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补肾化毒法治疗SLE的理论机制探讨 被引量:11
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作者 金实 朱方石 +1 位作者 叶霜 刘喜德 《南京中医药大学学报》 CAS CSCD 2002年第1期6-9,共4页
用补肾化毒中药“狼疮静颗粒”治疗活动性SLE取得较好疗效 ,动物实验明确了该药对狼疮动物模型的部分免疫机理。本文着重探讨了补肾化毒法治疗SLE的理论机制。通过 1 96 7例SLE临床证型分析 ,探讨了SLE病变机理 ;通过理论分析 ,认为本... 用补肾化毒中药“狼疮静颗粒”治疗活动性SLE取得较好疗效 ,动物实验明确了该药对狼疮动物模型的部分免疫机理。本文着重探讨了补肾化毒法治疗SLE的理论机制。通过 1 96 7例SLE临床证型分析 ,探讨了SLE病变机理 ;通过理论分析 ,认为本病肾虚为本 ,毒瘀为标 ;基于病机 ,方附法出 ;最后指出补肾化毒法不是活动性SLE唯一治法 ,临症应重视辨证。 展开更多
关键词 补肾化毒法 系统性红斑狼疮 肾虚 药理学 SLE
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补肾化毒法治疗系统性红斑狼疮临床观察 被引量:3
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作者 魏刚 金实 《辽宁中医药大学学报》 CAS 2011年第1期121-123,共3页
目的:观察补肾化毒中药对肾虚瘀毒证的系统性红斑狼疮(SLE)患者病情活动性的影响。方法:选择60例符合ARA(1997)诊断标准、病情活动性标准的SLE患者,随机分为治疗组30例和对照组30例,治疗3个月,观察中药治疗SLE的临床疗效、ESR、尿蛋白... 目的:观察补肾化毒中药对肾虚瘀毒证的系统性红斑狼疮(SLE)患者病情活动性的影响。方法:选择60例符合ARA(1997)诊断标准、病情活动性标准的SLE患者,随机分为治疗组30例和对照组30例,治疗3个月,观察中药治疗SLE的临床疗效、ESR、尿蛋白等指标的影响。结果:治疗组的显效率(20/30,66.7%)明显高于对照组(10/30,33.3%),差异有非常明显性意义(P<0.01)。治疗组在改善口干、腰膝酸软、脱发等症状,减少尿蛋白、降低血沉及减轻其相应副作用等方面,明显优于对照组(P<0.05或P<0.01)。结论:补肾化毒中药对肾虚瘀毒证的SLE具有较好的临床疗效。 展开更多
关键词 系统性红斑狼疮 中西医结合疗 补肾化毒法
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金实补肾化毒法治疗系统性红斑狼疮经验撷要 被引量:6
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作者 刘喜德 金实 《北京中医》 2000年第6期3-4,共2页
金实教授认为肾虚瘀毒是系统性红斑狼疮的病机关键 ,他将补肾化毒法贯穿于治疗过程的始终 ,并随证施治 ,药随证变 ,在辨证的基础上结合微观施治 ,终获良效。
关键词 系统性红斑狼疮 中医药疗 金实 补肾化毒法
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扶正祛邪化毒法在肿瘤治疗中的应用 被引量:7
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作者 李艳 《中医药临床杂志》 2009年第6期487-489,共3页
扶正祛邪化毒法是中医治疗恶性肿瘤的主要法则之一,因为肿瘤在其发生发展的过程中常表现为虚实夹杂之证。正虚为气血亏虚、脏腑功能失调、机体抗病能力下降;邪实则为痰气郁结,或是瘀血、湿浊、瘤毒内阻。故临床上应根据患者体质及不同... 扶正祛邪化毒法是中医治疗恶性肿瘤的主要法则之一,因为肿瘤在其发生发展的过程中常表现为虚实夹杂之证。正虚为气血亏虚、脏腑功能失调、机体抗病能力下降;邪实则为痰气郁结,或是瘀血、湿浊、瘤毒内阻。故临床上应根据患者体质及不同的病期等情况,灵活应用扶正祛邪化毒法,还应注意各种补法之间的相互配伍及与清热解毒、以毒攻毒、活血化瘀、软坚散结、祛湿化痰等祛邪方法的配合应用,合理使用扶正祛邪化毒法,有助于调整机体免疫状态,防止癌细胞的浸润与转移,改善症状,提高生活质量,延长生存时间。 展开更多
关键词 扶正祛邪化毒法 肿瘤 临床应用
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《霉疮秘录》化毒法对治疗艾滋病的启示
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作者 丁雄飞 《江西中医药》 2004年第10期20-22,共3页
关键词 《霉疮秘录》 化毒法 艾滋病
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扶阳补肾祛邪化毒法治疗封闭抗体阴性的体会 被引量:2
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作者 陈俊梅 周灵英 《河北中医药学报》 2013年第3期27-28,共2页
目的:分析扶阳补肾祛邪化毒法治疗封闭抗体阴性的疗效。方法:辨证分型,服用扶阳补肾祛邪化毒汤每日煎服1剂,按分型加减方药,1月为1疗程,评定疗效。结果:在100例因复发性流产查封闭抗体阴性患者中89例成功孕育。结论:采用扶阳补肾祛邪化... 目的:分析扶阳补肾祛邪化毒法治疗封闭抗体阴性的疗效。方法:辨证分型,服用扶阳补肾祛邪化毒汤每日煎服1剂,按分型加减方药,1月为1疗程,评定疗效。结果:在100例因复发性流产查封闭抗体阴性患者中89例成功孕育。结论:采用扶阳补肾祛邪化毒法有助于调整肌体免疫状态,防止流产,提高受孕和孕育能力。 展开更多
关键词 扶阳补肾祛邪 扶正化毒法 封闭抗体阴性 复发性流产 滑胎 免疫
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LEEP配合化湿清毒法治疗重度宫颈糜烂的临床研究 被引量:9
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作者 尤瑞红 白杰 +1 位作者 苏健 田李军 《现代中西医结合杂志》 CAS 2018年第11期1161-1163,1216,共4页
目的探讨利普刀(LEEP)配合田淑霄教授化湿清毒法治疗重度宫颈糜烂的临床疗效。方法将100例重度宫颈糜烂患者随机分为治疗组、对照组各50例,2组均予LEEP手术治疗,治疗组LEEP术后口服健脾益气、化湿清毒中药2周,治疗前及治疗后8周观察记录... 目的探讨利普刀(LEEP)配合田淑霄教授化湿清毒法治疗重度宫颈糜烂的临床疗效。方法将100例重度宫颈糜烂患者随机分为治疗组、对照组各50例,2组均予LEEP手术治疗,治疗组LEEP术后口服健脾益气、化湿清毒中药2周,治疗前及治疗后8周观察记录2组患者中医证候积分,比较宫颈创面愈合时间、阴道出血时间、排液时间及糜烂面恢复情况。结果术后8周,2组宫颈创面全部愈合,宫颈表面光滑。治疗组宫颈创面愈合时间、阴道分泌物持续时间、阴道出血时间均较对照组显著缩短(P均<0.05)。治疗后2组中医证候积分均较治疗前显著降低(P均<0.05),且治疗组明显低于对照组(P<0.05)。治疗组中医证候疗效显著优于对照组(P<0.05)。结论田淑霄教授化湿清毒法配合LEEP治疗重度宫颈糜烂疗效显著,可明显减轻患者临床症状,充分体现了中西医结合治疗的优势。 展开更多
关键词 田淑霄 湿清 LEEP 重度宫颈糜烂
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益肾化瘀蠲毒法治疗慢性肾衰竭162例 被引量:5
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作者 赵章华 《辽宁中医杂志》 CAS 北大核心 2010年第9期1770-1771,共2页
目的:观察益肾化瘀蠲毒法治疗慢性肾衰竭的临床疗效。方法:选择慢性肾功能衰竭病人,应用益肾化瘀蠲毒法进行治疗,观察患者治疗前后Scr、BuN、Ccr等指标的变化情况和治疗后不同原发病的有效率。结果:治疗后Scr、BuN指标明显降低、Ccr指... 目的:观察益肾化瘀蠲毒法治疗慢性肾衰竭的临床疗效。方法:选择慢性肾功能衰竭病人,应用益肾化瘀蠲毒法进行治疗,观察患者治疗前后Scr、BuN、Ccr等指标的变化情况和治疗后不同原发病的有效率。结果:治疗后Scr、BuN指标明显降低、Ccr指标明显升高,与治疗前相比,差异有显著性意义(P<0.01);治疗后不同原发病的有效率,由高至低排序为:IgA肾病、慢性肾小球肾炎、高血压肾病、糖尿病肾病、慢性间质性肾炎。结论:益肾化瘀蠲毒法治疗慢性肾衰竭具有较好疗效。 展开更多
关键词 益肾瘀蠲 慢性肾功能衰竭 疗效观察
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浅谈“化毒成脓法”在浅表肿瘤中的应用 被引量:1
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作者 罗先 刘双文 +2 位作者 胡嘉芮 马龙飞 李泉旺 《中医药导报》 2017年第12期38-40,共3页
就"化毒成脓法"及其三阶段治疗步骤及该法治疗浅表肿瘤的各阶段展开讨论,并阐述该法的理论依据,以期寻找到更多的浅表肿瘤的治疗手段。
关键词 成脓 绿色治疗
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化浊祛毒健脾法治疗早期2型糖尿病对胰岛α/β细胞及氧化应激的影响 被引量:5
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作者 唐奇志 潘伟钰 +3 位作者 万小露 叶倩桦 彭良岳 徐斌彬 《辽宁中医药大学学报》 CAS 2023年第6期10-14,共5页
目的 通过观察化浊祛毒健脾法联合二甲双胍治疗早期2型糖尿病对胰岛α/β细胞及氧化应激的影响,进一步探究化浊祛毒法可能的降糖作用机制。方法 选取2020年1月—2021年6月163例早期2型糖尿病患者,随机分为两组,其中对照组81例,试验组82... 目的 通过观察化浊祛毒健脾法联合二甲双胍治疗早期2型糖尿病对胰岛α/β细胞及氧化应激的影响,进一步探究化浊祛毒法可能的降糖作用机制。方法 选取2020年1月—2021年6月163例早期2型糖尿病患者,随机分为两组,其中对照组81例,试验组82例。两组患者均予基础饮食及运动管理,合并有基础疾病分别给予相应治疗。对照组予二甲双胍,试验组予化浊祛毒健脾方联合二甲双胍治疗,观察疗程为48周。主要观察两组患者治疗前后临床疗效、血清胰高血糖素样肽-1(GLP-1)浓度、胰高血糖素(GC)浓度、空腹C肽(CP)水平、氧化应激指标超氧化物歧化酶(SOD)、空腹血糖(FPG)、餐后2 h血糖(2 h PBG)、糖化血红蛋白水平(HbAlc)指标变化。结果 治疗后,临床疗效方面,试验组总有效率为90.24%,高于对照组的74.07%,差异有统计学意义(P<0.05);在糖代谢方面,试验组FPG、PBG、HbAlc水平明显低于对照组,差异有统计学意义(P<0.05);试验组空腹C肽水平明显高于对照组,差异有统计学意义(P<0.05);试验组GLP-1水平较对照组明显更高,差异有统计学意义(P<0.05),且治疗后试验组的GC水平低于对照组,差异有统计学意义(P<0.05);试验组SOD水平较对照组明显更高,差异有统计学意义(P<0.05)。结论 化浊祛毒健脾法联合二甲双胍治疗可明显改善早期2型糖尿病患者的血糖谱,并可提高血清GLP-1、空腹C肽及SOD水平,并抑制胰岛α细胞分泌胰高血糖素,有助于保护胰岛β细胞并促进其功能恢复。 展开更多
关键词 浊祛健脾 2型糖尿病 胰高血糖素样肽-1 胰高血糖素 超氧物歧
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运用化湿解毒法治疗慢性肾炎76例临床观察
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作者 王倚东 《适宜诊疗技术》 2001年第6期31-31,共1页
关键词 湿外 慢性肾炎 辨证论治 中医学
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“阳虚寒毒”理论在骨髓增生异常综合征诊治中的应用 被引量:7
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作者 王月 方苏 +3 位作者 宋敏敏 曲文闻 马俊丽 胡晓梅 《北京中医药》 2013年第11期811-813,共3页
骨髓增生异常综合征(MDS)是一组异质性疾病,起源于造血干细胞的克隆性疾病,以骨髓无效造血、长期进行性难治性血细胞减少、高风险向急性白血病转化为特征。MDS多发于老年人,其临床表现为面色苍白、乏力、活动后心悸、气短等症状,或兼有... 骨髓增生异常综合征(MDS)是一组异质性疾病,起源于造血干细胞的克隆性疾病,以骨髓无效造血、长期进行性难治性血细胞减少、高风险向急性白血病转化为特征。MDS多发于老年人,其临床表现为面色苍白、乏力、活动后心悸、气短等症状,或兼有出血、发热、脾大等体征。胡晓梅认为,本病因阳虚寒毒而致,在临床中倡导运用温化寒毒法。 展开更多
关键词 骨髓增生异常综合征 阳虚寒 温阳化毒法
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浅析从湿毒论治重症肌无力 被引量:3
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作者 刘建辉 《江西中医药》 2013年第2期6-7,共2页
重症肌无力属中医学"痿病"范畴,其疾病的发生一般认为与脾肾亏虚有关。笔者认为本病的发生是在脾肾亏虚的基础上,水液代谢失调,水湿内聚,日久化生湿毒之邪而致。重症肌无力的临床特点除见脾肾亏虚证候外,还具有湿毒致病特点... 重症肌无力属中医学"痿病"范畴,其疾病的发生一般认为与脾肾亏虚有关。笔者认为本病的发生是在脾肾亏虚的基础上,水液代谢失调,水湿内聚,日久化生湿毒之邪而致。重症肌无力的临床特点除见脾肾亏虚证候外,还具有湿毒致病特点。脾肾亏虚、湿毒内蕴为其基本病机。祛湿化毒应贯穿其治疗始终。 展开更多
关键词 重症肌无力 湿 祛湿化毒法
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化浊通络汤治疗血管性痴呆的临床观察 被引量:3
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作者 汪海霞 柳伯昌 +3 位作者 吕东 王科 吕宏 杨波 《中医临床研究》 2019年第4期66-69,共4页
目的:探讨化浊通络汤防治血管性痴呆的临床疗效。方法:选取符合血管性痴呆纳入标准的患者160例,随机分为治疗组和对照组各80例。两组患者基础治疗基本相同,治疗组联用中药化浊通络汤,疗程3个月,观察两组患者治疗前后简易智能量表(MMSE)... 目的:探讨化浊通络汤防治血管性痴呆的临床疗效。方法:选取符合血管性痴呆纳入标准的患者160例,随机分为治疗组和对照组各80例。两组患者基础治疗基本相同,治疗组联用中药化浊通络汤,疗程3个月,观察两组患者治疗前后简易智能量表(MMSE)、日常生活能力(ADL)、临床疗效及中医证候积分的变化以及该药的安全性。结果:治疗后治疗组各项积分及总积分均较治疗前提高,差异有统计学意义(P <0.05);对照组回忆、定向、语言积分及总积分较治疗前提高,差异有统计学意义(P <0.05),计算和识记积分与治疗前比较差异无统计学意义(P> 0.05)。两组治疗后计算、回忆和总积分比较差异有统计学意义(P <0.05)。治疗组总有效率为87.5%,对照组为72.5%,治疗组疗效优于对照组(P <0.05)。两组中医证候积分治疗后较治疗前降低,差异有统计学意义(P <0.05),治疗组评分显著低于对照组(P <0.05)。两组患者治疗后较本组治疗前ADL评分降低,治疗组治疗后ADL评分显著低于对照组(P <0.05)。结论:化浊通络汤能有效改善VD患者的MMSE、ADL及临床疗效,提高患者的日常生活自理能力,有肯定的临床疗效,且安全可靠,值得临床推广及进一步深化研究。 展开更多
关键词 浊通络汤 益肾浊、解通络 血管性痴呆 中医药疗
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“温毒”治毒法浅探 被引量:3
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作者 时潇 刘兰林 +2 位作者 张永根 马占山 陈庆伟 《中医学报》 CAS 2016年第8期1114-1116,共3页
"温毒"作为温病病因,包括热毒、湿热之毒、疫毒、疠气等。根据《中医方剂大辞典》所记载方剂名称可知,"温毒"治毒法包括解毒法、消毒法、败毒法、化毒法、透毒法、攻毒法等,其在疾病不同阶段、不同发病趋势情况下... "温毒"作为温病病因,包括热毒、湿热之毒、疫毒、疠气等。根据《中医方剂大辞典》所记载方剂名称可知,"温毒"治毒法包括解毒法、消毒法、败毒法、化毒法、透毒法、攻毒法等,其在疾病不同阶段、不同发病趋势情况下各呈优点。解毒法常用于"温毒"在表;消毒法针对"温毒"在气分;败毒法多采用扶正败毒;透毒法多用于毒入营分;攻毒法多采用寒凉药物;化毒法多用于热毒伤阴。 展开更多
关键词 “温 中医方剂大辞典 化毒法 中医理论
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Expression,purification and characterization of enterovirus-71 virus-like particles 被引量:43
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作者 Yao-Chi Chung Jen-Huang Huang +4 位作者 Chia-Wei Lai Heng-Chun Sheng Shin-Ru Shih Mei-Shang Ho Yu-Chen Hu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第6期921-927,共7页
AIM: Enterovirus 71 (EV71) has been implicated as the etiological agent responsible for the recent outbreaks of hand, foot and mouth disease associated with severe neurological diseases in the Asia-Pacific region. ... AIM: Enterovirus 71 (EV71) has been implicated as the etiological agent responsible for the recent outbreaks of hand, foot and mouth disease associated with severe neurological diseases in the Asia-Pacific region. METHODS: The assembly process was hypothesized to occur via an orchestrated proteolytic processing of the P1 precursor by the viral protease 3CD. To test this hypothesis, we constructed 3 recombinant baculoviruses: Bac-P1 expressing P1; Bac-3CD expressing 3CD; and Bac-P1-3CD co-expressing P1 and 3CD. RESULTS: Both single infection by Bac-P1-3CD and coinfection by Bac-P1 and Bac-3CD resulted in correct cleavage of P1 to yield individual proteins VP0, VP1 and VP3, while the former approach yielded higher VLP production. In the cells, the structural proteins selfassembled into clusters of virus-like particles (VLP) resembling the authentic EV71 particle aggregates. After ultracentrifugation purification, the dispersed VLPs were indistinguishable from the authentic virus in size, appearance, composition and surface epitopes, as determined by SDS-PAGE, Western blot, transmission electron microscopy and immunogold labeling. CONCLUSION: Our data, for the first time, suggest that in insect cells EV71 structural proteins adopt a processing and assembly pathway similar to poliovirus assembly. The preservation of particle morphology and composition suggest that the VLP may be a valuable vaccine candidate to prevent EV71 epidemics. 展开更多
关键词 Enterovirus 71 Virus-like particle VLP VACCINE BACULOVIRUS Insect cell
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Pseudocirrhosis in a pancreatic cancer patient with liver metastases: A case report of complete resolution of pseudocirrhosis with an early recognition and management 被引量:5
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作者 Soonmo Peter Kang Tamar Taddei +1 位作者 Bruce McLennan Jill Lacy 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第10期1622-1624,共3页
We report a case of pseudocirrhosis arising in the setting of regression of liver metastases from pancreatic cancer. A 55-year-old asymptomatic woman presented to our clinic with newly diagnosed metastatic pancreatic ... We report a case of pseudocirrhosis arising in the setting of regression of liver metastases from pancreatic cancer. A 55-year-old asymptomatic woman presented to our clinic with newly diagnosed metastatic pancreatic cancer with extensive liver metastases. She underwent systemic chemotherapy with gemcitabine and oxaliplatin (GEMOX). After 8 cycles of therapy, she had a remarkable response to the therapy evidenced by decline of carcinoembryonic antigen (CEA) and CA19 by > 50% and nearly complete resolution of hepatic metastases in computed tomography (CT) scan. Shortly after, she developed increasing bilateral ankle edema and ascites, associated with dyspnea, progressive weight gain, and declining performance status. Gemcitabine and oxaliplatin were discontinued as other causes of her symptoms such as congestive heart disease or venous thrombosis were ruled out. CT scan 6 mo after the initiation of GEMOX revealed worsening ascites with a stable pancreatic mass. However, it also revealed a lobular hepatic contour, segmental atrophy, and capsular retraction mimicking the appearance of cirrhosis. She was managed with aggressive diuresis and albumin infusions which eventually resulted in a resolution of the above- mentioned symptoms as well as complete resolution of pseudocirrhotic appearance of the liver and ascites in CT scan. This case demonstrates that pancreatic cancer patients can develop pseudocirrhosis. Clinicians and radiologist should be well aware of this entity asearly recognition and management can lead to a near complete recovery of liver function and much improved quality of life as illustrated in this case. 展开更多
关键词 Pseudocirrhosis Pancreatic cancer Nodular regenerative hyperplasia Chemotherapy induced liver toxicity
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Antiproliferation and apoptosis induction of paeonol in HepG_2 cells 被引量:8
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作者 Shu-Ping Xu Guo-Ping Sun +3 位作者 Yu-Xian Shen Wei Wei Wan-Ren Peng Hua Wang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第2期250-256,共7页
AIM: To investigate the antiproliferative effect of paeonol (Pae) used alone or in combination with chemotherapeutic agents [cisplatin (CDDP), doxorubicin (DOX) and 5-fluorouracil (5-FU)] on human hepatoma ce... AIM: To investigate the antiproliferative effect of paeonol (Pae) used alone or in combination with chemotherapeutic agents [cisplatin (CDDP), doxorubicin (DOX) and 5-fluorouracil (5-FU)] on human hepatoma cell line HepG2 and the possible mechanisms. METHODS: The cytotoxic effect of drugs on HepG2 cells was measured by 3-(4, 5-dimethylthiazol-2- yl)-2, 5-diphenyltetra-zolium bromide (MTT) assay. Morphologic changes were observed by acridine orange (AO) fuorescence staining. Cell cycle and apoptosis rate were detected by flow cytometry (FCM). Drug-drug interactions were analyzed by the coefficient of drug RESULTS: Pae (7.81-250 mg/L) had an inhibitory effect on the proliferation of HepG2 cells in a dose-dependent manner, with the IC50 value of (104.77±7.28) mg/L. AO fluorescence staining and FCM assays showed that Pae induced apoptosis and arrested cell cycle at S phase in HepG2 cells. Further, different extent synergisms were observed when Pae (15.63, 31.25, 62.5 rag/L) was combined with CDDP (0.31-2.5 mg/L), DOX (0.16-1.25 mg/L), or 5-FU (12.5-100 mg/L) at appropriate concentrations. The IC50 value of the three drugs decreased dramatically when combined with Pae (P 〈 0.01). Of the three different combinations, the sensitivity of cells to drugs was considerably different.CONCLUSION: Pae had a significant growth-inhibitory effect on the human hepatoma cell line HepG2, which may be related to apoptosis induction and cell cycle arrest. It also can enhance the cytotoxicity of chemotherapeutic agents on HepG2 cells, and the S phase arrest induced by Pae may be one of the mechanisms of these interactions. 展开更多
关键词 PAEONOL Hepatocellular carcinoma Apoptosis Cell cycle CISPLATIN DOXORUBICIN 5-FLUOROURACIL Synergistic effect
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An Improved Hybrid Genetic Algorithm for Chemical Plant Layout Optimization with Novel Non-overlapping and Toxic Gas Dispersion Constraints 被引量:8
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作者 徐圆 王振宇 朱群雄 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2013年第4期412-419,共8页
New approaches for facility distribution in chemical plants are proposed including an improved non-overlapping constraint based on projection relationships of facilities and a novel toxic gas dispersion constraint. In... New approaches for facility distribution in chemical plants are proposed including an improved non-overlapping constraint based on projection relationships of facilities and a novel toxic gas dispersion constraint. In consideration of the large number of variables in the plant layout model, our new method can significantly reduce the number of variables with their own projection relationships. Also, as toxic gas dispersion is a usual incident in a chemical plant, a simple approach to describe the gas leakage is proposed, which can clearly represent the constraints of potential emission source and sitting facilities. For solving the plant layout model, an improved genetic algorithm (GA) based on infeasible solution fix technique is proposed, which improves the globe search ability of GA. The case study and experiment show that a better layout plan can be obtained with our method, and the safety factors such as gas dispersion and minimum distances can be well handled in the solution. 展开更多
关键词 plant layout non-overlapping constraints toxic gas dispersion genetic algorithm
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Differences in viral kinetics between genotypes 1 and 3 of hepatitis C virus and between cirrhotic and non-cirrhotic patients during antiviral therapy 被引量:3
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作者 José Eymard Medeiros-Filho Isabel Maria Vicente Guedes de Carvalho Mello +4 位作者 Joo Renato Rebello Pinho Avidan U Neumann Fernanda de Mello Malta Luiz Caetano da Silva Flair José Carrilho 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第45期7271-7277,共7页
AIM: TO evaluate the impact of hepatitis C virus (HCV) infection with genotype 1 or 3 and the presence or absence of liver cirrhosis (LC) in the early viral kinetics response to treatment. METHODS: Naive patien... AIM: TO evaluate the impact of hepatitis C virus (HCV) infection with genotype 1 or 3 and the presence or absence of liver cirrhosis (LC) in the early viral kinetics response to treatment. METHODS: Naive patients (n = 46) treated with interferon-α (IFN-α) and ribavirin and followed up with frequent early HCV-RNA determinations were analysed. Patients were infected with genotype 1 (n = 28, 7 with LC) or 3 (n = 18, 5 with LC). RESULTS: The first phase decline was larger in genotype 3 patients than in genotype 1 patients (1.72 vs 0.95 log IU/mL, P 〈 0.001). The second phase slope decline was also larger in genotype 3 patients than in genotype 1 patients (0.87 vs 0.15 log/wk, P 〈 0.001). Differences were found in both cirrhotic and non-cirrhotic patients. Genotype 1 cirrhotic patients had a slower 2^nd phase slope than non-cirrhotic patients (0.06 vs 0.18 log/wk, P 〈 0,02). None of genotype 1 cirrhotic patients had a 1^st phase decline larger than 1 log (non-cirrhotic patients: 55%, P 〈 0.02). A similar trend toward a slower 2nd phase slope was observed in genotype 3 cirrhotic patients but the 1^st phase slope decline was not different. Sustained viral response was higher in genotype 3 patients than in genotype 1 patients ,(72% vs 14%, P 〈 0.001) and in genotype 1 non-cirrhotic patients than in genotype 1 cirrhotic patients (19% vs 0%). A second phase decline slower than 0.3 log per week was predictive of non-response in all groups. CONCLUSION: Genotype 3 has faster early viral decline than genotype 1. Cirrhosis correlates with a slower 2nd phase decline and possibly with a lower 1^st phase slope decline in genotype 1 patients. 展开更多
关键词 Hepatitis C virus Treatment Early kinetics CIRRHOSIS GENOTYPES
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