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Fibroblast growth factor receptor 4 Gly388Arg polymorphism in Chinese gastric cancer patients 被引量:4
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作者 Yan-Ying Shen Ya-Chao Lu +5 位作者 Dan-Ping Shen Yuan-Jie Liu Xin-Ying Su Guan-Shan Zhu Xiao-Lu Yin Xing-Zhi Ni 《World Journal of Gastroenterology》 SCIE CAS 2013年第28期4568-4575,共8页
AIM: To investigate the contribution of the fibroblast growth factor receptor 4 (FGFR4) Gly388Arg polymorphism as a genetic risk factor for gastric cancer (GC) and to investigate any associations between this polymorp... AIM: To investigate the contribution of the fibroblast growth factor receptor 4 (FGFR4) Gly388Arg polymorphism as a genetic risk factor for gastric cancer (GC) and to investigate any associations between this polymorphism and clinicopathological parameters and survival. METHODS: Tumors and matched adjacent non-cancer tissues were collected from 304 GC patients, and 5 mL of venous blood was collected from 62 GC patients and 392 ageand sex-matched healthy controls without cancer history from the same ethnic population. DNA was extracted, and direct sequencing analyses were performed to genotype the FGFR4 Gly388Arg polymorphism in all the samples. Differences in the genotype frequencies of the FGFR4 Gly388Arg polymorphism between GC patients and healthy controls were estimated using the χ 2 test. Binary logistic regression was used for all analysis variables to estimate risk as the ORs with 95%CIs. The relationships between the FGFR4 genotype and clinicopathological parameters were tested with the χ 2 test. The Kaplan-Meier product-limit method, the log-rank test, and the Cox regression model were applied to evaluate the effect of the FGFR4 genotype on the overall survival of patients with GC. RESULTS: In the present GC cohort, 118 patients (38.8%) were homozygous for the Gly388 allele, 124 patients (40.8%) were heterozygous, and 62 patients (20.4%) were homozygous for the Arg388 allele. The frequencies of the Gly/Gly, Gly/Arg, and Arg/Arg genotypes in the healthy controls were 33.6%, 48.0%, and 18.4%, respectively. The distributions of genotypes (χ 2 = 3.589, P = 0.166) and alleles (χ 2 = 0.342, P = 0.559) of the FGFR4 Gly388Arg polymorphism were not different between the GC patients and the healthy controls. Although we observed no correlation between the FGFR4 Gly388Arg polymorphism and clinicopathological parameters or survival in the total cohort of GC patients, the presence of the Arg388 allele was associated with shorter survival time in patients with GC if the tumor was small (log rank χ 2 = 5.449, P = 0.020), well differentiated (log rank χ 2 = 12.798, P = 0.000), T1 or T2 stage (log rank χ 2 = 4.745, P = 0.029), without lymph node involvement (log rank χ 2 = 6.647, P = 0.010), and at an early clinical stage (log rank χ 2 = 4.615, P = 0.032). CONCLUSION: Our results suggest that the FGFR4 Gly388Arg polymorphism is not a risk factor for GC cancer initiation but that it is a useful prognostic marker for GC patients when the tumor is relatively small, well differentiated, or at an early clinical stage. 展开更多
关键词 fibroblast growth factor receptor 4 Gly388Arg GENETIC SUSCEPTIBILITY Single NUCLEOTIDE POLYMORPHISM GASTRIC cancer
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Fibroblast growth factor receptor 4 protein expression and clinicopathological features in gastric cancer 被引量:1
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作者 Hao Chen Dan-Ping Shen +3 位作者 Zi-Zhen Zhang Jia-Hua Liu Yan-Ying Shen Xing-Zhi Ni 《World Journal of Gastroenterology》 SCIE CAS 2015年第6期1838-1844,共7页
AIM:To investigate fibroblast growth factor receptor4(FGFR4)protein expression in Chinese patients with resectable gastric cancer(GC)and the association with clinicopathological characteristics and survival.who underw... AIM:To investigate fibroblast growth factor receptor4(FGFR4)protein expression in Chinese patients with resectable gastric cancer(GC)and the association with clinicopathological characteristics and survival.who underwent curative surgical procedures were enrolled in this study.The protein expression of FGFR4 in formalin-fixed,paraffin-embedded(FFPE)GC tissues was determined by immunohistochemical(IHC)analysis.Patient clinicopathological data and survival information were also collected andχ2 statistical analysis was performed to analyze FGFR4 protein expression in the subgroups with differing clinicopathological characteristics including;gender,age,tumor location,differentiation,tumor-node-metastasis stage,macroscopic type,depth of invasion,lymph node metastases,distant metastasis,neural invasion and vascular invasion.Furthermore,some common molecular markers of GC in our cancer center,including p53,p27,topoisomeraseⅡα(TopoⅡα)were also determined by IHC and their association with FGFR4 protein expression evaluated.The probability of survival for different subgroups with different clinicopathological characteristics was calculated using the Kaplan-Meier method and survival curves plotted using the log rank test.RESULTS:Seventy seven cases(44%)were found to have high expression of FGFR4 protein.Significantly different FGFR4 expression was observed between gastric cancers with differing expression of TopoⅡα(log rankχ2=9.4760,P=0.0236).No significant differences were observed between subgroups defined by any of the other clinicopathological characteristics.The median survival time of the FGFR4 high expression(77 cases)and low expression groups(98 cases)was27 mo and 39 mo,respectively.The five-year survival rates and median survival times of gastric cancers with high FGFR4 expression were worse than those with low expression(30.8%vs 39.2%,27 mo vs 39 mo),respectively,however,no significant difference was observed in survival time(log rankχ2=1.0477,P=0.3060).Survival analysis revealed that high expression of FGFR4 was a predictor of poor outcome in GC patients if the tumor was small(less than or equal to 3cm in size)(log rankχ2=5.5033,P=0.0190),well dif-ferentiated(log rankχ2=7.9757,P=0.0047),and of T1 or T2 stage invasion depth(log rankχ2=4.8827,P=0.0271).CONCLUSION:Our results suggest that high tumor expression of FGFR4 protein is not an independent risk factor for GC cancer initiation,but is a useful prognostic marker for GC patients when the tumor is relatively small,well differentiated,or in the early stages of invasion. 展开更多
关键词 GASTRIC cancer fibroblast growth factor RECEPTOR 4
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Basic Fibroblast Growth Factor and Fibroblast Growth Factor Receptor-1 in Human Meningiomas 被引量:2
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作者 易伟 陈坚 +1 位作者 Filimon H. Golwa 薛德麟 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2005年第1期75-77,共3页
The expression of basic fibroblast growth factor (bFGF) and fibroblast growth factor receptor-1 (FGFR-1) in human meningiomas and the relationships between their expression and the tumors' histological features an... The expression of basic fibroblast growth factor (bFGF) and fibroblast growth factor receptor-1 (FGFR-1) in human meningiomas and the relationships between their expression and the tumors' histological features and angiogenesis were investigated by means of immunohistochemical technique. The expression of bFGF and FGFR-1 was detected by antibody of bFGF or FGFR-1. The tumors' angiogenesis was evaluated by microvascular density (MVD) and, which was observed by use of CD34-antibody immunohistochemically. The results showed that there were varied degrees of the expression of bFGF and FGFR-1 proteins in meningiomas. The expression was correlated with the tumors' histological characters and angiogenesis. It was concluded that bFGF and FGFR-1 might play important roles in meningiomas' angiogenesis and proliferation. The expression positive rate of bFGF and FGFR-1 may provide an indication of evaluating the histological and malignant degree of the tumor. 展开更多
关键词 MENINGIOMAS basic fibroblast growth factor fibroblast growth factor receptor-1 microvascular density IMMUNOHISTOCHEMISTRY
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Fibroblast growth factor 9 promotes kidney cell proliferation via WNT signaling-mediated activation of ANXA4 被引量:1
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作者 TING LI XINHUI SUN +1 位作者 NANNAN LI HONGMIN GUO 《BIOCELL》 SCIE 2021年第4期985-994,共10页
Fibroblast growth factors(FGFs)play pivotal roles in cell migration and proliferation.However,the identity of the FGF that plays a dominant role in kidney cell proliferation remains unclear.Therefore,in this study,we ... Fibroblast growth factors(FGFs)play pivotal roles in cell migration and proliferation.However,the identity of the FGF that plays a dominant role in kidney cell proliferation remains unclear.Therefore,in this study,we investigated the dominant FGF among all FGFs.To this end,RNA-sequencing,qRT-PCR,western blotting,and ChIP assays were performed.FGF9 showed the highest expression among all FGFs,and its overexpression significantly promoted proliferation in the mouse kidney cell line C57BL/6 and increased JNK and AKT phosphorylation levels.Further,RNA-seq analysis identified 365 upregulated and 276 downregulated genes in FGF9-overexpressed cells.These differentially expressed genes were classified primarily into 20 biological pathways and were enriched in 31 gene ontology terms.qRT-PCR revealed that the expression of WNT and NF-κB signaling genes,as well as ANXA4 expression patterns,correlated with the RNA-seq data,while FGF9-overexpressed cells accumulated moreβ-catenin,a key WNT signaling protein,compared to control cells.Moreover,downregulation of the gene that encodesβ-catenin or ANXA4 inhibited C57BL/6 cell proliferation.Additionally,the expression of ANXA4 was lower in CTNNB1-knockdown cells than in the control group.Additionally,the ChIP assay revealed that a transcription factor complex containing TCF4 andβ-catenin directly binds to the ANXA4 promoter.Taken together,these results suggest a role of FGF9 in the regulation of kidney cell migration.These findings may prove useful in the development of future therapies. 展开更多
关键词 fibroblast growth factor Kidney cell PROLIFERATION ANXA4 WNT
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Expression of fibroblast growth factor-2 and fibroblast growth factor receptor-1 protein in the hippocampus in rats exhibiting chronic stress-induced depression
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作者 Gonglin Hou Mingming Tang 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第13期1010-1016,共7页
There is evidence that the expression of members of the fibroblast growth factor (FGF) protein family is altered in post-mortem brains of humans suffering from major depressive disorder. The present study examined w... There is evidence that the expression of members of the fibroblast growth factor (FGF) protein family is altered in post-mortem brains of humans suffering from major depressive disorder. The present study examined whether the expression of fibroblast growth factor-2 (FGF2) and fibroblast growth factor receptor-1 (FGFR1) protein is altered following chronic stress in an animal model. Rats were exposed to 35 days of chronic unpredictable mild stress, and then tested using open-field and sucrose consumption tests. Compared with the control group, rats in the chronic stress group exhibited obvious depressive-like behaviors, including anhedonia, anxiety and decreased mobility. The results of western blot analysis and immunohistochemical analysis revealed a downregulation of the expression of FGF2 and FGFR1 in the hippocampus of rats, particularly in the CA1, CA3 and dentate gyrus. This decreased expression is in accord with the results of post-mortem studies in humans with major depressive disorder. These findings suggest that FGF2 and FGFR1 proteins participate in the pathophysiology of depressive-like behavior, and may play an important role in the mechanism of chronic stress-induced depression. 展开更多
关键词 DEPRESSION HIPPOCAMPUS fibroblast growth factor-2 fibroblast growth factor receptor-1 neural regeneration
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Fibroblast growth factor receptor 4 single nucleotide polymorphism Gly388Arg in head and neck carcinomas
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作者 Eva Wimmer Stephan Ihrler +3 位作者 Olivier Gires Sylvia Streit Wolfgang Issing Christoph Bergmann 《World Journal of Clinical Oncology》 2019年第3期136-148,共13页
BACKGROUND Head and neck squamous cell carcinoma(HNSCC) is considered to be a progressive disease resulting from alterations in multiple genes regulating cell proliferation and differentiation like receptor tyrosine k... BACKGROUND Head and neck squamous cell carcinoma(HNSCC) is considered to be a progressive disease resulting from alterations in multiple genes regulating cell proliferation and differentiation like receptor tyrosine kinases(RTKs) and members of the fibroblast growth factor receptors(FGFR)-family. Singlenucleotide polymorphism(SNP) Arg388 of the FGFR4 is associated with a reduced overall survival in patients with cancers of various types. We speculate that FGFR4 expression and SNP is associated with worse survival in patients with HSNCC.AIM To investigate the potential clinical significance of FGFR4 Arg388 in the context of tumors arising in HNSCC, a comprehensive analysis of FGFR4 receptor expression and genotype in tumor tissues and correlated results with patients' clinical data in a large cohort of patients with HNSCC was conducted.METHODS Surgical specimens from 284 patients with HNSCC were retrieved from the Institute of Pathology at the Ludwig-Maximilian-University in Germany.Specimens were analyzed using immunohistochemistry and polymerase chain reaction-restriction fragment length polymorphism(PCR-RFLP). The expression of FGFR4 was analyzed in 284 surgical specimens of HNSCC using immunohistochemstry. FGFR4 polymorphism was detected by PCR-RFLP.Patients' clinical data with a minimum follow-up of 5 years were statistically evaluated with a special emphasis on survival analysis employing Kaplan-Meier estimator and Cox regression analysis.RESULTS Concerning the invasive tumor areas the intensity of the FGFR4 expression was evaluated in a four-grade system: no expression, low expression, intermediate and high expression. FGFR4 expression was scored as "high"(+++) in 74(26%),"intermediate"(++) in 103(36.3%), and "low"(+) in 107(36.7%) cases. Analyzing the FGFR4 mutation it was found in 96 tumors(33.8%), 84 of them(29.6%) having a heterozygous and 12(4.2%) homozygous mutated Arg388 allele. The overall frequency concerning the mutant alleles demonstrated 65% vs 34% mutated alleles in general. FGFR4 Arg388 was significantly associated with advanced tumor stage(P < 0.004), local metastasis(P < 0.0001) and reduced disease-free survival(P < 0.01). Furthermore, increased expression of FGFR4 correlated significantly with worse overall survival(P < 0.003).CONCLUSION In conclusion, the FGFR4 Arg388 genotype and protein expression of FGFR4 impacts tumor progression in patients with HNSCC and may present a useful target within a multimodal therapeutic intervention. 展开更多
关键词 fibroblast growth factor receptor 4 Single-nucleotide polymorphism Head and NECK SQUAMOUS cell carcinoma Reduced survival Cancer progression POLYMERASE chain reaction IMMUNOHISTOCHEMISTRY Outcome
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血清成纤维细胞生长因子21和脂肪酸结合蛋白4检测对急性ST段抬高型心肌梗死患者经皮冠状动脉介入治疗术后心力衰竭的预测价值 被引量:1
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作者 包美珍 韩惠 《中国心血管病研究》 CAS 2024年第5期469-474,共6页
目的探究血清成纤维细胞生长因子21(FGF21)和脂肪酸结合蛋白4(FABP4)检测对急性ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)术后心力衰竭的预测价值。方法选取2020年9月至2022年9月内蒙古医科大学附属医院接诊的113例STEM... 目的探究血清成纤维细胞生长因子21(FGF21)和脂肪酸结合蛋白4(FABP4)检测对急性ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)术后心力衰竭的预测价值。方法选取2020年9月至2022年9月内蒙古医科大学附属医院接诊的113例STEMI患者为研究对象,依据PCI术后1年是否发生心力衰竭(心衰),将其分为心衰组(n=32)和非心衰组(n=81)。应用ELISA法测定血清FGF21、FABP4表达水平,比较两组血清FGF21、FABP4水平,多因素logistic回归分析影响STEMI患者PCI术后发生心力衰竭的相关因素,ROC曲线评估血清FGF21、FABP4水平对STEMI患者PCI术后心力衰竭发生的预测价值。结果心衰组心率次数、C反应蛋白(CRP)、心肌肌钙蛋白(cTnI)、N末端B型利钠肽原(BNP)、利尿剂使用比例均显著高于非心衰组,左心室射血分数(LVEF)显著低于非心衰组(P<0.05)。心衰组血清FGF21、FABP4表达水平均明显高于非心衰组[(228.37±33.07)ng/L比(185.68±25.52)ng/L、(34.26±5.51)ng/ml比(26.87±4.67)ng/ml,t=7.345、7.195,P<0.05]。血清FGF21(95%CI 1.371~8.191)、FABP4(95%CI 1.176~4.090)及发病到至导丝通过时间(95%CI 1.058~8.157)是影响STEMI患者PCI术后发生心力衰竭的危险因素(OR>1,P<0.05),LVEF(95%CI 0.473~0.913)是保护因素(OR<1,P<0.05)。血清FGF21、FABP4单独及二者联合预测STEMI患者PCI术后发生心力衰竭的曲线下面积(AUC)分别为0.828、0.856、0.934,二者联合优于单一(Z二者联合-FGF21=1.971、Z二者联合-FABP4=2.417,P=0.048、P=0.015)。结论STEMI患者PCI术后发生心力衰竭血清FGF21、FABP4水平均明显升高,二者联合对STEMI患者PCI术后发生心力衰竭的风险具有更高的预测价值。 展开更多
关键词 心力衰竭 成纤维细胞生长因子21 脂肪酸结合蛋白4 急性ST段抬高型心肌梗死
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血清LncRNA FAF、ITIH4在慢性心力衰竭患者中的表达意义及对预后的预测价值
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作者 江洋 刘泽岩 +3 位作者 叶丽 汪栋林 程景林 万俊 《疑难病杂志》 CAS 2024年第4期418-422,428,共6页
目的探讨血清长链非编码RNA(LncRNA)FAF、间α胰蛋白酶抑制因子重链4(ITIH4)在慢性心力衰竭(CHF)患者中的表达意义及对预后的预测价值。方法选择2020年1月—2022年1月安徽医科大学第二附属医院急诊内科收治的CHF患者187例为CHF组,再根据... 目的探讨血清长链非编码RNA(LncRNA)FAF、间α胰蛋白酶抑制因子重链4(ITIH4)在慢性心力衰竭(CHF)患者中的表达意义及对预后的预测价值。方法选择2020年1月—2022年1月安徽医科大学第二附属医院急诊内科收治的CHF患者187例为CHF组,再根据NYHA心功能分级分为Ⅱ级亚组65例,Ⅲ级亚组77例,Ⅳ级亚组45例。于同期招募健康志愿者103例为健康对照组。2组受试者均检测血清LncRNA FAF表达和ITIH4水平,CHF患者出院后随访12个月,统计随访期间主要不良心血管事件(MACE)发生率;多因素Logistic回归分析影响CHF患者发生MACE的因素;受试者工作特征(ROC)曲线分析LncRNA FAF、ITIH4预测CHF患者发生MACE的价值。结果CHF组血清LncRNA FAF表达、ITIH4水平低于健康对照组(t/P=24.469/<0.001、35.196/<0.001)。血清LncRNA FAF表达、ITIH4水平Ⅳ级亚组低于Ⅲ级亚组低于Ⅱ级亚组(F/P=91.653/<0.001、102.345/<0.001)。MACE亚组血清LncRNA FAF表达,ITIH4水平低于非MACE亚组(t/P=13.556/<0.001、6.293/<0.001)。NYHAⅣ级、高水平NT-proBNP是CHF患者发生MACE的危险因素[OR(95%CI)=4.627(2.245~9.538)、2.284(1.505~3.468)],高表达LncRNA FAF、高水平ITIH4是保护因素[OR(95%CI)=0.599(0.425~0.844)、0.666(0.478~0.928)]。LncRNA FAF、ITIH4及二者联合预测CHF患者发生MACE的曲线下面积为0.796、0.801、0.896,二者联合预测曲线下面积高于单独预测(Z=2.453、2.404,均P<0.001)。结论CHF患者血清LncRNA FAF表达和ITIH4水平均降低,且与不良预后有关,联合LncRNA FAF和ITIH4可预测CHF患者预后不良风险。 展开更多
关键词 慢性心力衰竭 成纤维细胞生长因子相关因子 间α胰蛋白酶抑制因子重链4 预后
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高频彩超联合血清LAG-3 FGFR-4对甲状腺癌的诊断价值
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作者 赵新燕 王军 《河北医学》 CAS 2024年第9期1539-1545,共7页
目的:探讨血清淋巴细胞活化基因-3(LAG-3)、成纤维生长因子受体4(FGFR-4)在甲状腺癌(TC)中的表达,并联合高频彩超对TC的诊断价值。方法:选取2020年12月至2023年12月期间在本院收治的203例甲状腺病变患者为研究对象,根据病理学检查结果... 目的:探讨血清淋巴细胞活化基因-3(LAG-3)、成纤维生长因子受体4(FGFR-4)在甲状腺癌(TC)中的表达,并联合高频彩超对TC的诊断价值。方法:选取2020年12月至2023年12月期间在本院收治的203例甲状腺病变患者为研究对象,根据病理学检查结果将其分为TC患者作为TC组(n=108),甲状腺良性病变患者为非TC组(n=95)。采用ELISA法测定血清LAG-3、FGFR-4表达水平;ROC曲线分析血清LAG-3、FGFR-4对TC的诊断效能;四格表法分析高频彩超联合血清LAG-3、FGFR-4水平对TC的诊断效能。结果:与甲状腺未分化癌相比,甲状腺乳头状癌、甲状腺滤泡状癌、甲状腺髓样癌血清LAG-3水平显著升高,血清FGFR-4水平显著降低(P<0.05)。与非TC组相比,TC组血清LAG-3水平显著降低,血清FGFR-4水平显著升高(P<0.05)。TC组PSV、RI水平显著高于非TC组(P<0.05)。高频彩超联合血清LAG-3、FGFR-4诊断TC的准确率为86.70%,敏感度为96.30%,特异度为75.79%。其中,三项联合诊断的敏感度高于高频彩超、血清LAG-3、FGFR-4单独诊断(P<0.05)。结论:TC患者的血清LAG-3水平显著降低,血清FGFR-4水平显著升高,高频彩超联合血清LAG-3、FGFR-4对TC具有更高的诊断效能。 展开更多
关键词 淋巴细胞活化基因-3 成纤维生长因子受体4 高频彩超 甲状腺癌 诊断
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Distribution and localization of fibroblast growth factor-8 in rat brain and nerve cells during neural stem/progenitor cell differentiation 被引量:4
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作者 Jiang Lu Dongsheng Li Kehuan Lu 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第19期1455-1462,共8页
The present study explored the distribution and localization of fibroblast growth factor-8 and its potential receptor, fibroblast growth factor receptor-3, in adult rat brain in vivo and in nerve cells during differen... The present study explored the distribution and localization of fibroblast growth factor-8 and its potential receptor, fibroblast growth factor receptor-3, in adult rat brain in vivo and in nerve cells during differentiation of neural stem/progenitor cells in vitro. Immunohistochemistry was used to examine the distribution of fibroblast growth factor-8 in adult rat brain in vivo. Localization of fibroblast growth factor-8 and fibroblast growth factor receptor-3 in cells during neural stem/progenitor cell differentiation in vitro was detected by immunofluorescence. Flow cytometry and immunofluorescence were used to evaluate the effect of an anti-fibroblast growth factor-8 antibody on neural stem/progenitor cell differentiation and expansion in vitro. Results from this study confirmed that fibroblast growth factor-8 was mainly distributed in adult midbrain, namely the substantia nigra, compact part, dorsal tier, substantia nigra and reticular part, but was not detected in the forebrain comprising the caudate putamen and striatum. Unusual results were obtained in retrosplenial locations of adult rat brain. We found that fibroblast growth factor-8 and fibroblast growth factor receptor-3 were distributed on the cell membrane and in the cytoplasm of nerve cells using immunohistochemistry and immunofluorescence analyses. We considered that the distribution of fibroblast growth factor-8 and fibroblast growth factor receptor-3 in neural cells corresponded to the characteristics of fibroblast growth factor-8, a secretory factor. Addition of an anti-fibroblast growth factor-8 antibody to cultures significantly affected the rate of expansion and differentiation of neural stem/progenitor cells. In contrast, addition of recombinant fibroblast growth factor-8 to differentiation medium promoted neural stem/progenitor cell differentiation and increased the final yields of dopaminergic neurons and total neurons. Our study may help delineate the important roles of fibroblast growth factor-8 in brain activities and neural stem/progenitor cell differentiation. 展开更多
关键词 fibroblast growth factor-8 fibroblast growth factor receptor-3 neural stem/progenitor celldifferentiation dopaminergic neurons MIDBRAIN neural regeneration
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β-珠蛋白生成障碍性贫血患者血清FABP4,FGF19水平表达及与预后的关系
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作者 陈艺心 潘锋 +5 位作者 徐娅 彭鑫 梁露 李茹靖 李聪 曾红鑫 《现代检验医学杂志》 CAS 2024年第5期96-101,共6页
目的研究β-珠蛋白生成障碍性贫血(beta-thalassaemia,β-TM)患者血清脂肪酸结合蛋白4(fatty acidbindingprotein 4,FABP4)、纤维细胞生长因子19(fibroblast growth factor 19,FGF19)表达及其与预后的关系。方法选取2018年1月~2020年8... 目的研究β-珠蛋白生成障碍性贫血(beta-thalassaemia,β-TM)患者血清脂肪酸结合蛋白4(fatty acidbindingprotein 4,FABP4)、纤维细胞生长因子19(fibroblast growth factor 19,FGF19)表达及其与预后的关系。方法选取2018年1月~2020年8月重庆大学附属黔江医院诊治的112例β-珠蛋白生成障碍性贫血患者为病例组,选取同期体检的60例健康人为对照组。采用酶联免疫吸附实验(ELISA)检测血清FABP4和FGF19水平。Logistic回归模型分析β-珠蛋白生成障碍性贫血患者预后影响因素。受试者工作特征(ROC)曲线分析血清FABP4和FGF19对β-珠蛋白生成障碍性贫血患者预后的预测价值。结果病例组患者血清FABP4(67.13±11.35μg/L)水平高于对照组(22.01±4.16μg/L),血清FGF19(104.24±21.46 ng/L)水平低于对照组(218.01±36.79 ng/L),差异均具有统计学意义(t=29.708,25.620,均P<0.05)。轻型组、中间型组及重型组患者血清FABP4水平(54.20±12.63μg/L,66.83±10.5μg/L,79.72±11.05μg/L)依次升高,而FGF19水平(122.53±22.36 ng/L,103.16±20.37 ng/L,86.53±18.14 ng/L)依次降低,差异具有统计学意义(F=39.701,24.231,均P<0.05)。相比于生存组,死亡组患者血清FGF19(62.80±22.09 ng/L vs 110.16±20.69 ng/L),血红蛋白、杂合子基因型比例(βCD17/βN,βCD41-42/βN)较低,而血清FABP4(116.69±12.30 ng/L vs 60.05±10.17 ng/L),铁蛋白及心脏增大比例较高,差异具有统计学意义(t/χ^(2)=4.436~18.981,均P<0.05)。FGF19(OR=0.634,95%CI:0.451~0.891)是β-珠蛋白生成障碍性贫血患者预后的独立保护因素(P<0.001),血清FABP4(OR=1.840,95%CI:1.193~2.838)为预后独立危险因素(P<0.001)。血清FABP4,FGF19联合对β-珠蛋白生成障碍性贫血患者预后评估的曲线下面积(95%CI)为0.897(0.853~0.951),大于单指标检测0.842(0.801~0.879)和0.814(0.762~0.858),差异具有统计学意义(Z=4.864,5.270,P=0.002,0.001)。结论β-珠蛋白生成障碍性贫血患者血清FABP4升高,FGF19降低。血清FABP4,FGF19联合检测对β-珠蛋白生成障碍性贫血患者预后具有较高的预测价值。 展开更多
关键词 Β-珠蛋白生成障碍性贫血 脂肪酸结合蛋白4 纤维细胞生长因子19
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Mechanisms by which fibroblast growth factor 20 improves motor performance in a mouse model of Parkinson’s disease 被引量:1
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作者 Ai-Qin Wang Li-Na Kong +3 位作者 Ming-Zhu Meng Xiu-He Zhao Si Chen Xiao-Tang Wang 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第8期1438-1444,共7页
Genome-wide studies have reported that Parkinson’s disease is associated with abnormal expression of various growth factors. In this study, male C57 BL/6 mice aged 10 weeks were used to establish Parkinson’s disease... Genome-wide studies have reported that Parkinson’s disease is associated with abnormal expression of various growth factors. In this study, male C57 BL/6 mice aged 10 weeks were used to establish Parkinson’s disease models using an intraperitoneal injection of 60 mg/kg 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine. 28 days later, 10 or 100 ng fibroblast growth factor 20 was injected intracerebroventricularly. The electrophysiological changes in the mouse hippocampus were recorded using a full-cell patch clamp. Expression of Kv4.2 in the substantia nigra was analyzed using a western blot assay. Serum malondialdehyde levels were analyzed by enzyme-linked immunosorbent assay. The motor coordination of mice was evaluated using the rotarod test. The results showed that fibroblast growth factor 20 decreased A-type potassium current in neurons of the substantia nigra, increased long-term potentiation amplitude in the hippocampus, and downregulated Kv4.2 expression. A high dose of fibroblast growth factor 20 reduced serum malondialdehyde levels and enhanced the motor coordination of mice. These findings confirm that fibroblast growth factor 20 has a therapeutic effect on the toxicity induced by 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine, and its mechanism of action is associated with the inhibition of A-type K+ currents and Kv4.2 expression. All animal procedures were approved by the Animal Care and Use Committee of Qilu Hospital of Shandong University, China in 2017(approval No. KYLL-2017-0012). 展开更多
关键词 nerve regeneration Parkinson’s disease 1-methyl-4-phenyl-1 2 3 6-tetrahydropyridine fibroblast growth factor 20 A-type potassium current long-term potentiation KV4.2 oxidative stress MALONDIALDEHYDE motor performance neural regeneration
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雷火灸、穴位贴敷治疗慢性肾脏病3~4期的疗效及对血清TGF-β1、Klotho、FGF23水平的影响
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作者 瞿晓密 朱云燕 +1 位作者 徐维 刘丹 《四川中医》 2024年第7期187-190,共4页
目的:研究雷火灸、穴位贴敷治疗慢性肾脏病3~4期的疗效及对血清转化生长因子-β1(TGF-β1)、Klotho蛋白(Klotho)、成纤维生长因子23(FGF23)水平的影响。方法:2022年1月~2023年1月我院收治的慢性肾脏病3~4期患者92例,分为对照组与试验组,... 目的:研究雷火灸、穴位贴敷治疗慢性肾脏病3~4期的疗效及对血清转化生长因子-β1(TGF-β1)、Klotho蛋白(Klotho)、成纤维生长因子23(FGF23)水平的影响。方法:2022年1月~2023年1月我院收治的慢性肾脏病3~4期患者92例,分为对照组与试验组,各46例,方法为随机数字表法。对照组予以常规西医治疗,试验组在对照组的基础上予以雷火灸、穴位贴敷治疗,两组均治疗2周。比较两组治疗2周后疗效,治疗前、治疗2周后血清TGF-β1、Klotho、FGF23水平、肾功能、免疫功能,治疗期间不良反应发生情况。结果:与对照组治疗2周后的总有效率(71.74%)比较,试验组总有效率更高(91.30%,P<0.05)。较治疗前,治疗2周后两组血清TGF-β1、FGF23、尿素氮(BUN)、血肌酐(Scr)水平,全血辅助性T细胞17(Th17)水平,24h尿蛋白定量降低,且试验组更低(P<0.05)。较治疗前,治疗2周后两组全血调节性T细胞(Treg)水平,血清免疫球蛋白G(IgG)、免疫球蛋白A(IgA)、免疫球蛋白M(IgM)、Klotho水平升高,且试验组更高(P<0.05)。治疗期间,两组不良反应发生率接近,均未影响继续治疗(P>0.05)。结论:雷火灸、穴位贴敷治疗慢性肾脏病3~4期的疗效较好,可改善肾功能、免疫功能,调节血清TGF-β1、Klotho、FGF23水平表达,降低肾脏损伤,安全性良好。 展开更多
关键词 慢性肾脏病3~4 雷火灸 穴位贴敷 转化生长因子-β1 KLOTHO蛋白 成纤维生长因子23
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孕妇血清成纤维细胞生长因子4和成纤维细胞生长因子受体4水平与妊娠期糖尿病发生风险的相关性研究
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作者 倪银芳 吴兴花 《安徽医药》 CAS 2024年第9期1783-1786,共4页
目的探讨血清成纤维细胞生长因子4(FGF4)、成纤维细胞生长因子受体4(FGFR4)水平与妊娠期糖尿病发生风险的相关性。方法选取2019年1月至2021年1月宁德师范学院附属宁德市医院收治的妊娠期糖尿病病人94例为研究组,另外选取同期在该院定期... 目的探讨血清成纤维细胞生长因子4(FGF4)、成纤维细胞生长因子受体4(FGFR4)水平与妊娠期糖尿病发生风险的相关性。方法选取2019年1月至2021年1月宁德师范学院附属宁德市医院收治的妊娠期糖尿病病人94例为研究组,另外选取同期在该院定期进行产检的健康孕妇94例为对照组。收集病人的一般临床资料,酶联免疫吸附测定检测血清FGF4和FGFR4水平,血糖分析仪检测糖代谢指标水平。采用Pearson法分析血清FGF4与FGFR4的相关性及二者与糖代谢指标的相关性,多因素logistic回归分析妊娠期糖尿病发生的影响因素;受试者操作特征曲线(ROC曲线)分析血清FGF4和FGFR4对妊娠期糖尿病发生的预测价值。结果研究组血清FGF4(186.45±34.87)ng/L高于对照组(149.83±29.90)ng/L(P<0.05);研究组血清FGFR4(194.28±41.59)ng/L高于对照组(168.92±37.55)ng/L(P<0.05)。研究组病人空腹血糖、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)、空腹胰岛素(FINS)与胰岛素抵抗指数(HOMA-IR)均显著高于对照组,差异有统计学意义(P<0.05)。经Pearson相关性分析发现,妊娠期糖尿病病人血清FGF4与FGFR4水平呈正相关(P<0.05),血清FGF4、FGFR4与空腹血糖、2 hPG、HbA1c、FINS及HOMA-IR均呈正相关(P<0.05)。logistic回归分析结果显示,FGF4、FGFR4、空腹血糖和HOMA-IR是妊娠期糖尿病发生的独立危险因素(P<0.05)。血清FGF4、FGFR4单独及联合预测妊娠期糖尿病发生的AUC分别为0.80、0.75和0.88,灵敏度分别为85.11%、61.70%和82.98%,特异度分别为60.64%、77.66%和80.85%;二者联合的预测效能显著优于FGF4、FGFR4各自单独预测(Z_(FGF4-联合)=3.33、Z_(FGFR4-联合)=4.37,P<0.05)。结论妊娠期糖尿病病人血清FGF4和FGFR4水平高表达,与糖代谢指标均呈正相关,对妊娠期糖尿病病人具有一定的预测价值,临床应用价值较大。 展开更多
关键词 糖尿病 妊娠 成纤维细胞生长因子4 成纤维细胞生长因子受体4 相关性分析 预测效能
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血清FGFR-4、CCL11、CA125检测对分化型甲状腺癌的诊断价值
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作者 宋晏 张洁 付伟 《标记免疫分析与临床》 CAS 2024年第6期1033-1037,1048,共6页
目的探究血清成纤维生长因子受体4(FGFR-4)、嗜酸性粒细胞趋化因子(CCL11)、糖类抗原(CA125)检测对分化型甲状腺癌的诊断价值。方法选取2019年2月至2023年2月来我院治疗的133例确诊为分化型甲状腺癌的患者为观察组,选同期来我院治疗的10... 目的探究血清成纤维生长因子受体4(FGFR-4)、嗜酸性粒细胞趋化因子(CCL11)、糖类抗原(CA125)检测对分化型甲状腺癌的诊断价值。方法选取2019年2月至2023年2月来我院治疗的133例确诊为分化型甲状腺癌的患者为观察组,选同期来我院治疗的108例甲状腺良性病变患者为良性病变组,另选取同期来我院体检的120例健康者为对照组。采用酶联免疫吸附测定法(ELISA)测定血清FGFR-4、CCL11水平,采用电化学发光法测定CA125水平;受试者工作特征(ROC)曲线分析血清FGFR-4、CCL11、CA125水平对分化型甲状腺癌的诊断价值。结果甲状腺癌组和良性病变组患者血清FGFR-4、CCL11、CA125水平与对照组相比均显著升高,且甲状腺癌组与良性病变组相比均显著升高(P<0.05);甲状腺癌组患者手术后血清FGFR-4、CCL11、CA125水平均显著下降(P<0.05);血清FGFR-4、CCL11、CA125水平在低分化、有淋巴结转移、III+IV期患者中的水平显著升高(P<0.05);血清FGFR-4、CCL11、CA125诊断分化型甲状腺癌的曲线下面积(AUC)分别为0.793、0.808、0.647,3项联合诊断的AUC为0.867,3项联合诊断优于各个指标单独诊断(Z_(二者联合vs FGFR-4)=2.334、Z_(二者联合vs CCL11)=1.966、Z_(二者联合vs CA125)=5.132,P=0.020、0.048、0.000)。结论分化型甲状腺癌患者血清FGFR-4、CCL11、CA125水平均上调,且血清FGFR-4、CCL11、CA125水平与分化程度、淋巴结转移情况以及TNM分期有关,3项联合诊断分化型甲状腺癌具有更高的诊断价值。 展开更多
关键词 分化型甲状腺癌 成纤维生长因子受体4 嗜酸性粒细胞趋化因子 糖类抗原
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血清血管生成素样蛋白4、成纤维细胞生长因子-23水平与糖尿病肾病患者病情严重程度及预后的关系
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作者 胡乐乐 魏银宇 +2 位作者 王金艳 朱坤良 刘国英 《实用临床医药杂志》 CAS 2024年第18期56-61,共6页
目的 探讨血清血管生成素样蛋白4(ANGPTL4)、成纤维细胞生长因子-23(FGF-23)水平与糖尿病肾病患者病情严重程度及预后的关系。方法 选取2018年7月—2020年7月120例糖尿病肾病患者作为研究对象(糖尿病肾病组),根据糖尿病肾病分期标准分... 目的 探讨血清血管生成素样蛋白4(ANGPTL4)、成纤维细胞生长因子-23(FGF-23)水平与糖尿病肾病患者病情严重程度及预后的关系。方法 选取2018年7月—2020年7月120例糖尿病肾病患者作为研究对象(糖尿病肾病组),根据糖尿病肾病分期标准分为轻症组62例与重症组58例;根据3年内预后情况分为预后良好组94例与预后不良组26例。选取102例糖尿病患者为单纯糖尿病组,81例健康体检志愿者作为对照组。采用酶联免疫吸附实验检测糖尿病肾病患者血清ANGPTL4、FGF-23水平。采用Logistic回归分析筛选患者预后的影响因素,绘制受试者工作特征(ROC)曲线,分析ANGPTL4、FGF-23及两者联合对糖尿病肾病患者病情严重程度及预后评估价值。结果 糖尿病肾病组及单纯糖尿病组的ANGPTL4、FGF-23水平高于对照组,差异有统计学意义(P<0.05);与单纯糖尿病组相比,糖尿病肾病组的ANGPTL4、FGF-23水平增加,差异有统计学意义(P<0.05);与轻症组相比,重症组的ANGPTL4、FGF-23水平增加,差异有统计学意义(P<0.05)。ROC曲线对病情严重程度的评估发现,ANGPTL4、FGF-23以及二者联合诊断的曲线下面积(AUC)分别为0.748、0.781、0.858,联合诊断显著优于FGF-23(Z=2.149,P=0.032)、ANGPTL4(Z=2.886,P=0.004)单独诊断;预后良好组的ANGPTL4、FGF-23水平与预后不良组相比显著降低(P<0.05);不同预后糖尿病肾病患者的糖尿病病程、血尿素氮(BUN)、血清肌酐(Scr)、空腹血糖(FBG)、糖化血红蛋白(HbA1C)、高血压以及ANGPTL4、FGF-23水平差异有统计学意义(P<0.05);Scr、ANGPTL4、FGF-23水平均为影响糖尿病肾病预后的危险因素(P<0.05);ROC曲线对患者预后评估发现,ANGPTL4、FGF-23以及二者联合诊断的AUC分别为0.774、0.795、0.874,联合诊断显著优于FGF-23(Z=2.385,P=0.171)、ANGPTL4(Z=2.317,P=0.021)单独诊断。结论 糖尿病肾病患者血清ANGPTL4、FGF-23水平显著升高,二者对糖尿病肾病患者的临床诊断及预后评估具有一定的参考价值。 展开更多
关键词 糖尿病肾病 血管生成素样蛋白4 成纤维细胞生长因子-23 病情严重程度 预后
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不同分子分型乳腺癌中FGFR4和CD44蛋白的表达及临床意义
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作者 林洁 黄云美 +2 位作者 王娟 黄炳臣 朱晓莹 《右江医学》 2023年第6期526-532,共7页
目的探讨成纤维细胞生长因子受体4(FGFR4)和白细胞表面蛋白CD44在乳腺癌四种分子分型中的表达情况及其临床意义。方法收集120例仅经手术切除的乳腺癌病例标本制成的组织蜡块,四种分子分型各30例;用免疫组化染色法(SP法)检测上述标本中FG... 目的探讨成纤维细胞生长因子受体4(FGFR4)和白细胞表面蛋白CD44在乳腺癌四种分子分型中的表达情况及其临床意义。方法收集120例仅经手术切除的乳腺癌病例标本制成的组织蜡块,四种分子分型各30例;用免疫组化染色法(SP法)检测上述标本中FGFR4和CD44的表达情况,探讨两者在乳腺癌不同分子分型中的表达差异。结果乳腺癌分子分型与肿瘤大小、组织学分级、淋巴结转移及TNM分期之间差异无统计学意义(P>0.05);不同分子分型患者年龄分布差异有统计学意义(P<0.05)。FGFR4在Luminal A型、Luminal B型、Her-2过表达型及基底细胞型乳腺癌中的阳性率分别为53.3%(16/30)、50.0%(15/30)、83.3%(25/30)及83.3%(25/30),CD44的阳性表达率分别为43.3%(13/30)、40.0%(12/30)、73.3%(22/30)及80.0%(24/30)。FGFR4和CD44在乳腺癌四种分子分型的表达差异有统计学意义(P<0.01);其中FGFR4在Her-2过表达型乳腺癌和基底细胞型乳腺癌的表达高于Luminal B型乳腺癌(P<0.008),CD44在基底细胞型乳腺癌的表达高于Luminal A型、Luminal B型(P<0.008)。结论FGFR4和CD44在Her-2过表达型和基底细胞型乳腺癌中的表达较高,提示它们可能影响乳腺癌的分子表型。 展开更多
关键词 乳腺癌 成纤维细胞生长因子受体4 CD44 免疫组化 分子分型
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Bcl6 Suppresses Cardiac Fibroblast Activation and Function via Directly Binding to Smad4 被引量:2
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作者 Jian NI Qing-qing WU +2 位作者 Hai-han LIAO Di FAN Qi-zhu TANG 《Current Medical Science》 SCIE CAS 2019年第4期534-540,共7页
Bcl6,a critical pro-oncogene of human B-cell lymphomas,can promote tumor progress.Previous studies have found that Bcl6 participates in hypoxia injury in cardiomyocytes.However,the effect of Bcl6 on cardiac fibroblast... Bcl6,a critical pro-oncogene of human B-cell lymphomas,can promote tumor progress.Previous studies have found that Bcl6 participates in hypoxia injury in cardiomyocytes.However,the effect of Bcl6 on cardiac fibroblasts is still unclear.The aim of this study was to elucidate the functional role of Bcl6 in cardiac fibroblast activation and function.The neonatal rat cardiac fibroblasts were isolated and cultured.First,transforming growth factor β1 (TGFβ1) was used to stimulate fibroblast activation.A decreased expression level of Bcl6 was observed in fibroblasts after stimulation with TGFβ1.Then,cells were transfected with adenovirus Bcl6 to overexpress Bcl6.The results showed that Bcl6 overexpression induced decreased proliferation and reduced activation of fibroblasts which were stimulated with TGFβ1.It was found that activated smad2 and smad3 were not changed by overexpressing Bcl6,but smad4 was decreased.Furthermore,co-immunoprecipitation results showed that Bcl6 directly bound to smad4,and induced down-regulation of smad4.At last,smad4 activator could counteract the anti-fibroblast effects of Bcl6.In conclusion,Bcl6 may negatively regulate cardiac fibroblast activation and function by directly binding to smad4. 展开更多
关键词 BCL6 cardiac fibroblast TRANSFORMING growth factor β1 SMAD4
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血清β-Klotho、FGF-19和FGFR-4检测对分化型甲状腺癌的诊断价值 被引量:7
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作者 王晔龙 于海文 《检验医学与临床》 CAS 2023年第3期374-378,共5页
目的观察血清β-Klotho、成纤维生长因子19(FGF-19)和成纤维生长因子受体4(FGFR-4)检测对分化型甲状腺癌的辅助诊断价值。方法选择2019年1月至2021年12月在该院确诊为分化型甲状腺癌患者98例纳入甲状腺癌组;选择同期该院收治的甲状腺良... 目的观察血清β-Klotho、成纤维生长因子19(FGF-19)和成纤维生长因子受体4(FGFR-4)检测对分化型甲状腺癌的辅助诊断价值。方法选择2019年1月至2021年12月在该院确诊为分化型甲状腺癌患者98例纳入甲状腺癌组;选择同期该院收治的甲状腺良性肿瘤患者36例纳入良性病变组。观察两组血清β-Klotho、FGF-19和FGFR-4水平,探讨血清β-Klotho、FGF-19和FGFR-4水平与临床指标的关系,以及其对甲状腺癌的诊断效能和各指标之间的相关性。结果入院时甲状腺癌组血清β-Klotho水平明显低于良性病变组(P<0.05),而血清FGF-19和FGFR-4水平明显高于良性病变组(P<0.05)。术后,两组血清β-Klotho水平较入院时明显升高(P<0.05),而血清FGF-19和FGFR-4水平较入院时明显降低(P<0.05)。术后两组血清β-Klotho、FGF-19和FGFR-4水平比较,差异无统计学意义(P>0.05)。血清β-Klotho、FGF-19和FGFR-4水平在淋巴结转移、浸润深度和TNM分期方面比较,差异有统计学意义(P<0.05),在年龄、性别、分化程度、组织类型和肿瘤最大径方面比较,差异无统计学意义(P>0.05)。血清β-Klotho、FGF-19和FGFR-4检测对甲状腺癌具有较高的辅助诊断效能,联合检测的灵敏度为80.6%,特异度为97.2%,曲线下面积(0.944)明显高于β-Klotho、FGF-19和FGFR-4单独检测(Z=3.307、3.953、4.477,P<0.05)。甲状腺癌患者血清β-Klotho水平与FGF-19和FGFR-4水平呈负相关(r=-0.732、-0.648,P<0.05),而血清FGF-19水平与FGFR-4水平呈正相关(r=0.816,P<0.05)。结论β-Klotho、FGF-19和FGFR-4参与了甲状腺癌的发病过程,联合检测有助于提高对甲状腺癌的辅助诊断效能。 展开更多
关键词 β-Klotho 成纤维生长因子19 成纤维生长因子受体4 分化型甲状腺癌
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HR-MRI联合血清bFGF、ANGPTL4对大脑中动脉狭窄性脑梗死患者的预后价值
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作者 周坛雷 刘振丽 +2 位作者 张幸 韩朝 于向前 《中国CT和MRI杂志》 2023年第12期6-9,共4页
目的探讨高分辨率磁共振成像(HR-MRI)联合血清碱性成纤维生长因子(bFGF)、血管生成素样蛋白4(ANGPTL4)对大脑中动脉狭窄(MCAS)性脑梗死患者的预后预测价值。方法纳入2021年10月-2023年3月本院确诊的发病24 h内的MCAS性脑梗死患者78例,依... 目的探讨高分辨率磁共振成像(HR-MRI)联合血清碱性成纤维生长因子(bFGF)、血管生成素样蛋白4(ANGPTL4)对大脑中动脉狭窄(MCAS)性脑梗死患者的预后预测价值。方法纳入2021年10月-2023年3月本院确诊的发病24 h内的MCAS性脑梗死患者78例,依据mRS量表分为预后良好组(42例)与预后不良组(36例)。依次对患者进行头颅常规DWI、3D-TOF、HR-MRI序列扫描,并记录参数。采集静脉血并检测血清bFGF、ANGPTL4水平。比较2组HR-MRI参数及血清bFGF、ANGPTL4水平差异,并分析MCAS性脑梗死患者预后影响因素。ROC曲线明确HR-MRI参数联合血清bFGF、ANGPTL4对MCAS性脑梗死患者预后预测价值。结果预后良好组患者HR-MRI参数中最狭窄处管腔面积(2.58_0.51)mm^(2)及血清bFGF(18.63_4.25)pg/mL、ANGPTL4(14.26_3.05)ng/mL水平高于预后不良组[(2.04_0.40)mm^(2)、(11.44_3.57)pg/mL、(9.38_2.14)ng/mL],T2WI(0.74_0.15)和T1WI信号强度指数(0.78_0.14)、斑块强化率(53.09_6.26)%低于预后不良组[(0.97_0.24)、(0.94_0.17)、(57.35_6.04)%](P<0.05)。回归分析显示,T2WI信号强度指数(OR=1.915)、血清bFGF(OR=0.762)、T1WI信号强度指数(OR=2.094)、ANGPTL4(OR=0.736)、最狭窄处管腔面积(OR=0.809)是MCAS性脑梗死患者预后不良的影响因素(P<0.05)。ROC结果显示,最狭窄处管腔面积、T2WI和T1WI信号强度指数单独及联合预测MCAS脑梗死患者预后不良的AUC为0.798、0.771、0.806、0.906,血清bFGF、ANGPTL4预测MCAS性脑梗死患者预后不良的AUC为0.873、0.821,而HR-MRI参数联合血清bFGF、ANGPTL4预测的AUC为0.972,敏感度为91.70%,优于单一指标检测。结论HRMRI参数、血清bFGF和ANGPTL4水平在评估MCAS性脑梗死患者预后中有重要作用,联合检测的预测效能更高,可为临床预测MCAS性脑梗死患者预后提供参考。 展开更多
关键词 大脑中动脉狭窄 高分辨率磁共振成像 脑梗死 碱性成纤维生长因子 血管生成素样蛋白4
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