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C-peptide and Diabetic Encephalopathy 被引量:9
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作者 Xiao-jun Cai Hui-qin Xu Yi Lu 《Chinese Medical Sciences Journal》 CAS CSCD 2011年第2期119-125,共7页
With the changes of life style, diabetes and its complications have become a major cause of morbidity and mortality. It is reasonable to anticipate a continued rise in the incidence of diabetes and its complications a... With the changes of life style, diabetes and its complications have become a major cause of morbidity and mortality. It is reasonable to anticipate a continued rise in the incidence of diabetes and its complications along with the aging of the population, increase in adult obesity rate, and other risk factors. Diabetic encephalopathy is one of the severe microvascular complications of diabetes, characterized by impaired cognitive functions, and electrophysiological, neurochemical, and structural abnormalities. It may involve direct neuronal damage caused by intracellular glu-cose. However, the pathogenesis of this disease is complex and its diagnosis is not very clear. Previous researches have suggested that chronic metabolic alterations, vascular changes, and neuronal apoptosis may play important roles in neuronal loss and damaged cognitive functions. Multiple factors are responsible for neuronal apoptosis, such as disturbed insulin growth factor (IGF) system, hyperglycemia, and the aging process. Recent data suggest that insulin/C-peptide deficiency may exert a primary and key effect in diabetic encephalopathy. Administration of C-peptide partially improves the condition of the IGF system in the brain and prevents neuronal apoptosis in the hippocampus of diabetic patients. Those findings provide a basis for application of C-peptide as a potentially effective therapy for diabetes and diabetic encephalopathy. 展开更多
关键词 糖尿病 脑病 c 胰岛素样生长因子 神经细胞凋亡 神经元损伤 并发症 生活方式
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Pathological consequences of C-peptide deficiency in insulin-dependent diabetes mellitus 被引量:6
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作者 Ahmad Ghorbani Reza Shafiee-Nick 《World Journal of Diabetes》 SCIE CAS 2015年第1期145-150,共6页
Diabetes is associated with several complications such as retinopathy, nephropathy, neuropathy and cardiovascular diseases. Currently, insulin is the main used medication for management of insulin-dependentdiabetes me... Diabetes is associated with several complications such as retinopathy, nephropathy, neuropathy and cardiovascular diseases. Currently, insulin is the main used medication for management of insulin-dependentdiabetes mellitus(type-1 diabetes). In this metabolic syndrome, in addition to decrease of endogenous insulin, the plasma level of connecting peptide(C-peptide) is also reduced due to beta cell destruction. Studies in the past decade have shown that C-peptide is much more than a byproduct of insulin biosynthesis and possess different biological activities. Therefore, it may be possible that C-peptide deficiency be involved, at least in part, in the development of different complications of diabetes. It has been shown that a small level of remaining C-peptide is associated with significant metabolic benefit. The purpose of this review is to describe beneficial effects of C-peptide replacement on pathological features associated with insulin-dependent diabetes. Also, experimental and clinical findings on the effects of C-peptide on wholebody glucose utilization, adipose tissue metabolism and tissues blood flow are summarized and discussed. The hypoglycemic, antilipolytic and vasodilator effects of C-peptide suggest that it may contribute to fine-tuning of the tissues metabolism under different physiologic or pathologic conditions. Therefore, C-peptide replacement together with the classic insulin therapy may prevent, retard, or ameliorate diabetic complications in patients with type-1 diabetes. 展开更多
关键词 c-peptide DIABETES INSULIN NEPHROPATHY NEUROPATHY
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C-peptide as a key risk factor for non-alcoholic fatty liver disease in the United States population 被引量:8
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作者 Amporn Atsawarungruangkit Jirat Chenbhanich George Dickstein 《World Journal of Gastroenterology》 SCIE CAS 2018年第32期3663-3670,共8页
AIM To determine whether fasting C-peptide is an independent predictor for non-alcoholic fatty liver disease(NAFLD) in United States population.METHODS Using the National Health and Nutrition Examination Survey(NHANES... AIM To determine whether fasting C-peptide is an independent predictor for non-alcoholic fatty liver disease(NAFLD) in United States population.METHODS Using the National Health and Nutrition Examination Survey(NHANES) 1988-1994, NAFLD participants aged 20 or greater without any other liver diseases were included in this study. Excessive alcohol intake is defined as > 2 drinks per day for males and > 1 drink per day for females. C-peptide and 27 other factors known to be associated with NAFLD(e.g., age, gender, body mass index, waist circumference, race/ethnicity, liver chemistries, and other diabetes tests) were tested in both univariate and multivariate level using logistic regression with a P-value 0.05.RESULTS Of 18825 participants aged ≥ 20, 3235 participants(n = 3235) met inclusion criteria. There were 23 factors associated with NAFLD by univariate analysis. 9 factors, ranked by the highest change in pseudo R2, were found to be significant predictors of NAFLD in multivariate model: waist circumference, fasting C-peptide, natural log of alanine aminotransferase(ALT), total protein, beingMexican American, natural log of glycated hemoglobin, triglyceride level, being non-Hispanic white, and ferritin level. CONCLUSION Together with waist circumference and ALT, fasting C-peptide is among three most important predictors of NAFLD in United States population in the NHANES data set. Further study is needed to validate the clinical utility of fasting C-peptide in diagnosis or monitoring insulin resistance in NAFLD patients. 展开更多
关键词 INSULIN resistance FATTY liver HEPATOSTEATOSIS METABOLIc syndrome c-peptide
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Research Progress of C-Peptide and Its Physiological Function
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作者 Rong Zeng Shuyu Huang Shibo Liao 《International Journal of Clinical Medicine》 2020年第5期207-215,共9页
As a product in the process of insulin synthesis, C-peptide’s physiological function is still not very clear. Recent studies have shown that C-peptide has many potential cell targets and has biological effects on a v... As a product in the process of insulin synthesis, C-peptide’s physiological function is still not very clear. Recent studies have shown that C-peptide has many potential cell targets and has biological effects on a variety of tissue systems in humans and other animals. In this paper, the effects of C-peptide on diabetic complications, reproductive endocrine system, blood system, tissue repair, and neoplastic diseases were reviewed to provide references for further clarification of c-peptide related problems. 展开更多
关键词 c-peptide PHYSIOLOGIcAL FUNcTIONS REVIEW
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Inverse relationship between glomerular hyperfiltration and C-peptide level in Type 1 diabetes
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作者 Anissa Messaaoui Sylvie Tenoutasse +1 位作者 Christian Mélot Harry Dorchy 《Journal of Diabetes Mellitus》 2014年第1期50-53,共4页
Background: Increased glomerular filtration rate (GFR) commonly develops in early diabetes and is closely correlated with the development of diabetic nephropathy. Objective: The aim was to study the relationship betwe... Background: Increased glomerular filtration rate (GFR) commonly develops in early diabetes and is closely correlated with the development of diabetic nephropathy. Objective: The aim was to study the relationship between GFR, C-peptide level and other parameters at diagnosis of Type 1 diabetes. Methods: We determined GFR, Cpeptide level, glycated hemoglobin (HbA1c), body mass index (BMI) SDS and loss of weight at diagnosis of Type 1 diabetes in 495 children (231 females). Linear and multiple regression analysis was used to test for the associations between GFR and other parameters. Results: In the 495 patients, GFR median (interquartile range) was increased vs normal values (p = 0.0001). GFR was significantly negatively correlated with age (p < 0.001) and C-peptide level (p = 0.001), and positively correlated with weight loss (p = 0.02). The multiple regression analysis showed that age (p = 0.001) and C-peptide level (p = 0.05) were independently and negatively related to GFR. Conclusions: This study shows that, at onset of Type 1 diabetes, higher the GFR, younger the age and lower the C-peptide level are. The role of this hyperfiltration in the development of later nephropathy and the putative preventive effect of C-peptide administration need to be evaluated. 展开更多
关键词 Type 1 DIABETES HYPERFILTRATION NEPHROPATHY c-peptide Glycated HEMOGLOBIN
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Level of Fasting C-Peptide as a Predictor of <i>β</i>-Cell Function in Sudanese Patients with Type 2 Diabetes Mellitus
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作者 Hani Yousif Zaki Ahmed Abbi Abdille Badreldin Elsonni Abdalla 《Journal of Biosciences and Medicines》 2019年第1期115-123,共9页
Objective: In this study, we assessed the level of fasting C-peptide as a predictor of β-cell function and insulin resistance in patients with Type 2 diabetes mellitus (T2DM), Gezira State-Sudan. Methods: In this cro... Objective: In this study, we assessed the level of fasting C-peptide as a predictor of β-cell function and insulin resistance in patients with Type 2 diabetes mellitus (T2DM), Gezira State-Sudan. Methods: In this cross-sectional study, 100 T2DM patients attending the Diabetic patients care Centre were recruited, thirty five patients were males and sixty five were females, the mean age of the patients was 50.29 ± 0.456 years, and body mass index (BMI) was 26.54 ± 0.437. We estimated β-cell function using fasting C-peptide levels;homeostatic model assessment for β-cell function (HOMA-B) and insulin resistance (HOMA-IR) were calculated from C-peptide and fasting blood glucose (FBG). Results: C-peptide was significantly and positively correlated with HOMA-B and HOMA-IR. FBG also showed significant negative correlation with HOMA-B, but was positively and significantly correlated with HOMA-IR. HbA1c was negatively and significantly correlated with HOMA-B. Patients with low C-peptide levels had increased FBG and HbA1c level, while patients with high C-peptide levels were having high HOMA-IR and HOMA-B. Conclusions: Fasting C-peptide is a useful marker of pancreatic β-cell function, and its circulating levels could be used to evaluate insulin secretion and insulin resistance. Moreover, HOMA-IR is an effective index to achieve glycemic control by appropriate pharmacologic treatment of T2DM. 展开更多
关键词 β-cell Function c-peptide Insulin Resistance Type 2 Diabetes MELLITUS
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Role of C-Peptide in Relation to Levels of Anti-GAD and Islet Cell Antibodies in Characterizing Types of Diabetes in the Young, in Eastern India
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作者 Sidhartha Das Dipanweeta Routray +1 位作者 Manoranjan Behera Saroj Kumar Tripathy 《Journal of Diabetes Mellitus》 2022年第1期1-11,共11页
Background: Measuring fasting C-peptide (FCP) and antibodies against Glutamic acid decarboxylase (GADA) and Islet cell antibodies (ICA) are not so commonly explored in children and young adults. Objectives: To assess ... Background: Measuring fasting C-peptide (FCP) and antibodies against Glutamic acid decarboxylase (GADA) and Islet cell antibodies (ICA) are not so commonly explored in children and young adults. Objectives: To assess the levels of FCP, GADA and ICA in subjects below the age of 25 years with DM and compare their levels to differentiate between Autoimmune and Non-Autoimmune Type 1 DM. Methodology: Blood samples of 93 subjects diagnosed with DM, reporting to the tertiary care hospital, were analysed for ICA, GADA and FCP. Receiver operating characteristics (ROC) curves were analysed to check the ability of autoimmune markers, BMI and C-peptide to differentiate between Autoimmune (Ai) and Non-Autoimmune (NonAi) diabetes. Results: 30/93 (32.2%) were positive for anti-GAD ab and/or ICA and categorised as Autoimmune (Ai), the most common antibody being, anti-GAD ab (80%) in them. The level of FCP among Ai compared to NonAi, was significantly low (p 20.75 nmol/l) as a very dependable test for diagnosing Ai, Type 1 DM, in children and young adults. Its sensitivity and specificity are in the range of 86.2% and 96.8% respectively. Low level of C-peptide (Conclusion: This study revealed predominant positivity for anti-GAD ab (80%) among Ai+ patients. ROC analysis shows GADA above 20.75 nmol/l and Fasting C-peptide < 0.36 nmol/l as a good indicator for diagnosing Ai in children and young adults. 展开更多
关键词 c-peptide Anti-Glutamic Acid Decarboxylase Antibodies (GADA) Islet cell Antibodies (IcA) ROc Analysis Type 1 DM Type 2 DM
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血清C肽与糖化血红蛋白联合检验对糖尿病患者辅助诊断的价值
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作者 陈成塔 叶峰山 +1 位作者 宋育明 聂力平 《糖尿病新世界》 2024年第9期37-40,共4页
目的探讨血清C肽与糖化血红蛋白诊断糖尿病的价值。方法选取厦门大学附属第一医院杏林分院于2021年1月—2023年12月收治的200例疑似糖尿病患者为研究对象,均检测C肽与糖化血红蛋白水平,以糖耐量试验为金标准,分析两项指标联合的诊断价... 目的探讨血清C肽与糖化血红蛋白诊断糖尿病的价值。方法选取厦门大学附属第一医院杏林分院于2021年1月—2023年12月收治的200例疑似糖尿病患者为研究对象,均检测C肽与糖化血红蛋白水平,以糖耐量试验为金标准,分析两项指标联合的诊断价值。结果糖耐量试验结果显示,200例疑似患者中确诊糖尿病165例,非糖尿病35例;血清C肽联合糖化血红蛋白检查的检出率为83.50%,高于单一指标的72.50%、74.50%。联合诊断糖尿病的准确度、灵敏度、阴性预测值高于单一指标,差异有统计学意义(P均<0.05)。结论糖尿病诊断时,血清C肽联合糖化血红蛋白可发挥确切价值。 展开更多
关键词 糖尿病 血清c 糖化血红蛋白 灵敏度 准确度
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孕晚期血清Hcy、NLR及C肽与妊娠糖尿病患者产后血糖转归的关系
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作者 赵艳平 徐宏燕 宋美娜 《分子诊断与治疗杂志》 2024年第3期516-519,525,共5页
目的 探讨孕晚期血清同型半胱氨酸(Hcy)、中性粒细胞与淋巴细胞计数的比值(NLR)及C肽与妊娠糖尿病(GDM)患者产后血糖转归的关系。方法 选取2020年5月至2022年5月期间于北京丰台医院产科规律产检并住院分娩的,且产前确诊为孕晚期(孕周≥2... 目的 探讨孕晚期血清同型半胱氨酸(Hcy)、中性粒细胞与淋巴细胞计数的比值(NLR)及C肽与妊娠糖尿病(GDM)患者产后血糖转归的关系。方法 选取2020年5月至2022年5月期间于北京丰台医院产科规律产检并住院分娩的,且产前确诊为孕晚期(孕周≥28周)GDM患者共计109例作为研究对象,产后6周根据患者机体血糖代谢功能是否恢复正常,分为异常组(n=35)与正常组(n=74)。收集并比较两组临床资料及实验室指标,以多因素Logistic分析孕晚期血清Hcy、NLR及C肽与GDM患者产后血糖转归的相关性,绘制受试者工作特性曲线(ROC)评估孕晚期血清Hcy、NLR以及C肽联合检测对GDM患者产后血糖转归的预测价值。结果 单因素分析结果显示,两组的孕晚期BMI、TG、血清Hcy、NLR以及C肽水平比较,差异均具有统计学意义(χ^(2)/t=19.141、2.545、6.673、3.822、5.862,P<0.05);多因素Logistic回归分析显示,孕晚期BMI≥28 kg/m2、孕晚期血清Hcy、NLR以及C肽水平升高均为影响GDM患者产后血糖转归的独立危险因素(P<0.05);ROC曲线显示,血清Hcy、NLR、C肽以及三者联合检测曲线下面积为0.829、0.709、0.828以及0.886。结论 孕晚期血清Hcy、NLR以及C肽均与GDM患者产后血糖转归情况密切相关,且三者联合检测对GDM患者产后血糖转归具备较高预测价值。 展开更多
关键词 妊娠糖尿病 同型半胱氨酸 c 中性粒细胞与淋巴细胞计数的比值
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hs-CRP、NT-proBNP及NAR对急性冠状动脉综合征患者诊断价值分析
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作者 贾蓉 薛建华 +1 位作者 吴文 上官晓雯 《转化医学杂志》 2024年第2期208-211,217,共5页
目的 探讨超敏C反应蛋白(hs-CRP)、氨基末端脑钠肽前体(NT-proBNP)及中性粒细胞与白蛋白比值(NAR)对急性冠状动脉综合征(ACS)患者的诊断价值。方法 选取2020年6月—2022年9月收治的ACS 71例作为研究组,同期健康体检者56例作为对照组,并... 目的 探讨超敏C反应蛋白(hs-CRP)、氨基末端脑钠肽前体(NT-proBNP)及中性粒细胞与白蛋白比值(NAR)对急性冠状动脉综合征(ACS)患者的诊断价值。方法 选取2020年6月—2022年9月收治的ACS 71例作为研究组,同期健康体检者56例作为对照组,并依照不同疾病类型和血管病变支数将研究组分为ST段抬高型心肌梗死(STEMI)组、非ST段抬高型心肌梗死(NSTEMI)组、不稳定型心绞痛(UAP)组及单支、双支、多支病变组各3个亚组。比较研究组与对照组、不同疾病类型和血管病变支数各3个亚组hs-CRP、NT-proBNP及NAR,探讨hs-CRP、NT-proBNP及NAR单独或联合对ACS的诊断价值。结果 研究组hs-CRP、NT-proBNP及NAR均高于对照组;STEMI组、NSTEMI组和UAP组hs-CRP、NT-proBNP及NAR逐渐降低,单支、双支和多支病变组hs-CRP、NT-proBNP及NAR逐渐升高(P<0.05)。受试者工作特征曲线分析显示,hs-CRP、NT-proBNP和NAR单独或联合诊断ACS的曲线下面积分别为0.820、0.815、0.883及0.914,三者联合诊断ACS的曲线下面积高于单独诊断(P<0.05,P<0.01)。结论 hs-CRP、NT-proBNP及NAR三者联合对ACS的诊断价值较高。 展开更多
关键词 急性冠状动脉综合征 疾病类型 血管病变支数 超敏c反应蛋白 氨基末端脑钠肽前体 中性粒细胞与白蛋白比值 诊断
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BMI指数与老年CHF患者血浆Cys-C、NT-proBNP相关性及评测预后的可行性研究
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作者 王姣 郎月 耿直 《齐齐哈尔医学院学报》 2024年第15期1423-1426,共4页
目的分析体质量指数(Body mass index,BMI)与老年慢性心力衰竭(Chronic heart failure,CHF)患者血浆胱抑素C(cystatinC,Cys-C)、N末端B型利钠肽原(N-terminal pro-B-type natriuretic peptide,NT-proBNP)水平相关性,并分析血浆Cys-C、NT... 目的分析体质量指数(Body mass index,BMI)与老年慢性心力衰竭(Chronic heart failure,CHF)患者血浆胱抑素C(cystatinC,Cys-C)、N末端B型利钠肽原(N-terminal pro-B-type natriuretic peptide,NT-proBNP)水平相关性,并分析血浆Cys-C、NT-proBNP评估老年CHF患者预后价值。方法选择2021年7月—2022年10月在本院接受治疗的192例老年慢性心力衰竭(CHF)患者作为研究对象,按照BMI指数分为肥胖组(49例)、超重组(68例)和正常组(75例)三组。对比各亚组患者血浆Cys-C、NT-proBNP水平差异,采用Pearson相关性分析的方式探究老年CHF患者BMI指数与血浆Cys-C、NT-proBNP相关性,对入组患者实施12个月随访,将患者按照预后情况区分为死亡组和存活组,对比两亚组患者血浆Cys-C、NT-proBNP水平差异并评估预后评估价值。结果肥胖组患者血浆Cys-C、NT-proBNP水平高于超重组,超重组患者血浆Cys-C、NT-proBNP水平高于正常组,差异具有统计学意义(P<0.05);入组老年CHF患者的BMI指数与其血浆Cys-C、NT-proBN水平均呈现明显的正相关性(r=0.7104,P<0.0001)(r=0.6603,P<0.0001);随访12个月显示,死亡组患者的血浆Cys-C、NT-proBNP水平显著高于存活组患者,差异具有统计学意义(P<0.05);血浆Cys-C、NT-proBNP对老年CHF预后评估曲线下面积(area under curv,AUC)为0.6930(P=0.0009)、0.7982(P<0.0001)。结论老年CHF患者随BMI指数升高,血浆Cys-C、NT-proBNP水平逐渐升高,血浆Cys-C、NT-proBNP对老年CHF临床结局具有一定的预测价值,进一步研究有推广应用于老年CHF预后评估潜力。 展开更多
关键词 体质量指数 慢性心力衰竭 胱抑素c N末端B型利钠肽原 相关性 预后评估
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参松养心胶囊联合沙库巴曲缬沙坦治疗阵发性心房颤动合并慢性心力衰竭对hs-CRP、BNP、AngⅡ及心功能的影响
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作者 何文凤 薛成 +2 位作者 郑健康 帅壮 岳荣川 《中华中医药学刊》 CAS 北大核心 2024年第6期95-98,共4页
目的 探讨参松养心胶囊联合沙库巴曲缬沙坦治疗阵发性心房颤动合并慢性心力衰竭对高敏C反应蛋白(High sensitivity C-reactive protein, hs-CRP)、脑钠肽(Brain natriuretic peptide, BNP)、血管紧张素Ⅱ(AngiotensinⅡ,AngⅡ)及心功能... 目的 探讨参松养心胶囊联合沙库巴曲缬沙坦治疗阵发性心房颤动合并慢性心力衰竭对高敏C反应蛋白(High sensitivity C-reactive protein, hs-CRP)、脑钠肽(Brain natriuretic peptide, BNP)、血管紧张素Ⅱ(AngiotensinⅡ,AngⅡ)及心功能的影响。方法 选取100例阵发性心房颤动合并慢性心力衰竭患者,随机分为对照组与观察组,每组50例,对照组在常规治疗基础上给予沙库巴曲缬沙坦口服,观察组在常规治疗基础上给予参松养心胶囊联合沙库巴曲缬沙坦口服治疗,疗程6个月。观察血清hs-CRP、BNP、AngⅡ、左心室射血分数(Left ventricular ejection fraction, LVEF)、左室收缩末期内径(Left ventricular end systolic diameter, LVESD)、左室舒张末期内径(Left ventricular end diastolic diameter, LVEDD)变化。结果 两组治疗前血清hs-CRP、BNP、AngⅡ比较差异无统计学意义(P>0.05),治疗后下降(P<0.05),且观察组低于对照组(P<0.05);两组治疗前LVEF、LVESD、LVEDD比较差异无统计学意义(P>0.05),治疗后LVEF升高(P<0.05),且观察组高于对照组(P<0.05),治疗后LVESD、LVEDD下降(P<0.05),且观察组低于对照组(P<0.05);两组治疗前阵发性心房颤动发作次数、阵发性心房颤动持续时间、心室率比较差异无统计学意义(P>0.05),治疗后下降(P<0.05),且观察组低于对照组(P<0.05);对照组转为持续性心房颤动、心力衰竭恶化、缺血心源性死亡率分别为20.00%、22.00%、4.00%,观察组分别为4.00%、6.00%、0.00%,转为持续性心房颤动、心力衰竭恶化发生率对照组高于观察组(P<0.05);观察组治疗疗效优于对照组(P<0.05)。结论 参松养心胶囊联合沙库巴曲缬沙坦治疗阵发性心房颤动合并慢性心力衰竭有助于促进hs-CRP、BNP、AngⅡ下降,改善患者心功能,改善预后。 展开更多
关键词 参松养心胶囊 沙库巴曲缬沙坦 阵发性心房颤动 慢性心力衰竭 高敏c反应蛋白 脑钠肽 血管紧张素Ⅱ 心功能
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HbA1c、C-P水平与2型糖尿病周围神经病变的关联性分析 被引量:1
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作者 张建建 薛巍 +2 位作者 张岳 黄杲德 康杰 《国际医药卫生导报》 2023年第1期91-94,共4页
目的探讨糖化血红蛋白(HbA1c)、C肽(C-P)水平与2型糖尿病周围神经病变的关联性。方法回顾性分析2020年2月至2022年1月济南市第二人民医院行冠脉造影检查结果诊断为2型糖尿病患者96例(单纯2型糖尿病26例、2型糖尿病周围神经病变70例),另... 目的探讨糖化血红蛋白(HbA1c)、C肽(C-P)水平与2型糖尿病周围神经病变的关联性。方法回顾性分析2020年2月至2022年1月济南市第二人民医院行冠脉造影检查结果诊断为2型糖尿病患者96例(单纯2型糖尿病26例、2型糖尿病周围神经病变70例),另选取32例健康者为健康组。单纯2型糖尿病组男12例、女14例,年龄32~68(55.26±7.14)岁;2型糖尿病周围神经病变组男32例、女38例,年龄30~67(53.24±7.14)岁;健康组男20例、女12例,年龄30~76(58.25±7.69)岁。收集并比较患者临床资料;测定HbA1c、C-P水平;采用Spearman法分析HbA1c、C-P水平与2型糖尿病周围神经病变的相关性。计量资料采用t检验、F检验,计数资料采用χ^(2)检验。结果单纯2型糖尿病组、2型糖尿病周围神经病变组患者HbA1c水平[(7.37±0.87)%、(8.52±0.96)%]、C-P水平[(5.63±1.67)μg/L、(7.14±1.84)μg/L]均高于健康组[(7.02±0.68)%、(3.12±1.53)μg/L],差异均有统计学意义(均P<0.05)。两组2型糖尿病患者性别、年龄、体质量、病程、高血压、吸烟、饮酒、空腹血糖、心率等一般资料比较,差异均无统计学意义(均P>0.05)。Spearman相关性分析结果显示,C-P、HbA1c与2型糖尿病周围神经病变呈正相关(r=0.895、0.870,P=0.010、0.016)。结论2型糖尿病周围神经病变患者HbA1c、C-P水平异常,HbA1c、C-P水平与2型糖尿病周围神经病变相关,可为指导临床早期诊断2型糖尿病周围神经病变并及早进行防治提供一定参考。 展开更多
关键词 糖化血红蛋白 c 2型糖尿病周围神经病变
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超声心动图联合血清高敏C反应蛋白及N末端B型钠尿肽前体水平评估冠心病心衰患者心功能的价值研究 被引量:1
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作者 鲁凤瑾 李馨 +1 位作者 李萌 程国杰 《中国医学装备》 2024年第2期84-88,93,共6页
目的:探讨超声心动图联合血清高敏C反应蛋白(hs-CRP)、N末端B型钠尿肽前体(NT-proBNP)水平对冠心病心衰患者心功能的评估价值。方法:选择2021年11月至2022年11月北京市大兴区人民医院收治的306例冠心病心衰患者作为研究组,其中纽约心脏... 目的:探讨超声心动图联合血清高敏C反应蛋白(hs-CRP)、N末端B型钠尿肽前体(NT-proBNP)水平对冠心病心衰患者心功能的评估价值。方法:选择2021年11月至2022年11月北京市大兴区人民医院收治的306例冠心病心衰患者作为研究组,其中纽约心脏病协会(NYHA)心功能分级中Ⅱ级144例,Ⅲ级103例,Ⅳ级59例。另选同期在本院进行体检的108名健康体检者作为健康对照组,对所有受检者均进行NYHA心功能分级,采用超声心动图检测左室舒张末容积(LVEDV)、左室收缩末容积(LVESV)、左室射血分数(LVEF)、峰值射血率(PER)及峰值充盈率(PFR),检测所有受试者的NT-proBNP、hs-CRP水平,采用受试者工作特征(ROC)曲线分析LVEDV、LVESV、LVEF、PER、PFR、hs-CRP及NT-proBNP各指标单独检测及联合检测的价值。结果:研究组LVEDV(122.69±18.24)ml、LVESV(70.79±10.03)ml明显高于健康对照组(92.27±15.22)ml、(33.16±7.22)ml;LVEF(42.26±5.13)%、PER(2.49±0.22)EDV/s及PFR(1.79±0.26)EDV/s明显低于健康对照组(69.34±5.27)%、(3.56±0.27)EDV/s及(2.59±0.23)EDV/s,差异均有统计学意义(t=15.526、35.837、46.828、40.825、28.302,P<0.05);研究组hs-CRP和NT-proBNP水平明显高于健康对照组,差异有统计学意义(t=88.000、29.099,P<0.05);Ⅱ/Ⅲ级患者的LVEDV、LVESV明显低于IV级,LVEF、PER及PFR明显高于IV级,差异有统计学意义(t=53.391、92.658、32.140、240.474、116.921,P<0.05);Ⅱ/Ⅲ级患者hs-CRP、NT-proBNP水平明显低于Ⅳ级,差异有统计学意义(t=41.037、5.955,P<0.05);ROC曲线分析结果显示,LVEDV、LVESV、LVEF、PER、PFR、hs-CRP及NT-proBNP各指标单独检测及联合检测的灵敏度分别为45.00%、50.00%、70.00%、70.00%、75.00%、70.00%和90.00%,特异性分别为76.70%、57.00%、82.60%、44.20%、58.10%、52.30%和96.50%。LVEDV、LVESV、LVEF、PER、PFR、hs-CRP及NT-proBNP和联合检测的曲线下面积(AUC)分别为0.592(95%CI:0.441~0.743)、0.615(95%CI:0.468~0.761)、0.766(95%CI:0.634~0.899)、0.717(95%CI:0.575~0.860)、0.674(95%CI:0.536~0.812)、0.734(95%CI:0.592~0.876)、0.581(95%CI:0.469~0.694)和0.978(95%CI:0.947~1.000)。结论:冠心病心衰患者血清hs-CRP、NT-proBNP水平与左心功能参数均发生了相应的改变,且上述指标对冠心病心衰心功能具有较高的评估价值,联合评估的价值更高。 展开更多
关键词 超声心动图 高敏c反应蛋白(hs-cRP) N末端B型钠尿肽前体(NT-proBNP) 冠心病 心功能
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The role of C-type natriuretic peptide in rat testes during spermatogenesis 被引量:7
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作者 Dong-Hui Huang Shi-Wei Zhang +1 位作者 Hu Zhao Ling Zhang 《Asian Journal of Andrology》 SCIE CAS CSCD 2011年第2期275-280,共6页
C-type natriuretic peptide (CNP) is a 22-amino acid peptide and act as a local paracrine or autocrine regulator. There is growing evidence that ChIP is involved in male reproductive processes. To investigate the rol... C-type natriuretic peptide (CNP) is a 22-amino acid peptide and act as a local paracrine or autocrine regulator. There is growing evidence that ChIP is involved in male reproductive processes. To investigate the role of CNPduring spermatogenesis, we measured the mRNA expression of CNPand its specific membrane-bound natriuretic peptide receptor-B (NPR-B) using real-time RT-PCR in the testes of normal rats on different postnatal days. After that spermatogenesis dysfunction model induced by ornidazole was established with the aim to study the correlation of CNPwith spermatogenic dysfunction. Then, Sertoli cells from 18- to 22-day-old healthy male rats were cultured in the presence of different CNPconcentrations (1 ×10-6, 1×10-7 and1×10-8 mol l-1), and the mRNA expression levels of androgen.binding protein, inhibin B and transferrin were examined at 0 min, 30 min, 1 h, 2 h, 4 h, 8 h, 12 h, 24 h and 48 h. During the postnatal development of rat testes, the highest mRNA expression levels of CNPand NPR-B were found at postnatal Do, and the levels then declined gradually, with a second ChIPpeak at postnatal D35. In the ornidazole-induced infertile rat testes, CIVPgene expression was lower than in the uninduced rats (P〈0.05), while IVPR-Bgene expression was greater (P〈0.05). In cultured Sertoli cells, supplementation with CNP stimulated the gene expression of androgen-binding pmteirginhibin B/transferrin, particularly at 12 h, and 1× 10-7 mol l-1 CNP had the highest upregulation effect. The gene expression levels of CNPIIVPR-B in rat testes at different postnatal stages and in infertile rat testes indicated that CNP may participate in the physiology and/or pathology related to spermatogenesis. Moreover, ChIP regulated endocrine function in Sertoli cells. Taken together, these results showed that CNP is closely tied to spermatogenesis. 展开更多
关键词 c-type natriuretic peptide natriuretic peptide receptor-B Sertoli cell culture SPERMATOGENESIS
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Antibodies against the C-terminal peptide of rabbit oviductin inhibit mouse early embryo development to pass 2-cell stage 被引量:8
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作者 PAN YONG, ZHENG GU, JIN PING LUO, JUN Ru WANG, JIA KE TSO National Laboratory of Contraceptives and Devices Research, Shanghai Institute of Planned Parenthood Research, 21.40 Xietu Road, Shanghai 200032, China 《Cell Research》 SCIE CAS CSCD 2002年第1期69-78,共10页
A full-length rabbit oviductin cDNA(1909bp) was cloned. It consists of a 5’-UTR of 52bp, an open reading frame (ORF) of 1374bp and a 3’-UTR of 483bp and has more than 80% homology with that of other mammal oviductin... A full-length rabbit oviductin cDNA(1909bp) was cloned. It consists of a 5’-UTR of 52bp, an open reading frame (ORF) of 1374bp and a 3’-UTR of 483bp and has more than 80% homology with that of other mammal oviductins. N-terminal peptide (NTP) (384 residues) and C-terminal peptide (CTP) (73 residues) of deduced protein precursor has about 80% and 50% identity with that of other mammals respectively. Fusion proteins GST-NTP 368(1R-368N)and GST-CTP73 (369F-441A) were expressed and purified. NH2-terminal of CTP sequencing reveals that the purified protein is consistent with the deduced one. In order to study the function of NTP and CTP the mouse anti-NTP and rabbit anti-CTP antisera were prepared. Tissue-specific (skeleton muscle, oviduct, uterus, ovary, liver, heart and brain) analysis indicated that rabbit oviductin was only found in oviduct. The conditioned medium derived from the rabbit oviduct mucosa epithelial cells has a function of overcoming the early embryonic development block of Kunming mous e cultured in vitro. Anti-CTP antiserum could totally inhibit the early embryo development at 2-cell stage cultured in the conditioned culture medium, but anti-NTP antiserum couldn’t. There was a positive relationship between the ratio of early embryos at development block and the dosage of anti-CTP antiserum added in the conditioned culture medium. These results suggest that oviductin has a function not only on fertilization, but also on the release of early embryonic development block, and the later function domain of rabbit oviductin may be situate in its C-terminal. 展开更多
关键词 大鼠 兔输卵管素 cTP c端肽类 抗体 早期胚胎发育 抑制 2细胞期
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Role of vasoactive intestinal peptide in Aspergillus fumigatus-infected cornea 被引量:2
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作者 Cui Li Yuan-Yuan Liu +7 位作者 Gui-Qiu Zhao Jing Lin Cheng-Ye Che Nan Jiang Na Li Jie Zhang Kun He Xu-Dong Peng 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2018年第2期183-188,共6页
AIM: To investigate the anti-inflammatory role of vasoactive intestinal peptide(VIP) in Aspergillus fumigatus(A. fumigatus) ketatitis.METHODS: Expression of VIP was tested by polymerase chain reaction(PCR) in ... AIM: To investigate the anti-inflammatory role of vasoactive intestinal peptide(VIP) in Aspergillus fumigatus(A. fumigatus) ketatitis.METHODS: Expression of VIP was tested by polymerase chain reaction(PCR) in C57BL/6 and BALB/c normal and A. fumigatus infected corneas. C57BL/6 mice were pretreated with recombinant(r) VIP, while BALB/c mice were pretreated with VIP antagonist, and then infected with A. fumigatus. Clinical score was recorded. Expression of pro-and anti-inflammatory cytokines, toll-like receptor 4(TLR4), lectin-like oxidized low-density lipoprotein receptor 1(LOX-1), and neutrophil infiltration were tested by PCR, enzyme-linked immunosorbent assay(ELISA), and myeloperoxidase(MPO) assay.RESULTS: VIP mR NA expression in BALB/c cornea was higher than C57BL/6 cornea at 1 and 3 d post infection(p.i.). rV IP treatment of C57BL/6 mice showed alleviated disease and down-regulated expression of interleukin-1β(IL-1β) and tumor necrosis factor-α(TNF-α), while IL-10 expression was up-regulated. Neutrophil infiltration and TLR4, IL-17 expression were decreased after rVIP treatment, while LOX-1 expression was up-regulated in C57BL/6. VIP antagonist pretreatment showed increased disease and higher IL-1β, TNF-α, TLR4, IL-17 and MPO levels, while IL-10 and LOX-1 levels were down-regulated in BALB/c mice.CONCLUSION: rVIP alleviate disease response of C57BL/6 mice. VIP antagonist resulted in worsened disease of BALB/c mice. VIP proposed anti-inflammatory role in A. fumigatus keratitis. 展开更多
关键词 fungal keratitis vasoactive intestinal peptide c57BL/6 mice BALB/c mice
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单核细胞/高密度脂蛋白胆固醇比值、成纤维细胞生长因子21、C肽表达水平与2型糖尿病性骨质疏松症相关性分析
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作者 刘强 何丽 +1 位作者 李素芳 苟伟 《陕西医学杂志》 CAS 2024年第1期109-112,117,共5页
目的:分析单核细胞/高密度脂蛋白胆固醇比值(MHR)、成纤维细胞生长因子21(FGF21)、C肽表达水平与2型糖尿病(T2DM)性骨质疏松症患者的相关性。方法:选取收治的T2DM性骨质疏松症患者90例为研究组,选取同期治疗的单纯T2DM患者57例为对照组... 目的:分析单核细胞/高密度脂蛋白胆固醇比值(MHR)、成纤维细胞生长因子21(FGF21)、C肽表达水平与2型糖尿病(T2DM)性骨质疏松症患者的相关性。方法:选取收治的T2DM性骨质疏松症患者90例为研究组,选取同期治疗的单纯T2DM患者57例为对照组。比较两组一般资料、骨钙素(BGP)、25羟基维生素D3[25(OH)D3]、Ⅰ型前胶原N端前肽(PINP)、MHR、FGF21、C肽水平差异;采用Spearman秩相关分析MHR、FGF21、C肽与患者骨代谢指标[BGP、25(OH)D3、PINP]的相关性;多元Logistic回归分析影响T2DM患者发生骨质疏松症的危险因素;绘制ROC曲线评价MHR、FGF21、C肽及三者联合检测对T2DM患者发生骨质疏松症的诊断价值。结果:研究组女性占比率高于对照组(P<0.05);相较于对照组,研究组MHR水平更高,而BGP、25(OH)D3、PINP、FGF21及C肽水平更低(均P<0.05);Spearman相关性分析显示,MHR与BGP、25(OH)D3、PINP均呈负相关(均P<0.05),FGF21及C肽与BGP、25(OH)D3、PINP均呈正相关(均P<0.05);多元Logistc分析显示,MHR是T2DM患者发生骨质疏松症的危险因素(P<0.05);FGF21及C肽是T2DM患者发生骨质疏松症的保护因素(均P<0.05);ROC曲线显示,MHR、FGF21、C肽及三者联合检测预测T2DM患者发生骨质疏松的曲线下面积分别为0.894、0.759、0.810、0.969。结论:T2DM骨质疏松症患者MHR水平上升,FGF21、C肽水平下降,且上述指标与患者骨质疏松密切相关,通过联合检测MHR、FGF21、C肽三者水平对于预测T2DM患者发生骨质疏松具有较好的应用价值。 展开更多
关键词 单核细胞/高密度脂蛋白胆固醇比值 成纤维细胞生长因子21 c 2型糖尿病 骨质疏松
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Role of gastrin-peptides in Barrett's and colorectal carcinogenesis 被引量:20
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作者 Eduardo Chueca Angel Lanas Elena Piazuelo 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第45期6560-6570,共11页
Gastrin is the main hormone responsible for the stimulation of gastric acid secretion;in addition,gastrin and its derivatives exert proliferative and antiapoptotic effects on several cell types.Gastrin synthesis and s... Gastrin is the main hormone responsible for the stimulation of gastric acid secretion;in addition,gastrin and its derivatives exert proliferative and antiapoptotic effects on several cell types.Gastrin synthesis and secretion are increased in certain situations,for example,when proton pump inhibitors are used.The impact of sustained hypergastrinemia is currently being investigated.In vitro experiments and animal models have shown that prolonged hypergastrinemia may be related with higher cancer rates;although,this relationship is less clear in human beings.Higher gastrin levels have been shown to cause hyperplasia of several cell types;yet,the risk for developing cancer seems to be the same in normo-and hypergastrinemic patients.Some tumors also produce their own gastrin,which can act in an autocrine manner promoting tumor growth.Certain cancers are extremely dependent on gastrin to proliferate.Initial research focused only on the effects of amidated gastrins,but there has been an interest in intermediates of gastrin in the last few decades.These intermediates aren't biologically inactive;in fact,they may exert greater effects on proliferation and apoptosis than the completely processed forms.In certain gastrin overproduction states,they are the most abundant gastrin peptides secreted.The purpose of this review is to examine the gastrin biosynthesis process and to summarize the results from different studies evaluating the production,levels,and effects of the main forms of gastrin in different overexpression states and their possible relationship with Barrett's and colorectal carcinogenesis. 展开更多
关键词 胃泌素 大肠癌 癌症发病率 胃酸分泌 质子泵抑制剂 肿瘤生长 合成过程
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Phage display selection on whole cells yields a small peptide specific for HCV receptor human CD81 被引量:4
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作者 JIECAO PINGZHAO +3 位作者 XIAOHUIMIAO LANJUANZHAO LIJUNXUE ZHONGTIANQI 《Cell Research》 SCIE CAS CSCD 2003年第6期473-479,共7页
The human CD81(hCD81),the most recently proposed receptor of hepatitis C virus(HCV),can especifically bind to HCV envelope glycoprotein 2(E2).In this study,hCD81-expressing murine NIH/3T3 cells were used to select hCD... The human CD81(hCD81),the most recently proposed receptor of hepatitis C virus(HCV),can especifically bind to HCV envelope glycoprotein 2(E2).In this study,hCD81-expressing murine NIH/3T3 cells were used to select hCD81-binding peptides from a phage displayed nonapeptide library(PVIII9aaCys).Eighteen of the 75clones selected from the library showed specific binding to the hCD81-expressing NIH/3T3 cells by enzyme linked immunosorbent assay(ELISA)and competitive inhibition test.Twelve out of the 18 clones shared the amino acid motif SPQYWTGPA.Sequence comparison of the motif showed no amino acid homology with the native HCV E2.The motif-containing phages could competitively inhibit the ability of HCV E2 binding to native hCD81-expressing MOLT-4 cells,and induce HCV E2 specific immune response in vivo.These results suggest that the selected motif SPQYWTGPA should be a mimotope of HCV E2 to bind to hCD81 molecules.Our findings cast new light on developing HCV receptor antagonists. 展开更多
关键词 丙型肝炎病毒 病毒受体 细胞选择 缩氨酸
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