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Evaluating new biomarkers for diabetic nephropathy:Role ofα2-macroglobulin,podocalyxin,α-L-fucosidase,retinol-binding protein-4,and cystatin C
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作者 Jing-Jing Li Ru-La Sa +1 位作者 Yu Zhang Zhao-Li Yan 《World Journal of Diabetes》 SCIE 2024年第6期1212-1225,共14页
BACKGROUND The intricate relationship between type 2 diabetes mellitus(T2DM)and diabetic nephropathy(DN)presents a challenge in understanding the significance of various biomarkers in diagnosis.AIM To elucidate the ro... BACKGROUND The intricate relationship between type 2 diabetes mellitus(T2DM)and diabetic nephropathy(DN)presents a challenge in understanding the significance of various biomarkers in diagnosis.AIM To elucidate the roles and diagnostic values ofα2-macroglobulin(α2-MG),podocalyxin(PCX),α-L-fucosidase(AFU),retinol-binding protein-4(RBP-4),and cystatin C(CysC)in DN.METHODS From December 2018 to December 2020,203 T2DM patients were enrolled in the study.Of these,115 were diagnosed with DN(115 patients),while the remaining 88 patients were classified as non-DN.The urinary levels ofα2-MG,PCX,and AFU and the serum concentrations RBP-4 and CysC were measured in conjunction with other relevant clinical indicators to evaluate their potential correlations and diagnostic utility.RESULTS After adjustments for age and gender,significant positive correlations were observed between the biomarkers CysC,RBP-4,α2-MG/urinary creatinine(UCr),PCX/UCr,and AFU/UCr,and clinical indicators such as urinary albumin-to-creatinine ratio(UACR),serum creatinine,urea,24-h total urine protein,and neutrophil-to-lymphocyte ratio(NLR).Conversely,these biomarkers exhibited negative correlations with the estimated glomerular filtration rate(P<0.05).Receiver operating characteristic(ROC)curve analysis further demonstrated the diagnostic performance of these biomarkers,with UACR showcasing the highest area under the ROC curve(AUC^(ROC))at 0.97.CONCLUSION This study underscores the diagnostic significance ofα2-MG,PCX,and AFU in the development of DN.The biomarkers RBP-4,CysC,PCX,AFU,andα2-MG provide promising diagnostic insights,while UACR is the most potent diagnostic biomarker in assessing DN. 展开更多
关键词 Α2-MACROGLOBULIN Podocalysin Α-L-FUCOSIDASE retinol binding protein-4 Cystatin C Diabetic nephropathy
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输尿管软镜钬激光碎石术后尿路感染患者血清sTREM-1、RBP4、HBD-3水平变化及检测意义
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作者 许可欣 时宇绯 +2 位作者 沙伟 荀神美 张梅香 《陕西医学杂志》 2025年第2期244-247,252,共5页
目的:探讨输尿管软镜钬激光碎石术(FURL)后尿路感染(UTI)患者血清可溶性髓样细胞触发受体-1(sTREM-1)、视黄醇结合蛋白4(RBP4)、人β-防御素-3(HBD-3)水平变化及检测意义。方法:选取行FURL患者183例,根据患者术后是否发生UTI分为UTI组(9... 目的:探讨输尿管软镜钬激光碎石术(FURL)后尿路感染(UTI)患者血清可溶性髓样细胞触发受体-1(sTREM-1)、视黄醇结合蛋白4(RBP4)、人β-防御素-3(HBD-3)水平变化及检测意义。方法:选取行FURL患者183例,根据患者术后是否发生UTI分为UTI组(98例)和非UTI组(85例)。比较两组临床资料及血清sTREM-1、RBP4、HBD-3水平。采用多因素Logistic回归分析患者FURL术后发生UTI的影响因素。分析血清sTREM-1、RBP4、HBD-3对患者FURL术后发生UTI的预测价值。结果:UTI组有泌尿道手术史、导尿管留置时间≥7 d、抗菌药物种类>3种患者比例高于非UTI组(均P<0.05)。UTI组血清sTREM-1、RBP4、HBD-3水平高于非UTI组(均P<0.05)。泌尿道手术史、导尿管留置时间、抗菌药物种类及血清sTREM-1、RBP4、HBD-3是患者FURL术后发生UTI的影响因素(均P<0.05)。血清sTREM-1、RBP4、HBD-3水平与患者泌尿道手术史、导尿管留置时间及抗菌药物种类呈正相关(均P<0.05)。血清sTREM-1、RBP4、HBD-3联合预测患者FURL术后发生UTI的曲线下面积(AUC)为0.894,高于三者独立预测的AUC(均P<0.05)。结论:FURL术后UTI患者血清sTREM-1、RBP4、HBD-3水平升高,三者联合对FURL术后发生UTI具有较高的预测价值。 展开更多
关键词 尿路感染 输尿管软镜钬激光碎石术 可溶性髓样细胞触发受体-1 视黄醇结合蛋白4 人β-防御素-3 影响因素 预测价值
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Retinol binding protein 4 correlates with and is an early predictor of carotid atherosclerosis in type 2 diabetes mellitus patients 被引量:15
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作者 Shangyong Feng Yan Zhu +2 位作者 Caifeng Yan Yan Wang Zhenweng Zhang 《The Journal of Biomedical Research》 CAS CSCD 2015年第6期451-455,共5页
The association of retinol binding protein 4 (RBP4) with atherosclerosis of the carotid artery in type 2 diabetes mellitus (T2DM) remains undefined. We aimed to investigate the correlation of RBP4 expression with ... The association of retinol binding protein 4 (RBP4) with atherosclerosis of the carotid artery in type 2 diabetes mellitus (T2DM) remains undefined. We aimed to investigate the correlation of RBP4 expression with atherosclerosis of the carotid artery in T2DM. A total of 1,076 subjects were investigated for intima-media thickness of the bilateral common carotid arteries, and they were divided into three groups: in group Ⅰ, patients had normal neck vascular ultra- sound, in group Ⅱ, intimal carotid artery media thickness was equal to or more than 1 mm, and in group Ⅲ, carotid artery plaque was present. Height, weight, blood pressure (BP), fasting plasma glucose (FPG), hemoglobin Alc (HbA1c), total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipopro- tein cholesterol (HDL-C), apolipoprotein A-1 (apoA-1), apolipoprotein B (apoB) and lipoprotein (a) [Lp(a)] were determined by routine laboratory methods. RBP4 and high sensitivity C reactive protein (HsCRP) were measured by an enzyme-linked immuno-sorbent assay, and insulin concentration was measured by an electrochemiluminescence sandwich immunoassay. Duration of diabetes, waist and BP, FPG, HbAlc, TG, TC, LDL-C, APOB, Lp(a), HsCRP, RBP4 and homeostasis model assessment insulin resistance index (HOMA-IR) were significantly lower in group I than in the other two groups (P〈0.01, P〈0.01). Plasma levels of HbAlc, RBP4, LDL-C, TC, HOMA-IR, HsCRP and Lp(a), waist and BP were significantly increased in group III than in group II (P〈0.01). Multivariate logistic regression analysis showed that there were seven factors associated with the occurrence of carotid artery atherosclero- sis and its risks in descending order were: high LDL-C, high waist, high HsCRP, duration of diabetes, high HOMA-IR, HbAlc and high RBP4. Our finding supported that RBP4 was positively correlated with carotid atherosclerosis in patients with T2DM and could be used as an early predictor of cardiovascular disease. 展开更多
关键词 type 2 diabetes mellitus retinol binding protein 4 subclinical atherosclerosis
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Elevated retinol binding protein 4 levels are associated with atherosclerosis in diabetic rats via JAK2/STAT3 signaling pathway 被引量:12
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作者 Wan Zhou Shan-Dong Ye Wei Wang 《World Journal of Diabetes》 SCIE 2021年第4期466-479,共14页
BACKGROUND Atherosclerosis is a major cause of mortality worldwide and is driven by multiple risk factors,including diabetes,which results in an increased atherosclerotic burden,but the precise mechanisms for the occu... BACKGROUND Atherosclerosis is a major cause of mortality worldwide and is driven by multiple risk factors,including diabetes,which results in an increased atherosclerotic burden,but the precise mechanisms for the occurrence and development of diabetic atheroscerosis have not been fully elucidated.AIM To summarize the potential role of retinol binding protein 4(RBP4) in the pathogenesis of diabetic atheroscerosis,particularly in relation to the RBP4-Janus kinase 2/signal transducer and activator of transcription 3(JAK2/STAT3)signaling pathway.METHODS Male Wistar rats were randomly divided into three groups,including a control group(NC group),diabetic rat group(DM group),and diabetic atherosclerotic rat group(DA group).The contents of total cholesterol(TC), high-density lipoprotein cholesterol(HDL-c), triglycerides(TG), low-density lipoprotein cholesterol(LDLc), fasting insulin(FINS),fasting plasma glucose,and hemoglobin A1 c(HbA1 c)were measured.Moreover,the adipose and serum levels of RBP4,along with the expression levels of JAK2, phosphorylated JAK2(p-JAK2), STAT3,phosphorylated STAT3(p-STAT3), B-cell lymphoma-2(Bcl-2), and Cyclin D1 in aortic tissues were also measured.Besides,homeostasis model assessment of insulin resistance(HOMA-IR) and atherogenic indexes(AI) were calculated.RESULTS Compared with the NC and DM groups,the levels LDL-c,TG,TC,FINS,HOMAIR,RBP4,and AI were upregulated,whereas that of HDL-c was downregulated in the DA group(P <0.05);the mRNA levels of JAK2,STAT3,Cyclin D1,and Bcl-2 in the DA group were significantly increased compared with the NC group and the DM group;P-JAK2,p-JAK2/JAK2 ratio,p-STAT3,p-STAT3/STAT3 ratio,Cyclin D1,and Bcl-2 at protein levels were significantly upregulated in the DA group compared with the NC group and DM group.In addition,as shown by Pearson analysis,serum RBP4 had a positive correlation with TG,TC,LDL-c,FINS,HbA1 C,p-JAK2,p-STAT3,Bcl-2,Cyclin D1,AI,and HOMA-IR but a negative correlation with HDL-c.In addition,multivariable logistic regression analysis showed that serum RBP4,p-JAK2,p-STAT3,and LDL-c were predictors of the presence of diabetic atherosclerosis.CONCLUSION RBP4 could be involved in the initiation or progression of diabetic atherosclerosis by regulating the JAK2/STAT3 signaling pathway. 展开更多
关键词 Diabetes mellitus Petinol binding protein 4 ATHEROSCLEROSIS JAK2/STAT3 signaling pathway Cyclin D1
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Retinoblastoma binding protein 4 up-regulation is correlated with hepatic metastasis and poor prognosis in colon cancer patients 被引量:6
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作者 Yan-Dong Li Zhen Lv +1 位作者 Hai-Yang Xie Shu-Sen Zheng 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS CSCD 2019年第5期446-451,共6页
Background: Retinoblastoma binding protein 4 (RBBP4) plays an essential role in the development of multiple cancers. However, its relationship with prognosis in colon cancer and colon cancer hepatic metastasis has not... Background: Retinoblastoma binding protein 4 (RBBP4) plays an essential role in the development of multiple cancers. However, its relationship with prognosis in colon cancer and colon cancer hepatic metastasis has not been elucidated. The aim of this study was to explore the relationship between RBBP4 expression and prognosis of colon cancer patients and to evaluate RBBP4 as a new prognostic marker in these patients. Methods: Eighty colon cancer patients underwent surgical resection of the colon were enrolled. Among them, forty colon cancer patients suffered with hepatic metastasis. The colon cancer tissues, para-colon cancer tissues, and hepatic metastatic cancer tissues were collected from the pathological department for further analysis. The expression of RBBP4 proteins was examined by immunohistochemistry and correlated with clinicopathological parameters. The Cancer Genome Atlas (TCGA) database was used to validate the expression and explore its relationship with clinical characteristics. Results: RBBP4 was up-regulated in the colon cancer tissues compared with the para-colon cancer tissues. The analysis of TCGA database verified the upregulation of RBBP4 in the colon cancer tissues and RBBP4 overexpression was correlated with nerve invasion and poor outcomes of chemotherapy. Moreover, the positive rate of RBBP4 expression in 40 colon cancer patients with hepatic metastasis was higher in the hepatic metastatic cancer tissues (39/40, 97.5%) than in the colon cancer tissues (26/40, 65.0%). Our clinicopathological analysis showed that RBBP4 expression was significantly correlated with vascular invasion, hepatic metastasis, and lymph node involvement (all P < 0.05). Additionally, the survival analysis demonstrated that RBBP4 over-expression was correlated with poor prognosis. Conclusions: RBBP4 was upregulated in the colon cancer. RBBP4 may be a novel predictor for poor prognosis of colon cancer and colon cancer hepatic metastasis. 展开更多
关键词 RETINOBLASTOMA binding protein 4 COLON cancer HEPATIC metastasis
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不稳定型心绞痛患者血清RBP-4、Lp-PLA2水平及依折麦布治疗影响研究
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作者 张立杰 王晓玲 +4 位作者 宋巧凤 贾洪娟 张振飞 周文华 张文静 《中国循证心血管医学杂志》 2024年第9期1070-1074,共5页
目的探究不稳定型心绞痛(UA)患者血清视黄醇结合蛋白-4(RBP-4)、脂蛋白相关磷脂酶A2(Lp-PLA2)水平及依折麦布治疗影响。方法选取2021年1月至2023年1月于唐山市人民医院心内科确诊的UA患者84例为研究对象,其中男性48例,女性36例;根据冠... 目的探究不稳定型心绞痛(UA)患者血清视黄醇结合蛋白-4(RBP-4)、脂蛋白相关磷脂酶A2(Lp-PLA2)水平及依折麦布治疗影响。方法选取2021年1月至2023年1月于唐山市人民医院心内科确诊的UA患者84例为研究对象,其中男性48例,女性36例;根据冠状动脉病变程度分为:Gensini评分<20分为轻度组(27例)、20分≤Gensini评分<40分为中度组(36例)和Gensini评分≥40分为重度组(21例);按随机数字表法分为观察组和对照组,每组各42例。所有患者均行常规治疗,对照组在此基础上给予瑞舒伐他汀治疗,观察组给予瑞舒伐他汀+依折麦布治疗,两组患者均连续治疗6个月。比较不同冠状动脉病变程度组RBP-4、Lp-PLA2水平;比较治疗后观察组和对照组脂代谢、RBP-4、Lp-PLA2水平以及不良心血管事件的发生情况。结果①血清RBP-4、Lp-PLA2水平为:轻度组<中度组<重度组,差异有统计学意义(P<0.05)。斯皮尔曼等级相关分析显示,血清RBP-4、Lp-PLA2水平与UA患者冠状动脉病变程度呈正相关(r=0.844、r=0.729,P<0.05)。②重复测量方差分析显示,血脂水平时点、组间、交互比较差异有统计学意义(P<0.05)。治疗前,两组总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、三酰甘油(TG)水平的比较,差异无统计学意义(P>0.05);治疗3个月、6个月,两组TC、TG、LDL-C的水平均降低(P<0.05),而HDL-C升高(P<0.05),且观察组TC、TG、LDL-C水平低于对照组,HDL-C水平高于对照组,差异有统计学意义(P<0.05)。③重复测量方差分析显示,RBP-4、Lp-PLA2水平时点、组间、交互比较,差异有统计学意义(P<0.05)。治疗前,两组RBP-4、Lp-PLA2水平比较,差异无统计学意义(P>0.05);治疗3个月、6个月,两组RBP-4、Lp-PLA2水平均降低(P<0.05),且观察组RBP-4、Lp-PLA2水平低于对照组,差异有统计学意义(P<0.05)。④观察组心血管事件发生率(7.14%)低于对照组(23.81%),差异有统计学意义(P<0.05)。结论UA患者血清RBP-4、Lp-PLA2水平与冠状动脉病变程度相关,依折麦布可改善不稳定型心绞痛患者的脂代谢水平,调节血清RBP-4、Lp-PLA2水平,减少心血管事件发生。 展开更多
关键词 不稳定型心绞痛 依折麦布 视黄醇结合蛋白-4 脂蛋白相关磷脂酶A2
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血清TyG指数和nesfatin-1及RBP4联合预测糖尿病视网膜病变的价值
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作者 尚利晓 魏菁 +1 位作者 谢琦莲 李琰 《国际眼科杂志》 CAS 2024年第11期1802-1806,共5页
目的:探究血清甘油三酯-葡萄糖(TyG)指数、摄食抑制因子-1(nesfatin-1)、视黄醇结合蛋白4(RBP4)联合预测糖尿病视网膜病变(DR)的价值,为DR早期预测提供支持。方法:回顾性分析。收集2022-02/2023-12我院接诊的2型糖尿病(T2DM)患者164例... 目的:探究血清甘油三酯-葡萄糖(TyG)指数、摄食抑制因子-1(nesfatin-1)、视黄醇结合蛋白4(RBP4)联合预测糖尿病视网膜病变(DR)的价值,为DR早期预测提供支持。方法:回顾性分析。收集2022-02/2023-12我院接诊的2型糖尿病(T2DM)患者164例的临床资料,按照眼底检查结果分为DR组43例(其中增殖性DR 19例,非增殖性DR 24例),不合并DR的T2DM组121例。入院后记录患者基本资料,检查血清TyG指数、nesfatin-1、RBP4水平。结果:DR组病程长于T2DM组,空腹血糖、糖化血红蛋白、甘油三酯、总胆固醇、低密度脂蛋白及TyG指数、RBP4水平高于T2DM组,高密度脂蛋白、nesfatin-1水平低于T2DM组(均P<0.001)。多因素Logistic回归分析可知,T2DM病程(OR=1.338,95%CI:1.059-1.690)、糖化血红蛋白(OR=5.065,95%CI:1.659-15.470)、低密度脂蛋白(OR=12.715,95%CI:2.385-67.790)、TyG指数(OR=23.057,95%CI:2.936-181.073)、RBP4(OR=1.319,95%CI:1.028-1.692)是T2DM患者发生DR的危险因素,nesfatin-1(OR=0.007,95%CI:0.003-0.016)为保护因素。绘制ROC曲线显示,TyG指数、nesfatin-1、RBP4均对T2DM患者并发DR具有一定预测价值,曲线下面积(areas under curve,AUC)分别为0.804、0.878、0.738,各指标联合预测时AUC为0.946,预测敏感度为83.72%、特异度为92.56%。增殖性DR患者TyG指数、RBP4水平高于非增殖性DR患者,nesfatin-1水平低于非增殖性DR患者(均P<0.05)。Spearman相关性分析显示,TyG指数、RBP4水平与DR病情程度呈正相关,nesfatin-1水平与DR病情程度呈负相关(r_(s)=0.557、0.392、-0.359,均P<0.05)。Pearson相关分析显示,T2DM并发DR患者TyG指数与nesfatin-1水平呈负相关,与RBP4水平呈正相关,nesfatin-1与RBP4水平呈负相关(r=-0.486、0.538、-0.592,均P<0.05)。结论:血清TyG指数、nesfatin-1、RBP4水平与DR发病风险及病情程度有关,可作为DR早期预测的标志物,且联合预测效能更好。 展开更多
关键词 甘油三酯-葡萄糖(TyG)指数 摄食抑制因子-1(nesfatin-1) 视黄醇结合蛋白4(rbp4) 糖尿病视网膜病变
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Influence of Glyphaea brevis twig extract on nucleus, tight junctions and expression of inhibin-β, stem cell factor, and androgen binding protein in TM4 Sertoli cells
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作者 Janet Olayemi Olugbodi Oladipupo David +1 位作者 Oluwafemi Adeleke Ojo Afolabi Clement Akinmoladun 《Asian pacific Journal of Reproduction》 2019年第4期157-166,共10页
Objective: To examine the influence of Glyphaea (G.) brevis twig extract on the mitochondrial dehydrogenase activity, integrity of the tight junctions between adjacent cells, mitochondria, apoptosis, nucleus and expre... Objective: To examine the influence of Glyphaea (G.) brevis twig extract on the mitochondrial dehydrogenase activity, integrity of the tight junctions between adjacent cells, mitochondria, apoptosis, nucleus and expression of inhibin-β, stem cell factor, and androgen binding protein in TM4 Sertoli cells. Methods: TM4 cell line was used in this study as it exhibited properties similar to the Sertoli cells. TM4 Sertoli cells were exposed to G. brevis twig extract (0.1, 1.0, 10.0, 100.0, or 1000.0μg/mL) for 24, 48 and 72 h. Parameters studied included cell viability [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide assay], mitochondrial membrane potential (tetra methyl rhodamine ethyl ester dye), transepithelial electrical resistance, apoptosis (Annexin V Alexa Fluor?488/propidium iodide assay) and mRNA expression (quantitative reverse transcription polymerase chain reaction). Results: G. brevis twig extract had no cytotoxic impact on cell viability, thus, considerably increasing the activity of mitochondrial dehydrogenase enzyme after 24 and 72 h exposure. Transepithelial electrical resistance values revealed substantial (P<0.05) rise in treated groups, especially after 72 h of treatment. Moreover, there was a significant decrease in mitochondrial depolarization of TM4 Sertoli cells exposed to G. brevis twig extract when compared to controls. In addition, G. brevis twig extract significantly reduced necrosis and apoptosis of TM4 Sertoli cells when compared to control. Nevertheless, fluorescence microscopy revealed that the nuclei were egg-shaped and marked uniformly with consistent cell shape at the middle of the TM4 Sertoli cells. Significant stimulatory effects were observed on mRNA levels of inhibin-β, androgen binding protein and stem cell factor. Conclusions: G. brevis twig extract may increase the secretory roles of TM4 Sertoli cells, cells proliferation, as well as cell-cell tight junction integrity. Thus, G. brevis twig may enhance spermatogenesis. 展开更多
关键词 Glyphaea brevis TWIG TM4 SERTOLI cell line Inhibin-β ANDROGEN binding protein
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Overexpression of GATA binding protein 4 and myocyte enhancer factor 2C induces differentiation of mesenchymal stem cells into cardiac-like cells
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作者 Syeda Saima Razzaq Irfan Khan +3 位作者 Nadia Naeem Asmat Salim Sumreen Begum Kanwal Haneef 《World Journal of Stem Cells》 SCIE 2022年第9期700-713,共14页
BACKGROUND Heart diseases are the primary cause of death all over the world.Following myocardial infarction,billions of cells die,resulting in a huge loss of cardiac function.Stem cell-based therapies have appeared as... BACKGROUND Heart diseases are the primary cause of death all over the world.Following myocardial infarction,billions of cells die,resulting in a huge loss of cardiac function.Stem cell-based therapies have appeared as a new area to support heart regeneration.The transcription factors GATA binding protein 4(GATA-4)and myocyte enhancer factor 2C(MEF2C)are considered prominent factors in the development of the cardiovascular system.AIM To explore the potential of GATA-4 and MEF2C for the cardiac differentiation of human umbilical cord mesenchymal stem cells(hUC-MSCs).METHODS hUC-MSCs were characterized morphologically and immunologically by the presence of specific markers of MSCs via immunocytochemistry and flow cytometry,and by their potential to differentiate into osteocytes and adipocytes.hUC-MSCs were transfected with GATA-4,MEF2C,and their combination to direct the differentiation.Cardiac differentiation was confirmed by semiquant itative real-time polymerase chain reaction and immunocytochemistry.RESULTS hUC-MSCs expressed specific cell surface markers CD105,CD90,CD44,and vimentin but lack the expression of CD45.The transcription factors GATA-4 and MEF2C,and their combination induced differentiation in hUC-MSCs with significant expression of cardiac genes i.e.,GATA-4,MEF2C,NK2 homeobox 5(NKX2.5),MHC,and connexin-43,and cardiac proteins GATA-4,NKX2.5,cardiac troponin T,and connexin-43.CONCLUSION Transfection with GATA-4,MEF2C,and their combination effectively induces cardiac differentiation in hUC-MSCs.These genetically modified MSCs could be a promising treatment option for heart diseases in the future. 展开更多
关键词 Heart disease GATA binding protein 4 Myocyte enhancer factor 2C Transcription factors DIFFERENTIATION Human umbilical cord-mesenchymal stem cells
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高纯度RBP4抗体的制备及在水动力转染小鼠肝癌模型中的应用 被引量:1
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作者 张起 李泳锋 +7 位作者 成晓静 欧美珍 廖舟翔 温莎 宋振宇 黄雪静 杨丽超 何敏 《广西医科大学学报》 CAS 2024年第4期524-531,共8页
目的:制备高纯度视黄醇结合蛋白4(RBP4)单克隆抗体并应用其检测高压水动力转染小鼠肝癌模型中RBP4的表达水平。方法:将RBP4重组蛋白表达菌株培养并诱导表达,使用AKTA系统纯化蛋白,通过杂交瘤的方式制备高纯度RBP4单克隆抗体;将7周龄SPF... 目的:制备高纯度视黄醇结合蛋白4(RBP4)单克隆抗体并应用其检测高压水动力转染小鼠肝癌模型中RBP4的表达水平。方法:将RBP4重组蛋白表达菌株培养并诱导表达,使用AKTA系统纯化蛋白,通过杂交瘤的方式制备高纯度RBP4单克隆抗体;将7周龄SPF级C57BL/6J小鼠随机分为实验组和对照组,每组6只,雌雄各半,利用高压水动力转染法联合SB11转座子系统与CRISPR/Cas9系统构建实验组小鼠肝癌模型;将RBP4单克隆抗体应用于免疫组化法检测小鼠肝癌组织中RBP4的表达水平。结果:成功获得纯度95%以上的重组RBP4蛋白,制备RBP4单克隆抗体过程中杂交瘤细胞融合率60%,最终获得3株阳性单克隆细胞株,经纯化获得高效价(1∶243 000)、高纯度(96.77%)单克隆抗体。成功建立高压水动力转染小鼠肝癌模型,实验组肝癌发生率100%,肝脏呈现典型肝癌病理特征,对照未出现肝癌。利用制备的RBP4单克隆抗体进行免疫组化检测,发现实验组肝癌组织中RBP4表达水平显著低于对照组(P<0.001)。结论:本研究制备的RBP4单克隆抗体具有高效价和高纯度特点,RBP4蛋白表达水平在高压水动力转染小鼠肝癌组织中明显降低,RBP4与肝癌发生和发展的关系值得进一步研究。 展开更多
关键词 视黄醇结合蛋白4 抗体 肝癌 水动力转染
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脑小血管病患者外周血GPER30、NPAS4、FKBP5表达与认知功能障碍的相关性研究
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作者 连浩军 侯立维 邢媛媛 《海南医学》 2025年第1期1-5,共5页
目的探讨脑小血管病(CSVD)患者外周血G蛋白耦联雌激素受体30(GPER30)、神经元PAS结构域蛋白4(NPAS4)、FK506结合蛋白5(FKBP5)表达与认知功能障碍(CD)的相关性。方法前瞻性选取2022年1月至2023年12月郑州大学第二附属医院收治的227例CSV... 目的探讨脑小血管病(CSVD)患者外周血G蛋白耦联雌激素受体30(GPER30)、神经元PAS结构域蛋白4(NPAS4)、FK506结合蛋白5(FKBP5)表达与认知功能障碍(CD)的相关性。方法前瞻性选取2022年1月至2023年12月郑州大学第二附属医院收治的227例CSVD患者,根据有无CD分为障碍组(n=66)与无障碍组(n=161)。比较两组患者的一般资料及外周血GPER30、NPAS4、FKBP5 m RNA表达水平,Logistic回归分析CSVD患者CD的影响因素,比较不同程度CD患者外周血GPER30、NPAS4、FKBP5 m RNA表达水平,采用Pearson法分析外周血GPER30、NPAS4、FKBP5 m RNA表达与蒙特利尔认知评估量表(Mo CA)评分的相关性。结果障碍组患者的年龄、病程分别为(72.49±5.68)岁、(2.69±0.78)年,明显高(长)于无障碍组的(67.51±7.04)岁、(2.31±0.62)年,差异均有统计学意义(P<0.05);障碍组患者的外周血GPER30 m RNA表达水平为1.02±0.17,明显低于无障碍组的1.66±0.31,NPAS4m RNA、FKBP5 m RNA表达水平分别为2.79±0.60、3.88±1.12,明显高于无障碍组的1.55±0.51、2.10±0.59,差异均有统计学意义(P<0.05);Logistic回归分析结果显示,年龄、病程、GPER30 m RNA、NPAS4 m RNA及FKBP5 m RNA均为CSVD患者CD的独立影响因素(P<0.05)。轻度组患者的外周血GPER30 m RNA表达水平为1.27±0.25,明显高于中重度组的0.70±0.12,NPAS4 m RNA、FKBP5 m RNA表达水平分别为2.31±0.58、3.19±1.07,明显低于中重度组的3.40±0.72、4.76±1.39,差异均有统计学意义(P<0.05);Pearson法分析结果显示,外周血GPER30 m RNA表达与CSVD患者Mo CA评分呈正相关(r=0.704,P<0.05),NPAS4 m RNA、FKBP5 m RNA与Mo CA评分呈负相关(r=-0.572、-0.542,P<0.05)。结论外周血GPER30、NPAS4、FKBP5是CSVD患者CD的独立相关因素,各指标表达水平与CD病情严重程度均具有一定相关性,可为临床判断CD、评估CD病情严重程度提供参考,以指导后续临床工作。 展开更多
关键词 脑小血管病 G蛋白耦联雌激素受体30 神经元PAS结构域蛋白4 FK506结合蛋白5 认知功能障碍 相关性
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子宫腺肌病IVF-ET助孕病人血清PIBF、RBP-4水平及其对妊娠结局的预测价值
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作者 晏红伟 曾彬 +3 位作者 张宇 田蕊 宁艳春 韩宝生 《蚌埠医学院学报》 CAS 2024年第10期1344-1348,1353,共6页
目的:探讨子宫腺肌病体外受精-胚胎移植(IVF-ET)助孕病人血清孕激素诱导阻断因子(PIBF)、视黄醇结合蛋白-4(RBP-4)的表达及其对妊娠结局的预测价值。方法:选取行IVF-ET助孕的子宫腺肌病病人96例为研究对象,根据临床妊娠情况将研究对象... 目的:探讨子宫腺肌病体外受精-胚胎移植(IVF-ET)助孕病人血清孕激素诱导阻断因子(PIBF)、视黄醇结合蛋白-4(RBP-4)的表达及其对妊娠结局的预测价值。方法:选取行IVF-ET助孕的子宫腺肌病病人96例为研究对象,根据临床妊娠情况将研究对象分为临床妊娠组(56例)和未妊娠组(40例)。比较2组病人基本特征及治疗数据、血清PIBF、RBP-4水平。Pearson法分析血清PIBF、RBP-4与基础卵泡刺激素(FSH)、抗缪勒管激素(AMH)、基础促黄体生成素(LH)的相关性。多因素logistic回归分析影响子宫腺肌病IVF-ET助孕病人临床妊娠结局的影响因素。受试者工作特征(ROC)曲线分析血清PIBF、RBP-4水平对子宫腺肌病IVF-ET助孕病人妊娠结局的预测价值。结果:临床妊娠组FSH、AMH、促性腺激素(Gn)用量明显高于未妊娠组(P<0.05~P<0.01)。未妊娠组血清PIBF水平明显低于临床妊娠组(P<0.01),RBP-4水平明显高于临床妊娠组(P<0.01)。相关性分析显示,子宫腺肌病病人血清PIBF与基础FSH、AMH呈正相关(r=0.517、0.669,P<0.01),血清RBP-4与基础FSH、AMH呈负相关(r=-0.558、-0.634,P<0.01)。多因素logistic回归分析显示,基础FSH低水平、AMH低水平、PIBF低水平、RBP-4高水平是影响子宫腺肌病IVF-ET助孕病人临床妊娠结局的危险因素(P<0.05~P<0.01)。血清PIBF、RBP-4联合预测子宫腺肌病IVF-ET助孕病人妊娠结局的ROC曲线下面积(AUC)显著大于PIBF、RBP-4单独预测的AUC(P<0.05)。结论:血清PIBF、RBP-4与子宫腺肌病IVF-ET助孕病人妊娠结局相关,两者联合对子宫腺肌病IVF-ET助孕病人妊娠结局具有一定的预测价值。 展开更多
关键词 子宫腺肌病 体外受精-胚胎移植 孕激素诱导阻断因子 视黄醇结合蛋白-4 妊娠结局
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肝特异性Rbp4基因敲除小鼠的建立及糖代谢特征分析
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作者 卢婉贤 马琦 +2 位作者 王黎 刘梦迪 郭宝平 《中国实验动物学报》 CAS CSCD 北大核心 2024年第4期493-502,共10页
目的 建立肝特异性Rbp4基因敲除小鼠模型,并初步探索肝特异性Rbp4基因缺失对糖代谢的影响。方法 利用Cre-LoxP技术,使用C57/BL6J小鼠和Alb-Cre小鼠构建肝特异性Rbp4基因敲除小鼠模型。利用PCR及琼脂糖凝胶电泳鉴定小鼠基因型。选取10只1... 目的 建立肝特异性Rbp4基因敲除小鼠模型,并初步探索肝特异性Rbp4基因缺失对糖代谢的影响。方法 利用Cre-LoxP技术,使用C57/BL6J小鼠和Alb-Cre小鼠构建肝特异性Rbp4基因敲除小鼠模型。利用PCR及琼脂糖凝胶电泳鉴定小鼠基因型。选取10只18周龄C57/BL6J雄性小鼠为野生对照组(WT),10只同周龄flox纯合且Alb-Cre阴性小鼠为实验对照组(Rbp4~(flox/flox):Cre~-),10只同周龄flox纯合且Alb-Cre阳性小鼠为实验组(Rbp4~(flox/flox):Cre~+)。分别利用Western Blot及qRT-PCR验证小鼠肝中RBP4蛋白及Rbp4 mRNA表达水平。利用qRT-PCR检测其他组织中Rbp4 mRNA表达水平。采用苏木素-伊红(HE)染色观察肝组织形态。利用血糖仪检测小鼠尾静脉血液标本血糖值,进行葡萄糖耐量及胰岛素耐量实验。利用qRT-PCR检测肝糖代谢基因磷酸烯醇丙酮酸羧化酶(Pepck)和葡萄糖-6-磷酸酶(G6pase)表达水平。结果 成功繁育并鉴定出肝特异性Rbp4基因敲除小鼠。Rbp4~(flox/flox):Cre~+组小鼠肝中RBP4蛋白表达显著减少(P<0.05),Rbp4 mRNA表达显著减少(P<0.05)。三组小鼠脂肪、肾、胰、脾、心脏和肌肉组织中Rbp4 mRNA的相对表达量差异无显著性(P>0.05)。HE染色、葡萄糖耐量及胰岛素耐量实验结果表明肝特异性Rbp4基因敲除对肝组织形态、葡萄糖耐量及胰岛素耐量无显著影响(P>0.05)。三组小鼠肝中Pepck mRNA表达差异具有显著性(P<0.05),两两比较显示,Rbp4~(flox/flox):Cre~+组小鼠肝中Pepck mRNA相对表达量较Rbp4~(flox/flox):Cre~-组小鼠降低(P<0.05)。三组小鼠肝中G6pase mRNA表达差异无显著性(P>0.05)。结论 成功构建了肝特异性Rbp4基因敲除小鼠模型,基因缺失可抑制小鼠肝Pepck mRNA表达,为进一步探索该基因在小鼠糖代谢中的作用提供依据。 展开更多
关键词 2型糖尿病 视黄醇结合蛋白4 基因敲除 糖代谢 胰岛素抵抗
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妊娠合并甲状腺功能减退患者血清PAPP-A、RBP-4水平及其对妊娠结局的预测价值
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作者 李莎 刘能英 +2 位作者 陈莉 段奉菊 曾丽 《检验医学与临床》 CAS 2024年第19期2866-2870,共5页
目的探讨血清妊娠相关血浆蛋白A(PAPP-A)和视黄醇结合蛋白4(RBP-4)水平对甲状腺功能减退(简称甲减)患者妊娠结局的预测价值。方法回顾性选取2021年6月至2023年6月在该院产检的149例妊娠合并甲减患者作为观察组,另选取同期在该院产检的5... 目的探讨血清妊娠相关血浆蛋白A(PAPP-A)和视黄醇结合蛋白4(RBP-4)水平对甲状腺功能减退(简称甲减)患者妊娠结局的预测价值。方法回顾性选取2021年6月至2023年6月在该院产检的149例妊娠合并甲减患者作为观察组,另选取同期在该院产检的50例产检正常的健康孕妇作为对照组。对观察组患者进行随访,根据患者妊娠结局划分为结局良好组和结局不良组;采用酶联免疫吸附试验检测各组甲状腺激素指标和血清PAPP-A、RBP-4水平;采用Pearson相关分析妊娠合并甲减患者血清PAPP-A与RBP-4水平间的相关性;采用多因素Logistic回归分析妊娠合并甲减患者妊娠结局不良的影响因素;采用受试者工作特征(ROC)曲线分析PAPP-A、RBP-4血清水平对妊娠合并甲减患者妊娠结局不良的预测价值。结果与对照组比较,观察组患者PAPP-A、游离三碘甲状腺原氨酸(FT3)和游离甲状腺素(FT4)水平明显降低(P<0.05),RBP-4和促甲状腺素(TSH)水平明显升高(P<0.05)。根据观察组患者妊娠结局分为结局良好组96例,结局不良组53例。与结局良好组比较,结局不良组患者TSH、RBP-4水平明显升高(P<0.05),FT4、PAPP-A水平明显降低(P<0.05)。妊娠合并甲减患者血清PAPP-A水平与RBP-4水平呈负相关(r=-0.380,P<0.001)。多因素Logistic回归分析表明,血清FT4、PAPP-A水平升高是妊娠合并甲减患者妊娠结局不良的保护因素(P<0.05),血清TSH、RBP-4水平升高是妊娠合并甲减患者妊娠结局不良的危险因素(P<0.05)。ROC曲线分析结果显示,血清PAPP-A、RBP-4水平预测妊娠合并甲减患者妊娠结局不良的曲线下面积(AUC)分别为0.857(95%CI:0.799~0.914)、0.876(95%CI:0.823~0.929),低于2项联合预测的AUC[0.958(95%CI:0.930~0.986)],差异均有统计学意义(Z=3.136,P=0.002;Z=2.696,P=0.007)。结论妊娠合并甲减患者的血清PAPP-A、RBP-4水平与妊娠结局密切相关,2项联合对妊娠合并甲减患者的妊娠结局具有一定的临床预测价值。 展开更多
关键词 妊娠合并甲状腺功能减退 妊娠结局 妊娠相关血浆蛋白A 视黄醇结合蛋白4 甲状腺功能
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lncRNA SNHG4 enhanced gastric cancer progression by modulating miR-409-3p/CREB1 axis
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作者 ZHOUYANG CHENG YUCHEN HUA +1 位作者 YANG CAO JUN QIN 《Oncology Research》 SCIE 2025年第1期185-198,共14页
Objective:Gastric cancer(GC)is a globally common cancer characterized by high incidence and mortality worldwide.Advances in the molecular understanding of GC provide promising targets for GC diagnosis and therapy.Long... Objective:Gastric cancer(GC)is a globally common cancer characterized by high incidence and mortality worldwide.Advances in the molecular understanding of GC provide promising targets for GC diagnosis and therapy.Long non-coding RNAs(lncRNAs)and their downstream regulators are regarded to be implicated in the progression of multiple types of malignancies.Studies have shown that the lncRNA small nucleolar RNA host gene 4(SNHG4)serves as a tumor promoter in various malignancies,while its function in GC has yet to be characterized.Therefore,our study aimed to explore the role and underlying mechanism of SNHG4 in GC.Methods:We used qRT-PCR to analyze SNHG4 expression in GC tissues and cells.Kaplan-Meier analysis was used to assess the correlation between SNHG4 expression and the survival rate of GC patients.Cellular function experiments such as CCK-8,BrdU,colony formation,flow cytometry analysis,and transwell were performed to explore the effects of SNHG4 on GC cell proliferation,apoptosis,cell cycle,migration,and invasion.We also established xenograft mouse models to explore the effect of SNHG4 on GC tumor growth.Mechanically,dual luciferase reporter assay was used to verify the interaction between SNHG4 and miR-409-3p and between miR-409-3p and cAMP responsive element binding protein 1(CREB1).Results:The results indicated that SNHG4 was overexpressed in GC tissues and cell lines,and was linked with poor survival rate of GC patients.SNHG4 promoted GC cell proliferation,migration,and invasion while inhibiting cell apoptosis and cell cycle arrest in vitro.The in vivo experiment indicated that SNHG4 facilitated GC tumor growth.Furthermore,SNHG4 was demonstrated to bind to miR-409-3p.Moreover,CREB1 was directly targeted by miR-409-3p.Rescue assays demonstrated that miR-409-3p deficiency reversed the suppressive impact of SNHG4 knockdown on GC cell malignancy.Additionally,miR-409-3p was also revealed to inhibit GC cell proliferation,migration,and invasion by targeting CREB1.Conclusion:In conclusion,we verified that the SNHG4 promoted GC growth and metastasis by binding to miR-409-3p to upregulate CREB1,which may deepen the understanding of the underlying mechanism in GC development. 展开更多
关键词 Gastric cancer Small nucleolar RNA host gene 4(SNHG4) MicroRNA-409-3p(miR-409-3p) cAMP responsive element binding protein 1(CREB1)
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精神分裂症患者并发糖尿病的危险因素分析及RBP4、Vaspin对糖尿病的预测价值 被引量:1
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作者 余爱萍 梁生亮 卢小梅 《中国医药指南》 2024年第6期15-18,23,共5页
目的分析精神分裂症患者并发糖尿病的危险因素分析及视黄醇结合蛋白4(RBP4)、脂肪特异性丝氨酸蛋白酶抑制剂(Vaspin)对糖尿病的预测价值。方法选取2018年6月至2023年6月于我院治疗的90例精神分裂症患者为研究对象,根据患者糖尿病发生情... 目的分析精神分裂症患者并发糖尿病的危险因素分析及视黄醇结合蛋白4(RBP4)、脂肪特异性丝氨酸蛋白酶抑制剂(Vaspin)对糖尿病的预测价值。方法选取2018年6月至2023年6月于我院治疗的90例精神分裂症患者为研究对象,根据患者糖尿病发生情况分为未并发糖尿病组67例,并发糖尿病组23例,分析精神分裂症患者并发糖尿病的危险因素,采用ROC曲线评价RBP4、Vaspin对糖尿病的预测价值。结果单因素分析显示,精神分裂症患者糖尿病的发生与性别、居住地、职业、文化程度、婚姻状况、具有精神病家族史无关,P>0.05;年龄>60岁、体质量为肥胖、病程>10年、住院时间>6个月、使用氯氮平、具有糖尿病遗传史、存在高血脂症、胆固醇偏高患者糖尿病发生率较高(P<0.05)。多因素Logistics回归分析显示,年龄、体质量、病程、住院时间、抗精神病药物、糖尿病遗传史、高血脂症、胆固醇为影响精神分裂症患者并发糖尿病的危险因素(P<0.05)。与未并发糖尿病组对比,并发糖尿病组患者的RBP4、Vaspin表达水平升高(P<0.05)。ROC曲线显示,与RBP4、Vaspin单项预测对比,两项联合对糖尿病具有较高的预测价值(P<0.05)。结论年龄>60岁、体质量为肥胖、病程>10年、住院时间>6个月、使用氯氮平、具有糖尿病遗传史、存在高血脂症、胆固醇偏高为精神分裂症患者并发糖尿病的危险因素,检测机体内RBP4、Vaspin表达水平,可用于糖尿病的预测。 展开更多
关键词 精神分裂症 糖尿病 视黄醇结合蛋白4 脂肪特异性丝氨酸蛋白酶抑制剂
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血尿酸及血清RBP4、Cys-C、Lp-PLA2与糖尿病视网膜病变合并糖尿病肾病的相关性 被引量:1
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作者 牛振霞 李广华 郭若楚 《河南医学研究》 CAS 2024年第8期1444-1447,共4页
目的分析血尿酸(SUA)及血清视黄醇结合蛋白4(RBP4)、胱抑素C(Cys-C)、脂蛋白相关磷脂酶A2(Lp-PLA2)与糖尿病视网膜病变(DR)合并糖尿病肾病(DKD)的相关性。方法选取2021年1月至2023年3月在河南省荣军医院诊治的82例DR患者,按照是否合并DK... 目的分析血尿酸(SUA)及血清视黄醇结合蛋白4(RBP4)、胱抑素C(Cys-C)、脂蛋白相关磷脂酶A2(Lp-PLA2)与糖尿病视网膜病变(DR)合并糖尿病肾病(DKD)的相关性。方法选取2021年1月至2023年3月在河南省荣军医院诊治的82例DR患者,按照是否合并DKD分为合并DKD组(21例)和未合并DKD组(61例),比较两组SUA及血清RBP4、Cys-C、Lp-PLA2水平,并分析SUA及血清RBP4、Cys-C、Lp-PLA2与DR患者合并DKD的相关性以及对DR患者合并DKD的预测价值。结果合并DKD组SUA、RBP4、Cys-C、Lp-PLA2与未合并DKD组比较,更高(P<0.05)。经Spearman分析,SUA及血清RBP4、Cys-C、Lp-PLA2与DR合并DKD呈正相关(r=0.507、0.440、0.402、0.494,P<0.05)。受试者工作特征曲线分析显示,SUA、RBP4、Cys-C、Lp-PLA2、联合预测DR患者合并DKD的曲线下面积分别为0.835、0.791、0.766、0.827、0.913,在最佳临街值对应的敏感度、特异度分别为:SUA为90.5%、62.3%,RBP4为52.4%、100.0%,Cys-C为52.4%、100.0%,Lp-PLA2为61.9%、100.0%,联合为85.7%、88.5%。结论DR患者合并DKD其SUA及血清RBP4、Cys-C、Lp-PLA2水平升高,且与DR患者合并DKD呈正相关,SUA、RBP4、Cys-C、Lp-PLA2联合对DR患者合并DKD具有较高的预测价值。 展开更多
关键词 糖尿病视网膜病变 糖尿病肾病 血尿酸 黄醇结合蛋白4 胱抑素C 脂蛋白相关磷脂酶A2
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基于生物信息学分析RBP4在肝细胞癌中的功能作用
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作者 聂赛娅 汪一川 +2 位作者 郝旭 董启启 程佳 《陕西理工大学学报(自然科学版)》 2024年第3期70-76,共7页
为了揭示视黄醇结合蛋白(RBP4)在肝细胞癌(LIHC)中的功能作用,对RBP4的结构及理化性质进行了分析。基于公共数据库明确了RBP4在正常组织和LIHC中的表达,分析了其与LIHC患者的病理状态与临床生存预后的关系。结果显示:RBP4的等电点(pI)为... 为了揭示视黄醇结合蛋白(RBP4)在肝细胞癌(LIHC)中的功能作用,对RBP4的结构及理化性质进行了分析。基于公共数据库明确了RBP4在正常组织和LIHC中的表达,分析了其与LIHC患者的病理状态与临床生存预后的关系。结果显示:RBP4的等电点(pI)为5.76,其β-桶核心是视黄醇的结合中心,亲水性强,具有一个信号肽;RBP4在正常肝组织中的表达高于LIHC,并且高表达RBP4有更好的预后生存率(log rank P<0.001);RBP4的表达可能会缓解LIHC的进展,也可作为潜在生物标志物应用于LIHC的临床诊断与预后中。 展开更多
关键词 视黄醇结合蛋白 生物信息学 肝细胞癌
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连续性血液净化和间歇性血液透析对老年急性肾功能衰竭患者血清RBP4 Tfβ_(2)-MG水平的影响 被引量:1
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作者 何丽 张凡 +3 位作者 程彩娟 曹路路 唐琪 李奕 《河北医学》 2024年第1期71-75,共5页
目的:探讨连续性血液净化(CBP)和间歇性血液透析(IHD)对老年急性肾功能衰竭(ARF)患者血清视黄醇结合蛋白4(RBP4)、转铁蛋白(Tf)、β_(2)微球蛋白(β_(2)-MG)水平的影响。方法:纳入2021年1月至2023年1月在我院收治的114例ARF患者为本次... 目的:探讨连续性血液净化(CBP)和间歇性血液透析(IHD)对老年急性肾功能衰竭(ARF)患者血清视黄醇结合蛋白4(RBP4)、转铁蛋白(Tf)、β_(2)微球蛋白(β_(2)-MG)水平的影响。方法:纳入2021年1月至2023年1月在我院收治的114例ARF患者为本次研究的研究对象,采取随机数字表对入组ARF患者进行简单随机分组,各57例(观察组、对照组)。对照组予以IHD,观察组予以CBP,两组患者透析周期均为2周。比较两组患者临床疗效,透析前、透析2周后血清检测水平[RBP4、Tf、β_(2)-MG、Scr和BUN]与电解质指标(K^(+)、Cl^(-)、Na^(+)),记录两组患者并发症发生情况。结果:透析结束后,观察组与对照组ARF患者总有效率分别为94.74%(54/57)、78.95%(45/57),差异有统计学意义(P<0.05)。透析2周后两组患者血清RBP4、Tf、β_(2)-MG、Scr、BUN水平较之透析前明显降低,且观察组血清RBP4、Tf、β_(2)-MG、Scr、BUN水平下降幅度均大于对照组(P<0.05)。透析2周后两组患者血清K^(+)、Cl^(-)和Na^(+)水平较之透析前明显升高,且观察组K^(+)、Cl^(-)和Na^(+)水平升高幅度均大于对照组(P<0.05)。两组ARF患者透析期间并发症发生率(5.26%、7.02%)比较差异不显著(P>0.05)。结论:老年ARF患者应用CBP透析效果较好,可以较大程度清除血液中的大小分子毒素,并维持电解质的稳定。 展开更多
关键词 急性肾功能衰竭 连续性血液净化 间歇性血液透析 视黄醇结合蛋白4 转铁蛋白 β_(2)微球蛋白
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血清FABP4、GRP78及FOXO1与急性脑梗死患者预后的相关性
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作者 任晓飞 刘娜 +2 位作者 耿颖 甄运钰 芮淑红 《检验医学与临床》 2025年第3期304-308,共5页
目的探讨脂肪酸结合蛋白4(FABP4)、葡萄糖调节蛋白78(GRP78)、叉头框转录因子O亚族1(FOXO1)与急性脑梗死(ACI)患者预后的相关性。方法选取2021年6月至2023年1月该院收治的148例ACI患者(ACI组)作为研究对象,另选取148例同期于该院进行体... 目的探讨脂肪酸结合蛋白4(FABP4)、葡萄糖调节蛋白78(GRP78)、叉头框转录因子O亚族1(FOXO1)与急性脑梗死(ACI)患者预后的相关性。方法选取2021年6月至2023年1月该院收治的148例ACI患者(ACI组)作为研究对象,另选取148例同期于该院进行体检的健康体检者作为对照组。根据ACI患者出院后3个月的预后情况将其分为预后良好组和预后不良组;比较各组血清FABP4、GRP78、FOXO1水平;采用多因素Logistic回归分析ACI患者预后不良的影响因素。绘制受试者工作特征(ROC)曲线分析血清FABP4、GRP78、FOXO1单独及联合检测对ACI患者预后不良的预测价值。结果ACI组血清FABP4、GRP78水平均高于对照组,FOXO1水平低于对照组,差异均有统计学意义(P<0.05)。预后良好组纳入92例,预后不良组纳入56例。预后不良组年龄、梗死灶面积均大于预后良好组,FABP4、GRP78水平均高于预后良好组,FOXO1水平低于预后良好组,差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,FABP4、GRP78、FOXO1、年龄、梗死灶面积是ACI患者预后不良的影响因素(P<0.05)。ROC曲线分析结果显示,血清FABP4、GRP78、FOXO1单独及联合预测ACI患者预后不良的曲线下面积(AUC)分别为0.795、0.819、0.784、0.927;血清FABP4、GRP78、FOXO13项联合预测ACI患者预后不良的AUC优于各自单独预测的AUC(Z联合检测-FABP4=3.909,Z联合检测-GRP78=3.171,Z联合检测-FOXO1=4.494,P<0.05)。结论ACI患者血清FABP4、GRP78水平均升高,FOXO1水平降低,3项联合检测对ACI患者预后有较高的预测价值。 展开更多
关键词 脂肪酸结合蛋白4 葡萄糖调节蛋白78 叉头框转录因子O亚族1 急性脑梗死 预后
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