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开窍活血汤联合阿替普酶对急性脑梗死患者认知功能及血清NT-proBNP和sICAM-1的影响
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作者 朱智恒 罗凯 +2 位作者 刘用 王璐 李春辉 《中国药业》 CAS 2024年第5期54-58,共5页
目的探讨开窍活血汤联合阿替普酶(rt-PA)对急性脑梗死(ACI)患者认知功能及血清N-末端B型脑钠肽前体(NT-proBNP)、可溶性细胞间黏附分子-1(sICAM-1)水平的影响。方法选取湖南中医药大学第一附属医院2022年1月至12月收治的ACI患者100例,... 目的探讨开窍活血汤联合阿替普酶(rt-PA)对急性脑梗死(ACI)患者认知功能及血清N-末端B型脑钠肽前体(NT-proBNP)、可溶性细胞间黏附分子-1(sICAM-1)水平的影响。方法选取湖南中医药大学第一附属医院2022年1月至12月收治的ACI患者100例,按随机数字表法分为观察组和对照组,各50例。两组患者均予rt-PA溶栓治疗联合常规治疗,观察组患者加用开窍活血汤,两组患者均治疗2周。结果观察组总有效率为96.00%,显著高于对照组的82.00%(P<0.05)。治疗后,两组患者的口舌歪斜、半身不遂、言语謇涩、面色皎白、舌质暗淡、脉沉细等中医证候积分均显著降低,且观察组显著低于对照组(P<0.05);两组患者美国国立卫生研究院卒中量表(NIHSS)评分显著降低,简易智能精神状态评估量表(MMSE)评分显著升高,且观察组显著优于对照组(P<0.05);两组患者NT-proBNP和sICAM-1水平均显著降低(P<0.05),且观察组显著低于对照组(P<0.05)。观察组患者治疗期间不良反应发生率为6.00%,显著低于对照组的20.00%(P<0.05)。结论开窍活血汤联合rt-PA治疗ACI的临床疗效显著,可有效缓解患者的临床症状和体征,改善其神经功能及认知功能,降低血清NT-proBNP和sICAM-1水平,且安全性良好。 展开更多
关键词 开窍活血汤 阿替普酶 急性脑梗死 N-末端b型脑钠肽前体 可溶性细胞间黏附分子-1
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桃红四物汤联合西药治疗心力衰竭合并心绞痛的效果及对ET-1、NT-proBNP及心衰标志物的影响
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作者 卞华兴 庄燕 高永兴 《辽宁中医杂志》 CAS 北大核心 2024年第7期119-122,共4页
目的 探讨桃红四物汤联合西药治疗心力衰竭合并心绞痛的效果及对内皮素-1(ET-1)、N末端B型利钠肽原(NT-proBNP)及心衰标志物的影响。方法 选择2020年1月—2022年1月在医院接受治疗的77例心力衰竭合并心绞痛患者,采用随机数表法分为试验... 目的 探讨桃红四物汤联合西药治疗心力衰竭合并心绞痛的效果及对内皮素-1(ET-1)、N末端B型利钠肽原(NT-proBNP)及心衰标志物的影响。方法 选择2020年1月—2022年1月在医院接受治疗的77例心力衰竭合并心绞痛患者,采用随机数表法分为试验组39例和对照组38例。对照组给瑞舒伐他汀钙治疗,试验组给予桃红四物汤联合瑞舒伐他汀钙治疗。比较两组临床疗效、ET-1、NT-proBNP、B型利钠肽(BNP)、超敏C反应蛋白(hs-CRP)、白细胞介素6(IL-6)、发作频率、持续时间及并发症发生情况。结果 治疗后,两组总有效率比较差异显著(P<0.05);治疗后,两组血清ET-1、NT-proBNP水平均降低,试验组降低更为明显,(P<0.05);治疗后,两组血清BNP、IL-6及hs-CRP水平均降低,试验组降低更为明显,(P<0.05);治疗后,两组发作频率、持续时间均降低,试验组降低更为明显,(P<0.05);两组并发症主要为恶心呕吐、头晕及腹泻,比较无显著差异(P>0.05)。结论 在心力衰竭合并心绞痛中桃红四物汤联合瑞舒伐他汀钙具有较好的效果,可能与其可改善ET-1、NT-proBNP及心衰标志物有关。 展开更多
关键词 桃红四物汤 瑞舒伐他汀钙 心力衰竭 心绞痛 内皮素-1 N末端b型利钠肽原 心衰标志物
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CLEC1B、DKK1、DRD4在原发性肝癌病变组织中的表达及临床意义探究
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作者 代云龙 黄纪伟 《医学分子生物学杂志》 CAS 2024年第3期224-230,共7页
目的分析C型凝集素结构域家族1成员B(C-type lectin domain family 1 member B,CLEC1B)、分泌型蛋白Dickkopf 1(DKK1)、多巴胺受体D4(dopamine receptor D4,DRD4)在原发性肝癌(primary hepatic cancer,PHC)患者病变组织中的表达及临床... 目的分析C型凝集素结构域家族1成员B(C-type lectin domain family 1 member B,CLEC1B)、分泌型蛋白Dickkopf 1(DKK1)、多巴胺受体D4(dopamine receptor D4,DRD4)在原发性肝癌(primary hepatic cancer,PHC)患者病变组织中的表达及临床意义。方法回顾性选取2022年1月~2023年1月在四川大学华西医院接受肝癌切除术且经术后病理证实为PHC的138例患者,取其癌组织与癌旁组织石蜡病理标本,分析其CLEC1B、DKK1、DRD4表达情况及和临床病理特征关联性,Pearson法分析CLEC1B、DKK1、DRD4的相关性。结果肝癌组织中CLEC1B、DRD4表达水平均低于癌旁肝组织,肝癌组织中的DKK1蛋白表达较癌旁肝组织更高(P<0.05),且3者均主要分布于细胞浆;CLEC1B低表达、DKK1高表达、DRD4低表达分别97例(70.29%)、91例(65.94%)、78例(56.52%),PHC患者的CLEC1B低表达与术前AFP水平、血管侵犯、远处转移、肿瘤出血等密切相关(P<0.05),DKK1高表达与术前AFP水平、BCLC Kinki分期、肿瘤数目、肿瘤大小密切相关(P<0.05),DRD4低表达与术前AFP水平、肿瘤数目、肿瘤大小、卫星结节、血管侵犯密切相关(P<0.05);Pearson相关分析显示,PHC患者CLEC1B、DRD4与DKK1表达水平呈负相关(r=-0.809、r=-0.774,P<0.001),CLEC1B与DRD4表达水平呈正相关(r=0.748,P<0.001)。结论CLEC1B、DRD4在PHC患者癌变组织中呈低表达,而DKK1呈高表达,且与临床病理参数有关,CLEC1B、DKK1、DRD4可能参与PHC发生发展,有一定检测意义。 展开更多
关键词 C型凝集素结构域家族1成员b 分泌型蛋白Dickkopf 1 多巴胺受体D4 原发性肝癌
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GPRC5A调控的ABCB1表达对肺腺癌增殖的影响
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作者 李鋆 崔雯雯 +4 位作者 杨中法 刘文豪 边茂旺 邓炯 王彤 《Chinese Medical Sciences Journal》 CAS CSCD 2024年第1期9-18,I0002,共11页
目的ATP结合盒B亚家族成员1(ATP binding cassette subfamily B member 1,ABCB1)的异常表达在多种癌症的发生发展中发挥关键作用。然而,G蛋白偶联受体C家族5组A型(G protein coupled receptor family C group5 type A,GPRC5A)调控的ABCB... 目的ATP结合盒B亚家族成员1(ATP binding cassette subfamily B member 1,ABCB1)的异常表达在多种癌症的发生发展中发挥关键作用。然而,G蛋白偶联受体C家族5组A型(G protein coupled receptor family C group5 type A,GPRC5A)调控的ABCB1表达对肺腺癌增殖的影响仍不清楚。本研究探讨了GPRC5A调控的ABCB1表达对肺腺癌增殖的影响。方法我们采用RT-PCR、Western-blot或免疫组化实验,分析ABCB1在肺腺癌细胞系、人肺腺癌组织以及GPRC5A基因敲除小鼠和野生型小鼠的气管上皮细胞和肺组织中的表达。采用细胞计数试剂盒-8(CCK-8)分析GPRC5A基因敲除小鼠气管上皮细胞对化疗药物的敏感性。采用皮下肿瘤形成实验探讨下调ABCB1表达是否可抑制体内肺腺癌增殖。采用免疫荧光和免疫沉淀实验研究GPRC5A和ABCB1之间潜在的调控关系。结果ABCB1在肺腺癌细胞系和人类肺腺癌组织中表达上调。GPRC5A基因敲除小鼠的气管上皮细胞及肺组织的ABCB1表达高于野生型小鼠。与GPRC5A野生型小鼠的气管上皮细胞相比,GPRC5A基因敲除小鼠的气管上皮细胞对塔立奇达和多柔比星更敏感。注射移植细胞28天后,接受ABCB1基因敲除细胞移植的GPRC5A-/-C57BL/6小鼠的肺肿瘤的体积和重量均明显低于野生型细胞移植小鼠(P=0.0043,P=0.0060)。此外,免疫荧光和免疫沉淀实验表明,GPRC5A通过直接结合方式调控ABCB1的表达。结论GPRC5A通过抑制ABCB1表达降低肺腺癌增殖。GPRC5A调节ABCB1表达的途径有待研究。 展开更多
关键词 ATP结合盒b亚家族成员1 G蛋白偶联受体家族C5组成员A 肺腺癌 小鼠
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冠心病患者血清TGF-β_(1)、NT-proBNP的变化及其对冠脉狭窄的影响
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作者 张美玲 付敏 《中国卫生标准管理》 2024年第6期107-110,共4页
目的探讨冠心病(coronary heart disease,CHD)患者血清转化生长因子-β_(1)(transforming growth factor-β_(1),TGF-β_(1))、氨基末端B型脑钠肽前体(nitrogen terminal B type natriuretic peptide precursor,NT-proBNP)水平对冠状动... 目的探讨冠心病(coronary heart disease,CHD)患者血清转化生长因子-β_(1)(transforming growth factor-β_(1),TGF-β_(1))、氨基末端B型脑钠肽前体(nitrogen terminal B type natriuretic peptide precursor,NT-proBNP)水平对冠状动脉病变严重程度的影响。方法选取2019年7月—2022年6月在山东省潍坊市第二人民医院心内科诊治的85例CHD患者作为观察组,同期健康体检者39名作为对照组。均采用双抗体夹心酶联免疫吸附试验(enzyme linked immunosorbent assay,ELISA)法检测TGF-β_(1);采用电化学发光法检测NT-proBNP。比较2组患者生化指标、血清TGF-β_(1)、NTproBNP水平,以及观察组冠状动脉病变不同程度时血清TGF-β_(1)、NT-proBNP水平,分析评估血清TGF-β_(1)、NTproBNP诊断CHD的价值。结果2组三酰甘油(triacylglycerol,TG)、总胆固醇(total cholesterol,TC)、高密度脂蛋白胆固醇(high density lipoprotein-cholesterol,HDL-C)、低密度脂蛋白胆固醇(low density lipoprotein-cholesterol,LDL-C)比较,差异无统计学意义(P>0.05)。观察组TGF-β_(1)为(326.04±181.75)ng/L,低于对照组的(926.42±156.47)ng/L,观察组血清NT-proBNP为(134.94±22.16)pg/mL,高于对照组的(65.25±3.35)pg/mL,差异有统计学意义(P<0.01)。单支血管病变血清TGF-β_(1)高于两支血管病变、多支血管病变,差异有统计学意义(P<0.01);单支血管病变NTproBNP低于两支血管病变、多支血管病变,差异有统计学意义(P<0.01)。结论观察组血清TGF-β_(1)水平降低,NTproBN水平升高,与冠状动脉病变严重程度密切相关,两者联合检测可作为CHD早期诊断、病情评估的检测指标。 展开更多
关键词 冠心病 转化生长因子-β_(1) 氨基末端b型脑钠肽前体 冠状动脉造影 动脉粥样硬化 冠状动脉血管病变
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阻断SP/NK1R信号轴可抑制小鼠黑色素瘤增殖
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作者 胡芳园 岳芸芸 尚靖 《药物资讯》 2024年第3期242-252,共11页
目的:探讨阻断SP/NK1R信号轴对小鼠黑色素瘤生长的影响及可能作用途径。方法:建立瞬时接种B16F10细胞形成原位黑色素瘤的小鼠模型,腹腔注射给予NK1R拮抗剂阿瑞匹坦(5 mg/kg)进行干预。给药5次后取小鼠胸腺、脾脏和皮肤黑色素瘤组织,计... 目的:探讨阻断SP/NK1R信号轴对小鼠黑色素瘤生长的影响及可能作用途径。方法:建立瞬时接种B16F10细胞形成原位黑色素瘤的小鼠模型,腹腔注射给予NK1R拮抗剂阿瑞匹坦(5 mg/kg)进行干预。给药5次后取小鼠胸腺、脾脏和皮肤黑色素瘤组织,计算各组小鼠体重变化、肿瘤增长变化、胸腺指数和脾脏指数;采用免疫荧光染色考察黑色素瘤组织中细胞增殖和凋亡情况;并观察肿瘤组织中浸润效应CD8 T细胞的表达情况。结果:给予阿瑞匹坦拮抗NK1R对各组小鼠体重没有明显影响,但能显著抑制原位黑色素瘤的增殖;阻断SP/NK1R信号轴能够引起小鼠胸腺指数显著升高,但对脾脏指数没有明显影响;免疫荧光染色结果显示给予阿瑞匹坦能够显著抑制黑色素瘤细胞在体内的增殖,并显著促进其凋亡;同时,拮抗NK1R能够显著增加肿瘤浸润效应CD8 T细胞的数目。结论:阻断SP/NK1R信号轴可以显著抑制小鼠中黑色素瘤细胞的增殖,并促进肿瘤细胞凋亡,这一作用可能是通过促进CD8 T细胞浸润,增强抗肿瘤免疫来实现的。 展开更多
关键词 SP/NK1r信号轴 b16F10细胞 黑色素瘤 阿瑞匹坦 CD8 T细胞
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血管生成抑制蛋白1、血清沉默信息调节因子1、血栓素-B_(2)在2型糖尿病肾病中的水平变化及与白蛋白尿进展的关系分析
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作者 蒋琳 陆璧 +1 位作者 张彦 李梦婷 《陕西医学杂志》 CAS 2024年第1期46-50,共5页
目的:探究血管生成抑制蛋白1(VASH-1)、血清沉默信息调节因子1(Sirt1)与血栓素-B2(TXB2)在2型糖尿病肾病中的水平变化及与白蛋白尿进展的关系。方法:选取198例2型糖尿病肾病患者纳入研究组,另选100例无肾脏损害的2型糖尿病患者为对照组... 目的:探究血管生成抑制蛋白1(VASH-1)、血清沉默信息调节因子1(Sirt1)与血栓素-B2(TXB2)在2型糖尿病肾病中的水平变化及与白蛋白尿进展的关系。方法:选取198例2型糖尿病肾病患者纳入研究组,另选100例无肾脏损害的2型糖尿病患者为对照组,对患者进行随访,检测记录患者的血清VASH-1、Sirt1、TXB2水平,并根据患者是否发生白蛋白尿分层研究,分析VASH-1、Sirt1、TXB2水平与患者白蛋白尿进展的关系。结果:与对照组比较,研究组患者的血清VASH-1、Sirt1水平降低,TXB2水平升高(均P<0.05)。与进展组患者相比较,维持组患者的血清VASH-1、Sirt1水平升高,TXB2水平降低(均P<0.05)。进展组和维持组患者的空腹血糖(FPG)、餐后2h血糖(2hPG)、空腹胰岛素(FINS)、糖化血红蛋白(HbA1c)、胰岛素抵抗指数(HOMA-IR)水平比较差异无统计学意义(均P>0.05)。以研究组患者是否发生白蛋白尿进展为因变量,以患者的血清VASH-1、Sirt1、TXB2水平为自变量,进行多因素Logistic回归分析,可知血清VASH-1、Sirt1、TXB2水平均会对患者发生白蛋白尿进展产生影响(均P<0.05)。采用ROC曲线探究2型糖尿病肾病患者血清VASH-1、Sirt1、TXB2水平对白蛋白尿进展的预测价值,其AUC值分别为0.943、0.758、0.894(均P<0.05)。结论:2型糖尿病肾病患者的血清VASH-1和Sirt1的水平下降,TXB2的水平上升,其水平变化与白蛋白尿的进展有关,对糖尿病肾病患者发生白蛋白尿进展具有一定预测价值。 展开更多
关键词 血管生成抑制蛋白1 血清沉默信息调节因子1 血栓素-b2 2型糖尿病肾病 白蛋白尿
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B类1型清道夫受体介导的高密度脂蛋白在年龄相关性黄斑变性中的研究进展
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作者 李艳艳 郑乐民 +4 位作者 杨娜娜 付艺文 孔翎宇 范华菊 王祥慧 《中国医学前沿杂志(电子版)》 CSCD 北大核心 2024年第6期44-51,共8页
随着年龄的增长,机体胆固醇代谢失调和叶黄素水平异常易导致视网膜异常脂质沉积和玻璃膜疣,进而增加年龄相关性黄斑变性(age-related macular degeneration,AMD)的患病风险。视网膜细胞上的B类1型清道夫受体(scavenger receptor class B... 随着年龄的增长,机体胆固醇代谢失调和叶黄素水平异常易导致视网膜异常脂质沉积和玻璃膜疣,进而增加年龄相关性黄斑变性(age-related macular degeneration,AMD)的患病风险。视网膜细胞上的B类1型清道夫受体(scavenger receptor class B type 1,SR-B1)在脂质代谢和视网膜保护中至关重要。组织细胞表面的SR-B1通过识别并结合细胞外的高密度脂蛋白(high-density lipoprotein,HDL),将游离胆固醇逆向转运至肝脏,对维持全身包括视网膜的脂质代谢平衡与避免脂质沉积至关重要。此外,HDL同样作为转运体参与叶黄素的视网膜转运过程。叶黄素,以其独特的蓝光过滤和抗氧化功能,减少蓝光对视网膜的潜在损伤并清除有害的氧自由基,发挥保护视网膜的作用。本综述将详细探讨SR-B1在视网膜中的作用,尤其是在协助胆固醇清除和叶黄素抗氧化防御方面的重要性,并评述SR-B1以及携带的有益成分如HDL和叶黄素对缓解AMD发病的机制与最新研究进展。 展开更多
关键词 b1型清道夫受体 高密度脂蛋白 年龄相关性黄斑变性 胆固醇 视网膜
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孟德尔随机化探索维生素B 12缺乏性贫血和1型糖尿病风险的因果关系
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作者 赵晨玥 高景波 +4 位作者 郭荣 曹桂芝 郭敏 岳昊 薛慧琴 《山西医科大学学报》 CAS 2024年第5期644-649,共6页
目的使用孟德尔随机化(Mendelian randomization,MR)研究方法确定维生素B 12(VitB_(12))缺乏性贫血是否与1型糖尿病(type 1 diabetes,T1D)有因果关系。方法双样本MR研究选择从T1D和VitB_(12)缺乏性贫血的全基因组关联研究获得的单核苷... 目的使用孟德尔随机化(Mendelian randomization,MR)研究方法确定维生素B 12(VitB_(12))缺乏性贫血是否与1型糖尿病(type 1 diabetes,T1D)有因果关系。方法双样本MR研究选择从T1D和VitB_(12)缺乏性贫血的全基因组关联研究获得的单核苷酸多态性(single nucleotide polymorphism,SNP)作为工具变量,采用逆方差加权(inverse-variance weighted,IVW)作为MR的主要分析方法,并额外采用加权中位数法(weighted median,WME)、MR-Egger和weighted mode方法来进行验证。对工具变量进行敏感性分析,保证分析的稳健性。结果共获得10个与VitB_(12)缺乏性贫血密切相关的SNP作为工具变量,IVW结果(OR=2.706,95%CI 1.357~5.396,P<0.05)、WME结果(OR=5.179,95%CI 2.678~10.015,P<0.05)、MR-Egger结果(OR=13.088,95%CI 2.230~76.802,P<0.05)和Weighted mode结果(OR=5.699,95%CI 2.807~11.570,P<0.05)均表明基因预测VitB_(12)缺乏性贫血与T1D的发病风险显著相关。同时反向MR研究发现T1D并不是VitB_(12)缺乏性贫血原因。多种敏感性分析表明研究分析结果具有稳健性。结论本研究表明VitB_(12)缺乏性贫血是T1D发生的危险因素,两者之间存在正向因果关联。 展开更多
关键词 孟德尔随机化 维生素b 12缺乏性贫血 1型糖尿病 单核苷酸多态性 因果推断
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聚合7^(OE)亚基1B/1R易位系材料的创制及其品质研究
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作者 姚楚玄 张磊 +6 位作者 秘彩莉 周硕 董福双 刘永伟 杨帆 焦博 柴建芳 《麦类作物学报》 CAS CSCD 北大核心 2023年第6期678-684,共7页
为提高小麦1B/1R易位系的加工品质,本研究选用高分子量麦谷蛋白亚基组成为1/7+9/2+12的小麦1B/1R易位系品种科农199为母本,与高分子量麦谷蛋白亚基组成为1/7^(OE)+8^(*)/5+10的强筋春小麦品种津强6号杂交,利用分子标记在F4代株系中筛选... 为提高小麦1B/1R易位系的加工品质,本研究选用高分子量麦谷蛋白亚基组成为1/7+9/2+12的小麦1B/1R易位系品种科农199为母本,与高分子量麦谷蛋白亚基组成为1/7^(OE)+8^(*)/5+10的强筋春小麦品种津强6号杂交,利用分子标记在F4代株系中筛选到一个7^(OE)亚基基因与黑麦碱基因聚合在同一条染色体上的1B/1R易位系材料。PCR结果显示,该聚合材料和非聚合材料在Glu-A1和Glu-D1位点没有差异。在温室种植条件下,对这些聚合材料和非聚合材料及其亲本进行麦谷蛋白溶胀指数(SIG)测定,结果表明,与1B/1R易位系亲本科农199比较,聚合5+10优质亚基后SIG值显著提高,聚合7^(OE)优质亚基后,SIG值进一步显著提高,部分聚合材料达到了强筋亲本津强6号的水平。将聚合材料和非聚合材料及其亲本种植于大田,发现聚合5+10和7^(OE)优质亚基株系的乳酸-SDS溶剂保持力(LA-SDS SRC)和SDS沉降值均显著高于只聚合5+10优质亚基的株系,但未达到强筋亲本津强6号的水平。综合来看,聚合了7^(OE)亚基的1B/1R易位系材料的加工品质显著提升。本研究为改良我国众多1B/1R易位系的加工品质提供了一项新的育种策略。 展开更多
关键词 小麦 7^(OE) 1b/1r易位系 品质改良
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miR-654-3p、CHI3L1与不同中医证型慢性乙型肝炎合并非酒精性脂肪性肝病患者肝纤维化的关系
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作者 鲍金霞 罗章梅 《四川中医》 2024年第4期104-108,共5页
目的:探讨miR-654-3p、血清壳多糖酶3样蛋白1(CHI3L1)与不同中医证型慢性乙肝(CHB)合并非酒精性脂肪性肝病(NAFLD)患者肝纤维化的关系。方法:纳入2019年5月~2022年5月期间收治于本院的156例CHB合并NAFLD患者作为研究对象,根据中医证型... 目的:探讨miR-654-3p、血清壳多糖酶3样蛋白1(CHI3L1)与不同中医证型慢性乙肝(CHB)合并非酒精性脂肪性肝病(NAFLD)患者肝纤维化的关系。方法:纳入2019年5月~2022年5月期间收治于本院的156例CHB合并NAFLD患者作为研究对象,根据中医证型将患者分为肝郁脾虚证组(n=52)、湿热内结证组(n=52)及瘀血阻络证组(n=52)。另选择同期健康体检者50例作为对照组。检测并比较各组肝功能指标[丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)]、肝纤维指标[Ⅲ型胶原蛋白(PC-Ⅲ)、小层粘连蛋白(LN)、IV胶原(IV-C)]、miR-654-3p及CHI3L1水平。采用Pearson相关性分析miR-654-3p、CHI3L1与不同中医证型CHB合并NAFLD患者肝纤维化的关系。结果:肝郁脾虚证组、湿热内结证组及瘀血阻络证组ALT、AST水平均高于对照组,且肝郁脾虚证组>瘀血阻络证组>湿热内结证组(P<0.05);肝郁脾虚证组、湿热内结证组及瘀血阻络证组PC-Ⅲ、LN、IV-C、miR-654-3p及CHI3L1水平均高于对照组,且瘀血阻络证组>湿热内结证组>肝郁脾虚证组(P<0.05)。Pearson相关性分析结果显示,miR-654-3p、CHI3L1与PC-Ⅲ、LN、IV-C均呈正相关(P<0.05)。结论:在不同中医证型CHB合并NAFLD患者中,miR-654-3p及CHI3L1水平均上调,二者与肝纤维化指标PC-Ⅲ、LN、IV-C均呈正相关,可为评估此类患者病情提供参考。 展开更多
关键词 慢性乙肝 非酒精性脂肪性肝病 中医证型 rNAS 血清壳多糖酶3样蛋白1
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老年严重失代偿期急性心力衰竭外周血NRG-1 NT-proBNP CRP水平变化及与预后的关系
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作者 代智烈 王栋 +3 位作者 李立为 陈昌贵 杨力 刘晶晶 《河北医学》 CAS 2023年第12期1978-1985,共8页
目的:探讨老年严重失代偿期急性心力衰竭外周血神经调节蛋白1(NRG-1)、N末端B型钠尿肽前体(NT-proBNP)、C反应蛋白(CRP)水平变化及与预后的关系。方法:选取2021年1月至2022年2月在我院治疗的老年严重失代偿期急性心力衰竭患者128例作为... 目的:探讨老年严重失代偿期急性心力衰竭外周血神经调节蛋白1(NRG-1)、N末端B型钠尿肽前体(NT-proBNP)、C反应蛋白(CRP)水平变化及与预后的关系。方法:选取2021年1月至2022年2月在我院治疗的老年严重失代偿期急性心力衰竭患者128例作为观察组,同时选取慢性心力衰竭患者100例作为对照组,比较两组外周血NRG-1、NT-proBNP、CRP水平,同时分析观察组不同临床特征患者外周血NRG-1、NT-proBNP、CRP水平差异,并分析观察组死亡和存活患者临床特征及外周血NRG-1、NT-proBNP、CRP水平差异。结果:观察组外周血NRG-1为(936.61±204.40)pg/mL,明显低于对照组(P<0.05),而NT-proBNP和CRP分别为(3611.88±505.52)pg/mL和(28.77±8.05)mg/L,明显高于对照组(P<0.05)。观察组NYHA分级Ⅳ级患者外周血NRG-1为(1106.65±210.41)pg/mL,明显低于NYHA分Ⅲ级患者(P<0.05),而NT-proBNP和CRP分别为(3410.45±541.15)pg/mL和(24.40±9.94)mg/L,明显高于NYHA分Ⅲ级患者(P<0.05)。观察组LVEF<40%患者外周血NRG-1为(1014.46±201.45)pg/mL,明显低于LVEF≥40%(P<0.05),而NT-proBNP和CRP分别为(3521.08±500.78)pg/mL和(25.71±8.38)mg/L,明显高于LVEF≥40%患者(P<0.05)。外周血NRG-1与LVEF呈正相关(r=0.477,P<0.05),NT-proBNP和CRP水平与LVEF呈负相关(r=-0.398和-0.466,P<0.05)。观察组死亡患者年龄≥80岁比例、NYHA分级Ⅳ级比例、LVEF<40%比例分别为70.00%、65.00%和85.00%,明显高于存活患者(P<0.05);观察组死亡患者外周血NRG-1为(924.54±194.65)pg/mL,明显低于存活患者(P<0.05),而NT-proBNP和CRP水平分别为(3681.54±445.54)pg/mL和(27.84±6.15)mg/L,明显高于存活患者(P<0.05)。Logistic回归分析显示:NYHA分级、LVEF、NRG-1、NT-proBNP和CRP是患者死亡的影响因素(P<0.05)。结论:老年严重失代偿期急性心力衰竭外周血NRG-1水平降低,而NT-proBNP和CRP水平升高,与患者心功能分级和LVEF有关,同时是患者预后的影响因素。 展开更多
关键词 老年人 失代偿期 急性心力衰竭 神经调节蛋白1 N末端b型钠尿肽前体 C反应蛋白 预后
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Effect of nuclear factor-κB and angiotensin Ⅱ receptor type 1 on the pathogenesis of rat non-alcoholic fatty liver disease 被引量:3
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作者 Dao-Yu Tan Hai-Yan Shi +2 位作者 Chang-Ping Li Xiao-Ling Zhong Ming Kang 《World Journal of Gastroenterology》 SCIE CAS 2015年第19期5877-5883,共7页
AIM: To investigate the roles of nuclear factor(NF)-κB and angiotensin Ⅱ receptor type 1(AT1R) in the pathogenesis of non-alcoholic fatty liver disease(NAFLD).METHODS: Forty-two healthy adult male SpragueDawley rats... AIM: To investigate the roles of nuclear factor(NF)-κB and angiotensin Ⅱ receptor type 1(AT1R) in the pathogenesis of non-alcoholic fatty liver disease(NAFLD).METHODS: Forty-two healthy adult male SpragueDawley rats were randomly divided into three groups:the control group(normal diet), the model group,and the intervention group(10 wk of a high-fat diet feeding, followed by an intraperitoneal injection of PDTC); 6 rats in each group were sacrificed at 6, 10,and 14 wk. After sacrifice, liver tissue was taken,paraffin sections of liver tissue specimens were prepared, hematoxylin and eosin(HE) staining was performed, and pathological changes in liver tissue(i.e., liver fibrosis) were observed by light microscopy.NF-κB expression in liver tissue was detected by immunohistochemistry, and the expression of AT1 R in the liver tissue was detected by reverse transcriptionpolymerase chain reaction(RT-PCR). The data are expressed as mean ± SD. A two-sample t test was used to compare the control group and the model group at different time points, paired t tests were used to compare the differences between the intervention group and the model group, and analysis of variance was used to compare the model group with the control group. Homogeneity of variance was analyzed with single factor analysis of variance. H variance analysis was used to compare the variance. P < 0.05 wasconsidered statistically significant.RESULTS: The NAFLD model was successful after 6wk and 10 wk. Liver fibrosis was found in four rats in the model group, but in only one rat in the intervention group at 14 wk. Liver steatosis, inflammation, and fibrosis were gradually increased throughout the model. In the intervention group, the body mass,rat liver index, serum lipid, and transaminase levels were not increased compared to the model group.In the model group, the degree of liver steatosis was increased at 6, 10, and 14 wk, and was significantly higher than in the control group(P < 0.01). In the model group, different degrees of liver cell necrosis were visible and small leaves, punctated inflammation,focal necrosis, and obvious ballooning degeneration were observed. Partial necrosis and confluent necrosis were observed. In the model group, liver inflammatory activity scores at 6, 10, and 14 wk were higher than in the control group(P < 0.01). Active inflammation in liver tissue in the intervention group was lower than in the model group(P < 0.05). HE staining showed liver fibrosis only at 14 wk in 4/6 rats in the model group and in 1/6 rats in the intervention group. NF-κB positive cells were stained yellow or ensemble yellow,and NF-κB was localized in the cytoplasm and/or nucleus. The model group showed NF-κB activation at6, 10, and 14 wk in liver cells; at the same time points,there were statistically significant differences in the control group(P < 0.01). Over time, NF-κB expression increased; this was statistically lower(P < 0.05) at14 weeks in the intervention group compared to the model group, but significantly increased(P < 0.05)compared with the control group; RT-PCR showed that AT1 R mRNA expression increased gradually in the model group; at 14 wk, the expression was significantly different compared with expression at 10 weeks as well as at 6 weeks(P < 0.05). In the model group, AT1 R mRNA expression was significantly higher than at the same time point in the control group(P <0.01).CONCLUSION: With increasing severity of NAFLD,NF-κB activity is enhanced, and the inhibition of NF-κB activity may reduce AT1 R mRNA expression in NAFLD. 展开更多
关键词 Non-alcoholic FATTY liver disease Nuclearfactorb ANGIOTENSIN rECEPTOr type 1 rats Liverfibrosis
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The R1947X mutation of NF1 causing autosomal dominant neurofibromatosis type 1 in a Chinese family 被引量:2
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作者 Qinbo Yang Changzheng Huang +3 位作者 Xiaoying Yang Yinfu Feng Qing Wang Mugen Liu 《Journal of Genetics and Genomics》 SCIE CAS CSCD 北大核心 2008年第2期73-76,共4页
Neurofibromatosis type 1 is a common autosomal dominant disorder with a high rate of penetrance. It is caused by the mutation of the tumor suppressor gene NF1, which encodes neurofibromin. The main function of neurofi... Neurofibromatosis type 1 is a common autosomal dominant disorder with a high rate of penetrance. It is caused by the mutation of the tumor suppressor gene NF1, which encodes neurofibromin. The main function of neurofibromin is down-regulating the biological activity of the proto-oncoprotein Ras by acting as a Ras-specific GTPase activating protein. In this study, we identified a Chinese family affected with neurofibromatosis type 1. The known gene NF1 associated with NF1 was studied by linkage analysis and by direct sequencing of the entire coding region and exon-intron boundaries of the NF1 gene. The R1947X mutation of NF1 was identified, which was co-segregated with affected individuals in the Chinese family, but not present in unaffected family members. This is the first report, which states that the R1947X mutation of NF1 may be one of reasons for neurofibromatosis type 1 in Chinese population. 展开更多
关键词 neurofibromatosis type 1 NEUrOFIbrOMIN NF1 gene r1947X mutation
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Three amino acid residues in the envelope of human immunodeficiency virus type 1 CRF07_BC regulate viral neutralization susceptibility to the human monoclonal neutralizing antibody IgG1b12 被引量:2
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作者 Jianhui Nie Juan Zhao +2 位作者 Qingqing Chen Weijin Huang Youchun Wang 《Virologica Sinica》 SCIE CAS CSCD 2014年第5期299-307,共9页
The CD4 binding site(CD4bs) of envelope glycoprotein(Env) is an important conserved target for anti-human immunodeficiency virus type 1(HIV-1) neutralizing antibodies. Neutralizing monoclonal antibodies IgG1 b12(b12) ... The CD4 binding site(CD4bs) of envelope glycoprotein(Env) is an important conserved target for anti-human immunodeficiency virus type 1(HIV-1) neutralizing antibodies. Neutralizing monoclonal antibodies IgG1 b12(b12) could recognize conformational epitopes that overlap the CD4 bs of Env. Different virus strains, even derived from the same individual, showed distinct neutralization susceptibility to b12. We examined the key amino acid residues affecting b12 neutralization susceptibility using single genome amplification and pseudovirus neutralization assay. Eleven amino acid residues were identified that affect the sensitivity of Env to b12. Through site-directed mutagenesis, an amino acid substitution at position 182 in the V2 region of Env was confirmed to play a key role in regulating the b12 neutralization susceptibility. The introduction of V182 L to a resistant strain enhanced its sensitivity to b12 more than twofold. Correspondingly, the introduction of L182 V to a sensitive strain reduced its sensitivity to b12 more than tenfold. Amino acid substitution at positions 267 and 346 could both enhance the sensitivity to b12 more than twofold. However, no additive effect was observed when the three site mutageneses were introduced into the same strain, and the sensitivity was equivalent to the single V182 L mutation. CRF07_BC is a major circulating recombinant form of HIV-1 prevalent in China. Our data may provide important information for understanding the molecular mechanism regulating the neutralization susceptibility of CRF07_BC viruses to b12 and may be helpful for a vaccine design targeting the CD4 bs epitopes. 展开更多
关键词 HUMAN IMMUNODEFICIENCY virus type 1 CrF07_bC ENVELOPE GLYCOPrOTEIN IgG1b12 NEUTrALIZING antibody single genome amplification
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Inhibition of NF-kB and Wnt/β-catenin/GSK3p Signaling Pathways Ameliorates Cardiomyocyte Hypertrophy and Fibrosis in Streptozotocin (STZ)-induced Type 1 Diabetic Rats 被引量:3
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作者 Jing-jing LIU Lu-mei SHENTU +6 位作者 Ning MA Li-ying WANG Gui-min ZHANG Ying SUN Yan WANG Jun LI Yan-ling MU 《Current Medical Science》 SCIE CAS 2020年第1期35-47,共13页
Type 1 diabetes mellitus(T1DM)is associated with an increased risk of diabetic cardiomyopathy(DCM).Nuclear factor kappa B(NF-kB)and Wnt/β-catenin/GSK3p have been demonstrated to play pathogenic roles in diabetes.In t... Type 1 diabetes mellitus(T1DM)is associated with an increased risk of diabetic cardiomyopathy(DCM).Nuclear factor kappa B(NF-kB)and Wnt/β-catenin/GSK3p have been demonstrated to play pathogenic roles in diabetes.In this study,we evaluated the roles of these two pathways in T1 DM-induced cardiomyopathy in rats.Streptozotocin(STZ)-induced type 1 diabetic rats were treated with pyrrolidine dithiocarbamate(PDTC)or meisoindigo(Me)to inhibit NF-kB and Wnt/β-catenin/GSK3P respectively for 4 or 8 weeks.As compared with untreated diabetic rats,treatment with either PDTC or Me partly attenuated the myocardial hypertrophy and interstitial fibrosis,improved cardiac function,and exhibited reduction in inflammatory reaction.In addition,we found that inhibiting NF-κB and Wnt/β-catenin/GSK3β pathways could regulate glucose and lipid metabolism.The effects were associated with the decrease of NF-κB activity and the downregulation of some proinflammatory cytokines,including tumor necrosis factor-alpha(TNF-α)and interleukin(IL)-2.Our data suggested that the activities of NF-κB and Wnt/β-catenin/GSK3β pathways were both increased and inhibiting NF-κB and Wnt/β-catenin/GSK3β signaling pathways might improve myocardial injury in T1DM rats. 展开更多
关键词 type 1 diabetes mellitus diabetic cardiomyopathy NF-κb Wnt/β-catenin/GSK3β
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Development of SA-533 Type B CL. 1+SA-240 Type 304L roll-bonded clad steel plate for safety injection tank of CAP1400 nuclear power plant 被引量:2
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作者 HOU Hong ZHANG Hanqian +1 位作者 YUAN Xiangqian DING Jianhua 《Baosteel Technical Research》 CAS 2017年第1期18-25,共8页
Aiming to meet the demand of the country' s nuclear demonstration project on the CAP1400 nuclear power plant, Baosteel uses the roll-bonding technology and develops the SA-533 Type B CL. 1 + SA-240 Type 304L high-st... Aiming to meet the demand of the country' s nuclear demonstration project on the CAP1400 nuclear power plant, Baosteel uses the roll-bonding technology and develops the SA-533 Type B CL. 1 + SA-240 Type 304L high-strength and high-toughness clad steel plate with a shear strength of over 310 MPa for the nuclear power plant' s safety injection tank. The properties of the quenched and tempered and the simulated post-weld heat treatment states are systematically studied herein through a comprehensive inspection and evaluation of the composition,microstructure,and properties of the clad steel plate. The results show that the bonding interface has high shear strength and that the base metal has high strength and good toughness at low temperatures. Hence, the performance fully meets the technical requirements of the CAP1400 nuclear power plant' s safety injection tank in the country' s nuclear demonstration project. The roll-bonded clad steel plate can be used to manufacture the safety injection tank of the CAP1400 nuclear power plant. 展开更多
关键词 CAP1400 nuclear power plant safety injection tank SA-533 type b CL. 1 SA-240 type 304Lrolling clad steel plate quenched and tempered simulated post-weld heat treatment property
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Natural course of chronic hepatitis B is characterized by changing patterns of programmed death type-1 of CD8-positive T cells 被引量:15
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作者 Liang, Xue-Song Zhou, Ying +1 位作者 Li, Chen-Zhong Wan, Mo-Bin 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第5期618-624,共7页
AIM:To investigate if and how programmed death type-1(PD-1)expression affects the natural course of hepatitis B virus(HBV)infection. METHODS:Sixty-four patients in different natural stages of chronic HBV infection wer... AIM:To investigate if and how programmed death type-1(PD-1)expression affects the natural course of hepatitis B virus(HBV)infection. METHODS:Sixty-four patients in different natural stages of chronic HBV infection were enrolled in this study.PD-1 expression in total T cells was detected by flow cytometry.Levels of total CD8+T cell responses and proliferation in relation to PD-1 expression levels were analyzed with intracellular staining and PD-1/ PD-L1 blockage. RESULTS:The PD-1 expression in T cells was dynamically changed during the natural course of chronic HBV infection,did not significantly increase in the immune tolerance phase,and returned to normal in the inactive virus carrier stage.Blockage of the PD-1/PD-L1 pathway could not affect the T-cell response in the immune tolerance and inactive virus carrier stages of chronic HBV infection.However,it could significantly restore the T-cell response in the immune clearance stage of chronic HBV infection.Furthermore,the PD-1 expression level in T cells was associated with the alanine aminotransferase level during the immune clearance stage of chronic HBV infection. CONCLUSION:The PD-l/PD-L1 pathway plays a different role in T-cell response during the natural course of chronic HBV infection. 展开更多
关键词 Programmed death type-1 Hepatitis b virus Chronic hepatitis b Natural stage CD8+T cell Serum viral load Programmed death ligand T cell response
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Milled flaxseed-added diets ameliorated hepatic inflammation by reducing gene expression of TLR4/NF-κB pathway and altered gut microbiota in STZ-induced type 1 diabetic mice 被引量:3
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作者 Hui Xia Xiangling Shi +6 位作者 Beijia Zhou Jing Sui Chao Yang Hechun Liu Ligang Yang Shaokang Wang Guiju Sun 《Food Science and Human Wellness》 SCIE 2022年第1期32-40,共9页
Flaxseed has displayed the potential beneficial as functional foods.However,most studies focused on effects of flaxseed extracts or ingredients in flaxseed.Besides,few studies showed that flaxseed extracts contributed... Flaxseed has displayed the potential beneficial as functional foods.However,most studies focused on effects of flaxseed extracts or ingredients in flaxseed.Besides,few studies showed that flaxseed extracts contributed to anti-type 1 diabetes(T1D),yet the underlying mechanism is still unknown.In the present study,16.7% of milled flaxseed(MF)-added diet was given to diabetic mice induced by streptozocin for 6 weeks.The results showed that MF feeding 1)slightly decreased blood glucose levels and improved the ability of glucose tolerance by oral glucose tolerance test,2)decreased liver tumor necrosis factor-αlevels and increased liver glycogen levels with significance via down-regulating TLR4/NF-κB pathways,3)and significantly altered some beneficial bacteria in gut microbiota.In conclusion,the present study showed that milled flaxseed showed the potential on anti-T1D through anti-inflammation via TLR4/NF-κB and altering the gut microbiota in STZ-induced diabetic mice. 展开更多
关键词 Milled flaxseed type 1 diabetes Gut microbiota TLr4/NF-κb pathway
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12q24 locus association with type 1 diabetes:SH2B3 or ATXN2? 被引量:2
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作者 Georg Auburger Suzana Gispert +4 位作者 Suna Lahut Ozgür Omür Ewa Damrath Melanie Heck Nazlι Basak 《World Journal of Diabetes》 SCIE 2014年第3期316-327,共12页
Genetic linkage analyses, genome-wide association studies of single nucleotide polymorphisms, copy number variation surveys, and mutation screenings found the human chromosomal 12q24 locus, with the genes SH2B3 and AT... Genetic linkage analyses, genome-wide association studies of single nucleotide polymorphisms, copy number variation surveys, and mutation screenings found the human chromosomal 12q24 locus, with the genes SH2B3 and ATXN2 in its core, to be associated with an exceptionally wide spectrum of disease susceptibilities. Hematopoietic traits of red and white blood cells(like erythrocytosis and myeloproliferative disease), autoimmune disorders(like type 1 diabetes, coeliac disease, juvenile idiopathic arthritis, rheumatoid arthritis, thrombotic antiphospholipid syndrome, lupus erythematosus, multiple sclerosis, hypothyroidism and vitiligo), also vascular pathology(like kidney glomerular filtration rate deficits, serum urate levels, plasma beta-2-microglobulin levels, retinal microcirculation problems, diastolic and systolic blood pressure and hypertension, cardiovascular infarction), furthermore obesity, neurodegenerative conditions(like the polyglutamine-expansion disorder spinocerebellar ataxia type 2, Parkinson's disease, the motor-neuron disease amyotrophic lateral sclerosis, and progressive supranuclear palsy), andfinally longevity were reported. Now it is important to clarify, in which ways the loss or gain of function of the locally encoded proteins SH2B3/LNK and ataxin-2, respectively, contribute to these polygenic health problems. SH2B3/LNK is known to repress the JAK2/ABL1 dependent proliferation of white blood cells. Its null mutations in human and mouse are triggers of autoimmune traits and leukemia(acute lymphoblastic leukemia or chronic myeloid leukemia-like), while missense mutations were found in erythrocytosis-1 patients. Ataxin-2 is known to act on RNA-processing and trophic receptor internalization. While its polyglutamine-expansion mediated gain-of-function causes neuronal atrophy in human and mouse, its deletion leads to obesity and insulin resistance in mice. Thus, it is conceivable that the polygenic pathogenesis of type 1 diabetes is enhanced by an SH2B3-dysregulation-mediated predisposition to autoimmune diseases that conspires with an ATXN2-deficiency-mediated predisposition to lipid and glucose metabolism pathology. 展开更多
关键词 Diabetes mellitus type 1 12q24 ATXN2 ObESITY SH2b3 AUTOIMMUNE
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