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非穿透性小梁手术联合透明质酸生物胶植入术的疗效 被引量:1
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作者 晁岱岭 《临床眼科杂志》 2005年第5期409-410,共2页
目的 研究非穿透性小梁手术联合透明质酸生物胶植入术治疗开角型青光眼的手术效果及有效的降压机制。方法 将临床接治的19例(28只眼)开角型青光眼行非穿透性小梁手术联合透明质酸生物胶植入术,术后观察眼压、结膜滤枕及前房反应等情况... 目的 研究非穿透性小梁手术联合透明质酸生物胶植入术治疗开角型青光眼的手术效果及有效的降压机制。方法 将临床接治的19例(28只眼)开角型青光眼行非穿透性小梁手术联合透明质酸生物胶植入术,术后观察眼压、结膜滤枕及前房反应等情况,随访6~24个月。结果 28只眼术前平均眼压(23.92±1.26)mmHg,下降幅度36.33%,差异有显著性(P<0.01),24只眼结膜形成功能性滤过泡,4只眼功能性滤过泡消失。28只眼均无前房出血,术后前房反应轻。结论 非穿透性小梁手术联合透明质酸生物胶植入术能有效地降低开角型青光眼的眼压,术后并发症少,可做为此类青光眼病人手术的选择。 展开更多
关键词 青光眼 开角型 非穿透性小梁手术 明质酸生物胶 明质酸生物胶植入术 联合 开角型青光眼 疗效 术后观察 前房反应
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Simultaneous Identification of Thermophysical Properties of Semitransparent Media Using a Hybrid Model Based on Artificial Neural Network and Evolutionary Algorithm
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作者 LIU Yang HU Shaochuang 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI CSCD 2024年第4期458-475,共18页
A hybrid identification model based on multilayer artificial neural networks(ANNs) and particle swarm optimization(PSO) algorithm is developed to improve the simultaneous identification efficiency of thermal conductiv... A hybrid identification model based on multilayer artificial neural networks(ANNs) and particle swarm optimization(PSO) algorithm is developed to improve the simultaneous identification efficiency of thermal conductivity and effective absorption coefficient of semitransparent materials.For the direct model,the spherical harmonic method and the finite volume method are used to solve the coupled conduction-radiation heat transfer problem in an absorbing,emitting,and non-scattering 2D axisymmetric gray medium in the background of laser flash method.For the identification part,firstly,the temperature field and the incident radiation field in different positions are chosen as observables.Then,a traditional identification model based on PSO algorithm is established.Finally,multilayer ANNs are built to fit and replace the direct model in the traditional identification model to speed up the identification process.The results show that compared with the traditional identification model,the time cost of the hybrid identification model is reduced by about 1 000 times.Besides,the hybrid identification model remains a high level of accuracy even with measurement errors. 展开更多
关键词 semitransparent medium coupled conduction-radiation heat transfer thermophysical properties simultaneous identification multilayer artificial neural networks(ANNs) evolutionary algorithm hybrid identification model
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单钝性非穿透小梁手术临床疗效观察
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作者 虞鸿祥 李华 《中国眼耳鼻喉科杂志》 2004年第2期118-118,共1页
治疗开角型青光眼的传统方法是小梁切除术,此种滤过性手术的并发症较多.如前房炎性反应、浅前房、脉络膜脱离、低眼压、眼内炎等[1].近几年开展非穿透性小梁手术(NPIS)联合透明质酸生物胶植入术对开角型青光眼治疗,完全可能取代小梁切除... 治疗开角型青光眼的传统方法是小梁切除术,此种滤过性手术的并发症较多.如前房炎性反应、浅前房、脉络膜脱离、低眼压、眼内炎等[1].近几年开展非穿透性小梁手术(NPIS)联合透明质酸生物胶植入术对开角型青光眼治疗,完全可能取代小梁切除术.但生物胶价格较高.本文对不能承受此费用患者进行了单纯性NPIS10例12眼,现将初步结果报告如下. 展开更多
关键词 单纯性非穿透小梁切除术 联合治疗 开角型青光眼 明质酸生物胶植入术 手术方法
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三七总甙片治疗慢性肝病HA增高38例(摘要)
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作者 丛川 《中西医结合肝病杂志》 CAS 1998年第S1期408-408,共1页
目的:应用三七总甙片对慢性肝脏疾病进行治疗,以降低血清透明质酸(HA)水平,从而探讨其对肝纤维化的治疗和逆转作用。方法:用三七总甙片治疗慢性肝脏疾病HA增高38例,并设对照(常规用药)15例,3个月为1个疗程,观察治疗2个疗程。
关键词 三七总甙片 慢性肝病 慢性肝脏疾病 肝纤维化 逆转作用 明质 常规用药 发展机理 现代医学 纤维组织
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数学教学必须“形质”兼备
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作者 倪志敏 《数学教学通讯》 2016年第10期6-7,共2页
数学知识都具有"形"与"质"两个方面。"形"与"质"在认知结构体系的协调下应是统一的。在数学教学中,教师或先"乱"其形,或先"忆"其形,或先"明"其形,或先"补"其形,善用数学知识之"形"来凸显数学之"质",以达到数学教学... 数学知识都具有"形"与"质"两个方面。"形"与"质"在认知结构体系的协调下应是统一的。在数学教学中,教师或先"乱"其形,或先"忆"其形,或先"明"其形,或先"补"其形,善用数学知识之"形"来凸显数学之"质",以达到数学教学的"形质"兼备。 展开更多
关键词 数学 明质 引质 显质
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The Value of the Measurement of Urinary Hyaluronic Acid Levels for the Diagnosis of Bladder Cancer 被引量:1
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作者 杨为民 蔡建良 +1 位作者 陈志强 周健 《The Chinese-German Journal of Clinical Oncology》 CAS 2003年第1期30-33,60,共5页
Objective To investigate the value of the measurement of urinary hyaluronic acid (HA) levels for the diagnosis of bladder cancer and the possibility of replacing ELISA-like assay with radioimmunoassay to detect the l... Objective To investigate the value of the measurement of urinary hyaluronic acid (HA) levels for the diagnosis of bladder cancer and the possibility of replacing ELISA-like assay with radioimmunoassay to detect the levels of urinary HA. Methods Using the ELISA-like assay and radioimmunoassay at the same time to measure the HA levels in the urine specimens from 49 bladder cancer patients, 12 benign bladder tumor patients, 30 other genitourinary disease patients and 20 normal controls. Results There is not much difference between the consequences of the urinary HA levels whether we used the ELISA-like assay or radioimmunoassay to detect every specimen (P>0.05). When we used the results with radioimmunoassay for analysis, we found the levels of urinary HA of bladder cancer patients were 2–4 times than those of the benign bladder tumor patients, other genitourinary disease patients or normal individuals (P<0.01); With 137.5 ngHA/mg protein (113.6±23.9 ng/mg) as a minimum cutoff limit, this assay had a good sensitivity (91.8%) and specificity (91.9%) for the diagnosis of bladder cancer. Its difference in sensitivity meant a lot when compared with urine cytology (48.9%,P<0.01). Conclusion The urinary HA assay is a simple, convenient, noninvasive credible and cheap method with satisfactory sensitivity and specificity for the diagnosis of bladder carcinoma; radioimmunoassay is also a good means to measure the urinary HA levels. Key words Bladder carcinoma - Hyaluronic acid - Urine 展开更多
关键词 Bladder carcinoma Hyaluronic acid URINE
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粘弹性物补充疗法──骨关节病治疗的新医学概念 被引量:9
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作者 顾其胜 王文斌 吴萍 《透析与人工器官》 1997年第4期34-38,共5页
医用透明质酸钠作为一种新型生物材料,在临床医学上广泛应用导致了许多新医学概念的诞生,粘弹性补充疗法(Viscosupplementation)就是其中之一。所谓粘弹性物补充疗法,是指当固体组织腔或液体组织腔内的正常粘弹性在病理情况下下降... 医用透明质酸钠作为一种新型生物材料,在临床医学上广泛应用导致了许多新医学概念的诞生,粘弹性补充疗法(Viscosupplementation)就是其中之一。所谓粘弹性物补充疗法,是指当固体组织腔或液体组织腔内的正常粘弹性在病理情况下下降时,这些组织的正常生理功能及再生过程就会受损,此时,可以通过补充一种粘弹性物质(例如高粘弹性的透明质酸钠)来增强该腔内正常流变学状态,使其恢复功能[1]。透明质酸是一种高分子聚糖,籍其高度粘弹性和良好的生物相容性,在治疗骨关节病中显示了其独特的应用潜力。大量的动物实验和广泛的临床使用,使该粘弹性物用于骨关节病的治疗获得了肯定的结果。本文将近年来的研究及临床应用作一综述。 展开更多
关键词 骨关节病透 明质酸钠 粘弹性补充疗法 生物医学材料
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SCOURS IN FRONT OF A BREAKWATER BY BROKEN WAVES AND THEIR SIMILARITY LAW 被引量:2
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作者 高学平 张亚 《Transactions of Tianjin University》 EI CAS 2001年第1期12-16,共5页
The sea bottom in front of a breakwater is scoured under the action of broken waves,and this will affect the stability of the breakwater.In this paper,the scours of sandy seabed in front of a breakwater under the acti... The sea bottom in front of a breakwater is scoured under the action of broken waves,and this will affect the stability of the breakwater.In this paper,the scours of sandy seabed in front of a breakwater under the action of broken waves are investigated experimentally.The depth and range of the scouring trough at the foot of a breakwater are studied,and the influence of open foundation-bed on scouring and depositing is also discussed.In order to apply the research results to practical projects,the scale of model sediment and the scale of scours and depositions are suggested. 展开更多
关键词 broken waves BREAKWATER open foundation-bed scouring and depositing sandy seabed model similarity law
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非穿透性小梁切除术联合羊膜植入治疗开角型青光眼临床分析 被引量:1
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作者 赵斌 栗红生 《中国社区医师(医学专业)》 2009年第20期76-76,共1页
资料与方法 收治开角型青光眼患者23例30眼,年龄20-68岁,男13例(19只眼),女10例(11眼)。药物控制下的术前平均眼压29.57±12.59mmHg。将患者随机分为两组。I组14例(20眼),行NPTS联合羊膜植入术;Ⅱ组9例(10眼)行NVFS手... 资料与方法 收治开角型青光眼患者23例30眼,年龄20-68岁,男13例(19只眼),女10例(11眼)。药物控制下的术前平均眼压29.57±12.59mmHg。将患者随机分为两组。I组14例(20眼),行NPTS联合羊膜植入术;Ⅱ组9例(10眼)行NVFS手术联合透明质酸生物胶植入术。术后随访12-30个月,平均20个月。 展开更多
关键词 开角型青光眼 非穿透性小梁切除术 羊膜植入术 临床分析 植入治疗 明质酸生物胶植入术 青光眼患者 药物控制
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全省新产品试销有关规定
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《山东肉类科技》 CAS 1996年第4期14-14,共1页
限据《山东省实施【中华人民共和国标准化法】办法》第十四条现定,山东省技术监督局对全省新产品标明质量指标试销工作作出规定: 一、企业研制、开发需经试用才能定型的新产品,若没有国家标准。
关键词 新产品试销 有关规定 明质 企业产品标准 技术监督部门 质量指标 申报材料 产品实物质量 用才 标准化法
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怎样鉴别香肠质量
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作者 玉东 《北京物价》 1995年第1期25-25,共1页
香腊,又叫腊肠,风味独特,营养丰富,食用和储藏都比较方便,是家庭常食的肉制品之一。但由于种种原因,商品香肠到顾客手中时常有霉变。 怎样鉴别香肠的质量好坏呢?
关键词 腊肠 质量好 收缩皱纹 肉的硬度 肉颜色 肉制品 营养丰富 明质 配料 色味
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动态跟踪
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《中国经济和信息化》 1999年第2期37-39,共2页
这次国务院机构改革,将“国家技术监督局”更名为“国家质量技术监督局”,突出了“质量”二字,说明国家对质量工作、质量信息的重视。电视台的“质量万里行”节目被广为关注,民间的“王海”大受称赞,更说明质量问题已成为大众急待解决... 这次国务院机构改革,将“国家技术监督局”更名为“国家质量技术监督局”,突出了“质量”二字,说明国家对质量工作、质量信息的重视。电视台的“质量万里行”节目被广为关注,民间的“王海”大受称赞,更说明质量问题已成为大众急待解决的问题。国家质量认证“九五”规划要求,到2010年,质量认证制度要全面覆盖专业领域。 展开更多
关键词 动态跟踪 中保人 国家质量技术监督局 质量信息 太钢 明质 质量工作 质量认证制度 质量体系认证 海关报关
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Soil Environmental Quality Evaluation for Wasteland of Coalmine Tailing Polluted by Heavy Metals in Mingshan of Guangdong 被引量:1
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作者 刘德良 杨期和 《Agricultural Science & Technology》 CAS 2014年第10期1759-1763,共5页
ln order to appraise scientifical y the heavy metal contamination in waste-land of coalmine tailing in Mingshan of Guangdong, the 5 soil samples in wasteland of coalmine tailing were col ected in November 2010 to Marc... ln order to appraise scientifical y the heavy metal contamination in waste-land of coalmine tailing in Mingshan of Guangdong, the 5 soil samples in wasteland of coalmine tailing were col ected in November 2010 to March 2011. The 7 heavy metals content in the contaminated soil was measured by atomic absorption spec-trophotometry. The results showed the pH of the wasteland soil ranged from 2.87 to 6.16, and the soil was relatively infertile. The soil was mainly pol uted by Cd and Mn. The Cd content in wasteland soil ranged from 0.759 mg/kg to 3.109 mg/kg with an average content of 2.052 mg/kg, which was much higher than the standard content. The Mn content ranged from 387.057 to 488.660 mg/kg with an average content of 421.215 mg/kg, which was much higher than the standard content. The Nemerow integrated pol ution indexes showed the sample 1, sample 4 and sample 5 were of heavy pol ution, and sample 2 and sample 3 were of moderate pol ution. 展开更多
关键词 Heavy metal pol ution Wasteland of coalmine tailing Environmental quality evaluation Coalmine in Mingshan of Guangdong
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巩膜通道重建术联合结膜下注射5-Fu、Healon治疗功能不良滤过泡的临床观察
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作者 冯建辉 韩延燕 《实用防盲技术》 2023年第1期12-15,26,共5页
目的探讨巩膜通道重建术联合结膜下注射5-Fu、Healon在治疗青光眼术后功能不良滤过泡中的效果,为临床诊治功能不良滤过泡提供新的思路。方法2014年01月至2018年10月于利津县中心医院行青光眼滤过性手术后早期滤过泡失败并连续随访的76... 目的探讨巩膜通道重建术联合结膜下注射5-Fu、Healon在治疗青光眼术后功能不良滤过泡中的效果,为临床诊治功能不良滤过泡提供新的思路。方法2014年01月至2018年10月于利津县中心医院行青光眼滤过性手术后早期滤过泡失败并连续随访的76例77只眼,采用数字表将其分为治疗组和对照组,治疗组38例(39只眼),对照组38例(38只眼)。治疗组行巩膜通道重建术联合术中在巩膜通道弥漫注入0.4ml透明质酸钠(Healon),术后于鼻上方分离的球结膜下注射5mg 5-氟尿嘧啶(5-Fu),每5天1次,共2次;对照组行眼球按摩,随诊1年,观察并记录1个月、3个月、6个月、12个月两组患者滤过泡、眼压情况,并进行比较。结果(1)两组滤过泡对比,根据Kronfeld滤过泡分型法,Ⅰ、Ⅱ型滤过泡为功能性滤过泡,Ⅲ,Ⅳ型滤过泡为非功能性滤过泡,治疗后1个月,两组比较差异有统计学意义(x^(2)=4.745,P=0.032);治疗后3个月,两组比较差异有统计学意义(x^(2)=3.988,P=0.044);治疗治疗后6个月,两组比较差异有统计学意义(x^(2)=4.426,P=0.039);治疗后12个月,两组比较差异有统计学意义(x^(2)=7.113,P=0.004);(2)眼压:治疗组,治疗后1、3、6、12个月与治疗前比较,差异均有统计学意义(P<0.05);治疗后1、3、6、12个月,两组相比较,差异有统计学意义(P<0.05);(3)治疗后1、3、6、12个月,两组成功率相比,差异有统计学意义(P<0.05)。结论巩膜通道重建术联合结膜下注射5-Fu、Healon治疗功能不良滤过泡,眼压稳定,术后成功率高,操作简单易操作,适合于基层医院推广。 展开更多
关键词 下斜肌功能亢进巩膜通道重建 5-氟尿嘧啶 明质酸钠 功能不良滤过泡
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Clinical Observation on the Long-Term Therapeutic Effects of Traditional Chinese Medicine for Treatment of Liver Fibrosis 被引量:9
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作者 杨宏志 陈琰碧 +3 位作者 许瑞云 沈伟生 陈国庆 刘煜 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2000年第4期247-250,共4页
48 patients with liver fibrosis due to hepatitis B were treated for 2 years with the drugs for tonifying the kidney, supplementing qi, cooling and invigorating the blood and detoxification. The symptoms were markedly ... 48 patients with liver fibrosis due to hepatitis B were treated for 2 years with the drugs for tonifying the kidney, supplementing qi, cooling and invigorating the blood and detoxification. The symptoms were markedly improved, and serum ALT and bilirubin were recovered and kept normal in most of the cases. The mean levels of serum hyaluronic acid, procollagen peptide III and circulating immune complex were decreased and returned to normal after the treatment. B-ultrasonography showed that the portal vein kept in normal size in 82% of the patients, the enlarged portal vein diminished in diameter, and the enlarged spleen reduced. 展开更多
关键词 ADULT Antigen-Antibody Complex Biological Markers Drugs Chinese Herbal Female Hepatitis B Chronic Humans Hyaluronic Acid Liver Cirrhosis Male Middle Aged Peptide Fragments Portal Vein PROCOLLAGEN
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Golgi localization and dynamics of hyaluronan binding protein 1 (HABP1/p32/C1QBP) during the cell cycle 被引量:3
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作者 Aniruddha SENGUPTA Bhaswati BANERJEE +1 位作者 Rakesh K. TYAGI Kasturi DATTA 《Cell Research》 SCIE CAS CSCD 2005年第3期183-186,共4页
Hyaluronan binding protein 1 (HABP1) is a negatively charged multifunctional mammalian protein with a unique structural fold. Despite the fact that HABP1 possesses mitochondrial localization signal, it has also been l... Hyaluronan binding protein 1 (HABP1) is a negatively charged multifunctional mammalian protein with a unique structural fold. Despite the fact that HABP1 possesses mitochondrial localization signal, it has also been localized to other cellular compartments. Using indirect immunofluorescence, we examined the sub-cellular localization of HABP1 and its dynamics during mitosis. We wanted to determine whether it distributes in any distinctive manner after mitotic nuclear envelope disassembly or is dispersed randomly throughout the cell. Our results reveal the golgi localization of HABP1 and demonstrate its complete dispersion throughout the cell during mitosis. This distinctive distribution pattern of HABP1 during mitosis resembles its ligand hyaluronan, suggesting that in concert with each other the two molecules play critical roles in this dynamic process. 展开更多
关键词 Hyaluronan Binding Protein 1 (HABP1) HYALURONAN sub-cellular localization GOLGI mitosis.
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Oral absorption of hyaluronic acid and phospholipids complexes in rats 被引量:2
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作者 Si-Ling Huang Pei-Xue Ling Tian-Min Zhang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第6期945-949,共5页
AIM: To prepare a complex of hyaluronic acid (HA) and phospholipids (PL), and study the improvement effect of PL on the oral absorption of HA. METHODS: The complex of HA-PL (named Haplex) was prepared by film ... AIM: To prepare a complex of hyaluronic acid (HA) and phospholipids (PL), and study the improvement effect of PL on the oral absorption of HA. METHODS: The complex of HA-PL (named Haplex) was prepared by film dispersion and sonication method, its physico-chemical properties were identified by infrared spectra and differential scanning calorimetry (DSC). The oral absorption of Haplex was studied. Thirty-two healthy rats were divided into 4 groups randomly: (1) a normal saline (NS) control group; (2) an HA group; (3) a mixture group and (4) a Haplex group. After intragastric administration, the concentration of HA in serum was determined. RESULTS: The physico-chemical properties of Haplex were different from HA or PL or their mixture. After Haplex was administered to rats orally, the serum concentration of HA was increased when compared with the mixture or HA control groups from 4 h to 10 h (P 〈 0.05). The AAUCo-12, of Haplex was also greater than that of the other three groups (P 〈 0.05). CONCLUSION: The method of film dispersion and sonication can prepare HA and PL complex, and PL can enhance the oral absorption of exogenous HA. 展开更多
关键词 Hyaluronic acid PHOSPHOLIPIDS COMPLEX Oral absorption Infrared spectrum THERMOCHEMISTRY
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Cell surface activation of progelatinase A (proMMP-2) and cell migration 被引量:6
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作者 NAGASE HIDEAKI(Department of Biochemistry and Molecular Biology,University of Kansas Medical Center, 3901 Rainbow Blvd,Kansas City, KS 66160. E-mail: hnagase@kumc.edu) 《Cell Research》 SCIE CAS CSCD 1998年第3期179-186,共8页
Gelatinase A (MMP-2) is considered to play a critical role in cell migration and invasion. The proteinase is secreted from the cell as an inactive zymogen. In vivo it is postulated that activation of progelationase A ... Gelatinase A (MMP-2) is considered to play a critical role in cell migration and invasion. The proteinase is secreted from the cell as an inactive zymogen. In vivo it is postulated that activation of progelationase A (proMMP-2) takes place on the cell surface mediated by membrane-type matrix metalloproteinases (MT-MMPs). Recent studies have demonstrated that proMMP-2 is recruited to the cell surface by interacting with tissue inhibitor of metalloproteinases-2 (TIMP-2) bound to MT1MMP by forming a ternary complex. bee MT1-MMP closely located to the ternary complex then activates proMMP-2 on the cell surface. MT1-MMP is found in cultured invasive cancer cells at the invadopodia. The MTMMP/TIMP-2/ MMP- 2 system t bus provides localized expression of proteolysis of the extracellular matrix required for cell migration. 展开更多
关键词 GelatinaseA MT-MMPs Cell surface activation TIMP-2 Extracellular matrix
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Layered Double Hydroxide Modified by PEGylated Hyaluronic Acid as a Hybrid Nanocarrier for Targeted Drug Delivery 被引量:3
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作者 董岸杰 李雪 +6 位作者 王伟伟 韩尚聪 刘鉴锋 刘金剑 赵军强 许舒欣 邓联东 《Transactions of Tianjin University》 EI CAS 2016年第3期237-246,共10页
In recent years, organic-inorganic hybrid nanocarriers are explored for effective drug delivery and preferable disease treatments. In this study, using 5-fluorouracil(5-FU)as electronegative model drug, a new type of ... In recent years, organic-inorganic hybrid nanocarriers are explored for effective drug delivery and preferable disease treatments. In this study, using 5-fluorouracil(5-FU)as electronegative model drug, a new type of organic-inorganic hybrid drug delivery system(LDH/HA-PEG/5-FU)was conceived and manufactured by the adsorption of PEGylated hyaluronic acid(HA-PEG)on the surface of layered double hydroxide(LDH, prepared via hydrothermal method)and the intercalation of 5-FU in the interlamination of LDH via ion exchange strategy. The drug loading amount of LDH/HA-PEG/5-FU achieved as high as 34.2%. LDH, LDH/5-FU and LDH/HA-PEG/5-FU were characterized by FT-IR, XRD, TGA, laser particle size analyzer and SEM. With the benefit of p Hdegradable feature of LDH and enzyme-degradable feature of HA, LDH/HA-PEG/5-FU showed p H-degradable and enzyme-degradable capacity in in vitro drug release. Moreover, the drug carrier LDH/HA-PEG contained biocompatible PEG and tumor-targeted HA, resulting in lower cytotoxicity and better endocytosis compared with LDH in vitro. It was suggested that the organic-inorganic hybrid drug delivery system, which was endowed with the properties of controlled release, low toxicity and tumor-targeting delivery for ameliorative cancer therapy, was advisable and might be applied further to fulfill other treatments. 展开更多
关键词 layered double hydroxide HA-PEG intercalation/adsorption controlled release targeted drug delivery
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Matrix metalloproteinase-2 as a superior biomarker for peritoneal deterioration in peritoneal dialysis 被引量:4
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作者 Ichiro Hirahara Eiji Kusano +5 位作者 Yoshiyuki Morishita Makoto Inoue Tetsu Akimoto Osamu Saito Shigeaki Muto Daisuke Nagata 《World Journal of Nephrology》 2016年第2期204-212,共9页
AIM: To investigate the effcacy of effuent biomarkers for peritoneal deterioration with functional decline in peritoneal dialysis (PD).METHODS: From January 2005 to March 2013, the subjects included 218 PD patient... AIM: To investigate the effcacy of effuent biomarkers for peritoneal deterioration with functional decline in peritoneal dialysis (PD).METHODS: From January 2005 to March 2013, the subjects included 218 PD patients with end-stage renal disease at 18 centers. Matrix metalloproteinase-2 (MMP-2), interleukin-6 (IL-6), hyaluronan, and cancer antigen 125 (CA125) in peritoneal effluent were quantified with enzyme-linked immunosorbent assay. Peritoneal solute transport rate was assessed by peritoneal equilibration test (PET) to estimate peritoneal deterioration.RESULTS: The ratio of the effuent level of creatinine (Cr) obtained 4 h after injection (D) to that of plasma was correlated with the effluent levels of MMP-2 (ρ = 0.74, P 〈 0.001), IL-6 (ρ = 0.46, P 〈 0.001), and hyaluronan (ρ = 0.27, P 〈 0.001), but not CA125 (ρ = 0.13, P = 0.051). The area under receiver operating characteristic curve for the effluent levels of MMP-2, IL-6, and hyaluronan against high PET category were 0.90, 0.78, 0.62, and 0.51, respectively. No patient developed new-onset encapsulating peritoneal sclerosis for at least 1.5 years after peritoneal effuent sampling.CONCLUSION: The effuent MMP-2 level most closely reflected peritoneal solute transport rate. MMP-2 can be a reliable indicator of peritoneal deterioration with functional decline. 展开更多
关键词 Encapsulating peritoneal sclerosis MATRIX
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