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Factors Associated with Mortality in Children Aged 1 Month to 15 Years Hospitalized in the Pediatric Ward of the Kalaban-Coro Reference Health Center: Cross-Sectional Study
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作者 Abdoul Salam Diarra Mohamed Diarra +13 位作者 Dramane Touré Tawfiq Abu Beyadari Balilé Harber Maimouna Kanté Issa Guindo Belco Maiga Karamoko Sacko Kalirou Traoré Fatoumata Dicko Mamadou Togo Kalba Pélieba Mariam Sylla Mamadou Samaké Hamadoun Sangho 《Open Journal of Pediatrics》 2024年第5期800-813,共14页
Introduction: Infant and child mortality is a worldwide concern, but developing countries such as Mali are more affected. The aim of this study was to investigate morbidity and factors associated with mortality in chi... Introduction: Infant and child mortality is a worldwide concern, but developing countries such as Mali are more affected. The aim of this study was to investigate morbidity and factors associated with mortality in children aged 1 month to 15 years. Methodology: This was a cross-sectional study which took place from January 1 to December 31, 2020 covering children aged 1 month to 15 years hospitalized at the Kalaban-Coro CSRéf. Data were entered into Excel and analyzed using SPSS version 20 software. Results: Five hundred children aged 1 months to 15 years were included. The age range 1 to 5 years (53.6%) and male sex (58.2%) were the most represented. Malaria (72.2%), acute respiratory infections (6.2%) and diarrhea/dehydration (3%) were the main morbidities. Mortality was estimated at 10.6%, and the two main causes of death were malaria (56.6%) and acute respiratory infections (7.54%). Univariate analysis revealed a statistically significant association between the dependent variable (death) and age (p Conclusion: This study confirms the high rate of infant and child morbidity and mortality in our health facilities. Strengthening human resources and intensifying behavior-change communication can help reverse the trend. 展开更多
关键词 Children Aged 1 Months to 15 Years MORBIDITY factors Associated with Mortality MORBIDITY
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MicroRNA-146a Promotes Embryonic Stem Cell Differentiation towards Vascular Smooth Muscle Cells through Regulation of Kruppel-like Factor 4 被引量:2
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作者 Qing ZHANG Rong-rong PAN +1 位作者 Yu-tao WU Yu-miao WEI 《Current Medical Science》 SCIE CAS 2023年第2期223-231,共9页
Objective Vascular smooth muscle cell(VSMC)differentiation from stem cells is one source of the increasing number of VSMCs that are involved in vascular remodeling-related diseases such as hypertension,atherosclerosis... Objective Vascular smooth muscle cell(VSMC)differentiation from stem cells is one source of the increasing number of VSMCs that are involved in vascular remodeling-related diseases such as hypertension,atherosclerosis,and restenosis.MicroRNA-146a(miR-146a)has been proven to be involved in cell proliferation,migration,and tumor metabolism.However,little is known about the functional role of miR-146a in VSMC differentiation from embryonic stem cells(ESCs).This study aimed to determine the role of miR-146a in VSMC differentiation from ESCs.Methods Mouse ESCs were differentiated into VSMCs,and the cell extracts were analyzed by Western blotting and RT-qPCR.In addition,luciferase reporter assays using ESCs transfected with miR-146a/mimic and plasmids were performed.Finally,C57BL/6J female mice were injected with mimic or miR-146a-overexpressing ESCs,and immunohistochemistry,Western blotting,and RT-qPCR assays were carried out on tissue samples from these mice.Results miR-146a was significantly upregulated during VSMC differentiation,accompanied with the VSMC-specific marker genes smooth muscle-alpha-actin(SMαA),smooth muscle 22(SM22),smooth muscle myosin heavy chain(SMMHC),and h1-calponin.Furthermore,overexpression of miR-146a enhanced the differentiation process in vitro and in vivo.Concurrently,the expression of Kruppel-like factor 4(KLF4),predicted as one of the top targets of miR-146a,was sharply decreased in miR-146a-overexpressing ESCs.Importantly,inhibiting KLF4 expression enhanced the VSMC-specific gene expression induced by miR-146a overexpression in differentiating ESCs.In addition,miR-146a upregulated the mRNA expression levels and transcriptional activity of VSMC differentiation-related transcription factors,including serum response factor(SRF)and myocyte enhancer factor 2c(MEF-2c).Conclusion Our data support that miR-146a promotes ESC-VSMC differentiation through regulating KLF4 and modulating the transcription factor activity of VSMCs. 展开更多
关键词 microRNA-146a embryonic stem cells DIFFERENTIATION vascular smooth muscle cells kruppel-like factor 4
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Tata-box-binding protein-associated factor 15 as a new potential marker in gastrointestinal tumors
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作者 Gulsum Ozlem Elpek 《World Journal of Gastroenterology》 SCIE CAS 2024年第28期3367-3372,共6页
In this editorial,the roles of tata-box-binding protein-associated factor 15(TAF15)in oncogenesis,tumor behavior,and as a therapeutic target in cancers in the context of gastrointestinal(GI)tumors are discussed concer... In this editorial,the roles of tata-box-binding protein-associated factor 15(TAF15)in oncogenesis,tumor behavior,and as a therapeutic target in cancers in the context of gastrointestinal(GI)tumors are discussed concerning the publication by Guo et al.TAF15 is a member of the FET protein family with a comprehensive range of cellular processes.Besides,evidence has shown that TAF15 is involved in many diseases,including cancers.TAF15 contributes to carcinogenesis and tumor behavior in many tumors.Besides,its relationship with the mitogen-activated protein kinases(MAPK)signaling pathway makes TAF15 a new target for therapy.Although,the fact that there is few studies investigating the expression of TAF15 constitutes a potential limitation in GI system,the association of TAF15 expression with aggressive tumor behavior and,similar to other organ tumors,the influence of TAF15 on the MAPK signaling pathway emphasize that this protein could serve as a new molecular biomarker to predict tumor behavior and target therapeutic intervention in GI cancers.In conclusion,more studies should be performed to better understand the prognostic and therapeutic role of TAF15 in GI tumors,especially in tumors resistant to therapy. 展开更多
关键词 Gastrointestinal cancer Tata-box-binding protein-associated factor 15 Cell proliferation Cell migration Prognosis
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Tcf7l1 promotes transcription of Kruppel-like factor 4 during Xenopus embryogenesis 被引量:5
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作者 Qing Cao Yan Shen +2 位作者 Wei Zheng Hao Liu Chen Liu 《The Journal of Biomedical Research》 CAS CSCD 2018年第3期215-221,共7页
Kruppel-like factor 4(Klf4) is a zinc finger transcription factor and plays crucial roles in Xenopus embryogenesis.However, its regulation during embryogenesis is still unclear. Here, we report that Tcf711, a key do... Kruppel-like factor 4(Klf4) is a zinc finger transcription factor and plays crucial roles in Xenopus embryogenesis.However, its regulation during embryogenesis is still unclear. Here, we report that Tcf711, a key downstream transducer of the Wnt signaling pathway, could promote Klf4 transcription and stimulate Klf4 promoter activity in early Xenopus embryos. Furthermore, cycloheximide treatment showed a direct effect on Klf4 transcription facilitated by Tcf711. Moreover, the dominant negative form of Tcf711(dnTcf711), which lacks N-terminus of the β-catenin binding motif, could still activate Klf4 transcription, suggesting that this regulation is Wnt/β-catenin independent.Taken together, our results demonstrate that Tcf711 lies upstream of Klf4 to maintain its expression level during Xenopus embryogenesis. 展开更多
关键词 kruppel-like factor 4(Klf4) Tcf711 transcription regulation Xenopus laevis
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生长分化因子15联合沉默信息调节因子1在老年急性心肌梗死患者介入治疗的预后预测价值分析 被引量:1
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作者 李春 李夏 《心肺血管病杂志》 CAS 2024年第3期222-227,共6页
目的:探讨生长分化因子15(growth differentiation factor-15,GDF15)联合沉默信息调节因子1(silent information regulator 1,SIRT1)在老年急性心肌梗死(acute myocardial infarctio,AMI)患者PCI治疗后预后预测中的价值。方法:选取本院2... 目的:探讨生长分化因子15(growth differentiation factor-15,GDF15)联合沉默信息调节因子1(silent information regulator 1,SIRT1)在老年急性心肌梗死(acute myocardial infarctio,AMI)患者PCI治疗后预后预测中的价值。方法:选取本院2019年1月至2021年8月收治的209例AMI行PCI老年患者纳入AMI组,另选同期健康体检人群90例纳入对照组,检测AMI患者术前、术后7d以及对照组血清GDF15、SIRT1表达水平,观察AMI术后3个月内AMI组主要不良心血管事件(major adverse cardiovascular events,MACE)发生情况,对比MACE发生与未发生患者血清GDF15、SIRT1表达差异,通过受试者工作曲线(ROC)评估其对患者MACE发生的预测价值。结果:AMI患者术前与术后血清GDF-15水平明显高于对照组,SIRT1水平明显低于对照组(P <0.05);血清GDF-15、SIRT1水平联合检测诊断AMI的发生ROC曲线下面积(AUC)显著高于两项指标单独评估的AUC(P <0.05);209例患者术后3个月内发生MACE者44例(21.1%),发生MACE患者术前及术后血清GDF-15水平高于未发生者,SIRT1水平低于未发生者(P <0.05);术前血清GDF-15、SIRT1水平联合检测评估老年PCI治疗AMI患者MACE的发生ROC曲线下面积为0.816,显著高于两项指标单独评估曲线下面积0.726、0.725(P <0.05);术后血清GDF-15、SIRT1水平联合检测评估老年PCI治疗AMI患者MACE的发生ROC曲线下面积为0.894,显著高于两项指标单独评估曲线下面积0.815、0.811(P <0.05);术后7d血清GDF-15、SIRT1水平检测评估老年PCI治疗AMI患者MACE的发生ROC曲线下AUC高于术前(P <0.05)。结论:AMI患者血清GDF-15呈高表达,SIRT1呈低表达,且其表达水平可在一定程度上预测患者PCI术后MACE的发生,反映患者预后状态。 展开更多
关键词 急性心肌梗死 老年患者 经皮冠状动脉介入治疗 生长分化因子15 沉默信息调节因子1 预后
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超声心动图联合血清cTnI、GDF-15检测对老年乳腺癌患者术后化疗心脏损伤的评估价值 被引量:1
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作者 高正兴 郝金利 +1 位作者 刘鹏 达永 《中国实验诊断学》 2024年第3期258-262,共5页
目的探究超声心动图联合血清心肌肌钙蛋白I(cTnI)、生长分化因子-15(GDF-15)对老年乳腺癌(BC)患者术后化疗心脏损伤的评估价值。方法选取北京市大兴区人民医院2019年9月至2022年8月收治的112例老年BC术后应用表柔比星为主的化疗患者为... 目的探究超声心动图联合血清心肌肌钙蛋白I(cTnI)、生长分化因子-15(GDF-15)对老年乳腺癌(BC)患者术后化疗心脏损伤的评估价值。方法选取北京市大兴区人民医院2019年9月至2022年8月收治的112例老年BC术后应用表柔比星为主的化疗患者为研究对象,按照是否发生心脏损伤将其分为:心脏损伤组(40例)和心脏未损伤组(72例)。评估超声心动图对老年BC患者术后化疗心脏损伤的诊断价值;采用酶联免疫吸附法检测两组血清cTnI、GDF-15水平;采用受试者工作特征曲线评估血清cTnI、GDF-15对老年BC患者术后化疗心脏损伤的诊断价值;以心脏损伤判定标准为金标准,评价超声心动图、血清cTnI、GDF-15及三者联合对老年BC患者术后化疗心脏损伤的诊断价值。结果超声心动图诊断老年BC患者术后化疗心脏损伤的灵敏度、特异度、准确度分别为77.50%、88.89%、84.82%;心脏损伤组患者血清cTnI、GDF-15水平均明显高于心脏未损伤组(P<0.05);血清cTnI、GDF-15诊断老年BC患者术后化疗心脏损伤的曲线下面积分别为0.864、0.834,截断值分别为221.88 ng/L、8.06 ng/L,灵敏度分别为75.00%、80.00%,特异度分别为94.44%、87.50%,准确度分别为87.50%、84.82%;超声心动图联合血清cTnI、GDF-15诊断老年BC患者术后化疗心脏损伤的灵敏度、特异度、准确度分别为97.50%、86.11%、90.18%,优于单独诊断。结论超声心动图联合血清cTnI、GDF-15对老年BC患者术后化疗致心脏损伤有较高诊断价值,可有效提高灵敏度、准确度,具有较高特异度。 展开更多
关键词 超声心动图 心肌肌钙蛋白I 生长分化因子-15 乳腺癌 化疗 心脏损伤
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母体血清GDF-15、ANGPTL8对胎儿先天性心脏病产前诊断的临床意义
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作者 宋筱玉 颉丽 +2 位作者 唐中锋 葛婷婷 林晓娟 《疑难病杂志》 CAS 2024年第8期967-970,975,共5页
目的探讨血清生长分化因子-15(GDF-15)、血管生成素样蛋白8(ANGPTL8)在先天性心脏病(CHD)胎儿母体中的表达及其诊断胎儿CHD的价值。方法收集2020年1月—2023年3月甘肃省妇幼保健院产前诊断中心产前筛查疑似胎儿CHD的120例孕妇作为研究对... 目的探讨血清生长分化因子-15(GDF-15)、血管生成素样蛋白8(ANGPTL8)在先天性心脏病(CHD)胎儿母体中的表达及其诊断胎儿CHD的价值。方法收集2020年1月—2023年3月甘肃省妇幼保健院产前诊断中心产前筛查疑似胎儿CHD的120例孕妇作为研究对象,根据产前彩色多普勒超声心动图诊断结果分为CHD组(n=86)和非CHD组(n=34)。比较2组血清GDF-15、ANGPTL8水平;多因素Logistic回归分析胎儿CHD发病的影响因素;ROC曲线分析血清GDF-15、ANGPTL8对胎儿CHD的诊断效能。结果与非CHD组比较,CHD组血清GDF-15、ANGPTL8水平显著升高(t/P=7.860/<0.001、7.334/<0.001);多因素Logistic回归分析结果显示,孕次≥3次、CHD家族史及血清GDF-15、ANGPTL8升高均是胎儿CHD发病的危险因素[OR(95%CI)=1.383(1.082~1.767),1.596(1.148~2.218),3.596(1.694~7.633),3.175(1.571~6.417)];血清GDF-15、ANGPTL8及二者联合预测胎儿CHD的AUC分别为0.805、0.835、0.903,二者联合诊断胎儿CHD优于血清GDF-15、ANGPTL8各自单独诊断(Z=2.052、2.219,P=0.040、0.027)。结论CHD胎儿的母体血清GDF-15、ANGPTL8水平显著升高,二者联合对胎儿CHD具有较高的辅助诊断潜能。 展开更多
关键词 胎儿先天性心脏病 生长分化因子-15 血管生成素样蛋白8 产前诊断
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代谢综合征患者血清25(OH)D和GDF15水平表达与并发甲状腺结节发生恶性风险的相关性研究
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作者 范雪 秦文沛 +1 位作者 唐钰姣 杨晓萍 《现代检验医学杂志》 CAS 2024年第6期147-151,194,共6页
目的探讨代谢综合征(metabolic syndrome,MS)患者血清25羟基维生素D[25(OH)D],生长分化因子15(growth differentiation factor 15,GDF-15)水平表达与并发甲状腺结节(thyroid nodules,TN)发生恶性风险的相关性。方法选取2019年8月~2023年... 目的探讨代谢综合征(metabolic syndrome,MS)患者血清25羟基维生素D[25(OH)D],生长分化因子15(growth differentiation factor 15,GDF-15)水平表达与并发甲状腺结节(thyroid nodules,TN)发生恶性风险的相关性。方法选取2019年8月~2023年8月在新疆医科大学第一附属医院就诊的185例MS患者作为研究对象,按照甲状腺超声检查结果将其分为MS组(n=73)和MS+TN组(n=112),并根据甲状腺结节恶性分级将MS+TN组患者分为良性组(n=89)及恶性组(n=23);另选取同期体检的68例体检健康者作为对照组。采用酶联免疫吸附法(ELISA)测定各组血清25(OH)D和GDF-15水平;Pearson分析血清25(OH)D和GDF-15水平与MS并发TN患者临床指标之间的相关性;多因素Logistic回归分析MS并发TN患者发生恶性TN的影响因素;绘制受试者工作特征(ROC)曲线评估血清25(OH)D和GDF-15水平对MS并发恶性TN的诊断价值。结果对照组、MS组、MS+TN组血清25(OH)D(30.41±6.73ng/ml,27.23±6.15 ng/ml,24.67±4.38 ng/ml)和GDF-15(167.99±22.56 ng/L,239.75±25.92 ng/L,286.63±26.04 ng/L)水平比较,差异具有统计学意义(F=22.219,472.113,均P<0.05);且与良性组相比,恶性组患者血清25(OH)D(26.28±4.53 ng/ml vs 18.44±3.79 ng/ml)水平明显降低,GDF-15(276.93±24.53 ng/L vs 324.17±31.89 ng/L)水平明显升高,差异具有统计学意义(t=7.631,7.718,均P<0.05)。恶性组患者BMI,年龄、FPG,TG,TSH和TGAb水平明显高于良性组,差异具有统计学意义(t=2.868,3.523,3.542,3.603,4.581,5.516,均P<0.05).Pearson相关分析,MS并发TN患者血清25(OH)D水平与FPG,TSH,TG和TGAb水平均呈负相关(r=-0.302,-0.482,-0.524,-0.546,均P<0.05),GDF-15水平与TG,TSH,TGAb和FPG水平均呈正相关(r=0.467,0.541,0.578,0.623,均P<0.001)。多因素Logistic回归分析,GDF-15(OR=1.673,95%CI:1.146~2.442)为MS患者恶性TN发生的危险因素(P<0.05),25(OH)D(OR=0.744,95%CI:0.604~0.916)为恶性TN发生的保护因素(P<0.05);血清25(OH)D和GDF-15水平单独及联合诊断MS并发恶性TN的AUC分别为0.813,0.799,0.930,联合诊断优于单独诊断(Z=2.088,2.021,P=0.037,0.043)。结论MS并发TN患者血清25(OH)D,GDF-15水平与其结节性质明显相关,血清25(OH)D水平降低和GDF-15水平升高是MS患者发生恶性TN的危险因素。 展开更多
关键词 25羟基维生素D 生长分化因子15 代谢综合征并发甲状腺结节
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艾司洛尔对急性心肌梗死PCI患者炎性因子及血清miR-29a、GDF-15的影响
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作者 杨树涵 任彦锋 +2 位作者 王增夏 邢永生 王志方 《医学研究与战创伤救治》 CAS 北大核心 2024年第6期622-626,共5页
目的 探究艾司洛尔对急性前壁ST段抬高型心肌梗死经皮冠状动脉介入(PCI)术患者的治疗效果,以及对患者炎性因子及血清微小核糖核酸-29a(miR-29a)、生长分化因子-15(GDF-15)的影响。方法 前瞻性选取2021年4月至2023年6月于新乡市中心医院... 目的 探究艾司洛尔对急性前壁ST段抬高型心肌梗死经皮冠状动脉介入(PCI)术患者的治疗效果,以及对患者炎性因子及血清微小核糖核酸-29a(miR-29a)、生长分化因子-15(GDF-15)的影响。方法 前瞻性选取2021年4月至2023年6月于新乡市中心医院行PCI术治疗的120例急性前壁ST段抬高型心肌梗死患者。按照随机数字表法分为艾司洛尔组和对照组,每组60例。对照组予以常规治疗,艾司洛尔组在常规治疗基础上予以艾司洛尔注射液治疗24 h,比较两组安全性、心功能指标、炎性因子水平、心肌酶学、miR-29a、GDF-15的差异。结果 两组在症状性低血压、症状性心动过缓以及恶性心律失常发生率方面比较差异没有统计学意义(P>0.05)。两组治疗1周后左心室射血分数与治疗前比较升高,左心室收缩末期容积指数、左心室舒张末期内径和BNP与治疗前比较降低(P<0.05);且艾司洛尔组治疗1周后左心室射血分数、左心室收缩末期容积指数、左心室舒张末期内径和BNP的变化优于对照组(P<0.05)。两组治疗1周后CRP、髓过氧化物酶、IL-6、CK-MB、cTnI与治疗前比较均降低(P<0.05);且艾司洛尔组治疗1周后CRP、髓过氧化物酶、IL-6、cTnI的变化均优于对照组(P<0.05)。重复测量分析结果显示,两组治疗3 d、1周miR-29a、GDF-15与治疗前相比均降低(P<0.05),且治疗1周miR-29a、GDF-15低于治疗3 d(P<0.05)。艾司洛尔组治疗3 d、治疗1周miR-29a、GDF-15优于对照组(P<0.05)。结论 艾司洛尔应用于行PCI术的急性前壁ST段抬高型心肌梗死患者可有效改善心功能,降低炎性因子水平,减少心肌损伤,并降低血清miR-29a、GDF-15水平,同时安全性较好。 展开更多
关键词 急性前壁ST段抬高型心肌梗死 经皮冠状动脉介入 艾司洛尔 安全性 炎性因子 miR-29a GDF-15
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血清TAFI和GDF-15在上消化道出血患者诊断及预后评估中的价值
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作者 张咏华 赵宝海 张佳明 《国际消化病杂志》 CAS 2024年第4期264-269,共6页
目的 探讨上消化道出血患者的血清纤溶抑制物(TAFI)、生长分化因子-15(GDF-15)表达水平及其在诊断及预后评估中的价值。方法 选择2020年5月至2023年6月保定市第二中心医院收治的94例上消化道出血患者设为研究组,根据AIMS65评分系统对患... 目的 探讨上消化道出血患者的血清纤溶抑制物(TAFI)、生长分化因子-15(GDF-15)表达水平及其在诊断及预后评估中的价值。方法 选择2020年5月至2023年6月保定市第二中心医院收治的94例上消化道出血患者设为研究组,根据AIMS65评分系统对患者预后的评估结果,将患者分为预后良好组(n=65)和预后不良组(n=29),另选择80名同期健康体检者设为对照组。收集入组患者的一般资料,采用ELISA法检测各组的血清TAFI、GDF-15水平,采用Spearman等级相关分析探讨上消化道出血患者的血清TAFI、GDF-15水平与AIMS65评分的相关性,采用ROC曲线分析血清TAFI、GDF-15对上消化道出血患者诊断和预后评估的价值。结果 研究组与对照组中有消化道出血史的患者占比差异有统计学意义(P<0.05);研究组的血清TAFI水平显著低于对照组,而血清GDF-15水平显著高于对照组(P均<0.05)。预后不良组的血清TAFI水平显著低于预后良好组,而血清GDF-15水平显著高于预后良好组(P均<0.05)。Spearman等级相关分析结果显示,上消化道出血患者的血清TAFI水平与AIMS65评分呈显著负相关,而血清GDF-15水平与AIMS65评分呈显著正相关(r=-0.493,r=0.537,P均<0.001)。ROC曲线分析结果显示,血清TAFI、GDF-15诊断上消化道出血的曲线下面积(AUC)分别为0.734和0.776,两者联合诊断的AUC为0.842,两者联合诊断上消化道出血的效能优于单独诊断(P均<0.05)。血清TAFI、GDF-15水平预测上消化道出血患者预后不良的AUC分别为0.658和0.712,两者联合预测上消化道出血患者预后不良的AUC为0.820,两者联合预测预后的效能优于单独预测(P均<0.05)。结论 TAFI在上消化道出血患者血清中呈低表达,而GDF-15呈高表达,两者与AIMS65评分均有相关性,两者联合检测对上消化道出血患者具有一定的诊断和预后预测价值。 展开更多
关键词 上消化道出血 纤溶抑制物 生长分化因子-15 诊断 预后
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Risk factors and gene polymorphisms of inflammatory bowel disease in population of Zhejiang,China 被引量:16
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作者 Zi-Wei Wang Feng Ji Wei-Jun Teng Xiao-Gang Yuan Xiao-Ming Ye 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第1期118-122,共5页
AIM:To identify the risk factors and three single nucleotide polymorphisms(SNPs) of NOD2/CARD15 gene in inflammatory bowel disease(IBD) of the population in Zhejiang,China.METHODS:A case-control study was conducted us... AIM:To identify the risk factors and three single nucleotide polymorphisms(SNPs) of NOD2/CARD15 gene in inflammatory bowel disease(IBD) of the population in Zhejiang,China.METHODS:A case-control study was conducted using recall questionnaire to collect data on demographic,socioeconomic,lifestyle characteristics and dietary behaviors from 136 determined IBD patients and 136 paired healthy controls.COX regression method was used to screen the statistically significant risk factors for IBD.The polymorphisms of NOD2/CARD15 gene Arg702Trp,Gly908Arg and Leu1007fsinsC were genotyped and further compared between 60 patients with IBD and 60 healthy controls by polymerase chain reaction and restriction fragment length polymorphism.RESULTS:IBD occurred primarily in young and middle-aged people.The mean age for IBD patients was 42.6 years.The ratio of males to females was 1.23:1.COX regression indicated a higher statistical significance in milk,fried food and stress compared with the other postulated risk factors for IBD.None of the patients with IBD and healthy controls had heterozygous or homozygous SNPs variants.CONCLUSION:Milk,fried food and stress are associated with increased risk of IBD.The common variants in NOD2/CARD15 gene are not associated with IBD in China's Zhejiang population. 展开更多
关键词 Inflammatory bowel disease Risk factors EPIDEMIOLOGY Gene polymorphism NOD2/CARD15 gene
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Macrophage inhibitory cytokine-1/growth differentiation factor-15 in premalignant and neoplastic tumours in a high-risk pancreatic cancer cohort 被引量:9
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作者 Robert Sean O’Neill Sam Emmanuel +1 位作者 David Williams Alina Stoita 《World Journal of Gastroenterology》 SCIE CAS 2020年第14期1660-1673,共14页
BACKGROUND Pancreatic cancer(PC)is a leading cause of cancer related mortality worldwide,with poor survival due to late diagnosis.Currently,biomarkers have limited use in early diagnosis of PC.Macrophage inhibitory cy... BACKGROUND Pancreatic cancer(PC)is a leading cause of cancer related mortality worldwide,with poor survival due to late diagnosis.Currently,biomarkers have limited use in early diagnosis of PC.Macrophage inhibitory cytokine-1 or growth differentiation factor-15(MIC-1/GDF15)has been implicated as a potential serum biomarker in PC and other malignancies.AIM To determine the role of MIC-1/GDF15 in detecting pre-malignant pancreatic lesions and neoplastic tumours in an asymptomatic high-risk cohort part of Australian Pancreatic Cancer Screening Program.METHODS A feasibility prospective single centre cohort study was performed.Participants recruited for yearly surveillance with endoscopic ultrasound(EUS)had serial fasting blood samples collected before EUS for MIC-1/GDF15,C-reactive protein and carbohydrate antigen 19-9.Patients were stratified into five groups based on EUS findings:Normal;pancreatic cysts,branch-duct intraductal papillary mucinous neoplasm;diffuse non-specific abnormalities;and neoplastic tumours.MIC-1/GDF15 serum levels were quantified using ELISA.Participants in whom EUS demonstrated abnormalities but not malignancy were closely followed up with magnetic resonance imaging(MRI)or computed tomography.RESULTS One hundred twenty participants were prospectively recruited from 2011-2018.Forty-seven participants(39.2%)had an abnormal EUS and five participants(4.2%)were diagnosed with neoplastic tumours,three by EUS(two pancreatic and one liver)and two by MRI/computed tomography(breast cancer,bladder cancer),which were performed for follow up of abnormal EUS.Baseline serum MIC-1/GDF15 was a significant predictor of neoplastic tumours on receiver operator characteristic curve analysis[area under curve(AUC)=0.814,P=0.023].Baseline serum MIC-1/GDF15 had moderate predictive capacity for branch-duct intraductal papillary mucinous neoplasm(AUC=0.644)and neoplastic tumours noted on EUS(AUC=0.793),however this was not significant(P=0.188 and 0.081 respectively).Serial serum MIC-1/GDF15 did not demonstrate a significant percentage change between a normal and abnormal EUS(P=0.213).Median baseline MIC-1/GDF15 was greater in those with neoplastic tumours(Median=1039.6,interquartile range=727.0-1977.7)compared to those diagnosed with a benign lesion(Median=570.1,interquartile range=460.7-865.2)on EUS and MRI(P=0.012).CONCLUSION In this pilot study MIC-1/GDF15 has predictive capacity for neoplastic tumours in asymptomatic individuals with a genetic predisposition for PC.Further imagining may be warranted in patients with abnormal EUS and raised serum MIC-1/GDF15.Larger multicentric prospective studies are required to further define the role of MIC-1/GDF15 as a serological biomarker in pre-malignant pancreatic lesions and neoplastic tumours. 展开更多
关键词 Growth differentiation factor 15 Cytokines PANCREATIC NEOPLASMS DIGESTIVE system NEOPLASMS PANCREATIC diseases Biomarkers Diagnostic screening programs
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Breastfeeding and genetic factors in the etiology of inflammatory bowel disease in children 被引量:5
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作者 Theresa A Mikhailov Sylvia E Furner 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第3期270-279,共10页
Inflammatory bowel disease is a chronic,debilitating disorder of the gastrointestinal tract.The etiology of inflammatory bowel disease has not been elucidated,but is thought to be multifactorial with both environmenta... Inflammatory bowel disease is a chronic,debilitating disorder of the gastrointestinal tract.The etiology of inflammatory bowel disease has not been elucidated,but is thought to be multifactorial with both environmental and genetic influences.A large body of research has been conducted to elucidate the etiology of inflammatory bowel disease.This article reviews this literature,emphasizing the studies of breastfeeding and the studies of genetic factors,particularly NOD2 polymorphisms. 展开更多
关键词 Inflammatory bowel disease Crohn'sdisease Ulcerative colitis ETIOLOGY Risk factors Protective factors NOD2/CARD15 Single nucleotidepolymorphisms
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Current concept on the pathogenesis of inflammatory bowel disease-crosstalk between genetic and microbial factors:Pathogenic bacteria and altered bacterial sensing or changes in mucosal integrity take"toll"? 被引量:18
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作者 Peter Laszlo Lakatos Simon Fischer +2 位作者 Janos Papp Laszlo Lakatos Istvan Gal 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第12期1829-1841,共13页
The pathogenesis of inflammatory bowel disease (IBD) is only partially understood. Various environmental and host (e.g. genetic-, epithelial-, immune and nonimmune) factors are involved. It is a multifactorial pol... The pathogenesis of inflammatory bowel disease (IBD) is only partially understood. Various environmental and host (e.g. genetic-, epithelial-, immune and nonimmune) factors are involved. It is a multifactorial polygenic disease with probable genetic heterogeneity. Some genes are associated with IBD itself, while others increase the risk of ulcerative colitis (UC) or Crohn' s disease (CD) or are associated with disease location and/or behaviour. This review addresses recent advances in the genetics of IBD. The article discusses the current information on the crosstalk between microbial and genetic factors (e.g. NOD2/CARD15, SLC22A46A5 and DLG5). The genetic data acquired in recent years help in understanding the pathogenesis of IBD and can identify a number of potential targets for therapeutic intervention. In the future, genetics may help more accurately diagnose and predict disease course in IBD. 展开更多
关键词 Inflammatory bowel disease Ulcerativecolitis Crohn's disease Pathogenesis Microbial factors GENETICS NOD2/CARD15 SLC22A4/A5 DLG5
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脑组织GDF-15水平与脑梗死大鼠血管新生以及Th1/Th2免疫平衡轴的关系
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作者 熊涛 《湖北医药学院学报》 CAS 2024年第2期119-124,F0002,共7页
目的:探讨脑组织GDF-15水平与脑梗死大鼠血管新生以及Th1/Th2免疫平衡轴的关系。方法:45只雄性SD大鼠随机分为脑梗死模型组、假手术组以及正常对照组,15只/组。模型组采用线栓法建立脑梗死模型,假手术组仅暴露颈内动脉后直接缝合皮肤,... 目的:探讨脑组织GDF-15水平与脑梗死大鼠血管新生以及Th1/Th2免疫平衡轴的关系。方法:45只雄性SD大鼠随机分为脑梗死模型组、假手术组以及正常对照组,15只/组。模型组采用线栓法建立脑梗死模型,假手术组仅暴露颈内动脉后直接缝合皮肤,建模成功后1周评估大鼠改良神经功能缺损(mNSS)评分。采用HE染色检测脑组织病理学变化情况,Western blot法检测大鼠脑组织中组织生长分化因子-15(GDF-15)蛋白水平,RTPCR测定脑组织中GDF-15 mRNA水平。采用ELISA法检测脑组织INF-γ、IL-4表达情况,采用Spearman相关性分析大鼠脑组织中GDF-15蛋白、mRNA表达水平分别与mNSS评分、微血管密度(MVD)、INF-γ/IL-4水平之间的相关性。结果:模型组大鼠mNSS评分明显高于假手术组和正常对照组(P<0.001),模型组脑梗死面积比为(24.45±4.15)%,假手术组和正常对照组未发现脑梗死区域。模型组大鼠脑组织GDF-15蛋白、mRNA、MVD、INF-γ/IL-4水平均明显高于假手术组和正常对照组(P<0.05)。Spearman相关性分析显示,模型组大鼠脑组织中GDF-15蛋白、mRNA表达水平分别与mNSS评分、MVD、INF-γ/IL-4水平呈正相关关系(P<0.001)。结论:脑梗死大鼠脑组织中GDF-15处于高表达状态,且与神经功能密切关联,其作用机制可能与血管新生以及调控Th1/Th2免疫平衡轴有关。 展开更多
关键词 脑梗死 组织生长分化因子-15 神经功能 血管新生 Th1/Th2免疫平衡轴
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血清H-FABP、GDF-15表达对STEMI患者PCI后不良心血管事件的预测价值
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作者 范存琳 《中国医学创新》 CAS 2024年第18期130-134,共5页
目的:探究血清心型脂肪酸结合蛋白(heart-type fatty acid binding protein,H-FABP)、生长分化因子-15(growth and differentiation factor-15,GDF-15)表达对ST段抬高型心肌梗死(ST-segment elevation myocardial infarction,STEMI)患... 目的:探究血清心型脂肪酸结合蛋白(heart-type fatty acid binding protein,H-FABP)、生长分化因子-15(growth and differentiation factor-15,GDF-15)表达对ST段抬高型心肌梗死(ST-segment elevation myocardial infarction,STEMI)患者经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)后不良心血管事件发生的预测价值。方法:采用前瞻性研究,选择2020年6月—2023年6月于赣州市人民医院接受PCI的140例STEMI患者作为研究对象,术前检测患者血清H-FABP、GDF-15,行PCI,术后随访3个月,统计患者术后不良心血管事件发生情况,分析血清H-FABP、GDF-15与STEMI患者术后不良心血管事件发生的关系,同时绘制受试者工作特征(receiver operating characteristic,ROC)曲线,探究血清H-FABP、GDF-15对STEMI患者PCI后不良心血管事件发生的预测价值。结果:随访3个月期间,140例患者均无脱落病例;随访期间,140例STEMI患者PCI后发生不良心血管事件占比为23.57%(33/140),未发生不良心血管事件占比为76.43%(107/140)。两组心肌梗死面积、高血压、既往吸烟史比较,差异均有统计学意义(P<0.05);两组性别、年龄、病变支数、既往饮酒史、肌红蛋白(myoglobin,Myo)、心肌肌钙蛋白I(cardiac troponin I,cTnI)、肌酸激酶同工酶(creatine kinase-MB,CK-MB)、心室舒张末期内径(left ventricular end diastolic dimension,LVEDD)比较,差异均无统计学意义(P>0.05)。发生组血清H-FABP、GDF-15均高于未发生组,差异均有统计学意义(P<0.05)。点二列相关性分析显示,血清H-FABP、GDF-15与STEMI患者PCI后不良心血管事件发生呈正相关(r>0,P<0.05)。ROC曲线结果显示,血清H-FABP、GDF-15单独预测的AUC>0.7,联合预测的AUC>0.8,联合预测价值更高。结论:STEMI患者PCI前血清H-FABP、GDF-15水平越高,术后不良心血管事件发生风险越大,且临床可以将血清H-FABP、GDF-15作为STEMI患者PCI后不良心血管事件发生的有效预测指标。 展开更多
关键词 ST段抬高型心肌梗死 经皮冠状动脉介入治疗 心型脂肪酸结合蛋白 生长分化因子-15 不良心血管事件
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TATA-box-binding protein-associated factor 15 is a novel biomarker that promotes cell proliferation and migration in gastrointestinal stromal tumor 被引量:3
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作者 Cheng-Ming Guo Li Tang +1 位作者 Xu Li Liu-Ye Huang 《World Journal of Gastroenterology》 SCIE CAS 2023年第19期2932-2949,共18页
BACKGROUND Gastrointestinal stromal tumor(GIST)is a common neoplasm with high rates of recurrence and metastasis,and its therapeutic efficacy is still not ideal.There is an unmet need to find new molecular therapeutic... BACKGROUND Gastrointestinal stromal tumor(GIST)is a common neoplasm with high rates of recurrence and metastasis,and its therapeutic efficacy is still not ideal.There is an unmet need to find new molecular therapeutic targets for GIST.TATA-boxbinding protein-associated factor 15(TAF15)contributes to the progress of various tumors,while the role and molecular mechanism of TAF15 in GIST progression are still unknown.AIM To explore new molecular therapeutic targets for GIST and understand the biological role and underlying mechanisms of TAF15 in GIST progression.METHODS Proteomic analysis was performed to explore the differentially expressed proteins in GIST.Western blotting and immunohistochemical analysis were used to verify the expression level of TAF15 in GIST tissues and cell lines.Cell counting kit-8,colony formation,wound-healing and transwell assay were executed to detect the ability of TAF15 on cell proliferation,migration and invasion.A xenograft mouse model was applied to explore the role of TAF15 in the progression of GIST.Western blotting was used to detect the phosphorylation level and total level of RAF1,MEK and ERK1/2.RESULTS A total of 1669 proteins were identified as differentially expressed proteins with 762 upregulated and 907 downregulated in GIST.TAF15 was selected for the further study because of its important role in cell proliferation and migration.TAF15 was significantly over expressed in GIST tissues and cell lines.Overexpression of TAF15 was associated with larger tumor size and higher risk stage of GIST.TAF15 knockdown significantly inhibited the cell proliferation and migration of GIST in vitro and suppressed tumor growth in vivo.Moreover,the inhibition of TAF15 expression significantly decreased the phosphorylation level of RAF1,MEK and ERK1/2 in GIST cells and xenograft tissues,while the total RAF1,MEK and ERK1/2 had no significant change.CONCLUSION TAF15 is over expressed in GIST tissues and cell lines.Overexpression of TAF15 was associated with a poor prognosis of GIST patients.TAF15 promotes cell proliferation and migration in GIST via the activation of the RAF1/MEK/ERK signaling pathway.Thus,TAF15 is expected to be a novel latent molecular biomarker or therapeutic target of GIST. 展开更多
关键词 Gastrointestinal stromal tumor Proteomics TATA-box-binding protein-associated factor 15 BIOMARKER Cell proliferation Cell migration
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2012—2021年我国15~24岁人群健康素养水平及其影响因素 被引量:1
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作者 王兰兰 李英华 +3 位作者 李莉 张刚 邓婷鹤 徼晓菲 《中国健康教育》 北大核心 2024年第1期3-7,共5页
目的了解2012—2021年我国15~24岁人群健康素养水平变化趋势,探索该特定人群健康素养影响因素,为制定该人群健康教育和健康促进相关政策措施提供参考。方法基于全国2012—2021年居民健康素养监测数据,分析15~24岁人群健康素养水平现状... 目的了解2012—2021年我国15~24岁人群健康素养水平变化趋势,探索该特定人群健康素养影响因素,为制定该人群健康教育和健康促进相关政策措施提供参考。方法基于全国2012—2021年居民健康素养监测数据,分析15~24岁人群健康素养水平现状及其影响因素。结果经加权调整,2012—2021年间我国15~24岁人群健康素养水平依次为9.43%、9.39%、10.78%、11.45%、12.78%、15.58%、18.45%、22.55%、23.15%和30.46%。多因素Logistic回归分析显示,以西部为参照,东部地区15~24岁人群健康素养水平较高,OR值为1.593(95%CI:1.291~1.966);以男性为参照,女性健康素养水平较高,OR值为1.400(95%CI:1.167~1.679);以小学及以下文化程度为参照,大专/本科及以上文化程度者健康素养水平较高,OR值为18.837(95%CI:6.825~51.991);以家庭年收入<2万元者为参照,家庭年收入≥8万元者的健康素养水平较高,OR值为1.321(95%CI:1.011~1.726)。结论我国15~24岁人群健康素养水平在稳步提升,不同地区、性别、文化程度和家庭收入水平是15~24岁人群健康素养水平的主要影响因素。 展开更多
关键词 健康素养 15~24岁 趋势 影响因素
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Effect and Mechanism of Epidermal Growth Factor on Proliferation of GL15 Gliomas Cell Line 被引量:1
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作者 王和平 郭东生 +4 位作者 叶飞 席桂发 王宝峰 陈坚 雷霆 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2006年第5期604-606,共3页
The effects of epidermal growth factor (EGF) on proliferation of G15 glioma cells and the possible mechanisms were investigated. GFAP and EGFR expression was detected by immunohistochemical method. After the cells w... The effects of epidermal growth factor (EGF) on proliferation of G15 glioma cells and the possible mechanisms were investigated. GFAP and EGFR expression was detected by immunohistochemical method. After the cells were treated with EGF at different concentrations, cell count method was used to determine the proliferation of glioma cells, cell cycle and apoptosis were analyzed by flow cytometry (FCM), and laser scan confocal microscope (LSCM) was used to measure the cytoplasmic free calcium. The results showed that GFAP was diffusedly expressed in GLI5 cells and EGFR was over-expressed. EGF at doses of ≤ 1 ng/mL could significantly stimulate cell proliferation, cells in phase G0/G1 decreased, and those in phase S increased. EGF at doses of 10 and 100ng/ml could inhibit the cell proliferation significantly, and the apoptosis ratio in high dose of EGF group was higher than in control group. EGF could significantly induce a quick rise of intracellular free calcium, but the peak value of intracellular free calcium activated by high dose of EGF was higher than by low dose of EGF. It was suggested that EGF had a dual effect on gliomas: low dose of EGF could stimulate the cell proliferation of gliomas, but high dose of EGF could induce the cell apoptosis and inhibit the proliferation of gliomas, which might be contributed to the difference of intracellular free calcium. 展开更多
关键词 epidermal growth factor GL15 cell line PROLIFERATION intracellular free calcium APOPTOSIS
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血清GDF-15、chemerin、PTX3水平与2型糖尿病患者肥胖、胰岛素抵抗及炎症的关系及其预测效能的构建与评价 被引量:2
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作者 袁茜 梁淳 +1 位作者 刘娜 张蕾 《国际检验医学杂志》 CAS 2024年第3期320-324,329,共6页
目的探讨血清生长分化因子-15(GDF-15)、趋化素(chemerin)、正五聚蛋白3(PTX3)水平与2型糖尿病(T2DM)患者肥胖、胰岛素抵抗及炎症因子的关系,并进行预测效能的构建及评价。方法选取2020年2月至2022年9月该院收治的T2DM患者231例作为T2D... 目的探讨血清生长分化因子-15(GDF-15)、趋化素(chemerin)、正五聚蛋白3(PTX3)水平与2型糖尿病(T2DM)患者肥胖、胰岛素抵抗及炎症因子的关系,并进行预测效能的构建及评价。方法选取2020年2月至2022年9月该院收治的T2DM患者231例作为T2DM组。另选取同期来该院体检的健康者100例作为对照组。采用酶联免疫吸附试验法检测并比较两组血清GDF-15、chemerin、PTX3水平,收集两组临床资料并进行比较。采用Pearson相关性分析及多元线性回归分析血清GDF-15、chemerin、PTX3水平与肥胖、胰岛素抵抗及炎症指标的关系。采用多因素Logistic回归评估T2DM发生的独立危险因素,并构建血清GDF-15、chemerin、PTX3联合预测模型,绘制受试者工作特征(ROC)曲线评价其对T2DM发生的预测效能。结果与对照组比较,T2DM组体重指数(BMI)、腰臀比(WHR)、收缩压、总胆固醇、甘油三酯、空腹血糖、空腹胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)、白细胞介素(IL)-1β、IL-6、GDF-15、chemerin、PTX3均升高,差异有统计学意义(P<0.05)。Pearson相关性分析显示,T2DM组血清GDF-15、chemerin、PTX3水平与BMI、WHR、FINS、HOMA-IR、IL-1β、IL-6呈正相关(P<0.05)。多元线性回归分析显示,BMI、FINS、HOMA-IR、IL-1β、IL-6与血清GDF-15、chemerin、PTX3水平呈正相关(P<0.05)。多因素Logistic回归分析结果发现,血清GDF-15、chemerin、PTX3水平升高是影响T2DM发生的独立危险因素(P<0.05)。ROC曲线分析结果显示,血清GDF-15、chemerin、PTX3联合预测模型预测效能较好,其曲线下面积及灵敏度、特异度、准确度均高于各指标单独应用。结论T2DM患者血清GDF-15、chemerin、PTX3水平升高,且其水平随着T2DM患者肥胖、胰岛素抵抗及炎症反应程度的加重而增加,该研究所构建的联合预测模型预测效能较好,对T2DM发生具有较高的预测价值。 展开更多
关键词 2型糖尿病 生长分化因子-15 趋化素 正五聚蛋白3 胰岛素抵抗
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