期刊文献+
共找到560篇文章
< 1 2 28 >
每页显示 20 50 100
Evolution and prospect of China's rural development policy: A policy text analysis of the No.1 Central Documents
1
作者 WANG Qiang 《Ecological Economy》 2018年第4期268-281,共14页
By combing 20 documents of the Central Committee on the historical evolution of rural development policies since 1982, we hold that historical evolution has undergone reforms, adjustments, modernization developments a... By combing 20 documents of the Central Committee on the historical evolution of rural development policies since 1982, we hold that historical evolution has undergone reforms, adjustments, modernization developments and new ideas, and the path of reform experienced economic recovery, industrial nurturing agriculture, agriculture modernization and rural revitalization. The study found that: farmers' income has always been the focus of attention; agricultural production has shifted from total demand to green ecology; urban and rural resource elements are not well-organized, resulting in internal contradictions. The implementation of the rural revitalization strategy is an important measure to fundamentally solve the rural development problems in the new era. 展开更多
关键词 the no.1 central document text ANALYSIS rural development EVOLUTION PROSPECT
下载PDF
High mobility group box 1 in the central nervous system:regeneration hidden beneath inflammation
2
作者 Hanki Kim Bum Jun Kim +4 位作者 Seungyon Koh Hyo Jin Cho Xuelian Jin Byung Gon Kim Jun Young Choi 《Neural Regeneration Research》 SCIE CAS 2025年第1期107-115,共9页
High-mobility group box 1 was first discovered in the calf thymus as a DNA-binding nuclear protein and has been widely studied in diverse fields,including neurology and neuroscience.High-mobility group box 1 in the ex... High-mobility group box 1 was first discovered in the calf thymus as a DNA-binding nuclear protein and has been widely studied in diverse fields,including neurology and neuroscience.High-mobility group box 1 in the extracellular space functions as a pro-inflammatory damage-associated molecular pattern,which has been proven to play an important role in a wide variety of central nervous system disorders such as ischemic stroke,Alzheimer’s disease,frontotemporal dementia,Parkinson’s disease,multiple sclerosis,epilepsy,and traumatic brain injury.Several drugs that inhibit high-mobility group box 1 as a damage-associated molecular pattern,such as glycyrrhizin,ethyl pyruvate,and neutralizing anti-high-mobility group box 1 antibodies,are commonly used to target high-mobility group box 1 activity in central nervous system disorders.Although it is commonly known for its detrimental inflammatory effect,high-mobility group box 1 has also been shown to have beneficial pro-regenerative roles in central nervous system disorders.In this narrative review,we provide a brief summary of the history of high-mobility group box 1 research and its characterization as a damage-associated molecular pattern,its downstream receptors,and intracellular signaling pathways,how high-mobility group box 1 exerts the repair-favoring roles in general and in the central nervous system,and clues on how to differentiate the pro-regenerative from the pro-inflammatory role.Research targeting high-mobility group box 1 in the central nervous system may benefit from differentiating between the two functions rather than overall suppression of high-mobility group box 1. 展开更多
关键词 central nervous system damage-associated molecular pattern ethyl pyruvate glycyrhizzin high mobility group box 1 INFLAMMATION neural stem cells NEURODEVELOPMENT oligodendrocyte progenitor cells redox status REGENERATION
下载PDF
转导蛋白β样1X基因与迟发性感音神经性耳聋
3
作者 王艳莉 郭玉芬 《中华耳科学杂志》 CSCD 北大核心 2024年第4期671-673,共3页
目前的研究表明,人源转导蛋白β样1X(transducin beta like 1 X-linked,TBL1X)基因与多种疾病的发生密切相关,还参与了迟发性感音神经性耳聋的发生,我们回顾国内外的相关文献,就该基因与迟发性感音神经性耳聋的相关研究做一综述。
关键词 人源转导蛋白β样1X基因 眼白化病 中枢性甲状腺功能减退 迟发感音神经性耳聋
下载PDF
经钻孔引流术治疗慢性硬膜下血肿患者血清TSP1、TSP2、bFGF、VEGF、S-100β水平变化及其临床意义
4
作者 吴颐 叶明 +1 位作者 高觉民 李建 《分子影像学杂志》 2024年第4期341-347,共7页
目的探讨经钻孔引流术治疗慢性硬膜下血肿患者血清血小板反应蛋白1(TSP1)、血小板反应蛋白2(TSP2)、碱性成纤维细胞生长因子(bFGF)、血管内皮生长因子(VEGF)、中枢神经特异蛋白(S-100β)水平变化及其临床意义。方法选取江苏省中医院2019... 目的探讨经钻孔引流术治疗慢性硬膜下血肿患者血清血小板反应蛋白1(TSP1)、血小板反应蛋白2(TSP2)、碱性成纤维细胞生长因子(bFGF)、血管内皮生长因子(VEGF)、中枢神经特异蛋白(S-100β)水平变化及其临床意义。方法选取江苏省中医院2019年1月~2023年6月收治的慢性硬膜下血肿患者142例作为病例组,均进行钻孔引流术;另选取同期健康体检人员146例作为健康对照组,比较两组不同脑损伤、手术前后、不同复发情况的血清TSP1、TSP2、bFGF、VEGF、S-100β水平,分析血清TSP1、TSP2、bFGF、VEGF、S-100β水平与慢性硬膜下血肿患者脑损伤程度的相关性。结果与健康对照组比较,病例组血清TSP1、TSP2、bFGF、VEGF、S-100β水平均相对更高;与轻度脑损伤组进行比较,中度脑损伤组、重度脑损伤组血清TSP1、TSP2、bFGF、VEGF、S-100β水平均相对更高,且重度脑损伤组高于中度脑损伤组;与术前进行比较,术后7 d慢性硬膜下血肿患者血清TSP1、TSP2、bFGF、VEGF、S-100β水平均相对较低;与复发组进行比较,未复发组血清TSP1、TSP2、bFGF、VEGF、S-100β水平均相对较低(P<0.05)。Pearson相关分析结果显示,慢性硬膜下血肿患者血清TSP1、TSP2、bFGF、VEGF、S-100β水平与GCS评分均呈负相关关系(r=-0.655、-0.674、-0.711、-0.689、-0.705,P<0.05)。结论慢性硬膜下血肿患者经钻孔引流术后血清TSP1、TSP2、bFGF、VEGF、S-100β水平均降低,并与患者脑损伤程度、转归具有高度相关性,临床上可通过检测慢性硬膜下血肿患者上述各项血清学指标的变化情况,以便及时判断慢性硬膜下血肿患者的脑损伤程度。 展开更多
关键词 硬膜下血肿 慢性 经钻孔引流术 血小板反应蛋白1 血小板反应蛋白2 碱性成纤维细胞生长因子 血管内皮生长因子 中枢神经特异蛋白
下载PDF
High-intensity swimming alleviates nociception and neuroinflammation in a mouse model of chronic postischemia pain by activating the resolvin E1-chemerin receptor 23 axis in the spinal cord 被引量:2
5
作者 Xin Jia Ziyang Li +3 位作者 Xiafeng Shen Yu Zhang Li Zhang Ling Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第11期2535-2544,共10页
Physical exe rcise effectively alleviates chronic pain associated with complex regional pain syndrome type-Ⅰ.However,the mechanism of exe rcise-induced analgesia has not been clarified.Recent studies have shown that ... Physical exe rcise effectively alleviates chronic pain associated with complex regional pain syndrome type-Ⅰ.However,the mechanism of exe rcise-induced analgesia has not been clarified.Recent studies have shown that the specialized pro-resolving lipid mediator resolvin E1 promotes relief of pathologic pain by binding to chemerin receptor 23 in the nervous system.However,whether the resolvin E1-chemerin receptor 23 axis is involved in exercise-induced analgesia in complex regional pain syndrome type-Ⅰ has not been demonstrated.In the present study,a mouse model of chronic post-ischemia pain was established to mimic complex regional pain syndrome type-Ⅰ and subjected to an intervention involving swimming at different intensities.Chronic pain was reduced only in mice that engaged in high-intensity swimming.The resolvin E1-chemerin receptor 23 axis was clearly downregulated in the spinal cord of mice with chronic pain,while high-intensity swimming restored expression of resolvin E1 and chemerin receptor 23.Finally,shRNA-mediated silencing of chemerin receptor 23in the spinal cord reve rsed the analgesic effect of high-intensity swimming exercise on chronic post-ischemic pain and the anti-inflammato ry pola rization of microglia in the dorsal horn of the spinal cord.These findings suggest that high-intensity swimming can decrease chronic pain via the endogenous resolvin E1-chemerin receptor 23 axis in the spinal cord. 展开更多
关键词 central sensitization chemerin receptor 23 chronic post-ischemia pain complex regional pain syndrome exercise-induced analgesia microglia NEUROINFLAMMATION resolvin E1 spinal cord SWIMMING
下载PDF
Streptococcus pneumoniae and Herpes Simplex Virus-1 Central Nervous System Co-Infection
6
作者 António Martins Cláudio Silva +4 位作者 Fernando Silva Lúcia Ribeiro António José Cruz Filipa Ceia Lurdes Santos 《Advances in Infectious Diseases》 CAS 2023年第1期47-53,共7页
Co-infections of the central nervous system (CNS) caused by bacterial and viral pathogens are considered to be rare. Herpes simplex virus type-1 (HSV-1) reactivation following Streptococcus pneumoniae infection is wel... Co-infections of the central nervous system (CNS) caused by bacterial and viral pathogens are considered to be rare. Herpes simplex virus type-1 (HSV-1) reactivation following Streptococcus pneumoniae infection is well described but most cases are related to oral or cutaneous lesions or in respiratory samples. HSV-1 CNS reactivation after Streptococcus pneumoniae meningitis is a very rare event and may have significant morbidity and mortality. In this case report, we describe a 71-year-old female patient that presented with a history of abdominal pain and confusion/disorientation that had tonic-clonic seizures while in the Emergency Department. The diagnostic work-up confirmed CNS co-infection caused by Streptococcus pneumoniae and HSV-1. Of note, beyond age, the patient had no known risk factors for both entities and recovered fully after antibiotic and antiviral therapy. This case underlines that clinicians must be aware of CNS co-infection despite being a rare diagnosis. This should be suspected particularly in patients who present an unusual clinical course of CNS infection. 展开更多
关键词 Streptococcus pneumoniae Herpes Simplex Virus Type 1 central Nervous System CO-INFECTION
下载PDF
A novel mutation of SGK-1 gene in central serous chorioretinopathy 被引量:1
7
作者 Mahmut Akyol Muhammet Kazιm Erol +4 位作者 Ozdemir Ozdemir Deniz Turgut Coban Ahmet Burak Bilgin Esin Sogutlu Sari Elif Betul Turkoglu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2015年第1期23-28,共6页
AIM: To investigate the association of serum glucocorticoid kinase gene-1(SGK-1) DNA variants with chronic central serous chorioretinopathy(CSC).METHODS: We enrolled 32 eyes of 32 patients who were diagnosed with chro... AIM: To investigate the association of serum glucocorticoid kinase gene-1(SGK-1) DNA variants with chronic central serous chorioretinopathy(CSC).METHODS: We enrolled 32 eyes of 32 patients who were diagnosed with chronic CSC and composed 32 normal eyes as a control group. Peripheral blood was used for DNA extraction and polymerase chain reaction amplification. SGK1 gene was sequenced by using Big Dye Terminator v3.1 cycle sequencing Kit(Applied Biosystems, Foster City, CA, USA). The SGK-1 gene and its variants were investigated in CSC patient group and control group.RESULTS: We identified a new polymorphism M32 V in two person in the patient group [Minor allele frequency(MAF) =0.009] on the region of 1-60 amino acids. The rs1057293 was located in the encoder region of the SGK- 1 gene but not associated with CSC(P =0.68). An intrinsic rs1743966 is also not associated(P =0.28).CONCLUSION: The new polymorphism M32 V is located on the region of 1-60 amino acids which is necessary for localization to the mitochondria in CSC patient. This mutation is probably important for the energy metabolism and plays an important role in the cellular response to hyperosmotic stress and other stress stimuli. Both rs1057293 and rs1743966 are not associated with CSC. 展开更多
关键词 central serous chorioretinopathy mutation polymerase chain reaction serum glucocorticoid kinase gene-1
下载PDF
Research progress of sphingosine 1-phosphate and its signal transduction in central nervous system diseases
8
作者 BEN Xin-yu YI Xi-nan LI Qi-fu 《Journal of Hainan Medical University》 CAS 2023年第23期64-69,共6页
Sphingosine 1-phosphate(S1P),as a sphingolipid metabolite,has become a key substance in regulating various physiological processes,involved in differentiation,proliferation,migration,morphogenesis,cytoskeleton formati... Sphingosine 1-phosphate(S1P),as a sphingolipid metabolite,has become a key substance in regulating various physiological processes,involved in differentiation,proliferation,migration,morphogenesis,cytoskeleton formation,adhesion,apoptosis,etc.process.Sphingosine 1-phosphate can not only activate the S1P-S1PR signaling pathway by binding to the corresponding receptors on the cell membrane,but also play a role in the cell.In recent years,studies have found that there is a certain relationship between its level changes and the occurrence and development of central nervous system diseases.This article reviews the latest knowledge of sphingosine-1-phosphate in the occurrence and treatment of nervous system diseases,and further clarifies its molecular mechanism in the treatment and development of central nervous system diseases. 展开更多
关键词 Sphingosine 1-phosphate Sphingolipid metabolism central nervous system diseases Sphingosine kinase S1P receptor
下载PDF
偏痛汤1号对痛敏性偏头痛大鼠BDNF/p-Akt信号途径的影响
9
作者 吉雪年 罗亚敏 +4 位作者 邱月华 张淑静 王宇妍 刘鑫 陶晓华 《中国中医急症》 2024年第5期785-789,共5页
目的基于BDNF/p-Akt信号途径研究偏痛汤1号对硝酸甘油(NTG)致偏头痛模型大鼠作用机制的影响。方法采用随机数字表法将40只SD雄性大鼠分为空白组、假手术组、模型组、阳性药组、偏痛汤1号组,每组8只。空白组予正常饮食水饲养,假手术组予... 目的基于BDNF/p-Akt信号途径研究偏痛汤1号对硝酸甘油(NTG)致偏头痛模型大鼠作用机制的影响。方法采用随机数字表法将40只SD雄性大鼠分为空白组、假手术组、模型组、阳性药组、偏痛汤1号组,每组8只。空白组予正常饮食水饲养,假手术组予颈背部皮下注射生理盐水,其余各组大鼠予颈背部皮下注射NTG。成模后给药1周,同时检测行为学及痛阈值变化。采用ELSIA技术检测外周血浆中白细胞介素-6(IL-6)、脑神经营养因子(BDNF)、一氧化氮(NO)水平。RT-qPCR技术检测大鼠三叉神经节中降钙素基因相关肽(CGRP)、BDNF、蛋白激酶B(Akt)、Bcl-2相关死亡启动因子(BAD)及NO mRNA转录水平。Western blotting技术测定大鼠三叉神经节中BDNF、Akt及p-Akt蛋白表达。结果与模型组比较,偏痛汤1号组大鼠眼眶痛阈上调(P<0.05);血浆BDNF、NO蛋白表达水平下调(P<0.05),IL-6无显著下降趋势(P>0.05);三叉神经节中CGRP、Akt、BDNF mRNA转录水平下调(P<0.05),BAD、NO mRNA转录水平有下调趋势,但无显著差异(P>0.05),Akt、p-Akt与BDNF蛋白表达水平显著降低(P<0.05或P<0.001)。结论偏痛汤1号抑制痛敏性偏头痛的机制与调控BDNF/p-Akt信号途径,下调偏头痛相关因子CGRP、NO、IL-6等表达水平,从而减少突触递质引起的通路活化相关。 展开更多
关键词 痛敏性偏头痛 偏痛汤1 中枢敏化 BDNF/p-Akt信号途径 大鼠
下载PDF
血清胰岛素样生长因子1联合子宫与卵巢超声参数对性早熟女童的临床诊断价值
10
作者 李社勇 李敏 +1 位作者 和俊杰 宋银森 《临床心身疾病杂志》 CAS 2024年第4期31-35,共5页
目的 探讨血清胰岛素样生长因子1(IGF-1)联合子宫与卵巢超声参数对性早熟女童的临床诊断价值。方法 将120例性早熟女童根据病因分为特发性中枢性性早熟(ICPP)组71例和单纯乳房早发育(IPT)组49例,比较两组患儿血清IGF-1水平及子宫与卵巢... 目的 探讨血清胰岛素样生长因子1(IGF-1)联合子宫与卵巢超声参数对性早熟女童的临床诊断价值。方法 将120例性早熟女童根据病因分为特发性中枢性性早熟(ICPP)组71例和单纯乳房早发育(IPT)组49例,比较两组患儿血清IGF-1水平及子宫与卵巢超声参数,采用Logistic回归分析ICPP影响因素,采用受试者工作特征(ROC)曲线分析血清IGF-1联合子宫与卵巢超声参数对ICPP的诊断价值。结果 ICPP组患儿血清IGF-1水平高于IPT组(P<0.01);ICPP组患儿子宫和卵巢纵径、体积及最大卵泡直径均大于IPT组(P<0.01)。Logistic回归分析结果提示,血清IGF-1水平高,子宫纵径、卵巢纵径、卵巢体积及最大卵泡直径较大均为ICPP的危险因素(P<0.05或0.01);ROC曲线分析结果提示,血清IGF-1水平、子宫纵径、子宫体积、卵巢纵径、卵巢体积及最大卵泡直径对ICPP诊断的曲线下面积(AUC)分别为0.722、0.734、0.713、0.701、0.741及0.656,联合诊断的AUC为0.926。结论 血清IGF-1水平高,子宫纵径、卵巢纵径、卵巢体积及最大卵泡直径较大的女童可能更易发生ICPP,血清IGF-1联合子宫与卵巢超声参数对性早熟女童具有较高的诊断价值。 展开更多
关键词 特发性中枢性性早熟 单纯乳房早发育 胰岛素样生长因子1 子宫 卵巢 盆腔超声
下载PDF
中枢性性早熟女童血清神经肽吻素和网膜素-1的表达与骨龄指数和卵巢体积的相关性分析
11
作者 郑新月 焦娇 张雪松 《中国医药》 2024年第6期888-892,共5页
目的探讨中枢性性早熟女童血清神经肽吻素、网膜素-1的表达与骨龄指数、卵巢体积的相关性。方法选取2022年7月至2023年6月于河北省唐山市妇幼保健院进行治疗的中枢性性早熟女童85例作为观察组。另选取70例同期体检正常女童作为对照组。... 目的探讨中枢性性早熟女童血清神经肽吻素、网膜素-1的表达与骨龄指数、卵巢体积的相关性。方法选取2022年7月至2023年6月于河北省唐山市妇幼保健院进行治疗的中枢性性早熟女童85例作为观察组。另选取70例同期体检正常女童作为对照组。比较2组相关临床指标、神经肽吻素、网膜素-1水平。采用Logistic回归分析法分析骨龄指数、卵巢体积的影响因素。采用Pearson相关性分析法分析中枢性性早熟女童神经肽吻素、网膜素-1表达与骨龄指数、卵巢体积的相关性。结果观察组神经肽吻素、骨龄指数、卵巢体积高于/大于对照组[(2.68±1.05)μg/L比(0.60±0.20)μg/L、(1.67±0.25)比(1.02±0.06)、(3.68±0.58)cm^(3)比(2.70±0.29)cm^(3)],网膜素-1水平低于对照组[(27±4)μg/L比(70±8)μg/L],差异均有统计学意义(均P<0.001)。多因素Logistic回归分析结果显示,预测成年身高、雌二醇、黄体生成素(LH)、卵泡刺激素(FSH)、骨源性碱性磷酸酶、骨钙素、胰岛素样生长因子1、神经肽吻素、网膜素-1为骨龄指数的影响因素(均P<0.001),子宫体积、雌二醇、LH、FSH、神经肽吻素、网膜素-1为卵巢体积的影响因素(均P<0.001)。中枢性性早熟女童神经肽吻素与骨龄指数(r=0.634,P=0.001)、卵巢体积(r=0.533,P=0.001)呈正相关;网膜素-1与骨龄指数(r=-0.569,P=0.001)、卵巢体积(r=-0.459,P=0.001)呈负相关。结论中枢性性早熟女童神经肽吻素表达升高,网膜素-1表达降低,神经肽吻素与患儿骨龄指数、卵巢体积呈正相关,网膜素-1与患儿骨龄指数、卵巢体积呈负相关。 展开更多
关键词 中枢性性早熟 女童 神经肽吻素 网膜素-1 骨龄指数 卵巢体积
下载PDF
椎管内麻醉后CD老年患者S100β、H-FABP、NLRP3mRNA、Caspase-1 mRNA表达意义
12
作者 周洁 胡胜红 +1 位作者 李传保 潘孝飞 《分子诊断与治疗杂志》 2024年第4期639-643,共5页
目的分析老年髋关节置换术(THA)患者椎管内麻醉后认知功能障碍(CD)发生的危险因素及中枢神经特异蛋白(S100-β)、核苷酸结合寡聚化域受体蛋白3信使核糖核酸(NLRP3 mRNA)、中心型脂肪酸结合蛋白(H-FABP)、天冬氨酸蛋白水解酶1信使核糖核... 目的分析老年髋关节置换术(THA)患者椎管内麻醉后认知功能障碍(CD)发生的危险因素及中枢神经特异蛋白(S100-β)、核苷酸结合寡聚化域受体蛋白3信使核糖核酸(NLRP3 mRNA)、中心型脂肪酸结合蛋白(H-FABP)、天冬氨酸蛋白水解酶1信使核糖核酸(Caspase-1 mRNA)对其预测价值。方法将椎管内麻醉后发生CD的40例老年THA术患者纳入A组,另选取未发生CD的68例老年THA术患者纳入B组。比较两组临床资料、S100-β、H-FABP、NLRP3 mRNA、Caspase-1 mRNA,危险因素采用多因素Logistic回归分析法进行分析,S100-β、H-FABP、NLRP3 mRNA、Caspase-1 mRNA对老年THA术患者椎管内麻醉后CD发生的预测价值采用受试者工作特征(ROC)曲线进行分析。结果A组年龄大于B组,差异有统计学意义(t=13.674,P<0.05);有糖尿病、术中低血压的患者占比均高于B组,差异有统计学意义(χ^(2)=12.643、17.767,P<0.05)。A组血清S100-β、NLRP3 mRNA、H-FABP、Caspase-1mRNA表达均高于B组,差异有统计学意义(t=14.571、21.691、80.159、23.572,P<0.05)。老年THA术患者椎管内麻醉后CD发生的独立危险因素包括年龄大、糖尿病、术中低血压、血清S100-β、H-FABP、水平、NLRP3 mRNA、Caspase-1 mRNA高,差异有统计学意义(P<0.05)。S100-β、H-FABP、NLRP3 mRNA、Caspase-1 mRNA联合检查预测老年THA术患者椎管内麻醉后CD发生的曲线下面积(AUC)为0.915高于单一检测(P<0.05)。结论年龄大、糖尿病、术中低血压均为老年THA术患者椎管内麻醉后CD发生的独立危险因素,且S100-β、H-FABP、NLRP3 m RNA、Caspase-1 mRNA联合检测对CD的预测价值较高。 展开更多
关键词 中枢神经特异蛋白 中心型脂肪酸结合蛋白 核苷酸结合寡聚化域受体蛋白3 天冬氨酸蛋白水解酶
下载PDF
Correlation between cerebral neurotransmitters levels by proton magnetic resonance spectroscopy and HbA1c in patients with type 2 diabetes
13
作者 Xiang-Yu Gao Chen-Xia Zhou +5 位作者 Hong-Mei Li Min Cheng Da Chen Zi-Yi Li Bo Feng Jun Song 《World Journal of Diabetes》 SCIE 2024年第6期1263-1271,共9页
BACKGROUND Cognitive dysfunction is the main manifestation of central neuropathy.Although cognitive impairments tend to be overlooked in patients with diabetes mellitus(DM),there is a growing body of evidence linking ... BACKGROUND Cognitive dysfunction is the main manifestation of central neuropathy.Although cognitive impairments tend to be overlooked in patients with diabetes mellitus(DM),there is a growing body of evidence linking DM to cognitive dysfunction.Hyperglycemia is closely related to neurological abnormalities,while often disregarded in clinical practice.Changes in cerebral neurotransmitter levels are associated with a variety of neurological abnormalities and may be closely related to blood glucose control in patients with type 2 DM(T2DM).AIM To evaluate the concentrations of cerebral neurotransmitters in T2DM patients exhibiting different hemoglobin A1c(HbA1c)levels.METHODS A total of 130 T2DM patients were enrolled at the Department of Endocrinology of Shanghai East Hospital.The participants were divided into four groups according to their HbA1c levels using the interquartile method,namely Q1(<7.875%),Q2(7.875%-9.050%),Q3(9.050%-11.200%)and Q4(≥11.200%).Clinical data were collected and measured,including age,height,weight,neck/waist/hip circumferences,blood pressure,comorbidities,duration of DM,and biochemical indicators.Meanwhile,neurotransmitters in the left hippocampus and left brainstem area were detected by proton magnetic resonance spectroscopy.RESULTS The HbA1c level was significantly associated with urinary microalbumin(mALB),triglyceride,low-density lipoprotein cholesterol(LDL-C),homeostasis model assessment of insulin resistance(HOMA-IR),and beta cell function(HOMA-β),N-acetylaspartate/creatine(NAA/Cr),and NAA/choline(NAA/Cho).Spearman correlation analysis showed that mALB,LDL-C,HOMA-IR and NAA/Cr in the left brainstem area were positively correlated with the level of HbA1c(P<0.05),whereas HOMA-βwas negatively correlated with the HbA1c level(P<0.05).Ordered multiple logistic regression analysis showed that NAA/Cho[Odds ratio(OR):1.608,95%confidence interval(95%CI):1.004-2.578,P<0.05],LDL-C(OR:1.627,95%CI:1.119-2.370,P<0.05),and HOMA-IR(OR:1.107,95%CI:1.031-1.188,P<0.01)were independent predictors of poor glycemic control.CONCLUSION The cerebral neurotransmitter concentrations in the left brainstem area in patients with T2DM are closely related to glycemic control,which may be the basis for the changes in cognitive function in diabetic patients. 展开更多
关键词 Type 2 diabetes mellitus Hemoglobin A1c Proton magnetic resonance spectroscopy NEUROTRANSMITTERS central neuropathy
下载PDF
Transforming growth factor-beta 1 enhances discharge activity of cortical neurons
14
作者 Zhihui Ren Tian Li +5 位作者 Xueer Liu Zelin Zhang Xiaoxuan Chen Weiqiang Chen Kangsheng Li Jiangtao Sheng 《Neural Regeneration Research》 SCIE CAS 2025年第2期548-556,共9页
Transforming growth factor-beta 1(TGF-β1)has been extensively studied for its pleiotropic effects on central nervous system diseases.The neuroprotective or neurotoxic effects of TGF-β1 in specific brain areas may de... Transforming growth factor-beta 1(TGF-β1)has been extensively studied for its pleiotropic effects on central nervous system diseases.The neuroprotective or neurotoxic effects of TGF-β1 in specific brain areas may depend on the pathological process and cell types involved.Voltage-gated sodium channels(VGSCs)are essential ion channels for the generation of action potentials in neurons,and are involved in various neuroexcitation-related diseases.However,the effects of TGF-β1 on the functional properties of VGSCs and firing properties in cortical neurons remain unclear.In this study,we investigated the effects of TGF-β1 on VGSC function and firing properties in primary cortical neurons from mice.We found that TGF-β1 increased VGSC current density in a dose-and time-dependent manner,which was attributable to the upregulation of Nav1.3 expression.Increased VGSC current density and Nav1.3 expression were significantly abolished by preincubation with inhibitors of mitogen-activated protein kinase kinase(PD98059),p38 mitogen-activated protein kinase(SB203580),and Jun NH2-terminal kinase 1/2 inhibitor(SP600125).Interestingly,TGF-β1 significantly increased the firing threshold of action potentials but did not change their firing rate in cortical neurons.These findings suggest that TGF-β1 can increase Nav1.3 expression through activation of the ERK1/2-JNK-MAPK pathway,which leads to a decrease in the firing threshold of action potentials in cortical neurons under pathological conditions.Thus,this contributes to the occurrence and progression of neuroexcitatory-related diseases of the central nervous system. 展开更多
关键词 central nervous system cortical neurons ERK firing properties JNK Nav1.3 p38 transforming growth factor-beta 1 traumatic brain injury voltage-gated sodium currents
下载PDF
Efficacy of 1/3-Dose Verteporfin Photodynamic Therapy for Subacute Central Serous Chorioretinopathy
15
作者 Li Xu Qiushi Liu +1 位作者 Xiaotong Zhuang Dongning Liu 《Open Journal of Ophthalmology》 2017年第4期310-318,共9页
Purpose: To study the safety and efficacy of 1/3-dose verteporfin photodynamic therapy (PDT) for subacute central serous chorioretinopathy (CSC). Methods: In this case series, 59 eyes (59 patients) diagnosed with suba... Purpose: To study the safety and efficacy of 1/3-dose verteporfin photodynamic therapy (PDT) for subacute central serous chorioretinopathy (CSC). Methods: In this case series, 59 eyes (59 patients) diagnosed with subacute CSC in Shenyang the 4th hospital from January 2014 to December 2015 were treated with 1/3-dose verteporfin PDT and followed up for at least 1 year. The symptoms and the diagnosed history were more than 3 months but shorter than 6 months. The central foveal thickness (CFT), neuroretinal thickness (NRT), height of subfoveal retinal fluid (SRF), and subfoveal choroidal thickness (SCT) were observed at baseline and after treated at 1, 2, 3, 6 and 12 months with EDI-OCT, Best-corrected visual acuity ( BCVA) was also studied at the same time. Results: After 1, 2, 3 and 6 months of 1/3-dose verteporfin PDT treatment, the BCVA improved significantly (P 0.05). The height of SRF changed significantly. There was no retinal pigment epithelium atrophy and choroidal neovascularization (CNV) in all cases after more than 12 months follow-up. Conclusion: Treatment of 1/3 dose verteporfin PDT could safely and effectively reduce expansion of choroidal vessel and choroidal choriocapillary, promoting absorbance of subretinal fluid for subacute CSC. 1/3-dose verteporfin PDT may be an alternative method to treat the subacute CSC. 展开更多
关键词 SUBACUTE central Serous CHORIORETInoPATHY (CSC) 1/3-Dose VERTEPORFIN Photodynamic Therapy (PDT) Subfoveal Choroidal Thickness (SCT) Neuroretinal Thickness (NRT) central Foveal Thickness (CFT)
下载PDF
IGF-1及其相关指标对CPP患儿GnRHa治疗期间生长减速的诊断价值
16
作者 汪鹿瑶 刘晓静 《临床医学研究与实践》 2024年第15期54-57,78,共5页
目的 分析胰岛素样生长因子-1(IGF-1)及其相关指标对中枢性性早熟(CPP)患儿促性腺激素释放激素类似物(GnRHa)治疗期间生长减速的诊断价值,并找出最佳参考指标及截断值以指导临床工作。方法 回顾分析53例接受GnRHa治疗的特发性CPP女童的... 目的 分析胰岛素样生长因子-1(IGF-1)及其相关指标对中枢性性早熟(CPP)患儿促性腺激素释放激素类似物(GnRHa)治疗期间生长减速的诊断价值,并找出最佳参考指标及截断值以指导临床工作。方法 回顾分析53例接受GnRHa治疗的特发性CPP女童的临床资料[身高、骨龄(BA)、生长速率(CV)等],分析IGF-1及其相关指标、性激素等与生长速度的相关性,并采用受试者工作特征(ROC)曲线分析CPP患儿过度生长减速的最佳参考指标。结果 GV、GV SDS与ΔBA-IGF-1 SDS、治疗12个月时的雌二醇(E2)均呈正相关,与初诊时BA-IGF-1 SDS均呈负相关(P<0.05)。患儿以GV SDS≥0和GV SDS<0分组,ΔBA-IGF-1 SDS的ROC曲线面积最大[曲线下面积(AUC)=0.782],其最佳界值点为-1.274。结论 在GnRHa治疗期间生长减速与生长激素(GH)-IGF-1轴的变化、性类固醇缺乏有关,ΔBA-IGF-1 SDS可考虑作为CPP患儿GnRHa治疗后临床上指导联合使用重组人生长激素(rhGH)的参考指标。 展开更多
关键词 中枢性性早熟 生长速率 胰岛素样生长因子-1 胰岛素生长因子结合蛋白-3
下载PDF
大国与中亚国家间“C5+1”对话机制的发展现状、动因与前景
17
作者 邓辀 《新疆大学学报(哲学社会科学版)》 北大核心 2024年第3期78-85,共8页
“C5+1”机制在近些年来成为中、美、俄、欧、印等大国介入中亚事务的主要借助手段,突出表现为参与大国日益增多和对话层级不断提升。大国近年来之所以重视以“C5+1”机制介入中亚事务,主要是因为大国在中亚利益的整体性和有限性、中亚... “C5+1”机制在近些年来成为中、美、俄、欧、印等大国介入中亚事务的主要借助手段,突出表现为参与大国日益增多和对话层级不断提升。大国近年来之所以重视以“C5+1”机制介入中亚事务,主要是因为大国在中亚利益的整体性和有限性、中亚区域合作取得新进展等原因,但根本原因在于中亚地区大国竞争的加剧。“C5+1”机制在近年来的兴盛,对中国的中亚外交具有双重影响。展望未来,大国的意愿仍将是决定“C5+1”机制存续与发展的关键要素,同时不同大国参与下的“C5+1”间既有竞争又有合作的基本关系面在较长时间内不会改变,以及阿富汗有可能成为“C5+1”的成员国,扩展为“C6+1”。这些对中国来说既是机遇也是挑战,中国应着力提高“C5+1”机制下与中亚国家间的务实合作水平,同时也应密切关注其他大国“C5+1”机制的进展,取长补短,推动中国对中亚外交行稳致远。 展开更多
关键词 大国 中亚五国 “C5+1 区域合作
下载PDF
应用注射用醋酸亮丙瑞林微球治疗的特发性中枢性性早熟女童血清胰岛素样生长因子1水平的变化及其与生长速度的关系 被引量:12
18
作者 张田 何洋 万乃君 《中国医药》 2023年第4期564-568,共5页
目的探讨应用注射用醋酸亮丙瑞林微球治疗的特发性中枢性性早熟(ICPP)女童血清胰岛素样生长因子1(IGF-1)水平的变化及其与生长速度的关系。方法回顾性分析2019年1月至2021年1月在北京积水潭医院儿科门诊诊断为ICPP的女童,从中筛选出仅... 目的探讨应用注射用醋酸亮丙瑞林微球治疗的特发性中枢性性早熟(ICPP)女童血清胰岛素样生长因子1(IGF-1)水平的变化及其与生长速度的关系。方法回顾性分析2019年1月至2021年1月在北京积水潭医院儿科门诊诊断为ICPP的女童,从中筛选出仅应用注射用醋酸亮丙瑞林微球治疗且持续治疗1年以上的女童共42例。收集其治疗前、治疗6个月及1年后复查的病历资料,对比治疗前后身高、骨龄、骨龄预测终身高及IGF-1等指标变化,分析IGF-1水平变化与生长速度的关系。结果治疗6个月及1年后骨龄预测终身高高于治疗前[(158±3)、(159±4)cm比(156±4)cm],差异均有统计学意义(均P<0.05);治疗1年后患儿身高增长速度明显慢于治疗前、IGF-1年龄范围的标准差明显低于治疗前[(2.8±1.3)cm/6个月比(3.6±1.1)cm/6个月、-0.16(-0.42,0.42)比0.86(0.24,1.84)],差异均有统计学意义(均P<0.05)。治疗1年后患儿身高增长速度与骨龄进展速度的延缓程度及雌二醇下降程度呈正相关(r=0.483,P=0.020;r=0.424,P=0.049),与IGF-1的变化程度无明显相关性(r=0.405,P=0.061)。结论ICPP女童应用注射用醋酸亮丙瑞林微球治疗1年后身高增长速度及血清IGF-1水平均显著下降,身高增长速度与骨龄延缓控制程度及雌激素下降程度呈正相关,与IGF-1水平变化无明显相关性。 展开更多
关键词 中枢性性早熟 注射用醋酸亮丙瑞林微球 胰岛素样生长因子1 身高增长速度
下载PDF
康柏西普联合卵磷脂络合碘治疗视网膜中央静脉阻塞的效果及对视力、VEGF、NO和ET-1水平的影响 被引量:3
19
作者 高建萍 《实用防盲技术》 2021年第1期28-30,43,共4页
目的探究治疗视网膜中央静脉阻塞(central retinal vein occlusion,CRVO)行玻璃体腔内注射康柏西普联合卵磷脂络合碘的临床疗效,以及对视力、血管内皮生长因子(vascular endothelial growth factor,VEGF)、一氧化氮(nitric oxide,NO)、... 目的探究治疗视网膜中央静脉阻塞(central retinal vein occlusion,CRVO)行玻璃体腔内注射康柏西普联合卵磷脂络合碘的临床疗效,以及对视力、血管内皮生长因子(vascular endothelial growth factor,VEGF)、一氧化氮(nitric oxide,NO)、内皮素-1(endothelin-1,ET-1)的影响。方法选取2017年1月~2019年7月于我院治疗的视网膜中央静脉阻塞患者94例,并随机分为对照组和观察组,每组各47例。对照组行玻璃体腔注射康柏西普眼用注射液,治疗组在对照组治疗的基础上口服卵磷脂络合碘胶囊。比较两组患者临床疗效,疾病相关指标眼压(intraocular pressure,IOP)、最佳矫正视力(Best corrected visual acuity,BCVA)、黄斑中心凹视网膜厚度(central macular thickness,CMT)水平和血清相关因子VEGF、NO、ET-1水平。结果观察组治疗总有效率为95.24%,明显高于对照组的80.95%,差异有统计学意义(P<0.05)。两组治疗后IOP、BCVA、CMT水平与治疗前比较明显降低,差异有统计学意义(P<0.05);观察组治疗后IOP、BCVA、CMT水平明显低于对照组,差异有统计学意义(P<0.05)。两组治疗后VEGF、NO、ET-1水平水平与治疗前比较明显降低,差异有统计学意义(P<0.05)。观察组治疗后VEGF、NO、ET-1水平明显低于对照组,差异有统计学意义(P<0.05)。结论治疗视网膜中央静脉阻塞时,采用玻璃体腔内注射康柏西普联合卵磷脂络合碘临床疗效更优,显著提高患者视力,改善机体细胞因子水平。具有临床上推广应用价值。 展开更多
关键词 康柏西普 卵磷脂络合碘 视网膜中央静脉阻塞 VEGF no ET-1
下载PDF
康柏西普联合卵磷脂络合碘治疗视网膜中央静脉阻塞的效果及对视力、VEGF、NO和ET-1水平的影响 被引量:1
20
作者 高建萍 《实用防盲技术》 2020年第2期69-72,共4页
目的探究治疗视网膜中央静脉阻塞(central retinal vein occlusion,CRVO)行玻璃体腔内注射康柏西普联合卵磷脂络合碘的临床疗效,以及对视力、血管内皮生长因子(vascular endothelial growth factor,VEGF)、一氧化氮(nitric oxide,NO)、... 目的探究治疗视网膜中央静脉阻塞(central retinal vein occlusion,CRVO)行玻璃体腔内注射康柏西普联合卵磷脂络合碘的临床疗效,以及对视力、血管内皮生长因子(vascular endothelial growth factor,VEGF)、一氧化氮(nitric oxide,NO)、内皮素-1(endothelin-1,ET-1)的影响。方法选取2017年1月~2019年7月于我院治疗的视网膜中央静脉阻塞患者94例,并随机分为对照组和观察组,每组各47例。对照组行玻璃体腔注射康柏西普眼用注射液,治疗组在对照组治疗的基础上口服卵磷脂络合碘胶囊。比较两组患者临床疗效,疾病相关指标眼压(intraocular pressure,IOP)、最佳矫正视力(Best corrected visual acuity,BCVA)、黄斑中心凹视网膜厚度(central macular thickness,CMT)水平和血清相关因子VEGF、NO、ET-1水平。结果观察组治疗总有效率为95.24%,明显高于对照组的80.95%,差异有统计学意义(P<0.05)。两组治疗后IOP、BCVA、CMT水平与治疗前比较明显降低,差异有统计学意义(P<0.05);观察组治疗后IOP、BCVA、CMT水平明显低于对照组,差异有统计学意义(P<0.05)。两组治疗后VEGF、NO、ET-1水平与治疗前比较明显降低,差异有统计学意义(P<0.05)。观察组治疗后VEGF、NO、ET-1水平明显低于对照组,差异有统计学意义(P<0.05)。结论治疗视网膜中央静脉阻塞时,采用玻璃体腔内注射康柏西普联合卵磷脂络合碘临床疗效更优,显著提高患者视力,改善机体细胞因子水平。具有临床上推广应用价值。 展开更多
关键词 康柏西普 卵磷脂络合碘 视网膜中央静脉阻塞 VEGF no ET-1
下载PDF
上一页 1 2 28 下一页 到第
使用帮助 返回顶部