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脂联素、瘦素、Pref-1与胰岛素抵抗关系及联合检测预测糖尿病前期病情进展风险的效能
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作者 冯明 陈素芳 李天艺 《海南医学》 CAS 2024年第16期2295-2300,共6页
目的探讨脂联素、瘦素、前脂肪细胞因子-1(Pref-1)与胰岛素抵抗的关系及联合检测预测糖尿病前期病情进展风险的效能。方法选取2019年1月至2023年1月郑州大学第一附属医院收治的304例糖尿病前期患者进行前瞻性队列研究。根据1年内是否进... 目的探讨脂联素、瘦素、前脂肪细胞因子-1(Pref-1)与胰岛素抵抗的关系及联合检测预测糖尿病前期病情进展风险的效能。方法选取2019年1月至2023年1月郑州大学第一附属医院收治的304例糖尿病前期患者进行前瞻性队列研究。根据1年内是否进展为糖尿病分为糖尿病组(62例)、糖尿病前期组(242例),另选同期正常糖耐量人群60例作为对照组。比较三组受检者的基线资料及血清脂联素、瘦素、Pref-1表达水平,采用Pearson法分析血清脂联素、瘦素、Pref-1水平与胰岛素抵抗(IR)的相关性,采用Logistic回归分析血清脂联素、瘦素、Pref-1水平对糖尿病前期病情进展的影响,采用受试者工作特征曲线(ROC)分析血清脂联素、瘦素、Pref-1单独及联合检测对糖尿病前期病情进展风险的预测效能。结果三组受检者的年龄、体质量指数(BMI)、甘油三酯、空腹血糖、胰岛素抵抗指数(HOMA-IR)比较,糖尿病组高于糖尿病前期组,且糖尿病前期组高于对照组,差异均有统计学意义(P<0.05);糖尿病组患者的脂联素、Pref-1分别为(2.82±0.93)mg/L、(0.30±0.10)μg/L,明显低于糖尿病前期组的(6.76±2.17)mg/L、(0.51±0.16)μg/L,且糖尿病前期组患者的脂联素、Pref-1明显低于对照组的(8.45±2.80)mg/L、(0.84±0.27)μg/L,而糖尿病组患者的瘦素为(12.00±2.98)μg/L,明显高于糖尿病前期组的(8.79±2.87)μg/L,且糖尿病前期组患者的瘦素明显高于对照组的(3.56±1.09)μg/L,差异均有统计学意义(P<0.05);脂联素(r=-0.694)、Pref-1(r=-0.853)与HOMA-IR呈负相关(P<0.05),瘦素(r=0.660)与HOMA-IR呈正相关(P<0.05);Logistic回归分析结果显示,年龄、BMI、甘油三酯、空腹血糖、脂联素、瘦素、Pref-1是糖尿病前期患者病情进展的独立影响因素,将年龄、BMI、甘油三酯、空腹血糖进行校正,以脂联素、瘦素、Pref-1作为自变量,脂联素、瘦素、Pref-1仍是糖尿病前期患者病情进展的独立影响因素(P<0.05);ROC曲线分析结果显示,脂联素预测糖尿病前期病情进展风险的曲线下面积(AUC)为0.730,截断值≤3.51 mg/L,敏感度为79.03%,特异度为59.09%,瘦素预测的AUC为0.760,截断值>10.78μg/L,敏感度为67.74%,特异度为73.55%,Pref-1预测的AUC为0.795,截断值≤0.37μg/L,敏感度为80.65%,特异度为65.70%,且联合检测预测糖尿病前期病情进展的AUC为0.904,敏感度为87.10%,特异度为82.23%(P<0.05)。结论血清脂肪因子脂联素、Pref-1与不同糖耐量受损人群IR呈负相关,瘦素与之呈正相关,且联合检测对糖尿病前期病情进展风险具有一定预测价值,可作为临床早期预测病情进展风险的辅助指标。 展开更多
关键词 糖尿病前期 糖耐量 脂联素 瘦素 前脂肪细胞因子-1 胰岛素抵抗 预测
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Clinical outcomes of lenvatinib plus transarterial chemoembolization with or without programmed death receptor-1 inhibitors in unresectable hepatocellular carcinoma 被引量:3
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作者 Yan-Yu Wang Xu Yang +12 位作者 Yun-Chao Wang Jun-Yu Long Hui-Shan Sun Yi-Ran Li Zi-Yu Xun Nan Zhang Jing-Nan Xue Cong Ning Jun-Wei Zhang Cheng-Pei Zhu Long-Hao Zhang Xiao-Bo Yang Hai-Tao Zhao 《World Journal of Gastroenterology》 SCIE CAS 2023年第10期1614-1626,共13页
BACKGROUND Programmed death receptor-1(PD-1)inhibitors have been approved as secondline treatment regimen in hepatocellular carcinoma(HCC),but it is still worth studying whether patients can benefit from PD-1 inhibito... BACKGROUND Programmed death receptor-1(PD-1)inhibitors have been approved as secondline treatment regimen in hepatocellular carcinoma(HCC),but it is still worth studying whether patients can benefit from PD-1 inhibitors as first-line drugs combined with targeted drugs and locoregional therapy.AIM To estimate the clinical outcome of transarterial chemoembolization(TACE)and lenvatinib plus PD-1 inhibitors for patients with unresectable HCC(uHCC).METHODS We carried out retrospective research of 65 patients with uHCC who were treated at Peking Union Medical College Hospital from September 2017 to February 2022.45 patients received the PD-1 inhibitors,lenvatinib,TACE(PD-1-Lenv-T)therapy,and 20 received the lenvatinib,TACE(Lenv-T)therapy.In terms of the dose of lenvatinib,8 mg was given orally for patients weighing less than 60 kg and 12 mg for those weighing more than 60 kg.Of the patients in the PD-1 inhibitor combination group,15 received Toripalimab,14 received Toripalimab,14 received Camrelizumab,4 received Pembrolizumab,9 received Sintilimab,and 2 received Nivolumab,1 with Tislelizumab.According to the investigators’assessment,TACE was performed every 4-6 wk when the patient had good hepatic function(Child-Pugh class A or B)until disease progression occurred.We evaluated the efficacy by the modified Response Evaluation Criteria in Solid Tumors(mRECIST criteria).We accessd the safety by the National Cancer Institute Common Terminology Criteria for Adverse Events,v 5.0.The key adverse events(AEs)after the initiation of combination therapy were observed.RESULTS Patients with uHCC who received PD-1-Lenv-T therapy(n=45)had a clearly longer overall survival than those who underwent Lenv-T therapy(n=20,26.8 vs 14.0 mo;P=0.027).The median progression-free survival time between the two treatment regimens was also measured{11.7 mo[95%confidence interval(CI):7.7-15.7]in the PD-1-Lenv-T group vs 8.5 mo(95%CI:3.0-13.9)in the Lenv-T group(P=0.028)}.The objective response rates of the PD-1-Lenv-T group and Lenv-T group were 44.4%and 20%(P=0.059)according to the mRECIST criteria,meanwhile the disease control rates were 93.3%and 64.0%(P=0.003),respectively.The type and frequency of AEs showed little distinction between patients received the two treatment regimens.CONCLUSION Our results suggest that the early combination of PD-1 inhibitors has manageable toxicity and hopeful efficacy in patients with uHCC. 展开更多
关键词 Lenvatinib Programmed death receptor-1 inhibitor IMMUNOTHERAPY Hepatocellular carcinoma Transarterial chemoembolization Combination therapy
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血清L/A、NRG-1、Tie-2水平与首发精神分裂症患者临床症状严重程度的相关性
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作者 戴璐 任学娟 殷旭园 《临床误诊误治》 CAS 2024年第7期60-66,共7页
目的探讨血清瘦素与脂联素比值(L/A)、神经调节蛋白-1(NRG-1)、血管生成素受体酪氨酸激酶-2(Tie-2)水平与首发精神分裂症患者临床症状严重程度的相关性及对认知障碍的评估价值。方法选择2021年5月—2023年5月收治的首发精神分裂症103例... 目的探讨血清瘦素与脂联素比值(L/A)、神经调节蛋白-1(NRG-1)、血管生成素受体酪氨酸激酶-2(Tie-2)水平与首发精神分裂症患者临床症状严重程度的相关性及对认知障碍的评估价值。方法选择2021年5月—2023年5月收治的首发精神分裂症103例为研究组,另选取同期正常健康体检志愿者103例为对照组。比较2组血清L/A、NRG-1、Tie-2水平,对比研究组认知障碍与认知正常患者临床症状[阳性和阴性症状量表(PANSS)、简明精神病评定量表(BPRS)评分]、血清L/A、NRG-1、Tie-2水平。分析血清L/A、NRG-1、Tie-2水平与临床症状严重程度的相关性及其联合检测对认知障碍的评估价值。结果研究组血清瘦素、L/A水平高于对照组,脂联素、NRG-1、Tie-2水平低于对照组(P<0.01)。研究组认知障碍患者PANSS各分量表评分及总分、BPRS量表各维度评分及总分、血清瘦素、L/A水平高于认知正常患者,脂联素、NRG-1、Tie-2水平低于认知正常患者(P<0.01)。血清L/A水平与PANSS各分量表评分及总分、BPRS量表各维度评分及总分呈正相关,NRG-1、Tie-2水平与PANSS各分量表评分及总分、BPRS量表各维度评分及总分呈负相关(P<0.01)。血清L/A、NRG-1、Tie-2评估认知障碍的曲线下面积(AUC)分别为0.764、0.708、0.755,最佳截断值分别为6.81、8.52 pg/mL、1962.62 pg/mL;血清L/A高表达、NRG-1、Tie-2低表达分别提示认知障碍发生风险增加5.237、6.172、4.538倍;L/A、NRG-1、Tie-2两两联合及三者联合评估认知障碍的AUC分别为0.882、0.868、0.876、0.932。结论血清L/A、NRG-1、Tie-2与首发精神分裂症患者临床症状严重程度显著相关,异常表达增加认知障碍发生风险,联合评估认知障碍的价值更为可靠。 展开更多
关键词 精神分裂症 认知障碍 瘦素 脂联素 神经调节蛋白-1 血管生成素受体酪氨酸激酶-2 阳性和阴性症状量表 简明精神病评定量表
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非酒精性脂肪性肝病患者血清HIF-1α、HMGB1和脂联素水平变化及其与颈动脉粥样硬化的关系研究
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作者 郑波 哈丽达·夏尔甫哈孜 谈理 《实用肝脏病杂志》 CAS 2024年第2期198-201,共4页
目的探讨非酒精性脂肪性肝病(NAFLD)患者血清低氧诱导因子-1α(HIF-1α)、高迁移率族蛋白1(HMGB1)和脂联素(APN)水平变化及其与颈动脉粥样硬化(CAS)的关系。方法2018年5月~2023年3月我院诊治的NAFLD患者158例(其中合并CAS者71例),使用Fi... 目的探讨非酒精性脂肪性肝病(NAFLD)患者血清低氧诱导因子-1α(HIF-1α)、高迁移率族蛋白1(HMGB1)和脂联素(APN)水平变化及其与颈动脉粥样硬化(CAS)的关系。方法2018年5月~2023年3月我院诊治的NAFLD患者158例(其中合并CAS者71例),使用Fibrotouch弹性成像仪诊断脂肪肝,使用超声诊断仪检测颈动脉斑块形成。采用ELISA法检测血清HIF-1α、HMGB1和APN水平,应用二元Logistic回归分析NAFLD合并CAS的影响因素,应用受试者工作特征曲线下面积(AUC)评估血清指标预测NAFLD患者合并CAS的效能。结果合并CAS组收缩压为(137.1±10.3)mmHg,显著高于未合并CAS组【(132.9±8.2)mmHg,P<0.05】;合并CAS组血清TC、LDL-C、HIF-1α和HMGB1水平分别为(6.5±2.3)mmol/L、(3.7±0.6)mmol/L、(25.7±6.5)pg/L和(9.4±2.3)ng/ml,显著高于未合并CAS组【分别(5.1±1.7)mmol/L、(2.8±0.3)mmol/L、(17.2±4.1)pg/L和(6.1±1.5)ng/ml,P<0.05】,而血清APN为(7.5±3.0)mg/L,显著低于未合并CAS组【(12.8±4.6)mg/L,P<0.05】;多因素Logistic回归分析显示,TC(OR=1.411,95%CI:1.133~1.757)、LDL-C(OR=1.419,95%CI:1.128~1.785)、HIF-1α(OR=1.504,95%CI:1.182~1.914)、HMGB1(OR=1.520,95%CI:1.206~1.916)和APN(OR=1.530,95%CI:1.226~1.909)均是影响NAFLD患者合并CAS的独立危险因素(P<0.05);ROC曲线分析显示,血清HIF-1α、HMGB1和APN水平联合预测NAFLD患者合并CAS的AUC为0.863,其敏感度为94.5%,特异度为75.0%,优于各指标单独预测(P<0.05)。结论NAFLD患者血清HIF-1α和HMGB1水平升高而血清APN水平降低是发生CAS的危险因素,应及时发现和给予必要的干预。 展开更多
关键词 非酒精性脂肪性肝病 颈动脉斑块形成 低氧诱导因子-1Α 高迁移率族蛋白1 脂联素 诊断
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ACI患者血清APN、Lp-PLA2、PECAM-1水平与出院后一年认知功能障碍的相关性探讨
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作者 于媛媛 代建霞 刘媛 《脑与神经疾病杂志》 CAS 2024年第6期331-336,共6页
目的 探讨急性脑梗死(ACI)患者出院时血清脂联素(APN)、脂蛋白相关磷脂酶A2(Lp-PLA2)、血小板内皮细胞黏附分子-1 (PECAM-1)水平与长期认知功能障碍(PSCI)的相关性,为临床预测PSCI提供相关标志物。方法 选取新疆维吾尔自治区人民医院202... 目的 探讨急性脑梗死(ACI)患者出院时血清脂联素(APN)、脂蛋白相关磷脂酶A2(Lp-PLA2)、血小板内皮细胞黏附分子-1 (PECAM-1)水平与长期认知功能障碍(PSCI)的相关性,为临床预测PSCI提供相关标志物。方法 选取新疆维吾尔自治区人民医院2020年8月至2022年1月ACI患者108例,根据出院后1年时是否存在PSCI,分为认知正常组(77例)与认知障碍组(31例)。比较两组临床基本资料及入院时、出院时血清APN、Lp-PLA2、PECAM-1水平,分析血清APN、Lp-PLA2、PECAM-1水平与长期PSCI的相关性。结果 认知障碍组出院后1年简易精神状态评价量表(MMSE)评分为(22.13±2.06)分,低于认知正常组(29.14±0.31)分(P<0.05);两组年龄、神经功能缺损程度、合并糖尿病、糖化血红蛋白(HbAlc)、同型半胱氨酸(Hcy)水平差异有统计学意义(P<0.05);认知障碍组出院时血清APN水平低于认知正常组,Lp-PLA2、PECAM-1水平高于认知正常组(P<0.05);出院时血清APN水平与出院后1年MMSE评分呈正相关,Lp-PLA2、PECAM-1水平与出院后1年MMSE评分呈负相关(r=0.727、-0.667、-0.750,均P<0.05);Logistic回归分析,将其他因素校正前后,出院时血清APN、Lp-PLA2、PECAM-1水平均与ACI患者长期PSCI独立相关(P<0.05);出院时血清APN、LpPLA2、PECAM-1水平预测ACI患者长期PSCI的AUC分别为0.783 (95%CI:0.693~0.857)、0.736 (95%CI:0.643~0.817)、0.827 (95%CI:0.743~0.893),联合预测ACI患者长期PSCI的AUC为0.936 (95%CI:0.872~0.974),优于3者单独预测。结论 ACI患者出院时血清APN、Lp-PLA2、PECAM-1水平与长期PSCI独立相关,可作为临床早期预测指标,且联合预测价值可靠。 展开更多
关键词 急性脑梗死 脂联素 脂蛋白相关磷脂酶A2 血小板内皮细胞黏附分子-1认知功能障碍 相关性
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Argatroban promotes recovery of spinal cord injury by inhibiting the PAR1/JAK2/STAT3 signaling pathway
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作者 Chenxi Zhao Tiangang Zhou +9 位作者 Ming Li Jie Liu Xiaoqing Zhao Yilin Pang Xinjie Liu Jiawei Zhang Lei Ma Wenxiang Li Xue Yao Shiqing Feng 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第2期434-439,共6页
Argatroban is a synthetic thrombin inhibitor approved by U.S.Food and Drug Administration for the treatment of thrombosis.However,whether it plays a role in the repair of spinal cord injury is unknown.In this study,we... Argatroban is a synthetic thrombin inhibitor approved by U.S.Food and Drug Administration for the treatment of thrombosis.However,whether it plays a role in the repair of spinal cord injury is unknown.In this study,we established a rat model of T10 moderate spinal cord injury using an NYU Impactor ModerⅢand performed intraperitoneal injection of argatroban for 3 consecutive days.Our results showed that argatroban effectively promoted neurological function recovery after spinal cord injury and decreased thrombin expression and activity in the local injured spinal cord.RNA sequencing transcriptomic analysis revealed that the differentially expressed genes in the argatroban-treated group were enriched in the JAK2/STAT3 pathway,which is involved in astrogliosis and glial scar formation.Western blotting and immunofluorescence results showed that argatroban downregulated the expression of the thrombin receptor PAR1 in the injured spinal cord and the JAK2/STAT3 signal pathway.Argatroban also inhibited the activation and proliferation of astrocytes and reduced glial scar formation in the spinal cord.Taken together,these findings suggest that argatroban may inhibit astrogliosis by inhibiting the thrombin-mediated PAR1/JAK2/STAT3 signal pathway,thereby promoting the recovery of neurological function after spinal cord injury. 展开更多
关键词 ARGATROBAN ASTROGLIOSIS JAK/STAT signaling pathway protease-activated receptor-1 spinal cord injury THROMBIN vimentin
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LAP、ADPN、IGF-1水平与糖尿病的相关性分析
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作者 钱增堃 崔凡 +4 位作者 茆政 李振 周敬敬 操金金 李小勤 《中华保健医学杂志》 2024年第4期424-426,共3页
目的 探讨脂质蓄积指数(LAP)与脂联素(ADPN)、胰岛素样生长因子1(IGF-1)与糖尿病的相关性。方法 选择2023年1~6月芜湖市第一人民医院收治的120例2型糖尿病患者纳入观察组,另选取同期接受健康检查的100例患者作为健康对照组。计算并比较... 目的 探讨脂质蓄积指数(LAP)与脂联素(ADPN)、胰岛素样生长因子1(IGF-1)与糖尿病的相关性。方法 选择2023年1~6月芜湖市第一人民医院收治的120例2型糖尿病患者纳入观察组,另选取同期接受健康检查的100例患者作为健康对照组。计算并比较两组患者LAP,检测两组患者血清ADPN、IGF-1水平差异,采用Pearson相关性分析LAP与ADPN、IGF-1水平与血糖水平的相关性,多因素logistic回归分析糖尿病患病的危险因素。结果 观察组LAP水平高于健康对照组[(55.50±10.36)vs.(37.21±7.59)],ADPN、IGF-1水平低于健康对照组[(8.62±2.10)mg/L vs.(12.30±3.15)mg/L、(78.80±17.23)ng/ml vs.(95.82±21.50)ng/ml],差异均有统计学意义(t=13.547、9.917、6.190,P<0.05)。Pearson相关性分析结果提示,LAP与空腹血糖(FBG)及餐后2血糖(PBG)水平呈正相关(r=0.540、0.477,P<0.05);ADPN、 IGF-1水平与FBG、PBG均呈负相关(r=-0.432、-0.307,-0.333、-0.348,P<0.05);多因素logistic回归分析提示,年龄≥60岁、FBG、PBG、糖尿病家族史、体质量指数≥28 kg/m~2、LAP均为糖尿病患病的危险因素;高密度脂蛋白、ADPN、IGF-1为保护因素(P<0.05)。结论 LAP、ADPN、IGF-1与糖尿病的发生存在一定的关系,除此之外糖尿病还受多种因素影响,临床可针对相关因素采取一定的防治措施以降低糖尿病的发生风险。 展开更多
关键词 糖尿病 脂质蓄积指数 脂联素 胰岛素样生长因子1
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外周血TG/Cys-C、脂联素、VILIP-1水平对2型糖尿病合并急性缺血性脑卒中患者预后的预测价值
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作者 兰倩 牛欢 孙浙浙 《分子诊断与治疗杂志》 2024年第10期1923-1926,1931,共5页
目的探究外周血三酰甘油(TG)/胱抑素(Cys-C)、脂联素、视锥样蛋白1(VILIP-1)水平对2型糖尿病(T2DM)合并急性缺血性脑卒中(AIS)患者预后的预测价值。方法选取运城市中心医院2020年7月至2023年7月收治的136例T2DM合并AIS患者为研究对象,... 目的探究外周血三酰甘油(TG)/胱抑素(Cys-C)、脂联素、视锥样蛋白1(VILIP-1)水平对2型糖尿病(T2DM)合并急性缺血性脑卒中(AIS)患者预后的预测价值。方法选取运城市中心医院2020年7月至2023年7月收治的136例T2DM合并AIS患者为研究对象,根据患者的随访3个月的改良Rankin量表(mRS)评分将≤2分者分为良好组(n=84),>2分者分为不良组(n=52)。比较两组的一般资料和外周血TG/Cys-C、脂联素、VILIP-1水平,采用多因素logistic回归分析影响T2DM合并AIS患者预后的因素,并通过受试者工作特征曲线(ROC)曲线评估外周血TG/Cys-C、脂联素、VILIP-1水平对T2DM合并AIS患者预后的预测价值。结果两组的年龄、NIHSS评分、TG/Cys-C、脂联素、VILIP-1水平进行比较,差异均有统计学意义(P<0.05)。多因素logistic回归分析结果显示年龄、NIHSS评分、TG/Cys-C、脂联素、VILIP-1水平均为影响T2DM合并AIS患者预后的独立因素(P<0.05)。ROC曲线结果显示,外周血TG/Cys-C、脂联素、VILIP-1及三者联合预测T2DM合并AIS患者预后情况的AUC面积分别为0.710、0.725、0.679、0.804,表明外周血TG/Cys-C、脂联素、VILIP-1水平对T2DM合并AIS患者的预后均具有一定的预测价值,且三者联合的效果最佳,灵敏度为90.5%,特异度为75.0%(P<0.05)。结论T2DM合并AIS患者的预后不良情况与年龄、NIHSS评分、TG/Cys-C、脂联素、VILIP-1水平有关,外周血TG/Cys-C、脂联素、VILIP-1水平对T2DM合并AIS患者的预后均具有一定的预测价值,且三者联合预测的效果最高。 展开更多
关键词 外周血三酰甘油与胱抑素比值 脂联素 视锥样蛋白1 2型糖尿病 急性缺血性脑卒中
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血清脂联素、摄食抑制因子-1水平与妊娠糖尿病患者不良妊娠结局的相关性 被引量:1
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作者 赵晓丽 田兆华 邵志萍 《河南医学研究》 CAS 2023年第3期493-496,共4页
目的 分析血清脂联素(APN)、摄食抑制因子(NSF)-1与妊娠糖尿病(GDM)患者不良妊娠结局的关系。方法 纳入郑州人民医院妇产科2019年2月至2021年1月收治的200例GDM患者进行研究,所有患者均随访至完成分娩,以随访期间是否发生孕妇、胎儿或... 目的 分析血清脂联素(APN)、摄食抑制因子(NSF)-1与妊娠糖尿病(GDM)患者不良妊娠结局的关系。方法 纳入郑州人民医院妇产科2019年2月至2021年1月收治的200例GDM患者进行研究,所有患者均随访至完成分娩,以随访期间是否发生孕妇、胎儿或新生儿不良事件定义妊娠结局。确诊后即检测患者血糖[空腹血糖(FBG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)]、血清APN、NSF-1及性激素[雌二醇(E2)、黄体生成素(LH)、孕酮(P)、促卵泡生成素(FSH)]等指标,分析血清APN、NSF-1与GDM患者不良妊娠结局的关系,并检验血清APN、NSF-1对GDM患者不良妊娠结局的预测效能。结果 纳入的200例GDM患者,不良妊娠结局占31.00%;不良妊娠结局患者FBG、2 h PG、HbA1c及血清NSF-1表达均高于良好妊娠结局患者,血清APN表达低于良好妊娠结局患者(P<0.05)。logistic回归分析得出,血清APN低表达,NSF-1高表达与GDM患者不良妊娠结局有关(P<0.05)。绘制受试者工作特征(ROC)曲线,血清APN、NSF-1单独及联合预测GDM患者不良妊娠结局的曲线下面积(AUC)分别为0.782、0.785、0.850。结论 血清APN低表达、NSF-1高表达均与GDM患者不良妊娠结局有关,联合检测血清APN、NSF-1能够预测患者不良妊娠结局风险。 展开更多
关键词 妊娠糖尿病 妊娠结局 脂联素 摄食抑制因子-1
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急性脑梗死患者血清Visfatin、adiponectin、IGF-1水平与患者脑梗死面积及神经功能缺损的相关性研究 被引量:6
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作者 常敏 王金虎 杜仁伟 《武警后勤学院学报(医学版)》 CAS 2021年第7期7-10,15,共5页
【目的】探讨不同脑梗死面积、不同神经功能缺损程度的急性脑梗死患者血清内脂素(Visfatin)、脂联素(adiponectin)、胰岛素样生长因子-1(IGF-1)的表达差异。【方法】选取2019年7月至2020年12月于本院住院的急性脑梗死患者116例为观察组... 【目的】探讨不同脑梗死面积、不同神经功能缺损程度的急性脑梗死患者血清内脂素(Visfatin)、脂联素(adiponectin)、胰岛素样生长因子-1(IGF-1)的表达差异。【方法】选取2019年7月至2020年12月于本院住院的急性脑梗死患者116例为观察组,根据磁共振弥散加权成像上单个病灶最大径将其分为小面积组41例、中面积组45例和大面积组30例,根据美国国立卫生研究院卒中量表(NIHSS)评分将其分为轻型组42例、中型组48例、重型组26例;同期选取本院健康体检者102例作为对照组。采用酶联免疫吸附(ELISA)法检测血清Visfatin、adiponectin、IGF-1水平;采用Pearson法分析急性脑梗死患者血清Visfatin、adiponectin、IGF-1水平间的相关性。【结果】观察组入院第1 d、第7 d、第14 d血清Visfatin水平明显高于对照组,adi鄄ponectin、IGF-1水平明显低于对照组(P<0.05)。大面积组、中面积组、小面积组入院第1 d、第7 d血清Visfatin水平依次升高,adiponectin、IGF-1水平依次降低(P均<0.05);重型组、中型组、轻型组入院第1 d、第7 d血清Visfatin水平依次升高,adi鄄ponectin、IGF-1水平依次降低(P均<0.05);同组发病入院第1 d、第7 d、第14 d,血清Visfatin水平依次降低,adiponectin、IGF-1水平依次升高(P均<0.05)。急性脑梗死患者入院第1 d血清Visfatin与adiponectin、IGF-1均呈负相关(r=-0.629、-0.603,P均<0.05),adiponectin与IGF-1呈正相关(r=0.617,P<0.05)。【结论】脑梗死面积及神经功能缺损程度较大的急性脑梗死患者早期血清Visfatin水平较高,adiponectin、IGF-1水平较低。 展开更多
关键词 急性脑梗死 内脂素 脂联素 胰岛素样生长因子-1 脑梗死面积 神经功能缺损
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Gasdermin D-mediated hepatocyte pyroptosis expands inflammatory responses that aggravate acute liver failure by upregulating monocyte chemotactic protein 1/CC chemokine receptor-2 to recruit macrophages 被引量:15
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作者 Hong Li Xue-Ke Zhao +9 位作者 Yi-Ju Cheng Quan Zhang Jun Wu Shuang Lu Wei Zhang Yang Liu Ming-Yu Zhou Ya Wang Jing Yang Ming-Liang Cheng 《World Journal of Gastroenterology》 SCIE CAS 2019年第44期6527-6540,共14页
BACKGROUND Massive hepatocyte death is the core event in acute liver failure(ALF).Gasdermin D(GSDMD)-mediated pyroptosis is a type of highly inflammatory cell death.However,the role of hepatocyte pyroptosis and its me... BACKGROUND Massive hepatocyte death is the core event in acute liver failure(ALF).Gasdermin D(GSDMD)-mediated pyroptosis is a type of highly inflammatory cell death.However,the role of hepatocyte pyroptosis and its mechanisms of expanding inflammatory responses in ALF are unclear.AIM To investigate the role and mechanisms of GSDMD-mediated hepatocyte pyroptosis through in vitro and in vivo experiments.METHODS The expression of pyroptosis pathway-associated proteins in liver tissues from ALF patients and a hepatocyte injury model was examined by Western blot.GSDMD short hairpin RNA(shRNA)was used to investigate the effects of downregulation of GSDMD on monocyte chemotactic protein 1(MCP1)and its receptor CC chemokine receptor-2(CCR2)in vitro.For in vivo experiments,we used GSDMD knockout mice to investigate the role and mechanism of GSDMD in a D-galactose/lipopolysaccharide(D-Galn/LPS)-induced ALF mouse model.RESULTS The levels of pyroptosis pathway-associated proteins in liver tissue from ALF patients and a hepatocyte injury model increased significantly.The level of GSDMD-N protein increased most obviously(P<0.001).In vitro,downregulation of GSDMD by shRNA decreased the cell inhibition rate and the levels of MCP1/CCR2 proteins(P<0.01).In vivo,GSDMD knockout dramatically eliminated inflammatory damage in the liver and improved the survival of DGaln/LPS-induced ALF mice(P<0.001).Unlike the mechanism of immune cell pyroptosis that involves releasing interleukin(IL)-1βand IL-18,GSDMDmediated hepatocyte pyroptosis recruited macrophages via MCP1/CCR2 to aggravate hepatocyte death.However,this pathological process was inhibited after knocking down GSDMD.CONCLUSION GSDMD-mediated hepatocyte pyroptosis plays an important role in the pathogenesis of ALF,recruiting macrophages to release inflammatory mediators by upregulating MCP1/CCR2 and leading to expansion of the inflammatory responses.GSDMD knockout can reduce hepatocyte death and inflammatory responses,thus alleviating ALF. 展开更多
关键词 Gasdermin D HEPATOCYTE PYROPTOSIS Acute liver failure MONOCYTE chemotactic PROTEIN 1/CC chemokine receptor-2
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Adiponectin receptor 1 and small ubiquitin-like modifier 4 polymorphisms are associated with risk of coronary artery disease without diabetes 被引量:4
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作者 Hong LI Ze YANG +9 位作者 Lian-Mei PU Xiang LI Yang RUAN Fan YANG Shuai MENG Duo YANG Wei YAO Hao FU Feng ZHANG Ze-Ning JIN 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2016年第9期776-782,共7页
Background The genes encoding adiponectin receptor 1 (ADIPOR1) and small ubiquitin-like modifier 4 (SUM04) have been linked to anti-atherogenic effects, but little is known about whether polymorphisms in the two g... Background The genes encoding adiponectin receptor 1 (ADIPOR1) and small ubiquitin-like modifier 4 (SUM04) have been linked to anti-atherogenic effects, but little is known about whether polymorphisms in the two genes, acting separately or interacting, affect risk of coronary artery disease (CAD) without diabetes. Methods We genotyped 200 CAD patients without diabetes and 200 controls without CAD or diabetes at three single-nucleotide polymorphisms (SNPs) in ADIPOR1 and one SNP in SUM04, which were chosen based on previous studies. Potential associations were also explored between these SNPs and clinical characteristics of CAD without diabetes. Results Risk alleles at three SNPs inADIPOR1 (rs7539542-G, rs7514221-C and rs3737884-G) and the G allele at SNP rs237025 in SUM04 significantly increased risk of CAD without diabetes, with ORs ranging from 1.79 to 4.44. Carriers of any of these four risk alleles showed similar adverse clinical characteristics. Compared with individuals with a CC or GC genotype, those with a GG genotype at rs3737884 were at significantly higher risk of CAD that affected the left anterior descending coronary artery (OR: 6.77, P = 0.009), the right coronary artery (OR: 4.81, P = 0.028) or a relatively large number of vessels (P = 0.04). Individuals carrying a risk allele at one or more of the three SNPs in ADIPOR1 as well as a risk allele at the SNP in SUM04 were at significantly higher risk of CAD without diabetes than individuals not carrying any risk alleles (OR: 5.82, 95% CI: 1.23-27.7, P= 0.013). Conelusions SNPs in ADIPORl and SUMO4 are associated with elevated risk of CAD without diabetes, and SNPs in the two genes may interact to jointly affect disease risk. 展开更多
关键词 adiponectin receptor 1 Coronary artery disease DIABETES POLYMORPHISM Small ubiquitin-like modifier 4
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Basic Fibroblast Growth Factor and Fibroblast Growth Factor Receptor-1 in Human Meningiomas 被引量:2
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作者 易伟 陈坚 +1 位作者 Filimon H. Golwa 薛德麟 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2005年第1期75-77,共3页
The expression of basic fibroblast growth factor (bFGF) and fibroblast growth factor receptor-1 (FGFR-1) in human meningiomas and the relationships between their expression and the tumors' histological features an... The expression of basic fibroblast growth factor (bFGF) and fibroblast growth factor receptor-1 (FGFR-1) in human meningiomas and the relationships between their expression and the tumors' histological features and angiogenesis were investigated by means of immunohistochemical technique. The expression of bFGF and FGFR-1 was detected by antibody of bFGF or FGFR-1. The tumors' angiogenesis was evaluated by microvascular density (MVD) and, which was observed by use of CD34-antibody immunohistochemically. The results showed that there were varied degrees of the expression of bFGF and FGFR-1 proteins in meningiomas. The expression was correlated with the tumors' histological characters and angiogenesis. It was concluded that bFGF and FGFR-1 might play important roles in meningiomas' angiogenesis and proliferation. The expression positive rate of bFGF and FGFR-1 may provide an indication of evaluating the histological and malignant degree of the tumor. 展开更多
关键词 MENINGIOMAS basic fibroblast growth factor fibroblast growth factor receptor-1 microvascular density IMMUNOHISTOCHEMISTRY
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Sleeve gastrectomy prevents lipoprotein receptor-1 expression in aortas of obese rats 被引量:1
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作者 Jie Bai Yong Wang Yuan Liu Dong-Hua Geng Jin-Gang Liu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第32期3739-3744,共6页
AIM: To investigate the effects of sleeve gastrectomy on adipose tissue infiltration and lectin-like oxidized low density lipoprotein receptor-1 (LOX-1) expression in rat aortas. METHODS: Twenty-four rats were randomi... AIM: To investigate the effects of sleeve gastrectomy on adipose tissue infiltration and lectin-like oxidized low density lipoprotein receptor-1 (LOX-1) expression in rat aortas. METHODS: Twenty-four rats were randomized into three groups: normal chow (control), high fat diet (HD) and high fat diet with sleeve gastrectomy (SG). After surgery, the HD and SG groups were fed a high fat diet. Animals were sacrificed and plasma high density lipoprotein (HDL) and low density lipoprotein (LDL) levels were determined. LOX-1 protein and LOX-1 mRNA expression was also measured. Aortas were stained with Nile red to visualize adipose tissue. RESULT: Body weights were higher in the HD group compared to the other groups. HDL levels in control,HD, and SG groups were 32.9 ± 6.2 mg/dL, 43.4 ± 4.0 mg/dL and 37.5 ± 4.3 mg/dL, respectively. LDL levels in control, HD, and SG groups were 31.8 ± 4.5 mg/dL, 53.3 ± 5.1 mg/dL and 40.5 ± 3.7 mg/dL, respectively. LOX-1 protein and LOX-1 mRNA expression was greater in the HD group versus the other groups. Staining for adipose tissue in aortas was greater in the HD group in comparison to the other groups. Thus, a high fat diet elevates LOX-1 protein and mRNA expression in aorta. CONCLUSION: Sleeve gastrectomy decreases plasma LDL levels, and downregulates LOX-1 protein and mRNA expression. 展开更多
关键词 Sleeve gastrectomy Morbid obesity High fat diet AORTA Lipoprotein receptor-1 expression
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补体C1q肿瘤坏死因子相关蛋白9与其受体的相互作用
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作者 路旭阳 焦凯 +2 位作者 刘德敏 剧红娟 谷国强 《心血管病学进展》 CAS 2023年第4期336-340,共5页
补体C1q肿瘤坏死因子相关蛋白9(CTRP9)是一种分泌型糖蛋白,对心血管系统具有保护作用,是近年发现的CTRPs蛋白质家族中研究最多的成员之一。CTRP9通过与其受体相互作用,影响机体心血管系统及其他多种系统。CTRP9的受体目前已知主要有脂... 补体C1q肿瘤坏死因子相关蛋白9(CTRP9)是一种分泌型糖蛋白,对心血管系统具有保护作用,是近年发现的CTRPs蛋白质家族中研究最多的成员之一。CTRP9通过与其受体相互作用,影响机体心血管系统及其他多种系统。CTRP9的受体目前已知主要有脂联素受体1、脂联素受体2和N-钙黏蛋白,上述受体可介导CTRP9调节能量代谢平衡、减轻炎症等作用。了解CTRP9受体的分布及CTRP9与受体间的相互作用关系将对保证CTRP9发挥有益的生理作用具有重要意义。现就CTRP9在生理病理过程中通过受体发挥的调节功能的研究做一综述,为更进一步了解CTRP9与受体间的相互作用关系提供理论依据。 展开更多
关键词 补体C1q肿瘤坏死因子相关蛋白9 脂联素受体1 脂联素受体2 N-钙黏蛋白
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Significance of 125I radioactive seed implantation on growth differentiation factor and programmed death receptor-1 during treatment of oral cancer 被引量:4
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作者 Gang Xue Yao Feng Jia-Bin Li 《World Journal of Clinical Cases》 SCIE 2020年第5期874-886,共13页
BACKGROUND Oral cancer(OC)is the most common malignant tumor in the oral cavity,and is mainly seen in middle-aged and elderly men.At present,OC is mainly treated clinically by surgery or combined with radiotherapy and... BACKGROUND Oral cancer(OC)is the most common malignant tumor in the oral cavity,and is mainly seen in middle-aged and elderly men.At present,OC is mainly treated clinically by surgery or combined with radiotherapy and chemotherapy;but recently,more and more studies have shown that the stress trauma caused by surgery and the side effects of radiotherapy and chemotherapy seriously affect the prognosis of patients.AIM To determine the significance of 125I radioactive seed implantation on growth differentiation factor 11(GDF11)and programmed death receptor-1(PD-1)during treatment of OC.METHODS A total of 184 OC patients admitted to The Second Affiliated Hospital of Jiamusi University from May 2015 to May 2017 were selected as the research subjects for prospective analysis.Of these patients,89 who received 125I radioactive seed implantation therapy were regarded as the research group(RG)and 95 patients who received surgical treatment were regarded as the control group(CG).The clinical efficacy,incidence of adverse reactions and changes in GDF11 and PD-1 before treatment(T0),2 wk after treatment(T1),4 wk after treatment(T2)and 6 wk after treatment(T3)were compared between the two groups.RESULTS The efficacy and recurrence rate in the RG were better than those in the CG(P<0.05),while the incidence of adverse reactions and survival rate were not different.There was no difference in GDF11 and PD-1 between the two groups at T0 and T1,but these factors were lower in the RG than in the CG at T2 and T3(P<0.05).Using receiver operating characteristic(ROC)curve analysis,GDF11 and PD-1 had good predictive value for efficacy and recurrence(P<0.001).CONCLUSION 125I radioactive seed implantation has clinical efficacy and can reduce the recurrence rate in patients with OC.This therapy has marked potential in clinical application.The detection of GDF11 and PD-1 in patients during treatment showed good predictive value for treatment efficacy and recurrence in OC patients,and may be potential targets for future OC treatment. 展开更多
关键词 125I radioactive seeds Oral cancer Growth differentiation factor 11 Programmed death receptor-1 Prognosis RECURRENCE
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Expression of triggering receptor-1 in myeloid cells of mice with acute lung injury 被引量:1
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作者 Ning Liu Qin Gu Yi-shan Zheng 《World Journal of Emergency Medicine》 SCIE CAS 2010年第2期144-148,共5页
BACKGROUND: Myeloid cell (TREM-1) is an important mediator of the signal transduction pathway in inflammatory response. In this study, a mouse model of acute lung injury (ALl) by intraperitoneal injection of lipo... BACKGROUND: Myeloid cell (TREM-1) is an important mediator of the signal transduction pathway in inflammatory response. In this study, a mouse model of acute lung injury (ALl) by intraperitoneal injection of lipopolysaccharide (LPS) was established to observe the expression pattern of TREM-1 in lung tissue and the role of TREM-1 in pulmonary inflammatory response to ALl.METHODS: Thirty BALB/C mice were randomly divided into a normal control group (n=6) and an ALl group (n=24). The model of ALl was made by intraperitonal injection of LPS in dose of 10 mg/ kg. Specimens from peripheral blood and lung tissue were collected 6, 12, 24 and 48 hours after LPS injection. RT-PCR was used to detect TREM-1 mRNA, and ELISA was employed for detection of TREM-1 protein and TNF-a protein, and HE staining was performed for the pathological Smith lung scoring under a light microscope.RESULTS: The expressions of TREM-1 mRNAin lung tissue and blood of the ALl group 6, 12, 24, and 48 hours after injection of LPS were higher than those in the control group. The levels of TREM- 1 protein and the levels of TNF-a protein in lung tissue of the ALl group 6, 12, 24, and 48 hours after LPS injection were higher than those of the control group; the level of TREM-1 protein peaked 12 hours after LPS injection, but it was not significantly correlated with the expression of TREM-1 mRNA (P=0.14); the TNF-a concentration was positively correlated with TREM-1 levels in lung tissue and with Smith pathological score (r=0.795, P=0.001 :r=0.499, P=0.034), but not with the expression of TREM-1 mRNA (P=0.176).CONCLUSION: The expression of TREM-1 mRNA in lung tissue of mice with ALl is elevated, and the expression of TREM-1 mRNA is related to the level of TNF-a and the severity of inflammatory response to ALl. The expressions of the TREM-1 gene are not consistent with the levels of TREM-1 protein, suggesting a new functional protein involved in immune regulation. 展开更多
关键词 Acute lung injury Triggering receptor-1 Myeloid cell EXPRESSION Tumor necrosisfactor Pathological scoring
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LOTUS, a potent blocker of Nogo receptor-1 causing inhibition of axonal growth 被引量:1
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作者 Yuji Kurihara Kohtaro Takei 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第1期46-48,共3页
Glia-derived axonal growth inhibitory proteins limit functional repair following damage to the adult cen- tral nervous system (CNS). Nogo proteins, myelin-as- sociated glycoprotein (MAG), oligodendrocyte myelin gl... Glia-derived axonal growth inhibitory proteins limit functional repair following damage to the adult cen- tral nervous system (CNS). Nogo proteins, myelin-as- sociated glycoprotein (MAG), oligodendrocyte myelin glycoprotein (OMgp) and B lymphocyte stimulator (BLyS), are 4 inhibitors that commonly interact with the neuronal receptor, Nogo receptor-1 (NgR1), lead- ing to inhibition of axonal growth. Here, we demon- strate that lateral olfactory tract usher substance (LOTUS) binds to NgR1 and blocks the binding of all four ligands to NgR1, resulting in the suppression of axonal growth inhibition induced by these NgR1 li- gands. LOTUS allows neurons to overcome NgRl-me- diated axonal growth inhibition, raising the possibility that LOTUS may be useful in future therapeutic ap- proaches as an endogenous potent inhibitor of NgR1 for promoting neuronal regeneration. 展开更多
关键词 OMgp MAG a potent blocker of Nogo receptor-1 causing inhibition of axonal growth LOTUS
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脂联素受体1调控小胶质细胞参与阿尔兹海默病发病机制的研究进展
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作者 李静 胡春念 +5 位作者 蒋林 张蕾 黎悦 祝佩林 唐勇 周春妮 《中国体视学与图像分析》 2023年第3期268-278,共11页
阿尔茨海默病(Alzheimer Disease, AD)是一种进行性加重的神经系统退行性疾病,是最为常见的痴呆症类型。越来越多的研究表明,小胶质细胞在AD病理生理过程中发挥重要功能,但小胶质细胞参与AD发病的具体机制尚不完全清楚。最近,脂联素(adi... 阿尔茨海默病(Alzheimer Disease, AD)是一种进行性加重的神经系统退行性疾病,是最为常见的痴呆症类型。越来越多的研究表明,小胶质细胞在AD病理生理过程中发挥重要功能,但小胶质细胞参与AD发病的具体机制尚不完全清楚。最近,脂联素(adiponectin, APN)/脂联素受体1(adiponectin receptor 1, AdipoR1)信号被证明具有抗炎作用,并与学习和记忆密切相关。研究发现,AdipoR1可表达于小胶质细胞,其可能通过调节小胶质细胞的功能活动来参与AD的发生和发展。因此,本文旨在对APN、AdipoR1和小胶质细胞在AD的发病和治疗中的作用以及AdipoR1参与调节小胶质细胞功能的研究进展进行综述。 展开更多
关键词 阿尔茨海默病 脂联素受体1 小胶质细胞
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Expression of fibroblast growth factor-2 and fibroblast growth factor receptor-1 protein in the hippocampus in rats exhibiting chronic stress-induced depression
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作者 Gonglin Hou Mingming Tang 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第13期1010-1016,共7页
There is evidence that the expression of members of the fibroblast growth factor (FGF) protein family is altered in post-mortem brains of humans suffering from major depressive disorder. The present study examined w... There is evidence that the expression of members of the fibroblast growth factor (FGF) protein family is altered in post-mortem brains of humans suffering from major depressive disorder. The present study examined whether the expression of fibroblast growth factor-2 (FGF2) and fibroblast growth factor receptor-1 (FGFR1) protein is altered following chronic stress in an animal model. Rats were exposed to 35 days of chronic unpredictable mild stress, and then tested using open-field and sucrose consumption tests. Compared with the control group, rats in the chronic stress group exhibited obvious depressive-like behaviors, including anhedonia, anxiety and decreased mobility. The results of western blot analysis and immunohistochemical analysis revealed a downregulation of the expression of FGF2 and FGFR1 in the hippocampus of rats, particularly in the CA1, CA3 and dentate gyrus. This decreased expression is in accord with the results of post-mortem studies in humans with major depressive disorder. These findings suggest that FGF2 and FGFR1 proteins participate in the pathophysiology of depressive-like behavior, and may play an important role in the mechanism of chronic stress-induced depression. 展开更多
关键词 DEPRESSION HIPPOCAMPUS fibroblast growth factor-2 fibroblast growth factor receptor-1 neural regeneration
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