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不明原因发热118例病因谱分析 被引量:10
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作者 赵珊 张云辉 杨芸 《新医学》 2010年第2期110-112,共3页
目的:探讨不明原因发热(FUO)患者的病因谱,总结诊断经验。方法:对118例FUO患者进行病因学调查,记录其诊断结果及诊断手段,归纳病因谱,总结非典型病例的诊疗经过。结果:118例患者中确诊110例,确诊率93.2%,病因未明8例(6.8%)。明确诊断的... 目的:探讨不明原因发热(FUO)患者的病因谱,总结诊断经验。方法:对118例FUO患者进行病因学调查,记录其诊断结果及诊断手段,归纳病因谱,总结非典型病例的诊疗经过。结果:118例患者中确诊110例,确诊率93.2%,病因未明8例(6.8%)。明确诊断的110例FUO患者病因谱中,感染性疾病72例(65.5%),其中细菌性感染47例、病毒性感染15例、真菌感染5例、其他感染5例;非感染性疾病38例(34.5%),其中恶性肿瘤19例、风湿性疾病12例,其他7例。经血清学或细菌学检查明确诊断者45例(40.9%),骨髓穿刺及腰椎穿刺明确诊断17例(15.5%),活组织病理检查明确诊断27例(24.5%),影像学检查明确诊断6例(5.5%),临床综合诊断、经验性治疗明确诊断23例(20.9%)。结论:FUO患者的病因复杂,其中感染性疾病是主要病因。对于FUO患者的诊断检查应程序化,临床医生除常规检查外,还需及时、反复地进行相关病原学及病理学检查,经抗感染治疗无效者应考虑其存在非感染性疾病如肿瘤、风湿性疾病的可能。 展开更多
关键词 不明原因发热 病因谱 感染性疾病 诊断
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近20年不明原因发热病因谱构成的变化 被引量:1
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作者 石秋萍 王超 《山东医药》 CAS 2014年第24期96-99,共4页
不明原因发热(FUO)的病因复杂,临床表现千变万化,且缺乏简便而特异的检测手段。因此,FUO的病因诊断仍是内科临床实践中的难题之一[1]。临床上主要将FUO分为感染性疾病、恶性肿瘤性疾病、结缔组织和炎性血管疾病及其他疾病4类,近20 a来... 不明原因发热(FUO)的病因复杂,临床表现千变万化,且缺乏简便而特异的检测手段。因此,FUO的病因诊断仍是内科临床实践中的难题之一[1]。临床上主要将FUO分为感染性疾病、恶性肿瘤性疾病、结缔组织和炎性血管疾病及其他疾病4类,近20 a来,随着人们生活环境以及医疗技术的变化,这几类病因的分布不断发生改变。现将FUO病因谱的变化综述如下。 展开更多
关键词 不明原因发热 病因谱 构成变化
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纤支镜诊断肺不张的病因谱及对策
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作者 李旷怡 王贵谦 《现代临床医学生物工程学杂志》 1999年第2期116-116,共1页
关键词 肺不张 纤支镜 病因谱
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1329例精神发育迟滞/迟缓患儿临床分析与病因研究 被引量:18
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作者 王珺 王立文 《临床儿科杂志》 CAS CSCD 北大核心 2010年第5期450-454,共5页
目的了解精神发育迟滞/迟缓(MR/DD)患儿的病因谱构成比,规范精神发育迟滞/迟缓特殊检测适应症。方法对2003年1月—2006年12月在神经内科就诊的1 329例精神发育迟滞/迟缓患儿的临床资料进行回顾性分析,包括体征、伴随症状、精神发育迟滞... 目的了解精神发育迟滞/迟缓(MR/DD)患儿的病因谱构成比,规范精神发育迟滞/迟缓特殊检测适应症。方法对2003年1月—2006年12月在神经内科就诊的1 329例精神发育迟滞/迟缓患儿的临床资料进行回顾性分析,包括体征、伴随症状、精神发育迟滞/迟缓的分级以及病因等。结果精神发育迟滞/迟缓分级在<6岁组和>6岁组间及确诊病因组和病因不明组间差异有统计学意义。主要病因包括围产期因素186例(14.00%)、染色体病150例(11.29%)、遗传代谢性疾病111例(8.35%)等,另有病因尚不明确者710例(53.42%)。遗传代谢性疾病多有相似症状,畸形为染色体病的主要症状。结论重度精神发育迟滞/迟缓多见于<6岁和确诊病因者。MR/DD病因谱中以染色体病、遗传代谢性疾病及已知综合征在可知病因中占有较高比例。伴有2种以上畸形的MR/DD患儿首先行染色体检查;非面容畸形的MR/DD者合并惊厥、肌张力异常、尿味异常、发作性昏迷、行为异常、肝脏肿大可先行代谢病筛查。 展开更多
关键词 精神发育迟滞/迟缓 儿童 病因谱 遗传代谢性疾病.
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异基因造血干细胞移植后肺炎的病因分析 被引量:9
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作者 刘代红 黄晓军 +6 位作者 郭乃榄 许兰平 陈欢 韩伟 江倩 刘开彦 陆道培 《北京大学学报(医学版)》 CAS CSCD 北大核心 2005年第2期130-133,共4页
目的:分析异基因造血干细胞移植后肺炎的临床特点和病因谱。方法:总结北京大学血液病研究所1998至 2001连续 4年中 255例异基因造血干细胞移植受者中发生移植后肺炎的资料。结果: 66例发生移植后肺炎的患者累计发病 72例次,总发病率 25.... 目的:分析异基因造血干细胞移植后肺炎的临床特点和病因谱。方法:总结北京大学血液病研究所1998至 2001连续 4年中 255例异基因造血干细胞移植受者中发生移植后肺炎的资料。结果: 66例发生移植后肺炎的患者累计发病 72例次,总发病率 25. 9%; 50例患者的移植后肺炎被治愈,占 75%。病因分析显示,细 /真菌感染性移植后肺炎 12例次(16. 7% ),巨细胞病毒性肺炎 22例次(30. 6% ),特发性肺炎综合征 36例次(50. 0% )。总死亡率为 22. 7%。发生特发性肺炎综合征的患者较多伴发慢性移植物抗宿主病,免疫抑制剂治疗有效。结论:异基因造血干细胞移植后肺炎是移植后常见的合并症,其病因学包括感染和非感染因素,针对病因的治疗可以改善预后。 展开更多
关键词 异基因造血干细胞 病因分析 移植后 慢性移植物抗宿主病 巨细胞病毒性肺炎 免疫抑制剂 临床特点 移植受者 北京大学 总发病率 总死亡率 感染因素 改善预后 综合征 特发性 病因谱 研究所 血液病 患者 感染性 合并症 病因
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159例小儿胸膜炎病因分析
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作者 祝国红 郑冬雅 陈志敏 《浙江预防医学》 2007年第3期49-50,共2页
关键词 小儿呼吸道疾病 胸膜炎 病因谱 临床特点 住院患儿
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心力衰竭流行病学特点及变迁 被引量:3
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作者 陈国伟 《中国社区医师》 2002年第20期12-12,共1页
关键词 心力衰竭 流行病学 病因谱 发病年龄 预后
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营养性疾病
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《中国中西医结合儿科学》 2002年第3期139-140,共2页
关键词 营养性疾病 中国儿童保健杂志 肥胖儿童 骨密度测定 儿童营养不良 晚发性 BALP 空腹血糖水平 病因谱 维生素D
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Influence of White Spot Syndrome Virus Infection on Hepatopancreas Gene Expression of ‘Huanghai No.2' Shrimp(Fenneropenaeus chinensis) 被引量:1
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作者 MENG Xianhong SHI Xiaoli +10 位作者 KONG Jie LUAN Sheng LUO Kun CAO Baoxiang LIU Ning LU Xia LI Xupeng DENG Kangyu CAO Jiawang ZHANG Yingxue ZHANG Hengheng 《Journal of Ocean University of China》 SCIE CAS CSCD 2017年第5期863-872,共10页
To elucidate the molecular response of shrimp hepatopancreas to white spot syndrome virus(WSSV) infection, microarray was applied to investigate the differentially expressed genes in the hepatopancreas of ‘Huanghai N... To elucidate the molecular response of shrimp hepatopancreas to white spot syndrome virus(WSSV) infection, microarray was applied to investigate the differentially expressed genes in the hepatopancreas of ‘Huanghai No. 2'(Fenneropenaeus chinensis). A total of 59137 unigenes were designed onto a custom-made 60 K Agilent chip. After infection, the gene expression profiles in the hepatopancreas of the shrimp with a lower viral load at early(48–96 h), peak(168–192 h) and late(264–288 h) infection phases were analyzed. Of 18704 differentially expressed genes, 6412 were annotated. In total, 5453 differentially expressed genes(1916 annotated) expressed at all three phases, and most of the annotated were either up-or down-regulated continuously. These genes function diversely in, for example, immune response, cytoskeletal system, signal transduction, stress resistance, protein synthesis and processing, metabolism among others. Some of the immune-related genes, including antilipopolysaccharide factor, Kazal-type proteinase inhibitor, C-type lectin and serine protease encoding genes, were up-regulated after WSSV infection. These genes have been reported to be involved in the anti-WSSV responses. The expression of genes related to the cytoskeletal system, including β-actin and myosin but without tubulin genes, were down-regulated after WSSV infection. Astakine was found for the first time in the WSSV-infected F. chinensis. To further confirm the expression of differentially expressed genes, quantitative real-time PCR was performed to test the expression of eight randomly selected genes and verified the reliability and accuracy of the microarray expression analysis. The data will provide valuable information to understanding the immune mechanism of shrimp's response to WSSV. 展开更多
关键词 WSSV shrimp Spot differentially Huanghai No.2 Shrimp Infection proteinase custom tubulin
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Determination of platelet-activating factor by reverse phase high-performance liquid chromatography and its application in viral hepatitis 被引量:1
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作者 Hong-Cui Cao, Xiao-Ming Chen, Wei Xu, Department of Infectious Diseases, First Affiliated Hospital, Medical School of Zhejiang University Key Laboratory of Infectious Diseases of Ministry of Public Health, Hangzhou 310003, Zhejiang Province, China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第46期7364-7367,共4页
AIM: To detect the plateletoactivating factor (PAF) and the plasma or serum levels of tumor necrosis factoroa (TNF-α) malondialdehyde (MDA), endotoxin (ET) and to discuss their significance in various types ... AIM: To detect the plateletoactivating factor (PAF) and the plasma or serum levels of tumor necrosis factoroa (TNF-α) malondialdehyde (MDA), endotoxin (ET) and to discuss their significance in various types of viral hepatitis. METHODS: PAF, TNF-α, MDA, and ET levels in 60 controls, 16 cases of acute viral hepatitis, 71 cases of chronic viral hepatitis, 19 cases of severe viral hepatitis were detected by reverse phase high-performance liquid chromatography (rHPLC), bio-assay, ELISA, thiobarbituric acid (TBA), and limulus lysate test (LLT), respectively. RESULTS: The rHPLC was more sensitive and specific than bio-assay (r = 0.912, P〈0.01). The plasma levels of PAF, TNF-α, MDA, and ET in patients with viral hepatitis were higher than those in controls (P〈0.01). CONCLUSION: rHPLC is more reliable and accurate for the detection of PAF. 展开更多
关键词 Platelet-activating factor MALONDIALDEHYDE ENDOTOXIN rHPLC Viral hepatitis
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山东鲁西南地区近20年急性胰腺炎患者病因变化分析 被引量:4
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作者 李振方 赵琦 王兵 《中华胰腺病杂志》 CAS 2018年第6期399-401,共3页
研究表明,不同国家、不同时期的胰腺炎病因谱存在一定的差异。在我国胰腺炎的主要病因为胆道系统疾病,而在欧美及西方发达国家则以饮酒和暴饮暴食为主要病因。鉴于此,本研究应用时间序列分析方法探讨改革开放30年来尤其是近20年山东聊... 研究表明,不同国家、不同时期的胰腺炎病因谱存在一定的差异。在我国胰腺炎的主要病因为胆道系统疾病,而在欧美及西方发达国家则以饮酒和暴饮暴食为主要病因。鉴于此,本研究应用时间序列分析方法探讨改革开放30年来尤其是近20年山东聊城市人民医院收治的急性胰腺炎(AP)患者的病因,为该地区胰腺炎的预防和治疗提供决策支持。 展开更多
关键词 急性胰腺炎 病因谱 鲁西南地区 患者 山东 胆道系统疾病 时间序列分析 暴饮暴食
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单中心985例行肾上腺手术治疗的库欣综合征患者临床特点分析 被引量:4
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作者 赵欣 周家权 +3 位作者 刘一鸿 樊华 纪志刚 张玉石 《中华泌尿外科杂志》 CAS CSCD 北大核心 2022年第11期818-824,共7页
目的探讨行肾上腺手术治疗的库欣综合征(CS)患者的临床特点及治疗方式。方法回顾性分析2002年8月至2022年8月于北京协和医院行手术治疗的985例CS患者的临床资料。男210例,女775例;年龄(43.33±13.49)岁,男性年龄高于女性[(45.53... 目的探讨行肾上腺手术治疗的库欣综合征(CS)患者的临床特点及治疗方式。方法回顾性分析2002年8月至2022年8月于北京协和医院行手术治疗的985例CS患者的临床资料。男210例,女775例;年龄(43.33±13.49)岁,男性年龄高于女性[(45.53±14.39)岁与(42.68±13.16)岁,P=0.016]。本组患者术前选择手术方法的原则为:对于促肾上腺皮质激素(ACTH)非依赖性CS,单侧单发病变行肾上腺肿瘤切除术;单侧多发病变行单侧肾上腺切除术;双侧病变先切除体积较大一侧肿瘤,根据随访结果决定是否行对侧手术。术前怀疑皮质癌患者均行R0切除(肿瘤完整切除,镜下切缘阴性),如肿瘤直径≥6cm,则行开放手术。总结CS患者的临床特点,分析临床症状谱、病因谱,以及相应的治疗方法。结果985例中ACTH非依赖性CS占92.8%(914/985),ACTH依赖性CS占7.2%(71/985)。结合术后病理结果确诊,肾上腺腺瘤最常见,占75.94%(748/985),其次为PBMAH(11.37%,112/985)、库欣病(4.26%,42/985)、PPNAD(3.25%,32/985)、EAS(2.94%,29/985)、皮质癌(2.23%,22/985)。临床表现方面,满月脸、多血质面容、水牛背、向心性肥胖及体重增加较为常见,上述单一症状发生率均>30%。激素分泌方面,ACTH依赖性CS患者皮质醇水平明显高于ACTH非依赖性CS[(38.42±18.21)μg/dl与(22.02±9.48)μg/dl,P<0.001]。亚临床型皮质腺瘤患者(258例)早8时血皮质醇[(16.61±6.78)μg/dl]及24h尿游离皮质醇[103.65(59.83,175.70)μg/24h]低于其他类型患者(P<0.001)。治疗方面,除4例(0.4%)皮质癌因肿瘤较大行开放手术外,余981例均行腹腔镜手术,其中经腹途径占2.24%(22/981),经腹膜后途径占97.76%(959/981)。皮质腺瘤患者中单侧670例(89.57%),双侧78例(10.43%);单侧腺瘤采用腹腔镜肾上腺肿瘤切除/次全切除术;双侧腺瘤者中,4例因CS症状严重同期切除双侧肾上腺肿瘤,余74例均根据肿瘤大小及个数分期行单纯肿瘤切除/肾上腺全切/次全切除术。22例皮质癌患者中,2例因肿瘤局部浸润,经穿刺活检确诊后行米托坦新辅助治疗,后行R0切除;另20例均行R0切除。在EAS和库欣病患者中,分别有62.07%(18/29)和23.81%(10/42)因CS症状严重采用同期双侧靶腺切除术;112例PBMAH和32例PPNAD,初始治疗均采用单侧肾上腺切除或次全切除术,后续根据随访情况,决定是否行对侧肾上腺全切除或次全切除术。结论泌尿外科收治的CS患者病因谱以肾上腺疾病为主,库欣病少见。症状谱中,蹲起困难、骨折少见。单侧肾上腺病变主要的治疗方法为肿瘤切除或单侧肾上腺切除术。对于双侧病变中ACTH依赖性CS患者,建议行双侧肾上腺切除术,术后补充激素;对于ACTH非依赖性CS患者,建议先行单侧肾上腺切除术,术后根据随访结果制订个体化治疗方案。 展开更多
关键词 库欣综合征 肾上腺手术 病因谱 临床特点 治疗方式
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浅谈建立我国重症急性胰腺炎诊治指南的意义 被引量:22
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作者 赵玉沛 《中华外科杂志》 CAS CSCD 北大核心 2007年第11期721-721,共1页
重症急性胰腺炎的外科治疗经历了一个认识逐步加深、方案不断完善的过程。根据已经达成的共识,制定我国重症急性胰腺炎诊治指南十分必要,而且时机已经成熟。其必要性在于,我国幅员辽阔,重症急性胰腺炎的病因谱复杂,自然病程变异极... 重症急性胰腺炎的外科治疗经历了一个认识逐步加深、方案不断完善的过程。根据已经达成的共识,制定我国重症急性胰腺炎诊治指南十分必要,而且时机已经成熟。其必要性在于,我国幅员辽阔,重症急性胰腺炎的病因谱复杂,自然病程变异极大,因此在治疗上亟需一个相对统一的指南加以指导; 展开更多
关键词 重症急性胰腺炎 诊治指南 外科治疗 自然病程 病因谱 加深 成熟 变异
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儿童肺间质疾病诊断程序专家共识 被引量:43
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《中华儿科杂志》 CAS CSCD 北大核心 2013年第2期101-102,共2页
肺间质疾病(interstitiallungdisease,ILD)是一大类在临床(氧合障碍)-影像(弥漫性病变征象).病理(炎症和纤维化)上具有共同特征,而病因不同的异质性疾病的总称。目前已知ILD病因谱约200多种疾病,虽ILD属少见病,但因病因谱... 肺间质疾病(interstitiallungdisease,ILD)是一大类在临床(氧合障碍)-影像(弥漫性病变征象).病理(炎症和纤维化)上具有共同特征,而病因不同的异质性疾病的总称。目前已知ILD病因谱约200多种疾病,虽ILD属少见病,但因病因谱广泛而复杂,诊断和治疗的难度大,故一直被视为呼吸专业的疑难病症。因一些ILD病变在侵犯肺间质的同时,还可累及肺泡、肺毛细血管内皮细胞和细支气管等, 展开更多
关键词 肺间质疾病 诊断程序 肺毛细血管内皮细胞 弥漫性病变 专家 儿童 异质性疾病 病因谱
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Relationship between a novel polymorphism of lipoprotein lipase gene and coronary heart disease 被引量:2
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作者 苏智广 张思仲 +3 位作者 候一平 张立 廖林川 肖翠英 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第5期677-680,147-148,共4页
OBJECTIVE: To investigate polymorphisms in the gene for lipoprotein lipase (LPL) in Chinese populations with coronary heart disease (CHD) and to inquire into the relationship between these polymorphisms in LPL gene an... OBJECTIVE: To investigate polymorphisms in the gene for lipoprotein lipase (LPL) in Chinese populations with coronary heart disease (CHD) and to inquire into the relationship between these polymorphisms in LPL gene and CHD. METHODS: Genomic DNA was extracted from patients with CHD and normal control subjects using a salting out method. The entire coding region and flanking sequences of all coding exons of the LPL gene were amplified by PCR technique and PCR products were detected by denaturing high-performance liquid chromatography (DHPLC) and sequenced with a dideoxy terminal termination method. RESULTS: A novel polymorphic site, G830A, that is within the fifth exon of the LPL gene was found. The 192 codon CGA was changed into CAA and resulted in the substitution of glutamine for arginine. Between the control and CHD groups, chi-square test showed no significant difference in the frequencies of the A/A genotype and A allele (P > 0.05). However, the frequencies of A/A genotype and A allele (0.653 and 0.786) in CHD patients with high plasma triglyceride/lowed plasma high density lipoprotein cholesterol were higher than those (0.415 and 0.642) in CHD patients without hyperlipidemia (P Gln substitution polymorphism and CHD, but there is a significant positive correlation between the A/A genotype of the LPL gene and CHD associated with high triglyceride/lowed high density lipoprotein cholesterol. This study may provide new data for exploring the molecular mechanism of CHD. 展开更多
关键词 Alleles APOLIPOPROTEINS Chromatography High Pressure Liquid Coronary Disease DNA DNA Mutational Analysis Gene Frequency Humans HYPERTRIGLYCERIDEMIA Lipoprotein Lipase LIPOPROTEINS Lipoproteins HDL Cholesterol Polymorphism Genetic Research Support Non-U.S. Gov't
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Understanding auditory neuropathy spectrum disorder: a system- atic review in transgenic mouse models 被引量:1
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作者 Li Wang Jing Guan +9 位作者 Hongyang Wang Lan Lan Qiujing Zhang Liang Zong Wan Du Wenping Xiong Fengjiao Li Kaiwen Wu Dayong Wang Qiuju Wang 《Science China(Life Sciences)》 SCIE CAS CSCD 2016年第5期480-486,共7页
Auditory neuropathy spectrum disorder is a unique group of hearing dysfunctions characterized by preserved outer hair cell function and abnormal neural conduction of the auditory pathway. However, the pathogenic mecha... Auditory neuropathy spectrum disorder is a unique group of hearing dysfunctions characterized by preserved outer hair cell function and abnormal neural conduction of the auditory pathway. However, the pathogenic mechanism underlying this disorder is not clear. We therefore performed a systematic review of genetic mouse models with different gene mutations to provide a valuable tool for better understanding of the process and the possible molecular mechanisms. Of the 18 articles retrieved, nine met the required criteria. All biochemical, histological, and electrophysiological results were recorded for each of the mouse models, as was the transgenic technology. This review provides a summary of different mouse models that may play an important role in the diagnosis and management of auditory neuropathy spectrum disorder in the future. 展开更多
关键词 auditory neuropathy spectrum disorder transgenic mouse models PATHOGENESIS systematic review
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Regulation network and expression profiles of Epstein-Barr virus-encoded microRNAs and their potential target host genes in nasopharyngeal carcinomas 被引量:10
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作者 ZENG ZhaoYang HUANG HongBin +15 位作者 HUANG LiLi SUN MengXi YAN QiJia SONG YaLi WEI Fang BO Hao GONG ZhaoJian ZENG Yong LI Qiao ZHANG WenLing LI XiaYu XIANG Bo LI XiaoLing LI Yong XIONG Wei LI GuiYuan 《Science China(Life Sciences)》 SCIE CAS 2014年第3期315-326,共12页
Epstein-Barr virus(EBV)is associated with nasopharyngeal carcinoma(NPC)tumorigenesis.However,the mechanism(s)connecting EBV infection and NPC remain unclear.Recently,a new class of EBV microRNAs(miRNAs)has been descri... Epstein-Barr virus(EBV)is associated with nasopharyngeal carcinoma(NPC)tumorigenesis.However,the mechanism(s)connecting EBV infection and NPC remain unclear.Recently,a new class of EBV microRNAs(miRNAs)has been described.To determine how EBV miRNAs control the expression of host genes,and to understand their potential role in NPC tumorigenesis,we profiled the expression of 44 mature EBV miRNAs and potential host genes in NPC and non-tumor nasopharyngeal epithelial tissues.We found that 40 EBV miRNAs from the BART transcript were highly expressed in NPC.Analysis of potential BART miRNA target genes revealed that 3140 genes and several important pathways might be involved in the carcinogenesis of NPC.A total of 105 genes with potential EBV miRNA binding sites were significantly downregulated,suggesting that EBV miRNAs may regulate these genes and contribute to NPC carcinogenesis.An EBV miRNA and host gene regulation network was generated to provide useful clues for validating of EBV miRNA functions in NPC tumorigenesis. 展开更多
关键词 Epstein-Barr virus (EBV) microRNA (miRNA) nasopharyngeal carcinoma (NPC) gene regulate network
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Comparing gene expression profiles of Kashin-Beck and Keshan diseases occurring within the same endemic areas of China
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作者 WANG Xi WANG Shuang +8 位作者 HE ShuLan ZHANG Feng TAN WuHong LEI YanXia YU HanJie LI Zheng NING YuJie XIANG YouZhang GUO Xiong 《Science China(Life Sciences)》 SCIE CAS 2013年第9期797-803,共7页
In this study, differentially expressed genes in peripheral blood from patients with Kashin-Beck disease and Keshan disease were compared to further investigate the etiology and pathogenesis of both diseases, which oc... In this study, differentially expressed genes in peripheral blood from patients with Kashin-Beck disease and Keshan disease were compared to further investigate the etiology and pathogenesis of both diseases, which occur in a common endemic area of China. Twenty Kashin-Beck disease patients and 12 healthy controls, and 16 Keshan disease patients and 16 healthy controls, were grouped into four pairs. Patients and controls were selected from common endemic areas for the two diseases. Total RNA was isolated from peripheral blood mononuclear cells from all patients and controls, and gene expression profiles analyzed by oligonucleotide microarrays. Sixteen genes differentially expressed in both Kashin-Beck disease and Keshan disease (versus controls) were identified, and comprised nine genes showing synchronous and seven asynchronous expression. The Comparative Toxicogenomics Database shows that expression and biological function of these genes can be affected by multiple environmental factors, including mycotoxin and selenium content, potential environmental risk factors for the two diseases. Thus, these shared differentially expressed genes may contribute to the distinct organ lesions, caused by common environmental risk factors of Kashin-Beck disease and Keshan disease. 展开更多
关键词 Kashin-Beck disease Keshan disease MICROARRAY peripheral blood mononuclear cells common environmental factors differential gene expression
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