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Depletion of gut microbiota facilitates fibroblast growth factor 21-mediated protection against acute pancreatitis in diabetic mice
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作者 Qi-Yan Sun Xu-Ye Wang +4 位作者 Zu-Pin Huang Jing Song En-Dong Zheng Fang-Hua Gong Xiao-Wang Huang 《World Journal of Diabetes》 SCIE 2023年第12期1824-1838,共15页
BACKGROUND Fibroblast growth factor 21(FGF21),primarily secreted by the pancreas,liver,and adipose tissues,plays a pivotal role in regulating glucose and lipid metabolism.Acute pancreatitis(AP)is a common inflammatory... BACKGROUND Fibroblast growth factor 21(FGF21),primarily secreted by the pancreas,liver,and adipose tissues,plays a pivotal role in regulating glucose and lipid metabolism.Acute pancreatitis(AP)is a common inflammatory disease with specific clinical manifestations.Many patients with diabetes present with concurrent inflammatory symptoms.Diabetes exacerbates intestinal permeability and intestinal inflammation,thus leading to the progression to AP.Our previous study indicated that FGF21 significantly attenuated susceptibility to AP in mice.AIM To investigate the potential protective role of FGF21 against AP in diabetic mice.METHODS In the present study,a mouse model of AP was established in diabetic(db)/db diabetic mice through ceruletide injections.Thereafter,the protective effects of recombinant FGF21 protein against AP were evaluated,with an emphasis on examining serum amylase(AMS)levels and pancreatic and intestinal inflammatory cytokines[interleukin(IL)-6,tumor necrosis factor-alpha(TNF-),and intestinal IL-1β].Additionally,the impact of this treatment on the histopathologic changes of the pancreas and small intestinal was examined to elucidate the role of FGF21 in diabetic mice with AP.An antibiotic(Abx)cocktail was administered in combination with FGF21 therapy to investigate whether the effect of FGF21 on AP in diabetic mice with AP was mediated through the modulation of the gut microbiota. Subsequently, thePhylogenetic Investigation of Communities by Reconstruction of Unobserved States (PICRUSt), a bioinformaticssoftware package, was used to predict different pathways between the groups and to explore the potentialmechanisms by which the gut microbiota influenced the protective effect of FGF21.RESULTSThe results indicated that FGF21 notably diminished the levels of serum AMS (944.5 ± 15.9 vs 1732 ± 83.9, P < 0.01)and inflammatory factors including IL-6 (0.2400 ± 0.55 vs 1.233 ± 0.053, P < 0.01), TNF- (0.7067 ± 0.22 vs 1.433 ±0.051, P < 0.01), and IL-1β (1.377 ± 0.069 vs 0.3328 ± 0.02542, P < 0.01) in diabetic mice with AP. Moreover, notablesigns of recovery were observed in the pancreatic structure of the mice. The histologic evidence of inflammation inthe small intestine, including edema and villous damage, was significantly alleviated. FGF21 also significantlyaltered the composition of the gut microbiota, reestablishing the Bacteroidetes/Firmicutes ratio. Upon treatment withan Abx cocktail to deplete the gut microbiota, the FGF21 + Abx group showed lower levels of serum AMS (0.9328 ±0.075 vs 0.2249 ± 0.023, P < 0.01) and inflammatory factors (1.083 ± 0.12 vs 0.2799 ± 0.032, p < 0.01) than the FGF21group. Furthermore, the FGF21 + Abx group exhibited diminished injury to the pancreatic and small intestinaltissues, accompanied by a significant decrease in blood glucose levels (17.50 ± 1.1 vs 9.817 ± 0.69 mmol/L, P <0.001). These findings underscored the superior protective effects of the combination therapy involving an Abxcocktail with FGF21 over the FGF21 treatment alone in diabetic mice with AP. The gut microbiota compositionacross different groups was further characterized, and a differential expression analysis of gene functions wasundertaken using the PICRUSt2 prediction method. These findings suggested that FGF21 could potentially confertherapeutic effects on diabetic mice with AP by modulating the sulfate reduction I pathway and the superpathwayof n-acetylceramide degradation in the gut microbiota.CONCLUSION This study reveals the potential of FGF21 in improving pancreatic and intestinal damage recovery, reducing bloodglucose levels, and reshaping gut microbiota composition in diabetic mice with AP. Notably, the protective effectsof FGF21 are augmented when combined with the Abx cocktail. 展开更多
关键词 Acute pancreatitis fibroblast growth factor 21 Gut microbiota DIABETES PICRUSt2 Cocktail of antibiotics
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Roles of fibroblast growth factors in the treatment of diabetes 被引量:1
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作者 Chun-Ye Zhang Ming Yang 《World Journal of Diabetes》 SCIE 2024年第3期392-402,共11页
Diabetes affects about 422 million people worldwide,causing 1.5 million deaths each year.However,the incidence of diabetes is increasing,including several types of diabetes.Type 1 diabetes(5%-10%of diabetic cases)and ... Diabetes affects about 422 million people worldwide,causing 1.5 million deaths each year.However,the incidence of diabetes is increasing,including several types of diabetes.Type 1 diabetes(5%-10%of diabetic cases)and type 2 diabetes(90%-95%of diabetic cases)are the main types of diabetes in the clinic.Accumulating evidence shows that the fibroblast growth factor(FGF)family plays important roles in many metabolic disorders,including type 1 and type 2 diabetes.FGF consists of 23 family members(FGF-1-23)in humans.Here,we review current findings of FGFs in the treatment of diabetes and management of diabetic complications.Some FGFs(e.g.,FGF-15,FGF-19,and FGF-21)have been broadly investigated in preclinical studies for the diagnosis and treatment of diabetes,and their therapeutic roles in diabetes are currently under investigation in clinical trials.Overall,the roles of FGFs in diabetes and diabetic complications are involved in numerous processes.First,FGF intervention can prevent high-fat diet-induced obesity and insulin resistance and reduce the levels of fasting blood glucose and triglycerides by regulating lipolysis in adipose tissues and hepatic glucose production.Second,modulation of FGF expression can inhibit renal and cardiac fibrosis by regulating the expression of extracellular matrix components,promote diabetic wound healing process and bone repair,and inhibit cancer cell proliferation and migration.Finally,FGFs can regulate the activation of glucoseexcited neurons and the expression of thermogenic genes. 展开更多
关键词 fibroblast growth factors Type 1 diabetes Type 2 diabetes Metabolic disorders TREATMENT Clinical trials
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FGF2和BMP-2对Ⅲ、Ⅳ型慢性骨髓炎患者病灶清除联合封闭负压引流治疗预后的预测价值
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作者 罗雪峰 易知非 谢增如 《中国现代医学杂志》 CAS 2024年第7期60-66,共7页
目的探讨成纤维细胞生长因子2(FGF2)和骨形态发生蛋白-2(BMP-2)对Ⅲ、Ⅳ型慢性骨髓炎患者病灶清除联合封闭负压引流治疗预后的预测价值。方法前瞻性选取2020年1月—2021年12月在新疆医科大学第一附属医院住院治疗的105例Ⅲ、Ⅳ型慢性骨... 目的探讨成纤维细胞生长因子2(FGF2)和骨形态发生蛋白-2(BMP-2)对Ⅲ、Ⅳ型慢性骨髓炎患者病灶清除联合封闭负压引流治疗预后的预测价值。方法前瞻性选取2020年1月—2021年12月在新疆医科大学第一附属医院住院治疗的105例Ⅲ、Ⅳ型慢性骨髓炎患者作为研究对象,均接受病灶清除联合封闭负压引流治疗,按不同治疗预后分为疗效好组75例(71.4%)和疗效差组30例(28.6%)。比较两组患者的临床资料、血清炎症因子、FGF2及BMP-2表达水平;采用多因素Logistic回归分析影响患者预后的独立危险因素,分析FGF2及BMP-2与预后的关系;构建相关列线图模型,绘制受试者工作特征(ROC)曲线和决策曲线,分析FGF2、BMP-2及联合预测模型的预测效能和净收益率。结果疗效差组Ⅳ型Cierny-Mader分型及窦道形成患者占比高于疗效好组(P<0.05)。疗效差组患者术前红细胞沉降率(ESR)、C反应蛋白(CRP)及肿瘤坏死因子-α(TNF-α)水平均高于疗效好组(P<0.05),疗效差组患者术前FGF2及BMP-2水平均低于疗效好组(P<0.05)。多因素Logistic回归分析结果显示,Cierny-Mader分型[O^R=5.036(95%CI:1.369,9.894)]、窦道形成[O^R=2.987(95%CI:1.156,7.247)]、FGF2[O^R=0.446(95%CI:0.129,0.735)]和BMP-2[O^R=0.485(95%CI:0.212,0.738)]为影响Ⅲ、Ⅳ型慢性骨髓炎患者预后的危险因素(P<0.05)。基于FGF2、BMP-2构建预测预后的列线图模型,校准曲线显示,Ⅲ、Ⅳ型慢性骨髓炎患者治疗疗效的预测值与实际观测值十分接近;ROC曲线分析结果显示,Cierny-Mader分型、窦道形成、FGF2及BMP-2预测预后的曲线下面积分别为0.783(95%CI:0.754,0.875)、0.752(95%CI:0.761,0.893)、0.823(95%CI:0.789,0.885)及0.811(95%CI:0.797,0.875),FGF2及BMP-2的最佳截断值分别为18.9 ng/L和113.5 ng/L,4者联合预测的曲线下面积为0.952(95%CI:0.896,0.991);决策曲线分析结果显示,Cierny-Mader分型、窦道形成、FGF2及BMP-2预测预后均具有良好的净收益率,并且联合预测的总体净收益率高于单一指标。结论基于Cierny-Mader分型、窦道形成、FGF2及BMP-24个指标构建的列线图模型能准确预测Ⅲ、Ⅳ型慢性骨髓炎患者病灶清除联合封闭负压引流治疗预后。 展开更多
关键词 慢性骨髓炎 成纤维细胞生长因子2 骨形态发生蛋白-2
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经钻孔引流术治疗慢性硬膜下血肿患者血清TSP1、TSP2、bFGF、VEGF、S-100β水平变化及其临床意义
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作者 吴颐 叶明 +1 位作者 高觉民 李建 《分子影像学杂志》 2024年第4期341-347,共7页
目的探讨经钻孔引流术治疗慢性硬膜下血肿患者血清血小板反应蛋白1(TSP1)、血小板反应蛋白2(TSP2)、碱性成纤维细胞生长因子(bFGF)、血管内皮生长因子(VEGF)、中枢神经特异蛋白(S-100β)水平变化及其临床意义。方法选取江苏省中医院2019... 目的探讨经钻孔引流术治疗慢性硬膜下血肿患者血清血小板反应蛋白1(TSP1)、血小板反应蛋白2(TSP2)、碱性成纤维细胞生长因子(bFGF)、血管内皮生长因子(VEGF)、中枢神经特异蛋白(S-100β)水平变化及其临床意义。方法选取江苏省中医院2019年1月~2023年6月收治的慢性硬膜下血肿患者142例作为病例组,均进行钻孔引流术;另选取同期健康体检人员146例作为健康对照组,比较两组不同脑损伤、手术前后、不同复发情况的血清TSP1、TSP2、bFGF、VEGF、S-100β水平,分析血清TSP1、TSP2、bFGF、VEGF、S-100β水平与慢性硬膜下血肿患者脑损伤程度的相关性。结果与健康对照组比较,病例组血清TSP1、TSP2、bFGF、VEGF、S-100β水平均相对更高;与轻度脑损伤组进行比较,中度脑损伤组、重度脑损伤组血清TSP1、TSP2、bFGF、VEGF、S-100β水平均相对更高,且重度脑损伤组高于中度脑损伤组;与术前进行比较,术后7 d慢性硬膜下血肿患者血清TSP1、TSP2、bFGF、VEGF、S-100β水平均相对较低;与复发组进行比较,未复发组血清TSP1、TSP2、bFGF、VEGF、S-100β水平均相对较低(P<0.05)。Pearson相关分析结果显示,慢性硬膜下血肿患者血清TSP1、TSP2、bFGF、VEGF、S-100β水平与GCS评分均呈负相关关系(r=-0.655、-0.674、-0.711、-0.689、-0.705,P<0.05)。结论慢性硬膜下血肿患者经钻孔引流术后血清TSP1、TSP2、bFGF、VEGF、S-100β水平均降低,并与患者脑损伤程度、转归具有高度相关性,临床上可通过检测慢性硬膜下血肿患者上述各项血清学指标的变化情况,以便及时判断慢性硬膜下血肿患者的脑损伤程度。 展开更多
关键词 硬膜下血肿 慢性 经钻孔引流术 血小板反应蛋白1 血小板反应蛋白2 碱性成纤维细胞生长因子 血管内皮生长因子 中枢神经特异蛋白
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Effects of hepatocyte growth factor on MMP-2 expression in scleral fibroblasts from a guinea pig myopia model 被引量:7
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作者 Xiu-Juan Li Xiao-Peng Yang +2 位作者 Guang-Ming Wan Yu-Ying Wang Jin-Song Zhang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2014年第2期239-244,共6页
AIMTo investigate the effects of hepatocyte growth factor (HGF) on MMP-2 expression in scleral fibroblasts from guinea pig with LIM.
关键词 MYOPIA fibroblastS hepatocyte growth factor MMP-2 guinea pig
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Emodin regulating excision repair cross-complementation group 1 through fibroblast growth factor receptor 2 signaling 被引量:3
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作者 Gang Chen Hong Qiu +3 位作者 Shan-Dong Ke Shao-Ming Hu Shi-Ying Yu Sheng-Quan Zou 《World Journal of Gastroenterology》 SCIE CAS 2013年第16期2481-2491,共11页
AIM: To investigate the molecular mechanisms underlying the reversal effect of emodin on platinum resistance in hepatocellular carcinoma. METHODS: After the addition of 10 μmol/L emodin to HepG2/oxaliplatin (OXA) cel... AIM: To investigate the molecular mechanisms underlying the reversal effect of emodin on platinum resistance in hepatocellular carcinoma. METHODS: After the addition of 10 μmol/L emodin to HepG2/oxaliplatin (OXA) cells, the inhibition rate (IR), 50% inhibitory concentration (IC 50 ) and reversal index (IC 50 in experimental group/IC 50 in control group) were calculated. For HepG2, HepG2/OXA, HepG2/OXA/T, each cell line was divided into a control group, OXA group, OXA + fibroblast growth factor 7 (FGF7) group and OXA + emodin group, and the final concentrations of FGF7, emodin and OXA in each group were 5 ng/mL, 10 μg/mL and 10 μmol/L, respectively. Single-cell gel electrophoresis was conducted to detect DNA damage, and the fibroblast growth factor receptor 2 (FGFR2), phosphorylated extracellular signal-regulated kinase 1/2 (p-ERK1/2) and excision repair cross-complementing gene 1 (ERCC1) protein expression levels in each group were examined by Western blotting. RESULTS: Compared with the IC50 of 120.78 μmol/L in HepG2/OXA cells, the IC 50 decreased to 39.65 μmol/L after treatment with 10 μmol/L emodin; thus, the reversal index was 3.05. Compared with the control group, the tail length and Olive tail length in the OXA group, OXA + FGF7 group and OXA + emodin group were significantly increased, and the differences were statistically significant (P < 0.01). The tail length and Olive tail length were lower in the OXA + FGF7 group than in the OXA group, and this difference was also statistically significant. Compared with the OXA + FGF7 group, the tail extent, the Olive tail moment and the percentage of tail DNA were significantly increased in the OXA + emodin group, and these differences were statistically significant (P < 0.01). In comparison with its parental cell line HepG2, the HepG2/OXA cells demonstrated significantly increased FGFR2, p-ERK1/2 and ERCC1 expression levels, whereas the expression of all three molecules was significantly inhibited in HepG2/ OXA/T cells, in which FGFR2 was silenced by FGFR2 shRNA. In the examined HepG2 cells, the FGFR2, p-ERK1/2 and ERCC1 expression levels demonstrated increasing trends in the OXA group and OXA + FGF7 group. Compared with the OXA group and OXA + FGF7 group, the FGFR2, p-ERK1/2, and ERCC1 expression levels were significantly lower in the OXA + emodin group, and these differences were statistically significant. In the HepG2/OXA/T cell line that was transfected with FGFR2 shRNA, the FGFR2, p-ERK1/2 and ERCC1 expression levels were significantly inhibited, but there were no significant differences in these expression levels among the OXA, OXA + FGF7 and OXA + emodin groups. CONCLUSION: Emodin markedly reversed OXA resistance by enhancing OXA DNA damage in HepG2/OXA cells, and the molecular mechanism was related to the inhibitory effect on ERCC1 expression being mediated by the FGFR2/ERK1/2 signaling pathway. 展开更多
关键词 HEPATOCELLULAR carcinoma EMODIN fibroblast growth factor receptor 2 EXCISION repair crosscomplementation group 1 Platinum resistance EXTRACELLULAR SIGNAL-REGULATED kinase
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血清miR-497-5p、FGF-2在阿尔茨海默病患者中的表达及相关性分析 被引量:1
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作者 李晓艳 徐宇浩 +3 位作者 朱颖 童娟 李元媛 于明 《医学研究杂志》 2024年第2期117-121,126,共6页
目的探讨miR-497-5p、人成纤维细胞生长因子-2(fibroblast growth factor-2,FGF-2)在阿尔茨海默病(Alzheimer′s disease,AD)患者中的表达水平、诊断价值及两者的相关性。方法收集50例首诊AD患者和37例正常受试者(对照组)的临床资料,其... 目的探讨miR-497-5p、人成纤维细胞生长因子-2(fibroblast growth factor-2,FGF-2)在阿尔茨海默病(Alzheimer′s disease,AD)患者中的表达水平、诊断价值及两者的相关性。方法收集50例首诊AD患者和37例正常受试者(对照组)的临床资料,其中将AD患者分为轻度AD组18例、中度AD组18例和重度AD组14例,采用实时荧光定量聚合酶链反应(real-time quantitative polymerase chain reaction,RT-qPCR)检测miR-497-5p的表达水平,酶联免疫吸附试验(enzyme-linked immunosorbent assay,ELISA)检测FGF-2水平,采用简易精神状态量表(mini-mental state examination,MMSE)评估AD患者的认知功能,分析miR-497-5p与MMSE、FGF-2水平的相关性。采用受试者工作特征(receiver operator characteristic,ROC)曲线评价miR-497-5p,FGF-2水平对AD的诊断效能。结果与对照组和轻度AD组比较,中度、重度AD组患者miR-497-5p表达水平明显升高(P<0.01),FGF-2水平明显下降(P<0.01);AD组miR-497-5p与MMSE评分、FGF-2水平呈负相关(r分别为-0.724、-0.748,P<0.01);ROC曲线分析结果显示,miR-497-5p、FGF-2及两者联合指标诊断中度、重度AD及鉴别轻度和中度,轻度和重度AD时,均有较高的曲线下面积、敏感度和特异性,两者联合指标诊断及鉴别效能最优。结论中重度AD患者血清miR-497-5p上调,FGF-2水平下调,两者联合检测对中重度AD有一定的诊断价值,并提供一定的参考。 展开更多
关键词 阿尔茨海默病 miR-497-5p 成纤维细胞生长因子-2 生物学标志物 相关性
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Expression of fibroblast growth factor-2 and fibroblast growth factor receptor-1 protein in the hippocampus in rats exhibiting chronic stress-induced depression
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作者 Gonglin Hou Mingming Tang 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第13期1010-1016,共7页
There is evidence that the expression of members of the fibroblast growth factor (FGF) protein family is altered in post-mortem brains of humans suffering from major depressive disorder. The present study examined w... There is evidence that the expression of members of the fibroblast growth factor (FGF) protein family is altered in post-mortem brains of humans suffering from major depressive disorder. The present study examined whether the expression of fibroblast growth factor-2 (FGF2) and fibroblast growth factor receptor-1 (FGFR1) protein is altered following chronic stress in an animal model. Rats were exposed to 35 days of chronic unpredictable mild stress, and then tested using open-field and sucrose consumption tests. Compared with the control group, rats in the chronic stress group exhibited obvious depressive-like behaviors, including anhedonia, anxiety and decreased mobility. The results of western blot analysis and immunohistochemical analysis revealed a downregulation of the expression of FGF2 and FGFR1 in the hippocampus of rats, particularly in the CA1, CA3 and dentate gyrus. This decreased expression is in accord with the results of post-mortem studies in humans with major depressive disorder. These findings suggest that FGF2 and FGFR1 proteins participate in the pathophysiology of depressive-like behavior, and may play an important role in the mechanism of chronic stress-induced depression. 展开更多
关键词 DEPRESSION HIPPOCAMPUS fibroblast growth factor-2 fibroblast growth factor receptor-1 neural regeneration
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RNA interference affects tumorigenicity and expression of insulin-like growth factor-1,insulin-like growth factor-1 receptor,and basic fibroblast growth factor-2 in rat C6 glioma cells
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作者 Wanli Dong Jin Hu +3 位作者 Shaoyan Hu Yuanyuan Wang Juean Jiang Youxin Jin 《Neural Regeneration Research》 SCIE CAS CSCD 2009年第8期597-605,共9页
BACKGROUND: Human gliomas are more likely to express basic fibroblast growth factor-2 (FGF-2) insulin-like growth factor-1(IGF-1), and IGF-1 receptor (IGF-1R) than normal brain tissue. These factors activate si... BACKGROUND: Human gliomas are more likely to express basic fibroblast growth factor-2 (FGF-2) insulin-like growth factor-1(IGF-1), and IGF-1 receptor (IGF-1R) than normal brain tissue. These factors activate signal transduction systems of Ras/MAPK and PI3K/Akl, which promote glioma growth. OBJECTIVE: To utilize RNA interference (RNAi) technique to down-regulate FGF-2, IGF-1, and IGF-1R gene expression, and to investigate the effects of these genes on rat C6 glioma cells, as well as the feasibility of RNAi for treating glioma. DESIGN, TIME AND SETTING: This neurooncological, randomized, controlled, in vivo and in vitro experiment, which used RNAi methodology, was performed at the Laboratory of Molecular Biology, Institute of Biochemistry, Chinese Academy of Sciences between August 2005 and February 2008. MATERIALS: Rat C6 cell lines were purchased from Shanghai Institute of Cellular Biology Affiliated to Chinese Academy of Sciences. Small interfering RNA (siRNA) was synthesized by Shanghai GenePharma. Anti-IGF-1, anti-IGF-1R, anti-FGF-2, anti-mouse and anti-rabbit IgG G1-HRP antibodies were provided by Santa Cruz Biotechnology, USA. Four to six week-old BALB/c nude mice were purchased from the Laboratory Animal Center, Chinese Academy of Sciences. METHODS: C6 glioma cells were transfected with siRNA, which was chemically synthesized in vitro to correspond to endogenous FGF-2, IGF-1, and IGF-1R genes. The inhibition ratio of targeting mRNA expression was detected by semiquantitative RT-PCR, and protein expression was determined by Western blot analysis. C6 glioma cell proliferation was observed using a growth curve C6 glioma cell apoptosis rate and cell cycle were detected by flow cytometry. C6 glioma cell growth regression was observed by transwell migration assay. In addition, nude mouse subcutaneous tumor models were used in this study. For studying the anti-tumor effects of IGF-1 and IGF-1R siRNA, two blank control groups, with six mice each, were set up: A (2.5 μg siRNA was injected one week after C6 cells were inoculated, Le., when tumor volume reached 8 mm × 8 mm) and B (siRNA was injected at the same time with C6 cells were inoculated. To study the effects of FGF-2 siRNA, the groups consisted of a blank control group, negative control group, 2.6 μg siRNA group, 4 μg siRNA group, and 5.3 μg siRNA group, with six mice each. MAIN OUTCOME MEASURES: mRNA and protein inhibition ratio of FGF-2, IGF-1, and IGF-1 R; C6 glioma cell proliferation, apoptosis, and cycle growth arrest; C6 glioma cell growth regression and subcutaneous tumorigenicity rates. RESULTS: All siRNA constructs proved to be effective. After 48 hours, transfection of 200 nmol/L siRNA resulted in a FGF-2 or IGF-1R gene inhibition ratio 〉 80% and an IGF-1 gene inhibition ratio of approximately 70%. Protein expression levels for FGF-2, IGF-1, and IGF-1R decreased in a dose-dependent manner following siRNA transfection, with an inhibition rate 〉 85%, 60%, and 50%, respectively. C6 glioma cell proliferation and apoptosis rates increased in proportion to siRNA. The apoptosis rate of C6 glioma cells induced by FGF-2, IGF-1, and IGF-1R siRNA was 39.96%, 15.07% and 22.47%, respectively (P 〈 0.01). Transfection of 200 nmol/L IGF or IGF-1R siRNA for 48 hours suppressed C6 glioma cell migration. At 30 days after intratumoral injection of 2.6, 4, and 5.3 tJg FGF-2 siRNA, tumor growth regression rate of FGF-2 siRNA was 56%, 67%, and 86%, respectively. The tumor growth regression rate was 71.88% and 45.71%, respectively, when IGF-1 or IGF-1R siRNA was intratumorally injected 1 week after C6 glioma cell transplantation. When IGF-1 or IGF-1 R siRNA was intratumorally injected during C6 glioma cell transplantation, the tumor growth regression rate was 78.13% and 74.29%, respectively. CONCLUSION: siRNA transfection downregulated gene expression of FGF-2, IGF-1, and IGF-1R In addition, siRNA treatment markedly suppressed glioma cell proliferation, growth, and migration, and concomitantly reduced subcutaneous tumorigenicity. 展开更多
关键词 small interference RNA basic fibroblast growth factor-2 insulin-like growth factor 1 insulin-like growth factor 1 receptor C6 glioma cell line
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Effect of basic fibroblast growth factor and danshen on bcl-2 and p53 mRNA expression in the brain of rats exposed to repeated, high, positive acceleration (+Gz)
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作者 Hongjin Liu Qing Cai 《Neural Regeneration Research》 SCIE CAS CSCD 2008年第7期747-750,共4页
BACKGROUND: Both animal experiments and clinical studies have shown that basic fibroblast growth factor (bFGF) and danshen (Salvia miltiorrhiza) can exhibit protective effects on ischemia-reperfusion cerebral inj... BACKGROUND: Both animal experiments and clinical studies have shown that basic fibroblast growth factor (bFGF) and danshen (Salvia miltiorrhiza) can exhibit protective effects on ischemia-reperfusion cerebral injury. OBJECTIVE: To test whether bFGF and danshen can protect cerebral injury induced by exposure to repeated, high, positive acceleration (+Gz) in an animal model and to analyze the possible mechanisms. DESIGN, TIME AND SETTING: Randomized controlled animal study. The experiment was performed at the Research Center for Molecular Biology, Air-force General Hospital of Chinese PLA from April to August 2000. MATERIALS: A total of 20 clean grade, healthy, Sprague Dawley rats of both genders, weighing (200 ± 15) g, were provided by our experimental animal center. Rats were randomly divided into 5 groups: the control group, +Gz exposure group, bFGF group, danshen group, and saline group, with 4 animals per group. bFGF (Beijing Bailuyuan Biotechnology Co. Ltd.) and danshen solution (Shanghai Zhongxi Pharmaceutical Co. Ltd.) were used. METHODS: All rats were fixed on a rotary arm of a centrifugal apparatus (2 m in radius) with their heads oriented towards the center of the apparatus. Except for rats in the control group, the value of +Gz exposure was +14 Gz with an acceleration rate of 1.5 G/s. The peak force lasted for 45 seconds. +Gz exposure was performed three times with intervals of 30 minutes. Rats in the control group received the same +Gz procedure, but the G value was +1 Gz. Rats in bFGF group and danshen group were intraperitoneally injected with 100 μg/kg bFGF or 15 g/kg danshen solution, respectively, at 30 minutes prior to centrifugation and immediately after centrifugation. Rats in saline group were injected with the same volume of saline. Six hours after exposure, rats were decapitated. One hemisphere was preserved in liquid nitrogen for RNA extraction and the other was processed for apoptosis detection. MAIN OUTCOME MEASURES: mRNA levels of bcl-2 and p53 were measured by semi-quantitative reverse-transcription polymerase chain reaction. Apoptotic cell death was detected by terminal deoxynuleotidyl transferase-mediated dUTP nick end labeling. RESULTS: Changes in mRNA expression of bcl-2 and p53 and apoptotic cells were observed in rat brain six hours after repeated +Gz exposures, bFGF and danshen were able block the changes of bcl-2 and p53 expression and inhibit apoptotic cell death. CONCLUSION: The data suggest that apoptosis and changes in bcl-2 and p53 expression in the rat brain can be induced by repeated +Gz exposures. Apoptosis is, therefore, one of the molecular mechanisms of brain damage induced by repeated +Gz exposures, bFGF and danshen were of the equal potency in preventing brain injury induced by repeated +Gz exposures. 展开更多
关键词 positive acceleration RATS apoptosis BCL-2 P53 gene expression basic fibroblast growth factor DANSHEN
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Leukocyte cell-derived chemotaxin-2 and fibroblast growth factor 21 in alcohol-induced liver cirrhosis
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作者 Jarosław Jerzy Sak Andrzej Prystupa +3 位作者 PawełKiciński Dorota Luchowska-Kocot Ewa Kurys-Denis Hanna Bis-Wencel 《World Journal of Hepatology》 2021年第12期2071-2080,共10页
BACKGROUND The importance of early diagnosis of alcoholic liver disease underscores the need to seek better and especially non-invasive diagnostic procedures.Leukocyte cellderived chemotaxin-2(LECT2)has been widely st... BACKGROUND The importance of early diagnosis of alcoholic liver disease underscores the need to seek better and especially non-invasive diagnostic procedures.Leukocyte cellderived chemotaxin-2(LECT2)has been widely studied to determine its usefulness in monitoring the course of non-alcoholic fatty liver disease but not for alcoholic liver cirrhosis(ALC).AIM To determine the concentration of LECT2 in the blood serum of patients in relation to progressive stages of ALC,its relation to fibroblast growth factor 1(FGF-1)and FGF-21,and to examine the possible wider use of LECT2 in diagnosing ALC.METHODS A retrospective case-control study was conducted with 69 ALC cases and 17 controls with no ALC.Subjects were recruited from the region of Lublin(eastern Poland).Liver cirrhosis was diagnosed based on clinical features,history of heavy alcohol consumption,laboratory tests,and abdominal ultrasonography.The degree of ALC was evaluated according to Pugh-Child criteria(the Pugh-Child score).Blood was drawn and,after centrifugation,serum was collected for analysis.LECT2,FGF-1,and FGF-21 were determined using enzyme-linked immunosorbent assay kits.RESULTS The LECT2 Levels in the control group were 18.99±5.36 ng/mL.In the study groups,they declined with the progression of cirrhosis to 11.06±6.47 ng/mL in one group and to 8.06±5.74 ng/mL in the other(P<0.0001).Multiple comparison tests confirmed the statistically significant differences in LECT2 Levels between the control group and both test groups(P=0.006 and P<0.0001).FGF-21 Levels were 44.27±64.19 pg/mL in the first test group,45.4±51.69 pg/mL in the second(P=0.008),and 13.52±7.51 pg/mL in the control group.The difference between the control group and the second test group was statistically significant(P=0.007).CONCLUSION We suggest that LECT2 may be a non-invasive diagnostic factor for alcoholinduced liver cirrhosis.The usefulness of LECT2 for non-invasive monitoring of alcohol-induced liver cirrhosis was indirectly confirmed by the multiple regression model developed on the basis of our statistical analysis. 展开更多
关键词 Leukocyte cell-derived chemotaxin-2 fibroblast growth factor 21 fibroblast growth factor 1 Alcoholic liver cirrhosis Pugh-Child score
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硫酸氨基葡萄糖联合美洛昔康对膝骨关节炎患者血清FGF-2、TGF-β、IGF-1水平及膝关节运动功能的影响 被引量:1
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作者 胡科迪 刘凯 《临床误诊误治》 CAS 2024年第9期66-70,共5页
目的 探究硫酸氨基葡萄糖联合美洛昔康对膝骨关节炎患者血清成纤维细胞生长因子-2(fibroblast growth factor-2, FGF-2)、转化生长因子-β(transforming growth factor-β, TGF-β)、胰岛素样生长因子-1(insulin-like growth factor-1, ... 目的 探究硫酸氨基葡萄糖联合美洛昔康对膝骨关节炎患者血清成纤维细胞生长因子-2(fibroblast growth factor-2, FGF-2)、转化生长因子-β(transforming growth factor-β, TGF-β)、胰岛素样生长因子-1(insulin-like growth factor-1, IGF-1)水平及膝关节运动功能的影响。方法 选择2021年6月-2023年6月就诊的膝骨关节炎114例,以随机数字表法分为联合组和美洛昔康组各57例。美洛昔康组予美洛昔康片治疗,联合组在美洛昔康组基础上加用硫酸氨基葡萄糖胶囊治疗,均治疗6周后观察疗效,比较2组治疗前、治疗6周后膝关节运动功能、炎性因子、生长因子水平及治疗期间安全性。结果 治疗6周后,联合组总有效率为91.23%(52/57)高于美洛昔康组的73.68%(42/57)(P<0.05)。治疗6周后,2组5次坐立试验、2.4 m起立行走试验所需时间短于治疗前,且联合组短于美洛昔康组(P<0.05,P<0.01);西安大略和麦克马斯特大学骨关节炎指数评分及血清前列腺素E2、白细胞介素-17、基质金属蛋白酶-3水平低于治疗前,且联合组低于美洛昔康组(P<0.05,P<0.01)。治疗6周后,2组血清FGF-2、TGF-β、IGF-1水平均高于治疗前,且联合组高于美洛昔康组(P<0.05,P<0.01)。2组治疗期间总不良反应发生率比较差异无统计学意义(P>0.05)。结论 硫酸氨基葡萄糖联合美洛昔康可有效升高膝骨关节炎患者血清FGF-2、TGF-β、IGF-1水平,延缓软骨退行性病变,控制机体炎症反应,进而有效改善患者膝关节运动功能,疗效显著,安全性良好。 展开更多
关键词 膝骨关节炎 硫酸氨基葡萄糖 美洛昔康 西安大略和麦克马斯特大学骨关节炎指数 成纤维细胞生长因子-2 转化生长因子-β 胰岛素样生长因子-1 药物毒性
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含重组人碱性成纤维细胞生长因子和重组人骨形态发生蛋白-2骨水泥在骨质疏松性腰椎压缩性骨折治疗的应用价值 被引量:2
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作者 夏钰东 张荣 +1 位作者 刘琼 陈佳汝 《中国骨伤》 CAS CSCD 2024年第1期15-20,共6页
目的:探讨含重组人碱性成纤维细胞生长因子(recombinant human basic fibroblast growth factor,rhbFGF)和重组人骨形态发生蛋白-2(recombinant human bone morphogenetic protein-2,rhBMP-2)骨水泥在骨质疏松性腰椎压缩性骨折(osteopor... 目的:探讨含重组人碱性成纤维细胞生长因子(recombinant human basic fibroblast growth factor,rhbFGF)和重组人骨形态发生蛋白-2(recombinant human bone morphogenetic protein-2,rhBMP-2)骨水泥在骨质疏松性腰椎压缩性骨折(osteoporotic vertebral compression fracture,OVCF)患者经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)治疗的应用价值。方法:回顾性分析2018年1月至2021年1月收治的103例行PKP手术治疗的OVCF患者,男40例,女63例;年龄61~78(65.72±3.29)岁。受伤原因:滑倒33例,跌倒42例,提重物受伤28例。根据填充骨水泥不同分为3组:磷酸钙组34例,男14例,女20例,年龄(65.1±3.3)岁,填充磷酸钙骨水泥;rhBMP-2组34例,男12例,女22例,年龄(64.8±3.2)岁,填充含rhBMP-2的骨水泥;rhbFGF+rhBMP-2组35例,男14例,女21例,年龄(65.1±3.6)岁,填充含rhbFGF和rhBMP-2的骨水泥。比较3组Oswestry功能障碍指数(Oswestry dysfunction index,ODI)、骨密度、椎体前缘丢失高度、伤椎前缘压缩率、疼痛视觉模拟评分(visual simulation score,VAS)及再骨折发生率。结果:所有患者获得12个月随访。3组术后ODI、VAS呈下降(P<0.001),骨密度增高(P<0.001),椎体前缘丢失高度、伤椎前缘压缩率呈先下降后缓慢上升趋势(P<0.001),rhbFGF+rhBMP-2组术后第1、6、12个月ODI、VAS均低于rhBMP-2组和磷酸钙组(P<0.05),术后第6、12个月骨密度大于rhBMP-2组和磷酸钙组(P<0.05)。rhbFGF+rhBMP-2组术后第6、12个月椎体前缘丢失高度、伤椎前缘压缩率均低于rhBMP-2组和磷酸钙组(P<0.05)。3组再骨折发生率比较差异无统计学意义(P>0.05)。结论:含rhbFGF和rhBMP-2骨水泥可更有效地增加OVCF患者骨密度,获得术后满意的临床和放射学效果,显著改善临床症状。 展开更多
关键词 经皮椎体后凸成形术 骨水泥 骨质疏松 腰椎 压缩性骨折 重组人碱性成纤维细胞生长因子 重组人类骨形态发生蛋白-2
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rh-aFGF凝胶联合点阵CO_(2)激光治疗对剖宫产术后切口瘢痕愈合和美观满意度的影响
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作者 粟东林 刘洋 《中国美容医学》 CAS 2024年第2期94-97,共4页
目的:探讨重组人酸性成纤维细胞生长因子(Recombinant Human acidic fibroblast growth factor,rh-aFGF)凝胶联合点阵CO_(2)激光治疗对剖宫产术后切口瘢痕愈合和美观满意度的影响。方法:选取2020年6月-2022年6月在笔者医院收治的85例剖... 目的:探讨重组人酸性成纤维细胞生长因子(Recombinant Human acidic fibroblast growth factor,rh-aFGF)凝胶联合点阵CO_(2)激光治疗对剖宫产术后切口瘢痕愈合和美观满意度的影响。方法:选取2020年6月-2022年6月在笔者医院收治的85例剖宫产术后皮肤瘢痕患者,根据治疗方法将其分为对照组(42例)和联合组(43例)。对照组在患者剖宫产术后3个月左右瘢痕出现后采取点阵CO_(2)激光治疗,联合组在对照组基础上予以rh-aFGF凝胶联合治疗。观察比较两组患者治疗前、治疗后1个月、治疗后3个月和治疗后6个月时的温哥华瘢痕量表(Vancouver scar scale,VSS)评分情况,治疗3个月时的临床治愈情况、美观满意度和不良反应发生情况。结果:治疗后1个月、3个月和6个月时,联合组VSS评分均低于对照组,且联合组临床总治愈率和美观满意度均较对照组高(P<0.05);联合组不良反应发生率低于对照组(P<0.05)。结论:相比于单纯使用点阵CO_(2)治疗,rh-aFGF凝胶联合点阵激光治疗对剖宫产术后切口瘢痕愈合效果更好,能有效提高患者对瘢痕恢复的满意程度,且不增加患者不良反应。 展开更多
关键词 剖宫产术后切口瘢痕 美观满意度 点阵CO_(2)激光 重组人酸性成纤维细胞生长因子
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血清CERP、SF、α-Klotho、FGF-23水平在2型糖尿病患者白蛋白尿进展中的预测价值 被引量:1
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作者 张前进 胡金娥 胡一川 《医学分子生物学杂志》 CAS 2024年第1期51-56,共6页
目的分析血清铜蓝蛋白(ceruloplasmin,CERP)、血清铁蛋白(serum ferritin,SF)、α-Klotho、成纤维细胞生长因子-23(fibroblast growth factor,FGF-23)在2型糖尿病患者白蛋白尿进展中的预测价值。方法选择2020年6月至2022年5月沭阳医院... 目的分析血清铜蓝蛋白(ceruloplasmin,CERP)、血清铁蛋白(serum ferritin,SF)、α-Klotho、成纤维细胞生长因子-23(fibroblast growth factor,FGF-23)在2型糖尿病患者白蛋白尿进展中的预测价值。方法选择2020年6月至2022年5月沭阳医院内分泌科因控制血糖重复收住院的120例2型糖尿病患者进行回顾性队列研究,将首次住院和第二次住院的资料分别作为基线资料和随访资料。根据基线中患者白蛋白尿情况将其分为3组:无白蛋白尿组、微量白蛋白尿组、大量白蛋白尿组,比较3组患者中CERP、SF、α-Klotho、FGF-23水平的差异;根据随访资料评价白蛋白尿进展的情况,比较白蛋白尿进展的患者与未进展的患者的基线临床资料及其CERP、SF、α-Klotho、FGF-23水平的差异,采用logistic回归分析白蛋白尿进展的影响因素,采用ROC曲线分析白蛋白尿进展的预测指标。结果随着2型糖尿病患者尿白蛋白水平升高,血清CERP、SF、FGF-23水平升高,而α-Klotho水平降低(P<0.05);白蛋白尿进展的2型糖尿病患者的糖尿病病程长于未进展的2型糖尿病患者,其二甲双胍及SGLT2抑制剂(SGLT2i)使用比例、α-Klotho水平均低于未进展的2型糖尿病患者,其高血压比例、FBG、UA、CERP、SF、FGF-23水平均高于未进展的2型糖尿病患者,差异有统计学意义(P<0.05);logistic回归分析显示CERP、SF、FGF-23水平升高是白蛋白尿进展的危险因素,而使用二甲双胍及SGLT2i以及α-Klotho水平的升高均是白蛋白尿进展的保护因素;ROC曲线分析显示首次住院时血清CERP、SF、α-Klotho、FGF-23的水平对白蛋白尿进展具有预测价值,logistic回归方程的联合指标预测尿白蛋白的灵敏度和特异性均优于单一指标。结论血清CERP、SF、FGF-23水平的升高及α-Klotho水平的降低与2型糖尿病患者中白蛋白尿进展有关,检测4项血清指标对白蛋白尿进展具有预测价值。 展开更多
关键词 2型糖尿病 白蛋白尿进展 铜蓝蛋白 α-Klotho 铁蛋白 成纤维细胞生长因子-23
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非酒精性脂肪性肝病合并T2DM患者血清成纤维细胞生长因子-21和分泌型卷曲相关蛋白5水平变化及其临床意义探讨
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作者 孙世磊 刘翠翠 +1 位作者 李曙光 鲁科翔 《实用肝脏病杂志》 CAS 2024年第3期357-360,共4页
目的探讨非酒精性脂肪性肝病(NAFLD)合并T2DM患者血清成纤维细胞生长因子-21(FGF21)和分泌型卷曲相关蛋白5(SFRP5)水平变化及其临床意义。方法2020年5月~2023年3月我院诊治的NAFLD患者101例【单纯性脂肪肝(NAFL)64例、非酒精性脂肪性肝... 目的探讨非酒精性脂肪性肝病(NAFLD)合并T2DM患者血清成纤维细胞生长因子-21(FGF21)和分泌型卷曲相关蛋白5(SFRP5)水平变化及其临床意义。方法2020年5月~2023年3月我院诊治的NAFLD患者101例【单纯性脂肪肝(NAFL)64例、非酒精性脂肪性肝炎(NASH)25例和肝硬化(LC)12例】和NAFLD合并T2DM患者81例(NAFL 58例、NASH 16例和LC 7例),检测空腹血糖(FBG)、空腹胰岛素(FINS),计算胰岛素抵抗指数(HOMA-IR)。采用ELISA法检测血清FGF21和SFRP5水平。结果NAFLD合并T2DM患者FBG、血清FINS、HOMA-IR和血清FGF21水平分别为(8.7±1.4)mmol/L、(28.9±5.8)μIU/mL、(11.1±2.7)和(304.8±36.0)pg/mL,均显著高于NAFLD患者【分别为(5.5±1.2)mmol/L、(20.8±4.1)μIU/mL、(5.1±1.5)和(267.6±34.5)pg/mL,P<0.05】,而血清SFRP5水平为(6.8±1.2)pg/mL,显著低于NAFLD患者【(10.3±2.2)pg/mL,P<0.05】;NAFLD合并T2DM患者血清TC、TG、HDL-C和LDL-C水平分别为(6.7±1.0)mmol/L、(3.7±0.6)mmol/L、(1.3±0.2)mmol/L和(3.4±0.8)mmol/L,与NAFLD患者【分别为(6.2±0.9)mmol/L、(4.1±0.5)mmol/L、(1.3±0.3)mmol/L和(3.2±0.7)mmol/L】比,差异无统计学意义(P>0.05);T2DM合并NAFL、合并NASH和合并肝硬化患者血清SFRP5水平分别为(7.8±1.1)pg/mL、(6.4±0.8)pg/mL和(5.1±0.7)pg/mL,显著低于NAFL、NASH和肝硬化患者【分别为(11.9±2.1)pg/mL、(9.8±1.6)pg/mL和(8.4±1.1)pg/mL,P<0.05】,而血清FGF21水平分别为(295.6±31.2)pg/mL、(316.8±32.9)pg/mL和(353.6±36.7)pg/mL,显著高于NAFL、NASH和肝硬化患者【分别为(255.1±32.5)pg/mL、(279.5±33.4)pg/mL和(309.7±35.8)pg/mL,P<0.05】。结论NAFLD合并T2DM患者血清FGF21水平显著升高,而血清SFRP5水平显著降低,可应用于对病情严重程度的评估,值得深入研究。 展开更多
关键词 非酒精性脂肪性肝病 2型糖尿病 成纤维细胞生长因子-21 分泌型卷曲相关蛋白5
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恩格列净联合rhBNP治疗射血分数降低型心力衰竭的疗效及对患者心功能和血清FGF-21、sVEGFR-2水平的影响
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作者 郇雷 谢纯 +2 位作者 张增堂 亓华新 王方明 《临床和实验医学杂志》 2024年第7期678-682,共5页
目的探究恩格列净联合重组人脑利钠肽(rhBNP)治疗射血分数降低型心力衰竭(HFrEF)的疗效及对患者心功能和血清成纤维细胞生长因子-21(FGF-21)、可溶性血管内皮生长因子受体-2(sVEGFR-2)水平的影响。方法前瞻性选取2022年1月至2023年3月... 目的探究恩格列净联合重组人脑利钠肽(rhBNP)治疗射血分数降低型心力衰竭(HFrEF)的疗效及对患者心功能和血清成纤维细胞生长因子-21(FGF-21)、可溶性血管内皮生长因子受体-2(sVEGFR-2)水平的影响。方法前瞻性选取2022年1月至2023年3月山东第一医科大学附属人民医院心内科收治的100例HFrEF患者为研究对象。按照随机数字表法将其分为对照组和观察组,每组各50例。对照组予以常规强心、利尿治疗及静脉泵入rhBNP,观察组在对照组基础上加用恩格列净。比较两组治疗前、治疗3个月后糖化血红蛋白(HbA1c)、总胆固醇、低密度脂蛋白胆固醇(LDL-C)、6 min步行距离测试(6MWD)、N末端脑钠肽前体(NT-proBNP)、左室射血分数(LVEF)及血清FGF-21、sVEGFR-2水平,并记录两组主要心血管不良事件(MACE)发生情况。结果观察组临床总有效率为94.00%,高于对照组(80.00%),差异有统计学意义(P<0.05)。治疗3个月后,观察组HbA1c水平为(5.34±1.51)%,低于对照组[(6.03±1.65)%],差异有统计学意义(P<0.05);两组患者的总胆固醇、LDL-C水平比较,差异均无统计学意义(P>0.05)。治疗3个月后,观察组LVEF、6MWD水平分别为(38.52±7.24)%、(493.66±47.79)m,均高于对照组[(34.02±8.06)%、(455.92±50.25)m],NT-proBNP水平为(4386.75±875.89)pg/mL,低于对照组[(4326.04±843.66)pg/mL],差异均有统计学意义(P<0.05)。治疗3个月后,观察组血清FGF-21水平为(54.93±12.51)pg/mL,低于对照组[(61.50±15.66)pg/mL],sVEGFR-2水平为(8.96±1.95)ng/mL,高于对照组[(8.14±1.67)ng/mL],差异均有统计学意义(P<0.05)。观察组与对照组MACE总发生率分别为6.00%、16.00%,差异无统计学意义(P>0.05)。结论在rhBNP治疗HFrEF的基础上加用恩格列净可明显提高临床疗效,改善患者心功能,降低HbA1c、FGF-21水平,并提高sVEGFR-2水平可能是其增效的作用机制。 展开更多
关键词 心力衰竭 成纤维细胞生长因子 血管内皮生长因子受体-2 恩格列净 重组人脑利钠肽 心功能
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司美格鲁肽联合二甲双胍对2型糖尿病患者血清载脂蛋白B与载脂蛋白A1比值、网膜素-1及成纤维细胞生长因子-21的影响
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作者 李霞 姚涛 王颖 《实用临床医药杂志》 CAS 2024年第16期83-87,共5页
目的探讨司美格鲁肽联合二甲双胍对2型糖尿病(T2DM)患者血清载脂蛋白B与载脂蛋白A1比值(ApoB/ApoA1)、网膜素-1(Omentin-1)、成纤维细胞生长因子-21(FGF-21)水平的影响。方法选取86例T2MD患者为研究对象,采用随机数字表法分为对照组(二... 目的探讨司美格鲁肽联合二甲双胍对2型糖尿病(T2DM)患者血清载脂蛋白B与载脂蛋白A1比值(ApoB/ApoA1)、网膜素-1(Omentin-1)、成纤维细胞生长因子-21(FGF-21)水平的影响。方法选取86例T2MD患者为研究对象,采用随机数字表法分为对照组(二甲双胍治疗)和观察组(司美格鲁肽联合二甲双胍治疗)。比较2组治疗前后空腹血糖、餐后2 h血糖、糖化血红蛋白、血脂指标、胰岛素自身抗体(IAA)、胰岛素抵抗指数(HOMA-IR)、胰岛β细胞功能指数(HOMA-β)及ApoB/ApoA1、Omentin-1、FGF-21水平,以及不良反应发生情况。结果治疗后,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组总胆固醇、甘油三酯、低密度脂蛋白胆固醇水平低于对照组,高密度脂蛋白胆固醇水平高于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组HOMA-IR、IAA低于对照组,HOMA-β高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组血清Omentin-1水平高于对照组,ApoB/ApoA1、FGF-21水平低于对照组,差异有统计学意义(P<0.05)。对照组发生1例腹泻,2例便秘,不良反应总发生率为6.98%;观察组发生低血糖、腹泻各1例,不良反应总发生率为4.65%;2组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论司美格鲁肽联合二甲双胍能有效控制T2MD患者血糖和血脂水平,提高Omentin-1水平,降低ApoB/ApoA1、FGF-21水平。 展开更多
关键词 司美格鲁肽 二甲双胍 2型糖尿病 载脂蛋白B 载脂蛋白A1 网膜素-1 成纤维细胞生长因子-21
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Fibroblast growth factor 15,induced by elevated bile acids,mediates the improvement of hepatic glucose metabolism after sleeve gastrectomy
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作者 Meng Wei Wei-Bo Cao +7 位作者 Ru-Dong Zhao Dan-Ping Sun Yi-Ze Liang Ya-Di Huang Ze-Wei Cheng JunOuyang Wen-Shuo Yang Wen-Bin Yu 《World Journal of Gastroenterology》 SCIE CAS 2023年第21期3280-3291,共12页
BACKGROUND Fibroblast growth factor(FGF)15/19,which is expressed in and secreted from the distal ileum,can regulate hepatic glucose metabolism in an endocrine manner.The levels of both bile acids(BAs)and FGF15/19 are ... BACKGROUND Fibroblast growth factor(FGF)15/19,which is expressed in and secreted from the distal ileum,can regulate hepatic glucose metabolism in an endocrine manner.The levels of both bile acids(BAs)and FGF15/19 are elevated after bariatric surgery.However,it is unclear whether the increase in FGF15/19 is induced by BAs.Moreover,it remains to be understood whether FGF15/19 elevations contribute to improvements in hepatic glucose metabolism after bariatric surgery.AIM To investigate the mechanism of improvement of hepatic glucose metabolism by elevated BAs after sleeve gastrectomy(SG).METHODS By calculating and comparing the changes of body weight after SG with SHAM group,we examined the weight-loss effect of SG.The oral glucose tolerance test(OGTT)test and area under the curve of OGTT curves were used to assess the anti-diabetic effects of SG.By detecting the glycogen content,expression and activity of glycogen synthase as well as the glucose-6-phosphatase(G6Pase)and phosphoenolpyruvate carboxykinase(Pepck),we evaluated the hepatic glycogen content and gluconeogenesis activity.We examined the levels of total BA(TBA)together with the farnesoid X receptor(FXR)-agonistic BA subspecies in systemic serum and portal vein at week 12 post-surgery.Then the histological expression of ileal FXR and FGF15 and hepatic FGF receptor 4(FGFR4)with its corresponding signal pathways involved in glucose metabolism were detected.RESULTS After surgery,food intake and body weight gain of SG group was decreased compare with the SHAM group.The hepatic glycogen content and glycogen synthase activity was significantly stimulated after SG,while the expression of the key enzyme for hepatic gluconeogenesis:G6Pase and Pepck,were depressed.TBA levels in serum and portal vein were both elevated after SG,the FXR-agonistic BA subspecies:Chenodeoxycholic acid(CDCA),lithocholic acid(LCA)in serum and CDCA,DCA,LCA in portal vein were all higher in SG group than that in SHAM group.Consequently,the ileal expression of FXR and FGF15 were also advanced in SG group.Moreover,the hepatic expression of FGFR4 was stimulated in SG-operated rats.As a result,the activity of its corresponding pathway for glycogen synthesis:FGFR4-Ras-extracellular signal regulated kinase pathway was stimulated,while the corresponding pathway for hepatic gluconeogenesis:FGFR4-cAMP regulatory element-binding protein-peroxisome proliferator-activated receptorγcoactivator-1αpathway was suppressed.CONCLUSION Elevated BAs after SG induced FGF15 expression in distal ileum by activating their receptor FXR.Furthermore,the promoted FGF15 partly mediated the improving effects on hepatic glucose metabolism of SG. 展开更多
关键词 Sleeve gastrectomy fibroblast growth factor 15 Bile acids Hepatic glucose metabolism Type 2 diabetes mellitus
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Cyclooxygenase-2 and epithelial growth factor receptor up-regulation during progression of Barrett's esophagus to adenocarcinoma 被引量:14
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作者 Yan Li John M Wo +4 位作者 Mukunda B Ray Whitney Jones Ruifeng R Su Susan Ellis Robert C G Martin 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第6期928-934,共7页
AIM: To investigate the expression of cyclooxygenase-2 (COX-2) and epithelial growth factor receptor (EGFR) throughout the progression of Barrett's esophagus (BE). METHODS: COX-2 and EGFR protein expressions ... AIM: To investigate the expression of cyclooxygenase-2 (COX-2) and epithelial growth factor receptor (EGFR) throughout the progression of Barrett's esophagus (BE). METHODS: COX-2 and EGFR protein expressions were detected by using immunohistochemical method. A detailed cytomorphological changes were determined. Areas of COX-2 and EGFR expression were quantified by using computer Imaging System. RESULTS: The expressions of both COX-2 and EGFR increased along with the progression from BE to esophagus adenocarcinoma (EAC). A positive correlation was found between COX-2 expression and EGFR expression. CONCLUSION: COX-2 and EGFR may be cooperative in the stepwise progression from BE to EAC, thereby leading to carcinogenesis. 展开更多
关键词 Cycloxygenase -2 (COX-2 Epithelial growth factor receptor (EGFR) Barrett's esophagus CARCINOGENESIS
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