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黄精制剂联合塞来昔布胶囊口服治疗膝骨关节炎的临床疗效及其作用机制 被引量:8
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作者 王金杰 俞倩丽 +1 位作者 朱磊 庄汝杰 《中医正骨》 2018年第4期32-38,42,共8页
目的:观察黄精制剂联合塞来昔布胶囊口服治疗膝骨关节炎的临床疗效及其作用机制。方法:将100例膝骨关节炎患者随机分为2组,每组50例,分别采用单纯塞来昔布胶囊口服、黄精制剂联合塞来昔布胶囊口服治疗。塞来昔布胶囊口服,每日1片,饭后服... 目的:观察黄精制剂联合塞来昔布胶囊口服治疗膝骨关节炎的临床疗效及其作用机制。方法:将100例膝骨关节炎患者随机分为2组,每组50例,分别采用单纯塞来昔布胶囊口服、黄精制剂联合塞来昔布胶囊口服治疗。塞来昔布胶囊口服,每日1片,饭后服用;黄精制剂口服,每日3次,每次2袋,温水冲服;每隔3周停药1周,1个月为1个疗程,共3个疗程。分别于治疗前及治疗开始后3个月、6个月记录并比较2组患者膝关节疼痛视觉模拟量表(visual analogue scale,VAS)评分、美国膝关节协会评分(American knee society score,KSS)以及白细胞介素1(interleukin,IL)-1、IL-33、基质金属蛋白酶(matrix metalloproteinase,MMP)-13血清含量。结果:黄精制剂联合塞来昔布胶囊组退出5例,单纯塞来昔布胶囊组退出8例。(1)膝关节疼痛VAS评分。时间因素与分组因素存在交互效应(F=0.451,P=0.038);2组患者膝关节疼痛VAS评分比较,组间差异有统计学意义,即存在分组效应(t=2.535,P=0.012);治疗前后不同时间点之间膝关节疼痛VAS评分的差异有统计学意义,即存在时间效应(F=2.193,P=0.025);2组膝关节疼痛VAS评分随时间均呈降低趋势,但2组的降低趋势不完全一致[(6.36±1.18)分,(6.01±1.16)分,(5.82±1.01)分,F=2.749,P=0.030;(6.43±1.32)分,(6.31±0.96)分,(6.18±1.46)分,F=0.246,P=0.043];治疗前和治疗开始后3个月,2组患者膝关节疼痛VAS评分比较,组间差异均无统计学意义(t=1.042,P=0.304;t=1.325,P=0.189);治疗开始后6个月,黄精制剂联合塞来昔布胶囊组膝关节疼痛VAS评分低于单纯塞来昔布胶囊组(t=2.089,P=0.041)。(2)KSS膝关节临床评分。时间因素与分组因素存在交互效应(F=7.161,P=0.001);2组患者KSS膝关节临床评分比较,组间差异有统计学意义,即存在分组效应(t=8.166,P=0.000);治疗前后不同时间点之间KSS膝关节临床评分的差异有统计学意义,即存在时间效应(F=39.069,P=0.000);2组患者KSS膝关节临床评分随时间均呈升高趋势,但2组的升高趋势不完全一致[(61.22±2.81)分,(65.07±4.03)分,(67.27±3.49)分,F=40.270,P=0.000;(59.38±2.69)分,(60.21±3.49)分,(62.02±3.88)分,F=7.255,P=0.001];治疗前2组患者KSS膝关节临床评分比较,差异无统计学意义(t=3.119,P=0.082);治疗开始后3个月和6个月黄精制剂联合塞来昔布胶囊组KSS膝关节临床评分均高于单纯塞来昔布胶囊组(t=5.985,P=0.000;t=3.060,P=0.003)。(3)KSS膝关节日常生活功能评分。时间因素与分组因素存在交互效应(F=1.426,P=0.043)。2组患者KSS膝关节日常生活功能评分比较,组间差异有统计学意义,即存在分组效应(t=4.323,P=0.000);治疗前后不同时间点之间KSS膝关节日常生活功能评分的差异有统计学意义,即存在时间效应(F=38.648,P=0.000);2组患者KSS膝关节日常生活功能评分随时间均呈升高趋势,但2组的升高趋势不完全一致[(66.83±2.39)分,(68.31±2.52)分,(71.02±3.66)分,F=39.330,P=0.000;(65.36±2.41)分,(66.90±3.46)分,(68.38±3.83)分,F=9.835,P=0.000];治疗前2组患者KSS膝关节日常生活功能评分比较,差异无统计学意义(t=2.849,P=0.054);治疗开始后3个月和6个月黄精制剂联合塞来昔布胶囊组KSS膝关节日常生活功能评分均高于单纯塞来昔布胶囊组(t=2.176,P=0.032;t=3.289,P=0.001)。(4)IL-1血清含量。时间因素与分组因素不存在交互效应(F=0.002,P=0.998);2组患者IL-1血清含量比较,组间差异无统计学意义,即不存在分组效应(t=0.652,P=0.515);治疗前后不同时间点之间IL-1血清含量的差异有统计学意义,即存在时间效应(F=164.983,P=0.000);2组患者IL-1血清含量随时间均呈降低趋势,且2组的降低趋势完全一致[(2.85±0.46)ng·L^(-1),(2.18±0.37)ng·L^(-1),(2.00±0.48)ng·L^(-1),F=138.697,P=0.000;(2.79±0.45)ng·L^(-1),(2.15±0.34)ng·L^(-1),(1.95±0.08)ng·L^(-1),F=55.269,P=0.000]。(5)IL-33血清含量。时间因素与分组因素不存在交互效应(F=0.039,P=0.962);2组患者IL-33血清含量比较,组间差异无统计学意义,即不存在分组效应(t=0.074,P=0.941);治疗前后不同时间点之间IL-33血清含量的差异有统计学意义,即存在时间效应(F=151.452,P=0.000);2组患者IL-33血清含量随时间均呈降低趋势,且2组的降低趋势完全一致[(8.68±2.07)ng·L^(-1),(6.41±1.00)ng·L^(-1),(5.39±0.82)ng·L^(-1),F=73.238,P=0.000;(8.84±1.89)ng·L^(-1),(6.38±1.01)ng·L^(-1),(5.31±0.78)ng·L^(-1),F=78.417,P=0.000]。(6)MMP-13血清含量。时间因素与分组因素不存在交互效应(F=0.017,P=0.983);2组患者MMP-13血清含量比较,组间差异无统计学意义,即不存在分组效应(t=0.241,P=0.810);治疗前后不同时间点之间MMP-13血清含量的差异有统计学意义,即存在时间效应(F=76.474,P=0.000);2组患者MMP-13血清含量随时间均呈降低趋势,且2组的降低趋势完全一致[(2.83±0.97)ng·L^(-1),(2.02±0.68)ng·L^(-1),(1.68±0.42)ng·L^(-1),F=38.634,P=0.000;(2.88±0.98)ng·L^(-1),(2.06±0.28)ng·L^(-1),(1.66±0.42)ng·L^(-1),F=36.189,P=0.000]。结论:黄精制剂联合塞来昔布胶囊口服与单纯塞来昔布胶囊口服治疗KOA,均能缓解膝关节疼痛和改善膝关节功能,但前者的疗效优于后者;其作用机制可能与其能降低血清中IL-1、IL-33及MMP-13的含量有关。 展开更多
关键词 骨关节炎 黄精 塞来昔布 白细胞介素1 白细胞介素33 基质金属蛋白酶13 临床试验
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Regulation of interleukin 33/ST2 signaling of human corneal epithelium in allergic diseases 被引量:2
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作者 Jing Lin Gui-Qiu Zhao +6 位作者 Qian Wang Qiang Xu Cheng-Ye Che Li-Ting Hu Nan Jiang Qing Wang Li-Li Zhang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2013年第1期23-29,共7页
AIM:To identify the function of ST2 and explore the role of IL-33/ST2 signaling in regulating the pro-allergic cytokine production in human corneal epithelial cells (HCECs). METHODS:Human corneal tissues and cultured ... AIM:To identify the function of ST2 and explore the role of IL-33/ST2 signaling in regulating the pro-allergic cytokine production in human corneal epithelial cells (HCECs). METHODS:Human corneal tissues and cultured primary HCECs were treated with IL-33 in different concentrations without or with different inhibitors to evaluate the expression, location and signaling pathways of ST2 in regulating production of pro-allergic cytokine and chemokine. The expression of mRNA was determined by reverse transcription and real time PCR, and protein production was measured by enzyme-linked immunosorbent assay (ELISA), immunohistochemical and immunofluorescent staining. ST2 protein was detected in donor corneal epithelium, and ST2 signal was enhanced by exposure to IL-33. ·RESULTS:IL-33 significantly stimulated production of pro-allergic cytokines thymic stromal lymphopoietin (TSLP) and chemokine (CCL2, CCL20, CCL22) in HCECs at both mRNA and protein levels. These stimulated productions of pro-allergic mediators by IL-33 were blocked by ST2 antibody or soluble ST2 protein(P 【0.05). Interestingly, the IκB-α inhibitor BAY11-7082 or NF-κB activation inhibitor quinazoline blocked NF-κB p65 protein nuclear translocation, and also suppressed the productions of these pro-allergic cytokines and chemokine induced by IL-33. CONCLUSION:These findings demonstrate that IL-33/ ST2 signaling plays an important role in regulating IL-33 induced pro-allergic responses. IL-33 and ST2 could become novel molecular targets for the intervention ofallergic diseases in ocular surface. 展开更多
关键词 ST2 interleukin 33 HUMAN CORNEA EPITHELIUM allergic diseases NF-κB
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Paradoxical role of interleukin-33/suppressor of tumorigenicity 2 in colorectal carcinogenesis: Progress and therapeutic potential
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作者 Fang Huang Wan-Yuan Chen +2 位作者 Jie Ma Xiang-Lei He Jian-Wei Wang 《World Journal of Clinical Cases》 SCIE 2022年第1期23-34,共12页
Colorectal cancer(CRC)is presently the second most prevalent global mortalityinducing cancer.CRC carcinogenesis is a multifactorial process involving internal genetic mutations and the external environment.In addition... Colorectal cancer(CRC)is presently the second most prevalent global mortalityinducing cancer.CRC carcinogenesis is a multifactorial process involving internal genetic mutations and the external environment.In addition,non-neoplastic cell activities within tumor microenvironments for CRC development have been established.However,interleukin(IL)-33,secreted by such cell types,plays a pivotal role in cancer progression due to interaction with cellular constituents within the tumor-inflammation microenvironment.IL-33 belongs to the IL-1 cytokine family and acts as binding attachments for the suppressor of tumorigenicity(ST)2 receptor.Therefore,how to coordinate tumor microenvironment,design and optimize treatment strategies suitable for CRC,based on IL-33/ST2 signal is a challenge.Even though it has established influences upon immunitylinked conditions,IL-33 effects on CRC progression and prevention and related mechanisms are still controversial.Our review depicts controversial activities for IL-33/ST2 within carcinogenesis and cancer prevention.Moreover,IL-33/ST2 signaling is a potential therapeutic target for CRC. 展开更多
关键词 Interleukin 33 Suppressor of tumorigenicity 2 signaling Tumor microenvironment Conventional therapies Colorectal cancer
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Fungal mycobiome-mediated immune response:a non-negligible promoter in pancreatic oncogenesis and chemoresistance
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作者 Yaling Jiang Valentina Donati +2 位作者 Godefridus J.Peters Elisa Giovannetti Dong Mei Deng 《Cancer Drug Resistance》 2023年第2期284-290,共7页
Pancreatic ductal adenocarcinoma(PDAC)is one of the most lethal cancers in humans due to late diagnosis and poor response to treatments.The tumor microenvironment(TME)of PDAC is characterized by a distinctive,suppress... Pancreatic ductal adenocarcinoma(PDAC)is one of the most lethal cancers in humans due to late diagnosis and poor response to treatments.The tumor microenvironment(TME)of PDAC is characterized by a distinctive,suppressive immune profile,which inhibits the protective functions of anti-tumor immunity and thereby contributes to PDAC progression.Recently,the study of Alam et al.discovered for the first time that the intratumoral fungal mycobiome could contribute to the recruitment and activation of type 2 immune cells in the TME of PDAC via enhancing the secretion of a chemoattractant,interleukin(IL-)33.In this article,we reviewed the important findings of this study.Together with our findings,we synthetically discussed the role of the fungal mycobiome in orchestrating the immune response and thereby modulating tumor progression. 展开更多
关键词 Mycobiome pancreatic cancer CHEMORESISTANCE interleukin 33 type 2 immune cells
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益气活血方对佐剂性关节炎大鼠滑膜及血清中白细胞介素的影响 被引量:6
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作者 林慧 王军 +1 位作者 丁晓娟 陈利锋 《华南国防医学杂志》 CAS 2015年第7期493-494,506,共3页
目的观察益气活血方对佐剂性关节炎(adjuvant arthritis,AA)大鼠血清与滑膜中白细胞介素15(interleukin15,IL-15)、IL-27、IL-33的影响。方法建立AA大鼠模型,设立正常对照组、模型组、益气活血组和甲氨喋呤组进行对比观察,用药3周过程... 目的观察益气活血方对佐剂性关节炎(adjuvant arthritis,AA)大鼠血清与滑膜中白细胞介素15(interleukin15,IL-15)、IL-27、IL-33的影响。方法建立AA大鼠模型,设立正常对照组、模型组、益气活血组和甲氨喋呤组进行对比观察,用药3周过程中检测各组大鼠关节炎指数,于用药3周后观察血清及滑膜液中IL-15、IL-27、IL-33的表达。结果益气活血方组能显著降低关节炎指数,并下调大鼠血清及滑膜液中IL-15、IL-33的表达,上调大鼠血清及滑膜液中IL-27的表达,与甲氨喋呤组效果相当。结论 IL-15、IL-27、IL-33与类风湿关节炎发病具有一定的相关性,益气活血方通过下调IL-15、IL-33的表达,上调IL-27的表达,起到治疗类风湿性关节炎(rheumatoid arthritis,RA)的作用。 展开更多
关键词 益气活血方 佐剂性关节炎 白细胞介素15 白细胞介素27 白细胞介素33
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强直性脊柱炎患者血清白细胞介素-33及可溶性ST2表达水平及意义 被引量:1
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作者 齐晨越 林滇恬 +5 位作者 李晓琳 袁琳 田野 夏丽萍 沈晖 鲁静 《中华临床医师杂志(电子版)》 CAS 2013年第17期30-32,共3页
目的通过检测强直性脊柱炎(AS)患者血清白细胞介素(IL)-33及可溶性ST2(sST2)水平,探讨IL-33及sST2在AS发病中的作用。方法收集90例AS患者[男72例,女18例,平均年龄(32±10)岁]和30例健康对照者[男22例,女8例,平均年龄(30±14)岁... 目的通过检测强直性脊柱炎(AS)患者血清白细胞介素(IL)-33及可溶性ST2(sST2)水平,探讨IL-33及sST2在AS发病中的作用。方法收集90例AS患者[男72例,女18例,平均年龄(32±10)岁]和30例健康对照者[男22例,女8例,平均年龄(30±14)岁]血清标本,应用酶联免疫吸附试验(ELISA)检测血清IL-33及sST2水平;同时测定红细胞沉降率(ESR)、血清C反应蛋白(CRP)以及应用BASDAI指数评价AS疾病活动度,分析IL-33和sST2与ESR、CRP、BASDAI的相关性。结果 AS患者血清IL-33及sST2水平明显高于健康对照组(P<0.0001)。在AS患者中,血清IL-33水平与BASDAI呈显著相关性(r=0.219,P<0.05),sST2水平与ESR、CRP及BASDAI呈显著相关性(r=0.256,P<0.05;r=0.372,P<0.01;r=0.569,P<0.0001)。结论血清IL-33及sST2在AS的发病过程中起着一定作用,且可能与AS的病情活动有关。 展开更多
关键词 脊柱炎 强直性 白细胞介素-33 可溶性ST-2
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白细胞介素-33/ST2信号转导系统与变应性鼻炎 被引量:4
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作者 钟农萍 张剑 《国际耳鼻咽喉头颈外科杂志》 2015年第2期77-80,共4页
白细胞介素-33 (IL-33)是最近发现的一个新的IL-1家族成员,具有细胞因子和核因子双重功能.作为细胞因子,IL-33与其特异性受体ST2结合,可诱导Th2细胞因子如IL-4、IL-5、IL-13的产生,从而参与变应性鼻炎、哮喘等Th2相关疾病;作为核因子,... 白细胞介素-33 (IL-33)是最近发现的一个新的IL-1家族成员,具有细胞因子和核因子双重功能.作为细胞因子,IL-33与其特异性受体ST2结合,可诱导Th2细胞因子如IL-4、IL-5、IL-13的产生,从而参与变应性鼻炎、哮喘等Th2相关疾病;作为核因子,IL-33位于细胞核内,起转录调控作用.IL-33/ST2信号通路在变应性鼻炎中的作用是最近的研究热点,本文就IL-33及ST2的分子结构、表达、生物学活性及与变应性鼻炎的研究进展综述如下. 展开更多
关键词 白细胞介素33(Interleukin一33) 鼻炎 变应性 常年性(Rhinitis ALLERGIC Perennial)
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