,posing a significant threat to public health.However,the mechanisms behind ZEN-induced intestinal immunotoxicity remain unclear.In this study,... Zearalenone(ZEN)is a mycotoxin that extensively contaminates food and feed,posing a significant threat to public health.However,the mechanisms behind ZEN-induced intestinal immunotoxicity remain unclear.In this study,Sprague-Dawley(SD)rats were exposed to ZEN at a dosage of 5 mg/kg/day b.w.for a duration of 14 days.The results demonstrated that ZEN exposure led to notable pathological alterations and immunosuppression within the intestine.Furthermore,ZEN exposure caused a significant reduction in the levels of apolipoprotein E(ApoE)and liver X receptor(LXR)(P<0.05).Conversely,it upregulated the levels of myeloid-derived suppressor cells(MDSCs)markers(P<0.05)and decreased the presence of 27-hydroxycholesterol(27-HC)in the intestine(P<0.05).It was observed that ApoE or LXR agonists were able to mitigate the immunosuppressive effects induced by ZEN.Additionally,a bioinformatics analysis highlighted that the downregulation of ApoE might elevate the susceptibility to colorectal,breast,and lung cancers.These findings underscore the crucial role of the 27-HC/LXR/ApoE axis disruption in ZEN-induced MDSCs proliferation and subsequent inhibition of T lymphocyte activation within the rat intestine.Notably,ApoE may emerge as a pivotal target linking ZEN exposure to cancer development. 展开更多
关键词 ZEARALENONE Intestinal immunosuppression apolipoprotein E Bioinformatics analysis CANCER
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Hepatocyte growth factor enhances the ability of dental pulp stem cells to ameliorate atherosclerosis in apolipoprotein E-knockout mice
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作者 Han Duan Ning Tao +8 位作者 Lin Lv Kai-Xin Yan Yong-Gang You Zhuang Mao Chang-Yao Wang Xue Li Jia-Yan Jin Chu-Tse Wu Hua Wang 《World Journal of Stem Cells》 SCIE 2024年第5期575-590,共16页
BACKGROUND Atherosclerosis(AS),a chronic inflammatory disease of blood vessels,is a major contributor to cardiovascular disease.Dental pulp stem cells(DPSCs)are capable of exerting immunomodulatory and anti-inflammato... BACKGROUND Atherosclerosis(AS),a chronic inflammatory disease of blood vessels,is a major contributor to cardiovascular disease.Dental pulp stem cells(DPSCs)are capable of exerting immunomodulatory and anti-inflammatory effects by secreting cytokines and exosomes and are widely used to treat autoimmune and inflam-mation-related diseases.Hepatocyte growth factor(HGF)is a pleiotropic cytokine that plays a key role in many inflammatory and autoimmune diseases.AIM To modify DPSCs with HGF(DPSC-HGF)and evaluate the therapeutic effect of DPSC-HGF on AS using an apolipoprotein E-knockout(ApoE-/-)mouse model and an in vitro cellular model.METHODS ApoE-/-mice were fed with a high-fat diet(HFD)for 12 wk and injected with DPSC-HGF or Ad-Null modified DPSCs(DPSC-Null)through tail vein at weeks 4,7,and 11,respectively,and the therapeutic efficacy and mechanisms were analyzed by histopathology,flow cytometry,lipid and glucose measurements,real-time reverse transcription polymerase chain reaction(RT-PCR),and enzyme-linked immunosorbent assay at the different time points of the experiment.An in vitro inflammatory cell model was established by using RAW264.7 cells and human aortic endothelial cells(HAOECs),and indirect co-cultured with supernatant of DPSC-Null(DPSC-Null-CM)or DPSC-HGF-CM,and the effect and mechanisms were analyzed by flow cytometry,RT-PCR and western blot.Nuclear factor-κB(NF-κB)activators and inhibitors were also used to validate the related signaling pathways.RESULTS DPSC-Null and DPSC-HGF treatments decreased the area of atherosclerotic plaques and reduced the expression of inflammatory factors,and the percentage of macrophages in the aorta,and DPSC-HGF treatment had more pronounced effects.DPSCs treatment had no effect on serum lipoprotein levels.The FACS results showed that DPSCs treatment reduced the percentages of monocytes,neutrophils,and M1 macrophages in the peripheral blood and spleen.DPSC-Null-CM and DPSC-HGF-CM reduced adhesion molecule expression in tumor necrosis factor-αstimulated HAOECs and regulated M1 polarization and inflammatory factor expression in lipopolysaccharide-induced RAW264.7 cells by inhibiting the NF-κB signaling pathway.CONCLUSION This study suggested that DPSC-HGF could more effectively ameliorate AS in ApoE-/-mice on a HFD,and could be of greater value in stem cell-based treatments for AS. 展开更多
关键词 ATHEROSCLEROSIS apolipoprotein E-knockout mice Cell therapy Dental pulp stem cells Hepatocyte growth factor
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New insights into ATR inhibition in muscle invasive bladder cancer:The role of apolipoprotein B mRNA editing catalytic subunit 3B
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作者 HYUNHO KIM UIJU CHO +5 位作者 SOOK HEE HONG HYUNG SOON PARK IN-HO KIM HO JUNG AN BYOUNG YONG SHIM JIN HYOUNG KANG 《Oncology Research》 SCIE 2024年第6期1021-1030,共10页
Background:Apolipoprotein B mRNA editing catalytic polypeptide(APOBEC),an endogenous mutator,induces DNA damage and activates the ataxia telangiectasia and Rad3-related(ATR)-checkpoint kinase 1(Chk1)pathway.Although c... Background:Apolipoprotein B mRNA editing catalytic polypeptide(APOBEC),an endogenous mutator,induces DNA damage and activates the ataxia telangiectasia and Rad3-related(ATR)-checkpoint kinase 1(Chk1)pathway.Although cisplatin-based therapy is the mainstay for muscle-invasive bladder cancer(MIBC),it has a poor survival rate.Therefore,this study aimed to evaluate the efficacy of an ATR inhibitor combined with cisplatin in the treatment of APOBEC catalytic subunit 3B(APOBEC3B)expressing MIBC.Methods:Immunohistochemical staining was performed to analyze an association between APOBEC3B and ATR in patients with MIBC.The APOBEC3B expression in MIBC cell lines was assessed using real-time polymerase chain reaction and western blot analysis.Western blot analysis was performed to confirm differences in phosphorylated Chk1(pChk1)expression according to the APOBEC3B expression.Cell viability and apoptosis analyses were performed to examine the anti-tumor activity of ATR inhibitors combined with cisplatin.Results:There was a significant association between APOBEC3B and ATR expression in the tumor tissues obtained from patients with MIBC.Cells with higher APOBEC3B expression showed higher pChk1 expression than cells expressing low APOBEC3B levels.Combination treatment of ATR inhibitor and cisplatin inhibited cell growth in MIBC cells with a higher APOBEC3B expression.Compared to cisplatin single treatment,combination treatment induced more apoptotic cell death in the cells with higher APOBEC3B expression.Conclusion:Our study shows that APOBEC3B’s higher expression status can enhance the sensitivity of MIBC to cisplatin upon ATR inhibition.This result provides new insight into appropriate patient selection for the effective application of ATR inhibitors in MIBC. 展开更多
关键词 apolipoprotein B mRNA editing catalytic polypeptide(APOBEC) Ataxia telangiectasia and Rad3-related(ATR) Bladder cancer DNA damage response DNA replication stress
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TyG-BMI、HAR、GRI与糖尿病视网膜病变的关系
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作者 隋源 姜冰冰 +2 位作者 勾晓梅 孙敬文 张成森 《天津医药》 2025年第1期93-97,共5页
目的探讨甘油三酯葡萄糖体重指数(TyG-BMI)、高密度脂蛋白胆固醇与载脂蛋白A比值(HAR)、血糖风险指数(GRI)与糖尿病视网膜病变(DR)的关系。方法将159例2型糖尿病(T2DM)并发DR患者(DR组)根据DR国际临床分级标准分为非增殖期视网膜病变组(... 目的探讨甘油三酯葡萄糖体重指数(TyG-BMI)、高密度脂蛋白胆固醇与载脂蛋白A比值(HAR)、血糖风险指数(GRI)与糖尿病视网膜病变(DR)的关系。方法将159例2型糖尿病(T2DM)并发DR患者(DR组)根据DR国际临床分级标准分为非增殖期视网膜病变组(NPDR组,66例)和增殖期视网膜病变组(PDR组,93例),另择159例未发生DR的T2DM患者为对照组。记录临床信息和基线实验室检查结果,计算TyG-BMI、HAR、GRI。多因素Logistic回归分析DR发病的影响因素,受试者工作特征(ROC)曲线分析TyG-BMI、HAR、GRI对DR的诊断价值。结果DR组T2DM病程,合并高血压、糖尿病肾病、糖尿病足比例,糖化血红蛋白(HbA1c)、稳态模型胰岛素抵抗指数(HOMA-IR)、总胆固醇(TC)、C反应蛋白(CRP)、TyG-BMI、HAR和GRI水平均高于对照组(P<0.05)。PDR组TyGBMI、HAR和GRI均高于NPDR组(P<0.05)。多因素Logistic回归分析结果显示,T2DM病程较长[OR(95%CI):2.781(1.398~5.534)]、高TyG-BMI[2.036(1.169~3.546)]、高HAR[1.890(1.090~3.280)]、高GRI[1.836(1.065~3.167)]是DR患病的危险因素(P<0.05)。ROC曲线分析结果显示,联合TyG-BMI、HAR、GRI诊断DR的曲线下面积(AUC)高于单独诊断[分别为0.940(0.908~0.964)、0.864(0.821~0.900)、0.796(0.747~0.839)、0.836(0.790~0.875),均P<0.05]。结论T2DM患者TyG-BMI、HAR、GRI增高与DR发病及病情严重程度有关,可用于评估DR的发病风险。 展开更多
关键词 糖尿病视网膜病变 甘油三酯葡萄糖体重指数 高密度脂蛋白胆固醇与载脂蛋白A比值 血糖风险指数
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三维开域涡流场A-V位有限元与边界元耦合分析方法 被引量:30
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作者 王泽忠 王炳革 +1 位作者 卢斌先 邵汉光 《中国电机工程学报》 EI CSCD 北大核心 2000年第5期1-4,共4页
在A -V位和库仑规范的前提下 ,导出了三维涡流区域微分方程和自由空间积分方程在涡流区边界上的耦合条件。在此基础上 ,提出了A -V位的三维涡流场FE—BE耦合分析方法。对国际TEAM 2 1号问题B模型进行了计算 ,靠近线圈的钢板表面磁感应... 在A -V位和库仑规范的前提下 ,导出了三维涡流区域微分方程和自由空间积分方程在涡流区边界上的耦合条件。在此基础上 ,提出了A -V位的三维涡流场FE—BE耦合分析方法。对国际TEAM 2 1号问题B模型进行了计算 ,靠近线圈的钢板表面磁感应强度法向分量计算值与实测值基本一致。 展开更多
关键词 三维开域涡流场 a-v 有限元 边界元 电机工程
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The Effects of Apolipoprotein E Polymorphism on Serum Lipids, Lipoproteins and Apolipoproteins Variation 被引量:3
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作者 潘闽 朱健华 +2 位作者 袁瑾 王惠民 刘志华 《Journal of Nanjing Medical University》 2003年第4期196-200,共5页
Objective: To study the effects of Apolipoprotein E (ApoE) polymorphism onserum levels of lipids, lipoproteins and apolipoproteins. Methods: Fragments of ApoE gene forthex-on containing codon 112 and 158 polymorphic l... Objective: To study the effects of Apolipoprotein E (ApoE) polymorphism onserum levels of lipids, lipoproteins and apolipoproteins. Methods: Fragments of ApoE gene forthex-on containing codon 112 and 158 polymorphic locus were amplified by PCR, and then digested untilCfo I endonuclease. Genotypes and alleles frequencies of 168 healthy persons in Jiangsu area werecalculated. The effects of ApoE genotypes and alleles on serum lipids, lipoproteins andapolipoproteins variation were analyzed. Results: The effects of ApoE alleles on total cholesterol(TC), law density lipoprotein-cholesterol (LDL-C), ApoB was: along a decreasing gradientε_4>ε_3>ε_2. The effect of ε_4 allele was to increase serum levels of TC, LDL-C and ApoB, andthe ε_2 allele had an effect opposite to that of ε_4 allele. Conclusion: ApoE polymorphism is anindependent genetic factor on individual serum levels of lipids and apolipoproteins. 展开更多
关键词 apolipoprotein E POLYMORPHISM polymerase chain reaction restrictionfragment length polymorphism
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A-V综合征术后立体视重建影响因素分析 被引量:2
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作者 任小军 潘美华 《眼科新进展》 CAS 北大核心 2011年第12期1162-1164,共3页
目的观察A-V综合征患者术后立体视重建的影响因素。方法 A-V综合征住院患者共97例,V征71例,其中外斜V征48例,内斜V征23例,平均年龄6.3岁;A征26例,其中外斜A征21例,内斜A征5例,平均年龄5.9岁,随访8~16周,平均10.7周。术前、术后采用同... 目的观察A-V综合征患者术后立体视重建的影响因素。方法 A-V综合征住院患者共97例,V征71例,其中外斜V征48例,内斜V征23例,平均年龄6.3岁;A征26例,其中外斜A征21例,内斜A征5例,平均年龄5.9岁,随访8~16周,平均10.7周。术前、术后采用同视机和Titmus分别测定正下方的远、近立体视。观察指标包括:发病年龄、病程、术后眼位和水平斜视类型。结果 97例患者中,术后正前方及下方均正位的患者共88例,术后分别有27例(30.68%)和35例(39.77%)获得了远立体视和近立体视。术后远、近立体视获得比率≤3岁发病组(12.00%、20.00%)低于>3岁发病组(55.26%、65.79%,均为P<0.05);病程≤2a患者的术后获得远、近立体视的比例分别为48.48%、69.70%,明显高于病程>2a的患者(20.00%、21.82%,均为P<0.05);外斜A或V征组术后的远、近立体视获得比例分别为34.43%、18.03%,要高于内斜A或V征组(22.22%、44.44%),组间近立体视比较差异有统计学意义(P<0.05),远视力比较差异无统计学意义(P>0.05)。结论 A-V综合征术后立体视的重建与发病年龄和病程相关,因此,早期发现、正确地诊断与治疗有助于双眼视功能的恢复。 展开更多
关键词 a-v综合征 立体视 手术
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A-V综合征的手术治疗 被引量:1
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作者 邹玲 吕名端 吴健芳 《眼外伤职业眼病杂志》 北大核心 2001年第4期386-387,共2页
目的 研究A V综合征临床治疗的方法并进行效果评价。方法 回顾分析 18例 36眼A V综合征的治疗方法及6月~ 3年的随访资料。结果 水平直肌手术与垂直斜肌手术皆能获得满意的术后矫正效果。
关键词 a-v综合征 斜视 眼外科手术
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多普勒超声心动图评价DDD起搏器最佳A-V间期(摘要) 被引量:1
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作者 刘巍 王珂 +2 位作者 王莹琦 杨延宗 杨兰 《海南医学》 CAS 2002年第12期168-168,共1页
目的 研究DDD起搏器不同的房室间期 (AVP)对左室充盈和心搏量 (SV)的影响及发生机制。方法 选择安置双腔起搏器和心功能正常患者 2 3人 ,均龄 62± 15岁。静息状态下程控起搏模式为起搏心房和心室 ,起搏频率分别为 60ppm ,70ppm两... 目的 研究DDD起搏器不同的房室间期 (AVP)对左室充盈和心搏量 (SV)的影响及发生机制。方法 选择安置双腔起搏器和心功能正常患者 2 3人 ,均龄 62± 15岁。静息状态下程控起搏模式为起搏心房和心室 ,起搏频率分别为 60ppm ,70ppm两种 ,AVP分别调控为 80ms、10 0ms、12 0ms、14 0ms、180ms和 2 2 0ms。多普勒超声心动图记录不同心律及AVP。结果 当AVP由 80ms逐渐延至 2 2 0ms时 ,最大SV发生在 14 0ms。当AVP逐渐延长时 ,做事充盈时间和E波速度 -时间积分逐渐缩短或减少 ,而A波速度 -时间积分逐渐增加 ;二尖瓣血流时间 -速度总积分也在AVP 14 0ms时最大。随AVP延长 ,E波持续时间逐渐缩短 ,而A波持续时间逐渐延长 ;A波发生时间由在ECG的Q波之后逐渐移至其前。以上个指标在AVP 14 0ms时与 80ms和 2 2 0ms均有显著差异。在 60ppm与 70ppm时均适用。结论  1.在心功能正常的DDD起搏器患者中 ,静息时最佳AVP为 14 0ms ;2 .不同AVP的血流动力学作用与心房收缩发生时间 ,左室充盈时间长短以及左室舒张早期与晚期充盈之间相互平衡有密切关系。AVP过短或过长均可降低左室充盈量和SV ;3 .为达最佳左室充盈状态 ,可考虑个体化调节不同患者的最佳AVP。 展开更多
关键词 多普勒超声心动图 DDD起搏器 最佳a-v间期 心律失常 心搏量 左室充盈 房室间期
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手术治疗A-V型斜视患者临床效果观察 被引量:2
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作者 刘香 《中国卫生标准管理》 2015年第22期48-50,共3页
目的 探讨手术治疗A-V型斜视患者临床效果,为临床提供一定的指导意义。方法 选择2012年4月-2014年4月我院收治的A-V型斜视患者128例,按照手术方法不同分为A征组(n=68)和V征组(n=60),A征组采用上斜肌断腱术治疗,V征组采用下斜肌切断... 目的 探讨手术治疗A-V型斜视患者临床效果,为临床提供一定的指导意义。方法 选择2012年4月-2014年4月我院收治的A-V型斜视患者128例,按照手术方法不同分为A征组(n=68)和V征组(n=60),A征组采用上斜肌断腱术治疗,V征组采用下斜肌切断术。结果 A征单上斜肌断腱术与双上斜肌断腱术视角差改善均具有统计学差异(P〈0.05);V征单下斜肌切断术和双下斜肌切断术视角差改善均具有统计学差异(P〈0.05);A征68例患者治愈62例,V征60例患者治愈54例。结论 根据不同征型斜视患者采用相应的手术治疗方式效果明显,具有重要临床研究意义。 展开更多
关键词 手术 a-v型斜视 效果
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载脂蛋白AA5基因多态性与新疆地区冠心病及血脂水平的相关性研究
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作者 哈力沙·艾日肯江 秦婕婷 +3 位作者 阿利亚·恰瓦尔 高颖 沙吉旦·阿不都热衣木 尚静 《中国心血管病研究》 2025年第1期52-57,共6页
目的分析载脂蛋白A5(ApoA5)基因rs662799位点基因型与冠心病(CHD)及血脂水平的相关性。方法回顾性分析新疆医科大学第一附属医院2019年1月至2021年1月住院的CHD患者976例为CHD组,并选择907例非CHD患者为对照组,两组平均年龄为(56.11... 目的分析载脂蛋白A5(ApoA5)基因rs662799位点基因型与冠心病(CHD)及血脂水平的相关性。方法回顾性分析新疆医科大学第一附属医院2019年1月至2021年1月住院的CHD患者976例为CHD组,并选择907例非CHD患者为对照组,两组平均年龄为(56.11±10.28)岁和(55.70±9.21)岁,采用SNPscanTM高通量基因分型技术检测所纳入研究对象基因多态性,并检测血脂水平。结果与正常对照组相比,CHD组患者的高血压史(49.3%)、糖尿病史(22.9%)、吸烟史构成比(44.9%)、甘油三酯(TG)(2.04±1.63)mmol/L、血清总胆固醇(TC)(4.46±1.29)mmol/L、低密度脂蛋白胆固醇(LDL-C)(2.84±1.01)mmol/L指标水平更高,高密度脂蛋白胆固醇(HDL-C)(0.99±0.29)mmol/L水平更低,差异均具有统计学意义(均P<0.05)。在CHD组中,rs662799 AG(31.9%,42.5%)和GG(5.9%,8.5%)基因型HDL-C水平明显降低,TG水平明显升高。多因素Logistic回归分析结果显示,CHD组rs662799 GG、GA基因型携带者TG的水平比AA基因型携带者高(OR=0.167,0.184),差异均具有统计学意义(P<0.05)。rs662799 GG基因型携带者HDL-C的水平比GA、AA基因型携带者低(OR=4.027,4.038),差异不具有统计学意义(P>0.05)。结论ApoA5 rs662799影响血脂水平,但与CHD发生发展无明显相关性。 展开更多
关键词 冠心病 载脂蛋白A5 血脂水平 基因多态性
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不同术式矫正A-V综合征临床分析
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作者 王志斌 张勇 郑大凤 《国际眼科杂志》 CAS 2008年第11期2284-2285,共2页
目的:分析A-V型斜视发病率、病因,探讨A-V型斜视不同术式的治疗效果。方法:按第一眼位斜视度数设计水平方向的手术量,对合并轻度上?下斜肌功能亢进(A-V征15Δ~20Δ)及仅有水平肌功能异常者行水平直肌垂直移位术;上?下斜肌功能亢进明显... 目的:分析A-V型斜视发病率、病因,探讨A-V型斜视不同术式的治疗效果。方法:按第一眼位斜视度数设计水平方向的手术量,对合并轻度上?下斜肌功能亢进(A-V征15Δ~20Δ)及仅有水平肌功能异常者行水平直肌垂直移位术;上?下斜肌功能亢进明显者(+2~+3),行上?下斜肌减弱术。结果:62例A-V综合征中合并上?下斜肌功能异常者35例,仅有水平肌功能异常者27例。行上、下斜肌减弱术21例,行水平直肌垂直移位术41例,两种手术效果无显著差异。结论:产生A-V综合征的因素较多,多数A-V型斜视都有斜肌功能异常,对上?下斜肌功能亢进明显者,行上?下斜肌减弱术,对合并上?下斜肌功能亢进较轻及仅有水平肌功能异常者行水平直肌垂直移位术,手术效果良好,两种术式效果无显著差异。 展开更多
关键词 a-v综合征 临床表现 外科手术 眼外肌
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心脏再同步化治疗中A-V间期优化对早期心功能的影响
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作者 赵太生 王裕岱 +1 位作者 李学文 吕吉元 《中西医结合心脑血管病杂志》 2010年第12期1505-1507,共3页
目的评价A-V延迟优化对心脏再同步治疗(CRT)病人早期心功能的影响,指导临床心脏再同步化治疗后A-V延迟间期的程控优化设置。方法对心脏再同步化治疗病人在程控左右心室同步收缩前提下,经组织多普勒超声(TDI)测量A-V延迟优化前后相应左... 目的评价A-V延迟优化对心脏再同步治疗(CRT)病人早期心功能的影响,指导临床心脏再同步化治疗后A-V延迟间期的程控优化设置。方法对心脏再同步化治疗病人在程控左右心室同步收缩前提下,经组织多普勒超声(TDI)测量A-V延迟优化前后相应左室射血分数(LVEF)、左室舒张末内径(LVEDd)、每搏输出量(SV)及主动脉瓣口的速度-时间积分(VTI)等即刻心功能指标。结果 4例行心脏再同步化治疗的病人A-V延迟优化后LVEF、SV及VTI与优化前均明显升高(P<0.05),而优化后LVEDd与优化前比较差异无统计学意义。结论 CRT起搏治疗在保障了心室舒缩同步的前提下,通过最佳的A-V延迟优化,对早期血流动力学的改善起着重要作用,临床上应重视对CRT治疗病人A-V延迟的优化设置。 展开更多
关键词 心脏再同步化 a-v间期优化 心功能指标
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A-V创面霜治疗深度烧伤创面效果观察
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作者 郭毅斌 李朝虹 +1 位作者 郑庆亦 陈锦河 《人民军医》 2001年第5期259-259,共1页
关键词 a-v创面霜 治疗 烧伤
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载脂蛋白E参与阿尔茨海默病的作用机制研究进展
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作者 李嘉瑗 柳婷 孟胜喜 《国际老年医学杂志》 2025年第1期91-95,共5页
阿尔茨海默病(AD)是发生于老年期的常见中枢神经系统退行性病变,其中载脂蛋白E(ApoE)基因是与AD相关性最强的遗传因素,然而其与AD发生发展的作用机制尚未完全清楚。本文对ApoE与AD相关的概况,APOE基因多态性对AD的影响,ApoE与其他致病... 阿尔茨海默病(AD)是发生于老年期的常见中枢神经系统退行性病变,其中载脂蛋白E(ApoE)基因是与AD相关性最强的遗传因素,然而其与AD发生发展的作用机制尚未完全清楚。本文对ApoE与AD相关的概况,APOE基因多态性对AD的影响,ApoE与其他致病因素的相互作用,ApoE在AD诊治中的相关应用作一综述,有助于完善AD的发病机制网络,为该病的防治提供更多思路。 展开更多
关键词 阿尔茨海默病 载脂蛋白E 作用机制
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Liver as a new target organ in Alzheimer's disease:insight from cholesterol metabolism and its role in amyloid-beta clearance
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作者 Beibei Wu Yuqing Liu +4 位作者 Hongli Li Lemei Zhu Lingfeng Zeng Zhen Zhang Weijun Peng 《Neural Regeneration Research》 SCIE CAS 2025年第3期695-714,共20页
Alzheimer's disease,the primary cause of dementia,is characterized by neuropathologies,such as amyloid plaques,synaptic and neuronal degeneration,and neurofibrillary tangles.Although amyloid plaques are the primar... Alzheimer's disease,the primary cause of dementia,is characterized by neuropathologies,such as amyloid plaques,synaptic and neuronal degeneration,and neurofibrillary tangles.Although amyloid plaques are the primary characteristic of Alzheimer's disease in the central nervous system and peripheral organs,targeting amyloid-beta clearance in the central nervous system has shown limited clinical efficacy in Alzheimer's disease treatment.Metabolic abnormalities are commonly observed in patients with Alzheimer's disease.The liver is the primary peripheral organ involved in amyloid-beta metabolism,playing a crucial role in the pathophysiology of Alzheimer's disease.Notably,impaired cholesterol metabolism in the liver may exacerbate the development of Alzheimer's disease.In this review,we explore the underlying causes of Alzheimer's disease and elucidate the role of the liver in amyloid-beta clearance and cholesterol metabolism.Furthermore,we propose that restoring normal cholesterol metabolism in the liver could represent a promising therapeutic strategy for addressing Alzheimer's disease. 展开更多
关键词 ABCA1 Alzheimer's disease AMYLOID-BETA apolipoprotein E cholesterol metabolism LIVER liver X receptor low-density lipoprotein receptor-related protein 1 peripheral clearance tauroursodeoxycholic acid
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A-V综合征的手术治疗
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作者 吴建妹 许丽疆 蔡福旭 《中国误诊学杂志》 CAS 2004年第11期1842-1843,共2页
关键词 a-v综合征 手术
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