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2型糖尿病肾损害的病理分型及其临床意义 被引量:3
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作者 王红莉 朱焦 +1 位作者 陈文静 曲延刚 《实用医院临床杂志》 2016年第4期122-124,共3页
目的探讨2型糖尿病病理分型及临床特点对患者肾功能下降速率和相关终点事件的预测价值。方法收集138例T2DM患者,均接受肾活检,根据光学显微镜结果将其分为分为典型糖尿病肾小球病(Diabetic glomerulopathy,DG)77例和不典型糖尿病相关肾... 目的探讨2型糖尿病病理分型及临床特点对患者肾功能下降速率和相关终点事件的预测价值。方法收集138例T2DM患者,均接受肾活检,根据光学显微镜结果将其分为分为典型糖尿病肾小球病(Diabetic glomerulopathy,DG)77例和不典型糖尿病相关肾病(Atypical diabetes-related renal disease,ADRD)61例。比较两组患者的病理活检资料及临床特征。结果与DG组相比,ADRD组患者年龄偏小,BMI、吸烟率高,且糖尿病视网膜病变程度轻,糖尿病病程短,空腹血糖较低,肾小球基底膜厚度和肾血管间质病变积分显著偏低,差异均有统计学意义(均P<0.001);DG组血尿、蛋白尿和肾功能损害情况较ADRD组重,肌酐增加速率快,发生肾脏终点、死亡及眼底事件的例数显著偏多,差异有统计学意义(均P<0.001);两组肾小球硬化率比较,差异无统计学意义(P>0.05)。结论对2型糖尿病肾病进行病理分型研究和临床资料分析有助于预测预后。 展开更多
关键词 糖尿病 糖尿病肾小球病 不典型糖尿病相关
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肾脏病理类型与糖尿病肾病患者预后的关系分析 被引量:3
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作者 张瑞霞 《黑龙江中医药》 2020年第2期79-80,共2页
目的:探讨肾脏病理类型与糖尿病肾病患者预后的关系.方法:选取我院收治的90例糖尿病肾病患者进行研究,以患者肾脏病理改变情况为依据进行分组,其中糖尿病肾小球病组(DG)50例,不典型糖尿病相关肾病组(ADRD)40例;对两组患者的肾脏病理改... 目的:探讨肾脏病理类型与糖尿病肾病患者预后的关系.方法:选取我院收治的90例糖尿病肾病患者进行研究,以患者肾脏病理改变情况为依据进行分组,其中糖尿病肾小球病组(DG)50例,不典型糖尿病相关肾病组(ADRD)40例;对两组患者的肾脏病理改变情况及预后情况进行分析研究.结果:两组患者均行12个月随访,DG组患者随访期间共5例患者死亡,28例患者发生肾脏结局事件;而ADRD组中则无一例患者发生终点事件;两组血肌酐变化率、生存率比较均存在明显差异性(p<0.05);肾脏结局事件的预测因子主要为DG、血管及小管间质病变严重程度、GBM增厚、系膜体积分数等.结论:不同病理类型的糖尿病肾病患者其预后差异性较为明显;肾脏病理改变类型、系膜体积分数等可为临床上预测糖尿病肾病患者预后提供有效参考. 展开更多
关键词 糖尿病 理类型 预后 不典型糖尿病相关 糖尿病肾小球病
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IDENTIFICATION OF GLUCOSE TRANSPORTER- 1 AND ITS FUNCTIONAL ASSAY IN MOUSE GLOMERULAR MESANGIAL CELLS CULTURED IN VITRO
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作者 章精 刘志红 +1 位作者 刘栋 黎磊石 《Chinese Medical Sciences Journal》 CAS CSCD 2001年第1期35-39,共5页
To evaluate the role of glucose transporter- l (GLUT1) in the glucose uptake of glomerular mesangial cells. Methods. Cultured C57/SJL mouse mesangial cells were used in the study. The expression of GLUT1 mRNA was dete... To evaluate the role of glucose transporter- l (GLUT1) in the glucose uptake of glomerular mesangial cells. Methods. Cultured C57/SJL mouse mesangial cells were used in the study. The expression of GLUT1 mRNA was detected by RT- PCR. The expression of GLUT1 protein was detected by immunofluorescence and flow cytometry. The uptake of glucose and its kinetics were determined by 2- deoxy- [3H]- D- glucose uptake. Results. Both GLUT1 mRNA and protein were found in mouse glomerular mesangial cells. 2- deoxy- D- glucose uptake and kinetics assay showed that this glucose transporter had high affinity for glucose and the glucose uptake specificity was further confirmed by phloretin. Conclusion. Functional GLUT1 did present in mouse mesangial cells cultured in vitro and it might be the predominant transporter mediated the uptake of glucose into mesangial cells. 展开更多
关键词 glucose transporter- 1 mesangial cells PHLORETIN diabetic nephropathy
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Effect of uncontrolled hyperglycemia on levels of adhesion molecules in patients with diabetes mellitus type 2
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作者 Barbara RUSZKOWSKA-CIASTEK Alina SOKUP +5 位作者 Tomasz WERNIK Zofia RUPRECHT Barbara GóRALCZYK Krzysztof GóRALCZYK Grazyna GADOMSKA Danuta RO 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2015年第5期355-361,共7页
Objective: Uncontrol ed diabetes has become a major cause of mortality and morbidity by reason of vascular angiopathy. The aim of this study was to evaluate the concentrations of soluble forms of vascular adhesion mo... Objective: Uncontrol ed diabetes has become a major cause of mortality and morbidity by reason of vascular angiopathy. The aim of this study was to evaluate the concentrations of soluble forms of vascular adhesion molecule-1 (sVCAM-1), intercel ular adhesion molecule-1 (sICAM-1), E-selectin, and thrombomodulin in patients with wel-control ed and uncontrol ed diabetes type 2. Methods: The study was conducted on 62 patients with diabetes. Group I consisted of 35 patients with wel-control ed diabetes. The second group included 27 patients with uncontrol ed diabetes with micro-albuminuria. A control group was made up of 25 healthy volunteers. The concentrations of sVCAM-1, sICAM-1, sE-selectin, and soluble thrombomodulin were assayed in plasma. Serum concentration of cre-atinine was measured and the plasma concentrations of fasting glucose and glycated hemoglobin (HbA1c) determined. Results: Lower concentrations of ICAM-1 were found in the group of uncontrolled diabetes patients compared with those with wel-control ed disease. In patients with uncontrol ed diabetes, VCAM-1 levels were significantly higher compared with the group with wel-control ed diabetes. In patients with uncontrol ed diabetes a positive correlation was obtained between glomerular filtration rate and sE-selectin and a negative correlation between the levels of creatinine and ICAM-1, although there was a positive correlation between (HbA1c) and ICAM-1. Conclusions: The study con-firmed the participation of the inflammatory process associated with impaired vascular endothelial function in the pathogenesis of type 2 diabetes. The opposite effect of uncontrolled hyperglycemia on adhesion molecules suggests different functions of VCAM-1 and ICAM-1 in complications of diabetes. 展开更多
关键词 Diabetic kidney disease Glomerular filtration rate HYPERFILTRATION
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Identification and function of glucose transporter 1 in human mesangial cells
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作者 李颖健 刘志红 +3 位作者 刘栋 章精 陈朝红 黎磊石 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第8期41-45,105,共6页
Objective To evaluate the role of glucose transporter 1 (GLUT1) in the glucose uptake of glomerular mesangial cells.Methods Cultured human glomerular mesangial cells were used. The expressions of glucose transporter... Objective To evaluate the role of glucose transporter 1 (GLUT1) in the glucose uptake of glomerular mesangial cells.Methods Cultured human glomerular mesangial cells were used. The expressions of glucose transporter 1 mRNA and protein were detected with reverse transcription-polymerase chain reaction (RT-PCR), flow cytometry and immunofluorescence staining. Glucose uptake was determined with 2-deoxy-[3H]-D-glucose uptake assay.Results The expressions of GLUT1 mRNA and proteins were detected in human mesangial cells. Glucose uptake and its kinetics assay showed that GLUT1 is a functional glucose transporter in cultured human mesangial cells, and that its function could be inhibited by the specific inhibitor, Phloretin. Conclusion GLUT1 is the predominant glucose transporter in human mesangial cells, which has the kinetic characteristics of high affinity and low capacity for D-glucose. This suggests that in order for mesangial cells to take up excessive quantities of glucose, as in diabetes, changes in glucose transporter expression, translocation or activity may be required. 展开更多
关键词 glucose transporter 1 · mesangial cel ls · diabetic nephropathy
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