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Increase of tumor necrosis factor receptor 1 expression in women with unexplained early spontaneous abortion
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作者 闫春芳 于学文 +1 位作者 金辉 李旭 《Journal of Medical Colleges of PLA(China)》 CAS 2004年第6期359-362,366,共5页
Objective: To investigate membrane tumor necrosis factor receptor 1 protein expression level in decidua and concentration of soluble tumor necrosis factor receptor 1 in serum in women with unexplained early spontaneou... Objective: To investigate membrane tumor necrosis factor receptor 1 protein expression level in decidua and concentration of soluble tumor necrosis factor receptor 1 in serum in women with unexplained early spontaneous abortion, threatened abortion, and compare the levels with healthy pregnant women. Methods: Thirty-seven women with unexplained early spontaneous abortion, 27 women with threatened abortion, and 34 healthy pregnant women undergoing artificial abortion of pregnancy at 6 - 10 weeks of gestation were selected. Decidual samples were collected when women were undergoing artificial abortion, and blood samples were collected at the same time. The level of membrane tumor necrosis factor receptor 1 in decidua was detected by flow cytometer, and the concentration of soluble tumor necrosis factor receptor 1 in sera was measured with an enzyme-linked immunosorbent assay. Results: The percentages of membrane tumor necrosis factor receptor 1 positive decidual cells were 16.42 ± 7.10 Mean ± SD for women with unexplained early spontaneous abortion and 13. 14 ± 6.30 for healthy pregnant women ( P < 0.05). Serum concentration of soluble tumor necrosis factor receptor 1 was significantly higher in women with unexplained early spontaneous abortion than in healthy pregnant women and in women with threatened abortion, and no difference was found between healthy pregnant women and women with threatened abortion. Conclusion: Women with unexplained early spontaneous abortion present significantly higher expression of tumor necrosis factor receptor 1 than healthy pregnant women, suggesting that over-expression of tumor necrosis factor receptor 1 may contribute to the development of early spontaneous abortion. 展开更多
关键词 membrane tumor necrosis factor receptor 1 soluble tumor necrosis factor receptor 1 unexplained early spontaneous abortion unexplained recurrent spontaneous abortion flow cytometer
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Association of Estrogen Receptor I Genetic Polymorphisms with Recurrent Spontaneous Abortion Risk 被引量:19
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作者 Xun-Qiang Yinl Hong-Mei Ju +7 位作者 Qiang Guo Lin Zhao Xiao-Xiao Zhu Ran Wei Zhen Zhang Yun-Hong Zhang Bin Wang Xia Li 《Chinese Medical Journal》 SCIE CAS CSCD 2018年第15期1857-1865,共9页
Background: Estrogen is one of the most important reproductive steroidal hormones and plays a critical role in the maintenance of pregnancy, and its function is mediated by estrogen receptor 1 (ESR 1). The polymorp... Background: Estrogen is one of the most important reproductive steroidal hormones and plays a critical role in the maintenance of pregnancy, and its function is mediated by estrogen receptor 1 (ESR 1). The polymorphisms ofESR 1 were involved in recurrent spontaneous abortion (RSA); however, the association between ESRI polymorphisms and RSA remains controversial. The present meta-analysis was aimed to clarify the association between ESRI Pvull (-397C/T, rs2234693) and Xbal (-351 A/G, rs9340799) polymorphisms and the risk of RSA. Methods: All the included articles were retrieved from PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, and Wanfang Med Online Database up to January 3,2018. Data were processed in the Stata 12.0 software. The odds ratios (ORs) and 95% confidence intervals (95% Cls) were calculated using fixed-effects models (FEM)/random-effects models (REM). Results: Seven case-control studies with 836 cases and 1164 controls were included in the study. Generally, the ESR 1 polymorphisms were not associated with RSA in any of the genetic analysis models. However, it was found that as rs9340799 polymorphism was related to increased risk of RSA in non-Asian group in the homozygous genetic model (OR = 2.40, 95% CI = 1.05-5.50, P = 0.039). Moreover, in Asian group, rs9340799 polymorphism was found to be related to decreased RSA risk in both the heterozygous model (OR = 0.53, 95% CI = 0.33-0.85, P = 0.009) and the dominant genetic model (OR=0.55, 95% CI = 0.30 0.98, P = 0.042). Conclusions: Generally. there was no significant association between the polymorphisms of ESRI and the risk of RSA. However, subgroup analysis indicated that ESR1 rs9340799 polymorphism was related to increased RSA risk in the non-Asian group while associated with decreased RSA risk in Asian group. 展开更多
关键词 Estrogen receptor 1 META-ANALYSIS POLYMORPHISM Recurrent spontaneous abortion RISK
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Relationship between expression of chemokine receptors CCR3, CCR5 and CXCR3 on CD4^+ T cells and spontaneous abortion in mice 被引量:9
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作者 JIANG Pei-juan LIN Qi-de +3 位作者 BAO Shi-min ZHAO Ai-min ZHANG Yu XIAO Shi-jin 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第4期390-395,共6页
Background Previous studies have shown that local immune cells in the feto-maternal interface are recruited from peripheral blood, and that chemokines and their receptors play an initial and key role in this recruitme... Background Previous studies have shown that local immune cells in the feto-maternal interface are recruited from peripheral blood, and that chemokines and their receptors play an initial and key role in this recruitment process. In this study, we aimed to determine whether spontaneous abortion is associated with the expression of chemokine receptors CCR3, CCR5, and CXCR3 on CD4^+ T cells. Methods Peripheral blood, spleen, and thymus were collected from the spontaneous abortion mouse model CBA/JxDBA/2 (SA group, n=14), the normal pregnant mouse model CBA/JxBALB/c (NP group, n=13), and normal non-pregnant CBA/J mice (NNP group, n=11). The number of chemokine receptors CCR3, CCR5, and CXCR3 expressed on CD4^+ T cells was measured by double-label flow cytometry (FCM) method. Results In peripheral blood, the SA group had significantly lower CCR3 expression (P 〈0.01) and higher CCR5 and CXCR3 expression (P 〈0.01) on CD4^+ T cells than did the NP group. But comparing these chemokines between the SA and NNP groups, there was no significant difference (P 〉0.05). In spleen, the SA group expressed significantly lower CCR3 expression (P 〈0.01) and higher CCR5 and CXCR3 expression (P 〈0.05) on CD4^+ T cells than did the NP group. When compared with the NNP group, the SA group had significantly higher CCR3 expression (P 〈0.01), but was not statistically different with regards to the other two chemokines (P 〉0.05). In thymus, the SA group had significantly lower CCR3 expression (P 〈0.05) and higher CXCR3 expression (P 〈0.05) on CD4^+ T cells than the NP group, with no significant difference in CCR5 expression (P 〉0.05). Compared with the NNP group, the SA group had higher CCR3 expression (P 〈0.01), but there was no statistical difference in CXCR3 and CCR5 expression (P 〉0.05) between the two groups. Conclusion The abnormal expression of CCR3, CCR5 and CXCR3 on CD4^+ T cells may play an important role in the pathogenesis of spontaneous abortion. 展开更多
关键词 receptors CCR3 CCR5 CXCR3 CD4-positive T-lymphocytes abortion spontaneous
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Role of cyclooxygenase-2 signaling pathway dysfunction in unexplained recurrent spontaneous abortion 被引量:10
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作者 WANG Yu ZHAO Ai-min LIN Qi-de 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第12期1543-1547,共5页
Background Experimental evidence indicates that cyclooxygenase-2 (COX-2) plays a critical role in blastocyst implantation; however, little is known of the role of COX-2 in unexplained recurrent spontaneous abortion ... Background Experimental evidence indicates that cyclooxygenase-2 (COX-2) plays a critical role in blastocyst implantation; however, little is known of the role of COX-2 in unexplained recurrent spontaneous abortion (URSA). Methods We evaluated the expression level and potential signaling pathway of COX-2 in 30 cases of URSA who were excluded the abnormality of chromosomes, anatomy, endocrine, infectious, autoimmune diseases and in 30 normal pregnancies. Results The mRNA and the protein expression level of COX-2 in the URSA group (-0.238±0.848, 0.368±0.089, respectively) were significantly lower than that in the control group (1.943±3.845, 1.046±0.108, respectively) (both, P 〈0.01). The expression of prostaglandins PGF2a, PGD2, PGE2, and PGI2, in the URSA group ((2326.0±295.6) pg/ml, (2164.0±240.5) pg/ml, (238.7±26.4) pg/ml, (2337.0±263.0) pg/ml, respectively) were significantly lower than that in the control group ((3450.0±421.7) pg/ml, (3174.0±415.6) pg/ml, (323.5±43.8) pg/ml, (3623.0±460.4) pg/ml, respectively) (P 〈0.05). The mRNA expression level of PPARI3 and RXRa (0.859±0.653, -0.172±0.752, respectively) in URSA group was significantly lower than that in the control group (1.554±1.735, 0.777±2.482, respectively) (both P 〈0.05). The mRNA and protein expression levels of vascular endothelial growth factor-A (VEGF-A) in the URSA group (2.010±1.522, 0.35±0.46) was significantly lower than that in the control group (4.569±2.430, 0.750±0.350) (both P 〈0.05). Conclusions COX-2 and the COX-2-derived PGI2 signaling pathway possibly play an important role in successful embryo implantation, and their decreased expression may result in URSA. The decreased expression may influence the expression of VEGF-A which interferes with placental angiogenesis causing failure of embryo implantation, leading to spontaneous abortion. 展开更多
关键词 unexplained recurrent spontaneous abortion CYCLOOXYGENASE-2 prostaglandin 12 proliferator-activated receptor β/retinoid X receptor a vascular endothelial growth factor-A blastocyst implantation
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PD-1/PD-L1调控蜕膜巨噬细胞在复发性流产中的相关研究
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作者 毛伴云 张夏兰 +2 位作者 税国鑫 梅劼 岳军 《实用妇产科杂志》 CAS CSCD 北大核心 2024年第7期554-559,共6页
目的:探讨程序性死亡受体-1(PD-1)及其配体(PD-L1)对蜕膜巨噬细胞(DMs)分化及胚胎发育的影响。方法:选取2021年3月至2024年1月就诊于四川省人民医院的复发性流产患者及正常妊娠人工流产患者各20例,分别作为复发性流产组(RSA组)和正常妊... 目的:探讨程序性死亡受体-1(PD-1)及其配体(PD-L1)对蜕膜巨噬细胞(DMs)分化及胚胎发育的影响。方法:选取2021年3月至2024年1月就诊于四川省人民医院的复发性流产患者及正常妊娠人工流产患者各20例,分别作为复发性流产组(RSA组)和正常妊娠组(NP组)。取两组患者绒毛组织及蜕膜组织,使用实时荧光定量聚合酶链式反应(qPCR)及蛋白质免疫印迹试验(Western bolt)技术检测绒毛组织中PD-L1 mRNA及蛋白的表达情况;使用流式细胞技术检测DMs类型及其PD-1的表达情况。分组诱导人单核细胞白血病细胞系(THP-1)细胞分化,设立对照组和PD-1阻断组,加入不同试剂诱导分化,测定不同条件下分化后DMs类型占比。结果:两组患者绒毛组织中均表达PD-L1蛋白及mRNA,但RSA组中PD-L1蛋白及mRNA的表达较NP组减少(P<0.05)。两组患者蜕膜组织中均有M1和M2型巨噬细胞,RSA组中M2型/M1型DMs比值较NP组降低(P<0.05),即DMs向M1型极化;PD-1在两组表达差异无统计学意义(P>0.05)。人THP-1细胞经过刺激可分化出M1和M2型巨噬细胞,PD-1阻断后,M2型/M1型巨噬细胞比值降低(P<0.05),即巨噬细胞向M1型极化。结论:复发性流产患者中绒毛组织PD-L1表达下降,DMs向M1型方向极化;阻断PD-1/PD-L1通路可使巨噬细胞更多向M1型方向极化。PD-1/PD-L1通路对巨噬细胞极化方向的影响可能会给研究RSA的发生机制提供新的思路。 展开更多
关键词 程序性死亡受体-1 程序性死亡受体-1配体 蜕膜巨噬细胞 复发性流产
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铅对大鼠皮质神经元γ-氨基丁酸A型受体介导电流及GABA能突触传递的抑制作用
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作者 高文良 张红 +4 位作者 袁谊 郭蕊 刘兴阳 邓显华 孙灏 《中国药理学与毒理学杂志》 CAS 北大核心 2024年第1期31-38,共8页
目的研究铅(Pb^(2+))对大鼠皮质神经元γ-氨基丁酸(GABA)A型受体介导电流(I_(GABA))及GABA能突触传递的抑制作用及其机制。方法①分离出生0 d的SD大鼠大脑皮质神经元进行原代培养,培养7~14 d用膜片钳系统记录神经元GABA激活的I_(GABA),... 目的研究铅(Pb^(2+))对大鼠皮质神经元γ-氨基丁酸(GABA)A型受体介导电流(I_(GABA))及GABA能突触传递的抑制作用及其机制。方法①分离出生0 d的SD大鼠大脑皮质神经元进行原代培养,培养7~14 d用膜片钳系统记录神经元GABA激活的I_(GABA),检测不同浓度Pb^(2+)(1,5,10,50和100μmol·L^(-1))(Y管给药,作用时间20 s)对GABA(100μmol·L^(-1))激活I_(GABA)的影响,并检测Pb^(2+)50μmol·L^(-1)(Y管给药,作用时间20 s)对不同浓度GABA(1,10,50,100,500和1000μmol·L^(-1))激活I_(GABA)的影响。②取15~19 d日龄雄性SD大鼠大脑制作厚度为350μm的脑片样本,记录自发抑制性突触后电流(sIPSC)、微小抑制性突触后电流(mIPSC)和注入电流诱导的动作电位(AP),检测Pb^(2+)10μmol·L^(-1)(灌流速度2 mL·min^(-1))处理前和处理5 min后sIPSC和mIPSC振幅和频率及AP频率。结果①在10,50和100μmol·L^(-1)浓度时,随浓度升高,Pb^(2+)抑制原代培养神经元I_(GABA)的作用增强,IC_(50)值为(68±20)μmol·L^(-1)。②Pb^(2+)50μmol·L^(-1)抑制GABA最大激活电流(P<0.01),升高GABA的EC50值,由无Pb^(2+)组的(20±6)μmol·L^(-1)增加到(87±39)μmol·L^(-1),表明Pb^(2+)可能以非竞争性机制抑制I_(GABA)。③脑片实验中,与处理前比较,Pb^(2+)10μmol·L^(-1)处理5 min后可逆地抑制神经元sIPSC的频率(P<0.01)而未影响其振幅,而mIPSC的频率和振幅均未受到影响。此外,Pb^(2+)10μmol·L^(-1)抑制AP的频率(P<0.01),降低神经元的整体兴奋性。结论Pb^(2+)对原代培养神经元I_(GABA)有明显的抑制作用;Pb^(2+)可能通过抑制皮质神经元的AP抑制sIPSC的频率;提示Pb^(2+)对原代培养神经元I_(GABA)的抑制以及对脑片神经元sIPSC频率的抑制可能存在不同的机制,反映了Pb^(2+)中毒机制的复杂性。 展开更多
关键词 γ-氨基丁酸A型受体 神经元 自发抑制性突触后电流 微小抑制性突触后电流
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血清MIF、MCP-1、suPAR水平与脓毒症严重程度及合并ARDS风险的关系
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作者 闫晓笑 刘桢干 +3 位作者 李燕 杨立明 苗慧慧 王跃敏 《临床和实验医学杂志》 2024年第5期469-473,共5页
目的探讨血清巨噬细胞迁移抑制因子(MIF)、单核细胞趋化蛋白-1(MCP-1)、可溶性尿激酶型纤溶酶原激活物受体(suPAR)水平与脓毒症严重程度及合并急性呼吸窘迫综合征(ARDS)风险的关系。方法回顾性分析2022年2月至2023年5月太原钢铁(集团)... 目的探讨血清巨噬细胞迁移抑制因子(MIF)、单核细胞趋化蛋白-1(MCP-1)、可溶性尿激酶型纤溶酶原激活物受体(suPAR)水平与脓毒症严重程度及合并急性呼吸窘迫综合征(ARDS)风险的关系。方法回顾性分析2022年2月至2023年5月太原钢铁(集团)有限公司总医院收治的86例脓毒症患者的临床资料。依据病情程度不同将患者分为脓毒症组(n=20)、严重脓毒症组(n=48)和脓毒症休克组(n=18)。入院72 h内参考ARDS诊断标准将患者分为ARDS组(n=27)和非ARDS组(n=59)。检测并比较各组脓毒症患者血清MIF、MCP-1、suPAR水平。收集ARDS组与非ARDS组患者年龄、性别、体重指数、合并症、感染类型、既往史、心率、急性生理学和慢性健康状况评价Ⅱ(APACHEⅡ)、脓毒症相关性器官衰竭评价(SOFA)评分、白细胞计数、血乳酸、天冬氨酸转移酶(AST)、丙氨酸转移酶(ALT)、总胆固醇等指标。采用多因素Logistic回归分析对影响脓毒症患者并发ARDS的危险因素进行分析。通过受试者工作特征(ROC)曲线分析血清MIF、MCP-1、suPAR水平预测脓毒症患者并发ARDS的价值。结果脓毒症休克组患者血清MIF、MCP-1、suPAR水平分别为(94.02±10.13)、(506.55±45.15)、(13.89±3.95)ng/mL,均高于脓毒症组[(76.93±7.01)、(148.38±35.74)、(6.07±2.13)ng/mL]和严重脓毒症组[(85.46±8.74)、(327.08±40.62)、(8.42±1.07)ng/mL],而严重脓毒症组患者血清MIF、MCP-1、suPAR水平均高于脓毒症组,差异均有统计学意义(P<0.05)。ARDS组与非ARDS组患者的年龄、性别构成比、体重指数、合并症、感染类型、白细胞计数、心率、吸烟史、饮酒史、血乳酸、AST、ALT、总胆固醇比较,差异均无统计学意义(P>0.05);ARDS组患者APACHEⅡ评分、SOFA评分、有急腹症和胰腺炎占比及血清MIF、MCP-1、suPAR水平均高于非ARDS组,差异均有统计学意义(P<0.05)。经多因素Logistic回归分析结果显示,急腹症、胰腺炎、APACHEⅡ评分、SOFA评分、MIF、MCP-1、suPAR是影响脓毒症患者并发ARDS的独立危险因素(P<0.05)。经ROC曲线分析结果显示,血清MIF、MCP-1、suPAR水平均能预测脓毒症患者ARDS的发生,曲线下面积分别为0.904、0.910、0.917,预测价值较好(P<0.05)。结论血清MIF、MCP-1、suPAR水平与脓毒症患者病情程度、并发ARDS密切相关,且血清MIF、MCP-1、suPAR水平对ARDS的发生有较好的预测价值。 展开更多
关键词 脓毒症 巨噬细胞迁移抑制因子 单核细胞趋化蛋白-1 可溶性尿激酶型纤溶酶原激活物受体 急性呼吸窘迫综合征
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Inhibitory leukocyte immunoglobulin-like receptors in cancer development 被引量:3
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作者 ZHANG FeiFei ZHENG JunKe +4 位作者 KANG XunLei DENG Mi LU ZhiGang KIM Jaehyup ZHANG ChengCheng 《Science China(Life Sciences)》 SCIE CAS CSCD 2015年第12期1216-1225,共10页
Inhibitory leukocyte immunoglobulin-like receptors(LILRB1-5) signal through immunoreceptor tyrosine-based inhibitory motifs(ITIMs) in their intracellular domains and recruit phosphatases protein tyrosine phosphatase, ... Inhibitory leukocyte immunoglobulin-like receptors(LILRB1-5) signal through immunoreceptor tyrosine-based inhibitory motifs(ITIMs) in their intracellular domains and recruit phosphatases protein tyrosine phosphatase, non-receptor type 6(PTPN6, SHP-1), protein tyrosine phosphatase, non-receptor type 6(PTPN6, SHP-2), or Src homology 2 domain containing inositol phosphatase(SHIP) to negatively regulate immune cell activation. These receptors are known to play important regulatory roles in immune and neuronal functions. Recent studies demonstrated that several of these receptors are expressed by cancer cells. Importantly, they may directly regulate development, drug resistance, and relapse of cancer, and the activity of cancer stem cells. Although counterintuitive, these findings are consistent with the generally immune-suppressive and thus tumor-promoting roles of the inhibitory receptors in the immune system. This review focuses on the ligands, expression pattern, signaling, and function of LILRB family in the context of cancer development. Because inhibition of the signaling of certain LILRBs directly blocks cancer growth and stimulates immunity that may suppress tumorigenesis, but does not disturb normal development, LILRB signaling pathways may represent ideal targets for treating hematological malignancies and perhaps other tumors. 展开更多
关键词 immunoreceptor tyrosine-based inhibitory motifs immunoreceptor tyrosine-based activation motif leukocyte immunoglobulin-like receptor subfamily B immunoglobulin-like transcript leukocyte immunoglobulin-like receptor phosphatase ITIM ITAM LILRB CD85 ILT LIR SHP-1 SHP-2 SHIP MHC HLA signal transduction leukemia cancer
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Inflammatory reaction versus endogenous peroxisome proliferator- activated receptors expression, re-exploring secondary organ complications of spontaneously hypertensive rats 被引量:2
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作者 SUN Li KE Yan +5 位作者 ZHU Chun-yun TANG Ning TIAN Deng-ke GAO Yue-hong ZHENG Jian-pu BIAN Ka 《Chinese Medical Journal》 SCIE CAS CSCD 2008年第22期2305-2311,共7页
Background The chronic pathological changes in vascular walls of hypertension may exert destructive effects on multiple organ systems. Accumulating evidence indicates that inflammatory reactions are involved in the pa... Background The chronic pathological changes in vascular walls of hypertension may exert destructive effects on multiple organ systems. Accumulating evidence indicates that inflammatory reactions are involved in the pathological changes of hypertension. Three peroxisome proliferator-activated receptors (PPARs) have been identified: PPARa, PPARβ/δ, and PPARγ, all of which have multiple biological effects, especially the inhibition of inflammation. The aim of this study was to evaluate PPAR isoforms expression profile in important organs of spontaneously hypertensive rats (SHR) and to understand the modulation of endogenous PPAR isoforms under inflammatory condition. Methods l]ssues (kidney, liver, heart, and brain) were dissected from SHR and age-matched control Wistar-Kyoto rats (WKY) to investigate the abundance of PPAR isoforms and PPAR-responsive genes (acyI-CoA oxidase and CD36). The expression of CCAAT/enhancer-binding protein 6 (C/EBP6), which can trans-activate PPARγ expression, was also observed. The inflammatory response was analyzed by the expression of inflammatory mediators inducible nitric oxide synthase (iNOS), intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1), E-selectin, interleukin-1 beta (IL-1β), and tumor necrosis factor alpha (TNFα), and formation of carbonyl and nitrated proteins. Results The expressions of 3 PPAR isoforms and PPAR-responsive genes were markedly upregulated in SHR compared with those of WKY. Specifically, the expression of PPARa protein in the kidney, liver, heart and brain increased by 130.76 %, 91.48%, 306.24%, and 90.70%; PPARβ/δ upregulated by 109.34%, 161.98%, 137.04%, and 131.66%; PPARγ increased by 393.76%, 193.17%, 559.29%, and 591.18%. In consistent with the changes in PPARy, the expression of C/EBPδ was also dramatically elevated in SHR. Inflammatory mediators expressions were significantly increased in the most organs of SHR than WKY. As a consequence, increased formation of carbonyl and nitrated proteins were also observed in the most organs of SHR. Conclusions These findings suggest an enhanced inflammatory response in the organs of SHR, which might play a key role in pathogenesis of hypertension and secondary organ complications. Changes (increases) in PPARs expression may reflect a compensatory mechanism to the inflammatory status of hypertensive rats. 展开更多
关键词 spontaneously hypertensive rats inflammation peroxisome proliferator-activated receptors
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多囊卵巢综合征患者早期流产与子宫内膜雌孕激素受体的关系 被引量:23
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作者 施晓波 张晶 符书馨 《中南大学学报(医学版)》 CAS CSCD 北大核心 2008年第6期518-522,共5页
目的:探讨多囊卵巢综合征(polycystic ovary syndrome,PCOS)患者早期流产与其子宫内膜上雌孕激素受体的关系,旨在找出原因,对症治疗。方法:选择PCOS不孕患者32例为实验组(其中12例有早期自然流产史),同期输卵管性不孕患者20例为... 目的:探讨多囊卵巢综合征(polycystic ovary syndrome,PCOS)患者早期流产与其子宫内膜上雌孕激素受体的关系,旨在找出原因,对症治疗。方法:选择PCOS不孕患者32例为实验组(其中12例有早期自然流产史),同期输卵管性不孕患者20例为对照组,观察组患者于月经干净3-7d时、或闭经期、或淋漓出血时,对照组患者于月经干净3d至排卵前在宫腔镜下取得子宫内膜标本,行病理学检查及免疫组织化学实验,测定雌激素受体(estrogen receptors,ER)和孕激素受体(progesterone receptors,PR)在子宫内膜腺体和间质细胞的细胞核内的表达。结果:ER在腺体和间质中表达的免疫组织化学积分PCOS组较输卵管性不孕组均明显减少(P=0.004,P=0.001)。PR在腺体和间质中表达的免疫组织化学积分PCOS组较输卵管性不孕组均明显减少(P=0.02,P=0.004)。PCOS组腺体细胞和间质细胞ER和PR的表达在增生早、中、晚期组的免疫组织化学积分3三组间差异均无统计学意义(均P〉0.05)。PCOS患者流产组的子宫内膜腺体中表达的免疫组织化学积分较非流产组明显减少(P=0.02);在间质中,流产组与非流产组间无统计学差异(P=0.32)。PCOS患者中的流产组和非流产组PR在子宫内膜腺体和间质中表达的免疫组织化学积分均无统计学差异(均P〉0.05)。结论:PCOS患者子宫内膜雌、孕激素受体含量减少可能是其自然流产的重要原因;PCOS患者的雌、孕激素受体缺乏周期性改变,可使胚胎着床障碍或流产。 展开更多
关键词 多囊卵巢综合征 自然流产 雌激素受体 孕激素受体
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杀伤细胞免疫球蛋白样受体及其配体HLA-C基因多态性与不明原因早期复发性流产的相关性 被引量:10
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作者 徐金娥 杨晓菊 +2 位作者 张云 江秀丽 陈子江 《中国免疫学杂志》 CAS CSCD 北大核心 2010年第5期420-424,共5页
目的:探讨杀伤细胞免疫球蛋白样受体及其配体HLA-C基因多态性与不明原因早期复发性流产易感性的关系。方法:留取不明原因早期复发性流产患者(38例,URSA组)及正常早孕妇女(35例,对照组)的蜕膜、绒毛组织,抽提基因组DNA,序列特异性引物聚... 目的:探讨杀伤细胞免疫球蛋白样受体及其配体HLA-C基因多态性与不明原因早期复发性流产易感性的关系。方法:留取不明原因早期复发性流产患者(38例,URSA组)及正常早孕妇女(35例,对照组)的蜕膜、绒毛组织,抽提基因组DNA,序列特异性引物聚合酶链反应检测蜕膜组织14种KIR基因的表达;DNA测序法分析绒毛滋养细胞HLA-C1、HLA-C2基因多态性。结果:14种KIR基因均以不同频率表达;KIR2DS1基因的频率在URSA组与对照组中分别为60.27%vs41.18%,两组相比,差异有显著性(P=0.03)。两组基因HLA-C1、HLA-C2在绒毛组织中呈不平衡表达,以HLA-C1基因占明显优势。URSA组与对照组HLA-C1基因频率分别为66.67%、81.03%,两组相比差异无显著性,P=0.657;URSA组HLA-C2的基因频率为33.33%,对照组HLA-C2的基因频率为19.07%,两组相比差异有显著性,P=0.007。结论:蜕膜NK细胞活化性KIR基因频率升高,与绒毛滋养细胞的HLA-C2基因结合,传递活化性信号活化NK细胞,可能是引起URSA发病的免疫遗传学因素之一。 展开更多
关键词 复发性自然流产 杀伤细胞免疫球蛋白样受体 HLA-C 基因 滋养细胞
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NK cell receptor imbalance and NK cell dysfunction in HBV nfection and hepatocellular carcinoma 被引量:58
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作者 Cheng Sun Haoyu Sun +1 位作者 Cai Zhang Zhigang Tian 《Cellular & Molecular Immunology》 SCIE CAS CSCD 2015年第3期292-302,共11页
Hepatocellular carcinoma (HCC) is currently the third leading cause of cancer mortality and a common poor-prognosis malignancy due to postoperative recurrence and metastasis. There is a significant correlation betwe... Hepatocellular carcinoma (HCC) is currently the third leading cause of cancer mortality and a common poor-prognosis malignancy due to postoperative recurrence and metastasis. There is a significant correlation between chronic hepatitis B virus (HBV) infection and hepatocarcinogenesis. As the first line of host defense against viral infections and tumors, natural killer (NK) cells express a large number of immune recognition receptors (NK receptors (NKRs)) to recognize ligands on hepatocytes, liver sinusoidal endothelial cells, stellate cells and Kupffer cells, which maintain the balance between immune response and immune tolerance of NK cells. Unfortunately, the percentage and absolute number of liver NK cells decrease significantly during the development and progression of HCC. The abnormal expression of NK cell receptors and dysfunction of liver NK cells contribute to the progression of chronic HBV infection and HCC and are significantly associated with poor prognosis for liver cancer. In this review, we focus on the role of NK cell receptors in anti-tumor immune responses in HCC, particularly HBV-related HCC. We discuss specifically how tumor cells evade attack from NK cells and how emerging understanding of NKRs may aid the development of novel treatments for HCC. Novel mono- and combination therapeutic strategies that target the NK cell receptor-ligand system may potentially lead to successful and effective immunotherapy in HCC. 展开更多
关键词 activating receptor hepatocellular carcinoma inhibitory receptor natural killer cell natural killer receptor
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趋化因子受体CCR3、CCR5和CXCR3与自然流产的相关性 被引量:6
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作者 姜培娟 林其德 +2 位作者 鲍世民 赵爱民 肖世金 《上海交通大学学报(医学版)》 CAS CSCD 北大核心 2008年第12期1535-1540,共6页
目的探讨外周血、脾脏、胸腺趋化因子受体CCR3、CCR5、CXCR3与自然流产的关系。方法用双标记流式细胞分析技术检测自然流产模型组小鼠(CBA/J×DBA/2,n=14)、正常妊娠模型组小鼠(CBA/J×BALB/c,n=13)和正常非孕组小鼠(CBA/J,n=11... 目的探讨外周血、脾脏、胸腺趋化因子受体CCR3、CCR5、CXCR3与自然流产的关系。方法用双标记流式细胞分析技术检测自然流产模型组小鼠(CBA/J×DBA/2,n=14)、正常妊娠模型组小鼠(CBA/J×BALB/c,n=13)和正常非孕组小鼠(CBA/J,n=11)外周血、脾脏以及胸腺中CD4+T细胞CCR3、CCR5和CXCR3这三类趋化因子受体的表达。结果自然流产模型组外周血CD4+T细胞CCR3的表达率低于正常妊娠模型组(P<0.01),CCR5和CXCR3高于正常妊娠模型组(P<0.05,P<0.01);但三个指标与正常非孕组相比,差异均无统计学意义(P>0.05)。自然流产模型组脾脏CD4+T细胞CCR3的表达率低于正常妊娠模型组(P<0.01),高于正常非孕组(P<0.05);而CCR5和CXCR3高于正常妊娠模型组(P<0.05),但与正常非孕组相比,差异无统计学意义(P>0.05)。自然流产模型组胸腺CD4+T细胞CCR3的表达率低于正常妊娠模型组(P<0.05),高于正常非孕组(P<0.01);而CXCR3的表达率高于正常妊娠模型组(P<0.05),但与正常非孕组相比,差异无统计学意义(P>0.05);CCR5与其他两组相比,差异无统计学意义(P>0.05)。结论CD4+T细胞上CCR3、CCR5和CXCR3的表达异常可能在自然流产的发病中起作用。 展开更多
关键词 趋化因子受体 CCR3 CCR5 CXCR3 CD4^+ T细胞 自然流产
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体外扩增对食管癌患者NK细胞表面受体表达及其抑瘤活性的影响 被引量:4
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作者 周智锋 柳硕岩 +3 位作者 郑庆丰 李洁羽 王枫 叶韵斌 《中国肿瘤生物治疗杂志》 CAS CSCD 北大核心 2013年第3期330-335,共6页
目的:探讨食管癌患者NK细胞扩增前后的受体表达及其对肿瘤细胞的杀伤。方法:收集福建省肿瘤医院食管癌患者外周血20例,健康供者(对照组)外周血10例。NK细胞培养采用细胞因子(IL-2+IL-12+IL-15+IL-18)组合,流式细胞术检测NK细胞免疫表型... 目的:探讨食管癌患者NK细胞扩增前后的受体表达及其对肿瘤细胞的杀伤。方法:收集福建省肿瘤医院食管癌患者外周血20例,健康供者(对照组)外周血10例。NK细胞培养采用细胞因子(IL-2+IL-12+IL-15+IL-18)组合,流式细胞术检测NK细胞免疫表型及其受体(CD56+、CD69+、NKG2D、NKp30、NKp44、NKp46、CD158b、CD159a)的表达,LDH法检测不同效靶比时NK细胞对多种肿瘤细胞株(K562、Raji、Eca-109、TE-1)的杀伤作用。结果:与对照组相比,食管癌患者外周血CD3+、CD4+细胞比例以及CD4+/CD8+T细胞比值明显降低(P<0.05),NK细胞(CD3-CD56+)及调节性T细胞(Treg)比例明显升高(P<0.05)。经细胞因子IL-2+IL-12+IL-15+IL-18组合定向扩增20 d后,食管癌患者NK细胞比例高达90%以上,NK细胞数扩增达1 000倍以上(P<0.01);而CD3+T细胞、CD4+、CD8+T细胞、CD19+B细胞、Treg细胞及单核巨噬细胞(CD14+)比例均显著降低(P<0.01),且食管癌患者与对照组之间无统计学差异(P>0.05)。经细胞因子体外培养20 d后,NK细胞表面CD69及活化性受体(NKG2D、NKp30、NKp44、NKp46)均明显上调,而抑制性受体(CD158b、CD159a)均明显下调(P<0.05)。培养20 d后,食管癌患者NK细胞对肿瘤细胞K562、Raji、Eca-109、TE-1的杀伤能力均显著高于培养前[(69.2±5.1)%vs(42.3±3.0)%,(44.6±3.2)%vs(21.1±2.0)%,(69.7±3.9)%vs(50.3±3.5)%,(67.1±4.5)%vs(41.2±3.3)%;均P<0.01]。结论:细胞因子IL-2+IL-12+IL-15+IL-18组合能有效扩增外周血NK细胞并上调其活并性受体的表达、下调抑制性受体的表达,其数量及功能均能满足临床治疗需要。 展开更多
关键词 NK细胞 活化性受体 抑制性受体 白细胞介素 肿瘤细胞
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PCOS患者早期自然流产与子宫内膜雌孕激素受体的关系及中西医结合治疗 被引量:14
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作者 郑瑞芹 刘晓芹 张建英 《中国计划生育学杂志》 北大核心 2011年第5期294-297,共4页
目的:探讨多囊卵巢综合征(PCOS)患者早期自然流产与子宫内膜雌激素受体(ER)、孕激素受体(PR)的关系以及中西医结合治疗的可行性。方法:选择PCOS不孕患者62例为观察组,同期输卵管性不孕患者30例为对照组。两组患者均于月经干净3... 目的:探讨多囊卵巢综合征(PCOS)患者早期自然流产与子宫内膜雌激素受体(ER)、孕激素受体(PR)的关系以及中西医结合治疗的可行性。方法:选择PCOS不孕患者62例为观察组,同期输卵管性不孕患者30例为对照组。两组患者均于月经干净3~7d时在宫腔镜下取子宫内膜标本,行免疫组织化学检查,观察ER和PR在子宫内膜腺体和间质细胞的表达强度,比较两组的差异。再于术后对观察组对象给予达英一35联合中药天癸方连续治疗3个月经周期,停药后第1次月经干净3~7d在官腔镜引导下取子宫内膜标本,观察治疗前后ER、PR表达强度的变化。结果:En、PR在子宫内膜腺体和间质中的表达观察组较对照组明显减弱(P〈0.05);经中西医结合治疗3个周期后,观察组患者子宫内膜腺体和间质中的ER、PR表达强度均明显提高(P〈0.05)。结论:PCOS患者子宫内膜ER、PR减少可能是其自然流产的重要原因,中西医结合治疗能有效提高PCOS患者子宫内膜ER、PR水平。 展开更多
关键词 多囊卵巢综合征 早期流产 雌激素受体 孕激素受体 中西医结合
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丙泊酚对幼小鼠自主活动和学习记忆行为的影响 被引量:14
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作者 赵施施 张科学 +10 位作者 包素红 叶青青 王丹 陈涤时 李璐辰 占文强 甘军 周旭杰 蔡慧明 申文 戴体俊 《中国药理学通报》 CAS CSCD 北大核心 2013年第2期198-201,共4页
目的观察丙泊酚(Prof)对幼小鼠自主活动和学习记忆行为的影响,探讨其与GABAA受体的关系。方法 300只9~10日龄小鼠分为3大组,分别进行自主活动实验、避暗实验和跳台实验,各组小鼠ip Prof或NS 10 min后icv荷包牡丹碱(Bic)或人工脑脊液(aC... 目的观察丙泊酚(Prof)对幼小鼠自主活动和学习记忆行为的影响,探讨其与GABAA受体的关系。方法 300只9~10日龄小鼠分为3大组,分别进行自主活动实验、避暗实验和跳台实验,各组小鼠ip Prof或NS 10 min后icv荷包牡丹碱(Bic)或人工脑脊液(aCSF)。测试最后一次给药后15、30、45和60 min小鼠5 min内活动次数;跳台仪和避暗仪记录小鼠步入、跳下的潜伏期和错误次数。结果与NS组比,Prof可减少小鼠自主活动次数;给Prof 24h后小鼠步入和跳下潜伏期缩短、错误次数增加(P<0.05)。Bic可增加Prof小鼠自主活动次数,延长其跳下和步入潜伏期,减少错误次数(P<0.05)。结论 Prof可减少幼小鼠自主活动次数,损害学习记忆能力,GABAA受体是其重要靶位。 展开更多
关键词 丙泊酚 荷包牡丹碱 自主活动 学习记忆 避暗实验 跳台实验 GABAA受体
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TGF-β/Smads信号通路在心肌纤维化发生和治疗中应用前景的研究进展 被引量:43
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作者 陈蓉 谢梅林 《中国药理学通报》 CAS CSCD 北大核心 2012年第9期1189-1192,共4页
心肌纤维化(MF)是多种心脏疾病发展到一定阶段的共同病理改变,是心肌重构的主要表现之一。这种病理变化存在于多种心血管疾病中,与心律失常、心力衰竭等疾病密切相关。转化生长因子-β(TGF-β)在MF的发生和发展中起着重要作用。TGF-β/S... 心肌纤维化(MF)是多种心脏疾病发展到一定阶段的共同病理改变,是心肌重构的主要表现之一。这种病理变化存在于多种心血管疾病中,与心律失常、心力衰竭等疾病密切相关。转化生长因子-β(TGF-β)在MF的发生和发展中起着重要作用。TGF-β/Smads信号通路是TGF-β发挥生物学作用的主要通路,其分子组成与分子调节复杂,现将它在MF发生和治疗中应用前景作一综述。 展开更多
关键词 心肌纤维化 转化生长因子-Β 转化生长因子-β受 受体激活型Smads 共同介质Smads 抑制型Smads
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胰岛素样生长因子家族成员在早期自然流产中作用的研究 被引量:10
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作者 王珺 郭颖 +2 位作者 宗实 刘彩霞 张淑兰 《中国医科大学学报》 CAS CSCD 北大核心 2012年第3期241-243,共3页
目的研究胰岛素样生长因子(IGF)家族成员在早期自然流产中的作用。方法采用荧光定量PCR方法检测正常早孕及自然流产绒毛组织中IGF2基因、胰岛素样生长因子受体1(IGF1R)基因和胰岛素样生长因子结合蛋白3(IGFBP-3)基因mRNA表达,并比较各... 目的研究胰岛素样生长因子(IGF)家族成员在早期自然流产中的作用。方法采用荧光定量PCR方法检测正常早孕及自然流产绒毛组织中IGF2基因、胰岛素样生长因子受体1(IGF1R)基因和胰岛素样生长因子结合蛋白3(IGFBP-3)基因mRNA表达,并比较各指标间的相关性。结果自然流产绒毛组织中IGF2、IGFIR mRNA表达明显低于正常绒毛组织(P<0.01);两种绒毛组织中IGFBP3 mRNA表达差异无统计学意义(P>0.05)。正常绒毛组织中IGF2 mRNA表达量与IGF1R mRNA表达量呈正相关(r=0.345,P<0.01),与IGFBP3 mRNA表达量无相关性(r=0.22,P=0.292);自然流产绒毛组织中IGF2 mRNA表达量与IGF1R和IGFBP3 mRNA表达量间均无相关性(P>0.05)。结论 IGF家族成员IGF2和IGF1R mRNA表达的降低可能与早期自然流产发生有关。 展开更多
关键词 自然流产 胰岛素样生长因子2 胰岛素样生长因子受体1 胰岛素样生长因子结合蛋白3
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IL-4与IL-10联合免疫对趋化因子受体CCR3、CCR5、CXCR3的选择性诱导对自然流产模型小鼠胚胎丢失率的影响 被引量:4
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作者 姜培娟 林其德 +2 位作者 赵爱民 鲍世民 肖世金 《现代妇产科进展》 CSCD 北大核心 2009年第5期354-358,共5页
目的:观察IL-4与IL-10对趋化因子受体CCR3、CCR5和CXCR3的选择性诱导对自然流产模型小鼠胚胎丢失率的影响,探讨趋化因子受体CCR3、CCR5、CXCR3在诱导妊娠免疫耐受中的作用。方法:建立自然流产小鼠模型与正常妊娠小鼠模型,观察细胞因子I... 目的:观察IL-4与IL-10对趋化因子受体CCR3、CCR5和CXCR3的选择性诱导对自然流产模型小鼠胚胎丢失率的影响,探讨趋化因子受体CCR3、CCR5、CXCR3在诱导妊娠免疫耐受中的作用。方法:建立自然流产小鼠模型与正常妊娠小鼠模型,观察细胞因子IL-4与IL-10对CCR3、CCR5、CXCR3的选择性诱导作用,用双标记流式细胞分析技术,检测正常妊娠模型组孕鼠(CBA/J×BALB/c)、自然流产模型无干预组孕鼠(CBA/J×DBA/2)、自然流产模型IL-4免疫组孕鼠、自然流产模型IL-4+IL-10联合免疫组孕鼠和自然流产模型-生理盐水(NS)免疫组孕鼠中外周血CD4+T细胞CCR3、CCR5、CXCR3等3类趋化因子受体的表达率,并观察各组孕鼠胚胎丢失率。结果:(1)流产模型无干预组胚胎丢失率显著高于正常妊娠模型组,差异有统计学意义(P<0.01),IL-4免疫组、IL-4+IL-10联合免疫组胚胎丢失率皆明显低于NS组与流产模型无干预组(P<0.01,P<0.01);(2)自然流产模无干预组外周血CD4+T细胞CCR3表达水平明显低于正常妊娠模型组(P<0.01),而CCR5、CXCR3表达率明显高于正常妊娠模型组(P<0.01);转输IL-4、IL-4+IL-10后CCR3表达率明显上调、CXCR3表达率明显下降,均与流产模型无干预组差异有显著性(P<0.01)。此外,IL-4+IL-10联合免疫组外周血CD4+T细胞上CCR5表达率也明显低于流产模型无干预组(P<0.05),但IL-4免疫组与流产模型无干预组无明显差异(P>0.05)。结论:CD4+T细胞上CCR3、CCR5、CXCR3表达异常可能在自然流产发病中起重要作用,细胞因子IL-4与IL-10联合作用可能通过诱导CCR3高表达,抑制CCR5与CXCR3表达来诱导妊娠免疫耐受,降低胚胎丢失率。 展开更多
关键词 受体 趋化因子 CD4阳性T淋巴细胞 流产 自然 细胞因子类 疾病模型 动物
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补肾活血方对不明原因复发性流产患者分泌晚期血清中IL-11、IL-11R的影响研究 被引量:11
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作者 冯晓玲 李强 +2 位作者 李嘉玮 吴松宇 陈璐 《中华中医药学刊》 CAS 北大核心 2020年第1期6-11,共6页
目的探究补肾活血方对肾虚血瘀型不明原因复发性流产(URSA)患者分泌晚期血清中IL-11及其受体的影响。方法第一部分实验测定肾虚血瘀型URSA患者15例(6~10周)及无自然流产病史正常早孕的15例(6~10周)流产蜕膜组织中IL-11、IL-11R及蜕膜化... 目的探究补肾活血方对肾虚血瘀型不明原因复发性流产(URSA)患者分泌晚期血清中IL-11及其受体的影响。方法第一部分实验测定肾虚血瘀型URSA患者15例(6~10周)及无自然流产病史正常早孕的15例(6~10周)流产蜕膜组织中IL-11、IL-11R及蜕膜化标志物PRL、IGFBP-1mRNA的含量。第二部分实验将未孕的肾虚血瘀型URSA患者80例,随机分为服用中药补肾活血方实验组(40例)、服用西药阿司匹林对照组(40例),收集有过至少一次妊娠史的正常妇女40例作为正常组,检测未孕的肾虚血瘀型URSA患者治疗前后与正常妊娠妇女分泌晚期血清中IL-11、IL-11R及蜕膜化标志物PRL、IGFBP-1的表达水平。结果IL-11、IL-11R、PRL及IGFBP-1mRNA表达在URSA组中较正常组中低;IL-11、IL-11R、PRL、IGFBP-1水平在URSA患者血清中较正常妊娠女性血清中表达低;URSA患者口服补肾活血方治疗4周后,血清中IL-11、IL-11R、PRL、IGFBP-1表达升高,结果好于阿司匹林,且与正常人血清无显著差异。结论肾虚血瘀型URSA患者蜕膜组织中IL-11、IL-11R及蜕膜化标志物PRL、IGFBP-1表达减少,与URSA妊娠早期蜕膜化不足流产相关。补肾活血方可能通过适当升高肾虚血瘀型URSA患者分泌晚期血清中IL-11、IL-11R及蜕膜化标志物PRL、IGFBP-1的表达,促进滋养细胞蜕膜化和胚胎发育,并且比西药阿司匹林效果更显著。 展开更多
关键词 不明原因复发性流产(URSA) 补肾活血方 白介素-11 白介素-11受体
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