期刊文献+
共找到277篇文章
< 1 2 14 >
每页显示 20 50 100
Mechanism of alpha-lipoic acid in attenuating kanamycin-induced ototoxicity 被引量:2
1
作者 Aimei Wang Ning Hou +2 位作者 Dongyan Bao Shuangyue Liu Tao Xu 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第35期2793-2800,共8页
In view of the theory that alpha-lipoic acid effectively prevents cochlear cells from injury caused by various factors such as cisplatin and noise, this study examined whether alpha-lipoic acid can prevent kanamycin-i... In view of the theory that alpha-lipoic acid effectively prevents cochlear cells from injury caused by various factors such as cisplatin and noise, this study examined whether alpha-lipoic acid can prevent kanamycin-induced ototoxicity. To this end, healthy BALB/c mice were injected subcutaneously with alpha-lipoic acid and kanamycin for 14 days. Auditory brainstem response test showed that increased auditory brainstem response threshold shifts caused by kanamycin were significantly inhibited. Immunohistochemical staining and western blot analysis showed that the expression of phosphorylated p38 mitogen-activated protein kinase and phosphorylated c-Jun N-terminal kinase in mouse cochlea was significantly decreased. The experimental findings suggest that phosphorylated p38 and phosphorylated c-Jun N-terminal kinase mediated kanamycin-induced ototoxic injury in BALB/c mice. AIpha-lipoic acid effectively attenuated kanamycin ototoxicity by inhibiting the kanamycin-induced high expression of phosphorylated p38 and phosphorylated c-Jun N-terminal kinase. 展开更多
关键词 alpha-lipoic acid KANAMYCIN mouse COCHLEA p38 mitogen-activated protein kinase c-JunN-terminal kinase auditory brainstem response phosphorylation hearing loss western blot IMMUNOHISTOCHEMISTRY
下载PDF
Effect of alpha-lipoic acid supplementation on blood pressure, renal oxidant-antioxidant status and renal damage in spontaneously hypertensive rats
2
作者 Chandran Govindasamy Sirajudeen KNS 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2019年第10期415-423,共9页
Objective:To investigate the effect of alpha-lipoic acid(ALA)supplementation on systolic blood pressure(SBP),renal oxidant-antioxidant status and renal damage in spontaneously hypertensive rats(SHR)and SHR administere... Objective:To investigate the effect of alpha-lipoic acid(ALA)supplementation on systolic blood pressure(SBP),renal oxidant-antioxidant status and renal damage in spontaneously hypertensive rats(SHR)and SHR administered with Nω-nitro-L-arginine methyl ester(L-NAME).Methods:Male rats were divided into four groups(SHR,SHR+ALA,SHR+L-NAME,SHR+ALA+L-NAME).The respective group of rats was administered with ALA(100 mg/kg/day)from age 4 weeks to 28 weeks and L-NAME(25 mg/kg/day)from age 16 weeks to 28 weeks.SBP was measured every two weeks and twenty four hour urine was collected at 4 weeks,16 weeks and 28 weeks for estimation of protein,creatinine and N-acetyl-e end of 28 weeks,rats were sacrificed and blood and kidneys colα-Dglucosaminidase.At thlected for assessment of blood creatinine,kidney thiobarbituric acid reactive substances,protein carbonyls,superoxide dismutase,catalase,glutathione peroxidase,glutathione reductase,glutathione S-transferase,glutathione disulfide,glutathione,total antioxidant status and nitric oxide as well as histopathological examination.Results:ALA supplementation significantly reduced SBP of SHR and SHR+L-NAME rats when compared to their respective non-supplemented groups.Renal oxidant status markers including thiobarbituric acid reactive substances and protein carbonyls were significantly reduced on SHR and SHR+L-NAME rats supplemented with ALA at 28 weeks as well as ALA supplementation significantly increased renal antioxidants including superoxide dismutase,catalase,glutathione peroxidase,glutathione S-transferase,glutathione and glutathione/glutathione disulfide ratio at 28 weeks.No significant change in nitric oxide levels was observed between the ALA supplemented and non-supplemented groups.Renal dysfunction was ameliorated on ALA supplementation as evidenced by significant reduction in urine protein levels,N-acetyl-α-D-glucosaminidase activity and significant increase of creatinine clearance in SHR and SHR+L-NAME at 28 weeks.Renal histopathological examination showed that ALA supplementation prevented vascular damage in SHR and ameliorated glomerular damage in SHR+L-NAME at 28 weeks.Conclusions:ALA has hypotensive and renoprotective effects on both SHR and SHR+LNAME,which could be due to its ability to ameliorate oxidative stress in the kidneys. 展开更多
关键词 alpha-lipoic acid Supplementation Oxidative stress markers Spontaneously HYPERTENSIVE rat Nω-nitro-L-arginine methyl ester
下载PDF
Symptomatic and pathogenetic treatment of diabetic neuropathy Role of alpha-lipoic acid
3
作者 Franco Gemignani 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第10期781-788,共8页
Diabetic neuropathy, the most common form of peripheral neuropathy, presents as different forms of focal or diffuse neuropathy, including the disabling, or potentially life-threatening clinical entities of painful dia... Diabetic neuropathy, the most common form of peripheral neuropathy, presents as different forms of focal or diffuse neuropathy, including the disabling, or potentially life-threatening clinical entities of painful diabetic neuropathy, autonomic neuropathy, and diabetic foot. The pathogenesis of diabetic neuropathy results from the concurrent action of various intersecting factors of nerve damage, such as oxidative stress and mitochondrial dysfunction, inflammation, microangiopathy and ischemia, triggered by hyperglycemia and related biochemical changes. Symptomatic treatment of diabetic neuropathy mainly concerns therapies for neuropathic pain, interventions targeted at the organ systems involved in autonomic neuropathy, and management of diabetic foot. Therapeutic approaches to the pathogenesis of diabetic neuropathy have focused on the different components of the causes of nerve damage, particularly oxidative stress, which has been demonstrated to play a central role. Alpha-lipoic acid, a potent lipophilic free radical scavenger, has been used in treatment of patients with diabetic neuropathy, displaying efficacy on the chief symptoms, including neuropathic pain, and showing that neuropathic deficits may be improved by treatment. Current evidence suggests a possible efficacy of alpha-lipoic acid not only for neuropathic symptoms, but also for reducing the risk factors for diabetic neuropathy. 展开更多
关键词 diabetic neuropathy/therapy symptomatic treatment pathogenetic treatment alpha-lipoic acid literature reviews
下载PDF
Storage Stability of Alpha-Lipoic Acid-loaded Lipid Nanoparticles
4
作者 唐金国 夏强 刘光煜 《过程工程学报》 CAS CSCD 北大核心 2010年第2期332-338,共7页
Alpha-lipoic acid-loaded lipid nanoparticles(ALA-LNs) were prepared by high pressure homogenization method.The influences of storage conditions such as time and temperature on the physical and chemical storage stabili... Alpha-lipoic acid-loaded lipid nanoparticles(ALA-LNs) were prepared by high pressure homogenization method.The influences of storage conditions such as time and temperature on the physical and chemical storage stability of ALA-LNs were studied in details.The stability was evaluated by particle size and polydispersity index,morphology of ALA-LNs,and capacity of ALA loading.The dilution and pH stability of ALA-LNs suspensions were also studied.After three months storage,the mean size of ALA-LNs at 4 and 40 ℃ was increased by 2.68% and 3.62% compared with the original size,respectively.ALA-LNs stored at 40 ℃ had ellipsoid shape and the mean size was about 152 nm(SD=23.6).The loading capacity of ALA at 40 ℃ was much higher than those stored at other two temperatures.The good dilution and pH stability were also demonstrated.The sample had good fluidity even at 4 ℃. 展开更多
关键词 alpha-lipoic acid lipid nanoparticles storage stability particle size particle morphology
下载PDF
Determination of Alpha-Lipoic Acid in a Nutritional Supplement Using High Performance Liquid Chromatography
5
作者 Trapali Maria Fotia Eirini 《Journal of Diabetes Mellitus》 CAS 2022年第4期216-223,共8页
Alpha lipoic acid has the ability to react and neutralize reactive oxygen species (ROS) such as superoxide radicals, simple oxygen, hydroxyl radicals, hypochlorous acid and peroxyl radicals. A rapid high-performance l... Alpha lipoic acid has the ability to react and neutralize reactive oxygen species (ROS) such as superoxide radicals, simple oxygen, hydroxyl radicals, hypochlorous acid and peroxyl radicals. A rapid high-performance liquid chromatographic method for determination of lipoic acid in a nutritional supplement was developed. The method involved sample preparation and the mobile phase comprised of 50 mM disodium hydrogen phosphate buffer (pH 2.5 adjusted with 1 M H<sub>3</sub>PO<sub>4</sub>): acetonitrile in the ratio of 50:50. The separation was done using a C18 column (150 mm) and detection was carried out using UV detection at 201 nm. The assay was found to be linear in the range of 1.56 - 50 μg/mL with the correlation coefficient of 0.9997. Method precision was determined while LOD was 0.05 μg/mL and LOQ 0.15 μg/mL. The chromatographic peak LA retention time was 6 min. 展开更多
关键词 alpha-lipoic Acid HPLC Antioxidant Activity Nutritional Supplement
下载PDF
Alpha-lipoic Acid:Effects on the Beat-to-Beat Vectorcardiographic Parameters in Type 2 Diabetes Mellitus Patients with Cardiac Autonomic Neuropathy
6
作者 Victoria Serhiyenko Krystina Kozlovska Alexandr Serhiyenko 《Journal of Endocrinology Research》 2020年第2期16-21,共6页
Objective:Relevance of cardiac autonomic neuropathy has not been fully recognized and there is no standardized treatment protocol.Aim:To evaluate the effects of alpha-lipoic acid on the beat-to-beat vectorcardiographi... Objective:Relevance of cardiac autonomic neuropathy has not been fully recognized and there is no standardized treatment protocol.Aim:To evaluate the effects of alpha-lipoic acid on the beat-to-beat vectorcardiographic parameters,namely spatial QRS-T angle,QT dispersion(QTd)and corrected QT interval(QTc)in type 2 diabetes mellitus persons with cardiac autonomic neuropathy.Research designs and methods:Our study involved 33 persons with definite stage of cardiac autonomic neuropathy and diabetes mellitus type 2,which were assigned to each of two groups:one took standard antihyperglycaemic treatment(n=15,control group)and the other(n=18)in addition to standard therapy-600 mg of alpha-lipoic acid daily for three months.The analysis of vectorcardiographic parameters was performed.Results:It was found out that alpha-lipoic acid contributed to decrease of the vectorcardiographic parameters,namely QRS-T angle,QTd and QTc.Conclusions:The positive influences of alpha-lipoic acid suggest the usefulness of its prescription to type 2 diabetes mellitus persons with definite stage of cardiac autonomic neuropathy.The efficacy of alpha-lipoic acid is the result of its direct effect on the parameters of vectorcardiography. 展开更多
关键词 alpha-lipoic acid Cardiac autonomic neuropathy Corrected QT interval Spatial QRS-T angle Type 2 diabetes mellitus
下载PDF
Attenuation of myocardial apoptosis by alpha-lipoic acid through suppression of mitochondrial oxidative stress to reduce diabetic cardiomyopathy 被引量:15
7
作者 LI Chun-jun ZHANG Qiu-mei LI Ming-zhen ZHANG Jing-yun YU Pei YU De-min 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第21期2580-2586,共7页
Background Cardiac failure is a leading cause of the mortality of diabetic patients. In part this is due to a specific cardiomyopathy, referred to as diabetic cardiomyopathy. Oxidative stress is widely considered to b... Background Cardiac failure is a leading cause of the mortality of diabetic patients. In part this is due to a specific cardiomyopathy, referred to as diabetic cardiomyopathy. Oxidative stress is widely considered to be one of the major factors underlying the pathogenesis of the disease. This study aimed to test whether the antioxidant α-lipoic acid (α-LA) could attenuate mitochondrion-dependent myocardial apoptosis through suppression of mitochondrial oxidative stress to reduce diabetic cardiomyopathy. Methods A rat model of diabetes was induced by a single tail intravenous injection of streptozotocin (STZ) 45 mg/kg. Experimental animals were randomly assigned to 3 groups: normal control (NC), diabetes (DM) and DM treated with α-LA (α-LA). The latter group was administered with a-LA (100 mg/kg ip per day), the remainder received the same volume vehicle. At weeks 4, 8, and 12 after the onset of diabetes, cardiac apoptosis was examined by TUNEL assay. Cardiomyopathy was evaluated by assessment of cardiac structure and function. Oxidative damage was evaluated by the content of malondialdehyde (MDA), reduced glutathione (GSH) and the activity of manganese superoxide diamutase (Mn-SOD) in the myocardial mitochondria. Expression of caspase-9 and caspase-3 proteins was determined by immunohistochemistry and mitochondrial cytochrome c release was detected by Western blotting Results At 4, 8, and 12 weeks after the onset of diabetes, significant reductions in TUNEL-positive cells, caspase-9,-3 expression, and mitochondrial cytochrome c release were observed in the α-LA group compared to the DM group. In the DM group, the content of MDA in the myocardial mitochondria was significantly increased, and there was a decrease in both the mitochondrial GSH content and the activities of Mn-SOD. They were significantly improved by α-LA treatment. HE staining displayed structural abnormalities in diabetic hearts, while α-LA reversed this structural derangement. The index of cardiac function (±dp/dtmax) in the diabetes group was aggravated progressively from 4 weeks to 12 weeks, but α-LA delayed deterioration of cardiac function (P 〈0.05). Conclusions Our findings indicate that the antioxidant α-LA can effectively attenuate mitochondria-dependent cardiac apoptosis and exert a protective role against the development of diabetic cardiomyopathy. The ability of α-LA to suppress mitochondrial oxidative damage is concomitant with an enhancement of Mn-SOD activity and an increase in the GSH content of myocardial mitochondria. 展开更多
关键词 alpha-lipoic acid myocardial apoptosis mitochondrial oxidative stress diabetic cardiomyopathy
原文传递
α-硫辛酸辅助治疗老年糖尿病周围神经病变患者神经修复及抗氧化应激能力的影响
8
作者 王欢欢 单帅 +1 位作者 冯培红 刘凯 《四川生理科学杂志》 2024年第1期61-63,152,共4页
目的:探讨α-硫辛酸辅助治疗糖尿病周围神经病变(Diabetic Peripheral Neuropathy,DPN)老年患者的效果及对其抗氧化应激及神经修复能力的影响。方法:选取2020年10月至2022年10月我科收治的106例DPN老年患者作为研究对象,随机数字表法将... 目的:探讨α-硫辛酸辅助治疗糖尿病周围神经病变(Diabetic Peripheral Neuropathy,DPN)老年患者的效果及对其抗氧化应激及神经修复能力的影响。方法:选取2020年10月至2022年10月我科收治的106例DPN老年患者作为研究对象,随机数字表法将其分为研究组和对照组,各53例。对照组患者采用依帕司他和甲钴胺治疗;研究组增加α-硫辛酸辅助治疗,均持续4 w,对比两组患者神经修复效果、神经传导速度、抗氧化应激能力情况,及临床疗效和不良反应。结果:研究组总有效率明显高于对照组(P<0.05),4 w末,患者神经修复效果:桡神经、尺神经与正中神经横径和纵径均较对照组减小,神经传导速度:正中神经、腓总神经与胫后神经感觉神经传导速度和运动传导速度均快于对照组,抗氧化应激能力:总抗氧化能力、超氧化物歧化酶血清水平高于对照组,丙二醛低于对照组(P<0.05),不良反应两组无明显差异(P>0.05)。结论:α-硫辛酸辅助治疗老年DPN,可有效提升患者神经传导速度、神经修复及抗氧化应激能力,不良反应少且有效。 展开更多
关键词 糖尿病周围神经病变 Α-硫辛酸 依帕司他 神经修复 抗氧化应激能力
下载PDF
α-硫辛酸对大鼠腹膜纤维化的作用及机制
9
作者 都元洪 甘平 《贵州医科大学学报》 CAS 2023年第4期389-395,共7页
目的 观察α-硫辛酸(α-LA)对高糖腹膜透析液诱导大鼠腹膜纤维化(PF)的作用及机制。方法 30只SD大鼠随机均分为空白对照组、模型组、α-LA腹腔注射高剂量组(400μmol/L)、α-LA腹腔注射中剂量组(300μmol/L)、α-LA腹腔注射低剂量组(200... 目的 观察α-硫辛酸(α-LA)对高糖腹膜透析液诱导大鼠腹膜纤维化(PF)的作用及机制。方法 30只SD大鼠随机均分为空白对照组、模型组、α-LA腹腔注射高剂量组(400μmol/L)、α-LA腹腔注射中剂量组(300μmol/L)、α-LA腹腔注射低剂量组(200μmol/L)、α-LA灌胃组(300μmol/L),空白对照组大鼠腹腔注射生理盐水、后5组大鼠腹腔注射高糖腹膜透析液制作PF模型、后4组大鼠同时按分组设计给予相应药物,连续4周。取各组大鼠腹膜组织,苏木素伊红(HE)、Masson’s染色观察腹膜组织学形态及纤维化,免疫组化染色检测α-平滑机动蛋白(α-SMA)及Ⅰ型胶原蛋白(CollagenⅠ)表达,蛋白质印迹法(Western blot)检测转化生长因子β1(TGF-β1)、磷酸化Smad2(p-Smad2)及p-Smad3蛋白表达。结果 处理前各组大鼠体质量组间差异均无统计学意义(P> 0.05),处理后α-LA高剂量腹腔注射组较对照组、模型组和α-LA灌胃组体质量低(P <0.05);纤维化表达面积百分比、腹膜组织α-SMA、CollagenⅠ表达、腹膜组织TGF-β1、p-Smad2及p-Smad3蛋白表达结果显示:模型组大鼠各项指标高于空白对照组(P <0.05);α-LA腹腔注射高剂量组各项指标均低于模型组(P <0.05)、亦低于α-LA灌胃组(P <0.05)。结论 高剂量α-LA能减轻高糖腹膜透析液诱导的大鼠PF,其机制可能与抑制TGF-β1/Smads信号通路激活有关。 展开更多
关键词 腹膜纤维化 腹膜透析液 Α-硫辛酸 腹腔注射 作用机制
下载PDF
参芪降糖颗粒、银杏叶胶囊联合甲钴胺及α-硫辛酸治疗糖尿病周围神经病变的临床疗效 被引量:22
10
作者 董海燕 尤巧英 +1 位作者 斯徐伟 俞利红 《中华中医药学刊》 CAS 北大核心 2016年第6期1424-1426,共3页
目的:对比分析参芪降糖颗粒、银杏叶胶囊联合甲钴胺及α-硫辛酸治疗糖尿病周围神经病变的临床疗效。方法:研究对象来源于医院收治的116例糖尿病周围神经病变患者,根据掷骰子法将患者随机分为两组,每组58例。实验组患者采用参芪降糖颗粒... 目的:对比分析参芪降糖颗粒、银杏叶胶囊联合甲钴胺及α-硫辛酸治疗糖尿病周围神经病变的临床疗效。方法:研究对象来源于医院收治的116例糖尿病周围神经病变患者,根据掷骰子法将患者随机分为两组,每组58例。实验组患者采用参芪降糖颗粒、银杏叶胶囊联合甲钴胺及α-硫辛酸配合治疗,对照组患者使用甲钴胺及α-硫辛酸治疗。对比两组患者的不良反应发生率、周围神经平均传导速度及治疗后总有效率。结果:实验组患者的不良反应发生率(15.52%)明显优于对照组患者的(39.66%);实验组患者周围神经平均传导速度(60.25±0.26)m/s明显优于对照组的(50.96±0.68)m/s;实验组患者总有效率(98.27%)明显优于对照组的(91.38%),其差异在统计学上有意义(P<0.05)。结论:通过参芪降糖颗粒、银杏叶胶囊联合甲钴胺及α-硫辛酸联合治疗糖尿病周围神经病变后,能有效地降低不良反应发生概率、周围神经平均传导速度及治疗总有效率均有明显的提高,短期临床效果较好,但远期的临床效果仍然需要通过延长随访时间和加大样本量来进行证实。 展开更多
关键词 参芪 银杏叶 甲钴胺 Α-硫辛酸 糖尿病 周围神经病变
下载PDF
α-硫辛酸降低糖尿病大鼠肾脏氧化应激水平 被引量:11
11
作者 张春阳 曲卫 +2 位作者 邹俊杰 石勇铨 刘志民 《中国糖尿病杂志》 CAS CSCD 北大核心 2008年第9期552-553,共2页
将大鼠分成正常对照(NC)组、糖尿病(DM)组及糖尿病加α-硫辛酸(DM+ALA)组进行实验。4周后DM组24小时尿白蛋白(UAlb/24h)、肾重/体重(KW/BW)和丙二醛(MDA)含量均较NC组增加,总超氧化物歧化酶(TSOD)活性降低,谷胱甘肽过氧化物酶(GSH-Px)... 将大鼠分成正常对照(NC)组、糖尿病(DM)组及糖尿病加α-硫辛酸(DM+ALA)组进行实验。4周后DM组24小时尿白蛋白(UAlb/24h)、肾重/体重(KW/BW)和丙二醛(MDA)含量均较NC组增加,总超氧化物歧化酶(TSOD)活性降低,谷胱甘肽过氧化物酶(GSH-Px)活性升高,过氧化氢酶(CAT)活性无变化;DM+ALA组较DM组UAlb/24h、KW/BW和MDA水平降低,TSOD、GSH-Px和CAT活性无改变。结果说明,ALA能减低DM大鼠肾皮质氧化应激水平,延缓糖尿病肾病进展。 展开更多
关键词 Α-硫辛酸 肾脏 氧化应激 抗氧化酶
下载PDF
α-硫辛酸对大鼠肾缺血再灌注损伤的影响 被引量:10
12
作者 刘燕 夏晓红 +3 位作者 苗智慧 王燕凌 洪丽华 于占久 《中国病理生理杂志》 CAS CSCD 北大核心 2007年第9期1855-1856,1866,共3页
目的:探讨硫辛酸(LA)对大鼠肾缺血再灌注损伤(RIRI)的作用及其机制。方法:采用夹闭双侧肾动、静脉45min后松夹再灌的方法制作RIRI模型,测定血清肌酐(Scr)、丙二醛(MDA)、一氧化氮(NO)及尿NAG酶(UNAG)浓度,放射免疫和免疫组化法对肾皮质... 目的:探讨硫辛酸(LA)对大鼠肾缺血再灌注损伤(RIRI)的作用及其机制。方法:采用夹闭双侧肾动、静脉45min后松夹再灌的方法制作RIRI模型,测定血清肌酐(Scr)、丙二醛(MDA)、一氧化氮(NO)及尿NAG酶(UNAG)浓度,放射免疫和免疫组化法对肾皮质内皮素-1(ET-1)的表达做定位和定量分析,肾组织病理学观察和流式细胞术检测肾损伤程度和肾皮质细胞凋亡率。结果:缺血再灌注后,大鼠肾功能和肾小管上皮细胞明显受损,Scr、MDA和UNAG含量均明显高于sham组(P<0.01),血清NO含量与sham组相比无明显差异;肾皮质ET-1含量明显高于sham组(P<0.01),肾小管ET-1表达明显强于sham组,ET-1免疫反应阳性颗粒主要分布于近曲小管上皮细胞;肾皮质细胞凋亡率明显高于sham组(P<0.01)。尾静脉注射α-硫辛酸可明显降低RIRI大鼠Scr、MDA和UNAG水平,肾小管上皮细胞内ET-1免疫反应阳性颗粒明显少于IR组,肾皮质细胞凋亡率明显低于IR组(P<0.05)。结论:ET-1在大鼠RIRI的发生发展中起着十分重要的作用;LA可通过拮抗ET-1的生物学效应,减轻氧自由基损伤而对RIRI大鼠肾脏产生一定的保护作用。 展开更多
关键词 缺血 再灌注损伤 Α-硫辛酸
下载PDF
缬沙坦联合α-硫辛酸治疗早期糖尿病肾病患者的效果及对血清ET、β2-MG水平的影响 被引量:16
13
作者 李阳 高明松 +3 位作者 孔彩霞 肖方喜 李伟 叶正华 《疑难病杂志》 CAS 2018年第11期1217-1220,共4页
目的观察缬沙坦联合α-硫辛酸治疗早期糖尿病肾病的临床效果及其对血清内皮素(ET)、β_2微球蛋白(β2-MG)的影响。方法选择2016年6月—2017年9月武汉市第一医院内分泌科收治的早期糖尿病肾病患者86例作为研究对象,随机数字表法均分为观... 目的观察缬沙坦联合α-硫辛酸治疗早期糖尿病肾病的临床效果及其对血清内皮素(ET)、β_2微球蛋白(β2-MG)的影响。方法选择2016年6月—2017年9月武汉市第一医院内分泌科收治的早期糖尿病肾病患者86例作为研究对象,随机数字表法均分为观察组和对照组,每组43例。对照组患者采用缬沙坦治疗,观察组采用缬沙坦联合α-硫辛酸治疗。治疗4个月后,比较2组治疗效果及治疗前后血、尿各项指标的变化。结果观察组治疗总有效率高于对照组(88. 4%vs. 69. 8%,χ~2=4. 503,P=0. 034);治疗后对照组及观察组患者尿液m Alb、NAG、UAER均较治疗前降低(t/P_(对照组)=11. 382、10. 512、7. 292,P均=0. 000; t/P_(观察组)=19. 153、15. 221、10. 902,P均=0. 000),且观察组均低于对照组(t/P=8. 691、6. 873、2. 623,P均=0. 000);治疗前后2组患者组内、组间FPG、HbA_(lc)比较差异均无统计学意义(P> 0. 05);对照组及观察组患者血清ET、β_2-MG均降低(t/P_(对照组)=6. 760、8. 107,P均=0. 000; t/P_(观察组)=15. 788、15. 565,P均=0. 000),且观察组均低于对照组(t/P=8. 968、8. 804,P均=0. 000)。2组不良反应发生率比较,差异无统计学意义(χ~2=0. 574,P=0. 451)。结论采用缬沙坦联合α-硫辛酸治疗早期糖尿病肾病安全有效,能够明显降低血清ET、β_2-MG水平,改善患者临床症状。 展开更多
关键词 糖尿病肾病 缬沙坦 Α-硫辛酸 内皮素 Β2-微球蛋白
下载PDF
α-硫辛酸对糖尿病大鼠坐骨神经氧化应激和细胞凋亡的影响 被引量:11
14
作者 徐志刚 吴晨光 +2 位作者 王丽 陈宇宁 陈艳 《江苏大学学报(医学版)》 CAS 2011年第1期15-17,F0002,共4页
目的:探讨糖尿病大鼠坐骨神经氧化应激和细胞凋亡及α-硫辛酸的干预作用。方法:腹腔注射链脲佐菌素(STZ)诱导成糖尿病大鼠模型,随机分为糖尿病组、α-硫辛酸干预组,后者给予α-硫辛酸20 mg/(kg.d),并以正常组作对照。8周后分离所有大鼠... 目的:探讨糖尿病大鼠坐骨神经氧化应激和细胞凋亡及α-硫辛酸的干预作用。方法:腹腔注射链脲佐菌素(STZ)诱导成糖尿病大鼠模型,随机分为糖尿病组、α-硫辛酸干预组,后者给予α-硫辛酸20 mg/(kg.d),并以正常组作对照。8周后分离所有大鼠坐骨神经,检测神经组织中过氧化氢酶(CAT)、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)的活性及丙二醛(MDA)的含量;用原位末端标记法(TUNEL法)检测坐骨神经细胞凋亡。结果:与正常对照组相比,糖尿病组坐骨神经组织中CAT、SOD、GSH-Px水平明显下降(P<0.01),MDA水平显著升高(P<0.01);与糖尿病组相比,干预组CAT、SOD、GSH-Px水平升高(P<0.05),MDA水平下降(P<0.05)。糖尿病组坐骨神经节细胞凋亡指数(AI)较对照组升高(P<0.05),干预组AI较糖尿病组下降(P<0.05)。结论:高血糖可引起大鼠坐骨神经氧化应激和细胞凋亡,α-硫辛酸能抑制神经组织中的氧化应激、减少神经细胞凋亡,为临床治疗糖尿病神经病变提供新的方向。 展开更多
关键词 糖尿病大鼠 坐骨神经 氧化应激 Α-硫辛酸 凋亡
下载PDF
谷胱甘肽与α-硫辛酸对锰致大鼠神经元凋亡影响 被引量:8
15
作者 刘莉 徐兆发 +3 位作者 贾克 徐斌 杨敬华 贺安宁 《中国公共卫生》 CAS CSCD 北大核心 2006年第10期1239-1240,共2页
目的研究谷胱甘肽(GSH)和α-硫辛酸(LA)对锰致大鼠脑组织氧化损伤及纹状体神经元凋亡的影响。方法取Wistar大鼠32只,随机分为4组。第1组为对照组,第2组为单纯染锰组,第3、4组为干预组。第1组腹腔注射生理盐水。第2~4组腹腔注射... 目的研究谷胱甘肽(GSH)和α-硫辛酸(LA)对锰致大鼠脑组织氧化损伤及纹状体神经元凋亡的影响。方法取Wistar大鼠32只,随机分为4组。第1组为对照组,第2组为单纯染锰组,第3、4组为干预组。第1组腹腔注射生理盐水。第2~4组腹腔注射150μmol/(ks·bw)MgCl2,2h后,第1组和第2组皮下注射生理盐水,第3组皮下注射35μmol/(ks·bw)LA,第4组皮下注射1mmol/(kg·bw)GSH。每周5次,隔日干预,共计4周。检测脑组织谷胱甘肽(GSH)、丙二醛(MDA)含量、谷胱甘肽过氧化物酶(GSH-Px)和超氧化物歧化酶(SOD)活性;采用原位末端标记DNA片段(TUNEL)法检测纹状体部位神经元凋亡。结果单纯染锰组大鼠脑组织MDA含量较对照组升高,GSH和LA干预组MDA较单纯染锰组降低。单纯染锰组神经元凋亡率高于对照组、GSH和LA干预组。结论GSH和LA对锰致大鼠脑组织氧化损伤及纹状体神经元的凋亡具有一定的拮抗作用。 展开更多
关键词 谷胱甘肽 Α-硫辛酸 氧化损伤 凋亡
下载PDF
硫辛酸联合短期胰岛素强化对2型糖尿病周围神经病患者脂肪因子的干预作用 被引量:22
16
作者 杨璐 臧淑妃 宋美情 《中国医学科学院学报》 CAS CSCD 北大核心 2013年第3期353-356,共4页
目的观察2型糖尿病周围神经病患者血清脂肪因子水平的变化,评估硫辛酸(LA)和短期胰岛素强化治疗对脂肪因子的干预作用。方法将120例2型糖尿病周围神经病患者随机分为硫辛酸治疗组和甲钴胺对照组,两组均进行胰岛素强化治疗,其中硫辛酸治... 目的观察2型糖尿病周围神经病患者血清脂肪因子水平的变化,评估硫辛酸(LA)和短期胰岛素强化治疗对脂肪因子的干预作用。方法将120例2型糖尿病周围神经病患者随机分为硫辛酸治疗组和甲钴胺对照组,两组均进行胰岛素强化治疗,其中硫辛酸治疗组接受硫辛酸、甲钴胺对照组接受甲钴胺治疗共2周。在治疗前和治疗2周后测定各组生化指标和脂肪因子并比较。结果胰岛素治疗后,硫辛酸治疗组和甲钴胺对照组血清空腹血糖(FBG)、肿瘤坏死因子-α(TNFα)、超敏C反应蛋白(HSCRP)较治疗前明显降低(P均<0.05),脂联素(APN)较治疗前明显升高(P均<0.05);硫辛酸治疗组的APN明显高于甲钴胺对照组(P<0.05),TNF-α和HSCRP明显低于甲钴胺对照组(P均<0.05),瘦素治疗前后以及两组间差异均无统计学意义(P均>0.05)。结论硫辛酸联合胰岛素治疗糖尿病性周围神经病变可影响脂肪因子水平并加强胰岛素抗炎作用。 展开更多
关键词 2型糖尿病 硫辛酸 胰岛素强化治疗 脂肪因子
下载PDF
α-硫辛酸联合甲钴胺治疗糖尿病周围神经病变的Meta分析 被引量:66
17
作者 李竞 张琳 赵湜 《中国医药导报》 CAS 2013年第3期88-90,共3页
目的用Meta分析对临床使用α-硫辛酸联合甲钴胺治疗糖尿病周围神经病变的方案进行分析,评价其治疗效果。方法利用中国学术期刊全文数据库(CNKI)、万方全文数据库,检索到2008~2012年国内发表的α-硫辛酸联合甲钴胺治疗糖尿病周围神经病... 目的用Meta分析对临床使用α-硫辛酸联合甲钴胺治疗糖尿病周围神经病变的方案进行分析,评价其治疗效果。方法利用中国学术期刊全文数据库(CNKI)、万方全文数据库,检索到2008~2012年国内发表的α-硫辛酸联合甲钴胺治疗糖尿病周围神经病变临床试验的相关文献,应用Meta分析软件包Rev Man 5.0对各研究结果进行数据合并,并进行发表偏倚分析。结果共纳入文献12篇,859例糖尿病周围神经病变患者,各研究结果间存在同质性(P=0.85>0.05),α-硫辛酸与甲钴胺治疗联合治疗组总体有效率明显高于对照组[P<0.000 01,(OR=5.30,95%CI:3.59~7.82)]。结论与单独使用甲钴胺相比,采用α-硫辛酸联合甲钴胺的方法治疗糖尿病周围神经病变更加有效。 展开更多
关键词 Α-硫辛酸 甲钴胺 糖尿病周围神经病变 META分析
下载PDF
硫辛酸对糖尿病肾病Ⅲ期患者PCX和VEGF的影响 被引量:12
18
作者 董闪闪 刘璠 +5 位作者 李奉 张洁 郭玉卿 杨爱格 周慧敏 张趁儒 《中国现代医学杂志》 CAS 2018年第5期77-81,共5页
目的探讨糖尿病肾病(DN)Ⅲ期患者尿足细胞标志蛋白(PCX)及血管内皮生长因子(VEGF)水平的变化及α-硫辛酸(ALA)对其的影响。方法 122例2型糖尿病患者根据24 h尿白蛋白排泄率分为单纯糖尿病组(SDM组)62例、DNⅢ期组(NA组)60例。NA组随机分... 目的探讨糖尿病肾病(DN)Ⅲ期患者尿足细胞标志蛋白(PCX)及血管内皮生长因子(VEGF)水平的变化及α-硫辛酸(ALA)对其的影响。方法 122例2型糖尿病患者根据24 h尿白蛋白排泄率分为单纯糖尿病组(SDM组)62例、DNⅢ期组(NA组)60例。NA组随机分为ALA治疗组(NAⅠ组30例)和常规治疗组(NAⅡ30例),另选正常对照者(NC组)60例。比较ALA治疗前及治疗2周后丙二醛(MDA)、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-px)、尿PCX及血VEGF的变化。结果 NAⅠ组经ALA治疗后MDA、UAER、PCX及VEGF较治疗前下降(P<0.05),SOD及GSH-px较治疗前上升(P<0.05)。结论 ALA可通过抗氧化应激保护DNⅢ期患者肾小球足细胞。 展开更多
关键词 糖尿病肾病 Α-硫辛酸 尿足细胞标志蛋白 血管内皮生长因子
下载PDF
α-硫辛酸对缺氧应激肝癌细胞线粒体呼吸率和产能代谢的影响 被引量:7
19
作者 黄勇超 施冬云 +3 位作者 刘珊林 刘志昕 俞培忠 沈新南 《生物物理学报》 CAS CSCD 北大核心 2007年第6期436-442,共7页
通过实验阐明抗氧化剂α-硫辛酸(alpha-lipoic acid,α-LA)对肝癌细胞内活性氧具清除作用,并发现其对肝癌细胞和正常肝细胞增殖有不同作用影响。在缺氧条件下,研究使用抗氧化剂干预对肝癌细胞和正常肝细胞缺氧耐受性、线粒体活性和产能... 通过实验阐明抗氧化剂α-硫辛酸(alpha-lipoic acid,α-LA)对肝癌细胞内活性氧具清除作用,并发现其对肝癌细胞和正常肝细胞增殖有不同作用影响。在缺氧条件下,研究使用抗氧化剂干预对肝癌细胞和正常肝细胞缺氧耐受性、线粒体活性和产能代谢的影响及差异。以SMMC-7721人肝癌细胞和L02正常肝细胞作为研究对象,在α-硫辛酸干预条件下检测细胞生长曲线和细胞内ROS;分别在单纯缺氧及加α-硫辛酸缺氧条件下,检测细胞存活率、细胞内ROS、细胞耗氧率、细胞生成ATP和癌基因c-myc mRNA的表达。实验结果说明:缺氧情况下,肝癌细胞通过增加糖酵解途径的产能方式诱导ATP能量代偿能力提高。使用抗氧化剂α-硫辛酸干预清除细胞内过剩ROS,能降低肝癌细胞线粒体呼吸率,并能通过下调c-myc表达抑制肝癌细胞的增殖及降低其缺氧耐受性。 展开更多
关键词 Α-硫辛酸 缺氧 糖酵解 肝癌 活性氧
下载PDF
依帕司他联合α硫辛酸治疗糖尿病周围神经病变的疗效 被引量:17
20
作者 高凌 杨颖 田源 《实用药物与临床》 CAS 2013年第8期684-685,共2页
目的观察依帕司他联合α硫辛酸治疗糖尿病周围神经病变(DPN)的疗效与安全性。方法将80例2型糖尿病周围神经病变患者随机分为2组。治疗组依帕司他片150 mg/d,疗程4周,α硫辛酸600 mg加入生理盐水250 mL中静脉滴注,每日1次,疗程2周;对照... 目的观察依帕司他联合α硫辛酸治疗糖尿病周围神经病变(DPN)的疗效与安全性。方法将80例2型糖尿病周围神经病变患者随机分为2组。治疗组依帕司他片150 mg/d,疗程4周,α硫辛酸600 mg加入生理盐水250 mL中静脉滴注,每日1次,疗程2周;对照组单用α硫辛酸600 mg加入生理盐水250 mL中静脉滴注,每日1次,疗程2周。结果治疗组总有效率90%,与对照组比较差异有统计学意义(P<0.05);治疗组正中神经、腓肠神经的传导速度较治疗前明显加快(P<0.05),对照组治疗前后变化差异无统计学意义(P>0.05)。两组均未见严重药物不良反应。结论依帕司他与α硫辛酸能有效且安全地治疗DPN,对DPN的阳性症状有良好的改善作用。 展开更多
关键词 糖尿病周围神经病变 依帕司他 Α硫辛酸
下载PDF
上一页 1 2 14 下一页 到第
使用帮助 返回顶部