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全自动(1,3)-β-D-葡聚糖检测对老年侵袭性真菌感染的诊断价值
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作者 蒋士侖 陈海华 杨丹丹 《中文科技期刊数据库(引文版)医药卫生》 2024年第3期0198-0201,共4页
探讨(1,3)-β-D-葡聚糖检测(G试验)自动化检测在老年侵袭性真菌感染(IFI)诊断中的临床意义及价值。方法 采用IGL-200全自动真菌细菌动态检测仪检测440例疑似IFI老年患者血清样本中(1,3)-β-D-葡聚糖含量。结果 440例临床血清样本中阳性5... 探讨(1,3)-β-D-葡聚糖检测(G试验)自动化检测在老年侵袭性真菌感染(IFI)诊断中的临床意义及价值。方法 采用IGL-200全自动真菌细菌动态检测仪检测440例疑似IFI老年患者血清样本中(1,3)-β-D-葡聚糖含量。结果 440例临床血清样本中阳性59例(阳性率13.41%),阴性381例(阴性率86.59%)。结论 在结合临床表现及病原学检测的基础上,G试验是一种实用的IFI早期诊断指标,能够起到良好的筛查作用,亦能作为老年IFI的动态监测指标,具有较好的临床应用价值。使用全自动设备可以明显提高操作效率和实验准确性,对检验结果更具有保证。 展开更多
关键词 (1 3)-β-d-glucan 老年侵袭性真菌感染 临床诊断 全自动
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Integrative Extraction of Ergosterol, (1→3)-α-D-Glucan and Chitosan from Penicillium chrysogenum Mycelia 被引量:11
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作者 王天奇 李翰祥 +1 位作者 王满意 谭天伟 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2007年第5期725-729,共5页
Abstract Ergosterol,(1→3)-α-D-glucan and chitosan are important biomaterials. In this research, a process has been developed to integratively extract ergosterol, (1→3)-α-D-glucan, and chitosan from Penicillium... Abstract Ergosterol,(1→3)-α-D-glucan and chitosan are important biomaterials. In this research, a process has been developed to integratively extract ergosterol, (1→3)-α-D-glucan, and chitosan from Penicillium chrysongenum mycelium. First the mycelia are pretreated with 0.1mol·L^-1 of NaOH. After recovery by centrifugation the solid portion is made to undergo saponification and deacetylation reactaons by addition of 2mol·L^-1 NaOH and et anol.After reaction, extraction is carried out by addition of petroleum ether, which separates the reaction mixture into two phases. The upper layer of petroleum ether contains extracted ergosterol, and the .bottom layer of NaOH solution contains (1→3)-α-DEglucan; the chitosan is on the mycelia residuum. After isolation, the recovery yield of ergosterol is 0.52% of dry mycelium. That of (1→3)-α-D-glucan is about 8.2%; and chitosan is 5.7% with 86% deacetylation. The compositions have been characterized by 1R, HPLC analyses. 展开更多
关键词 ERGOSTEROL 13-α-d-glucan CHITOSAN EXTRACTION Penicillium chrysogenum
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STRUCTURE,MOLECULAR WEIGHT AND BIOACTIVITIES OF(1→3)-β-D-GLUCANS AND ITS SULFATED DERIVATIVES FROM FOUR KINDS OF LENTINUS EDODES 被引量:5
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作者 UnursaikhanSurenjav 张俐娜 +3 位作者 Xiao-juanXu MeiZhang PeterChiKeungCheung Fan-boZeng 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2005年第3期327-336,共10页
Lentinan samples,(1→3)-β-D-glucans containing 4.6-15.2 wt% proteins,coded as L-I_1 L-I_2 L-I_3 and L-I_4(L-I)were isolated from four kinds of Lentinus edodes.These glucans were treated with acetone to remove the pro... Lentinan samples,(1→3)-β-D-glucans containing 4.6-15.2 wt% proteins,coded as L-I_1 L-I_2 L-I_3 and L-I_4(L-I)were isolated from four kinds of Lentinus edodes.These glucans were treated with acetone to remove the protein in orderto obtain free protein glucans coded as LNP-I_1,LNP-I_2.LNP-I_3 and LNP-I_4(LNP-I).The free-protein polysaccharideswere sulfated to give derivatives(S-LNP-I)with degree of substitution(DS)from 0.4-0.8.The structural features andweight-average molecular weight(M_w)of the samples were investigated by using infrared spectroscopy,elemental analysis,^(13)C-NMR,size exclusion chromatography combined with laser light scattering(SEC-LLS)and viscometry.The effects ofstructure and conformation of the polysaccharides on antitumor activities were assayed in vivo(Sarcoma 180 solid tumors)and in vitro(Sarcoma 180,HL-60,MCF-7 and Vero tumors).The results indicated that the predominant species of thesamples L-I and LNP-I in 0.2 mol/L NaCl aqueous solution existed as triple-helical chains with high rigidity and in dimethylsulfoxide(DMSO)as single-flexible chains.Interestingly,the antitumor activities of LNP-I are lower than those of the nativeglucans(L-I),whereas their sulfated derivatives have higher inhibition ratio against Sarcoma 180 than LNP-I.The resultsreveal that the binding of protein,sulfated modification and the triple helix conformation are important factors in theenhancement of the antitumor activities of polysaccharides on the whole. 展开更多
关键词 (13)-β-d-glucans Lentinus Edodes Molecular weight PROTEIN Sulfated derivative Antitumor activity.
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CRITICAL CONCENTRATIONS OF α(1→3)-D-GLUCAN FROM LENTINUS EDODES IN NaOH AQUEOUS SOLUTION
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作者 张俐娜 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2000年第6期501-507,共7页
Critical concentrations of α-(1→3)-D-glucan L-FV-Ⅱ from Lentinus edodes were studied by viscometry andfluorescence probe techniques. The dependence of the reduced viscosity on concentration of the glucan in 0.5 mol... Critical concentrations of α-(1→3)-D-glucan L-FV-Ⅱ from Lentinus edodes were studied by viscometry andfluorescence probe techniques. The dependence of the reduced viscosity on concentration of the glucan in 0.5 mol/L NaOHaqueous solutions with or without urea showed two turning points corresponding to the dynamic contact concentration c_s andthe overlap concentration c~* of the polymer. The values of c_s and c~* were found to be 1×10^(-3) g cm^(-3) and 1.1×10^(-2) g cm^(-3),respectively, for L-FV-Ⅱ in 0.5 mol/L NaOH aqueous solutions. The two critical concentrations of L-FV-Ⅱ in 0.5 mol/LNaOH aqueous solutions were also found to be 1.2×10^(-3) g cm^(-3) fbr c_s and 9.2×10^(-3) g cm^(-3) for c~* from the concentrationdependence of phenanthrene fluorescence intensities. The overlap concentration c~* of L-FV-Ⅱ in 0.5 mol/L NaOH aqueoussolutions was lower than that of polystyrene with same molecular weight in benzene, owing to the fact that polysaccharidetends to undergo aggregation caused by intermolecular hydrogen bonding. A normal viscosity behavior of L-FV-Ⅱ in 0.5 mol/L urea/0.5 mol/L NaOH aqueous solutions can still be observed in an extremely low concentration range at 25℃. 展开更多
关键词 α-(13)-d-glucan Lentinus edodes Critical concentration VISCOMETRY FLUORESCENCE
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2种中草药静脉注射剂细菌内毒素检查方法的研究 被引量:1
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作者 陈吉生 杨泽民 《广东药学院学报》 CAS 2001年第3期198-199,共2页
目的 :研究 2种中草药静脉注射剂的细菌内毒素检查方法。方法 :通过试验证明黄芪注射液、刺五加注射液对BET检查均有增强作用。结果 :通过加入过量的 ( 1 3) β D glucan溶液可消除对BET检查的干扰。结论 :此 2种中草药静脉注射剂可以用... 目的 :研究 2种中草药静脉注射剂的细菌内毒素检查方法。方法 :通过试验证明黄芪注射液、刺五加注射液对BET检查均有增强作用。结果 :通过加入过量的 ( 1 3) β D glucan溶液可消除对BET检查的干扰。结论 :此 2种中草药静脉注射剂可以用BET法取代热原检查法。 展开更多
关键词 中草药 静脉注射剂 细菌内毒素 检查 鲎试剂 (1-3-d-glucan
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念珠菌血流感染的诊治进展 被引量:15
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作者 宋星澎 郑锐 《医学综述》 2019年第4期758-762,共5页
近年来,针对念珠菌血症诊断及治疗方面有了诸多进展,新的检查及治疗方案也被提出,针对念珠菌血症,血培养尽管为金标准,但是由于敏感性较低,不作为首选检查方式,1-3-β-D葡聚糖、甘露糖Ig G检测均有较高的敏感性,但特异性不高,而聚合酶... 近年来,针对念珠菌血症诊断及治疗方面有了诸多进展,新的检查及治疗方案也被提出,针对念珠菌血症,血培养尽管为金标准,但是由于敏感性较低,不作为首选检查方式,1-3-β-D葡聚糖、甘露糖Ig G检测均有较高的敏感性,但特异性不高,而聚合酶链反应检测技术的应用,还有待进一步的研究。而且要在检查结果的基础上,合理综合患者症状、体征做出诊断。在抗真菌药物方面,新一代抗真菌药物棘白菌素类以其高效的抗菌活性以及较少的不良反应被推荐为抗念珠菌感染的首选药物,氟康唑等三唑类药物则作为后续持续治疗的选择,而对耐药的患者,则建议根据药敏试验及时调整药物。在预后方面影响念珠菌血症预后的因素较多,入住重症监护病房、既往慢性疾病、有创操作、导管置入等因素均会导致不良预后,增加死亡风险。如何权衡以及及时消除不良因素也是临床研究重点,何时拔除导管,如何有效地支持治疗及选择预防性抗真菌药物等因素尤为重要。 展开更多
关键词 念珠菌血症 重症监护病房 血细菌培养 1-3-β-D葡聚糖 甘露糖IgG抗体 咪唑类 棘白菌素类 导管置入
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获得性免疫缺陷综合征合并隐球菌性脑膜炎预后影响因素分析 被引量:4
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作者 涂文瑶 何娟 +2 位作者 龙海 吴君 梁跃东 《贵州医科大学学报》 CAS 2021年第4期440-446,共7页
目的分析获得性免疫缺陷综合症(AIDS)合并隐球菌性脑膜炎(CM)患者预后影响因素。方法137例AIDS合并CM患者根据随访结束时的生存状况分为生存组及死亡组,采用单因素方差分析两组患者的年龄、性别、影像学检查(胸部CT、头颅CT或MRI)、临... 目的分析获得性免疫缺陷综合症(AIDS)合并隐球菌性脑膜炎(CM)患者预后影响因素。方法137例AIDS合并CM患者根据随访结束时的生存状况分为生存组及死亡组,采用单因素方差分析两组患者的年龄、性别、影像学检查(胸部CT、头颅CT或MRI)、临床症状(头痛、发热、呕吐及意识障碍)、血常规、C反应蛋白、红细胞沉降率、降钙素原、血(1,3)-β-D葡聚糖、细菌内毒素、血液隐球菌抗原(CrAg)阳性率、CD4+T淋巴细胞、HIV病毒载量、脑脊液氯化物、脑脊液葡萄糖及脑脊液蛋白的差异,将有差异的因素(P<0.05)纳入COX比例风险回归模型,确定AIDS合并CM的独立预后影响因素;采用Kaplan-Meier法测定患者生存率,Log-rank检验各影响因素差异的显著性。结果137例AIDS合并CM患者中,生存组111例、死亡组26例,单因素分析显示患者年龄、CD4+T淋巴细胞、HIV病毒载量、血(1,3)-β-D葡聚糖及血液CrAg阳性是AIDS合并CM患者预后影响因素(P<0.05);多因素COX回归分析显示患者年龄(HR=4.375,95%CI为1.855~10.319,P=0.001)、CD4+T淋巴细胞(HR=4.110,95%CI为2.351~12.553,P=0.013)、HIV病毒载量(HR=5.040,95%CI为1.119~22.699,P=0.035)及血液CrAg阳性(HR=8.135,95%CI为2.353~26.113,P=0.001)是AIDS合并CM独立预后影响因素;Log-rank检验及Kaplan-Meier生存曲线图显示患者年龄≥50岁、CD4+T淋巴细胞<50个/μL、HIV病毒载量≥1×107拷贝/L及血液CrAg阳性可导致AIDS合并CM患者生存率明显下降(P<0.05)。结论年龄、CD4+T淋巴细胞、HIV病毒载量、及血液CrAg阳性是影响AIDS合并CM独立预后影响因素。 展开更多
关键词 获得性免疫缺陷综合征 脑膜炎 隐球菌性 预后影响因素 年龄 CD4+T淋巴细胞 HIV病毒载量 血(1 3)-β-D葡聚糖 隐球菌抗原
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