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高原地区全身炎症反应综合征与急性高原病发病机制的初步探讨 被引量:16
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作者 张世范 张德海 +4 位作者 高炜 刘惠萍 朱运奎 刘传兰 陆文胜 《中国现代医学杂志》 CAS CSCD 北大核心 2006年第2期183-187,共5页
目的探讨高原地区全身炎症反应综合征(SIRS)与急性高原病(AHAS)的发病特点、机制及相互关系。方法通过高原(低氧)和平原(常氧)+内毒素诱导的绵羊肺淋巴造瘘急性肺损伤(ALI)动物模型,比较高原(AG)和平原(FG)两组肺动脉压(Ppa)、肺嵌压(P... 目的探讨高原地区全身炎症反应综合征(SIRS)与急性高原病(AHAS)的发病特点、机制及相互关系。方法通过高原(低氧)和平原(常氧)+内毒素诱导的绵羊肺淋巴造瘘急性肺损伤(ALI)动物模型,比较高原(AG)和平原(FG)两组肺动脉压(Ppa)、肺嵌压(PAW)、动脉血氧分压(PaO2)、肺水质量[肺淋巴流量(Lung lymph flow,QL)、肺通透表面积(Permeability surface area,PS)、肺淋巴液蛋白和血浆蛋白含量比值(L/P)];通过统一的SIRS评分标准对平原地区(海拔430m,西安)和中度高原地区(海拔1517m、2261m,兰州、西宁)ICU患者和胸外科开胸病例进行对照研究,对比观察术后SIRS、MODS评分的变化趋势、发病率和结局的差异。结果平原地区急性肺损伤(ALI)动物模型的Ppa、PWP、QL、PS、L/P和高原地区(3780m)相比差异非常显著,P<0.01;平原ICU患者满足SIRS诊断标准二项、三项及四项标准的发病率分别为59.1%、27.2%和12.1%;2个脏器和3个脏器满足MODS评分诊断者分别为50.0%、56.1%。中度高原(1517m)地区ICU病人,满足SIRS二、三及四项标准者分别为91.2%、78.9%和38.6%;2个和3个脏器满足MODS评分诊断标准者分别为66.7%、28.1%。在平原地区开胸术后的PaO2全部≥80mmHg,中度高原地区(1517m、2261m)全部≤60mmHg。结论由内毒素和/或缺氧诱导的急性肺损伤早期可能有共同发病基础,同属混合型肺水肿性质。高原重创刺激可进一步加重低氧血症,启动全身炎症反应效应,其量化指标在≥1500m地区已变的有统计学意义。 展开更多
关键词 急性高原病 急性高原反应与全身炎症反应 MODS 发病机制 平原与高原
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脓毒症患儿Treg/Th17失衡与全身炎症反应、氧化应激所致肝损伤的相关性 被引量:5
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作者 邓辉 《海南医学院学报》 CAS 2017年第21期2968-2971,共4页
目的:研究脓毒症患儿Treg/Th17失衡与全身炎症反应、氧化应激所致肝损伤的相关性。方法:选择在本院诊断为脓毒症的43例患儿作为研究的脓毒症组,同期在上海市嘉定区中心医院门诊健康体检的35例儿童作为研究的对照组。采集外周血并测定Tre... 目的:研究脓毒症患儿Treg/Th17失衡与全身炎症反应、氧化应激所致肝损伤的相关性。方法:选择在本院诊断为脓毒症的43例患儿作为研究的脓毒症组,同期在上海市嘉定区中心医院门诊健康体检的35例儿童作为研究的对照组。采集外周血并测定Treg、Th17的含量以及氧化应激分子的表达量,采集血清并测定炎症反应分子、氧化应激分子、肝损伤指标的含量。结果:脓毒症组患儿外周血中Treg、Th17的含量以及Treg/Th17的比例均显著高于对照组;脓毒症组患儿血清中ALT、AST、TBIL、γ-GT、MIF、sTREM-1、sVCAM-1、PCT的含量以及外周血中MPO、Nrf-2的mRNA表达量显著高于对照组且与外周血中Treg/Th17的比例呈正相关,外周血中Keap-1的mRNA表达量以及血清中SOD、GSH的含量均显著低于对照组且与外周血中Treg/Th17的比例呈负相关。结论:脓毒症患儿外周血中Treg/Th17比例升高与全身炎症反应及氧化应激反应的激活、肝功能的损伤密切相关。 展开更多
关键词 脓毒症 TREG细胞 Th17细胞 炎症反应反应 氧化应激反应
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温阳振衰颗粒对脓毒症大鼠炎症反应中SIRS/CARS平衡调节的影响 被引量:1
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作者 游海 杜海燕 +2 位作者 李玲 蔡虎志 陈新宇 《中国中西医结合急救杂志》 CAS CSCD 北大核心 2019年第6期659-662,共4页
目的探讨温阳振衰颗粒对脓毒症大鼠炎症反应的调节作用.方法将56只SD大鼠按随机数宇表法分为假手术组(n=8)、模型组(n=24)、中药治疗组(n=24).采用腹腔注射脂多糖(LPS)5 mg/kg的方法制备脓毒症大鼠模型;假手术组给予等量生理盐水.中药... 目的探讨温阳振衰颗粒对脓毒症大鼠炎症反应的调节作用.方法将56只SD大鼠按随机数宇表法分为假手术组(n=8)、模型组(n=24)、中药治疗组(n=24).采用腹腔注射脂多糖(LPS)5 mg/kg的方法制备脓毒症大鼠模型;假手术组给予等量生理盐水.中药治疗组于制模后即刻灌胃温阳振衰颗粒原药(250 g/L)2 g·kg^-1·d^-1;模型组灌胃等量生理盐水;此后存活动物每12 h给药(或生理盐水);假手术组不予处理.各组分别于制模后24、48、72 h取8只大鼠,经眼眶采血后处死,采用酶联免疫吸附试验(ELISA)测定血清中肿瘤坏死因子-α(TNF-α)、白细胞介素(IL-6、IL-10)水平;采用聚合酶链反应(PCR)检测肠组织中Toll样受体4(TLR4)、髓样分化因子88(MyD88)、核转录因子-κB(NF-κB)的mRNA表达.结果与假手术组比较,模型组制模后24 h血清中TNF-α、IL-6水平即显著升高[TNF-α(ng/L):32.03±2.01比13.70±1.06,IL-6(ng/L):50.36±2.66比27.90±1.08],IL-10水平即显著下降(ng/L:80.96±4.90比90.82±4.85),肠组织TLR4、MyD88、NF-κB的mRNA表达即显著升高(TLR4/β-actin:0.39±0.06比0.21±0.04,MyD88/β-actin:0.38±0.04比0.18±0.02,NF-κB/β-actin:0.40±0.04比0.20±0.03),差异均有统计学意义(均P<0.05);巨随着时间延长,血清TNF-α、IL-6水平及肠组织TLR4、MyD88、NF-κB的mRNA表达逐渐升高,血清IL-10水平逐渐下降.与模型组比较,中药治疗组制模后24 h血清TNF-α、IL-6水平及肠组织TLR4、MyD88、NF-κB的mRNA表达即显著下降[TNF-α(ng/L):31.45±2.40比32.03±2.01,IL-6(ng/L):42.84±3.12比50.36±2.66,TLR4/β-actin:0.32±0.05比0.39±0.06,MyD88/β-actin:0.30±0.05比0.38±0.04,NF-κB/β-actin:0.33±0.03比0.40±0.04],制模后48 h血清IL-10水平即显著升高(ng/L:73.09±3.26比62.93±4.98),差异均有统计学意义(均P<0.05);巨随时间延长,血清TNF-α、IL-6水平及肠组织TLR4、MyD88、NF-κB的mRNA逐渐下降.结论温阳振衰颗粒可能通过早期激发抗炎因子平衡炎症反应,以及抑制TLR4、MyD88、NF-κB的mRNA表达从而使该通路下游炎症因子活化减弱,避免炎症"瀑布效应",最终使脓毒症大鼠全身炎症反应综合征/代偿性抗炎反应综合征(SIRS/CARS)两者达到平衡. 展开更多
关键词 脓毒症 温阳振衰颗粒 炎症因子 全身炎症反应综合征/代偿性抗炎反应综合征
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Invasive front of colorectal cancer:Dynamic interface of pro-/anti-tumor factors 被引量:9
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作者 Inti Zlobec Alessandro Lugli 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第47期5898-5906,共9页
Tumor-host interaction at the invasive front of colorectal cancer represents a critical interface encompassing a dynamic process of de-differentiation of colorectal carci-noma cells known as epithelial mesenchymal tra... Tumor-host interaction at the invasive front of colorectal cancer represents a critical interface encompassing a dynamic process of de-differentiation of colorectal carci-noma cells known as epithelial mesenchymal transition (EMT). EMT can be identified histologically by the presence of "tumor budding" ,a feature which can be highly specific for tumors showing an inf iltrating tumor growth pattern. Importantly,tumor budding and tumor border configuration have generated considerable interest as additional prognostic factors and are also recognized as such by the International Union Against Cancer. Evidence seems to suggest that the presence of tumor budding or an infiltrating growth pattern is inversely correlated with the presence of immune and inflammatory responses at the invasive tumor front. In fact,several tumor-associated antigens such as CD3,CD4,CD8,CD20,Granzyme B,FOXP3 and other immunological or inflammatory cell types have been identified as poten-tially prognostic in patients with this disease. Evidence seems to suggest that the balance between protumor (including budding and inf iltrating growth pattern) and anti-tumor (immune response or certain inflammatory cell types) factors at the invasive front of colorectal cancer may be decisive in determining tumor progression and the clinical outcome of patients with colorectal cancer. On one hand,the inf iltrating tumor border configuration and tumor budding promote progression and dissemination of tumor cells by penetrating the vascular and lymphatic vessels. On the other,the host attempts to fend off this attack by mounting an immune response to protect vascular and lymphatic channels from invasion by tumor buds. Whereas standard pathology reporting of breast and prostate cancer involves additional prognostic features,such as the BRE and Gleason scores,the ratio of pro-and anti-tumor factors could be a promising approach for the future development of a prognostic score for patients with colorectal cancer which could complement tumor node metastasis staging to improve the clinical management of patients with this disease. 展开更多
关键词 Colorectal cancer PROGNOSIS Tumor invasive front Tumor budding Tumor growth pattern Tumor infiltrating lymphocytes Tumor immunity Microsatellite instability
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Endurance exercise and gut microbiota:A review 被引量:21
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作者 Núria Mach Dolors Fuster-Botella 《Journal of Sport and Health Science》 SCIE 2017年第2期179-197,共19页
Background: The physiological and biochemical demands of intense exercise elicit both muscle-based and systemic responses. The main adaptations to endurance exercise include the correction of electrolyte imbalance, a ... Background: The physiological and biochemical demands of intense exercise elicit both muscle-based and systemic responses. The main adaptations to endurance exercise include the correction of electrolyte imbalance, a decrease in glycogen storage and the increase of oxidative stress, intestinal permeability, muscle damage, and systemic inflammatory response. Adaptations to exercise might be influenced by the gut microbiota, which plays an important role in the production, storage, and expenditure of energy obtained from the diet as well as in inflammation,redox reactions, and hydration status.Methods: A systematic and comprehensive search of electronic databases, including MEDLINE, Scopus, Clinical Trials.gov, Science Direct,Springer Link, and EMBASE was done. The search process was completed using the keywords: "endurance", "exercise", "immune response","microbiota", "nutrition", and "probiotics".Results: Reviewed literature supports the hypothesis that intestinal microbiota might be able to provide a measureable, effective marker of an athlete's immune function and that microbial composition analysis might also be sensitive enough to detect exercise-induced stress and metabolic disorders. The review also supports the hypothesis that modifying the microbiota through the use of probiotics could be an important therapeutic tool to improve athletes' overall general health, performance, and energy availability while controlling inflammation and redox levels.Conclusion: The present review provides a comprehensive overview of how gut microbiota may have a key role in controlling the oxidative stress and inflammatory responses as well as improving metabolism and energy expenditure during intense exercise. 展开更多
关键词 ENDURANCE EXERCISE Immune response MICROBIOTA NUTRITION PROBIOTICS
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Lipopolysaccharide induced hyper- and hypo-responsiveness in macrophage cell lines
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作者 刘辉 孙为民 徐仁宝 《Journal of Medical Colleges of PLA(China)》 CAS 2003年第1期11-14,共4页
Objective: To build a cell model of LPS-induced hyper- and hypo-responsiveness in macrophage cells . Methods: Macrophage cell line RAW264. 7 was pre-cultured with or without 10 ng/ml LPS for 18 h, then challenged with... Objective: To build a cell model of LPS-induced hyper- and hypo-responsiveness in macrophage cells . Methods: Macrophage cell line RAW264. 7 was pre-cultured with or without 10 ng/ml LPS for 18 h, then challenged with lipopolysaccharide(LPS) , or MDP, Zymosan, PAF, FMLP, PMA for 24 h. The levels of TNF-α , IL-1 , IL-6, IL-10 , NO and O2-, were measured. Results: LI'S pretreatment markedly inhibited TNF-a NO and IL-6 production, but increased IL-1, IL-10 and O2- release to LPS challenge. LPS pretreatment also altered macrophage responsiveness to the other stimuli. Conclusion: LPS can induce hyper- and hypo-responsiveness simultaneously in the macrophage cell lines. Changes in macrophage responsiveness depend on stimuli and effectors which are measured. 展开更多
关键词 lipopolysaccaride(LPS) MACROPHAGE hypo-responsiveness hype-responsiveness
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Effects of recombinant sCR1 on the immune inflammatory reaction in acute spinal cord injury tissue of rats 被引量:2
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作者 李良满 朱悦 范广宇 《Chinese Journal of Traumatology》 CAS 2005年第1期49-53,共5页
Objective: To determine the effects of recombinant soluble complement receptor type I (sCR1) on the immune inflammatory reaction in acute spinal cord injury tissue of rats and its protective effects. Methods: SD rat m... Objective: To determine the effects of recombinant soluble complement receptor type I (sCR1) on the immune inflammatory reaction in acute spinal cord injury tissue of rats and its protective effects. Methods: SD rat models of acute spinal cord injury were prepared by modified Allen’s method. The motor function of the rat lower extremities in sCR1 group and normal saline (NS) group was evaluated by the tiltboard experiment at 12 h, 1 d, 3 d, 7 d, and 14 d. The neutrophil infiltration and C3c positive expression were observed. The myeloperoxidase activity was assessed in the injury tissue at 12 h, 1 d, 3 d, 7 d, and 14 d after injury in the two groups. Results: The motor function of rat in sCR1 group at 3 d, 7 d, and 14 d was obviously better than that in NS group (P< 0.01, P< 0.01, P< 0.01). C3c positive expression in sCR1 group at each time point after injury was obviously less than that in NS group (P< 0.01). The myeloperoxidase activity in sCR1 group at each time point after injury was obviously less than that in NS group (P< 0.01). Conclusions: Recombinant soluble complement receptor type I (sCR1) can lessen the immune inflammatory reaction in acute spinal cord injury tissue and relieve secondary spinal cord injury by inhibiting the activation of the complement system. 展开更多
关键词 Spinal cord injury COMPLEMENT MYELOPEROXIDASE Complement receptor
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帕瑞昔布钠超前镇痛对食管癌患者术后近期治疗效果的影响 被引量:4
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作者 白晓博 苏利伟 徐永江 《中国肿瘤临床与康复》 2019年第10期1234-1237,共4页
目的探讨帕瑞昔布钠超前镇痛对食管癌患者术后躁动、炎症反应和应激反应的影响。方法选取2015年1月至2019年2月间陕西省康复医院收治的113例原发性食管癌患者,根据镇痛方案不同分组,采用常规镇痛治疗的60例患者纳入对照组,采用帕瑞昔布... 目的探讨帕瑞昔布钠超前镇痛对食管癌患者术后躁动、炎症反应和应激反应的影响。方法选取2015年1月至2019年2月间陕西省康复医院收治的113例原发性食管癌患者,根据镇痛方案不同分组,采用常规镇痛治疗的60例患者纳入对照组,采用帕瑞昔布钠超前镇痛治疗的53例患者纳入研究组。比较两组患者术后躁动发生情况及术前、术后30min和术后60min时血清中炎症因子和应激激素含量的差异。结果研究组患者苏醒期镇静-躁动评分(SAS评分)值及躁动发生率均低于对照组患者,差异均有统计学意义(均P<0.05)。术前,两组患者血清中炎症因子白介素-1β(IL-1β)、肿瘤坏死因子α(TNF-α)和血管细胞黏附分子-1(VCAM-1)含量比较,差异无统计学意义(P>0.05)。术后30min和术后60min,两组患者血清中IL-1β、TNF-α和VCAM-1的含量均高于术前,且研究组患者IL-1β、TNF-α和VCAM-1的含量均低于对照组相应时间点,差异均有统计学意义(均P<0.05)。术前,两组患者血清中应激激素血管紧张素Ⅱ(AngⅡ)、去甲肾上腺素(NE)和皮质醇(Cor)含量比较,差异无统计学意义(P>0.05)。术后30min和术后60min,两组患者血清中AngⅡ、NE和Cor的含量均高于术前,且研究组患者血清中AngⅡ、NE和Cor的含量均低于对照组相应时间点,差异均有统计学意义(均P<0.05)。结论食管癌患者接受帕瑞昔布钠超前镇痛,可有效减少术后躁动发生并抑制全身炎症反应及应激反应。 展开更多
关键词 食管肿瘤 帕瑞昔布钠超前镇痛 术后躁动 炎症反应、应激反应
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