AIM: To determine the complex of AST and immunoglobulin and to investigate its clinical significance in patients with liver disease.METHODS: The complex of AST and immunoglobulin was determined by encounter immunoelec...AIM: To determine the complex of AST and immunoglobulin and to investigate its clinical significance in patients with liver disease.METHODS: The complex of AST and immunoglobulin was determined by encounter immunoelectrophoresis and its clinical significance was investigated in 128 patients with liver disease.RESULTS: AST was bound to immunoglobulin of antiimmunoglobulin A (IgA) class, but any binding to antiimmunoglobulin G and anti-immunoglobulin M classes was not observed. Although the incidence of ASTimmunoglobulin complex was 41.8% in chronic hepatitis (CH), the incidences in liver cirrhosis and hepatocellular carcinoma were 62.2 and 90.0%, respectively. In alcoholic liver disease with high level of serum IgA, the incidence of the complex was 66.7%, which was higher than that in CH. The ratio of binding to lambda-chain of IgA was higher than that to kappa-chain of IgA. The serum level of IgA and the ratio of AST/alanine aminotransferase (ALT) were significantly higher in patients with AST-IgA complex than in those without complex.CONCLUSION: These results suggest that AST-IgA complex in patients with progressive liver diseases and alcoholic liver injury can lead to elevation of the ratio of AST/ALT.展开更多
AIM: To evaluate the hepatic dysfunction in leptospirosis is usually mild and resolved eventually. However,sequential follow-up of liver biochemical data remained lacking..METHODS: The biochemistry data and clinical s...AIM: To evaluate the hepatic dysfunction in leptospirosis is usually mild and resolved eventually. However,sequential follow-up of liver biochemical data remained lacking..METHODS: The biochemistry data and clinical symptoms of 11 sporadic patients were collected and analyzed, focusing on the impacts of leptospirosis upon liver biochemistry tests.RESULTS: The results disclosed that of the 11 cases, 5 or 45% died. The liver biochemistry data in the beginning of the disease course were only mildly elevated.Nevertheless, late exaggerated aspartate transaminase (AST)elevations were noted in three cases who finally died when compared with the typical course. Besides, significant higher AST/alanine transaminase (ALT) ratios (AARs) of the peak levels for transaminase were also noted in the cases who eventually succumbed. The mean±SD of AARs for the survival group and dead group were 5.65±2.27 (n = 5)and 1.86±0.64 (n = 6) respectively (P= 0.006). The ratios of the cases who finally died were all more than 3.0.Conversely, the survival group's ratios were less than 3.0.CONCLUSION: Serial follow-up of transaminase might provide evidence to predict some rare evolutions in leptospirosis. If AST elevated progressively without a concomitant change of ALT, it might indicate an acute disease course with ensuing death. Additionally, AAR is another prognostic parameter for leptospirosis. Once the value was higher than 3.0, a grave prognosis is inevitable.展开更多
Compared to data on adolescents and adults,limited research has been conducted on biological correlates among young children with possible psychological difficulties,especially in Asian countries.By focusing on variou...Compared to data on adolescents and adults,limited research has been conducted on biological correlates among young children with possible psychological difficulties,especially in Asian countries.By focusing on various peripheral biochemical indicators,we investigated potential biological correlates of psychological states in a community sample of Taiwan Residents school children aged6–10 years.In total,307 students(159 obese children and148 normal-weight children) were selected from first- and fourth-grade school children in eight elementary schools in the Taipei metropolitan area in 2009.These children underwent a comprehensive health examination,including a physical examination,blood sample analysis,andquestionnaire administration in a hospital.Differences in anthropometric and serum biochemical readings were compared between children with average and worse levels on each of the five psychological domains.We found that interleukin(IL)-1β [b = 1.29,95 % confidence interval(CI) 0.50–2.09],IL-10(b = 1.61,95 % CI \0.01–3.24),fasting blood glucose(b = 0.08,95 % CI 0.01–0.15),homocysteine(b = 0.63,95 % CI 0.09–1.18),and aspartate transaminase(AST)(b = 0.15,95 % CI \0.01–0.31)were significantly positively associated with anxiety.In addition,IL-1β,insulin,AST,and alanine aminotransaminase(ALT) were significantly positively associated with depression.Anger and disruptive behaviors were also related to specific biological correlates.Specific biological correlates,including AST/ALT,cardiovascular diseaserelated variables,and specific cytokines,were linked to particular psychological states among young children in this Asian population.These might provide a route for better understanding the biological aspects of children's mental health and might contribute to research on diagnostic or predictive biomarkers for psychiatric diseases in young children.展开更多
探讨D-柠檬烯(D-limonene)对大鼠酒精性肝损伤脂质代谢紊乱的保护作用及可能作用机制,利用持续酒精灌胃的方法建立大鼠酒精肝损伤模型,分为A、B、C、D、E、F、G共7组。A组为空白对照组,每日给予蒸馏水灌胃,前2周8 m L/(kg·d),后4周...探讨D-柠檬烯(D-limonene)对大鼠酒精性肝损伤脂质代谢紊乱的保护作用及可能作用机制,利用持续酒精灌胃的方法建立大鼠酒精肝损伤模型,分为A、B、C、D、E、F、G共7组。A组为空白对照组,每日给予蒸馏水灌胃,前2周8 m L/(kg·d),后4周12 m L/(kg·d);B组为酒精模型组,每日灌胃体积分数为50%的乙醇,前2周8 m L/(kg·d),后4周12 m L/(kg·d);C、D、E组分别为D-柠檬烯低、中、高剂量组,每日分别灌胃D-柠檬烯100、200、400 m L/(kg·d),其中D-柠檬烯与A、B组等量的50%的乙醇混合后灌胃;F组为水和D-柠檬烯空白高剂量组,每日给予D-柠檬烯400 m L/(kg·d);G组为甘利欣药物对照组,灌胃量200 m L/(kg·d)。HE染色和电镜观察肝组织形态结构和肝组织超微结构的变化,测定血清谷丙转氨酶(alanine transaminase,ALT)、谷草转氨酶(aspartate transaminase,AST)、碱性磷酸酶(phosoporic acid,ALP)、胆碱酯酶(cholinesterase,CHE)、甘油三酯(triglyceride,TG)、胆固醇(cholesterol,CHO)、低密度脂蛋白胆固醇(low density lipoprotein-cholesterol,LDL-C)水平。结果电镜下观察到A组肝细胞结构正常,核呈圆形或椭圆,线粒体形态正常。B组肝细胞次级溶酶体数量增加,线粒体形状不规则,脂滴多。C组可见少量脂滴,高尔基体正常,线粒体清楚。D组少量脂滴,胆小管有内容物,线粒体正常。E组线粒体高尔基体正常,少量脂滴,核圆。F组细胞器无异常,少量脂滴。G组少量脂滴,偶见溶酶,体线粒体正常。B组大鼠血清ALT、AST、ALP、CHE、TG、CHO、LDL-C均高于空白对照组,差异显著(P<0.05);F组大鼠血清所测各指标与空白对照组无明显差异;而D-柠檬烯低、中、高剂量干预组和酒精模型组比较,血清所测各指标水平均有不同程度地降低,其中D-柠檬烯中、高剂量干预组血清所测各指标水平明显低于酒精模型组,差异显著(P<0.05)。结论:过量酒精摄入引起的肝组织超微结构病理损伤与升高血清ALP、CHE、ALT、AST、TG、CHO、LDL-C水平,在D-柠檬烯干预下有所减轻和降低。因此,D-柠檬烯可调节过量酒精摄入造成的脂质代谢紊乱。展开更多
文摘AIM: To determine the complex of AST and immunoglobulin and to investigate its clinical significance in patients with liver disease.METHODS: The complex of AST and immunoglobulin was determined by encounter immunoelectrophoresis and its clinical significance was investigated in 128 patients with liver disease.RESULTS: AST was bound to immunoglobulin of antiimmunoglobulin A (IgA) class, but any binding to antiimmunoglobulin G and anti-immunoglobulin M classes was not observed. Although the incidence of ASTimmunoglobulin complex was 41.8% in chronic hepatitis (CH), the incidences in liver cirrhosis and hepatocellular carcinoma were 62.2 and 90.0%, respectively. In alcoholic liver disease with high level of serum IgA, the incidence of the complex was 66.7%, which was higher than that in CH. The ratio of binding to lambda-chain of IgA was higher than that to kappa-chain of IgA. The serum level of IgA and the ratio of AST/alanine aminotransferase (ALT) were significantly higher in patients with AST-IgA complex than in those without complex.CONCLUSION: These results suggest that AST-IgA complex in patients with progressive liver diseases and alcoholic liver injury can lead to elevation of the ratio of AST/ALT.
基金Supported by the Chang Gung Medical Research Project fund, No. CMRPG 33014
文摘AIM: To evaluate the hepatic dysfunction in leptospirosis is usually mild and resolved eventually. However,sequential follow-up of liver biochemical data remained lacking..METHODS: The biochemistry data and clinical symptoms of 11 sporadic patients were collected and analyzed, focusing on the impacts of leptospirosis upon liver biochemistry tests.RESULTS: The results disclosed that of the 11 cases, 5 or 45% died. The liver biochemistry data in the beginning of the disease course were only mildly elevated.Nevertheless, late exaggerated aspartate transaminase (AST)elevations were noted in three cases who finally died when compared with the typical course. Besides, significant higher AST/alanine transaminase (ALT) ratios (AARs) of the peak levels for transaminase were also noted in the cases who eventually succumbed. The mean±SD of AARs for the survival group and dead group were 5.65±2.27 (n = 5)and 1.86±0.64 (n = 6) respectively (P= 0.006). The ratios of the cases who finally died were all more than 3.0.Conversely, the survival group's ratios were less than 3.0.CONCLUSION: Serial follow-up of transaminase might provide evidence to predict some rare evolutions in leptospirosis. If AST elevated progressively without a concomitant change of ALT, it might indicate an acute disease course with ensuing death. Additionally, AAR is another prognostic parameter for leptospirosis. Once the value was higher than 3.0, a grave prognosis is inevitable.
基金supported by Taipei Medical University Hospital(98TMU-TMUH-01-5,99TMU-TMUH-02-4)
文摘Compared to data on adolescents and adults,limited research has been conducted on biological correlates among young children with possible psychological difficulties,especially in Asian countries.By focusing on various peripheral biochemical indicators,we investigated potential biological correlates of psychological states in a community sample of Taiwan Residents school children aged6–10 years.In total,307 students(159 obese children and148 normal-weight children) were selected from first- and fourth-grade school children in eight elementary schools in the Taipei metropolitan area in 2009.These children underwent a comprehensive health examination,including a physical examination,blood sample analysis,andquestionnaire administration in a hospital.Differences in anthropometric and serum biochemical readings were compared between children with average and worse levels on each of the five psychological domains.We found that interleukin(IL)-1β [b = 1.29,95 % confidence interval(CI) 0.50–2.09],IL-10(b = 1.61,95 % CI \0.01–3.24),fasting blood glucose(b = 0.08,95 % CI 0.01–0.15),homocysteine(b = 0.63,95 % CI 0.09–1.18),and aspartate transaminase(AST)(b = 0.15,95 % CI \0.01–0.31)were significantly positively associated with anxiety.In addition,IL-1β,insulin,AST,and alanine aminotransaminase(ALT) were significantly positively associated with depression.Anger and disruptive behaviors were also related to specific biological correlates.Specific biological correlates,including AST/ALT,cardiovascular diseaserelated variables,and specific cytokines,were linked to particular psychological states among young children in this Asian population.These might provide a route for better understanding the biological aspects of children's mental health and might contribute to research on diagnostic or predictive biomarkers for psychiatric diseases in young children.
文摘探讨D-柠檬烯(D-limonene)对大鼠酒精性肝损伤脂质代谢紊乱的保护作用及可能作用机制,利用持续酒精灌胃的方法建立大鼠酒精肝损伤模型,分为A、B、C、D、E、F、G共7组。A组为空白对照组,每日给予蒸馏水灌胃,前2周8 m L/(kg·d),后4周12 m L/(kg·d);B组为酒精模型组,每日灌胃体积分数为50%的乙醇,前2周8 m L/(kg·d),后4周12 m L/(kg·d);C、D、E组分别为D-柠檬烯低、中、高剂量组,每日分别灌胃D-柠檬烯100、200、400 m L/(kg·d),其中D-柠檬烯与A、B组等量的50%的乙醇混合后灌胃;F组为水和D-柠檬烯空白高剂量组,每日给予D-柠檬烯400 m L/(kg·d);G组为甘利欣药物对照组,灌胃量200 m L/(kg·d)。HE染色和电镜观察肝组织形态结构和肝组织超微结构的变化,测定血清谷丙转氨酶(alanine transaminase,ALT)、谷草转氨酶(aspartate transaminase,AST)、碱性磷酸酶(phosoporic acid,ALP)、胆碱酯酶(cholinesterase,CHE)、甘油三酯(triglyceride,TG)、胆固醇(cholesterol,CHO)、低密度脂蛋白胆固醇(low density lipoprotein-cholesterol,LDL-C)水平。结果电镜下观察到A组肝细胞结构正常,核呈圆形或椭圆,线粒体形态正常。B组肝细胞次级溶酶体数量增加,线粒体形状不规则,脂滴多。C组可见少量脂滴,高尔基体正常,线粒体清楚。D组少量脂滴,胆小管有内容物,线粒体正常。E组线粒体高尔基体正常,少量脂滴,核圆。F组细胞器无异常,少量脂滴。G组少量脂滴,偶见溶酶,体线粒体正常。B组大鼠血清ALT、AST、ALP、CHE、TG、CHO、LDL-C均高于空白对照组,差异显著(P<0.05);F组大鼠血清所测各指标与空白对照组无明显差异;而D-柠檬烯低、中、高剂量干预组和酒精模型组比较,血清所测各指标水平均有不同程度地降低,其中D-柠檬烯中、高剂量干预组血清所测各指标水平明显低于酒精模型组,差异显著(P<0.05)。结论:过量酒精摄入引起的肝组织超微结构病理损伤与升高血清ALP、CHE、ALT、AST、TG、CHO、LDL-C水平,在D-柠檬烯干预下有所减轻和降低。因此,D-柠檬烯可调节过量酒精摄入造成的脂质代谢紊乱。
