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肿瘤抑制素及其受体在原发性肝细胞癌临床各期的表达研究
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作者 钱俊甫 孙君军 +3 位作者 刘伟峰 解刚强 金建光 郑刚 《河南科技大学学报(医学版)》 2009年第1期19-21,共3页
目的探讨原发性肝细胞癌(HCC)临床各期中肿瘤抑制素(OSM)、肿瘤抑制素受体(OSMR)表达及其在HCC的发生发展中的作用机制。方法用固相夹心酶联免疫吸附法(ELISA)检测30例HCC(临床Ⅰ期15例、Ⅱ期10例、Ⅲ期5例),5例正常肝和6例肝血管瘤组织... 目的探讨原发性肝细胞癌(HCC)临床各期中肿瘤抑制素(OSM)、肿瘤抑制素受体(OSMR)表达及其在HCC的发生发展中的作用机制。方法用固相夹心酶联免疫吸附法(ELISA)检测30例HCC(临床Ⅰ期15例、Ⅱ期10例、Ⅲ期5例),5例正常肝和6例肝血管瘤组织(对照组)中OSM、OSMR的表达水平。结果30例HCC组织中OSM、OSMR表达水平明显低于对照组(P<0.05);HCC组织中临床Ⅲ期OSM表达低于Ⅰ、Ⅱ期(P<0.05);OSMR临床Ⅰ、Ⅱ、Ⅲ期无显著差异(P>0.05)。在低、中分化组HCC组织中OSM表达明显低于高分化组(P<0.05),低分化与中分化组间差异无统计学意义(P>0.05);HCC组织中OSMR表达3组之间差异均无统计学意义(P>0.05)。结论OSM、OSMR的表达和HCC临床分期及肿瘤的分化程度密切相关。 展开更多
关键词 原发性肝细胞癌 肿瘤抑制素 肿瘤抑制素受体 表达
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可溶性肿瘤抑制素2与射血分数中间值心力衰竭患者预后的关系 被引量:2
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作者 符浩 覃秀川 +1 位作者 杨赓 高海 《心肺血管病杂志》 CAS 2021年第8期799-803,共5页
目的:探讨可溶性肿瘤抑制素2(sST2)与射血分数中间值心力衰竭(HFmrEF)患者预后的关系。方法:入组188例慢性HFmrEF患者,测定其血浆sST2浓度,随访1年,观察其全因死亡和心力衰竭(HF)再住院的发生与血浆sST2浓度的关系。结果:HFmrEF患者平... 目的:探讨可溶性肿瘤抑制素2(sST2)与射血分数中间值心力衰竭(HFmrEF)患者预后的关系。方法:入组188例慢性HFmrEF患者,测定其血浆sST2浓度,随访1年,观察其全因死亡和心力衰竭(HF)再住院的发生与血浆sST2浓度的关系。结果:HFmrEF患者平均年龄为66岁,51%为女性,平均血浆sST2浓度为34.47μg/L。在随访1年周期内,31例患者(16%)死亡,58例患者(31%)因HF加重而再次住院。血浆sST2浓度越高,患者入组时心率越快,BNP和cTnI水平越高(P均<0.05)。随访1年发现,血浆sST2浓度越高,患者全因死亡和HF再住院发生率越高(分别为Log rank P=0.04,Log rank P<0.001)。通过Cox回归分析发现,血浆sST2浓度是患者全因死亡和HF再住院发生的危险因素(分别为P=0.026,P<0.001)。结论:HFmrEF患者的基线血浆sST2浓度是其1年内全因死亡和HF再住院事件发生的独立危险因素。 展开更多
关键词 可溶性肿瘤抑制素2 射血分数中间值心力衰竭 预后
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吉非替尼下调肿瘤抑制素M抑制博莱霉素诱导的小鼠肺纤维化 被引量:1
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作者 郑林鑫 郑林鑫 +3 位作者 麦玉梅 杜海坚 李理 李伟峰 《免疫学杂志》 CAS CSCD 北大核心 2016年第4期305-309,共5页
目的研究肿瘤抑制素M(OSM)及其下游通路在吉非替尼干预的肺纤维化小鼠中的改变,探讨OSM及下游通路在肺纤维化中的作用。方法 36只SPF级昆明小鼠随机分为3组:正常组(生理盐水气管内雾化)、博莱霉素组(博莱霉素3 mg/kg气管内雾化)、吉非... 目的研究肿瘤抑制素M(OSM)及其下游通路在吉非替尼干预的肺纤维化小鼠中的改变,探讨OSM及下游通路在肺纤维化中的作用。方法 36只SPF级昆明小鼠随机分为3组:正常组(生理盐水气管内雾化)、博莱霉素组(博莱霉素3 mg/kg气管内雾化)、吉非替尼处理组(博莱霉素气管内雾化后,每天吉非替尼20 mg/kg灌胃)。实验第14天收集肺标本,肺组织行HE与Masson染色;RT-PCR法检测α-SMA、OSM m RNA表达水平;Western blot法检测α-SMA、OSM、ERK1/2、P-ERK1/2、P38、P-P38蛋白表达水平。结果博莱霉素组小鼠肺组织病理损伤较正常组小鼠明显加重、胶原沉积明显增加、炎症损伤评分及纤维化评分明显增加(P<0.05),α-SMA、OSM m RNA及蛋白表达水平明显升高(P<0.05),p-ERK1/2、p-P38蛋白表达水平明显升高(P<0.05),吉非替尼组小鼠上述指标均较博莱霉素组明显降低(P<0.05)。结论吉非替尼能显著缓解博莱霉素诱导的小鼠肺纤维化,其机制可能与抑制OSM m RNA及蛋白的表达及其下游P38和ERK1/2的磷酸化密切相关。 展开更多
关键词 吉非替尼 肿瘤抑制素M(OSM) 博莱霉 肺纤维化
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小鼠抗人肿瘤抑制素2(ST2)单克隆抗体的制备及应用
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作者 马菁昌 武书文 +7 位作者 王玉玲 李娜 周耿瑶 徐雪雪 程坤 金伯泉 张圆 庄然 《细胞与分子免疫学杂志》 CAS CSCD 北大核心 2021年第11期1026-1031,共6页
目的 制备针对人肿瘤抑制素2(ST2)的小鼠源性单克隆抗体,并进行功能和应用的初步鉴定。方法 用真核表达的重组人ST2分子免疫BALB/c小鼠,利用常规B细胞杂交瘤技术制备抗ST2单克隆抗体,并鉴定其在Western blot法、免疫组织化学染色和流式... 目的 制备针对人肿瘤抑制素2(ST2)的小鼠源性单克隆抗体,并进行功能和应用的初步鉴定。方法 用真核表达的重组人ST2分子免疫BALB/c小鼠,利用常规B细胞杂交瘤技术制备抗ST2单克隆抗体,并鉴定其在Western blot法、免疫组织化学染色和流式细胞术中的应用价值;建立检测可溶性ST2的夹心ELISA,检测热射病患者血清ST2水平;建立ST2萤光素酶报告基因检测系统,检测特异性抗体的中和活性。结果 获得38株分泌小鼠抗人ST2单克隆抗体的杂交瘤细胞株,克隆号分别命名XA325.1~XA325.38。初步筛选鉴定发现可以用于Western blot法、免疫组织化学染色,识别重组表达的纯化蛋白和细胞中表达的ST2;有2株可以应用于流式细胞术,识别细胞表面外源性转染表达的ST2;采用单抗XA325.16包被,搭配XA325.5标记生物素,可以建立检测血清中可溶性ST2的ELISA试剂盒,发现热射病患者血清ST2水平显著升高;XA325.5具有中和活性,可以阻断白细胞介素33(IL-33)的生物学效应。结论 制备小鼠抗人ST2的单克隆抗体,可用于多种免疫学检测技术,XA325.5中和活性抗体具有潜在的临床应用价值。 展开更多
关键词 肿瘤抑制素2(ST2) 单克隆抗体(mAb) 中和抗体 免疫学检验方法
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针刺预处理“曲池”“血海”对荨麻疹大鼠肥大细胞及白细胞介素-33、肿瘤抑制素2表达的影响 被引量:3
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作者 刘思佳 刘军彤 +5 位作者 李记泉 王程程 于淼 关志强 王列 马铁明 《针刺研究》 CAS CSCD 北大核心 2023年第4期311-316,324,共7页
目的:观察针刺预处理“曲池”“血海”对荨麻疹大鼠致敏区域皮肤组织白细胞介素-33(IL-33)、肿瘤抑制素2(ST2)表达及肥大细胞脱颗粒的影响,探讨针刺预处理“曲池”“血海”治疗荨麻疹的作用机制。方法:SD大鼠随机分为空白组、模型组、... 目的:观察针刺预处理“曲池”“血海”对荨麻疹大鼠致敏区域皮肤组织白细胞介素-33(IL-33)、肿瘤抑制素2(ST2)表达及肥大细胞脱颗粒的影响,探讨针刺预处理“曲池”“血海”治疗荨麻疹的作用机制。方法:SD大鼠随机分为空白组、模型组、针刺组、阳性药物组,每组8只。针刺组针刺双侧“曲池”“血海”;阳性药物组给予氯雷他定(1 mg·kg^(-1)·d^(-1))灌胃,均每日干预1次,连续干预7 d,并于第5天进行背部致敏造模,第7天进行抗原攻击并取材。测量各组大鼠背部皮肤组织蓝斑的直径;HE染色法观察致敏区域皮肤组织形态学变化;甲苯胺蓝染色观察致敏区域皮下疏松结缔组织中肥大细胞脱颗粒情况;ELISA法检测各组大鼠血清IgE及组胺(HIS)含量;免疫组织化学法检测大鼠致敏区域皮肤组织IL-33、ST2的表达。结果:与空白组比较,模型组大鼠蓝斑直径明显增大(P<0.01),肥大细胞脱颗粒率明显升高(P<0.01),血清IgE、HIS含量均显著升高(P<0.01),皮肤组织IL-33、ST2表达显著升高(P<0.01)。与模型组比较,针刺组和阳性药物组蓝斑直径明显缩小(P<0.01),肥大细胞脱颗粒率明显降低(P<0.01),血清IgE与HIS含量均降低(P<0.01,P<0.05),皮肤组织IL-33、ST2表达降低(P<0.01)。HE染色显示,模型组致敏区域皮肤表皮层结构残缺,组织边界不清,角化不完全,表皮细胞混乱,真皮层纤维排列杂乱,有炎性细胞浸润和水肿发生,针刺组和阳性药物组以上病理变化不同程度减轻。结论:针刺“曲池”“血海”可以通过抑制IL-33、ST2的表达来降低血清IgE含量,从而有效改善荨麻疹大鼠症状,起到治疗荨麻疹的目的。 展开更多
关键词 针刺 荨麻疹 肥大细胞脱颗粒 白细胞介-33 肿瘤抑制素2
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两种表皮生长因子抑制剂下调肿瘤抑制素M抑制博来霉素诱导的小鼠肺纤维化 被引量:4
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作者 郑林鑫 陈灿 +2 位作者 麦玉梅 李理 李伟峰 《中国呼吸与危重监护杂志》 CAS CSCD 北大核心 2018年第4期400-406,共7页
目的比较两种表皮生长因子酪氨酸激酶抑制剂(EGFR-TKI)吉非替尼和厄罗替尼对肿瘤抑制素M(OSM)及下游通路的调节作用,以及对博来霉素诱导小鼠肺纤维化的干预作用。方法将40只SPF级雌性昆明小鼠随机分为对照组(生理盐水气管内雾化)、博来... 目的比较两种表皮生长因子酪氨酸激酶抑制剂(EGFR-TKI)吉非替尼和厄罗替尼对肿瘤抑制素M(OSM)及下游通路的调节作用,以及对博来霉素诱导小鼠肺纤维化的干预作用。方法将40只SPF级雌性昆明小鼠随机分为对照组(生理盐水气管内雾化)、博来霉素组(博来霉素3 mg/kg气管内雾化)、吉非替尼组(博来霉素3 mg/kg气管内雾化后吉非替尼20 mg·kg^(–1)·d^(–1)灌胃)以及厄罗替尼组(博来霉素3 mg/kg气管内雾化后厄罗替尼25 mg·kg^(–1)·d^(–1)灌胃)。实验第14 d使用小动物CT对小鼠进行胸部CT检查,检查完毕后收集小鼠肺组织,行HE、Masson染色,Western blot法检测肺组织α平滑肌肌动蛋白(α-SMA)、OSM、JAK1、p-JAK1、STAT3、p-STAT3蛋白表达水平。结果吉非替尼和厄罗替尼处理后,小鼠胸部CT影像中肺部渗出及纤维化病灶较博来霉素组明显减少,肺组织病理损伤及纤维化损伤均较博来霉素组明显减轻(均P<0.05),α-SMA蛋白、OSM蛋白、p-JAK1/JAK1、p-STAT3/STAT3表达较博来霉素组明显下调(均P<0.05)。吉非替尼和厄罗替尼的上述作用无显著差异(均P>0.05)。结论两种表皮生长因子酪氨酸激酶抑制剂吉非替尼和厄罗替尼均能抑制博来霉素诱导的小鼠肺纤维化,其抑制作用相近,机制可能与下调OSM蛋白的表达以及下游JAK/STAT通路的磷酸化密切相关。 展开更多
关键词 肺纤维化 表皮生长因子酪氨酸激酶抑制 吉非替尼 厄罗替尼 肿瘤抑制素M
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外周血IL-10、IL-33及其受体sST2水平与妊娠期糖尿病患者不良妊娠结局的关系
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作者 范薇 沈翠花 +2 位作者 康玮 李馨 孙宇 《生殖医学杂志》 CAS 2024年第11期1463-1469,共7页
目的 探究外周血白介素-10(IL-10)、白介素-33(IL-33)及其受体可溶性肿瘤抑制素2(sST2)水平与妊娠期糖尿病(GDM)患者不良妊娠结局的关系。方法 选取2022年7月至2023年7月在我院建档产检的GDM患者80例纳入研究组,同期在我院进行产检的健... 目的 探究外周血白介素-10(IL-10)、白介素-33(IL-33)及其受体可溶性肿瘤抑制素2(sST2)水平与妊娠期糖尿病(GDM)患者不良妊娠结局的关系。方法 选取2022年7月至2023年7月在我院建档产检的GDM患者80例纳入研究组,同期在我院进行产检的健康孕产妇80例纳入对照组,比较两组产妇孕37周时的外周血IL-10、IL-33及其受体sST2水平。对研究组患者进行追踪随访,并根据不同妊娠结局将研究组分为良好结局组(获得良好妊娠结局,n=55)和不良结局组(发生不良妊娠结局,n=25),探究影响GDM患者妊娠结局的因素,以及外周血IL-10、IL-33及其受体sST2水平对不良妊娠结局的预测价值。结果 研究组和对照组患者的年龄、孕次、产次、总胆固醇、受教育年限、孕前体质量指数(BMI)比较均无显著性差异(P>0.05),但研究组分娩前BMI、胰岛素抵抗指数均显著高于对照组(P<0.05)。研究组患者的IL-10水平显著低于对照组,IL-33及sST2水平显著高于对照组(P均<0.05)。对照组发生1例产后出血,2例巨大儿,不良妊娠结局总发生率为3.75%;研究组发生3例产后出血,5例巨大儿,8例新生儿窒息,6例足月低体重儿,3例胎儿发育异常,不良妊娠结局总发生率为31.25%,显著高于对照组(P<0.05)。研究组中,不良结局组患者的IL-10水平显著低于良好结局组,IL-33及sST2水平显著高于良好结局组(P均<0.05)。经单因素及多因素分析,IL-10、IL-33、sST2、胰岛素抵抗指数均能影响GDM患者的妊娠结局(P<0.05)。经受试者工作特征(ROC)曲线分析,IL-10、IL-33、sST2对GDM患者不良妊娠结局具有一定预测价值,曲线下面积(AUC)分别为0.969、0.945、0.960(P<0.05)。结论 外周血IL-10、IL-33及其受体sST2水平在预测GDM患者的新生儿窒息、产后出血、巨大儿、足月低体重儿、胎儿发育异常等不良妊娠结局方面具有潜在的临床应用价值,有助于早期识别上述高风险患者,以采取积极有效的干预措施改善妊娠结局。 展开更多
关键词 白介-10 白介-33 可溶性肿瘤抑制素2 妊娠期糖尿病 妊娠结局
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孕早期血清IL-33和sST2及其比值与妊娠期糖尿病的相关性 被引量:2
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作者 李秀娟 张林林 于志娟 《中国妇幼健康研究》 2022年第9期57-63,共7页
目的 探讨孕早期母体血清白介素(IL)-33、可溶性肿瘤抑制素2(sST2)水平及其比值与妊娠期糖尿病(GDM)的相关性。方法 选择2017年4月至2020年12月期间在赤峰市医院早孕门诊于孕8~12周建档并定期产检的244例孕妇为研究对象;根据孕24~28周时... 目的 探讨孕早期母体血清白介素(IL)-33、可溶性肿瘤抑制素2(sST2)水平及其比值与妊娠期糖尿病(GDM)的相关性。方法 选择2017年4月至2020年12月期间在赤峰市医院早孕门诊于孕8~12周建档并定期产检的244例孕妇为研究对象;根据孕24~28周时75g口服葡萄糖耐量试验(OGTT)结果将其分为GDM组(n=40)和正常葡萄糖耐量(NGT)组(n=204),比较两组间孕早期(孕8~12周)的临床资料、血清IL-33和sST2水平、IL-33/sST2比值的差异。采用Pearson分析IL-33、sST2水平及其比值与OGTT时空腹血糖(FPG)、胰岛素抵抗指数(HOMA-IR)的相关性,采用Logistic回归模型分析GDM的影响因素,采用受试者工作特征(ROC)曲线分析孕早期IL-33水平及IL-33/sST2比值对GDM的预测价值。结果 GDM组孕妇的年龄、孕前体质量指数、孕早期增重,以及血红蛋白(Hb)、红细胞计数、白细胞计数、甘油三酯、总胆固醇(TC)、γ-谷氨酰基转移酶、碱性磷酸酶、IL-33、sST2水平均显著高于NGT组,IL-33/sST2比值低于NGT组,差异均有统计学意义(t=2.064~4.829、U=4.582,P<0.05)。GDM组孕早期血清IL-33水平及IL-33/sST2比值与孕中期OGTT时的FPG、HOMA-IR均呈负相关(r分别为-0.434、-0.391、-0.546、-0.534,P<0.001),孕早期血清sST2水平与孕中期OGTT时的FPG、HOMA-IR均呈正相关(r分别为0.373、0.343,P<0.05)。Logistic回归分析显示:IL-33、IL-33/sST2、Hb、TC均是发生GDM的影响因素(Waldχ^(2)值分别为14.551、14.039、5.678、7.072,P<0.05)。ROC曲线分析显示:IL-33、IL-33/sST2单一指标及回归方程联合指标均对GDM具有预测价值,联合指标的预测效能优于单一指标,灵敏度和特异度分别为80.00%和88.73%。结论 GDM孕早期母体血清IL-33水平增加、IL-33/sST2比值降低,推测IL-33代偿性分泌不足与GDM发病有关,联合使用IL-33、IL-33/sST2、Hb、TC具有较好地预测GDM的价值。 展开更多
关键词 妊娠期糖尿病 白介-33 可溶性肿瘤抑制素2 预测
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IL-33/ST2信号通路在急性胰腺炎及纤维化中的作用 被引量:5
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作者 赵小龙 陈文亮 《中国现代普通外科进展》 CAS 2019年第2期121-125,共5页
急性胰腺炎(AP)病理生理机制复杂,近年来的研究阐明,多种细胞因子在其疾病发生、演变进程中起着重要作用。白细胞介素-33(IL-33)是2005年新发现的IL-1超家族中的新成员,通过与其受体ST2结合形成复合体,进而激活核因子NF-κB并发挥其特... 急性胰腺炎(AP)病理生理机制复杂,近年来的研究阐明,多种细胞因子在其疾病发生、演变进程中起着重要作用。白细胞介素-33(IL-33)是2005年新发现的IL-1超家族中的新成员,通过与其受体ST2结合形成复合体,进而激活核因子NF-κB并发挥其特定的生物学功能。虽然IL-33/ST2信号通路已在多种炎症免疫性疾病中广泛研究,但IL-33在AP中的生物学作用缺乏一个较全面的概述,今就IL-33/ST2信号通路在AP发生发展及纤维化中作用的最新研究进展做一综述。 展开更多
关键词 急性胰腺炎 白细胞介-33 肿瘤抑制素2 核因子ΚB 纤维化
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原发性肝细胞癌OSM、OSMR表达与临床资料关系及意义
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作者 钱俊甫 《中国医药指南》 2014年第20期84-86,共3页
目的探讨原发性肝癌(HCC)及癌旁组织中OSM、OSMR表达与临床资料的关系及意义。方法用固相夹心法酶联免疫吸附法(ELISA)检测30例HCC及其癌旁组织中OSM、OSMR表达水平,常规检测患者术前血清AFP、AST、ALT、TBIL水平,并同时将30例肝癌患者... 目的探讨原发性肝癌(HCC)及癌旁组织中OSM、OSMR表达与临床资料的关系及意义。方法用固相夹心法酶联免疫吸附法(ELISA)检测30例HCC及其癌旁组织中OSM、OSMR表达水平,常规检测患者术前血清AFP、AST、ALT、TBIL水平,并同时将30例肝癌患者按性别、年龄、Child分级、AFP、乙型肝炎表面抗原、肝硬化、TNM分期、肿瘤有无假包膜情况进行分组,通过方差分析与Logistic回归对肝癌及癌旁组织OSM、OSMR表达与以上临床资料进行分析,研究原发性肝细胞癌中OSM OSMR表达与临床资料关系及意义。结果 1肝癌及癌旁组织中OSM、OSMR表达与年龄、性别、乙型肝炎表面抗原阳性、Child分级、肝硬化、AST、ALT、TBIL等因素无关(P>0.05);2肝癌及癌旁组织中OSM、OSMR表达与AFP、TNM分期、肿瘤有无假包膜相关(P<0.05)。结论 OSM、OSMR与HCC发生、发展密切相关;肝癌及癌旁组织中OSM、OSMR表达与AFP、TNM分期、肿瘤无假包膜密切相关。 展开更多
关键词 原发性肝细胞癌 肿瘤抑制素M 受体 临床资料 表达
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Analysis of metastasis suppressing function of E-cadherin in gastric cancer cells by RNAi 被引量:27
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作者 Zhi-HongZheng Xiu-JuSun Hai-TaoZhou ChaoShang HongJi Kai-LaiSun 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第13期2000-2003,共4页
AIM: To study the effect of inhibited E-cadherin expression on invasion of cancer cells.METHODS: We designed the nucleotide sequence of siRNA corresponding to 5' non-coding and coding sequence of E-cadherin. 21-nu... AIM: To study the effect of inhibited E-cadherin expression on invasion of cancer cells.METHODS: We designed the nucleotide sequence of siRNA corresponding to 5' non-coding and coding sequence of E-cadherin. 21-nucleotide dssiRNA was synthesized by in vitro transcription with Ambion Silencer TM siRNA Construction Kit. siRNA was transfected into gastric cancer MKN45 using TransMessenger transfection Kit. RT-PCR and immunofluorescent assay were used to investigate the inhibition of the expression of mutated Ecadherin. Invasive ability of cancer cells was determined by Transwell assay.RESULTS: The synthesis of E-cadherin mRNA rather than protein expression was suppressed dramatically 7 d after interference. Decreased protein expression was observed on d 10 after interference. On d 11, invasion ability was enhanced significantly.CONCLUSION: siRNA targeted at non-coding and coding sequence of E-cadherin showed significant inhibition on mRNA and protein expression. Inhibited E-cadherin expression results in increased invasion ability of cancer cells. 展开更多
关键词 E-CADHERIN RNAI Gastric cancer
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GDF-15、ST-2、NT-proBNP在不同左室射血分数心力衰竭患者中的表达水平以及联合应用价值 被引量:24
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作者 汪润 曹高镇 林庆陕 《中国循证心血管医学杂志》 2019年第1期67-70,74,共5页
目的探讨生长转化因子15(GDF-15)、可溶性肿瘤形成抑制素2(ST-2)、N端脑钠肽前体(NT-proBNP)在左室射血分数保留或降低的心力衰竭(心衰)患者中的表达差异性以及其临床应用价值。方法选取2016年2月至2018年2月于香港大学深圳医院心内科... 目的探讨生长转化因子15(GDF-15)、可溶性肿瘤形成抑制素2(ST-2)、N端脑钠肽前体(NT-proBNP)在左室射血分数保留或降低的心力衰竭(心衰)患者中的表达差异性以及其临床应用价值。方法选取2016年2月至2018年2月于香港大学深圳医院心内科就诊的心衰患者267例为研究对象,依据入院时超声心动图检查结果分组。其中,左室射血分数保留的心衰(HFp EF)患者为HFp EF组(n=118),左室射血分数降低的心衰(HFr EF)患者为HFr EF组(n=149)。测定两组患者实验室生化指标血糖、总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)、糖化血红蛋白(HbA1C);ELISA试剂盒测定患者血浆中GDF-15和ST-2含量;采用电化学发光法测定血液标本中NT-proBNP水平;心脏彩色多普勒超声检查记录心功能指标左心室射血分数(LVEF)、左心房内径(LAD)、左心室舒张末期内径(LVDd)、二尖瓣血流E峰和A峰流速比值(MVE/MVA)等;并采用受试者工作特征(ROC)曲线分析GDF-15、ST-2、NT-proBNP对HFp EF的诊断价值。结果①入院时,两组患者血糖和血脂指标相比,差异均无统计学意义(P均>0.05);HFp EF组患者外周血GDF-15、ST-2、NT-proBNP水平均低于HFr EF组患者,差异有统计学意义(P<0.05)。②HFp EF组患者LVEF高于HFr EF组患者,而其他心功能指标均低于HF-REF组患者,差异均具有统计学意义(P<0.05)。③经多因素Logistic回归分析,年龄、性别、GDF-15、ST-2、NT-proBNP和LVEF是HFp EF发生的独立影响因素(P<0.05)。④经ROC曲线分析,GDF-15、ST-2、NT-proBNP联合诊断的ROC曲线下的面积以及敏感度和特异度明显高于单独诊断指标(χ2=11.355,P<0.05)。结论外周血GDF-15、ST-2、NT-proBNP水平与LVEF密切相关,可作为HFp EF患者的预测因子。 展开更多
关键词 生长转化因子15 可溶性肿瘤形成抑制2 N端脑钠肽前体 心力衰竭 预测指标
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慢性心力衰竭患者血清新型心功能标志物表达及与左心室射血分数的相关性 被引量:11
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作者 高利妮 陈名霞 +2 位作者 占颖奇 谢锡驹 许立新 《中国临床医生杂志》 2021年第12期1431-1433,共3页
目的探讨慢性心力衰竭(chronic heart failure,CHF)患者血清生长分化因子15(growth differentiation factor 15,GDF-15)、可溶性肿瘤形成抑制素2(soluble tumorostatin 2,ST-2)、Ⅰ型前胶原羧基端肽(typeⅠprocollagen carboxy terminal... 目的探讨慢性心力衰竭(chronic heart failure,CHF)患者血清生长分化因子15(growth differentiation factor 15,GDF-15)、可溶性肿瘤形成抑制素2(soluble tumorostatin 2,ST-2)、Ⅰ型前胶原羧基端肽(typeⅠprocollagen carboxy terminal peptide,PⅠCP)、Ⅲ型前胶原氨基端肽(type Ⅲ procollagen carboxy terminal peptide,PⅢNP)、N端脑钠肽前体(N-terminal pro-brain natriuretic peptide,NT-proBNP)表达及与左心室射血分数(left ventricular ejection fraction,LVEF)的关系。方法将2018年1月至2020年6月东南大学附属中大医院江北院区收治的132例CHF患者,根据LVEF值分为LVEF降低心衰组(HFrEF组)75例、LVEF中间值心衰组(HFmrEF组)21例和LVEF正常的心衰组(HFpEF组)36例,另选同期健康体检者50例为对照组。测定各组血清GDF-15、ST-2、PⅠCP、PⅢNP、NT-proBNP水平,检查心功能参数[LVEF、左心室舒张末期内径(left ventricular end-diastolic diameter,LVEDd)、左心房内径(left atrial diameter,LAD)、左心室质量指数(left ventricular mass index,LVMI)],分析各指标的相关性。结果 CHF患者GDF-15、ST-2、PⅠCP、PⅢNP、NT-proBNP、LVEDd、LAD、LVMI高于对照组,且HFrEF组>HFmrEF组>HFpEF组(P<0.05);CHF患者LVEF低于对照组,且HFrEF组<HFmrEF组<HFpEF组(P<0.05)。CHF患者血清GDF-15、ST-2、PⅠCP、PⅢNP、NT-proBNP与LVEF呈显著负相关性,与LVEDd、LAD、LVMI呈显著正相关性(P<0.05)。结论 CHF患者外周血GDF-15、ST-2、PⅠCP、PⅢNP、NT-pro BNP呈明显高表达,且与LVEF呈显著相关性。 展开更多
关键词 慢性心力衰竭 左心室射血分数 生长分化因子15 可溶性肿瘤形成抑制2 前胶原羧基端肽
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Regression of liver metastases of occult carcinoid tumor with slow release Lanreotide therapy 被引量:7
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作者 Marta Bondanelli Maria Rosaria Ambrosio +3 位作者 Maria Chiara Zatelli Luigi Cavazzini Laura Al Jandali Rifa'y Ettore C.degli Uberti 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第13期2041-2044,共4页
Few clinical studies have demonstrated an anti-proliferative activity of somatostatin (SST) analogs in carcinoids. We report the case of a woman with liver metastases of neuroendocrine tumor and no evidence of the pri... Few clinical studies have demonstrated an anti-proliferative activity of somatostatin (SST) analogs in carcinoids. We report the case of a woman with liver metastases of neuroendocrine tumor and no evidence of the primary tumor. The liver metastases were characterized by high proliferation index, immunoreactiviy for somatostatin receptor (SSTR)-l, 2, 3 and 5 and positive octreoscan. Urinary 5-hydroxyindolacetic acid, serum serotonin and chromogranin A were elevated. Slow release lanreotide (SR-LAN) therapy for 3 mo controlled clinical and biochemical signs of carcinoid tumor and caused a clear-cut reduction in the diameter of two liver metastases and disappearance of another lesion, with further reduction after 6 and 18 mo. We demonstrated a clear-cut long-lasting anti-proliferative effect of SR-LAN on liver metastases of occult carcinoid with high proliferation index and immunoreactivity for SSTR-1, 2, 3, and 5. Immunohistochemistry for SSTRs could be a suitable method for the selection of patients with metastatic carcinoid that may benefit from SST analog therapy. 展开更多
关键词 CARCINOID Somatostatin analogs Somatostatin receptors
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Ampullary somatostatinomas and jejunal gastrointestinal stromal tumor in a patient with Von Recklinghausen's disease 被引量:2
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作者 Rossella Bettini Massimo Falconi +3 位作者 Stefano Crippa Paola Capelli Letizia Boninsegna Paolo Pederzoli 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第19期2761-2763,共3页
Von Recklinghausen's disease is an autosomal dominant hereditary disease associated with a wide number of neoplasms. We report a case of a 47-year-old Caucasian male affected by Von Recklinghausen's disease who deve... Von Recklinghausen's disease is an autosomal dominant hereditary disease associated with a wide number of neoplasms. We report a case of a 47-year-old Caucasian male affected by Von Recklinghausen's disease who developed a malignant somatostatinoma of the papilla major and minor associated with jejunal gastrointestinal stromal tumour with uncertain behaviour. At laparotomy, multiple hepatic metastases were evident. Whipple pancreaticoduodenectomy, jejunal resection, extensive lymphadenectomy and multiple hepatic wedge resections were performed. The patient was alive without recurrence after 24 mo. This is the fourth case reported in the world literature of a patient with Von Recklinghausen's disease associated with periampuUary somatostatinomas and jejunal stromal tumor. In patients with Von Recklinghausen's disease who complain of gastrointestinal symptoms, a high suspicion index for periampullary endocrine tumours and/or gastrointestinal stromal tumour is required. An aggressive surgical approach seems to give long term survival also in metastatic patients. 展开更多
关键词 Endocrine tumour Gastrointestinal stromal tumour NEUROFIBROMATOSIS SOMATOSTATINOMA Pancreatic neoplasm
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Gene transfer of somatostatin receptor type 2 by intratumoral injection inhibits established pancreatic carcinoma xenografts 被引量:9
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作者 Manoj Kumar 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第4期516-520,共5页
AIM: To investigate the therapeutic effect of somatostatin receptor type 2 (SSTR2) gene transfection on pancreatic carcinoma xenografts in vivo in experimental cancers. METHODS: Human pancreatic cancer cell line Panc-... AIM: To investigate the therapeutic effect of somatostatin receptor type 2 (SSTR2) gene transfection on pancreatic carcinoma xenografts in vivo in experimental cancers. METHODS: Human pancreatic cancer cell line Panc-1 was inoculated subcutaneously into the back of nude mice. When tumor nodules were grown as large as about 5 mmx5 mm days after inoculation, the mice were randomly divided into 3 groups (6 mice in each group). Group Ⅰ served as untreated control group. Group Ⅱ received an intratumoral injection of a combination of human cytomegalovirus promoter-6C (pCMV-6C) and lipofectamine 2000. Group Ⅲ received an intratumoral injection of a combination of pCMV-6C-SSTR2 and lipofectamine 2000. The rate of tumor growth was compared among these three groups. The expression of SSTR2 in these tumors was detected by immunohistochemistry and Western-blot. Apoptosis index (AI) in these tumors was examined by using TUNEL in situ. RESULTS: Intratumoral injection of a combination of pCMV-6C-SSTR2 and lipofectamine 2000 resulted in the expression of SSTR2 protein. The tumor size and weight in group Ⅲ (0.318±0.098 cm3, and 0.523±0.090 g, respectively) were significantly lower than those in group I (2.058±0.176 cms, and 1.412±0.146 g, respectively) and group Ⅱ (2.025±0.163 cm3, and 1.365±0.116 g, respectively) (P<0.05) The AI in group Ⅲ (1.47±0.13%) was significantly higher than that in groupⅠ(0.56±0.09%) and group Ⅱ (0.57±0.11%) (P<0.05). But there were no significant differences between groups Ⅰ and Ⅱ. CONCLUSION: Our data demonstrate that re-expression of SSTR2 gene has antitumor effects on experimental pancreatic cancer. Restoration of SSTR2 gene expression through gene transfer in vivo might be a potential gene therapy strategy for human pancreatic cancer. 展开更多
关键词 Pancreatic Cancer XENOGRAFTS Somatostatin receptor type 2 TRANSFECTION
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(-)-Epigallocatechin-3-gallate inhibits growth of gastric cancer by reducing VEGF production and angiogenesis 被引量:30
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作者 Bao-He Zhu, Wen-Hua Zhan, Zheng-Rong Li, Zhao Wang, Yu-Long He, Jun-Sheng Peng, Shi-Rong Cai, Jin-Ping Ma, Chang-Hua Zhang, Department of Gastrointestinal & Pancreatic Surgery, First Affiliated Hospital, Sun Yat-Sen University Gastric Center of Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第8期1162-1169,共8页
AIM: To investigate the effect of (-)-epigallocatechin-3-gallate (EGCG) on growth of gastric cancer and its possible mechanism. METHODS: Heterotopic tumors were induced by subcutaneously injection of SGC-7901 ce... AIM: To investigate the effect of (-)-epigallocatechin-3-gallate (EGCG) on growth of gastric cancer and its possible mechanism. METHODS: Heterotopic tumors were induced by subcutaneously injection of SGC-7901 cells in nude mice. Tumor growth was measured by calipers in two dimensions. Tumor angiogenesis was determined with tumor microvessel density (MVD) by immunohistology. Vascular endothelial growth factor (VEGF) protein level and activation of signal transducer and activator of transcription 3 (Star3) were examined by Western blotting. VEGF mRNA expression was determined by RT-PCR and VEGF release in tumor culture medium by ELISA. VEGF-induced cell proliferation was studied by MTT assay, cell migration by gelatin modified Boyden chamber (Transwell) and in vitro angiogenesis by endothelial tube formation in Matrigel. RESULTS: Intraperitoneal injection of EGCG inhibited the growth of gastric cancer by 60.4%. MVD in tumor tissues treated with EGCG was markedly reduced. EGCG treatment reduced VEGF protein level in vitro and in vivo. Secretion and mRNA expression of VEGF in tumor cells were also suppressed by EGCG in a dose-dependent manner. This inhibitory effect was associated with reduced activation of Star3, but EGCG treatment did not change the total Star3 expression. EGCG also inhibited VEGF-induced endothelial cell proliferation, migration and tube formation. CONCLUSION: EGCG inhibits the growth of gastric cancer by reducing VEGF production and angiogenesis, and is a promising candidate for anti-angiogenic treatment of gastric cancer. 展开更多
关键词 Epigallocatechin-3-gallate ANGIOGENESIS Migration Tube formation Vascular endothelial growth factor Signal transducer and activator of transcription 3 Gastric cancer
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A “false positive” octreoscan in ileal Crohn’s disease
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作者 Alberto Fernandez Olga Tabuenca Angeles Peteiro 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第34期5349-5352,共4页
We present a case report of a patient with a suspicious ileal carcinoid tumour. Clinical examination as well as computer tomograghy (CT) scan suggested a tumour. Octeotride scan showed uptake in the same bowel loop re... We present a case report of a patient with a suspicious ileal carcinoid tumour. Clinical examination as well as computer tomograghy (CT) scan suggested a tumour. Octeotride scan showed uptake in the same bowel loop reported as pathological in CT. The patient underwent surgery and biopsy which reported Crohn’s disease (CD). The interest in the case is due to the fact that this is, to the best of our knowledge, the second report of Crohn’sdisease as a cause of false positive octeotride scan. Unfortunately, no somatostatin recptors could be found in the sample, so further studies should be performed. 展开更多
关键词 Crohn's disease Carcinoid tumour OCTREOSCAN Somatostatin receptor scintigraphy ^111In-DTPA- octreotido
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EFFECT OF SOMATOSTATIN ON THE EXPRESSION OF TNF α mRNA IN MULTIORGANS OF RATS WITH ACUTE HEMORRHAGIC NECROTIC PANCREATITIS
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作者 秦仁义 肖雪明 +2 位作者 邹声泉 吴在德 裘法祖 《Chinese Medical Sciences Journal》 CAS CSCD 1998年第3期134-137,共4页
Objectives.To study the expression of TNF α mRNA and the effect of somatostatin on the expression of TNF α mRNA in multiorgans of rats with acute hemorrhagic necrotic pancreatitis(AHNP). Methods.AHNP in the rat was ... Objectives.To study the expression of TNF α mRNA and the effect of somatostatin on the expression of TNF α mRNA in multiorgans of rats with acute hemorrhagic necrotic pancreatitis(AHNP). Methods.AHNP in the rat was induced by retrograde injection of 5% sodium taurocholate into the bile-pancreatic duct. Somatostatin octapeptide (SS-OP) (2μg/kg)was injected into the femoral vein imme- diately in rats of the treatment group after inductive AHNP. Rats of the sham operative group received in- jection of saline. Sixty animals of the AHNP and sham operative groups at the designated time(0. 2h, 0. 5 h, 2h, 4h, 8h, after the operation,six animals at each time point)and tweleve animals of treatment group at 4h after the operation were sacrificed for samples of pancreas, liver and lung. The expressions of TNF α mRNA within the pancreas, liver and lung were established by RT-PCR. Results. TNF α mRNA became detectable in the pancreas as early as 0. 2h after inductive AHNP, while it was undetectable in other organs until 0. 5h. Expression of TNF α mRNA in each tissue increased continuously and reached a peak at 4h,demonstrating a significant difference compared with that at 0. 5h and 8h. Expressions of TNF α mRNA from pancreas, liver and lung were decreased 50-80% in the treat- ment group, the pancreatic necrosis was also attenuated dramatically. Conclusion. TNF α mRNA was detectable in pancreas,liver and lung tissues at the early stage of AH- NP.SS-OP can significantly inhibit the expression of TNF α mRNA and attenuate the pancreatic necrosis. We feel that this may be an important mechanism of SS-OP in the treatment of AHNP. 展开更多
关键词 acute hemorrhagic necrotic pancreatitis somatostatin-octapeptide TNF α mR- NA gene expression
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The effect of rh-endostatin on micrangium and angiogenic factors in tumor and myocardium tissue
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作者 Cuicui Zhang Kai Li Jing Wang 《The Chinese-German Journal of Clinical Oncology》 CAS 2012年第1期43-48,共6页
Objective: The aim of this study was to compare effect of rh-endostatin on microvasculature in tumor and myocardium tissue. Methods: Nude mice were randomized into 4 groups, blank control group [did not burden tumor... Objective: The aim of this study was to compare effect of rh-endostatin on microvasculature in tumor and myocardium tissue. Methods: Nude mice were randomized into 4 groups, blank control group [did not burden tumor, normalsaline (NS) 100 μL/d], drug control group (did not burden tumor, rh-endostatin 400 μg/d), model group (mice burdened tumor, NS 100 μL/d) and treatment group (mice burdened tumor, rh-endostatin 400 μg/d), administration was given during d1-d28. The volume of tumor and the weight of mouse were measured before and after administration. The expression of CD34, MMP-2, MMP-9, HIF-la and VEGF in myocardium and tumor were detected by immunohistochemistry. The structure of vasculature was observed by immunoenzymatic double staining with CD34 and Masson. Results: The tumor volume increase of treatment group (48.18 mm3) was less than the model group (113.80 mm3), the change of weight was not significant among the four groups. After treated with endotar, the expression of MMP-9 and VEGF in tumor were obviously down-regulated, but the same results was not found in MMP-2, HIF-la of tumor. MVD in tumor of treatment group decreased significantly compared with model group. Proportion of tumor vessels covered by collagen in treatment group increased compared with model group. However, MVD and microvasculature in myocardium did not change significantly. Conclusion: Rh-endostatin can decrease the expression of MMP-9, VEGF and MVD to inhibit growth of tumor and normalize micrangium in tumor but cannot weaken MMPs and MVD of mature micrangium in myocardium. 展开更多
关键词 rh-endostatin xenografted tumor myocardium tissue micrangium
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