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GPIa C807T和G873A基因多态性对血小板聚集抑制率的影响
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作者 焦瑞宝 陈迎春 +3 位作者 江世芳 周佳丽 张盛 陈继中 《包头医学院学报》 CAS 2024年第8期21-25,共5页
目的:探讨GPIa C807T和G873A基因多态性对血小板聚集抑制率的影响,为临床个体化抗血小板聚集治疗提供实验数据支持。方法:收集正在使用阿司匹林抗血小板聚集治疗的住院患者80例,采用血栓弹力图仪检测血小板聚集抑制率,根据聚集抑制率检... 目的:探讨GPIa C807T和G873A基因多态性对血小板聚集抑制率的影响,为临床个体化抗血小板聚集治疗提供实验数据支持。方法:收集正在使用阿司匹林抗血小板聚集治疗的住院患者80例,采用血栓弹力图仪检测血小板聚集抑制率,根据聚集抑制率检测结果分为阿司匹林抵抗(aspirin resistance,AR)组(共10例)和阿司匹林敏感(aspirin sensitivity,AS)组(共70例),分析GPIa C807T、G873A基因型及其等位基因在两组分布状况以及两者患者临床资料与实验检测指标关系。结果:AR组807T、873G等位基因高于AS组(χ^(2)=4.039、4.354,P=0.044、0.037);AR组高血压病史患病率、卒中史高于AS组(χ^(2)=4.612、4.737,P=0.032、0.030);AR组血浆D-二聚体(D-D)、血清甘油三酯(TG)高于AS组(t=2.499、2.276,P=0.016、0.033),而AR组血小板聚集抑制率、血清葡萄糖低于AS组(t=15.352、3.076,P<0.001、0.005)。结论:GPIa C807T和G873A基因多态性与AR存在相关性,建议联合检测两基因位点的多态性并结合血小板聚集抑制率,共同指导临床个体化抗血小板聚集治疗。 展开更多
关键词 血小板膜糖蛋白 阿司匹林抵抗 基因突变 相关性 抗血小板聚集
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Clinical Significance of Platelet Activation Glycoproteins GPⅡb/Ⅲa, CD62p and CD63 in Pregnancy- Induced Hypertension
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作者 WANG Qian SUN Shuyu ZHAN Fengxia 《美国中华健康卫生杂志》 2005年第4期38-41,共4页
关键词 妊娠高血压 血小板活化 gpⅡb/Ⅲa CD62P CD63
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毛蕊异黄酮介导GP130/JAK/STAT通路对脊髓星形胶质细胞氧化损伤的影响
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作者 宋颖军 李旭 +1 位作者 刘小舟 张国福 《中国老年学杂志》 CAS 北大核心 2023年第9期2145-2150,共6页
目的探究毛蕊异黄酮介导糖蛋白(GP)130/Janus酪氨酸蛋白激酶(JAK)/信号转导及转录激活因子(STAT)通路对脊髓星形胶质细胞损伤的影响。方法原代分离大鼠脊髓星形胶质细胞,并利用免疫荧光检测胶原纤维酸性蛋白(GFAP)。分别加入50、100、15... 目的探究毛蕊异黄酮介导糖蛋白(GP)130/Janus酪氨酸蛋白激酶(JAK)/信号转导及转录激活因子(STAT)通路对脊髓星形胶质细胞损伤的影响。方法原代分离大鼠脊髓星形胶质细胞,并利用免疫荧光检测胶原纤维酸性蛋白(GFAP)。分别加入50、100、150μmol/L毛蕊异黄酮预处理脊髓星形胶质细胞12 h,然后加入H_(2)O_(2)处理24 h造氧化损伤模型,CCK8检测各组细胞增殖情况,选择合适的毛蕊异黄酮处理浓度。实验分组:空白对照(Control)组、模型(H_(2)O_(2))组、模型+毛蕊异黄酮预处理(H_(2)O_(2)+Calycosin)组、模型+毛蕊异黄酮预处理+抑制剂Ly294002(H_(2)O_(2)+Calycosin+Ly294002)组、模型+毛蕊异黄酮处理+抑制剂Stattic(H_(2)O_(2)+Calycosin+Stattic)组。CCK8检测各组细胞增殖情况,流式检测各组细胞凋亡和周期情况,免疫荧光检测各组细胞样本中Brdu水平;Western印迹检测各组细胞中p-JAK2、p-STAT3、p-蛋白激酶B(AKT)、GP130、白细胞介素(IL)-6蛋白表达水平。结果H_(2)O_(2)处理能够抑制脊髓星形胶质细胞的增殖并诱导其凋亡,氧化损伤模型细胞组中p-JAK2、p-STAT3、p-AKT、GP130、IL-6的蛋白表达水平显著增加,而毛蕊异黄酮预处理后能够减轻H_(2)O_(2)造成的氧化损伤,促进增殖和抑制凋亡,并显著抑制p-JAK2、p-STAT3、p-AKT、GP130、IL-6蛋白表达水平(P<0.05)。结论蕊异黄酮能够促进氧化损伤的星形胶质细胞增殖并抑制其凋亡,并能通过抑制磷脂酰肌醇-3激酶(PI3K)/AKT通路磷酸化、JAK2/STAT3通路磷酸化起作用。 展开更多
关键词 脊髓星形胶质细胞 毛蕊异黄酮 氧化损伤 糖蛋白(gp130)/Janus酪氨酸蛋白激酶(JAK)/信号转导及转录激活因子(STAT)通路
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Effect of Xiaoyu Zhixue Tablet (消瘀止血片) on Expression ofPlatelet Membrane Glycoproteins in Patients withHemorrhagic Thrombopathy 被引量:5
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作者 沈霖 沈迪 +4 位作者 高兰 刘仲萍 杨艳萍 谢晶 周丕琪 《Chinese Journal of Integrated Traditional and Western Medicine》 2004年第3期170-174,共5页
Objective: To observe the effect of Xiaoyu Zhixue tablet (消瘀止血片,XYZXT) on the expression of platelet membrane glycoproteins in patients with hemorrhagic thrombopathy, and to explore its possible mechanism. Method... Objective: To observe the effect of Xiaoyu Zhixue tablet (消瘀止血片,XYZXT) on the expression of platelet membrane glycoproteins in patients with hemorrhagic thrombopathy, and to explore its possible mechanism. Methods: The total of 148 patients with hemorrhagic thrombopathy were randomly divided into two groups, the traditional Chinese medicicne (TCM) group (n=98) treated with XYZXT and the Western medicine (WM) group (n=50) treated with adrenosin, vitamins C, K and P, both for 6 months. The therapeutic effect and the recovery rate of platelet aggregation in the two groups were observed. And platelet membrane glycoprotein (GP) Ⅰb/Ⅸ, GPⅡb/Ⅲa complexes, GPⅠb, GPⅡb, GP Ⅲa and P-selectin were analyzed by flow cytometry in both groups before and after treatment and also in 34 normal healthy subjects. Results: The total effective rate of hemostasis was 89. 8% in TCM group and 54. 0% in the WM group (x2=45.83, P<0.01), and the recovery rate of platelet aggregation was 72.4% and 4.0% respectively (x2=62.06, P<0.01). The fluorescence intensity of GP Ⅰ b/Ⅸ, GPⅡb/Ⅲa complexes, GPⅠb, GPⅢa and P-selectin were lower in both groups before treatment than those in the healthy subjects. Expression of above-mentioned marks was elevated in TCM group after 6 months' therapy, which was insignificantly different as compared with the healthy subjects (P>0.05) and higher than those in the WM group (P<0.05). Conclusion: One of the mechanisms in treating hemorrhagic thrombopathy with XYZXT is that it could regulate the expression of GP Ⅰb/Ⅸ, GPⅡ b/Ⅲa complexes, GPⅠb, GPⅢa and P-selectin at the level of receptor protein. 展开更多
关键词 hemorrhagic thrombopathy Xiaoyu Zhixue tablet platelet membrane glycoproteins
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Expression of Platelet Membrane Glycoprotein Ib/Ⅸ/Ⅴ Complex,a Receptor of Thrombin,in Patients with Hemorrhagic Thrombopathy 被引量:3
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作者 沈霖 沈迪 +4 位作者 朱锐 朱闽 卢芙蓉 秦铀 范恒 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2008年第6期657-659,共3页
To investigate the role of platelet membrane glycoprotein (GP) Ib/Ⅸ/Ⅴ complex and its subunit GP Ibα in patients with hemorrhagic thrombopathy (HT), the expressions of GP Ib/Ⅸ/Ⅴ complex and GP Ibα,defined as... To investigate the role of platelet membrane glycoprotein (GP) Ib/Ⅸ/Ⅴ complex and its subunit GP Ibα in patients with hemorrhagic thrombopathy (HT), the expressions of GP Ib/Ⅸ/Ⅴ complex and GP Ibα,defined as mean fluorescence intensity (MFI), were assessed by flow cytometry. The maximum aggregation of platelet was determined by turbidity method. These indicators were compared among 68 HT patients with the presenting complaint of hemorrhage, 33 well-controlled HT patients and 32 normal healthy subjects. The results showed that the MFI of GP Ib/Ⅸ /Ⅴ complex and GP Ibα was markedly lower in HT patients with current hemorrhage than that in the healthy subjects, with difference being statistically significant (P〈0.05). There was no significant difference in the expressions of GP Ib/ Ⅸ/ Ⅴ complex and GP Ibα between well-controlled HT patients and normal healthy subjects (P〉0.05). It was concluded that the expression of GP Ib/Ⅸ /Ⅴ complex, the receptor of thrombin and von Willebrand factor, was down-regulated in HT patients with current hemorrhage, which might result in the dysfunction of platelet aggregation and recurrence of HT. 展开更多
关键词 platelet membrane glycoproteins hemorrhagic thrombopathy thrombin receptor plateletAGGREGATION
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Association of the Platelet Membrane Glycoprotein Ⅰa C807T Gene Polymorphism with Aspirin Resistance 被引量:1
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作者 苏冠华 王朝晖 +2 位作者 丁艳萍 刘晓倩 王珏 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2007年第6期664-667,共4页
To explore the correlation between the C807T polymorphism of platelet membrane glycoprotein Ⅰa (GP Ⅰa) gene and aspirin resistance in Chinese people, 200 patients with high-risk of atherosclerosis took aspirin (1... To explore the correlation between the C807T polymorphism of platelet membrane glycoprotein Ⅰa (GP Ⅰa) gene and aspirin resistance in Chinese people, 200 patients with high-risk of atherosclerosis took aspirin (100 mg/d) for 7 days. Platelet aggregation function was detected using adenosine diphosphate (ADP) and arachidonic acid (AA) before and after the administration of aspirin. Then the subjects were divided into three groups according to the results of platelet aggregation function: an aspirin resistant (AR) group, an aspirin semi-responder (ASR) group and an aspirin-sensitive (AS) group. Platelet GP Ⅰa gene 807CT polymorphism was examined by means of polymerase chain reaction-sequence specific primers (PCR-SSP). The results showed that T allelic frequency in AR group and ASR group were higher that of AS group (P〈0.005), and the prevalence of genotypes (TT+TC) of these two groups was significantly higher than that in AS group (P〈0.05). Platelet GP Ⅰa T allele was significantly associated with aspirin resistance as revealed by multiple logistic regression (OR=3.76, 95% CI: 2.87-9.58). The results suggest that inherited platelet GP Ⅰa variations may have an important impact on aspirin resistance and the presence of GP Ⅰa T allele may be a marker of genetic susceptibility to aspirin resistance. 展开更多
关键词 platelet membrane glycoprotein aspirin resistance genetic polymorphism ATHEROSCLEROSIS
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Association of the Platelet Glycoprotein Ia C807T Gene Polymorphism With Risk of Myocardial Infarction in Chinese 被引量:2
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作者 Zhao Qingbin Ma Aiqun Sun Chaofeng 《South China Journal of Cardiology》 CAS 2007年第2期87-91,86,共6页
Objectives To investigate the relationship of the GPIa C807T dimorphism to the risk of myocardial infarction (MI) in Chinese. Methods We did a case-control study including 100 patients and 110 controls with same rac... Objectives To investigate the relationship of the GPIa C807T dimorphism to the risk of myocardial infarction (MI) in Chinese. Methods We did a case-control study including 100 patients and 110 controls with same race. An allele-specific polymerase chain reaction (PCR) was used for genotyping of C807T polymorphism. Results An apparent association was found between the T807 allele and MI among individuals younger than the mean age of 60 years (odds ratio, 2. 49 ; 95 % confidence interval, 1.08 - 6.22 ). The T807 allele remained an independent risk factor for MI when age, sex, smoking, hypertension, diabetes, bodymass index, LDL-cholesterol and HDL-cholesterol were adjusted by logistic regression. Conclusions GPIa T807 appears to be an independent risk factor for MI. 展开更多
关键词 platelet glycoprotein Gene polymorphism Myocardial infarction
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Redistribution of Platelet Membrane Glycoprotein IV and Release of Intracellular α-granule Thrombospondin in Patients with Chronic Myelogenous Leukemia
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作者 刘东旭 沈迪 +3 位作者 邹萍 魏文宁 王爱莲 杨锐 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 1997年第1期21-24,共4页
The redistribution of platelet membrane glycoprotein IV (GPIV) and the release of intracellular Q-granule thrombospondin (TSP) were examined and the inhibition of 5-thromboglobulin (&TG) and platelet factor 4 (PF4... The redistribution of platelet membrane glycoprotein IV (GPIV) and the release of intracellular Q-granule thrombospondin (TSP) were examined and the inhibition of 5-thromboglobulin (&TG) and platelet factor 4 (PF4) in patients with chronic myelogenous leukemia (CML) was observed and quantitation of β-TG and PF4 in sera was conducted. GPIV in inactive platelet from CML was 36080±17010 molecules/platelet as compared with 13190±4810 from the controls (P<0,01), No abnormality was found in the distribution of platelet membrane GPIb and GPIIb/III.(P>0. 05). The GPIV redistribution on active platelet membrane induced thrombin (1U/ml) from CML and healthy donors was 44320132310 and 228001 12700 molecules/platelet respectively (P<0. 01 ). The difference in the release of intracellular Q-granule TSP between CML and the control group was not found (P>0.05). There was no direct correlation between GPIV expression and TSP binding after platelet activation. The high leveIs of β-TG and PF4 in sera inhibited release of intracellular a-granule TSP in vitro. These results indicate that the abnormality of platelet membrane GPIV is a common marker in CML, therefore the specific increase of platelet GPIV in patients with CML may be a useful tool for the diagnosis and monitoring of the platelet dysfunction. The release of interna1 TSP pools is hindered by either β-TG or PF4 in sera. 展开更多
关键词 chronic myelogenous leukemia platelet membrane glycoprotein IV THROMBOSPONDIN
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OBSERVATION OF MEGAKARYOCYTOPOIESIS IN HUMAN FETUS BY IMMUNOCYTOCHEMICAL STAINING WITH ANTI-PLATELET GLYCOPROTEIN ⅡB /ⅢA MONOCLONAL ANTIBODY
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作者 MA Dongchu CHU Junjie SUN Yinghui CHANG Kuizhong ZUO Wei (Department of Experimental Medicine, General Hospital of Shenyang Shenyang, China) Correspondence: Dr. MA Dongchu, Department of Experimental Medicine, General Hospital of Shenyang, 83, Wenhua Road, Shenyang, Liaoning 110015, China. 《中国实验血液学杂志》 CAS CSCD 1994年第2期197-204,共8页
Fetal liver tissues obtained from 28 human fetuses with gestation age from 3 to 6 months and fetal bone marrow from 35 human fetuses from 3 to 7 months were observed by immunochemical staining with anti-platelet GPⅡ ... Fetal liver tissues obtained from 28 human fetuses with gestation age from 3 to 6 months and fetal bone marrow from 35 human fetuses from 3 to 7 months were observed by immunochemical staining with anti-platelet GPⅡ b / Ⅲa monoclonal antibody and ABC technique. In the fetal liver, megakaryocytes were wholly located among growing fetal liver cells and near foci of hemopoiesis. Some megakaryocytes in the fetal liver were small7890- lymphoid-like megakaryocytes. The size of megakaryocytes both in the fetal liver (14.79 ± 4.52μm) and in the fetal bone marrow (16.08±7.39 μm) was small, which did not vary significantly over the gestation age ranging from 3 to 6 or 7 months. However, the maturation stage of megakaryocytes in the fetal liver shifted to more mature stage with the advancement of gestation, although the maturation stage of megakaryocytes in the fetal bone marrow did not change with the advancement of gestation from 4 to 7 months, the megakaryocyte in the fetal bone marrow was less mature 展开更多
关键词 MEGAKARYOCYTE anti- platelet gp b / a monoclonal anti- body immunocytochemical STAINING
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Effect of the platelet membrane GPⅠa gene polymorphism in the pathogenesis of unstable angina pectoris
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作者 YonghuiZhao ChangcongCui +1 位作者 YanniWang JiaqingZhu 《Journal of Nanjing Medical University》 2005年第3期126-130,共5页
Objective: To investigate the effect of platelet membrane glycoprotein(GP) Ⅰa gene polymorphism in the pathogenesis of unstable angina pectoris (UAP) in Chinese people. Methods: Collagen type Ⅰ-induced platelet aggr... Objective: To investigate the effect of platelet membrane glycoprotein(GP) Ⅰa gene polymorphism in the pathogenesis of unstable angina pectoris (UAP) in Chinese people. Methods: Collagen type Ⅰ-induced platelet aggregation was measured in 33 healthy subjects in vitro. Plasma level of α-granule membrane protein (GMP-140) was measured in both the above 33 healthy subjects during fasting and 35 patients with recent onset effort anina during rest onset within 24 h after hospitalization. Furthermore, the platelet membrane GP Ⅰa gene 807C/T polymorphism was checked in all subjects with polymerase chain reaction-sequence specific primers(PCR-SSP) technique. Results: The lag time before 30% platelet aggregation was significantly longer in healthy subjects with CC genotype than with TC genotype (P<0.01). However, there was no significant difference in the maximal platelet aggregation between healthy subjects with the above two genotypes. Plasma level of GMP-140 was significantly higher in TC genotypic patients with recent onset effort angina than in CC genotypic patients with the same type of UAP(P<0.05) and healthy subjects (P<0.01), furthermore, there was also significant difference between the latter two groups(P<0.05). Conclusion: The rapid initiation of collagen-induced platelet aggregation may be associated with platelet membrane GP Ⅰa T (807) allele, which may play an important role in the pathogenesis of UAP. 展开更多
关键词 platelet glycoprotein POLYMORPHISM angina pectoris
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Identification of active pocket and protein druggability within envelope glycoprotein GP2 from Ebola virus
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作者 Beuy Joob Viroj Wiwanitkit 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2014年第12期939-940,共2页
The drug searching for combating the present outbreak of Ebola virus infection is the urgent activity at present.Finding the new effective drug at present must base on the molecular analysis of the pathogenic virus.Th... The drug searching for combating the present outbreak of Ebola virus infection is the urgent activity at present.Finding the new effective drug at present must base on the molecular analysis of the pathogenic virus.The in-depth analysis of the viral protein to find the binding site,active pocket is needed.Here,the authors analyzed the envelope glycoprotein GP2 from Ebola virus.Identification of active pocket and protein draggability within envelope glycoprotein GP2 from Ebola virus was done.According to this assessment,7 active pockets with varied draggability could be identified. 展开更多
关键词 Active pocket Ebola virus Druggability Envelope glycoprotein gp2
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Current Role of Platelet Glycoprotein Ⅱ b/Ⅲ a Receptor Inhibitors in Clinical Trials of Cardiovascular Diseases
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作者 沈迪 《血栓与止血学》 2001年第2期51-52,共2页
Thrombosis formation on disrupted atherosclerotic plaque is the most common acuse of cardiovascular diseases, in the pathophysiology, increased platelet reactivity is a descriptor of the risk of cardiovascular events ... Thrombosis formation on disrupted atherosclerotic plaque is the most common acuse of cardiovascular diseases, in the pathophysiology, increased platelet reactivity is a descriptor of the risk of cardiovascular events in healthy persons and in patients with overt coronary artery disease. Regardless of the stimulus for activation platelet-platelet interation and thrombus formation is ultimately regulated through the GP Ⅱ b/Ⅲ a receptor 展开更多
关键词 血小板gpⅡb 受体抑制剂 临床试验 Gardiovascular病
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原发与继发免疫性血小板减少症患者血小板膜糖蛋白特异性抗体及其与出血评分关系的研究 被引量:1
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作者 王秀娟 孙明玲 +2 位作者 马金忠 宋梦婷 郭新红 《中国现代医学杂志》 CAS 2024年第1期78-83,共6页
目的探讨原发与继发免疫性血小板减少症(ITP)患者抗GPⅡb/Ⅲa及GPΙb/Ⅸ抗体的表达、抗体阳性表达与出血评分的关系,以及不同抗体类型出血评分的差异,为原发与继发ITP患者的诊治和出血严重程度提供临床依据。方法选取2013年10月—2020年... 目的探讨原发与继发免疫性血小板减少症(ITP)患者抗GPⅡb/Ⅲa及GPΙb/Ⅸ抗体的表达、抗体阳性表达与出血评分的关系,以及不同抗体类型出血评分的差异,为原发与继发ITP患者的诊治和出血严重程度提供临床依据。方法选取2013年10月—2020年8月在新疆医科大学第一附属医院诊断为原发ITP患者(42例)及继发ITP患者(42例)为研究对象,所有患者入院时采用ITP出血评分量表行出血评分。应用改良MAIPA法检测患者抗GPⅡb/Ⅲa和抗GPΙb/Ⅸ抗体。结果原发与继发组患者抗GPⅡb/Ⅲa抗体、抗GPΙb/Ⅸ抗体阳性率比较,差异无统计学意义(P>0.05),原发组患者抗体表达以抗GPⅡb/Ⅲa抗体为主,继发组抗体表达以抗GPΙb/Ⅸ抗体为主,两者抗体阳性构成比较,差异有统计学意义(P<0.05)。继发组患者整体出血程度较原发组重(P<0.05)。抗体阳性表达与出血程度的关系:(1)抗GPⅡb/Ⅲa抗体阳性患者出血程度较抗体阴性患者重(P<0.05)。(2)抗GPΙb/Ⅸ抗体阳性患者出血程度较抗体阴性患者重(P<0.05),双抗体阳性患者出血程度较抗体阴性患者重(P<0.05)。结论抗GPⅡb/Ⅲa抗体、抗GPΙb/Ⅸ抗体阳性表达对原发与继发ITP无鉴别意义,但原发ITP患者抗体表达以抗GPⅡb/Ⅲa抗体为主,继发ITP患者抗体表达以抗GPΙb/Ⅸ抗体为主。继发ITP患者临床出血程度较原发ITP患者重。抗GPⅡb/Ⅲa抗体、抗GPΙb/Ⅸ抗体及抗体双阳性患者出血程度较抗体阴性患者重。 展开更多
关键词 免疫性血小板减少症 血小板膜糖蛋白特异性抗体 出血评分
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血小板糖蛋白抗体的差异性分布对儿童原发免疫性血小板减少症临床疗效的影响
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作者 史洋溢 吴勇 《中国现代医生》 2024年第28期47-51,共5页
目的探讨3种血小板糖蛋白(platelet glycoprotein,GP)特异性抗体(抗GPIb/Ⅸ、GPⅡb/Ⅲa和GPIa/Ⅱa抗体)在儿童原发免疫性血小板减少症(primary immune thrombocytopenia,ITP)患者中的差异分布对其一线治疗后疗效的影响。方法回顾性分析2... 目的探讨3种血小板糖蛋白(platelet glycoprotein,GP)特异性抗体(抗GPIb/Ⅸ、GPⅡb/Ⅲa和GPIa/Ⅱa抗体)在儿童原发免疫性血小板减少症(primary immune thrombocytopenia,ITP)患者中的差异分布对其一线治疗后疗效的影响。方法回顾性分析2019年12月至2023年12月于绵阳市中心医院住院的儿童ITP患者54例,根据抗体检测结果将其分为:A1组(抗GPⅠb/Ⅸ抗体阳性,18例)和A2组(抗GPⅠb/Ⅸ抗体阴性,36例),B1组(抗GPⅡb/Ⅲa抗体阳性,30例)和B2组(抗GPⅡb/Ⅲa抗体阴性,24例),C1组(抗GPⅠa/Ⅱa抗体阳性,16例)和C2组(抗GPⅠa/Ⅱa抗体阴性,38例)。所有患儿均给予标准一线方案治疗。分析抗体分布与治疗后血小板(platelet,PLT)计数变化趋势及疗效的关系。结果治疗后,各组患儿的PLT计数均随时间推移而显著升高(P<0.05);治疗后24h、72h、7d,A1组患儿的PLT计数均显著低于同期A2组(P<0.05);B1组和B2组患儿不同时间点的PLT计数比较差异均无统计学意义(P>0.05);治疗后7d,C1组患儿的PLT计数显著低于C2组(P<0.05)。治疗后1个月,A1组和C1组患儿的疗效分别显著低于A2组和C2组(P<0.05),B1组和B2组患儿的疗效比较差异无统计学意义(P=0.081)。结论不同抗体分布的ITP患儿一线方案治疗后的疗效存在差异,抗GPⅠb/Ⅸ抗体和抗GPⅠa/Ⅱa抗体阳性的患儿疗效更差,抗GPⅡb/Ⅲa抗体阳性和阴性患儿的疗效无差异。 展开更多
关键词 原发免疫性血小板减少症 血小板糖蛋白特异性抗体 儿童 血小板计数
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冠心病患者血清瘦素水平变化及其与血小板膜GPⅠ b的关系 被引量:3
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作者 夏大胜 宋衍秋 +2 位作者 李超 张峰 魏民新 《天津医药》 CAS 北大核心 2007年第2期81-83,共3页
目的:探讨冠心病患者血清瘦素水平变化及其与血小板膜GPⅠb的关系。方法:选择经冠状动脉造影确诊的冠心病患者50例(冠心病组)、非冠心病患者30例作为对照(对照组)。应用全血流式细胞术检测血小板膜GPⅠb阳性百分率及平均荧光强度,酶联... 目的:探讨冠心病患者血清瘦素水平变化及其与血小板膜GPⅠb的关系。方法:选择经冠状动脉造影确诊的冠心病患者50例(冠心病组)、非冠心病患者30例作为对照(对照组)。应用全血流式细胞术检测血小板膜GPⅠb阳性百分率及平均荧光强度,酶联免疫吸附法检测血清瘦素水平。结果:冠心病组血小板膜GPⅠb阳性百分率及平均荧光强度均低于对照组(P<0.05);校正收缩压、体质量指数(BMI)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、空腹血糖、2h血糖、空腹胰岛素水平及定量胰岛素敏感指数,冠心病组血清瘦素水平高于对照组(P<0.05);单因素相关分析表明冠心病患者血清瘦素水平与血小板膜GPⅠb平均荧光强度呈负相关(P<0.05);多元逐步回归分析显示冠心病患者血清瘦素水平与血小板膜GPⅠb平均荧光强度呈独立负相关(P<0.05);Logistic回归分析显示血清瘦素与冠心病发病呈独立正相关(P<0.05)。结论:冠心病患者表现为高瘦素血症,血清瘦素水平增高可能影响血小板活化,高瘦素血症可能在冠心病的发病中具有重要的作用。 展开更多
关键词 冠状动脉疾病瘦素血小板血小板糖蛋白gpⅠb-Ⅸ复合物
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龙柴降血方对原发性血小板增多症患者凝血功能及血小板活化蛋白的影响
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作者 郑茂凤 李芋锦 +7 位作者 杨二鹏 李雨蒙 孙妍 陈科 陈卓 吕妍 王明镜 胡晓梅 《现代中西医结合杂志》 CAS 2024年第15期2088-2093,共6页
目的观察龙柴降血方对原发性血小板增多症(ET)患者凝血功能及血小板活化蛋白的影响。方法选取2020年1月—2021年10月中国中医科学院西苑医院收治的ET患者22例,给予龙柴降血方治疗4个月,观察治疗前后血栓弹力图指标[凝血时间(R)、凝血速... 目的观察龙柴降血方对原发性血小板增多症(ET)患者凝血功能及血小板活化蛋白的影响。方法选取2020年1月—2021年10月中国中医科学院西苑医院收治的ET患者22例,给予龙柴降血方治疗4个月,观察治疗前后血栓弹力图指标[凝血时间(R)、凝血速率(K)、纤维蛋白功能(Angle)、血栓最大振幅(MA)、血栓最大振幅时间(TMA)、即时振幅(A)、30 min振幅(A30)、从血样开始检测到曲线分叉所需时间(SP)、血凝块溶解时间(CLT)]、高凝状态发生率和积分变化。选取其中15例ET患者,采用平行反应监测(PRM)技术检测患者治疗前后血小板活化蛋白[血小板膜糖蛋白Ibα(GPIbα)、糖蛋白VI(GPVI)、选择素-P(SELP)]表达水平,分析比较血小板聚集改善患者和血小板聚集增强患者上述各蛋白表达水平的差异;取5例健康者和10例ET患者治疗前后血清,采用Western blot法检测血清GPIbα表达情况;分析15例ET患者MA与血清GPIbα表达水平的相关性。结果与治疗前比较,龙柴降血方治疗后MA、CLT、高凝状态发生率、高凝状态积分和血清GPIbα、GPVI表达水平均明显降低(P均<0.05),血清SELP表达水平无明显变化(P>0.05)。治疗后血小板聚集改善患者血清GPIbα表达水平明显低于血小板聚集增强患者(P<0.05),GPVI表达水平无明显变化(P>0.05)。与健康人相比,10例ET患者治疗前血清GPIbα相对表达量明显增高(P<0.05);10例ET患者治疗后血清GPIbα相对表达量较治疗前明显降低(P<0.05)。龙柴降血方治疗后MA下降与GPIbα表达下调呈正相关(r=0.6986,P<0.05)。结论龙柴降血方能够抑制ET患者血小板聚集,改善高凝状态,其机制可能与抑制GPIbα蛋白介导的血小板活化信号通路有关。 展开更多
关键词 原发性血小板增多症 龙柴降血方 血栓最大振幅 血小板聚集 血小板活化 血小板膜糖蛋白IBΑ
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GpⅡb/Ⅲa基因多态性与冠心病关系的研究 被引量:1
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作者 吴建华 朱健华 +1 位作者 潘闽 石桂良 《山东医药》 CAS 北大核心 2009年第28期18-20,共3页
目的探讨血小板膜糖蛋白(Gp)Ⅱb/Ⅲa基因多态性与冠心病的关系。方法选择冠心病患者86例(A组)和健康体检者80例(B组),运用聚合酶链—序列特异性引物技术进行GpⅡb人类血小板抗原3(HPA-3)及GpⅢa HPA-1多态性检测。结果A组和B组中GpⅡb H... 目的探讨血小板膜糖蛋白(Gp)Ⅱb/Ⅲa基因多态性与冠心病的关系。方法选择冠心病患者86例(A组)和健康体检者80例(B组),运用聚合酶链—序列特异性引物技术进行GpⅡb人类血小板抗原3(HPA-3)及GpⅢa HPA-1多态性检测。结果A组和B组中GpⅡb HPA-3 aa、ab、bb基因型分布有统计学差异,A组ab、bb基因型的分布较B组高,A组b等位基因频率高于B组。GpⅡb HPA-3 ab和bb基因型在心肌梗死组中的分布、b等位基因频率高于非心肌梗死组。结论GpⅡb HPA-3b等位基因可能是冠心病的遗传易患因子,GpⅡb HPA-3可能为心肌梗死发生的遗传易感性标志,GpⅢa HPA-1基因可能与冠心病发生无关联。 展开更多
关键词 冠状动脉疾病 血小板膜糖蛋白受体 gpⅡb/Ⅲa复合体
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阿司匹林抵抗与血小板膜GPⅡb/Ⅲa受体基因多态性的相关性 被引量:11
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作者 刘菊 黄婷 梅群超 《医药导报》 CAS 北大核心 2013年第3期328-331,共4页
目的探讨血小板糖蛋白血小板膜GPⅡb/Ⅲa受体基因多态性与阿司匹林半抵抗或抵抗的相关性。方法连续服用阿司匹林100 mg.d-1共7 d的老年冠心病患者200例。采用二磷酸腺苷(ADP)和花生四烯酸(AA)作诱导剂测定血小板聚集功能。采用聚合酶链... 目的探讨血小板糖蛋白血小板膜GPⅡb/Ⅲa受体基因多态性与阿司匹林半抵抗或抵抗的相关性。方法连续服用阿司匹林100 mg.d-1共7 d的老年冠心病患者200例。采用二磷酸腺苷(ADP)和花生四烯酸(AA)作诱导剂测定血小板聚集功能。采用聚合酶链反应-限制性核酸内切法(PCR-RFLP)检测PLA2/PLA1基因多态性。结果阿司匹林半抵抗发生率为22.5%,阿司匹林抵抗发生率为16.5%,阿司匹林敏感发生率为61.0%。阿司匹林半抵抗和抵抗两组患者中PLA2等位基因出现的频率为11.54%,明显高于阿司匹林敏感组的患者组PLA2等位基因出现的频率(1.22%)(P<0.05)。结论血小板膜GPⅡb/Ⅲa的PLA2等位基因与阿司匹林抵抗的发生相关联,可能为阿司匹林抵抗发生的一种遗传易感性标志。 展开更多
关键词 阿司匹林抵抗 血小板膜糖蛋白 多态性
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基于AQP-4、P-gp黄芩苷、栀子苷配伍对缺血/再灌注损伤大鼠血脑屏障保护机制研究 被引量:17
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作者 李敏 王斌 +5 位作者 曹慧 武璞 沈甜 宋亚刚 翟小虎 侯建平 《中国药理学通报》 CAS CSCD 北大核心 2017年第3期443-444,共2页
课题组前期发现,黄芩苷、栀子苷(7:3)配伍具有抗脑缺血作用。本实验进一步考察黄芩苷、栀子苷(7:3)配伍对脑缺血/再灌注损伤大鼠AQP-4、P-gp影响,探讨黄芩苷、栀子苷配伍对脑缺血/再灌注损伤的血脑屏障通透性和脑水肿的影响及作... 课题组前期发现,黄芩苷、栀子苷(7:3)配伍具有抗脑缺血作用。本实验进一步考察黄芩苷、栀子苷(7:3)配伍对脑缺血/再灌注损伤大鼠AQP-4、P-gp影响,探讨黄芩苷、栀子苷配伍对脑缺血/再灌注损伤的血脑屏障通透性和脑水肿的影响及作用机制。1材料与方法1.1药品与试剂黄芩苷(陕西中鑫生物技术有限公司,批号140821);栀子苷(陕西维奥生物技术有限公司,批号140912). 展开更多
关键词 黄芩苷+栀子苷 脑缺血/再灌注损伤 血脑屏障 脑水肿 水通道蛋白 P-糖蛋白
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早产儿颅内出血与血小板参数变化及血小板膜糖蛋白GPIbαHPA-2基因多态性的相关性研究 被引量:4
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作者 梁志强 陈尚勤 +3 位作者 林振浪 张姿英 陈鲜威 林锦 《中国循证儿科杂志》 CSCD 2009年第5期448-452,共5页
目的探讨早产儿颅内出血(ICH)与外周血血小板参数变化的关系,分析血小板膜糖蛋白GPIbαHPA-2基因多态性与ICH的相关性。方法选择2005年5月至2007年5月在温州医学院附属育英儿童医院新生儿科住院的胎龄<34周、出生体重<1500g的早... 目的探讨早产儿颅内出血(ICH)与外周血血小板参数变化的关系,分析血小板膜糖蛋白GPIbαHPA-2基因多态性与ICH的相关性。方法选择2005年5月至2007年5月在温州医学院附属育英儿童医院新生儿科住院的胎龄<34周、出生体重<1500g的早产儿为研究对象。按生后2周内头颅B超检查结果,分为ICH组和无ICH组。ICH组根据ICH分度结果分为轻度(Ⅰ和Ⅱ度)和重度ICH(Ⅲ和Ⅳ度)亚组。入选患儿在入院第2天检测血小板各项参数,采用PCR及限制性内切酶分析法检测血小板膜糖蛋白GPIbαHPA-2基因多态性。各组等位基因比例采用Hardy-Weinberg平衡检验。结果ICH组纳入68例,其中轻度ICH亚组53例,重度ICH亚组15例;无ICH组纳入75例。ICH组PLT和平均血小板体积(PCT)显著低于无ICH组,P<0.05;重度ICH亚组较轻度ICH亚组上述指标下降更显著,P<0.05。ICH组58/68例、无ICH组65/75例成功进行了血小板膜糖蛋白GPIbαHPA-2基因多态性检测。ICH组血小板膜糖蛋白GPIbαHPA-2的各基因型比例为:TT77.6%(45/58例),TM17.2%(10/58例),MM5.2%(3/58例);M基因频率为13.8%(16/116频次);无ICH组为TT89.2%(58/65例),TM10.8%(7/65例),MM0;M基因频率为5.4%(7/130频次)。两组M基因频率差异有统计学意义。轻度ICH亚组与重度ICH亚组M基因频率差异无统计学意义(12.5%vs20.0%)。ICH组和无ICH组各基因型比例符合Hardy-Weinberg遗传平衡。含有M等位基因患儿PLT和PCT显著低于无M等位基因患儿。结论①ICH早产儿存在血小板参数异常现象;②血小板膜糖蛋白GPIbαHPA-2基因多态性与早产儿ICH发生的关联性值得更细化的研究;③血小板膜糖蛋白GPIbαHPA-2M等位基因可能与早产儿ICH的严重程度无关。 展开更多
关键词 早产儿 颅内出血 血小板 血小板膜糖蛋白gpIbαHPA-2基因 多态性
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