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Calcitriol attenuates liver fibrosis through hepatitis C virus nonstructural protein 3-transactivated protein 1-mediated TGF β1/Smad3 and NF-κB signaling pathways 被引量:1
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作者 Liu Shi Li Zhou +13 位作者 Ming Han Yu Zhang Yang Zhang Xiao-Xue Yuan Hong-Ping Lu Yun Wang Xue-Liang Yang Chen Liu Jun Wang Pu Liang Shun-Ai Liu Xiao-Jing Liu Jun Cheng Shu-Mei Lin 《World Journal of Gastroenterology》 SCIE CAS 2023年第18期2798-2817,共20页
BACKGROUND Hepatic fibrosis is a serious condition,and the development of hepatic fibrosis can lead to a series of complications.However,the pathogenesis of hepatic fibrosis remains unclear,and effective therapy optio... BACKGROUND Hepatic fibrosis is a serious condition,and the development of hepatic fibrosis can lead to a series of complications.However,the pathogenesis of hepatic fibrosis remains unclear,and effective therapy options are still lacking.Our group identified hepatitis C virus nonstructural protein 3-transactivated protein 1(NS3TP1) by suppressive subtractive hybridization and bioinformatics analysis,but its role in diseases including hepatic fibrosis remains undefined.Therefore,additional studies on the function of NS3TP1 in hepatic fibrosis are urgently needed to provide new targets for treatment.AIM To elucidate the mechanism of NS3TP1 in hepatic fibrosis and the regulatory effects of calcitriol on NS3TP1.METHODS Twenty-four male C57BL/6 mice were randomized and separated into three groups,comprising the normal,fibrosis,and calcitriol treatment groups,and liver fibrosis was modeled by carbon tetrachloride(CCl4).To evaluate the level of hepatic fibrosis in every group,serological and pathological examinations of the liver were conducted.TGF-β1 was administered to boost the in vitro cultivation of LX-2 cells.NS3TP1,α-smooth muscle actin(α-SMA),collagen I,and collagen Ⅲ in every group were examined using a Western blot and real-time quantitative polymerase chain reaction.The activity of the transforming growth factor beta 1(TGFβ1)/Smad3 and NF-κB signaling pathways in each group of cells transfected with pcDNA-NS3TP1 or siRNA-NS3TP1 was detected.The statistical analysis of the data was performed using the Student’s t test.RESULTS NS3TP1 promoted the activation,proliferation,and differentiation of hepatic stellate cells(HSCs)and enhanced hepatic fibrosis via the TGFβ1/Smad3 and NF-κB signaling pathways,as evidenced by the presence of α-SMA,collagen I,collagen Ⅲ,p-smad3,and p-p65 in LX-2 cells,which were upregulated after NS3TP1 overexpression and downregulated after NS3TP1 interference.The proliferation of HSCs was lowered after NS3TP1 interference and elevated after NS3TP1 overexpression,as shown by the luciferase assay.NS3TP1 inhibited the apoptosis of HSCs.Moreover,both Smad3 and p65 could bind to NS3TP1,and p65 increased the promoter activity of NS3TP1,while NS3TP1 increased the promoter activity of TGFβ1 receptor I,as indicated by coimmunoprecipitation and luciferase assay results.Both in vivo and in vitro,treatment with calcitriol dramatically reduced the expression of NS3TP1.Calcitriol therapy-controlled HSCs activation,proliferation,and differentiation and substantially suppressed CCl4-induced hepatic fibrosis in mice.Furthermore,calcitriol modulated the activities of the above signaling pathways via downregulation of NS3TP1.CONCLUSION Our results suggest that calcitriol may be employed as an adjuvant therapy for hepatic fibrosis and that NS3TP1 is a unique,prospective therapeutic target in hepatic fibrosis. 展开更多
关键词 Nonstructural protein 3-transactivated protein 1 calcitriol Liver fibrosis Hepatic stellate cells Mouse model TGFβ1/Smad3 NF-κB Signaling pathway
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Calcitriol induces post-thawed bovine sperm capacitation
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作者 ANA CECILIA LIAUDAT FRANCISCA EBEL +4 位作者 BIANCA ANA OPIZZO MARINA AURORA GONZALEZ DAMIÁN BLOIS PABLO BOSCH NANCY RODRIGUEZ 《BIOCELL》 SCIE 2023年第5期1135-1143,共9页
Background:Capacitation is a set of physiological changes sperms undergo to acquire fertilizing capacity.In vivo,this process is directly associated with high calcium levels in sperm cytoplasm.Calcitriol,the vitamin D... Background:Capacitation is a set of physiological changes sperms undergo to acquire fertilizing capacity.In vivo,this process is directly associated with high calcium levels in sperm cytoplasm.Calcitriol,the vitamin D hypercalcemic metabolite,is related to human sperm motility,capacitation,and acrosome reaction.This work aimed to study the effect of calcitriol on bull sperm quality parameters and capacitation.Methods:One million freezethawed spermatozoa were obtained from different bulls and treated with 20 nM of calcitriol for 30 min.Untreated cells(negative control)and treated ones with calcitriol or heparin(100μg/mL,positive capacitation control)were evaluated for motility,viability,and functional parameters.Menadione(70μM,30 min)treatment was included as a reactive oxygen species(ROS)positive sperm agent.Results:The results elucidated that sperm exposed to 20 nM calcitriol showed higher viability,vigor,and capacitation than their positive and negative controls.The percentage of sperm with intact plasma and acrosome membranes,mitochondrial membrane potential(ΔΨm),and phosphatidylserine externalization was similar in all the conditions evaluated,while ROS production was higher with heparin and menadione-treated groups than the calcitriol group or negative control.Conclusion:Our results indicate that calcitriol induces the capacitation of thawed bull spermatozoa and maintains acceptable values of progressive motility,viability,and vigor without altering key biological parameters such as redox status,ΔΨm,and cell death. 展开更多
关键词 BOVINE Sperm capacitation calcitriol Cell viability Plasma membrane integrity Reactive oxygen species
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Calcitriol induced hypercalcemia-a rare phenomenon in lung cancer:A case report
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作者 Amulya Prakash Farhan Khalid +3 位作者 Ahmad Alalwan Husam Bader Doantrang Du Trishala Meghal 《World Journal of Clinical Oncology》 2023年第11期544-548,共5页
BACKGROUND Calcitriol-induced hypercalcemia has been rarely reported in cases of lung cancer;however,it is frequently reported in cases of lymphoid malignancy and granulomatous disease.We present a rare case of hyperc... BACKGROUND Calcitriol-induced hypercalcemia has been rarely reported in cases of lung cancer;however,it is frequently reported in cases of lymphoid malignancy and granulomatous disease.We present a rare case of hypercalcemia associated with squamous cell cancer of the lung with elevated calcitriol level.CASE SUMMARY A 61-year-old Caucasian female with severe hypercalcemia of 15 mg/dL,which led to a new diagnosis of metastatic lung cancer.Since the parathyroid hormonerelated peptide(PTHrP)level was minimally elevated at 2.1 pmol/L,we believe excessive calcitriol production by tumor cells was the underlying mechanism for hypercalcemia.Calcitriol was significantly elevated at 130 pg/mL with a low 25-hydroxyvitamin D level of 25.9 ng/mL and suppressed PTH level of 8 pg/mL.Corticosteroids are generally used to treat calcitriol-induced hypercalcemia,but we successfully treated our patient with bisphosphonate,highlighting the further utility of bisphosphonates in hypercalcemia treatment.CONCLUSION We believe that the underlying cause of hypercalcemia,in this case of metastatic squamous cell lung carcinoma,was elevated calcitriol,which was likely produced by the tumor cells.In addition to PTHrP,calcitriol levels should be included in the workup for hypercalcemia in cases of lung cancer.However,the pathophysiology and prognostic significance of dysregulated calcitriol production in solid tumors remain unclear and warrant further research.Bisphosphonate may be used as a steroid-sparing therapy even in cases of calcitriol-induced hypercalcemia and warrants further investigation. 展开更多
关键词 Hypercalcemia associated malignancy Lung cancer DENOSUMAB calcitriol Vitamin D Case report
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Calcitriol analog ZK191784 ameliorates acute and chronic dextran sodium sulfate-induced colitis by modulation of intestinal dendritic cell numbers and phenotype 被引量:4
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作者 Ulrike G Strauch Florian Obermeier +6 位作者 Nicole Grunwald Nadja Dunger Heiko C Rath Jürgen Schlmerich A Steinmeyer U Zügel HH Herfarth 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第48期6529-6537,共9页
AIM: To investigate the effects of ZK1916784, a low calcemic analog of calcitriol on intestinal inflammation. METHODS: Acute and chronic colitis was induced by dextran sodium sulfate (DSS) according to standard proced... AIM: To investigate the effects of ZK1916784, a low calcemic analog of calcitriol on intestinal inflammation. METHODS: Acute and chronic colitis was induced by dextran sodium sulfate (DSS) according to standard procedures. Mice were treated intraperitoneally with ZK1916784 or placebo and colonic inflammation was evaluated. Cytokine production by mesenterial lymph node (MLN) cells was measured by ELISA. Immunohistochemistry was performed to detect intestinal dendritic cells (DCs) within the colonic tissue, and the effect of the calcitriol analog on DCs was investigated. RESULTS: Treatment with ZK191784 resulted in significant amelioration of disease with a reduced histological score in acute and chronic intestinal inflammation. In animals with acute DSS colitis, down- regulation of colonic inflammation was associated with a dramatic reduction in the secretion of the proinflammatory cytokine interferon (IFN)-γ and a significant increase in intereleukin (IL)-10 by MLN cells. Similarly, in chronic colitis, IL-10 expression in colonic tissue increased 1.4-fold when mice were treated with ZK191784, whereas expression of the Th1-specific transcription factor T-beta decreased by 81.6%. Lower numbers of infiltrating activated CD11c+ DCs were found in the colon in ZK191784-treated mice with acute DSScolitis, and secretion of proinflammatory cytokines by primary mucosal DCs was inhibited in the presence of the calcitriol analog. CONCLUSION: The calcitriol analog ZK191784 demonstrated significant anti-inflammatory properties in experimental colitis that were at least partially mediated by the immunosuppressive effects of the derivate on mucosal DCs. 展开更多
关键词 Dextran sodium sulfate colitis calcitriol Colonic inflammation Dendritic cells
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Solid lipid dispersion of calcitriol with enhanced dissolution and stability 被引量:2
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作者 Ting Yuan Lingzhen Qin +4 位作者 Zhouhua Wang Jinyuan Nie Zhefei Guo Ge Li Chuanbin Wu 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2013年第1期39-47,共9页
Solid dispersion of calcitriol with lipophilic surfactants and triglycerides was developed by melt-mixing method to modify the release and enhance stability of the drug.The solid dispersions were characterized by diff... Solid dispersion of calcitriol with lipophilic surfactants and triglycerides was developed by melt-mixing method to modify the release and enhance stability of the drug.The solid dispersions were characterized by differential scanning calorimetry(DSC),hot stage polarized optical microscopy(HSPM),infrared spectroscopy(FTIR)and stability studies.The solid dispersion significantly enhanced the stability of calcitriol,which could be attributed to the high antioxidant activity of the solid lipid dispersion.The rapid dissolution rate from the solid dispersion was attributed to the amorphous or solid solution state of drug with improved specific surface area and wettability than the drug crystals.Therefore,solid dispersion of calcitriol with D-a-tocopheryl polyethylene glycol 1000 succinate(TPGS)offers a good approach to modify the release and enhance stability of calcitriol.The influence of lipophilic solid dispersion on drug bioavailability needs further investigation. 展开更多
关键词 calcitriol Solid dispersion TPGS STABILITY
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Effect of Sevelamer Hydrochloride on the Serum Calcitriol Concentration in Hemodialysis Patients 被引量:1
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作者 Kazumichi Matsushita Keitaro Sato +2 位作者 Kohei Unagami Kosaku Nitta Kiichiro Tago 《International Journal of Clinical Medicine》 2014年第20期1320-1327,共8页
Back ground: There are no published clinical data in hemodialysis (HD) patients with mineral bone disorder (CKD-MBD) regarding the effect of sevelamer hydrochloride on the absorption of the oral calcitriol. Objectives... Back ground: There are no published clinical data in hemodialysis (HD) patients with mineral bone disorder (CKD-MBD) regarding the effect of sevelamer hydrochloride on the absorption of the oral calcitriol. Objectives: The aim of the present study was to determine the association of the sevelamer hydrochloride and serum 1-25(OH)2D concentration during oral calcitriol therapy. Methods: This was a before-and-after study in HD patients. Forty-six patients co-administered with phosphate-binder and calcitriol for CKD-MBD therapy took lanthanum carbonate (LC) and sevelamer hydrochloride (SH) for 4 weeks, respectively with calcitriol. The serum 1-25(OH)2D concentration was assessed after each period. Results: Serum 1-25(OH)2D concentration was significantly reduced with co-administration of SH compared to LH (mean, calcitriol with LC→SH: 19.9 pg/ml → 14.2 pg/ml, p 2D concentrations after oral calcitriol administration compared to LH in HD patients. When we use SH as a phosphate binder with calcitriol for HD patients with CKD-MBD, we should consider the inhibitory effect of SH on oral calcitriol absorption. 展开更多
关键词 HEMODIALYSIS calcitriol SEVELAMER Hydrochrolide LANTHANUM CARBONATE BIOAVAILABILITY
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The study of calcitriol,cinacalcet combined with nursing intervention effect of SHPT, calcium, phosphorus metabolism and parathyroid hormone on MHD patients
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作者 Le Chen Xiao-Yun Wu 《Journal of Hainan Medical University》 2017年第6期45-47,共3页
Objective:To investigate calcitriol, cinacalcet plus comprehensive intervention on maintenance hemodialysis (MHD) patients with secondary hyperparathyroidism (SHPT) calcium (Ca), phosphorus (P) metabolism and parathyr... Objective:To investigate calcitriol, cinacalcet plus comprehensive intervention on maintenance hemodialysis (MHD) patients with secondary hyperparathyroidism (SHPT) calcium (Ca), phosphorus (P) metabolism and parathyroid hormone (PTH) effect.Methods: A total of 80 cases of patients with SHPT from January 2014 to January 2016 in our hospital were randomly divided into observation group and control group, control group to eat the whole piece of cinacalcet hydrochloride oral tablets, the initial dose of 25 mg/d, every 2 to 4 weeks, according to Ca×P, parathyroid hormone (iPTH) test results adjust the dose, the maximum dose of not more than 75 mg/d, the observation group in the control group on the basis of oral administration of Calcitriol Soft Capsules 0.25 g/d, 3 times/week, 2 groups were given comprehensive intervention measures, to evaluate the curative effect after 3 months of treatment. The 2 groups before and after treatment collected fasting peripheral venous blood, the determination of Ca, P and alkaline phosphatase by colorimetric method (ALP), Ca, P product calculation (Ca×P), to detect the level of iPTH before and after treatment by ELISA method;TY-6858-HI type ultrasound instrument, measuring length, width and thickness of the parathyroid glands, and calculate the parathyroid gland volume.Results:in the observation group after treatment, Ca, Ca×P increased degree, P, ALP, iPTH lower than the control group, the size of the parathyroid gland was better than the control group.Conclusion:calcitriol, cinacalcet combined intervention therapy has good clinical effect in patients with MHD SHPT, Ca, P can effectively improve the metabolism, reduce the level of iPTH, reduce the parathyroid gland volume is worthy of promotion. 展开更多
关键词 calcitriol CINACALCET NURSING intervention MHD SHPT CALCIUM Phosphorus Parathyroid hormone
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Dietary supplementation with calcitriol or quercetin improved eggshell and bone quality by modulating calcium metabolism
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作者 Yu Fu Jianmin Zhou +4 位作者 Martine SchroyenJing Lin Haijun Zhang Shugeng Wu Guanghai Qi Jing Wang 《Animal Nutrition》 SCIE CAS CSCD 2024年第3期340-355,共16页
This study was aimed to investigate the effects of dietary calcitriol or quercetin supplementation on eggshell and bone quality of laying hens.In trial 1,72 Hy-Line Brown layers(80-week-old)with weak-shelled strength(... This study was aimed to investigate the effects of dietary calcitriol or quercetin supplementation on eggshell and bone quality of laying hens.In trial 1,72 Hy-Line Brown layers(80-week-old)with weak-shelled strength(25 to 30 N)were assigned into 4 dietary treatments with 6 replicates of 3 birds and fed a basal diet(4%calcium level)or basal diets supplemented with 0.5%calcium,5μg/kg calcitriol or 500 mg/kg quercetin for 4 weeks.In trial 2,360 Hy-Line Brown layers(60-week-old)were divided into 3 groups with 8 replicates of 15 birds:control group(basal diet),calcitriol group(basal diet+5μg/kg calcitriol),and quercetin group(basal diet+500 mg/kg quercetin).This trial lasted for 12 weeks.The results showed that dietary calcitriol or quercetin improved eggshell quality in both trials(P<0.05).In trial 2,compared with the control group,both calcitriol and quercetin supplementations improved femoral bone quality,calcium retention of hens and calcium content in uterine fluid at 18.5 h post-oviposition(PO)(P<0.05),along with enhancing uterine morphology.Compared to the control group,supplemental calcitriol or quercetin up-regulated the relative mRNA expression levels of uterine transient receptor potential cation channel,subfamily V,member 6(TRPV6)at 8.5 h PO and plasma membrane calcium-ATPase(PMCA),vitamin D receptor(VDR),estrogen receptor alpha(ERα)at 18.5 h PO(P<0.05),but down-regulated the uterine caspase 3(CASP3)relative mRNA expression level at 8.5 h PO(P<0.05).Meanwhile,the femoral relative mRNA expression levels of tartrate-resistant acid phosphatase(TRAP)(up-regulated at 8.5 and 18.5 h PO)and alkaline phosphatase(ALP)(up-regulated at 8.5 h PO but down-regulated at 18.5 h PO)were also affected by calcitriol or quercetin supplementation(P<0.05).Compared to the calcitriol,quercetin increased hen-day egg production and femoral medullary bone volume/bone tissue volume but reduced femoral stiffness(P<0.05),which were accompanied by increased relative mRNA expression levels of uterine TRPV6,estrogen receptor beta(ERβ)at 18.5 h PO(P<0.05).Overall,both dietary calcitriol and quercetin could improve eggshell and bone quality by modulating calcium metabolism of aged layers.Compared to calcitriol,dietary quercetin up-regulated the expression of uterine calcium transporters,without affecting eggshell quality. 展开更多
关键词 Uterine calcium transport Bone remodeling Eggshell quality Bone quality calcitriol QUERCETIN
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骨愈灵胶囊联合骨化三醇治疗骨质疏松的短期效果研究
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作者 王杨 赵茹 +3 位作者 魏小倩 王欣 杨丹 李辉 《中国医药》 2024年第9期1371-1374,共4页
目的探讨骨愈灵胶囊联合骨化三醇治疗骨质疏松的短期效果。方法选取2022年4月至2023年10月陕西省人民医院收治的骨质疏松患者90例。按照随机数字表法分为对照组与观察组,每组45例。对照组在常规对症支持基础上给予骨化三醇治疗;观察组... 目的探讨骨愈灵胶囊联合骨化三醇治疗骨质疏松的短期效果。方法选取2022年4月至2023年10月陕西省人民医院收治的骨质疏松患者90例。按照随机数字表法分为对照组与观察组,每组45例。对照组在常规对症支持基础上给予骨化三醇治疗;观察组在对照组基础上再给予骨愈灵胶囊治疗;2组均连续治疗6个月。比较2组治疗后的总有效率,治疗前后的疼痛视觉模拟量表(VAS)评分、简明健康状况调查量表(SF-36)评分、腰椎正位(L_(1~4))和左侧股骨颈骨密度、骨代谢指标[骨保护素、骨钙素、Ⅰ型胶原交联羧基末端肽(CTX-Ⅰ)、骨碱性磷酸酶(BALP)]水平及治疗期间的不良反应发生情况。结果观察组治疗总有效率高于对照组[95.6%(43/45)比75.6%(34/45)],差异有统计学意义(P=0.007)。治疗后观察组SF-36评分、血清骨保护素、骨钙素、BALP水平、腰椎正位(L_(1~4))及左侧股骨颈骨密度均高于对照组,VAS评分、CTX-Ⅰ水平均低于对照组(均P<0.05)。观察组与对照组不良反应发生率差异无统计学意义[8.9%(4/45)比4.4%(2/45)](P=0.398)。结论骨愈灵胶囊联合骨化三醇治疗骨质疏松的短期效果显著,可能通过改善骨密度及骨代谢水平来发挥治疗作用,且具有较好的安全性。 展开更多
关键词 骨质疏松 骨愈灵胶囊 骨化三醇
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骨化三醇、益生菌对帕金森病小鼠模型肠道迷走神经、黑质a-syn的影响
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作者 刘慧琴 黄燕 +2 位作者 杨娟 颜静 赵晓晖 《脑与神经疾病杂志》 CAS 2024年第7期409-414,共6页
目的以益生菌为对照组,分析骨化三醇对帕金森病(PD)小鼠模型黑质、结肠迷走神经α突触核蛋白的影响。方法选取雄性SPF级健康C57BL/6小鼠45只,随机分为A组(正常对照,n=5)、B1组(PD模型对照,n=10)、B2组(PD模型益生菌干预,n=10)、B3组(PD... 目的以益生菌为对照组,分析骨化三醇对帕金森病(PD)小鼠模型黑质、结肠迷走神经α突触核蛋白的影响。方法选取雄性SPF级健康C57BL/6小鼠45只,随机分为A组(正常对照,n=5)、B1组(PD模型对照,n=10)、B2组(PD模型益生菌干预,n=10)、B3组(PD模型骨化三醇干预,n=10),B4组(PD模型益生菌联合骨化三醇干预,n=10)。每组均连续喂养3个月。喂养结束完成行为学、相关血液学检测后处死实验小鼠取各组n=3,分别取大脑黑质和结肠迷走神经组织,行Western blot检测a-突触核蛋白(a-syn)含量。结果结肠迷走神经中a-syn含量显示:(1)PD模型组(B1组)、益生菌干预组(B2组)、骨化三醇干预组(B3组)明显高于正常组(A组),^(a)P<0.01;(2)益生菌干预组(B2组)、骨化三醇干预组(B3组)、益生菌+骨化三醇联合干预组(B4组)均低于PD模型组(B1组),^(b)P<0.01;(3)骨化三醇干预组(B3组)高于益生菌干预组(B2组),^(c)P<0.01;(4)益生菌+骨化三醇联合干预组(B4组)低于骨化三醇干预组(B3组),^(d)P<0.01;黑质中的a-syn含量显示:(1)PD模型组(B1组)、益生菌干预组(B2组)明显高于正常组(A组),^(a)P<0.01;(2)益生菌干预组(B2组)、骨化三醇干预组(B3组)、益生菌+骨化三醇联合干预(B4组)均低于PD模型组(B1组),^(b)P<0.01;(3)骨化三醇干预组(B3组)、益生菌+骨化三醇联合干预(B4组)均低于益生菌干预组(B2组),^(d)P<0.01。结论(1)益生菌、骨化三醇对于PD小鼠肠道迷走神经中的a-syn的沉积均有抑制作用,而益生菌在此过程中显示更显著的作用;(2)益生菌、骨化三醇可不同程度减少PD小鼠黑质中的a-syn的沉积,其中骨化三醇对于α-syn中枢沉积的干预作用尤显著。 展开更多
关键词 帕金森病 骨化三醇 益生菌 黑质 迷走神经 a-突触核蛋白
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骨化三醇与益生菌对帕金森小鼠模型行为学影响的对照研究
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作者 刘慧琴 杨娟 《贵州医药》 CAS 2024年第3期345-350,共6页
目的探究骨化三醇、益生菌对帕金森病(PD)小鼠模型行为学的影响。方法雄性SPF级健康C57BL/6小鼠45只,随机分为A组(正常对照,n=5)、B1组(PD模型对照,n=10)、B2组(PD模型益生菌干预,n=10)、B3组(PD模型骨化三醇干预,n=10),B4组(PD模型益... 目的探究骨化三醇、益生菌对帕金森病(PD)小鼠模型行为学的影响。方法雄性SPF级健康C57BL/6小鼠45只,随机分为A组(正常对照,n=5)、B1组(PD模型对照,n=10)、B2组(PD模型益生菌干预,n=10)、B3组(PD模型骨化三醇干预,n=10),B4组(PD模型益生菌联合骨化三醇干预,n=10)。每组均连续喂养3个月,比较5组小鼠喂养后15 d、1个月、2个月及3个月的行为学变化。结果爬杆实验中从小球上下来的计分:时间、干预方法在实验分值上存在统计学差异(P<0.05),B1组、B2组、B3组与B4组相比,存在统计学差异(P<0.05);爬杆实验中小鼠爬完杆子上半部的计分:时间、干预方法在实验分值上存在统计学差异(P<0.05),B1组实验分值低于A组和B2组(P<0.05),B2组实验分值高于B4组(P<0.05);爬杆实验中小鼠爬完杆子的下半部的计分:时间、干预方法在实验分值上存在统计学差异(P<0.05),B1、B2、B3、B4组实验分值低于A组(P<0.05),B4组实验分值高于B1组(P<0.05)。悬挂实验计分:时间、干预方法在实验分值上存在统计学差异(P<0.05),B1、B2、B3、B4组实验分值均低于A组(P<0.05),B2、B3、B4组实验分值均高于B1组(P<0.05)。游泳实验计分:干预方法在实验分值上存在统计学差异(P<0.05),时间在实验分值上无统计学差异(P>0.05),B1组实验分值低于A组(P<0.05),B2组实验分值高于B1组(P<0.05)。所有实验结果中B2组与B3组间均不存在统计学差异(P>0.05)。结论骨化三醇、益生菌均可改善PD小鼠的行为学,两者联合应用未显示疗效,且两者间的有效性差异将有待进一步研究。 展开更多
关键词 帕金森病 骨化三醇 益生菌 行为学
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骨化三醇对老年骨质疏松性脊柱骨折病人PKP术后骨折愈合的影响 被引量:1
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作者 叶恒 张卫华 +2 位作者 韩俊 张建业 李永鸿 《实用老年医学》 CAS 2024年第3期240-244,250,共6页
目的研究骨化三醇用于老年骨质疏松性椎体压缩性骨折(OVCF)病人经皮椎体后凸成形术(PKP)后治疗对骨折愈合和血清骨碱性磷酸酶(BALP)、Ⅰ型前胶原N-端前肽(PINP)、胶原羧基端肽β特殊序列(β-CTX)表达水平的影响。方法纳入2019—2020年... 目的研究骨化三醇用于老年骨质疏松性椎体压缩性骨折(OVCF)病人经皮椎体后凸成形术(PKP)后治疗对骨折愈合和血清骨碱性磷酸酶(BALP)、Ⅰ型前胶原N-端前肽(PINP)、胶原羧基端肽β特殊序列(β-CTX)表达水平的影响。方法纳入2019—2020年我院接受PKP手术的106例OVCF病人为研究对象,并采用随机数表法均分为观察组和对照组,每组53例。对照组PKP术后给予钙剂+阿仑膦酸钠片进行治疗,观察组在此基础上加用骨化三醇进行治疗,2组疗程均为6个月,比较2组临床疗效、Cobb角、Oswestry功能障碍指数(ODI)、骨密度和骨代谢指标的差异。结果2组治疗6个月有效率分别为90.57%和83.02%,差异无统计学意义(P>0.05),优良率分别为73.58%和52.83%,差异有统计学意义(P<0.05)。2组治疗1、3、6个月时Cobb角和ODI均明显低于治疗前(P<0.05),且观察组治疗6个月时ODI低于对照组,差异有统计学意义(P<0.05)。2组治疗3、6个月时骨密度均明显高于治疗前(P<0.05),且观察组治疗6个月时骨密度高于对照组,差异有统计学意义(P<0.05)。与治疗前相比,2组治疗1、3、6个月时BALP和PINP水平明显升高(P<0.05),β-CTX水平均明显降低(P<0.05),且观察组治疗1、3、6个月时BALP和PINP水平均高于对照组,差异有统计学意义(P<0.05)。结论OVCF病人PKP术后应用骨化三醇进行治疗具有良好效果,有利于改善骨代谢并增加骨密度,对促进骨折愈合、改善脊柱功能和提升日常生活能力具有积极作用。 展开更多
关键词 骨质疏松性椎体压缩性骨折 老年人 经皮椎体后凸成形术 骨化三醇 骨碱性磷酸酶 Ⅰ型前胶原N-端前肽 胶原羧基端肽β特殊序列
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骨化三醇辅助治疗血液透析继发甲状旁腺功能亢进患者的临床效果
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作者 丘宝珍 朱兴华 +1 位作者 杜春荔 陈璐 《河北医科大学学报》 CAS 2024年第1期107-112,共6页
目的 观察骨化三醇辅助甲状旁腺微波消融治疗血液透析继发甲状旁腺功能亢进(hyperparathyroidism,SHPT)的临床效果。方法 选取血液透析SHPT患者82例,采用随机数字表法分为对照组(给予甲状旁腺微波消融+盐酸西那卡塞治疗,41例)和观察组(... 目的 观察骨化三醇辅助甲状旁腺微波消融治疗血液透析继发甲状旁腺功能亢进(hyperparathyroidism,SHPT)的临床效果。方法 选取血液透析SHPT患者82例,采用随机数字表法分为对照组(给予甲状旁腺微波消融+盐酸西那卡塞治疗,41例)和观察组(给予甲状旁腺微波消融+盐酸西那卡塞+骨化三醇治疗,41例)。比较2组甲状旁腺激素(parathyroid hormone,PTH)、碱性磷酸酶(alkaline phosphatase,ALP)、血磷、血钙水平、临床疗效、甲状旁腺腺体大小、肾功能指标[尿素氮(urea nitrogen,BUN)、血肌酐(serum creatinine,Scr)]、血清骨保护素(osteoprotectin,OPG)、成纤维细胞生长因子23(fibroblast growth factor 23,FGF-23)水平、不良反应发生情况、术中消融时间和输出功率。结果 治疗后,2组PTH、ALP、血磷水平均低于治疗前,血钙水平高于治疗前,观察组PTH、ALP、血磷水平均低于对照组,血钙水平高于对照组(P<0.05)。观察组总有效率血钙水平高于对照组(P<0.05)。2组甲状旁腺腺体纵径、横径、体积均低于治疗前,观察组甲状旁腺腺体纵径、横径、体积均低于对照组(P<0.05)。治疗后2组BUN、Scr水平比较差异无统计学意义(P>0.05)。2组OPG水平低于治疗前,FGF-23水平高于治疗前,观察组OPG、FGF-23水平低于对照组(P<0.05)。2组不良反应总发生率差异无统计学意义(P>0.05)。2组术中消融时间和输出功率比较差异无统计学意义(P>0.05)。结论 骨化三醇辅助甲状旁腺微波消融治疗血液透析SHPT患者效果较好。 展开更多
关键词 甲状旁腺功能亢进症 继发性 肾透析 骨化三醇
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斑马鱼快速骨质疏松模型方法的建立与优化
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作者 毛洪运 刘雨彤 +5 位作者 赵心月 姜德利 王晓仪 赵珂璇 华永庆 许惠琴 《中国实验动物学报》 CAS CSCD 北大核心 2024年第5期547-556,共10页
目的本文通过比较常见斑马鱼骨质疏松(osteoporosis,OP)模型不同建立方法,优化建立一种快速、稳定、灵敏的造模方法。方法采用铁过载及泼尼松龙(prednisolone,Pred)诱导OP模型,观察骨形成情况及动物死亡率,分组为:空白对照组(Control组... 目的本文通过比较常见斑马鱼骨质疏松(osteoporosis,OP)模型不同建立方法,优化建立一种快速、稳定、灵敏的造模方法。方法采用铁过载及泼尼松龙(prednisolone,Pred)诱导OP模型,观察骨形成情况及动物死亡率,分组为:空白对照组(Control组)、模型组(包括FAC组和Pred组)、阳性对照组(AC组)。铁过载诱导法采用枸橼酸铁铵(ammonium ferric citrate,FAC)为造模药物。Pred诱导法有Pred-3受精后天数(day post fertilization,dpf)法,造模时间为3~9 dpf;Pred-5 dpf法,造模时间为5~10 dpf;Pred撤药法,3 dpf开始造模,7~9 dpf每天撤去1/3造模药物。进而比较常用药物阿尔法骨化醇(alfacalcidol,AC)、骨化三醇(calcitriol,CA)、阿仑膦酸钠(alendronate,AL)抗OP效应,选择稳定、灵敏的阳性药,并进一步对不同染色方法及染色条件进行优化。结果FAC在500μg/mL剂量下未能观察到对骨形成的显著影响。骨节数及第一椎骨长度结果显示,与Control组比较,Pred-3 dpf诱导法Pred组均降低,具有显著性差异(P<0.01,P<0.05),但斑马鱼死亡率较高;Pred-5 dpf法无显著性差异;Pred撤药法Pred组均降低,具有显著性差异(P<0.01),且无死亡。给予AC、CA、AL后均具有抗OP作用,CA抗OP作用更为灵敏、稳定。茜素红(alizarin red,ARS)染色参数优化结果显示,染色浓度为0.02%,染色2 h,0.5%KOH和甘油分别以(3∶1,3 h)和(1∶1,14 h)洗涤条件为最佳。染色对比结果显示,钙黄绿素对骨节部位染色较为灵敏,ARS则对第一椎骨处染色较为灵敏。结论采用Pred撤药法可诱导建立快速、稳定、灵敏的斑马鱼OP模型,是研究OP的稳定可靠模型。 展开更多
关键词 斑马鱼 骨质疏松 泼尼松龙 茜素红 骨化三醇
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骨化三醇联合唑来膦酸对老年糖尿病骨质疏松症患者糖代谢及血清骨特异性碱性磷酸酶、Ⅰ型胶原交联C⁃末端肽的影响
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作者 于姗 陈媛媛 +1 位作者 赵夏 黑静友 《海军医学杂志》 2024年第7期700-704,共5页
目的探讨骨化三醇和唑来膦酸联合运用对老年糖尿病合并骨质疏松症患者的血糖代谢及血清骨代谢标志物骨特异性碱性磷酸酶(BALP)和Ⅰ型胶原交联C⁃末端肽(CTX)的影响。方法选取2021年1月至2023年6月山东省聊城市第二人民医院内分泌科80例老... 目的探讨骨化三醇和唑来膦酸联合运用对老年糖尿病合并骨质疏松症患者的血糖代谢及血清骨代谢标志物骨特异性碱性磷酸酶(BALP)和Ⅰ型胶原交联C⁃末端肽(CTX)的影响。方法选取2021年1月至2023年6月山东省聊城市第二人民医院内分泌科80例老年2型糖尿病骨质疏松患者为研究对象,其中男性38名,女性42名。采用随机对照试验设计,分为观察组和对照组,每组各40例。观察组应用骨化三醇联合唑来膦酸治疗,对照组应用唑来膦酸治疗,2组患者均口服维D钙咀嚼片(商品名:迪巧,美国安士制药有限公司)0.75 g,每天2次,连续治疗6个月。统计比较2组患者疗效、骨密度、空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)、血清BALP和血清CTX水平。结果治疗6个月后观察组FBG为(8.04±0.66)mmol/L、2 hPG为(12.18±0.91)mmol、HbA1c为(8.39±0.69)%,与对照组[(8.17±0.67)mmol/L、(12.44±0.79)mmol/L)、(8.54±0.62)%]相比较,差异无统计学意义(P>0.05)。治疗6个月后观察组左股骨粗隆、右前臂、右股骨颈、腰椎正位骨密度为(0.86±0.14)、(0.76±0.11)、(0.78±0.13)、(0.77±0.12)g/cm^(3),高于对照组[(0.74±0.12)、(0.69±0.13)、(0.71±0.14)、(0.71±0.08)g/cm^(3)],差异有统计学意义(P<0.05)。治疗6个月后观察组血清中CTX为(0.047±0.09)ng/ml、BALP为(11.58±2.21)U/L,低于对照组[(0.556±0.15)ng/ml、(14.94±2.25)U/L],差异有统计学意义(P<0.05)。观察组总有效率为97.50%,高于对照组(82.50%),差异有统计学意义(P<0.05);2组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论骨化三醇联合唑来膦酸治疗老年糖尿病骨质疏松症患者,能够提高其骨密度,调节骨代谢,改善骨质疏松症状,同时对血糖无不良影响。 展开更多
关键词 骨化三醇 唑来膦酸 糖尿病 骨质疏松症
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金刚丸联合骨化三醇治疗肾阳亏虚型老年骨质疏松症的临床研究
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作者 匡昱林 欧梁 +2 位作者 匡建军 戎宽 孙绍裘 《湖南中医药大学学报》 CAS 2024年第5期822-827,共6页
目的探讨金刚丸联合骨化三醇治疗肾阳亏虚型老年骨质疏松症的临床疗效及安全性。方法选取湖南省中医药研究院附属医院门诊接受治疗的72名肾阳亏虚型骨质疏松的老年患者,采用分层随机化方法随机分为对照组(骨化三醇治疗)和治疗组(金刚丸... 目的探讨金刚丸联合骨化三醇治疗肾阳亏虚型老年骨质疏松症的临床疗效及安全性。方法选取湖南省中医药研究院附属医院门诊接受治疗的72名肾阳亏虚型骨质疏松的老年患者,采用分层随机化方法随机分为对照组(骨化三醇治疗)和治疗组(金刚丸联合骨化三醇治疗),每组36例。治疗持续8周。比较两组患者的临床疗效、视觉模拟评分法(visual analogue scale,VAS)评分、骨密度、骨代谢指标、成骨相关基因水平、炎症因子水平、生活质量、中医证候积分和安全性。结果治疗组总有效率为91.7%,高于对照组的69.4%(P<0.05);与对照组比较,治疗组VAS评分显著降低(P<0.05),全髋、腰椎及股骨颈骨密度均增加(P<0.05),治疗组骨形态发生蛋白2(bone morphogenetic protein 2,BMP2)RNA表达水平、骨碱性磷酸酶(bone alkaline phosphatase,BALP)、骨钙素(osteocalcin,BGLAP)水平、健康状况调查问卷(36-item short-form,SF-36)评分升高(P<0.05),抗酒石酸酸性磷酸酶5b(tartrateresistant acid phosphatase 5b,TRACP-5b)水平、miR-133aRNA表达水平、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平、白细胞介素-6(interleukin-6,IL-6)水平及中医临床症状评分降低(P<0.05)。结论金刚丸联合骨化三醇可能通过上调BALP、BGLAP、BMP2,下调TRACP-5b、miR-133a、TNF-α及IL-6,改善患者骨密度、骨代谢、炎症状态及生活质量,能有效显著提高“肾阳亏虚证”肾阳亏虚型老年骨质疏松症患者的治疗效果。 展开更多
关键词 老年骨质疏松症 肾阳亏虚证 金刚丸 骨化三醇 临床疗效 视觉模拟评分法
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基于PI3K/Akt/mTOR信号通路探讨骨化三醇对闭合性腰椎压缩性骨折的干预效果
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作者 黄震 王志伟 +1 位作者 陈杰 任冠瑞 《解剖学研究》 CAS 2024年第1期59-64,共6页
目的基于磷脂酰肌醇3⁃激酶(PI3K)/蛋白激酶B(Akt)/雷帕霉素靶蛋白(mTOR)信号通路,探讨骨化三醇对闭合性腰椎压缩性骨折的干预效果。方法选取我院2020年1月至2022年9月收治的150例闭合性腰椎压缩性骨折患者,按1∶1∶1比例分层随机分为空... 目的基于磷脂酰肌醇3⁃激酶(PI3K)/蛋白激酶B(Akt)/雷帕霉素靶蛋白(mTOR)信号通路,探讨骨化三醇对闭合性腰椎压缩性骨折的干预效果。方法选取我院2020年1月至2022年9月收治的150例闭合性腰椎压缩性骨折患者,按1∶1∶1比例分层随机分为空白组、对照组、观察组,每组各50人。3组均采取卧床静养、使用复位垫、硬板床、腰背肌训练、口服维D钙咀嚼片(规格750 mg×60 s),2片/次,1次/日治疗,空白组口服安慰剂胶囊,1粒/次,1次/日;对照组口服阿法骨化醇(规格0.25μg×20 s),2粒/次,1次/日;观察组口服骨化三醇胶囊(规格0.25μg×10 s),1粒/次,1次/日;各组均持续12周。评价治疗前后Os⁃westy功能障碍指数(ODI)和疼痛视觉模拟评分(VAS);检测PI3K/Akt/mTOR通路的蛋白表达;检测骨代谢指标:血清钙、血清磷、骨密度、骨钙素、碱性磷酸酶(ALP)、骨密度调节蛋白(OPG),RANK配体(RANKL)。结果治疗前3组VAS、ODI、骨密度、骨代谢指标、PI3K、Akt、mTOR蛋白表达水平差异无统计学意义(P>0.05)。治疗12周后,与空白组对比,对照组和观察组VAS评分、ODI指数、血清钙、RANKL指数及PI3K、Akt、mTOR蛋白表达水平显著降低,血清磷、ALP、骨密度、骨钙素、OPG指数升高,差异有统计学意义(P<0.05);与对照组相比,观察组ODI指数、VAS评分下降,骨密度、血清磷、ALP、骨钙素、OPG升高,血清钙、RANKL、PI3K、Akt、mTOR蛋白表达水平降低,差异有统计学意义(P<0.05)。结论骨化三醇可能通过对PI3K/Akt/mTOR通路双向调节作用:一方面激活PI3K/Akt/mTOR信号通路,促进骨折愈合;另一方面降低PI3K/Akt蛋白表达,抑制PI3K/Akt/mTOR信号通路,改善骨折导致炎症反应。 展开更多
关键词 腰椎压缩性骨折 骨化三醇 PI3K/Akt/mTOR信号通路
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己酮可可碱联合骨化三醇治疗糖尿病肾病的临床疗效
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作者 张广英 马瑛 +1 位作者 赵庆雨 刘逸敏 《糖尿病新世界》 2024年第10期172-175,共4页
目的评估己酮可可碱联合骨化三醇治疗糖尿病肾病的临床疗效。方法选取2020年1月—2023年12月在江苏大学附属张家港澳洋医院就诊的64例糖尿病肾病患者,按照治疗方法不同分为观察组和对照组,各32例。观察组接受己酮可可碱联合骨化三醇治... 目的评估己酮可可碱联合骨化三醇治疗糖尿病肾病的临床疗效。方法选取2020年1月—2023年12月在江苏大学附属张家港澳洋医院就诊的64例糖尿病肾病患者,按照治疗方法不同分为观察组和对照组,各32例。观察组接受己酮可可碱联合骨化三醇治疗以及常规糖尿病血糖控制治疗,对照组仅接受常规糖尿病血糖控制治疗。比较两组治疗前后空腹血糖(fasting plasma glucose,FPG)、餐后2 h血糖(2-hour postpran-dial plasma glucose,2 hPG)、尿微量白蛋白/肌酐比值(urine albumin-to-creatinine ratio,UACR)、肾小球滤过率(estimated glomerular filtration rate,eGFR)、24 h尿蛋白排泄量(24-hour urine protein excretion,UPE)、临床疗效、不良反应。结果治疗后,两组FPG、2 hPG均显著降低,且观察组低于对照组,差异有统计学意义(P均<0.05)。治疗后,观察组UACR和UPE显著低于对照组,eGFR明显高于对照组,差异有统计学意义(P均<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论己酮可可碱联合骨化三醇治疗糖尿病肾病具有显著的临床疗效,能够有效降低UACR,提高eGFR,并改善肾功能,对于临床治疗糖尿病肾病患者的具有积极影响。 展开更多
关键词 己酮可可碱 骨化三醇 糖尿病肾病 肾功能 临床治疗
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维生素D_(2)对糖尿病肾病患者蛋白尿水平的影响
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作者 郑晓敏 刘梦扬 +2 位作者 肖新华 崔丽梅 刘翠平 《首都医科大学学报》 CAS 北大核心 2024年第3期420-428,共9页
目的探索维生素D_(2)软胶囊对伴有糖尿病肾病(diabetic kidney disease,DKD)的2型糖尿病(type 2 diabetes mellitus,T2DM)患者蛋白尿水平的影响。方法回顾性分析2020年10月至2022年3月在北京市某三级医院内分泌科住院治疗的估算肾小球... 目的探索维生素D_(2)软胶囊对伴有糖尿病肾病(diabetic kidney disease,DKD)的2型糖尿病(type 2 diabetes mellitus,T2DM)患者蛋白尿水平的影响。方法回顾性分析2020年10月至2022年3月在北京市某三级医院内分泌科住院治疗的估算肾小球滤过率(estimated glomerular filtration rate,eGFR)≥60 mL·(min·1.73 m^(2))^(-1)的伴DKD的95例T2DM患者。根据患者的治疗方案分为未使用维生素D制剂的对照组(CON组,n=33)、使用维生素D_(2)软胶囊的普通维生素D组(NVD组,n=31)和使用骨化三醇软胶囊的活性维生素D组(AVD组,n=31)。通过医院病例系统收集基线和治疗12周时患者的临床资料及维生素D和DKD相关指标,包括血清25羟维生素D(25-hydroxy vitamin D,25OHD)、血清甲状旁腺激素(parathyroid hormone,PTH)、血钙、尿钙和尿白蛋白与肌酐比值(urinary albumin-to-creatinine ratio,UACR)等。结果基线时CON组、NVD组和AVD组大量蛋白尿患者分别为8例(24.24%)、9例(29.03%)和7例(22.58%),差异无统计学意义(P=0.831)。治疗12周时,NVD组和AVD组ln(UACR)水平均显著降低(P均<0.001),两治疗组间差异无统计学意义(P=0.371)。NVD组和AVD组的总有效率分别为80.65%和74.19%,显著高于CON组(33.33%)(P<0.001和P=0.002)。NVD组和AVD组的疗效差异无统计学意义(P=0.245)。CON组出现1例血钙增高、1例高尿钙、1例高尿酸血症、1例肾结石、1例肌肉痉挛;NVD组出现1例高尿钙、1例高尿酸血症;AVD组出现1例血钙增高、1例高钙血症、1例低PTH、2例高尿钙、2例高尿酸血症。两治疗组均无停药事件发生。结论维生素D_(2)软胶囊与骨化三醇软胶囊均可显著降低肾功能正常的伴DKD的T2DM患者尿蛋白水平。普通维生素D与活性维生素D相比可能安全性更好。 展开更多
关键词 2型糖尿病 维生素D_(2) 骨化三醇 糖尿病肾病 蛋白尿
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Squalene epoxidase promotes colorectal cancer cell proliferation through accumulating calcitriol and activating CYP24A1-mediatedMAPK signaling 被引量:8
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作者 Luwei He Huaguang Li +5 位作者 Chenyu Pan Yutong Hua Jiayin Peng Zhaocai Zhou Yun Zhao Moubin Lin 《Cancer Communications》 SCIE 2021年第8期726-746,共21页
Background:Colorectal cancer(CRC)is one of the most malignant tumorswith high incidence,yet its molecular mechanism is not fully understood,hindering the development of targeted therapy.Metabolic abnormalities are a h... Background:Colorectal cancer(CRC)is one of the most malignant tumorswith high incidence,yet its molecular mechanism is not fully understood,hindering the development of targeted therapy.Metabolic abnormalities are a hallmark of cancer.Targeting dysregulated metabolic features has become an important direction for modern anticancer therapy.In this study,we aimed to identify a new metabolic enzyme that promotes proliferation of CRC and to examine the related molecular mechanisms.Methods:We performed RNA sequencing and tissue microarray analyses of human CRC samples to identify new genes involved in CRC.Squalene epoxidase(SQLE)was identified to be highly upregulated in CRC patients.The regulatory function of SQLE in CRC progression and the therapeutic effect of SQLE inhibitors were determined by measuring CRC cell viability,colony and organoid formation,intracellular cholesterol concentration and xenograft tumor growth.Themolecularmechanism of SQLE functionwas explored by combining transcriptome and untargeted metabolomics analysis.Western blotting and realtime PCR were used to assess MAPK signaling activation by SQLE.Results:SQLE-related control of cholesterol biosynthesis was highly upregulated in CRC patients and associated with poor prognosis.SQLE promoted CRC growth in vitro and in vivo.Inhibition of SQLE reduced the levels of calcitriol(active form of vitamin D3)and CYP24A1,followed by an increase in intracellular Ca2+concentration.Subsequently,MAPK signaling was suppressed,resulting in the inhibition of CRC cell growth.Consistently,terbinafine,an SQLE inhibitor,suppressed CRC cell proliferation and organoid and xenograft tumor growth.Conclusions:Our findings demonstrate that SQLE promotes CRC through the accumulation of calcitriol and stimulation of CYP24A1-mediated MAPK signaling,highlighting SQLE as a potential therapeutic target for CRC treatment. 展开更多
关键词 calcitriol cell proliferation cholesterol biosynthesis colorectal cancer CYP24A1 MAPK signaling squalene epoxidase TERBINAFINE
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