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Early diabetic kidney disease:Focus on the glycocalyx
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作者 Hui Yu Yi-Yun Song Xian-Hua Li 《World Journal of Diabetes》 SCIE 2023年第5期460-480,共21页
The incidence of diabetic kidney disease(DKD)is sharply increasing worldwide.Microalbuminuria is the primary clinical marker used to identify DKD,and its initiating step in diabetes is glomerular endothelial cell dysf... The incidence of diabetic kidney disease(DKD)is sharply increasing worldwide.Microalbuminuria is the primary clinical marker used to identify DKD,and its initiating step in diabetes is glomerular endothelial cell dysfunction,particularly glycocalyx impairment.The glycocalyx found on the surface of glomerular endothelial cells,is a dynamic hydrated layer structure composed of proteoglycans,glycoproteins,and some adsorbed soluble components.It reinforces the negative charge barrier,transduces the shear stress,and mediates the interaction of blood corpuscles and podocytes with endothelial cells.In the highglucose environment of diabetes,excessive reactive oxygen species and proinflammatory cytokines can damage the endothelial glycocalyx(EG)both directly and indirectly,which induces the production of microalbuminuria.Further research is required to elucidate the role of the podocyte glycocalyx,which may,together with endothelial cells,form a line of defense against albumin filtration.Interestingly,recent research has confirmed that the negative charge barrier function of the glycocalyx found in the glomerular basement membrane and its repulsion effect on albumin is limited.Therefore,to improve the early diagnosis and treatment of DKD,the potential mechanisms of EG degradation must be analyzed and more responsive and controllable targets must be explored.The content of this review will provide insights for future research. 展开更多
关键词 glycocalyx Diabetic kidney disease Endothelial cells Reactive oxygen species MICROALBUMINURIA ENZYME
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Effects of Polysaccharides from Pulsatilla Decoction on the Microvascular Endothelial Glycocalyx 被引量:5
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作者 ZHANG Tao WU Shuang +2 位作者 SUN Xiong DUAN Hui-qin MU Xiang 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2014年第11期2558-2561,共4页
Pulsatilla decoction is a famous traditional Chinese herbal formula for clearing heat and treating dysentery of animals or human. To elucidate its mechanism, many active components have been studied, however, the role... Pulsatilla decoction is a famous traditional Chinese herbal formula for clearing heat and treating dysentery of animals or human. To elucidate its mechanism, many active components have been studied, however, the roles of its polysaccharides still remain unclear. This study aimed to explore effects of polysaccharides from Pulsatilla decoction (PPD) on the microvascular endothelial glycocalyx (eGC). The polysaccharides were extracted from PPD by water extraction and alcohol precipitation method. Mice were administered with PPD for 4 wk, and were then anesthetized with ether inhalation and were ifxed by cardiac perfusion with gradient concentration alcian blue solution. The jejunum was sampled and jejunal mucosa was prepared for ultrathin sections by routine method and was analyzed by transmission electron microscope. The results indicated that the eGC was observed as a strong electron-dense smooth linear margin or nonuniform conglomerates coating cell membranes, and PPD signiifcantly increased its thickness from (21.85±1.87) to (28.71±3.61) nm and improved its integrity. This study suggested that PPD may express their biological activities and protect against pathogenic factor damages by inlfuencing the eGC. 展开更多
关键词 Pulsatilla decoction herbal polysaccharides glycocalyx microvascular endothelial cells jejunal mucosa transmission electron microscope
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Organization and Ultra-Structural Components of Endothelial Surface Glycocalyx Revealed by Stochastic Optical Reconstruction Microscopy(STORM)
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作者 Jie Fan Yi Sun +2 位作者 Yifan Xia John M.Tarbell Bingmei M.Fua 《医用生物力学》 EI CAS CSCD 北大核心 2019年第A01期6-7,共2页
Introduction The endothelial cells(ECs)lining every blood vessel wall constantly expose to the mechanical forces generated by the blood flow.The EC responses to these hemodynamic forces play a critical role in the hom... Introduction The endothelial cells(ECs)lining every blood vessel wall constantly expose to the mechanical forces generated by the blood flow.The EC responses to these hemodynamic forces play a critical role in the homeostasis of the circulatory system.In addition to forming a transport barrier between the blood and vessel wall,vascular ECs play important roles in regulating circulation functions.Besides biochemical stimuli,blood flow induced(hemodynamic)mechanical stimuli,such as shear stress,pressure and circumferential stretch,modulate EC morphology and functions by activating mechanosensors,signaling pathways,and gene and protein expressions.The EC responses to the hemodynamic forces(mechano-sensing and transduction)are critical to maintaining normal vascular functions.Failure in the mechano-sensing and transduction leads to serious vascular diseases including hypertension,atherosclerosis,aneurysms and thrombosis,to name a few[1].On the luminal surface of our blood vessels,there is a thin layer called endothelial surface glycocalyx(ESG)which consists of proteoglycans,glycosaminoglycans(GAGs)and glycoproteins.The GAGs in the ESG are heparan sulfate(HS),hyaluronic acid(HA),chondroitin sulfate(CS),and sialic acid(SA)[2].In order to play important roles in vascular functions,such as being a mechanosensor and transducer for the endothelial cells(ECs)to sense the blood flow,a molecular sieve to maintain normal microvessel permeability and a barrier between the circulating cells and endothelial cells forming the vessel wall,the ESG should have an organized structure at the molecular level.Due to the limitations of optical and electron microscopy,the ultra-structure and organization of ESG has not been revealed until recent development of a super high resolution fluorescence optical microscope,STORM(Stochastic Optical Reconstruction Microscopy).The diffraction of a single fluorescence molecule can be described as the point spread function(PSF).When the light of wavelengthλexcites the fluorophore(emitter),the intensity profile of the spot is defined as the PSF with the width^0.6λ/NA,NA is the numerical aperture of the objective.The diffraction-limited image resolution,for a high numerical aperture objective lens,is^200 nm in the lateral direction and^500 nm in the axial direction,for a conventional fluorescence microscope.The key idea of the single-molecule localization microscopy is to light the molecule,in turn,to achieve the nanometer-level accuracy of their position and reconstruction into a super-resolution image,such as STORM.STORM employs photo-switching mechanisms to stochastically activate individual molecules(photo-switchable or photoactivatable fluorophores)within the diffraction-limited region at different times.Then images with sub-diffraction limit resolution are reconstructed from the measured positions of individual fluorophores[3].To trade the super spatial resolution(accuracy),STORM sacrifices its temporal resolution(efficiency)by switching the state and sequentially exciting the emitters at a high density.Rust et al[3]employed organic dyes and fluorescent proteins as photo-switchable emitters to trade temporal resolution for a super spatial resolution(~20 nm lateral and^50 nm axial at present,can go down to a couple of nanometers if using smaller peptides or antibody fragments instead of currently used whole anti-bodies),which is an order of magnitude higher than conventional confocal microscopy.In the current study,we employed STORM to reveal the major ultra-structural components of the ESG,HS and HA,and their organization at the surface of the cultured EC monolayer[4].Materials and methods We used newly acquired Nikon-STORM system to observe the ESG on in vitro EC(bEnd3,mouse brain microvascular endothelial cells)monolayers.After confluency,the bEnd3 cells were immunolabeled with anti-HS,fol-lowed by an ATT0488 conjugated goat anti-mouse IgG,and with biotinylated HA binding protein,followed by an AF647 conjugated anti-biotin.The ESG was then imaged by the STORM with a 100x/1.49 oil immersed lens.Multiple Reporters of ATT0488 and AF647 with alternating illumination were used to acquire the 3D images of HS and HA.The field of 256×256(40×40μm2)of HS and HA at the surface of ECs was obtained based on totally 40,000 of EM-CCD captured images for each reporter at a capturing speed of 19 ms/frame.Results HA is a long molecule weaving into a network which covers the endothelial luminal surface.The diameter of the HA segments is 185.3±44.7 nm,155.5±57.2 nm,and 156.9±56.1 nm,respectively,at the top,middle and bottom regions of the cell luminal surface.In contrast,HS is a shorter molecule,perpendicular to the cell surface.HA and HS are partially overlapped with each other at the endothelial luminal surface.We quantified the length,diameter,orientation,and density of HS at the top,middle and bottom regions of the endothelial surface.The diameter of the observed HS is 191.0±46.0 nm,284.3±71.1 nm,and 184.2±59.6 nm,and the length of the HS is 621.0±75.7 nm,651.0±118.0 nm,and 575.2±105.6 nm,respectively,at the top,middle and bottom regions of the cell luminal surface.For the HS orientation,its angle with the cell surface is 92.9±1.9,88.7±8.2,and 96.2±10.9 degree,respectively,at the top,middle and bottom regions.The angle of 90 degree is perfectly perpendicular to the cell surface.For the HS distribution,the average density is0.398 elements/μm2,0.345 elements/μm2 and 0.665 elements/μm2,respectively,and the distance between the adjacent HS is 1 694.4±628.1 nm,1 844.8±758.5 nm,and 1 221.9±450.7 nm,respectively,at the top,middle and bottom regions.Conclusions Our results suggest that HS plays a major role in mechanosensing and HA plays a major role in the molecular sieve,due to their organization,ultra-structure and distribution. 展开更多
关键词 ORGANIZATION Ultra-Structural Components ENDOTHELIAL Surface glycocalyx REVEALED Optical Reconstruction Microscopy STORM
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Hyaluronidase Proof for Endothelial Glycocalyx as Partaker of Microcirculation Disturbances
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作者 Alexander Maksimenko Askar Turashev +2 位作者 Anatoly Rogoza Elena Tischenko Andrey Fedorovicht 《Journal of Life Sciences》 2013年第2期171-188,共18页
关键词 透明质酸酶 微循环障碍 皮糖 硫酸软骨素 紊乱 证明 糖类药物 实验条件
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Resuscitation fluids as drugs:targeting the endothelial glycocalyx 被引量:3
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作者 Guangjian Wang Hongmin Zhang +2 位作者 Dawei Liu Xiaoting Wang Chinese Critical Ultrasound Study Group 《Chinese Medical Journal》 SCIE CAS CSCD 2022年第2期137-144,共8页
Fluid resuscitation is an essential intervention in critically ill patients,and its ultimate goal is to restore tissue perfusion.Critical illnesses are often accompanied by glycocalyx degradation caused by inflammator... Fluid resuscitation is an essential intervention in critically ill patients,and its ultimate goal is to restore tissue perfusion.Critical illnesses are often accompanied by glycocalyx degradation caused by inflammatory reactions,hypoperfusion,shock,and so forth,leading to disturbed microcirculatory perfusion and organ dysfunction.Therefore,maintaining or even restoring the glycocalyx integrity may be of high priority in the therapeutic strategy.Like drugs,however,different resuscitation fluids may have beneficial or harmful effects on the integrity of the glycocalyx.The purpose of this article is to review the effects of different resuscitation fluids on the glycocalyx.Many animal studies have shown that normal saline might be associated with glycocalyx degradation,but clinical studies have not confirmed this finding.Hydroxyethyl starch(HES),rather than other synthetic colloids,may restore the glycocalyx.However,the use of HES also leads to serious adverse events such as acute kidney injury and bleeding tendencies.Some studies have suggested that albumin may restore the glycocalyx,whereas others have suggested that balanced crystalloids might aggravate glycocalyx degradation.Notably,most studies did not correct the effects of the infusion rate or fluid volume;therefore,the results of using balanced crystalloids remain unclear.Moreover,mainly animal studies have suggested that plasma may protect and restore glycocalyx integrity,and this still requires confirmation by high-quality clinical studies. 展开更多
关键词 Fluid resuscitation Resuscitation fluid Fluid therapy Endothelial glycocalyx glycocalyx
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衰老引发的糖萼损伤与血管功能障碍
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作者 张梓航 高朵岚 +4 位作者 戴鑫源 刘添 李明翰 邓小燕 康红艳 《医用生物力学》 CAS CSCD 北大核心 2024年第2期368-374,共7页
血管内皮糖萼(endothelial glycocalyx,EG)是位于血管内表面的一层多糖蛋白复合结构,其损伤与动脉粥样硬化、中风、脓毒症、糖尿病、肾脏疾病、高血压、肺水肿等诸多疾病存在关联。基于此,糖萼的健康程度已被列为评估血管健康的重要指... 血管内皮糖萼(endothelial glycocalyx,EG)是位于血管内表面的一层多糖蛋白复合结构,其损伤与动脉粥样硬化、中风、脓毒症、糖尿病、肾脏疾病、高血压、肺水肿等诸多疾病存在关联。基于此,糖萼的健康程度已被列为评估血管健康的重要指标。研究表明,衰老会伴随糖萼发生退行性改变,体现在其厚度变薄、合成及降解相关酶基因水平的失调等方面。作为血管的天然保护性屏障,衰老引发的糖萼损伤与血管舒缩功能受损、通透性增大、炎症及免疫反应失调、凝血/抗凝功能失衡等存在关联。从“结构决定功能”角度出发,开展衰老过程中糖萼厚度、成分、微观结构、力学特性等变化规律及其与血管功能障碍的相关性研究,对于预防、诊断、治疗动脉粥样硬化等年龄相关性心血管疾病具有重要意义。 展开更多
关键词 糖萼 衰老 血管功能障碍 动脉粥样硬化
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Endothelial glycocalyx as a potential theriapeutic target in organ injuries 被引量:6
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作者 Rui-Na Cao Li Tang +1 位作者 Zhong-Yuan Xia Rui Xia 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第8期963-975,共13页
Objective:The endothelial glycocalyx(eGC)is a dynamic and multicomponent layer of macromolecules found at the surface of vascular endothelium,which is largely underappreciated.It has recently been recognized that eGC ... Objective:The endothelial glycocalyx(eGC)is a dynamic and multicomponent layer of macromolecules found at the surface of vascular endothelium,which is largely underappreciated.It has recently been recognized that eGC is a major regulator of endothelial function and may have therapeutic value in organ injuries.This study aimed to explore the role of the eGC in various pathologic and physiologic conditions,by reviewing the basic research findings pertaining to the detection of the eGC and its clinical significance.We also explored different pharmacologic agents used to protect and rebuild the eGC.Data sources:An in-depth search was performed in the PubMed database,focusing on research published after 2003 with keywords including eGC,permeability,glycocalyx and injuries,and glycocalyx protection.Study selection:Several authoritative reviews and original studies were identified and reviewed to summarize the characteristics of the eGC under physiologic and pathologic conditions as well as the detection and protection of the eGC.Results:The eGC degradation is closely associated with pathophysiologic changes such as vascular permeability,edema formation,mechanotransduction,and clotting cascade,together with neutrophil and platelet adhesion in diverse injury and disease states including inflammation(sepsis and trauma),ischemia-reperfusion injury,shock,hypervolemia,hypertension,hyperglycemia,and high Na+as well as diabetes and atherosclerosis.Therapeutic strategies for protecting and rebuilding the eGC should be explored through experimental test and clinical verifications.Conclusions:Disturbance of the eGC usually occurs at early stages of various clinical pathophysiologies which can be partly prevented and reversed by protecting and restoring the eGC.The eGC seems to be a promising diagnostic biomarker and therapeutic target in clinical settings. 展开更多
关键词 ENDOTHELIAL glycocalyx PERMEABILITY INJURIES glycocalyx protection
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靶向血管内皮糖萼的抗休克药物
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作者 曾滨 鲁晓红 姚立农 《临床与病理杂志》 CAS 2024年第1期101-107,共7页
内皮糖萼(endothelial glycocalyx,EG)是位于血管内皮腔内侧的1层带负电荷的绒毛状结构,为一种由多糖分子与蛋白质结合而成的复合物。血管EG作为休克期间保护血管内皮的重要屏障,可发挥调节血管张力、调控细胞信号转导、维持血管完整性... 内皮糖萼(endothelial glycocalyx,EG)是位于血管内皮腔内侧的1层带负电荷的绒毛状结构,为一种由多糖分子与蛋白质结合而成的复合物。血管EG作为休克期间保护血管内皮的重要屏障,可发挥调节血管张力、调控细胞信号转导、维持血管完整性、调节炎症及凝血障碍等重要生理功能,从而维持机体血管内稳态。休克发生时EG的结构破坏、脱落是微循环障碍的主要原因之一。靶向EG的抗休克药物主要通过抑制EG降解酶、炎症因子的表达等途径减少EG组分的脱落,维持内皮结构完整性,改善微血管通透性来治疗休克。深入探究血管EG的具体损伤机制及其治疗靶点,可为靶向EG的药物探索和休克的临床治疗提供理论依据和治疗参考。 展开更多
关键词 休克 血管内皮 内皮糖萼
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Effects of Cryopreservation on Human Sperm Glycocalyx
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作者 Yan-Cheng Wu Ai-Jie Xin +8 位作者 Hui Lu Hua Diao Li Cheng Yi-Hua Gu Bin Wu Sheng-Ce Tao Zheng Li Hui-Juan Shi Yong-Lian Zhang 《Reproductive and Developmental Medicine》 CSCD 2017年第4期233-238,共6页
Background:To study the effects of cryopreservation on human sperm glycocalyx.Methods:The lectin binding profilings of sperm after freeze-thaw were compared by lectin microarray.Results:CryoSperm^(TM) and direct fumig... Background:To study the effects of cryopreservation on human sperm glycocalyx.Methods:The lectin binding profilings of sperm after freeze-thaw were compared by lectin microarray.Results:CryoSperm^(TM) and direct fumigation were confirmed to be the optimized cryoprotectant and method by comparing the sperm recovery rate.In 91 lectins,33 lectins were significantly changed after sperm cryopreservation.Among them,9 lectins greatly decreased and 24 lectins mainly increased.The binding signals of MAA,PSA,ABA,and AIA were verified by FACS,and the results were consistent with that of lectin microarray.Conclusions:Sperm glycocalyx had significant changes after cryopreservation.The sialic acid,playing an important role in protecting sperm,was greatly lost,which exposed the inner carbohydrates.Thus,the glycocalyx damage due to the cryopreservation might be one of the reasons for low sperm fertility. 展开更多
关键词 Cryopreservation Damage glycocalyx Lectin Microarray SPERM
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维生素C联合乌司他丁对脓毒症伴ARDS患者血管内皮功能的保护作用研究 被引量:3
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作者 陈城 崔静 +1 位作者 纪小奇 姚莉 《临床和实验医学杂志》 2023年第6期579-583,共5页
目的探究脓毒症伴急性呼吸窘迫综合征(ARDS)患者应用维生素C联合乌司他丁对患者血管内皮功能的保护作用。方法前瞻性选取2021年5月至2022年7月合肥市第二人民医院收治的80例脓毒症伴ARDS患者,按随机数字表法分成对照组与观察组,各40例... 目的探究脓毒症伴急性呼吸窘迫综合征(ARDS)患者应用维生素C联合乌司他丁对患者血管内皮功能的保护作用。方法前瞻性选取2021年5月至2022年7月合肥市第二人民医院收治的80例脓毒症伴ARDS患者,按随机数字表法分成对照组与观察组,各40例。对照组给予常规治疗+糖皮质激素,观察组在对照组基础上加用维生素C+乌司他丁。对比两组患者治疗前、治疗后3 d的急性生理功能和慢性健康状况评分系统Ⅱ(APACHEⅡ)、序贯器官衰竭评分(SOFA)评分、血清炎症因子[白细胞介素(IL)-8、肿瘤坏死因子α(TNF-α)、IL-10]、血管内皮功能[血管内皮生长因子(VEGF)]、多糖包被损伤标志物[多配体蛋白聚糖-1(SDC-1)]及多糖包被降解产物[透明质酸(HA)、硫酸乙酰肝素(HS)]各指标的水平差异。结果治疗后3 d,两组患者的APACHEⅡ、SOFA评分较治疗前均降低,观察组的APACHEⅡ、SOFA评分分别为(15.40±3.70)、(4.61±2.02)分,均低于对照组[(20.20±4.90)、(7.50±3.10)分],差异均有统计学意义(P<0.05)。治疗后3 d,两组患者的血清IL-8、TNF-α、VEGF、SDC-1及HA、HS水平较治疗前均明显降低,IL-10水平均明显上升,观察组IL-8、TNF-α、VEGF、SDC-1及HA、HS水平分别为(208.44±24.47)pg/mL、(25.02±5.59)μg/mL、(90.91±9.30)mg/mL、(433.23±31.50)ng/mL、(65.72±10.63)μg/L、(47.37±6.74)μg/L,均低于对照组[(260.37±25.15)pg/mL、(31.53±5.62)μg/mL、(108.74±13.41)mg/mL、(486.67±30.64)ng/mL、(71.24±11.41)μg/L、(51.26±7.52)μg/L],IL-10水平为(60.11±7.79)pg/mL,高于对照组[(43.72±8.61)pg/mL],差异均有统计学意义(P<0.05)。结论在脓毒症伴ARDS患者中,在常规治疗基础上联合应用维生素C和乌司他丁,能够显著降低炎症因子及多糖包被降解产物、血管内皮特异性分子的含量,从而达到保护血管内皮、改善炎症反应的目的。 展开更多
关键词 脓毒症 维生素C 炎症因子 多糖包被
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冰冻血浆在ICU脓毒症中的疗效分析 被引量:1
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作者 段莉 王远杰 刘方久 《检验医学与临床》 CAS 2023年第4期506-509,514,共5页
目的探索冰冻血浆在脓毒症治疗中的作用及临床价值,以期为脓毒症的治疗提供参考。方法回顾性分析2019年1月至2021年12月入住该院重症监护病房(ICU)226例脓毒症患者的临床资料。根据入住ICU期间是否输注冰冻血浆将患者分为未输注血浆组... 目的探索冰冻血浆在脓毒症治疗中的作用及临床价值,以期为脓毒症的治疗提供参考。方法回顾性分析2019年1月至2021年12月入住该院重症监护病房(ICU)226例脓毒症患者的临床资料。根据入住ICU期间是否输注冰冻血浆将患者分为未输注血浆组、输注血浆组,比较两组患者的性别、年龄、入住ICU时降钙素原(PCT)、C反应蛋白(CRP)、白细胞计数(WBC)、血小板计数(PLT)、活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)检测结果及24 h内序贯器官衰竭评分(SOFA评分),以及ICU住院时间、机械通气时间和疾病的预后。结果输注血浆组的SOFA评分、APTT、PT、有凝血障碍比例较未输注血浆组高,差异有统计学意义(P<0.05)。未输注血浆组与输注血浆组病死率比较,差异无统计学意义(P>0.05)。SOFA评分2~<6、6~<10分生存患者中,输注血浆组的ICU住院时间及机械通气时间均比未输注血浆组短,差异有统计学意义(P<0.05)。SOFA评分2~<6分生存患者中ICU住院时间、机械通气时间从高到低依次为对照组、清蛋白、血浆组、清蛋白组+血浆组;SOFA评分6~<10分生存患者中ICU住院时间、机械通气时间从高到低依次为对照组、清蛋白组、血浆组、清蛋白+血浆组。结论输注血浆在改善脓毒症病死率方面无明显优势,但可以缩短SOFA评分为2~<10分脓毒症患者的病程。 展开更多
关键词 脓毒症 冰冻血浆 血管内皮细胞 糖萼
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糖萼损伤生物标志物syndecan-1对成人脓毒症/脓毒性休克患者预后影响的Meta分析
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作者 杜欣欣 伊尔扎提·艾则孜 +2 位作者 杨春波 潘鹏飞 于湘友 《中国急救医学》 CAS CSCD 2023年第9期716-721,共6页
目的系统评价糖萼损伤生物标志物多配体聚糖-1(syndecan-1)对成人脓毒症/脓毒性休克患者预后的影响。方法以糖萼、多配体聚糖-1、脓毒症、脓毒性休克等为检索词,查找中国生物医药文献数据库(CBM)、万方数据库、中国知网(CNKI)、维普数... 目的系统评价糖萼损伤生物标志物多配体聚糖-1(syndecan-1)对成人脓毒症/脓毒性休克患者预后的影响。方法以糖萼、多配体聚糖-1、脓毒症、脓毒性休克等为检索词,查找中国生物医药文献数据库(CBM)、万方数据库、中国知网(CNKI)、维普数据库等多个数据库获取相关研究文献;在包括德国施普林格全文数据库(Springer Link)、美国国家医学图书馆PubMed数据库、荷兰医学文摘、科学网、Cochrane图书馆在内的多个数据库中,以glycocalyx、syndecan-1、SDC-1、sepsis、severe sepsis、septic shock等为搜索关键词,获取相应的研究文献。检索关于糖萼损伤生物标志物syndecan-1水平对成人脓毒症/脓毒性休克患者预后影响的研究,检索时限为2000年1月至2023年6月。由2名研究人员分别进行文献筛选、数据提取和质量评价,应用Rev Man 5.2软件对符合标准的文献进行Meta分析。结果共纳入10篇文献,共有患者1297例,其中死亡组336例,存活组961例。Meta分析结果显示,成人脓毒症/脓毒性休克患者糖萼损伤生物标志物syndecan-1水平增高与患者死亡[标准化均差(SMD)=0.75,95%CI 0.42~1.08,Z=4.51,P<0.00001]、合并急性肾损伤(AKI)(SMD=0.51,95%CI 0.37~0.66,Z=6.92,P<0.00001)、合并弥散性血管内凝血(DIC)(SMD=0.62,95%CI 0.26~0.98,Z=3.34,P=0.0008)相关。结论糖萼损伤生物标志物syndecan-1水平与成人脓毒症/脓毒性休克患者的预后有关,可能是脓毒症病死率和相关并发症的有用预测指标。 展开更多
关键词 糖萼 生物标志物 多配体聚糖-1(Syndecan-1) 脓毒症 脓毒性休克 严重脓毒症 META分析 预后
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小儿肝移植术后急性肺损伤与血管内皮糖萼的关系
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作者 秦鋆建 梁胜凤 +3 位作者 朱馥如 陶春辉 周斌先 蓝雨雁 《广东医学》 CAS 2023年第7期832-837,共6页
目的探讨小儿肝移植术后急性肺损伤与血管内皮糖萼的关系。方法选择行肝移植手术的肝病患儿51例,男31例,女20例,0~14岁,ASAⅢ或Ⅳ级。检测并记录切皮前(T_(0))、门静脉阻断前10 min(T_(1))、无肝期30 min(T_(2))、新肝期30 min(T_(3))... 目的探讨小儿肝移植术后急性肺损伤与血管内皮糖萼的关系。方法选择行肝移植手术的肝病患儿51例,男31例,女20例,0~14岁,ASAⅢ或Ⅳ级。检测并记录切皮前(T_(0))、门静脉阻断前10 min(T_(1))、无肝期30 min(T_(2))、新肝期30 min(T_(3))、新肝期2 h(T_(4))、手术结束(T_(5))时动脉血中内皮糖萼成分多配体蛋白聚糖1(syndecan-1,sdc-1)的浓度。根据术后是否发生急性肺损伤分为两组:术后发生急性肺损伤为肺损伤组(S组,n=15)和术后未发生急性肺损伤为对照组(D组,n=36)。记录术中无肝期时间、冷缺血时间、总输液量、输血量、出血量、尿量、术后血气分析、肝功能、ICU治疗时间、气管导管拔管时间以及肺部感染、急性肺损伤等发生情况。采用单因素及多因素logistic回归并绘制受试者工作特征(ROC)曲线评估sdc-1对术后急性肺损伤的预测效能。结果与T_(1)时比较,T_(3)、T_(4)时两组sdc-1浓度明显升高;与D组比较,T_(3)~T_(5)时S组sdc-1浓度明显升高(P<0.05)。与D组比较,S组术中冷缺血时间明显延长,红细胞输注量、出血量、尿量明显增多(P<0.05)。二元多因素logistic回归分析结果显示:sdc-1(OR=1.214,95%CI:1.033~1.396)是术后急性肺损伤的独立危险因素(P<0.05)。ROC曲线分析显示,T3时sdc-1预测术后急性肺损伤的ROC曲线下面积(AUC)为0.772。根据术中sdc-1浓度最大值与截断值比较分为两组:高sdc-1组(H组,n=32)与低sdc-1组(L组,n=19)。与L组相比,H组术后1 d氧合指数较低(P<0.05),术后气管导管拔管时间延长以及肺部感染、急性肺损伤发生率增加(P<0.05)。结论术中内皮糖萼受损可导致术后拔气管导管时间延长以及肺部感染、急性肺损伤发生率增加,sdc-1升高对术后急性肺损伤有一定的预测价值。 展开更多
关键词 小儿 肝移植 血管内皮糖萼 急性肺损伤
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吸入麻醉和全凭静脉麻醉对腰椎手术患者内皮细胞糖萼蛋白脱落的影响
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作者 丁菀 王翠翠 +1 位作者 陈宇 吕浩 《武警医学》 CAS 2023年第7期589-593,共5页
目的比较七氟醚吸入麻醉和丙泊酚全凭静脉麻醉对开放腰椎融合手术患者内皮细胞糖萼蛋白syndecan-1、透明质酸和硫酸乙酰肝素脱落的影响。方法择取解放军总医院第六医学中心拟行开放腰椎融合手术患者100例,随机分为吸入麻醉组(n=50)和全... 目的比较七氟醚吸入麻醉和丙泊酚全凭静脉麻醉对开放腰椎融合手术患者内皮细胞糖萼蛋白syndecan-1、透明质酸和硫酸乙酰肝素脱落的影响。方法择取解放军总医院第六医学中心拟行开放腰椎融合手术患者100例,随机分为吸入麻醉组(n=50)和全凭静脉麻醉组(n=50),分别给予七氟醚/瑞芬太尼和丙泊酚/瑞芬太尼维持麻醉。在术前、手术结束、术后第1天检测血清内皮损伤标记物syndecan-1、透明质酸、硫酸乙酰肝素和炎症因子C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)和白介素-6(IL-6)的表达。结果与术前相比,手术结束时两组患者血清syndecan-1、透明质酸和硫酸乙酰肝素表达明显升高,且术后第1天仍然高于术前基础值。全凭静脉麻醉组在手术结束时syndecan-1[(14.96±2.79)ng/ml]、透明质酸[(195.94±8.64)ng/ml]和硫酸乙酰肝素[(3429.58±310.52)pg/ml]明显低于吸入麻醉组[(17.45±1.65)ng/ml、(203.23±12.93)ng/ml、(3751.12±223.22)pg/ml],(P<0.05),但在术后第1天两组之间没有统计学差异。两组之间CRP、TNF-α和IL-6在各时间点均无统计学差异。结论全凭静脉麻醉在术中保护内皮糖萼方面可能优于吸入性麻醉,但两种麻醉方法均不能阻止开放腰椎融合手术患者内皮细胞syndecan-1、透明质酸和硫酸乙酰肝素的脱落。 展开更多
关键词 内皮糖萼 SYNDECAN-1 吸入麻醉 全凭静脉麻醉 腰椎融合术
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糖萼、肝素结合蛋白在脓毒症凝血病中的研究进展
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作者 张少康 刘杨 《同济大学学报(医学版)》 2023年第5期747-752,共6页
脓毒症凝血病(sepsis-induced coagulopathy,SIC)与凝血功能异常和血管内皮损伤密切相关。糖萼是覆盖在血管内皮细胞表面的凝胶状层,由内皮细胞膜表面附着的蛋白多糖、糖胺聚糖链、糖蛋白和黏附的血浆来源蛋白组成,具有维持着血管系统... 脓毒症凝血病(sepsis-induced coagulopathy,SIC)与凝血功能异常和血管内皮损伤密切相关。糖萼是覆盖在血管内皮细胞表面的凝胶状层,由内皮细胞膜表面附着的蛋白多糖、糖胺聚糖链、糖蛋白和黏附的血浆来源蛋白组成,具有维持着血管系统的稳态,防止微血管血栓形成的作用。肝素结合蛋白是一种由中性粒细胞在炎症因子刺激下释放的颗粒蛋白,参与血管渗漏和内皮损伤。肝素因肝素结合蛋白与糖萼的结合方式以及蛋白结构和电荷的不同,可与糖萼竞争性结合肝素结合蛋白。该机制可减少内皮细胞激活和内皮损伤。表明糖萼和肝素结合蛋白均参与了脓毒症凝血病的发生发展的病理机制。结合目前相关研究,本文在此对糖萼、肝素结合蛋白在脓毒症凝血病发病机制中的作用进行综述,并探讨其在肝素抗凝中可能起到的作用。 展开更多
关键词 糖萼 肝素结合蛋白 脓毒血症凝血病 肝素
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基于心血管芯片模型的4种深海毒素致伤评价与雷公藤甲素的保护作用研究
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作者 何晓莉 施艺玮 +2 位作者 陈兰 刘悦 洪战英 《药学实践与服务》 CAS 2023年第3期149-154,159,共7页
目的构建一种心血管芯片模型,评估四种海洋毒素即大田软海绵酸(OA)、芋螺毒素(CTX)、河豚毒素(TTX)和环亚胺毒素(GYM)对血管糖萼组织的损伤,初步探索雷公藤甲素对毒素致伤的保护作用。方法将人脐静脉内皮细胞(HUVEC)接种于三通道结构的... 目的构建一种心血管芯片模型,评估四种海洋毒素即大田软海绵酸(OA)、芋螺毒素(CTX)、河豚毒素(TTX)和环亚胺毒素(GYM)对血管糖萼组织的损伤,初步探索雷公藤甲素对毒素致伤的保护作用。方法将人脐静脉内皮细胞(HUVEC)接种于三通道结构的微流控芯片,并对所构建的心血管芯片模型进行表征。采用CCK-8法和免疫荧光染色法分析低、中、高三个浓度的海洋毒素对细胞活力和糖萼组织损伤情况,以及雷公藤甲素对毒素致伤的保护作用。结果所构建心血管器官芯片中的细胞生长状态良好,具有结构完整的糖萼组织,与对照组相比,OA中、高浓度以及GYM高浓度均对细胞活力具有一定抑制(P<0.05),CTX和TTX在所测浓度下对细胞没有明显活力抑制,但是四种毒素均引起细胞表面糖萼组织的严重损伤(P<0.01),且随着浓度增加,糖萼损伤率升高。经雷公藤甲素预保护后,四种毒素对HUVEC的毒性显著降低,糖萼组织损伤率下降。结论四种毒素对HUVEC细胞活力以及表面的糖萼组织具有损伤,且呈一定的剂量关系,而雷公藤甲素对毒素损伤后的HUVEC细胞具有保护作用。 展开更多
关键词 心血管芯片 海洋生物毒素 糖萼损伤 雷公藤甲素
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糖萼与疾病的相关性及其降解机制研究进展
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作者 董佳慧 李慧敏 +4 位作者 李南熹 彭冠群 孙云波 窦桂芳 刘曙晨 《解放军医学杂志》 CAS CSCD 北大核心 2023年第3期345-354,共10页
随着糖生物学的快速发展,越来越多的研究表明多种疾病的发生发展与多糖关系密切。糖萼呈绒毛状结构,作为血管内皮细胞的重要成分,在维持血管稳态方面发挥着重要作用。多学科研究发现糖萼的生物学功能并非局限于血管稳态,还与体内多种疾... 随着糖生物学的快速发展,越来越多的研究表明多种疾病的发生发展与多糖关系密切。糖萼呈绒毛状结构,作为血管内皮细胞的重要成分,在维持血管稳态方面发挥着重要作用。多学科研究发现糖萼的生物学功能并非局限于血管稳态,还与体内多种疾病密切相关。本文在糖萼组成及其生物学功能研究的基础上,从糖萼主要组成成分[硫酸乙酰肝素(HS)、硫酸软骨素(CS)、透明质酸(HA)和核心蛋白]与癌症、新型冠状病毒感染(COVID-19)、创伤手术等的生物相关性角度,对糖萼降解机制的最新研究进展进行综述,以期为临床开发新型诊断方法与治疗靶点提供思路。 展开更多
关键词 糖萼 生物学特性 可视化 疾病 机制
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血必净注射液抑制肺血管内皮糖萼降解改善重症中暑大鼠急性肺损伤
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作者 丁程佳 陀劲 +4 位作者 曹晶晶 黄洁恩 刘超帆 童华生 陈怿 《解放军医学杂志》 CAS CSCD 北大核心 2023年第12期1387-1394,共8页
目的探讨血必净注射液调控血管内皮糖萼异常,改善重症中暑大鼠急性肺损伤的机制。方法将48只Wistar大鼠随机分为对照组、中暑组、血必净组,每组16只,其中8只用于伊文思蓝(EB)法测定。采用高温高湿[温度(40±2)℃,湿度65%±5%]打... 目的探讨血必净注射液调控血管内皮糖萼异常,改善重症中暑大鼠急性肺损伤的机制。方法将48只Wistar大鼠随机分为对照组、中暑组、血必净组,每组16只,其中8只用于伊文思蓝(EB)法测定。采用高温高湿[温度(40±2)℃,湿度65%±5%]打击60 min制备中暑大鼠模型,血必净组大鼠于造模前连续3 d尾静脉注射血必净注射液(2 ml/kg,2次/d)。各组大鼠于造模后2 h行麻醉处理并取材,记录肺湿/干重比,测定肺泡灌洗液(BALF)蛋白浓度,EB法测定肺血管通透性,HE染色观察肺组织病理学变化,免疫荧光染色观察肺血管表面透明质酸(HA)的表达变化,Western blotting检测肺组织多配体蛋白聚糖‐1(Syndecan-1)、磷脂酰肌醇聚糖-1(Glypican-1)、血管内皮钙黏蛋白(VE-Cadherin)、紧密连接蛋白(Occludin)、血管细胞黏附分子‐1(VCAM-1)及E-选择素(E-selectin)等蛋白的表达,酶联免疫吸附(ELISA)法测定血清中肿瘤坏死因子‐α(TNF-α)、白细胞介素‐6(IL-6)及肺组织中乙酰肝素酶(HPA)的表达水平。结果血必净可下调肺湿/干重比,减少蛋白渗出,改善肺血管通透性(P<0.01),减轻肺组织损伤(P<0.01),减少肺血管表面HA、Syndecan-1、Glypican-1降解(P<0.01),增加肺血管连接蛋白VE-Cadherin、Occludin的表达(P<0.01),调控黏附蛋白VCAM-1、E-selectin的过度表达(P<0.01),下调TNF-α、IL-6及HPA蛋白的表达(P<0.01)。结论血必净可减少HPA、改善糖萼崩解、修复肺血管完整性、减轻细胞连接损伤、下调黏附分子表达并抑制炎症反应,进而缓解重症中暑所致急性肺损伤。 展开更多
关键词 重症中暑 血必净注射液 糖萼 急性肺损伤
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亚胺培南联合阿奇霉素治疗铜绿假单胞菌生物被膜感染的实验研究 被引量:34
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作者 方向群 刘又宁 《中华医院感染学杂志》 CAS CSCD 北大核心 2007年第3期254-257,共4页
目的研究亚胺培南(IMP)联合阿奇霉素(AZM)在治疗铜绿假单胞菌生物被膜(BF)感染中的作用。方法色氨酸法测定AZM对多糖蛋白复合物(GLX)的抑制作用;通过噻唑蓝(MTT)法测定BF上的活菌数,比较IMP与AZM联合应用时对BF细菌的体外抑制作用;采用... 目的研究亚胺培南(IMP)联合阿奇霉素(AZM)在治疗铜绿假单胞菌生物被膜(BF)感染中的作用。方法色氨酸法测定AZM对多糖蛋白复合物(GLX)的抑制作用;通过噻唑蓝(MTT)法测定BF上的活菌数,比较IMP与AZM联合应用时对BF细菌的体外抑制作用;采用组织笼大鼠皮下埋植法建立细菌BF体内局部感染动物模型,并考察AZM对IMP的体内协同作用。结果AZM可以使细菌BF的GLX的含量显著地下降;在IMP浓度相同的情况下,加入1/4、1/16 MIC的AZM可使BF上的活菌数显著地减少;IMP和AZM联合应用时,铜绿假单胞菌BF感染局部的活菌数较IMP单独作用时显著减少。结论AZM可以在治疗铜绿假单胞菌BF感染中对IMP起到协同作用。 展开更多
关键词 生物被膜 多糖蛋白复合物 大环内酯类 亚胺培南
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海带硫酸多糖蛋白复合物的气相色谱分析 被引量:6
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作者 王长振 丛建波 +2 位作者 先宏 孙存普 吴可 《食品科学》 EI CAS CSCD 北大核心 2007年第2期261-263,共3页
为开发海洋资源,对海带有效成分海带硫酸多糖蛋白复合物(glycocalyx of sulfated polysaccharide from Lami-naria japonica,GPL)的结构组成进行分析。GPL为本实验室制备,经检测GPL中硫酸基含量为29.12%,总糖27.8%,蛋白质12.69%。通过... 为开发海洋资源,对海带有效成分海带硫酸多糖蛋白复合物(glycocalyx of sulfated polysaccharide from Lami-naria japonica,GPL)的结构组成进行分析。GPL为本实验室制备,经检测GPL中硫酸基含量为29.12%,总糖27.8%,蛋白质12.69%。通过衍生化处理,然后采用气相色谱仪分析该多糖蛋白复合物的单糖组成。结果表明GPL是主要有岩藻糖聚合而成的复合物,另外含有甘露糖、半乳糖、葡萄糖和木糖等。 展开更多
关键词 海带硫酸多糖蛋白复合物 乙酰化 气相色谱
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