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补充外源性维生素D对老年溃疡性结肠炎患者氧化-抗氧化失衡、肠道黏膜屏障和临床预后的影响 被引量:18
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作者 陈风慧 王晓华 范春梅 《陕西医学杂志》 CAS 2018年第12期1634-1637,共4页
目的:观察补充外源性维生素D对老年溃疡性结肠炎(UC)患者氧化-抗氧化失衡、肠道黏膜屏障和临床预后的影响。方法:将82例老年UC患者随机分为观察组(n=40例)和对照组(n=42例),对照组给予美沙拉秦肠溶片治疗,观察组在对照组基础上补充外源... 目的:观察补充外源性维生素D对老年溃疡性结肠炎(UC)患者氧化-抗氧化失衡、肠道黏膜屏障和临床预后的影响。方法:将82例老年UC患者随机分为观察组(n=40例)和对照组(n=42例),对照组给予美沙拉秦肠溶片治疗,观察组在对照组基础上补充外源性维生素D制剂治疗,疗程均为3个月。记录两组的临床疗效,并观察两组治疗前后改良Mayo评分、氧化应激和肠黏膜屏障指标的变化;记录两组生活质量、复发率。结果:观察组临床疗效显著高于对照组(P<0.05);两组治疗后改良Mayo评分系统单项(排便次数、便血、内镜发现、总体评价)和总分值均显著降低,观察组治疗后以上评分均低于对照组(P<0.05);两组治疗后血清MAD、DAO和D-乳酸水平均显著降低,SOD水平升高,观察组治疗后以上指标均优于对照组(P<0.05)。两组治疗后的炎症性肠病生存质量问卷(IBDQ)中的肠道症状、全身症状、情感功能、社会功能和总评分均显著升高,观察组治疗后以上指标均高于对照组(P<0.05);观察组复发率低于对照组。结论:补充外源性维生素D可显著缓解老年UC患者病情,提高临床疗效,降低复发率,改善生活质量,其机制可能与其促进氧化-抗氧化平衡,保护肠道黏膜屏障有关。 展开更多
关键词 结肠炎 溃疡性/治疗 维生素D/治疗应用 氧化性应激 @肠道黏膜屏障 预后
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Defensins couple dysbiosis to primary immunodeficiency in Crohn's disease 被引量:5
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作者 Mathias Chamaillard Rodrigue Dessein 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第5期567-571,共5页
Antimicrobial peptides,including defensins,are essential effectors in host defence and in the maintenance of immune homeostasis.Clinical studies have linked the defective expression of both α-and β-defensin to the r... Antimicrobial peptides,including defensins,are essential effectors in host defence and in the maintenance of immune homeostasis.Clinical studies have linked the defective expression of both α-and β-defensin to the reduced killing of certain microorganisms by the intestinal mucosa of patients suffering from ileal and colonic Crohn's disease(CD),respectively.Only recently have the events leading to defective expression of defensins in CD been further elucidated,and are discussed herein.These events may account for CD-associated alterations in the microbiome and may subsequently precipitate the development of granulomatous inflammatory lesions in genetically-predisposed patients.We also address how these discoveries may pave the way for the development of a molecular medicine aimed at restoring gut barrier function in CD. 展开更多
关键词 Crohn's disease DEFENSINS Primary immuno-deficiencies
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Fermentation Production of Ganoderma lucidum by Bacillus subtilis Ameliorated Ceftriaxone-induced Intestinal Dysbiosis and Improved Intestinal Mucosal Barrier Function in Mice 被引量:4
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作者 LIU He FAN Qing-Jie +2 位作者 LIU Yin-Hui LI Ming YUAN Jie-Li 《Digital Chinese Medicine》 2020年第3期199-212,共14页
Objective This study aimed to develop a type of Ganoderma lucidum(G.lucidum)-probiotic fermentation broth that can effectively improve the intestinal mucosal barrier function of mice with ceftriaxone-induced intestina... Objective This study aimed to develop a type of Ganoderma lucidum(G.lucidum)-probiotic fermentation broth that can effectively improve the intestinal mucosal barrier function of mice with ceftriaxone-induced intestinal dysbiosis.Methods By means of absorbance of optical density(OD)value and phenol-concentrated sulfuric acid measurement of polysaccharide content,the probiotic species can grow on the medium of G.lucidum were screened out,and the concentration of the medium of G.lucidum was determined,and the fermentation broth was prepared for subsequent experiments.Thirty-two SPF grade male BALB/c mice were randomly divided into four groups(eight mice in each group),namely control group(CON),intestinal mucosal barrier damage model group(CS),fermentation broth intervention group(FT)and G.lucidum medium intervention group(GL),respectively.The intestinal dysregulation model was induced by intra-gastric administration of 0.2 mL ceftriaxone sodium(twice a day for seven consecutive days).From day 8,the FT group and GL group were gavage with 0.2 mL fermentation broth and G.lucidum medium,respectively.On day 15,all mice were sacrificed.To draw the weight curve and measure the cecal index;pathological examination of colon tissues with HE staining;serum levels of LPS,IL-10,TNF and IL-6 were detected by ELISA.Flow cytometry was used to analyze the changes of CD3+T cells,CD4+T cells,CD8+T cells and macrophages in spleen.16S rRNA sequencing was performed to detect the intestinal microbiota structure of mice.Results Bacillus subtilis can decompose and utilize G.lucidum fruiting body medium,and the suitable concentration of G.lucidum fruiting body medium is 33.2 mg/mL.The effect of Bacillus subtilis-G.lucidum fermentation broth on the damage of intestinal mucosal barrier caused by ceftriaxone sodium was reduced,the body weight of mice recovered and colon swelling improved,colon histopathological injury was alleviated,inflammatory cell infiltration was alleviated,serum IL-10 increased significantly,LPS、TNF-αand IL-6 decreased significantly compared with model group,and the proportion of T cells and intestinal dysbiosis was improved.Conclusions The experimental results suggest that Bacillus subtilis-G.lucidum fermentation broth can effectively improve the intestinal barrier function damage,immune dysfunction and intestinal dysbiosis caused by antibiotic overdose,and has a certain regulatory effect on intestinal mucosal barrier function. 展开更多
关键词 Ganoderma lucidum Bacillus subtilis Traditional Chinese medicine fermentation Ganoderma lucidum acid Intestinal mucosal barrier function Intestinal dysbiosis Regulate Tcell responses
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Changes of Intestinal Permeability in Cholelithiasis Patients
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作者 Shao-long Sun Shuo-dong Wu Dong-xu Cui Bao-lin Liu Xian-wei Dai 《Chinese Medical Sciences Journal》 CAS CSCD 2009年第3期195-196,共2页
In normal condition, intestine mucosa possesses barrier function. When the barrier function of intestine mucosa was damaged, intestinal bacteria, endotoxin, or other substances would enter blood. It is generally accep... In normal condition, intestine mucosa possesses barrier function. When the barrier function of intestine mucosa was damaged, intestinal bacteria, endotoxin, or other substances would enter blood. It is generally accepted that biliary bacteria origins from the intestine either via duodenal papilla or intestinal mucosa. In this study, we aimed to investigate the intestinal permeability changes of cholelithiasis patients to elucidate the possible pathogenesis of cholelithiasis. 展开更多
关键词 CHOLELITHIASIS technetium-99m-diethylene-triamine pentaacetic acid intestinal permeability
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Protective effects of ischemic postconditioning on intestinal mucosa barrier function in rabbits with crush injury of hind limb: an experimental study 被引量:6
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作者 DING Jun-tao ZHANG Lian-yang 《Chinese Journal of Traumatology》 CAS 2011年第2期92-95,共4页
Objective: To explore the protective effects of two types of ischemic postconditioning (IP) on intestinal mucosa barrier in rabbits with crush injury of the hind limb. Methods: This study was conducted between Au... Objective: To explore the protective effects of two types of ischemic postconditioning (IP) on intestinal mucosa barrier in rabbits with crush injury of the hind limb. Methods: This study was conducted between August and December 2008 in the Department of Trauma Surgery, Daping Hospital, Third Military Medical University, Chongqing, China. The model of crush injury to the hind limb of rabbits was firstly developed by a 25 kg object with the right hind limbs fixed by wooden splints, and then two types of IP were established, including occluding/opening the common iliac artery and vein alternatively (traditional IP, IP A) and binding/loosening the proximum of the injured hind limb altematively (modified IP, IP B). Thirty-six male New Zealand white rabbits were randomly divided into three groups: IP A group, IP B group and control group, with 12 rabbits in each group. The serum levels of diamine oxidase (DAO) and intestinal fatty acid-binding protein (I-FABP) were detected at 2, 6, 12 and 24 hours after injury. Pathologi- cal changes of ileum were examined at 24 hours after injury. Results: The serum levels of I-FABP at 2, 6, 12 and 24 hours after injury in both IPA and IP B groups had a significant decrease, compared with control group. DAO levels also showed the same change trend at 2 and 6 hours after injury, but showed no significant difference between two IP groups. No difference in pathological changes of ileum was found among the three groups. Conclusions: IP can protect intestinal mucosa barrier function on the model of hind limb crush injury in rabbits. Meanwhile the modified IP B shows the same protection as the traditional IP A, and is worth applying in clinic. 展开更多
关键词 Ischemic postconditioning Crush syndrome Intestinal mucosa
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