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Effect of Activation of the Ca2+-Permeable Acid-Sensing Ion Channel 1a on Acid-Induced Vascular Endothelial Cell Injury of Henoch-Schönlein Purpura Children
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作者 Qidi Peng Liping Yuan +2 位作者 Yan Bo Xiaoyan Guo Hu Bo 《Open Journal of Pediatrics》 2016年第4期324-332,共9页
Acidosis in local environment plays a critical role in cell injury. One key mediator of acidosis-induced cell injury is the acid-sensing ion channels (ASICs), particularly ASIC1a. Herein, we investigated the role of A... Acidosis in local environment plays a critical role in cell injury. One key mediator of acidosis-induced cell injury is the acid-sensing ion channels (ASICs), particularly ASIC1a. Herein, we investigated the role of ASIC1a in acid-induced vascular endothelial cell injury of Henoch-Schonlein purpura (HSP) children. Acid-induced ASIC1a, Calpain and Calcineurin expression in vascular endothelial cells pretreated with IgA1 isolated from HSP were detected by real time quantitative polymerase chain reaction and western blot methods, respectively. Cell cytotoxicity was measured by interleukin-8 and nitric oxide production with ELISA. The results showed acid-induced ASIC1a, Calpain and Calcineurin expression in cells increased, especially at PH6.5. The cytotoxicity of vascular endothelial cells was increased by extracellular acidosis. Moreover non-specific or specific blockers of ASIC1a, Amiloride and PcTX-1 could remarkably decrease these parameters. These findings show that increased [Ca<sup>2+</sup>]i, mediated via ASIC1a, might contribute to acid-induced vascular endothelial cell injury of HSP. 展开更多
关键词 Acid-Sensing Ion Channels (ASICs) Vascular Endothelial Cell henoch-schönlein purpura (hsp)
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过敏性紫癜患儿的临床特征分析 被引量:11
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作者 刘丽 朱凯莉 +4 位作者 刘海玲 高文娟 徐曼 吴红艳 黄燕萍 《中国妇幼健康研究》 2021年第7期1015-1019,共5页
目的通过对儿童过敏性紫癜(HSP)临床结果的观察评估血液灌流(HP)治疗的近期及远期疗效。方法收集2014年1月至2018年12月期间在西安交通大学第一附属医院儿科诊断为HSP的患儿资料652例,其中首发267例,入院时随机分为非血液灌流组(NHP组,... 目的通过对儿童过敏性紫癜(HSP)临床结果的观察评估血液灌流(HP)治疗的近期及远期疗效。方法收集2014年1月至2018年12月期间在西安交通大学第一附属医院儿科诊断为HSP的患儿资料652例,其中首发267例,入院时随机分为非血液灌流组(NHP组,176例)和血液灌流组(HP组,91例)。观察两组患儿的近期及远期疗效指标,并进行统计分析。结果(1)652例HSP患儿平均年龄为(8.52±2.79)岁,男童(52.15%)多于女童(47.85%);好发于春季(34.20%)和冬季(28.07%),多发于农村地区(63.50%);29.45%的患儿发病前存在明显诱因,以呼吸道感染为主(79.17%),其次是食物过敏(14.58%);最常见的病原体为支原体(45.09%),首发临床症状以单纯皮肤症状最常见(34.36%)。(2)近期疗效显示:HP组患儿的皮疹消退时间、腹痛血便缓解时间、关节疼痛缓解时间均显著短于NHP组(t值分别为11.325、13.249、11.667,P<0.05),HP组患儿的平均住院日也显著短于NHP组(t=19.230,P<0.05)。(3)远期疗效显示:HP组患儿的皮疹复发率显著低于NHP组(χ^(2)=6.634,P<0.05);HP组患儿在随访期间进展为紫癜性肾炎(HSPN)的发生率低于NHP组,但差异无统计学意义(P>0.05)。结论(1)HSP患儿发病年龄多在610岁,以春冬季多发,男童多于女童,农村多于城区,最常见的诱因为感染,最常见的病原体为支原体,多以单纯皮肤紫癜为首发症状。(2)HP可在短时间内减轻HSP患儿的临床症状,减少平均住院日,远期观察可减少皮疹的复发率,但对远期肾脏损害的预防作用仍需进一步探讨。 展开更多
关键词 血液灌流 过敏性紫癜 流行病学 远期疗效 儿童
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