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复方黄柏液熏洗配合括约肌间入路治疗肛周脓肿的疗效及安全性研究 被引量:3
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作者 何新立 王国栋 濮田 《海南医学》 CAS 2023年第18期2631-2635,共5页
目的探究复方黄柏液熏洗配合括约肌间入路治疗肛周脓肿的疗效及安全性。方法选取2019年6月至2022年6月河南科技大学第一附属医院收治的60例肛周脓肿患者纳入研究,按随机数表法分为对照组和观察组各30例。两组患者均给予括约肌间入路手... 目的探究复方黄柏液熏洗配合括约肌间入路治疗肛周脓肿的疗效及安全性。方法选取2019年6月至2022年6月河南科技大学第一附属医院收治的60例肛周脓肿患者纳入研究,按随机数表法分为对照组和观察组各30例。两组患者均给予括约肌间入路手术治疗,术后对照组予以康复新液熏洗,观察组予以复方黄柏液熏洗,直至创面愈合。4周后比较两组患者的临床疗效,术后7 d、14 d及21 d的肛门疼痛程度、肉芽生长情况、创面愈合率、创面组织形态和术前、术后7 d、14 d及21 d的免疫炎性因子水平[白介素(IL)-6、肿瘤坏死因子-α(TNF-α)、C-反应蛋白(CRP)]以及术后4周、6周及8周的肛门功能评分;同时比较两组患者术后并发症发生情况。结果观察组患者的治疗总有效率为96.67%,明显高于对照组的73.33%,差异有统计学意义(P<0.05);观察组患者术后7 d、14 d及21 d的创面肉芽生长情况评分分别为(1.22±0.57)分、(0.62±0.27)分、(0.25±0.04)分,明显低于对照组的(1.83±0.85)分、(1.32±0.48)分、(0.67±0.32)分,肛门疼痛程度分别为(2.15±0.53)分、(1.25±0.22)分、(1.07±0.13)分,明显低于对照组的(4.64±1.34)分、(3.57±1.08)分、(1.85±0.59)分,创面愈合率分别为(15.82±1.56)%、(72.37±3.85)%、(95.83±4.37)%,明显高于对照组的(10.37±1.31)%、(55.69±3.29)%、(77.52±3.57)%,差异均有统计学意义(P<0.05);观察组患者术后7 d、14 d及21 d的巨噬细胞比例、新生毛细血管数、成纤维细胞数明显高于对照组,血清IL-6、CRP、TNF-α水平明显低于对照组,差异均有统计学意义(P<0.05);观察组患者术后4周、6周及8周的肛门功能评分明显低于对照组,差异均有统计学意义(P<0.05);观察组患者的术后并发症发生率为6.67%,明显低于对照组的30.00%,差异有统计学意义(P<0.05)。结论复方黄柏液熏洗配合括约肌间入路治疗肛周脓肿能有效减轻患者的肛门疼痛程度,降低免疫炎性反应和术后并发症发生率,有助于术后创面愈合,临床治疗效果较好。 展开更多
关键词 肛周脓肿 括约肌间入路 创面愈合 免疫细胞因子 复方黄柏液 安全
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Role of the endothelium in inflammatory bowel diseases 被引量:11
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作者 Walter E Cromer J Michael Mathis +2 位作者 Daniel N Granger Ganta V Chaitanya J Steven Alexander 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第5期578-593,共16页
Inflammatory bowel diseases(IBD) are a complex group of diseases involving alterations in mucosal immunity and gastrointestinal physiology during both initiation and progressive phases of the disease.At the core of th... Inflammatory bowel diseases(IBD) are a complex group of diseases involving alterations in mucosal immunity and gastrointestinal physiology during both initiation and progressive phases of the disease.At the core of these alterations are endothelial cells,whose continual adjustments in structure and function coordinate vascular supply,immune cell emigration,and regulation of the tissue environment.Expansion of the endothelium in IBD(angiogenesis),mediated by inflammatory growth factors,cytokines and chemokines,is a hallmark of active gut disease and is closely related to disease severity.The endothelium in newly formed or inflamed vessels differs from that in normal vessels in the production of and response to inflammatory cytokines,growth factors,and adhesion molecules,altering coagulant capacity,barrier function and blood cell recruitment in injury.This review examines the roles of the endothelium in the initiation and propagation of IBD pathology and distinctive features of the intestinal endothelium contributing to these conditions. 展开更多
关键词 MICROVASCULATURE ENDOTHELIUM Inflamma-tion Nitric oxide Adhesion molecules Crohn's disease Ulcerative colitis CYTOKINES CHEMOKINES Growth factors
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Mesenchymal stem cells: a new strategy for immunosuppression and tissue repair 被引量:75
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作者 Yufang Shi Gangzheng Hu +11 位作者 Juanjuan Su Wenzhao Li Qing Chen Peishun Shou Chunliang Xu Xiaodong Chen Yin Huang Zhexin Zhu Xin Huang Xiaoyan Han Ningxia Xie Guangwen Ren 《Cell Research》 SCIE CAS CSCD 2010年第5期510-518,共9页
Mesenchymal stem cells (MSCs) have great potential for treating various diseases, especially those related to tissue damage involving immune reactions. Various studies have demonstrated that MSCs are strongly immuno... Mesenchymal stem cells (MSCs) have great potential for treating various diseases, especially those related to tissue damage involving immune reactions. Various studies have demonstrated that MSCs are strongly immunosuppressive in vitro and in vivo. Our recent studies have shown that un-stimulated MSCs are indeed incapable of immunosuppression; they become potently immunosuppressive upon stimulation with the supernatant of activated lymphocytes, or with combinations of IFN-γ, with TNF-α, IL-1α or IL-1β. This observation revealed that under certain circumstances, inflammatory cytokines can actually become immunosuppressive. We showed that there is a species variation in the mechanisms of MSC-mediated immunosuppression: immunosuppression by cytokine-primed mouse MSCs is mediated by nitric oxide (NO), whereas immunosuppression by cytokine-primed human MSCs is executed through indoleamine 2, 3-dioxygenase (IDO). Additionally, upon stimulation with the inflammatory cytokines, both mouse and human MSCs secrete several leukocyte chemokines that apparently serve to attract immune cells into the proximity with MSCs, where NO or IDO is predicted to be most active. Therefore, immunosuppression by inflammatory cytokine-stimulated MSCs occurs via the concerted action of chemokines and immune-inhibitory NO or IDO produced by MSCs. Thus, our results provide novel information about the mechanisms of MSC-mediated immunosuppression and for better application of MSCs in treating tissue injuries induced by immune responses. 展开更多
关键词 MSCS IMMUNOSUPPRESSION tissue repair immune diseases
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The roles of toll-like receptors in carcinogenesis and cancer immunotherapy 被引量:1
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作者 Lei He Lin Zhang +1 位作者 Zhaofeng Li Quan Zhang 《The Chinese-German Journal of Clinical Oncology》 CAS 2010年第2期118-120,共3页
Toll-like receptors (TLRs) are probably the most important class of pattern-recognition receptors. Members of the TLR family play key roles in the both innate and adaptive immune responses. Recognition of pathogen-a... Toll-like receptors (TLRs) are probably the most important class of pattern-recognition receptors. Members of the TLR family play key roles in the both innate and adaptive immune responses. Recognition of pathogen-associated molecular patterns (PAMPs) by TLRs, either alone or in heterodimedzation with other TLR or non-TLR receptors, induces the production of signals that are responsible for the activation of genes important for an effective host defense, especially those of proinflammatory cytokines. Thus, TLRs are involved in the development of many pathological conditions including infectious diseases, tissue damage, and cancer especially. In this review, the contribution of TLRs to tumorgenesis is evaluated. We hope to provide new insight into the progression of cancer and more importantly into the potential for TLRs as targets of therapeutics. 展开更多
关键词 Toll-like receptors SIGNALING CANCER IMMUNOTHERAPY
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Adenosine:An immune modulator of inflammatory bowel diseases 被引量:1
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作者 Jeff Huaqing Ye Vazhaikkurichi M Rajendran 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第36期4491-4498,共8页
Inflammatory bowel disease(IBD)is a common and lifelong disabling gastrointestinal disease.Emerging treatments are being developed to target inflammatory cytokines which initiate and perpetuate the immune response.Ade... Inflammatory bowel disease(IBD)is a common and lifelong disabling gastrointestinal disease.Emerging treatments are being developed to target inflammatory cytokines which initiate and perpetuate the immune response.Adenosine is an important modulator of inflammation and its anti-inflammatory effects have been well established in humans as well as in animal models.High extracellular adenosine suppresses and resolves chronic inflammation in IBD models.High extracellular adenosine levels could be achieved by enhanced adenosine absorption and increased de novo synthesis.Increased adenosine concentration leads to activation of the A2a receptor on the cell surface of immune and epithelial cells that would be a potential therapeutic target for chronic intestinal inflammation. Adenosine is transported via concentrative nucleoside transporter and equilibrative nucleoside transporter transporters that are localized in apical and basolateral membranes of intestinal epithelial cells,respectively. Increased extracellular adenosine levels activate the A2a receptor,which would reduce cytokines responsible for chronic inflammation. 展开更多
关键词 Crohn's disease Ulcerative colitis Inflammatory bowel diseases Epithelial cells Membranetransporters Immuno-modulator
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N-乙酰半胱氨酸联合抗结核药治疗慢性阻塞性肺疾病合并肺结核患者的相关指标分析 被引量:18
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作者 陶静 孙秋雁 +1 位作者 周铭 王玉婷 《中国医院药学杂志》 CAS 北大核心 2021年第7期728-731,744,共5页
目的:分析N-乙酰半胱氨酸(N-acetylcysteine, NAC)联合抗结核治疗对老年慢性阻塞性肺疾病(chronic obstructive pulmonary diseases, COPD)合并肺结核(tuberculosis, TB)患者肺功能、免疫炎性因子及其与预后的关系。方法:回顾性选取2018... 目的:分析N-乙酰半胱氨酸(N-acetylcysteine, NAC)联合抗结核治疗对老年慢性阻塞性肺疾病(chronic obstructive pulmonary diseases, COPD)合并肺结核(tuberculosis, TB)患者肺功能、免疫炎性因子及其与预后的关系。方法:回顾性选取2018年1月至2019年6月某院收治的90例老年COPD合并TB患者作为研究对象,随机分为对照组(n=44)和观察组(n=46)。对照组患者给予常规四联抗结核治疗,观察组再联合NAC治疗。治疗6个月后,比较治疗前后2组患者肺功能、免疫炎性因子及生活质量。结果:治疗后,观察组患者结核病变程度、病灶吸收及空洞愈合状况均优于对照组。观察组患者肺功能FEV1、FVC及FEV1/FVC分别为(1.36±0.11) L、(1.77±0.18) L和(56.85±5.91)%;CD3^(+)、CD4^(+)、CD8^(+)T淋巴细胞和NK细胞比例较治疗前明显升高,而B淋巴细胞百分比有所下降(P<0.05);炎性因子TNF-α及IL-6水平和治疗前比较均有降低,IL-10含量明显升高;患者肺功能、免疫炎性相关指标改善情况均显著优于对照组(P<0.05)。观察组生活质量如症状、活动及日常生活影响评分显著低于对照组,差异有统计学意义(P<0.05)。结论:NAC联合抗结核治疗可有效提高结核病灶吸收率及空洞愈合率,其通过改善机体免疫功能、减轻炎症反应,进而改善患者肺功能和预后生活质量。 展开更多
关键词 N-乙酰半胱氨酸 阻塞肺疾病 肺结核 肺功能 细胞免疫炎性因子
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A corn straw-based diet increases release of inflammatory cytokines in peripheral blood mononuclear cells of dairy cows 被引量:1
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作者 Yan-yi CHE Xiao-jing XIA +7 位作者 Bo-ping HE Yuan-yuan GAO Wen-bo REN Hong-tao LIU Jian-fang LIU Ting-hao HUANG Wen-yu HAN Lian-cheng LEI 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2018年第10期796-806,共11页
Recent studies have shown that diet can affect the body's immunity. Roughage of dairy cows consists of a variety of plant materials which make different contributions to health. This study investigated the effect of ... Recent studies have shown that diet can affect the body's immunity. Roughage of dairy cows consists of a variety of plant materials which make different contributions to health. This study investigated the effect of different roughages on the immunity of dairy cows. Serum, peripheral blood mononuclear cells (PBMCs), and milk samples were collected from 20 multiparous mid-lactation cows fed mixed forage (MF)- or corn straw (CS)-based diets. Ex- pression profile analysis was used to detect the differentially expressed genes (DEGs) from PBMCs. The results showed that milk protein in the MF group increased to 3.22 g/100 ml, while that of the CS group milk was 2.96 g/100 ml; by RNA sequencing, it was found that 1615 genes were differentially expressed between the CS group and the MF group among the 24027 analyzed probes. Gene ontology (GO) and pathway analysis of DEGs suggested that these genes (especially genes coding cytokines, chemokine and its receptors) are involved in the immune response. Results were confirmed at the protein level via detecting the levels of interleukin-2 (IL-2), IL-6, IL-10, IL-12, leptin (LEP), interferon-γ (IFN-γ), transforming growth factor-βl (TGF-β1), and tumor necrosis factor-α (TNF-α) in peripheral blood by enzyme-linked immunosorbent assay (ELISA) and radioimmunoassay analysis. Our data supported the conclusions that the protein content in milk of the MF group was higher than that of the CS group, the CS-based diets induced more release of cytokines than the MF-based diets in dairy cows' PBMCs, and milk protein content may be affected by cytokines. 展开更多
关键词 Roughage IMMUNITY Inflammatory cytokine Expression profile analysis
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