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Comparison of long-lasting therapeutic effects between succimer and penicillamine on hepatolenticular degeneration 被引量:3
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作者 REN Ming Shan, ZHANG Zhi, WU Jun Xia, LI Fei, XUE Ben Chun and YANG Ren Min 《World Journal of Gastroenterology》 SCIE CAS CSCD 1998年第6期75-77,共3页
INTRODUCTIONHepatolenticulardegeneration(HLD)isanautosomalrecesivedisorderthatcauseschangesinthebasalganglia... INTRODUCTIONHepatolenticulardegeneration(HLD)isanautosomalrecesivedisorderthatcauseschangesinthebasalgangliaandliverthatrespe... 展开更多
关键词 hepatolenticular degeneration/drug THERAPY succimer/therapeutic USE penicillamine/therapeutic USE
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Novel ATP7B gene mutations in Chinese Han patients with hepatolenticular degeneration
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作者 Yuancheng Bao Lijuan Chen +3 位作者 Yuanxun Yu Huaizhou Jiang Ting Guan Changshui Fang 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第12期933-937,共5页
BACKGROUND: ATP7B gene exon 8 Arg778Leu and exon 12 Arg952Lys are gene mutation hot spots in Chinese Han patients with hepatolenticular degeneration, or Wilson's disease (WD). However, the gene fragments are too s... BACKGROUND: ATP7B gene exon 8 Arg778Leu and exon 12 Arg952Lys are gene mutation hot spots in Chinese Han patients with hepatolenticular degeneration, or Wilson's disease (WD). However, the gene fragments are too short for detection and the mutation detection rate remains low. OBJECTIVE: To analyze DNA sequences of ATP7B gene exon 8-exon 9 and exon 10-exon 12 sections. DESIGN, TIME AND SE'I-rlNG: A concurrent, non-randomized, controlled, genetic polymorphism study was performed at the Anhui Medical Genetics Center, Anhui, China from March to July in 2009. PARTICIPANTS: Fifty patients, who were admitted to the Department of Neurology at the First Affiliated Hospital of Anhui Traditional Chinese Medical College between March and July in 2009, were diagnosed with WD. The WD group comprised 32 males and 18 females, with an average age of (18.8 ± 8.3) years. WD was confirmed by clinical observation, as well as physical, imaging, and biochemical examinations, including testing for serum copper, ceruloplasmin, and copper oxidase. The control group comprised 20 normal subjects, who underwent physical examination at the First Affiliated Hospital of Anhui Traditional Chinese Medical College, and included 13 males and 7 females, with an average age of (27.9 ± 2.4) years. All subjects were Chinese Han population. METHODS: Genomic DNA was extracted from 50 WD patients and 20 normal controls. Polymerase chain reaction amplification of ATP7B gene exon 8-exon 9 (about 1 100 bp) and exon 10-exon 12 (about 850 bp) segments was performed. DNA exon-intron amplification products from all subjects were processed through direct bidirectional sequencing, and sequencing results were analyzed. MAIN OUTCOME MEASURES: Sequence changes of ATPTB gene exon 8-exon 9 and exon 10-exon 12 segments. RESULTS: In the 50 included WD patients, ATP7B gene intron 8 nt53592A → G with nt53671G→ A homozygous mutation was detected between exon 8-exon 9 in seven cases; exon 8 Arg778Leu mutations with Leu770Leu synonymous mutation was detected in four cases; exert 11 Gly790Arg heterozygous missense mutation between exon 10-exon 12 was found in four cases; exon 12 Arg952Lys heterozygous missense mutation was seen in 11 cases; and two additional cases were associated with exon 1211e929Val polymorphism. CONCLUSION: ATP7B gene intron 8 mutation is a possible pathogenic mutation that is associated with WD pathogenesis. The exon 11 mutation rate accounts for 8% of all WD patients, and the very few previously reported cases deserve further study. 展开更多
关键词 hepatolenticular degeneration Wilson's disease gene DNA mutation copper metabolism GENETICS neural regeneration
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Detection of distribution of copper inside and outside of lysosomes in cultured hepatolenticular degeneration fibroblasts by electron probe X-ray microanalysis
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作者 Wen Liu Jin-Yan Li +1 位作者 Ji Jin Ji Zuo the Department of Medical Genetics, Scholl of Medicine, Fudan University, Shanghai 200032, China Department of Biology, Zhenjiang Medical College, Zhenjiang 212000, China 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2003年第2期586-589,共4页
OBJECTIVE: To observe the distribution of copper in the subcellular structure for the understanding of primary pathogenesis of hepatolenticular degeneration (HLD). METHODS: Skin fibroblasts taken from HLD patients wer... OBJECTIVE: To observe the distribution of copper in the subcellular structure for the understanding of primary pathogenesis of hepatolenticular degeneration (HLD). METHODS: Skin fibroblasts taken from HLD patients were cultured as an in vitro model of HLD, and the control cells taken from healthy volunteers were clutured in the same way. The distribution of copper inside and outside of lysosomes in fibroblasts was detected by quantitative electron probe X-ray microanalysis. The relationship between the subcellular location of copper and the genotype of the patients, and relationship between the distribution of copper and the course of the disease were analyzed. RESULTS: The content of Cu^(2+) inside lysosomes of HLD cells (14.6±2.1 mmol/kg) and of heterozygote cells (11.6±0.6 mmol/kg) was higher than that of normal cells (4.5±1.2 mmol/kg) (P<0.01). The content of Cu^(2+) outside lysosomes of HLD cells (17.5±4.2 mmol/kg) and of heterozygote cells (12.0±0.9 mmol/kg) was higher than that of normal cells (4.7±1.2 mmol/kg) (P<0.01). The distribution of copper in the subcellular structure was correlated with disease courses of HLD patients. With the progression of the disease, more copper was deposited in lysosomes (r=0.85, P<0.01). The content of copper in the diffused cytoplasmic compartment in HLD cells was correlated with that of sulfur (r=0.86, P<0.05), but not in heterozygote and normal cells. CONCLUSIONS: In the early stage of HLD, copper is accumulated outside lysosome, which is paralleled with increase of metallothionein-like proteins (copper and sulfur-binding proteins). With the development of the disease, more copper is deposited inside lysosome than outside lysosome. We conclude that the up-regulation expression of copper and sulfur-binding proteins and copper accumulation in lysosomes may play an important role in lowering the ATP7B gene mutation-induced toxic effects of free copper on the cell. 展开更多
关键词 hepatolenticular degeneration FIBROBLAST LYSOSOME electron probe X-ray microanalysis copper-binding protein
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Changes of basic metabolic elements in ossification and degeneration of the ligamentum flavum
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作者 王哲 张俊华 +2 位作者 王全平 袁志 高双斌 《Journal of Medical Colleges of PLA(China)》 CAS 2001年第4期278-280,共3页
Objective:To studytherelationshipbetweentheossificationanddegenerationof theligamentumflavum,we comparedthechangesof Calcium(Ca),Phosphorus(P),Magnesium(Mg),Zinc(Zn),Cuprum(Cu),Manganese(Mn),Molybdenum(Mo)andFluoride(... Objective:To studytherelationshipbetweentheossificationanddegenerationof theligamentumflavum,we comparedthechangesof Calcium(Ca),Phosphorus(P),Magnesium(Mg),Zinc(Zn),Cuprum(Cu),Manganese(Mn),Molybdenum(Mo)andFluoride(F)in theligamentumflavumandserabetweenpatientswithOLFandthosewithlumbar stenosis.Methods:Thecontentsof Ca,P,Mg,Zn,Cu,Mn,Mo andfluoridein theligamentumflavumandserawere detectedby usingatomicabsorption,phosphomlybdicbluemethodandfluorideselectedelectrode.Results:Therewere similarchangesof Ca,P,Mg,Zn,Cu,Mn andMo in theligamentsandserabetweenossificationanddegenerationof the ligamentumflavum,andfluoridewas obviouslyhigherintheligamentumflavumof OLF.Conclusion:Itis suggestedthat thereisa tendencyfromdegenerationto ossificationof theligamentumflavum,andfluorideplaysan importantroleinthe earlystageof theprocessof theOLF. 展开更多
关键词 ligamentum flavum OSSIFICATION degeneration metabolIC ELEMENTS FLUORIDE
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Berberine alleviates ovarian tissue damage in mice with hepatolenticular degeneration by suppressing ferroptosis and endoplasmic reticulum stress
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作者 Qian-zhuo Liu Hui Han +7 位作者 Xin-ru Fang Lu-yao Wang Dan Zhao Miao-zhu Yin Nian Zhang Peng-yu Jiang Zhi-hui Ji Li-min Wu 《Journal of Integrative Medicine》 SCIE CAS CSCD 2024年第4期493-502,共10页
Objective:Hepatolenticular degeneration (HLD) is an autosomal recessive disorder that manifests as multiorgan damage due to impaired copper (Cu) metabolism. Female patients with HLD often experience reproductive impai... Objective:Hepatolenticular degeneration (HLD) is an autosomal recessive disorder that manifests as multiorgan damage due to impaired copper (Cu) metabolism. Female patients with HLD often experience reproductive impairments. This study investigated the protective effect of berberine against ovarian damage in toxic-milk (TX) mice, a murine model for HLD.Methods:Mice were categorized into control group, HLD TX group (HLD group), penicillamine (Cu chelator)-treated TX group and berberine-treated TX group. Body weight, ovary weight and the number of ovulated eggs were recorded. Follicular morphology and cellular ultrastructure were examined. Total iron, ferrous iron (Fe2+) and trivalent iron (Fe3+) levels, as well as malondialdehyde (MDA), glutathione(GSH) and oxidized glutathione (GSSG), were measured in the ovaries. Western blot analysis was used to analyze the expression of proteins related to ferroptosis and endoplasmic reticulum (ER) stress.Results:Ovarian tissue damage was evident in the HLD group, with a significant increase in ferroptosis and ER stress compared to the control group. This damage was inhibited by treatment with penicillamine,a Cu chelator. Compared with the HLD group, berberine increased the number of ovulations, and improved ovarian morphology and ultrastructure. Further, we found that berberine reduced total iron,Fe2+, MDA and GSSG levels, elevated GSH levels, decreased the expression of the ferroptosis marker protein prostaglandin-endoperoxide synthase 2 (PTGS2), and increased glutathione peroxidase 4 (GPX4)expression. Furthermore, berberine inhibited the expression of ER stress-associated proteins mediated by the protein kinase RNA-like ER kinase (PERK) pathway.Conclusion:Ferroptosis and ER stress are involved in Cu-induced ovarian damage in TX mice. Berberine ameliorates ovarian damage in HLD TX mice by inhibiting ferroptosis and ER stress. 展开更多
关键词 BERBERINE hepatolenticular degeneration Copper deposition Ferroptosis Endoplasmic reticulum stress
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Metabolism of minor isoforms of prion proteins Cytosolic prion protein and transmembrane prion protein
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作者 Zhiqi Song Deming Zhao Lifeng Yang 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第30期2868-2878,共11页
Transmissible spongiform encephalopathy or prion disease is triggered by the conversion from cellular prion protein to pathogenic prion protein. Growing evidence has concentrated on prion protein configuration changes... Transmissible spongiform encephalopathy or prion disease is triggered by the conversion from cellular prion protein to pathogenic prion protein. Growing evidence has concentrated on prion protein configuration changes and their correlation with prion disease transmissibility and patho- genicity. In vivo and in vitro studies have shown that several cytosolic forms of prion protein with specific topological structure can destroy intracellular stability and contribute to prion protein pathogenicity. In this study, the latest molecular chaperone system associated with endoplasmic re- ticulum-associated protein degradation, the endoplasmic reticulum resident protein quality-control system and the ubiquitination proteasome system, is outlined. The molecular chaperone system directly correlates with the prion protein degradation pathway. Understanding the molecular mechanisms will help provide a fascinating avenue for further investigations on prion disease treatment and prion protein-induced neurodegenerative diseases. 展开更多
关键词 neural regeneration neurodegeneration prion protein cytosolic form of prion protein transmem-brane form of prion protein metabolism protein degeneration UBIQUITINATION molecular chaperone molecular mechanism NEUROREGENERATION
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Energy metabolism homeostasis in cardiovascular diseases
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作者 Lu-Yun WANG Chen CHEN 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2021年第12期1044-1057,共14页
Cardiovascular disease(CVD)is the leading cause of morbidity and mortality in the general population.Energy metabolism disturbance is one of the early abnormalities in CVDs,such as coronary heart disease,diabetic card... Cardiovascular disease(CVD)is the leading cause of morbidity and mortality in the general population.Energy metabolism disturbance is one of the early abnormalities in CVDs,such as coronary heart disease,diabetic cardiomyopathy,and heart failure.To explore the role of myocardial energy homeostasis disturbance in CVDs,it is important to understand myocardial metabolism in the normal heart and their function in the complex pathophysiology of CVDs.In this article,we summarized lipid metabolism/lipotoxicity and glucose metabolism/insulin resistance in the heart,focused on the metabolic regulation during neonatal and ageing heart,proposed potential metabolic mechanisms for cardiac regeneration and degeneration.We provided an overview of emerging molecular network among cardiac proliferation,regeneration,and metabolic disturbance.These novel targets promise a new era for the treatment of CVDs. 展开更多
关键词 metabolism HOMEOSTASIS degeneration
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SARM1 participates in axonal degeneration and mitochondrial dysfunction in prion disease
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作者 Meng-Yu Lai Jie Li +10 位作者 Xi-Xi Zhang Wei Wu Zhi-Ping Li Zhi-Xin Sun Meng-Yang Zhao Dong-Ming Yang Dong-Dong Wang Wen Li De-Ming Zhao Xiang-Mei Zhou Li-Feng Yang 《Neural Regeneration Research》 SCIE CAS CSCD 2022年第10期2293-2299,共7页
Prion disease represents a group of fatal neurogenerative diseases in humans and animals that are associated with energy loss,axonal degeneration,and mitochondrial dysfunction.Axonal degeneration is an early hallmark ... Prion disease represents a group of fatal neurogenerative diseases in humans and animals that are associated with energy loss,axonal degeneration,and mitochondrial dysfunction.Axonal degeneration is an early hallmark of neurodegeneration and is triggered by SARM1.We found that depletion or dysfunctional mutation of SARM1 protected against NAD+loss,axonal degeneration,and mitochondrial functional disorder induced by the neurotoxic peptide PrP106-126.NAD+supplementation rescued prion-triggered axonal degeneration and mitochondrial dysfunction and SARM1 overexpression suppressed this protective effect.NAD+supplementation in PrP106-126-incubated N2a cells,SARM1 depletion,and SARM1 dysfunctional mutation each blocked neuronal apoptosis and increased cell survival.Our results indicate that the axonal degeneration and mitochondrial dysfunction triggered by PrP^(106-126) are partially dependent on SARM1 NADase activity.This pathway has potential as a therapeutic target in the early stages of prion disease. 展开更多
关键词 axonal degeneration mitochondrial dysfunction NAD+metabolism NADase neurodegenerative disease prion disease SARM1 sterile alpha and TIR motif-containing 1
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AB003.Deregulated autophagy and energy-deficient photoreceptors drive angiogenesis in a model of age-related macular degeneration
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作者 Jean-Sébastien Joyal 《Annals of Eye Science》 2018年第1期409-409,共1页
Autophagy recycles intracellular substrate in part to fuel mitochondria during starvation.Deregulated autophagy caused by dyslipidemia,oxidative stress,and aging is associated with early signs of age-related macular d... Autophagy recycles intracellular substrate in part to fuel mitochondria during starvation.Deregulated autophagy caused by dyslipidemia,oxidative stress,and aging is associated with early signs of age-related macular degeneration(AMD),such as lipofuscin and perhaps drusen accumulation.Intracellular nutrient sensors for glucose and amino acids regulate autophagy.The role of lipid sensors in controlling autophagy,however,remains ill-defined.Here we will show that abundant circulating lipids trigger a satiety signal through FA receptors that restrain autophagy and oxidative mitochondrial metabolism.In the presence of excess dietary lipids,fatty acid sensors might protect tissues with high metabolic rates against lipotoxicity,favoring their storage,instead,in adipose tissues.However,sustained exposure to lipid reduces retinal metabolic efficiency.In photoreceptors with high metabolic needs,it predisposes to an energy failure and triggers compensatory albeit pathological angiogenesis,leading to blinding neovascular AMD. 展开更多
关键词 AUTOPHAGY age-related macular degeneration(AMD) lipid metabolism
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肝豆状核变性诊治难点与思路
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作者 刘丹青 杨文明 +6 位作者 汪瀚 汪美霞 董婷 韩辉 何望生 谢文婷 江海林 《中医药临床杂志》 2024年第3期404-410,共7页
肝豆状核变性(hepatolenticular degeneration,HLD)又称为Wilson病(Wilson’s disease,WD),是一种常染色体隐性遗传性疾病,是经过治疗可以得到有效控制的神经遗传性疾病之一。本病起病隐匿,基因突变类型多变而复杂,临床表现千变万化,可... 肝豆状核变性(hepatolenticular degeneration,HLD)又称为Wilson病(Wilson’s disease,WD),是一种常染色体隐性遗传性疾病,是经过治疗可以得到有效控制的神经遗传性疾病之一。本病起病隐匿,基因突变类型多变而复杂,临床表现千变万化,可累及全身多个系统,不典型患者难以被识别或易被忽略而导致临床误诊或漏诊。早期诊断和及时、合理的治疗可以延缓疾病的进展,保证患者正常生活质量,使患者达到或接近正常寿命,如延误治疗或不恰当治疗可导致严重后遗症,甚至死亡。该文对WD诊断与治疗过程中易遇到的难点问题进行概述,并提出应对措施以供临床医师参考。 展开更多
关键词 肝豆状核变性 诊治难点 诊治思路
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75例儿童肝豆状核变性的临床及基因变异特征
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作者 张思敏 王伟 +1 位作者 马明圣 邱正庆 《基础医学与临床》 CAS 2024年第7期1008-1012,共5页
目的了解儿童肝豆状核变性的起病临床特点,明确基因诊断在儿童肝豆状核变性患者中的意义。方法选取2011年至2018年就诊于北京协和医院儿科门诊的75例肝豆状核变性患儿进行回顾性研究;进行铜离子转运ATP酶β肽(ATP7B)基因测序、多重连接... 目的了解儿童肝豆状核变性的起病临床特点,明确基因诊断在儿童肝豆状核变性患者中的意义。方法选取2011年至2018年就诊于北京协和医院儿科门诊的75例肝豆状核变性患儿进行回顾性研究;进行铜离子转运ATP酶β肽(ATP7B)基因测序、多重连接探针扩增技术(MLPA)分析;对其起病时临床表现及基因检测结果进行总结。结果75例儿童肝豆状核变性患者中,男女比例为1.27∶1,年龄为(6.5±4.0)岁(1.3~17.5岁)。55例以无症状肝酶升高起病,所有患者铜蓝蛋白均<0.2 g/L,72例患者24小时尿铜>40μg,其中29例患者24小时尿铜在40~100μg之间,16例患儿K-F环阳性,可以临床确诊的共有16例(21%),有15例年龄均>7岁。75例进行了ATP7B基因检测,共检出48种致病变异。最常见的致病变异为c.2333G>T、p.R778L、c.2621C>L、p.A874V、c.2975C>T、p.P992L,其等位基因频率分别为30.49%、14.89%、9.92%。结论对于儿童患者,多表现为无症状肝酶升高,K-F环阳性率较低,临床确诊难度大。本研究临床确诊率为21.33%,基因检测对于该病的早期诊断和治疗具有重要意义。 展开更多
关键词 肝豆状核变性 临床特点 儿童 ATP7B
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肝豆状核变性合并月经不调中医证候调查及其相关因素分析
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作者 王梦丽 韩辉 +2 位作者 吴丽敏 方小茹 陈秋莹 《辽宁中医杂志》 CAS 北大核心 2024年第2期1-5,共5页
目的通过研究女性肝豆状核变性合并月经不调中医证候特征,为肝豆状核变性合并月经不调中医诊治提供参考。方法按照肝豆状核变性和月经不调的临床诊断标准,采用流行病学调查问卷对294例女性肝豆状核变性患者的月经情况进行调查,根据有无... 目的通过研究女性肝豆状核变性合并月经不调中医证候特征,为肝豆状核变性合并月经不调中医诊治提供参考。方法按照肝豆状核变性和月经不调的临床诊断标准,采用流行病学调查问卷对294例女性肝豆状核变性患者的月经情况进行调查,根据有无合并月经不调将294例肝豆状核变性患者分为研究组(合并月经不调)213例和对照组(无合并月经不调)81例,分析并比较两组中医证候分布特征,并通过对研究组进一步调查,分析合并月经不调患者中医证候分布与年龄、临床分型的关联情况。结果213例合并月经不调的肝豆状核变性患者月经不调的类型分布相对广泛,其中以月经后期、月经过少、月经过多最为常见,月经先期、月经先后无定期、痛经相对常见,而合并崩漏者较为少见。研究组频率最高的十个中医症状依次为腹部胀痛、腰膝酸软、五心烦热、言语謇涩、张口流涎、食欲不振、头目昏眩、四肢震颤、喜温喜按、口中臭秽;对照组频率最高的十个中医症状依次为:言语謇涩、头目昏眩、腹部胀痛、四肢震颤、口中臭秽、张口流涎、食欲不振、腰膝酸软、五心烦热、喜温喜按。研究组中医证型以肝肾阴虚证、痰瘀互结证、脾肾阳虚证为主。对照组以痰瘀互结证、湿热内蕴证为主。与对照组比较,研究组肝肾阴虚证、脾肾阳虚证分布率显著高于对照组(P<0.05);对照组痰瘀互结证、湿热内蕴证分布率显著高于研究组(P<0.05);痰湿阻络证、气虚血瘀证、痰火扰心证分布率差异无统计学意义(P>0.05)。研究组的年龄分布主要分布在26~35岁,其临床分型主要以混合型为主。结论肝豆状核变性患者月经不调的分类以月经后期、月经过少、月经过多为主,肝肾阴虚证、痰瘀互结证、脾肾阳虚证为女性肝豆状核变性患者合并月经不调常见中医证候,各证型分布与患者年龄、临床分型无明显差别。 展开更多
关键词 肝豆状核变性 月经不调 中医证候
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头针配合体针治疗脑型肝豆状核变性痉挛性肌张力障碍的临床研究
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作者 郑晓钰 秦雨 +1 位作者 金珊 方向 《上海针灸杂志》 CSCD 2024年第5期516-520,共5页
目的观察头针配合体针治疗脑型肝豆状核变性痉挛性肌张力障碍的临床疗效。方法选取60例脑型肝豆状核变性痉挛性肌张力障碍患者,随机分为观察组和对照组,每组30例。两组均接受基础驱铜治疗,对照组加用口服巴氯芬片治疗,观察组在对照组基... 目的观察头针配合体针治疗脑型肝豆状核变性痉挛性肌张力障碍的临床疗效。方法选取60例脑型肝豆状核变性痉挛性肌张力障碍患者,随机分为观察组和对照组,每组30例。两组均接受基础驱铜治疗,对照组加用口服巴氯芬片治疗,观察组在对照组基础上加用头针配合体针治疗。观察两组治疗前后改良Ashworth量表(modified Ashworth scale,MAS)、日常生活能力评定量表(activities of daily living,ADL)、简易Fugl-Meyer运动功能量表评分的变化情况。结果两组治疗后MAS、ADL及Fugl-Meyer运动功能量表评分均较同组治疗前显著上升,差异均具有统计学意义(P<0.05)。观察组治疗后MAS、ADL及Fugl-Meyer运动功能量表评分明显高于对照组,差异均具有统计学意义(P<0.05)。结论头针配合体针是一种治疗脑型肝豆状核变性痉挛性肌张力障碍的有效方法。 展开更多
关键词 针刺疗法 头针 肝豆状核变性 肌张力障碍 针药并用
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肝豆补肾汤通过抑制铁死亡和内质网应激改善肝豆状核变性模型TX小鼠卵巢组织损伤
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作者 刘千琢 韩辉 +3 位作者 房新如 王路遥 赵丹 吴丽敏 《安徽中医药大学学报》 CAS 2024年第1期67-73,共7页
目的观察肝豆补肾汤对肝豆状核变性(hepatolenticular degeneration,HLD)小鼠卵巢损伤的保护作用,并探究其分子机制。方法以TX小鼠作为HLD模型,将其分为HLD组、青霉胺组和肝豆补肾汤组,另设DL同系小鼠作为正常对照组。测量小鼠体质量、... 目的观察肝豆补肾汤对肝豆状核变性(hepatolenticular degeneration,HLD)小鼠卵巢损伤的保护作用,并探究其分子机制。方法以TX小鼠作为HLD模型,将其分为HLD组、青霉胺组和肝豆补肾汤组,另设DL同系小鼠作为正常对照组。测量小鼠体质量、卵巢质量、卵巢系数。采用促性腺激素促排卵法观察小鼠的排卵情况。采用苏木精—伊红(hematoxylin-eosin,HE)染色法观察小鼠卵巢的组织形态,透射电子显微镜下观察卵巢组织的超微结构。采用比色法测定血清铁含量,TBA法检测卵巢组织中丙二醛(malondialdehyde,MDA)含量,微量酶标法检测卵巢组织中还原型谷胱甘肽(glutathione,GSH)及氧化型谷胱甘肽(oxidized glutathione,GSSG)水平。采用Western blot法检测小鼠卵巢组织铁死亡相关标志物前列腺素内过氧化物合酶2(prostaglandin-endoperoxide synthase 2,PTGS2)和谷胱甘肽过氧化物酶4(glutathione peroxidase 4,GPX4)水平,及内质网应激通路相关蛋白[葡萄糖调节蛋白78(glucose-regulated protein 78,GRP78)、蛋白激酶核糖核酸样内质网激酶(protein kinase RNA-like endoplasmic reticulum kinase,PERK)、磷酸化PERK(phosphorylated PERK,p-PERK)、真核起始因子2α(eukaryotic initiation factor 2 alpha-subunit,eIF2α)、磷酸化eIF2α(phosphorylated eIF2α,p-eIF2α)、活化转录因子4(activating transcription factor 4,ATF4)和C/EBP同源蛋白(C/EBP homologous protein,CHOP)]的表达水平。结果HE染色显示HLD组小鼠卵细胞形态结构受损严重,闭锁卵泡显著增加;透射电子显微镜下HLD组小鼠线粒体皱缩明显,出现内质网肿胀和脱颗粒等内质网应激表现。与正常对照组比较,HLD组小鼠卵巢质量、排卵数均显著降低(P<0.05),血清铁及卵巢组织中MDA、GSSG水平显著升高(P<0.05),卵巢组织中GSH水平、GSH/GSSG显著降低(P<0.05),卵巢组织中PTGS2、GRP78、p-PERK、p-eIF2α、ATF4、CHOP表达水平均显著升高(P<0.05),GPX4表达水平显著降低(P<0.05)。与HLD组比较,肝豆补肾汤组小鼠的卵泡形态、线粒体和内质网结构均显著改善,促排卵后排卵数显著升高(P<0.05),血清铁及卵巢组织中MDA和GSSG水平显著降低(P<0.05),卵巢组织中GSH水平和GSH/GSSG显著升高(P<0.05),卵巢组织中PTGS2、GRP78、p-PERK、p-eIF2α、CHOP表达水平显著降低(P<0.05),卵巢组织中GPX4表达水平显著升高(P<0.05)。结论肝豆补肾汤可减轻TX小鼠铜沉积诱导的卵巢损伤,其机制可能与抑制铁死亡和PERK通路介导的内质网应激有关。 展开更多
关键词 肝豆状核变性 肝豆补肾汤 TX小鼠 铁死亡 内质网应激 铜沉积
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儿童2型神经纤维瘤并肝豆状核变性一例报告并文献复习
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作者 许锦平 陈先睿 +1 位作者 姚拥华 白海涛 《罕少疾病杂志》 2024年第2期3-5,共3页
目的探讨1例2型儿童神经纤维瘤并肝豆状核变性的临床特点及基因突变情况。方法收集分析2型神经纤维瘤并肝豆状核变性患儿的临床资料及基因结果。结果患儿,男,5岁11个月龄,因不自主左眼睑下垂4天就诊,既往有眼球震颤、左侧内斜和视力下降... 目的探讨1例2型儿童神经纤维瘤并肝豆状核变性的临床特点及基因突变情况。方法收集分析2型神经纤维瘤并肝豆状核变性患儿的临床资料及基因结果。结果患儿,男,5岁11个月龄,因不自主左眼睑下垂4天就诊,既往有眼球震颤、左侧内斜和视力下降。DNA测序显示ATP7B基因存在复合杂合突变,该变异为已知致病突变,其中16号外显子上的c.3443T>C错义突变,遗传自表型正常母亲;12号外显子上的c.2804C>T错义突变,遗传自表型正常父亲。NF2基因存在c.1009C>T(p.Gln337*)无义突变,该变异未见文献报道。结论确诊了1例2型神经纤维瘤并肝豆状核变性儿童,丰富了人类基因突变数据库,同时临床医生需提高对基因报告解读的重视和认识。 展开更多
关键词 2型神经纤维瘤 NF2 基因肝豆状核变性 ATP7B基因
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肝豆灵汤治疗肝豆状核变性早期肾损害临床观察
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作者 龙仕真 何望生 +5 位作者 杨文明 汪瀚 汪美霞 董婷 李蒙蒙 朱艳平 《山西中医》 2024年第6期13-16,共4页
目的:观察肝豆灵汤治疗痰瘀互结型肝豆状核变性患者早期肾损害的临床疗效。方法:选取安徽中医药大学第一附属医院符合肝豆状核变性早期肾损害诊断的住院患者70例,随机分为两组各35例。两组均予二巯基丙磺酸钠常规治疗,对照组另予百令胶... 目的:观察肝豆灵汤治疗痰瘀互结型肝豆状核变性患者早期肾损害的临床疗效。方法:选取安徽中医药大学第一附属医院符合肝豆状核变性早期肾损害诊断的住院患者70例,随机分为两组各35例。两组均予二巯基丙磺酸钠常规治疗,对照组另予百令胶囊,治疗组予肝豆灵汤口服,6天为1个疗程,共治疗4个疗程。观察两组患者临床疗效,比较治疗前后两组患者24小时尿铜、肾功能指标[肌酐(CREA)、尿素氮(BUN)、胱抑素C(CysC)]、尿系列蛋白指标[尿视黄醇结合蛋白(URBP)、尿β_(2)微球蛋白(Uβ_(2)-MG)、尿转铁蛋白(UTRF)、尿免疫球蛋白G(UIgG)、尿微量白蛋白(mALB)、尿α_(1)微球蛋白(Uα_(1)-MG)、尿N-乙酰-β-D-氨基葡萄糖苷酶(UNAG)]、24 h尿总蛋白定量(24 hUPQ)、氧化应激指标[超氧化物歧化酶(SOD)、丙二醛(MDA)、谷胱甘肽过氧化物酶(GSH-PX)、过氧化氢酶(CAT)]及不良反应发生情况等。结果:治疗后,治疗组总有效率为91.43%,优于对照组的68.57%(P﹤0.05);两组24小时尿铜在治疗后均升高(P﹤0.05),治疗组升高幅度优于对照组(P﹤0.05);治疗组CREA、CysC、BUN水平降低,降低幅度优于对照组(P﹤0.05);治疗组URBP、Uβ_(2)-MG、UTRF、UIgG、mALB、Uα_(1)-MG、UNAG、24 hUPQ、UTP值均有所下降,且治疗组下降幅度优于对照组(P﹤0.05);两组患者的SOD、GSH-PX、CAT水平均明显上升,MDA水平明显下降(P﹤0.05),且治疗组改善程度优于对照组(P﹤0.05)。结论:肝豆灵汤能有效改善痰瘀互结型肝豆状核变性早期肾损害患者的症状,促进体内排铜,保护肾功能,改善早期肾损害,临床疗效较好。 展开更多
关键词 肝豆状核变性 痰瘀互结 肝豆灵汤 早期肾损害 中西医结合疗法
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肝豆状核变性治疗现状与展望
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作者 徐旭 施漪雯(综述) 范建高(审校) 《实用肝脏病杂志》 CAS 2024年第3期477-480,共4页
肝豆状核变性(HLD)是由于ATP7B基因突变导致细胞内铜转运功能障碍,从而引起铜过度蓄积在各器官而导致的疾病。早期诊断和治疗可以改善HLD患者的预后,减少残疾和早期死亡。目前,治疗方法主要包括低铜饮食、药物治疗和肝移植。但低铜饮食... 肝豆状核变性(HLD)是由于ATP7B基因突变导致细胞内铜转运功能障碍,从而引起铜过度蓄积在各器官而导致的疾病。早期诊断和治疗可以改善HLD患者的预后,减少残疾和早期死亡。目前,治疗方法主要包括低铜饮食、药物治疗和肝移植。但低铜饮食并不能显著减少肠道上皮细胞铜吸收量且过度限制会造成正常组织细胞营养吸收障碍。现有的药物治疗方案经常面临患者依从性差、神经系统症状恶化等问题。肝移植的开展常因供体器官的短缺和终身免疫抑制治疗的需求而受限,而新疗法,如新型药物制剂、细胞治疗、基因治疗给HLD患者带来了新希望。 展开更多
关键词 肝豆状核变性 低铜饮食 药物治疗 肝移植 基因治疗
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肝豆状核变性合并双相情感障碍抑郁发作1例
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作者 向伟 陈妍 《四川精神卫生》 2024年第1期83-85,共3页
本病例报告了一例17岁女性患者,因“情绪欠佳、易烦躁5月+”来院治疗。患者5岁时诊断肝豆状核变性。此次入院后,根据《国际疾病分类(第10版)》(ICD-10),诊断为:①肝豆状核变性;②双相情感障碍抑郁发作。给予心境稳定剂和抗抑郁药联合治... 本病例报告了一例17岁女性患者,因“情绪欠佳、易烦躁5月+”来院治疗。患者5岁时诊断肝豆状核变性。此次入院后,根据《国际疾病分类(第10版)》(ICD-10),诊断为:①肝豆状核变性;②双相情感障碍抑郁发作。给予心境稳定剂和抗抑郁药联合治疗后病情好转。目前,鲜有关于肝豆状核变性合并双相情感障碍抑郁发作的报道,诊断考虑躯体疾病所致的精神障碍还是两者共病,存在争议。另外,在对患者精神疾病的治疗中,往往忽视躯体情况。本案例综合考虑患者的精神症状和躯体情况,对诊断和药物治疗方案进行分析,提示精神科医生在临床工作中既要关注精神症状,也要密切重视患者既往躯体疾病病史,进行合理诊断与治疗。 展开更多
关键词 肝豆状核变性 双相情感障碍 抑郁发作
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基于网络药理学和分子对接技术探讨大黄-黄连治疗肝豆状核变性的作用机制
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作者 杜姜 汪美霞 +1 位作者 杨苹苹 陶庄 《中医临床研究》 2024年第14期36-43,共8页
目的:应用网络药理学探讨清热利湿药对大黄-黄连治疗肝豆状核变性的作用机制。方法:使用中药系统药理学数据库分析平台(TCMSP)对大黄-黄连有效成分和作用靶点进行筛选,使用GeneCards数据库纳入肝豆状核变性疾病靶点,取二者交集靶点并绘... 目的:应用网络药理学探讨清热利湿药对大黄-黄连治疗肝豆状核变性的作用机制。方法:使用中药系统药理学数据库分析平台(TCMSP)对大黄-黄连有效成分和作用靶点进行筛选,使用GeneCards数据库纳入肝豆状核变性疾病靶点,取二者交集靶点并绘制韦恩图;利用STRING数据库获取蛋白质-蛋白质相互作用关系,并通过CytoScape 3.9.1软件构建蛋白质-蛋白质相互作用网络图,筛选出大黄-黄连治疗肝豆状核变性的核心靶点;利用DAVID数据库进行关键靶点基因本体论(GO)和京都基因与基因组百科全书(KEGG)功能富集分析;通过AutoDock软件进行分子对接,由PyMol软件进行可视化处理。结果:共检索得到槲皮素、大黄酸、β-谷甾醇等19个有效成分,筛选出228个大黄-黄连治疗肝豆状核变性的潜在作用靶点,经蛋白质-蛋白质相互作用网络拓扑分析筛选出细胞肿瘤蛋白p53(Tumor Protein p53,TP53)、表皮生长因子受体(Epidermal Growth Factor Receptor,EGFR)、白细胞介素(Interleukin,IL)-6、丝氨酸/苏氨酸蛋白激酶1(Akt Serine/Threonine Kinase 1,AKT1)及IL-1B等39个核心靶点,GO功能富集分析到1002个生物学过程、108个细胞组分及202个分子功能;KEGG信号通路富集分析获得188条信号通路。结论:大黄-黄连药对可能通过多个靶点、多条通路治疗肝豆状核变性。 展开更多
关键词 网络药理学 分子对接 大黄 黄连 肝豆状核变性
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肝豆扶木汤加减联合奥氮平治疗肝豆状核变性焦虑抑郁临床观察
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作者 曹文渊 马守亮 《实用中医药杂志》 2024年第4期668-670,共3页
目的:观察肝豆扶木汤加减联合奥氮平治疗肝豆状核变性焦虑抑郁的疗效。方法:60例用随机数字表法分为对照组和观察组各30例,两组均在常规排铜治疗基础上予以奥氮平治疗,观察组联合肝豆扶木汤加减治疗。结果:在14d末和28d末对照组和观察组... 目的:观察肝豆扶木汤加减联合奥氮平治疗肝豆状核变性焦虑抑郁的疗效。方法:60例用随机数字表法分为对照组和观察组各30例,两组均在常规排铜治疗基础上予以奥氮平治疗,观察组联合肝豆扶木汤加减治疗。结果:在14d末和28d末对照组和观察组HAMD和HAMA评分均降低,且观察组下降较对照组显著(P<0.05)。观察组总有效率高于对照组(P<0.05)。结论:肝豆扶木汤加减联合奥氮平治疗肝豆状核变性焦虑抑郁能更有效的控制症状,提高疗效,且不增加不良反应。 展开更多
关键词 肝豆状核变性 焦虑抑郁 肝豆扶木汤 奥氮平
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