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胎膜早破合并绒毛膜羊膜炎病原菌及NLRC5 mRNA、TLR-4 mRNA、Caspase-1 mRNA与病情进展的关联
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作者 申淑玲 王群 +2 位作者 王红梅 苏慧芳 王超 《中华医院感染学杂志》 CAS CSCD 北大核心 2024年第19期2983-2988,共6页
目的分析胎膜早破(PROM)合并绒毛膜羊膜炎(CAM)病原菌及核苷酸结合寡聚化结构域样受体5(NLRC5)mRNA、Toll样受体-4(TLR-4)mRNA、半胱天冬酶-1(Caspase-1)mRNA表达与病情进展的关联。方法选取山东第一医科大学附属人民医院2021年1月-2023... 目的分析胎膜早破(PROM)合并绒毛膜羊膜炎(CAM)病原菌及核苷酸结合寡聚化结构域样受体5(NLRC5)mRNA、Toll样受体-4(TLR-4)mRNA、半胱天冬酶-1(Caspase-1)mRNA表达与病情进展的关联。方法选取山东第一医科大学附属人民医院2021年1月-2023年5月收治的178例PROM孕妇根据分娩时胎膜组织病理结果分为CAM组(82例)、非CAM组(96例),统计PROM合并CAM患者检出病原菌,比较两组胎膜组织NLRC5 mRNA、TLR-4 mRNA、Caspase-1 mRNA表达水平,采用受试者工作特征(ROC)曲线分析胎膜组织NLRC5 mRNA、TLR-4 mRNA、Caspase-1 mRNA对PROM患者合并CAM的诊断价值;将PROM合并CAM患者按照炎症程度分为轻度组(26例)、中度组(29例)、重度组(27例),比较不同炎症程度患者胎膜组织NLRC5 mRNA、TLR-4 mRNA、Caspase-1 mRNA表达水平,分析胎膜组织NLRC5 mRNA、TLR-4 mRNA、Caspase-1 mRNA与PROM合并CAM患者病情的相关性。结果82例PROM合并CAM患者共培养分离病原菌97株,以大肠埃希菌、粪肠球菌为主;CAM组胎膜组织NLRC5 mRNA、TLR-4 mRNA和Caspase-1 mRNA分别为1.54±0.51、15.86±4.79和1.48±0.47均高于非CAM组(P<0.05);胎膜组织NLRC5 mRNA、TLR-4 mRNA、Caspase-1 mRNA联合诊断PROM患者合并CAM的曲线下面积(AUC)值高于三者单独检测(P<0.05);轻度组、中度组、重度组胎膜组织NLRC5 mRNA、TLR-4 mRNA、Caspase-1 mRNA水平呈升高趋势(P<0.05);胎膜组织NLRC5 mRNA、TLR-4 mRNA、Caspase-1 mRNA与PROM合并CAM患者病情程度呈正相关(r=0.563、0.618、0.537,P均<0.05)。结论PROM合并CAM患者主要感染病原菌种类为大肠埃希菌和粪肠球菌,NLRC5 mRNA、TLR-4 mRNA、Caspase-1 mRNA联合对PROM患者合并CAM具有较好的诊断价值,同时三者表达水平与患者病情程度密切相关。 展开更多
关键词 胎膜早破 绒毛膜羊膜炎 病原菌 核苷酸结合寡聚化结构域样受体5 mrna Toll样受体-4 mrna 半胱天冬酶-1 mrna 病情程度 相关性
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Commensal Microbiome Promotes Resistance to Local and Systemic Infections 被引量:6
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作者 Nan Zhang Qiu-Shui He 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第16期2250-2255,共6页
Objective:In this review,to illustrate the resistance mechanism for pathogen insult,we discussed the role of the intestinal microbiome in promoting resistance to local gastrointestinal tract infections and to respira... Objective:In this review,to illustrate the resistance mechanism for pathogen insult,we discussed the role of the intestinal microbiome in promoting resistance to local gastrointestinal tract infections and to respiratory tract infections.Data Sources:The review was based on data obtained from the published research articles.Study Selection:A total of 49 original articles were selected in accordance with our main objective to illustrate the resistance mechanism(s) by which commensal microbiota can contribute to host defense against local and systemic infections.Results:Diverse microorganisms colonize human environmentally exposed surfaces such as skin,respiratory tract,and gastrointestinal tract.Co-evolution has resulted in these microbes with extensive and diverse impacts on multiple aspects of host biological functions.During the last decade,high-throughput sequencing technology developed has been applied to study commensal microbiota and their impact on host biological functions.By using pathogen recognition receptors pathway and nucleotide binding oligomerization domain-like receptors pathway,the commensal microbiome promotes resistance to local and systemic infections,respectively.To protect against the local infections,the microbiome functions contain the following:the competing for sites of colonization,direct production of inhibition molecules or depletion of nutrients needed for pathogens,and priming immune defenses against pathogen insult.At the same time,with the purpose to maintain homeostasis,the commensal bacteria can program systemic signals toward not only local tissue but also distal tissue to modify their function for infections accordingly.Conclusions:Commensal bacteria play an essential role in protecting against infections,shaping and regulating immune responses,and maintaining host immune homeostasis. 展开更多
关键词 Commensal Microbiota Gut Microbiota nucleotide binding oligomerization domain-like receptors Pathway PathogenRecognition receptors Pathway Respiratory Microbiome Toll-like receptors
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