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Nerve growth factor alleviates cerebral infarction and neurologic deficits by regulating VEGF,SDF-1 and S100A12 expression through PI3K pathway 被引量:3
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作者 ZHENG LI ZHONGLE ZHAO PENG ZHANG 《BIOCELL》 SCIE 2019年第3期183-189,共7页
Stroke remains the leading cause of death and disability worldwide,which destroys the quality of patients’lives and thus is becoming a heavy burden to the society.However,the current therapeutic approaches are far fr... Stroke remains the leading cause of death and disability worldwide,which destroys the quality of patients’lives and thus is becoming a heavy burden to the society.However,the current therapeutic approaches are far from satisfaction.The objective of this study is to elucidate the impact of nerve growth factor(NGF)on the brain damage induced by cerebral ischemia and its potential molecular mechanism.Middle cerebral artery occlusion(MCAO)rats were used as animal models and neurological functions were evaluated by modified Neurological Severity Score(NSS).Brain cell apoptosis was analyzed by TUNEL-positive staining while brain infarct size was determined according to 2% 2,3,5-triphenyltetrazolium chloride(TCC)staining volume.Rats receiving NGF demonstrated significantly alleviated brain damage,reflected by a substantial improvement in the neurobehavioral outcome,a decrease in brain cell apoptosis and shrinkage of brain infarct volume.Further analysis revealed a markedly elevated circulating vascular endothelial growth factor(VEGF)and stromal cell-derived factor 1(SDF-1)levels as well as a significant downregulation of SA10012 expression in NGF treated group compared with the untreated group.Strikingly,the protective effect of NGF on cerebral ischemic injury was abolished in rats treated with both NGF and PI3K inhibitors,indicating that phosphoinositide-3-kinase(PI3K)signaling is essential for NGF function.In conclusion,NGF treatment might be a potential therapeutic approach against cerebral infarction by downregulating SA10012 expression and upregulating VEGF,SDF-1 in a PI3K signaling dependent manner. 展开更多
关键词 cerebral infarction Nerve growth factor PI3K SA10012 SDF-1 VEGF
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Correlation between expression of two transforming growth factor-beta 1 receptors and microvascular density in a rat model of cerebral ischemia and reperfusion injury
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作者 Li Jiang Qingzhu Yue +1 位作者 Lingzhi Yu Xudong Liu 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第11期850-854,共5页
The effects of transforming growth factor-β1 (TGF-β1) are currently controversial. Whether TGF-β1 promotes or inhibits revascularization under different conditions remains poorly understood. Based on previous stu... The effects of transforming growth factor-β1 (TGF-β1) are currently controversial. Whether TGF-β1 promotes or inhibits revascularization under different conditions remains poorly understood. Based on previous studies, the current experiment established rat models of cerebral ischemia and reperfusion injury (IRI), and demonstrated that pathological and functional damage was also increased after IRI. The most serious damage was observed at 3 days after reperfusion, at which time microvascular density fell to its lowest level. Soon afterwards, microvascular density increased, new collateral circulation was gradually established at 4 to 7 days after reperfusion, and pathological damage and neurological deficits were improved. TGF-β1, activin receptor-like kinase 5 (ALK5) mRNA and protein expression levels increased gradually over time. In contrast, ALK1 mRNA and protein expression decreased over the same period. A significant negative correlation was detected between microvascular density and expression of the ALK5 gene transcript. There was no correlation between microvascular density and ALK1 gene transcriptional expression following cerebral IRI in a rat model. These findings suggest that ALK5, rather than ALK1, is the critical receptor in the TGF-β1 signal pathways after cerebral IRI. 展开更多
关键词 cerebral ischemia and reperfusion injury transforming growth factor1 transforming growth factor1 receptor/activin receptor-like kinase 1 activin receptor-like kinase 5 microvascular density neural regeneration
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Pre-ischemia electro-acupuncture potentiates the expression of Bcl-2 and transforming growth factor-beta 1 in rat brains 被引量:4
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作者 Ka Keung Yip Samuel CL Lo +2 位作者 Kwok-fai So Dora MY Poon Mason CP Leung 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第24期1859-1865,共7页
The expression of the anti-apoptotic molecules Bcl-2 and transforming growth factor-beta 1 is known to confer protective effects on the cerebral ischemia-reperfusion injury.The current study investigated the expressio... The expression of the anti-apoptotic molecules Bcl-2 and transforming growth factor-beta 1 is known to confer protective effects on the cerebral ischemia-reperfusion injury.The current study investigated the expression levels of Bcl-2 and transforming growth factor-beta 1 in response to multiple pre-ischemia electro-acupuncture at acupoints Zusanli(ST36)and Fengchi(GB20) stimulation.Rats were divided into five groups:uninjured,control,non-acupoint,GB20 and ST36. Rats in the non-acupoint,GB20 and ST36 groups received 30 minutes(3 times or 18 times)of electro-acupuncture stimulation before experimental cerebral ischemia was induced.Bcl-2 and transforming growth factor-beta 1 were found to be significantly increased in the ST36 groups with either 3 or 18 electro-acupuncture treatments(P〈0.05).The production was higher with 18 electro-acupuncture treatments in the ST36 groups(P〈0.05).In the GB20 groups,significant increase was only observed in transforming growth factor-beta 1 with 18 electro-acupuncture treatments(P〈0.05).No significant elevation of the level of transforming growth factor-beta 1 was observed in the non-acupoint groups.However,the production of Bcl-2 increased with 18 treatments in the non-acupoint groups(P〈0.05).The data suggest that multiple pre-ischemia electro-acupuncture at ST36 was effective in conferring neuroprotective effect on the brain by means of upregulation of Bcl-2 and transforming growth factor-beta 1 and the effect was increase with the number of treatment. 展开更多
关键词 cerebral ischemia stroke prevention ELECTRO-ACUPUNCTURE transforming growth factor-beta 1 BCL-2 ACUPOINT
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Relationship of Transforming Growth Factor-β1 and Arginase-1 Levels with Long-term Survival after Kidney Transplantation
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作者 Xiao-xiao DU Yu-liang GUO +5 位作者 Min YANG Yan YU Sheng CHANG Bin LIU Lan-jun CAI Zhong-Hua Klaus Chen 《Current Medical Science》 SCIE CAS 2018年第3期455-460,共6页
In this study, we compared the serum levels of transforming growth factor-β1 (TGF-β1), interleukin-10 (IL-10), and arginase-1 in long-term survival kidney transplant recipients (LTSKTRs) with those in short-te... In this study, we compared the serum levels of transforming growth factor-β1 (TGF-β1), interleukin-10 (IL-10), and arginase-1 in long-term survival kidney transplant recipients (LTSKTRs) with those in short-term survival kidney transplant recipients (STSKTRs). We then evaluated the relationship between these levels and graft function. Blood samples were collected from 50 adult LTSKTRs and 20 STSKTRs (graft survival approximately 1-3 years post-transplantation). All patients had stable kidney function. The samples were collected at our institution during the patients' follow-up examinations between March 2017 and September 2017. The plasma levels of TGF-β1, IL- 10, and arginase- 1 were analyzed using enzyme-linked immunosorbent assays (ELISA). The levels of TGF-β1 and arginase-1 were significantly higher in the LTSKTRs than in the STSKTRs. The time elapsed since transplantation was positively correlated with the levels of TGF-β1 and arginase-1 in the LTSKTRs. The estimated glomerular filtration rate was positively correlated with the TGF-β1 level, and the serum creatinine level was negatively correlated with the TGF-β1 level. Higher serum levels of TGF-β1 and arginase-1 were found in LTSKTRs than in STSKTRs, and we found that TGF-β1 was positively correlated with long-term graft survival and function. Additionally, TGF-β1 and arginase-1 levels were positively correlated with the time elapsed since transplantation. On the basis of these findings, TGF-β1 and arginase- 1 may play important roles in determining long-term graft survival. Thus, we propose that TGF-β1 and arginase-1 may potentially be used as predictive markers for evaluating long-term graft survival. 展开更多
关键词 transforming growth factor β1 arginase-1 long-term survival kidney transplant recipients estimated glomerular filtration rates serum creatinine
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老年急性脑梗死患者血清Del-1和IL-17水平变化及与梗死面积和预后的关系
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作者 郑德泉 江华 +4 位作者 韩玉惠 杨青平 吴义森 欧阳林 李清金 《中国实用神经疾病杂志》 2024年第1期26-30,共5页
目的 探究老年急性脑梗死(ACI)患者血清内皮发育调节基因-1(Del-1)、白细胞介素-17(IL-17)水平与脑梗死面积、病情严重程度及预后的关系。方法 回顾性收集2019-01-2021-12厦门大学附属东南医院收治的126例老年ACI患者(病例组)及105名健... 目的 探究老年急性脑梗死(ACI)患者血清内皮发育调节基因-1(Del-1)、白细胞介素-17(IL-17)水平与脑梗死面积、病情严重程度及预后的关系。方法 回顾性收集2019-01-2021-12厦门大学附属东南医院收治的126例老年ACI患者(病例组)及105名健康体检者(对照组)的临床资料,根据脑梗死面积将病例组患者分为大面积梗死组(梗死最大直径>5 cm,n=14)、中面积梗死组(梗死最大直径3~5 cm,n=53)和小面积梗死组(梗死最大直径<3 cm,n=59);根据NIHSS评分分为重症组(NIHSS评分≥16分,n=13)、中症组(5分<NIHSS评分<15分,n=58)和轻症组(NIHSS评分≤5分,n=55);根据m RS评分分为预后良好组(mRS评分≤2分,n=81)和预后不良组(mRS评分>2分,n=45)。采用荧光免疫法检测血清Del-1、IL-17水平,受试者工作特征(ROC)曲线评估血清Del-1、IL-17水平预测老年ACI患者预后的价值。结果 病例组吸烟史比例、收缩压、舒张压、糖化血红蛋白、血清IL-17水平均高于对照组,血清Del-1水平低于对照组(P<0.05)。不同脑梗死面积患者血清Del-1水平比较,小面积梗死组>中面积梗死组>大面积梗死组;血清IL-17水平比较,小面积梗死组<中面积梗死组<大面积梗死组(P<0.05)。轻症组血清Del-1水平高于中症组、重症组(P<0.05),不同病情严重程度患者血清IL-17水平比较,重症组>中症组>轻症组(P<0.05)。预后良好组患者血清Del-1水平高于预后不良组,血清IL-17水平低于预后不良组(P<0.05)。ROC曲线分析显示,血清Del-1、IL-17预测ACI患者预后的AUC值分别为0.763、0.747(P<0.05)。结论 老年ACI患者血清Del-1水平较低,IL-17水平较高,二者与患者脑梗死面积、病情严重程度和预后关系密切,可作为预测老年ACI患者预后的可靠指标。 展开更多
关键词 急性脑梗死 内皮发育调节基因-1 白细胞介素-17 梗死面积 预后 危险因素 血清
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血清胱抑素C、内皮素-1、转化生长因子-β1预测高尿酸血症患者非布司他治疗后疗效的价值
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作者 王岚 张懿芳 +3 位作者 武众众 李霞 赵斌燕 李楠 《临床和实验医学杂志》 2024年第9期937-941,共5页
目的研究血清胱抑素C、内皮素-1、转化生长因子-β1(TGF-β1)预测高尿酸血症(HUA)非布司他治疗后疗效的价值。方法回顾性分析2021年1月至2023年1月在武警山西总队医院收治的160例HUA患者的临床资料,所有患者均口服非布司他进行治疗,根... 目的研究血清胱抑素C、内皮素-1、转化生长因子-β1(TGF-β1)预测高尿酸血症(HUA)非布司他治疗后疗效的价值。方法回顾性分析2021年1月至2023年1月在武警山西总队医院收治的160例HUA患者的临床资料,所有患者均口服非布司他进行治疗,根据患者使用非布司他治疗3个月后的疗效情况分为有效组(n=118)和无效组(n=42)。观察两组基础资料信息[性别、年龄、体重指数、病程、疾病类型、合并高血压、合并糖尿病、血肌酐、肾小球过滤率(GFR)、血尿酸、胱抑素C、内皮素-1、TGF-β1水平]差异。采用多因素Logistic回归分析影响HUA患者非布司他治疗效果的危险因素。绘制受试者操作特征(ROC)曲线评估血清胱抑素C、内皮素-1、TGF-β1预测HUA患者非布司他治疗效果的效能。结果两组性别构成比、年龄、体重指数、病程、疾病类型、合并高血压、合并糖尿病、血肌酐、eGFR比较,差异均无统计学意义(P>0.05);无效组的血尿酸、胱抑素C、内皮素-1、TGF-β1水平分别为(435.89±33.05)μmol/L、(10.84±1.65)mg/L、(32.81±5.55)ng/L、(25.74±4.85)ng/mL,均显著高于有效组[(351.85±24.76)μmol/L、(8.15±1.43)mg/L、(24.56±4.12)ng/L、(19.28±3.62)ng/mL],差异均有统计学意义(P<0.05)。经多因素Logistic回归分析证实,血清血尿酸、胱抑素C、内皮素-1、TGF-β1高水平均是影响HUA患者非布司他治疗无效的危险因素(P<0.05)。经ROC分析证实,血清胱抑素C、内皮素-1、TGF-β1可用于HUA患者非布司他治疗效果的预测,曲线下面积分别为0.917、0.853、0.825,预测价值较好(P<0.05)。结论血清血尿酸、胱抑素C、内皮素-1、TGF-β1高水平均是影响HUA患者非布司他治疗效果的危险因素,可将以上指标作为评估HUA患者非布司他治疗效果的标志物,为临床降低HUA治疗无效风险提供参考。 展开更多
关键词 高尿酸血症 非布司他 血清胱抑素C 内皮素-1 转化生长因子-Β1
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M2 macrophages mediate fibrotic scar formation in the early stages after cerebral ischemia in rats 被引量:2
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作者 Jia-Gui Huang Jiang-Xia Ren +9 位作者 Yue Chen Ming-Fen Tian Li Zhou Jun Wen Xiao-Song Song You-Lin Wu Qing-Huan Yang Pei-Ran Jiang Jia-Ni Wang Qin Yang 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第10期2208-2218,共11页
In the central nervous system, the formation of fibrotic scar after injury inhibits axon regeneration and promotes repair. However, the mechanism underlying fibrotic scar formation and regulation remains poorly unders... In the central nervous system, the formation of fibrotic scar after injury inhibits axon regeneration and promotes repair. However, the mechanism underlying fibrotic scar formation and regulation remains poorly understood. M2 macrophages regulate fibrotic scar formation after injury to the heart, lung, kidney, and central nervous system. However, it remains to be clarified whether and how M2 macrophages regulate fibrotic scar formation after cerebral ischemia injury. In this study, we found that, in a rat model of cerebral ischemia induced by middle cerebral artery occlusion/reperfusion, fibrosis and macrophage infiltration were apparent in the ischemic core in the early stage of injury(within 14 days of injury). The number of infiltrated macrophages was positively correlated with fibronectin expression. Depletion of circulating monocyte-derived macrophages attenuated fibrotic scar formation. Interleukin 4(IL4) expression was strongly enhanced in the ischemic cerebral tissues, and IL4-induced M2 macrophage polarization promoted fibrotic scar formation in the ischemic core. In addition, macrophage-conditioned medium directly promoted fibroblast proliferation and the production of extracellular matrix proteins in vitro. Further pharmacological and genetic analyses showed that sonic hedgehog secreted by M2 macrophages promoted fibrogenesis in vitro and in vivo, and that this process was mediated by secretion of the key fibrosis-associated regulatory proteins transforming growth factor beta 1 and matrix metalloproteinase 9. Furthermore, IL4-afforded functional restoration on angiogenesis, cell apoptosis, and infarct volume in the ischemic core of cerebral ischemia rats were markedly impaired by treatment with an sonic hedgehog signaling inhibitor, paralleling the extent of fibrosis. Taken together, our findings show that IL4/sonic hedgehog/transforming growth factor beta 1 signaling targeting macrophages regulates the formation of fibrotic scar and is a potential therapeutic target for ischemic stroke. 展开更多
关键词 central nervous system extracellular matrix FIBRONECTIN fibrotic scar macrophage interleukin 4 ischemic cerebral injury neurological function Sonic hedgehog transforming growth factorβ1
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急性脑梗死患者静脉溶栓前后血清内皮素-1、基质细胞衍生因子-1变化与功能结局的关系
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作者 郑丽 陈鸿丽 +1 位作者 刘丹 魏彦娟 《新疆医科大学学报》 CAS 2024年第2期227-232,共6页
目的探讨急性脑梗死(Acute cerebral infarction,ACI)患者静脉溶栓前后血清内皮素-1(Endothelin-1,ET-1)、基质细胞衍生因子-1(Stromal cell derived factor 1,SDF-1)水平变化,分析ET-1、SDF-1与功能结局的关系。方法选取2021年2月-2023... 目的探讨急性脑梗死(Acute cerebral infarction,ACI)患者静脉溶栓前后血清内皮素-1(Endothelin-1,ET-1)、基质细胞衍生因子-1(Stromal cell derived factor 1,SDF-1)水平变化,分析ET-1、SDF-1与功能结局的关系。方法选取2021年2月-2023年2月大兴区人民医院收治的103例ACI患者。根据日常生活能力(Activity of daily living,ADL)量表将其分为功能结局良好组及功能结局不良组。检测患者溶栓前后血清ET-1和SDF-1水平。Logistic回归模型分析ACI功能结局的影响因素,Pearson相关性分析血清ET-1、SDF-1水平与ADL评分的相关性,根据受试者工作特征(Receiver operating characteristics,ROC)曲线分析血清ET-1、SDF-1水平对ACI功能结局的预测价值。结果ACI患者溶栓1周后血清ET-1水平降低,SDF-1水平升高(P<0.05);ACI患者功能结局不良发生率为39.81%;与功能结局良好组比较,功能结局不良组发病至溶栓时间、NIHSS评分、合并心房室颤占比、溶栓前、溶栓1周后血清ET-1水平升高,SDF-1水平降低(P<0.05);Logistic回归分析结果显示,发病至溶栓时间长、NIHSS评分高、溶栓1周后的血清ET-1高水平及SDF-1低水平是ACI功能结局不良的独立危险因素(P<0.05);Pearson相关性分析显示,ADL评分与溶栓1周后的血清ET-1水平呈正相关(r=0.563,P<0.05),与SDF-1呈负相关(r=-0.483,P<0.05);ROC分析结果显示,溶栓1周后的血清ET-1、SDF-1二者联合预测ACI功能结局的AUC高于各项单独检测(P<0.05)。结论ACI患者溶栓后血清ET-1水平降低,SDF-1水平升高,溶栓1周后血清ET-1、SDF-1水平与ADL评分均呈正相关,且对于预测ACI功能结局有较高的参考价值。 展开更多
关键词 急性脑梗死 静脉溶栓 血清内皮素-1 基质细胞衍生因子-1 功能结局
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不同剂量氯吡格雷对急性脑梗死患者血清细胞间黏附分子-1、P选择素水平及炎性因子的影响
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作者 李雁翔 《中外医药研究》 2024年第3期24-26,共3页
目的:探讨不同剂量氯吡格雷对急性脑梗死患者血清细胞间黏附分子-1(ICAM-1)、P选择素(CD62P)水平及炎性因子的影响。方法:选取2020年10月-2022年1月天津市北辰医院神经内科收治的急性脑梗死患者100例作为研究对象,按照随机数字表法分为... 目的:探讨不同剂量氯吡格雷对急性脑梗死患者血清细胞间黏附分子-1(ICAM-1)、P选择素(CD62P)水平及炎性因子的影响。方法:选取2020年10月-2022年1月天津市北辰医院神经内科收治的急性脑梗死患者100例作为研究对象,按照随机数字表法分为大剂量组和小剂量组,各50例。患者均行常规对症治疗,大剂量组患者给予氯吡格雷150 mg/(d·次)进行治疗,小剂量组患者给予氯吡格雷75 mg/(d·次)进行治疗。比较抗血小板治疗效果,血清ICAM-1和CD62P水平,炎性因子[白细胞介素-6(IL-6)、超敏C反应蛋白(hs-CRP)和肿瘤坏死因子-ɑ(TNF-ɑ)]水平。结果:治疗后,两组血小板计数和血小板聚集率均降低,大剂量组低于小剂量组,差异有统计学意义(P<0.05)。治疗后,两组ICAM-1和CD62P指标均下降,且大剂量组低于小剂量组,差异有统计学意义(P<0.05)。治疗后,两组炎性因子指标均降低,大剂量组IL-6、hs-CRP和TNF-ɑ指标低于小剂量组,差异有统计学意义(P<0.05)。结论:大剂量氯吡格雷对急性脑梗死患者抗血小板疗效较好,可有效降低血清ICAM-1、CD62P和炎性因子水平,改善患者炎性状态。 展开更多
关键词 氯吡格雷 急性脑梗死 血清细胞间黏附分子-1 P选择素 炎性因子
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Bone marrow mesenchymal stem cell transplantation downregulates plasma level and the microglia expression of transforming growth factor β1 in the acute phase of cerebral cortex ischemia 被引量:4
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作者 Zhao-Hui Liang Jian-Juan Gu +3 位作者 Wen-Xiu Yu Yun-Qian Guan Mostafa Khater Xiao-Bo Li 《Chronic Diseases and Translational Medicine》 CSCD 2020年第4期270-280,共11页
Background:Both bone marrow mesenchymal stem cell(BM-MSC)and transforming growth factor-β1(TGF-β1)have a strong anti-inflammatory capacity in stroke.But their relationship has not been well addressed.In this study,w... Background:Both bone marrow mesenchymal stem cell(BM-MSC)and transforming growth factor-β1(TGF-β1)have a strong anti-inflammatory capacity in stroke.But their relationship has not been well addressed.In this study,we investigated how intravenous BM-MSC transplantation in rats effected the expression of TGF-β148 h post cerebral ischemia,and we analyzed the main cells that produce TGF-β1.Methods:We used a distal middle cerebral artery occlusion(dMCAO)model in twenty Sprague-Dawley(SD)rats.The rats were randomly divided into two groups:the ischemic control group and the postischemic BM-MSC transplantation group.One hour after the dMCAO model was established,the rats were injected in the tail vein with either 1 ml saline or 1×106 BM-MSCs suspended in 1 ml saline.ELISAs were used to detect TGF-β1 content in the brain infarct core area,striatum and the plasma at 48 h after cerebral infarction.Immunofluorescent staining of brain tissue sections for TGF-β1,Iba-1,CD68 and NeuN was performed to determine the number and the proportion of double stained cells and to detect possible TGF-β1 producing cells in the brain tissue.Results:Forty-eight hours after ischemia,the TGF-β1 content in the infarcted area of the BM-MSC transplantation group(23.94±4.48 pg/ml)was significantly lower than it was in the ischemic control group(34.18±4.32 pg/ml)(F=13.534,P=0.006).The TGF-β1 content in the rat plasma in the BM-MSC transplantation group(75.91±12.53 pg/ml)was significantly lower than it was in the ischemic control group(131.18±16.07 pg/ml)(F=36.779,P=0.0002),suggesting that after transplantation of BM-MSCs,TGF-β1 levels in the plasma decreased,but there was no significant change in the striatum area.Immunofluorescence staining showed that the total number of nucleated cells(1037.67±222.16 cells/mm2)in the infarcted area after transplantation was significantly higher than that in the ischemic control group(391.67±69.50 cells/mm2)(F=92.421,P<0.01);the number of TGF-β1+cells after transplantation(35.00±13.66 cells/mm2)was significantly reduced in comparison to that in the ischemic control group(72.33±32.08 cells/mm2)(F=37.680,P<0.01).The number of TGF-β1+/Iba-1+microglia cells in the transplantation group(3.67±3.17 cells/mm2)was significantly reduced in comparison to that of the ischemic control group(13.67±5.52 cells/mm2)(F=29.641,P<0.01).The proportion of TGF-β1+/Iba-1+microglia cells out of all Iba-1+microglia cells after transplantation(4.38±3.18%)was significantly decreased compared with that in the ischemic control group(12.81±4.86%)(F=28.125,P<0.01).Conclusions:Iba-1+microglia is one of the main cell types that express TGF-β1.Intravenous transplantation of BM-MSCs does not cooperate with TGF-β1+cells in immune-regulation,but reduces the TGF-β1 content in the infarcted area and in the plasma at 48 h after cerebral infarction. 展开更多
关键词 cerebral infarction Mesenchymal stem cell TRANSPLANTATION transforming growth factor1 MICROGLIA
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腔隙性脑梗死患者血清PECAM-1、GDF11、FGF21与脑动脉血流动力学和颈动脉粥样硬化的关系 被引量:4
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作者 王晓辉 陈红男 +3 位作者 蒋锋 常莎 王乐 崔小丽 《疑难病杂志》 CAS 2023年第3期258-265,共8页
目的 分析腔隙性脑梗死患者血清血小板内皮细胞黏附分子-1(PECAM-1)、生长分化因子11(GDF11)、成纤维细胞生长因子21(FGF21)与脑动脉血流动力学和颈动脉粥样硬化的关系。方法 选取2020年1月—2022年1月陕西省人民医院神经内科收治腔隙... 目的 分析腔隙性脑梗死患者血清血小板内皮细胞黏附分子-1(PECAM-1)、生长分化因子11(GDF11)、成纤维细胞生长因子21(FGF21)与脑动脉血流动力学和颈动脉粥样硬化的关系。方法 选取2020年1月—2022年1月陕西省人民医院神经内科收治腔隙性脑梗死患者160例为脑梗死组,并根据颈动脉内膜中层厚度(IMT)分为颈动脉粥样硬化亚组、颈动脉正常亚组,另选取同期健康体检者100例为健康对照组,比较2组血清PECAM-1、GDF11、FGF21水平和脑动脉血流动力学参数,采用Pearson线性相关性分析腔隙性脑梗死患者血清PECAM-1、GDF11、FGF21与脑动脉血流动力学参数的相关性。采用Logistic多因素回归分析腔隙性脑梗死患者发生颈动脉粥样硬化的影响因素,绘制受试者工作特征曲线(ROC)分析血清PECAM-1、GDF11、FGF21水平对颈动脉粥样硬化的诊断价值。结果 脑梗死组血清PECAM-1、FGF21高于健康对照组,血清GDF11低于健康对照组(t=8.386、17.511、6.795,P<0.001)。脑梗死组大脑中动脉、基底动脉搏动指数均高于健康对照组(t=16.928、7.686,P<0.001)。腔隙性脑梗死患者血清PECAM-1、FGF21水平与大脑中动脉、基底动脉搏动指数呈正相关(PECAM-1:r=0.537、0.462,P<0.001;FGF21:r=0.569、0.503,P<0.001),血清GDF11与大脑中动脉、基底动脉搏动指数呈负相关(r=-0.512、-0.498,P<0.001)。Logistic多因素回归分析结果显示,高血压史、低密度脂蛋白胆固醇(LDL-C)高、PECAM-1高、FGF21高是腔隙性脑梗死患者颈动脉粥样硬化发生的危险因素[OR(95%CI)=3.654(1.601~8.343)、2.481(1.508~4.085)、1.073(1.032~1.114)、1.024(1.011~1.038),P<0.01],血清高密度脂蛋白胆固醇(HDL-C)高、GDF11高是其保护因素[OR(95%CI)=0.781(0.613~0.995)、0.992(0.987~0.997),P<0.05];ROC曲线显示,血清PECAM-1、GDF11、FGF21及三者联合评估颈动脉粥样硬化发生风险的曲线下面积(AUC)分别为0.798、0.716、0.813、0.909,三者联合评估效能高于单项指标预测(Z/P=2.097/0.036,2.290/0.022,2.005/0.045)。结论 腔隙性脑梗死患者血清PECAM-1、GDF11、FGF21水平与脑动脉血流动力学参数有关,对颈动脉粥样硬化的评估具有重要意义。 展开更多
关键词 腔隙性脑梗死 血小板内皮细胞黏附分子-1 生长分化因子11 成纤维细胞生长因子21 脑动脉血流动力学 颈动脉粥样硬化 相关性
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替罗非班通过SIRT1/VEGF信号通路减轻急性脑梗死大鼠神经元损伤 被引量:1
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作者 王文文 邵彦江 +3 位作者 马琪 张新乐 杨改清 徐国卫 《海军军医大学学报》 CAS CSCD 北大核心 2023年第6期672-678,共7页
目的探讨替罗非班能否通过沉默信息调节因子2相关酶1(SIRT1)/血管内皮生长因子(VEGF)信号通路减轻急性脑梗死(ACI)大鼠神经元损伤。方法将75只SD大鼠随机分为假手术组、模型组、替罗非班(60μg/kg)组、SIRT1抑制剂(5 mg/kg SIRT1特异性... 目的探讨替罗非班能否通过沉默信息调节因子2相关酶1(SIRT1)/血管内皮生长因子(VEGF)信号通路减轻急性脑梗死(ACI)大鼠神经元损伤。方法将75只SD大鼠随机分为假手术组、模型组、替罗非班(60μg/kg)组、SIRT1抑制剂(5 mg/kg SIRT1特异性抑制剂EX-527)组、替罗非班+SIRT1抑制剂组,每组15只。除假手术组外,其他4组大鼠构建ACI模型。对各组大鼠进行神经功能评分;采用氯化三苯基四氮唑染色检测大鼠脑梗死体积百分数;采用硫代巴比妥酸法检测大鼠血清丙二醛水平,采用比色法检测血清谷胱甘肽过氧化物酶(GSH-Px)水平,采用微板法检测血清超氧化物歧化酶(SOD)水平;采用H-E染色检测大鼠脑组织病理变化;采用TUNEL染色检测大鼠神经元凋亡水平;采用蛋白质印迹法检测大鼠海马组织中SIRT1、VEGF蛋白的表达。结果与假手术组比较,模型组大鼠脑组织海马区病理损伤严重,神经功能评分、脑梗死体积百分数、血清丙二醛水平、神经元凋亡率均较高(P均<0.05),血清GSH-Px、SOD水平及海马组织中SIRT1、VEGF蛋白表达水平均降低(P均<0.05)。与模型组比较,替罗非班组、替罗非班+SIRT1抑制剂组大鼠脑组织海马区病理损伤减轻,神经功能评分、脑梗死体积百分数、血清丙二醛水平、神经元凋亡率均降低(P均<0.05),血清GSH-Px、SOD水平及海马组织中SIRT1、VEGF蛋白表达水平均升高(P均<0.05);而SIRT1抑制剂组大鼠相应指标变化呈相反趋势(P均<0.05)。结论替罗非班可能通过激活SIRT1/VEGF信号通路抑制氧化应激和神经元凋亡,进而减轻ACI大鼠的神经元损伤。 展开更多
关键词 替罗非班 急性脑梗死 沉默信息调节因子2相关酶1 血管内皮生长因子 神经元损伤 细胞凋亡 氧化性应激
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西维来司他钠对重症脑卒中患者血乳酸、CRP及TGF-β_(1)的影响研究
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作者 樊敬峰 《中国现代药物应用》 2023年第18期94-97,共4页
目的研究西维来司他钠对重症脑卒中患者血乳酸、C反应蛋白(CRP)以及转化生长因子β_(1)(TGF-β_(1))的影响。方法42例重症脑卒中患者,随机分为A组(19例)和B组(23例);A组患者接受综合治疗,B组患者在A组基础上加用西维来司他钠治疗。另选... 目的研究西维来司他钠对重症脑卒中患者血乳酸、C反应蛋白(CRP)以及转化生长因子β_(1)(TGF-β_(1))的影响。方法42例重症脑卒中患者,随机分为A组(19例)和B组(23例);A组患者接受综合治疗,B组患者在A组基础上加用西维来司他钠治疗。另选取15例轻症脑卒中患者作为C组。比较三组患者血乳酸、CRP及血TGF-β_(1)水平。结果治疗前及治疗2、7 d后,A组血乳酸分别为(2.81±0.96)、(2.23±0.77)、(1.85±0.52)mmol/L,CRP分别为(98.49±5.16)、(56.72±7.72)、(31.22±7.14)mg/L。治疗前及治疗2、7 d后,B组血乳酸分别为(3.08±0.87)、(2.31±0.85)、(1.78±0.63)mmol/L,CRP分别为(95.33±6.11)、(48.74±5.69)、(26.88±5.73)mg/L。C组血乳酸、CRP分别为(2.08±0.52)mmol/L、(18.34±5.88)mg/L。C组血乳酸低于A组和B组治疗前,差异具有统计学意义(P<0.05);C组CRP水平低于A组和B组治疗前及治疗2、7 d后,差异具有统计学意义(P<0.05);但A组和B组治疗前血乳酸、CRP水平比较差异均无统计学意义(P>0.05)。治疗2、7 d后,A组和B组血乳酸、CRP水平均低于本组治疗前,B组CRP水平低于A组,差异具有统计学意义(P<0.05);但A组和B组治疗2、7 d后血乳酸水平比较差异无统计学意义(P>0.05)。治疗前及治疗2、7 d后,A组血TGF-β_(1)分别为(92.16±20.25)、(112.09±35.92)、(183.04±21.22)μg/L,B组血TGF-β_(1)分别为(88.58±22.77)、(168.02±58.16)、(212.13±33.44)μg/L,C组血TGF-β_(1)为(110.25±20.46)μg/L。C组的血TGF-β_(1)水平高于B组和A组治疗前,差异具有统计学意义(P<0.05);A组和B组治疗前血TGF-β_(1)水平比较差异无统计学意义(P>0.05)。治疗2、7 d后,A组和B组血TGF-β_(1)水平均高于本组治疗前,且B组高于A组,差异具有统计学意义(P<0.05)。A组和B组治疗7 d后血TGF-β_(1)水平均高于C组,差异具有统计学意义(P<0.05)。结论西维来司他钠可以降低重症脑卒中患者血乳酸及CRP水平,提高血TGF-β_(1)水平,可改善重症脑卒中患者的预后。 展开更多
关键词 西维来司他钠 重症脑卒中 血乳酸 C反应蛋白 转化生长因子β_(1)
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Effects of Qingguang'an(青光安)containing serum on the expression levels of autophagy-related genes in human Tenon's fibroblasts induced by transforming growth factor beta 1 被引量:3
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作者 YU Juan XIA Fei +1 位作者 LI Xiang PENG Qinghua 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2021年第2期236-245,共10页
OBJECTIVE:To explore the effects of Qingguang'an(青光安)containing serum on the expression levels of autophagy related genes in the transforming growth factor beta 1(TGF-β1)-activated human Tenon's fibroblast... OBJECTIVE:To explore the effects of Qingguang'an(青光安)containing serum on the expression levels of autophagy related genes in the transforming growth factor beta 1(TGF-β1)-activated human Tenon's fibroblasts(HTFs).METHODS:(a)Primary HTFs were stimulated by TGF-β1 and underwent immunohistochemistry,which established a cell model after Glaucoma filtration surgery(GFS).(b)The cell models were divided into 4 group:normal group(normal cells),model group(+TGF-β1),treatment group(+TGF-β1+medicated serum),and positive control group(TGF-β1+rapamycin).Then,Qingguang'an medicated serum with optimum concentration was added to the corresponding group.The autophagy positive cells were identified by the Cyto-ID autophagy detection kits under fluorescent microscope and Cytation 5 multifunctional instrument for cell imaging.And the mean fluorescence intensity of autophagy positive cells was determined by flow cytometry.The expression levels of autophagy related genes—Beclin-1,autophagy related gene 5(ATG-5),and microtubule-associated protein 1 light chain 3(LC-3Ⅱ)were detected by quantitative reverse transcription-polymerase chain reaction and Western blot analysis.RESULTS:Compared with the normal group and the model group,the relative mRNA expression levels of autophagy-related genes(Beclin-1,ATG-5 and LC-3Ⅱ)in the experimental group were notably increased(P<0.05,P<0.01),and with the extension of treatment time,it had an increasing trend(48 h was more obvious),which showed a certain time dependency;the protein expression levels of autophagy-related genes(Beclin-1,ATG-5,and LC-3Ⅱ)were significantly increased in the experimental group(P<0.05,P<0.01).With the prolongation of treatment time,there was an increasing trend(48 h was relatively obvious),and it revealed a certain time dependency CONCLUSION:The Qingguang'an medicated serum could up-regulate autophagy related genes(Beclin1,ATG5,and LC3Ⅱ)in the TGF-β1-activated HTFs. 展开更多
关键词 Qingguang'an medicated serum transforming growth factor beta 1 BECLIN-1 autophagy-related protein 5 microtubule-associated proteins Human Tenon's fibroblasts
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TGF-β_(1)联合aPTT对急性ST段抬高型心肌梗死患者高血栓负荷的预测价值 被引量:1
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作者 关洁 孙佳莹 +2 位作者 蒋丽鑫 邱丽 谢荣盛 《山东医药》 CAS 2023年第10期26-30,共5页
目的分析转化生长因子-β_(1)(TGF-β_(1))联合活化部分凝血活酶时间(aPTT)对急性ST段抬高型心肌梗死(STEMI)患者高血栓负荷(HTB)的预测价值。方法选取140例STEMI患者,视血栓负荷情况分为HTB组66例和低血栓负荷(LTB)组74例,采用酶联免... 目的分析转化生长因子-β_(1)(TGF-β_(1))联合活化部分凝血活酶时间(aPTT)对急性ST段抬高型心肌梗死(STEMI)患者高血栓负荷(HTB)的预测价值。方法选取140例STEMI患者,视血栓负荷情况分为HTB组66例和低血栓负荷(LTB)组74例,采用酶联免疫吸附法与凝固法检测血清TGF-β_(1)水平与aPTT。通过多因素Logistic回归分析STEMI患者HTB的影响因素,受试者工作特征(ROC)曲线分析血清TGF-β_(1)水平和aPTT对STEMI患者HTB的预测价值。结果HTB组男性、吸烟比例和年龄、白细胞计数、TGF-β_(1)水平高于LTB组,aPTT短于LTB组(P均<0.05)。多因素Logistic回归分析显示,年龄增加(OR=1.033,95%CI:1.005~1.063)、吸烟(OR=1.880,95%CI:1.102~3.208)、TGF-β_(1)升高(OR=1.924,95%CI:1.047~3.536)为STEMI患者HTB的独立危险因素,aPTT延长(OR=0.893,95%CI:0.820~0.972)为独立保护因素(P均<0.05)。ROC曲线分析显示,血清TGF-β_(1)水平和aPTT单独与联合预测STEMI患者HTB的ROC曲线下面积(AUC)分别为0.786、0.711、0.840,灵敏度分别为64.89%、59.54%、83.21%,特异度分别为81.88%、71.81%、70.47%。血清TGF-β_(1)水平和aPTT联合预测STEMI患者HTB的AUC大于二者单独预测(P均<0.05)。结论血清TGF-β_(1)水平升高和aPTT缩短与STEMI患者HTB密切相关,可作为STEMI患者HTB的辅助预测指标,二者联合对STEMI患者HTB的辅助预测价值较高。 展开更多
关键词 急性ST段抬高型心肌梗死 血栓负荷 转化生长因子-β_(1) 活化部分凝血活酶时间
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Exacerbated VEGF up-regulation accompanies diabetes-aggravated hemorrhage in mice after experimental cerebral ischemia and delayed reperfusion
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作者 Angela Ka Wai Lai Tsz Chung Ng +4 位作者 Victor Ka Lok Hung Ka Cheung Tam Chi Wai Cheung Sookja Kim Chung Amy Cheuk Yin Lo 《Neural Regeneration Research》 SCIE CAS CSCD 2022年第7期1566-1575,共10页
Reperfusion therapy is the preferred treatment for ischemic stroke,but is hindered by its short treatment window,especially in patients with diabetes whose reperfusion after prolonged ischemia is often accompanied by ... Reperfusion therapy is the preferred treatment for ischemic stroke,but is hindered by its short treatment window,especially in patients with diabetes whose reperfusion after prolonged ischemia is often accompanied by exacerbated hemorrhage.The mechanisms underlying exacerbated hemorrhage are not fully understood.This study aimed to identify this mechanism by inducing prolonged 2-hour transient intraluminal middle cerebral artery occlusion in diabetic Ins2Akita/+mice to mimic patients with diabetes undergoing delayed mechanical thrombectomy.The results showed that at as early as 2 hours after reperfusion,Ins2Akita/+mice exhibited rapid development of neurological deficits,increased infarct and hemorrhagic transformation,together with exacerbated down-regulation of tight-junction protein ZO-1 and upregulation of blood-brain barrier-disrupting matrix metallopeptidase 2 and matrix metallopeptidase 9 when compared with normoglycemic Ins2+/+mice.This indicated that diabetes led to the rapid compromise of vessel integrity immediately after reperfusion,and consequently earlier death and further aggravation of hemorrhagic transformation 22 hours after reperfusion.This observation was associated with earlier and stronger up-regulation of pro-angiogenic vascular endothelial growth factor(VEGF)and its downstream phospho-Erk1/2 at 2 hours after reperfusion,which was suggestive of premature angiogenesis induced by early VEGF up-regulation,resulting in rapid vessel disintegration in diabetic stroke.Endoplasmic reticulum stress-related pro-apoptotic C/EBP homologous protein was overexpressed in challenged Ins2Akita/+mice,which suggests that the exacerbated VEGF up-regulation may be caused by overwhelming endoplasmic reticulum stress under diabetic conditions.In conclusion,the results mimicked complications in patients with diabetes undergoing delayed mechanical thrombectomy,and diabetes-induced accelerated VEGF up-regulation is likely to underlie exacerbated hemorrhagic transformation.Thus,suppression of the VEGF pathway could be a potential approach to allow reperfusion therapy in patients with diabetic stroke beyond the current treatment window.Experiments were approved by the Committee on the Use of Live Animals in Teaching and Research of the University of Hong Kong[CULATR 3834-15(approval date January 5,2016);3977-16(approval date April 13,2016);and 4666-18(approval date March 29,2018)]. 展开更多
关键词 blood-brain barrier brain injury diabetes mellitus hemorrhagic transformation infarct ischemia/reperfusion injury middle cerebral artery occlusion mouse model stroke vascular endothelial growth factor
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Shenweifang-containing serum inhibits transforming growth factor-β1–induced myofibroblast differentiation in normal rat kidney interstitial fibroblast cells
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作者 LIN Jiaru WANG Li +3 位作者 CHEN Bo OU Santao QIN Jianhua FAN Junming 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2022年第1期39-48,共10页
OBJECTIVE:To investigate the efficacy of Shenweifang(SWF)-containing serum on transforming growth factor(TGF)-β1–induced fibroblast-myofibroblast transition in normal rat kidney interstitial fibroblast cells(NRK-49 ... OBJECTIVE:To investigate the efficacy of Shenweifang(SWF)-containing serum on transforming growth factor(TGF)-β1–induced fibroblast-myofibroblast transition in normal rat kidney interstitial fibroblast cells(NRK-49 F).METHODS:Sprague-Dawley rats were gavaged with one of five solutions:(a)saline;(b)saline plus low-dose SWF;(c)saline plus medium-dose SWF;(d)saline plus highdose SWF;and(e)saline plus valsartan.NRK-49 F cells were treated with TGF-β1 and cultured using serum from the gavaged rats.RESULTS:TGF-β1 treatment increased the expression ofα-smooth muscle actin,proliferating cell nuclear antigen,collagenⅠ,Smad3,mitogen-activated protein kinase(MAPK)10,and c-Jun N-terminal kinase(JNK)3 and induced abnormalities in cell morphology,cell cycle progression,and cell proliferation.CONCLUSIONS:SWF-or valsartan-containing serum corrected(or partially corrected)TGF-β1–induced abnormal changes in this in vitro system.SWF-containing serum reversed abnormalities in morphology,cell cycle progression,and proliferation in TGF-β1–treated NRK-49F cells,probably by blocking the TGF-β1/Smads and TGF-β1/MAPK/JNK pathways. 展开更多
关键词 FIBROSIS transforming growth factor beta1 Smad proteins mitogen-activated protein kinases JNK mitogen-activated protein kinases drug-containing serum Shenweifang
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急性脑梗死患者血清BDNF及IGF-1水平与进展性运动功能缺损的关系 被引量:3
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作者 龙忽林 郭耀光 +1 位作者 王德英 胡怡然 《中国急救复苏与灾害医学杂志》 2023年第5期633-636,641,共5页
目的 研究血清脑源性神经营养因子(BDNF)及胰岛素样生长因子-1(IGF-1)与急性脑梗死患者进展性运动功能缺损(PMD)的关系。方法 选择2017年7月—2019年12月期间成都中医药大学附属医院收治的急性大脑中动脉闭塞(MCAO)患者作为MCAO组,同期... 目的 研究血清脑源性神经营养因子(BDNF)及胰岛素样生长因子-1(IGF-1)与急性脑梗死患者进展性运动功能缺损(PMD)的关系。方法 选择2017年7月—2019年12月期间成都中医药大学附属医院收治的急性大脑中动脉闭塞(MCAO)患者作为MCAO组,同期体检的健康者作为对照组。MCAO组患者入院后连续5 d留取血清并检测BDNF、IGF-1水平,对照组体检时留取血清并检测BDNF、IGF-1水平。MCAO组患者发病5 d内美国国立卫生研究院卒中量表(NIHSS)中运动项目评分增加≥2分且持续24 h以上判断为PMD。采用Pearson检验分析BDNF、IGF-1与NIHSS评分的相关性,采用Logistic回归模型分析BDNF、IGF-1与PMD的关系。结果 MCAO组患者入院第1天血清BDNF、IGF-1水平低于对照组(P<0.05);入院后第1~5天,MCAO组中PMD患者的血清BDNF、IGF-1水平无明显变化,非PMD患者的血清BDNF、IGF-1水平呈逐渐升高趋势,且高于PMD患者(P<0.05);MCAO组患者血清BDNF、IGF-1水平与NIHSS总评分、NIHSS运动评分呈负相关;入院后第1天的BDNF是发生PMD的影响因素。结论 血清BDNF、IGF-1水平降低与急性脑梗死病情加重及PMD发生有关,其中入院第1天的BDNF水平是发生PMD的相关因素。 展开更多
关键词 急性脑梗死 急性大脑中动脉闭塞 脑源性神经营养因子 胰岛素样生长因子-1 进展性运动功能缺损
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鼠神经生长因子联合rt-PA治疗急性脑梗死的疗效及对血清ET-1、TXA2水平的影响
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作者 张晋源 梁花敏 马薇 《神经药理学报》 2023年第6期1-5,共5页
目的:探讨急性脑梗死(acute cerebral infarction,ACI)患者使用鼠神经生长因子(mouse nerve growth factor,mNGF)联合阿替普酶(alteplase,rt-PA)治疗的临床效果。方法:ACI患者80例随机分为对照组(40例)与观察组(40例)。对照组予以rt-PA... 目的:探讨急性脑梗死(acute cerebral infarction,ACI)患者使用鼠神经生长因子(mouse nerve growth factor,mNGF)联合阿替普酶(alteplase,rt-PA)治疗的临床效果。方法:ACI患者80例随机分为对照组(40例)与观察组(40例)。对照组予以rt-PA溶栓治疗,观察组在rt-PA溶栓治疗基础上联合mNGF治疗,两组均治疗14 d。分别于治疗前和治疗后,使用美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评估患者神经功能,使用Barthel指数(Barthel Index,BI)评估患者日常生活能力,并进行血清C反应蛋白(c-reactive protein,CRP)、血沉(erythrocyte sedimentation rate,ESR)、内皮素-1(endothelin-1,ET-1)和血栓素A2(thromboxane A2,TXA2)的检测。比较两组各项指标差异和不良反应,并统计两组不良反应发生率。结果:两组总有效率对比,观察组(95.00%)高于对照组(80.00%),差异显著(P<0.05)。治疗后,与对照组相比,观察组NIHSS评分更低(P<0.05),BI评分更高(P<0.05),血清CRP、ESR、ET-1和TXA2水平显著下降(P<0.05)。两组不良反应发生率不具有统计学差异(P>0.05)。结论:mNGF联合rt-PA治疗ACI可提高疗效,促进患者神经功能恢复,降低血清ET-1、TXA2水平。 展开更多
关键词 急性脑梗死 鼠神经生长因子 阿替普酶 神经功能 内皮素-1 血栓素A2
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血清泛连接蛋白3和胰岛素样生长因子1受体对急性脑梗死患者出血转化风险的预测价值
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作者 孙冬雪 刘满洲 +2 位作者 王蓓蕾 刘嘉星 闫俊强 《中国医药》 2023年第10期1485-1489,共5页
目的探讨血清泛连接蛋白3(Panx3)、胰岛素样生长因子1受体(IGF1R)预测急性脑梗死(ACI)患者出血转化的价值。方法选择2020年3月至2022年8月河南科技大学第一附属医院神经内科收治的187例ACI患者,根据是否发生出血转化将患者分为出血转化... 目的探讨血清泛连接蛋白3(Panx3)、胰岛素样生长因子1受体(IGF1R)预测急性脑梗死(ACI)患者出血转化的价值。方法选择2020年3月至2022年8月河南科技大学第一附属医院神经内科收治的187例ACI患者,根据是否发生出血转化将患者分为出血转化组(30例)和非出血转化组(157例)。所有ACI患者检测血清Panx3、IGF1R水平,收集临床相关资料。采用Logistic回归方法分析ACI患者出血转化的危险因素,受试者工作特征(ROC)曲线分析Panx3、IGF1R预测ACI患者出血转化的价值。结果出血转化组血清Panx3水平高于非出血转化组[(5.6±1.5)μg/L比(3.0±1.0)μg/L],IGF1R水平低于非出血转化组[(2.0±0.6)μg/L比(3.9±0.7)μg/L](均P<0.001)。Logistic回归分析结果显示,大面积梗死、高美国国立卫生研究院卒中量表评分、高Panx3是ACI患者发生出血转化的危险因素(比值比=2.866、3.494、1.865,95%置信区间:1.567~5.242、1.525~8.005、1.252~2.776,均P<0.001),高IGF1R是ACI患者发生出血转化的保护因素(比值比=0.596,95%置信区间:0.408~0.870,P<0.001)。Panx3、IGF1R单独预测ACI患者发生出血转化的曲线下面积为0.675、0.775,联合预测ACI患者发生出血转化的曲线下面积为0.909,大于Panx3、IGF1R单独预测(Z=4.244、2.756,均P<0.05)。结论ACI合并出血转化患者血清Panx3水平增高,IGF1R水平降低,联合Panx3和IGF1R可有效预测ACI患者出血转化。 展开更多
关键词 急性脑梗死 出血转化 泛连接蛋白3 胰岛素样生长因子1受体
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