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New insights into ATR inhibition in muscle invasive bladder cancer:The role of apolipoprotein B mRNA editing catalytic subunit 3B
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作者 HYUNHO KIM UIJU CHO +5 位作者 SOOK HEE HONG HYUNG SOON PARK IN-HO KIM HO JUNG AN BYOUNG YONG SHIM JIN HYOUNG KANG 《Oncology Research》 SCIE 2024年第6期1021-1030,共10页
Background:Apolipoprotein B mRNA editing catalytic polypeptide(APOBEC),an endogenous mutator,induces DNA damage and activates the ataxia telangiectasia and Rad3-related(ATR)-checkpoint kinase 1(Chk1)pathway.Although c... Background:Apolipoprotein B mRNA editing catalytic polypeptide(APOBEC),an endogenous mutator,induces DNA damage and activates the ataxia telangiectasia and Rad3-related(ATR)-checkpoint kinase 1(Chk1)pathway.Although cisplatin-based therapy is the mainstay for muscle-invasive bladder cancer(MIBC),it has a poor survival rate.Therefore,this study aimed to evaluate the efficacy of an ATR inhibitor combined with cisplatin in the treatment of APOBEC catalytic subunit 3B(APOBEC3B)expressing MIBC.Methods:Immunohistochemical staining was performed to analyze an association between APOBEC3B and ATR in patients with MIBC.The APOBEC3B expression in MIBC cell lines was assessed using real-time polymerase chain reaction and western blot analysis.Western blot analysis was performed to confirm differences in phosphorylated Chk1(pChk1)expression according to the APOBEC3B expression.Cell viability and apoptosis analyses were performed to examine the anti-tumor activity of ATR inhibitors combined with cisplatin.Results:There was a significant association between APOBEC3B and ATR expression in the tumor tissues obtained from patients with MIBC.Cells with higher APOBEC3B expression showed higher pChk1 expression than cells expressing low APOBEC3B levels.Combination treatment of ATR inhibitor and cisplatin inhibited cell growth in MIBC cells with a higher APOBEC3B expression.Compared to cisplatin single treatment,combination treatment induced more apoptotic cell death in the cells with higher APOBEC3B expression.Conclusion:Our study shows that APOBEC3B’s higher expression status can enhance the sensitivity of MIBC to cisplatin upon ATR inhibition.This result provides new insight into appropriate patient selection for the effective application of ATR inhibitors in MIBC. 展开更多
关键词 apolipoprotein b mRNA editing catalytic polypeptide(APObEC) Ataxia telangiectasia and Rad3-related(ATR) bladder cancer DNA damage response DNA replication stress
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XbaⅠpolymorphisms of apolipoprotein B gene:Another risk factor of gallstone formation after radical gastrectomy 被引量:14
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作者 Feng-Lin Liu,Wen-Bin Lu,Wei-Xin Niu,Department of General Surgery,Zhongshan Hospital,Fudan University,Shanghai 200032,China 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第20期2549-2553,共5页
AIM:To prospectively investigate the association between the XbaⅠpolymorphisms of apolipoprotein B (APOB)gene and gallstone formation following gastrectomy.METHODS:The study was conducted between January 2005 and Dec... AIM:To prospectively investigate the association between the XbaⅠpolymorphisms of apolipoprotein B (APOB)gene and gallstone formation following gastrectomy.METHODS:The study was conducted between January 2005 and December 2006.A total of 186 gastric cancer patients who had undergone radical gastrectomy were grouped according to XbaⅠpolymorphisms of APOB gene(X+X-group,n=24 and X-X-group,n =162)and compared.The XbaⅠpolymorphisms of APOB gene were detected by polymerase chain reaction-restriction fragment length polymorphism(PCRRFLP).RESULTS:The incidence of gallstone was significantly higher in the X + X-group than in the X-X-group[54.2% vs 9.3%,RR=5.85(2.23-15.32),P<0.001].The serum levels of total cholesterol(TC)and low-density lipoprotein(LDL)were higher in the X + X-than in the X-X-group(4.02±1.12 vs 3.48±0.88,P=0.004 before surgery and 3.88±1.09 vs 3.40±0.86,P=0.008 after surgery).LDL was 2.21±0.96 vs 1.89±0.84(P =0.042)before surgery and 2.09±0.95 vs 1.72±0.85 (P=0.029)after surgery in the two groups.No relationship was found between XbaⅠpolymorphisms and gallbladder motility.CONCLUSION:In Chinese patients after radical gastrectomy,X + allele of APOB gene is another risk factor for the development of gallstone besides the gallbladder motility disorder after surgery. 展开更多
关键词 Gastric cancer GASTRECTOMY GALLSTONE apolipoprotein b gene POLYMORPHISM
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C-reactive Protein Level,Apolipoprotein B-to-apolipoprotein A-1 Ratio,and Risks of Ischemic Stroke and Coronary Heart Disease among Inner Mongolians in China 被引量:12
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作者 TIAN Yun Fan ZHOU Yi Peng +6 位作者 ZHONG Chong Ke BUREN Batu XU Tian LI Hong Mei ZHANG Ming Zhi WANG Ai Li ZHANG Yong Hong 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2016年第7期467-474,共8页
Objective We aimed to investigate the cumulative effect of high CRP level and apolipoprotein B-to-apolipoprotein A-1(ApoB/ApoA-1) ratio on the incidence of ischemic stroke(IS) or coronary heart disease(CHD) in a... Objective We aimed to investigate the cumulative effect of high CRP level and apolipoprotein B-to-apolipoprotein A-1(ApoB/ApoA-1) ratio on the incidence of ischemic stroke(IS) or coronary heart disease(CHD) in a Mongolian population in China.Methods From June 2003 to July 2012,2589 Mongolian participants were followed up for IS and CHD events based on baseline investigation.All the participants were divided into four subgroups according to C-reactive protein(CRP) level and ApoB/ApoA-1 ratio.Cox proportional hazard models were used to estimate the hazard ratios(HRs) and 95% confidence intervals(CIs) for the IS and CHD events in all the subgroups.Results The HRs(95% CI) for IS and CHD were 1.33(0.84-2.12),1.14(0.69-1.88),and 1.91(1.17-3.11) in the ‘low CRP level with high ApoB/ApoA-1',‘high CRP level with low ApoB/ApoA-1',and ‘high CRP level with high ApoB/ApoA-1' subgroups,respectively,in comparison with the ‘low CRP level with low ApoB/ApoA-1' subgroup.The risks of IS and CHD events was highest in the ‘high CRP level with high ApoB/ApoA-1' subgroup,with statistical significance.Conclusion High CRP level with high ApoB/ApoA-1 ratio was associated with the highest risks of IS and CHD in the Mongolian population.This study suggests that the combination of high CRP and ApoB/ApoA-1 ratio may improve the assessment of future risk of developing IS and CHD in the general population. 展开更多
关键词 C-reactive protein apolipoprotein b-to-apolipoprotein A-1 ratio Ischemic stroke Coronary heart disease
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Apolipoprotein B100 quality control and the regulation of hepatic very low density lipoprotein secretion 被引量:2
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作者 Eric Fisher Elizabeth Lake Roger S McLeod 《The Journal of Biomedical Research》 CAS 2014年第3期178-193,共16页
Apolipoprotein B (apoB) is the main protein component of very low density lipoprotein (VLDL) and is necessary for the assembly and secretion of these triglyceride (TG)-rich particles. Following release from the ... Apolipoprotein B (apoB) is the main protein component of very low density lipoprotein (VLDL) and is necessary for the assembly and secretion of these triglyceride (TG)-rich particles. Following release from the liver, VLDL is converted to low density lipoprotein (LDL) in the plasma and increased production of VLDL can therefore play a detrimental role in cardiovascular disease. Increasing evidence has helped to establish VLDL assembly as a target for the treatment of dyslipidemias. Multiple factors are involved in the folding of the apoB protein and the formation of a secretion-competent VLDL particle. Failed VLDL assembly can initiate quality control mechanisms in the hepatocyte that target apoB for degradation. ApoB is a substrate for endoplasmic reticulum associated degradation (ERAD) by the ubiquitin proteasome system and for autophagy. Efficient targeting and disposal of apoB is a regu- lated process that modulates VLDL secretion and partitioning of TG. Emerging evidence suggests that significant overlap exists between these degradative pathways. For example, the insulin-mediated targeting of apoB to autop- hagy and postprandial activation of the unfolded protein response (UPR) may employ the same cellular machinery and regulatory cues. Changes in the quality control mechanisms for apoB impact hepatic physiology and pathology states, including insulin resistance and fatty liver. Insulin signaling, lipid metabolism and the hepatic UPR may impact VLDL production, particularly during the postprandial state. In this review we summarize our current understanding of VLDL assembly, apoB degradation, quality control mechanisms and the role of these processes in liver physiology and in pathologic states. 展开更多
关键词 apolipoprotein b very low density lipoprotein PROTEASOME UbIQUITIN autophagy STEATOSIS
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Apolipoprotein B Is a Good Tool for Screening Dyslipidaemia in Apparently Healthy Population
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作者 L. V. Athiththan M. F. F. Nusha +1 位作者 U. P. K. Hettiaratchi P. P. R. Perera 《Journal of Biosciences and Medicines》 2016年第5期58-64,共7页
Dyslipidaemia is the major risk factor for cardiovascular disease (CVD) which is the leading cause of death in the world. Even though several lipid parameters are used, currently apolipoprotein B (apoB) is considered ... Dyslipidaemia is the major risk factor for cardiovascular disease (CVD) which is the leading cause of death in the world. Even though several lipid parameters are used, currently apolipoprotein B (apoB) is considered as the best predictor of CVD. Thus this study was carried out to find out the association between conventional lipid parameters and apoB in apparently healthy subjects. A descriptive cross-sectional study was carried out in 170 apparently healthy volunteers who were not diagnosed with dyslipidaemia. After 12 hours overnight fast venous blood was obtained and Total cholesterol (TC), Triglyceride (TG), High density lipoprotein cholesterol (HDL-C) were measured by enzymatic kit method. Low density lipoprotein cholesterol (LDL-C) was calculated by Friedewald formula and apoB was analyzed by immune turbid metry using a Konelab<sup>&reg;</sup> auto analyzer. Among the participants, majority (63.5%) were females. The mean value of apoB concentration of the population was 103 ± 42 mg/dL which was similar and not significantly different between the genders (Males, 102 ± 37 mg/dL and Females, 104 ± 45 mg/dL). All lipid parameters showed a positive correlation with apoB concentration whereas HDL-C had a negative correlation (r = -0.165). HDL-C significantly (p < 0.05) decreased with increase in apoB concentration while LDL-C, TC/HDL-C and non-HDL-C significantly (p < 0.05) increased with an increase in apoB concentration. Present study suggests that serum apoB has better correlations and associations with the parameters that are used in conventional lipid profile and with markers recommended for diagnosing dyslipidaemia. Hence apoB could be used as a single marker for screening dyslipidaemia in apparently healthy people. 展开更多
关键词 apolipoprotein b DYSLIPIDAEMIA High Density Lipoprotein Low Density Lipoprotein
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Lp-PLA2 LP(a)ApoB/ApoA-1水平与急性脑梗死严重程度及预后的相关性分析
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作者 薛涵 高静 +5 位作者 王冬静 赵雪 张艳利 刘莉 王利民 刘有为 《河北医学》 CAS 2024年第5期857-863,共7页
目的:探究脂蛋白相关磷脂酶A2(Lp-PLA2)、脂蛋白a[LP(a)]、载脂蛋白B(ApoB/)/载脂蛋白A-1(ApoA-1)的表达水平与急性脑梗死(ACI)的严重程度和预后的相关性。方法:选择我院2022年1月至2023年1月收治的ACI患者122例作为病例组,根据疾病严... 目的:探究脂蛋白相关磷脂酶A2(Lp-PLA2)、脂蛋白a[LP(a)]、载脂蛋白B(ApoB/)/载脂蛋白A-1(ApoA-1)的表达水平与急性脑梗死(ACI)的严重程度和预后的相关性。方法:选择我院2022年1月至2023年1月收治的ACI患者122例作为病例组,根据疾病严重程度分为轻度组(54例)、中度组(49例)、重度组(19例),另选择同期体检健康者作为对照组(97例)。根据预后效果分为预后良好组(88例)和预后不良组(34例)。比较病例组和对照组患者的基本资料和生化指标的差异性,分析Lp-PLA2、LP(a)、ApoB/ApoA-1的表达水平对患者病情严重程度和预后效果影响。结果:病例组患者年龄、吸烟史、高血压例数、收缩压、LDL-C、LP(a)、Lp-PLA2指标高于对照组(P<0.05),HDL-C指标低于对照组(P<0.05),多因素Logistic回归分析结果,年龄、吸烟史、高血压、收缩压、HDLC、LDLC、LPa、LpPLA2、ApoB/ApoA-1是影响ACI发生的独立危险因素(P<0.05)。重度组患者Lp-PLA2、LP(a)、ApoB/ApoA-1指标显著高于轻度组和中度组(P<0.05),中度组Lp-PLA2、LP(a)、ApoB/ApoA-1指标显著高于轻度组(P<0.05),Spearman相关性比较,Lp-PLA2、LP(a)、ApoB/ApoA-1指标与患者病情严重程度呈正相关(r=0.796、0.718、0.451,P<0.05)。预后良好组患者Lp-PLA2、LP(a)、ApoB/ApoA-1指标显著高于预后不良组(P<0.05),ROC曲线分析结果显示,联合预测AUC为0.987。结论:高龄、血压血脂异常、生活习惯较差者更易患ACI,而Lp-PLA2、ApoB/ApoA-1水平与ACI的严重程度和预后效果呈明显的相关性,通过检测可有效评估患者病情发展,具有较高临床价值。 展开更多
关键词 急性脑梗死 脂蛋白相关磷脂酶 脂蛋白A 载脂蛋白b/载脂蛋白A-1
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载脂蛋白B联合颈动脉内膜中层厚度对冠心病的预测价值
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作者 莫健姣 黄显南 +4 位作者 梁耘 刘莉 邓通元 罗薇 杨静爱 《中国医药科学》 2024年第8期9-13,共5页
目的探讨血清载脂蛋白B(apoB)联合颈动脉内膜中层厚度(CIMT)在冠心病中的预测价值。方法回顾性分析2020年1—6月在右江民族医学院附属医院就诊的胸痛疑似冠心病并行冠脉造影的患者210例,根据冠脉造影结果,分为冠心病组和非冠心病组。所... 目的探讨血清载脂蛋白B(apoB)联合颈动脉内膜中层厚度(CIMT)在冠心病中的预测价值。方法回顾性分析2020年1—6月在右江民族医学院附属医院就诊的胸痛疑似冠心病并行冠脉造影的患者210例,根据冠脉造影结果,分为冠心病组和非冠心病组。所有患者检测血清apoB、行颈动脉彩超检查。分析两组患者血清apoB、CIMT、斑块差异,采用受试者工作特征曲线(ROC)分析apoB、CIMT以及二者联合对冠心病的预测价值。结果冠心病组血清apoB、CIMT、颈动脉斑块比例明显高于非冠心病组,差异有统计学意义(P<0.05);冠心病多支病变患者血清apoB、CIMT明显高于单支病变患者,差异有统计学意义(P<0.05);血清apoB和CIMT预测冠心病的价值差异无统计学意义(P>0.05)。两者联合预测冠心病的ROC曲线下面积为0.865,诊断的敏感度和特异度分别为93.20%和63.30%,两者联合预测冠心病的价值优于单独使用血清apoB、CIMT,差异有统计学意义(P<0.05)。结论血清apoB联合CIMT能提高对冠心病的预测价值。 展开更多
关键词 载脂蛋白b 颈动脉内膜中层厚度 冠心病 预测价值
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载脂蛋白B与急性冠状动脉综合征的相关性研究进展
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作者 郑怡雯(综述) 黄晶(审校) 《现代医药卫生》 2024年第3期436-440,共5页
载脂蛋白B是直接参与动脉粥样硬化过程的重要蛋白质,与心血管事件发生密切相关。急性冠状动脉综合征是以冠状动脉粥样硬化斑块破裂,继而发生完全或不完全闭塞性血栓形成引发心肌急性缺血或坏死为病理基础的临床综合征。研究表明载脂蛋白... 载脂蛋白B是直接参与动脉粥样硬化过程的重要蛋白质,与心血管事件发生密切相关。急性冠状动脉综合征是以冠状动脉粥样硬化斑块破裂,继而发生完全或不完全闭塞性血栓形成引发心肌急性缺血或坏死为病理基础的临床综合征。研究表明载脂蛋白B能更全面涵盖致动脉粥样硬化颗粒,有望成为预测急性冠状动脉综合风险及预后的有力指标。该文综述了载脂蛋白B的结构、参与急性冠状动脉综合征发生发展的机制及过程、相应预防、治疗及研究进展。 展开更多
关键词 载脂蛋白b 急性冠状动脉综合征 动脉粥样硬化 综述
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脂蛋白a和载脂蛋白B联合维生素D检测对冠心病严重程度及短期预后的评估价值
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作者 杨星 王秋茹 周雪 《国际医药卫生导报》 2024年第8期1238-1242,共5页
目的分析脂蛋白a(Lp-a)、载脂蛋白B(ApoB)联合维生素D(VD)检测对冠心病严重程度及短期预后的评估价值。方法以2020年5月至2022年4月延安大学咸阳医院收治的105例冠心病患者为研究组,另选取同期于本院接受检查的102例健康人群作为对照组... 目的分析脂蛋白a(Lp-a)、载脂蛋白B(ApoB)联合维生素D(VD)检测对冠心病严重程度及短期预后的评估价值。方法以2020年5月至2022年4月延安大学咸阳医院收治的105例冠心病患者为研究组,另选取同期于本院接受检查的102例健康人群作为对照组。研究组男65例,女40例;年龄40~71(55.62±7.85)岁;单支病变45例,双支病变39例,三支病变21例。对照组男63例,女39例;年龄39~72(55.39±8.47)岁。以酶联免疫吸附法测定两组血清VD水平,以免疫比浊法检测两组血清中Lp-a、ApoB水平,并采用Spearman相关性分析法分析Lp-a、ApoB、VD水平与冠状动脉病变程度的相关性。随访1年,统计研究组患者死亡情况。采用受试者操作特征曲线(ROC)分析Lp-a、ApoB、VD对冠心病预后的评估价值。行独立样本t检验、χ^(2)检验。结果研究组血清Lp-a和ApoB水平高于对照组,VD水平低于对照组(均P<0.05)。三支病变组患者血清Lp-a、ApoB水平>双支病变组>单支病变组,VD水平<双支病变组<单支病变组(均P<0.05)。相关性分析显示,Lp-a、ApoB水平与冠状动脉病变程度呈正相关(r=0.607、0.601,均P<0.05),VD水平与冠状动脉病变程度呈负相关(r=-0.461,P<0.05)。三支病变组患者1年病死率>双支病变组>单支病变组[28.57%(6/21)比10.26%(4/39)比6.67%(3/45)](P<0.05)。ROC分析显示,Lp-a、ApoB、VD水平及联合检测评估冠心病患者预后的曲线下面积分别为0.729、0.737、0.793、0.838,灵敏度分别为60.1%、60.0%、71.3%、79.1%,特异度分别为77.8%、74.8%、62.8%、79.4%。结论Lp-a、ApoB、VD与冠心病严重程度密切相关,均可用于冠心病患者短期预后的评估,且三者联合检测评估效果更佳。 展开更多
关键词 冠心病 脂蛋白A 载脂蛋白b 维生素D 严重程度 短期预后
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血浆ApoB/ApoA1比值和D-二聚体水平的列线图模型对急性ST段抬高型心肌梗死患者PCI术后左心室血栓形成的预测价值
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作者 赵德轩 刘慧 贾蕾蕾 《中国动脉硬化杂志》 CAS 2024年第3期228-234,270,共8页
[目的]分析血浆ApoB/ApoA1比值和D-二聚体(D-D)对急性ST段抬高型心肌梗死(STEMI)患者PCI术后左心室血栓形成(LVT)的预测价值,并建立列线图模型。[方法]选取2021年1月—2022年12月阜阳市第六人民医院收治的187例STEMI患者。根据患者术后2... [目的]分析血浆ApoB/ApoA1比值和D-二聚体(D-D)对急性ST段抬高型心肌梗死(STEMI)患者PCI术后左心室血栓形成(LVT)的预测价值,并建立列线图模型。[方法]选取2021年1月—2022年12月阜阳市第六人民医院收治的187例STEMI患者。根据患者术后28天随访结果,将患者分为LVT组和非LVT组。对两组患者血浆ApoB/ApoA1比值和D-D水平等临床资料进行单因素和二元Logistic回归分析,探索STEMI患者PCI术后LVT形成的独立危险因素,建立列线图模型,并对列线图模型的诊断效能进行评价。[结果]血浆ApoB/ApoA1比值升高(OR=1.320,95%CI:1.057~1.648)、D-D水平增加(OR=1.031,95%CI:1.020~1.042)、术前TIMI为0级(OR=4.141,95%CI:1.018~16.849)及左心室射血分数(LVEF)降低(OR=0.906,95%CI:0.853~0.963)是PCI术后LVT形成的独立危险因素(P<0.05),上述指标预测LVT形成的AUC分别为0.792、0.800、0.623和0.726。基于以上指标建立列线图模型,ROC曲线分析表明,模型一致性指数为0.926,校正曲线显示该模型具有良好的区分度和一致性。[结论]STEMI患者血浆ApoB/ApoA1比值升高和D-D水平增加与PCI术后LVT形成具有密切关系,基于上述指标建立的列线图模型对预测LVT有较高的诊断效能,有利于临床医务人员对高危患者的识别。 展开更多
关键词 ST段抬高型心肌梗死 载脂蛋白b 载脂蛋白A1 D-二聚体 左心室血栓形成
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血清视黄醇结合蛋白、胱抑素C及载脂蛋白B/载脂蛋白A1联合检测对高血压早期肾损伤的诊断价值
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作者 毛辉 黄洁群 +2 位作者 欧志强 宁亮忠 钟敏 《川北医学院学报》 2024年第1期51-54,共4页
目的:探讨视黄醇结合蛋白(RBP)、胱抑素C(Cys-C)及载脂蛋白B/载脂蛋白A1(ApoB/ApoA1)检测对高血压早期肾损伤的诊断价值。方法:选取80例高血压患者为研究对象,根据早期肾损伤诊断标准将其分为单纯高血压组(n=47)及高血压合并早期肾损伤... 目的:探讨视黄醇结合蛋白(RBP)、胱抑素C(Cys-C)及载脂蛋白B/载脂蛋白A1(ApoB/ApoA1)检测对高血压早期肾损伤的诊断价值。方法:选取80例高血压患者为研究对象,根据早期肾损伤诊断标准将其分为单纯高血压组(n=47)及高血压合并早期肾损伤组(n=33)。比较两组患者一般资料、血脂、RBP、Cys-C、ApoB/ApoA1水平,采用Logistic回归分析高血压患者早期肾损伤的危险因素。采用ROC曲线评估RBP、Cys-C、ApoB/ApoA1及其联合对高血压患者早期肾损伤的诊断效能。结果:早期肾损伤组患者RBP、Cys-C、ApoB/ApoA1水平均高于单纯高血压组,ApoA1水平低于单纯高血压组,差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,RBP、Cys-C、ApoB/ApoA1是原发性高血压患者合并早期肾损伤的危险因素(P<0.05)。ROC分析显示,当RBP≥3.475 mg/L时,诊断原发性高血压患者合并早期肾损伤的曲线下面积(AUC)为0.729,灵敏度为69.7%,特异度为72.3%;当Cys-C≥2.525 mg/L时,AUC为0.768,灵敏度为72.7%,特异度为74.5%;当ApoB/ApoA1≥0.870时,AUC为0.656,灵敏度为63.6%,特异度为68.1%;三者联合诊断的AUC为0.870,灵敏度为81.8%,特异度为80.9%。结论:高血压合并早期肾损伤患者RBP、Cys-C、ApoB/ApoA1水平升高,可将其联合用于高血压合并早期肾损伤的辅助诊断。 展开更多
关键词 高血压 早期肾损伤 视黄醇结合蛋白 胱抑素C 载脂蛋白b 载脂蛋白A1
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急性胰腺炎患儿血清ACE2、ApoB/A1比值与病情程度及预后的关系
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作者 王改 侯梦妍 《临床误诊误治》 CAS 2024年第4期57-62,共6页
目的研究急性胰腺炎(AP)患儿血清血管紧张素转化酶2(ACE2)、载脂蛋白B/A1(ApoB/A1)比值与病情程度及预后的关系。方法选取2021年4月—2023年10月116例AP患儿,其中轻中症69例、重症47例。比较不同病情程度患儿血清ACE2、ApoB/A1比值及病... 目的研究急性胰腺炎(AP)患儿血清血管紧张素转化酶2(ACE2)、载脂蛋白B/A1(ApoB/A1)比值与病情程度及预后的关系。方法选取2021年4月—2023年10月116例AP患儿,其中轻中症69例、重症47例。比较不同病情程度患儿血清ACE2、ApoB/A1比值及病情程度相关评分[急性胰腺炎严重程度床边指数(BISAP)、Ranson评分、急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)];分析血清ACE2、ApoB/A1比值与病情程度评分的相关性;统计116例患儿预后,比较不同预后患儿血清ACE2、ApoB/A1比值,采用相对危险度分析血清ACE2、ApoB/A1比值对AP患儿预后不良风险的影响;采用受试者工作特征(ROC)曲线评价血清ACE2、ApoB/A1比值对AP患儿预后的预测价值。结果轻中症组血清ACE2水平较重症组高,ApoB/A1比值及BISAP、Ranson、APACHEⅡ评分均低于重症组(P<0.01)。Pearson相关性分析显示,AP患儿血清ACE2水平均与BISAP、APACHEⅡ、Ranson评分呈负相关,ApoB/A1比值均与BISAP、Ranson、APACHEⅡ评分呈正相关(P<0.01)。预后不良患儿血清ApoB/A1比值高于预后良好患儿,ACE2水平低于预后良好患儿(P<0.05)。血清ACE2低水平亚组预后不良风险是高水平亚组的4.667(95%CI:1.416,15.380)倍;ApoB/A1比值高水平亚组预后不良风险是低水平亚组的3.250(95%CI:1.126,9.380)倍。ROC曲线显示,血清ACE2、ApoB/A1比值联合预测AP患儿预后的曲线下面积为0.927,明显高于各指标单独预测。结论血清ACE2、ApoB/A1比值与AP患儿病情程度具有明显相关性,且两项指标联合检测对AP患儿预后有较好预测价值。 展开更多
关键词 急性胰腺炎 儿童 血管紧张素转化酶2 载脂蛋白b/A1 相关性 受试者工作特征曲线 预后 预测价值
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血栓弹力图参数联合ApoA1、ApoB水平对冠心病PCI术预后的预测价值
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作者 刘鹏 林芳 吴屹 《中国急救复苏与灾害医学杂志》 2024年第5期599-602,共4页
目的探讨血栓弹力图(TEG)参数联合血清载脂蛋白A1(ApoA1)、载脂蛋白B(ApoB)水平对冠心病择期经皮冠状动脉介入(PCI)术预后的预测方法。方法选取2020年1月—2023年6月于绵阳市中心医院接受PCI治疗的共106例患者,根据预后分为两组,其中预... 目的探讨血栓弹力图(TEG)参数联合血清载脂蛋白A1(ApoA1)、载脂蛋白B(ApoB)水平对冠心病择期经皮冠状动脉介入(PCI)术预后的预测方法。方法选取2020年1月—2023年6月于绵阳市中心医院接受PCI治疗的共106例患者,根据预后分为两组,其中预后不良组33例,预后良好组73例。回顾性收集分析患者资料,采用受试者工作特征(ROC)曲线评估TEG参数联合血清ApoA1、ApoB水平的预测价值。结果预后不良组凝血反应时间(R)值、凝固时间(K)值较预后良好组短,而Angel角(α)、图中两侧曲线的最宽距离(MA)值、血栓弹力图(ε)值高于预后良好组,最大凝固时间(m)值较预后良好组长(P<0.05);预后不良组ApoA1水平低于预后良好组,ApoB水平高于预后良好组(P<0.05);多因素Logistics回归分析显示,TEG参数中的R值、K值与血清ApoA1、ApoB均是患者PCI术预后的独立影响因素(P<0.05);ROC曲线分析结果显示,R值、K值、血清ApoA1及其ApoB联合预测的曲线下面积(AUC)分别为0.627、0.709、0.755、0.712、0.788,联合预测的AUC优于各单项指标,敏感度、特异度分别为100.00%、84.93%。结论TEG参数R值与K值、血清ApoA1、ApoB均是冠心病者PCI术预后的独立影响因素,其联合预测冠心病患者PCI术后预后不良时有较好的敏感度,在特异度上的优势也值得临床关注。 展开更多
关键词 冠心病 经皮冠状动脉介入 预后 血栓弹力图 载脂蛋白A1 载脂蛋白b
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血浆脂蛋白a载脂蛋白A-I/载脂蛋白B比值在急性冠脉综合征合并2型糖尿病患者多支病变及严重冠状动脉病变中的预测价值
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作者 邬晓丽 石磊 《山西医药杂志》 CAS 2024年第2期87-91,共5页
目的分析急性冠脉综合征(ACS)合并2型糖尿病患者血浆脂蛋白a[lipoprotein(a),Lp(a)]及载脂蛋白A-I/载脂蛋白B(apolipoprotein A-I/apolipoprotein B,ApoA-I/ApoB)比值变化与临床特点。方法选取自2022年1月至2023年3月进行治疗的ACS患者... 目的分析急性冠脉综合征(ACS)合并2型糖尿病患者血浆脂蛋白a[lipoprotein(a),Lp(a)]及载脂蛋白A-I/载脂蛋白B(apolipoprotein A-I/apolipoprotein B,ApoA-I/ApoB)比值变化与临床特点。方法选取自2022年1月至2023年3月进行治疗的ACS患者213例,观察组(74例)为ACS合并2型糖尿病患者,对照组(139例)为单纯ACS患者,对2组Lp(a)及ApoA-I/ApoB比值进行分析。结果观察组体质指数及有高血压史构成比均高于对照组(P<0.05)。观察组中多支病变组Lp(a)水平高于单支病变组及双支病变组(P<0.05),多支病变组ApoA-I/ApoB比值低于单支病变组及多支病变组,差异有统计学意义(P<0.05)。对照组多支病变组Lp(a)水平高于单支病变组及双支病变组,ApoA-I/ApoB比值低于单支病变组及多支病变组(P<0.05)。观察组Gensini积分亚组中高分组Lp(a)水平高于低分组,ApoA-I/ApoB比值低于低分组(P<0.05)。对照组Gensini积分亚组中低分组与高分组Lp(a)水平与ApoA-I/ApoB比值差异无统计学意义(P>0.05)。观察组GRACE评分亚组中高危组ApoA-I/ApoB比值低于低危组及中危组,Lp(a)值高于低危组及中危组(P<0.05),观察组及对照组组中的低危险以及中危组ApoA-I/ApoB比值、Lp(a)值差异均无统计学意义(P>0.05)。Logistic回归分析结果表明Lp(a)水平升高为ACS合并2型糖尿病患者多支冠状动脉病变的危险因素,ApoA-I/ApoB比值升高均为ACS合并2型糖尿病患者多支冠状动脉病变及冠状动脉狭窄程度的保护因素(P<0.05)。结论检测Lp(a)水平及ApoA-I/ApoB比值能够为临床预测ACS患者合并2型糖尿病多支与严重冠状动脉病变提供指导。 展开更多
关键词 2型糖尿病 急性冠脉综合征 血浆 脂蛋白a 载脂蛋白A-I/载脂蛋白b
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血液透析患者脂蛋白a及载脂蛋白B与冠心病的相关性
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作者 张鹏 栾春雨 姜珊 《实用心电学杂志》 2024年第1期67-70,共4页
目的探讨血液透析患者脂蛋白a、载脂蛋白B与冠心病的关系。方法收集151例血液透析患者的临床基线资料,采用酶联免疫吸附法(enzyme-linked immunosorbent assay,ELISA)测定患者脂蛋白a、载脂蛋白B水平,依据病史和冠状动脉造影结果分为冠... 目的探讨血液透析患者脂蛋白a、载脂蛋白B与冠心病的关系。方法收集151例血液透析患者的临床基线资料,采用酶联免疫吸附法(enzyme-linked immunosorbent assay,ELISA)测定患者脂蛋白a、载脂蛋白B水平,依据病史和冠状动脉造影结果分为冠心病组(39例)和无冠心病组(112例)。通过多因素Logistic回归分析,筛选出血液透析患者冠心病的独立危险因素。结果冠心病组的脂蛋白a水平较无冠心病组升高,但差异无统计学意义[(266.21±308.30)mg/L vs.(221.42±304.30)mg/L,P=0.10]。年龄(OR=1.144,95%CI 1.053~1.239,P<0.01)、男性(OR=2.092,95%CI 1.340~3.270,P<0.01)、糖尿病(OR=1.678,95%CI 1.102~2.572,P<0.05)、载脂蛋白B水平(OR=1.191,95%CI 1.081~1.322,P<0.01)都是血液透析患者发生冠心病的独立危险因素。结论除年龄、男性、糖尿病等经典冠心病危险因素外,载脂蛋白B也是血液透析患者发生冠心病的独立危险因素。 展开更多
关键词 脂蛋白A 载脂蛋白b 血液透析 冠心病
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血清hs-CRP、apoA1/apoB、UA水平与急性心肌梗死合并2型糖尿病患者血管病变支数、狭窄程度的相关性
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作者 杨海清 刘静 《中国民康医学》 2024年第8期145-148,共4页
目的:分析血清超敏C反应蛋白(hs-CRP)、载脂蛋白A1/载脂蛋白B(apoA1/apoB)、尿酸(UA)水平与急性心肌梗死(AMI合并2型糖尿病(T_(2)DM)患者血管病变支数、狭窄程度的相关性。方法:选取2021年5月至2023年5月该院收治150例AMI患者进行前瞻... 目的:分析血清超敏C反应蛋白(hs-CRP)、载脂蛋白A1/载脂蛋白B(apoA1/apoB)、尿酸(UA)水平与急性心肌梗死(AMI合并2型糖尿病(T_(2)DM)患者血管病变支数、狭窄程度的相关性。方法:选取2021年5月至2023年5月该院收治150例AMI患者进行前瞻性研究,设为研究组,根据是否合并2型糖尿病(T_(2)DM)将其分为合并组(n=100)、未合并组(n=50),另选取同期50名健康体检者,设为对照组。比较三组血清hs-CRP、apoA1/apoB、UA水平,合并组不同Gensini评分患者hs-CRP、apoA1/apoB、UA水平,合并组不同动脉病变支数患者hs-CRP、apoA1/apoB、UA水平,并采用Spearman相关性分析血清hs-CRP、apoA1/apoB、UA水平与AMI合并T_(2)DM患者血管病变支数、狭窄程度的相关性。结果:合并组hs-CRP、UA水平均高于未合并组、对照组,且未合并组高于对照组,合并组apoA1/apoB低于未合并组、对照组,且未合并组低于对照组,差异有统计学意义(P<0.05);Gensini评分>40分患者hs-CRP、UA水平均高于Gensini评分为21~40分、0~20分患者,且Gensini评分为21~40分患者高于Gensini评分为0~20分患者,Gensini评分>40分患者的apoA1/apoB低于Gensini评分为21~40分、0~20分患者,且Gensini评分为21~40分患者低于Gensini评分为0~20分患者,差异有统计学意义(P<0.05);血管病变支数为3支患者的hs-CRP、UA水平均高于血管病变支数为2支、1支的患者,且2支高于1支,血管病变支数为3支患者的apoA1/apoB低于血管病变支数为2支、1支,且2支低于1支,差异有统计学意义(P<0.05);合并组血清hs-CRP、UA水平与血管病变支数、Gensini评分均呈正相关(r>0,P<0.05),apoA1/apoB与血管病变支数、Gensini评分均呈负相关(r<0,P<0.05)。结论:血清hs-CRP、UA水平与AMI合并T_(2)DM患者血管病变支数、Gensini评分等均呈正相关,血清apoA1/apoB与AMI合并T_(2)DM患者动脉病变支数、Gensini评分等均呈负相关。 展开更多
关键词 超敏C反应蛋白 载脂蛋白A1/载脂蛋白b 尿酸 2型糖尿病 急性心肌梗死 相关性
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The Relationship between Apolipoprotein B Gene Loci Polymorphisms and Coronary Heart Disease. 被引量:5
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作者 Qu Wan-yun,et al. Beijing Railway General Hospital, Beijing 100038. Chin J Med Lab Tech 1994 《Chinese Medical Journal》 SCIE CAS CSCD 1994年第7期26-26,共1页
The authors utilized the polymerase chain reaction to rapidly and accurately type a variable number of tandemly repeated loci (VNTR loci) of the 3’ flanking region of apolipoprotein B (apo B) gene, and studied the re... The authors utilized the polymerase chain reaction to rapidly and accurately type a variable number of tandemly repeated loci (VNTR loci) of the 3’ flanking region of apolipoprotein B (apo B) gene, and studied the relationship between this loci polymorphisms and coronary heart disease (CAD); comparisons were made with relative diseases and 展开更多
关键词 APOb The Relationship between apolipoprotein b Gene Loci Polymorphisms and Coronary Heart Disease GENE
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Apolipoprotein B/Apolipoprotein A1 ratio is associated with sex hormone binding globulin and may be an indicator of metabolic syndrome in PCOS women 被引量:2
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作者 Ying WANG Yan LI +5 位作者 Fang XU Yan-qiu LI Jing WU Gui-yan WANG Song-jiang LIU Li-hui HOU 《Journal of Reproduction and Contraception》 CSCD 2015年第4期213-221,共9页
Objective To identify significant factors related to the apolipoprotein B/apolipoprotein A1 (apoB/A1) ratio and investigate the association between the apoB/A1 ratio and metabolic syndrome (MS) in polycystic ovary... Objective To identify significant factors related to the apolipoprotein B/apolipoprotein A1 (apoB/A1) ratio and investigate the association between the apoB/A1 ratio and metabolic syndrome (MS) in polycystic ovary syndrome (PCOS) women. Methods Totally 307 subjects with PCOS were collected and recruited fulfilling the revised 2003 Rotterdam diagnostic criteria. MS was diagnosed by the National Cholesterol Education Program-Adult treatment Panel (NCEP-ATP) III criteria. Results The prevalence of MS in PCOS women was 31.6%, whose average age was 26.2 ___+ 5.2 years. The apoB/A1 ratio was significantly correlated with age, body mass index (BM1), waist circumference (WC), hip circumference, waist-to-hip ratio, blood pressure, metabolic abnormalities, sex hormone binding globulin (SHBG), and free androgen index. In addition, SHBG had a significant association with all five component risk of MS. The increasing apoB/A1 ratio was associated with the prevalence of MS and was one of the risk factors of MS. Conclusion SHBG was considered as an additional potential factor in predicting the metabolic abnormity in PCOS women. The apoB/A1 ratio is associated with SHBG and might be an indicator of MS in PCOS women. 展开更多
关键词 polycystic ovary syndrome (PCOS) metabolic syndrome (MS) apolipoproteinA1 (apoA1) apolipoprotein b (apob sex hormone-binding globulin (SHbG)
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The Study of Apolipoprotein B Gene Polymorphisms by Polymerase Chain Reaction. 被引量:1
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作者 Ye Ping, et al. PLA Genefal Hospital, Beijing 100853. Chin J Med Lab Tech 1994 《Chinese Medical Journal》 SCIE CAS CSCD 1994年第7期21-21,共1页
Two polymorphic sites of apolipoprotein B(apoB) gene-Xbal and EcoRI were examined in a sample of 103 patients with documented coronary heart disease (CHD) and 100 healthy individuals. It was demonstrated: (1) Th... Two polymorphic sites of apolipoprotein B(apoB) gene-Xbal and EcoRI were examined in a sample of 103 patients with documented coronary heart disease (CHD) and 100 healthy individuals. It was demonstrated: (1) The frequencies of rare Xallele (presence of Xbal cutting site) and E-allele (absence of cutting site) were significantly higher in CHD patients than those in controls. It was suggested that these genetic variations were associated with CHD. (2) The patients with genotype of XXhad significantly lower 展开更多
关键词 APOb GENE CHD The Study of apolipoprotein b Gene Polymorphisms by Polymerase Chain Reaction GENE
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血清ApoB/ApoA1、LTBP-2、VASP对不稳定型心绞痛进展至急性心肌梗死的预测效能 被引量:3
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作者 曹学民 张颖 《河北医药》 CAS 2023年第11期1637-1640,1645,共5页
目的探讨血清载脂蛋白B(ApoB)/载脂蛋白A1(ApoA1)、潜在转化生长因子结合蛋白-2(LTBP-2)、血管扩张刺激磷蛋白(VASP)对不稳定型心绞痛(UA)进展至急性心肌梗死(AMI)的预测效能。方法选取2020年1月至2021年12月收治的80例UA患者,根据住院... 目的探讨血清载脂蛋白B(ApoB)/载脂蛋白A1(ApoA1)、潜在转化生长因子结合蛋白-2(LTBP-2)、血管扩张刺激磷蛋白(VASP)对不稳定型心绞痛(UA)进展至急性心肌梗死(AMI)的预测效能。方法选取2020年1月至2021年12月收治的80例UA患者,根据住院期间是否进展为AMI分为AMI组(26例)和UA组(54例)。比较2组临床资料、血清ApoB/ApoA1、LTBP-2、VASP水平,分析各血清指标与冠脉狭窄程度、心功能分级及UA进展至AMI风险的关系,评价其对UA进展至AMI的预测效能。结果2组UA病程、冠脉狭窄程度、心功能分级差异有统计学意义(P<0.05);AMI组血清ApoB/ApoA1、LTBP-2水平高于UA组,VASP水平低于UA组(P<0.05);血清ApoB/ApoA1、LTBP-2与冠脉狭窄程度、心功能分级呈正相关,VASP与冠脉狭窄程度、心功能分级呈负相关(P<0.05);校正UA病程、冠脉狭窄程度、心功能分级等其他因素前后,血清ApoB/ApoA1、LTBP-2、VASP均与UA进展至AMI风险独立相关(P<0.05);血清ApoB/ApoA1、LTBP-2、VASP联合预测UA进展至AMI的AUC为0.951(95%CI:0.878~0.987),大于各指标单独预测。结论血清ApoB/ApoA1、LTBP-2、VASP可作为UA进展至AMI的预测因子,联合预测价值较为可靠,为临床及早防治提供帮助。 展开更多
关键词 不稳定型心绞痛 急性心肌梗死 载脂蛋白b/载脂蛋白A1 潜在转化生长因子结合蛋白-2 血管扩张刺激磷蛋白
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