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β_(2)-肾上腺素能受体通过β-抑制蛋白/细胞外调节蛋白激酶通路在病毒性心肌炎中的机制研究
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作者 孙艳艳 师艳莉 +2 位作者 程浩洋 沈玉珏 田洪森 《陕西医学杂志》 CAS 2025年第1期52-56,共5页
目的:探究β_(2)-肾上腺素能受体(β_(2)-AR)通过β-抑制蛋白(β-arrestin)/细胞外调节蛋白激酶(ERK1/2)通路在病毒性心肌炎(VMC)小鼠心肌损伤中的可能作用机制。方法:将40只小鼠随机分为:对照组、VMC组、抑制β_(2)-AR组及抑制β-arres... 目的:探究β_(2)-肾上腺素能受体(β_(2)-AR)通过β-抑制蛋白(β-arrestin)/细胞外调节蛋白激酶(ERK1/2)通路在病毒性心肌炎(VMC)小鼠心肌损伤中的可能作用机制。方法:将40只小鼠随机分为:对照组、VMC组、抑制β_(2)-AR组及抑制β-arrestin组,每组10只。超声心动图检测小鼠Tie指数、射血分数(EF)及左室短轴缩短率(FS)。HE染色检测心肌组织病理结构;Tunel试剂盒检测心肌凋亡水平;免疫荧光染色检测心肌组织β_(2)-AR、β-arrestin、ERK1/2蛋白水平;ELISA试剂盒检测血清肌酸激酶(CK)、天冬氨酸氨基转移酶(AST)含量。结果:与对照组比较,VMC组小鼠Tie指数增加,EF、FS减少(均P<0.05),小鼠心肌组织结构疏松紊乱、炎性细胞大量浸润,心肌细胞凋亡增加,心肌组织β_(2)-AR、β-arrestin及ERK1/2表达增加,血清CK与AST含量增加(均P<0.05);与VMC组比较,抑制β_(2)-AR组小鼠Tie指数减少,EF、FS增加(均P<0.05),小鼠心肌组织损伤改善,心肌细胞凋亡减少,心肌组织β_(2)-AR、β-arrestin及ERK1/2表达减少。与VMC组比较,抑制β-arrestin组小鼠心肌组织β-arrestin及ERK1/2表达减少,血清CK与AST含量减少(均P<0.05)。结论:抑制β_(2)-AR可通过下调β-arrestin/ERK1/2通路改善VMC小鼠心功能异常及心肌损伤。 展开更多
关键词 β_(2)-肾上腺素能受体 β-抑制蛋白/细胞外调节蛋白激酶通路
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C-C motif chemokine ligand 2/C-C motif chemokine receptor 2 pathway as a therapeutic target and regulatory mechanism for spinal cord injury
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作者 Xiangzi Wang Xiaofei Niu +4 位作者 Yingkai Wang Yang Liu Cheng Yang Xuyi Chen Zhongquan Qi 《Neural Regeneration Research》 SCIE CAS 2025年第8期2231-2244,共14页
Spinal cord injury involves non-reversible damage to the central nervous system that is characterized by limited regenerative capacity and secondary inflammatory damage.The expression of the C-C motif chemokine ligand... Spinal cord injury involves non-reversible damage to the central nervous system that is characterized by limited regenerative capacity and secondary inflammatory damage.The expression of the C-C motif chemokine ligand 2/C-C motif chemokine receptor 2 axis exhibits significant differences before and after injury.Recent studies have revealed that the C-C motif chemokine ligand 2/C-C motif chemokine receptor 2 axis is closely associated with secondary inflammatory responses and the recruitment of immune cells following spinal cord injury,suggesting that this axis is a novel target and regulatory control point for treatment.This review comprehensively examines the therapeutic strategies targeting the C-C motif chemokine ligand 2/C-C motif chemokine receptor 2 axis,along with the regenerative and repair mechanisms linking the axis to spinal cord injury.Additionally,we summarize the upstream and downstream inflammatory signaling pathways associated with spinal cord injury and the C-C motif chemokine ligand 2/C-C motif chemokine receptor 2 axis.This review primarily elaborates on therapeutic strategies that target the C-C motif chemokine ligand 2/C-C motif chemokine receptor 2 axis and the latest progress of research on antagonistic drugs,along with the approaches used to exploit new therapeutic targets within the C-C motif chemokine ligand 2/C-C motif chemokine receptor 2 axis and the development of targeted drugs.Nevertheless,there are presently no clinical studies relating to spinal cord injury that are focusing on the C-C motif chemokine ligand 2/C-C motif chemokine receptor 2 axis.This review aims to provide new ideas and therapeutic strategies for the future treatment of spinal cord injury. 展开更多
关键词 apoptosis C-C motif chemokine ligand 2/C-C motif chemokine receptor 2 pathway C-C motif chemokine receptor 2 antagonists chemokine ligand 2 chemokine receptor 2 inflammation macrophage microglia spinal cord injury therapeutic method
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P2Y1 receptor in Alzheimer’s disease
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作者 Shan Luo Yifei Wang Tatsuhiro Hisatsune 《Neural Regeneration Research》 SCIE CAS 2025年第2期440-453,共14页
Alzheimer’s disease is the most frequent form of dementia characterized by the deposition of amyloid-beta plaques and neurofibrillary tangles consisting of hyperphosphorylated tau.Targeting amyloid-beta plaques has b... Alzheimer’s disease is the most frequent form of dementia characterized by the deposition of amyloid-beta plaques and neurofibrillary tangles consisting of hyperphosphorylated tau.Targeting amyloid-beta plaques has been a primary direction for developing Alzheimer’s disease treatments in the last decades.However,existing drugs targeting amyloid-beta plaques have not fully yielded the expected results in the clinic,necessitating the exploration of alternative therapeutic strategies.Increasing evidence unravels that astrocyte morphology and function alter in the brain of Alzheimer’s disease patients,with dysregulated astrocytic purinergic receptors,particularly the P2Y1 receptor,all of which constitute the pathophysiology of Alzheimer’s disease.These receptors are not only crucial for maintaining normal astrocyte function but are also highly implicated in neuroinflammation in Alzheimer’s disease.This review delves into recent insights into the association between P2Y1 receptor and Alzheimer’s disease to underscore the potential neuroprotective role of P2Y1 receptor in Alzheimer’s disease by mitigating neuroinflammation,thus offering promising avenues for developing drugs for Alzheimer’s disease and potentially contributing to the development of more effective treatments. 展开更多
关键词 ASTROCYTES NEUROINFLAMMATION P2Y1 receptor purinergic receptor
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Optimization Strategies of Na_(3)V_(2)(PO_(4))_(3) Cathode Materials for Sodium‑Ion Batteries
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作者 Jiawen Hu Xinwei Li +4 位作者 Qianqian Liang Li Xu Changsheng Ding Yu Liu Yanfeng Gao 《Nano-Micro Letters》 SCIE EI CAS 2025年第2期204-251,共48页
Na_(3)V_(2)(PO_(4))_(3)(NVP)has garnered great attentions as a prospective cathode material for sodium-ion batteries(SIBs)by virtue of its decent theoretical capacity,superior ion conductivity and high structural stab... Na_(3)V_(2)(PO_(4))_(3)(NVP)has garnered great attentions as a prospective cathode material for sodium-ion batteries(SIBs)by virtue of its decent theoretical capacity,superior ion conductivity and high structural stability.However,the inherently poor electronic conductivity and sluggish sodium-ion diffusion kinetics of NVP material give rise to inferior rate performance and unsatisfactory energy density,which strictly confine its further application in SIBs.Thus,it is of significance to boost the sodium storage performance of NVP cathode material.Up to now,many methods have been developed to optimize the electrochemical performance of NVP cathode material.In this review,the latest advances in optimization strategies for improving the electrochemical performance of NVP cathode material are well summarized and discussed,including carbon coating or modification,foreign-ion doping or substitution and nanostructure and morphology design.The foreign-ion doping or substitution is highlighted,involving Na,V,and PO_(4)^(3−)sites,which include single-site doping,multiple-site doping,single-ion doping,multiple-ion doping and so on.Furthermore,the challenges and prospects of high-performance NVP cathode material are also put forward.It is believed that this review can provide a useful reference for designing and developing high-performance NVP cathode material toward the large-scale application in SIBs. 展开更多
关键词 Sodium-ion batteries Na_(3)V_(2)(PO_(4))_(3) Cathode materials Electrochemical performance Optimization strategies
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Prolonged intermittent theta burst stimulation restores the balance between A_(2A)R-and A_(1)R-mediated adenosine signaling in the 6-hydroxidopamine model of Parkinson's disease
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作者 Milica Zeljkovic Jovanovic Jelena Stanojevic +4 位作者 Ivana Stevanovic Milica Ninkovic Tihomir V.Ilic Nadezda Nedeljkovic Milorad Dragic 《Neural Regeneration Research》 SCIE CAS 2025年第7期2053-2067,共15页
An imbalance in adenosine-mediated signaling,particularly the increased A_(2A)R-mediated signaling,plays a role in the pathogenesis of Parkinson's disease.Existing therapeutic approaches fail to alter disease prog... An imbalance in adenosine-mediated signaling,particularly the increased A_(2A)R-mediated signaling,plays a role in the pathogenesis of Parkinson's disease.Existing therapeutic approaches fail to alter disease progression,demonstrating the need for novel approaches in PD.Repetitive transcranial magnetic stimulation is a non-invasive approach that has been shown to improve motor and non-motor symptoms of Parkinson's disease.However,the underlying mechanisms of the beneficial effects of repetitive transcranial magnetic stimulation remain unknown.The purpose of this study is to investigate the extent to which the beneficial effects of prolonged intermittent theta burst stimulation in the 6-hydroxydopamine model of experimental parkinsonism are based on modulation of adenosine-mediated signaling.Animals with unilateral 6-hydroxydopamine lesions underwent intermittent theta burst stimulation for 3 weeks and were tested for motor skills using the Rotarod test.Immunoblot,quantitative reverse transcription polymerase chain reaction,immunohistochemistry,and biochemical analysis of components of adenosine-mediated signaling were performed on the synaptosomal fraction of the lesioned caudate putamen.Prolonged intermittent theta burst stimulation improved motor symptoms in 6-hydroxydopamine-lesioned animals.A 6-hydroxydopamine lesion resulted in progressive loss of dopaminergic neurons in the caudate putamen.Treatment with intermittent theta burst stimulation began 7 days after the lesion,coinciding with the onset of motor symptoms.After treatment with prolonged intermittent theta burst stimulation,complete motor recovery was observed.This improvement was accompanied by downregulation of the e N/CD73-A_(2A)R pathway and a return to physiological levels of A_(1)R-adenosine deaminase 1 after 3 weeks of intermittent theta burst stimulation.Our results demonstrated that 6-hydroxydopamine-induced degeneration reduced the expression of A_(1)R and elevated the expression of A_(2A)R.Intermittent theta burst stimulation reversed these effects by restoring the abundances of A_(1)R and A_(2A)R to control levels.The shift in ARs expression likely restored the balance between dopamine-adenosine signaling,ultimately leading to the recovery of motor control. 展开更多
关键词 A_(1)R A_(2A)R adenosine receptors ADENOSINE ecto-5-nucleotidase intermittent theta burst stimulation non-invasive brain stimulation Parkinson's disease purinergic signalling
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Colony-stimulating factor 3 and its receptor promote leukocyte immunoglobulin-like receptor B2 expression and ligands in gastric
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作者 Long Wang Qi Wu +7 位作者 Zong-Wen Zhang Hui Zhang Hui Jin Xin-Liang Zhou Jia-Yin Liu Dan Li Yan Liu Zhi-Song Fan 《World Journal of Gastrointestinal Oncology》 2025年第2期198-210,共13页
BACKGROUND Colony-stimulating factor 3(CSF3)and its receptor(CSF3R)are known to promote gastric cancer(GC)growth and metastasis.However,their effects on the immune microenvironment remain unclear.Our analysis indicate... BACKGROUND Colony-stimulating factor 3(CSF3)and its receptor(CSF3R)are known to promote gastric cancer(GC)growth and metastasis.However,their effects on the immune microenvironment remain unclear.Our analysis indicated a potential link between CSF3R expression and the immunosuppressive receptor leukocyte immunoglobulin-like receptor B2(LILRB2)in GC.We hypothesized that CSF3/CSF3R may regulate LILRB2 and its ligands,angiopoietin-like protein 2(ANGPTL2)and human leukocyte antigen-G(HLA-G),contributing to immunosuppression.AIM To investigate the relationship between CSF3/CSF3R and LILRB2,as well as its ligands ANGPTL2 and HLA-G,in GC.METHODS Transcriptome sequencing data from The Cancer Genome Atlas were analyzed,stratifying patients by CSF3R expression.Differentially expressed genes and immune checkpoints were evaluated.Immunohistochemistry(IHC)was performed on GC tissues.Correlation analyses of CSF3R,LILRB2,ANGPTL2,and HLA-G were conducted using The Cancer Genome Atlas data and IHC results.GC cells were treated with CSF3,and expression levels of LILRB2,ANGPTL2,and HLA-G were measured by quantitative reverse transcriptase-polymerase chain reaction and western blotting.RESULTS Among 122 upregulated genes in high CSF3R expression groups,LILRB2 showed the most significant increase.IHC results indicated high expression of LILRB2(63.0%),ANGPTL2(56.5%),and HLA-G(73.9%)in GC tissues.Strong positive correlations existed between CSF3R and LILRB2,ANGPTL2,and HLA-G mRNA levels(P<0.001).IHC confirmed positive correlations between CSF3R and LILRB2(P<0.001),and HLA-G(P=0.010),but not ANGPTL2(P>0.05).CSF3 increased LILRB2,ANGPTL2,and HLA-G expression in GC cells.Heterogeneous nuclear ribonucleoprotein H1 modulation significantly altered their expression,impacting CSF3’s regulatory effects.CONCLUSION The CSF3/CSF3R pathway may contribute to immunosuppression in GC by upregulating LILRB2 and its ligands,with heterogeneous nuclear ribonucleoprotein H1 playing a regulatory role. 展开更多
关键词 Gastric cancer Immunosuppressive receptor Colony-stimulating factor 3 Colony-stimulating factor 3 receptor Leukocyte immunoglobulin-like receptor B2 Angiopoietin-like protein 2 Human leukocyte antigen-G Heterogeneous nuclear ribonucleoprotein H1
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Efficacy of sodium-glucose cotransporter-2 inhibitors and glucagonlike peptide-1 receptor agonists on proteinuria and weight in a diabetes cohort
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作者 Di-Fei Lu Rui Zheng +1 位作者 Ang Li Jun-Qing Zhang 《World Journal of Diabetes》 2025年第2期123-132,共10页
BACKGROUND With accumulating evidence showing a benefit in the renal and cardiovascular systems,diabetes guidelines recommend that patients with diabetes and chronic kidney disease(CKD)be treated with sodium-glucose c... BACKGROUND With accumulating evidence showing a benefit in the renal and cardiovascular systems,diabetes guidelines recommend that patients with diabetes and chronic kidney disease(CKD)be treated with sodium-glucose cotransporter-2 inhibitor(SGLT2i)and/or glucagon like peptide-1 receptor agonists(GLP-1RAs)for renal protection.The real-world efficacy of the two medications on the urinary albumin-creatinine ratio(UACR)and estimated glomerular filtration rate(eGFR)remains to be explored.AIM To evaluate the SGLT2i and GLP-1RA application rates and UACR alterations after intervention in a real-world cohort of patients with diabetes.METHODS A cohort of 5482 patients with type 2 diabetes were enrolled and followed up at the Integrated Care Clinic for Diabetes of Peking University First Hospital for at least 6 months.Propensity score matching was performed,and patients who were not recommended for GLP-1RA or SGLT2i with comparable sex categories and ages were assigned to the control group at a 1:2 ratio.Blood glucose,body weight,UACR and eGFR were evaluated after 6 months of treatment in real-world clinical practice.RESULTS A total of 139(2.54%)patients started GLP-1RA,and 387(7.06%)received SGLT2i.After 6 months,the variations in fasting blood glucose,prandial blood glucose,and glycosylated hemoglobin between the GLP-1RA group and the SGLT2i and control groups were not significantly different.UACR showed a tendency toward a greater reduction compared with the control group,although this difference was not statistically significant(GLP-1RA vs control,-2.20 vs 30.16 mg/g,P=0.812;SGLT2i vs control,-20.61 vs 12.01 mg/g,P=0.327);eGFR alteration also showed no significant differences.Significant weight loss was observed in the GLP-1RA group compared with the control group(GLP-1RA vs control,-0.90 vs 0.27 kg,P<0.001),as well as in the SGLT2i group(SGLT2i vs control,-0.59 vs-0.03 kg,P=0.010).CONCLUSION Compared with patients who received other glucose-lowering drugs,patients receiving SGLT2i or GLP-1RAs presented significant weight loss,a decreasing trend in UACR and comparable glucose-lowering effects in realworld settings. 展开更多
关键词 Type 2 diabetes Chronic kidney disease Body weight Sodium-glucose cotransporter-2 inhibitors Glucagon-like peptide-1 receptor agonists
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Adenosine A_(2A)receptor blockade attenuates excitotoxicity in rat striatal medium spiny neurons during an ischemic-like insult
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作者 Elisabetta Coppi Federica Cherchi Alasdair J.Gibb 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第2期255-257,共3页
During brain ischemia,excitotoxicity and peri-infarct depolarization injuries occur and cause cerebral tissue damage.Indeed,anoxic depolarization,consisting of massive neuronal depolarization due to the loss of membra... During brain ischemia,excitotoxicity and peri-infarct depolarization injuries occur and cause cerebral tissue damage.Indeed,anoxic depolarization,consisting of massive neuronal depolarization due to the loss of membrane ion gradients,occurs in vivo or in vitro during an energy failure.The neuromodulator adenosine is released in huge amounts during cerebral ischemia and exerts its effects by activating specific metabotropic receptors,namely:A_(1),A_(2A),A_(2B),and A_(3).The A_(2A)receptor subtype is highly expressed in striatal medium spiny neurons,which are particularly susceptible to ischemic damage.Evidence indicates that the A2Areceptors are upregulated in the rat striatum after stroke and the selective antagonist SCH58261 protects from exaggerated glutamate release within the first 4 hours from the insult and alleviates neurological impairment and histological injury in the following 24 hours.We recently added new knowledge to the mechanisms by which the adenosine A2Areceptor subtype participates in ischemia-induced neuronal death by performing patch-clamp recordings from medium spiny neurons in rat striatal brain slices exposed to oxygen and glucose deprivation.We demonstrated that the selective block of A2Areceptors by SCH58261 significantly reduced ionic imbalance and delayed the anoxic depolarization in medium spiny neurons during oxygen and glucose deprivation and that the mechanism involves voltage-gated K+channel modulation and a presynaptic inhibition of glutamate release by the A2Areceptor antagonist.The present review summarizes the latest findings in the literature about the possibility of developing selective ligands of A2Areceptors as advantageous therapeutic tools that may contribute to counteracting neurodegeneration after brain ischemia. 展开更多
关键词 adenosine A_(2A)receptors anoxic depolarization brain ischemia glutamate excitotoxicity medium spiny neurons oxygen and glucose deprivation
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血栓心脉宁片通过调控TGF-β_(1)和Runx2表达抑制血管平滑肌细胞钙化的研究 被引量:1
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作者 张晶 邓毅凡 +5 位作者 张钊源 刘娟 朱米雪 余吉玲 何胜虎 周玮 《现代中西医结合杂志》 CAS 2024年第5期609-613,共5页
目的探讨血栓心脉宁片是否可通过调控转化生长因子β_(1)(TGF-β_(1))和Runt相关转录因子2(Runx2)表达抑制血管平滑肌细胞的钙化。方法取对数生长期大鼠血管平滑肌细胞,实验分为5组:阴性组细胞加入DMEM培养液培养;钙化组加入β-磷酸甘油... 目的探讨血栓心脉宁片是否可通过调控转化生长因子β_(1)(TGF-β_(1))和Runt相关转录因子2(Runx2)表达抑制血管平滑肌细胞的钙化。方法取对数生长期大鼠血管平滑肌细胞,实验分为5组:阴性组细胞加入DMEM培养液培养;钙化组加入β-磷酸甘油(β-GP)作用24 h诱导血管平滑肌细胞钙化;血栓心脉宁低、中、高剂量组先分别加入125 mg/L、250 mg/L、500 mg/L的血栓心脉宁片培养24 h后再给予β-GP作用24 h。采用CCK-8法检测各组细胞活力,酶标仪检测各组细胞中钙含量、碱性磷酸酶(ALP)活性及TGF-β_(1)含量,Western blot法检测细胞中Runx2蛋白表达情况。结果与阴性组比较,钙化组细胞活力明显下降(P<0.05),细胞中钙含量、ALP活性、TGF-β_(1)含量及Runx2蛋白相对表达量均明显升高(P均<0.05);与钙化组比较,血栓心脉宁各组细胞活力均明显提高(P均<0.05),细胞中钙含量、ALP活性、TGF-β_(1)含量及Runx2蛋白相对表达量均明显降低(P均<0.05),且各指标均呈浓度依赖性变化。结论血栓心脉宁片可能通过调控TGF-β_(1)和Runx2的表达,抑制大鼠血管平滑肌细胞的钙化。 展开更多
关键词 转化生长因子β_(1) Runt相关转录因子2
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血清Hcy,β_(2)-MG和Cys-C联合检测在2型糖尿病早期肾损害中的诊断价值 被引量:1
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作者 吴春芳 郑美荣 +2 位作者 余丽梅 邓丽花 游东 《现代诊断与治疗》 CAS 2024年第2期238-240,共3页
目的探讨ROC曲线评估血清Hcy、β_(2)-MG和Cys-c水平用于T2DM早期肾损害诊断临床价值。方法选取我院2021年3月至2023年2月收治的50例DN患者设为病例组,另选同期健康体检者50例设为健康组。比较两组血清Hcy、β_(2)-MG和Cys-c水平及不同... 目的探讨ROC曲线评估血清Hcy、β_(2)-MG和Cys-c水平用于T2DM早期肾损害诊断临床价值。方法选取我院2021年3月至2023年2月收治的50例DN患者设为病例组,另选同期健康体检者50例设为健康组。比较两组血清Hcy、β_(2)-MG和Cys-c水平及不同分期DN患者血清Hcy、β_(2)-MG和Cys-c水平。结果病例组血清Hcy、β_(2)-MG和Cys-c水平显著高于健康组,差异有统计学意义(P<0.05)。晚期DN组血清Hcy、β_(2)-MG和Cys-c水平明显高于中期DN组和早期DN组,且中期DN组明显高于早期DN组,差异有统计学意义(P<0.05)。ROC曲线图分析显示,联合检测曲线下面积最大,其余依次为β_(2)-MG、Cys-c、Hcy单独检测。联合检测敏感性、特异性高于单独检测。结论血清Hcy、β_(2)-MG和Cys-c联合检测,可有效明确T2DM早期肾损害和损害程度,为患者诊治提供参考依据。 展开更多
关键词 2型糖尿病 β_(2)微球蛋白 -C
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HBP、NT-proBNP及β_(2)-MG与脓毒血症病情严重程度的相关性及预后评估价值 被引量:1
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作者 苟鑫 封凯旋 +2 位作者 马斌 王小兵 黄晓丽 《检验医学与临床》 CAS 2024年第12期1759-1763,共5页
目的探讨肝素结合蛋白(HBP)、氨基末端脑钠肽前体(NT-proBNP)及β_(2)-微球蛋白(β_(2)-MG)与脓毒血症病情严重程度的相关性,并分析其对患者预后的评估价值。方法选取2021年9月至2023年6月在上海市第六人民医院金山分院诊治的脓毒血症患... 目的探讨肝素结合蛋白(HBP)、氨基末端脑钠肽前体(NT-proBNP)及β_(2)-微球蛋白(β_(2)-MG)与脓毒血症病情严重程度的相关性,并分析其对患者预后的评估价值。方法选取2021年9月至2023年6月在上海市第六人民医院金山分院诊治的脓毒血症患者69例作为研究对象,对其临床资料进行回顾性分析。按病情严重程度将患者分为一般脓毒血症组(23例)、严重脓毒血症组(23例)和脓毒血症休克组(23例),另选取同期在上海市第六人民医院金山分院住院的非脓毒血症患者23例为对照组。根据28 d病死率将脓毒血症患者分为生存组和死亡组。检测并比较各组患者血清HBP、NT-proBNP、β_(2)-MG水平及急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)评分,采用Pearson相关分析血清HBP、NT-proBNP、β_(2)-MG水平与APACHEⅡ评分的相关性,并利用受试者工作特征(ROC)曲线分析其对脓毒血症患者死亡的预测价值。结果一般脓毒血症组、严重脓毒血症组、脓毒血症休克组血清HBP、NT-proBNP、β_(2)-MG水平及APACHEⅡ评分均高于对照组(P<0.05);HBP、NT-proBNP、β_(2)-MG水平及APACHEⅡ评分表现为一般脓毒血症组<严重脓毒血症组<脓毒血症休克组,任意两组间比较,差异均有统计学意义(P<0.05)。死亡组血清HBP、NT-proBNP、β_(2)-MG水平及APACHEⅡ评分均高于生存组(P<0.05)。Pearson相关分析结果显示,脓毒血症患者血清HBP、NT-proBNP、β_(2)-MG水平与APACHEⅡ评分呈正相关(r=0.645、0.776、0.593,P<0.05)。ROC曲线分析结果显示,HBP、NT-proBNP、β_(2)-MG联合检测预测脓毒血症患者死亡的AUC为0.870(95%CI:0.730~1.000),明显高于HBP、NT-proBNP、β_(2)-MG单独检测的AUC[0.768(95%CI:0.598~0.937)、0.792(95%CI:0.653~0.932)、0.814(95%CI:0.645~0.984)],差异均有统计学意义(Z=2.705,P=0.007;Z=2.496,P=0.013;Z=2.126,P=0.033)。结论检测血清HBP、NT-proBNP、β_(2)-MG水平有助于判断脓毒血症患者病情严重程度及评估患者预后,3项指标联合检测可预测患者死亡风险。 展开更多
关键词 β_(2)-微球蛋白
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Cys-C、β_(2)-MG、Hcy在糖尿病肾病中的应用价值 被引量:1
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作者 叶惠娟 宋晓利 《中国医药指南》 2024年第4期62-64,共3页
目的探讨胱抑素C(Cys-C)、β_(2)微球蛋白(β_(2)-MG)、同型半胱氨酸(Hcy)在糖尿病肾病中的应用价值。方法纳入2022年5月到2023年4月北京市昌平区医院收治的糖尿病肾病患者80例为观察组,同期单纯糖尿病患者50例为对照组。根据尿白蛋白/... 目的探讨胱抑素C(Cys-C)、β_(2)微球蛋白(β_(2)-MG)、同型半胱氨酸(Hcy)在糖尿病肾病中的应用价值。方法纳入2022年5月到2023年4月北京市昌平区医院收治的糖尿病肾病患者80例为观察组,同期单纯糖尿病患者50例为对照组。根据尿白蛋白/肌酐比值(UACR)将观察组进行分组,其中A组35例,尿UACR<30 mg/g;B组25例,尿UACR 30~299 mg/g;C组即肾损伤组20例,尿UACR≥300 mg/g。比较组间Cys-C、β_(2)-MG、Hcy水平,采用多因素Logistic回归分析糖尿病肾病发生肾损伤的影响因素,并采用受试者工作特征(ROC)曲线分析对疾病的诊断价值。结果观察组Cys-C、β_(2)-MG、Hcy水平较对照组升高,A、B、C三组患者的血清Cys-C、β_(2)-MG、Hcy水平逐渐升高(P<0.05)。多因素Logistic回归分析显示,Cys-C≥2.50 mg/L、β_(2)-MG≥3.96 mg/L、Hcy≥19.00μmol/L与糖尿病肾病患者出现肾损伤的独立相关。ROC曲线分析显示,Cys-C、β_(2)-MG、Hcy诊断糖尿病肾病的AUC分别为0.852、0.755、0.700,三项联合诊断AUC为0.906,灵敏度、特异度为90.0%、88.9%。结论Cys-C、β_(2)-MG、Hcy在糖尿病肾病患者中显著升高,与患者疾病的进展密切相关,联合检测有助于早期诊断和病情监测。 展开更多
关键词 尿 C β_(2)微球蛋白
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血清CysC、β_(2)-MG与急性髓系白血病患者去甲基化治疗效果的关系
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作者 张彩虹 宿瑞俊 +1 位作者 黄彬涛 王志玲 《中国实验血液学杂志》 CAS CSCD 北大核心 2024年第4期1005-1010,共6页
目的:分析血清胱抑素C(Cys C)、β_(2)-微球蛋白(β_(2)-MG)与急性髓系白血病(AML)患者去甲基化治疗效果的关系。方法:使用前瞻性队列研究方法,纳入2019年2月-2022年1月内蒙古医科大学附属医院收治的98例AML患者进行研究,全部患者均接... 目的:分析血清胱抑素C(Cys C)、β_(2)-微球蛋白(β_(2)-MG)与急性髓系白血病(AML)患者去甲基化治疗效果的关系。方法:使用前瞻性队列研究方法,纳入2019年2月-2022年1月内蒙古医科大学附属医院收治的98例AML患者进行研究,全部患者均接受地西他滨(DAC)+HAG方案治疗,以28 d为1个疗程,治疗3-4疗程。每个疗程结束时评估患者的治疗效果,达到完全缓解(CR)的患者进入巩固治疗,全部疗程结束未达到CR的患者视为治疗失败。治疗前检查项目包括血常规参数、血清Cys C、β_(2)-MG,并统计患者一般临床资料。根据统计结果,使用logistic回归分析血清Cys C、β_(2)-MG与AML患者去甲基化治疗效果的关系;绘制受试者工作特征(ROC)曲线,以曲线下面积(AUC)评估血清Cys C、β_(2)-MG对AML患者去甲基化治疗效果的预测效能。结果:入组98例AML患者,治疗期间5例被剔除,最终93例患者完成化疗疗程,其中23例初次诱导化疗(1-2疗程)达到CR,再诱导化疗(3-4疗程)后11例达到CR,治疗成功率为36.56%(34/93)。去甲基化治疗失败患者预后不良、预后中等占比高于治疗成功患者,血小板(PLT)、血红蛋白(Hb)水平低于治疗成功患者,血清Cys C、β_(2)-MG表达水平高于治疗成功患者,差异有统计学意义(P<0.05)。logistic回归分析显示,血清Cys C、β_(2)-MG高表达及预后不良是AML患者去甲基化治疗失败的独立危险因素(OR>1,P<0.05)。ROC曲线显示,血清Cys C、β_(2)-MG单独及联合预测AML患者去甲基化治疗效果的AUC值分别为0.788、0.785、0.834。结论:AML患者去甲基化治疗失败与血清Cys C、β_(2)-MG高表达有关,治疗前检测血清Cys C、β_(2)-MG能够预测AML患者去甲基化治疗失败风险。 展开更多
关键词 C β_(2)-微球蛋白
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基于TGF-β_(1)/Smads信号通路探讨大蒜素对2型糖尿病大鼠肾纤维化的影响
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作者 白敏 李晓翠 +2 位作者 靳世英 李慧 吴洁 《西部中医药》 2024年第3期5-9,共5页
目的:探讨大蒜素对2型糖尿病(type 2 diabetes mellitus,T2DM)大鼠肾纤维化和TGF-β_(1)/Smads信号通路的影响以及大蒜素对T2DM所致肾纤维化的作用机制。方法:将50只SD大鼠随机分为正常对照组、模型组和大蒜素低剂量组(5 mg/kg)、大蒜... 目的:探讨大蒜素对2型糖尿病(type 2 diabetes mellitus,T2DM)大鼠肾纤维化和TGF-β_(1)/Smads信号通路的影响以及大蒜素对T2DM所致肾纤维化的作用机制。方法:将50只SD大鼠随机分为正常对照组、模型组和大蒜素低剂量组(5 mg/kg)、大蒜素中剂量组(10 mg/kg)、大蒜素高剂量组(20 mg/kg),每组10只。正常对照组大鼠常规饲养,其余各组采用高糖高脂饲料喂养加腹腔注射链尿佐菌素的方法复制T2DM大鼠模型。造模完成后,大蒜素各剂量组大鼠腹腔注射相应剂量大蒜素溶液,正常对照组及模型组腹腔注射等剂量生理盐水,每天1次,共4周。干预4周后,测定各组大鼠空腹血糖水平,称量体质量;生化分析法测定24h尿蛋白(24 hour urine protein,24h UP)、血清尿素氮(blood urea nitrogen,BUN)、血清肌酐(serum creatinine,SCr)表达水平;苏木精-伊红染色法(hematoxylin-eosin staining,HE)进行肾组织病理学检查;Masson染色进行肾组织纤维化检查并计算胶原容积分数(collagen volume fraction,CVF);免疫组织化学(immunohistochemistry,IHC)法检测肾组织中转化生长因子β_(1)(transforming growth factor-β_(1),TGF-β_(1))、磷酸化Smad2(phospho-Smad2,p-Smad2)、p-Smad3蛋白表达以及Ⅰ型胶原蛋白(collagenⅠ,ColⅠ)和Ⅲ型胶原蛋白(collagenⅢ,ColⅢ)表达。结果:与正常对照组比较,模型组大鼠肾小球增大、系膜基质增厚、肾小管上皮细胞空泡变性、炎性细胞浸润,大鼠空腹血糖、24h UP、BUN、SCr、CVF、TGF-β_(1)、p-Smad2、p-Smad3、Col I、ColⅢ均升高,体质量下降;与模型组比较,大蒜素中、高剂量组大鼠空腹血糖水平降低、体质量升高(P<0.05),24h UP和血清BUN、SCr水平降低(P<0.01),病理学改变改善;与模型组比较,大蒜素低、中、高剂量组大鼠肾组织纤维化改善,肾组织CVF降低(P<0.01);与模型组比较,大蒜素中、高剂量组大鼠肾组织TGF-β_(1)、p-Smad2、p-Smad3、Col I、ColⅢ蛋白表达下调(P<0.01)。结论:大蒜素对T2DM大鼠肾纤维化具有抑制作用,其机制可能与大蒜素调控TGF-β_(1)/Smads信号通路进而抑制细胞外基质生成有关。 展开更多
关键词 2型糖尿病 TGF-β_(1)/Smads信号通路
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血液透析患者血清β_(2)微球蛋白水平与死亡率的相关分析
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作者 冯志红 李璐 +1 位作者 吴丽华 田娜 《宁夏医学杂志》 CAS 2024年第4期285-289,共5页
目的探讨维持性血液透析(MHD)患者血清β_(2)微球蛋白(β_(2)-MG)与全因死亡及心脑血管死亡的相关性。方法纳入120例进行MHD的患者,收集患者透析前临床资料和生化检验结果,根据血清β_(2)-MG水平三分位数将患者分为低β_(2)-MG水平组(... 目的探讨维持性血液透析(MHD)患者血清β_(2)微球蛋白(β_(2)-MG)与全因死亡及心脑血管死亡的相关性。方法纳入120例进行MHD的患者,收集患者透析前临床资料和生化检验结果,根据血清β_(2)-MG水平三分位数将患者分为低β_(2)-MG水平组(血清β_(2)-MG<30.0 mg/L,n=40),中等β_(2)-MG水平组(30.0 mg/L<β_(2)-MG<38.8 mg/L,n=40),高β_(2)-MG水平组(血清β_(2)-MG≥38.8 mg/L,n=40)。比较3组患者的基线资料,采用Kaplan-Meier法进行生存分析,Cox风险回归模型用于分析死亡率的影响因素。结果3组间体重、BMI、糖尿病史、残余尿量、透析龄、血磷、eGFR比较,差异均有统计学意义(P<0.05)。多元逐步线性回归分析显示,MHD患者血清多因素β_(2)-MG与残余尿量呈独立负相关(r=-3.475,P<0.05)。Cox回归分析结果显示,在校正年龄、性别、血清白蛋白、肌酐、eGFR、体重和超滤量等因素后,高水平β_(2)-MG是MHD患者发生死亡(HR=1.039,95%CI:1.003~1.076,P<0.05)与心脑血管疾病死亡的独立危险因素(HR=1.058,95%CI:1.015~1.102,P<0.05)。Kaplan-Meier生存分析显示,与β_(2)-MG中水平组比较,β_(2)-MG高水平组患者生存率明显降低(HR=0.330,95%CI:0.126~0.861,P<0.05)。结论血清β_(2)-MG是MHD患者死亡的独立预测因素,提示控制血清β_(2)-MG水平可能改善MHD患者的预后。 展开更多
关键词 β_(2)-微球蛋白
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脑脊液IGF-1、β_(2)-MG、HBP与儿童化脓性脑膜炎发生发展的相关性
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作者 李凤艳 周柳 +1 位作者 袁文华 禚志红 《河南医学研究》 CAS 2024年第16期2951-2954,共4页
目的探究脑脊液中胰岛素样生长因子-1(IGF-1)、β_(2)微球蛋白(β_(2)-MG)、肝素结合蛋白(HBP)水平与儿童化脓性脑膜炎疾病发生发展的相关性。方法选取2021年2月至2023年2月郑州大学第一附属医院儿科收治的86例化脓性脑膜炎患儿为研究组... 目的探究脑脊液中胰岛素样生长因子-1(IGF-1)、β_(2)微球蛋白(β_(2)-MG)、肝素结合蛋白(HBP)水平与儿童化脓性脑膜炎疾病发生发展的相关性。方法选取2021年2月至2023年2月郑州大学第一附属医院儿科收治的86例化脓性脑膜炎患儿为研究组,另选取86例非中枢神经系统感染患儿为对照组,比较两组脑脊液IGF-1、β_(2)-MG、HBP水平,探究其与研究组患儿病情严重程度及预后的相关性。结果研究组脑脊液中IGF-1、β_(2)-MG、HBP水平均高于对照组(P<0.05),且对化脓性脑膜炎具有较高的诊断价值,其曲线下面积分别为0.925、0.930、0.850;重度组脑脊液IGF-1、β_(2)-MG、HBP水平高于轻度组(P<0.05);预后不良组脑脊液IGF-1、β_(2)-MG、HBP水平高于预后良好组(P<0.05),且对化脓性脑膜炎预后不良具有较高的预测价值,其曲线下面积分别为0.879、0.854、0.822。结论监测化脓性脑膜炎患儿脑脊液中IGF-1、β_(2)-MG、HBP的水平对于早期诊断、判断病情严重程度以及预测疾病预后具有重要价值。 展开更多
关键词 -1 β_(2)微球蛋白
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维持性血液透析患者血清细胞分裂周期蛋白42、β_(2)微球蛋白、腓骨蛋白1水平与腹主动脉钙化的相关性
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作者 闫军放 宗茜 +2 位作者 袁亮 包婷 许雯婷 《实用临床医药杂志》 CAS 2024年第18期47-50,共4页
目的 探讨维持性血液透析(MHD)患者血清细胞分裂周期蛋白42(CDC-42)、β_(2)微球蛋白(β_(2)-MG)、腓骨蛋白1(FBLN1)水平与腹主动脉钙化(AAC)的相关性。方法 收集74例MHD患者的一般资料和生化指标,根据腹主动脉钙化评分(AACs)将患者分... 目的 探讨维持性血液透析(MHD)患者血清细胞分裂周期蛋白42(CDC-42)、β_(2)微球蛋白(β_(2)-MG)、腓骨蛋白1(FBLN1)水平与腹主动脉钙化(AAC)的相关性。方法 收集74例MHD患者的一般资料和生化指标,根据腹主动脉钙化评分(AACs)将患者分为无和轻度AAC组36例和中重度AAC组38例。比较2组血清CDC-42、β_(2)-MG、FBLN1水平,采用多因素Logistic回归分析探讨MHD患者发生AAC的危险因素。结果 中重度AAC组透析龄、血磷、全段甲状旁腺激素(iPTH)、CDC-42、β_(2)-MG、FBLN1水平高于无和轻度AAC组,差异有统计学意义(P<0.05)。MHD患者AAC与血磷、iPTH、CDC-42、β_(2)-MG、FBLN1、透析龄呈正相关(P<0.05)。高CDC-42、β_(2)-MG、FBLN1水平及长透析龄是MHD患者发生AAC的独立危险因素(P<0.05)。结论 血清CDC-42、β_(2)-MG、FBLN1水平与MHD患者AAC呈正相关,高CDC-42、β_(2)-MG、FBLN1水平及长透析龄是MHD患者发生AAC的独立危险因素。 展开更多
关键词 细胞分裂周期蛋白42 β_(2)微球蛋白 1
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Cys C、C1q、β_(2)-MG、Urea、UA检测对初诊多发性骨髓瘤患者合并肾损伤的诊断价值
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作者 邱爽 孔卓 王芳 《医学研究杂志》 2024年第4期138-142,148,共6页
目的探讨肾功能指标胱抑素C(cystatin C,Cys C)、补体C1q(complement C1q)、β_(2)-微球蛋白(β_(2)-microglobulin,β_(2)-MG)、尿素(Urea)、尿酸(uric acid,UA)对初诊多发性骨髓瘤(multiplemyeloma,MM)患者合并肾损伤(renal impairmen... 目的探讨肾功能指标胱抑素C(cystatin C,Cys C)、补体C1q(complement C1q)、β_(2)-微球蛋白(β_(2)-microglobulin,β_(2)-MG)、尿素(Urea)、尿酸(uric acid,UA)对初诊多发性骨髓瘤(multiplemyeloma,MM)患者合并肾损伤(renal impairment,RI)的诊断价值。方法回顾性分析2021年8月~2022年12月首都医科大学附属北京积水潭医院血液科收治的93例初诊MM患者的病例资料,按照血肌酐水平将MM患者分为RI组[血肌酐>176.80mmol/L(2mg/dl),n=19]及非RI组[血肌酐≤176.80mmol/L(2mg/dl),n=74],对RI组和非RI组的临床资料及实验室指标进行分析。采用单因素和多因素Logistic回归分析评价MM患者发生RI的危险因素,应用受试者工作特征(receiver operating characteristic,ROC)曲线评估危险因素对MM患者发生RI的预测价值。结果93例初诊MM患者发生RI者占25.68%,RI组轻链型占比最高(36.84%,7/19),IgG-λ型和IgA-κ型比例最低(10.53%,2/19);非RI组IgA-κ型比例最高(29.73%,22/74),IgG-λ型比例最低(12.16%,9/74)。DS分期中,RI组19例全部为Ⅲ期,非RI组72例全部为Ⅲ期。ISS分期中,RI组Ⅲ期最多(68.42%,13/19),非RI组中Ⅰ期最多(41.89%,31/74)。RISS分期中,RI组Ⅱ期和Ⅲ期最多(36.84%,7/19),非RI组Ⅱ期最多(58.11%,43/74)。DS分期和ISS分期组间差异有统计学意义(P<0.05)。RI组中Cys C、β_(2)-MG、Urea、UA水平均高于非RI组,差异均有统计学意义(P<0.05)。单因素分析结果显示,Cys C、Urea、β_(2)-MG水平异常升高是MM患者发生RI的危险因素(P<0.05),C1q对MM患者发生RI没有影响(P>0.05);多因素Logistic回归分析结果显示,Cys C、Urea、β_(2)-MG水平异常升高均是MM患者发生RI的独立影响因素(P<0.05)。Cys C、Urea、β_(2)-MG预测MM患者发生RI的敏感度分别为88.9%、50.0%、94.4%,特异性分别为90.4%、100.0%、84.9%;Cys C、Urea、β_(2)-MG联合检测预测MM患者发生RI的敏感度为100.0%,特异性为87.7%。结论Cys C、Urea、β_(2)-MG均能较好地预测初诊MM患者发生RI的可能性,3项指标联合检测对MM患者发生RI具有更高的预测价值。 展开更多
关键词 C C1Q β_(2)-微球蛋白 尿 尿
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红细胞分布宽度β_(2)-微球蛋白与维持性血液透析患者认知障碍的相关性研究
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作者 刘高虹 田云凤 +2 位作者 梁捧元 吕艳 任小军 《实用医技杂志》 2024年第1期8-13,I0001,共7页
目的 探讨红细胞分布宽度(RDW)、β_(2)-微球蛋白(β_(2)-MG)与维持性血液透析(MHD)患者认知障碍(CI)之间的关系。方法 收集2022年1月至6月于山西医科大学第三医院血液净化中心MHD患者195例临床及实验室资料,进行简易智力状态检查量表... 目的 探讨红细胞分布宽度(RDW)、β_(2)-微球蛋白(β_(2)-MG)与维持性血液透析(MHD)患者认知障碍(CI)之间的关系。方法 收集2022年1月至6月于山西医科大学第三医院血液净化中心MHD患者195例临床及实验室资料,进行简易智力状态检查量表筛查。Logistic回归分析MHD患者发生CI的危险因素、受试者工作特征(ROC)曲线分析RDW、β_(2)-MG对MHD患者CI预测价值。结果 195例MHD患者中CI71例(36.4%)。Logistic回归分析显示RDW、β_(2)-MG是MHD患者发生CI的独立危险因素。RDW预测MHD认知功能障碍的灵敏度80.3%、特异度为83.1%,曲线下面积(95%CI)为0.856(0.803,0.909)(P<0.05)。β_(2)-MG预测MHD患者认知功能障碍的灵敏度87.3%、特异度为78.2%,曲线下面积(95%CI)为0.872(0.821,0.922)(P<0.05)。RDW联合β_(2)-MG预测MHD认知功能障碍灵敏度85.9%、特异度为88.0%,曲线下面积(95%CI)为0.949(0.922,0.975)(P<0.05)。结论 高RDW、β_(2)-MG对MHD患者认知障碍有一定预测价值,且两者联合检测对MHD患者认知障碍预测价值更高。 展开更多
关键词 β_(2)-微球蛋白
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1,25(OH)_(2)D_(3)对Aβ_(1-42)诱导阿尔茨海默病细胞模型中细胞焦亡的抑制作用
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作者 李学敏 成乐 +4 位作者 吕晨慧 王希 陈爽直 张骋 赵海峰 《山西医科大学学报》 CAS 2024年第8期994-1000,共7页
目的探讨1,25(OH)_(2)D_(3)对Aβ_(1-42)诱导阿尔茨海默病(Alzheimer′s disease,AD)细胞模型中细胞焦亡的抑制作用及其机制。方法将PC12细胞分为对照组、模型组、Caspase-1-siRNA组、NC-siRNA组、1,25(OH)_(2)D_(3)组、联合干预组。对... 目的探讨1,25(OH)_(2)D_(3)对Aβ_(1-42)诱导阿尔茨海默病(Alzheimer′s disease,AD)细胞模型中细胞焦亡的抑制作用及其机制。方法将PC12细胞分为对照组、模型组、Caspase-1-siRNA组、NC-siRNA组、1,25(OH)_(2)D_(3)组、联合干预组。对照组仅用DMEM高糖培养基培养细胞;模型组用20μmol/L Aβ_(1-42)处理细胞以造模;Caspase-1-siRNA组先用50 nmol/L Caspase-1-siRNA处理细胞,再加入20μmol/L Aβ_(1-42);NC-siRNA组先用50 nmol/L NC-siRNA处理细胞,再加入20μmol/L Aβ_(1-42);1,25(OH)_(2)D_(3)组用100 nmol/L 1,25(OH)_(2)D_(3)干预后加入20μmol/L Aβ_(1-42);联合干预组先用50 nmol/L Caspase-1-siRNA处理细胞,然后用100 nmol/L 1,25(OH)_(2)D_(3)干预,最后加入20μmol/L Aβ_(1-42)。细胞免疫荧光检测凋亡相关斑点蛋白(ASC)蛋白的表达;Western blot检测细胞焦亡通路相关蛋白表达,包括:NOD样受体热蛋白结构域相关蛋白3(NLRP3)、天冬氨酸蛋白水解酶-1前体(pro-Caspase-1)、天冬氨酸蛋白水解酶-1(Caspase-1)、消皮素D-N端(GSDMD-N)、IL-1β、IL-1β前体(pro-IL-1β)、IL-18和IL-18前体(pro-IL-18)蛋白;吖啶橙/溴乙啶(AO/EB)染色检测细胞膜通透性。结果与对照组相比,模型组ASC蛋白荧光强度增强(P<0.01),细胞焦亡通路相关蛋白表达均增加(P<0.05),细胞膜通透性变大(P<0.01)。与模型组相比,1,25(OH)_(2)D_(3)组和Caspase-1-siRNA组ASC蛋白荧光强度减弱(P<0.01),pro-Caspase-1、Caspase-1、GSDMD-N、pro-IL-1β、IL-1β、pro-IL-18和IL-18蛋白表达均下调(P<0.01),细胞通透性减小(P<0.01)。与Caspase-1-siRNA组相比,联合干预组GSDMD-N和IL-18蛋白表达降低(P<0.01),细胞通透性减小(P<0.01)。结论Aβ_(1-42)能够诱导PC12细胞发生细胞焦亡现象。1,25(OH)_(2)D_(3)可以通过抑制Aβ_(1-42)诱导的PC12细胞发生焦亡来发挥其抗炎的神经保护作用,其机制与Caspase-1的抑制密切相关。 展开更多
关键词 1 25(OH)_(2)D_(3) Aβ_(1-42) CASPASE-1
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