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芪地糖肾颗粒对糖尿病肾脏疾病患者蛋白尿的治疗及其对尿裂隙素、足细胞素的作用 被引量:3
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作者 连心逸 柳红芳 +2 位作者 苗桂珍 曹柏龙 崔赵丽 《北京中医药大学学报》 CAS CSCD 北大核心 2022年第12期1223-1229,共7页
目的研究芪地糖肾颗粒治疗慢性肾脏病(CKD)3期的糖尿病肾脏疾病(DKD)气阴两虚、瘀热阻络证患者蛋白尿的临床疗效和对尿足细胞裂孔膜蛋白(裂隙素、足细胞素)的影响。方法选取64例CKD3期DKD气阴两虚、瘀热阻络证患者,用随机数字表法分为... 目的研究芪地糖肾颗粒治疗慢性肾脏病(CKD)3期的糖尿病肾脏疾病(DKD)气阴两虚、瘀热阻络证患者蛋白尿的临床疗效和对尿足细胞裂孔膜蛋白(裂隙素、足细胞素)的影响。方法选取64例CKD3期DKD气阴两虚、瘀热阻络证患者,用随机数字表法分为试验组及对照组,每组各32例。试验组予基础治疗(降血糖、降血压、降血脂,配合饮食指导)和芪地糖肾颗粒,对照组予基础治疗和安慰剂。疗程共3个月。比较2组临床疗效、中医证候疗效,以及治疗前后尿白蛋白肌酐比(UACR)、血糖、血脂、尿裂隙素、尿足细胞素的变化,评价安全性。结果试验组与对照组临床疗效总有效率分别为77.42%(24/31)和24.14%(7/29)、中医证候疗效有效率分别为64.52%(20/31)和37.93%(11/29),试验组疗效均优于对照组,差异有统计学意义(P<0.05)。试验组治疗后UACR较对照组降低(P<0.05),尿足细胞素增加程度较对照组减低(P<0.05)。在研究过程中2组均无明显不良反应。结论芪地糖肾颗粒可减少CKD3期DKD气阴两虚、瘀热阻络证患者尿蛋白排泄,作用机制可能与其对肾小球的保护作用有关。 展开更多
关键词 蛋白尿 尿裂隙 尿足细胞素 芪地糖肾颗粒 糖尿病肾脏疾病
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沙格列汀对2型糖尿病合并微量白蛋白尿患者尿裂隙素和足细胞素排泄的影响 被引量:7
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作者 胡圆圆 叶山东 +1 位作者 邢燕 周婉 《中国新药与临床杂志》 CAS CSCD 北大核心 2021年第6期447-451,共5页
目的观察沙格列汀对2型糖尿病(T2DM)合并微量白蛋白尿(MI)患者尿裂隙素和足细胞素排泄的影响,探讨沙格列汀的肾脏保护作用及可能机制。方法将160例合并MI且口服二甲双胍、血糖控制不佳的T2DM患者,随机分为沙格列汀组(Sa组)和磺酰脲类药... 目的观察沙格列汀对2型糖尿病(T2DM)合并微量白蛋白尿(MI)患者尿裂隙素和足细胞素排泄的影响,探讨沙格列汀的肾脏保护作用及可能机制。方法将160例合并MI且口服二甲双胍、血糖控制不佳的T2DM患者,随机分为沙格列汀组(Sa组)和磺酰脲类药物组(Su组),分别在二甲双胍治疗基础上给予沙格列汀(5 mg·d^(-1))或格列美脲、格列齐特、格列吡嗪等口服,疗程均为12周。观察治疗前后患者血糖、血脂、肾功能等指标变化,并以尿肌酐校正尿白蛋白、裂隙素和足细胞素指标,标记为尿白蛋白肌酐比值(UACR)、尿裂隙素肌酐比值(UNCR)及尿足细胞素肌酐比值(UPCR)。结果 Sa组和Su组各完成76例和75例。治疗12周末,Sa组和Su组空腹血糖、餐后2 h血糖、糖化血红蛋白均较治疗前显著降低(P <0.01),且组间比较无显著差异(P> 0.05)。Sa组三酰甘油和总胆固醇较治疗前下降(P <0.01),Su组无明显变化,组间差异显著(P <0.05)。Sa组UACR、UNCR及UPCR水平显著降低(P <0.01),且显著低于Su组(P <0.01),UNCR、UPCR均与UACR正相关(r = 0.554,r = 0.542,P <0.01)。治疗期间,2组均无严重不良反应发生。结论沙格列汀可降低T2DM合并MI患者的尿白蛋白排泄,具有一定的肾脏保护作用,其机制可能与减少足细胞裂隙素和足细胞素的丢失有关,且这一作用不完全依赖于其降糖作用。 展开更多
关键词 沙格列汀 糖尿病 肾病 细胞 裂隙 足细胞素
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探讨帕立骨化醇抑制血管紧张素活性减轻足细胞损伤的有效性
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作者 高连彬 王丽 +2 位作者 王建宾 李媛 韩瑜 《中国妇幼健康研究》 2016年第S2期221-222,共2页
目的:本次主要对帕立骨化醇抑制血管紧张素活性减轻足细胞损伤的有效性进行探讨。方法:将雄性SD大鼠的右肾切除,并将其左肾动脉前肢结扎以此来诱导尿毒症的模型。选取20只尿毒症大鼠并将其随机分为两组,分别为对照组(正常SD大鼠),观察组... 目的:本次主要对帕立骨化醇抑制血管紧张素活性减轻足细胞损伤的有效性进行探讨。方法:将雄性SD大鼠的右肾切除,并将其左肾动脉前肢结扎以此来诱导尿毒症的模型。选取20只尿毒症大鼠并将其随机分为两组,分别为对照组(正常SD大鼠),观察组(尿毒症大鼠)实验组(尿毒症+帕立骨化醇治疗),对三组大鼠的生化指标以及尿液指标进行分析对比。结果:观察组生化与尿液指标均显著高于对照组,P<0.05,两组数据的对比差异性有统计学的意义;结论:帕立骨化醇能够与抑制血管紧张的素活性,并减轻足细胞的脱落与损伤。 展开更多
关键词 帕立骨化醇 活性细胞损伤
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Effects of Warm Needling at Zusanli(ST 36)on NO and IL-2 Levels in the Middle-Aged and Old People 被引量:2
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作者 李苏 陈开阳 +3 位作者 吴英 焦健慧 陶立富 王友京 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2003年第2期127-128,共2页
42 middle-aged and old people at the age between 55-70 years were selected and given the warm needling at Zusanli (ST 36), and their IL-2 and NO contents of peripheral blood before and after acupuncture were determine... 42 middle-aged and old people at the age between 55-70 years were selected and given the warm needling at Zusanli (ST 36), and their IL-2 and NO contents of peripheral blood before and after acupuncture were determined. The results showed that IL-2 and NO contents increased significantly after the warm needling (P<0.01). 展开更多
关键词 Acupuncture Therapy Acupuncture Points Aged Female Humans Hypertension INTERLEUKIN-2 Male Middle Aged MOXIBUSTION Nitric Oxide Sleep Initiation and Maintenance Disorders
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Effect of acupuncture at Bǎihuì (百会GV 20) and Zúsānlǐ (足三里ST 36) on the level of serum inflammatory cytokines in patients with depression 被引量:2
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作者 孙华 赵慧 +4 位作者 张捷 包飞 魏镜 王道海 张云祥 《World Journal of Acupuncture-Moxibustion》 2010年第4期1-8,共8页
Objective To investigate the immunologic mechanism of acupuncture at Bǎihuì(百 会 GV 20) and Zúsānlǐ(足三里 ST 36) for treatment of depression. Methods Eighty-four cases of depression patients were ra... Objective To investigate the immunologic mechanism of acupuncture at Bǎihuì(百 会 GV 20) and Zúsānlǐ(足三里 ST 36) for treatment of depression. Methods Eighty-four cases of depression patients were randomly divided into an electroacupuncture observation group(group A), an electroacupuncture control group(group B) and a medication control group(group C), 28 cases in each group. Bǎihuì(百会 GV 20) and Zúsānlǐ(足三里 ST 36) were used in the group A; Tàichōng (太冲 LR 3), Sānyīnjiāo (三阴交 SP 6), Nèiguān (内关 PC 6) and Shénmén (神门 HT 7) were used in the group B; and the group C was treated with oral administration of Fluoxetine. The scores of Hamilton Depression Scale (HAMD) were tested and the level of serum interleukin 1(IL-1β), interleukin 6 (IL-6), and tumor necrosis factor α (TNF-α) were measured by Enzyme Linked Immunosorbent Assay (ELISA)before and after treatment. Results Their scores of HAMD were obviously decreased after treatment in three groups(all P0.01). In the group A, 2 cases were cured, 19 cases were markedly effective, 5 cases were effective and 2 cases were failed. In the group B, 16 cases were markedly effective, 12 cases were effective. While in the group C, 1 case was cured, 17 cases were markedly effective, 7 cases were effective and 3 cases were failed. The grade distribution of clinical effect showed that the effect of group A was better (P0.05). The levels of serum IL-1β and IL-6 in the three groups were obviously decreased after treatment (P0.05, P0.01), while there was no significant difference between the level of serum TNF-α before and after treatment. Conclusion The effect of electroacupuncture observation group is superior to those of electroacupuncture control group and medication control group.All of these three methods can clear the inflammatory cytokines such as IL-1β and IL-6 away and improve the symptoms of depression. 展开更多
关键词 DEPRESSION Acupuncture Therapy Point GV 20 (Bǎihuì) Point ST 36 (Zúsānlǐ) INTERLEUKIN-1 INTERLEUKIN-6
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Extractum trametes robiniophila murr protects murine podocyte via actin cytoskeleton stabilization 被引量:1
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作者 Xuan Luo Qing Du +3 位作者 Haiyan Zhao Wenhai Fan Xin Gao Xia Gao 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2021年第3期230-238,共9页
The Chinese medicine Extractum trametes robiniophila murr(ETRM)is the extract of a type of fungus.Recent studies have suggested that ETRM efficiently improves the effacement of podocyte foot processes in adriamycin(AD... The Chinese medicine Extractum trametes robiniophila murr(ETRM)is the extract of a type of fungus.Recent studies have suggested that ETRM efficiently improves the effacement of podocyte foot processes in adriamycin(ADR)-induced nephrotic rats.In the present study,we aimed to assess whether ETRM modulated the actin rearrangements of podocytes and involved signaling molecules,includingα-actinin-4 and nephrin.Podocytes were treated with ADR(0.5μmol/L),ADR(0.5μmol/L)+dexamethasone(Dex)(1μmol/L),ADR(0.5μmol/L)+ETRM(10 mg/mL).The F-actin in the podocytes was stained by fluorescent phallotoxins and observed by confocal microscopy.The expression levels ofα-actinin-4 and nephrin were tested by real-time PCR and Western blotting analysis.The administration of ETRM could significantly prevent ADR-treated podocytes from actin rearrangement.Both ETRM and Dex could stabilize podocyte actin cytoskeletons.Moreover,α-actinin-4 might act as a potential target for ETRM functionality in podocyte actin rearrangements.However,pretreatment with ETRM could not inhibit the up-regulation of nephrin as a result of ADR treatment.ETRM could improve the cytoskeleton stability in ADR-induced actin rearrangement of podocytes via regulatingα-actinin-4 expression. 展开更多
关键词 Actin rearrangements Extractum trametes robiniophila murr Foot processes ADRIAMYCIN
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Fluvastatin protects against puromycin aminonucleoside-induced podocyte injury by inhibiting TRPC6
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作者 Hui Gao Yunjing Zhang +1 位作者 Jing Lin Xifeng Sun 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2022年第5期360-368,共9页
In the present study,we aimed to investigate the effect of puromycin aminonucleoside(PAN)on the expression and distribution of transient receptor potential canonical 6(TRPC6)of murine podocytes and further study the p... In the present study,we aimed to investigate the effect of puromycin aminonucleoside(PAN)on the expression and distribution of transient receptor potential canonical 6(TRPC6)of murine podocytes and further study the protective mechanism of fluvastatin on podocyte injury by TRPC6 in vitro.Podocytes were treated by PAN at different doses and at different time points.The expressions of TRPC6 at mRNA and protein levels were assessed.An immunofluorescent assay was used to observe the distribution of TRPC6.Cultured podocytes were then divided into four groups.The expressions of TRPC6 at mRNA and protein levels were measured.The intracellular calcium concentration of podocytes was measured with a laser-scanning confocal microscope.The paracellular permeability to BSA was evaluated using Millicell-PCF Inserts.The expressions of TRPC6 at mRNA and protein levels were increased in a dose and time-dependent manner after exposure to PAN.Immunofluorescence showed that the expression intensity of TRPC6 was significantly increased,and the distribution of TRPC6 was changed after PAN was applied to podocytes.With fluvastatin intervention,PAN-induced up-regulation of TRPC6 was significantly reversed.The ratio of the peak value of intracellular calcium to the basic calcium value in the PAN group was significantly higher after TRPC6 was activated by OAG,while it is obviously reversed under the action of fluvastatin.The podocyte permeability was significantly increased after 48 h of PAN treatment,while the above situation was effectively improved after fluvastatin intervention.The changes of distribution and expression of TRPC6 were related to podocyte injury induced by PAN.Fluvastatin could exert its protective effects on podocytes by down-regulating TRPC6. 展开更多
关键词 TRPC6 PODOCYTE Puromycin aminonucleoside FLUVASTATIN CALCIUM
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