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和肽素与缺血修饰白蛋白水平变化在急性冠脉综合征中表达意义 被引量:5
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作者 戴冬雪 曹辉彩 《陕西医学杂志》 CAS 2016年第3期309-310,共2页
目的:探讨和肽素与缺血修饰白蛋白水平变化在急性冠脉综合征(ACS)中的临床表达意义。方法:选择ACS患者208例,按照冠脉造影梗塞或者狭窄支数分为一支病变组(A组)87例,两支病变组(B组)65例,三支病变组(C组)35例,左主干病变组(D组)21例,与... 目的:探讨和肽素与缺血修饰白蛋白水平变化在急性冠脉综合征(ACS)中的临床表达意义。方法:选择ACS患者208例,按照冠脉造影梗塞或者狭窄支数分为一支病变组(A组)87例,两支病变组(B组)65例,三支病变组(C组)35例,左主干病变组(D组)21例,与同期收治的冠脉造影狭窄<50%的胸闷胸痛患者60例,作为对照组;收集所有病例血浆和肽素和缺血修饰白蛋白水平变化值,观察心肌梗死患者发生心衰情况,并用Gensini积分法进行评分,分析和肽素和IMA水平与冠脉病变程度的相关性。结果:1ACS组和肽素、IMA水平和Gensini积分明显高于对照组,各组间与对照组相比均有统计学差异;D组和C组和肽素、IMA水平和Gensini明显高于A组、B组;D组又高于C组,各组间相比均有统计学差异;2和肽素、IMA水平Gensini积分随着病变程度加重而升高,发生心衰患者和肽素、IMA水平和Gensini积分明显高于未发生心衰患者,各组间相比均有统计学差异。结论:IMA可做为临床早期诊断ACS的金标准,和肽素通过与血脂等代谢因子的作用参与了ACS的发生发展过程,是ACS危险分层的指标之一,可以预测疾病的严重程度,指导临床用药。 展开更多
关键词 @和肽素 @缺血修饰白蛋白 急性冠脉综合征/病理生理学
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血浆和肽素与血浆脑钠肽浓度在心力衰竭中的变化及临床意义
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作者 刘勤 石爽 张勇 《陕西医学杂志》 CAS 2015年第5期614-616,共3页
目的:探讨血浆和肽素与血浆脑钠肽浓度在心力衰竭中的变化及临床意义。方法:将231例心力衰竭患者按照NYHA分级,测定各组患者血浆中和肽素与血浆脑钠肽的浓度,并与正常组进行比较;且超声心动图检查左室舒张末期内径(LVDD)、左室射血分数(... 目的:探讨血浆和肽素与血浆脑钠肽浓度在心力衰竭中的变化及临床意义。方法:将231例心力衰竭患者按照NYHA分级,测定各组患者血浆中和肽素与血浆脑钠肽的浓度,并与正常组进行比较;且超声心动图检查左室舒张末期内径(LVDD)、左室射血分数(LVEF)等指标。结果:血浆和肽素、血浆脑钠肽浓度水平在NYHA II、III、IV级组显著高于对照组及NYHA I级组(P<0.05),且随着病情加重而升高,与病情发展呈正相关。结论:血浆和肽素与血浆脑钠肽与心力衰竭病情程度有良好的相关性,可以用来判断心力衰竭病情的严重程度。 展开更多
关键词 心力衰竭 充血性/血液 利钠 脑/代谢 @和肽素
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CHEMICAL DERIVATION OF HUMAN INSULIN SUPERAGONISM
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作者 MA Baoquan KANG Wei YAN Junkai 《Chinese Journal of Reactive Polymers》 2007年第1期90-95,共6页
The role of three highly conserved insulin residues Tyr^B26 was studied to better understand the relationship between insulin and receptor from rat adipose tissue plasma membranes, lnsulin analogues with a single amin... The role of three highly conserved insulin residues Tyr^B26 was studied to better understand the relationship between insulin and receptor from rat adipose tissue plasma membranes, lnsulin analogues with a single amino acid substitution or single N-methylation of the peptide bond in the position B26 were all shortened in the C-terminus of the B-chain by four amino acids. The effect of modifications was followed by the binding to the insulin receptor. From our results, we can deduce several conclusions: (1) the replacement of tyrosine in the position B26 by histidine, [N-MeHis^B26]-des-tetrapeptide-(B27-B30)-insulin-B26-amide and [N-MeGlu^B26]-des-tetrapeptide- (B2-B30)-insulin-B26-amide, have no significant effect on the binding affinity and they show binding affinity 105%, 190% and 208%, respectively, of that of human insulin; (2) [Aad^B26] -des-tetrapeptide-(B27-B30)-insulin-B26-amide and [Phe(4-carboxy^B26)]-des-tetrapeptide- (B27~B30)-insulin-B26-amide affect the potency highly positively in vitro studies; they show binding affinity 529 and 289 %, respectively, of that of human insulin. 展开更多
关键词 lnsulin Binding affinity [N-MeHis^B26]-des-tetrapeptide-(B27-B30)-insulin-B26-amide.
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Olive oil consumption and non-alcoholic fatty liver disease 被引量:24
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作者 Nimer Assy Faris Nassar +1 位作者 Gattas Nasser Maria Grosovski 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第15期1809-1815,共7页
The clinical implications of non-alcoholic fatty liver diseases(NAFLD)derive from their potential to progress to fibrosis and cirrhosis.Inappropriate dietary fat intake,excessive intake of soft drinks,insulin resistan... The clinical implications of non-alcoholic fatty liver diseases(NAFLD)derive from their potential to progress to fibrosis and cirrhosis.Inappropriate dietary fat intake,excessive intake of soft drinks,insulin resistance and increased oxidative stress results in increased free fatty acid delivery to the liver and increased hepatic triglyceride(TG)accumulation.An olive oil-rich diet decreases accumulation of TGs in the liver,improves postprandial TGs,glucose and glucagonlike peptide-1 responses in insulin-resistant subjects, and upregulates glucose transporter-2 expression in the liver.The principal mechanisms include:decreased nuclear factor-kappaB activation,decreased lowdensity lipoprotein oxidation,and improved insulin resistance by reduced production of inflammatory cytokines(tumor necrosis factor,interleukin-6)and improvement of jun N-terminal kinase-mediated phosphorylation of insulin receptor substrate-1.The beneficial effect of the Mediterranean diet is derived from monounsaturated fatty acids,mainly from olive oil.In this review,we describe the dietary sources of the monounsaturated fatty acids,the composition of olive oil,dietary fats and their relationship to insulin resistance and postprandial lipid and glucose responses in non-alcoholic steatohepatitis,clinical and experimental studies that assess the relationship between olive oil and NAFLD,and the mechanism by which olive oil ameliorates fatty liver,and we discuss future perspectives. 展开更多
关键词 Liver steatosis Fatty liver Olive oil Fatty acids Monounsaturated Non-alcoholic steatohepatitis LIPIDS Oleic acid Non-alcoholic fatty liver disease
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