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17α-羟化酶缺陷症的临床研究进展 被引量:4
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作者 赵芳玉 王新玲 《疑难病杂志》 CAS 2018年第12期1391-1394,共4页
17α-羟化酶(17OHD)是先天性肾上腺皮质增生(CAH)的少见类型。该文就17OHD的流行病学、病因与发病机制、临床特点、诊断与鉴别诊断及治疗进行最新的文献学习及总结。该疾病的独特之处在于患者无论核型如何均为女性表型,常表现出假两性... 17α-羟化酶(17OHD)是先天性肾上腺皮质增生(CAH)的少见类型。该文就17OHD的流行病学、病因与发病机制、临床特点、诊断与鉴别诊断及治疗进行最新的文献学习及总结。该疾病的独特之处在于患者无论核型如何均为女性表型,常表现出假两性畸形、第二性征不发育等生殖腺异常,及低肾素性高血压、低醛固酮、低血钾的肾上腺异常。由于临床表现多样且诊断复杂,很多患者症状不明显,故不能及时就诊。综述期望对临床医生有所启迪并对该病加深认识。 展开更多
关键词 先天性肾上腺皮质增生症 17Α-羟化酶缺陷症 综述
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Future of liver transplantation: Non-human primates for patient-specific organs from induced pluripotent stem cells 被引量:2
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作者 Madhusudana Girija Sanal 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第32期3684-3690,共7页
Strategies to fill the huge gap in supply versus demand of human organs include bioartificial organs, growing humanized organs in animals, cell therapy, and implantable bioengineered constructs. Reproducing the comple... Strategies to fill the huge gap in supply versus demand of human organs include bioartificial organs, growing humanized organs in animals, cell therapy, and implantable bioengineered constructs. Reproducing the complex relations between different cell types, generation of adequate vasculature, and immunological complications are road blocks in generation of bioengineered organs, while immunological complications limit the use of humanized organs produced in animals. Recent developments in induced pluripotent stem cell (iPSC) biology offer a possibility of generating human, patient-specific organs in non-human primates (NHP) using patient-derived iPSC and NHP-derived iPSC lacking the critical developmental genes for the organ of interest complementing a NHP tetraploid embryo. The organ derived in this way will have the same human leukocyte antigen (HLA) profile as the patient. This approach can be curative in genetic disorders as this offers the possibility of gene manipulation and correction of the patient's genome at the iPSC stage before tetraploid complementation. The process of generation of patient-specific organs such as the liver in this way has the great advantage of making use of the natural signaling cascades in the natural milieu probably resulting in organs of great quality for transplantation. However, the inexorable scientific developments in this direction involve several social issues and hence we need to educate and prepare society in advance to accept the revolutionary consequences, good, bad and ugly. 展开更多
关键词 Induced pluripotent stem cells Hepatocytes TETRAPLOID Non-human primates ANENCEPHALY CHIMPANZEE Fumaryl acetoacetate hydrolase deficient Hhex
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Synthesis and biological evaluation of substituted indazolyl amide derivatives as S-adenosyl-L-homocysteine hydrolase inhibitors
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作者 Xiang-Duan Tan Li-Guang Mao +2 位作者 Wei Wu Si-Yun Nian Guo-Ping Wang 《Chinese Chemical Letters》 SCIE CAS CSCD 2016年第6期984-988,共5页
A series of novel amide derivatives bearing an indazole moiety were synthesized and evaluated for their in vitro S-adenosylL-homocysteine hydrolase(SAHase) inhibitory activity. Among these compounds, 8b,8m, 8r and 8... A series of novel amide derivatives bearing an indazole moiety were synthesized and evaluated for their in vitro S-adenosylL-homocysteine hydrolase(SAHase) inhibitory activity. Among these compounds, 8b,8m, 8r and 8w showed better or similar inhibitory effects compared to the positive control aristeromycin. These results provide a novel lead for the discovery of more potent non-adenosine analogs as SAHase inhibitors. 展开更多
关键词 s-adenosylhomocysteine hydrolase SAHase inhibitors Amide derivatives INDAZOLE SYNTHESIS
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3-羟基异丁酰辅酶A水解酶缺乏症一例诊治体会并文献复习 被引量:2
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作者 杨海燕 吴丽文 +2 位作者 邓小鹿 尹飞 杨丽芬 《中国当代儿科杂志》 CAS CSCD 北大核心 2018年第8期647-651,共5页
报道一例3-羟基异丁酰辅酶A水解酶缺乏症,并结合文献,探讨其临床特征、基因突变特点和诊疗现状。患儿,男,1岁6个月,发热、腹泻后出现发育倒退、阵发性肌张力不全等症状;头部MRI提示双侧基底节对称性病变。线粒体基因组全长检测未发现致... 报道一例3-羟基异丁酰辅酶A水解酶缺乏症,并结合文献,探讨其临床特征、基因突变特点和诊疗现状。患儿,男,1岁6个月,发热、腹泻后出现发育倒退、阵发性肌张力不全等症状;头部MRI提示双侧基底节对称性病变。线粒体基因组全长检测未发现致病突变。线粒体相关疾病核基因检测发现患儿HIBCH基因新发复合杂合突变:c.439-2A>G和c.958A>G(p.K320E),分别遗传自其父母。予以患儿"鸡尾酒疗法"、限制缬氨酸饮食及对症治疗,2周后患儿肌张力不全症状改善,运动以及智能较前缓慢进步。 展开更多
关键词 HIBCH基因 3-羟基异丁酰辅酶A水解酶缺乏症 LEIGH病 儿童
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高甲硫氨酸血症的研究现状 被引量:5
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作者 王倩倩(综述) 陈志红(审校) 《国际儿科学杂志》 2018年第11期855-859,共5页
高甲硫氨酸血症是一组以血浆甲硫氨酸升高而定义的疾病组群,临床上较为罕见,其原因包括遗传因素和非遗传因素。甲硫氨酸代谢途径异常影响甲基转移过程,是高甲硫氨酸血症最常见的遗传因素。大多数患者无临床表现,或仅有生化异常,有临床... 高甲硫氨酸血症是一组以血浆甲硫氨酸升高而定义的疾病组群,临床上较为罕见,其原因包括遗传因素和非遗传因素。甲硫氨酸代谢途径异常影响甲基转移过程,是高甲硫氨酸血症最常见的遗传因素。大多数患者无临床表现,或仅有生化异常,有临床症状的患者亦无特异性,如精神发育迟滞、认知障碍、中度肝肿大、肌张力低下、Marfans综合征样体型、骨质疏松及心脑血管疾病等。治疗上主要推荐低甲硫氨酸饮食,同时强调新生儿筛查的重要性。产前诊断可以减少出生缺陷的发生,但其必要性仍存在争议。远期预后尚不可知,需定期监测血浆甲硫氨酸水平,个体化随访是评估预后的关键。 展开更多
关键词 高甲硫氨酸血症 甲硫氨酸腺苷转移酶Ⅰ/Ⅲ缺陷 甘氨酸N-甲基转移酶缺陷 S-腺苷高半胱氨酸水解酶缺陷 胱硫醚β合酶缺陷
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基于网络药理学与分子对接的加减香砂六君子汤治疗新型冠状病毒肺炎恢复期肺脾气虚证的机制研究 被引量:14
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作者 冯娟 闫奎坡 +5 位作者 朱翠玲 孙彦琴 徐亚洲 郭雨晴 张笑笑 李铖 《药物评价研究》 CAS 2020年第9期1673-1684,共12页
目的探讨加减香砂六君子汤治疗新型冠状病毒肺炎(COVID-19)恢复期肺脾气虚证的作用机制。方法利用TCMSP数据库筛选中药活性成分和靶点,利用Gendcars、OMIM数据库筛选疾病靶点,STRING平台对靶点进行PPI网络构建,并进行GO和KEGG分析,利用C... 目的探讨加减香砂六君子汤治疗新型冠状病毒肺炎(COVID-19)恢复期肺脾气虚证的作用机制。方法利用TCMSP数据库筛选中药活性成分和靶点,利用Gendcars、OMIM数据库筛选疾病靶点,STRING平台对靶点进行PPI网络构建,并进行GO和KEGG分析,利用Cytoscape 3.7.2软件构建"药物-活性成分-靶点-疾病"网络图,然后通过拓扑学参数分析获得加减香砂六君子汤主要活性成分和靶点,最后将主要活性成分与靶点进行分子对接验证。结果得到槲皮素、木犀草素、山柰酚、柚皮素等115个活性成分,PTGS2、NOS2、PPARG、PTGS1、MAPK14等48个靶点,主要涉及IL-17、TNF、T细胞受体、MAPK、VEGF等155条通路。分子对接显示,槲皮素、木犀草素、山柰酚、柚皮素与3CL水解酶、ACE2、PTGS2具有较好的结合活性,与第七版推荐抗病毒药物结合能相近。结论加减香砂六君子汤活性成分可通过与3CL水解酶、ACE2、PTGS2结合,调控IL-17、TNF、T细胞受体、MAPK、VEGF等信号通路来抑制炎症反应,调节机体免疫,减轻肺损伤,促进细胞生长分化和肺血管生成,从而改善患者症状,促进恢复期患者康复,提高机体免疫力,降低疾病复发或再感染的风险。 展开更多
关键词 新型冠状病毒肺炎 加减香砂六君子汤 恢复期 肺脾气虚证 SARS-CoV-23CL水解酶 血管紧张素转化酶II 前列腺素内过氧化物合酶2(PTGS2) 网络药理学 分子对接 槲皮素 木犀草素 山柰酚 柚皮素
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3-羟基异丁酰辅酶A水解酶缺乏症一例并文献复习 被引量:1
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作者 谢振华 张潺 +6 位作者 李娴 李林飞 肖梦君 李瑞 罗淑颖 张耀东 李东晓 《中华神经科杂志》 CAS CSCD 北大核心 2021年第4期348-354,共7页
目的分析3-羟基异丁酰辅酶A水解酶(HIBCH)缺乏症患儿的临床表现、辅助检查及基因变异特点,以提高对本病的认识。方法对2019年12月31日入郑州大学附属儿童医院的1例HIBCH缺乏症患儿的临床资料和基因检测结果进行分析,并结合文献,总结HIBC... 目的分析3-羟基异丁酰辅酶A水解酶(HIBCH)缺乏症患儿的临床表现、辅助检查及基因变异特点,以提高对本病的认识。方法对2019年12月31日入郑州大学附属儿童医院的1例HIBCH缺乏症患儿的临床资料和基因检测结果进行分析,并结合文献,总结HIBCH缺乏症的临床特征和基因变异特点。结果患儿女性,1岁4个月,因"呕吐、腹泻半个月,呼吸困难、间断抽搐13 d"入院,主要表现为消化道感染后出现呼吸困难、抽搐,发病前智力同正常同龄儿,运动稍落后。体检:浅昏迷,反应差,对光反射迟钝;呼吸促,三凹征弱阳性,双肺呼吸音粗糙,可闻及少量痰鸣音;四肢肌张力增高,双侧Brudzinski征、Babinski征、Kernig征均阴性;血羟丁酰肉碱(C4OH)增高;头颅磁共振成像示患儿双侧大脑半球萎缩样改变,双侧苍白球及大脑脚对称性异常信号;基因检测结果示HIBCH基因存在新发复合杂合变异:c.489T>A(p.C163*)和c.740A>G(p.Y247C),分别遗传自表型正常的父母。予以鸡尾酒疗法及对症支持治疗,症状好转。文献检索到的17篇文献(15篇英文和2篇中文)共报道了24例HIBCH缺乏症患者,绝大多数患者临床症状主要为婴儿期早期出现喂养困难、肌张力障碍和进行性发育迟缓,头颅磁共振成像示双侧基底节受损,血氨基酸及酯酰肉碱谱检测示C4OH浓度增高,基因检测示HIBCH基因存在纯合或复合杂合变异。结论 HIBCH缺乏症的血氨基酸及酯酰肉碱谱检测较为特异,在其基础上联合头颅磁共振成像、基因检测技术有利于对疾病进行明确诊断。本研究中确诊1例罕见的HIBCH缺乏症患儿,扩展了HIBCH基因变异谱,同时,对已报道病例的临床及基因特点进行总结,提高了对本病的认识。 展开更多
关键词 3-羟基异丁酰辅酶A水解酶缺乏症 HIBCH基因 突变 病例报告
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Nuclear Targeting of Methyl-Recycling Enzymes in Arabidopsis thaliana Is Mediated by Specific Protein Interactions
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作者 Sanghyun Lee Andrew C. Doxey +1 位作者 Brendan J. McConkey Barbara A. Moffatt 《Molecular Plant》 SCIE CAS CSCD 2012年第1期231-248,共18页
Numerous transmethylation reactions are required for normal plant growth and development. S-adenosylhomocysteine hydrolase (SAHH) and adenosine kinase (ADK) act coordinately to recycle the by-product of these reac... Numerous transmethylation reactions are required for normal plant growth and development. S-adenosylhomocysteine hydrolase (SAHH) and adenosine kinase (ADK) act coordinately to recycle the by-product of these reactions, S-adenosylhomocysteine (SAH) that would otherwise competitively inhibit methyltransferase (MT) activities. Here, we report on investigations to understand how the SAH produced in the nucleus is metabolized by SAHH and ADK. Localization analyses using green fluorescent fusion proteins demonstrated that both enzymes are capable of localizing to the cytoplasm and the nucleus, although no obvious nuclear localization signal was found in their sequences. Deletion analysis revealed that a 41-amino-acid segment of SAHH (GlylS^-Lys19~) is required for nuclear targeting of this enzyme. This segment is surface exposed, shows unique sequence conservation patterns in plant SAHHs, and possesses additional features of protein-protein interaction motifs. ADK and SAHH interact in Arabidopsb via this segment and also interact with an mRNA cap MT. We propose that the targeting of this complex is directed by the nuclear localization signal of the MT; other MTs may similarly target SAHH/ADK to other subcellular compartments to ensure uninterrupted transmethylation. 展开更多
关键词 TRANSMETHYLATION subcellular localization s-adenosylhomocysteine hydrolase adenosine kinase nuclear targeting protein docking protein modeling protein motif analysis.
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