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4℃保存全血制备的去白细胞混合浓缩血小板体外质量评价
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作者 安慧娟 单泓 +5 位作者 刘铮 张姣姣 王姣杰 别立莉 李建斌 金新莉 《中国输血杂志》 CAS 2024年第7期820-826,共7页
目的 探讨全血4℃冷藏条件下保存制备去白细胞混合浓缩血小板的可行性,为成分制备提供理论依据。方法 将采集的400 mL ACD-B抗凝全血随机分两组,分别进行4℃和室温保存,在保存后6 h内分离制备出白膜层,于22℃静置过夜保存,次日将白膜层... 目的 探讨全血4℃冷藏条件下保存制备去白细胞混合浓缩血小板的可行性,为成分制备提供理论依据。方法 将采集的400 mL ACD-B抗凝全血随机分两组,分别进行4℃和室温保存,在保存后6 h内分离制备出白膜层,于22℃静置过夜保存,次日将白膜层汇集制备去白细胞混合浓缩血小板,于制备后d1、d3、d5、d7取样,进行血细胞计数及相关参数检测,测定pH、葡萄糖、乳酸含量反映代谢情况,检测血栓弹力图、血小板聚集率及PAC-1、CD62P反映血小板体外功能及活化情况,比较两组血小板差异。结果 随着保存时间的延长,两组去白细胞混合浓缩血小板计数逐渐下降,血小板分布宽度(PDW)、平均血小板体积(MPV)、大型血小板比例(P-LCR)均逐渐上升,差异无统计学意义(P>0.05)。两组去白细胞混合浓缩血小板pH、葡萄糖含量均逐渐降低,乳酸含量逐渐增高,无显著性差异(P>0.05)。血栓弹力图结果显示,反应血小板功能的MA值保存期内无显著性变化,且两组间无显著性差异(P>0.05)。血小板聚集率随着保存时间的延长而逐渐降低,两组无统计学差异。血小板PAC-1及CD62P表达率随着保存时间的延长而逐渐升高,两组无统计学差异(P>0.05)。结论 全血4℃冷藏保存与室温保存6 h内制备的去白细胞混合浓缩血小板在体外计数、功能、活化方面无统计学差异,4℃冷藏6 h内的全血可考虑作为制备去白细胞混合浓缩血小板的起始血液。 展开更多
关键词 去白细胞混合浓缩血小板 全血冷藏保存 血小板质量 血小板功能
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血液病患者产生抗HLA抗体的危险因素分析 被引量:1
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作者 季开 王澜 +4 位作者 陈璐瑶 鲍晓晶 袁晓妮 吴小津 何军 《中国输血杂志》 CAS 2024年第2期165-173,共9页
目的在造血干细胞移植前的血液病患者中,探究抗人类白细胞抗原(human leucocyte antigen,HLA)抗体产生的危险因素。方法收集2016-2018年间本院1008名血液病患者在移植前采用Luminex技术平台进行抗HLA抗体检测的结果及临床数据,并对其进... 目的在造血干细胞移植前的血液病患者中,探究抗人类白细胞抗原(human leucocyte antigen,HLA)抗体产生的危险因素。方法收集2016-2018年间本院1008名血液病患者在移植前采用Luminex技术平台进行抗HLA抗体检测的结果及临床数据,并对其进行统计学分析。结果1008名患者的抗HLA抗体总体阳性率为24.08%。多因素分析显示,与抗HLA抗体产生相关的独立危险因素包括年龄≥30岁(P=0.046,OR 1.467,95%CI 1.007-2.136)、疾病确诊至抗体检测的时间≥41d(P=0.000,OR 1.830,95%CI 1.306-2.565)、初诊PLT计数<20×109/L(P=0.020,OR 1.543,95%CI 1.072-2.220)、有妊娠史(P=0.000,OR 5.187,95%CI 3.689-7.293)、入院前有输血史(P=0.001,OR 1.762,95%CI 1.257-2.470)和入院后PLT输注总量≥30U(P=0.000,OR 2.352,95%CI 1.638-3.376)。其中年龄≥30岁(P=0.023,OR=1.839,95%CI 1.088-3.108)、妊娠史(P=0.042,OR=5.258,95%CI 1.062-26.038)分别与抗HLA-Ⅰ类、Ⅱ类抗体的产生有关;疾病确诊至抗体检测时间≥41d(P=0.000,OR=2.873,95%CI 1.612-5.119)、初诊PLT计数<20×109/L(P=0.008,OR=2.164,95%CI 1.225-3.822)、妊娠史(P=0.002,OR=6.734,95%CI 1.993-22.751)、入院前的输血史(P=0.001,OR=2.746,95%CI 1.531-4.925)、入院后PLT输注>30U(P=0.006,OR=3.459,95%CI 1.416-8.451)与抗HLA-Ⅰ+Ⅱ类抗体的产生有关。结论年龄较大、病程较长、PLT计数较低、有妊娠史和输血史、PLT输注总量较多,均是影响抗HLA抗体产生的危险因素。因此,对移植前血液病患者宜根据情况检测抗HLA抗体,这对于指导供者选择、监测抗体变化和改善移植预后具有重要价值。 展开更多
关键词 人类白细胞抗原 抗人类白细胞抗原抗体 造血干细胞移植 血液病学 输血
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乌司他丁辅助治疗的脓毒症患者HLE、mCD14水平变化及早期检测HLE、mCD14水平对治疗反应性的评估价值
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作者 曾聪慧 师艳艳 +2 位作者 谢志军 高亚敏 于丹丹 《中国医院用药评价与分析》 2024年第6期705-708,713,共5页
目的:探讨乌司他丁辅助治疗脓毒症时,患者血人白细胞弹性蛋白酶(HLE)、单核细胞表面脂多糖受体(mCD14)水平变化,以及早期检测血HLE、mCD14水平对治疗反应性的评估价值。方法:选取2020—2022年该院脓毒症患者196例,均在经典常规治疗方案... 目的:探讨乌司他丁辅助治疗脓毒症时,患者血人白细胞弹性蛋白酶(HLE)、单核细胞表面脂多糖受体(mCD14)水平变化,以及早期检测血HLE、mCD14水平对治疗反应性的评估价值。方法:选取2020—2022年该院脓毒症患者196例,均在经典常规治疗方案基础上加用乌司他丁治疗,根据治疗效果分为反应良好组(38例)、反应差组(158例)。治疗前后检测两组患者血HLE、mCD14水平。通过电子病历系统收集患者资料,根据最邻近匹配法对两组进行1∶1匹配。分析乌司他丁辅助治疗脓毒症患者的治疗反应性影响因素并建立预测模型,通过受试者工作特征曲线(ROC曲线)分析早期检测血HLE、mCD14水平对治疗反应性的评估价值。结果:两组患者治疗后的血HLE水平低于治疗前,mCD14水平高于治疗前,差异均有统计学意义(P<0.05)。反应差组患者倾向性评分匹配后的严重程度和治疗前后降钙素原(PCT)水平、C反应蛋白(CRP)水平、HLE水平高于反应良好组,治疗前后mCD14水平低于反应良好组,差异均有统计学意义(P<0.05)。对于乌司他丁辅助治疗脓毒症患者,严重程度和治疗前PCT、CRP、HLE水平是治疗反应性的危险因素,治疗前mCD14水平是治疗反应性的保护因素(P<0.05);建立联合预测模型,P=1/[1+1/exp(0.826×严重程度+0.941×治疗前PCT水平+0.694×治疗前CRP水平+1.112×治疗前HLE水平-0.963×治疗前mCD14水平-3.968)],有较好的校准能力;治疗前HLE、mCD14水平预测治疗反应性的药时曲线下面积(AUC)分别为0.777、0.779,而联合预测模型预测治疗反应性的AUC为0.947,高于HLE、mCD14单独评估的AUC,差异有统计学意义(P<0.05)。结论:采用乌司他丁辅助治疗脓毒症,患者血HLE水平降低,mCD14水平升高;血HLE水平降低、mCD14水平升高与治疗反应性密切相关,联合检测可进一步提升预测价值。 展开更多
关键词 脓毒症 乌司他丁 人白细胞弹性蛋白酶 单核细胞表面脂多糖受体
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NGS自动化平台在HLA基因分型的建立及应用
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作者 何亿镇 王芳 +2 位作者 董丽娜 陈晨 章伟 《中国现代医生》 2024年第7期9-12,共4页
目的建立基于二代测序(next-generation sequencing,NGS)技术对人类白细胞抗原(human leucocyte antigen,HLA)基因进行分型的自动化操作平台,并评估其在HLA常规检测中的应用。方法根据试剂盒操作说明编写相应的计算机程序,利用Hamilton ... 目的建立基于二代测序(next-generation sequencing,NGS)技术对人类白细胞抗原(human leucocyte antigen,HLA)基因进行分型的自动化操作平台,并评估其在HLA常规检测中的应用。方法根据试剂盒操作说明编写相应的计算机程序,利用Hamilton Microlab STARlet全自动液体处理工作站联合96通道小型液体工作站、荧光化学发光分析仪等仪器,实现NGS技术对HLA基因分型过程中文库制备步骤的自动化操作。结果手工法和自动化平台获取的文库片段两者读长基本一致,浓度及质量均符合要求,测序结果一致;而自动化平台操作时间明显少于手工操作。结论建立的NGS自动化操作平台检测HLA基因分型方法可行,值得推广使用。 展开更多
关键词 人类白细胞抗原 二代测序 自动化平台
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自身炎症性疾病患者合并COVID-19严重程度的早期预测指标探讨
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作者 吕梦娜 李建斌 吴锐 《天津医药》 CAS 2024年第5期528-532,共5页
目的探讨血细胞比值及炎症指标对自身炎症性疾病(AIDs)合并新型冠状病毒肺炎(COVID-19)严重程度的预测价值。方法148例AIDs合并COVID-19患者根据COVID-19严重程度分为轻症组100例和重症组48例。比较2组患者感染后24~72 h内的红细胞沉降... 目的探讨血细胞比值及炎症指标对自身炎症性疾病(AIDs)合并新型冠状病毒肺炎(COVID-19)严重程度的预测价值。方法148例AIDs合并COVID-19患者根据COVID-19严重程度分为轻症组100例和重症组48例。比较2组患者感染后24~72 h内的红细胞沉降率(ESR)、C反应蛋白(CRP)、系统免疫炎症指数(SII)和白细胞-C反应蛋白比值(LeCR)等指标差异;采用Logistic回归分析AIDs合并COVID-19严重程度的危险因素;受试者工作特征(ROC)曲线评估各指标对AIDs合并COVID-19严重程度的预测价值。结果重症组ESR、CRP、血小板计数(PLT)、中性粒细胞-淋巴细胞比值(NLR)、血小板-淋巴细胞比值(PLR)、C反应蛋白-淋巴细胞比值(CLR)、C反应蛋白-白蛋白比值(CAR)、SII和血小板-白蛋白比值(PAR)高于轻症组,平均血小板体积(MPV)、淋巴细胞计数(LYM)、白蛋白(Alb)和LeCR低于轻症组(P<0.05)。Logistic回归分析显示,ESR升高是AIDs合并COVID-19严重程度的独立危险因素,LeCR和SII升高是保护因素。ROC曲线分析显示,LeCR对AIDs合并重症COVID-19的预测效能优于ESR和SII。结论ESR、SII和LeCR是预测AIDs并发COVID-19疾病严重程度的有效指标。 展开更多
关键词 自身炎症性疾病 新型冠状病毒肺炎 预后 白细胞-C反应蛋白比值
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分析HLA-DQA1基因与干燥综合征患者临床特征的相关性
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作者 徐慧 朱凌妍 +2 位作者 赵凯 王慧 王永福 《中国现代医生》 2024年第19期80-83,110,共5页
目的 探讨人类白细胞抗原DQA1(human leucocyte antigen-DQA1,HLA-DQA1)与干燥综合征(Sjögren’s syndrome,SS)患者临床特征的相关性。方法 选取2022年8月至2023年8月包头医学院第一附属医院收治的242例SS患者为研究对象,根据HLA-D... 目的 探讨人类白细胞抗原DQA1(human leucocyte antigen-DQA1,HLA-DQA1)与干燥综合征(Sjögren’s syndrome,SS)患者临床特征的相关性。方法 选取2022年8月至2023年8月包头医学院第一附属医院收治的242例SS患者为研究对象,根据HLA-DQA1检测结果,将患者分为HLA-DQA1阳性组(n=147)和HLA-DQA1阴性组(n=95)。比较两组患者的临床表现、实验室指标、唇腺活检和疾病活动度。采用受试者操作特征曲线分析HLA-DQA1对SS患者疾病活动度的诊断价值。结果 HLA-DQA1阳性组患者的口干、眼干、紫癜占比和抗干燥综合征A抗体(anti-Sjögren’s syndrome A antibody,抗SSA抗体)、抗干燥综合征B抗体(anti-Sjögren syndrome’s B antibody,抗SSB抗体)、抗核抗体(antinuclearantibody,ANA)阳性占比及免疫球蛋白G水平均显著高于HLA-DQA1阴性组(P<0.05),血红蛋白水平显著低于HLA-DQA1阴性组(P<0.05);HLA-DQA1阳性组患者的疾病活动度显著高于HLA-DQA1阴性组(P<0.05)。HLA-DQA1、抗SSA抗体、抗SSB抗体判断SS患者疾病活动度的曲线下面积分别为0.593、0.534、0.593。三者联合判断SS患者疾病活动度的曲线下面积为0.638。结论 HLA-DQA1与SS患者的疾病活动度相关,在HLA-DQA1阳性患者中,口干、眼干、高球蛋白血症、贫血和紫癜等症状更明显,同时,抗SSA/SSB抗体和ANA阳性率较高,提示HLA-DQA1表达有助于判断SS患者的病情。 展开更多
关键词 干燥综合征 HLA-DQA1 抗SSA抗体 抗SSB抗体
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敲低MKL1通过激活自噬流抑制心肌成纤维细胞活化与纤维化表型的作用研究
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作者 魏俊萍 符达佳 +2 位作者 孟庆雯 林道飞 林燕仔 《转化医学杂志》 2024年第1期1-6,共6页
目的探究敲低巨核细胞白血病因子1(MKL1)对心肌成纤维细胞(CFs)活化与纤维化表型的影响及作用机制。方法选取人CFs,敲低CFs中MKL1表达,检测敲低效果;将CFs分为对照组、血管紧张素Ⅱ(AngⅡ)组、shNC+AngⅡ组、shMKL1+AngⅡ组,shNC+AngⅡ... 目的探究敲低巨核细胞白血病因子1(MKL1)对心肌成纤维细胞(CFs)活化与纤维化表型的影响及作用机制。方法选取人CFs,敲低CFs中MKL1表达,检测敲低效果;将CFs分为对照组、血管紧张素Ⅱ(AngⅡ)组、shNC+AngⅡ组、shMKL1+AngⅡ组,shNC+AngⅡ组与shMKL1+AngⅡ组分别转染shRNA NC、shRNA MKL1,AngⅡ组、shNC+AngⅡ组及shMKL1+AngⅡ组CFs再使用AngⅡ刺激建立心肌纤维化模型;处理结束后,检测各组CFs增殖活性,测定各组CFs细胞培养上清液中Ⅰ型胶原(COL-Ⅰ)、Ⅲ型胶原(COL-Ⅲ)水平,观察各组CFs中α-平滑肌肌动蛋白(α-SMA)表达,检测各组CFs中α-SMA、COL-Ⅰ、COL-Ⅲ蛋白表达水平。观察各组CFs自噬流,检测各组CFs中LC3Ⅱ/LC3Ⅰ蛋白比值、Beclin1蛋白表达水平。结果转染shMKL1的CFs中MKL1 mRNA相对表达量与蛋白相对表达量均低于未转染的CFs和转染shNC的CFs(P<0.05);与对照组比较,AngⅡ组同一时间下CFs增殖活性升高(P<0.05),上清液中COL-Ⅰ、COL-Ⅲ水平升高(P<0.05),CFs中α-SMA荧光染色强度增加,α-SMA、COL-Ⅰ、COL-Ⅲ蛋白相对表达量上调(P<0.05),自噬溶酶体与自噬体减少,LC3Ⅱ/LC3Ⅰ蛋白比值下降(P<0.05),Beclin1蛋白相对表达量下调(P<0.05);与AngⅡ组、shNC+AngⅡ组比较,shMKL1+AngⅡ组同一时间下CFs增殖活性降低(P<0.05),上清液中COL-Ⅰ、COL-Ⅲ降低(P<0.05),CFs中α-SMA荧光染色强度减弱,α-SMA、COL-Ⅰ、COL-Ⅲ蛋白相对表达量下调(P<0.05),CFs中自噬溶酶体与自噬体增加,LC3Ⅱ/LC3Ⅰ蛋白比值升高(P<0.05),Beclin1蛋白相对表达量上调(P<0.05)。结论敲低MKL1能够抑制CFs活化与心肌纤维化表型,该作用可能与激活细胞内阻滞的自噬流有关。 展开更多
关键词 心肌纤维化 心肌成纤维细胞 细胞增殖 巨核细胞性白血因子1 自噬流 纤维化表型 血管紧张素Ⅱ
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Phagocytosis Conditions of Peripheral Blood Leucocytes in Chicken 被引量:1
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作者 QIN Feng YU Sheng-lan +2 位作者 CHEN Yu-yong FANG Xi-xiu YU Jie 《Animal Husbandry and Feed Science》 CAS 2010年第1期14-16,共3页
[Objective] To investigate the optimal conditions of peripheral blood leucocytes phagocytosing Staphy/ococcus spp. [Method] With Staphylococcus spp. 10 145 as tested materials, phagocytosis activity of chicken's peri... [Objective] To investigate the optimal conditions of peripheral blood leucocytes phagocytosing Staphy/ococcus spp. [Method] With Staphylococcus spp. 10 145 as tested materials, phagocytosis activity of chicken's peripheral blood leucocytes was detected by the method of Wright's staining. The effects of time, temperature and concentration of Staphylococcus spp. 10 145 on phagocytosis percentages (PP) and phagocytosis index (PI) were optimized by orthogonal test and their morphologic characteristics were observed by microscope. [ Result] The concentration of Staphylococcus spp. 10 145 was the primary factor effecting leucocytes phagocytosis index. The optimal phagocytosis conditions were at the temperature of 41℃, time of 40 min and concentration of Staphylococcus spp. 10 145 of 5 ×10^ 6/ml. The order of various factors on leucocytes phagocytcsis index was the concentration of Staphylococcus spp. 10 145 〉 time 〉 temperature. [ Conclusion] This study provides a more simple and reliable method for detecting leucocytes phagocytosis function. 展开更多
关键词 leucocyteS Phagocytose Staphylococcus spp.
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Prevention the fever of NHTR reactions using blood transfusion set with leucocyte removal filter 被引量:1
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《中国输血杂志》 CAS CSCD 2001年第S1期335-,共1页
关键词 Prevention the fever of NHTR reactions using blood transfusion set with leucocyte removal filter
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Genetic association of autoimmune hepatitis and human leucocyte antigen in German patients 被引量:2
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作者 Andreas Teufel Markus Wrns +5 位作者 Arndt Weinmann Catherine Centner Anja Piendl Ansgar W Lohse Peter R Galle Stephan Kanzler 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第34期5513-5516,共4页
AIM: To report on our large German collective and updated data of 142 patients with autoimmune hepatitis (AIH) type 1. METHODS: Key investigations performed were liver biopsy, serum autoantibodies as well as serum mar... AIM: To report on our large German collective and updated data of 142 patients with autoimmune hepatitis (AIH) type 1. METHODS: Key investigations performed were liver biopsy, serum autoantibodies as well as serum markers such as IgG and elevated transaminases. Antinuclear antigen (ANA) and smooth muscle antigen (SMA) autoantibodies characterized type 1 AIH. Type 3 (AIH) was solely characterized by the occurrence of soluble liver antigen/liver-pancreas antigen (SLA/LP) autoantibodies either with or without ANA or SMA autoantibodies. RESULTS: Most prevalent HLAs were A2 (68 patients, 48%), B8 (63 patients, 44%), C7 (90 patients, 63%), DR3 (49 patients, 38%), DR4 (49 patients, 38%) and DQ2 (42 patients, 30%). Compared to the Italian and North American patients, we found fewer patients with a DQ2 subtype. Furthermore, the B8-DR3-DQ2 human leucocyte antigen (HLA) was also less prominent compared to the North American patients. However, prevalences of B8, DR3, DR4, DR7, DR11 and DR13 were comparable to the Italian and North American patients. Furthermore, we report on an additional subgroup of patients with SLA/LP positive AIH. Generally, in this subgroup of patients the same HLA subtypes were favoured as the AIH type 1. CONCLUSION: Although HLA subtypes were comparable between these three collectives, the German patients were distinct from the Italian and North American patients with respect to DQ2 and from the North American patients with respect to B8-DR3-DQ2HLA. A clinical correlation, e.g. difference in severity or treatability of AIH type 1, has yet to be determined. 展开更多
关键词 遗传因素 自体免疫肝炎 白血球 抗原 德国
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INFLUENCES OF MOLECULAR WEIGHT AND BRANCHING PARAMETER OF LACQUER POLYSACCHARIDE ON THE GROWTH OF LEUCOCYTES
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作者 张俐娜 丁琼 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 1995年第2期107-111,共5页
A method of determining branching parameter of lacquer polysaccharide wasestablished by acid-base back-titration of terminal uronic acid of branches. The branchingfactors obtained are in agreement with the values dete... A method of determining branching parameter of lacquer polysaccharide wasestablished by acid-base back-titration of terminal uronic acid of branches. The branchingfactors obtained are in agreement with the values determined by colorimetric method withcarbazole and the results estimated by using Zimm-Stockmayer equation from viscositydata. Influences of molecular weights and branching factors of five fractions of lacquerpolysaccharide on the bioactivities were studied. The results show that the polysaccharideshave bioactivities in motivating the growth of leucocytes, and the effect increases with thedecrease of molecular weight and branching factor in the range studied (17×10~4 >M_w>4×10~4). 展开更多
关键词 Lacquer polysaccharide Molecular weight Branching parameter Structure-activity relation Bioactivity Growth of leucocyte
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COMPARISON OF THE CLASTOGENIC EFFECTS OF CHLORIDES OF THE TOXIC METALS COBALT AND CESIUM ON HUMAN LEUCOCYTE CULTURE
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作者 Syamasri Palit Aditi Ghosh Geeta Talukder 《癌变.畸变.突变》 CAS CSCD 1991年第S1期143-143,共1页
Peripheral human leucocyte culture from samplesof both sexes was used to screen the relativeclastogenecity of CoCl<sub>2</sub> and CsCl - both knowntoxic metals.The endpoints were mitotic indexand chromoso... Peripheral human leucocyte culture from samplesof both sexes was used to screen the relativeclastogenecity of CoCl<sub>2</sub> and CsCl - both knowntoxic metals.The endpoints were mitotic indexand chromosomal aberrations.Blood was collectedfrom healthy donors of three age groups between0-20,20-40 and 40-60 vears.Each group 展开更多
关键词 CHROMOSOMAL leucocyte Blood screen CSCL GIEMSA preparations SCHEDULE separately usual
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The human leucocyte differentiation antigens (HLDA) workshops: the evolv-ing role of antibodies in research, diagnosis and therapy 被引量:2
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作者 Heddy ZOLA Bernadette SWART 《Cell Research》 SCIE CAS CSCD 2005年第9期691-694,共4页
The 8th International Workshop on Human Leucocyte Differentiation Antigens (chaired by Zola H and managed by Swart B) was run over a 4-year period and culminated in a conference in December 2004. Here we review the ac... The 8th International Workshop on Human Leucocyte Differentiation Antigens (chaired by Zola H and managed by Swart B) was run over a 4-year period and culminated in a conference in December 2004. Here we review the achieve- ments of the HLDA Workshops and provide links to information on CD molecules and antibodies against them, including the 93 new CDs assigned in the 8th Workshop. We consider what remains to be achieved (including an estimate of the number of leucocyte surface molecules still to be discovered), and how the field can best move forward. 展开更多
关键词 人类白细胞区别抗原 抗体研究 生物治疗 诊断方法
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Pieces targets comparision of RBC components before and after leucocyte removal filter
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《中国输血杂志》 CAS CSCD 2001年第S1期342-,共1页
关键词 RBC Pieces targets comparision of RBC components before and after leucocyte removal filter
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Clinical assessment of preventing febrile nonhemolytic transfusion reaction by RBC concentrates with leucocyte filtration
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《中国输血杂志》 CAS CSCD 2001年第S1期392-,共1页
关键词 RBC Clinical assessment of preventing febrile nonhemolytic transfusion reaction by RBC concentrates with leucocyte filtration
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Leucocyte and leucocyte function
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《外科研究与新技术》 1993年第1期52-53,共2页
9300161 Gene diagnosis and successful rever-sion in a patient with preleukemia.FENGBaozhang(冯宝章),et al.Instit Hematol,CAMS,Tianjin,300020.Chin J Intern Med1992;31(9):539-542.According to the FAB classification,a pa... 9300161 Gene diagnosis and successful rever-sion in a patient with preleukemia.FENGBaozhang(冯宝章),et al.Instit Hematol,CAMS,Tianjin,300020.Chin J Intern Med1992;31(9):539-542.According to the FAB classification,a patient(cases 1)could not he diagnosed as myelodys-plastic syndrome-refractory anemia(MDS-RA ),although she had clinical features ofMDS,as compared with another patient(case 2)who was diagnosed as RAS and had 展开更多
关键词 leucocyte ANEMIA REFRACTORY CAMS TIANJIN 冯宝 Hangzhou ABNORMAL Fujian ANLL
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Prevention of febrile nonhemolytic transfusion reaction with leucocyte filtrated concentrates
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作者 赵树铭 向国春 +2 位作者 张佳思 成晓玲 黎儒清 《Journal of Medical Colleges of PLA(China)》 CAS 2002年第1期54-55,共2页
Objective: To assess the clinical efficiency of the transfusion of leucocyte filtrated RBC concentrates to prevent febrile nonhemolytic transfusion reactions (FNHTRs). Methods: One hundred patients with liver cirrhosi... Objective: To assess the clinical efficiency of the transfusion of leucocyte filtrated RBC concentrates to prevent febrile nonhemolytic transfusion reactions (FNHTRs). Methods: One hundred patients with liver cirrhosis, gastric ulcer or cancer were subjected to receive RBC concentrates after leucocyte filtration. Another 50 patients with similar diseases were selected to receive non-filtrated RBC concentrates. The incidence of FNHTRs in all patients was investigated. Results: There was no FNHTR in 100 transfusions with leucocyte filtrated RBC concentrates, while FNHTRs occurred in 8 of 50 patients with non-filtrated RBC concentrates, with the incidence of 16%. Conclusion: FNHTRs to RBC transfusion can be prevented with leucocyte filtration. 展开更多
关键词 白细胞过滤 发热性非溶血性输血反应 输血
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Evaluation of Stress Response and Apoptosis on Leucocytes in TIVA versus Balanced Anesthesia
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作者 G. Soto F. Pignolo +4 位作者 F. Calero F. Saucina L. Lainatti S. Molinari G. Harvey 《Open Journal of Apoptosis》 2017年第1期1-16,共16页
Background: The aim of this study was to assess the stress response and apoptosis on leucocytes, in patients under two different anesthetics techniques. Methods: Thirty patients ASA I-II were prospectively randomized ... Background: The aim of this study was to assess the stress response and apoptosis on leucocytes, in patients under two different anesthetics techniques. Methods: Thirty patients ASA I-II were prospectively randomized into two groups to receive either total intravenous anesthesia with propofol-remifentanil (TIVA Group, n = 15) or balanced inhalation anesthesia with sevoflurane-remifentanil (BAL Group, n = 15). The hemodynamic response: systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) at different time points: baseline, after intubation, after skin incision and at the end of surgery, was measured along with plasma levels of lactate, glucose, cortisol and leucocytes count. The biomarkers of apoptosis (Annexin V and Propidium Iodide) in neutrophils, monocytes and lymphocytes were evaluated at baseline, intraoperatively and two hours after surgery. Results: The study groups were comparable with respect to anthropometric data. No significant intergroup differences in SBP and DBP were revealed. The HR in the BAL group was lower after intubation (p = 0.007). In both groups, lactate, plasma glucose, cortisol and leucocytes count remained stable during surgery and two hours post-operatively. In the BAL group there were significant differences in Annexin V in neutrophils, baseline moment (p = 0.010). No significant differences were found in apoptosis markers (Annexin V and Propidium Iodide) in neutrophils, monocytes and lymphocytes, at different time points. Conclusion: Both TIVA and BAL were effective in suppressing the surgical stress, without inducing apoptosis in immune cells, in patients undergoing VCL. 展开更多
关键词 Propofol-Sevoflurane-Hemodynamics Response-Cortisol-Apoptosis in leucocytes-Annexin V-Propidium Iodide
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小胶质细胞-白细胞轴在发育脑损伤后免疫机制的研究进展
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作者 贾文姬 吴春云 《中国临床解剖学杂志》 CSCD 北大核心 2023年第5期619-622,共4页
血液和中枢神经系统之间的免疫感知在维持大脑稳态和功能中起至关重要的作用。多重屏障保护中枢神经系统免受血液中有害分子和病原体的损害,并维持运输营养物质、清除废物,保持脑的稳态。大脑受到来源于软脑膜、血管周围和脉络膜丛间隙... 血液和中枢神经系统之间的免疫感知在维持大脑稳态和功能中起至关重要的作用。多重屏障保护中枢神经系统免受血液中有害分子和病原体的损害,并维持运输营养物质、清除废物,保持脑的稳态。大脑受到来源于软脑膜、血管周围和脉络膜丛间隙血液中的免疫细胞、巨噬细胞和脑实质内的小胶质细胞形成的“小胶质细胞-白细胞轴”的持续免疫监视[1]。 展开更多
关键词 免疫神经血管机制 小胶质细胞 外周白细胞 发育脑
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Axonal growth inhibitors and their receptors in spinal cord injury:from biology to clinical translation 被引量:2
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作者 Sílvia Sousa Chambel Célia Duarte Cruz 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第12期2573-2581,共9页
Axonal growth inhibitors are released during traumatic injuries to the adult mammalian central nervous system, including after spinal cord injury. These molecules accumulate at the injury site and form a highly inhibi... Axonal growth inhibitors are released during traumatic injuries to the adult mammalian central nervous system, including after spinal cord injury. These molecules accumulate at the injury site and form a highly inhibitory environment for axonal regeneration. Among these inhibitory molecules, myelinassociated inhibitors, including neurite outgrowth inhibitor A, oligodendrocyte myelin glycoprotein, myelin-associated glycoprotein, chondroitin sulfate proteoglycans and repulsive guidance molecule A are of particular importance. Due to their inhibitory nature, they represent exciting molecular targets to study axonal inhibition and regeneration after central injuries. These molecules are mainly produced by neurons, oligodendrocytes, and astrocytes within the scar and in its immediate vicinity. They exert their effects by binding to specific receptors, localized in the membranes of neurons. Receptors for these inhibitory cues include Nogo receptor 1, leucine-rich repeat, and Ig domain containing 1 and p75 neurotrophin receptor/tumor necrosis factor receptor superfamily member 19(that form a receptor complex that binds all myelin-associated inhibitors), and also paired immunoglobulin-like receptor B. Chondroitin sulfate proteoglycans and repulsive guidance molecule A bind to Nogo receptor 1, Nogo receptor 3, receptor protein tyrosine phosphatase σ and leucocyte common antigen related phosphatase, and neogenin, respectively. Once activated, these receptors initiate downstream signaling pathways, the most common amongst them being the Rho A/ROCK signaling pathway. These signaling cascades result in actin depolymerization, neurite outgrowth inhibition, and failure to regenerate after spinal cord injury. Currently, there are no approved pharmacological treatments to overcome spinal cord injuries other than physical rehabilitation and management of the array of symptoms brought on by spinal cord injuries. However, several novel therapies aiming to modulate these inhibitory proteins and/or their receptors are under investigation in ongoing clinical trials. Investigation has also been demonstrating that combinatorial therapies of growth inhibitors with other therapies, such as growth factors or stem-cell therapies, produce stronger results and their potential application in the clinics opens new venues in spinal cord injury treatment. 展开更多
关键词 chondroitin sulphate proteoglycans collapsin response mediator protein 2 inhibitory molecules leucine-rich repeat and Ig domain containing 1 leucocyte common antigen related myelin-associated glycoprotein neurite outgrowth inhibitor A Nogo receptor 1 Nogo receptor 3 oligodendrocyte myelin glycoprotein p75 neurotrophin receptor Plexin A2 Ras homolog family member A/Rho-associated protein kinase receptor protein tyrosine phosphataseσ repulsive guidance molecule A spinal cord injury tumour necrosis factor receptor superfamily member 19
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