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马兜铃对哮喘豚鼠肺组织及支气管肺泡灌洗液中细胞数的影响 被引量:1
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作者 张敏 张艳霞 王桂丽 《黑龙江医学》 2004年第5期352-353,共2页
目的 研究马兜铃对哮喘豚鼠防治作用的影响 ,观察其肺组织学光镜及电镜的变化 ,为中药治疗哮喘提供理论依据。方法 取豚鼠 2 4只 ,分成 3组 (每组 8只 ) ,①哮喘组 :用 4 %卵清白蛋白致敏 ,2周后用1 0 %卵白蛋白超声雾化吸入致其哮喘... 目的 研究马兜铃对哮喘豚鼠防治作用的影响 ,观察其肺组织学光镜及电镜的变化 ,为中药治疗哮喘提供理论依据。方法 取豚鼠 2 4只 ,分成 3组 (每组 8只 ) ,①哮喘组 :用 4 %卵清白蛋白致敏 ,2周后用1 0 %卵白蛋白超声雾化吸入致其哮喘发作 ;②马兜铃组 :致哮同哮喘组 ,从致敏第 2d起 ,用浓度为 0 2g/mL浓度的马兜铃液 ,按 1g/kg ,每日灌马兜铃药液 1次 ,诱喘同前 ;③正常对照组 :不给予任何处置。结果 哮喘组豚鼠肺组织损害明显 ,气管内膜脱落 ,细胞核浓缩 ,胞浆内大量空泡 ,BALF液中大量细胞浸润。马兜铃组病理改变明显减轻 ,BALF液中细胞浸出减少。 展开更多
关键词 内科学 马兜铃 哮喘豚鼠模型 支气管肺 泡灌洗液(BAIF)
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间质性肺病支气管肺泡灌洗液中TNF和IL—2的临床研究 被引量:1
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作者 郑金旭 贾友明 《中国实验临床免疫学杂志》 1997年第6期47-49,共3页
同步检测了30例间质肺病(ILD)患者和9例正常对照者的支气管肺泡灌洗液(BALF)中肿瘤坏死因子(TNF)和白细胞介素-Ⅱ(LI-2)含量,并探讨其意义,结果显示ILD病人BALF中TNF含量明显高于正常对照者(P... 同步检测了30例间质肺病(ILD)患者和9例正常对照者的支气管肺泡灌洗液(BALF)中肿瘤坏死因子(TNF)和白细胞介素-Ⅱ(LI-2)含量,并探讨其意义,结果显示ILD病人BALF中TNF含量明显高于正常对照者(P〈0.05),BALF中IL-2测定值亦以ILD病人显著增高(P〈0.05或P〈0.01),且与结节病缚BALF淋巴细胞百分化,CD4/CD8比值之间有高度相关性。作者认为。 展开更多
关键词 肺疾病 间质性 泡灌洗液 肿瘤坏死因子 IL-2
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慢性阻塞性肺疾病患者肺泡灌洗液和外周血中T淋巴细胞活化状态的比较 被引量:2
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作者 辛磊 刘倩 +1 位作者 王贤 侯嘉 《宁夏医科大学学报》 2018年第6期626-630,共5页
目的比较慢性阻塞性肺疾病(COPD)患者T淋巴细胞在肺泡灌洗液(BAL)和外周血中的活化状态,并探讨其与COPD严重程度的关系。方法采用流式细胞技术检测稳定期COPD患者20例、肺功能正常的吸烟者18例、健康非吸烟者19例的BAL和外周血CD4^+、CD... 目的比较慢性阻塞性肺疾病(COPD)患者T淋巴细胞在肺泡灌洗液(BAL)和外周血中的活化状态,并探讨其与COPD严重程度的关系。方法采用流式细胞技术检测稳定期COPD患者20例、肺功能正常的吸烟者18例、健康非吸烟者19例的BAL和外周血CD4^+、CD8^+T淋巴细胞的活化标记:HLA-DR、CD38、CD69、CD28、CD45RA的表达水平,分析T淋巴细胞活化水平与COPD疾病严重程度的关系。结果与健康非吸烟组和健康吸烟组相比,COPD患者外周血中CD8^+CD38^+T细胞和CD8^+HLA-DR^+T细胞比例均升高(P均<0.01)。与外周血比较,BAL的CD4^+CD69^+T细胞和CD8^+CD69^+T细胞的活化比例增高(P<0.05)。COPD患者BAL中CD8^+HLA-DR^+T和CD8^+CD38^+T细胞的比例高于对照组(P<0.05)。在外周血和BAL中,COPD患者CD8^+HLA-DR^+T细胞及CD8^+CD38^+T细胞比例与第1秒用力呼气容积占预计值百分比(FEV1%)均呈负相关关系(P<0.05)。结论 COPD患者的肺泡灌洗液和外周血中的T淋巴细胞具有不同的活化状态,并与COPD的严重程度有一定相关性。 展开更多
关键词 慢性阻塞性肺疾病 外周血T淋巴细胞 泡灌洗液
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平喘中药对致敏性哮喘豚鼠气道的作用 被引量:43
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作者 林建海 刘宝裕 《上海医学》 CAS CSCD 北大核心 1996年第11期638-641,共4页
为研究平喘中药对气道的作用,我们测得致敏性哮喘豚鼠支气管灌洗液(BALF)白蛋白、细胞总数及嗜酸性粒细胞数均比正常对照组豚鼠明显增多(P<0.01)。淋巴毒素C_4(LTC_4)及E_4(LTE4)比对照组增高(P<... 为研究平喘中药对气道的作用,我们测得致敏性哮喘豚鼠支气管灌洗液(BALF)白蛋白、细胞总数及嗜酸性粒细胞数均比正常对照组豚鼠明显增多(P<0.01)。淋巴毒素C_4(LTC_4)及E_4(LTE4)比对照组增高(P<0.05)。致敏豚鼠在吸入过敏原促发哮喘前腹腔注入平喘中药(麻黄、百部、地龙、杏仁和防风),而哮喘时BALF的白蛋白、细胞总数及嗜酸性粒细胞比未用中药的哮喘组明显下降(P<0.01),LTC_4和LTE_4也有所下降(P<0.05)。结果显示平喘中药能抑制嗜酸性粒细胞增多,减少内皮损伤和白蛋白渗出。表明平喘中药在哮喘发作时,对气道具有重要保护作用。 展开更多
关键词 支气管肺 泡灌洗液 中草药 哮喘 气道
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Clinical Features and Prognosis in 21 Patients with Extrinsic Allergic Alveolitis 被引量:5
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作者 Ping Wang Zuo-jun Xu +4 位作者 Wen-bing Xu Ju-hong Shi Xin-lun Tian Rui-e Feng Yuan-jue Zhu 《Chinese Medical Sciences Journal》 CAS CSCD 2009年第4期202-207,共6页
Objective To assess the spectrum of causes, clinical features, differences between disease phases, and prognosis of extrinsic allergic alveolitis (EAA). Methods Patients with EAA diagnosed at Peking Union Medical C... Objective To assess the spectrum of causes, clinical features, differences between disease phases, and prognosis of extrinsic allergic alveolitis (EAA). Methods Patients with EAA diagnosed at Peking Union Medical College Hospital from August 1983 to May 2007 were analyzed retrospectively. Their medical records were examined to gather clinical, laboratorial, radiological, and histopathological data. Patients were divided to three phases (acute, subacute, and chronic) according to clinical presentations. Follow-up data regarding treatment response, subsequent radio- logical and pulmonary function studies, and clinical outcomes were collected. Results A total of 21 cases were enrolled. Among them, 11 were subacute, 10 were chronic. The most common exposure was pet birds (6 cases, 28.6%). The primary abnormality of pulmonary function was restriction and/or reduction in diffusing capacity (12 cases, 63.2%). The most common findings on high-resolution computed tomography (HRCT) were ground-glass opacities (13 cases, 68.4%) and centri- lobular nodules (8 cases, 42.1%). Airway obstruction in pulmonary function test, emphysema, hmg cysts, and fibrosis on HRCT were more frequently seen in chronic than in subacute patients, though the differences were not statistically significant. Bronchoalveolar lavage fluid (BALF) showed lymphocytosis. The total'cell count and the percentage of neutrophils were significantly higher in subacute than in chronic patients (P〈0.05). Nonnecrotizing granulomas were seen in 8 (47.1%) cases. Improvement or normalization in symptoms, radiography, and pulmonary function test after treatment were seen in all 18 patients with avail- able follow-up data. Five patients recurred. Conclusions The characteristic abnormalities of pulmonary function, findings on HRCT, and pa- thology are essential for all phases of EAA, and the atypical manifestations such as obstruction and fibrosis can also be present frequently, particularly in chronic cases. Differential cell counts of BALF are related to the phase of the disease. The treatment response and prognosis of EAA are good. 展开更多
关键词 extrinsic allergic alveolitis bronchoalveolar lavage fluid RADIOGRAPHY HISTOPATHOLOGY PROGNOSIS
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Lipocalin-2 Test in Distinguishing Acute Lung Injury Cases from Septic Mice Without Acute Lung Injury 被引量:3
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作者 Gao Zeng Cong-wei Jia +1 位作者 Jie Liu Shu-bin Guo 《Chinese Medical Sciences Journal》 CAS CSCD 2014年第2期65-77,共13页
Objective To explore whether the amount of lipocalin-2 in the biofluid could reflect the onset of sepsis-induced acute lung injury(ALI) in mice. Methods Lipopolysaccharide(LPS, 10 mg/kg) injection or cecal ligation an... Objective To explore whether the amount of lipocalin-2 in the biofluid could reflect the onset of sepsis-induced acute lung injury(ALI) in mice. Methods Lipopolysaccharide(LPS, 10 mg/kg) injection or cecal ligation and puncture(CLP) was performed to induce severe sepsis and ALI in C57 BL/6 male mice randomly divided into 5 groups(n=10 in each group): group A(intraperitoneal LPS injection), group B(intravenous LPS injection via tail vein), group C(CLP with 25% of the cecum ligated), group D(CLP with 75% of the cecum ligated), and the control group(6 sham-operation controls plus 4 saline controls). All the mice received volume resuscitation. Measurements of pulmonary morphological and functional alterations were used to identify the presence of experimental ALI. The expressions of lipocalin-2 and interleukin(IL)-6 in serum, bronchoalveolar lavage fluid(BALF), and lung tissue were quantified at both protein and mRNA levels. The overall abilities of lipocalin-2 and IL-6 tests to diagnose sepsis-induced ALI were evaluated by generating receiver operator characteristic curves(ROC) and computing area under curve(AUC). Results In both group B and group D, most of the "main features" of experimental ALI were reproduced in mice, while group A and group C showed septic syndrome without definite evidence for the presence of ALI. Compared with septic mice without ALI(group A+group C), lipocalin-2 protein expression in septic mice with ALI(group B+group D) was significantly up-regulated in BALF(P<0.01) and in serum(P<0.01), and mRNA expression boosted in lung tissues(all P<0.05). Lipocalin-2 tests performed better than IL-6 tests in recognizing sepsis-induced ALI cases, evidenced by the larger AUC of the former(BALF tests, 0.8800 versus 0.6625; serum tests, 0.8500 versus 0.7000). Using a dual cutoff system to diagnose sepsis-induced ALI, BALF lipocalin-2 test exhibited the highest positive likelihood ratio(13.000) and the lowest negative likelihood ratio(0.077) among the tests of lipocalin-2 and IL-6 in blood and BALF. A statistically significant correlation was found between lipocalin-2 concentration in BALF and that in serum(Spearman r=0.8803,P<0.0001). Conclusions Lipocalin-2 expression is significantly up-regulated in septic ALI mice compared with those without ALI. Lipocalin-2 tests with a dual cutoff system could be an effective tool in distinguishing experimental ALI cases. 展开更多
关键词 lipocalin-2 acute lung injury biomarker sepsis neutrophil gelatinase associatedlipocalin
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Lipopolysaccharide Challenge Induces Long Pentraxin 3 Expression in Mice Independently from Acute Lung Injury 被引量:2
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作者 Gao Zeng Jie Liu +2 位作者 Ning Wu Cong-wei Jia Shu-bin Guo 《Chinese Medical Sciences Journal》 CAS CSCD 2015年第1期7-17,共11页
Objective To determine whether the onset of acute lung injury (ALl) induces the up-regulation of pentraxin 3 (PTX3) expression in mice and whether PTX3 concentration in the biofluid can help recognizing sepsis-ind... Objective To determine whether the onset of acute lung injury (ALl) induces the up-regulation of pentraxin 3 (PTX3) expression in mice and whether PTX3 concentration in the biofluid can help recognizing sepsis-induced ALI. Methods Wild-type C57BL/6 mice (12-14 weeks old) were randomly divided into 3 groups. Mice in the group 1 (n=12) and group 2 (n=12) were instilled with lipopolysaccharide via intratracheal or intraperitoneal routes, respectively. Mice in the group 3 (n=8) were taken as blank controls. Pulmonary morphological and functional alterations were measured to determine the presence of experimental ALl. PTX3 expression in the lung was quantified at both protein and mRNA levels. PTX3 protein concentration in blood and bronchoalveolar lavage fluid was measured to evaluate its ability to diagnose sepsis-induced ALI by computing area under receiver operator characteristic curve (AUROCC). Results ALl was commonly confirmed in the group 1 but never in the other groups. PTX3 expression was up-regulated indiscriminately among lipopolysaccharide-challenged mice. PTX3 protein concentration in the biofluid was unable to diagnose sepsis-induced ALl evidenced by its small AUROCC. PTX3 concentration in bronchoalveolar lavage fluid did not correlate with that in serum. Conclusions Lipopolysaccharide challenges induced PTX3 expression in mice regardless of the presence ofALI. PTX3 may act as an indicator of inflammatory response instead of organ injury per se. 展开更多
关键词 long pentraxin 3 acute lung injury BIOMARKER SEPSIS LIPOPOLYSACCHARIDE
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Association of swine influenza H1N1 pandemic virus(SIV-H1N1p) with porcine respiratory disease complex in sows from commercial pig farms in Colombia 被引量:2
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作者 Luisa Fernanda Mancipe Jiménez Gloria Ramírez Nieto +1 位作者 Victor Vera Alfonso Jairo Jaime Correa 《Virologica Sinica》 SCIE CAS CSCD 2014年第4期242-249,共8页
Porcine respiratory disease complex (PRDC) is a serious health problem that mainly affects growing and finishing pigs. PRDC is caused by a combination of viral and bacterial agents, such as porcine reproductive and ... Porcine respiratory disease complex (PRDC) is a serious health problem that mainly affects growing and finishing pigs. PRDC is caused by a combination of viral and bacterial agents, such as porcine reproductive and respiratory syndrome virus (PRRSV), swine influenza virus (SIV), Mycoplasma hyopneumoniae (Myh), Actinobacillus pleuropneumoniae (APP), Pasteurella multocida and Porcine circovirus 2 (PCV2). To characterize the specific role of swine influenza virus in PRDC presentation in Colombia, 11 farms from three major production regions in Colombia were examined in this study. Nasal swabs, bronchial lavage and lung tissue samples were obtained from animals displaying symptoms compatible with SIV. Isolation of SIV was performed in 9-day embryonated chicken eggs or Madin-Darby Canine Kidney (MDCK) cells. Positive isolates, identified via the hemagglutination inhibition test, were further analyzed using PCR. Overall, 7 of the 11 farms were positive for SIV. Notably, sequencing of the gene encoding the hemagglutinin (HA) protein led to grouping of strains into circulating viruses identified during the human outbreak of 2009, classified as pandemic H1N1-2009. Serum samples from 198 gilts and multiparous sows between 2008 and 2009 were obtained to determine antibody presence of APP, Myh, PCV2 and PRRSV in both SIV-H1Nlp-negative and -positive farms, but higher levels were recorded for SIV- HI Nlp-positive farms. Odds ratio (OR) and P values revealed statistically significant differences (p〈0.05) in PRDC presentation in gilts and multiparous sows of farms positive for SIV-HINlp. Our findings indicate that positive farms have increased risk of PRDC presentation, in particular, PCV2, APP and Myh. 展开更多
关键词 SIV-HIN1 swine influenza pandemic porcine respiratory disease complex Colombia
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Analysis of the T cell receptor Vδ region gene repertoire in bronchoalveolar lavage fluid (BALF) and peripheral blood of asthmatics 被引量:1
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作者 白彦 林耀广 +2 位作者 何维 陈勇 马毅 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第12期20-25,102,共7页
Objective To explore the role of γδT cells in the airway of asthmatics and to identify the forces which induce and maintain the inflammatory processMethods Peripheral blood (PB) and bronchoalveolar lavage fluid (BAL... Objective To explore the role of γδT cells in the airway of asthmatics and to identify the forces which induce and maintain the inflammatory processMethods Peripheral blood (PB) and bronchoalveolar lavage fluid (BALF) were obtained from7 asthmatic subjects and 7 nonsmoker control subjects The percentage of γδT cells in the PB and BALF was measured by immunofluorescent staining and flow cytometry The frequency of usage and the clonality of Vδ subfamilies (Vδ 1-Vδ 3) were assessed by RTPCR and gene scanning Results A higher proportion of γδT cell was detected in the BALF of asthmatic subjects (7.8%±4.7%) than that from control subjects (3.3%±3.0%, P=0.04) No selective usage for a particular Vδ subfamily was found, but the relative expression level of Vδ 1 was significantly higher in the asthmatic airway (44%±13%) than in the control (19%±5%, P=0.0002) In asthmatic subjects, the monoclonal or oligoclonal expansion of γδT lymphocytes was predominant in the BALF, especially Vδ 1+ T lymphocytes Conclusions Antigenic specific γδT cells might play an important role in the inducement and maintenance of airway inflammation Persistent antigenic stimulation may be the key factor that maintains chronic airway inflammation in asthma 展开更多
关键词 asthma · bronchoalveolar lavage fluid · TCRVδ gene
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Alteration of surfactant proteins A and D in bronchoalveolar lavage fluid of pneumocystis carinii pneumonia
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作者 瞿介明 何礼贤 +3 位作者 容朝晖 潘珏 陈雪华 李锡莹 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第11期23-26,103,共5页
Objective To understand the interaction between surfactant proteins and pneumocystis carinii pneumonia (PCP),and the impact of corticosteriods on surfactant proteins.Methods We established rat models of PCP and bacter... Objective To understand the interaction between surfactant proteins and pneumocystis carinii pneumonia (PCP),and the impact of corticosteriods on surfactant proteins.Methods We established rat models of PCP and bacterial pneumonia induced by subcutaneous injection of 25mg cortisone acetate.At 8- 12 wk,the bronchoalveolar lavage fluid(BALF)of rats was collected.Total nucleated cells of BALF were counted and differentiated,and the concentrations of surfactant protein A(SP-A)and surfactant protein D(SP-D)were measured by immunoblotting assay.The rats were divided into three immunosuppressive groups and a normal control group.Group I,normal control(n = 6),consisted of healthy SD rats;group Ⅱ,negative control(n = 6),consisted of rats with cortisone acetate injection for over 8 wk without lung infection;group Ⅲ,bacterial pneumonia(n = 11),rats were injected with cortisone acetate over 8 wk that resulted in bacterial pneumonia without other pathogens isolated;and group Ⅳ,PCP(n = 14),rats with injected cortisone acetate for 8 - 12 wk and developed PCP without other pathogens isolated.Results Our results indicated that the total cell count in BALF in the negative control group was lower than that in the normal control group(P < 0.001).During PCP infection,the total cell count and the percentage of polymorphonuclearcytes(PMNs)in BALF were significantly increased(P < 0.01),but were lower than those in the bacterial pneumonia group.The concentration of SP-A of BALF in PCP(45.1 ± 22.1 μg/ml)was significantly increased in comparison with that in the negative control(16.2 ± 9.9 μg/ml,P < 0.05)and bacterial pneumonia groups(6.2 ± 5.6 μg/ml,P < 0.001).We also found that the relative content of SP-D was significantly higher in PCP(24249 ±4780 grey values)than that in the negative control (13 384 ± 2887 grey values,P < 0.001)and that in bacterial pneumonia(11 989 ± 2750 grey values,P<0.001).SP-A and SP-D were also higher in the moderate to heavy group of PCP than those seen in the mild group(P < 0.01,P < 0.001).SP-A and SP-D were higher in the negative control group than those in the normal control group,but there was no significant difference between the 2 groups.Conclusion These results suggest that the concentrations of SP-A and SP-D in BALF are increased by pneumocystis carinii specific stimulation,but the alteration is not related to the corticosteriod usage. 展开更多
关键词 pneumocystis carinii pneumonia · bronchoalveolar lavage fluids · surfactant protein A · surfactant protein D
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Intervention effect and dose-dependent response of Tanreqing injection on airway inflammation in lipopolysaccharide-induced rats 被引量:12
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作者 Shoujin Dong Yunqing Zhong +2 位作者 Kun Yang Xiaoling Xiong Bing Mao 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2013年第4期505-512,共8页
OBJECTIVE: To assess the effect of Tanreqing injection on airway inflammation in rats. METHODS: A rat model of airway inflammation was generated with lipopolysaccharide (LPS). Tanreqing injection was given by intratra... OBJECTIVE: To assess the effect of Tanreqing injection on airway inflammation in rats. METHODS: A rat model of airway inflammation was generated with lipopolysaccharide (LPS). Tanreqing injection was given by intratracheal instillation, and bronchoalveolar lavage fluid (BALF) from the right lung was collected. BALF total cell and neutrophil counts were then determined. In addition, BALF levels of inflammatory cytokines interleukin-1β, cytokine-induced neutrophil chemoattractant-1, and tumor necrosis factor-α were measured using enzyme linked immunosorbent assay.The middle lobe of the right lung was stained with hematoxylin-eosin and histological changes examined. RESULTS: LPS increased airway inflammation, decreased BALF inflammatory cell count, inflammatory cytokine levels, and suppressed leukocyte influx of the lung. The LPS-induced airway inflammation peaked at 24 h, decreased beginning at 48 h, and had decreased markedly by 96 h. CONCLUSION: Tanreqing injection contains anti-inflammatory properties, and inhibits airway inflammation in a dose-dependent manner. 展开更多
关键词 Pulmonary disease chronic obstructive Lipopolysaccharides Dose-response relationship drug Airway inflammation Tanreqing injection
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