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以血细胞异常为首发的系统性红斑狼疮临床调查研究 被引量:3
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作者 苏永忠 谢建英 刘元生 《临床误诊误治》 2004年第7期490-492,共3页
目的了解系统性红斑狼疮 (SLE)的血液学变化、临床特点及其对药物治疗的反应。方法对 3 1例以血液系统异常为主要表现的SLE进行骨髓细胞学检查及骨髓活检 ,并与血象等其他临床资料综合分析 ,同时观察糖皮质激素和细胞毒药物治疗后血象... 目的了解系统性红斑狼疮 (SLE)的血液学变化、临床特点及其对药物治疗的反应。方法对 3 1例以血液系统异常为主要表现的SLE进行骨髓细胞学检查及骨髓活检 ,并与血象等其他临床资料综合分析 ,同时观察糖皮质激素和细胞毒药物治疗后血象的变化。结果SLE骨髓表现从增生明显活跃到增生受抑 ,以至再生障碍。最具意义的是增生受抑 ,但较外周血轻 ,且未见细胞形态异常 ,受抑发生率依次为巨核细胞及血小板 ( 4 5 2 %)、红系 ( 3 8 7%)和粒系 ( 9 7%)。此外尚有呈再生障碍骨髓象、网状吞噬细胞及浆细胞增多、铁染色减少等改变 ,4例骨髓活检未见骨髓纤维化。 3 1例治疗后血细胞减少均得以改善。结论对外周血细胞减少而骨髓细胞形态无异常者应警惕SLE可能 ,缺铁可能是狼疮性贫血的原因之一 ,肝脾、淋巴结增大可能提示骨髓增生。 展开更多
关键词 红斑狼疮 系统性 骨髓细胞增生 骨髓细胞抑制 诊断 治疗 泼尼松 免疫抑制
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Inhibitory effect of oridonin on proliferation of RPMI8226 cells and the possible underlying mechanism 被引量:1
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作者 Hao Yaning Zhao Fei +2 位作者 Luo Yuanyuan Zhang Mei Li Shasha 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2016年第2期225-230,共6页
OBJECTIVE:To observe the effects of oridonin on proliferation and apoptosis of myeloma RPMI8226cells and to investigate the potential underlying mechanisms.METHODS:RPMI8226 cells were treated with various concentratio... OBJECTIVE:To observe the effects of oridonin on proliferation and apoptosis of myeloma RPMI8226cells and to investigate the potential underlying mechanisms.METHODS:RPMI8226 cells were treated with various concentrations of oridonin.Cell proliferation was analyzed using the thiazolyl blue tetrazolium bromide method.Ultramicrostructure was observed by transmission electron microscopy.Annexin-V/PI staining and flow cytometry was performed to determine cell apoptosis.Expression of apoptosis-related proteins was evaluated by western blot analysis.RESULTS:Oridonin suppressed the proliferation of RPMI8226 cells and induced apoptosis in a timeand dose-dependent manner.Transmission electron microscopy confirmed apoptotic morphologyupon treatment with 20μmol/L oridonin and western blot revealed decreased expressions of the apoptosis suppressors survivin,Bcl-2 and pro-caspase-3 proteins,and the increased expression of the apoptosis inducer Bax.CONCLUSION:Our results show that oridonin exhibits an inhibitory effect on the proliferation of RPMI8226 cells and induces apoptosis.This is associated with altering the balance between Bcl-2 and Bax protein expressions and decreased survivin and pro-caspase-3 expressions. 展开更多
关键词 ORIDONIN Multiple myeloma Apopto sis Survivin Bcl-2-associated X protein Caspase 3
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