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2例误诊的慢性中性粒细胞白血病实验室特征分析
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作者 白洁 朴文花 +1 位作者 殷雨梅 李芳 《国际检验医学杂志》 CAS 2019年第S02期279-281,共3页
目的通过血常规、骨髓细胞形态学、骨髓病理分析、流式细胞学免疫分型、基因检测,提高对慢性中性粒细胞白血病(CNL)的认识及诊断与鉴别诊断。方法收集1999年5月及2017年12月诊断为CNL的患者实验室相关资料。结果2例CNL患者血常规显示WBC... 目的通过血常规、骨髓细胞形态学、骨髓病理分析、流式细胞学免疫分型、基因检测,提高对慢性中性粒细胞白血病(CNL)的认识及诊断与鉴别诊断。方法收集1999年5月及2017年12月诊断为CNL的患者实验室相关资料。结果2例CNL患者血常规显示WBC(20.00~38.14)×10^9/L,HGB(98~135 g/L)及PLT(162~240)×10^9/L;外周血细胞形态表现为成熟中性粒细胞比例显著增多(76~95),其中1例单核细胞百分比为12%;骨髓涂片显示:骨髓增生明显活跃,粒系增生活跃,其中1例以中性杆核及分叶核细胞为主,而另1例以中性中幼粒以下细胞阶段为主,形态发育未见异常;红系、巨核系未见异常;骨髓活检示:造血细胞增生活跃,粒系增生活跃,以中性中幼粒以下阶段细胞为主。红系增生受抑,幼红细胞可见,形态未见异常;巨核系增生活跃,其中1例可见病态巨核细胞,且流式细胞免疫分型检测到0.6%的异常髓系幼稚细胞;1例患者BCR-ABL融合基因阴性,另1例患者JAK2V617F、CALR、MPL均阴性,PDGFRA、PDGFRB、FGFR1基因未检测到重排,BCR-ABL融合基因阴性;CSF3R基因Exon14c.1853C>T(p.T618I)突变阳性。结论通过对CNL实验室特征的综合分析,减少对该病的漏诊及误诊,为临床精准诊断提供更加准确的实验室依据。 展开更多
关键词 慢性中性粒细胞血病 类白反应 慢性粒单核细胞血病 细胞形态 基因 CSF3R
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酒精性肝硬化患者出现类白血病反应1例
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作者 张阮 《中华肝脏病杂志》 CAS CSCD 北大核心 2016年第4期312-312,共1页
患者,男性,56岁,因“腹胀、尿少1个月”入院。2014年10月1日饮酒后出现腹胀、尿少,未引起重视,后症状持续加重,于2014年11月3日就诊于本院门诊,彩超提示:肝硬化,肝内多发小结节,胆囊炎症样改变,脐静脉开放,脾大,腹水(大... 患者,男性,56岁,因“腹胀、尿少1个月”入院。2014年10月1日饮酒后出现腹胀、尿少,未引起重视,后症状持续加重,于2014年11月3日就诊于本院门诊,彩超提示:肝硬化,肝内多发小结节,胆囊炎症样改变,脐静脉开放,脾大,腹水(大量),以肝硬化(活动性、失代偿性)并腹水收入住院。患者有饮酒史25年,平均每日饮白酒1斤;平时未体检。 展开更多
关键词 肝硬化 类白反应
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Atherosclerosis: from biology to pharmacological treatment 被引量:5
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作者 Graziano Riccioni Valeriana Sblendorio 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2012年第3期305-317,共13页
A recent explosion in the amount of cardiovascular risk has swept across the globe. Primary prevention is the preferred method to lower cardiovascular risk. Lowering the prevalence of obesity is the most urgent matter... A recent explosion in the amount of cardiovascular risk has swept across the globe. Primary prevention is the preferred method to lower cardiovascular risk. Lowering the prevalence of obesity is the most urgent matter, and is pleiotropic since it affects blood pressure, lipid profiles, glucose metabolism, inflammation, and atherothrombotic disease progression. Given the current obstacles, success of primary prevention remains uncertain. At the same time, the consequences of delay and inaction will inevitably be disastrous, and the sense of urgency mounts. Pathological and epidemiological data confirm that atherosclerosis begins in early childhood, and advances seamlessly and inexorably throughout life. Risk factors in childhood are similar to those in adults, and track between stages of life. When indicated, aggressive treatment should begin at the earliest indication, and be continued for many years. For those patients at intermediate risk according to global risk scores, C-reactive protein, coronary artery calcium, and carotid intima-media thickness are available for further stratification. Using statins for primary prevention is recommended by guidelines, is prevalent, but remains under prescribed. Statin drugs are unrivaled, evidence-based, major weapons to lower cardiovascular risk. Even when low density lipoprotein cholesterol targets are attained, over half of patients continue to have disease progression and clinical events. Though clinical evidence is incomplete, altering or raising the blood high density lipoprotein cholesterol level continues to be pursued. The aim of this review is to point out the attention of key aspects of vulnerable plaques regarding their pathogenesis and treatment. 展开更多
关键词 ATHEROSCLEROSIS Coronary heart disease STATINS Metabolic syndrome Carotid intima-media thickness HYPERTENSION
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Nuclear effects of ethanol-induced proteasome inhibition in liver cells 被引量:4
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作者 Fawzia Bardag-Gorce 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第10期1163-1167,共5页
Alcohol ingestion causes alteration in several cellular mechanisms, and leads to inflammation, apoptosis, immunological response defects, and fibrosis. These phenomena are associated with significant changes in the ep... Alcohol ingestion causes alteration in several cellular mechanisms, and leads to inflammation, apoptosis, immunological response defects, and fibrosis. These phenomena are associated with significant changes in the epigenetic mechanisms, and subsequently, to liver cell memory. The ubiquitin-proteasome pathway is one of the vital pathways in the cell that becomes dysfunctionial as a result of chronic ethanol consumption. Inhibition of the proteasome activity in the nucleus causes changes in the turnover of transcriptional factors, histone modifying enzymes, and therefore, affects epigenetic mechanisms. Alcohol consumption has been associated with an increase in histone acetylation and a decrease in histone methylation, which leads to gene expression changes. DNA and histone modifications that result from ethanol-induced proteasome inhibition are key players in regulating gene expression, especially genes involved in the cell cycle, immunological responses, and metabolism of ethanol. The present review highlights the consequences of ethanol-induced proteasome inhibition in the nucleus of liver cells that are chronically exposed to ethanol. 展开更多
关键词 Alcohol liver injury Proteasome inhibition Epigenetic mechanisms
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Arctic spring: the arrival biology of migrant birds
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作者 John C.WINGFIELD Noah OWEN-ASHLEY +6 位作者 Z.Morgan BENOWITZ-FRED-ERICKS Sharon E.LYNN Thomas P.HAHN Haruka WADA Creagh BRE-UNER Simone L.MEDDLE L.Michael ROMERO 《动物学报》 SCIE CAS CSCD 北大核心 2004年第6期948-960,共13页
On arrival in the Arctic, migrant birds must adjust their physiology and behavior to unpredictable snow cover, weather, food sources and predator pressure. In other words they must be resistant to environmental pertur... On arrival in the Arctic, migrant birds must adjust their physiology and behavior to unpredictable snow cover, weather, food sources and predator pressure. In other words they must be resistant to environmental perturbations (stress) so that they can migrate to their tundra nesting areas and settle on territories as soon as possible. They can then begin breeding as soon as when environmental conditions become favorable. They do this partly by using micro-habitats such as areas where snow depth is low, and patches of tundra that melt out rapidly (especially near willows Salix sp). Ground temperatures increase dramatically within hours after exposure to sun; and invertebrate activity begins simultaneously. Wind speeds are attenuated almost completely within 10 cm of the ground in willows and tussock tundra. The combination of these conditions provides an ideal refuge, especially for passerine migrants in early spring. However, if conditions worsen, the birds can leave. There are adjustments of the adrenocortical responses to stress because arctic conditions in spring are potentially severe, at least compared with wintering grounds to the south. Secretion of corticosterone in response to acute stress is enhanced at arrival in males, accompanied by a decrease in sensitivity to negative feedback and a change in responsiveness of the adrenal cortex cells to adrenocorticotropin. There is also an increase in levels of corticosterone-binding globulin (CBG) so that the actions of corticosterone are buffered according to the severity of environmental conditions. Regulation at the level of genomic receptors, particularly the low affinity glucocorticosteroid-like receptor for corticosterone in brain and liver, may be important; and non-genomic actions of corticosterone may play a major role too. In other words, the hormone-behavior system associated with arrival biology is highly flexible. 展开更多
关键词 ARCTIC Migration Stress ADRENAL CORTICOSTERONE RECEPTOR
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Antibodies against ribosomal protein S29(RPS29)fused with glutathione's transferase specially react with native RPS29 in mouse and human cells
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作者 Liu Jia Han Junfeng +7 位作者 Li Dongying Jian Rui Rao XianCai Chen Wei Wang Jiali Xu Xiaofeng Hu Zhen Zhang Junlei 《Journal of Medical Colleges of PLA(China)》 CAS 2011年第1期21-28,共8页
The ribosomal protein S29 also known as RPS29, is not only a component of the 40S subunit of ribosome, but also involved in embryonic development, oncogenesis and other pathologic conditions. However, rare commercial ... The ribosomal protein S29 also known as RPS29, is not only a component of the 40S subunit of ribosome, but also involved in embryonic development, oncogenesis and other pathologic conditions. However, rare commercial antibody against RPS29 restricts the discovery of precise physiological and pathological function of this protein. In this study, the whole RPS29 gene was inserted into plasmid pGEX-6p-1 to express glutathione's transferase (GST) fusion proteins in Escherichia eoli (E. coli) strain BL21. High yields of soluble recombinant proteins were obtained. Mice were immunized with the recombinant RPS29 protein. The serum from the immunized mice could specially react with purified recombinant RPS29 proteins and native RPS29 proteins in CCE cells by western blotting, immunofluorescence staining and flow cytometric analysis. Further more the polyclonal antibodies also reacted specifically with human cell strain ECV304, which showed typical cytoplasmatic fluorescence. The polyclonal antibodies we prepared would be an available tool for studying the roles of RPS29 in embryonic development and human diseases. 展开更多
关键词 Ribosomal protein S29 Polyclonal antibody Glutathione's transferase (GST)
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Peptide binding specificities of HLA-B*5701 and B*5801 被引量:1
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作者 ZHANG YaLan MEI Hu +4 位作者 WANG Qing XlEJiangAn LV Juan PAN XianChao TAN Wen 《Science China(Life Sciences)》 SCIE CAS 2012年第9期818-825,共8页
Recently, genome wide association studies showed that there is a strong association between abacavir-induced serious, idio- syncratic, adverse drag reactions (ADRs) and human leukocyte antigen-B*5701 (HLA-B*5701... Recently, genome wide association studies showed that there is a strong association between abacavir-induced serious, idio- syncratic, adverse drag reactions (ADRs) and human leukocyte antigen-B*5701 (HLA-B*5701). Studies also found that ab- acavir-induced ADRs were seldom observed in patients carrying the HLA-B*5801 subtype. HLA-B*5801 of the same sero- type (B17) as B*5701 differs by only 4 amino acids from B'5701. It is believed that because of these sequence differences, HLA-B*5801 cannot bind the specific peptides which are required for HLA-B*5701 to stimulate the T cell immune response. Thus, the difference in peptide binding profiles between HLA-B*5701 and B*5801 is an important clue for exploring the mechanisms of abacavir-induced ADRs. VHSE (principal component score vector of hydrophobic, steric, and electronic prop- erties), a set of amino acid structural descriptors, was employed to establish QSAR models of peptide-binding affinities of HLA-B*5701 and B*5801. Optimal linear SVM (support vector machine) models with high predictive capabilities were ob- tained for both B*5701 and B'5801. The R2 (coefficient of determination), Q2 (cross-validated R:), and RpRE2 (R2 of test set) of two optimal models were 0,7530, 0.7037, 0.6153 (B'5701) and 0.6074, 0.5966, 0.5762 (B*5801), respectively. For B'5701 and B'5801, the mutations in positions 45 (MET-THR) and 46 (ALA-GLU) have little influence on the selection specificity of the P2 position of the bound peptide. However, the mutation in position 97 (VAL-ARG) greatly influences the selection speci- ficity of the P7 position. HLA-B*5701 prefers the bulky and positively charged amino acids at the P7 position. In contrast, HLA-B*5801 prefers the non-polar hydrophobic amino acids at the P7 position while positively charged amino acids are un- favored. 展开更多
关键词 human leukocyte antigen B*5701 B*5801 SVM P-I concept VHSE
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