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滋肾宁心胶囊联合替米沙坦治疗围绝经期高血压临床疗效观察
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作者 王蓓 杜明民 +3 位作者 王成益 付达 张晶 王强 《药物流行病学杂志》 CAS 2024年第1期52-59,共8页
目的 观察滋肾宁心胶囊联合替米沙坦治疗围绝经期高血压的疗效,及对患者血压、生化指标、中医症状积分的影响。方法 300例围绝经期高血压患者随机分为对照组和观察组各150例。对照组给予替米沙坦治疗,观察组在对照组治疗基础上加用滋肾... 目的 观察滋肾宁心胶囊联合替米沙坦治疗围绝经期高血压的疗效,及对患者血压、生化指标、中医症状积分的影响。方法 300例围绝经期高血压患者随机分为对照组和观察组各150例。对照组给予替米沙坦治疗,观察组在对照组治疗基础上加用滋肾宁心胶囊,两组疗程均为8周。观察比较两组患者治疗前后24 h动态血压及其变异系数(24 h平均收缩压及其变异系数、24 h平均舒张压及其变异系数)、性激素水平(血清雌二醇、促卵泡生成素、睾酮、孕酮)、血脂(三酰甘油、总胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇)、肾素和超敏C反应蛋白水平,以及中医症状积分变化,评价两组疗效。结果 治疗后,两组患者的24 h平均收缩压及其变异系数、24 h平均舒张压及其变异系数,性激素、血脂、肾素和超敏C反应蛋白水平,以及中医症状积分等指标均较前明显改善(P <0.05),且观察组各项指标均优于对照组(P <0.05)。观察组治疗总有效率明显高于对照组(P <0.05)。两组不良反应发生率差异无统计学意义(P> 0.05)。结论 滋肾宁心胶囊联合替米沙坦治疗围绝经期高血压临床疗效显著,可有效降低血压、缓解症状,改善性激素、血脂、肾素和超敏C反应蛋白水平。 展开更多
关键词 滋肾宁心胶囊 替米沙坦 围绝经期 高血压
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替米沙坦通过直接抑制Kv2.1通道促进离体大鼠的胰岛素分泌
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作者 刘涛 陈晓琴 +2 位作者 郭瑞旺 崔丽娟 刘师伟 《中国药理学通报》 CAS CSCD 北大核心 2024年第5期893-898,共6页
目的研究替米沙坦促进大鼠胰岛素分泌作用相关的信号通路。方法(1)分离成年Wistar大鼠胰腺获得胰岛和胰岛细胞,通过胰岛素分泌实验观察药物对胰岛素分泌的影响,通过钙成像实验和全细胞膜片钳技术观察药物对β细胞内Ca^(2+)浓度的变化和... 目的研究替米沙坦促进大鼠胰岛素分泌作用相关的信号通路。方法(1)分离成年Wistar大鼠胰腺获得胰岛和胰岛细胞,通过胰岛素分泌实验观察药物对胰岛素分泌的影响,通过钙成像实验和全细胞膜片钳技术观察药物对β细胞内Ca^(2+)浓度的变化和对离子通道的作用。(2)使用过表达电压门控性钾(voltage-gated potassium channel,Kv)通道2.1亚型(Kv2.1)的慢病毒转染中国仓鼠卵巢(Chinese hamster ovary,CHO)细胞构建CHO-Kv2.1细胞系,使用膜片钳技术观察替米沙坦对Kv2.1通道的直接作用。结果缬沙坦和厄贝沙坦无类似替米沙坦的高糖浓度下促胰岛素分泌、升高β细胞内Ca^(2+)浓度和抑制β细胞的Kv通道等作用。过氧化物酶体增殖物激活受体γ(peroxisome proliferator-activated receptorγ,PPARγ)阻断剂GW9662亦未阻断替米沙坦的上述作用。而替米沙坦可以浓度依赖性地抑制CHO-Kv2.1细胞的Kv2.1通道电流。结论替米沙坦的促胰岛素分泌作用可能与血管紧张素Ⅱ-1型(angiotensin II type 1,AT-1)受体和PPARγ无关,但至少与对Kv2.1通道的直接抑制作用有关。 展开更多
关键词 替米沙坦 Β细胞 胰岛素分泌 AT-1受体 PPARΓ Kv2.1通道
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替米沙坦的合成工艺路线综述
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作者 王宁 张晗 +8 位作者 吴馨仪 金玉祥 陈凯林 金诺琪 曹文博 杜剡渊 孙铭锐 代凤丽 夏春年 《浙江化工》 CAS 2024年第5期20-27,共8页
替米沙坦,一种抗高血压药,凭借其控制血压平稳和作用长效等优点,在高血压管理方面占据重要地位。本文依照原研路线的合成顺序,将替米沙坦分子分为3个区块,以区块的合成为目标,对每个区块的合成方式进行分类综述,并附上思维导图,旨在明... 替米沙坦,一种抗高血压药,凭借其控制血压平稳和作用长效等优点,在高血压管理方面占据重要地位。本文依照原研路线的合成顺序,将替米沙坦分子分为3个区块,以区块的合成为目标,对每个区块的合成方式进行分类综述,并附上思维导图,旨在明晰现有路线的原料、合成途径与最终产物,便于后续合成路线的设计与选取。 展开更多
关键词 替米沙坦 综述 合成 思维导图
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替米沙坦联合硝苯地平控释片对冠心病合并轻中度高血压患者左心室功能及炎症反应的影响
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作者 刘爱霞 《中国实用医药》 2024年第5期104-106,共3页
目的探究冠心病合并轻中度高血压患者采用替米沙坦+硝苯地平控释片治疗对患者左心室功能及炎症反应的影响。方法选择108例冠心病合并轻中度高血压患者,按随机数字表法分为对照组和观察组,各54例。对照组给予硝苯地平控释片治疗,观察组... 目的探究冠心病合并轻中度高血压患者采用替米沙坦+硝苯地平控释片治疗对患者左心室功能及炎症反应的影响。方法选择108例冠心病合并轻中度高血压患者,按随机数字表法分为对照组和观察组,各54例。对照组给予硝苯地平控释片治疗,观察组在对照组基础上加用替米沙坦治疗。比较两组血压[舒张压(DBP)及收缩压(SBP)]、心功能[左心室舒张末期内径(LVEDD)、左心室射血分数(LVEF)、左心室收缩末期内径(LVESD)]、炎症反应[肿瘤坏死因子-α(TNF-α)及超敏C反应蛋白(hs-CRP)]及安全性。结果治疗前,两组DBP、SBP比较,差异无统计学意义(P>0.05);治疗后,观察组DBP(78.22±6.79)mm Hg(1mm Hg=0.133 kPa)、SBP(124.14±9.95)mm Hg均低于对照组的(84.57±8.02)、(140.69±11.20)mm Hg,差异有统计学意义(P<0.05)。治疗前,两组LVEDD、LVEF、LVESD比较,无统计学差异(P>0.05);治疗后,观察组LVEDD(51.43±6.13)mm、LVESD(43.13±6.97)mm均小于对照组的(54.13±5.89)、(46.42±6.95)mm,LVEF(52.84±7.46)%大于对照组的(49.48±6.97)%,有统计学差异(P<0.05)。治疗前,两组TNF-α、hs-CRP水平比较,差异无统计学意义(P>0.05);治疗后,观察组TNF-α(39.38±9.85)ng/L、hs-CRP(6.32±0.88)mg/L均低于对照组的(51.29±8.38)ng/L、(8.98±1.28)mg/L,差异有统计学意义(P<0.05)。两组均未出现严重不良反应。结论冠心病合并轻中度高血压患者采用替米沙坦联合硝苯地平控释片治疗能够有效缓解炎症反应,调节血压,改善心功能,且安全性高。 展开更多
关键词 冠心病 轻中度高血压 替米沙坦 硝苯地平控释片 心功能 炎症反应
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沙库巴曲缬沙坦联合替米沙坦治疗扩张型心肌病的效果及对心肌纤维化、心室重构的影响
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作者 程媛媛 安家瑶 《临床医学研究与实践》 2024年第20期38-41,共4页
目的探讨沙库巴曲缬沙坦联合替米沙坦治疗扩张型心肌病(DCM)的效果及对心肌纤维化、心室重构的影响。方法选取2020年1月至12月收治的60例DCM患者为研究对象,依据入院编号的奇偶性将其分为对照组与观察组,各30例。对照组采用替米沙坦治疗... 目的探讨沙库巴曲缬沙坦联合替米沙坦治疗扩张型心肌病(DCM)的效果及对心肌纤维化、心室重构的影响。方法选取2020年1月至12月收治的60例DCM患者为研究对象,依据入院编号的奇偶性将其分为对照组与观察组,各30例。对照组采用替米沙坦治疗,观察组在对照组基础上联合沙库巴曲缬沙坦治疗。比较两组的治疗效果。结果治疗后,两组的N-末端脑钠肽前体(NT-proBNP)、可溶性生长刺激表达基因2蛋白(sST2)、基质金属蛋白酶-9(MMP-9)水平均降低,金属蛋白酶组织抑制因子-1(TIMP-1)水平均升高,且观察组优于对照组,差异具有统计学意义(P<0.05)。治疗后,观察组的左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)小于对照组,心排血量(CO)、左室射血分数(LVEF)、每搏输出量(SV)高于对照组,差异具有统计学意义(P<0.05)。两组的不良反应总发生率比较,差异无统计学意义(P>0.05)。观察组的治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。结论沙库巴曲缬沙坦联合替米沙坦治疗DCM的效果较好,可抑制心室重构,缓解心肌纤维化,提升心脏功能,具有重要的临床应用价值。 展开更多
关键词 沙库巴曲缬沙坦 替米沙坦 扩张型心肌病
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替米沙坦联合羟苯磺酸钙通过miR-19b-3p/SOCS1轴调节自发性高血压主动脉的抗炎作用
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作者 田春辉 胡威威 +3 位作者 娄满 胡晓英 田心怡 高春燕 《医学研究与战创伤救治》 CAS 北大核心 2024年第3期254-260,共7页
目的探讨替米沙坦联合羟苯磺酸钙在自发性高血压中对主动脉的保护作用及作用机制。方法将自发性高血压(SHR)大鼠及其WKY大鼠随机分为(n=6):对照组(WKY)、SHR+NC组(未经处理的SHR大鼠)、SHR+替米沙坦组(替米沙坦治疗的SHR大鼠)、SHR+CAD... 目的探讨替米沙坦联合羟苯磺酸钙在自发性高血压中对主动脉的保护作用及作用机制。方法将自发性高血压(SHR)大鼠及其WKY大鼠随机分为(n=6):对照组(WKY)、SHR+NC组(未经处理的SHR大鼠)、SHR+替米沙坦组(替米沙坦治疗的SHR大鼠)、SHR+CAD组(CAD治疗的SHR大鼠)、替米沙坦+CAD组(替米沙坦和CAD联合治疗的SHR大鼠),每组6只。利用苏木精-伊红染色观察治疗前后主动脉血管的变化情况;利用ELISA检测炎症因子的表达水平。利用TargetScan预测miR-19b-3p的下游靶基因,利用双荧光素酶实验验证miR-19b-3p以及下游靶基因之间的结合关系。细胞分组:control组,替米沙坦+NC组,NC+CAD组及替米沙坦+CAD组。随后为了验证替米沙坦与羟苯磺酸钙与miR-19b-3p/SOCS1信号轴的调节关系,利用替米沙坦、羟苯磺酸钙单独处理或者联合对VSMC细胞进行处理。细胞分组:空白组、miR-19b-3p inhibitoror组、miR-19b-3p inhibitor+替米沙坦+NC组、miR-19b-3p inhibitor+NC+CAD组、miR-19b-3p inhibitoror+替米沙坦+CAD组。利用qRT-PCR检测miR-19b-3p和SOCS1的表达水平。从自发性高血压大鼠主动脉中分离血管平滑肌细胞(VSMC),利用CCK-8、Transwell小室实验、qRT-PCR以及Western blot方法验证替米沙坦和羟苯磺酸钙对细胞增殖、迁移表型分型以及炎症因子表达的影响。结果与对照组相比,SHR+NC组大鼠的主动脉管壁厚度明显增厚,管腔内壁降低;经SHR+替米沙坦和SHR+CAD组的SHR大鼠胸主动脉管壁厚度降低,管腔半径增加。ELISA结果显示,与对照组相比,SHR+NC组大鼠血液中IL-1β、TNF-α、IL-6的表达水平显著增加(P<0.05),SHR+替米沙坦、SHR+CAD组、替米沙坦+CAD组的大鼠体内炎症因子的表达水平较SHR+NC组显著降低(P<0.05)。与对照组主动脉中miR-19b-3p的表达水平相比,SHR+NC组显著升高,SHR+替米沙坦和SHR+TAD组显著降低(P<0.05)。qRT-PCR结果显示,与对照组SOCS1的表达水平相比,SHR+NC组显著降低,SHR+替米沙坦、SHR+CAD组、替米沙坦+CAD组较SHR+NC组显著上调(P<0.05)。qRT-PCR结果显示,与control组相比,替米沙坦+NC组、NC+CAD组和替米沙坦+CAD组VSMC细胞中α-SMA、SM22α的表达水平显著增高,OPN的表达水平显著下降(P<0.05)。transwell小室实验结果显示,与control组VSMC细胞的迁移相比,替米沙坦+NC组、NC+CAD组和替米沙坦+CAD组显著降低(P<0.05)。与空白组相比,miR-19b-3p inhibitor组IL-1β、TNF-α的表达水平显著降低,进一步添加替米沙坦与羟苯磺酸钙处理后能增强这一结果(P<0.05)。结论替米沙坦与羟苯磺酸钙联用可以通过调节miR-19b-3p/SOCS1信号轴改善自发性高血压大鼠主动脉损伤,抑制炎症因子的表达。 展开更多
关键词 替米沙坦 羟苯磺酸钙 miR-19b-3p 细胞因子信号传导抑制蛋白1 自发性高血压 炎症反应
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替米沙坦联合苯磺酸氨氯地平治疗老年高血压的临床效果分析
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作者 王巧玲 《中国社区医师》 2024年第13期24-26,共3页
目的:探讨替米沙坦联合苯磺酸氨氯地平治疗老年高血压的临床效果。方法:选取2022年1月-2023年2月庆阳市环县城关社区卫生服务中心收治的120例老年高血压患者作为研究对象,随机分为观察组和对照组,各60例,对照组给予替米沙坦治疗,观察组... 目的:探讨替米沙坦联合苯磺酸氨氯地平治疗老年高血压的临床效果。方法:选取2022年1月-2023年2月庆阳市环县城关社区卫生服务中心收治的120例老年高血压患者作为研究对象,随机分为观察组和对照组,各60例,对照组给予替米沙坦治疗,观察组在对照组基础上给予苯磺酸氨氯地平片。比较两组血压、同型半胱氨酸水平、治疗效果。结果:治疗前,两组收缩压比较,差异无统计学意义(P>0.05);治疗1、4、8周后,两组收缩压低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗前,两组舒张压比较,差异无统计学意义(P>0.05);治疗1、4、8周后,两组舒张压低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗前,两组同型半胱氨酸水平比较,差异无统计学意义(P>0.05);治疗1、4、8周后,两组同型半胱氨酸水平低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0.001)。结论:替米沙坦联合苯磺酸氨氯地平治疗老年高血压的临床效果良好,可降低血压、同型半胱氨酸水平。 展开更多
关键词 替米沙坦 苯磺酸氨氯地平 老年高血压
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芪苈强心胶囊辅助替米沙坦方案对扩张型心肌病患者心室重塑及炎症因子表达的影响
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作者 鲁体国 孙京浩 曹颖 《当代医学》 2024年第2期38-41,共4页
目的探究芪苈强心胶囊辅助替米沙坦方案对扩张型心肌病患者心室重塑及炎症因子表达的影响。方法选取2021年1—12月成武中医医院心内科收治的100例扩张型心肌病患者作为研究对象,按照抽签法分为对照组与研究组,每组50例。对照组采用替米... 目的探究芪苈强心胶囊辅助替米沙坦方案对扩张型心肌病患者心室重塑及炎症因子表达的影响。方法选取2021年1—12月成武中医医院心内科收治的100例扩张型心肌病患者作为研究对象,按照抽签法分为对照组与研究组,每组50例。对照组采用替米沙坦治疗,研究组采用芪苈强心胶囊辅助替米沙坦方案治疗。比较两组临床疗效、心功能指标[左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)、右心室收缩末期内径(LVESD)]、心室重塑指标[基质金属蛋白酶-9(MMP-9)、Ⅰ型前胶原氨基末端肽(PⅠNP)、Ⅲ型前胶原氨基末端肽(PⅢNP)]、炎症因子[肿瘤坏死因子-α(TNF-α)、N末端脑钠肽前体(NT-proBNP)、超敏C反应蛋白(hs-CRP)]水平、血管内皮功能[一氧化氮(NO)、内皮素-1(ET-1)、可溶性血管内皮黏附因子-1(SICAM-1)]水平。结果研究组治疗总有效率为98.00%,高于对照组的80.00%,差异有统计学意义(P<0.05);治疗后,两组LVEF均高于治疗前,LVEDD、LVESD均短于治疗前,且研究组LVEF高于对照组,LVEDD、LVESD均短于对照组,差异有统计学意义(P<0.05);治疗后,两组MMP-9、PⅠNP、PⅢNP水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组TNF-α、NT-proBNP、hs-CRP水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组NO水平均高于治疗前,ET-1、SICAM-1水平均低于治疗前,且研究组NO水平高于对照组,ET-1、SICAM-1水平均低于对照组,差异有统计学意义(P<0.05)。结论芪苈强心胶囊辅助替米沙坦方案治疗扩张型心肌病效果显著,可改善患者心室重塑,降低炎症因子水平,提高心功能,值得临床推广应用。 展开更多
关键词 芪苈强心胶囊 替米沙坦 扩张型心肌病 心室重塑 炎症因子
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非商用(Q)SAR软件在药物遗传毒性杂质评估中的应用
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作者 李杰 江娟 +1 位作者 丁锐 喻欢欢 《药学与临床研究》 2024年第3期283-288,共6页
目前国内外法规均要求对药物遗传毒性杂质进行控制,当缺乏致突变、致癌性数据时,制药企业大多以商业软件对杂质进行评估,评估费用高昂。FDA推荐了非商用的评估软件,并接受其评估结果,本文对非商用评估软件进行介绍,并以实例对商用与非... 目前国内外法规均要求对药物遗传毒性杂质进行控制,当缺乏致突变、致癌性数据时,制药企业大多以商业软件对杂质进行评估,评估费用高昂。FDA推荐了非商用的评估软件,并接受其评估结果,本文对非商用评估软件进行介绍,并以实例对商用与非商用软件预测结果进行对比评价,结果表明所测非商用软件预测结果具有一定参考价值,其参考使用或可节省成本。 展开更多
关键词 杂质 遗传毒性 (定量)构效关系 警示结构 非商用 替米沙坦
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硫辛酸联合替米沙坦对糖尿病肾病血糖水平及血流动力学的影响分析
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作者 公丕菊 《糖尿病新世界》 2024年第9期166-168,172,共4页
目的分析硫辛酸与替米沙坦联合治疗糖尿病肾病的疗效以及对血糖水平、血流动力学的影响。方法选取2021年6月—2023年6月蒙阴县人民医院收治的78例糖尿病肾病患者为研究对象,按照治疗药物的不同分为两组,各39例。对照组以替米沙坦治疗,... 目的分析硫辛酸与替米沙坦联合治疗糖尿病肾病的疗效以及对血糖水平、血流动力学的影响。方法选取2021年6月—2023年6月蒙阴县人民医院收治的78例糖尿病肾病患者为研究对象,按照治疗药物的不同分为两组,各39例。对照组以替米沙坦治疗,研究组以硫辛酸+替米沙坦治疗,比较两组治疗前后的血糖水平、血流动力学、肾功能水平及用药安全性。结果治疗后,两组血糖水平、肾血流动力学、肾功能水平均优于治疗前,且研究组优于对照组,差异有统计学意义(P均<0.05)。研究组用药安全性高于对照组,但两组比较,差异无统计学意义(P>0.05)。结论糖尿病肾病使用硫辛酸与替米沙坦联合治疗有助于改善患者的血糖水平和肾血流动力学以及肾功能,且用药安全性良好。 展开更多
关键词 糖尿病肾病 硫辛酸 替米沙坦 血糖水平 血流动力学
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替米沙坦通过磷脂酰肌醇-3-激酶/蛋白激酶B/哺乳动物雷帕霉素靶蛋白信号通路抑制硬化性胃癌细胞增殖
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作者 柏希慧 刘诗雨 孙媛媛 《中国医药》 2024年第6期842-846,共5页
目的研究替米沙坦对硬化性胃癌(SGC)细胞增殖的影响,并探讨其作用机制。方法常规培养胃癌细胞MKN1和SGC细胞HSC45。采用细胞计数盒8实验检测替米沙坦对MKN1和HSC45增殖能力的影响;流式细胞仪检测替米沙坦对HSC45凋亡和细胞周期的影响;... 目的研究替米沙坦对硬化性胃癌(SGC)细胞增殖的影响,并探讨其作用机制。方法常规培养胃癌细胞MKN1和SGC细胞HSC45。采用细胞计数盒8实验检测替米沙坦对MKN1和HSC45增殖能力的影响;流式细胞仪检测替米沙坦对HSC45凋亡和细胞周期的影响;蛋白质印迹法检测激活替米沙坦对HSC45自噬和磷脂酰肌醇-3-激酶(PI3K)/蛋白激酶B(AKT)/哺乳动物雷帕霉素靶蛋白(mTOR)信号通路相关蛋白表达的影响;采用PI3K/AKT/mTOR信号通路激活剂SC79和替米沙坦共同处理HSC45,分别检测激活PI3K/AKT/mTOR信号通路后,替米沙坦对HSC45增殖、凋亡、自噬和细胞周期的影响。结果替米沙坦呈浓度和时间依赖性抑制MKN1和HSC45细胞增殖(均P<0.001),且对HSC45细胞增殖抑制效果更为显著(P<0.05)。替米沙坦组HSC45早期凋亡率、LC3Ⅱ/Ⅰ蛋白表达量、G_(0)/G_(1)期细胞周期比例均高于对照组[(26.2±2.6)%比(1.3±0.4)%、(1.02±0.09)比(0.29±0.04)、(53.4±3.4)%比(38.1±2.9)%],磷酸化PI3K、磷酸化AKT和磷酸化mTOR蛋白表达均低于对照组(均P<0.05)。替米沙坦组和替米沙坦+SC79组HSC45细胞增殖抑制率、细胞凋亡率、LC3Ⅱ/Ⅰ蛋白表达及G_(0)/G_(1)期细胞比例均高于对照组,但替米沙坦+SC79组均低于替米沙坦组(均P<0.05)。结论替米沙坦下调PI3K/AKT/mTOR信号通路,促进SGC细胞凋亡、自噬和周期阻滞,进而抑制SGC细胞增殖能力。 展开更多
关键词 替米沙坦 硬化性胃癌 磷脂酰肌醇-3-激酶/蛋白激酶B/哺乳动物雷帕霉素靶蛋白信号通路 增殖
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替米沙坦联合阿托伐他汀对冠心病伴2型糖尿病患者血清HMGB1、MMP-9和可溶性选择素表达的影响
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作者 张国新 陈娟 《心电与循环》 2024年第3期261-265,270,共6页
目的 探讨替米沙坦联合阿托伐他汀对冠心病伴2型糖尿病(T2DM)血清高迁移率族蛋白B1(HMGB1)、基质金属蛋白酶9(MMP-9)和可溶性选择素表达的影响。方法 前瞻性选择2019年10月至2022年10月在湖州浙北明州医院确诊的冠心病伴T2DM患者120例,... 目的 探讨替米沙坦联合阿托伐他汀对冠心病伴2型糖尿病(T2DM)血清高迁移率族蛋白B1(HMGB1)、基质金属蛋白酶9(MMP-9)和可溶性选择素表达的影响。方法 前瞻性选择2019年10月至2022年10月在湖州浙北明州医院确诊的冠心病伴T2DM患者120例,分为观察组和对照组,各60例。两组患者均接受阿托伐他汀及基础性治疗,观察组加用替米沙坦治疗8周,分别于治疗前后检测左心室射血分数(LVEF)、糖化血红蛋白(Hb A1C)、空腹血糖(FBG)、餐后血糖(PBG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)和甘油三酯(TG)水平,采用酶联免疫吸附试验法检测HMGB1、MMP-9、可溶性E选择素(sE-selectin)和可溶性P选择素(sP-selectin)水平。结果 观察组患者治疗的总有效率为91.67%,高于对照组总治疗有效率78.33%,差异有统计学意义(P<0.05)。治疗后,观察组患者HbA1C、FBG、PBG、LDL-C、TC、TG、HMGB1、MMP-9、sE-selectin和sP-selectin水平低于对照组,HDL-C和LVEF水平高于对照组,差异均有统计学意义(均P<0.05)。两组患者治疗后的HbA1C、FBG、PBG、LDL-C、TC、TG、HMGB1、MMP-9、sE-selectin和sPselectin低于治疗前,HDL-C和LEVF高于治疗前,差异均有统计学意义(均P<0.05)。结论 替米沙坦联合阿托伐他汀治疗可以提高冠心病伴T2DM患者的临床疗效,降低血清HMGB1、MMP-9和可溶性选择素表达。 展开更多
关键词 替米沙坦 阿托伐他汀 冠心病 2型糖尿病
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通心络胶囊治疗老年冠心病心绞痛疗效分析
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作者 刘春婷 《中华养生保健》 2024年第11期30-33,共4页
目的探究分析通心络胶囊用于老年冠心病心绞痛的成效。方法选择2021年5月—2023年5月内蒙古自治区人民医院收治的老年冠心病心绞痛患者100例,依据不同治疗的方式细分为观察组(替米沙坦联合通心络胶囊治疗)、对照组(单用替米沙坦治疗),... 目的探究分析通心络胶囊用于老年冠心病心绞痛的成效。方法选择2021年5月—2023年5月内蒙古自治区人民医院收治的老年冠心病心绞痛患者100例,依据不同治疗的方式细分为观察组(替米沙坦联合通心络胶囊治疗)、对照组(单用替米沙坦治疗),各50例。比较分析干预1个月时间患者的心功能指标、生存质量、心绞痛发作情况、硫氧还蛋白互作蛋白(TXNIP)、趋化因子CX3C模体配体1(CX3CL1)指标。结果治疗后,观察组左室射血分数高于对照组,左心室收缩末期内径、左心室舒张末期内径、左心房内径较低,差异有统计学意义(P<0.05);观察组社会、环境、躯体、心理评分高于对照组,差异有统计学意义(P<0.05);观察组心绞痛发作频率低于对照组,心绞痛持续时间更短,差异有统计学意义(P<0.05);观察组CX3CL1、TXNIP指标水平低于对照组,差异有统计学意义(P<0.05)。结论对老年冠心病心绞痛患者联合通心络胶囊干预可提升心功能指标水平和患者的生存质量,缩短心绞痛发作时间,降低发作频率。 展开更多
关键词 老年冠心病心绞痛 通心络 替米沙坦 疗效评估 生存质量
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Telmisartan induces melanoma cell apoptosis and synergizes with vemurafenib in vitro by altering cell bioenergetics 被引量:4
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作者 Jelena Grahovac Tatjana Srdic-Rajic +3 位作者 Juan Francisco Santibanez Marijana Pavlovic Milena Cavic Sinisa Radulovic1 《Cancer Biology & Medicine》 SCIE CAS CSCD 2019年第2期247-263,共17页
Objective: Despite recent advancements in targeted therapy and immunotherapies, prognosis for metastatic melanoma patients remains extremely poor. Development of resistance to previously effective treatments presents ... Objective: Despite recent advancements in targeted therapy and immunotherapies, prognosis for metastatic melanoma patients remains extremely poor. Development of resistance to previously effective treatments presents a serious challenge and new approaches for melanoma treatment are urgently needed. The objective of this study was to examine the effects of telmisartan, an AGTR1 inhibitor and a partial agonist of PPARγ, on melanoma cells as a potential agent for repurposing in melanoma treatment.Methods: Expression of AGTR1 and PPARγ m RNA in melanoma patient tumor samples was examined in publicly available datasets and confirmed in melanoma cell lines by qRT-PCR. A panel of melanoma cell lines was tested in viability, apoptosis and metabolic assays in presence of telmisartan by flow cytometry and immunocytochemistry. A cytotoxic effect of combinations of telmisartan and targeted therapy vemurafenib was examined using the Chou-Talalay combination index method.Results: Both AGTR1 and PPARγ mRNA were expressed in melanoma patient tumor samples and decreased compared to the expression in the healthy skin. In vitro, we found that telmisartan decreased melanoma cell viability by inducing cell apoptosis.Increased glucose uptake, but not utilization, in the presence of telmisartan caused the fission of mitochondria and release of reactive oxygen species. Telmisartan altered the cell bioenergetics, thereby synergizing with vemurafenib in vitro, and even sensitized vemurafenib-resistant cells to the treatment.Conclusions: Given that the effective doses of telmisartan examined in our study can be administered to patients and that telmisartan is a widely used and safe antihypertensive drug, our findings provide the scientific rationale for testing its efficacy in treatment of melanoma progression. 展开更多
关键词 MELANOMA telmisartan apoptosis MITOCHONDRIA reactive oxygen species targeted therapy
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Telmisartan Reduced Cerebral Edema by Inhibiting NLRP_3 Inflammasome in Mice with Cold Brain Injury 被引量:6
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作者 魏欣 胡晨晨 +2 位作者 张亚丽 姚尚龙 毛卫克 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2016年第4期576-583,共8页
The aim of this study was to investigate the possible beneficial role of telmisartan in cerebral edema after traumatic brain injury(TBI) and the potential mechanisms related to the nucleotide-binding oligomerization... The aim of this study was to investigate the possible beneficial role of telmisartan in cerebral edema after traumatic brain injury(TBI) and the potential mechanisms related to the nucleotide-binding oligomerization domain(NOD)-like receptor(NLR) pyrin domain-containing 3(NLRP3) inflammasome activation. TBI model was established by cold-induced brain injury. Male C57BL/6 mice were randomly assigned into 3, 6, 12, 24, 48 and 72 h survival groups to investigate cerebral edema development with time and received 0, 5, 10, 20 and 40 mg/kg telmisartan by oral gavage, 1 h prior to TBI to determine the efficient anti-edemic dose. The therapeutic window was identified by post-treating 30 min, 1 h, 2 h and 4 h after TBI. Blood-brain barrier(BBB) integrity, the neurological function and histological injury were assessed, at the same time, the m RNA and protein expression levels of NLRP3 inflammasome, IL-1β and IL-18 concentrations in peri-contused brain tissue were measured 24 h post TBI. The results showed that the traumatic cerebral edema occurred from 6 h, reached the peak at 24 h and recovered to the baseline 72 h after TBI. A single oral dose of 5, 10 and 20 mg/kg telmisartan could reduce cerebral edema. Post-treatment up to 2 h effectively limited the edema development. Furthermore, prophylactic administration of telmisartan markedly inhibited BBB impairment, NLRP3, apoptotic speck-containing protein(ASC) and Caspase-1 activation, as well as IL-1β and IL-18 maturation, subsequently improved the neurological outcomes. In conclusion, telmisartan can reduce traumatic cerebral edema by inhibiting the NLRP3 inflammasome-regulated IL-1β and IL-18 accumulation. 展开更多
关键词 telmisartan traumatic brain injury cerebral edema NLRP3 inflammasome INFLAMMATION
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Simultaneous determination of telmisartan and amlodipine in human plasma by LC-MS/MS and its application in a human pharmacokinetic study 被引量:8
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作者 Vasu Babu Ravi Jaswanth Kumar Inamadugu +2 位作者 Nageswara Rao Pilli Vudagandla Sreenivasulu Venkateswarlu Ponneri 《Journal of Pharmaceutical Analysis》 CAS 2012年第5期319-326,共8页
A rapid and sensitive liquid chromatography-tandem mass spectrometric (LC-MS/MS) assay method has been developed and fully validated for the simultaneous quantification of telmisartan and amlodipine in human plasma.... A rapid and sensitive liquid chromatography-tandem mass spectrometric (LC-MS/MS) assay method has been developed and fully validated for the simultaneous quantification of telmisartan and amlodipine in human plasma. Carbamazepine was used as an internal standard. Analytes and the internal standard were extracted from human plasma by solid-phase extraction technique using Waters Oasis HLB 1 cm3 (30 mg) extraction cartridge. The reconstituted samples were chromatographed on a Hypurity advance C18 column (50mm × 4.6mm, 5 gm) using a mixture of acetonitrile -5 mM ammonium acetate buffer (pH-4.0) (50:50, v/v) as the mobile phase at a flow rate of 0.8mL/min. The calibration curve obtained was linear (r_〉0.99) over the concentration range of 2.01-400.06 ng/mL for telmisartan and 0.05 -10.01 ng/mL for amlodipine. Method validation was performed as per FDA guidelines and the results met the acceptance criteria. A run time of 2.5 min for each sample made it possible to analyze more than 400 human plasma samples per day. The proposed method was found to be applicable to clinical studies. 展开更多
关键词 telmisartan AMLODIPINE Human plasma Solid-phase extraction LC-MS/MS PHARMACOKINETICS
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Telmisartan but not Valsartan Inhibits TGF-β-mediated Accumulation of Extracelluar Matrix via Activation of PPARγ 被引量:3
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作者 姚颖 邹荣 +8 位作者 刘晓城 江晶晶 黄倩 何泳 李萌 王世宣 周剑峰 马丁 徐刚 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2008年第5期543-548,共6页
Glomerulosclerosis, defined as phenotype transition of mesangial cell and deposition of extracelluar matrix, remains a chronic disease with excessive morbidity and mortality. The molecular mechanism underlying the sup... Glomerulosclerosis, defined as phenotype transition of mesangial cell and deposition of extracelluar matrix, remains a chronic disease with excessive morbidity and mortality. The molecular mechanism underlying the suppression of mesangial cell activation is not fully understood. Since activation of peroxisome proliferators-activated receptor γ (PPARγ) has been proposed to decrease the effects of transforming growth factor-β (TGF-β) on glomerulosclerosis, we examined here whether and how telmisartan, an angiotensin Ⅱ type 1 receptor blocker with PPARγ-modulating activity, inhibited TGF-β-induced glomerulosclerosis in rat glomerular mesangial cells. Protein levels of PPARγ were detected by Western blot. Activation of PPARγ response element (PPRE) was analyzed by luciferase assays. Deposition of extracelluar matrix was tested by confocol laser scanning. The results showed that telmisartan, but not valsartan, another angiotensin Ⅱ type 1 receptor blocker, up-regulated PPARγ protein levels in a dose-dependent manner (P〈0.05). Activation of PPRE, represented by luciferase activity, was also increased with higher concentration of telmisartan in a dose-dependent manner (P〈0.05). Furthermore, telmisartan inhibited TGF-β-induced α-smooth muscle actin expression and collagen IV secretion in mesangial cells. GW9662, an inhibitor of PPAR-γ, blocked the inhibitory effects of telmisartan on TGF-β-induced glomerulosclerosis in mesangial cells. Our study indicates a benefit of telmisartan as a PPARγ agonist against TGF-β-induced mesangial cells activation in renal glomerulus. It may provide possibility that telmisartan works as a potential agent against diabetic nephropathy and hypertensive renal disease. 展开更多
关键词 telmisartan GLOMERULOSCLEROSIS peroxisome proliferators-activated receptorγ
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Telmisartan prevents high-fat diet-induced hypertension and decreases perirenal fat in rats 被引量:3
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作者 Yaping Wang Yan Song +2 位作者 Meng Suo Xin Jin Gang Tian 《The Journal of Biomedical Research》 CAS 2012年第3期219-225,共7页
We sought to investigate the effects of telmisartan on high-fat diet-induced hypertension and to explore the possible underlying mechanisms. Rats receiving high-fat diet were randomly divided into two groups, the tel-... We sought to investigate the effects of telmisartan on high-fat diet-induced hypertension and to explore the possible underlying mechanisms. Rats receiving high-fat diet were randomly divided into two groups, the tel- misartan group (n = 9) and the high-fat diet group (n = 10). The control group consisted of age-matched rats on a regular diet (n = 10). At the end of the treatment, the body weight, blood pressure, insulin sensitivity and serum adiponectin levels of all rats were examined, and their visceral fat was extracted and weighed. Our results showed that telmisartan improved insulin resistance and dyslipidemia and increased serum adiponectin levels. Telmisar- tan also lowered both systolic blood pressure and diastolic blood pressure, and decreased the accumulation of perirenal fat associated with high-fat diet. Furthermore, telmisartan increased adiponectin mRNA expression in the perirenal fat. Correlation analysis showed that both systolic blood pressure and diastolic blood pressure were positively correlated with perirenal fat. These effects of telmisartan may be mediated through decreases in perirenal fat and contributed to the improvement of perirenal fat function. Our findings suggested a strong link between perirenal fat and high-fat diet-induced hypertension, and identified telmisartan as a potential drug for the treatment of obesity-related hypertension. 展开更多
关键词 telmisartan high-fat diet HYPERTENSION perirenal fat ADIPONECTIN
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Telmisartan Protects against Insulin Resistance by Attenuating Inflammatory Response in Rats 被引量:2
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作者 徐西振 殷晓明 +3 位作者 冯文静 李耕 汪道文 凃玲 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2011年第3期317-323,共7页
This study investigated the effects of telmisartan on insulin resistance in high-fat diet-treated rats and the possible mechanism.A total of 40 male Sprague-Dawley rats enrolled in the study were divided into 4 groups... This study investigated the effects of telmisartan on insulin resistance in high-fat diet-treated rats and the possible mechanism.A total of 40 male Sprague-Dawley rats enrolled in the study were divided into 4 groups at random:ND group(n=10) and HD group(n=10),in which the rats were given a normal chow diet or a high-fat diet for 20 weeks following a one-week adaptation;ND+telmisartan(n=10) group and HD+telmisartan group(n=10),in which the rats were initially administered in the same way as the ND or HD group,and then they were orally gavaged with telmisartan(5 mg/kg daily) additionally for 5 weeks.Related inflammatory factors were measured by ELISA.Monocyte chemotactic protein 1(MCP-1),phosphorylated JNK and IκB-α expressions in both adipose and liver were detected by Western blotting.CRP and angiotensin Ⅱ receptor 1(AT1) mRNA expressions in both adipose and liver were determined by RT-PCR.The results showed that telmisartan administration in vivo reversed insulin resistance as evidenced by a decrease in plasma fasting glucose levels,plasma fasting insulin levels and homeostasis model of assessment-insulin resistance(HOMA-IR).Furthermore,telmisartan administration significantly reduced serum CRP,TNF-α and IL-1β levels,and elevated serum IL-10 levels.It was also found to hamper the high-fat diet-induced increase in CRP mRNA,AT1 mRNA and MCP-1,and decrease in IκB-α in both adipose and liver.It was concluded that telmisartan administration in vivo may improve insulin resistance through attenuated inflammatory response pathways. 展开更多
关键词 telmisartan insulin resistance INFLAMMATION OBESITY
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Telmisartan Attenuates the Growth of Epithelium-like Cells and Glomerular Injury in Spontaneously Hypertensive Rats 被引量:1
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作者 Zhi ZHANG Fa-zhan WANG +1 位作者 Zai-xin LI Xiang-rong SONG 《Current Medical Science》 SCIE CAS 2021年第3期498-504,共7页
The abnormal growth of epithelium-like cells has been noticed in spontaneously hypertensive rats(SHRs)with hypertensive nephropathy.However,the characteristics of abnormal epithelium-like cells and their pathogenesis ... The abnormal growth of epithelium-like cells has been noticed in spontaneously hypertensive rats(SHRs)with hypertensive nephropathy.However,the characteristics of abnormal epithelium-like cells and their pathogenesis in hypertensive nephropathy are not fully understood.In the present study,we investigated the correlation of epithelium-like cells with glomerular injury,and the effects of early drug intervention with telmisartan,an anti-hypertensive drug,on the growth of epithelium-like cells.The results showed that the epithelium-like cells were obviously observed lining along the luminal surface of Bowman’s capsule in glomeruli,significantly resulting in the atrophy of the glomerular tuft.Some of the epithelium-like cells strongly expressed proliferating cell nuclear antigen(PCNA)and vimentin,indicating active cellular proliferation.The incidence of epithelium-like cells varied from 13.6%to 54.4%of glomeruli in 48-week-old SHRs,and from 5.1%to 18.0%of glomeruli in age-matched Wistar-Kyoto(WKY)rats(P<0.01).The linear regression analysis further confirmed an obvious correlation between the incidence of epithelium-like cells and the glomerular injury.Moreover,early intervention with telmisartan could dramatically attenuate the progression of epithelium-like cells growth.However,no significant effect of telmisartan on the established epithelium-like cells was observed.Taken together,we demonstrated the involvement of abnormal epithelium-like cells growth in glomerular injury during hypertensive nephropathy in SHRs,and firstly showed the positive effects of the anti-hypertensive drug on the progression of epithelium-like cells growth. 展开更多
关键词 HYPERTENSION epithelium-like cell glomerular injury telmisartan spontaneously hypertensive rats(SHRs)
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