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Anti-M<sub>3</sub>Muscarinic Acetylcholine Receptor Antibodies in Systemic Lupus Erythematosus
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作者 Silvia Reina Cecilia Pisoni +3 位作者 Alicia Eimon Carolina Carrizo Roberto Arana Enri Borda 《Pharmacology & Pharmacy》 2015年第1期25-33,共9页
Background: Evidences have shown that anti-M3 muscarinic acetylcholine receptor IgG (anti-M3 mAChR IgG) are clinically useful autoantibody that exert a cholinergic pharmacologic effect binding and interacting with M3 ... Background: Evidences have shown that anti-M3 muscarinic acetylcholine receptor IgG (anti-M3 mAChR IgG) are clinically useful autoantibody that exert a cholinergic pharmacologic effect binding and interacting with M3 mAChR at the level of exocrine gland (salivary and ocular). Aims: The aim of this study was to determine the associations between serum level of anti-M3 mAChR IgG in patients with systemic lupus erythematosus (SLE) and other autoantibodies, serum prostaglandin E2 (PGE2), and clinical manifestations. Methods: Serum autoantibodies against M3 mAChR synthetic peptide were measured by enzyme-linked immuno absorbent assay (ELISA) using, as an antigen, a 25-mer peptide K-R-T-V-P-D-N-Q-C-F-I-Q-F-L-S-N-P-A-V-T-F-G-T-A-I corresponding to the amino acid sequence of the second extracellular loop of the human M3 mAChR. Serum levels of antinuclear antibodies (ANA), anti-Smith (Sm) antibodies, anti-phospholipid (APL) antibodies, and PGE2 were determined by ELISA in patients with SLE. Results: We found significantly enhanced titers of anti-M3 mAChR IgG in sera from SLE patients compared with healthy individuals (control). In addition, serum levels of PGE2 were significantly higher in SLE patients than in control patients and were significantly higher in active than in non-active SLE. No correlation was found with other autoantibodies present in SLE. By contrast, a positive correlation was found between anti-M3 mAChR IgG and PGE2 serum levels in SLE. Conclusions: As anti-M3 mAChR antibodies present in the sera of SLE patients may be another factor in the pathogenesis of this disease, and the increment of PGE2 in the sera of SLE has a modulatory action on the inflammatory process, suggesting that the presence of these autoantibodies against M3 mAChR may contribute to sustained immune deregulation and the strong inflammatory component observed in SLE. 展开更多
关键词 Anti-M3 MACHR ANTIBODIES systemic lupus erythematosus PROSTAGLANDIN E2
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Regulatory T Cells and Their Molecular Markers in Peripheral Blood of the Patients with Systemic Lupus Erythematosus 被引量:5
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作者 胡绍先 萧文泽 +3 位作者 孔芳 柯丹 秦瑞芳 苏敏 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2008年第5期549-552,共4页
CD4+CD25+ regulatory T cells (Tregs) and the expression of their molecular markers (GITR, Foxp3) in peripheral blood of the patients with systemic lupus erythematosus (SLE) were investigated in order to reveal... CD4+CD25+ regulatory T cells (Tregs) and the expression of their molecular markers (GITR, Foxp3) in peripheral blood of the patients with systemic lupus erythematosus (SLE) were investigated in order to reveal the pathogenesis of SLE on the cellular and molecular levels. The level of Tregs in peripheral blood was detected by flow cytometry. The expression levels of GITR and Foxp3 mRNA in peripheral blood mononuclear cells (PBMCs) were assayed by reverse transcriptase-polymerase chain reaction (RT-PCR). The level of IL-6 in the plasma was measured by ELISA. Comparisons were made among 3 groups: the active SLE group, the inactive SLE group, and normal control group. The level of Tregs in the active SLE group and the inactive SLE group was significantly lower than in the normal control group (P〈0.01). The level of Tregs in the active group was lower than in the inactive group with the difference being not significant (P〉0.05). The level of Tregs in SLE patients was significantly negatively correlated with the disease active index in SLE (SLEDAI) (r=-0.81, P〈0.01). The expression levels of GITR mRNA in PBMCs of the active SLE group and the inactive SLE group were significantly higher than in the normal control group (P〈0.05), and those of Foxp3 mRNA in SLE patients of both active and inactive SLE groups were significantly lower than in the normal control group (P〈0.05). There was no significant difference in the expression of GITR and Foxp3 mRNA between the active SLE group and inactive SLE group (P〉0.05). The plasma levels of IL-6 in both the inactive SLE group and active SLE group were significantly higher than in the normal control group (P〈0.01). The plasma level of IL-6 in the active SLE group was sig- nificantly increased as compared with that in the inactive SLE group (P〈0.05), and the plasma level of IL-6 in SLE was significantly positively correlated with SLEDAI scores (r=0.58, P〈0.01) and significantly negatively correlated with the ratio of CD4+CD25+ cells/CD4+ cells (r=-0.389, P〈0.05). It was concluded that the levels of Tregs and Foxp3 mRNA in peripheral blood of SLE patients were decreased and the levels of GITR mRNA and plasma IL-6 were increased. The Tregs and their molecular markers GITR, Foxp3 as well as the plasma IL-6 might play an important role in the pathogenesis of SLE. 展开更多
关键词 systemic lupus erythematosus regulatory T cells FOXP3 GITR INTERLEUKIN-6
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Gene testing for osteonecrosis of the femoral head in systemic lupus erythematosus using targeted next-generation sequencing:A pilot study
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作者 Hong-Sheng Sun Qing-Rui Yang +3 位作者 Yan-Yan Bai Nai-Wen Hu Dong-Xia Liu Cheng-Yong Qin 《World Journal of Clinical Cases》 SCIE 2020年第12期2530-2541,共12页
BACKGROUND Previous publications indicated that genetic predisposition might play important roles in the onset of osteonecrosis of the femoral head(ONFH)in systemic lupus erythematosus(SLE).Some gene loci such as comp... BACKGROUND Previous publications indicated that genetic predisposition might play important roles in the onset of osteonecrosis of the femoral head(ONFH)in systemic lupus erythematosus(SLE).Some gene loci such as complement C3d receptor 2(CR2),nitric oxide synthase 3(NOS3),collagen type II alpha 1 chain(COL2A1),protein tyrosine phosphatase non-receptor type 22(PTPN22),and transient receptor potential cation channel subfamily V member 4(TRPV4)were reported to be involved in this process.AIM To investigate whether the risk of ONFH in SLE is associated with single nucleotide variations(SNVs)in these five genes.METHODS SNVs in the CR2,NOS3,COL2A1,PTPN22,and TRPV4 genes were examined by using FastTarget and Illumina Miseq sequencing technologies in 49 cases of SLE with ONFH.Burrows–wheeler aligner was used to align the sequencing reads to hg19,and GATK and Varscan programs were used to perform SNV calling.PolyPhen-2,SIFT,and MutationTaster were used to assess the functional effects of non-synonymous SNVs.RESULTS Six of the 49 patients were confirmed to have low frequency SNVs,including one patient with SNVs in NOS3(exon 6:c.814G>A:p.E272K and exon 7:c.814G>A:p.E272K.),four in COL2A1(rs41263847:exon 29:c.1913C>T:p.T638I,exon 28:c.1706C>T:p.T569I,and rs371445823:exon 8:c.580G>A:p.A194T,exon 7:c.373G>A:p.A125T),and one in CR2(rs45573035:exon 2:c.200C>G:p.T67S).CONCLUSION The onset of ONFH in SLE might be associated with the identified SNVs in NOS3,COL2A1,and CR2. 展开更多
关键词 Single nucleotide variations Osteonecrosis of the femoral head systemic lupus erythematosus Nitric oxide synthase 3 Collagen type II alpha 1 chain Complement C3d receptor 2
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Phenotypic characterization of patients with activated PI3Kδ syndrome 1 presenting with features of systemic lupus erythematosus 被引量:3
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作者 Yanping Wang Qiuyun Yang +7 位作者 Xuemei Chen Wenjing Tang Lina Zhou Zhi Chen Yunfei An Zhiyong Zhang Xuemei Tang Xiaodong Zhao 《Genes & Diseases》 SCIE 2021年第6期907-917,共11页
Activated phosphoinositide 3-kinase d syndrome 1(APDS1)is a primary immunode-ficiency disease caused by gain-of-function mutations in PIK3CD.Clinical features of autoimmune disease have been reported in patients with ... Activated phosphoinositide 3-kinase d syndrome 1(APDS1)is a primary immunode-ficiency disease caused by gain-of-function mutations in PIK3CD.Clinical features of autoimmune disease have been reported in patients with APDS1.In this study,we reported three patients with APDS1 presenting with systemic lupus erythematosus(SLE)phenotype.The clinical manifestations included recurrent respiratory tract infection,lymphoproliferation,Coombs-positive hemolytic anemia,decreased complement fractions,positive antinuclear antibodies,renal complications related to SLE associated diseases,which met the clinical spectrum of APDS1 and the classification criteria of SLE.The immunological phenotype included an inversion in the CD4:CD8 ratio,an increase in both non-circulating Tfh CD4^(+)memory T and circulating Tfh populations,a low level of recent thymic emigrant T cells,overexpression of CD57 on T cells,and a decrease in B cells with fewer antibody class switch recombination.These phenotypes detected in patients with APDS1 presenting with SLE were resemble that in patients with APDS1 presenting without SLE.Meanwhile,we described the effect of glucocorticoids and rapamycin therapy on patients with APDS1.The phosphorylation of S6 at Ser235/236 was inhibited in patients with APDS1 who underwent glucocorticoids therapy,including two who presented with SLE phenotype.The phosphorylation of AKT at Ser473 and phosphorylation of S6 at Ser235/236 were inhibited in other patients with APDS1 who underwent rapamycin therapy.Here,we showed the coexistence of immunodeficiency and SLE phenotype in APDS1,and the inhibition of rapamycin in activated Akt-mTOR signaling pathway. 展开更多
关键词 Activated phosphoinositide 3-kinase dsyndrome 1 Autoimmune disease Immunosuppressive therapy PIK3CD systemic lupus erythematosus
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Association of HLA-DR3 and HLA-DR15 Polymorphisms wi Risk of Systemic Lupus Erythematosus 被引量:1
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作者 Ke Xue Wen-Quan Niu Yong Cui 《Chinese Medical Journal》 SCIE CAS CSCD 2018年第23期2844-2851,共8页
Background:Systemic lupus erythematosus (SLE)is an autoimmune disease under genetic control.Growing evidences support the genetic predisposition ofHLA-DRB1 gene polymorphisms to SLE,yet the results are not often repro... Background:Systemic lupus erythematosus (SLE)is an autoimmune disease under genetic control.Growing evidences support the genetic predisposition ofHLA-DRB1 gene polymorphisms to SLE,yet the results are not often reproducible.The purpose of this study was to assess the association of two polymorphisms ofHLA-DRB1 gene (HLA-DR3and HLA-DR15)with the risk of SLE via a comprehensive meta-analysis. Methods:This study complied with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.Case-control studies on HLA-DRB1 and SLE were searched from PubMed,Elsevier Science,Springer Link,Medline,and Cochrane Library database as of June 2018.Analysis was based on the random-effects model using STATA software version 14.0. Results:A total of 23studies were retained for analysis,including 5261cases and 9838controls.Overall analysis revealed that HLA-DR3 and HLA-DR15 polymorphisms were associated with the significant risk of SLE (odds ratio [OR]:1.60,95%confidence interval (CI):1.316-1.934,P =0.129and OR:1.68,95%CI:1.334-2.112,P =0.001,respectively).Subgroup analyses demonstrated that for both HLA-DR3and HLA-DR15polymorphisms,ethnicity was a possible source of heterogeneity.Specifically,HLA-DR3polymorphism was not associated with SLE in White populations (OR:1.60,95%CI:1.320-1.960,P =0.522)and HLA-DR15polymorphism in East Asian populations (OR:1.65,95%CI:1.248-2.173,P =0.001).In addition,source of control was another possible source for both HLA-DR3and HLA-DR15polymorphisms,with observable significance for HLA-DR3in only population-based studies (OR:1.65,95% CI:1.370-1.990,P =0.244)and for HLA-DR15in both population-based and hospital-based studies (OR:1.38,95%CI:1.078-1.760, P =0.123and OR:2.08,95%CI:1.738-2.490,P =0.881,respectively). Conclusions:HLA-DRB1 gene may be a SLE-susceptibility gene,and it shows evident ethnic heterogeneity.Further prospective validations across multiple ethnical groups are warranted. 展开更多
关键词 HLA-DR15 HLA-DR3 HLA-DRB1 Meta-Analysis systemic lupus erythematosus
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Expression of interleukin-12 and its signaling molecules in peripheral blood mononuclear cells in systemic lupus erythematosus patients
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作者 李志坚 李幼姬 +3 位作者 黄凌虹 许韩师 余学清 叶任高 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第6期846-850,150,共5页
Objective To determine the in vitro expression of interleukin-12 (IL-12) and its effect on signal transducers and activators of transcription (STAT) signaling molecules in peripheral blood mononuclear cells (PBMCs) in... Objective To determine the in vitro expression of interleukin-12 (IL-12) and its effect on signal transducers and activators of transcription (STAT) signaling molecules in peripheral blood mononuclear cells (PBMCs) in patients with systemic lupus erythematosus (SLE).Methods Peripheral blood mononuclear cells in 39 patients with definite systemic lupus erythematosus and 11 healthy volunteers were collected. Expression of IL-12 P40mRNA in PBMCs was determined with reverse transcription-polymerase chain reaction (RT-PCR). Quantity of IL-12 protein supernatant was measured by enzyme-linked immunosorbent assay (ELISA). The levels of phosphorylated STAT3 and STAT4 signaling molecules in PBMCs were detected by immunoblot. Results Levels of IL-12 protein and mRNA expression in patients with active or inactive SLE were significantly higher than those in controls. Phytohemagglutinin (PHA) may promote the expression of IL-12. IL-12 alone induced the phosphorylation of STAT3 and STAT4 in PBMCs from patients with SLE, especially in active SLE. However it had no obvious effect on normal PBMCs. Phosphorylated STAT3 and STAT4 might be observed in normal PBMCs treated with IL-12 plus PHA.Conclusion IL-12 is produced aberrantly in patients with SLE. IL-12 might exert its biological role in SLE via the aberrantly phosphorylated STAT3 and STAT4 signaling molecules. 展开更多
关键词 ADOLESCENT Adult Cells Cultured DNA-Binding Proteins Humans INTERLEUKIN-12 Leukocytes Mononuclear lupus erythematosus systemic Middle Aged Phosphorylation RNA Messenger Research Support Non-U.S. Gov't STAT3 Transcription Factor STAT4 Transcription Factor TRANS-ACTIVATORS
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Noncanonical autophagy in systemic lupus erythematosus
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作者 Ting Gan Xu-jie Zhou 《Rheumatology & Autoimmunity》 2021年第2期83-91,共9页
Background:Noncanonical autophagy is generally described as a lysosomal degradation process that requires only a subset of the core autophagy-related proteins to form functional autophagosomes.Review:Accumulating evid... Background:Noncanonical autophagy is generally described as a lysosomal degradation process that requires only a subset of the core autophagy-related proteins to form functional autophagosomes.Review:Accumulating evidence implicates noncanonical autophagy pathways in expanding the versatility of the immune system via regulation of functions that include antigen presentation,dead cell clearance,inflammatory cytokine production,and immune cell homeostasis.In this review,we use microtubuleassociated protein 1 light chain 3-associated phagocytosis(LAP)as an example of noncanonical autophagy,describing its distinctive molecular machinery and highlighting recent advances in its functioning in immunity.We also discuss the direct and indirect evidence supporting the pathogenic significance of abnormal levels of LAP in systemic lupus erythematosus(SLE).Future Perspectives:A better understanding of the role of noncanonical autophagy in SLE may reveal crucial information about the disease pathology,providing direction for therapeutic developments and improved prognosis. 展开更多
关键词 AUTOIMMUNITY AUTOPHAGY LC3-associated PHAGOCYTOSIS noncanonical AUTOPHAGY systemic lupus erythematosus
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Ethyl Acetate Fraction in Hedyotis Diffusa Willd Inhibits T Cell Proliferation to Improve the Pathogenesis of Systemic Lupus Erythematosus
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作者 Yahui Lai JinJun Ji +6 位作者 Ying Li Jingqun Liu Xinhui Lan Weihong Ge Li Xu Yongsheng Fan Bin Ding 《Clinical Complementary Medicine and Pharmacology》 2021年第1期84-93,共10页
Background:Abnormal proliferation of T cells plays an essential role in the pathogenesis of Systemic lupus erythematosus(SLE).The pharmaceutical effect of Hedyotis Diffusa Willd(HDW)on SLE has been investigated previo... Background:Abnormal proliferation of T cells plays an essential role in the pathogenesis of Systemic lupus erythematosus(SLE).The pharmaceutical effect of Hedyotis Diffusa Willd(HDW)on SLE has been investigated previously.Nevertheless,the biomedical mechanism is still left unclear.Objective:This study has been arranged to evaluate the therapeutic effect of the ethyl acetate fraction of HDW(EAHDW)on lupus mice and explore the potential therapeutic mechanism.Methods:EAHDW was prepared with 80%ethanol reflex extraction followed by successive extraction,and ana-lyzed with HPLC and UPLC-Q/TOP-MS.The potential targets and STAT3 affinity regulators were predicted with network pharmacology.The pharmaceutic effect of EAHDW was studied with MRL/lpr mice.Cytokines and au-toantibodies were quantified with ELISA assays.The pathological damage of glomerulus and STAT3 expression in the kidney was detected with histochemical and immunohistochemical techniques.The cell cycle properties in cell proliferation were identified with the flow cytometry.The western blot and dual-Luciferase reporter assay were applied to evaluate translational and transcriptional activity of STAT3,respectively.Results:In this study,the extraction ratio of EAHDW was 2.7±1%,in which 19 ingredients were identified.Network pharmacological analysis showed that the target genes of EAHDW were highly focused on influencing the abnormal T cell proliferation in SLE.EAHDW showed the beneficial effects on pathological changes and STAT3 expression in the glomerulus of lupus mice,and the levels of cytokines and autoantibodies in serum.In cytological study,EAHDW treatment attenuated the transcription and phosphorylation of STAT3,which inhibited T cell proliferation by prolonged S-phase of the cell cycle.A total of 5 compounds in EAHDW exhibited high docking affinity to the DNA-binding site of STAT3.Conclusion:EAHDW could reduce the inflammatory response and inhibit the proliferation of T cells by interfering with the STAT3 signaling pathway,thereby playing a therapeutic effect on SLE. 展开更多
关键词 Cell proliferation Ethyl Acetate Fraction Hedyotis Diffusa Willd Network pharmacology STAT3 systemic lupus erythematosus T lymphocytes
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血清肿瘤坏死因子受体相关因子3和卵泡抑素样蛋白1检测对系统性红斑狼疮患者吗替麦考酚酯治疗无效的预测价值 被引量:1
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作者 李丽 蒋芙蓉 +1 位作者 赵丽英 方先英 《陕西医学杂志》 CAS 2024年第9期1254-1258,共5页
目的:分析血清肿瘤坏死因子受体相关因子3(TRAF3)和卵泡抑素样蛋白1(FSTL1)水平检测对系统性红斑狼疮患者吗替麦考酚酯治疗无效的预测价值。方法:选择系统性红斑狼疮患者58例为研究对象,采用吗替麦考酚酯治疗,根据治疗效果分为有效组(45... 目的:分析血清肿瘤坏死因子受体相关因子3(TRAF3)和卵泡抑素样蛋白1(FSTL1)水平检测对系统性红斑狼疮患者吗替麦考酚酯治疗无效的预测价值。方法:选择系统性红斑狼疮患者58例为研究对象,采用吗替麦考酚酯治疗,根据治疗效果分为有效组(45例)和无效组(13例)。检测血清TRAF3、FSTL1水平,分析TRAF3、FSTL1与系统性红斑狼疮患者吗替麦考酚酯治疗效果的关系,以及血清TRAF3、FSTL1对系统性红斑狼疮患者吗替麦考酚酯治疗无效的预测价值。结果:系统性红斑狼疮患者经吗替麦考酚酯治疗后,血清TRAF3、FSTL1水平降低(均P<0.05)。与无效组比较,有效组血清TRAF3、FSTL1水平降低(均P<0.05)。Logistic回归分析结果显示,TRAF3、FSTL1是系统性红斑狼疮患者吗替麦考酚酯治疗效果的影响因素(均P<0.05)。ROC曲线分析显示,血清TRAF3、FSTL1对系统性红斑狼疮患者吗替麦考酚酯治疗无效具有一定的预测价值,且联合检测预测价值更高(均P<0.05)。结论:血清TRAF3、FSTL1高表达与系统性红斑狼疮患者吗替麦考酚酯治疗无效相关,两者联合检测能提升系统性红斑狼疮患者治疗无效风险的预测价值。 展开更多
关键词 系统性红斑狼疮 肿瘤坏死因子受体相关因子3 卵泡抑素样蛋白1 吗替麦考酚酯 预测价值
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血清IL-35 CCL19水平与系统性红斑狼疮患儿免疫学指标的相关性研究
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作者 周晓倩 朱洪涛 +3 位作者 阿依古丽·阿巴斯 张红 曹静 张婷婷 《河北医学》 CAS 2024年第10期1676-1680,共5页
目的:观察系统性红斑狼疮(SLE)患儿血清白介素-35(IL-35)、C-C基序趋化因子配体19(CCL19)变化情况,并分析其与患儿免疫学指标的关联性。方法:纳入2022年1月至2024年3月本院收治的SLE患儿97例,并同期选取97例健康儿童进行对照研究,观察... 目的:观察系统性红斑狼疮(SLE)患儿血清白介素-35(IL-35)、C-C基序趋化因子配体19(CCL19)变化情况,并分析其与患儿免疫学指标的关联性。方法:纳入2022年1月至2024年3月本院收治的SLE患儿97例,并同期选取97例健康儿童进行对照研究,观察患儿血清IL-35、CCL19水平变化,并分析其与免疫学指标(包括抗ds-DNA抗体、免疫球蛋白(Ig)及补体C3、C4)的相关性。结果:与健康儿童相比,SLE患儿血清IL-35水平明显较低,CCL19水平明显较高,差异均有统计学意义(P<0.05)。与非活动期SLE患儿相比,活动期SLE患儿血清IL-35、C3、C4水平明显较低,CCL19、抗ds-DNA抗体、IgM、IgG、IgA水平明显较高,差异均有统计学意义(P<0.05)。Pearson相关性分析显示:SLE患儿血清IL-35水平与抗ds-DNA抗体、IgM、IgG、IgA水平成负相关性,与C3、C4水平成正相关,差异均有统计学意义(r=-0.314、-0.203、-0.301、-0.201、0.318、0.383,P<0.05);SLE患儿血清CCL19水平与抗ds-DNA抗体、IgM、IgG、IgA水平成正相关性,与C3、C4水平成负相关差异均有统计学意义(r=0.272、0.209、0.362、0.202、-0.219、-0.391,P<0.05)。线性回归显示:SLE患儿抗ds-DNA抗体与IL-35水平存在负向影响关系,差异有统计学意义(P<0.05),C3则与IL-35水平存在正向影响关系,差异有统计学意义(P<0.05);SLE患儿IgG与CCL19水平存在正向影响关系,差异有统计学意义(P<0.05)。结论:SLE患儿血清IL-35、CCL19水平异常变化,与抗ds-DNA抗体、IgM、IgG、IgA水平存在一定的相关性,其中抗ds-DNA抗体、C3与IL-35,IgG与CCL19间存在一定的影响关系。 展开更多
关键词 系统性红斑狼疮 免疫学 白介素-35 C-C基序趋化因子配体19 相关性
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系统性红斑狼疮患者尿液Gal-3BP,VSIG4表达水平与疾病活动度及肾损伤的相关性研究
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作者 符妹丽 江强 +1 位作者 周仕群 符书山 《现代检验医学杂志》 CAS 2024年第4期88-92,115,共6页
目的探讨尿半乳糖凝集素-3结合蛋白(galectin-3 binding protein,Gal-3BP)及V-set包含免疫球蛋白域4(V-set containing immunoglobulin domain 4,VSIG4)水平在系统性红斑狼疮(systemic lupus erythematosus,SLE)患者尿液中的表达及其与... 目的探讨尿半乳糖凝集素-3结合蛋白(galectin-3 binding protein,Gal-3BP)及V-set包含免疫球蛋白域4(V-set containing immunoglobulin domain 4,VSIG4)水平在系统性红斑狼疮(systemic lupus erythematosus,SLE)患者尿液中的表达及其与疾病活动和肾损伤的关系。方法选取儋州市人民医院收治的SLE患者105例(SLE组)和体检正常者50例(对照组)作为研究对象。105例SLE患者根据SLE疾病活动度指数(SLEDAI)评分分为轻度活动度组(SLEDAI评分≤9分,n=51)、中度活动度组(14分≥SLEDAI≥10分,n=29)和重度活动度组(SLEDAI评分≥15分,n=25)。按肾功能受损程度分为肾功能正常组、肾功能轻度受损组和肾功能中重度受损组。采用酶联免疫吸附法检测尿液Gal-3BP,VSIG4表达水平,应用多元Logistic回归分析影响SLE患者发生肾损伤的危险因素,绘制ROC曲线分析尿Gal-3BP及VSIG4水平预测SLE患者发生肾损伤的价值。结果SLE组尿Gal-3BP(251.38±46.75 ng/ml)及VSIG4(13.40±4.27 ng/ml)水平均明显高于对照组(117.50±18.24 ng/ml,2.73±0.85ng/ml),差异具有统计学意义(t=19.315,15.681,均P<0.001)。SLE患者活动度越高,尿Gal-3BP及VSIG4水平越高,重度活动度组>中度活动度组>轻度活动度组,差异具有统计学意义(F=23.416,17.380,均P<0.001)。肾功能中重度受损组和轻度受损组尿Gal-3BP及VSIG4水平明显高于肾功能正常组(t=24.580,18.163;20.864,15.947),且中重度受损组尿Gal-3BP及VSIG4水平明显高于轻度受损组(t=19.837,11.215),差异具有统计学意义(均P<0.001)。多元Logistic回归分析显示,尿Gal-3BP(OR=3.472,95%CI:2.685~11.463)及VSIG4(OR=2.376,95%CI:1.842~9.105)水平升高是影响SLE患者发生肾损伤的危险因素(均P<0.05)。ROC曲线分析显示,Gal-3BP及VSIG4二项联合预测SLE患者发生肾损伤的曲线下面积(95%置信区间)[AUC(95%CI)]最大[0.909(0.846~0.973)],其准确度为88.6%。相关分析显示,SLE患者尿Gal-3BP与VSIG4水平呈正相关(r=0.813,P<0.05),尿Gal-3BP及VSIG4水平与SCr,BUN,24h尿蛋白、抗dsDNA抗体及SLEDAI评分均呈正相关(r=0.358~0.702,均P<0.05),而与血红蛋白、eGFR均呈负相关(r=-0.479~-0.670,均P<0.05)。结论尿Gal-3BP及VSIG4水平在SLE患者中明显升高,其高表达与疾病活动和肾损伤有关,二项联合预测SLE患者发生肾损伤有较好的价值。 展开更多
关键词 系统性红斑狼疮 半乳糖凝集素-3结合蛋白 V-set包含免疫球蛋白域4 疾病活动度 肾脏损伤
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系统性红斑狼疮患者外周血T细胞TCRβ链CDR3谱系漂移和序列鉴定 被引量:10
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作者 罗微 马骊 +4 位作者 姚新生 邹红云 温茜 阮光萍 王小宁 《南方医科大学学报》 CAS CSCD 北大核心 2006年第8期1128-1131,共4页
目的探讨系统性红斑狼疮(SLE)患者外周血T细胞TCRβ链CDR3谱系漂移,为SLE的免疫应答机制和个性化治疗研究提供基础。方法采用免疫扫描谱型分析技术,分析5例正常献血员的CDR3分布特征及5例SLE患者PBMC中T细胞TCRβ链CDR3的优势利用情况,... 目的探讨系统性红斑狼疮(SLE)患者外周血T细胞TCRβ链CDR3谱系漂移,为SLE的免疫应答机制和个性化治疗研究提供基础。方法采用免疫扫描谱型分析技术,分析5例正常献血员的CDR3分布特征及5例SLE患者PBMC中T细胞TCRβ链CDR3的优势利用情况,对克隆性增生T细胞的CDR3区进行序列分析。结果5例正常献血员PBMCTCRBVCDR3谱型均呈高斯分布,5例活动型SLE患者24TCRBVCDR3家族均出现不同的优势表达,对单/寡克隆性增生T细胞β链CDR3区基因进行测序,证实存在不同的CDR3序列。结论SLE活动期外周血T细胞TCRβ链CDR3谱系出现明显漂移,提示CDR3的选择性表达可能与SLE的免疫发病机理有关,特异应答的T细胞TCRCDR3序列的确定,将为SLE的发病机制研究和个性化治疗提供新的方法与手段。 展开更多
关键词 系统性红斑狼疮 T淋巴细胞受体 互补决定区3 免疫扫描谱型分析 基因扫描
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Fas-FasL和caspase-3信号通路在启动SLE患者T细胞亚群凋亡中的作用 被引量:8
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作者 陈雪 王兰兰 +2 位作者 蔡蓓 陈捷 冯伟华 《细胞与分子免疫学杂志》 CAS CSCD 北大核心 2006年第5期588-590,593,共4页
目的:探讨SLE患者T细胞亚群的FasFasL信号传导通路与T细胞凋亡紊乱的关系。方法:应用流式细胞术测定T细胞亚群表面Fas、FasL的表达率及细胞质中活化caspase3的表达率。结果:与健康对照组相比较,活动期及稳定期SLE患者组CD4+T细胞表面Fa... 目的:探讨SLE患者T细胞亚群的FasFasL信号传导通路与T细胞凋亡紊乱的关系。方法:应用流式细胞术测定T细胞亚群表面Fas、FasL的表达率及细胞质中活化caspase3的表达率。结果:与健康对照组相比较,活动期及稳定期SLE患者组CD4+T细胞表面Fas的表达率均显著增加(P<0.05),CD8+T细胞表面Fas的表达率略有增加但无统计学意义(P>0.05)。稳定期和活动期SLE患者组T细胞亚群表面FasL的表达率均显著增加(P<0.05),但两疾病组间T细胞亚群表面Fas、FasL的表达率无显著性差异(P>0.05)。活动期SLE患者组T细胞亚群细胞质中活化caspase3的表达率,明显高于稳定期SLE患者组和健康对照组(P<0.05)。稳定期SLE患者组T细胞亚群细胞质中活化caspase3的表达率略高于健康对照组,但无统计学意义。结论:SLE患者外周血T细胞亚群凋亡加速,CD4+T细胞的凋亡活跃,其中FasFasL信号传导途径可能起重要的作用。T细胞凋亡紊乱的程度与SLE的活动程度密切相关。 展开更多
关键词 FAS FASL 活化caspase-3 T细胞 系统性红斑狼疮
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Fas、Caspase-3和抗核小体抗体在参与SLE患者淋巴细胞凋亡紊乱中的作用 被引量:4
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作者 陈雪 王兰兰 +2 位作者 蔡蓓 陈捷 冯伟华 《免疫学杂志》 CAS CSCD 北大核心 2006年第5期531-534,共4页
目的探讨SLE患者免疫功能紊乱与淋巴细胞凋亡信号传导途径异常之间的关系。方法应用流式细胞术测定SLE患者淋巴细胞表面Fas、FasL及细胞质中活化caspase-3的表达率,并测定凋亡细胞百分率(AnnexinV+PI-)和坏死细胞百分率(AnnexinV+PI+)... 目的探讨SLE患者免疫功能紊乱与淋巴细胞凋亡信号传导途径异常之间的关系。方法应用流式细胞术测定SLE患者淋巴细胞表面Fas、FasL及细胞质中活化caspase-3的表达率,并测定凋亡细胞百分率(AnnexinV+PI-)和坏死细胞百分率(AnnexinV+PI+)。应用ELISA方法测定血清中抗核小体抗体浓度。结果与健康对照组相比,稳定期和活动期SLE患者组淋巴细胞中凋亡细胞和坏死细胞百分率均显著增加(P<0.05),淋巴细胞表面Fas、FasL及细胞质中活化caspase-3的表达率也显著增加(P<0.05)。与稳定期SLE患者组相比,活动期SLE患者组淋巴细胞中坏死细胞百分率显著增加(P<0.05),凋亡细胞百分率略有增加但无统计学意义(P>0.05)。活动期患者组淋巴细胞表面Fas、FasL以及细胞质中活化caspase-3的表达率略有增加但无统计学意义(P>0.05)。活动期SLE患者组抗核小体抗体浓度显著高于健康对照组和稳定期患者组(P<0.05)。SLE患者凋亡细胞百分率和活化caspase-3的表达率与补体C3浓度水平呈负相关关系(P<0.05)。结论Fas信号传导通路在SLE患者淋巴细胞凋亡紊乱中发挥了重要作用。caspase-3的活化是早期提示淋巴细胞凋亡的重要信号。SLE患者淋巴细胞凋亡活化程度与疾病活动程度和免疫效应功能紊乱密切相关,而淋巴细胞凋亡异常程度与抗核小体抗体水平的高低密切相关。淋巴细胞凋亡加速在SLE患者免疫病理损伤加重和免疫细胞调控紊乱中扮演了重要角色。 展开更多
关键词 FAS FASL 活化caspase-3 抗核小体抗体 系统性红斑狼疮
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中药复方狼疮颗粒3方对BXSB狼疮小鼠的治疗作用 被引量:2
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作者 赵振宇 张韵慧 +3 位作者 杨新建 孙晓惠 肖尹 娄建石 《中国医院药学杂志》 CAS CSCD 北大核心 2007年第3期303-306,共4页
目的:研究中药复方狼疮颗粒3方(LCF-3)对BXSB小鼠狼疮的治疗作用,探讨其对SLE的作用机制。方法:将狼疮模型鼠随机分成4组:空白对照组、LCF-3组、泼尼松组、LCF-3+泼尼松组。四溴酚兰指示剂法测定尿蛋白含量;双抗夹心酶联免疫吸附法(ELI... 目的:研究中药复方狼疮颗粒3方(LCF-3)对BXSB小鼠狼疮的治疗作用,探讨其对SLE的作用机制。方法:将狼疮模型鼠随机分成4组:空白对照组、LCF-3组、泼尼松组、LCF-3+泼尼松组。四溴酚兰指示剂法测定尿蛋白含量;双抗夹心酶联免疫吸附法(ELISA)测定小鼠血清中抗dsDNA抗体含量;对小鼠肾做HE染色,观察各组动物的形态学改变。结果:3个给药组尿蛋白含量均与空白对照组差异有显著性(P<0.05)。3个给药组均能显著降低自身抗体抗双链DNA(dsDNA)水平,使其转为阴性(P<0.01);病理检查发现各给药组均可明显减轻肾损害。其中中西药合用组最为明显。结论:中药复方LCF-3与西药泼尼松均对BXSB小鼠狼疮有明显的治疗作用,中西药合用综合疗效优于单纯使用中药、西药。 展开更多
关键词 复方狼疮颗粒3 系统性红斑狼疮 狼疮模型鼠 抗双链DNA抗体
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系统性红斑狼疮患者外周血NK细胞TIM-3表达和意义 被引量:7
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作者 黄自坤 曾璐璐 罗清 《免疫学杂志》 CAS CSCD 北大核心 2020年第3期248-253,共6页
目的探讨TIM-3在系统性红斑狼疮(SLE)患者外周血NK细胞上的表达及临床意义,以阐明其在SLE发生和发展中的作用。方法应用流式细胞仪检测44例SLE患者和34例健康对照者外周血NK细胞表面TIM-3表达水平,比较SLE组和健康对照组之间NK细胞表面T... 目的探讨TIM-3在系统性红斑狼疮(SLE)患者外周血NK细胞上的表达及临床意义,以阐明其在SLE发生和发展中的作用。方法应用流式细胞仪检测44例SLE患者和34例健康对照者外周血NK细胞表面TIM-3表达水平,比较SLE组和健康对照组之间NK细胞表面TIM-3表达水平,并分析其与实验室检查数据及治疗的相关性。2组间比较采用t检验、配对t检验或者非参数检验,两变量之间相关性采用Pearson相关分析。结果1)SLE患者NK细胞TIM-3表达的平均荧光强度(MFI)显著高于健康对照组(P=0.033);SLE患者NK细胞TIM-3表达百分率显著高于健康对照组(P<0.001)。2)SLE患者外周血NK细胞上TIM-3表达的MFI与C3、C4呈负相关(r=0.32,P=0.037;r=0.30,P=0.049);SLE患者外周血TIM-3+NK细胞百分率与单核细胞数量呈负相关(r=0.32,P=0.033)。3)抗ds-DNA抗体阳性的SLE患者NK细胞TIM-3表达的MFI显著高于抗ds-DNA抗体阴性的SLE患者(P=0.050);SLE患者外周血TIM-3+NK细胞百分率与抗ds-DNA抗体浓度呈正相关(r=0.30,P=0.049)。4)低血小板血症组SLE患者外周血NK细胞上TIM-3表达的MFI显著高于阴性者(P=0.045)。5)治疗后SLE患者NK细胞TIM-3表达的MFI和TIM-3+NK细胞百分率都明显降低(均P=0.009)。结论SLE患者外周血NK细胞TIM-3表达异常,与及疾病的严重程度有明确的相关性。 展开更多
关键词 系统性红斑狼疮 NK细胞 TIM-3
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系统性红斑狼疮外周血T淋巴细胞PD-1和Tim-3表达和意义 被引量:2
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作者 罗清 黄自坤 +1 位作者 李雪 李俊明(指导) 《中国免疫学杂志》 CAS CSCD 北大核心 2022年第14期1744-1749,共6页
目的:检测系统性红斑狼疮(SLE)患者外周血T淋巴细胞上PD-1和Tim-3表达水平,探讨其在SLE中的作用。方法:采用流式细胞术检测41例SLE患者、33例健康对照者(HC)外周血T淋巴细胞上PD-1和Tim-3的表达情况。分析SLE患者外周血T淋巴细胞上PD-1... 目的:检测系统性红斑狼疮(SLE)患者外周血T淋巴细胞上PD-1和Tim-3表达水平,探讨其在SLE中的作用。方法:采用流式细胞术检测41例SLE患者、33例健康对照者(HC)外周血T淋巴细胞上PD-1和Tim-3的表达情况。分析SLE患者外周血T淋巴细胞上PD-1和Tim-3的共表达与实验室检查、临床表现、治疗的关系。结果:(1)SLE患者组PD-1~+T淋巴细胞百分比、Tim-3~+T淋巴细胞百分比和T淋巴细胞PD-1表达的平均荧光强度(MFI)均显著高于HC组,差异具有统计学意义;(2)SLE患者组PD-1~+Tim-3~-、PD-1~+Tim-3~+、PD-1~-Tim-3~+T淋巴细胞百分比和PD-1~+Tim-3~-T淋巴细胞PD-1表达的MFI显著高于HC组,差异具有统计学意义;(3)anti-nucleosome、anti-Ro52阳性的SLE患者PD-1~+Tim-3~-T淋巴细胞PD-1表达MFI明显高于阴性者,差异具有统计学意义;(4)PD-1~+Tim-3~+T淋巴细胞百分比与L呈负相关;PD-1~+Tim-3~-T淋巴细胞PD-1表达MFI与WBC、RBC、HGB、HCT、L、N、C3、C4呈负相关,与PLR、RDW呈正相关;(5)低红细胞血症组、贫血组SLE患者PD-1~+Tim-3~-T淋巴细胞PD-1表达MFI明显高于阴性者,差异有统计学意义;(6)治疗后SLE患者PD-1~+Tim-3~-T淋巴细胞PD-1表达MFI明显低于治疗前,差异具有统计学意义。结论:SLE患者PD-1~+Tim-3~-T淋巴细胞百分比和PD-1表达MFI明显升高,且与自身抗体的产生、疾病的严重程度和治疗密切相关。 展开更多
关键词 系统性红斑狼疮 T淋巴细胞 PD-1 TIM-3
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狼疮3号颗粒治疗系统性红斑狼疮的实验研究 被引量:1
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作者 赵振宇 张韵慧 +3 位作者 杨新建 孙晓惠 肖尹 娄建石 《中国中西医结合杂志》 CAS CSCD 北大核心 2010年第5期523-526,共4页
目的通过研究中药狼疮3号颗粒(Langchuang-3 granule,LC-3)对BXSB系统性红斑狼疮(systemic lupus erythematosus,SLE)模型鼠体重、自身抗体、脾指数、胸腺指数以及肾脏免疫复合物沉积的影响,探讨其对SLE的作用机制。方法将BXSBSLE模型... 目的通过研究中药狼疮3号颗粒(Langchuang-3 granule,LC-3)对BXSB系统性红斑狼疮(systemic lupus erythematosus,SLE)模型鼠体重、自身抗体、脾指数、胸腺指数以及肾脏免疫复合物沉积的影响,探讨其对SLE的作用机制。方法将BXSBSLE模型鼠随机分成4组:对照组、中药组、西药组、中西药组。采用动态观察法测定小鼠体重变化,重量法测定小鼠脾指数及胸腺指数;双抗体夹心酶联免疫吸附法(ELISA)测定小鼠血清中抗核抗体(ANA)的含量;直接免疫荧光法测定小鼠肾脏中免疫球蛋白G(IgG)、补体C3的含量。结果中药组及中西药组小鼠体重增长明显,与对照组比较,差异有统计学意义(P<0.05,P<0.01);中药组已降低的胸腺指数升高,与空白对照组比较,差异有统计学意义,对已升高的脾指数作用不明显,西药组脾指数及胸腺指数均下调,而中西药组升高的脾指数降低(P<0.01),降低的胸腺指数升高(P<0.05);各给药组自身抗体(ANA)水平均降低,转为阴性(P<0.01);小鼠肾脏IgG、补体C3的荧光强度均降低,与对照组比较,差异有统计学意义(P<0.05,P<0.01)。结论 LC-3与西药类固醇激素均对BXSB狼疮模型鼠有明显的治疗作用,中西药合用疗效优于单独应用中药或西药。 展开更多
关键词 狼疮方3 系统性红斑狼疮 狼疮模型鼠 抗核抗体
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狼疮方3号颗粒对狼疮模型鼠血清白介素6及脾脏T淋巴细胞亚群的影响 被引量:2
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作者 赵振宇 杨新建 +3 位作者 娄建石 王学艳 孙晓惠 赵宏丽 《中国中西医结合皮肤性病学杂志》 CAS 2005年第4期211-213,共3页
目的研究中药复方狼疮方3号(LCF-3)对BXSB狼疮小鼠血清白介素6(IL-6)以及脾脏T淋巴细胞亚群的作用,探讨其对系统性红斑狼疮(SLE)的作用机制。方法将BXSB狼疮模型鼠随机分成4组:空白对照组、中药组、西药组、中西药合用组。双抗夹心酶联... 目的研究中药复方狼疮方3号(LCF-3)对BXSB狼疮小鼠血清白介素6(IL-6)以及脾脏T淋巴细胞亚群的作用,探讨其对系统性红斑狼疮(SLE)的作用机制。方法将BXSB狼疮模型鼠随机分成4组:空白对照组、中药组、西药组、中西药合用组。双抗夹心酶联免疫吸附法(ELISA)测定小鼠血清中IL-6的含量;流式细胞术测定小鼠脾脏T淋巴细胞亚群的阳性率。结果3个给药组均可显著降低IL-6的含量;各给药组对CD3+、CD4+、CD8+T细胞均有提升作用,但中药组对CD4+T细胞的提升作用与对照组相比没有统计学差异(P>0.05),对CD8+T细胞有非常明显的提升作用(P<0.01)。结论中药复方LCF-3与西药泼尼松均对BXSB狼疮小鼠有明显的治疗作用,中西药合用组疗效优于中药、西药组。 展开更多
关键词 狼疮方3 系统性红斑狼疮 狼疮模型鼠 T淋巴细胞亚群
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SLE患者GATA-3、MBD2对IL-4表达水平的调控作用 被引量:1
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作者 秦海红 褚国弟 +3 位作者 黄峥烨 徐金华 施若非 施伟民 《中国皮肤性病学杂志》 CAS 北大核心 2009年第8期481-483,共3页
目的分析SLE患者GATA-3、MBD2与IL-4表达的相关性,探讨GATA-3和MBD2对IL-v4表达的调控作用。方法应用实时定量PCR法检测35例SLE患者和20例正常人外周血单核细胞(PBMC)中IL-4、GATA-3、MBD2的mRNA表达水平,并分析它们之间的相关性。结果... 目的分析SLE患者GATA-3、MBD2与IL-4表达的相关性,探讨GATA-3和MBD2对IL-v4表达的调控作用。方法应用实时定量PCR法检测35例SLE患者和20例正常人外周血单核细胞(PBMC)中IL-4、GATA-3、MBD2的mRNA表达水平,并分析它们之间的相关性。结果SLE患者外周血单核细胞中IL-4、GATA-3和MBD2的表达水平均明显高于正常对照组(t=3.37,3.55,9.68,P均<0.05);IL-4与GATA-3、IL-4与MBD2的表达水平均呈正相关(r=0.39,0.97,P均<0.05)。结论SLE患者中IL-4表达水平升高可能是由于MBD2对IL-4基因阻遏作用降低,及大量GATA-3对IL-4基因的过度激活共同作用所导致。 展开更多
关键词 红斑狼疮 系统性 IL-4 GATA-3 MBD2
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