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高分辨外周骨定量CT的临床应用 被引量:6
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作者 林园园 董进 夏维波 《中华骨质疏松和骨矿盐疾病杂志》 2016年第4期409-415,共7页
骨组织活检是诊断代谢性骨病和了解骨组织结构的直接方法,但因其创伤性较大而难以在临床中展开。随着技术的进步,一种非侵袭性的检测手段应运而生——高分辨外周骨定量CT(high-resolution peripheral quantitative computed tomography,... 骨组织活检是诊断代谢性骨病和了解骨组织结构的直接方法,但因其创伤性较大而难以在临床中展开。随着技术的进步,一种非侵袭性的检测手段应运而生——高分辨外周骨定量CT(high-resolution peripheral quantitative computed tomography,HR-p QCT),其对骨微结构和骨强度的检测在技术上有了长足的进步,有助于通过无创的方法了解生理或病理状态下骨微结构和骨强度的变化,可望用于不同疾病状态中骨骼研究及影响骨代谢药物的临床研究。本文对HR-p QCT在临床上的应用做一综述。 展开更多
关键词 高分辨外周骨定量CT 质疏松症 代谢性
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老年人不同年龄段脊柱椎体外周骨定量CT测定研究 被引量:10
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作者 沈宁江 Kuhn V +1 位作者 Eckstein F Putz R 《中国老年学杂志》 CAS CSCD 北大核心 2003年第1期17-20,共4页
目的 研究老年人各年龄段 T3~ L5椎体骨密度及椎体横断面面积。方法 用外周骨定量 CT(p QCT)仪测量 40具老年尸体中 60 0个椎体的总骨密度、松质骨密度、皮质下骨密度、皮质骨密度、椎体横断面总面积、松质骨面积、皮质下骨面积及皮... 目的 研究老年人各年龄段 T3~ L5椎体骨密度及椎体横断面面积。方法 用外周骨定量 CT(p QCT)仪测量 40具老年尸体中 60 0个椎体的总骨密度、松质骨密度、皮质下骨密度、皮质骨密度、椎体横断面总面积、松质骨面积、皮质下骨面积及皮质骨面积 ,分别统计 60~ 69岁 (A组 )、70~ 79岁 (B组 )、80~ 89岁 (C组 )、90~ 98岁 (D组 )椎体骨密度值。结果  T3~ L5椎体总骨密度 (mg/ cm3)为 1 88.2 5~ 1 91 .60 ,松质骨密度为1 2 8.0 1~ 1 30 .66,皮质下骨密度为 454.90~ 461 .87,皮质骨密度为 764.1 3~ 769.55。结论  60~ 79岁椎体总骨密度值保持在相对稳定水平 ,80岁以后该值下降较明显。 展开更多
关键词 外周骨定量CT 椎体 密度 老年人 质疏松症
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外周骨定量CT(pQCT)诊断骨质疏松症价值的研究 被引量:1
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作者 万圣祥 SteffenWolf LutzClaes 《中国骨质疏松杂志》 CAS CSCD 1998年第3期1-4,共4页
目的研究应用pQCT诊断骨质疏松症的可靠性。方法用万能测压机测量41份股骨转子间松质骨弹性模量(E-Module)、用pQCT测量骨密度及通过图像分析系统测量骨组织形态学参数——骨容积密度(BV/TV)和骨小梁结构因... 目的研究应用pQCT诊断骨质疏松症的可靠性。方法用万能测压机测量41份股骨转子间松质骨弹性模量(E-Module)、用pQCT测量骨密度及通过图像分析系统测量骨组织形态学参数——骨容积密度(BV/TV)和骨小梁结构因子(TBPf),并分析骨密度与E-Module、BV/TV及TBPf间的相关性。结果骨密度值与E-Module值呈二次曲线相关(r=0.75,P<0.0001);与BV/TV呈直线相关(r=0.76,P<0.0001);与TBPf呈直线负相关(r=0.73,P<0.0001)。结论pQCT测得的骨密度能客观反映骨强度和骨结构,pQCT能用于动态监测骨丢失、及时诊断骨质疏松症。 展开更多
关键词 诊断 QCT 密度 BV 外周骨定量CT 质疏松症 结构 直线相关 转子
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高分辨外周骨定量CT评估阻塞性睡眠呼吸暂停患者的骨质情况 被引量:1
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作者 乔一娴 肖毅 +4 位作者 夏维波 罗金梅 黄蓉 王晓娜 苏琳凡 《中国医学科学院学报》 CAS CSCD 北大核心 2019年第6期761-771,共11页
目的通过高分辨外周骨定量CT(HR-pQCT)检测阻塞性睡眠呼吸暂停(OSA)患者的骨强度及结构,探索其与骨质疏松症之间的联系。方法连续收入2017年8月至2019年1月于本院睡眠呼吸中心就诊的男性患者,完善相关临床资料,包括爱普沃茨睡眠量表(ESS... 目的通过高分辨外周骨定量CT(HR-pQCT)检测阻塞性睡眠呼吸暂停(OSA)患者的骨强度及结构,探索其与骨质疏松症之间的联系。方法连续收入2017年8月至2019年1月于本院睡眠呼吸中心就诊的男性患者,完善相关临床资料,包括爱普沃茨睡眠量表(ESS)评分、整夜多导睡眠监测等,行HR-pQCT测定其非优势侧的肱骨及胫骨的相关指标,比较不同严重程度的OSA患者及非OSA人群在骨几何学参数、骨密度及骨微结构方面的差异,并寻找OSA与骨质疏松症的联系。结果本研究共纳入83名受试者,其中轻、中、重度及不符合OSA的对照组人数分别为21、18、34及10人。4组人群在年龄、血压、ESS评分、睡眠分期及睡眠效率等方面差异均无统计学意义(P>0.05),在体质量指数(BMI)及颈围方面差异有统计学意义(F=4.234,P=0.008;F=3.100,P=0.031)。4组研究对象的桡骨HR-pQCT指标差异均无统计学意义(P>0.05)。在胫骨方面,4组研究对象骨几何参数指标皮质骨面积(Ct.Ar)差异有统计学意义(F=3.937,P=0.011);骨微结构指标骨小梁厚度(Tb.Th)、皮质骨厚度(Ct.Th)差异有统计学意义(F=6.247,P=0.001;F=3.746,P=0.014),表现为3组病例组的均值均低于对照组。进一步两两比较显示,重度OSA组的Ct.Ar明显高于轻度OSA组(P=0.019);对照组的Tb.Th明显高于轻、中度OSA组(P=0.006,P=0.001)。相关性分析显示,在一定范围内,桡骨和胫骨的总体积骨密度(Tt.vBMD)、Tb.Th与年龄呈负相关(r=-0.312,P=0.004;r=-0.328,P=0.002;r=-0.265,P=0.015;r=-0.280,P=0.010;),与BMI呈正相关(r=0.240,P=0.029;r=0.369,P=0.004;r=0.299,P=0.006;r=0.416,P=0.010)。逐步多元回归分析显示,桡骨与胫骨的Tb.Th受BMI(β=0.262,P=0.008,R^2=0.243,F=6.270,P=0.000;β=0.494,P=0.000,R^2=0.186,F=7.243,P=0.000)及年龄(β=-0.216,P=0.030,R^2=0.243,F=6.270,P=0.000;β=-0.306,P=0.003,R^2=0.186,F=7.243,P=0.000)的影响,桡骨Tt.vBMD与睡眠效率及OSA引起的夜间较低的平均血氧饱和度亦具有一定的相关性(β=0.312,P=0.002,β=-0.249,P=0.012,R^2=0.327,F=7.482,P=0.000)。结论本研究表明,在非老年男性中,OSA主要引起胫骨Tb.Th、Ct.Th的下降。骨强度及结构的改变主要与年龄及体型相关,与睡眠效率及OSA引起的夜间平均血氧饱和度的下降亦具有一定的相关性。 展开更多
关键词 阻塞性睡眠呼吸暂停 质疏松 高分辨外周骨定量CT 密度
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唑来膦酸对大鼠颌面骨和外周骨创伤后骨改建的影响 被引量:1
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作者 龚雪 钱文昊 苏俭生 《口腔医学》 CAS 2022年第7期587-592,共6页
目的研究唑来膦酸对大鼠颌面骨和外周骨创伤后骨改建的影响。方法SD大鼠随机分为实验组和对照组,每周分别给予尾静脉注射唑来膦酸(80μg/kg)和PBS。用药两周后,在全麻下拔除一侧上颌第一磨牙,并在同侧胫骨近心端制备骨缺损,缝合创口,继... 目的研究唑来膦酸对大鼠颌面骨和外周骨创伤后骨改建的影响。方法SD大鼠随机分为实验组和对照组,每周分别给予尾静脉注射唑来膦酸(80μg/kg)和PBS。用药两周后,在全麻下拔除一侧上颌第一磨牙,并在同侧胫骨近心端制备骨缺损,缝合创口,继续用药至术后1、4和12周后分批处死,分离并收集骨组织样本。Micro-CT分析各组骨缺损区新骨形成情况。HE和Masson染色分析骨缺损区软组织愈合情况、新骨形成情况、有无炎症反应和死骨形成等。ELISA法检测骨改建过程中关键因子RANKL和OPG的表达。结果Micro-CT结果显示,实验组拔牙创表面高低不平,中部浅凹处可见游离的死骨片,而对照组拔牙创新骨形成区域与周边骨质均匀连续,进行了正常的生理性骨改建。实验组胫骨缺损区愈合,骨皮质完整连续,较对照组厚且致密,骨松质内的新生骨亦明显较对照组排列紧密。术后4周和12周,实验组胫骨BV/TV值较对照组明显上升(P<0.05),实验组颌骨BV/TV值较对照组差异无统计学意义。组织学染色显示,实验组颌骨拔牙创黏膜未愈合或延迟愈合,未愈合的黏膜下方可见暴露骨坏死,骨质出现不同程度的硬化,且周围伴有大量的炎性细胞浸润,为典型的双膦酸盐相关性颌骨坏死(BRONJ)组织病理表现。对照组颌骨拔牙创上皮正常愈合,覆盖创面,拔牙窝进行了正常的生理性骨改建。实验组胫骨骨缺损已愈合,骨皮质较对照组增厚,新骨生成和骨改建速度较对照组快,松质骨内新生骨小梁数量和密度亦较对照组增高。细胞因子检测显示,实验组颌骨RANKL/OPG比值较对照组明显下降(P<0.05),实验组胫骨RANKL/OPG比值则较对照组明显上升(P<0.05)。结论唑来膦酸抑制大鼠颌骨拔牙后骨改建,引起颌骨BRONJ样病变,却在一定程度上促进大鼠外周骨骨创后骨改建。RANKL/OPG值可能在BRONJ发生过程中起重要作用。 展开更多
关键词 唑来膦酸 改建 颌面 外周骨 RANKL/OPG 大鼠
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外周骨骨密度对绝经后白人妇女骨折风险的评估 被引量:1
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《国外医学(内分泌学分册)》 2003年第B04期69-70,共2页
关键词 绝经 白人妇女 外周骨密度
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利用外周骨测量骨密度诊断骨质疏松症的标准是什么?
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《国外医学(内分泌学分册)》 2003年第B04期69-69,共1页
关键词 质疏松症 诊断标准 外周骨 密度
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成骨不全症儿童的骨骼表型影像测量研究进展
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作者 刘家怡 李梅 《中华骨质疏松和骨矿盐疾病杂志》 CSCD 北大核心 2024年第3期266-271,共6页
成骨不全症(osteogenesis imperfecta,OI)是最常见的单基因遗传性骨病,以反复骨折、骨骼畸形和身材矮小为特点。准确定量评估骨骼表型对判断OI严重程度、制定治疗方案和预测预后有重要意义。目前常用OI表型评估方法,如X线检查、双能X射... 成骨不全症(osteogenesis imperfecta,OI)是最常见的单基因遗传性骨病,以反复骨折、骨骼畸形和身材矮小为特点。准确定量评估骨骼表型对判断OI严重程度、制定治疗方案和预测预后有重要意义。目前常用OI表型评估方法,如X线检查、双能X射线吸收测量仪等,难以全面反映骨微结构和骨骼生物力学性能。近年来,多种新型影像测量技术,包括骨小梁评分、高分辨外周骨定量计算机体层成像、磁共振成像等,能够定量评估骨微结构、骨骼生物力学性能,有助于全面了解OI骨骼表型信息、预测骨折风险,值得关注及应用。 展开更多
关键词 不全 小梁评分 高分辨外周骨定量计算机体层成像 磁共振成像
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膝关节骨性关节炎患者外周血NK细胞颗粒酶素B和穿孔素的表达
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作者 梁广玉 邵进宝 +4 位作者 于占芝 李学峰 王爱国 邓爱民 裴银辉 《中国药业》 CAS 2012年第A02期106-108,共3页
目的研究外周血自然杀伤(NK)细胞颗粒酶(GrB)和穿孔素(PF)的表达与膝关节骨性关节炎(kneeosteoarthrosis,K—OA)的关系。方法补体裂解法分离K—OA组与对照组外周血NK细胞,酶免疫标记技术测定两种不同NK细胞亚群比例,ELISA法... 目的研究外周血自然杀伤(NK)细胞颗粒酶(GrB)和穿孔素(PF)的表达与膝关节骨性关节炎(kneeosteoarthrosis,K—OA)的关系。方法补体裂解法分离K—OA组与对照组外周血NK细胞,酶免疫标记技术测定两种不同NK细胞亚群比例,ELISA法检测NK细胞颗粒酶素B和穿孔素。结果与对照组比较,K—OA组CD16^-CD56^+比例减少,而CD16^+CD56^+比例上升(P〈0.05),NK细胞颗粒酶素B和穿孔素的表达显著高于对照组。结论K—OA的发生与具有杀伤活性的CD16^+CD56^+NK细胞亚群比例上升有关.其中颗粒酶和穿孔素对K—OA的进展有一定影响。 展开更多
关键词 膝关节性关节炎 外周 自然杀伤细胞 亚群 颗粒酶素B 穿孔素
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老年及不同老龄段脊柱椎体骨密度测定研究 被引量:2
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作者 沈宁江 V.Kuhn +1 位作者 F.Eckstein R.Putz 《中国骨质疏松杂志》 CAS CSCD 2002年第3期222-225,共4页
目的 研究老年及各老龄段T3至L5椎体骨密度值。方法 用外周骨定量CT(pQCT)仪测量 4 0具老年尸体 6 0 0个椎体的总骨密度 ,松质骨密度 ,皮质下骨密度 ,皮质骨密度 ,椎体横断面总面积 ,松质骨面积 ,皮质下骨面积 ,皮质骨面积及皮质骨厚... 目的 研究老年及各老龄段T3至L5椎体骨密度值。方法 用外周骨定量CT(pQCT)仪测量 4 0具老年尸体 6 0 0个椎体的总骨密度 ,松质骨密度 ,皮质下骨密度 ,皮质骨密度 ,椎体横断面总面积 ,松质骨面积 ,皮质下骨面积 ,皮质骨面积及皮质骨厚度。分别统计 6 0~ 6 9岁 (A组 )、70~ 79岁(B组 )、80~ 89岁 (C组 )、90~ 98岁 (D组 )椎体骨密度值。结果 T3至L5椎体总骨密度为 188 2 5~191 6 0mg cm3,松质骨密度为 12 8 0 1~ 130 6 6mg cm3,皮质下骨密度为 4 5 4 90~ 4 6 1 87mg cm3,皮质骨密度为 76 4 13~ 76 9 5 5mg cm3。 6 0~ 79岁椎体总骨密度值保持在相对稳定水平 ,80岁以后该值下降较明显。结论 为国内开展脊柱骨质疏松症研究及椎体pQCT测量提供参考数据 。 展开更多
关键词 外周骨定量CT 椎体 密度 老年人 质疏松症
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骨康散对骨质疏松症种植体周围骨密度影响作用实验研究 被引量:1
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作者 李秋红 潘巨利 《口腔医学研究》 CAS CSCD 2005年第2期176-178,共3页
目的:观察中药骨康散Ⅱ号对去势大鼠(骨质疏松模型)植入种植体后周围骨密度的变化。方法:制作去势大鼠(骨质疏松模型)模型,植入种植体,同时给予骨康散Ⅱ号灌胃,采用外周骨定量计算机断层扫描测定种植体周围骨密度。结果:骨质疏松骨种植... 目的:观察中药骨康散Ⅱ号对去势大鼠(骨质疏松模型)植入种植体后周围骨密度的变化。方法:制作去势大鼠(骨质疏松模型)模型,植入种植体,同时给予骨康散Ⅱ号灌胃,采用外周骨定量计算机断层扫描测定种植体周围骨密度。结果:骨质疏松骨种植体周围骨松质骨密度显著性增高;骨皮质骨密度无显著性变化。结论:骨康散Ⅱ号能增加骨质疏松骨的骨松质骨密度,对闭经期骨质疏松有一定的治疗作用。 展开更多
关键词 质疏松 外周骨定量计算机断层扫描
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基于HR-pQCT检测糖尿病与非糖尿病患者vBMD差异Meta分析
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作者 刘玉芳 柴三葆 +5 位作者 孙健斌 赵心 袁宁 辛思旭 张晓梅 纪立农 《中华骨质疏松和骨矿盐疾病杂志》 CSCD 北大核心 2018年第6期588-596,共9页
目的比较糖尿病患者与非糖尿病患者外周骨体积骨密度(volume bone mineral density,vBMD)的差异。方法 2017年12月对Medline (使用PubMed网站)、Embase、Cochrane数据库进行了检索。检索关键词为"diabetes"(糖尿病)、"bo... 目的比较糖尿病患者与非糖尿病患者外周骨体积骨密度(volume bone mineral density,vBMD)的差异。方法 2017年12月对Medline (使用PubMed网站)、Embase、Cochrane数据库进行了检索。检索关键词为"diabetes"(糖尿病)、"bone microstructure"(骨微结构)、"volume bone mineral density"(vBMD)、"high resolution peripheral bone quantitative CT"(高分辨外周骨定量CT,HR-pQCT),检索时限为2000年1月1日至2017年11月30日,研究类型为横断面研究。通过HR-pQCT方法,比较糖尿病患者与非糖尿病患者vBMD的差异,评估部位包括桡骨远端和胫骨远端,评估指标包括皮质骨vBMD、骨小梁vBMD。采用Q统计量检验和I2检验进行异质性评估。采用RevM an 5. 1软件进行Meta分析。结果共纳入10项研究,总计糖尿病患者430例,非糖尿病对照1 313例。(1)在桡骨远端,糖尿病患者的骨小梁vBMD显著高于非糖尿患者[WMD=8. 99,95%CI (6. 33,11. 65)],去除1型糖尿病后,差异更加显著[WMD=9. 66,95%CI(6. 96,12. 36)];而皮质骨vBMD差异无统计学意义[WMD=-3. 79,95%CI (-13. 45,5. 87)]。(2)在胫骨远端,糖尿病患者的骨小梁vBMD显著高于非糖尿患者[WMD=5. 03,95%CI (2. 56,7. 50)],去除1型糖尿病后,差异更加显著[WMD=5. 43,95%CI (2. 93,7. 93)];而皮质骨vBMD差异无统计学意义[WMD=0. 89,95%CI (-11. 76,13. 54)]。敏感性分析示本次荟萃分析结果稳定性较好。结论糖尿病患者,尤其是2型糖尿病患者外周骨的骨小梁vBMD显著高于非糖尿病患者。 展开更多
关键词 糖尿病 体积密度 高分辨外周骨定量
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外周血结核杆菌感染T细胞斑点试验对骨关节结核的诊断准确性研究:一项病例对照研究 被引量:2
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作者 李晓亮 杨志刚 +2 位作者 王俊丽 宋琼珠 陈卓昌 《医药论坛杂志》 2020年第12期75-78,共4页
目的本文旨在探讨外周血结核杆菌感染T细胞斑点试验(T-SPOT.TB)对骨关节结核的诊断准确性。方法回顾性收集2015年1月1日至2019年12月31日在中国河南省人民医院呼吸与危重症科住院的疑似骨关节结核患者231例,所有患者均行外周血结核杆菌... 目的本文旨在探讨外周血结核杆菌感染T细胞斑点试验(T-SPOT.TB)对骨关节结核的诊断准确性。方法回顾性收集2015年1月1日至2019年12月31日在中国河南省人民医院呼吸与危重症科住院的疑似骨关节结核患者231例,所有患者均行外周血结核杆菌感染T细胞斑点试验检查。以骨关节结核诊断的综合标准为金标准,确诊骨关节结核患者77例,非骨关节结核患者113例。分析外周血结核杆菌感染T细胞斑点试验诊断骨关节结核的灵敏度、特异度、阳性预测值、阴性预测值、阳性似阳比、阴性似然比、准确度。结果外周血T-SPOT.TB诊断骨关节结核的敏感度、特异度、准确度分别为0.75、0.71、0.73。结论外周血结核杆菌感染T细胞斑点试验对诊断骨关节结核有较好的诊断价值。 展开更多
关键词 关节结核外周血结核杆菌感染T 细胞斑点试验诊断准确性研究
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p21^(WAF1/CIP1) Gene DNA Sequence Change and Their Relationship with the Phenotype of Human Osteosarcoma
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作者 张春林 廖威明 +2 位作者 李佛保 曾炳芳 曾益新 《The Chinese-German Journal of Clinical Oncology》 CAS 2004年第1期37-41,66,共6页
Objective: To investigate the p21WAF1 /CIP1gene DNA sequence change and their relationship with the phenotype of human osteosarcoma. Methods: p21WAF1 /CIP1gene DNA of 36 osteosarcoma spec- ... Objective: To investigate the p21WAF1 /CIP1gene DNA sequence change and their relationship with the phenotype of human osteosarcoma. Methods: p21WAF1 /CIP1gene DNA of 36 osteosarcoma spec- imens was examined by using polymerase chain reaction-single strand conformation polymorphism (PCR- SSCP) method. The PCR products were sequenced directly. Results: In p21WAF1 /CIP1 gene exon3 of 36 cases of human osteosarcoma, the change of C→T in the p21WAF1 /CIP1gene CDNA sequence of position 609th occurred in 17 cases with the incidence being 44.4%. In 10 normal blood samples, DNA sequence analysis showed the change of C→T in the p21WAF1 /CIP1gene CDNA sequence of position 609th occurred in 8 cases with the incidence being 80%. Conclusion: The novel location of p21WAF1 /CIP1gene polymorphism of osteosarcoma, but not mutation was de?ned, and this location might provide the meaningful reference for the further research of p21WAF1/CIP1 gene.p2lWAF1/CIP1基因DNA序列分析及其与骨肉瘤表型的关系 展开更多
关键词 p21WAF1 /CIP1 gene OSTEOSARCOMA PCR-SSCP DNA sequencing
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CD44v6 in peripheral blood and bone marrow of patients with gastric cancer as micro-metastasis 被引量:23
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作者 Dao-Rong Wang Guo-Yu Chen +4 位作者 Xun-Liang Liu Yi Miao Jian-Guo Xia Lin-Hai Zhu Dong Tang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第1期36-42,共7页
AIM: To detect the expression of CD44 correlated with the ability of micro-metastasis in peripheral blood and bone marrow of patients with gastric cancer and to deduce its clinical significance. METHODS: Preoperativ... AIM: To detect the expression of CD44 correlated with the ability of micro-metastasis in peripheral blood and bone marrow of patients with gastric cancer and to deduce its clinical significance. METHODS: Preoperative peripheral blood and bone marrow specimens from 46 patients with gastric cancer and 6 controls were studied by semi-quantitative RTPCR amplification of CD44v6mRNA. Preoperative and postoperative peripheral blood specimens from 40 patients with gastric cancer and 14 controls were studied by quantitative RT-PCR amplification of CD44v6mRNA in the corresponding period. RESULTS: Semi-quantitative RT-PCR amplification showed that CD44v6mRNA expression of peripheral blood and bone marrow was positive in 39 (84.8%) and 40 (86.9%) of 46 patients with gastric cancer, respectively. In peripheral blood, CD44v6mRNA expression was positive for diffuse type in 30 (93.8%) of 32 patients and for intestinal type in 9 (64.3%) of 14 patients. On the other hand, in bone marrow, CD44v6mRNA expression was positive for diffuse type in 31 (96.9%) of 32 patients and for intestinal type in 10 (71.4%) of 14 patients. There was a significant difference between the diffuse type and intestinal type. Quantitative RTopCR amplification demonstrated that CD44v6mRNA was not expressed in the peripheral blood of controls and CD44v6mRNA expression was positive for preoperative peripheral blood in 40 patients with gastric cancer, the expression levels being from 4.9 × 10^2 to 3.2× 10^5 copies/g RNA. The average expression level of CD44v6mRNA in peripheral blood was 3.9 × 10^10 copies/g RNA. The expression levels of CD44v6mRNA in peripheral blood in gastric cancer patients after curative operation increased from 5.5 × 100 to 7.6 × 10 copies/g RNA (P = 0.00496). After curative operation, the expression level decreased markedly. CONCLUSION: Semi-quantitative and quantitative RTPCR amplification for CD44v6mRNA is a sensitive and specific method for the detection of micro-metastasis in peripheral blood and bone marrow, which might be used as an indicator of tumor burden and therapeutic effect. 展开更多
关键词 Gastric cancer Micro-metastasis Peripheral blood Bone marrow CD44V6
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Direct ex vivo analysis of dendritic cells in patients with hepatocellular carcinoma 被引量:13
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作者 Lars A Ormandy Anatol Frber +7 位作者 Tobias Cantz Susanne Petrykowska Heiner Wedemeyer Monique Hrning Frank Lehner Michael P Manns Firouzeh Korangy Tim F Greten 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第20期3275-3282,共8页
AIM: To analyze the phenotype and function of dendritic cells (DC) from patients with hepatocellular carcinoma (HCC) in order to understand their role in this disease. METHODS: Myeloid dendritic cells were enume... AIM: To analyze the phenotype and function of dendritic cells (DC) from patients with hepatocellular carcinoma (HCC) in order to understand their role in this disease. METHODS: Myeloid dendritic cells were enumerated in peripheral blood of HCC patients. CD80, CD83, CD86 and HLA-DR expression on naive and stimulated myeloid dendritic cells from peripheral blood were analyzed. Myeloid dendritic cells were isolated from peripheral blood and their function was tested. Phagocytosis was analyzed using FITC-dextran beads, peptide specific stimulation, the capacity to stimulate allogeneic T cells and secretion of cytokines upon poly dZ:dC was tested. RESULTS: Myeloid dendritic cells were reduced in patients with HCC. No differences in CD80, CD83, CD86 and HLA-DR expression were found on naive and stimulated myeloid dendritic cells from HCC patients and healthy controls. Normal phagocytosis or stimulation of peptide specific T cells was observed in contrast to an impaired allo-stimulatory capacity and a reduced IL-12 secretion. CONCLUSION: Impaired IL-12 production of mDCs in patients could lead to an impaired stimulatory capacity of naive T cells suggesting that IL-12 directed therapies may enhance tumor specific immune responses in HCC patients. 展开更多
关键词 Myeloid DC Hepatocellular carcinoma CD80 CD83 CD86
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Flow cytometry assay of myeloid dendritic cells (mDCs)in peripheral blood during acute hepatitis C:Possible pathogenetic mechanisms 被引量:1
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作者 Alessandro Perrella Luigi Atripaldi +7 位作者 Pasquale Bellopede Tommaso Patarino Costanza Sbreglia Giovanni Tarantino Paolo Sorrentino Paolo Conca Luca Ruggiero Oreste Perrella 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第7期1105-1109,共5页
AIM: To asses the expression of myeloid dendritic cells (CD11c+) subset during acute HCV hepatitis and its possible involvement in natural history of the infection.METHODS: We enrolled 11 patients with acute hepa... AIM: To asses the expression of myeloid dendritic cells (CD11c+) subset during acute HCV hepatitis and its possible involvement in natural history of the infection.METHODS: We enrolled 11 patients with acute hepatitis C (AHC) (Group A), 10 patients with acute hepatitis A (AHA) (as infective control-Group B) and 10 healthy donors (group C) in this study. All patients underwent selective flow cytometry gating strategies to assess the peripheral number of the myeloid dendritic cells (mDCs) to understand the possible role and differences during acute hepatitis.RESULTS: Eight of 11 patients with acute HCV hepatitis did not show any increase of mDCs compared to healthy individuals, while a significant decrease of mDCs was found in absolute cell count (z=-2.37, P〈0.05) and percentage (z=-2.30; P〈 0.05) as compared with AHA. On the contrary, The remaining three patients of the group A had a higher mDCs number and percentage as occur in group B. Interestingly, after six months, those patients did not show any increase of mDCs subset were chronically infected, while the three subjects with an increase of peripheral mDCs, as in HAV acute infection, resolved the illness.CONCLUSION: The lack of increase of mDCs during acute hepatitis C might be an important factor involved in chronicization of the infection. 展开更多
关键词 Myeloid dendritic cells HCV CD4+ CD11c+ HCV-RNA HAV
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Effect of Intracoronary Infusion of Bone Marrow Mononuclear Cells or Peripheral Endothelial Progenitor Cells on Myocardial Ischemia-reperfusion Injury in Mini-swine 被引量:2
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作者 Chong-jian Li Run-lin Gao +8 位作者 Yue-jin Yang Feng-huan Hu Wei-xian Yang Shi-jie You Lai-feng Song Ying-mao Ruan Shu-bin Qiao Ji-lin Chen Jian-jun Li 《Chinese Medical Sciences Journal》 CAS CSCD 2010年第3期176-181,共6页
Objective To simulate and assess the clinical effect of intracoronary infusion of bone marrow mononuclear cells or peripheral endothelial progenitor cells on myocardial reperfusion injury in mini-swine model. Methods... Objective To simulate and assess the clinical effect of intracoronary infusion of bone marrow mononuclear cells or peripheral endothelial progenitor cells on myocardial reperfusion injury in mini-swine model. Methods Twenty-three mini-swine with myocardial reperfusion injury were used as designed in the study protocol. About (3.54±0.90)×10^7 bone marrow mononuclear cells (MNC group, n=9) or (1.16± 1.07)× 10^7 endothelial progenitor cells (EPC group, n=7) was infused into the affected coronary segment of the swine. The other mini-swine were infused with phosphate buffered saline as control (n=7). Echocardio- graphy and hemodynamic studies were performed before and 4 weeks after cell infusion. Myocardium infarc- tion size was calculated. Stem cell differentiation was analyzed under a transmission electromicroscope. Results Left ventricular ejection fraction dropped by 0% in EPC group, 2% in MNC group, and 10% in the control group 4 weeks after cell infusion, respectively (P〈0.05). The systolic parameters increased in MNC and EPC groups but decreased in the control group. However, the diastolic parameters demonstrated no significant change in the three groups (P〉0.05). EPC decreased total infarction size more than MNC did (1.60±0.26 cm2 vs. 3.71±1.38 cm2, P〈0.05). Undermature endothelial cells and myocytes were found under transmission electromlcroscope. Conclusions Transplantation of either MNC or EPC may be beneficial to cardiac systolic function, but might not has obvious effect on diastolic function. Intracoronary infusion of EPC might be better than MNC in controlling infarction size. Both MNC and EPC may stimulate angiogenesis, inhibit flbrogenesis, and differentiate into myocardial cells. 展开更多
关键词 bone marrow mononuclear cells endothelial progenitor cells myocardialischemia-reperfusion injury
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Preliminary Observation on the Influence of Tumor Osseous Metastasis on Autologous Peripheral Blood Stem Cell Collection
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作者 Xiaoming Si Wenchao Liu Yan Xue Hongmei Zhang Rong Sheng Ying Huang Jie Cheng 《Chinese Journal of Clinical Oncology》 CSCD 2007年第2期126-128,共3页
OBJECTIVE To examine the influence of tumor osseous metastasis on the patients undergoing autoiogous peripheral blood stem ceil collection. METHODS A total of 36 patients with malignant diseases who received an autoio... OBJECTIVE To examine the influence of tumor osseous metastasis on the patients undergoing autoiogous peripheral blood stem ceil collection. METHODS A total of 36 patients with malignant diseases who received an autoiogous peripheral blood stem ceil transplantation, during a period from April 2004 to June 2006, were chosen. The patients were divided into two groups, i.e. group A were patients with a complication of tumor osseous metastasis, and group B were without metastasis. Both groups were treated with Taxotere 120 mg/m^2 plus granuiocyte colony-stimulating factor (G-CSF) 5 μg/kg/d, for a mobilization regimen. A blood ceil separator was used to collect the mononuciear ceils. The proportion of harvested CD34+ ceils in the peripheral blood and the collected mononuciear ceils were detected by flow cytometry. The number of CD34+ ceils was used to determine the difference in the nature of the collections between the two groups. RESULTS After mobilization in groups A and B, the number of the peripheral blood mononuciear ceils (PBMC) was 39.3±14.7% and 41.1±12.4 % and the proportion of CD34+ ceils was 0.16±0.07% and 0.17±0.10%, respectively. Following administration of the drugs, there was no significant difference between the number of harvested PBMC and CD34+ cells of the two groups, i.e., 3.47±1.16×10^8/Kg and 2.52±1.43×10^6/Kg in group A and 4.02±1.31×10^8/Kg and 2.73±1.87×10^6/Kg in group B, respectively. CONCLUSION Osseous metastasis, as a single factor, may have no impact on mobilization and harvesting of hematopoietic stem ceils and their engraftment after autotransplantation. 展开更多
关键词 osseous matastasis autologous peripheral-blood stem cell transplantation HARVEST
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Upregulation of Nrf2-regulated gene expression by tBHQ alleviates cyclophosphamide-induced hematotoxicity in mice
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作者 阙琳玲 王欣竹 +3 位作者 钱鹏展 曹宝山 王夔 余四旺 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2014年第1期39-45,共7页
Hematological toxicity (bone marrow suppression) is the most common dose-limiting adverse effect of chemotherapies. The nuclear factor erythroid 2-related factor 2 (Nrf2) is a pivotal coordinator of cellular defen... Hematological toxicity (bone marrow suppression) is the most common dose-limiting adverse effect of chemotherapies. The nuclear factor erythroid 2-related factor 2 (Nrf2) is a pivotal coordinator of cellular defensive responses against chemical insults in many tissues including bone marrow. In the present study, the effects of tert-butylhydroquinone (tBHQ) on the expression of Nrf2-regulated genes in peripheral blood cells and cyclophosphamide (CTX)-induced hematotoxicity in mice were investigated. CTX induced apoptosis of peripheral blood nucleated cells and leukopenia in mice, accompanied by mobilization of bone marrow hematopoietic cells, tBHQ treatment induced the expression of Nrf2-regulated genes such as heine oxygenase 1 (HO1) and glutamate-cysteine ligase catalytic subtmit (GCLC) in RAW264.7 mouse macrophage cells and peripheral blood cells both in vitro and in vivo. Interestingly, pretreatment with tBHQ alleviated CTX-induced mouse peripheral blood cell apoptosis and leukopenia in vivo, indicating possible involvement of Nrf2 in the protection against CTX-induced hematotoxicity. This study provides new information on the chemotherapy-induced hematotoxicity, and suggests Nrf2 could serve as a target for the development of chemoprotectants against hematotoxicity. 展开更多
关键词 CYCLOPHOSPHAMIDE HEMATOTOXICITY Peripheral blood cells Bone marrow TBHQ NRF2
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