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Epigenetic inactivation of secreted frizzled-related protein 2 in esophageal squamous cell carcinoma 被引量:3
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作者 Xiao-Wen Hao Sheng-Tao Zhu +3 位作者 Yuan-Long He Peng Li Yong-Jun Wang and Shu-Tian Zhang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第6期532-540,共9页
AIM: To investigate the expression and methylation status of the secreted frizzled-related protein 2 (SFRP2) in esophageal squamous cell carcinoma (ESCC) and ex- plore its role in ESCC carcinogenesis.METHODS: Se... AIM: To investigate the expression and methylation status of the secreted frizzled-related protein 2 (SFRP2) in esophageal squamous cell carcinoma (ESCC) and ex- plore its role in ESCC carcinogenesis.METHODS: Seven ESCC cell lines (KYSE 30, KYSE150, KYSE410, KYSE510, EC109, EC9706 and TE-1) and one immortalized human esophageal epithelial cell line (Het- 1A), 20 ESCC tissue samples and 20 paired adjacent non-tumor esophageal epithelial tissues were analyzed in this study. Reverse-transcription polymerase chain reaction (RT-PCR) was employed to investigate the expression of SFRP2 in cell lines, primary ESCC tumor tissue, and paired adjacent normal tissue. Methylation status was evaluated by methylation-specific PCR and bisulfite sequencing. The correlation between expres- sion and promoter methylation of the SFRP2 gene was confirmed with treatment of 5-aza-2'-deoxycytidine. To assess the potential role of SFRP2 in ESCC, we es-tablished stable SFRP2-transfected cells and examined them with regard to cell proliferation, colony formation, apoptosis and cell cycle in vivo and in vitro.RESULTS: SFRP2 mRNA was expressed in the im- mortalized normal esophageal epithelial cell line but not in seven ESCC cell lines. By methylation-specific PCR, complete methylation was detected in three cell lines with silenced SFRP2 expression, and extensive methylation was observed in the other four ESCC cell lines. 5-aza-2'-deoxycytidine could restore the expres- sion of SFRP2 mRNA in the three ESCC cell lines lack- ing SFRP2 expression. SFRP2 mRNA expression was obviously lower in primary ESCC tissue than in adjacent normal tissue (0.939 ± 0.398 vs 1.51 ± 0.399, P 〈 0.01). SFRP2 methylation was higher in tumor tissue than in paired normal tissue (95% vs 65%, P 〈 0.05). The DNA methylation status of the SFRP2 correlated inversely with the SFRP2 expression. To assess the potential role of SFRP2 in ESCC, we established stable SFRP2 transfectants and control counterparts by in- troducing pcDNA3.1/v5 hisA -SFRP2 or pcDNA3.1/v5 hisA -empty vector into KYSE30 cells lacking SFRP2 expression. After transfection, the forced-expression of SFRP2 was confirmed by the RT-PCR. In comparison with the control groups, stably-expressed SFRP2 in KYSE 30 cells significantly reduced colony formation in vitro (47.17% 4± 15.61% vs 17% :1: 3.6%, P = 0.031) and tumor growth in nude mice (917.86:1:249.35 mm3 vs 337.23 ± 124.43 mm3, P 〈 0.05). Using flow cytom- etry analysis, we found a significantly higher number of early apoptotic cells in SFRP2-transfected cells than in the control cells (P = 0.025). The mean cell number in the S and G2-M phases of the cell cycle was also significantly lower in SFRP2-transfected KYSE30 cells compared with mock transfected counterparts. CONCLUSION: Silencing of SFRP2 expression through promoter hypermethylation may be a factor in ESCC carcinogenesis through loss of its tumor-suppressive activity. 展开更多
关键词 Esophageal squamous cell carcinoma Se-creted frizzled-related protein 2 Methylation Tumor sup-pressor gene Wnt signaling pathway
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Secreted Frizzled-Related Protein 5 Mediates Wnt5a Expression in Microcystin-Leucine-Arginine-Induced Liver Lipid Metabolism Disorder in Mice
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作者 Meiyan Yang Furong Yu +3 位作者 Qianqian Ji Huiying Zhang Jiaxiang Zhang Daojun Chen 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2024年第8期850-864,共15页
Objective Microcystin-leucine-arginine(MC-LR)exposure induces lipid metabolism disorders in the liver.Secreted frizzled-related protein 5(SFRP5)is a natural antagonist of winglesstype MMTV integration site family,memb... Objective Microcystin-leucine-arginine(MC-LR)exposure induces lipid metabolism disorders in the liver.Secreted frizzled-related protein 5(SFRP5)is a natural antagonist of winglesstype MMTV integration site family,member 5A(Wnt5a)and an anti-inflammatory adipocytokine.In this study,we aimed to investigate whether MC-LR can induce lipid metabolism disorders in hepatocytes and whether SFRP5,which has anti-inflammatory effects,can alleviate the effects of hepatic lipid metabolism by inhibiting the Wnt5a/Jun N-terminal kinase(JNK)pathway.Methods We exposed mice to MC-LR in vivo to induce liver lipid metabolism disorders.Subsequently,mouse hepatocytes that overexpressed SFRP5 or did not express SFRP5 were exposed to MC-LR,and the effects of SFRP5 overexpression on inflammation and Wnt5a/JNK activation by MC-LR were observed.Results MC-LR exposure induced liver lipid metabolism disorders in mice and significantly decreased SFRP5 mRNA and protein levels in a concentration-dependent manner.SFRP5 overexpression in AML12cells suppressed MC-LR-induced inflammation.Overexpression of SFRP5 also inhibited Wnt5a and phosphorylation of JNK.Conclusion MC-LR can induce lipid metabolism disorders in mice,and SFRP5 can attenuate lipid metabolism disorders in the mouse liver by inhibiting Wnt5a/JNK signaling. 展开更多
关键词 Jun N-terminal kinase secreted frizzled-related protein 5 WNT5A Hepatic lipid metabolism disorder
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Hypermethylation and expression regulation of secreted frizzled-related protein genes in colorectal tumor 被引量:34
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作者 Jian Qi You-Qing Zhu +1 位作者 Jun Luo Wen-Hui Tao 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第44期7113-7117,共5页
AIM: To investigate the functions of promoter hypermethylation of secreted frizzled-related proteins (sFRPs) genes in colorectal tumorigenesis and progression. METHODS: The promoter hypermethylation and expression... AIM: To investigate the functions of promoter hypermethylation of secreted frizzled-related proteins (sFRPs) genes in colorectal tumorigenesis and progression. METHODS: The promoter hypermethylation and expression of sFRP genes in 72 sporadic colorectal carcinomas, 33 adenomas, 18 aberrant crypt foci (ACF) and colorectal cancer cell lines RKO, HCT116 and SW480 were detected by methylation-specific PCR and reverse transcription PCR, respectively. RESULTS: None of the normal colorectal mucosa tissues showed methylated bands of any of four sFRP genes, sFRP1, 2, 4 and 5 were frequently methylated in colorectal carcinoma, adenoma and ACF (sFRP1 〉 85%, sFRP2 〉75%, sFRP5 〉 50%), and the differences between three colorectal tissues were not significant (P 〉 0.05). IVlethylation in colorectal tumors was more frequent than in normal mucosa and adjacent normal mucosa. The mRNA of sFRP1-5 genes was expressed in all normal colorectal mucosa samples. Expression of sFRP1, 2, 4 and 5 and sFRP1, 2 and 5 was downregulated in carcinoma and adenoma, respectively. The downregulation of sFRP2, 4 and 5 was more frequent in carcinoma than in adenoma. Expression of sFRP3 which promoter has no CpG island was downregulated in only a few of colorectal tumor samples (7/105). The downregulation ofsFRP1, 2, 4 and 5 expression was significantly associated with promoter hypermethylation in colorectal tumor. After cells were treated by DAC/TSA combination, the silenced sFRP mRNA expression could be effectively re-expressed in colorectal cancer cell lines. CONCLUSION: Hypermethylation of sFRP genes is a common early event in the evolution of colorectal tumor, occurring frequently in ACF, which is regarded as the earliest lesion of multistage colorectal carcinogenesis. It appears to functionally silence sFRP genes expression. Methylation of sFRP1, 2 and 5 genes might serve as indicators for colorectal tumor. 展开更多
关键词 Colorectal tumor secreted frizzled-related protein genes METHYLATION Indicator RE-EXPRESSION
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Hypermethylation and aberrant expression of Wnt antagonist secreted frizzled-related protein 1 in gastric cancer 被引量:14
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作者 Cheng-Hai Zhao Xian-Min Bu Ning Zhang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第15期2214-2217,共4页
AIM: To identify the methylation of secreted frizzled-related protein 1 (SFRP1) in gastric cancer and to investigate the aberrant expression of SFRP1 and its correlation with the clinical pathological features of p... AIM: To identify the methylation of secreted frizzled-related protein 1 (SFRP1) in gastric cancer and to investigate the aberrant expression of SFRP1 and its correlation with the clinical pathological features of patients. METHODS: We determined SFRP1 methylation and SFRP1 mRNA expression in 3 gastric cancer cell lines SGC-7901, BGC-823, HGC-27, from 52 primary gastric cancer specimens and matched tumor adjacent tissue specimens by methylation-specific (MSP) PCR and RT-PCR respectively. Fisher's exact test was used to analyze the statistical association between clinical pathological data and aberrant expression of SFRP1. RESULTS: In 3 cancer cell lines, BGC-823 and HGC-27 had methylated SFRP1 and lost SFRP1 mRNA expression. After treatment of BGC-823 and HGC-27 with the demethylating agent, 5-aza-2′-deoxycytidine, SFRP1 was re-expressed. In 52 primary gastric cancer specimens and matched tumor adjacent tissue specimens, hypermethylation of SFRP1 was detected in 23 (44%) and 8 (15%) specimens respectively (x^2= 10.34, P 〈 0.01). Loss of SFRP1 expression was detected in 17(33%) and 6 (12%) specimens respectively (x^2= 6.75, P 〈 0.01). There was a significant correlation between SFRP1 hypermethylation and SFRP1 expression loss. SFRP1 expression was also correlated significantly with tumor stage and lymph node status, but not with patient sex, age and histological type. CONCLUSION: SFRP1 inactivation is a common and early event caused mainly by hypermethylation in gastric cancer. SFRP1 expression loss may be correlated with tumor metastasis in primary gastric cancer. 展开更多
关键词 secreted frizzled-related protein 1 WNT HYPERMETHYLATION
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Secreted Frizzled-Related Protein 5 (SFRP5) in Patients with Obstructive Sleep Apnea 被引量:7
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作者 Dongmei Zhang Rong Huang +3 位作者 Yi Xiao Fengying Gong Xu Zhong Jinmei Luo 《Chinese Medical Sciences Journal》 CAS CSCD 2017年第4期211-217,共7页
Objective Obstructive sleep apnea (OSA) is closely related to obesity, insulin resistance and inflammation. Secreted frizzled-related protein 5 (SFRP5) is a recently discovered adipokine. It is involved in insulin res... Objective Obstructive sleep apnea (OSA) is closely related to obesity, insulin resistance and inflammation. Secreted frizzled-related protein 5 (SFRP5) is a recently discovered adipokine. It is involved in insulin resistance and inflammation in obesity. This study aimed at evaluating the association between SFRP5and sleeping characteristics as well as biochemical parameters of OSA patients.Methods This was a prospective case control study. Nondiabetic OSA patients and controls were consecutively recruited and divided into three groups: OSA group, apnea–hypopnea Index (AHI)≥5/h; healthy controls with normal body mass index (BMI); obese controls without OSA, and BMI > 24.0 kg/m2. All participants underwent polysomnography (PSG). Plasma SFRP5 was examined using enzyme-linked immunosorbent assay (ELISA). Blood biochemical examinations, including fasting blood glucose (FBG), lipid profile, hypersensitive Creactive protein (hsCRP), were performed early in the morning after PSG. Patients with severe OSA were treated with nasal continuous positive airway pressure (nCPAP), and plasma SFRP5 was repeatedly measured for comparison.Results Sixty-eight subjects were enrolled in the study, including 38 patients of OSA, whose medium AHI was 58.70 /h (36.63, 71.15), 20 obese controls, and 10 healthy controls. The plasma SFRP5 level of OSA patients was not significantly different from that of healthy controls or obese controls. In OSA patients, SFRP5 level correlated positively with triglyceride level (r=0.447, P=0.005) and negatively with LDL-cholesterol level and HDLcholesterol level (r=?0.472 and P=0.003; r=?0.478 and P=0.002; respectively). SFRP5 level was not found correlating with FBG, AHI, or any of nocturnal hypoxia parameters. After overnight nCPAP treatment, plasma SFRP5 levels of OSA patients did not change significantly (t=1.557, P = 0.148) compared to that of pretreatment.Conclusions In nondiabetic OSA patients, plasma SFRP5 is associated with the lipid profile. However,no correlation was observed between SFRP5 and FBG or sleep parameters. The SFRP5 level of OSA patients did not differ from that of non-OSA individuals in our study. 展开更多
关键词 secreted frizzled-related protein 5 (SFRP5) OBSTRUCTIVE sleep APNEA (OSA) obesity
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2型糖尿病伴干眼症病人血清和泪液分泌型卷曲相关蛋白5、脂肪酸结合蛋白4水平与病情严重程度的相关性 被引量:1
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作者 张震英 田春雨 +2 位作者 赵乐 闫小艺 郑继香 《安徽医药》 CAS 2024年第1期58-63,共6页
目的分析分泌型卷曲相关蛋白5(SFRP-5)、脂肪酸结合蛋白4(FABP4)在2型糖尿病(T2DM)伴干眼症病人血清和泪液中的表达及其与病情严重程度的相关性。方法选取2020年12月至2021年12月唐山市眼科医院收治的T2DM病人145例,其中单纯T2DM病人84... 目的分析分泌型卷曲相关蛋白5(SFRP-5)、脂肪酸结合蛋白4(FABP4)在2型糖尿病(T2DM)伴干眼症病人血清和泪液中的表达及其与病情严重程度的相关性。方法选取2020年12月至2021年12月唐山市眼科医院收治的T2DM病人145例,其中单纯T2DM病人84例168眼(T2DM组),伴干眼症病人61例122眼(T2DM伴干眼症组),另选取同期该院体检健康者50例100眼作为对照组。T2DM伴干眼症病人又分为轻度组(29例)、中度组(17例)、重度组(15例)。利用酶联免疫吸附法测定所有受试者血清和泪液中SFRP-5、FABP4水平;相关性分析采用Pearson法或Spearman法;logistic回归分析影响T2DM病人干眼症发生的因素。结果T2DM伴干眼症组、T2DM组血清和泪液SFRP-5水平均低于对照组(106.09±8.37、135.72±9.26比158.34±9.45,28.85±5.13、58.27±6.14比45.18±5.92),T2DM伴干眼症组低于T2DM组(P<0.05);T2DM伴干眼症组、T2DM组血清和泪液FABP4水平均高于对照组(70.63±6.59、58.27±6.14比45.18±5.92,15.91±3.76、10.28±3.58比7.72±3.29),T2DM伴干眼症组高于T2DM组(P<0.05)。重度组、中度组血清和泪液SFRP-5水平(68.29±7.15、95.54±8.34比131.82±9.02,12.83±4.62、24.72±5.49比39.56±5.18)、泪膜破裂时间(BUT)、泪液分泌试验(SIT)低于轻度组,重度组低于中度组(P<0.05);重度组、中度组血清和泪液FABP4水平(84.56±6.83、73.18±6.94比61.93±6.27,25.64±4.19、17.15±3.86比10.16±3.47)及眼表疾病指数量表(OSDI)积分高于轻度组,重度组高于中度组(P<0.05)。T2DM伴干眼症病人血清与泪液SFRP-5水平呈正相关,血清与泪液FABP4水平也呈正相关(P<0.05)。T2DM伴干眼症病人血清和泪液SFRP-5水平与OSDI积分均呈负相关,与BUT、SIT均呈正相关(P<0.05);血清和泪液FABP4水平与OSDI积分均呈正相关,与BUT、SIT均呈负相关(P<0.05)。血清和泪液SFRP-5水平是影响T2DM病人干眼症发生的独立保护因素,而血清和泪液FABP4水平是独立危险因素(P<0.05)。结论SFRP-5在T2DM伴干眼症病人血清和泪液中均低表达,FABP4均高表达,二者与病情严重程度密切相关。 展开更多
关键词 糖尿病 2 糖尿病并发症 干眼病 血清 眼泪 分泌型卷曲相关蛋白5 脂肪酸结合蛋白4 病情严重程度
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血清SFRP-4在2型糖尿病肾病患者不同病理阶段的表达水平及对预后的预测价值
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作者 洪海娟 郑峰 +1 位作者 戴静华 臧秀娟 《国际检验医学杂志》 CAS 2024年第9期1025-1030,共6页
目的探究血清分泌型卷曲相关蛋白-4(SFRP-4)在2型糖尿病肾病(T2DKD)患者中不同病理阶段的表达水平及对预后的预测价值。方法选择2020年1月至2022年1月于该院就诊的140例T2DKD患者为T2DKD组,140例单纯2型糖尿病(T2DM)患者为T2DM组,另选... 目的探究血清分泌型卷曲相关蛋白-4(SFRP-4)在2型糖尿病肾病(T2DKD)患者中不同病理阶段的表达水平及对预后的预测价值。方法选择2020年1月至2022年1月于该院就诊的140例T2DKD患者为T2DKD组,140例单纯2型糖尿病(T2DM)患者为T2DM组,另选择同期于该院体检的140例健康者为对照组。对比3组的一般资料和生化指标,并比较不同肾损伤程度T2DKD患者的一般资料及生化指标。依据预后情况,将140例T2DKD患者分为预后良好组(n=87)和预后不良组(n=53),通过单因素和多因素Logistic分析T2DKD患者预后不良的独立危险因素。应用Logistic回归模型结合限制性立方样条模型(RCS)分析T2DKD患者的SFRP-4表达水平与T2DKD患者预后不良的剂量-反应关系。依据独立因素构建列线图预测模型,并对模型进行验证。结果随着肾损伤程度的增加,T2DKD患者T2DM病程、空腹血糖(FPG)、糖化血红蛋白(HbA1c)、肌酐(Scr)、尿素氮(BUN)、尿酸(UA)、尿β2-微球蛋白(β2-MG)和SFRP-4逐渐增高(P<0.05),白蛋白(Alb)逐渐降低(P<0.05)。FPG、Scr、BUN、尿β2-MG和SFRP-4是T2DKD患者预后不良的独立危险因素(P<0.05)。RCS结果显示,SFRP-4与T2DKD患者预后不良呈非线性剂量-反应关系,随着SFRP-4表达水平的增高,T2DKD患者预后不良的风险逐渐升高。利用独立危险因素构建列线图预测模型,模型具有良好的区分度和准确性。结论随着肾损伤程度的增加,T2DKD患者的SFRP-4表达水平逐渐增高。SFRP-4是T2DKD患者预后的独立危险因素,与患者预后不良呈非线性剂量-反应关系,随着SFRP-4表达水平的增高,T2DKD患者预后不良的风险逐渐上升。 展开更多
关键词 血清分泌型卷曲相关蛋白-4 2型糖尿病肾病 预后
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CT联合分泌型卷曲受体蛋白4及可溶性生长刺激表达基因2蛋白对恶性胆道梗阻患者术后并发胰腺炎的诊断价值
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作者 柳群力 朱鸷翔 《实用临床医药杂志》 CAS 2024年第5期59-62,67,共5页
目的探讨计算机断层扫描(CT)联合血清分泌型卷曲受体蛋白4(SFRP4)及可溶性生长刺激表达基因2蛋白(sST2)对恶性胆道梗阻(MBO)患者胆管支架置入术后并发胰腺炎的诊断价值。方法选取行胆管支架置入术的243例MBO患者为研究对象,根据术后并... 目的探讨计算机断层扫描(CT)联合血清分泌型卷曲受体蛋白4(SFRP4)及可溶性生长刺激表达基因2蛋白(sST2)对恶性胆道梗阻(MBO)患者胆管支架置入术后并发胰腺炎的诊断价值。方法选取行胆管支架置入术的243例MBO患者为研究对象,根据术后并发胰腺炎情况分为胰腺炎组105例和无胰腺炎组138例。采用酶联免疫法检测SFRP4、sST2水平,采用受试者工作特征(ROC)曲线和四表格法分析SFRP4、sST2单独及联合CT诊断术后并发胰腺炎的临床价值。结果胰腺炎组血清SFRP4、sST2水平高于无胰腺炎组,差异有统计学意义(P<0.05);血清SFRP4、sST2水平诊断术后并发胰腺炎的曲线下面积(AUC)为0.694、0.667。CT诊断术后并发胰腺炎的敏感度为76.19%,特异度为60.87%;CT联合血清SFRP4、sST2水平诊断术后并发胰腺炎的敏感度为98.10%、准确度为76.54%;三者联合诊断的敏感度和准确度高于CT、SFRP4、sST2单独诊断,差异有统计学意义(P<0.05)。结论胆管支架置入术后并发胰腺炎的MBO患者血清SFRP4、sST2水平较高,CT联合血清SFRP4、sST2水平对术后并发胰腺炎具有较高的诊断价值。 展开更多
关键词 计算机断层扫描 分泌型卷曲受体蛋白4 可溶性生长刺激表达基因2蛋白 恶性胆道梗阻 胆管支架置入术 胰腺炎
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Secretion and expression dynamics of a GFP-tagged mucin-type fusion protein in high cell density Pichia pastoris bioreactor cultivations
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作者 Magnus Sjoblom Linda Lindberg +1 位作者 Jan Holgersson Ulrika Rova 《Advances in Bioscience and Biotechnology》 2012年第3期238-248,共11页
The methanol inducible alcohol oxidase 1 promoter and the Saccharomyces cerevisiae alpha-factor prepro secretion signal were used to drive expression and secretion of a mucin-type fusion protein by Pichia pastoris in ... The methanol inducible alcohol oxidase 1 promoter and the Saccharomyces cerevisiae alpha-factor prepro secretion signal were used to drive expression and secretion of a mucin-type fusion protein by Pichia pastoris in 1 L scale bioreactors. The aim of the study was to understand how varying expression rates influenced the secretion dynamics of the fusion protein in terms of intracellular- and extracellular concentrations. Endoplasmic reticulum (ER) folding stress was assessed by the relative expression of the unfolded protein response controlled KAR2 gene. Three predefined methanol feeding models were applied to control the fusion protein synthesis rate. To track the fusion protein synthesis in a non-invasive manner and to follow its intracellular distribution, its C-terminal was linked to the green fluorescent protein. Under all conditions the fusion protein was found to partially accumulate intracellularly, where the major fraction was an insoluble, fluorescent full-sized protein. The high degree of glycosylation of the insoluble fusion protein indicated a secretory bottle-neck in the Golgi-system. This result was consistent with low ER folding stress as quantified by the relative expression of the KAR2 gene. Reduction of recombinant protein synthesis rate, by using lower feed rates of methanol, enhanced extracellular concentrations from 8 to 18 mg·L–1 and reduced the rate of intracellular accumulation. This clearly demonstrates the importance of tuning the synthesis rate with secretory bottle-necks to maintain secretion. 展开更多
关键词 GFP GFP-Fusion Green Fluorescent protein KAR2 Pichia pastoris secretION Unfolded protein Response YEAST
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2型糖尿病患者血清SFRP-4和CHI3L1水平对糖尿病视网膜病变的评估价值
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作者 伍玉洁 张壬嘉 《国际眼科杂志》 CAS 2024年第11期1728-1732,共5页
目的:探讨2型糖尿病(DM)患者血清分泌型卷曲蛋白-4(SFRP-4)、壳多糖3样蛋白1(CHI3L1)水平与糖尿病视网膜病变(DR)的相关性。方法:前瞻性研究。选取2018-10/2023-10本院收治的DR患者103例为DR组,其中DR早期39例,DR中期42例,DR晚期22例;... 目的:探讨2型糖尿病(DM)患者血清分泌型卷曲蛋白-4(SFRP-4)、壳多糖3样蛋白1(CHI3L1)水平与糖尿病视网膜病变(DR)的相关性。方法:前瞻性研究。选取2018-10/2023-10本院收治的DR患者103例为DR组,其中DR早期39例,DR中期42例,DR晚期22例;选取单纯2型糖尿病患者98例为DM组,同期选取健康体检者101例为对照组。收集各组受试者基线资料及临床指标。采用酶联免疫吸附(ELISA)法检测血清SFRP-4、CHI3L1水平。结果:DR组患者血清SFRP-4、CHI3L1水平及TG、LDL-C、HbA1C、FPG、HOMA-IR均高于DM组和对照组(均P<0.05);DM组患者血清SFRP-4、CHI3L1水平及TG、LDL-C、HbA1C、FPG、HOMA-IR均高于对照组(均P<0.05)。DR晚期患者病程、TG、LDL-C、HbA1C、FPG、HOMA-IR、SFRP-4、CHI3L1均高于DR中期、DR早期(均P<0.05)。DR患者血清SFRP-4、CHI3L1水平与病程、TG、LDL-C、HbA1C、FPG、HOMA-IR、DR分期均呈正相关(均P<0.05)。血清SFRP-4、CHI3L1及联合诊断DR的曲线下面积(AUC)分别为0.809、0.801、0.898。血清SFRP-4、CHI3L1水平是影响DR发生的危险因素(P<0.05)。结论:血清SFRP-4、CHI3L1水平与2型糖尿病患者DR关系密切,二者水平升高提示患者发生DR的风险较高。 展开更多
关键词 2型糖尿病 糖尿病视网膜病变 分泌型卷曲蛋白-4(SFRP-4) 壳多糖3样蛋白1(CHI3L1)
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非酒精性脂肪性肝病合并T2DM患者血清成纤维细胞生长因子-21和分泌型卷曲相关蛋白5水平变化及其临床意义探讨
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作者 孙世磊 刘翠翠 +1 位作者 李曙光 鲁科翔 《实用肝脏病杂志》 CAS 2024年第3期357-360,共4页
目的探讨非酒精性脂肪性肝病(NAFLD)合并T2DM患者血清成纤维细胞生长因子-21(FGF21)和分泌型卷曲相关蛋白5(SFRP5)水平变化及其临床意义。方法2020年5月~2023年3月我院诊治的NAFLD患者101例【单纯性脂肪肝(NAFL)64例、非酒精性脂肪性肝... 目的探讨非酒精性脂肪性肝病(NAFLD)合并T2DM患者血清成纤维细胞生长因子-21(FGF21)和分泌型卷曲相关蛋白5(SFRP5)水平变化及其临床意义。方法2020年5月~2023年3月我院诊治的NAFLD患者101例【单纯性脂肪肝(NAFL)64例、非酒精性脂肪性肝炎(NASH)25例和肝硬化(LC)12例】和NAFLD合并T2DM患者81例(NAFL 58例、NASH 16例和LC 7例),检测空腹血糖(FBG)、空腹胰岛素(FINS),计算胰岛素抵抗指数(HOMA-IR)。采用ELISA法检测血清FGF21和SFRP5水平。结果NAFLD合并T2DM患者FBG、血清FINS、HOMA-IR和血清FGF21水平分别为(8.7±1.4)mmol/L、(28.9±5.8)μIU/mL、(11.1±2.7)和(304.8±36.0)pg/mL,均显著高于NAFLD患者【分别为(5.5±1.2)mmol/L、(20.8±4.1)μIU/mL、(5.1±1.5)和(267.6±34.5)pg/mL,P<0.05】,而血清SFRP5水平为(6.8±1.2)pg/mL,显著低于NAFLD患者【(10.3±2.2)pg/mL,P<0.05】;NAFLD合并T2DM患者血清TC、TG、HDL-C和LDL-C水平分别为(6.7±1.0)mmol/L、(3.7±0.6)mmol/L、(1.3±0.2)mmol/L和(3.4±0.8)mmol/L,与NAFLD患者【分别为(6.2±0.9)mmol/L、(4.1±0.5)mmol/L、(1.3±0.3)mmol/L和(3.2±0.7)mmol/L】比,差异无统计学意义(P>0.05);T2DM合并NAFL、合并NASH和合并肝硬化患者血清SFRP5水平分别为(7.8±1.1)pg/mL、(6.4±0.8)pg/mL和(5.1±0.7)pg/mL,显著低于NAFL、NASH和肝硬化患者【分别为(11.9±2.1)pg/mL、(9.8±1.6)pg/mL和(8.4±1.1)pg/mL,P<0.05】,而血清FGF21水平分别为(295.6±31.2)pg/mL、(316.8±32.9)pg/mL和(353.6±36.7)pg/mL,显著高于NAFL、NASH和肝硬化患者【分别为(255.1±32.5)pg/mL、(279.5±33.4)pg/mL和(309.7±35.8)pg/mL,P<0.05】。结论NAFLD合并T2DM患者血清FGF21水平显著升高,而血清SFRP5水平显著降低,可应用于对病情严重程度的评估,值得深入研究。 展开更多
关键词 非酒精性脂肪性肝病 2型糖尿病 成纤维细胞生长因子-21 分泌型卷曲相关蛋白5
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二甲双胍和格列吡嗪对2型糖尿病患者血清分泌型卷曲相关蛋白5水平的影响研究 被引量:20
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作者 刘云涛 简磊 +2 位作者 胡斌 李建伟 黄亮 《中国全科医学》 CAS CSCD 北大核心 2014年第16期1862-1865,共4页
目的探讨二甲双胍和格列吡嗪对2型糖尿病患者血清分泌型卷曲相关蛋白5(SFRP5)水平的影响。方法选择2012年7月—2013年9月三峡大学仁和医院体检中心体检健康者45例为对照组。同时期我院门诊、内分泌科住院的1年内新诊断的2型糖尿病患者93... 目的探讨二甲双胍和格列吡嗪对2型糖尿病患者血清分泌型卷曲相关蛋白5(SFRP5)水平的影响。方法选择2012年7月—2013年9月三峡大学仁和医院体检中心体检健康者45例为对照组。同时期我院门诊、内分泌科住院的1年内新诊断的2型糖尿病患者93例,根据治疗不同分为两组:二甲双胍组47例、格列吡嗪组46例。观察3组治疗前,二甲双胍组及格列吡嗪组治疗后血压、体质指数(BMI)、稳态模型胰岛素抵抗指数(HOMA-IR)、空腹血糖(FPG)、血脂、糖化血红蛋白(HbA1c)、胰岛素、白介素6(IL-6)、肿瘤坏死因子α(TNF-α)、SFRP5水平变化。结果治疗前二甲双胍组和格列吡嗪组较对照组HOMA-IR、FPG、三酰甘油(TG)、血清总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、胰岛素、HbA1c、IL-6、TNF-α水平升高,高密度脂蛋白胆固醇(HDLC)、SFRP5水平降低(P<0.05)。治疗后格列吡嗪组较二甲双胍组HOMA-IR、TG、胰岛素、TNF-α水平升高,SFRP5水平降低(P<0.05)。血清SFRP5水平与BMI、HOMA-IR、FPG、TG、HbA1c、胰岛素、IL-6、TNF-α均呈负相关(P<0.05);与HDL-C呈正相关(P<0.05)。多元逐步回归结果显示HOMA-IR、BMI是影响SFRP5水平的独立相关因素(P<0.05)。回归方程为SFRP5=-0.178×HOMA-IR-0.076×BMI+4.521。结论 2型糖尿病患者血清SFRP5水平降低,二甲双胍、格列吡嗪改善2型糖尿病患者胰岛素抵抗、糖代谢的同时升高SFRP5水平,二甲双胍对SFRP5水平的升高更明显。 展开更多
关键词 糖尿病 2 分泌型卷曲相关蛋白5 二甲双胍 格列吡嗪
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人骨形态发生蛋白2(BMP-2)在巴斯德毕赤酵母中的表达 被引量:4
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作者 梁东春 左爱军 +2 位作者 王宝利 郭刚 张镜宇 《中国生物工程杂志》 CAS CSCD 北大核心 2005年第7期61-65,共5页
以重组质粒pUC-BMP2为模板PCR扩增人BMP-2成熟肽编码序列,将该序列克隆入pGEM-T载体进行DNA序列分析后亚克隆入分泌型毕赤酵母表达载体pPIC9K中。重组质粒oPIC9K-BMP2经BelⅡ酶切后回收线性化片段,聚乙二醇法转染毕赤酵母茵株GS115。PC... 以重组质粒pUC-BMP2为模板PCR扩增人BMP-2成熟肽编码序列,将该序列克隆入pGEM-T载体进行DNA序列分析后亚克隆入分泌型毕赤酵母表达载体pPIC9K中。重组质粒oPIC9K-BMP2经BelⅡ酶切后回收线性化片段,聚乙二醇法转染毕赤酵母茵株GS115。PCR筛选整合有人BMP-2基因的酵母细胞重组子,以甲醇进行诱导表达,于酵母细胞培养基中可检测到rhBMP-2。体外培养条件下,所得rhBMP-2可增加2T3小鼠成骨细胞内碱性磷酸酶活性;体内实验.rhBMP-2冻干粉可于小鼠骨四头肌肌袋中诱导软骨细胞群产生。 展开更多
关键词 巴斯德毕赤酵母 骨形态发生蛋白 rhBMP-2 DNA序列分析 碱性磷酸酶活性 酵母表达载体 体外培养条件 重组质粒 PCR扩增 聚乙二醇法 细胞培养基 编码序列 酵母菌株 酵母细胞 诱导表达 体内实验 成熟肽 PUC 分泌型 亚克隆 T载体
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血清胰腺再生蛋白水平预测2型糖尿病及其慢性并发症发生的价值 被引量:6
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作者 李玲 杨家悦 +3 位作者 祝祥云 吴春华 何杰宇 黄灏 《中国全科医学》 CAS CSCD 北大核心 2016年第2期159-163,共5页
目的检测不同临床阶段2型糖尿病(T2DM)患者胰腺再生蛋白(Reg)水平,分析血清Reg与T2DM及其慢性并发症的关系。方法选取2012年9月—2014年12月东南大学附属中大医院及南京6个社区医院(红山、玄武、莫愁、夫子庙、中华门和徐家巷)收治的门... 目的检测不同临床阶段2型糖尿病(T2DM)患者胰腺再生蛋白(Reg)水平,分析血清Reg与T2DM及其慢性并发症的关系。方法选取2012年9月—2014年12月东南大学附属中大医院及南京6个社区医院(红山、玄武、莫愁、夫子庙、中华门和徐家巷)收治的门诊、住院患者以及健康体检者,根据诊断标准与排除标准共纳入950名参与者,将其分为5组:健康对照组(HC组,n=97)、高危人群组(HR组,n=209)、糖调节受损组(IGR组,n=292)、初发T2DM组(Onset组,n=188)和长程T2DM无并发症组(LD-无并发症组,n=94)、长程T2DM有并发症组(LD-有并发症组,n=70)。采用酶联免疫吸附法(ELISA)测定受试者清晨空腹状态下的血清Reg水平,分析Reg与T2DM病程及慢性并发症的关系。结果各组年龄、糖尿病家族史、吸烟史、收缩压比较,差异均无统计学意义(P>0.05);各组性别、体质指数(BMI)、舒张压、空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(Hb A1c)、Reg比较,差异均有统计学意义(P<0.05)。T2DM患者血清Reg水平与病程呈正相关(rs=0.284,P<0.01)。在所有受试者中血清Reg水平与Hb A1c、FPG、2 h PG呈正相关(rs=0.188、0.115、0.111,P<0.001)。Reg诊断T2DM的ROC曲线下面积为0.640〔95%CI(0.605,0.674)〕,最佳截点为25 ng/ml,其灵敏度为46%,特异度为76%,阳性似然比为1.92,阴性似然比为0.71。Reg诊断T2DM慢性并发症的ROC曲线下面积为0.754〔95%CI(0.694,0.813)〕,最佳截点为27 ng/ml,其灵敏度为65%,特异度为74%,阳性似然比为2.50,阴性似然比为0.47。结论检测血清Reg水平有助于预测T2DM及其慢性并发症,Reg将来可能成为T2DM及其进展的一种预测因子。 展开更多
关键词 糖尿病 2 胰腺再生蛋白 胰岛素分泌细胞
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糖毒性下UCP2介导的胰岛功能紊乱的研究 被引量:9
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作者 陈莹晖 李裕明 +3 位作者 邓波 李丽华 高海波 陈璐璐 《华中科技大学学报(医学版)》 CAS CSCD 北大核心 2010年第2期193-196,共4页
目的研究不同浓度高糖对胰岛INS-1细胞解偶联蛋白2(UCP2)基因表达的影响,探讨UCP2基因与高糖刺激下氧化应激和胰岛素分泌之间的关系,进一步了解糖尿病糖毒性的发病机制。方法将不同浓度的葡萄糖作用于INS-1细胞,镜下观察INS-1细胞的形... 目的研究不同浓度高糖对胰岛INS-1细胞解偶联蛋白2(UCP2)基因表达的影响,探讨UCP2基因与高糖刺激下氧化应激和胰岛素分泌之间的关系,进一步了解糖尿病糖毒性的发病机制。方法将不同浓度的葡萄糖作用于INS-1细胞,镜下观察INS-1细胞的形态改变,应用可见分光光度计测定丙二醛(MDA)含量,运用ELISA方法检测葡萄糖刺激的胰岛素分泌(GSIS),同时应用RT-PCR方法检测UCP2基因的表达。结果①随着糖浓度的增加,INS-1细胞的凋亡增多,MDA含量逐渐增加,GSIS值逐渐下降,不同糖浓度组比较,差异具有显著性意义(P<0.01)。②随着葡萄糖浓度增加,INS-1细胞UCP2 mRNA的表达总体逐渐增强。结论高糖可促进INS-1细胞凋亡,在高糖作用下活性氧物质(ROS)代谢产物MDA增多,通过激活UCP2的途径引起胰岛细胞胰岛素分泌功能受损。这可能也是糖毒性对胰岛β细胞损害的一个重要环节。 展开更多
关键词 解偶联蛋白2 INS-1细胞 糖毒性 氧化应激 高糖刺激的胰岛素分泌
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Combination analysis of hypermethylated SFRP1 and SFRP2 gene in fecal as a novel epigenetic biomarker panel for colorectal cancer screening 被引量:4
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作者 Dong Tang Daorong Wang Hongbo Li 《Journal of Nanjing Medical University》 2008年第2期96-101,共6页
Objective:To investigate the feasibility of the combination of detecting hypermethylated secreted frizzled-related protein 1 (SFRP1) and secreted frizzled-related protein 2(SFRP2) in feces as a panel of biomarker... Objective:To investigate the feasibility of the combination of detecting hypermethylated secreted frizzled-related protein 1 (SFRP1) and secreted frizzled-related protein 2(SFRP2) in feces as a panel of biomarkers for colorectal cancer(CRC) screening. Methods: Methylation-specific PCR(MSP) was performed to analyze methylation status of SFRP1 and SFRP2 in a blinded fashion in tumor tissues and in matched stool samples from 39 patients with primary CRC, 34 patients with adenomas, 17 patients with hyperplastic polyps and 20 endoscopically normal subjects as normal controls. Simultaneously we analyzed the correlation of hypermethylated SFRP1 and SFRP2 with the clinicopathological features of CRC. Results:Hypermethylated SFRP1 was detected in 92.3%, 76.5%, 47.1% of tissue samples and in 89.7%, 64.7%, 35.3% of matched fecal samples from CRC, adenoma and hyperplastic polyp, respectively. Hypermethylated SFRP2 was detected in 87.2%, 67.6%, 35.3% of tissue samples and in 82.1%, 55.9%, 29.4% of matched fecal samples from CRC, adenoma and hyperplastic polyp, respectively. Of these two genes, at least one hypermethylated was 94.9%, 82.4%, 52.9% in tissue samples and 92.3%,73.5%, 47.1% in matched fecal samples from CRC, adenoma and hyperplastic polyp, respectively. In contrast, no hypermethylated SFRP1 and SFRP2 were detected in mucosa tissues of normal controls, only 2 cases of fecal samples was detected with hypermethylated SFRP1 and another 1 case was detected with hypermethylated SFRP2. Moreover, no significant associations were observed between hypermethylated SFRP1,SFRP2 and clinicopathological features of CRC. Conclusion: Hypermethylation of SFRP1 and SFRP2 in feces are novel epigenetic biomarkers of CRC and carded high potential for the remote detection of CRC as non-invasive screening method, and combined analysis of hypermethylated SFRP1 and SFRP2 in fecal could further increase the detection rate of CRC and premalignant lesions. 展开更多
关键词 secreted frizzled-related protein I(SFRP1) secreted frizzled-related protein 2(SFRP2 methylation colorectal cancer feces
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慢性粒细胞白血病骨髓细胞的SFRP2基因启动子高甲基化 被引量:3
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作者 宋君君 李颖 +2 位作者 杨泽松 杨丽 陈建斌 《第三军医大学学报》 CAS CSCD 北大核心 2011年第24期2583-2586,共4页
目的研究慢性粒细胞白血病(chronic myeloid leukemia,CML)骨髓细胞SFRP2基因启动子甲基化状态,探讨SFRP2基因启动子甲基化在CML发病机制中的作用。方法分别采用RT-PCR、甲基化特异性PCR(methylation-specif-ic PCR,MSP)方法检测CML细胞... 目的研究慢性粒细胞白血病(chronic myeloid leukemia,CML)骨髓细胞SFRP2基因启动子甲基化状态,探讨SFRP2基因启动子甲基化在CML发病机制中的作用。方法分别采用RT-PCR、甲基化特异性PCR(methylation-specif-ic PCR,MSP)方法检测CML细胞系K562细胞及骨髓标本SFRP2 mRNA及SFRP2基因启动子CpG岛甲基化状态;并予DNA甲基化转移酶抑制剂5-氮杂-2’-脱氧胞苷(Aza)联合组蛋白去乙酰化酶抑制剂曲古菌素A(TSA)处理K562细胞,观察其SFRP2 mRNA表达情况。结果 SFRP2 mRNA在K562细胞、CML和正常人骨髓标本表达率分别为0、22%(4/18)、100%(8/8)(P<0.05);SFRP2基因启动子甲基化率在K562细胞、CML和正常人骨髓标本分别为100%、66%(25/38)、0(0/13)(P<0.05);伴随K562细胞去甲基化药物处理后未甲基化序列的增加,其SFRP2 mRNA恢复了表达。结论 CML骨髓细胞的SFRP2基因启动子存在高甲基化现象,SFRP2基因启动子甲基化可能是CML发生发展的分子机制之一,提示了其甲基化可能成为CML的新的参考标记物。 展开更多
关键词 慢性粒细胞白血病 SFRP2 甲基化 去甲基化
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迷走神经切除对大鼠胃内UCP_2 mRNA表达及胃酸分泌的影响 被引量:2
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作者 邹原 杨梅 +2 位作者 宫德正 关莉莉 田楠 《中国应用生理学杂志》 CAS CSCD 北大核心 2005年第3期290-292,共3页
目的:观察整体大鼠胃酸分泌与ATP水平之间的关系及迷走神经对解偶联蛋白2(UCP2)mRNA表达的调节。方法:制备大鼠高选择性迷走神经切断模型。采用滴定法检测大鼠胃酸酸度,荧光测定法检测胃体组织内ATP含量,应用Northernblot法检测分析UCP2... 目的:观察整体大鼠胃酸分泌与ATP水平之间的关系及迷走神经对解偶联蛋白2(UCP2)mRNA表达的调节。方法:制备大鼠高选择性迷走神经切断模型。采用滴定法检测大鼠胃酸酸度,荧光测定法检测胃体组织内ATP含量,应用Northernblot法检测分析UCP2mRNA表达。结果:迷走神经切断后24h,大鼠胃酸酸度显著降低,胃体组织内ATP含量下降。与假手术组相比,胃体组织UCP2mRNA表达显著增加。结论:迷走神经切断后24h大鼠胃体组织ATP含量下降;迷走神经下调胃体组织UCP2mRNA表达。结果提示大鼠迷走神经可能通过抑制UCP2mRNA表达,提高ATP含量,为质子泵泌酸提供能量来源。 展开更多
关键词 解偶联蛋白2 胃迷走神经切断术 胃酸分泌 ATP
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恩格列净联合利拉鲁肽对肥胖型2型糖尿病患者糖脂代谢及血清分泌型卷曲相关蛋白5、鸢尾素、总脂联素水平的调节作用 被引量:14
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作者 高瑞超 李敏 +3 位作者 金朋然 刘旋 冯雪 檀增桓 《临床肾脏病杂志》 2022年第7期540-545,共6页
目的探讨恩格列净联合利拉鲁肽对肥胖型2型糖尿病(type 2 diabetes,T2DM)患者糖脂代谢及血清分泌型卷曲相关蛋白5(secreted frizzled-related protein 5,SFRP5)、鸢尾素(Irisin)、总脂联素(total adiponectin,tAPN)水平的调节效应。方... 目的探讨恩格列净联合利拉鲁肽对肥胖型2型糖尿病(type 2 diabetes,T2DM)患者糖脂代谢及血清分泌型卷曲相关蛋白5(secreted frizzled-related protein 5,SFRP5)、鸢尾素(Irisin)、总脂联素(total adiponectin,tAPN)水平的调节效应。方法选取2019年3月至2021年3月邯郸市中心医院肥胖型T2DM患者116例,以随机抽签法分为观察组(n=58)、对照组(n=58)。对照组给予利拉鲁肽治疗,观察组在对照组基础上联合恩格列净治疗,均治疗3个月。比较两组治疗前、治疗3个月后减重有关指标[体重、腰围、体重指数(body mass index,BMI)]、糖代谢指标[糖化血红蛋白(glycated hemoglobin,HbA1c)、空腹血糖(fasting blood glucose,FPG)、餐后2 h血糖(2 h postprandial blood glucose,2 hPG)]、脂代谢指标[低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL-C)、高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL-C)、三酰甘油(triglycerides,TG)、总胆固醇(total cholesterol,TC)]、胰岛素敏感性有关指标[稳态模型胰岛β细胞功能指数(homeostasis model isletβcell function index,HOMA-β)、稳态模型胰岛素抵抗指数(homeostasis model insulin resistance index,HOMA-IR)]、血清SFRP5、Irisin、tAPN水平,并统计不良反应发生情况。结果观察组与对照组相比治疗3个月后体重[(74.93±2.68)kg比(78.21±3.47)kg]、腰围[(90.40±2.17)cm比(93.28±2.53)cm]、BMI[(26.57±0.94)kg/m2比(27.94±1.06)kg/m^(2)]、HbA1c[(6.03±0.59)%比(6.76±0.68)%]、FPG[(6.24±0.73)mmol/L比(6.97±0.95)mmol/L]、2 hPG[(8.06±1.25)mmol/L比(8.83±1.50)mmol/L]、LDL-C[(2.27±0.21)mmol/L比(2.58±0.27)mmol/L]、TG[(1.83±0.34)mmol/L比(2.20±0.48)mmol/L]、TC[(5.36±0.42)mmol/L比(5.92±0.53)mmol/L]、HOMA-IR(2.35±0.24比2.69±0.31)水平均下降(P<0.05),HDL-C[(1.50±0.38)mmol/L比(1.19±0.25)mmol/L]、HOMA-β(68.94±13.26比57.52±10.39)及血清SFRP5、Irisin、tAPN水平均升高(P<0.05);观察组治疗期间不良反应发生率17.24%与对照组12.07%相比,差异无统计学意义(P>0.05)。结论应用恩格列净联合利拉鲁肽治疗肥胖型T2DM患者可改善糖脂代谢与胰岛素敏感性,提高血清SFRP5、Irisin、tAPN水平,提升减重效果,且具有安全性。 展开更多
关键词 利拉鲁肽 糖尿病 2 糖脂代谢 分泌型卷曲相关蛋白5 脂联素
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2型糖尿病合并非酒精性脂肪性肝病患者血清SFPR5水平与胰岛素抵抗的相关性分析 被引量:4
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作者 张丽 罗荔 +2 位作者 陆春晖 张洁 李晓岚 《疑难病杂志》 CAS 2017年第4期360-363,共4页
目的分析2型糖尿病合并非酒精性脂肪性肝病(NAFLD)患者血清分泌型卷曲相关蛋白5(SFRP5)水平与胰岛素抵抗(IR)的关系。方法选取2015年2月—2016年2月在新疆医科大学第五附属医院治疗的单纯2型糖尿病患者45例(DM组),单纯NAFLD患者41例(NA... 目的分析2型糖尿病合并非酒精性脂肪性肝病(NAFLD)患者血清分泌型卷曲相关蛋白5(SFRP5)水平与胰岛素抵抗(IR)的关系。方法选取2015年2月—2016年2月在新疆医科大学第五附属医院治疗的单纯2型糖尿病患者45例(DM组),单纯NAFLD患者41例(NAFLD组),2型糖尿病合并NAFLD患者36例(DM+NAFLD组),同期健康体检者50例作为对照组(NC组),均予常规体质监测,比较各组血清SFRP5、空腹血糖(FPG)、空腹胰岛素(FINS)等生化指标。采用Pearson及多元线性回归方法分析血清SFRP5水平与BMI、TC、TG等指标的相关性。结果各组受试者性别、年龄、收缩压和舒张压比较差异无统计学意义(F=1.406、1.204、2.044、1.946,P>0.05),NAFLD组和DM+NAFLD组BMI明显高于NC组和DM组(F=8.391,P=0.022);SFRP5水平:DM+NAFLD组<DM组<NAFLD组<NC组(F=11.283,P=0.000);胰岛素抵抗指数(HOMA-IR):NC组<NAFLD组<DM组<DM+NAFLD组(F-10.012,P=0.000);各组FPG、糖化血红蛋白(HbA_(1c))、FINS、总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)比较差异均有统计学意义(F=10.391、9.213、10.832、8.743、9.111、8.948、9.472;P<0.05);血清SFRP5水平与BMI、FPG、HbA_(1c)、TC、TG、LDL-C和HOMA-IR呈负相关(r=-0.302、-0.401、-0.464、-0.221、-0.280、-0.321、-0.282,P均<0.05);多元线性逐步回归分析显示HOMA-IR是血清SFRP5的独立影响因素。结论 2型糖尿病合并NAFLD患者血清SFPR5水平明显降低,与患者胰岛素抵抗呈负相关,可能参与了疾病的发生发展。 展开更多
关键词 糖尿病 2 非酒精性脂肪性肝病 分泌型卷曲相关蛋白 胰岛素抵抗
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