期刊文献+
共找到111篇文章
< 1 2 6 >
每页显示 20 50 100
Macrophage inflammatory protein-2 as mediator of inflammation in acute liver injury 被引量:25
1
作者 Chao-Chao Qin Yan-Ning Liu +2 位作者 Ying Hu Ying Yang Zhi Chen 《World Journal of Gastroenterology》 SCIE CAS 2017年第17期3043-3052,共10页
Macrophage inflammatory protein(MIP)-2 is one of the CXC chemokines and is also known as chemokine CXC ligand(CXCL2). MIP-2 affects neutrophil recruitment and activation through the p38 mitogen-activatedprotein-kinase... Macrophage inflammatory protein(MIP)-2 is one of the CXC chemokines and is also known as chemokine CXC ligand(CXCL2). MIP-2 affects neutrophil recruitment and activation through the p38 mitogen-activatedprotein-kinase-dependent signaling pathway, by binding to its specific receptors, CXCR1 and CXCR2. MIP-2 is produced by a variety of cell types, such as macrophages, monocytes, epithelial cells, and hepatocytes, in response to infection or injury. In liver injury, activated Kupffer cells are known as the major source of MIP-2. MIP-2-recruited and activated neutrophils can accelerate liver inflammation by releasing various inflammatory mediators. Here, we give a brief introduction to the basic molecular and cellular sources of MIP-2, and focus on its physiological and pathological functions in acute liver injury induced by concanavalin A, lipopolysaccharides, irradiation, ischemia/reperfusion, alcohol, and hypoxia, and hepatectomy-induced liver regeneration and tumor colorectal metastasis. Further understanding of the regulatory mechanisms of MIP-2 secretion and activation may be helpful to develop MIP-2-targeted therapeutic strategies to prevent liver inflammation. 展开更多
关键词 macrophage inflammatory protein-2 Liver injury Polymorphonuclear neutrophils macrophageS INFLAMMATION
下载PDF
Th17/Treg balance and macrophage polarization ratio in lower extremity arteriosclerosis obliterans
2
作者 Zhen-Zhen Li Min Liu +5 位作者 Xiong-Hui He Zhen-Dong Liu Zhan-Xiang Xiao Hao Qian You-Fei Qi Cun-Chuan Wang 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2024年第3期127-136,I0006-I0009,共14页
Objective:To explore the balance of peripheral blood T helper 17 cells/regulatory T cell(Th17/Treg)ratio and the polarization ratio of M1 and M2 macrophages in lower extremity arteriosclerosis obliterans(ASO).Methods:... Objective:To explore the balance of peripheral blood T helper 17 cells/regulatory T cell(Th17/Treg)ratio and the polarization ratio of M1 and M2 macrophages in lower extremity arteriosclerosis obliterans(ASO).Methods:A rat model of lower extremity ASO was established,and blood samples from patients with lower extremity ASO before and after surgery were obtained.ELISA was used to detect interleukin 6(IL-6),IL-10,and IL-17.Real-time RCR and Western blot analyses were used to detect Foxp3,IL-6,IL-10,and IL-17 expression.Moreover,flow cytometry was applied to detect the Th17/Treg ratio and M1/M2 ratio.Results:Compared with the control group,the iliac artery wall of ASO rats showed significant hyperplasia,and the concentrations of cholesterol and triglyceride were significantly increased(P<0.01),indicating the successful establishment of ASO.Moreover,the levels of IL-6 and IL-17 in ASO rats were pronouncedly increased(P<0.05),while the IL-10 level was significantly decreased(P<0.05).In addition to increased IL-6 and IL-17 levels,the mRNA and protein levels of Foxp3 and IL-10 in ASO rats were significantly decreased compared with the control group.The Th17/Treg and M1/M2 ratios in the ASO group were markedly increased(P<0.05).These alternations were also observed in ASO patients.After endovascular surgery(such as percutaneous transluminal angioplasty and arterial stenting),all these changes were significantly improved(P<0.05).Conclusions:The Th17/Treg and M1/M2 ratios were significantly increased in ASO,and surgery can effectively improve the balance of Th17/Treg,and reduce the ratio of M1/M2,and the expression of inflammatory factors. 展开更多
关键词 Lower extremity arteriosclerosis Regulatory T cells Regulatory B cells inflammatory factors M1 macrophages M2 macrophages
下载PDF
Toxoplasma ROP16Ⅰ/Ⅲ ameliorated inflammatory bowel diseases via inducing M2 phenotype of macrophages 被引量:8
3
作者 Yong-Wei Xu Rui-Xin Xing +7 位作者 Wen-Hui Zhang Lu Li Yi Wu Jing Hu Cong Wang Qing-Li Luo Ji-Long Shen Xi Chen 《World Journal of Gastroenterology》 SCIE CAS 2019年第45期6634-6652,共19页
BACKGROUND Inflammatory bowel disease(IBD) is characterized by chronic and non-specific inflammation of the intestinal mucosa and mainly includes ulcerative colitis and Crohn’s disease.AIM To explore the beneficial... BACKGROUND Inflammatory bowel disease(IBD) is characterized by chronic and non-specific inflammation of the intestinal mucosa and mainly includes ulcerative colitis and Crohn’s disease.AIM To explore the beneficial effect of Toxo ROP16Ⅰ/Ⅲ-induced M2 phynotype macrophages in homeostasis of IBDs through downregulation of M1 inflammatory cells.METHODS RAW264.7 macrophages stimulated by lipopolysaccharide(LPS)(M1 cells) were co-cultured with Caco-2 cells as an inflammatory model of IBD in vitro.The expression of Toxo ROP16Ⅰ/Ⅲ was observed in RAW264.7 macrophages that were transfected with p EGFP-rop16Ⅰ/Ⅲ.The phenotypes of M2 and M1 macrophage cells were assessed by quantitative real-time reverse transcriptase polymerase chain reaction and the expression of tumor necrosis factor(TNF)-α,interleukin(IL)-1β,IL-6,transforming growth factor(TGF)-β1,IL-10,inducible nitric oxide synthase(i NOS),and arginase-1(Arg-1) was detected.The expression of i NOS,Arg-1,signal transducer and activator of transcription 3(Stat3),p-Stat3,Stat6,pStat6,programmed death ligand-2(PD-L2),caspase-3,-8,and-9 was analyzed by Western blotting,and Griess assays were performed to detect nitric oxide(NO).TNF-α,IL-1β,IL-6,TGF-β1,and IL-10 expression in the supernatants was detected by enzyme-linked immunosorbent assay,and Caco-2 cell apoptosis was determined by flow cytometry after mixing M1 cells with M2 cells in a Caco-2 cell co-culture system.RESULTS M1 cells exhibited significantly increased production of i NOS,NO,TNF-α,IL-1β,and IL-6,while Toxo ROP16Ⅰ/Ⅲ induced macrophage bias to M2 cells in vitro,showing increased expression of Arg-1,IL-10 and TGF-β1 and elevated production of p-Stat3 and p-Stat6.The mixed M1 and M2 cell culture induced by Toxo ROP16 Ⅰ/Ⅲ exhibited decreased production of NO and i NOS and upregulated expression of Arg-1 and PD-L2.Accordingly,Caco-2 cells became apoptotic,and apoptosis-associated proteins such as caspase-3,-8 and-9 were dampened during co-culture of M1 and M2 cells.Flow cytometry analysis showed that co-culture of M1 cells with Caco-2 cells facilitated the apoptosis of Caco-2 cells,but co-culture of M1 and M2 cells alleviated Caco-2 cell apoptosis.CONCLUSION Toxo ROP16 Ⅰ/Ⅲ-induced M2 macrophages inhibited apoptosis of Caco-2 cells caused by M1 macrophages.This finding may help gain a better understanding of the underlying mechanism and represent a promising therapeutic strategy for IBDs. 展开更多
关键词 Toxoplasma ROP16Ⅰ/Ⅲ CACO-2 inflammatory bowel disease IMMUNITY Classically activated macrophages Alternatively activated macrophages
下载PDF
The Expression of Interleukin-17, Interferon-gamma, and Macrophage Inflammatory Protein-3 Alpha mRNA in Patients with Psoriasis Vulgaris 被引量:10
4
作者 李家文 李东升 谭志建 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2004年第3期294-296,共3页
Summary: To investigate the role of Interleukin-17 (IL-17), Interferon-gamma (IFN-γ), and macrophage inflammatory protein-3 alpha (MIP-3α) in the pathogenesis of psoriasis, reverse transcriptase-polymerase chain re... Summary: To investigate the role of Interleukin-17 (IL-17), Interferon-gamma (IFN-γ), and macrophage inflammatory protein-3 alpha (MIP-3α) in the pathogenesis of psoriasis, reverse transcriptase-polymerase chain reaction (RT-PCR) was used to semi-quantitatively analyze the mRNA expression of IL-17, IFN-γ, and MIP-3α in 31 psoriatic lesions and 16 normal skin tissues. The results showed that the mRNA of the three cytokines was present in all specimens. And the expression level of IL-17 mRNA in skin lesions was 1.1416±0.0591, which was significantly higher than that in normal controls (0.8788±0.0344, P<0.001). The expression levels of IFN-γ mRNA were 1.1142±0.0561 and 0.9050±0.0263, respectively, with significant difference(P<0.001). And the expression levels of MIP-3α mRNA in psoriatic lesions was 1.1397±0.0521, which was markedly higher than that in normal controls (0.8681±0.0308, P<0.001). These findings indicate that up-regulated expression of IL-17, IFN-γ, and MIP-3α might be involved in the pathogenesis of psoriasis. 展开更多
关键词 Psoriasis vulgaris INTERLEUKIN-17 INTERFERON-GAMMA macrophage inflammatory protein-3 alpha
下载PDF
Expression of macrophage inflammatory protein-1αin Kupffer cells following liver ischemia or reperfusion injury in rats 被引量:5
5
作者 Wei Ma Zuo-Ren Wang +1 位作者 Lei Shi Yue Yuan 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第24期3854-3858,共5页
AIM: To explore the expression of macrophage inflammatory protein-1α (MIP-1α) in Kupffer cells (KCs) following liver ischemia/reperfusion injury IRI in rats. METHODS: Forty male SD rats were divided randomly i... AIM: To explore the expression of macrophage inflammatory protein-1α (MIP-1α) in Kupffer cells (KCs) following liver ischemia/reperfusion injury IRI in rats. METHODS: Forty male SD rats were divided randomly into five groups. A model of partial warm ischemia/ reperfusion injury in the rat liver was established. KCs were isolated and incubated one hour, six hours, 12 h, and 24 h after the reperfusion. Tumor necrosis factor alpha (TNF-α) and interleukin-lbeta (IL-1β) in the supernatants were measured by ELISA. MIP-1α in KCs was detected by immunocytochemical and RT-PCR. RESULTS: No or few MIP-1α protein and mRNA were expressed in the KCs of the control group. Its expression in the IRI group had a significant increase after the reperfusion (P 〈 0.05), which was contrary to the control group. CONCLUSION: The active behavior of the MIP-1α gene in KCs following liver ischemia/reperfusion injury is assumed to be one of the major causes for the hepatic ischemia/reperfusion injury. 展开更多
关键词 LIVER ISCHEMIA/REPERFUSION Kupffer cell macrophage inflammatory protein-
下载PDF
Macrophage Inflammatory Protein-1 Beta (MIP-1<i>β</i>) and Platelet Indices as Predictors of Spontaneous Bacterial Peritonitis<br>—MIP, MPV and PDW in SBP 被引量:2
6
作者 Soha E. Khorshed Hoda A. Ibraheem Shereen M. Awad 《Open Journal of Gastroenterology》 2015年第7期94-102,共9页
Background/Aims: The objective of this study is to measure macrophage inflammatory protein one beta (MIP-1β), mean platelet volume (MPV) and platelet distribution width (PDW) to evaluate their usefulness in the diagn... Background/Aims: The objective of this study is to measure macrophage inflammatory protein one beta (MIP-1β), mean platelet volume (MPV) and platelet distribution width (PDW) to evaluate their usefulness in the diagnosis of spontaneous bacterial peritonitis (SBP) in cirrhotic patients. Materials and Methods: This study comprised 41 cirrhotic patients with ascites. MPV, PDW and MIP-1β were measured in serum and ascitic fluid. Results: A significant increase MPV, PDW, C-reactive Protein (CRP) and white blood cell was observed in SBP group compared to non SBP (P ≤ 0.001, P = 0 β was significantly in-creased in ascitic fluid in patients with SBP versus non SBP (P ≤ 0.001). At cutoff value of 8.3 fl MPV had 85.7% sensitivity and 75% specificity (AUC = 0.876) for diagnosis of SBP. At cutoff value of 15.4 PDW had 90.4% sensitivity and 55% specificity (AUC = 0.762). At cutoff value of 121.9 pg/ml MIP-1β in ascitic fluid had 76.1% sensitivity and 100% specificity (AUC = 0.881) for detecting SBP. Conclusion: MIP-1β and platelet indices are useful marker in the diagnosis of SBP in cirrhotic patients. Combined measurement of MIP-1β in serum and ascitic fluid had 100% sensitivity and specificity for diagnosis of SBP. 展开更多
关键词 spontaneous bacterial protonates mean PLATELET volume macrophage inflammatory protein-1 BETA liver cirrhosis
下载PDF
miRNA调控claudin-2表达对溃疡性结肠炎小鼠巨噬细胞极化的机制
7
作者 朱卫 曾婷婷 《河北医药》 CAS 2024年第2期176-180,共5页
目的探讨微小核糖核酸(MicroRNA,miRNA)通过封闭蛋白2(Recombinant,claudin-2)表达变化对溃疡性结肠炎小鼠的保护作用及对巨噬细胞极化的调控。方法选取BALB/c雌性小鼠按照体重随机分成对照组、模型组以及上调组和下调组,每组15只。对4... 目的探讨微小核糖核酸(MicroRNA,miRNA)通过封闭蛋白2(Recombinant,claudin-2)表达变化对溃疡性结肠炎小鼠的保护作用及对巨噬细胞极化的调控。方法选取BALB/c雌性小鼠按照体重随机分成对照组、模型组以及上调组和下调组,每组15只。对4组小鼠溃疡性结肠组织进行HE染色,观察分析小鼠溃疡性结肠炎评分情况、炎性因子、免疫细胞、巨噬细胞、claudin-2表达。结果与对照组比较,模型组、上调组、下调组miRNA表达升高(P<0.05);与模型组比较,上调组miRNA表达降低、下调组升高(P<0.05);与上调组比较,下调组miRNA表达升高(P<0.05);与模型组比较,上调miRNA第3 d、5 d、7 d的溃疡性结肠炎模型小鼠明显降低、下调组升高;与上调组比较,下调组miRNA表达升高(P<0.05);与对照组比较,模型组、上调组、下调组T淋巴细胞的糖蛋白(CD4^(+))、白细胞分化抗原(CD8^(+))水平升高(P<0.05);与模型组比较,上调组CD4^(+)、CD8^(+)水平降低,下调组升高(P<0.05);与上调组比较,下调组CD4^(+)、CD8^(+)水平升高(P<0.05);与对照组比较,模型组、上调组、下调组肿瘤坏死因子(TNF-α)、白介素-6(IL-6)、白介素-8(IL-8)水平升高(P<0.05);与模型组比较,上调组TNF-α、IL-6、IL-8水平降低(P<0.05);与上调组比较,下调组升高(P<0.05);与对照组比较,模型组、上调组、下调组诱导型一氧化氮合酶(iNOS)水平升高,巨噬细胞甘露糖受体(CD206)降低(P<0.05);与模型组比较,上调组iNOS水平降低、CD206水平升高,下调组iNOS水平升高、CD206水平降低(P<0.05);与上调组比较,下调组iNOS升高、CD206降低(P<0.05);与对照组比较,模型组、上调组、下调组claudin-2蛋白表达升高(P<0.05);与模型组比较,上调组claudin-2蛋白表达降低、下调组claudin-2蛋白表达升高(P<0.05)。结论上调溃疡性结肠炎小鼠miRNA能够调节巨噬细胞极化,从而改善溃疡性结肠炎小鼠。 展开更多
关键词 微小RNA claudin-2 血清炎性因子 免疫细胞 溃疡性结肠炎 巨噬细胞极化
下载PDF
2型糖尿病并发骨质疏松患者血清Asprosin,MIP-1β水平与骨密度及骨代谢指标的相关性
8
作者 张艳秋 王晓军 +1 位作者 张莹 刘丹 《现代检验医学杂志》 CAS 2024年第5期135-139,145,共6页
目的探究2型糖尿病并发骨质疏松患者血清白脂素(Asprosin)、巨噬细胞炎症蛋白-1β(macrophageinflammato-ry protein-1β,MIP-1β)水平与骨密度及骨代谢指标的相关性。方法选取2022年4月~2023年4月在承德市中心医院就诊的172例2型糖尿... 目的探究2型糖尿病并发骨质疏松患者血清白脂素(Asprosin)、巨噬细胞炎症蛋白-1β(macrophageinflammato-ry protein-1β,MIP-1β)水平与骨密度及骨代谢指标的相关性。方法选取2022年4月~2023年4月在承德市中心医院就诊的172例2型糖尿病患者为研究对象,并根据骨密度值结果分为2型糖尿病组(n=103)和2型糖尿病并发骨质疏松组(n=69);采用ELISA法测定血清Asprosin,MIP-1β水平;Pearson法分析血清Asprosin,MIP-1β表达水平与骨密度的相关性;Logistic回归分析2型糖尿病并发骨质疏松的影响因素;受试者工作特征(ROC)曲线分析血清Asprosin,MIP-1β水平对2型糖尿病并发骨质疏松的预测价值。结果与2型糖尿病组比,2型糖尿病并发骨质疏松组患者血清β-CTX(0.48±0.08ng/ml vs 0.42±0.04ng/ml),Asprosin(2.26±0.56ng/ml vs 1.65±0.36ng/ml),MIP-1β(26.01±6.43pg/ml vs 19.46±4.27pg/ml)水平均显著升高,骨密度(0.67±0.13g/cm2 vs 0.84±0.17g/cm2),BGP(8.33±1.23ng/ml vs 9.54±1.42ng/ml),T-P1NP(30.38±3.27ng/ml vs 32.49±3.29ng/ml)水平降低,差异具有统计学意义(t=6.501,8.699,8.032,7.039,5.773,4.133,均P<0.05);Pearson法分析显示,2型糖尿病并发骨质疏松组患者血清Asprosin,MIP-1β水平均与骨密度呈负相关(r=-0.484,-0.498,均P<0.05);Logistic回归分析显示血清Asprosin,MIP-1β水平均为影响2型糖尿病并发骨质疏松发生的独立危险因素(均P<0.05);ROC曲线分析显示,血清Asprosin,MIP-1β水平预测2型糖尿病患者并发骨质疏松的AUC分别为0.768,0.704,联合预测的AUC为0.859,优于二者单独预测(Z=1.812,2.895,均P<0.05)。。结论2型糖尿病患者并发骨质疏松患者血清Asprosin,MIP-1β水平显著升高,二者水平与骨密度密切相关,血清Asprosin,MIP-1β是2型糖尿病发生骨质疏松的独立危险因素,二者联合检测对疾病发展有较高的预测价值。 展开更多
关键词 白脂素 巨噬细胞炎症蛋白-1β 2型糖尿病 骨质疏松
下载PDF
2型糖尿病患者血清巨噬细胞炎症蛋白1α和基质金属蛋白酶9水平与甲状腺结节的相关性研究
9
作者 杨晓月 宋红红 +3 位作者 胡少珍 潘颖 鲍晓雪 闫文英 《中国医药》 2024年第3期381-385,共5页
目的探讨2型糖尿病(T_(2)DM)患者血清巨噬细胞炎症蛋白1α(MIP-1α)、基质金属蛋白酶9(MMP-9)水平与甲状腺结节的相关性。方法回顾性选取2021年10月至2023年3月于河北医科大学第三医院就诊的T_(2)DM患者154例,根据患者是否合并甲状腺结... 目的探讨2型糖尿病(T_(2)DM)患者血清巨噬细胞炎症蛋白1α(MIP-1α)、基质金属蛋白酶9(MMP-9)水平与甲状腺结节的相关性。方法回顾性选取2021年10月至2023年3月于河北医科大学第三医院就诊的T_(2)DM患者154例,根据患者是否合并甲状腺结节分为甲状腺结节组(83例)和无甲状腺结节组(71例)。比较2组甲状腺功能、血糖、血脂、MIP-1α、MMP-9等指标。采用Logistic回归模型分析影响T_(2)DM患者出现甲状腺结节的因素;采用Pearson相关性检验分析T_(2)DM患者血清MIP-1α、MMP-9水平与其他因素的相关性;绘制受试者工作特征曲线分析血清MIP-1α、MMP-9水平对T_(2)DM患者出现甲状腺结节的预测价值。结果甲状腺结节组促甲状腺激素(TSH)、总三碘甲状腺原氨酸(TT_(3))、总甲状腺素(TT_(4))、稳态模型胰岛素抵抗指数(HOMA-IR)、稳态模型胰岛β细胞功能指数、空腹血糖、空腹胰岛素水平均高于无甲状腺结节组,胰岛素敏感指数(ISI)低于无甲状腺结节组(均P<0.05)。甲状腺结节组血清MIP-1α、MMP-9水平均高于无甲状腺结节组[(29±5)ng/L比(25±5)ng/L、(2.0±0.5)ng/L比(1.4±0.5)ng/L](均P<0.001)。Logistic回归分析结果显示,MIP-1α、MMP-9、TSH、TT_(3)、TT_(4)、空腹胰岛素、HOMA-IR和ISI均为T_(2)DM患者出现甲状腺结节的危险因素(均P<0.05)。Pearson相关性分析结果表明,T_(2)DM患者血清MIP-1α与MMP-9水平呈正相关(r=0.362,P<0.001)。血清MIP-1α、MMP-9水平与空腹胰岛素、TSH、HOMA-IR、TT_(3)、TT_(4)均呈正相关,与ISI呈负相关(均P<0.001)。MIP-1α、MMP-9水平联合检测预测T_(2)DM患者出现甲状腺结节的曲线下面积大于MIP-1α、MMP-9单独检测(均P<0.05)。结论血清MIP-1α、MMP-9水平与T_(2)DM患者出现甲状腺结节具有密切关系,对预测T_(2)DM患者甲状腺结节具有重要价值。 展开更多
关键词 2型糖尿病 巨噬细胞炎症蛋白1Α 基质金属蛋白酶9 甲状腺结节
下载PDF
M2-type macrophage membrane-mediated delivery of Carvedilol nanocomplex for acute liver failure treatment and remodeling inflammatory microenvironment
10
作者 Mingge Shang Yaohui Zhang +5 位作者 Junjie Qian Wenchao Wang Xizhi Yu Jiacheng Huang Lin Zhou Shusen Zheng 《Nano Research》 SCIE EI CSCD 2024年第7期6362-6375,共14页
Interactions of hepatic macrophages with local inflammatory microenvironment is the key factor promoting the development of acute liver failure(ALF).Hence,reprogramming pro-inflammatory M1 into anti-inflammatory M2 ph... Interactions of hepatic macrophages with local inflammatory microenvironment is the key factor promoting the development of acute liver failure(ALF).Hence,reprogramming pro-inflammatory M1 into anti-inflammatory M2 phenotype may offer a promising strategy for treating ALF by targeting inflammation.Our group found Carvedilol possessed potential anti-inflammatory property previously,which had been scarcely reported in ALF.We present a synergy strategy to induce macrophages into the phenotype M2-type anti-inflammatory macrophages with interleukin-4(IL-4)and IL-10 at first.Then Carvedilol is loaded on the macrophage membrane-camouflaged biomimetic nano-platform(termed as M2M@CNP)to evade reticuloendothelial system(RES)and afford Carvedilol delivery to the inflammatory environment with overproduced reactive oxygen species(ROS),further prolonging its circulation and accumulation.Sustainably released Carvedilol produced anti-inflammatory,antioxidant and anti-apoptosis effects,combining local M2-type cell membranes(M2-CM)inhibited pro-inflammatory cytokines and ROS levels,which in turn promoted and amplified M1 to M2 phenotype polarization efficiency.This study offers new insights into the rational design of biomimetic nanosystems for safe and effective ALF therapy to accelerate the clinical translation. 展开更多
关键词 acute liver failure hepatic drug delivery M2 macrophage-camouflaged nanoplatform inflammatory microenvironment macrophage polarization
原文传递
Th1/Th2、M1-M2与2型糖尿病慢性牙周炎病变程度及预后的关系
11
作者 丁丽丽 王欢 +1 位作者 苗棣 刘媛 《国际医药卫生导报》 2024年第17期2844-2849,共6页
目的探讨2型糖尿病(T2DM)合并慢性牙周炎(CP)患者辅助性T细胞1型/辅助性T细胞2型(Th1/Th2)失衡及巨噬细胞M1-M2极化,以及其与牙周炎病变程度和治疗预后的关系。方法采用前瞻性研究方法,纳入2022年1月至2023年6月在宝鸡市人民医院口腔科... 目的探讨2型糖尿病(T2DM)合并慢性牙周炎(CP)患者辅助性T细胞1型/辅助性T细胞2型(Th1/Th2)失衡及巨噬细胞M1-M2极化,以及其与牙周炎病变程度和治疗预后的关系。方法采用前瞻性研究方法,纳入2022年1月至2023年6月在宝鸡市人民医院口腔科治疗的80例T2DM合并CP患者作为研究对象,根据CP严重程度分为轻度组(57例)和中重度组(23例),治疗后根据预后分为预后良好组(33例)和预后差组(47例)。轻度组男28例、女29例,年龄(48.00±6.03)岁,T2DM病程(3.54±1.15)年,CP病程(12.54±4.65)个月;中重度组男11例、女12例,年龄(50.48±6.65)岁,T2DM病程(3.79±1.55)年,CP病程(12.71±4.76)个月。采用流式细胞术评估Th1/Th2细胞比例,通过实时定量PCR分析牙周组织中M1型与M2型巨噬细胞标志物的表达。采用Pearson相关性分析Th1/Th2细胞比例、M1/M2极化状态与牙周炎临床参数及预后之间的相关性。统计学方法采用t检验、χ^(2)检验。结果中重度组Th1、Th1/Th2细胞比例及肿瘤坏死因子(TNF)-α、白细胞介素(IL)-2、IL-4、IL-6、IL-10、IL-1β、IL-12、IL-17、TNF-β、信号转导和转录激活因子1(STAT1)、诱导型一氧化氮合酶(iNOS)、信号转导和转录激活因子6(STAT6)mRNA、精氨酸酶1(Arg1)mRNA指标均高于轻度组[(2.62±0.53)%比(1.62±0.41)%、(2.47±0.53)比(1.21±0.27)、(51.83±6.25)ng/L比(36.74±5.47)ng/L、(27.54±50.00)μg/L比(14.58±4.65)μg/L、(72.63±8.95)ng/L比(46.68±6.57)ng/L、(41.85±2.61)ng/L比(37.08±3.54)ng/L、(4.76±1.13)ng/L比(3.87±1.16)ng/L、(23.10±5.86)μg/L比(16.78±2.54)μg/L、(11.76±5.37)ng/L比(9.16±2.16)ng/L、(12.78±2.14)μg/L比(10.54±1.63)μg/L、(1370.0±160.0)μg/L比(910.0±140.0)μg/L、(800.0±180.0)μg/L比(260.0±110.0)μg/L、(930.0±190.0)μg/L比(430.0±110.0)μg/L、(760.0±130.0)μg/L比(560.0±90.0)μg/L、(710.0±120.0)μg/L比(490.0±80.0)μg/L],Th2细胞比例及干扰素-γ(IFN-γ)、IL-23水平均低于轻度组[(1.06±0.37)%比(1.34±0.41)%、(4.21±0.65)ng/L比(4.85±0.67)ng/L、(6.84±0.83)ng/L比(14.65±1.81)ng/L],差异均有统计学意义(t=9.05、14.06、10.71、10.69、14.35、5.84、3.12、6.76、3.10、5.07、12.76、16.37、14.73、7.87、9.57、2.84、3.95、19.81,均P<0.05)。患者牙周炎病变程度与Th1、Th1/Th2、TNF-α、IL-2、IL-4、IL-6、IL-10、IL-1β、IL-12、IL-17、TNF-β、STAT1、iNOS、STAT6 mRNA、Arg1 mRNA均呈正相关(均P<0.01);与Th2、INF-γ、IL-23均呈负相关(均P<0.01)。预后良好组Th1、Th1/Th2细胞比例及TNF-α、IL-1β水平均低于预后差组[(1.31±0.21)%比(2.62±0.75)%、(0.94±0.21)比(2.70±0.48)、(34.81±4.51)ng/L比(55.23±7.31)ng/L、(15.84±2.89)μg/L比(24.56±4.74)μg/L],Th2细胞比例高于预后差组[(1.39±0.24)%比(0.97±0.37)%],差异均有统计学意义(t=9.75、19.74、14.24、9.40、5.72,均P<0.05)。结论T2DM合并CP患者Th1/Th2失衡及M1-M2极化状态变化与牙周病变程度和治疗预后密切相关,调节免疫反应对改善T2DM患者牙周病变和预后具有潜在的临床意义。 展开更多
关键词 2型糖尿病 慢性牙周炎 巨噬细胞极化 炎症反应 免疫调节 相关性分析 前瞻性研究 预后
下载PDF
巨噬细胞上髓系细胞触发受体-1/2在炎症性肠病中的作用研究进展
12
作者 周子鸣 张咏梅 《生理科学进展》 CAS 北大核心 2024年第2期116-125,共10页
炎症性肠病(inflammatory bowel disease,IBD)是以克罗恩病(Crohn’s disease,CD)和溃疡性结肠炎(ulcerative colitis,UC)为代表的慢性肠道炎症性疾病,机制涉及遗传易感性以及环境与微生物群间相互作用削弱肠道屏障导致免疫激活等多种... 炎症性肠病(inflammatory bowel disease,IBD)是以克罗恩病(Crohn’s disease,CD)和溃疡性结肠炎(ulcerative colitis,UC)为代表的慢性肠道炎症性疾病,机制涉及遗传易感性以及环境与微生物群间相互作用削弱肠道屏障导致免疫激活等多种途径。近年来,巨噬细胞上表达的TREMs(triggering receptors expressed on myeloid cells),即髓系细胞触发受体,被发现在固有免疫和适应性免疫中发挥重要作用,并与IBD的发生发展密切相关。本文将着重对TREM-1/2(TREM-1和TREM-2)的结构、配体和作用,其在巨噬细胞上参与IBD与伴发精神障碍的机制研究进行概述,旨在为IBD的预防和治疗提供理论支持。 展开更多
关键词 炎症性肠病 巨噬细胞 TREM-1 TREM-2
下载PDF
Expression of Macrophage Inflammatory Protein 1α in the Endothelial Cells Exposed to Diamide
13
作者 杨丽敏 祝学卫 +1 位作者 赵霞 邓仲端 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2003年第3期219-222,233,共5页
In order to study whether the endothelial cells (ECs) with lipid peroxidation induced by diamide can express and secrete macrophage inflammatory protein 1α (MIP-1α), the expression of MIP-1α protein in the cells wa... In order to study whether the endothelial cells (ECs) with lipid peroxidation induced by diamide can express and secrete macrophage inflammatory protein 1α (MIP-1α), the expression of MIP-1α protein in the cells was detected by cell enzyme-linked immunosorbent assay (ELISA) and that of MIP-1α mRNA was determined by cell in situ hybridization and nuclease S1 protection assay after the ECs were exposed to different concentrations of diamide for 4 h. The chemotactic activity of MIP-1α was tested by micropore filter method using modified Boyden chambers. Cell ELISA showed that the expression of MIP-1α protein in endothelial cells exposed to 1 μmol/L, 5 μmol/L and 10 μmol/L diamide was 1.9-fold, 2.3-fold and 1.7-fold respectively as much as that in the control cells, which was statistically significant by analysis of variance. In situ hybridization revealed that the mRNA expression of ECs treated with 1 μmol/L, 5 μmol/L and 10 μmol/L diamide was 1 3-fold, 3.0-fold and 1.7-fold as much as that in the control group, which had statistical significance ( F =188.93, P <0.01). The mRNA expression in 5 μmol/L dimide treated ECs, measured by nuclease S1 protection assay, was 3.4-fold as much as that in the control group( t =8 70, P <0 05). Chemotactic response(99.50±4.31 μm) to the culture medium conditioned by 5 μmol/L diamide treated ECs , which was stronger than that(66.47±3.25 μm) conditioned by the ECs ( F =404.31, P <0.05), was significantly decreased ( F =192.25, P <0.05) after adding MIP-1α antibody. It suggests that diamide, a lipid peroxidation inducer, could stimulate ECs to produce high level of MIP-1α, and might play an important role in atherogenesis by promoting the migration of peripheral blood monocytes into arterial intima. 展开更多
关键词 Endothelial cell vascular DIAMIDE macrophage inflammatory protein- ATHEROSCLEROSIS
下载PDF
Role of monocytes and macrophages in experimental and human acute liver failure 被引量:13
14
作者 Lucia A Possamai Charalambos Gustav Antoniades +4 位作者 Quentin M Anstee Alberto Quaglia Diego Vergani Mark Thursz Julia Wendon 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第15期1811-1819,共9页
Acute liver failure (ALF) is a devastating clinical syndrome characterised by progressive encephalopathy, coagulopathy, and circulatory dysfunction, which commonly leads to multiorgan failure and death. Central to the... Acute liver failure (ALF) is a devastating clinical syndrome characterised by progressive encephalopathy, coagulopathy, and circulatory dysfunction, which commonly leads to multiorgan failure and death. Central to the pathogenesis of ALF is activation of the immune system with mobilisation of cellular effectors and massive production of cytokines. As key components of the innate immune system, monocytes and macrophages are postulated to play a central role in the initiation, progression and resolution of ALF. ALF in humans follows a rapidly progressive clinical course that poses inherent difficulties in delineating the role of these pivotal immune cells. Therefore, a number of experimental models have been used to study the pathogenesis of ALF. Here we consider the evidence from experimental and human studies of ALF on the role of monocytes and macrophages in acute hepatic injury and the ensuing extrahepatic manifestations, including functional monocyte deactivation and multiple organ failure. 展开更多
关键词 MONOCYTE macrophage Acute liver failure Inflammation Monocyte chemoattractant protein-1/ chemokine (C-C motif) receptor-2 CYTOKINE
下载PDF
发育型内皮基因座-1作用下氧化型低密度脂蛋白对巨噬细胞分泌TNF-α、MIP-1α及MIP-2的影响
15
作者 路艳林 李方琴 +6 位作者 周明 彭进 万昌武 梁静伟 陈灿 王杰 夏冰 《贵州医科大学学报》 CAS 2023年第8期888-894,共7页
目的探讨发育型内皮基因座-1(DEL-1)作用下氧化型低密度脂蛋白(OX-LDL)对巨噬细胞中肿瘤坏死因子α(TNF-α)、巨噬细胞炎性蛋白1α(MIP-1α)及巨噬细胞炎性蛋白2(MIP-2)表达的影响。方法体外培养人单核-巨噬细胞系THP-1细胞株至对数生长... 目的探讨发育型内皮基因座-1(DEL-1)作用下氧化型低密度脂蛋白(OX-LDL)对巨噬细胞中肿瘤坏死因子α(TNF-α)、巨噬细胞炎性蛋白1α(MIP-1α)及巨噬细胞炎性蛋白2(MIP-2)表达的影响。方法体外培养人单核-巨噬细胞系THP-1细胞株至对数生长期,分为佛波脂(PMA)组(PMA诱导为贴壁的巨噬细胞)、OX-LDL组(OX-LDL诱导为泡沫细胞)、si-NC组(50 nmol/L siRNA-NC的小干扰转染细胞)及小干扰RNA-DEL-1(siRNA-DEL-1)组(50 nmol/L siRNA-DEL-1转染细胞),采用油红O染色鉴定泡沫细模型、并检测各组细胞中脂质积累,采用免疫荧光技术检测各组细胞中DEL-1的表达,采用实时聚合酶链反应(RT-PCR)及Western blot检测各组细胞中DEL-1、MIP-1α、MIP-2及TNF-α信使RNA(mRNA)和蛋白的表达;采用Pearson相关系数分析DEL-1蛋白表达与上述炎性因子的相关性。结果油红O染色结果显示,靶向敲低DEL-1泡沫细胞胞质内脂质积累减少;免疫荧光、Western blot及RT-PCR结果显示,OX-LDL组、siRNA-NC组细胞中DEL-1及下游炎性因子MIP-1α、MIP-2及TNF-α的蛋白及mRNA表达较PMA组上调(P<0.05),siRNADEL-1组细胞中上述因子表达较OX-LDL组及siRNANC组下调(P<0.05)。结论DEL-1介导了OX-LDL源性泡沫细胞分泌MIP-1α、MIP-2及TNF-α,可能参与了动脉粥样硬化(AS)的病变过程。 展开更多
关键词 泡沫细胞 动脉粥样硬化 肿瘤坏死因子α 发育型内皮基因座-1基因 巨噬细胞炎性蛋白1Α 巨噬细胞炎性蛋白2
下载PDF
刺槐素对小鼠骨髓巨噬细胞AIM2炎症小体活化的抑制作用
16
作者 叶勒丹·马汉 王兆霞 +1 位作者 吴选霞 补娟 《山东医药》 CAS 2023年第35期30-33,38,共5页
目的 探讨刺槐素对脂多糖(LPS)和双链DNA模拟物poly(dA:dT)共诱导的小鼠骨髓巨噬细胞(BMDMs)黑色素瘤缺乏因子2(AIM2)炎症小体活化的影响。方法 在小鼠股骨中分离并培养BMDMs,将其分为对照组、LPS组、LPS+poly(dA:dT)组和LPS+poly(dA:d... 目的 探讨刺槐素对脂多糖(LPS)和双链DNA模拟物poly(dA:dT)共诱导的小鼠骨髓巨噬细胞(BMDMs)黑色素瘤缺乏因子2(AIM2)炎症小体活化的影响。方法 在小鼠股骨中分离并培养BMDMs,将其分为对照组、LPS组、LPS+poly(dA:dT)组和LPS+poly(dA:dT)+刺槐素组。对照组将BMDMs继续在完全培养基中培养3 h;LPS组将BMDMs在加入含50 ng/mL LPS的完全培养基中培养3 h;LPS组+poly(dA:dT)组将BMDMs在加入含50 ng/mL LPS的完全培养基中培养3 h,再加入poly(dA:dT) 10μmol/L作用0.5 h;LPS+poly(dA:dT)+刺槐素组将BMDMs在加入含50 ng/mL LPS的完全培养基中培养3 h,然后加入刺槐素10μmol/L作用0.5 h,最后加入poly(dA:dT) 10μmol/L作用0.5 h。采用Western blotting法检测细胞裂解液pro-Caspase-1、pro-白细胞介素(IL)-1β和上清液Caspase-1、IL-1β蛋白相对表达量,ELISA法检测细胞上清液IL-1β、IL-18、TNF-α蛋白表达,乳酸脱氢酶(LDH)法检测细胞上清液LDH浓度。结果 各组细胞裂解液pro-Caspase-1、pro-IL-1β蛋白相对表达量比较差异均无统计学意义(P均>0.05)。与对照组、LPS组比较,LPS+poly(dA:dT)组和LPS+poly(dA:dT)+刺槐素组上清液Caspase-1、IL-1β蛋白相对表达量均升高,且LPS+poly(dA:dT)组升高更明显(P均<0.05)。与对照组、LPS组比较,LPS+poly(dA:dT)组和LPS+poly(dA:dT)+刺槐素组细胞上清液IL-1β、IL-18蛋白表达均升高,且LPS+poly(dA:dT)组IL-1β升高更明显(P均<0.05)。与对照组比较,LPS组、LPS+poly(dA:dT)组和LPS+poly(dA:dT)+刺槐素组细胞上清液TNF-α蛋白表达及LDH水平均升高,且LPS+poly(dA:dT)组和LPS+poly(dA:dT)+刺槐素组升高更明显(P均<0.05)。结论 刺槐素对小鼠BMDMs的AIM2炎症小体活化具有抑制作用,能够减少细胞中Caspase-1、IL-1β蛋白表达,从而减轻炎症反应。 展开更多
关键词 刺槐素 黑色素瘤缺乏因子2 炎症小体 炎症反应 骨髓巨噬细胞
下载PDF
肠绞痛患儿血清sIL-2R、IFN-β、MIP-1β水平分析及与肠道菌群丰度的相关性 被引量:1
17
作者 高俊芳 《齐齐哈尔医学院学报》 2023年第2期106-111,共6页
目的探讨肠绞痛患儿血清可溶性白细胞介素2受体(sIL-2R)、干扰素-β(IFN-β)、巨噬细胞炎性蛋白1β(MIP-1β)水平及与肠道菌群丰度的相关性。方法选择2020年1月—2022年1月本院收治的肠绞痛患儿120例作为观察组;另选择同期健康婴儿100... 目的探讨肠绞痛患儿血清可溶性白细胞介素2受体(sIL-2R)、干扰素-β(IFN-β)、巨噬细胞炎性蛋白1β(MIP-1β)水平及与肠道菌群丰度的相关性。方法选择2020年1月—2022年1月本院收治的肠绞痛患儿120例作为观察组;另选择同期健康婴儿100名作为对照组。比较两组肠道菌群丰度、代谢指标、血清sIL-2R、IFN-β、MIP-1β水平差异。结果观察组双歧杆菌、韦荣球菌、萨特菌属、链球菌属和乳酸菌属丰度分别为0.79(0.68,0.92)、2.30(1.70,2.98)、0.77(0.62,0.90)、24.49(23.10,29.30)和11.10(9.30,12.80),明显高于对照组(P<0.05),而埃格特菌属、肠球菌属丰度分别为0.08(0.06,0.12)和5.10(4.30,6.70),明显低于对照组(P<0.05)。观察组乙酸为(3.19±0.92)mmol/L,明显低于对照组(P<0.05),丙酸、丁酸、异丁酸、戊酸、异戊酸分别为(1.20±0.21)mmol/L、(1.16±0.34)mmol/L、(1.23±0.19)mmol/L、(1.11±0.24)mmol/L和(1.09±0.21)mmol/L,明显高于对照(P<0.05)。观察组血清sIL-2R和MIP-1分别为(44.40±12.43)pg/ml和(110.40±31.12)pg/ml,明显高于对照组(P<0.05),而IFN-β为(33.10±11.43)pg/ml,明显低于对照组(P<0.05)。血清sIL-2R、MIP-1β与双歧杆菌属丰度呈正相关(P<0.05),而与肠球菌属丰度呈负相关(P<0.05)。血清IFN-β与双歧杆菌属丰度呈负相关(P<0.05),而与肠球菌属丰度呈正相关(P<0.05)。观察组治疗后双歧杆菌、韦荣球菌、萨特菌属、链球菌属、乳酸菌属丰度、丙酸、丁酸、异丁酸、戊酸、异戊酸、sIL-2R和MIP-1β明显低于治疗前(P<0.05),而埃格特菌属、肠球菌属丰度、乙酸、IFN-β明显高于治疗前(P<0.05)。结论肠绞痛患儿血清sIL-2R和MIP-1β水平升高,IFN-β水平降低,三者水平与双歧杆菌属、肠球菌属丰度呈相关性,值得进一步研究。 展开更多
关键词 肠绞痛 可溶性白细胞介素2受体 干扰素-Β 巨噬细胞炎性蛋白1β 肠道菌群丰度
下载PDF
Genetically engineered M2-like macrophage-derived exosomes for P.gingivalis-suppressed cementum regeneration:From mechanism to therapy
18
作者 Xin Huang Yifei Deng +3 位作者 Junhong Xiao Huiyi Wang Qiudong Yang Zhengguo Cao 《Bioactive Materials》 SCIE 2024年第2期473-487,共15页
Cementum,a thin layer of mineralized tissue covering tooth root surface,is recognized as the golden standard in periodontal regeneration.However,current efforts mainly focus on alveolar bone regeneration rather than c... Cementum,a thin layer of mineralized tissue covering tooth root surface,is recognized as the golden standard in periodontal regeneration.However,current efforts mainly focus on alveolar bone regeneration rather than cementum regeneration,and rarely take Porphyromonas gingivalis(Pg),the keystone pathogen responsible for periodontal tissue destruction,into consideration.Though M2 macrophage-derived exosomes(M2-EXO)show promise in tissue regeneration,the exosome-producing M2 macrophages are induced by exogenous cytokines with transitory and unstable effects,restricting the regeneration potential of M2-EXO.Here,exosomes derived from genetically engineered M2-like macrophages are constructed by silencing of casein kinase 2 interacting protein-1(Ckip-1),a versatile player involved in various biological processes.Ckip-1 silencing is proved to be an effective gene regulation strategy to obtain permanent M2-like macrophages with mineralization-promoting effect.Further,exosomes derived from Ckip-1-silenced macrophages(sh-Ckip-1-EXO)rescue Pg-suppressed cementoblast mineralization and cementogenesis.Mechanismly,sh-Ckip-1-EXO delivers Let-7f-5p targeting and silencing Ckip-1,a negative regulator also for cementum formation and cementoblast mineralization.More deeply,downregulation of Ckip-1 in cementoblasts by exosomal Let-7f-5p activates PGC-1α-dependent mitochondrial biogenesis.In all,this study provides a new strategy of genetically engineered M2-like macrophage-derived exosomes for cementum regeneration under Pg-dominated inflammation. 展开更多
关键词 Casein kinase 2 interacting protein-1 M2 macrophage Exosome Cementum regeneration Porphyromonas gingivalis
原文传递
机械牵张诱导肺泡巨噬细胞的细胞因子表达谱及其与脂多糖对MIP-2释放的协同效应 被引量:9
19
作者 丁宁 肖慧 +1 位作者 许立新 佘守章 《中国呼吸与危重监护杂志》 CAS 2009年第2期166-170,共5页
目的观察机械牵张诱导肺泡巨噬细胞(AM)的细胞因子表达谱,以及机械牵张对脂多糖(LPS)诱导巨噬细胞炎性蛋白2(MIP-2)表达的影响。方法用LiquiChip液相蛋白芯片系统检测机械牵张诱导AM15种细胞因子的水平变化;检测不同强度机械牵... 目的观察机械牵张诱导肺泡巨噬细胞(AM)的细胞因子表达谱,以及机械牵张对脂多糖(LPS)诱导巨噬细胞炎性蛋白2(MIP-2)表达的影响。方法用LiquiChip液相蛋白芯片系统检测机械牵张诱导AM15种细胞因子的水平变化;检测不同强度机械牵张(5%、10%、15%和20%)和牵张刺激(20%)后不同时间点(0、1、3、6、12和24h)AM分泌MIP-2的水平,以及机械牵张(20%)与LPS(10ng/mL)共同刺激对AM分泌MIP-2的影响。结果牵张刺激后AM分泌IL-1β、IL-6、MIP-2、单核细胞趋化蛋白1(MCP-1)、IFN-γ和干扰素诱导蛋白10(IP-10)的水平明显升高(P均〈0.001)。机械牵张以强度和时间依赖方式诱导MIP-2的分泌,随着牵张强度的增加(10%、15%和20%),MIP-2的分泌水平也明显增加(P均〈0.001);在刺激后6~24h范围内MIP-2水平持续升高(P〈0.001)。以机械牵张和LPS共同刺激AM,MIP-2的生成量大大增加,二者存在协同效应(F=121.983,P〈0.001)。结论机械牵张可诱导AM释放多种细胞因子,机械牵张诱导MIP-2的上调具有强度和时间依赖性,并协同LPS诱导AM释放MIP-2,可能在呼吸机所致肺损伤的发生和发展中起重要作用。 展开更多
关键词 机械牵张 肺泡巨噬细胞 细胞因子 巨噬细胞炎性蛋白2 呼吸机所致肺损伤
下载PDF
新型冠状病毒感染相关儿童多系统炎症综合征的病例对照研究
20
作者 邱小龙 李小莉 +7 位作者 王兆灵 吴菱 樊慧苏 姜丽娇 方玉红 邹丽霞 黄先枚 卢美萍 《中国循证儿科杂志》 CSCD 北大核心 2024年第3期211-215,共5页
背景儿童多系统炎症综合征(MIS-C)与新型冠状病毒(SARS-CoV-2)感染相关,既往文献研究多为病例报告或综述,难治性MIS-C仅为个案报告。目的探讨难治性MIS-C与非难治性MIS-C的区别,提高对MIS-C的疾病认识。设计病例对照研究。方法收集浙江... 背景儿童多系统炎症综合征(MIS-C)与新型冠状病毒(SARS-CoV-2)感染相关,既往文献研究多为病例报告或综述,难治性MIS-C仅为个案报告。目的探讨难治性MIS-C与非难治性MIS-C的区别,提高对MIS-C的疾病认识。设计病例对照研究。方法收集浙江地区6家医院的MIS-C连续病例,将一线治疗后持续发热和/或终末器官受累定义为难治性MIS-C(病例组),余为非难治性MIS-C(对照组),总结两组患儿的基本信息、临床表现、实验室检查、影像学检查、治疗药物及疗效等临床资料,并行单因素分析。主要结局指标MIS-C临床特征。结果23例MIS-C患儿进入本文分析,发病年龄(4.8±3.4)岁,SARS-CoV-2感染或接触史与诊断MIS-C间隔时间(30±9)d。病例组4例,男女各2例;对照组19例,男10例,女9例。两组基本信息、临床表现和严重并发症[颅内出血、巨噬细胞活化综合征(MAS)、冠脉扩张、脑炎]差异均无统计学意义。影像学表现中,病例组≥2个浆膜腔受累(75%vs 16%)比例和心包积液(75%vs 11%)比例均高于对照组;实验室检查中,病例组PLT计数低于对照,PCT、D-二聚体、IL-6、IL-10和INF-γ均高于对照组;差异均有统计学意义。对照组单用IVIG治疗8例(42%),单用糖皮质激素治疗4例(21%),IVIG+糖皮质激素治疗6例(32%),病例组4例在糖皮质激素+IVIG二联用药加用托珠单抗治疗。23例均好转出院,无死亡病例。对照组1例并发严重颅内出血患儿,出院时、6月随访时遗留偏瘫,6月后失访;1例并发冠脉扩张患儿出院后1个月随访时恢复正常。结论MIS-C可导致颅内出血、MAS、冠脉扩张等严重并发症,预后相对较好,难治性MIS-C患儿炎症反应更重,多系统受累更明显,托珠单抗治疗有效。 展开更多
关键词 新型冠状病毒 儿童多系统炎症综合征 冠脉扩张 颅内出血 巨噬细胞活化综合征 托珠单抗
下载PDF
上一页 1 2 6 下一页 到第
使用帮助 返回顶部