期刊文献+
共找到524篇文章
< 1 2 27 >
每页显示 20 50 100
Expression of tumor necrosis factor related apoptosis inducing ligand receptor in glioblastoma
1
作者 Dongling Gao Zhongwei Zhao Hongxin Zhang Lan Zhang Kuisheng Chen Yunhan Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2008年第5期538-541,共4页
BACKGROUND: Receptors for tumor necrosis factor related apoptosis inducing ligand (TRAIL) include death receptor 4, death receptor 5, decoy receptor 1, and decoy receptor 2. Activation of death receptor 4 and 5 sel... BACKGROUND: Receptors for tumor necrosis factor related apoptosis inducing ligand (TRAIL) include death receptor 4, death receptor 5, decoy receptor 1, and decoy receptor 2. Activation of death receptor 4 and 5 selectively kills tumor cells. OBJECTIVE: To detect TRAIL receptor expression in glioblastoma by immunohistochemistry and RT-PCR, and to compare this expression to that in normal brain tissue. DESIGN: Observational analysis. SETTING: Department of Pathology, the First Affiliated Hospital of Zhengzhou University; Henan Tumor Pathology Key Laboratory. PARTICIPANTS: Twenty-five patients (17 males and 8 females) who received glioblastoma resection were selected from the Fifth Affiliated Hospital of Zhengzhou University, between September 2003 to June 2004. All glioblastoma samples were diagnosed pathologically. Twenty patients (12 males and 8 females) with craniocerebral injury who received normal brain tissue resection were selected in the same time period. There were no significant differences in sex and age between glioblastoma patients or between craniocerebral injury patients (P 〉 0.05). All patients and appropriate relatives provided informed consent, and this study was approved by the local research ethics committee. METHODS: Polyclonal antibody against TRAIL receptors and an immunohistochemical kit (batch number: 200502) were purchased from Boster Company, Wuhan. Immunohistochemistry: Expression of death receptor 4, death receptor 5, decoy receptor l, and decoy receptor 2 were observed in both glioblastoma and normal brain tissue. The experiment was performed according to the kit instructions, and positive staining was brown-yellow. Assessment: There were no positive signals (-); weakly positive signals, positive cells 〈 25% (+); weakly positive signals, positive cells 25%-50% (++); strongly positive signals, positive cells 50%-75% (+++); strongly positive signals, positive cells 〉 75% (++++). Evaluation: Expression levels of TRAIL receptors were estimated in both normal brain tissue and glioblastoma. Expression of decoy receptor 1 and decoy receptor 2 mRNA in glioblastoma were detected by reverse transcription polymerase chain reaction, and expression of decoy receptor in glioblastoma was estimated. MAIN OUTCOME MEASURES: Comparison of death receptor and decoy receptor protein expression between glioblastoma and normal brain tissue; decoy receptor mRNA expression in glioblastoma. RESULTS: Death receptor protein expression was strongly positive (+++) in glioblastoma, while it was weakly positive (+, ++) in normal brain tissue. Therefore, expression rate of death receptor protein in the glioblastoma was significantly higher than that in the normal brain tissue (.~ 2 = 18.48, 23.03, P 〈 0.01). Decoy receptor protein expression in the glioblastoma was significantly lower than that in the normal brain tissue ( x2 = 6.65, 18.76, P 〈 0.01). The level of decoy receptor mRNA expression in glioblastoma was significantly higher than those of protein expression ( x 2 = 9.82, 10.09, P〈 0.01). CONCLUSION: High expression of death receptor and low expression of decoy receptor are frequently observed in glioblastoma, suggesting that TRAIL receptor genes show an anti-tumor and expressive response during the initiation and development of the tumor. There are significant differences in decoy receptor expression between normal brain tissue and glioblastoma, suggesting that the restricted expression of decoy receptor in glioblastoma is regulated at the post-transcriptional level. 展开更多
关键词 GLIOBLASTOMA tumor necrosis factor related apoptosis inducing ligand APOPTOSIS IMMUNOHISTOCHEMISTRY reverse transcription polymerase chain reaction
下载PDF
Tumor necrosis factor-related apoptosis-inducing ligand-induced apoptosis in glioma U87 cells
2
作者 Fei Zhong Xiangyuan Wu +5 位作者 Chunkui Shao Qu Lin Min Dong Jingyun Wen Xiaokun Ma Li Wei 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第17期1319-1323,共5页
Studies have shown that tumor necrosis factor-related apoptosis-inducing ligand(TRAIL)exhibits strong induction of apoptosis in human glioma cells.It remains unclear whether the mitochondrion pathway,an important ap... Studies have shown that tumor necrosis factor-related apoptosis-inducing ligand(TRAIL)exhibits strong induction of apoptosis in human glioma cells.It remains unclear whether the mitochondrion pathway,an important apoptosis signaling pathway,is involved in TRAIL-induced glioma cell apoptosis.In the present study,in vitro cultured human glioma U87 cells were treated with human recombinant soluble TRAIL.Apoptosis of glioma U87 cells,mitochondrial transmembrane potential(Δψm),cytoplasmic cytochrome c concentration and changes in caspase-3,-8 and-9 activity following human recombinant soluble TRAIL treatment were investigated to determine the mechanism of glioma U87 cell apoptosis induced by TRAIL.Additionally,blocking caspase-8resulted in TRAIL-induced mitochondrion pathway activation,suggesting that TRAIL,through activating caspase-8,initiated a series of mitochondrial events and resulted in apoptosis of glioma U87 cells. 展开更多
关键词 tumor necrosis factor-related apoptosis-inducing ligand GLIOMA APOPTOSIS MITOCHONDRIA neural regeneration
下载PDF
Antitumor effect of tumor necrosis factor-related apoptosis inducing ligand combined with mevastatin on a human glioma cell line SWO-38
3
作者 Fei Zhong Jing Yang +1 位作者 Xiaogan Jin Guoping Sun 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第5期396-400,共5页
BACKGROUND: Previous studies have reported that statins are less toxic to the human body and have greater antitumor activity; however, few studies have addressed the antitumor effect of statins combined with tumor ne... BACKGROUND: Previous studies have reported that statins are less toxic to the human body and have greater antitumor activity; however, few studies have addressed the antitumor effect of statins combined with tumor necrosis factor-related apoptosis inducing ligand (TRAIL). OBJECTIVE: To explore the effect of TRAIL combined with mevastatin on the proliferation and apoptotic cell death of a human glioma cell line SWO-38, and to study its mechanism of action. DESIGN, TIME AND SETTING: An in vitro control experiment was performed at the Central Laboratory of the Third Hospital Affiliated to Sun Yat-sen University, between January and April 2009. MATERIALS: The human SWO-38 cell line was provided by Cell Research, Department of Animal Experimental Center of Sun Yat-sen University; human recombinant soluble TRAIL by R&D, USA; and mevastatin by Sigma, USA. METHODS: SWO-38 cells were separately incubated in TRAIL (100, 200, 300, 400, and 500 tJg/L) and mevastatin (5, 10, 20, 30, and 40 pmol/L) for 72 hours. In addition, SWO-38 cells were incubated in TRAIL (300 μg/L), mevastatin (30 μmol/L), and a solution containing both TRAIL and mevastatin for 12, 24, 48 and 72 hours. MAIN OUTCOME MEASURES: Cell proliferation was detected using methyl thiazolyl tetrazolium assay; cell apoptosis was observed using Hoechst 33258 staining and fluorescence microscopy and was measured using Annexin V/propidium iodide flow cytometry; TRAIL R1/DR4 and TRAIL R2/DR5 protein expressions levels were measured using indirect immunofluorescence staining combined with flow cytometry in the recombinant soluble TRAIL (rsTRAIL, 300 tJg/L), mevastatin (30 IJmol/L) and combination groups; TRAIL R1/DR4 and TRAIL R2/DR5 mRNA expression was detected using real-time polymerase chain reaction. RESULTS: rsTRAIL, mevastatin and their combination inhibited tumor proliferation in a time- and dose-dependent manner. The proliferation inhibitory rate and apoptosis rate of human SWO-38 cells in the combined group were significantly greater than the rsTRAIL or mevastatin alone group (P 〈 0.01). TRAIL R1/DR4 and TRAIL R2/DR5 protein and mRNA expressions were increased in the combination group compared with mevastatin or rsTRAIL alone after 72 hours (P 〈 0.01). CONCLUSION: Both rsTRAIL and mevastatin inhibit the proliferation and apoptosis of the human glioma cell line SWO-38, while their combination enhances the anti-tumor effect. The mechanism of action possibly correlates to the upregulation of TRAIL R1/DR4 and TRAIL R2/DR5 mRNA expression by mevastatin, thereby enhancing the cell sensitivity to rsTRAIL. 展开更多
关键词 tumor necrosis factor-related apoptosis inducing ligand mevastatin neuroglioma cell apoptosis cell proliferation SWO-38 human glioma cells nerve factor neural regeneration
下载PDF
TNF related apoptosis-inducing ligand and its receptors in ocular tumors 被引量:1
4
作者 Qian Ning, Xin-Han Zhao 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2011年第5期552-557,共6页
Most of the ocular tumors have poor prognosis, and they remain a difficult problem in the area of ophthalmology. With the rapid development of molecular biology and immunologic techniques and the deep research on ocul... Most of the ocular tumors have poor prognosis, and they remain a difficult problem in the area of ophthalmology. With the rapid development of molecular biology and immunologic techniques and the deep research on ocular tumor related genes, it becomes possible to diagnose and treat malignant tumors from the molecular level. The tumor necrosis factor related apoptosis-inducing ligand (TRAIL), a member of the tumor necrosis factor (TNF) super family, is a promising candidate, either alone or in combination with established cancer therapies, since it can initiate apoptosis through the activation of their death receptors. The ability of TRAIL to selectively induce apoptosis of transformed, virus-infected or tumor cells but not normal cells promotes the development of TRAIL-based cancer therapy. Here, we will review TRAIL and its receptors' structure, function, mechanism of action and application in ocular tumors therapy. 展开更多
关键词 tumor necrosis factor related apoptosis-inducing ligand ocular tumors APOPTOSIS
下载PDF
Effect of Wenhua Juanbi Recipe(温化蠲痹方) on Expression of Receptor Activator of Nuclear Factor Kappa B Ligand,Osteoprotegerin,and Tumor Necrosis Factor Receptor Superfamily Member 14 in Rats with Collagen-Induced Arthritis 被引量:2
5
作者 LIU Xi-de WANG Yun-qing +3 位作者 CAI Long YE Li-hong WANG Fang FENG Ying-ying 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2017年第3期208-214,共7页
Objective: To study the effect of Wenhua Juanbi Recipe(温化蠲痹方, WJR) on expression of receptor activator of nuclear factor kappa B ligand(RANKL), osteoprotegerin(OPG), and tumor necrosis factor receptor supe... Objective: To study the effect of Wenhua Juanbi Recipe(温化蠲痹方, WJR) on expression of receptor activator of nuclear factor kappa B ligand(RANKL), osteoprotegerin(OPG), and tumor necrosis factor receptor superfamily member 14(TNFRSF14, also known as LIGHT) in rats with collagen-induced arthritis(CIA). Methods: CIA rats were generated by subcutaneous injection of bovine collagen type-Ⅱ at the tail base. Sixty CIA rats were randomly assigned(10 animals/group) to: model, methotrexate(MTX)-treated(0.78 mg/kg body weight), and WJR-treated(22.9 g/kg) groups. Healthy normal rats(n=10) were used as the normal control. Treatments or saline were administered once daily by oral gavage. Rats were sacrificed at day 28 post-treatment and knee synovium and peripheral blood serum were collected. Toe swelling degree and expression of RANKL, OPG, and LIGHT were determined by Western blot and immunohistochemistry. Results: Compared with the normal group, toe swelling degree was significantly increased in the model group(P〈0.01). After treatment, toe swelling degree decreased significantly in the WJR and MTX groups compared with the model group(P〈0.01). Compared with the normal group, expression of RANKL and LIGHT were significantly increased and OPG significantly decreased in peripheral blood and synovium of the model group(P〈0.01). Conversely, RANKL and LIGHT expression were significantly reduced and OPG increased in the WJR and MTX groups compared with the model group(P〈0.01). No statistically significant difference existed between WJR and MTX groups. Conclusion: WJR likely acts by reducing RANKL expression and increasing OPG expression, thus inhibiting RANKL/RANK interaction and reducing LIGHT expression, thereby inhibiting osteoclast formation/activation to block bone erosion. 展开更多
关键词 Wenhua Juanbi Recipe collagen-induced arthritis receptor activator of nuclear factor kappa B ligand osteoprotegerin tumor necrosis factor receptor superfamily member 14 synovium peripheral blood Chinese medicine
原文传递
New means to monitor the effect of glucocorticoid therapy in children 被引量:4
6
作者 Hanne Rintamki Harri M Salo +1 位作者 Outi Vaarala Kaija-Leena Kolho 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第9期1104-1109,共6页
AIM:To study the individual effects of glucocorticoid (GC) therapy on the state ofimmune activation in patient serum.METHODS:We developed a novel assay in which the effect of corticosteroid-treated patient serum on he... AIM:To study the individual effects of glucocorticoid (GC) therapy on the state ofimmune activation in patient serum.METHODS:We developed a novel assay in which the effect of corticosteroid-treated patient serum on healthy donor peripheral blood mononuclear cells (target cells) was studied,with a panel of markers for effector [interferon (IFN)γ and interleukin (IL)-5] and regulatory T cells (FOXP3 and glucocorticoid-induced tumor necrosis factor receptor,GITR).The study group comprised 19 children with inflammatory bowel disease.The individual effect of patient serum on target cells was analyzed prior to GC therapy and 2 wk later.RESULTS:The effect of GC therapy mediated by patient serum was seen as a decrease in the target cells expression of regulatory T-cell-related markers GITR (median suppression 24%,range of suppression 1%-63%,in 2 cases increase of 6% and 77%,P < 0.01 for mitogen-activated target cells) and FOXP3 (median suppression 33%,range of suppression 0%-79%,in one case an increase of 173%,P < 0.05 for resting cells),and secretion of IFNγ [from a mean of 87 700 pg/mL (SD 33 900 pg/mL) to 60 900 pg/mL (SD 44 200 pg/mL) in mitogen-activated target cells,13 of the cases showed a decrease,P < 0.01].The total or weight-related prednisolone dose did not correlate with the patient-seruminduced changes in the target cell markers.CONCLUSION:GC response could be monitored at an individual level by studying the effect of patient serum on signaling pathways of target immune cells. 展开更多
关键词 glucocorticoid-induced tumor necrosis factor receptor FOXP3 INFLAMMATORY BOWEL disease CHILDREN
下载PDF
EGFR inhibitors sensitize non-small cell lung cancer cells to TRAIL-induced apoptosis 被引量:3
7
作者 Fei Xu Ying Tian +4 位作者 Yan Huang Ling-Ling Zhang Zheng-Zheng Guo Jia-Jia Huang Tong-Yu Lin 《Chinese Journal of Cancer》 SCIE CAS CSCD 北大核心 2011年第10期701-711,共11页
Apoptosis induced by tumor necrosis factor-related apoptosis-inducing ligand(TRAIL) can be regulated by the epidermal growth factor(EGF) signaling pathway.In this study,recombinant adenoviral vectors that encode TRAIL... Apoptosis induced by tumor necrosis factor-related apoptosis-inducing ligand(TRAIL) can be regulated by the epidermal growth factor(EGF) signaling pathway.In this study,recombinant adenoviral vectors that encode TRAIL gene from the hTERT/RGD promoter(AdTRAIL) was combined with drugs including gefitinib,elotinib,and cetuximab that inhibit EGFR and the EGF signaling pathway in non-small cell lung cancer(NSCLC) cell lines to investigate their antitumor activity.In vitro,compared to single reagent,AdTRAIL combined with EGFR inhibitors reduced proliferation and enhanced apoptosis in H460,A549,and SW1573 cell lines.Western blot results suggested that these effects were relative to up-regulation of pro-apoptosis protein BAX and down-regulation of p-AKT.In vivo,AdTRAIL combined with cetuximab resulted in a significant growth reduction in H460 xenografts without damage to the main organs of nude mice.Histological examination and TUNEL analyses of xenografts showed that cetuximab enhanced cell apoptosis induced by AdTRAIL.These results indicate that EGFR inhibitors enhanced AdTRAIL anti-tumor activity in NSCLC cell lines and that inhibiting the AKT pathway played an important role in this enhancement. 展开更多
关键词 肿瘤坏死因子相关凋亡诱导配体 细胞凋亡 TRAIL EGFR 抑制剂 肺癌细胞 表皮生长因子受体 非小细胞肺癌
下载PDF
Induction of apoptosis in osteogenic sarcoma cells by combination of tumor necrosis factor-related apoptosis inducing ligand and chemotherapeutic agents 被引量:2
8
作者 SUN Jie FU Zhi-min +1 位作者 FANG Chang-qing LI Jian-hua 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第5期400-404,共5页
Background Osteosarcoma is one of the most common primary malignant tumors of bone with poor prognosis. TNF-related apoptosis inducing ligand (TRAIL) is a member of the tumor necrosis factor (TNF) cytokine family.... Background Osteosarcoma is one of the most common primary malignant tumors of bone with poor prognosis. TNF-related apoptosis inducing ligand (TRAIL) is a member of the tumor necrosis factor (TNF) cytokine family. TRAIL induces apoptosis in various tumor cell lines but is not found to be cytotoxic to many normal cell types in vitro. We investigated the cytotoxic activity of TRAIL and chemotherapeutic agents, including methotrexate (MTX), doxorubicin (DOX) and cisplatin (CDDP), on established osteosarcoma cell line-OS-732. Methods OS-732 cells were incubated with chemotherapeutic agents MTX,DOX and CDDP at various peak plasma concentrations(PPC), 0.1PPC,1PPC and 10PPC, alone or with 100 ng/ml of TRAIL for 24 hours or 48 hours. MTT was used to evaluate the cytotoxic activity of different agents on OS-732. The apoptosis proportion was assayed by flow cytometry. Cellular morphologic changes were observed by phase contrast microscope, scan electron microscope, and transmission electron microscope. Results The inhibitory rate was (24.438±3.414)% with TRAIL of 100 ng/ml for 24 hours. The cells were responsive to DOX and CDDP with a dose-effect relationship (P〈0.05). In OS-732 cells, DOX and CDDP cooperated synergistically with TRAIL when incubated the cells with them for 24 hours (the combined inhibitory rate is (58.360±2.146)% and (54.101±-2.721)%, respectively). TRAIL alone or drugs alone induced the apoptosis rate was less than 25% (P〈0.05). However, the combination of TRAIL and MTX did not present synergistic effects on OS-732 cells (P〉0.05, compared with TRAIL alone). Conclusions Osteosarcoma OS-732 cells were not responsive to TRAIL-induced apoptosis. DOX and CDDP sensitize osteosarcoma OS-732 cells to TRAIL-induced apoptosis. The combination of TRAIL and MTX presented no synergistic effects on killing OS-732 cells. 展开更多
关键词 tumor necrosis factor-related apoptosis inducing ligand METHOTREXATE doxorubicin cisplatin osteosarcoma APOPTOSIS
原文传递
Expression of caspase-3 and TRAIL receptors in CD4^+ and CD8^+ T cells of SLE patients 被引量:1
9
作者 游弋 郝飞 邓永键 《Journal of Medical Colleges of PLA(China)》 CAS 2006年第5期321-325,共5页
Objective: To study the expression of caspase-3 and tumor necrosis factor-related apoptosisinducing ligand (TRAIL) receptors in the CD4+ and CD8+ T cells of systemic lupus enythematosus (SLE) patients. Methods: RT-PCR... Objective: To study the expression of caspase-3 and tumor necrosis factor-related apoptosisinducing ligand (TRAIL) receptors in the CD4+ and CD8+ T cells of systemic lupus enythematosus (SLE) patients. Methods: RT-PCR was used to analyze the expression of caspase-3 and TRAIL receptors in CD4+ and CD8+ T cells of SLE patients and normal subjects. Results: The death domain-containing TRAIL-R1/R2 as well as 'decoy' TRAIL-R3/R4 were co-expressed in majority of CD4+ and CD8+ T cells in both SLE patients and normal subjects. The CD8+ T cells from SLE patients showed significantly higher expression of caspase-3 and TRAIL-R2 than those from normal subjects,and the expression was correlated with the activity of the disease. Conclusion: The TRAIL-R2 signal pathway might contribute to the apoptosis of T cells in SLE. 展开更多
关键词 LUPUS erythematosus systemic CASPASE-3 tumor necrosis factor-related apoptosis-inducing ligand receptors
下载PDF
Antitumor and radiosensitization effect of 12C6+heavy-ion irradiation mediated by radiation-inducible gene therapy
10
作者 Hui Liu Chu-Feng Jin +1 位作者 Sheng-Fang Ge Li-Jun Wu 《Nuclear Science and Techniques》 SCIE CAS CSCD 2016年第1期56-62,共7页
Radio genetic therapy which combines gene therapy with radiotherapy has shown promising results in cancer treatment. In this study, an oncolytic adenovirusbased gene therapy system regulated by radiation was construct... Radio genetic therapy which combines gene therapy with radiotherapy has shown promising results in cancer treatment. In this study, an oncolytic adenovirusbased gene therapy system regulated by radiation was constructed to improve the cancer curative effect. This gene therapy system incorporated the radiation-inducible early growth response gene(Egr-1) promoter and the anticancer gene tumor necrosis factor-related apoptosis-inducing ligand(TRAIL). To confirm the antitumor effect of Ad-ET combined with^12C^(6+)tion irradiation, the survival and apoptosis fraction of tumor cells HT1080 and normal cells MRC-5 in combination treatment were detected by CCK-8 assay and FACS analysis. Then the expression levels of TRAIL gene and protein were tested by real-time PCR and western blotting. The results show that^12C^(6+)tion irradiation could induce cell growth inhibition and apoptosis by activating the TRAIL gene expression in tumor cells, while exhibiting no obvious toxicity to the normal lung cell line MRC-5. Theresults also demonstrate that use of an oncolytic adenovirusbased radiation-inducible gene therapy system together with^12C^(6+)tion irradiation could cause synergistic antitumor effect specifically in tumor cells but not in normal cells. The results indicate that the novel radio genetic therapy could potentiate radiation treatment by improving the safety and efficiency of monotherapy, and provide theoretical support for clinical application of combination treatment. 展开更多
关键词 重离子照射 抗肿瘤作用 基因治疗 放射治疗 辐射诱导 肿瘤坏死因子相关凋亡诱导配体 增敏作用 荧光定量聚合酶链反应
下载PDF
注意缺陷多动障碍患儿血清ACE2,TWEAK和CCL5水平检测及诊断价值研究
11
作者 王立宁 史亚楠 李宝广 《现代检验医学杂志》 CAS 2024年第5期152-156,167,共6页
目的 探究血清血管紧张素转换酶2(angiotensin-converting enzyme 2,ACE2),细胞因子肿瘤坏死因子样细胞凋亡弱诱导因子(tumor necrosis factor-like weak inducer of apoptosis,TWEAK)和CC趋化因子配体5(CC motif chemokine ligand 5,CC... 目的 探究血清血管紧张素转换酶2(angiotensin-converting enzyme 2,ACE2),细胞因子肿瘤坏死因子样细胞凋亡弱诱导因子(tumor necrosis factor-like weak inducer of apoptosis,TWEAK)和CC趋化因子配体5(CC motif chemokine ligand 5,CCL5)水平在注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)患儿诊断、病情严重程度评估中的价值。方法 选取2022年10月~2023年10月在河北省儿童医院就诊的125例ADHD患儿记为ADHD组,另选105例在河北省妇幼保健中心体检的健康儿童为对照组,根据临床总体印象严重程度量表(CGI-S)将患儿分为轻中度组(n=83)和重度组(n=42)。ELISA方法检测血清ACE2,TWEAK,CCL5,促黄体生成素(LH)和催乳素(PRL)水平,联合型瑞文测验(CRT)和Conners父母症状问卷(PSQ)对患儿认知和行为状况进行评分。Spearman相关性分析重度组血清ACE2,TWEAK,CCL5与CGI-S,CRT,PSQ评分的相关性;受试者工作特征(ROC)曲线分析ACE2,TWEAK,CCL5对ADHD及严重程度的诊断价值。结果 ADHD患儿血清ACE2(284.35±92.34 pg/ml),TWEAK(2.56±0.76 pg/ml)水平低于对照组(379.23±106.28 pg/ml,3.52±1.12 pg/ml),CCL5水平(7.36±2.37ng/ml)高于对照组(5.24±1.63 ng/ml),差异具有统计学意义(t=7.244,7.703,7.753,均P<0.05);重度组患儿CRT,血清ACE2,TWEAK水平低于轻中度组(t=5.318,6.686,6.490),而PSQ,CCL5水平较高于轻中度组(t=5.220,6.134),差异具有统计学意义(均P<0.05);Spearman相关性分析结果显示,重度组患儿血清ACE2,TWEAK水平与CGI-S,PSQ评分负相关(r=-0.432,-0.453;-0.421,-0.426,均P<0.001),与CRT评分呈正相关(r=0.427,0.418,均P<0.001);CCL5与CGI-S,PSQ评分呈正相关(r=0.421,0.433,均P<0.001),与CRT评分呈负相关(r=-0.446,P<0.001)。血清ACE2,TWEAK和CCL5诊断ADHD发生的AUC分别为0.814,0.803和0.807,三者联合诊断的AUC为0.945,优于各自单独诊断(Z=5.439,4.258,5.576,均P<0.001);血清ACE2,TWEAK,CCL5诊断重度ADHD的AUC分别为0.853,0.796和0.805,三者联合诊断的AUC为0.930,优于各自单独诊断(Z=2.604,3.851,3.567,均P<0.001)。结论 血清ACE2,TWEAK在ADHD患儿血清中低表达,而CCL5高表达,三者表达水平具有相关性,并且诊断ADHD发生和严重程度具有较高的价值。 展开更多
关键词 注意缺陷多动障碍 血管紧张素转换酶2 细胞因子肿瘤坏死因子样细胞凋亡弱诱导因子 CC趋化因子配体5
下载PDF
自发性急性脑出血患者血浆sCD163/sTWEAK比值与预后的关系
12
作者 张文超 杨雪辉 +2 位作者 尹涛 王睿健 张盟盟 《天津医药》 CAS 2024年第3期297-301,共5页
目的探究自发性急性脑出血(ACH)患者血浆可溶性CD163(sCD163)/可溶性肿瘤坏死因子样凋亡弱诱导因子(sTWEAK)比值与预后的关系。方法纳入ACH患者90例作为病例组,根据格拉斯哥预后评分将病例组分为预后不良组(38例)和预后良好组(52例);另... 目的探究自发性急性脑出血(ACH)患者血浆可溶性CD163(sCD163)/可溶性肿瘤坏死因子样凋亡弱诱导因子(sTWEAK)比值与预后的关系。方法纳入ACH患者90例作为病例组,根据格拉斯哥预后评分将病例组分为预后不良组(38例)和预后良好组(52例);另选取同期体检健康者45例为对照组。酶联免疫吸附试验检测血浆sCD163、sTWEAK水平并计算sCD163/sTWEAK比值。分析血浆sCD163、sTWEAK水平及sCD163/sTWEAK比值与临床资料的相关性;Logistic回归分析ACH患者预后不良的影响因素;受试者工作特征(ROC)曲线分析sCD163/sTWEAK比值对ACH患者预后不良的预测价值。结果病例组血浆sCD163、sTWEAK水平及sCD163/sTWEAK比值均显著高于对照组;预后良好组上述指标均低于预后不良组(P<0.05)。预后良好组血肿体积、美国国立卫生研究院卒中量表(NIHSS)评分、高血压及幕下出血比例均低于预后不良组,低密度脂蛋白胆固醇(LDL-C)高于预后不良组(P<0.05)。相关性分析表明,血浆sCD163、sTWEAK水平及sCD163/sTWEAK比值与出血部位、血肿体积、NIHSS评分、白细胞计数、血小板计数、中性粒细胞/淋巴细胞比值(NLR)呈正相关(P<0.05)。Logistic回归分析显示,sCD163/sTWEAK比值、出血部位、血肿体积、NIHSS评分为ACH患者预后不良的影响因素(P<0.05)。ROC曲线结果表明,sCD163/sTWEAK比值评估ACH患者预后不良的AUC为0.850,敏感度和特异度分别为86.84%和69.23%。结论sCD163/sTWEAK比值在ACH患者血浆中水平较高,并与预后不良有关,该值对此类患者的预后有一定预测价值。 展开更多
关键词 脑出血 细胞因子TWEAK 预后 可溶性血红蛋白清道夫受体163蛋白 可溶性肿瘤坏死因子样凋亡弱诱导因子
下载PDF
血清sTWEAK、sLOX-1与H型高血压合并HFpEF患者颈动脉粥样硬化的关系
13
作者 姜金钟 郭华 +2 位作者 苗维 田守森 田雯艳 《广东医学》 CAS 2024年第10期1226-1230,共5页
目的研究血清可溶性肿瘤坏死因子样凋亡弱诱导因子(sTWEAK)、可溶性凝集素样氧化型低密度脂蛋白受体-1(sLOX-1)与H型高血压合并射血分数保留的心力衰竭(HFpEF)患者颈动脉粥样硬化的关系。方法选取2021年2月至2023年3月沧州中西医结合医... 目的研究血清可溶性肿瘤坏死因子样凋亡弱诱导因子(sTWEAK)、可溶性凝集素样氧化型低密度脂蛋白受体-1(sLOX-1)与H型高血压合并射血分数保留的心力衰竭(HFpEF)患者颈动脉粥样硬化的关系。方法选取2021年2月至2023年3月沧州中西医结合医院收治的161例H型高血压合并HFpEF患者,按是否发生颈动脉粥样硬化分为硬化组与非硬化组。同期选取80例于我院体检的健康的志愿者作为对照组。收集受试者的临床资料,采用酶联免疫吸附法检测血清sTWEAK、sLOX-1水平,比较H型高血压合并HFpEF患者与对照组血清sTWEAK、sLOX-1水平,采用多因素logistic回归分析患者发生颈动脉粥样硬化的影响因素,受试者工作特征(ROC)曲线分析血清sTWEAK、sLOX-1对患者发生颈动脉粥样硬化的预测价值。结果161例患者中65例发生颈动脉粥样硬化,发生率为40.37%(65/161),未发生颈动脉粥样硬化者96例。两组在年龄、吸烟、血脂四项等方面比较,差异有统计学意义(P<0.05)。硬化组与非硬化组血清sTWEAK水平低于对照组,sLOX-1水平高于对照组(P<0.05);且硬化组sTWEAK水平低于非硬化组,sLOX-1水平高于非硬化组(P<0.05)。多因素logistic回归分析显示,HDL-C、sTWEAK、年龄、LDL-C、sLOX-1水平是患者发生颈动脉粥样硬化的影响因素(P<0.05)。ROC曲线显示,血清sTWEAK、sLOX-1联合检测对发生颈动脉粥样硬化的预测曲线下面积(AUC)为0.842,预测效能高于两指标单独检测。结论H型高血压合并HFpEF患者的血清sTWEAK水平下降、sLOX-1水平上升,与颈动脉粥样硬化发生有关,两者联合检测对颈动脉粥样硬化的发生具有一定预测价值。 展开更多
关键词 H型高血压 射血分数保留心力衰竭 颈动脉粥样硬化 可溶性肿瘤坏死因子样凋亡弱诱导因子 可溶性凝集素样氧化型低密度脂蛋白受体-1
下载PDF
肺源性心脏病并发肺动脉高压患者血清β-NGF和TRAIL水平检测在临床诊断及预后评估中的意义
14
作者 唐文慧 应会领 +2 位作者 段静 董卓 尤欣怡 《现代检验医学杂志》 CAS 2024年第4期131-137,共7页
目的探讨肺源性心脏病(pulmonary heart disease,PHD)并发肺动脉高压(pulmonary heart disease,PAH)患者血清β-神经生长因子(β-nerve growth factor,β-NGF)、肿瘤坏死因子相关凋亡诱导配体(tumor necrosis factor-related apoptosis-... 目的探讨肺源性心脏病(pulmonary heart disease,PHD)并发肺动脉高压(pulmonary heart disease,PAH)患者血清β-神经生长因子(β-nerve growth factor,β-NGF)、肿瘤坏死因子相关凋亡诱导配体(tumor necrosis factor-related apoptosis-inducing ligand,TRAIL)表达水平及其在临床诊断及预后评估中的意义。方法采用1∶1病例-对照研究设计选取2019年1月~2022年6月北京市大兴区人民医院86例并发PAH的PHD患者为病例组,86例单纯PHD患者为对照组,进行回顾性分析。将病例组根据肺动脉收缩压(pulmonary arterial systolic pressure,PASP)分为轻度PAH组(n=39)、中度PAH组(n=25)和重度PAH组(n=22),根据出院后一年的结果分为预后良好组(n=75)和预后不良组(n=11)。收集研究对象人口学资料和实验室检查指标,采用酶联免疫吸附(ELISA)法检测血清β-NGF,TRAIL水平。Pearson积矩相关分析β-NGF,TRAIL与PASP的关系,Logistic回归分析PHD患者PAH影响因素,ROC曲线评估β-NGF,TRAIL对PAH的诊断价值,COX比例风险回归分析β-NGF,TRAIL与PHD并发PAH患者预后不良的关系,ROC曲线评估其对预后不良的预测价值。结果与对照组比较,病例组PHD病程长(8.63±1.27年vs 5.49±1.15年),血清β-NGF(26.97±8.25 ng/ml vs 22.14±7.32 ng/ml)和TRAIL(2.83±0.76 ng/ml vs 1.71±0.68 ng/ml)水平升高,差异具有统计学意义(t=17.006,4.064,10.183,均P<0.05)。血清β-NGF,TRAIL对PHD患者PAH有诊断价值,AUC分别为0.842,0.838,二者联合诊断的AUC为0.920,诊断价值高于单一指标(Z=3.416,3.508,均P<0.05)。轻度PAH组、中度PAH组和重度PAH组血清β-NGF(23.26±5.13 ng/ml,27.83±5.57 ng/ml,32.57±6.02 ng/ml),TRAIL(2.24±0.65 ng/ml,2.89±0.71 ng/ml,3.81±0.90 ng/ml)水平依次升高,差异具有统计学意义(F=20.624,31.972,均P<0.05)。病例组血清β-NGF,TRAIL与PASP呈正相关(r=0.673,0.659,均P<0.05)。预后不良组血清β-NGF(36.34±8.05 ng/ml),TRAIL(3.49±1.01 ng/ml)水平高于预后良好组(25.59±7.28 ng/ml,2.73±0.89 ng/ml),差异具有统计学意义(t=4.516,2.604,均P<0.05)。Logistic回归分析结果显示,PHD病程[OR(95%CI):1.784(1.135~2.806)]、β-NGF[OR(95%CI):1.976(1.108~3.523)],TRAIL[OR(95%CI):1.866(1.123~3.101)]是PHD患者发生PAH的独立危险因素(均P<0.05)。多因素COX比例风险回归结果显示,PHD病程[OR(95%CI):1.167(1.082~1.364]、β-NGF[OR(95%CI):1.322(1.134~1.649)],TRAIL[OR(95%CI):1.259(1.087~1.590)]是PHD并发PAH患者预后不良的独立危险因素(均P<0.05)。血清β-NGF,TRAIL可预测PHD并发PAH患者预后不良发生风险,AUC分别为0.863,0.881,二者联合检测的AUC为0.907,诊断价值高于单一指标检测(Z=2.905,3.128,均P<0.05)。结论血清β-NGF和TRAIL升高是PHD患者PAH独立危险因素,并与PAH严重程度有关,早期联合β-NGF和TRAIL检测可提高对PAH的诊断价值及对患者预后不良的预测效果。 展开更多
关键词 Β-神经生长因子 肿瘤坏死因子相关凋亡诱导配体 肺源性心脏病 肺动脉高压
下载PDF
嗜酸粒细胞型哮喘患儿外周血单个核细胞肿瘤坏死因子α诱导蛋白8样分子2 mRNA和M2巨噬细胞检测及意义
15
作者 陈亚宾 张雪丽 +2 位作者 李宏贵 吉训超 许华 《陕西医学杂志》 CAS 2024年第12期1693-1698,共6页
目的:检测嗜酸粒细胞型哮喘(EA)患儿外周血单个核细胞(PBMC)肿瘤坏死因子α诱导蛋白8样分子2(TIPE2)mRNA和M2巨噬细胞,并分析其意义。方法:回顾性收集EA患儿100例,根据糖皮质激素(ICS)治疗后2周内症状缓解情况,分为完全缓解组(78例)和... 目的:检测嗜酸粒细胞型哮喘(EA)患儿外周血单个核细胞(PBMC)肿瘤坏死因子α诱导蛋白8样分子2(TIPE2)mRNA和M2巨噬细胞,并分析其意义。方法:回顾性收集EA患儿100例,根据糖皮质激素(ICS)治疗后2周内症状缓解情况,分为完全缓解组(78例)和部分缓解组(22例)。另选取体检健康儿童52例,设为对照组。比较三组临床资料[肺功能、血常规、呼出气一氧化氮(FeNO)]、TIPE2 mRNA、M2巨噬细胞占比、治疗前后免疫细胞[辅助性T细胞1(Th1)、辅助性T细胞2(Th2)]以及细胞因子[白细胞介素-2(IL-2)、γ-干扰素(IFN-γ)、IL-4、IL-13、精氨酸酶1(Arg-1)]。分析EA患儿预后的影响因素,并进行相关性分析。结果:完全缓解组和部分缓解组用力肺活量(FVC)、呼吸流量峰值(PEF)、第1秒用力呼气容积(FEV1)、嗜酸性粒细胞(EOS)、淋巴细胞(LYM)、白细胞(WBC)、FeNO与对照组比较差异有统计学意义(均P<0.05),但两组间上述指标比较差异无统计学意义(均P>0.05)。治疗前,完全缓解组与部分缓解组TIPE2 mRNA、M2巨噬细胞占比、M2/M1、IL-4、IL-13、IL-2、Arg-1高于对照组,Th1、Th1/Th2、IFN-γ低于对照组,且完全缓解组TIPE2 mRNA、M2巨噬细胞、Th1、IL-4、IL-13、Arg-1与部分缓解组比较差异有统计学意义(均P<0.05)。治疗后,完全缓解组和部分缓解组TIPE2 mRNA、M2巨噬细胞占比、M2/M1、IL-4、IL-13、IL-2、Arg-1降低,Th1、Th1/Th2、IFN-γ升高,且完全缓解组与部分缓解组比较差异有统计学意义(均P<0.05)。Logistic回归分析结果显示,TIPE2 mRNA、M2巨噬细胞、IL-4、IL-13、Arg-1为EA患儿预后的影响因素(均P<0.05)。Pearson分析结果显示,M2巨噬细胞与IL-4、IL-13呈负相关,与TIPE2 mRNA、Arg-1呈正相关;TIPE2 mRNA与IL-4、IL-13的水平呈负相关(均P<0.05)。结论:EA患儿PBMC中TIPE2 mRNA与M2巨噬细胞呈高表达,均为影响预后的因素。 展开更多
关键词 嗜酸粒细胞型哮喘 肿瘤坏死因子α诱导蛋白8样分子2 M2巨噬细胞 糖皮质激素 肺功能 免疫细胞 影响因素
下载PDF
IgA肾病伴新月体形成合并肾衰竭的治疗方案比较及肾组织TWEAK的表达差异
16
作者 杨志英 王晓丹 +3 位作者 芮章茹 李文宏 代留玲 陈浩 《中国中西医结合肾病杂志》 2024年第8期683-687,I0004,共6页
目的:探讨糖皮质激素联合环磷酰胺的不同治疗方案对IgA肾病伴新月体形成合并肾衰竭患者的疗效和安全性及肾组织肿瘤坏死因子样凋亡微弱诱导剂(TWEAK)的表达差异。方法:将收治于我院的59位IgA肾病伴有新月体形成的肾衰竭患者根据治疗方... 目的:探讨糖皮质激素联合环磷酰胺的不同治疗方案对IgA肾病伴新月体形成合并肾衰竭患者的疗效和安全性及肾组织肿瘤坏死因子样凋亡微弱诱导剂(TWEAK)的表达差异。方法:将收治于我院的59位IgA肾病伴有新月体形成的肾衰竭患者根据治疗方案的不同纳入以下4组:对照组、糖皮质激素(G)组、G+环磷酰胺(C)组和G冲击+C组,观察24周各组的疗效和安全性。此外,免疫组织化学染色观察TWEAK在肾组织中的表达和分析其与临床指标的相关性。结果:G组、G+C组和G冲击+C组治疗后的24 h尿蛋白定量、血肌酐、eGFR水平均优于对照组(P<0.05)。对临床疗效进行比较,发现G组(47.06%)、G+C组(50.00%)和G冲击+C组(58.33%)总有效率均高于对照组(7.14%),差异具有统计学意义(P<0.05)。对药物安全性进行比较,3个治疗组不良反应发生率差异无统计学意义(P>0.05)。免疫组织化学分析结果显示总体有效组TWEAK表达和分布均低于无效组(P<0.05)。且TWEAK的表达量与尿红细胞数无明显相关性(P>0.05),但与尿蛋白定量、血肌酐存在正相关(P<0.05),与eGFR存在负相关(P<0.05)。结论:单用半量糖皮质激素的治疗方案是IgA肾病伴新月体形成合并肾衰竭安全有效的方案,且临床应用更具优势,并且我们发现IgA肾病患者肾组织中TWEAK的表达可能与更差的肾脏预后相关。 展开更多
关键词 IGA肾病 新月体形成 肾衰竭 糖皮质激素 环磷酰胺 肿瘤坏死因子样凋亡微弱诱导剂
下载PDF
血清骨硬化蛋白、OPG、OPG/TRAIL比值对高血压伴慢性心力衰竭患者发生主要不良心血管事件的预测价值
17
作者 阮杨 魏欣 李群 《检验医学与临床》 CAS 2024年第13期1945-1949,1954,共6页
目的探讨血清骨硬化蛋白、骨保护素(OPG)/肿瘤坏死因子相关凋亡诱导配体(TRAIL)比值对高血压伴慢性心力衰竭(CHF)患者发生主要不良心血管事件(MACE)的预测价值。方法选取2019年10月至2022年10月于该院就诊的134例高血压伴CHF患者作为研... 目的探讨血清骨硬化蛋白、骨保护素(OPG)/肿瘤坏死因子相关凋亡诱导配体(TRAIL)比值对高血压伴慢性心力衰竭(CHF)患者发生主要不良心血管事件(MACE)的预测价值。方法选取2019年10月至2022年10月于该院就诊的134例高血压伴CHF患者作为研究对象,根据患者治疗1年内是否发生MACE将其分为MACE组(46例)和无MACE组(88例)。另选取同期于该院进行体检的74例健康者作为对照组。采用酶联免疫吸附实验检测3组血清骨硬化蛋白、OPG和TRAIL水平。收集所有患者的临床资料(包括冠心病史、糖尿病史、收缩压、舒张压)。检测3组血清胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-6和IL-10水平。采用Pearson相关分析高血压伴CHF患者血清骨硬化蛋白、OPG和TRAIL水平与相关实验室指标水平的关系。采用多因素Logistic回归分析高血压伴CHF患者发生MACE的危险因素。绘制受试者工作特征(ROC)曲线评估血清骨硬化蛋白、OPG/TRAIL比值单独及2项指标联合检测对MACE的预测价值。结果无MACE组和MACE组血清骨硬化蛋白、OPG水平及OPG/TRAIL比值均明显高于对照组,TRAIL水平明显低于对照组,差异均有统计学意义(P<0.05)。MACE组血清骨硬化蛋白、OPG水平及OPG/TRAIL比值均明显高于无MACE组,TRAIL水平明显低于无MACE组,差异均有统计学意义(P<0.05)。MACE组TNF-α、IL-10、IL-6水平均高于无MACE组,差异均有统计学意义(P<0.05)。MACE组和无MACE组冠心病史和糖尿病史患者比例、收缩压、舒张压以及TC、TG、HDL-C、LDL-C水平比较,差异均无统计学意义(P>0.05)。高血压伴CHF患者血清骨硬化蛋白、OPG水平与TNF-α、IL-10、IL-6水平均呈正相关(P<0.05),TRAIL水平与TNF-α、IL-10、IL-6水平均呈负相关(P<0.05)。多因素Logistic回归分析结果显示,骨硬化蛋白水平升高、OPG水平升高均为高血压伴CHF患者发生MACE的危险因素(P<0.05),而TRAIL水平升高为高血压伴CHF患者发生MACE的保护因素(P<0.05)。血清骨硬化蛋白、OPG/TRAIL比值单独及2项指标联合检测预测高血压伴CHF患者发生MACE的曲线下面积(AUC)分别为0.847、0.803、0.927,且2项指标联合检测的AUC优于血清骨硬化蛋白、OPG/TRAIL比值单独检测的AUC(Z=2.350、2.824,P<0.05)。结论高血压伴CHF患者血清骨硬化蛋白、OPG/TRAIL比值联合检测患者预后发生MACE的预测价值较高。 展开更多
关键词 骨硬化蛋白 骨保护素 肿瘤坏死因子相关凋亡诱导配体 高血压伴慢性心力衰竭 主要不良心血管事件 预测价值
下载PDF
血清PKN1、TNFRSF4、DDIT4预测子宫内膜癌患者淋巴结转移及预后的临床价值
18
作者 厉昕妤 刘英杰 +3 位作者 郭佳 许楠 杨小杰 董仙萍 《国际检验医学杂志》 CAS 2024年第16期1931-1935,1940,共6页
目的探讨血清蛋白激酶N1(PKN1)、肿瘤坏死因子受体超家族成员4(TNFRSF4)、DNA损伤诱导转录因子4(DDIT4)预测子宫内膜癌患者淋巴结转移和预后的临床价值。方法选取2019年10月至2021年10月于唐山市妇幼保健院治疗的180例子宫内膜癌患者为... 目的探讨血清蛋白激酶N1(PKN1)、肿瘤坏死因子受体超家族成员4(TNFRSF4)、DNA损伤诱导转录因子4(DDIT4)预测子宫内膜癌患者淋巴结转移和预后的临床价值。方法选取2019年10月至2021年10月于唐山市妇幼保健院治疗的180例子宫内膜癌患者为子宫内膜癌组。另选取同期在该院治疗的子宫良性疾病患者180例作为良性疾病组,以及在该院体检的180例健康者作为健康组。子宫内膜癌组根据是否发生淋巴结转移分为淋巴结转移组42例和无淋巴结转移组138例,按照随访结果将患者分为预后不良组和预后良好组。比较各组血清PKN1、TNFRSF4、DDIT4水平,Logistic模型分析患者预后的影响因素,以及绘制受试者工作特征曲线分析血清PKN1、TNFRSF4、DDIT4对患者预后的预测价值。结果与健康组比较,子宫内膜癌组、良性疾病组血清PKN1、DDIT4水平升高,血清TNFRSF4水平降低,差异有统计学意义(P<0.05)。淋巴结转移组血清PKN1、DDIT4水平高于无淋巴结转移组,TNFRSF4水平低于无淋巴结转移组,差异有统计学意义(P<0.05)。预后不良组低分化程度、淋巴脉管间隙浸润阳性、肌层浸润≥1/2的占比高于预后良好组,差异有统计学意义(P<0.05)。预后不良组血清PKN1、DDIT4水平高于预后良好组,TNFRSF4水平低于预后良好组,差异有统计学意义(P<0.05)。血清PKN1、DDIT4、LVSI、肌层浸润是子宫内膜癌预后的危险因素,血清TNFRSF4为子宫内膜癌预后的保护因素(P<0.05)。血清PKN1、TNFRSF4、DDIT4联合对子宫内膜癌患者预后状况的预测效能高于各血清指标单独预测(P<0.05)。结论血清PKN1、TNFRSF4、DDIT4与子宫内膜癌患者淋巴结转移及预后有关,且对患者预后的预测效能较高。 展开更多
关键词 蛋白激酶N1 肿瘤坏死因子受体超家族成员4 DNA损伤诱导转录因子4 子宫内膜癌 预后
下载PDF
血清TRAIL水平与晚期非小细胞肺癌患者免疫治疗反应的关联性研究
19
作者 张雅君 张振安 +2 位作者 王继华 周媛 梁凤霞 《中国临床新医学》 2024年第6期645-650,共6页
目的探讨血清肿瘤坏死因子相关凋亡诱导配体(TRAIL)水平与晚期非小细胞肺癌(NSCLC)患者免疫治疗反应的关联性。方法回顾性分析2019年1月至2020年5月唐山市人民医院收治的70例晚期NSCLC患者的临床资料。在免疫治疗前24 h内采用酶联免疫... 目的探讨血清肿瘤坏死因子相关凋亡诱导配体(TRAIL)水平与晚期非小细胞肺癌(NSCLC)患者免疫治疗反应的关联性。方法回顾性分析2019年1月至2020年5月唐山市人民医院收治的70例晚期NSCLC患者的临床资料。在免疫治疗前24 h内采用酶联免疫吸附试验法(ELISA)测定患者血清TRAIL水平。免疫治疗反应通过客观缓解率(ORR)和临床获益率(CBR)进行评估。分析患者血清TRAIL水平与免疫治疗反应、肺功能及肺气肿、临床预后的关联性。结果经免疫治疗后,NSCLC患者获得客观缓解23例,临床获益46例。获得客观缓解患者的血清TRAIL水平显著高于未获得客观缓解者[27.77(23.13,39.13)pg/mL vs 12.36(8.76,18.15)pg/mL;Z=4.508,P<0.001]。临床获益患者的血清TRAIL水平显著高于临床未获益者[23.13(16.99,30.63)pg/mL vs 11.75(8.76,15.56)pg/mL;Z=4.887,P<0.001]。Spearman秩相关性分析结果显示,血清TRAIL水平与1秒用力呼气容积/用力肺活量(FEV1/FVC)呈正相关(rs=0.288,P=0.016),与肺气肿总比值(rs=-0.257,P=0.032)、肺叶肺气肿比率(LER)(rs=-0.324,P=0.006)呈负相关。多因素logistic回归分析结果显示,以血清TRAIL>27.46 pg/mL为参考,血清TRAIL<18.15 pg/mL患者经免疫治疗不能获得客观缓解和临床获益的风险显著增加(P<0.05)。ROC曲线分析结果显示,血清TRAIL水平可有效预测NSCLC患者对免疫治疗的反应(P<0.05)。TRAIL高水平组(血清TRAIL≥18.15 pg/mL)的总体生存(OS)、无进展生存(PFS)预后显著优于TRAIL低水平组(血清TRAIL<18.15 pg/mL)(P<0.05)。结论血清TRAIL低水平与晚期NSCLC患者免疫治疗无反应以及临床预后不良有关,该指标监测有助于筛选能从免疫治疗中获益的NSCLC患者。 展开更多
关键词 肿瘤坏死因子相关凋亡诱导配体 晚期非小细胞肺癌 免疫治疗反应 肺气肿 预后
下载PDF
针刀调控线粒体途径软骨细胞凋亡防治大鼠膝骨关节炎
20
作者 卢梦雅 伍闲 +3 位作者 佘泽宇 夏帅 卢曼 杨永晖 《中国组织工程研究》 CAS 北大核心 2024年第32期5190-5195,共6页
背景:针刀治疗膝骨关节炎的疗效确切,但其作用机制并不十分明确。目的:基于破骨细胞相关受体-肿瘤坏死因子相关的凋亡诱导配体-骨保护素(OSCAR-TRAIL-OPG)途径分析针刀对膝骨关节炎大鼠膝关节软骨细胞凋亡的影响。方法:采用随机数字表法... 背景:针刀治疗膝骨关节炎的疗效确切,但其作用机制并不十分明确。目的:基于破骨细胞相关受体-肿瘤坏死因子相关的凋亡诱导配体-骨保护素(OSCAR-TRAIL-OPG)途径分析针刀对膝骨关节炎大鼠膝关节软骨细胞凋亡的影响。方法:采用随机数字表法将27只SD大鼠分为正常组(9只)、模型组(9只)、针刀组(9只),正常组大鼠常规饲养,不进行任何处理;模型组、针刀组采用膝关节内注射木瓜蛋白酶建立左后肢膝骨关节炎模型,造模成功后给予针刀组大鼠针刀干预,1次/周,共3次。干预结束后进行相关检测。结果与结论:①与正常组相比,模型组大鼠Lequesne MG行为学评分升高(P<0.01);与模型组相比,针刀组大鼠Lequesne MG行为学评分降低(P<0.01)。②苏木精-伊红染色显示与正常组相比,模型组大鼠膝关节软骨表面磨损且不平整,软骨细胞肿胀、破裂且数量减少,细胞排列杂乱;针刀组大鼠膝关节软骨表面较为平整,软骨细胞数量较多且排列较规整,结构基本清晰。③免疫组化染色显示与正常组相比,模型组大鼠膝关节软骨组织中OSCAR、TRAIL阳性表达增加(P<0.01),OPG阳性表达减少(P<0.01);与模型组相比,针刀组大鼠膝关节软骨组织中OSCAR、TRAIL阳性表达减少(P<0.01),OPG阳性表达增加(P<0.01)。④TUNEL染色显示与正常组相比,模型组软骨细胞凋亡数量增加(P<0.01);与模型组相比,针刀组软骨细胞凋亡数量减少(P<0.01)。⑤RT-qPCR与Western blot检测显示与正常组相比,模型组大鼠关节软骨组织中OSCAR、TRAIL、Bax表达升高(P<0.01),OPG、Bcl-2表达降低(P<0.01);与模型组相比,针刀组大鼠关节软骨组织中OSCAR、TRAIL、Bax表达降低(P<0.01),OPG、Bcl-2表达升高(P<0.01)。⑥针刀干预可减轻膝骨关节炎大鼠关节软骨组织损伤,该作用可能与OSCAR-TRAIL-OPG通路阻断线粒体途径凋亡信号释放有关。 展开更多
关键词 针刀 膝骨关节炎 软骨细胞凋亡 破骨细胞相关受体 肿瘤坏死因子相关的凋亡诱导配体 骨保护素 大鼠
下载PDF
上一页 1 2 27 下一页 到第
使用帮助 返回顶部