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心脏停跳和跳动下二尖瓣置换术病人心肌TNF及线粒体的变化 被引量:3
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作者 汪斌 李朝先 向小勇 《第三军医大学学报》 CAS CSCD 北大核心 2002年第6期735-737,共3页
目的 寻求更好的心肌保护方法和准确评价心肌保护的手段。方法 随机将 2 0例风湿性心脏病二尖瓣置换者分为浅低温心脏跳动中 (不停跳 )组和中低温心脏停跳 (停跳 )组 ,各 10例。测定血浆和心肌组织TNF含量和心肌线粒体体视学定量分析... 目的 寻求更好的心肌保护方法和准确评价心肌保护的手段。方法 随机将 2 0例风湿性心脏病二尖瓣置换者分为浅低温心脏跳动中 (不停跳 )组和中低温心脏停跳 (停跳 )组 ,各 10例。测定血浆和心肌组织TNF含量和心肌线粒体体视学定量分析。结果 ①血浆TNF ,除不停跳组在术后 48h、7d外 ,两组内各时点与其术前比较 ,均有明显升高 (P <0 0 1) ;两组间比较 ,在主动脉 (或上下腔静脉 )开放后 3 0min、术后 2、6h等 3个时点的含量 ,不停跳组均低于停跳组 (P <0 0 5 )。②心肌TNF ,两组内各时点与其术前比较 ,含量不停跳组仅术后有明显升高 (P <0 0 5 ) ,而停跳组术中、术后均有明显增高 (P <0 0 1) ;两组间比较 ,术中、术后含量不停跳组均低于停跳组 (P <0 0 5 )。③体视学指标分析 :面数密度 (NA)和比表面 (δ)停跳组较不停跳组下降 ,而平均直径 ( D)明显增大 (P <0 0 5或P <0 0 1)。结论 提示浅低温体外循环心脏跳动中心内直视术对心肌损伤较轻 ,可能与减少了心肌TNF的产生 。 展开更多
关键词 心脏停跳 二尖瓣置换术 心肌tnf 线粒体 风湿性心脏病 心肌保护 肿瘤坏死因子 体视学
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EFFECT OF PEROXISOME PROLIFERATOR-ACTIVATED RECEPTOR ACTIVATORS ON TUMOR NECROSIS FACTOR-αEXPRESSION IN NEONATAL RAT CARDIAC MYOCYTES 被引量:7
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作者 PingYe HongFang +2 位作者 XinZhou Yan-liHe Yong-xueLiu 《Chinese Medical Sciences Journal》 CAS CSCD 2004年第4期243-247,共5页
Objective To investigate the effect of peroxisome proliferator-activated receptor-α(PPARα) and PPARγactivators on tumor necrosis factor-α(TNFα) expression in neonatal rat cardiac myocytes. Methods Primary culture... Objective To investigate the effect of peroxisome proliferator-activated receptor-α(PPARα) and PPARγactivators on tumor necrosis factor-α(TNFα) expression in neonatal rat cardiac myocytes. Methods Primary cultures of cardiac myocytes from 1- to 3-day-old Wistar rats were prepared, and myocytes were ex-posed to lipopolysaccharide (LPS) and varying concentrations of PPARαor PPARγactivator (fenofibrate or pioglitazone).RT-PCR and ELISA were used to measure TNFα, PPARα, and PPARγexpression in cultured cardiac myocytes. Transient tr-ansfection of TNFαpromoter with or without nuclear factor-kappaB (NF-κB) binding site to cardiac myocytes was performed. Results Pretreatment of cardiac myocytes with fenofibrate or pioglitazone inhibited LPS-induced TNFαmRNA and protein expression in a dose-dependent manner. However, no significant changes were observed on PPARαor PPARγmRNA expression when cardiac myocytes were pretreated with fenofibrate or pioglitazone. Proportional suppression of TNFαpromoter activity was observed when myocytes was transiently transfected with whole length of TNFαpromoter (-721/+17) after being stimulated with LPS and fenofibrate or pioglitazone, whereas no change of promoter activity was observed with transfection of TNFαreporter construct in deletion of NF-κB binding site (-182/+17). Conclusions PPARαand PPARγactivators may inhibit cardiac TNFαexpression but not accompanied by change of PPARαor PPARγmRNA expression. Therefore PPARαand PPARγactivators appear to play a role in anti-inflammation. The mechanism may partly be involved in suppression of the NF-κB pathway. 展开更多
关键词 peroxisome proliferator-activated receptors tumor necrosis factor-α cardiac myocytes ACTIVATORS
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