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Clinical outcomes of lenvatinib plus transarterial chemoembolization with or without programmed death receptor-1 inhibitors in unresectable hepatocellular carcinoma 被引量:1
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作者 Yan-Yu Wang Xu Yang +12 位作者 Yun-Chao Wang Jun-Yu Long Hui-Shan Sun Yi-Ran Li Zi-Yu Xun Nan Zhang Jing-Nan Xue Cong Ning Jun-Wei Zhang Cheng-Pei Zhu Long-Hao Zhang Xiao-Bo Yang Hai-Tao Zhao 《World Journal of Gastroenterology》 SCIE CAS 2023年第10期1614-1626,共13页
BACKGROUND Programmed death receptor-1(PD-1)inhibitors have been approved as secondline treatment regimen in hepatocellular carcinoma(HCC),but it is still worth studying whether patients can benefit from PD-1 inhibito... BACKGROUND Programmed death receptor-1(PD-1)inhibitors have been approved as secondline treatment regimen in hepatocellular carcinoma(HCC),but it is still worth studying whether patients can benefit from PD-1 inhibitors as first-line drugs combined with targeted drugs and locoregional therapy.AIM To estimate the clinical outcome of transarterial chemoembolization(TACE)and lenvatinib plus PD-1 inhibitors for patients with unresectable HCC(uHCC).METHODS We carried out retrospective research of 65 patients with uHCC who were treated at Peking Union Medical College Hospital from September 2017 to February 2022.45 patients received the PD-1 inhibitors,lenvatinib,TACE(PD-1-Lenv-T)therapy,and 20 received the lenvatinib,TACE(Lenv-T)therapy.In terms of the dose of lenvatinib,8 mg was given orally for patients weighing less than 60 kg and 12 mg for those weighing more than 60 kg.Of the patients in the PD-1 inhibitor combination group,15 received Toripalimab,14 received Toripalimab,14 received Camrelizumab,4 received Pembrolizumab,9 received Sintilimab,and 2 received Nivolumab,1 with Tislelizumab.According to the investigators’assessment,TACE was performed every 4-6 wk when the patient had good hepatic function(Child-Pugh class A or B)until disease progression occurred.We evaluated the efficacy by the modified Response Evaluation Criteria in Solid Tumors(mRECIST criteria).We accessd the safety by the National Cancer Institute Common Terminology Criteria for Adverse Events,v 5.0.The key adverse events(AEs)after the initiation of combination therapy were observed.RESULTS Patients with uHCC who received PD-1-Lenv-T therapy(n=45)had a clearly longer overall survival than those who underwent Lenv-T therapy(n=20,26.8 vs 14.0 mo;P=0.027).The median progression-free survival time between the two treatment regimens was also measured{11.7 mo[95%confidence interval(CI):7.7-15.7]in the PD-1-Lenv-T group vs 8.5 mo(95%CI:3.0-13.9)in the Lenv-T group(P=0.028)}.The objective response rates of the PD-1-Lenv-T group and Lenv-T group were 44.4%and 20%(P=0.059)according to the mRECIST criteria,meanwhile the disease control rates were 93.3%and 64.0%(P=0.003),respectively.The type and frequency of AEs showed little distinction between patients received the two treatment regimens.CONCLUSION Our results suggest that the early combination of PD-1 inhibitors has manageable toxicity and hopeful efficacy in patients with uHCC. 展开更多
关键词 Lenvatinib Programmed death receptor-1 inhibitor IMMUNOTHERAPY Hepatocellular carcinoma Transarterial chemoembolization Combination therapy
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肝内胆管癌组织中CircACTN4 mRNA和THBS1mRNA的表达与临床病理特征及预后的关系研究
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作者 李顺乐 徐蒙 +3 位作者 李蓉 赵向菊 柴祎超 贾鸾 《现代检验医学杂志》 CAS 2024年第3期1-7,共7页
目的研究肝内胆管癌(intrahepatic cholangiocarcinoma,ICC)中环状核糖核酸辅肌动蛋白α4(CircRNAsActininα4,Circ ACTN4)和血小板凝血酶蛋白1(platelet thrombin protein 1,THBS1)mRNA表达与临床病理特征和预后的关系,为临床诊治提供... 目的研究肝内胆管癌(intrahepatic cholangiocarcinoma,ICC)中环状核糖核酸辅肌动蛋白α4(CircRNAsActininα4,Circ ACTN4)和血小板凝血酶蛋白1(platelet thrombin protein 1,THBS1)mRNA表达与临床病理特征和预后的关系,为临床诊治提供参考。方法回顾性分析2017年5月~2020年6月西安交通大学第二附属医院诊治的84例ICC患者;采用实时荧光定量PCR及免疫组织化学检测组织中CircACTN4 mRNA,THBS1 mRNA和蛋白表达。Pearson相关分析ICC癌组织中CircACTN4 mRNA与THBS1 mRNA的相关性。Kaplan-Meier法(Log-rank检验)比较不同CircACTN4mRNA,THBS1 mRNA表达ICC患者预后差异。COX回归分析ICC患者预后影响因素。受试者工作特征(ROC)曲线分析CircACTN4 mRNA,THBS1 mRNA对ICC患者死亡预后的评估价值。结果ICC癌组织中CircACTN4 mRNA(3.14±0.42)表达高于癌旁组织(0.76±0.25),差异具有统计学意义(t=44.094,P<0.001);ICC癌组织中THBS1 mRNA(2.82±0.36)和蛋白阳性率(92.86%)均高于癌旁组织(0.81±0.24,7.14%),差异具有统计学意义(t/χ2=42.068,123.429,均P<0.001)。ICC癌组织中CircACTN4 mRNA与THBS1 mRNA表达呈正相关(r=0.669,P<0.001)。TNM分期Ⅲ期、低分化程度及有淋巴结转移ICC癌组织中CircACTN4 mRNA,THBS1 mRNA表达高于TNM分期Ⅰ~Ⅱ期、高中分化程度及无淋巴结转移癌组织,差异具有统计学意义(χ2=7.949,9.164,12.207;23.270,18.625,19.828,均P<0.001)。CircACTN4 mRNA高表达组、THBS1 mRNA高表达组三年累积生存率分别低于CircACTN4 mRNA低表达组(25.00%vs 56.82%)和THBS1mRNA低表达组(19.51%vs 62.79%),差异具有统计学意义(Log rankχ2=13.601,24.310,均P<0.001)。CircACTN4mRNA(OR=1.839,95%CI:1.228~2.753)、THBS1 mRNA(OR=1.744,95%CI:1.245~2.443)、淋巴结转移(OR=1.925,95%CI:1.316~2.816)、TNM分期(OR=1.613,95%CI:1.223~2.126)及肿瘤分化程度(OR=1.510,95%CI:1.205~1.892)是影响ICC预后的独立因素(均P<0.01)。CircACTN4 mRNA,THBS1 mRNA联合检测对ICC患者死亡预后的评估曲线下面积为0.868,大于单项指标检测0.812,0.784,差异具有统计学意义(Z=3.348,3.847,均P<0.001)。结论ICC中CircACTN4 mRNA和THBS1 mRNA表达升高,两者与TNM分期、分化程度及淋巴结转移相关,是新的评估ICC患者不良预后的肿瘤标志物。 展开更多
关键词 肝内胆管癌 环状核糖核酸辅肌动蛋白α4 血小板凝血酶蛋白1
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Argatroban promotes recovery of spinal cord injury by inhibiting the PAR1/JAK2/STAT3 signaling pathway
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作者 Chenxi Zhao Tiangang Zhou +9 位作者 Ming Li Jie Liu Xiaoqing Zhao Yilin Pang Xinjie Liu Jiawei Zhang Lei Ma Wenxiang Li Xue Yao Shiqing Feng 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第2期434-439,共6页
Argatroban is a synthetic thrombin inhibitor approved by U.S.Food and Drug Administration for the treatment of thrombosis.However,whether it plays a role in the repair of spinal cord injury is unknown.In this study,we... Argatroban is a synthetic thrombin inhibitor approved by U.S.Food and Drug Administration for the treatment of thrombosis.However,whether it plays a role in the repair of spinal cord injury is unknown.In this study,we established a rat model of T10 moderate spinal cord injury using an NYU Impactor ModerⅢand performed intraperitoneal injection of argatroban for 3 consecutive days.Our results showed that argatroban effectively promoted neurological function recovery after spinal cord injury and decreased thrombin expression and activity in the local injured spinal cord.RNA sequencing transcriptomic analysis revealed that the differentially expressed genes in the argatroban-treated group were enriched in the JAK2/STAT3 pathway,which is involved in astrogliosis and glial scar formation.Western blotting and immunofluorescence results showed that argatroban downregulated the expression of the thrombin receptor PAR1 in the injured spinal cord and the JAK2/STAT3 signal pathway.Argatroban also inhibited the activation and proliferation of astrocytes and reduced glial scar formation in the spinal cord.Taken together,these findings suggest that argatroban may inhibit astrogliosis by inhibiting the thrombin-mediated PAR1/JAK2/STAT3 signal pathway,thereby promoting the recovery of neurological function after spinal cord injury. 展开更多
关键词 ARGATROBAN ASTROGLIOSIS JAK/STAT signaling pathway protease-activated receptor-1 spinal cord injury thrombin vimentin
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Gasdermin D-mediated hepatocyte pyroptosis expands inflammatory responses that aggravate acute liver failure by upregulating monocyte chemotactic protein 1/CC chemokine receptor-2 to recruit macrophages 被引量:8
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作者 Hong Li Xue-Ke Zhao +9 位作者 Yi-Ju Cheng Quan Zhang Jun Wu Shuang Lu Wei Zhang Yang Liu Ming-Yu Zhou Ya Wang Jing Yang Ming-Liang Cheng 《World Journal of Gastroenterology》 SCIE CAS 2019年第44期6527-6540,共14页
BACKGROUND Massive hepatocyte death is the core event in acute liver failure(ALF).Gasdermin D(GSDMD)-mediated pyroptosis is a type of highly inflammatory cell death.However,the role of hepatocyte pyroptosis and its me... BACKGROUND Massive hepatocyte death is the core event in acute liver failure(ALF).Gasdermin D(GSDMD)-mediated pyroptosis is a type of highly inflammatory cell death.However,the role of hepatocyte pyroptosis and its mechanisms of expanding inflammatory responses in ALF are unclear.AIM To investigate the role and mechanisms of GSDMD-mediated hepatocyte pyroptosis through in vitro and in vivo experiments.METHODS The expression of pyroptosis pathway-associated proteins in liver tissues from ALF patients and a hepatocyte injury model was examined by Western blot.GSDMD short hairpin RNA(shRNA)was used to investigate the effects of downregulation of GSDMD on monocyte chemotactic protein 1(MCP1)and its receptor CC chemokine receptor-2(CCR2)in vitro.For in vivo experiments,we used GSDMD knockout mice to investigate the role and mechanism of GSDMD in a D-galactose/lipopolysaccharide(D-Galn/LPS)-induced ALF mouse model.RESULTS The levels of pyroptosis pathway-associated proteins in liver tissue from ALF patients and a hepatocyte injury model increased significantly.The level of GSDMD-N protein increased most obviously(P<0.001).In vitro,downregulation of GSDMD by shRNA decreased the cell inhibition rate and the levels of MCP1/CCR2 proteins(P<0.01).In vivo,GSDMD knockout dramatically eliminated inflammatory damage in the liver and improved the survival of DGaln/LPS-induced ALF mice(P<0.001).Unlike the mechanism of immune cell pyroptosis that involves releasing interleukin(IL)-1βand IL-18,GSDMDmediated hepatocyte pyroptosis recruited macrophages via MCP1/CCR2 to aggravate hepatocyte death.However,this pathological process was inhibited after knocking down GSDMD.CONCLUSION GSDMD-mediated hepatocyte pyroptosis plays an important role in the pathogenesis of ALF,recruiting macrophages to release inflammatory mediators by upregulating MCP1/CCR2 and leading to expansion of the inflammatory responses.GSDMD knockout can reduce hepatocyte death and inflammatory responses,thus alleviating ALF. 展开更多
关键词 Gasdermin D HEPATOCYTE PYROPTOSIS Acute liver failure MONOCYTE chemotactic PROTEIN 1/CC chemokine receptor-2
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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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Significance of 125I radioactive seed implantation on growth differentiation factor and programmed death receptor-1 during treatment of oral cancer 被引量:4
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作者 Gang Xue Yao Feng Jia-Bin Li 《World Journal of Clinical Cases》 SCIE 2020年第5期874-886,共13页
BACKGROUND Oral cancer(OC)is the most common malignant tumor in the oral cavity,and is mainly seen in middle-aged and elderly men.At present,OC is mainly treated clinically by surgery or combined with radiotherapy and... BACKGROUND Oral cancer(OC)is the most common malignant tumor in the oral cavity,and is mainly seen in middle-aged and elderly men.At present,OC is mainly treated clinically by surgery or combined with radiotherapy and chemotherapy;but recently,more and more studies have shown that the stress trauma caused by surgery and the side effects of radiotherapy and chemotherapy seriously affect the prognosis of patients.AIM To determine the significance of 125I radioactive seed implantation on growth differentiation factor 11(GDF11)and programmed death receptor-1(PD-1)during treatment of OC.METHODS A total of 184 OC patients admitted to The Second Affiliated Hospital of Jiamusi University from May 2015 to May 2017 were selected as the research subjects for prospective analysis.Of these patients,89 who received 125I radioactive seed implantation therapy were regarded as the research group(RG)and 95 patients who received surgical treatment were regarded as the control group(CG).The clinical efficacy,incidence of adverse reactions and changes in GDF11 and PD-1 before treatment(T0),2 wk after treatment(T1),4 wk after treatment(T2)and 6 wk after treatment(T3)were compared between the two groups.RESULTS The efficacy and recurrence rate in the RG were better than those in the CG(P<0.05),while the incidence of adverse reactions and survival rate were not different.There was no difference in GDF11 and PD-1 between the two groups at T0 and T1,but these factors were lower in the RG than in the CG at T2 and T3(P<0.05).Using receiver operating characteristic(ROC)curve analysis,GDF11 and PD-1 had good predictive value for efficacy and recurrence(P<0.001).CONCLUSION 125I radioactive seed implantation has clinical efficacy and can reduce the recurrence rate in patients with OC.This therapy has marked potential in clinical application.The detection of GDF11 and PD-1 in patients during treatment showed good predictive value for treatment efficacy and recurrence in OC patients,and may be potential targets for future OC treatment. 展开更多
关键词 125I radioactive seeds Oral cancer Growth differentiation factor 11 Programmed death receptor-1 Prognosis RECURRENCE
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LOTUS, a potent blocker of Nogo receptor-1 causing inhibition of axonal growth 被引量:1
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作者 Yuji Kurihara Kohtaro Takei 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第1期46-48,共3页
Glia-derived axonal growth inhibitory proteins limit functional repair following damage to the adult cen- tral nervous system (CNS). Nogo proteins, myelin-as- sociated glycoprotein (MAG), oligodendrocyte myelin gl... Glia-derived axonal growth inhibitory proteins limit functional repair following damage to the adult cen- tral nervous system (CNS). Nogo proteins, myelin-as- sociated glycoprotein (MAG), oligodendrocyte myelin glycoprotein (OMgp) and B lymphocyte stimulator (BLyS), are 4 inhibitors that commonly interact with the neuronal receptor, Nogo receptor-1 (NgR1), lead- ing to inhibition of axonal growth. Here, we demon- strate that lateral olfactory tract usher substance (LOTUS) binds to NgR1 and blocks the binding of all four ligands to NgR1, resulting in the suppression of axonal growth inhibition induced by these NgR1 li- gands. LOTUS allows neurons to overcome NgRl-me- diated axonal growth inhibition, raising the possibility that LOTUS may be useful in future therapeutic ap- proaches as an endogenous potent inhibitor of NgR1 for promoting neuronal regeneration. 展开更多
关键词 OMgp MAG a potent blocker of Nogo receptor-1 causing inhibition of axonal growth LOTUS
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Thrombin increases the expression of cholesterol 25-hydroxylase in rat astrocytes after spinal cord injury 被引量:2
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作者 Chen Chen Huiyuan Ji +7 位作者 Nan Jiang Yingjie Wang Yue Zhou Zhenjie Zhu Yuming Hu Yongjun Wang Aihong Li Aisong Guo 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第6期1339-1346,共8页
Astrocytes are important cellular centers of cholesterol synthesis and metabolism that help maintain normal physiological function at the organism level.Spinal cord injury results in aberrant cholesterol metabolism by... Astrocytes are important cellular centers of cholesterol synthesis and metabolism that help maintain normal physiological function at the organism level.Spinal cord injury results in aberrant cholesterol metabolism by astrocytes and excessive production of oxysterols,which have profound effects on neuropathology.25-Hydroxycholesterol(25-HC),the main product of the membrane-associated enzyme cholesterol-25-hydroxylase(CH25H),plays important roles in mediating neuroinflammation.However,whether the abnormal astrocyte cholesterol metabolism induced by spinal cord injury contributes to the production of 25-HC,as well as the resulting pathological effects,remain unclear.In the present study,spinal cord injury-induced activation of thrombin was found to increase astrocyte CH25H expression.A protease-activated receptor 1 inhibitor was able to attenuate this effect in vitro and in vivo.In cultured primary astrocytes,thrombin interacted with protease-activated receptor 1,mainly through activation of the mitogen-activated protein kinase/nuclear factor-kappa B signaling pathway.Conditioned culture medium from astrocytes in which ch25h expression had been knocked down by siRNA reduced macrophage migration.Finally,injection of the protease activated receptor 1 inhibitor SCH79797 into rat neural sheaths following spinal cord injury reduced migration of microglia/macrophages to the injured site and largely restored motor function.Our results demonstrate a novel regulatory mechanism for thrombin-regulated cholesterol metabolism in astrocytes that could be used to develop anti-inflammatory drugs to treat patients with spinal cord injury. 展开更多
关键词 25-hydroxycholesterol ASTROCYTE CHEMOTAXIS cholesterol metabolism cholesterol-25-hydroxylase lipid homeostasis macrophage PAR1 spinal cord injury thrombin
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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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Expression of DRD1 mRNA after Spinal Cord Injury Induced Spasticity in Rats
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作者 Ying CHEN Xiang ZHANG +1 位作者 Xin MENG Liqun REN 《Medicinal Plant》 CAS 2023年第3期54-56,共3页
[Objectives]To investigate the spasticity of rat tail and the expression of dopamine receptor-1(DRD1)mRNA in the spinal cord after spinal cord injury(SCI)induced tail spasticity in rats.[Methods]Adult male Wistar rats... [Objectives]To investigate the spasticity of rat tail and the expression of dopamine receptor-1(DRD1)mRNA in the spinal cord after spinal cord injury(SCI)induced tail spasticity in rats.[Methods]Adult male Wistar rats were randomly divided into Sham group and SCI group.The second sacral spinal cord(S2)segment of SCI rats was completely transected.60 d after operation,the rat tail spasticity was scored,and then the spinal cord tissues below the level of S2 spinal cord transection were taken.The expression of DRD1 mRNA in the sacrococcygeal spinal cord was detected by qPCR.In addition,3 normal rats were used for DAR/neuronal nuclei(NeuN)and DRD1/choline acetyltransferase(ChAT)immunofluorescence staining to study the distribution of DRD1 in spinal cord and the properties of DRD1 positive cells.[Results]60 d after operation in SCI group,the tail spasticity of rats developed fully,and the symptoms of spasticity were typical.qPCR results showed that the expression of DRD1 mRNA in SCI group was significantly lower than that in Sham group(P<0.05).DRD1 was widely distributed in the dorsal horn,intermediate zone and ventral horn at the sacrococcygeal end of the rat spinal cord.[Conclusions]The decrease of DRD1 mRNA expression after SCI may be related to the occurrence and development of spasticity. 展开更多
关键词 Spinal cord injury SPASTICITY Dopamine receptor-1 Immunofluorescence staining qPCR
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重症毛细支气管炎患儿血清Presepsin、TSP-1表达及其临床意义
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作者 刘严 李强 张怀坤 《标记免疫分析与临床》 CAS 2023年第12期2112-2116,共5页
目的探讨重症毛细支气管炎患儿血清可溶性白细胞分化抗原14亚型(Presepsin)、凝血酶敏感蛋白1(TSP1)表达水平及临床意义。方法选择2021年11月至2023年1月我院收治的102例毛细支气管炎患儿为研究对象(研究组),根据病情严重程度将患儿分... 目的探讨重症毛细支气管炎患儿血清可溶性白细胞分化抗原14亚型(Presepsin)、凝血酶敏感蛋白1(TSP1)表达水平及临床意义。方法选择2021年11月至2023年1月我院收治的102例毛细支气管炎患儿为研究对象(研究组),根据病情严重程度将患儿分为重症组(30例)和非重症组(72例),另选取同期在我院进行健康体检的50例婴幼儿为对照组。采用酶联免疫吸附法(ELISA)对各组婴幼儿血清Presepsin、TSP1水平进行测定;Spearman相关性分析患儿血清Presepsin、TSP1水平与病情之间的关系;Logistic回归分析影响重症毛细支气管炎发生的影响因素;受试者工作特征曲线(ROC)评估Presepsin、TSP1对重症毛细支气管炎的诊断价值。结果与对照组相比,研究组患儿血清Presepsin、TSP1均显著升高(P<0.05),且重症组患儿血清Presepsin、TSP1水平均显著高于非重症组(P<0.05);Spearman相关性分析显示,血清Presepsin、TSP1水平与病情程度均呈显著正相关(r 1=0.593,r 2=0.425,P<0.05);Logistic回归分析结果显示,Presepsin、TSP1是影响重症毛细支气管炎发生的危险因素(P<0.05);ROC曲线结果显示,Presepsin、TSP1单独诊断重症毛细支气管炎的AUC分别为0.861、0.771,灵敏度分别为62.5%、65.6%,特异性分别为61.1%、40.6%,二者联合诊断重症毛细支气管炎的AUC为0.951,灵敏度为90.6%,特异性为80.9%。结论重症毛细支气管炎患儿血清Presepsin、TSP1表达水平显著升高,且血清Presepsin、TSP1水平与病情程度呈正相关,两者可为早期诊断病情和临床治疗提供参考。 展开更多
关键词 重症毛细支气管炎 可溶性白细胞分化抗原14亚型 凝血酶敏感蛋白1 病情
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蛛网膜下腔出血模型大鼠基底动脉蛋白酶激活受体-1的表达 被引量:3
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作者 李钢 王青松 林婷婷 《南方医科大学学报》 CAS CSCD 北大核心 2014年第10期1523-1527,共5页
目的探讨蛛网膜下腔出血(SAH)模型大鼠基底动脉PAR1表达与脑血管痉挛(CVS)之间的关系。方法 7周龄清洁级SD大鼠24只,随机数字表法分为正常组、SAH 3 d组、SAH 5 d组、SAH 7 d组,采取二次枕大池注血法建立大鼠SAH模型,观察动物行为学改变... 目的探讨蛛网膜下腔出血(SAH)模型大鼠基底动脉PAR1表达与脑血管痉挛(CVS)之间的关系。方法 7周龄清洁级SD大鼠24只,随机数字表法分为正常组、SAH 3 d组、SAH 5 d组、SAH 7 d组,采取二次枕大池注血法建立大鼠SAH模型,观察动物行为学改变,SAH模型大鼠按照分组于术后3、5、7 d分别灌杀动物,显微镜下观察基底动脉组织学形态,并以Image-Pro Plus6.0图像分析软件测量基底动脉管腔横截面积,免疫组化检测基底动脉标本PAR1表达。结果 SAH制模术后参照Endo 4分制方法行神经功能评分SAH 3 d组中2分2只(33.3%),3分4只(66.7%);SAH 5 d组中1分3只(50%),2分3只(50%);SAH 7 d组中1分4只(66.7%),2分2只(33.3%);正常组均为1分。CVS观察:正常组无痉挛,SAH 3 d组出现基底动脉痉挛,SAH 5 d组基底动脉稍舒张,SAH 7 d组痉挛程度较3 d组加重,统计分析显示四组之间的差异有统计学意义(P<0.05),组间两两比较差异有统计学意义(P<0.05)。PAR1免疫组织化学结果分析:正常组未见明显表达,SAH模型制作后后3、5、7 d组基底动脉PAR1有阳性表达。统计分析显示四组间PAR1平均光密度差异有统计学意义(P<0.01),组间两两比较显示正常组与SAH 3 d组、正常组与SAH 5 d组、正常组与SAH 7 d组、SAH 3 d组与SAH 5 d组、SAH 3 d组与SAH 7 d组差异具有统计学意义(P<0.01),SAH5 d组与SAH 7 d组相比差异具无统计学意义(P>0.05)。Pearson相关分析显示PAR1平均光密度与SAH后基底动脉横截面积之间存在负相关(r为-0.779,P<0.01)。结论本实验中SAH大鼠模型基底动脉PAR1表达上调,并与CVS严重程度呈负相关关系,凝血酶受体PAR1在CVS发生发展过程中表达上调,提示凝血酶参与了SAH后CVS的病理过程。 展开更多
关键词 蛛网膜下腔出血 脑血管痉挛 凝血酶 蛋白酶激活受体1
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大鼠脑出血后大脑凝血酶受体-1长时效动态表达变化 被引量:2
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作者 郑国庆 王艳 王小同 《中国应用生理学杂志》 CAS CSCD 北大核心 2007年第3期328-332,I0003,共6页
目的:探讨脑出血(ICH)后凝血酶受体的动态及长时效表达。方法:将36只大鼠随机分为6组(n=6):正常组,ICH模型6h、24h、3d、7d和14d组。Ⅶ-S型胶原酶诱导大鼠ICH模型。免疫组化方法测定不同时间点大鼠ICH后血肿周围水肿组织PAR-1蛋白的表达... 目的:探讨脑出血(ICH)后凝血酶受体的动态及长时效表达。方法:将36只大鼠随机分为6组(n=6):正常组,ICH模型6h、24h、3d、7d和14d组。Ⅶ-S型胶原酶诱导大鼠ICH模型。免疫组化方法测定不同时间点大鼠ICH后血肿周围水肿组织PAR-1蛋白的表达;RT-PCR方法检测蛋白酶激活的受体(PAR)-1mRNA的表达。结果:正常组大鼠大脑PAR-1蛋白和PAR-1mRNA表达轻度阳性,模型组6h时PAR-1表达强度开始增强,24hPAR-1表达进一步增强,于3d达到高峰,然后开始下降,7d时明显下降,14d进一步下降,但仍未至正常组水平。模型组各时间点PAR-1阳性细胞数、PAR-1mRNA吸光度比值升高与正常组比较均有显著性差异(P<0.05或P<0.01)。此外,PAR-1蛋白在脑微血管内皮细胞在体有明显的表达。结论:脑微血管内皮细胞存在PAR-1,ICH后凝血酶激活PAR-1不仅是ICH后脑水肿产生的始动因素,而且参与了脑水肿的发展过程。 展开更多
关键词 脑出血 凝血酶 凝血酶受体-1
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脑脉Ⅱ号胶囊对急性脑出血大鼠PAR-1动态表达的影响 被引量:6
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作者 郑国庆 黄培新 《中国中药杂志》 CAS CSCD 北大核心 2006年第15期1265-1268,共4页
目的:探讨急性脑出血后蛋白酶激活的受体(PAR-1)的动态表达及脑脉Ⅱ号胶囊(NMCⅡ)的干预作用。方法:将72只大鼠随机分为9组(n=8),即正常组、脑出血模型6,24 h,3,7 d组和NMCII 6,24 h,3,7 d组。用Ⅶ-S型胶原酶诱导大鼠脑出血模型。免疫... 目的:探讨急性脑出血后蛋白酶激活的受体(PAR-1)的动态表达及脑脉Ⅱ号胶囊(NMCⅡ)的干预作用。方法:将72只大鼠随机分为9组(n=8),即正常组、脑出血模型6,24 h,3,7 d组和NMCII 6,24 h,3,7 d组。用Ⅶ-S型胶原酶诱导大鼠脑出血模型。免疫组化方法测定各时间点大鼠脑出血后血肿周围水肿组织PAR-1蛋白的表达;RT-PCR检测PAR-1 mRNA的表达。结果:正常组大鼠脑出血后可见有PAR-1mRNA和PAR-1蛋白表达,模型组大鼠脑出血后6 h表达明显增多,24 h进一步增多,于3 d时达到高峰,7 d时表达明显减少。在6,24 h,3,7 d各时间点,模型组、NMCII组PAR-1 mRNA吸光度及PAR-1阳性细胞数升高,与正常组比较均有显著性差异(P<0.05或P<0.01),NMCII组PAR-1阳性细胞数、PAR-1 mRNA吸光度比值降低,与模型组比较各时间点均有显著性差异(P<0.05或P<0.01)。结论:脑出血后PAR-1受到凝血酶的持续活化,脑出血后凝血酶的作用可能是通过PAR-1介导的;NMCII可抑制PAR-1的表达,这可能是其治疗学机制之一。 展开更多
关键词 急性脑出血 脑脉Ⅱ号胶囊 凝血酶 蛋白酶激活受体-1
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脑血康对脑出血蛋白酶激活受体-1表达的影响 被引量:2
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作者 郑国庆 王艳 +1 位作者 王小同 黄培新 《中国中西医结合急救杂志》 CAS 2005年第4期223-226,i0002,共5页
目的:探讨脑出血后蛋白酶激活受体1(PAR1)的动态表达及脑血康的干预作用。方法:72只大鼠随机分为正常组、脑出血模型6h、24h、3d、7d组和脑血康治疗6h、24h、3d、7d组。用S型胶原酶诱导大鼠脑出血模型。免疫组化方法测定各时间点大鼠脑... 目的:探讨脑出血后蛋白酶激活受体1(PAR1)的动态表达及脑血康的干预作用。方法:72只大鼠随机分为正常组、脑出血模型6h、24h、3d、7d组和脑血康治疗6h、24h、3d、7d组。用S型胶原酶诱导大鼠脑出血模型。免疫组化方法测定各时间点大鼠脑出血后血肿周围水肿组织PAR1蛋白表达;逆转录聚合酶链反应(RTPCR)检测PAR1mRNA表达。结果:正常组大鼠大脑PAR1蛋白和PAR1mRNA表达轻度阳性;模型组6h时PAR1蛋白和PAR1mRNA表达强度开始增强,24h表达进一步增加,于3d达到高峰,然后开始下降,7d时明显下降。在6h、24h、3d、7d各时间点,模型组和脑血康组PAR1阳性细胞数、PAR1mRNA吸光度(A)比值升高,与正常组比较差异均有显著性(P<0.05或P<0.01);脑血康组PAR1阳性细胞数、PAR1mRNAA比值降低,与模型组各时间点比较差异均有显著性(P<0.05或P<0.01)。结论:脑出血后PAR1受到凝血酶的持续活化,脑出血后凝血酶的作用可能通过PAR1介导;脑血康可抑制PAR1活化,这可能是脑血康治疗脑出血的主要机制之一。 展开更多
关键词 脑出血 脑血康 凝血酶 蛋白酶激活受体-1
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三七皂甙Rg_1对大鼠实验性血栓形成,血小板聚集率及血小板内游离钙水平的影响 被引量:105
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作者 徐皓亮 季勇 饶曼人 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 1998年第1期40-42,共3页
三七皂甙Rg1可明显降低实验性血栓形成,并且以剂量依赖方式抑制凝血酶诱导的血小板聚集.此外,Rg1还可抑制凝血酶诱导的正常血压及肾性高血压大鼠血小板内游离钙([Ca2+]i)升高.表明Rg1的抗血栓形成和抗血小板聚集... 三七皂甙Rg1可明显降低实验性血栓形成,并且以剂量依赖方式抑制凝血酶诱导的血小板聚集.此外,Rg1还可抑制凝血酶诱导的正常血压及肾性高血压大鼠血小板内游离钙([Ca2+]i)升高.表明Rg1的抗血栓形成和抗血小板聚集作用可能与抑制血小板[Ca2+]i升高有关. 展开更多
关键词 三七皂甙 RG1 血栓形成 血小板聚集 凝血酶
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凝血酶上调人肾小球系膜细胞PAI-1表达的细胞内信号转导研究 被引量:9
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作者 何庆南 陈香美 +2 位作者 叶一舟 傅博 于志恒 《解放军医学杂志》 CAS CSCD 北大核心 1999年第3期168-172,共5页
为探讨转录因子活化子蛋白1(AP-1)和相关的信号转导分子在凝血酶诱导人肾小球系膜细胞纤溶酶原激活物抑制物1(PAI-1)表达中的作用,采用纤维蛋白平板法、Northern杂交、凝胶电泳阻滞实验(EMSA)和West... 为探讨转录因子活化子蛋白1(AP-1)和相关的信号转导分子在凝血酶诱导人肾小球系膜细胞纤溶酶原激活物抑制物1(PAI-1)表达中的作用,采用纤维蛋白平板法、Northern杂交、凝胶电泳阻滞实验(EMSA)和Western杂交方法,分别检测凝血酶刺激培养的人肾小球系膜细胞PAI-1蛋白质活性和mRNA表达情况,以及AP-1DNA连接活性和AP-1组成蛋白质c-Jun、c-Fos量的变化。结果发现:①凝血酶呈浓度依赖性的方式促进肾小球系膜细胞PAI-1蛋白质活性和mRNA表达,其效应能被凝血酶的特异性拮抗剂水蛭素阻断;②凝血酶能明显促进转录因子AP-1的DNA连接活性;③curcumin、staurosporine和genistein均能在不同程度上抑制AP-1的DNA连接活性,并进而部分逆转凝血酶上调系膜细胞PAI-1mRNA表达的效应。研究表明,转录因子AP-1在凝血酶上调人肾小球系膜细胞PAI-1表达的信号转导过程中起着重要的作用,蛋白激酶C和蛋白酪氨酸激酶可能是凝血酶介导系膜细胞AP-1活化及PAI-1表达的上游信号。 展开更多
关键词 信号转递 肾小球 系膜细胞 凝血酶 PAI-1
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水蛭提取液体外对人视网膜色素上皮细胞PAR-1表达的影响 被引量:1
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作者 王禹燕 郑燕林 +1 位作者 刘嘉立 左玉霞 《国际眼科杂志》 CAS 2009年第8期1453-1455,共3页
目的:研究水蛭提取液对人视网膜色素上皮(retinal pigment epichelial,RPE)细胞PAR-1表达的影响。方法:水蛭提取液体外单独或与凝血酶共同作用于人RPE细胞后,用免疫荧光法测定PAR-1的荧光表达。结果:PAR-1的免疫荧光光密度值比较:(1)凝... 目的:研究水蛭提取液对人视网膜色素上皮(retinal pigment epichelial,RPE)细胞PAR-1表达的影响。方法:水蛭提取液体外单独或与凝血酶共同作用于人RPE细胞后,用免疫荧光法测定PAR-1的荧光表达。结果:PAR-1的免疫荧光光密度值比较:(1)凝血酶组与正常对照组比较,PAR-1的IOD值下降(1608±675,4036±1134,P<0.01)。(2)单加水蛭提取液组与正常对照组比较,PAR-1的IOD值升高(9998±2374,4036±1134,P<0.01)。(3)凝血酶和水蛭提取液同时加药组与凝血酶组比较,PAR-1的IOD值显著升高(19664±5436,1608±675,P<0.01)。表明水蛭提取液能竞争性抑制凝血酶对PAR-1的活化作用。结论:水蛭提取液能抑制凝血酶诱导的人RPE细胞膜上的PAR-1的活化,阻断PAR-1介导的细胞信号传导。 展开更多
关键词 视网膜色素上皮细胞 水蛭提取液 凝血酶 凝血酶受体-1
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人胸腺素α1在大肠杆菌中的融合表达 被引量:7
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作者 修朝阳 周穗菁 +1 位作者 俞璎 陈常庆 《生物工程学报》 CAS CSCD 北大核心 2002年第5期541-545,共5页
利用基因工程表达的方法 ,在大肠杆菌中通过与GST蛋白融合的方式高效表达了胸腺素α1前体基因 ,随后经亲和层析和SP强阳离子树脂纯化相结合的方式 ,得到了胸腺素前体肽段 31肽和N 端未经乙酰化修饰的 2 8肽。融合蛋白表达量达到菌体总... 利用基因工程表达的方法 ,在大肠杆菌中通过与GST蛋白融合的方式高效表达了胸腺素α1前体基因 ,随后经亲和层析和SP强阳离子树脂纯化相结合的方式 ,得到了胸腺素前体肽段 31肽和N 端未经乙酰化修饰的 2 8肽。融合蛋白表达量达到菌体总蛋白的 35 %~ 40 % ,样品肽的产量也达到了约 2 0 0mg L(肽 发酵液 )的产量。经质谱测定 ,分子量分别为 336 6和 30 6 6。BalB C小鼠脾脏淋巴细胞体外测活表明 ,所构建的GST Tα1融合蛋白和纯化后的产物对于淋巴细胞具有比较明显的增殖作用 ,其中N 端未经乙酰化的 2 8肽产物与 31肽产物活性相近 。 展开更多
关键词 人胸腺素α1 大肠杆菌 融合表达
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冠心病患者磁化支架后冠状窦血浆内皮素-1和凝血酶活性的变化 被引量:2
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作者 周宁 贾国良 +4 位作者 吕安林 李成祥 李伟杰 李家一 张荣庆 《第四军医大学学报》 北大核心 2001年第14期1318-1320,共3页
目的 观察经皮冠状动脉腔内成形术 (PTCA)并磁化支架植入术 (ICS)后冠状窦血浆的内皮素 - 1(ET- 1)和凝血酶 ( a)活性的动态变化 .方法 住院冠心病患者 38例 ,随机植入磁化支架 (MS) 2 0例 ,非磁化支架 (NMS) 18例 ,分别于 PTCA术前 ,... 目的 观察经皮冠状动脉腔内成形术 (PTCA)并磁化支架植入术 (ICS)后冠状窦血浆的内皮素 - 1(ET- 1)和凝血酶 ( a)活性的动态变化 .方法 住院冠心病患者 38例 ,随机植入磁化支架 (MS) 2 0例 ,非磁化支架 (NMS) 18例 ,分别于 PTCA术前 ,ICS后 ,0 .5 ,1,3和 6 h自冠状窦采血 ,观测血浆 ET- 1含量和 a活性 .结果 术后 MS组的 ET- 1含量一直处于较低水平 ,而 NMS组在术后即刻明显升高 (P <0 .0 1) ,术后 0 .5开始下降 ,术后 6 h两组的 ET- 1含量均恢复到术前水平 ;MS组的 a活性于术后明显降低 ,术后 6 h较术前明显降低 (P<0 .0 1) ,而 NMS组在术后即刻虽有降低 ,但在术后 6 h已恢复到术前水平 .结论 磁化支架具有降低介入治疗术后冠状窦血浆 ET- 1含量和 a活性的作用 . 展开更多
关键词 内皮缩血管肽 凝血酶 冠心病 磁化支架
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