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双硫仑作用机制及其在治疗抗肾小球基底膜型肾小球肾炎中的研究进展
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作者 张雁宇 吕欣 +3 位作者 黄晓光 任小军 王雪 于为民 《临床肾脏病杂志》 2024年第3期249-253,共5页
双硫仑作为一种治疗慢性酒精中毒的药物在临床中广泛使用。近年来,研究者提出了双硫仑治疗癌症的具体机制,如抑制乙醛脱氢酶(acetaldehyde dehydrogenase,ALDH)的活性、提高细胞内活性氧(reactive oxygen species,ROS)的浓度、抑制核因... 双硫仑作为一种治疗慢性酒精中毒的药物在临床中广泛使用。近年来,研究者提出了双硫仑治疗癌症的具体机制,如抑制乙醛脱氢酶(acetaldehyde dehydrogenase,ALDH)的活性、提高细胞内活性氧(reactive oxygen species,ROS)的浓度、抑制核因子kappa-B(nuclear factor kappa-B,NF-κB)的活性,促进与核蛋白定位蛋白4(nuclear protein localization protein 4,NPL4)的结合、抑制FROUNT蛋白等,并在多种癌症模型中证明了双硫仑的抗癌活性。抗肾小球基底膜型肾小球肾炎是急进性肾小球肾炎中的一种类型,该病一旦被确诊,就需要第一时间给予治疗,尽量帮助患者缓解症状、改善预后。研究表明,双硫仑可通过抑制C-C趋化因子受体2型/C-C趋化因子受体5型(C-C chemokine receptor type 2/C-C chemokine receptor type 5,CCR-2/CCR-5)和FROUNT蛋白之间的相互作用来抑制巨噬细胞的迁移、聚集、活化来缓解抗肾小球基底膜型肾小球肾炎,这表明双硫仑对该类患者具有潜在的治疗价值。本文简要回顾了双硫仑最新研究中阐明的相关作用分子机制,展望了未来双硫仑作为新的药物治疗抗肾小球基底膜型肾小球肾炎的前景。 展开更多
关键词 双硫仑 肾小基底膜型肾小 巨噬细胞
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以突发性头痛为首发症状的硬化性肾小球肾炎并发急性肾功能衰竭1例报告
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作者 董仓荣 傅天真 《首都医科大学学报》 CAS 1996年第3期232-234,共3页
以突发性头痛为首发症状的硬化性肾小球肾炎并发急性肾功能衰竭1例报告首都医科大学附属北京同仁医院儿科董仓荣,傅天真患儿男性,13岁,因剧烈头痛半天,间断眼睑浮肿4d,以“高血压脑病(急性肾炎所致?),急性肾小球肾炎”入... 以突发性头痛为首发症状的硬化性肾小球肾炎并发急性肾功能衰竭1例报告首都医科大学附属北京同仁医院儿科董仓荣,傅天真患儿男性,13岁,因剧烈头痛半天,间断眼睑浮肿4d,以“高血压脑病(急性肾炎所致?),急性肾小球肾炎”入院,神志清,精神尚可,全身无浮肿,... 展开更多
关键词 硬化性 肾小球肾球 功能衰竭 头痛
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调节性T细胞在小鼠抗肾小球基底膜型肾小球肾炎模型中的免疫调节机制研究 被引量:5
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作者 周焕 张新 +2 位作者 何泳 彭清平 王晓慧 《临床肾脏病杂志》 2017年第3期172-176,共5页
目的探讨在小鼠抗肾小球基底膜型肾小球肾炎(抗GBM肾炎)模型的肾炎进展中调节性T细胞(regulatory T cell,Treg)免疫调节机制,为早期干预免疫反应,减轻病理损害提供理论依据。方法将C57BL/6小鼠随机分为2组即正常对照组和抗GBM肾炎模型... 目的探讨在小鼠抗肾小球基底膜型肾小球肾炎(抗GBM肾炎)模型的肾炎进展中调节性T细胞(regulatory T cell,Treg)免疫调节机制,为早期干预免疫反应,减轻病理损害提供理论依据。方法将C57BL/6小鼠随机分为2组即正常对照组和抗GBM肾炎模型组。在建模不同时间点即建模的第7、14、21、28天将小鼠处死后收集并检测血清中的肌酐(serum creatinine,SCr)、尿素氮(blood urea nitrogen,BUN)及尿蛋白含量,随机尿中尿蛋白/肌酐比值(albumin-to-creatinine ratio,ACR)变化;留取肾脏标本检测病理改变。流式细胞术(fluorescence-activated cell sorting,FACS)检测脾脏中Treg细胞表达情况;免疫印迹法(Western blot)检测肾脏组织中DNA结合抑制因子3(Id3)和Foxp3等蛋白表达情况。结果与正常对照组小鼠相比,抗GBM肾炎模型组小鼠肾脏病理示GBM不规则弥漫增厚甚至部分断裂、系膜细胞和基质增生、新月体形成;免疫荧光示鼠IgG和兔IgG在基底膜呈线性沉积;SCr、BUN、尿蛋白和ACR增加明显(P<0.05);抗GBM肾炎模型组中细胞和蛋白水平检测到的相关因子均呈规律性表达:与正常对照组相比,随着病情进展抗GBM肾炎模型组中Th17细胞的表达比例呈现先上升后下降的趋势,而与此同时Treg细胞则从第7天开始即出现升高的趋势,差异具有统计学意义(P<0.05或P<0.01);抗GBM肾炎模型组小鼠肾脏组织中Foxp3及Id3的蛋白表达均较正常对照组明显增加,差异均具有统计学意义(P<0.05或P<0.01);Id3的蛋白表达与Treg细胞特异性转录因子水平相关。结论在抗GBM肾炎的免疫进程中,Treg发挥重要作用,这种作用可能与转录调节因子Id3有关。 展开更多
关键词 调节性T细胞 肾小基底膜型肾小 DNA结合抑制因子3
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HMGB1、TLR4、STAT3在抗肾小球基底膜型肾小球肾炎小鼠模型中的表达及意义 被引量:1
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作者 钱阳晶 《国际检验医学杂志》 CAS 2017年第17期2416-2418,共3页
目的探讨高迁移率族蛋白1(HMGB1)、Toll样受体-4(TLR4)、信号转导和转录激活因子3(STAT3)在抗肾小球基底膜型肾小球肾炎小鼠模型中的表达及意义。方法收集30只小鼠,随机分为正常小鼠组(对照组)、抗肾小球基底膜型肾小球肾炎建模组(试验... 目的探讨高迁移率族蛋白1(HMGB1)、Toll样受体-4(TLR4)、信号转导和转录激活因子3(STAT3)在抗肾小球基底膜型肾小球肾炎小鼠模型中的表达及意义。方法收集30只小鼠,随机分为正常小鼠组(对照组)、抗肾小球基底膜型肾小球肾炎建模组(试验组),每组15只。采用对氨基水杨酸(PAS)染色观察肾小球基底膜变化,实时荧光定量聚合酶链反应(RTPCR)法检测肾组织中的HMGB1、p-STAT3mRNA,采用Western blot法检测肾组织中的HMGB1、TLR4、STAT3、p-STAT3。结果与对照组比较,试验组小鼠肾小球基底膜明显增厚,小鼠肾组织中HMGB1、TLR4、STAT3、p-STAT3及HMGB1mRNA、p-STAT3mRNA的相对表达量均明显高于对照组,差异有统计学意义(P<0.05)。试验组小鼠肾组织中HMGB1与TLR4,TLR4与p-STAT3,HMGB1与p-STAT3,HMGB1mRNA与p-STAT3mRNA的表达水平之间呈正相关(r=0.401,P=0.005;r=0.399,P=0.005;r=0.412,P=0.004;r=0.398,P=0.005)。结论 HMGB1在抗肾小球基底膜型肾小球肾炎小鼠中的致炎作用,可以通过结合其受体TLR4而激活STAT3,从而实现抗肾小球基底膜型肾小球肾炎发生。 展开更多
关键词 肾小基底膜型肾小 高迁移率族蛋白1 TOLL样受体-4 信号转导和转录激活因子3
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膜性肾病并发IgA肾病2例 被引量:1
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作者 杨林 段建召 +1 位作者 王建荣 杨万霞 《河北医科大学学报》 CAS 2006年第5期448-449,F0003,共3页
关键词 肾小 膜性 肾小 IgA肾小 膜性/并发症
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THE LOCALIZATION OF ADRENOMEDULLIN IN RAT KIDNEY TISSUE AND ITS INHIBITORY EFFECT ON THE GROWTH OF CULTURED RAT MESANGIAL CELLS 被引量:7
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作者 刘学光 张志刚 +3 位作者 张秀荣 朱虹光 陈琦 郭慕依 《Chinese Medical Sciences Journal》 CAS CSCD 2002年第3期129-133,共5页
OBJECTIVE: To observe the localization of adrenomedullin (AM) in rat kidney tissue and its inhibitory effect on the growth of cultured rat mesangial cells (MsC). METHODS: A monoclonal antibody against AM developed by ... OBJECTIVE: To observe the localization of adrenomedullin (AM) in rat kidney tissue and its inhibitory effect on the growth of cultured rat mesangial cells (MsC). METHODS: A monoclonal antibody against AM developed by our laboratory was used to detect the localization of AM protein in rat kidney tissue by avidin-biotin complex immunohistochemistry. The expressions of AM and its receptor CRLR mRNA on cultured glomerular epithelial cells (GEC) and MsC were investigated by Northern blot assay, and the possible effect of AM secreted by GEC on MsC proliferation was observed using [3H]thymidine incorporation as an index. RESULTS: A specific monoclonal antibody against AM was succesfully developed. AM was immunohistochemically localized mainly in glomeruli (GEC and endothelial cells), some cortical proximal tubules, medullary collecting duct cells, interstitial cells, vascular smooth muscle cells and endothelial cells. Northern blot assay showed that AM mRNA was expressed only on cultured GEC, but not on MsC, however, AM receptor CRLR mRNA was only expressed on MsC. GEC conditioned medium containing AM can inhibit MsC growth and AM receptor blocker CGRP8-37 may partially decreased this inhibitory effect. CONCLUSION: AM produced by GEC inhibits the proliferation of MsC, which suggests that AM as an important regulator is involved in glomerular normal physiological functions and pathologic processes. 展开更多
关键词 ADRENOMEDULLIN monoclonal antibody glomerular epithelial cell glomerular mesangial cell Objective. To observe the localization of adrenomedullin (AM) in rat kidney tissue and its inhibitory effect on the growth of cultured rat mesangial
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SIGNIFICANCE OF MMP-2 AND TIMP-2 mRNA EXPRESSIONS ON GLOMERULAR CELLS IN THE DEVELOPMENT OF GLOMERULOSCLEROSIS 被引量:6
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作者 Zhi-gangZhang Xue-guangLiu Guang-pingChen Xiu-rongZhang Mu-yiGuo 《Chinese Medical Sciences Journal》 CAS CSCD 2004年第2期84-88,共5页
Objective To study the expressions of MMP-2 and TIMP-2 mRNA on cultured rat mesangial cells (MsC) and in human diseased glomeruli, and to explore their significance in the development of glomerulosclerosis. Methods Th... Objective To study the expressions of MMP-2 and TIMP-2 mRNA on cultured rat mesangial cells (MsC) and in human diseased glomeruli, and to explore their significance in the development of glomerulosclerosis. Methods The expressions of MMP-2, TIMP-2, and Col ⅣmRNA on cultured rat MsC stimulated by IL-1 or/and TGF-β1were investigated through Northern blot analysis. The levels of MMP-2 and TIMP-2 mRNA expressions and immunoreacti-vity of PCNA and Col Ⅳin human diseased glomeruli from renal biopsies of lupus nephritis (LN) patients were examined by insituhybridization and immunohistochemistry, respectively. Results The levels of MMP-2, TIMP-2, and Col ⅣmRNA expressions were markedly increased on cultured rat MsC stimulated by IL-1 or/and TGF-β1. Meanwhile, upregulation of MMP-2 and TIMP-2 mRNA expressions was confirmed in diseased glomeruli from patients with various subtypes of LN, and was closely related to the positive cell number of PCNA presentation and deposition of Col Ⅳin glomeruli. Conclusion The results suggest that the over-expressions of MMP-2 and TIMP-2 mRNA on glomerular cells might play a critical role in the development of glomerulosclerosis. 展开更多
关键词 matrix metalloproteinase tissue inhibitor of metalloproteinase mesangial cell human lupus nephritis
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Update on immunoglobulin A nephropathy, Part I: Pathophysiology 被引量:6
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作者 Maurizio Salvadori Giuseppina Rosso 《World Journal of Nephrology》 2015年第4期455-467,共13页
Immunoglobulin A (IgA) nephropathy is one of the most common glomerulonephritis and its frequency is probably underestimated because in most patients the disease has an indolent course and the kidney biopsy is essen... Immunoglobulin A (IgA) nephropathy is one of the most common glomerulonephritis and its frequency is probably underestimated because in most patients the disease has an indolent course and the kidney biopsy is essential for the diagnosis. In the last years its pathogenesis has been better identifed even if still now several questions remain to be answered. The genetic wide association studies have allowed to identifying the relevance of genetics and several putative genes have been identified. The genetics has also allowed explaining why some ancestral groups are affected with higher frequency. To date is clear that IgA nephropathy is related to auto antibodies against immunoglobulin A1 (IgA1) with poor O-glycosylation. The role of mucosal infections is confirmed, but which are the pathogens involved and which is the role of Toll-like receptor polymorphism is less clear. Similarly to date whether the disease is due to the circulating immunocomplexes deposition on the mesangium or whether the antigen is already present on the mesangial cell as a “lanthanic” deposition remains to be clarifed. Finally also the link between the mesangial and the podocyte injury and the tubulointerstitial scarring, as well as the mechanisms involved need to be better clarifed. 展开更多
关键词 Immunoglobulin A Immunoglobulin A galactosylation Genome-wide association studies Auto antibodies Complement in renal diseases Mesangial linked growth factors
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Laminins Expression in Children with Mesangial Proliferative Glomerulonephritis
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作者 赵非 黄松明 +3 位作者 陈荣华 费莉 郭梅 黄文彦 《Journal of Nanjing Medical University》 2003年第5期237-242,共6页
Objective: To investigate the role of laminins in the pathogensis of mesangial pro-liferative glomeruonephritis (MsPGN) in children. Methods: Eighteen renal biopsy specimens of MsPGN and 6 normal kidneys were studied ... Objective: To investigate the role of laminins in the pathogensis of mesangial pro-liferative glomeruonephritis (MsPGN) in children. Methods: Eighteen renal biopsy specimens of MsPGN and 6 normal kidneys were studied by means of immunohistochemistry and in situ hybridization. Results: ① Protein of α1 chain and γ1 chain of laminin increased around the segments of prolifera-tive mesangium. Increased expression of α2 and β1 proteins was found in the segments with mesangial proliferation whereas the β2 chain expression decreased in these areas. ② The mRNA expression of α1, α2, β1 and γ1 increased to different degrees in glomeruli with mesangial proliferation. But no difference was detected among Mild, Moderate, and Severe MsPGN. Conclusion:① The quantitative and qualitative alterations of laminin chains' distribution were found in the measngial proliferative glomeruli. The proliferative mesangial cells were the origins of abnormal accumulation and expression of laminins. ② These changes may be the basis of the progresses of MsPGN. 展开更多
关键词 LAMININ mesangial proliferative glomeruonephritis immunohistoche-mistry in situ hybridization
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Effects of GTW treatment on proteinuria and acute glomerular immune lesion in experimental mesangial proliferative glomerulonephritis
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作者 YI GANG WAN WEI SUN 《Journal of Microbiology and Immunology》 2005年第3期165-173,共9页
To examine the effect of multi-glycoside of Tripterygium wilfordii Hook. f. (GTW) on proteinuria and acute glomerular immune lesion in experimental mesangial proliferative glomerulonephritis (MsPGN) induced by ant... To examine the effect of multi-glycoside of Tripterygium wilfordii Hook. f. (GTW) on proteinuria and acute glomerular immune lesion in experimental mesangial proliferative glomerulonephritis (MsPGN) induced by anti-Thyl. 1 monoelonal antibody (mAb) 1-22-3. The reversible model of MsPGN with anti-Thyl. 1 mAb 1-22-3 was established. After 7 days of oral treatment with GTW ( 100 mg/kg per day) and vehicle (distilled water, 5 ml/kg per day), its effects on proteinuria, renal functions, mesangial morphological change, glomerular macrophage accumulation, and mRNA expressions of cytokines (PDGF-BB and MCP-1 ) were evaluated by light microscope (LM), immunofluorescence (IF), and reverse transcription polymerase chain reaction (RT-PCR). It was found that GTW ameliorated proteinuria (on day 3 and day 7), mesangial proliferation (total cell number, matrix expansion, a-smooth muscle actin expression, and collagen type Ⅰ expression) and macrophage accumulation (ED3^+ ) in experimental MsPGN. In addition, GTW significantly suppressed the increased mRNA expressions for MCP-1 (67.6% to eontrol group, P 〈 0.01) together with the tendency to reduce the expression of PDGF (24.44% to control group) on day 7. It is concluded that GTW can not only decrease proteinuria, but also ameliorate acute mesangial alterations and glomerular activated macrophage accumulation probably by reduction of cytokines. These data indicate that GTW is an effective agent for early MsPGN. 展开更多
关键词 Multi-glycoside of Tripterygium wilfordii Hook .f. (GTW) Mesangial proliferative glomerulonephritis (MsPGN) Cytokine Mesangial proliferation Macrophage accumulation
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Effects of peripheral blood mononuclear cells from idiopathic nephrotic childr en on cultured rat glomerular epithelial and mesangial cells 被引量:1
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作者 王丹 马恒颢 +2 位作者 章洁 王小春 赖晃文 《Chinese Medical Journal》 SCIE CAS CSCD 2001年第8期30-33,104,共5页
Objective To investigate the effect of immune cell from idiopathic nephrotic children on extracellular matrix (ECM) synthesis by cultured rat glomerular epithelial cell (GEC) and on the proliferation of mesangial cel... Objective To investigate the effect of immune cell from idiopathic nephrotic children on extracellular matrix (ECM) synthesis by cultured rat glomerular epithelial cell (GEC) and on the proliferation of mesangial cell (GMC). Methods Twenty-eight children with idiopathic nephrotic syndrome and 15 age-matched healthy children were randomly selected and divided into 4 groups: Group 1, untreated nephrotic children; Group 2, glucocorticoid treated nephrotic children; Group 3, children undergoing glucocorticoid treatment with negative proteinuria; and Group 4, normal control. The peripheral blood mononuclear cells (PBMC) were collected from these children and PBMC conditioned medium (PBMC-CM) were prepared. The PBMC-CM was co-cultured with GEC and GMC respectively. The concentrations of collagen, laminin, collagen Ⅲ and collagen Ⅳ in the GEC and PBMC-CM co-culture medium were investigated. The GMC proliferation was measured by the 3 H-thymidin incorporation method. Results The 3 H-proline incorporation coefficients of the GEC treated with the PBMC-CM of the 4 groups were 0.93, 1.24, 1.23, and 1.11, respectively. The laminin inhibitory coefficients of the 4 groups were 0.95, 1.02, 1.01, and 1.04, respectively. The inhibitory coefficients of collagen Ⅲ were 0.97, 1.00, 0.99, and 1.01, respectively, for the 4 groups. All these parameters showed a significant difference between Group 1 and the other 3 groups (P<0.05). However, there was no significant difference in the inhibitory coefficient of collagen Ⅳ between each two of the 4 groups (1.04, 1.05, 1.04, 1.08, P>0.05). The 3 H-thymidine incorporation coefficients of GMC responsive to PBMC-CM were 1.21, 1.53, 1.50, and 1.10, respectively, and no significant difference was found between the 4 groups (P>0.05). Conclusion The results suggested that the circulating immune cells from idiopathic nephrotic children have a direct effect on some ECM component synthesis in cultured rat GEC; the bio-activity of immune cells could be neutralized by administering glucocorticoid; and the circulating immune cells of nephrotic children have no direct effect on GMC proliferation. 展开更多
关键词 nephrotic syndrome · immune cell · glomeru lar epithelial cell · glomerular mesangial cell
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