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糖原贮积病1型患者卒中风险的研究现状 被引量:1
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作者 洪月慧 彭斌 邱正庆 《中国卒中杂志》 2015年第10期896-901,共6页
糖原贮积病(glycogen storage disease,GSD)为糖原代谢障碍导致糖原在肝脏、肌肉、肾脏等组织器官中贮积所致的一组遗传代谢性疾病,根据酶缺陷不同,至少可分为12型,以GSD1型最常见,GSD1早期可继发显著的高脂血症,随年龄增长可能出现肾... 糖原贮积病(glycogen storage disease,GSD)为糖原代谢障碍导致糖原在肝脏、肌肉、肾脏等组织器官中贮积所致的一组遗传代谢性疾病,根据酶缺陷不同,至少可分为12型,以GSD1型最常见,GSD1早期可继发显著的高脂血症,随年龄增长可能出现肾功能不全、高血压等远期并发症,这些均为动脉粥样硬化的危险因素,可能增加卒中风险。本文依据GSD1合并卒中的病例报告,探讨GSD1卒中发生的相关机制,目前主要有两种观点:其一认为GSD1患者是早期动脉粥样硬化、卒中的高危人群;其二认为GSD1有显著高脂血症而卒中发病率小,可能具有抗动脉粥样硬化机制,本文从以上两方面分别阐述。 展开更多
关键词 糖原贮积1型 高脂血症 动脉粥样硬化 卒中
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糖原累积病二例报告
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作者 卢义生 王庆苏 《赣南医学院学报》 1989年第Z1期45-46,共2页
例1,死婴,女。足月,胎儿宫内窒息,娩出后全身苍白,抢救无效。尸解见肝脏于肋下4.9cm,剑下5.8cm,肝脏明显曾大,左叶4.8×1.9×2.0cm,右叶7.9×7.3×3.7cm,肝重146g.表面光滑,呈淡紫红略带黄色,切面性状如表面,边缘钝园,... 例1,死婴,女。足月,胎儿宫内窒息,娩出后全身苍白,抢救无效。尸解见肝脏于肋下4.9cm,剑下5.8cm,肝脏明显曾大,左叶4.8×1.9×2.0cm,右叶7.9×7.3×3.7cm,肝重146g.表面光滑,呈淡紫红略带黄色,切面性状如表面,边缘钝园,质软。心脏体积大于死婴右拳。盆腔检查,双子宫。镜检:肝细胞弥漫肿大,胞浆空亮,胞核相对变小,状如植物细胞,PAS染色呈阳性反应。心肌纤维弥漫肿胀,变大变宽,胞核多数靠肌浆边缘,横断面之心肌细胞似脂肪细胞,PAS呈阳性反应。病理诊断:第Ⅱ型糖原累积病(Pompe病)。肝、心肌受累。双子宫畸形。 展开更多
关键词 糖原2 糖原病1 萄糖磷酸酶缺乏
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采用肝细胞移植治疗1a型糖原贮积病
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《传染病网络动态》 2002年第3期9-9,共1页
关键词 1a型糖原贮积 肝细胞移植 替代疗法 门静脉导管
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糖原累积病1a型1例报道
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作者 郭津生 张译心 +2 位作者 李蕾 张丹瑛 钱梦佳 《中华肝脏病杂志》 CAS CSCD 北大核心 2023年第9期999-1001,共3页
糖原累积病(GSD)1a型是由于葡萄糖-6-磷酸酶催化亚单位缺陷所致的常染色体隐性遗传病,属于一种罕见的遗传代谢性疾病。现报道1例GSD-1a青年女性患者,具有典型症状和体征,即不耐受空腹状态,生长发育不良,肝肿大伴多发性肝腺瘤;生物化学... 糖原累积病(GSD)1a型是由于葡萄糖-6-磷酸酶催化亚单位缺陷所致的常染色体隐性遗传病,属于一种罕见的遗传代谢性疾病。现报道1例GSD-1a青年女性患者,具有典型症状和体征,即不耐受空腹状态,生长发育不良,肝肿大伴多发性肝腺瘤;生物化学特征表现为一系列代谢紊乱,包括非酮症性低血糖,空腹高乳酸、高尿酸、高脂血症。患者进而通过外周血全外显子组基因检测发现NM_000151.3:c.648G>T纯合变异而明确为GSD-1a的诊断与分型。GSD-1a的治疗主要包括饮食管理,旨在维持正常的血糖水平;纠正继发性代谢紊乱;监测和处理肝腺瘤与腺瘤癌变等的并发症。 展开更多
关键词 诊断 处理 糖原累积1a型 葡萄糖-6-磷酸酶
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以肝肿大为主要表现的Ⅰa型糖原累积病家系研究分析
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作者 张毅 吴晓林 +2 位作者 胡颖 顾鸣敏 李定国 《中华消化杂志》 CAS CSCD 北大核心 2007年第8期513-515,共3页
目的对一个以肝肿大为主要表现的Ⅰa型糖原累积病(GSDⅠa)家系进行基因突变研究和分析。方法收集GSDⅠa患者家系资料和亲属外周血标本,PCR法扩增葡萄糖-6-磷酸酶(G-6- Pase)基因的5个外显子,并测序比对基因序列的变化。结果结合临床表... 目的对一个以肝肿大为主要表现的Ⅰa型糖原累积病(GSDⅠa)家系进行基因突变研究和分析。方法收集GSDⅠa患者家系资料和亲属外周血标本,PCR法扩增葡萄糖-6-磷酸酶(G-6- Pase)基因的5个外显子,并测序比对基因序列的变化。结果结合临床表现、肝组织学检查及家系分析,患者诊断明确。基因结构分析显示,患者G-6-Pase基因5号外显子密码727G→T/1071G→A(A331E)复合突变。在其父辈家系中存在5号外显子727G→T杂合子突变.导致剪切点突变;其母辈家系中存在5号外显子1071G→A杂合子突变,导致第331位密码子编码的A转变为E。结论患者的祖父及外祖母为首发突变者。727G-T/1071G→A(A331E)复合突变是该家系发病的分子生物学其础。 展开更多
关键词 1型糖原累积 葡萄糖-6-磷酸酶 基因突变
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The association between PPP1R3 gene polymorphisms and type 2 diabetes mellitus 被引量:2
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作者 王国英 钱荣立 +3 位作者 李琼芳 牛天华 陈常中 徐希平 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第12期26-30,102-103,共7页
Objective To detect the relationship between the polymorphism of the glycogen-targeting regulatory subunit of the skeletal muscle glycogen-associated protein phosphatase 1 (PPP1R3) gene and type 2 diabetes by case-con... Objective To detect the relationship between the polymorphism of the glycogen-targeting regulatory subunit of the skeletal muscle glycogen-associated protein phosphatase 1 (PPP1R3) gene and type 2 diabetes by case-control study. Methods We genotyped the PPP1R3 gene Asp905Tyr polymorphism and a common 3'-untranslated region AT (AU)-rich element (ARE) polymorphism in 101 type 2 diabetic patients and 101controls by oligonucleotide ligation assay (OLA) and polyacrylamide gel elecrophoresis, respectively. Results Subjects with Tyr/Tyr genotypes whose body mass index (BMI)<25 were used as the reference group. Those whose BMI25 with Asp905 had a 3.66-fold increase (95% CI: 1.48-9.06, P=0.005) in type 2 diabetes risk. No association was found between 3'UTR ARE polymorphism and type 2 diabetes mellitus (OR=1.15; 95% CI: 0.62-2.14, P=0.65). Conclusion A joint effect between the Asp905 and BMI increases the risk of type 2 diabetes, and Asp905Tyr and ARE polymorphism of PPP1R3 gene are not the major diabetogenic gene variants in Chinese population. 展开更多
关键词 type 2 diabetes mellitus · PPP1R3 gene · polymorphism
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CTLA-4 gene A/G polymorphism associated with diabetes mellitus in Han Chinese 被引量:1
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作者 马芸 汤旭磊 +3 位作者 常薇 高林 李茂欣 严文伟 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第8期1248-1250,157-158,共3页
OBJECTIVE: To investigate the association of cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) gene A/G polymorphism with susceptibility to diabetes mellitus in Han Chinese. METHODS: An A/G transition at position 4... OBJECTIVE: To investigate the association of cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) gene A/G polymorphism with susceptibility to diabetes mellitus in Han Chinese. METHODS: An A/G transition at position 49 of exon 1 was analyzed in 31 patients with type 1 diabetes, 31 patients with type 2 diabetes, and 36 controls were analyzed by polymerase chain reaction-restriction fragment length polymorphism analysis. RESULTS: A highly significant increase in the frequency of the G allele was seen in patients with type 1 diabetes compared with controls (66.1 % vs. 34.7%, respectively; P 展开更多
关键词 IMMUNOCONJUGATES Polymorphism Genetic Antigens Differentiation China Diabetes Mellitus Humans
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Mature insulin production by engineered non-βcells
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作者 沈坤堂 秦新裕 +3 位作者 肖华胜 张新 许相儒 韩泽广 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第4期52-55,149,共5页
To pursue insulin and islet transplantation replacement therapy for type 1 diab etes based on engineered human non β cells which secrete mature insulin Methods Human proinsulin cDNA was cloned from its genomic ge... To pursue insulin and islet transplantation replacement therapy for type 1 diab etes based on engineered human non β cells which secrete mature insulin Methods Human proinsulin cDNA was cloned from its genomic gene and mutated by overlap e xtension PCR, introducing furin consensus cleavage sequences (Arg Xaa Lys/Arg Arg) An expression vector encoding a genetically modified human proinsulin c DNA was generated and transduced to Hela, 293, and L02 cells by lipofectin medi ated DNA transfection Following G418 screening, the surviving L02 cells were s elected and enriched Insulin levels in the supernatant and cells were evaluate d using radioimmunoassay and immunofluorescence staining Results Three sites in the insulin gene were mutated simultaneously Insulin gene m odified cells were able to express insulin at different levels: 8 45-188 00? μIU/24 h/2 0×10 6 Hela cells and 159 88-242 14?μIU/24 h/2 0×10 6 293 cells for transient expression, and 2 56-61 95?μIU/24 h/2 0×10 6 from se veral L02 clones screened with G418 No insulin was released by control cells Furthermore, immunofluorescence staining confirmed that proinsulin was stored a s vacuoles in the cytoplasm of L02 cells Conclusion A correctly mutated human proinsulin cDNA was obtained successfully, transfected and expressed efficiently in non beta cells, lending support to the study of s omatic gene therapy in diabetes mellitus 展开更多
关键词 human proinsulin gene · type 1 diabe tes · gene therapy · islets
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