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Expression levels of K_(ATP)channel subunits and morphological changes in the mouse liver after exposure to radiation
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作者 Ming Zhou Tao-Sheng Li +3 位作者 Hiroshi Abe Hideo Akashi Ryoji Suzuki Yoshio Bando 《World Journal of Experimental Medicine》 2024年第2期103-113,共11页
BACKGROUND ATP sensitive K+(K_(ATP))channels are ubiquitously distributed in various of cells and tissues,including the liver.They play a role in the pathogenesis of myocardial and liver ischemia.AIM To evaluate the r... BACKGROUND ATP sensitive K+(K_(ATP))channels are ubiquitously distributed in various of cells and tissues,including the liver.They play a role in the pathogenesis of myocardial and liver ischemia.AIM To evaluate the radiation-induced changes in the expression of K_(ATP)channel subunits in the mouse liver to understand the potential role of K_(ATP)channels in radiation injury.METHODS Adult C57BL/6 mice were randomly exposed toγ-rays at 0 Gy(control,n=2),0.2 Gy(n=6),1 Gy(n=6),or 5 Gy(n=6).The livers were removed 3 and 24 h after radiation exposure.Hematoxylin and eosin staining was used for morphological observation;immunohistochemical staining was applied to determine the expression of K_(ATP)channel subunits in the liver tissue.RESULTS Compared with the control group,the livers exposed to 0.2 Gyγ-ray showed an initial increase in the expression of Kir6.1 at 3 h,followed by recovery at 24 h after exposure.Exposure to a high dose of 5.0 Gy resulted in decreased expression of Kir6.1 and increased expression of SUR2B at 24 h.However,the expression of Kir6.2,SUR1,or SUR2A had no remarkable changes at 3 and 24 h after exposure to any of these doses.CONCLUSION The expression levels of Kir6.1 and SUR2B in mouse liver changed differently in response to different radiation doses,suggesting a potential role for them in radiation-induced liver injury. 展开更多
关键词 Radiation exposure ATP-sensitive K^(+)channel MOUSE liver
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Beneficial effects of adenosine triphosphate-sensitive K^+ channel opener on liver ischemia/reperfusion injury 被引量:3
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作者 Mateus Antunes Nogueira Ana Maria Mendona Coelho +4 位作者 Sandra Nassa Sampietre Rosely Antunes Patzina Fabiano Pinheiro da Silva Luiz Augusto Carneiro D'Albuquerque Marcel Cerqueira Cesar Machado 《World Journal of Gastroenterology》 SCIE CAS 2014年第41期15319-15326,共8页
AIM: To investigate the effect of diazoxide administration on liver ischemia/reperfusion injury.
关键词 liver ischemia/reperfusion DIAZOXIDE K+ channel opener Mitochondrial ATP-sensitive potassium channel liver mitochondria
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Anti-steatotic and anti-fibrotic effects of the KCa3.1 channel inhibitor, Senicapoc, in non-alcoholic liver disease 被引量:1
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作者 latha paka david e smith +10 位作者 dawoon jung siobhan mccormack ping zhou bin duan jing-song li jiaqi shi yong-jie hao kai jiang michael yamin itzhak d goldberg prakash narayan 《World Journal of Gastroenterology》 SCIE CAS 2017年第23期4181-4190,共10页
To evaluate a calcium activated potassium channel (KCa3.1) inhibitor attenuates liver disease in models of non-alcoholic fatty liver disease (NAFLD).METHODSWe have performed a series of in vitro and in vivo studies us... To evaluate a calcium activated potassium channel (KCa3.1) inhibitor attenuates liver disease in models of non-alcoholic fatty liver disease (NAFLD).METHODSWe have performed a series of in vitro and in vivo studies using the KCa3.1 channel inhibitor, Senicapoc. Efficacy studies of Senicapoc were conducted in toxin-, thioacetamide (TAA) and high fat diet (HFD)-induced models of liver fibrosis in rats. Efficacy and pharmacodynamic effects of Senicapoc was determined through biomarkers of apoptosis, inflammation, steatosis and fibrosis.RESULTSUpregulation of KCa3.1 expression was recorded in TAA-induced and high fat diet-induced liver disease. Treatment with Senicapoc decreased palmitic acid-driven HepG2 cell death. (P < 0.05 vs control) supporting the finding that Senicapoc reduces lipid-driven apoptosis in HepG2 cell cultures. In animals fed a HFD for 6 wk, co-treatment with Senicapoc, (1) reduced non-alcoholic fatty liver disease (NAFLD) activity score (NAS) (0-8 scale), (2) decreased steatosis and (3) decreased hepatic lipid content (Oil Red O, P < 0.05 vs vehicle). Randomization of TAA animals and HFD fed animals to Senicapoc was associated with a decrease in liver fibrosis as evidenced by hydroxyproline and Masson’s trichrome staining (P < 0.05 vs vehicle). These results demonstrated that Senicapoc mitigates both steatosis and fibrosis in liver fibrosis models.CONCLUSIONThese data suggest that Senicapoc interrupts more than one node in progressive fatty liver disease by its anti-steatotic and anti-fibrotic activities, serving as a double-edged therapeutic sword. 展开更多
关键词 High fat diet liver STEATOSIS FIBROSIS KCa3.1 channel Senicapoc INFLAMMATION
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Localization of ATP-sensitive K^+ channel subunits in rat liver 被引量:1
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作者 Ming Zhou Kiwamu Yoshikawa +5 位作者 Hideo Akashi Mitsutaka Miura Ryoji Suzuki Tao-Sheng Li Hiroshi Abe Yoshio Bando 《World Journal of Experimental Medicine》 2019年第2期14-31,共18页
BACKGROUND ATP-sensitive K^+(KATP)channels were originally found in cardiac myocytes by Noma in 1983.KATP channels were formed by potassium ion-passing poreforming subunits(Kir6.1,Kir6.2)and regulatory subunits SUR1,S... BACKGROUND ATP-sensitive K^+(KATP)channels were originally found in cardiac myocytes by Noma in 1983.KATP channels were formed by potassium ion-passing poreforming subunits(Kir6.1,Kir6.2)and regulatory subunits SUR1,SU2A and SUR2B.A number of cells and tissues have been revealed to contain these channels including hepatocytes,but detailed localization of these subunits in different types of liver cells was still uncertain.AIM To investigate the expression of KATP channel subunits in rat liver and their localization in different cells of the liver.METHODS Rabbit anti-rat SUR1 peptide antibody was raised and purified by antigen immunoaffinity column chromatography.Four of Sprague-Dawley rats were used for liver protein extraction for immunoblot analysis,seven of them were used for immunohistochemistry both for the ABC method and immunofluorescence staining.Four of Wistar rats were used for the isolation of hepatic stellate cells(HSCs)and Kupffer cells for both primary culture and immunocytochemistry.RESULTS Immunoblot analysis showed that the five kinds of KATP channel subunits,i.e.Kir6.1,Kir6.2,SUR1,SUR2A,and SUR2B,were detected in liver.Immunohistochemical staining showed that Kir6.1 and Kir6.2 were weakly to moderately expressed in parenchymal cells and sinusoidal lining cells,while SUR1,SUR2A,and SUR2B were mainly localized to sinusoidal lining cells,such as HSCs,Kupffer cells,and sinusoidal endothelial cells.Immunoreactivity for SUR2A and SUR2B was expressed in the hepatocyte membrane.Double immunofluorescence staining further showed that the pore-forming subunits Kir6.1 and/or Kir6.2 colocalized with GFAP in rat liver sections and primary cultured HSCs.These KATP channel subunits also colocalized with CD68 in liver sections and primary cultured Kupffer cells.The SUR subunits colocalized with GFAP in liver sections and colocalized with CD68 both in liver sections and primary cultured Kupffer cells.In addition,five KATP channel subunits colocalized with SE-1 in sinusoidal endothelial cells.CONCLUSION Observations from the present study indicated that KATP channel subunits expressed in rat liver and the diversity of KATP channel subunit composition might form different types of KATP channels.This is applicable to hepatocytes,HSCs,various types of Kupffer cells and sinusoidal endothelial cells. 展开更多
关键词 ATP-sensitive K^+channel liver Hepatic stellate cells Kupffer cells Sinusoidal endothelial cells Rat
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A Meta-analysis of Dachaihu Decoction combined with western medicine in the treatment of acute pancreatitis with the TCM syndrome of liver qi depression and liver-gallbladder dampness-heat 被引量:1
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作者 Kai-Bin Sun Xin-Yu Zhang Rong Sun 《Drug Combination Therapy》 2020年第1期7-15,共9页
Backgroud:To evaluate the clinical efficacy and safety of Dachaihu Decoction in the treatment of acute pancreatitis(AP)with the traditional Chinese medicine(TCM)syndrome of liver qi depression and liver-gallbladder da... Backgroud:To evaluate the clinical efficacy and safety of Dachaihu Decoction in the treatment of acute pancreatitis(AP)with the traditional Chinese medicine(TCM)syndrome of liver qi depression and liver-gallbladder dampness-heat.Methods:We searched randomized controlled trials of Dachaihu Decoction in the treatment of AP with the TCM syndrome of liver qi depression and liver-gallbladder dampness-heat from databases in CNKI,WanFang,VIP,Embase,PubMed,and Cochrane Library(from established to August 2019).All the retrieved documents were imported into the Noteexpress software for screening and management,and the included documents were evaluated for quality and data extracted.Statistical analysis was performed with RevMan(version 5.3).Results:A total of 132 articles were retrieved and 8 studies were included to analysis,including 679 patients.Quality evaluation of included studies suggested that the quality of the literatures is generally not high.Meta-analysis showed that the total clinical effective rate of AP was higher in the treatment group than in the control group[OR=5.00,95%CI(2.86,8.73)],and the difference was statistically significant(P<0.00001).The patient's abdominal pain relief time[MD=-0.57,95%CI(-0.86,-0.27),P=0.0002],bloating relief time[MD=-0.71,95%CI(-1.05,-0.37),P=0.04],time of serum amylase returning to normal[MD=-1.00,95%CI(-1.60,-0.40),P=0.001]and time of urinary amylase returning to normal[MD=-1.62,95%CI(-2.88,-0.37),P=0.01]all lower than the control group.But there was no statistically significant difference between the treatment group and the control group at the first defecation time[MD=-0.86,95%CI(-1.75,-0.03),P=0.06].The patient's serum TNF-a levels on the 3rd[MD=-28.53,95%CI(-49.57,-7.49),P=0.008]and 7th day[MD=-26.13,95%CI(-49.76,-2.50),P=0.03]in the treatment group were statistically lower in the treatment group than in the control group.Similarly,the patient's serum IL-6 levels on the 3rd[MD=-6.62,95%CI(-12.49,-0.75),P=0.03]and 7th day[MD=-11.98,95%CI(-22.25,-1.71),P=0.02]were also statistically lower in the treatment group than in the control group.No serious complications or adverse reactions were observed.Conclusion:Dachaihu Decoction combined with western medicine in the treatment of AP with the TCM syndrome of liver qi depression and liver-gallbladder dampness-heat can improve clinical efficacy compared with western medicine alone.In addition,the combination therapy method is safe and can be used for syndrome differentiation of AP patients in the clinic. 展开更多
关键词 Dachaihu Decoction Acute pancreatitis liver qi depression liver-gallbladder dampness-heat META-ANALYSIS
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Summary on the Relationship between Liver Channel and other Channels
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作者 (Liaoning Benxi Li&S co. Hospital General,Traditional Chinese Medicine Dept Lily 117000) 《中国针灸》 CAS CSCD 北大核心 1995年第S2期367-368,共2页
SummaryontheRelationshipbetweenLiverChannelandotherChannels¥(LiaoningBenxiLi&Sco.HospitalGeneral,Traditional... SummaryontheRelationshipbetweenLiverChannelandotherChannels¥(LiaoningBenxiLi&Sco.HospitalGeneral,TraditionalChineseMedicineDe... 展开更多
关键词 Summary on the Relationship between liver channel and other channels
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龙江韩氏妇科对“肝肾同源”理论的传承应用
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作者 常惠 张婉玉 +4 位作者 马呈呈 王焕 付新 吴效科 韩延华 《世界中医药》 CAS 北大核心 2024年第4期566-571,共6页
“肝肾同源”最早见于《易经》,医学概念源自《黄帝内经》。五行中肝属木,肾属水,水生木,肾为肝之母,肝为肾之子,肝肾同源,乙癸同源,精血互生互化,二者在生理上互相联系,病理上互相影响。龙江韩氏妇科历代医家重视“肝肾同源”理论,发... “肝肾同源”最早见于《易经》,医学概念源自《黄帝内经》。五行中肝属木,肾属水,水生木,肾为肝之母,肝为肾之子,肝肾同源,乙癸同源,精血互生互化,二者在生理上互相联系,病理上互相影响。龙江韩氏妇科历代医家重视“肝肾同源”理论,发展并应用于指导临床。龙江韩式妇科奠基人韩百灵教授,最早提出“肝肾学说”,其子韩延华教授作为代表性传承人,在韩百灵教授的理论思想指导下,创新性提出“肝主冲任”理论,并创立百灵育阴汤、补肾活血调经汤和百灵调肝汤等代表性方剂,运用于临床不孕症、闭经和月经先后不定期的治疗中,取得良效。本文围绕“肝肾同源”理论,追溯其起源,阐述韩氏妇科对其传承及应用,体现中医理论的传承和创新,为妇科同行提供借鉴。 展开更多
关键词 龙江韩氏妇科 肝肾同源 肝肾学说 肝主冲任 名中医学术思想 传承 应用
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抑亢汤联合揿针治疗肝经湿热型多囊卵巢综合征的临床疗效与安全性研究
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作者 徐秀丽 胡欣欣 +1 位作者 孙云 马大正 《中国性科学》 2024年第9期117-121,共5页
目的观察抑亢汤联合揿针治疗肝经湿热型多囊卵巢综合征(PCOS)的临床疗效及安全性。方法选取2023年2月至11月浙江中医药大学附属温州市中医院收治的70例肝经湿热型PCOS患者作为研究对象。采用随机数字表法分为治疗组与对照组,每组35例。... 目的观察抑亢汤联合揿针治疗肝经湿热型多囊卵巢综合征(PCOS)的临床疗效及安全性。方法选取2023年2月至11月浙江中医药大学附属温州市中医院收治的70例肝经湿热型PCOS患者作为研究对象。采用随机数字表法分为治疗组与对照组,每组35例。治疗组给予抑亢汤联合揿针治疗,对照组给予屈螺酮炔雌醇片治疗,连续治疗3个月,并随访3个月。比较两组的中医证候积分、痤疮评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、性激素水平及安全性,随访月经周期情况。结果与治疗前比较,治疗后两组卵泡刺激素(FSH)水平显著升高(P<0.001),中医证候积分、痤疮评分、SAS评分、SDS评分、黄体生成素(LH)、LH/FSH、睾酮(T)水平均显著降低(P<0.001)。治疗后两组FSH水平比较,差异无统计学意义(P>0.05);治疗后治疗组中医证候积分、痤疮评分、SAS评分、SDS评分、LH、LH/FSH水平低于对照组,月经周期总有效率高于对照组,对照组T水平低于治疗组,差异具有统计学意义(P<0.05)。治疗组无明显不良反应。结论抑亢汤联合揿针治疗肝经湿热型PCOS患者可有效调整患者的月经周期,减轻临床症状,改善内分泌水平,调节负性情绪,且安全性较好。 展开更多
关键词 多囊卵巢综合征 肝经湿热 抑亢汤 揿针 临床疗效 安全性
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从清肝化浊论治痛风性关节炎的临床经验
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作者 王一格 朱维平 +2 位作者 孙亚楠 王舒 范嘉怡 《中医临床研究》 2024年第17期109-114,共6页
痛风性关节炎是一种临床常见的代谢性风湿病,可累及身体多个系统。随着人们生活水平的不断提高,痛风性关节炎的患病率呈逐年上升趋势。现代医学对于本病的治疗局限于降尿酸及解热镇痛,疾病复发率较高。临床研究表明,中医治疗除改善患者... 痛风性关节炎是一种临床常见的代谢性风湿病,可累及身体多个系统。随着人们生活水平的不断提高,痛风性关节炎的患病率呈逐年上升趋势。现代医学对于本病的治疗局限于降尿酸及解热镇痛,疾病复发率较高。临床研究表明,中医治疗除改善患者症状外还可有效减少病情反复。文章总结了朱维平教授治疗痛风性关节炎的学术观点和临床经验。朱教授认为痛风性关节炎是由于先天脾肾不足、后天久病伤脾耗肾导致脾脏的绝对亏虚;或因平素喜食膏粱厚味致使脾胃功能受损,导致脾脏功能的相对不足。二者最终致使脾虚水湿运化无权,进而酿湿成浊生毒,浊毒羁留肝经,流注关节、筋脉从而发为痛风性关节炎。朱教授认为其中脾、肾、肝功能失调,水液代谢异常是痛风性关节炎的主要病机;浊毒羁留肝经为标,肝、脾、肾功能失调为本;病位在足厥阴肝经。治疗上,朱教授主张从肝论治痛风,以清肝化浊法为主,通过对于急性期及缓解期酒大黄用量的把握以达祛邪而不伤正,扶正而不留邪之效。文章分享案例一则,介绍朱教授从清肝化浊论治痛风性关节炎及对于酒大黄这味药的遣药经验,以期为临床提供参考。 展开更多
关键词 痛风性关节炎 高尿酸血症 肝经浊毒流注 清肝化浊法 清肝化浊饮
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六经调理汤加减治疗肝郁脾虚型慢性胃炎患者的临床效果分析
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作者 原丽敏 王琦 《中国社区医师》 2024年第17期68-70,共3页
目的:探讨六经调理汤加减治疗肝郁脾虚型慢性胃炎患者的临床效果。方法:选取2023年1—12月北京市朝阳区望京社区卫生服务中心收治的肝郁脾虚型慢性胃炎患者60例作为研究对象,根据抽签法分为对照组和研究组,各30例。对照组采用西药治疗,... 目的:探讨六经调理汤加减治疗肝郁脾虚型慢性胃炎患者的临床效果。方法:选取2023年1—12月北京市朝阳区望京社区卫生服务中心收治的肝郁脾虚型慢性胃炎患者60例作为研究对象,根据抽签法分为对照组和研究组,各30例。对照组采用西药治疗,研究组在对照组基础上采用六经调理汤加减治疗。比较两组临床疗效、超敏C反应蛋白(hs-CRP)水平、症状积分及不良反应发生情况。结果:研究组治疗总有效率高于对照组,差异有统计学意义(P=0.044)。治疗后,两组hs-CRP水平低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.001)。治疗后,两组各项症状评分低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.001)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:六经调理汤加减方治疗肝郁脾虚型慢性胃炎患者效果显著,能够减轻相关临床症状,降低炎性因子表达水平且安全性较高。 展开更多
关键词 慢性胃炎 肝郁脾虚型 六经调理汤
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六经体质学说在慢性肝病全病程管理中的运用
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作者 周晓玲 钟镇康 +23 位作者 税典奎 张志杰 陈峭 李灿 李泽鹏 刘静 赵正孝 晁梁 刘莹 余静芳 覃凤传 宋征福 周娅妮 张丹璇 斯韬 张悦 韦宛华 王月明 潘益巧 吴腾 周琳 朱昱豪 阮博文 刘琳 《中西医结合肝病杂志》 CAS 2024年第3期193-198,共6页
慢性肝病作为全球公共卫生问题焦点之一,具有病程长、晚期并发症多等特点,需要医者做到全病程规范化管理。笔者在长期临床实践中发现,中医体质对于慢性肝病发生发展方向具有重要影响,故笔者带领团队将红外热成像技术引入到中医体质辨识... 慢性肝病作为全球公共卫生问题焦点之一,具有病程长、晚期并发症多等特点,需要医者做到全病程规范化管理。笔者在长期临床实践中发现,中医体质对于慢性肝病发生发展方向具有重要影响,故笔者带领团队将红外热成像技术引入到中医体质辨识当中,在中医四诊基础上形成了第五诊:人体红外热态图。从而提出“体病一体化”学术思想,并融合伤寒六经辨证、伏邪理论、中医体质学,最终形成了六经体质学说。在该学说的指导下,慢性肝病的诊治取得了良好效果并形成了较完备的“辨病-辨质-辨证”三位一体的诊疗新模式,值得临床推广运用。 展开更多
关键词 慢性肝病 红外热成像技术 中医体质 六经辨证 伏邪
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铁皮石斛多糖调控JAK2/STAT5通路抑制非酒精性脂肪肝小鼠肝脏内质网应激作用分析
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作者 朱银花 吴青燕 +1 位作者 张娜娜 王冬冬 《实用中医内科杂志》 2024年第3期80-83,I0011,共5页
目的 探讨分析铁皮石斛多糖调控JAK2/STAT5通路抑制非酒精性脂肪肝小鼠肝脏内质网应激作用。方法 将50只小鼠随机分为对照组、模型组、低剂量组(20μg/mL)、中剂量组(40μg/mL)及高剂量组(80μg/mL),每组10只,除对照组外,其余小鼠使用... 目的 探讨分析铁皮石斛多糖调控JAK2/STAT5通路抑制非酒精性脂肪肝小鼠肝脏内质网应激作用。方法 将50只小鼠随机分为对照组、模型组、低剂量组(20μg/mL)、中剂量组(40μg/mL)及高剂量组(80μg/mL),每组10只,除对照组外,其余小鼠使用高脂饲料诱发脂肪肝模型,低、中、高剂量组小鼠分别使用不同剂量铁皮石斛灌胃。连续给药8周后,取各组小鼠肝组织样本进行HE染色,检测各组小鼠血清肝功能及血脂指标,并采用RT-qPCR法检测小鼠肝组织中JAK2、STAT5、GRP78、CHOP、Caspase 12、Bcl-2、Bax基因表达情况。结果 模型组及给药组小鼠体质量、肝脏重量以及肝脏指数均较对照组显著升高(P<0.05),而给药组小鼠体质量、肝脏重量以及肝脏指数均较模型组降低(P<0.05),且呈剂量依赖关系。模型组及给药组AST、ALT、TC、TG、LDL-C均较对照组显著升高(P<0.05),HDL-C较对照组显著降低(P<0.05),而给药组小鼠AST、ALT、TC、TG、LDL-C均较模型组降低(P<0.05),HDL-C较模型组升高(P<0.05),且呈剂量依赖关系。肝组织HE染色结果显示,模型组肝小叶结构出现严重破坏,可见大量脂肪空泡聚集,铁皮石斛多糖各组小鼠肝细胞可见明显地排列不整齐,脂肪空泡汇聚,较模型组有不同程度的改善。模型组及给药组小鼠肝组织JAK2、STAT5以及Bcl-2基因相对表达量显著降低(P<0.05),GRP78、CHOP、Caspase 12以及Bax基因相对表达量显著升高(P<0.05),各铁皮石斛多糖药物干预组JAK2、STAT5以及Bcl-2基因相对表达量显著升高(P<0.05),GRP78、CHOP、Caspase 12以及Bax基因相对表达量显著降低(P<0.05),且呈明显的剂量依赖性。结论 铁皮石斛多糖可有效改善非酒精性脂肪肝小鼠肝损伤,且疗效呈显著的剂量依赖,其机制可能与激活JAK2/STAT5通路抑制内质网应激有关。 展开更多
关键词 铁皮石斛多糖 JAK2/STST3通路 非酒精性脂肪肝 肝脏内质网应激
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孙达武内外合治急性骨萎缩经验
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作者 叶心雨 孙绍裘 《河南中医》 2024年第6期861-866,共6页
孙达武教授认为,急性骨萎缩的病因不外乎内外两因,内因责之于肝脾肾三脏亏虚,气血不足,外因在于外邪伤其经络筋骨。急性骨萎缩以虚为本,以瘀为标,主要病机为肝肾亏虚,促进因素为脾失运化,病理产物为瘀血。孙教授将急性骨萎缩急性期、营... 孙达武教授认为,急性骨萎缩的病因不外乎内外两因,内因责之于肝脾肾三脏亏虚,气血不足,外因在于外邪伤其经络筋骨。急性骨萎缩以虚为本,以瘀为标,主要病机为肝肾亏虚,促进因素为脾失运化,病理产物为瘀血。孙教授将急性骨萎缩急性期、营养障碍期辨证为气滞血瘀证,以祛瘀为主,行气活血、通络止痛,兼以扶正;萎缩期辨证为肝肾亏虚证,以扶正补虚为主,补肝健脾益肾,兼以祛邪。另外,孙教授认为,瘀血的形成有气血虚实之不同,瘀血的部位有内外上下之差异,故早中期用药以“破”为主,后期用药以“补”为主,治疗原则为活血化瘀、和血生新、补气养血。孙教授针对急性骨萎缩的早中期,内用自拟活络止痛方,外用海桐皮汤加减,内外药物合用,相辅相成。此外,孙教授临证用药擅用黄芪、当归气血双补,还提出“脾肾并重”的思想,对急性骨萎缩患者采用脾肾双补法,常以熟地黄、山茱萸、山药三药联用。 展开更多
关键词 急性骨萎缩 急性期 营养障碍期 萎缩期 气滞血瘀证 肝肾亏虚证 活络止痛方 海桐皮汤 孙达武
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The blind men 'see' the elephant-the many faces of fatty liver disease 被引量:10
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作者 Madhusudana Girija Sanal 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第6期831-844,共14页
Nonalcoholic fatty liver disease (NAFLD) is a group of diseases with excess fat in liver in the absence of a poorly defined limit of alcohol consumption. Most common variety, a universal public health problem, is asso... Nonalcoholic fatty liver disease (NAFLD) is a group of diseases with excess fat in liver in the absence of a poorly defined limit of alcohol consumption. Most common variety, a universal public health problem, is associated with insulin resistance caused by a host of genetic and epigenetic defects modulated by life style and environmental factors. In fact the term NAFLD is loose to incorporate so many etiologies except alcoholism and few other etiologies, presenting as fat in liver. However as a sign fatty liver is very important in predicting the risk of diabetes, cardiovascular disease, stroke, cirrhosis and cancer. Abnormal fat accumulation can result from several defects in nuclear receptors associated with lipid sensing, synthesis and oxidation like LXR, FXR, SREBP, ChREBP and PPAR; defects in the lipid influx-efflux channels, insulin signaling, proteins involved in fatty acid catabolism, defects in adipose tissue development and function, inappropriate nutrition and finally defects in neural regulatory mechanisms. The progress of the disease is determined by the basic defects which results in fat accumulation, an individual’s immunological response to the accumulated fat and its derivatives and the oxidant stress response. Congregation of unrelated genetic defects under same diagnosis ‘NAFLD’ can result in inefficient patient management. Further studies are required to understand the molecular basis of fatty liver to enable a personalized management of diseases presenting as fatty liver in the absence of alcohol abuse. 展开更多
关键词 Nonalcoholic fatty liver disease Insulin resistance Lipid homeostasis Primate evolution Lipid channels Upoprotein Adipoldnes Nuclear receptors Bile acid metabolism Personalized medicine
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THE EXPERIMENTAL STUDY OF SEALING THE HEPATIC TRAUMATIC CHANNEL WITH THROMBIN ON CANINES
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作者 吕毅 孟令忠 +1 位作者 潘承恩 于良 《Journal of Pharmaceutical Analysis》 CAS 1995年第2期115-119,共5页
In order to solve the problem of intraperitoneal haemorrhage and bile leakage caused by the iatrogenic trauma, sixty-four sequence of puncture were performed on twenty canine livers and thirty-two sequences selected b... In order to solve the problem of intraperitoneal haemorrhage and bile leakage caused by the iatrogenic trauma, sixty-four sequence of puncture were performed on twenty canine livers and thirty-two sequences selected by chance were perfused with thrombin solution. The results revealed that the bleeding time was shortened and amounts lessened significantly after application of thrombin compared with counterparts of control (P< 0. 001,t test).There was no significant difference between the levels of plasma fibringgeu prc-and Post-thrombin's using (P > 0.4,t test).The thrombin clotting time of patients with obstructive jaundice was similar to that of the group of control(P> 0. 05, t test).We conclude that thrombin is characterized by the ability of rapid,effective and safe haemostasis to the traumatic channel made by the liver puncture,and it's adaptive to most of the patients with hepatobiliary disease,and worth using and developing in clinical practice. 展开更多
关键词 trau0matic channel of liver THROMBIN HAEMOSTASIS
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Cytochrome P450 Induction and Gene Expression in Channel Catfish (Ictalurus Punctatus) Following Wastewater Treatment Plant Effluent Exposure in Field and Laboratory Settings
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作者 Alicia Whatley In Ki Cho +2 位作者 Christi Magrath Paul M. Stewart Robert W. Li 《Journal of Environmental Protection》 2010年第4期362-373,共12页
The objectives of this study were as follows: 1) to establish a baseline ethoxyresorufin-O-deethylase (EROD) activity level in channel catfish (Ictalurus punctatus), 2) to assess changes in induction of cytochrome P45... The objectives of this study were as follows: 1) to establish a baseline ethoxyresorufin-O-deethylase (EROD) activity level in channel catfish (Ictalurus punctatus), 2) to assess changes in induction of cytochrome P450 enzyme in channel catfish following exposure to creek water at the discharge point from the Troy (Alabama) Wastewater Treatment Plant (TWWTP) compared to upstream samples from Walnut Creek, 3) to compare EROD activity in populations maintained in laboratory and field settings, and 4) to quantify cytochrome P450 gene expression. Enzyme activity was measured fluorometrically and CYP1 gene expression was analyzed by quantitative real-time reverse transcription polymerase chain reaction. A mean EROD baseline was established at 0.03 nmol/min/μg of protein. The overall mean field effluent (TF) EROD had a significant 5-fold increase over field upstream (UF) exposed catfish;and overall mean laboratory effluent (TL) exposed catfish EROD had a significant 1.8-fold increase over laboratory upstream (UL) exposed catfish. Field exposures generally showed more robust enzyme induction over laboratory exposures on all sampling days. Ex- pression of the CYP1B gene following TF exposure was 6-fold over UF. Results suggested that in situ exposure to wastewater pollutants using caged test organisms provided a much more sensitive local monitor of pollutant exposure and biological impact than ex situ toxicological studies. 展开更多
关键词 EROD CYP1B Molecular Biomarker channel CATFISH liver MONOOXYGENASES MFO
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乌茴止痛方治疗慢性前列腺炎的用药经验 被引量:1
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作者 曾银 韩强 +3 位作者 王任远 赵明 高庆和 郭军 《中国合理用药探索》 2023年第1期65-69,共5页
慢性前列腺炎(CP)是男科常见病、疑难病,临床从湿热论治者多,从寒论治者少。郭军教授根据《黄帝内经》等医学典籍,从寒凝肝脉兼瘀阻出发,综合经典方剂天台乌药散和芍药甘草汤创制出乌茴止痛方,并根据患者病情轻重、倾向不同而随证化裁,... 慢性前列腺炎(CP)是男科常见病、疑难病,临床从湿热论治者多,从寒论治者少。郭军教授根据《黄帝内经》等医学典籍,从寒凝肝脉兼瘀阻出发,综合经典方剂天台乌药散和芍药甘草汤创制出乌茴止痛方,并根据患者病情轻重、倾向不同而随证化裁,在临床上取得了良好疗效。本文介绍了郭军教授运用乌茴止痛方治疗CP的用药经验,供临床参考。 展开更多
关键词 慢性前列腺炎 乌茴止痛方 寒凝肝脉兼瘀阻 用药经验
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“肝胆相照”医学内涵探微 被引量:1
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作者 刘勇 王榕 +1 位作者 李心沁 韩兴军 《山东中医杂志》 2023年第7期705-708,共4页
通过查阅文献、结合临床,从解剖位置、生理功能、病理变化三方面阐释“肝胆相照”的医学内涵。肝胆两者在解剖上互相依靠,紧密相连;在生理上相互协同,相互为用;在病理上相互影响,互为因果。治疗肝胆疾病应将肝、胆作为整体,结合天人相... 通过查阅文献、结合临床,从解剖位置、生理功能、病理变化三方面阐释“肝胆相照”的医学内涵。肝胆两者在解剖上互相依靠,紧密相连;在生理上相互协同,相互为用;在病理上相互影响,互为因果。治疗肝胆疾病应将肝、胆作为整体,结合天人相应思想,重视丑时对肝胆疾病转归的重要影响,预防肝病及胆、胆病及肝的疾病转变,将调节肝胆作为维持人体健康的基础。 展开更多
关键词 肝胆相照 解剖 司疏泄 经络 肝病及胆 胆病及肝 丑时
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温度驯化对布氏田鼠肝脏温敏瞬时受体电位通道蛋白表达的影响
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作者 吕金珍 唐丽秋 +1 位作者 张学英 王德华 《兽类学报》 CAS CSCD 北大核心 2023年第1期1-10,共10页
肝脏是哺乳动物基础代谢产热的关键器官。温敏瞬时受体电位通道蛋白(Thermosensitive transient receptor potential channels,Thermo-TRPs)参与了调控肝细胞的生理功能。为了解Thermo-TRPs是否参与肝脏的代谢产热,以成年布氏田鼠(Lasio... 肝脏是哺乳动物基础代谢产热的关键器官。温敏瞬时受体电位通道蛋白(Thermosensitive transient receptor potential channels,Thermo-TRPs)参与了调控肝细胞的生理功能。为了解Thermo-TRPs是否参与肝脏的代谢产热,以成年布氏田鼠(Lasiopodomys brandtii)为研究对象,测定了不同驯化温度下6种Thermo-TRPs在肝脏中的表达,分析其与肝脏产热相关蛋白和信号通路蛋白的关系。结果显示:(1)与高温组相比,低温增加了肝脏解偶联蛋白1(uncoupling protein 1,UCP1)的表达;而与常温组相比,低温降低了肝脏解偶联蛋白3(uncoupling protein 3,UCP3)的表达;(2)6种Thermo-TRPs均在肝脏中表达,与高温组相比,低温显著降低了TRP vanilloid 4(TRPV4)的表达,同时显著增加了腺苷酸活化蛋白激酶(AMP-activated protein kinase,AMPK)的表达;(3)低温显著增加了布氏田鼠血清三碘甲状腺原氨酸(T_(3))水平,提高了T_(3)/T_(4)比值;T_(3)/T_(4)比值与肝脏UCP1和AMPK呈显著正相关,肝脏中UCP1与TRPM2和AMPK呈显著正相关。这些结果表明,肝脏TRPV4和AMPK可能参与了低温环境中代谢产热等生理功能的调节过程。 展开更多
关键词 布氏田鼠(Lasiopodomys brandtii) 温敏瞬时受体电位通道(Thermo-TRPs) 温度驯化 肝脏
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基于数据挖掘的腹泻型肠易激综合征用药规律研究 被引量:1
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作者 袁亚利 毛堂友 +2 位作者 焦瑶 陈慧慧 谢春娥 《世界中医药》 CAS 2023年第16期2372-2376,2381,共6页
目的:挖掘现有数据库中中药复方治疗肝郁脾虚证腹泻型肠易激综合征(IBS-D)的用药规律及特点。方法:检索现有文献数据库中所有中药复方加减治疗肝郁脾虚证IBS-D的临床随机对照试验,搜集具有明显疗效的中药复方,将数据进行规范化处理后建... 目的:挖掘现有数据库中中药复方治疗肝郁脾虚证腹泻型肠易激综合征(IBS-D)的用药规律及特点。方法:检索现有文献数据库中所有中药复方加减治疗肝郁脾虚证IBS-D的临床随机对照试验,搜集具有明显疗效的中药复方,将数据进行规范化处理后建立数据库并导入古今医案云平台,通过数据挖掘板块中的统计分析、关联规则分析、复杂网络分析等方法对纳入的方剂进行用药频次统计、药物四气五味及归经分析,并且得出核心组方。结果:共纳入122篇文献,包含122首中药复方,132味中药。使用频次最多的前5味中药分别为:防风、陈皮、茯苓、白芍、柴胡。所有中药中平性使用频率最高,其次为温性、微寒及微温。药味以甘味为主,辛味、苦味、酸味、淡味次之。药物归经以脾经为主,其次为肺经、肝经、胃经。结论:肝郁脾虚证IBS-D的治疗应当在疏肝健脾之品中酌加驱散风邪之药,重视寒热的兼证。 展开更多
关键词 肝郁脾虚证 腹泻型肠易激综合征 数据挖掘 用药规律 中药复方 频数分析 四气五味 归经
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