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冠心病患者经皮冠状动脉介入术相关造影剂急性肾损害的影响因素分析及KIM-1、NGAL、NHE3的预测价值 被引量:1
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作者 陈西 羡微微 +3 位作者 盛勇 张国民 孙生健 于翠迪 《中国现代医学杂志》 CAS 2024年第4期51-57,共7页
目的探究冠状动脉粥样硬化性心脏病(以下简称冠心病)患者经皮冠状动脉介入术(PCI)相关造影剂急性肾损害(CIAKI)的影响因素,并分析尿液中肾损伤分子-1(KIM-1)、中性粒细胞明胶酶相关脂质结合蛋白(NGAL)、钠/氢交换蛋白3(NHE3)预测CIAKI... 目的探究冠状动脉粥样硬化性心脏病(以下简称冠心病)患者经皮冠状动脉介入术(PCI)相关造影剂急性肾损害(CIAKI)的影响因素,并分析尿液中肾损伤分子-1(KIM-1)、中性粒细胞明胶酶相关脂质结合蛋白(NGAL)、钠/氢交换蛋白3(NHE3)预测CIAKI发生的价值。方法回顾性分析2021年7月—2022年6月在齐齐哈尔医学院附属第一医院行PCI的142例冠心病患者的病历资料,根据患者术后是否发生CIAKI,分为CIAKI组和非CIAKI组。分析影响PCI术后发生CIAKI的因素,评估PCI前后KIM-1差值、NGAL差值及NHE3差值对PCI术后发生CIAKI的预测价值。结果142例行PCI的冠心病患者中发生CIAKI 25例(17.61%)。CIAKI组糖尿病占比及造影剂使用剂量高于非CIAKI组(P<0.05),术前GFR水平低于非CIAKI组(P<0.05)。CIAKI组手术前后尿KIM-1、NGAL及NHE3的差值均高于非CIAKI组(P<0.05)。多因素逐步Logistic回归分析结果显示:糖尿病[OR=3.350(95%CI:1.145,9.802)]、造影剂使用剂量[OR=3.377(95%CI:1.154,9.880)]、KIM-1差值[OR=4.958(95%CI:1.695,14.506)]、NGAL差值[OR=4.446(95%CI:1.519,13.008)]、NHE3差值[OR=4.446(95%CI:1.519,3.008)]是冠心病患者PCI术后发生CIAKI的危险因素(P<0.05);GFR[OR=0.262(95%CI:0.089,0.765)]是冠心病患者PCI术后发生CIAKI的保护因素(P<0.05)。受试者工作特征曲线分析结果表明,KIM-1差值、NGAL差值、NHE3差值单一及联合预测冠心病患者PCI术后发生CIAKI的敏感性为75.32%(95%CI:0.594,0.831)、68.59%(95%CI:0.537,0.762)、62.77%(95%CI:0.514,0.735)、80.93%(95%CI:0.629,0.924),特异性为74.01%(95%CI:0.583,0.826)、83.16%(95%CI:0.652,0.941)、78.92%(95%CI:0.603,0.875)、81.15%(95%CI:0.638,0.945),曲线下面积为0.743、0.748、0.762和0.837,联合诊断效能最高。结论糖尿病、GFR、造影剂使用剂量和PCI前后KIM-1、NGAL、NHE3的变化影响CIAKI的发生,PCI前后KIM-1差值、NGAL差值及NHE3差值联合预测CIAKI的效能较好。 展开更多
关键词 冠状动脉粥样硬化性心脏病 经皮冠状动脉介入术 造影剂急性肾损害 肾损伤分子-1 中性粒细胞明胶酶相关脂质结合蛋白 钠/氢交换蛋白3
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血清KIM-1、SFRP5、CHI3L1联合诊断糖尿病肾病的价值
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作者 魏其锋 林婷婷 《中外医学研究》 2024年第15期5-10,共6页
目的:探讨血清肾损伤分子-1(kidney injury molecule-1,KIM-1)、分泌型卷曲相关蛋白5(secreted frizzled-related protein 5,SFRP5)、壳多糖酶3样蛋白1(chitinase 3-like protein 1,CHI3L1)联合诊断糖尿病肾病(diabetic nephropathy,DN... 目的:探讨血清肾损伤分子-1(kidney injury molecule-1,KIM-1)、分泌型卷曲相关蛋白5(secreted frizzled-related protein 5,SFRP5)、壳多糖酶3样蛋白1(chitinase 3-like protein 1,CHI3L1)联合诊断糖尿病肾病(diabetic nephropathy,DN)的价值。方法:选取2020年5月—2023年5月南平市第一医院门诊诊治的120例DN患者为DN组,选取同期门诊诊治的120例单纯2型糖尿病(type 2 diabetes mellitus,T2DM)患者为对照组。收集两组基本资料,检测两组血清KIM-1、SFRP5、CHI3L1水平。DN组根据早期DN诊断标准分为早期组和中/晚期组。比较DN组及对照组一般资料及血清KIM-1、SFRP5、CHI3L1水平。比较早期组及中/晚期组血清KIM-1、SFRP5、CHI3L1水平。分析DN的影响因素。分析血清KIM-1、SFRP5、CHI3L1对DN的诊断和实用价值。结果:DN组T2DM病程长于对照组,糖化血红蛋白(glycosylated hemoglobin,HbA1c)、胱抑素C(cystatin C,Cys C)均显著高于对照组,差异有统计学意义(P<0.05)。DN组血清KIM-1、CHI3L1水平均显著高于对照组,SFRP5水平显著低于对照组,差异有统计学意义(P<0.05)。中/晚期组血清KIM-1、CHI3L1水平均显著高于早期组,SFRP5水平显著低于早期组,差异有统计学意义(P<0.05)。结果显示,血清KIM-1、CHI3L1升高是DN发生的独立危险因素,SFRP5升高是DN发生的保护因素(P<0.05)。血清KIM-1、SFRP5、CHI3L1的截断值依次为5.38 ng/mL、4.21μg/L、82.25 pg/mL,曲线下面积依次为0.752、0.817、0.756,联合曲线下面积为0.896,高于各指标单独曲线下面积,差异有统计学意义(Z=3.788、2.268、3.683,P<0.05)。当横坐标高风险阈值在0.02~0.97时,血清KIM-1、SFRP5、CHI3L1联合诊断DN的净获益率高于各指标单独检测。结论:DN患者血清KIM-1、CHI3L1水平升高,SFRP5水平降低,三者联合检测对DN的诊断有较高临床价值。 展开更多
关键词 糖尿病肾病 2型糖尿病 肾损伤分子-1 分泌型卷曲蛋白5 壳多糖3样蛋白1 诊断
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输尿管软镜在肾结石患者中的应用以及对KIM-1、NGAL等指标的影响
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作者 魏朋 丁才学 徐志勇 《中外医疗》 2024年第7期55-58,共4页
目的探究输尿管软镜在肾结石患者中的应用以及对尿液中肾损伤分子-1(Kidney Injury Molecule 1,KIM-1)、血清中性粒细胞明胶酶相关脂质运载蛋白(Neutrophil Gelatinase Associated Lipocalin,NGAL)等指标的影响。方法回顾性选取2022年1... 目的探究输尿管软镜在肾结石患者中的应用以及对尿液中肾损伤分子-1(Kidney Injury Molecule 1,KIM-1)、血清中性粒细胞明胶酶相关脂质运载蛋白(Neutrophil Gelatinase Associated Lipocalin,NGAL)等指标的影响。方法回顾性选取2022年1月-2023年11月湖北中医药大学附属公安中医医院接受治疗的200例肾结石患者的临床资料,以手术方法不同分为对照组和研究组,每组100例。对照组接受标准经皮肾镜取石术治疗,研究组接受输尿管软镜取石术治疗,比较两组临床效果。结果与术前比较,两组术后1 d的KIM-1水平均升高,差异有统计学意义(P<0.05)。术后2 d,研究组KIM-1水平为(86.21±24.31)ng/L低于对照组的(98.41±27.96)ng/L,差异有统计学意义(t=3.293,P=0.001)。术后,两组患者的NGAL水平均较术前显著升高,差异有统计学意义(P<0.05);术后1、2 d时,两组胱抑素C(Cystatin C,Cys-C)水平高于术前,术后3 d时研究组Cys-C水平高于对照组,差异有统计学意义(P<0.05)。研究组手术、住院时间、血红蛋白下降量优于对照组,差异有统计学意义(P均<0.05)。两组结石清除率比较,差异无统计学意义(P>0.05)。结论输尿管软镜取石术治疗肾结石可以明显缩短手术时长、减少住院时间、降低术后血红蛋白下降量,同时对患者产生的创伤较小。 展开更多
关键词 输尿管软镜 经皮肾镜 肾结石 尿液中肾损伤分子-1
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The Role for AVE0991 (MAS-Receptor Angiotensin II (1-7) Agonist) in Reducing Cisplatin-Induced Acute Kidney Injury on C57BL/6 Mice
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作者 Chris Mathew 《Journal of Biosciences and Medicines》 CAS 2023年第1期195-214,共20页
Acute Kidney Injury (AKI) is a condition that causes nephrotoxicity in kidney tissues due to cisplatin-induced cancer treatments. Hence, it is proposed in this review that AVE0991 (a MAS-receptor Angiotensin II (1-7) ... Acute Kidney Injury (AKI) is a condition that causes nephrotoxicity in kidney tissues due to cisplatin-induced cancer treatments. Hence, it is proposed in this review that AVE0991 (a MAS-receptor Angiotensin II (1-7) agonist) may reduce cisplatin-induced acute kidney injury by promoting nitric oxide production. 展开更多
关键词 CISPLATIN Acute kidney injury AKI Cisplatin-Induced Acute kidney injury NEPHROTOXICITY Renal Renin Angiotensin System RAS AVE0991 MAS-Receptor Angiotensin II (1-7) Agonist
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可溶性血栓调节蛋白联合肾损伤分子1对原发性肾病综合征所致急性肾损伤的早期诊断价值
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作者 林建 王俊贤 +2 位作者 殷沛宏 菅宏蕴 叶晴 《中国现代医学杂志》 CAS 2024年第14期77-82,共6页
目的探讨可溶性血栓调节蛋白(sTM)联合肾损伤分子1(KIM-1)对原发性肾病综合征(PNS)所致急性肾损伤(AKI)的早期诊断价值。方法选取2019年1月—2022年10月中山市人民医院收治的177例PNS患者,依据是否发生AKI分为AKI组(102例)和非AKI组(75... 目的探讨可溶性血栓调节蛋白(sTM)联合肾损伤分子1(KIM-1)对原发性肾病综合征(PNS)所致急性肾损伤(AKI)的早期诊断价值。方法选取2019年1月—2022年10月中山市人民医院收治的177例PNS患者,依据是否发生AKI分为AKI组(102例)和非AKI组(75例)。对比两组临床资料及sTM、KIM-1水平。对比不同AKI分期患者sTM、KIM-1水平。分析影响PNS患者AKI发生的危险因素。分析sTM、KIM-1及两者联合对PNS所致AKI的诊断效能。结果两组性别比例、年龄、体质量指数、合并基础疾病、用药史、血红蛋白水平比较,差异均无统计学意义(P>0.05)。AKI组24 h尿蛋白、尿酸、胱抑素C、血肌酐、尿素氮水平高于非AKI组(P<0.05),尿量、白蛋白、肾小球滤过虑低于非AKI组(P<0.05)。AKI组sTM、KIM-1水平高于非AKI组。Ⅲ期和Ⅱ期AKI患者sTM、KIM-1水平高于Ⅰ期(P<0.05),Ⅲ期患AKI患者sTM、KIM-1水平高于Ⅱ期(P<0.05)。多因素逐步Logistic回归分析结果显示:胱抑素C[O^R=2.965(95%CI:1.220,7.207)]、eGFR[O^R=3.340(95%CI:1.374,8.118)]、sTM[O^R=3.089(95%CI:1.271,7.508)]、KIM-1[O^R=3.016(95%CI:1.241,7.330)]均为影响PNS患者AKI发生的危险因素(P<0.05)。sTM、KIM-1及两者联合对PNS所致AKI诊断的敏感性分别为76.47%(95%CI:0.668,0.841)、73.53%(95%CI:0.637,0.816)、71.57%(95%CI:0.616,0.798),特异性分别为70.67%(95%CI:0.589,0.803)、74.66%(95%CI:0.631,0.837)、96.00%(95%CI:0.880,0.990),曲线下面积分别为0.754(95%CI:0.684,0.816)、0.783(95%CI:0.717,0.839)、0.891(95%CI:0.841,0.935)。结论sTM、KIM-1两者联合对PNS所致AKI的早期诊断价值较高。 展开更多
关键词 原发性肾病综合征 可溶性血栓调节蛋白 肾损伤分子-1 急性肾损伤
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Up-regulation of intestinal nuclear factor kappa B and intercellular adhesion molecule-1 following traumatic brain injury in rats 被引量:16
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作者 Chun-HuaHang Ji-XinShi +2 位作者 Jie-ShouLi Wei-QinLi Hong-XiaYin 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第8期1149-1154,共6页
AIM: Nuclear factor kappa B (NF-κB) regulates a large number of genes involved in the inflammatory response to critical illnesses, but it is not known if and how NF-κB is activated and intercellular adhesion molecul... AIM: Nuclear factor kappa B (NF-κB) regulates a large number of genes involved in the inflammatory response to critical illnesses, but it is not known if and how NF-κB is activated and intercellular adhesion molecule-1 (ICAM-1)expressed in the gut following traumatic brain injury (TBI).The aim of current study was to investigate the temporal pattern of intestinal NF-κB activation and ICAM-1expression following TBI.METHODS: Male Wistar rats were randomly divided into six groups (6 rats in each group) including controls with sham operation and TBI groups at hours 3, 12, 24, and 72, and on d 7. Parietal brain contusion was adopted using weight-dropping method. All rats were decapitated at corresponding time point and mid-jejunum samples were taken. NF-κB binding activity in jejunal tissue was measured using EMSA. Immunohistochemistry was used for detection of ICAM-1 expression in jejunal samples.RESULTS: There was a very low NF-κB binding activity and little ICAM-1 expression in the gut of control rats after sham surgery. NF-κB binding activity in jejunum significantly increased by 160% at 3 h following TBI (P<0.05 vs control), peaked at 72 h (500% increase)and remained elevated on d 7 post-injury by 390% increase. Compared to controls, ICAM-1 was significantly up-regulated on the endothelia of microvessels in villous interstitium and lamina propria by 24 h following TBI and maximally expressed at 72 h post-injury (P<0.001). The endothelial ICAM-1 immunoreactivity in jejunal mucosa still remained strong on d 7 post-injury. The peak of NF-κB activation and endothelial ICAM-1 expression coincided in time with the period during which secondary mucosal injury of the gut was also at their culmination following TBI.CONCLUSION: TBI could induce an immediate and persistent up-regulation of NF-κB activity and subsequent up-regulation of ICAM-1 expression in the intestine.Inflammatory response mediated by increased NF-κB activation and ICAM-1 expression may play an important role in the pathogenesis of acute gut mucosal injury following TBI. 展开更多
关键词 脑外伤 小鼠 医学实验 细胞间黏附分子-1 肠内核素
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Intercellular Adhension Molecule-1 in the Pathogenesis of Heroin-induced Acute Lung Injury in Rats 被引量:3
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作者 周琼 白明 邹世清 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2004年第5期430-432,共3页
The expression of intercellular adhesion molecule-1 (ICAM-1) in the pathogenesis of heroin-induced acute lung injury (ALI) in rats was investigated. The model of ALI was established by intravenous injection of heroin ... The expression of intercellular adhesion molecule-1 (ICAM-1) in the pathogenesis of heroin-induced acute lung injury (ALI) in rats was investigated. The model of ALI was established by intravenous injection of heroin into tail vein in rats. Thirty-six rats were randomly divided into heroin-treated groups (1 h, 2 h, 4 h, 6 h and 24 h) and normal control group. Changes in histopathologic morphology and biological markers of ALI were measured. The expression of ICAM-1 in lung tissue was detected by using immunohistochemistry and RT-PCR. The results showed that the W/D ratio and protein contents in BALF of the heroin-treated groups were significantly higher than that of the control group (P<0.01). The histopathological changes in the lung tissue were more obvious in heroin-treated groups. The ICAM-1 protein and mRNA expression in the lung tissue of heroin-treated groups were significantly increased as compared with that of the control group (P<0.01), and correlated with the ALI parameters in a time-dependent manner. Increasing of ICAM-1 expression was involved in the formation of heroin-induced lung injury. Furthermore, the level of expression was positively correlated with the severity of lung injury. 展开更多
关键词 HEROIN acute lung injury intercellular adhesion molecule-1
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The relationship between platelet endothelial cell adhesion molecule-1 and paraquat-induced lung injury in rabbits 被引量:7
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作者 Jing Shi Chun-lin Hu +2 位作者 Yu-feng Gao Xiao-xing Liao Hope Xu 《World Journal of Emergency Medicine》 CAS 2012年第1期60-64,共5页
BACKGROUND:Platelet endothelial cell adhesion molecule-1(PECAM-1),also known as CD31,is mainly distributed in vascular endothelial cells.Studies have shown that PECAM-1 is a very significant indicator of angiogenesis,... BACKGROUND:Platelet endothelial cell adhesion molecule-1(PECAM-1),also known as CD31,is mainly distributed in vascular endothelial cells.Studies have shown that PECAM-1 is a very significant indicator of angiogenesis,and has been used as an indicator for vascular endothelial cells.The present study aimed to explore the relationship between the expression of PECAM-1 and the degree of acute lung injury(ALI) and fibrosis in paraquat(PQ) induced lung injury in rabbits.METHODS:Thirty-six adult New Zealand rabbits were randomly divided into three groups(12rabbits in each group) according to PQ dosage:8 mg/kg(group A),16 mg/kg(group B),and 32 mg/kg(group C).After PQ infusion,the rabbits were monitored for 7 days and then euthanized.The lungs were removed for histological evaluation.Masson staining was used to determine the degree of lung fibrosis(LF),and semi-quantitative immune-histochemistry analysis to determine the expression of PECAM-1.Pearson's product-moment correlation analysis was performed to evaluate the relationship between the expression of PECAM-1 and the extent of lung injuries expressed by ALI score and degree of LF.RESULTS:Rabbits in the three groups showed apparent poisoning.The rabbits survived longer in group A than in groups B and C(6.47±0.99 days vs.6.09±1.04 days vs.4.77±2.04 days)(P<0.05).ALI score was lower in group A than in groups B and C(8.33±1.03 vs.9.83±1.17 vs.11.50±1.38)(P<0.05),and there was statistically significant difference between group B and group C(P=0.03).LF was slighter in group A than in groups B and C(31.09%±2.05%vs.34.37%±1.62%vs.36.54%±0.44%)(P<0.05),and there was statistically significant difference between group B and group C(P=0.026).The PEACAM-1 expression was higher in group A than in groups B and C(20.31%±0.70%vs.19.34%±0.68%vs.18.37%±0.46%)(P<0.05),and there was statistically significant difference between group B and group C(P=0.017).Pearson's correlation analysis showed that the expression of PECAM-1 was negatively correlated to both ALI score(Coe=-0.732,P=0.001)and degree of LF(Coe=-0.779,P<0.001).CONCLUSIONS:The PECAM-1 expression significantly decreases in New Zealand rabbits after PQ poisoning,and the decrease is dose-dependent.The PECAM-1 expression is negatively correlated with ALI score and LF,showing a significant role in the development of lung injuries induced by PQ. 展开更多
关键词 Platelet endothelial cell adhesion molecule-1 PARAQUAT Acute lung injury Lung fibrosis
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Expression changes of nerve cell adhesion molecules L1 and semaphorin 3A after peripheral nerve injury 被引量:1
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作者 Qian-ru He Meng Cong +5 位作者 Qing-zhong Chen Ya-feng Sheng Jian Li Qi Zhang Fei Ding Yan-pei Gong 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第12期2025-2030,共6页
The expression of nerve cell adhesion molecule L1 in the neuronal growth cone of the central nervous system is strongly associated with the direction of growth of the axon, but its role in the regeneration of the peri... The expression of nerve cell adhesion molecule L1 in the neuronal growth cone of the central nervous system is strongly associated with the direction of growth of the axon, but its role in the regeneration of the peripheral nerve is still unknown. This study explored the problem in a femoral nerve section model in rats. L1 and semaphorin 3A m RNA and protein expressions were measured over the 4-week recovery period. Quantitative polymerase chain reaction showed that nerve cell adhesion molecule L1 expression was higher in the sensory nerves than in motor nerves at 2 weeks after injury, but vice versa for the expression of semaphorin 3A. Western blot assay results demonstrated that nerve cell adhesion molecule L1 expression was higher in motor nerves than in the sensory nerves at the proximal end after injury, but its expression was greater in the sensory nerves at 2 weeks. Semaphorin 3A expression was higher in the motor nerves than in the sensory nerves at 3 days and 1 week after injury. Nerve cell adhesion molecule L1 and semaphorin 3A expressions at the distal end were higher in the motor nerves than in the sensory nerves at 3 days, 1 and 2 weeks. Immunohistochemical staining results showed that nerve cell adhesion molecule L1 expression at the proximal end was greater in the sensory nerves than in the motor nerves; semaphorin 3A expression was higher in the motor nerves than in the sensory nerves at 2 weeks after injury. Taken together, these results indicated that nerve cell adhesion molecules L1 and semaphorin 3A exhibited different expression patterns at the proximal and distal ends of sensory and motor nerves, and play a coordinating role in neural chemotaxis regeneration. 展开更多
关键词 nerve regeneration neural cell adhesion molecule L1 semaphorin 3A sensory nerve motor nerve peripheral nerve injury chemotaxis regeneration neural regeneration
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急性大血管闭塞性脑卒中桥接治疗后再灌注损伤sCD40L、ET-1、ICAM-1因子相关性研究
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作者 李峥嵘 袁波 +1 位作者 刘坤 付舒冉 《脑与神经疾病杂志》 CAS 2024年第5期302-306,共5页
目的探讨血清细胞间黏附分子(ICAM-1)、内皮素-1(ET-1)、血浆可溶性CD40配体(sCD40L)与急性大血管闭塞性脑卒中桥接治疗后再灌注损伤的关系。方法选取湖南省脑科医院2021年12月至2022年12月间接受桥接治疗的急性大血管闭塞性脑卒中患者9... 目的探讨血清细胞间黏附分子(ICAM-1)、内皮素-1(ET-1)、血浆可溶性CD40配体(sCD40L)与急性大血管闭塞性脑卒中桥接治疗后再灌注损伤的关系。方法选取湖南省脑科医院2021年12月至2022年12月间接受桥接治疗的急性大血管闭塞性脑卒中患者90例。按照术后是否出现再灌注损伤并发症进行分组,分为再灌注损伤组和未再灌注损伤组:运用ELISA法检测桥接治疗前和治疗开始后30 min、1h、2h、6h、24 h、5d的患者血清sCD40L、ICAM-1、ET-1的水平,并分析两组之间的差异以及治疗前后这3种因子水平的变化。结果治疗前再灌注损伤组和未再灌注损伤组患者血清中sCD40L、ICAM-1、ET-1水平比较差异无统计学意义(P>0.05)。未再灌注损伤组患者的治疗前及治疗后30 min、1 h、2h、6h、24 h、5d的血清中sCD40L、ICAM-1、ET-1水平随时间推移的变化急性大血管闭塞性脑卒中桥接治疗后再灌注损伤组患者的血清sCD40L、ICAM-1、ET-1水平增高,并且随时间推移逐渐升高。均不显著(P>0.05),各指标间无差异:再灌注损伤组患者治疗后各时间点血清中sCD40L、ICAM-1、ET-1水平均显著高于治疗前(均P<0.05),且在治疗后30 min、1h、2h、6 h、24 h、5d的时间点,患者血清中sCD40L、ICAM-1、ET-1水平均随时间变化而升高,不同时间亚组间比较差异均有统计学意义(~均P<0.05)。再灌注损伤组患者治疗后各时间点血清中sCD40L、ICAM-1、ET-1水平均高于未再灌注损伤组相同时间点(~均P<0.05)。结论急性大血管闭塞性脑卒中桥接治疗后再灌注损伤组患者的血清sCD40L、ICAM-1、ET-1水平增高,并且5d内随时间推移逐渐升高。 展开更多
关键词 桥接治疗 再灌注损伤 血清细胞间黏附分子 内皮素-1 血浆可溶性CD40配体
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血清PCSK9、ICAM-1与ACS合并糖尿病患者PCI术后心肌损伤及预后的关系
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作者 姚天宇 王植荣 +4 位作者 马静 路陆 宋朕 张振山 刘润 《国际检验医学杂志》 CAS 2024年第5期589-592,共4页
目的探讨血清前蛋白转化酶枯草溶菌素9(PCSK9)、细胞间黏附分子-1(ICAM-1)与急性冠脉综合征(ACS)合并糖尿病患者经皮冠状动脉介入(PCI)术后心肌损伤及预后的关系。方法将2020年1月至2022年3月该院收治的58例ACS合并糖尿病患者纳入研究... 目的探讨血清前蛋白转化酶枯草溶菌素9(PCSK9)、细胞间黏附分子-1(ICAM-1)与急性冠脉综合征(ACS)合并糖尿病患者经皮冠状动脉介入(PCI)术后心肌损伤及预后的关系。方法将2020年1月至2022年3月该院收治的58例ACS合并糖尿病患者纳入研究。患者行PCI手术后,根据是否发生心肌损伤,分为心肌损伤组(n=24)和心肌未损伤组(n=34)。对患者术后进行12个月的随访,根据是否发生主要不良心血管事件(MACE)分为预后不良组(n=20)和预后良好组(n=38)。比较不同组别的患者血清PCSK9、ICAM-1水平;采用受试者工作特征(ROC)曲线评估血清PCSK9、ICAM-1水平对ACS合并糖尿病患者PCI术后心肌损伤及预后不良的预测价值。结果心肌损伤组患者血清PCSK9、ICAM-1水平高于心肌未损伤组(P<0.05)。预后不良组患者血清PCSK9、ICAM-1水平高于预后良好组(P<0.05)。ROC曲线分析显示,血清PCSK9联合血清ICAM-1的预测价值最高,其用于预测ACS合并糖尿病患者PCI术后心肌损伤及预后不良的曲线下面积(AUC)最大,分别为0.865和0.820。结论血清PCSK9、ICAM-1水平与ACS合并糖尿病患者PCI术后心肌损伤及预后密切相关,两者联合检测对患者心肌损伤及预后不良的预测价值最高。 展开更多
关键词 前蛋白转化酶枯草溶菌素9 细胞间黏附分子-1 急性冠脉综合征 糖尿病 经皮冠状动脉介入 心肌损伤 预后
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肿瘤坏死因子α诱导蛋白8样分子1在小鼠急性肝损伤中的作用及机制
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作者 常勇生 田雪钦 +4 位作者 赵雨欣 宋苗苗 王涵 娄运伟 常廷民 《新乡医学院学报》 CAS 2024年第8期712-717,共6页
目的探讨肿瘤坏死因子α诱导蛋白8样分子1(TNFAIP8L1)在小鼠急性肝损伤中的作用及机制。方法选择C57BL/6J雄性野生型(WT)小鼠和C57BL/6J雌性TNFAIP8L1+/-小鼠杂交繁殖的第2代TNFAIP8L1+/-小鼠和WT小鼠,进一步自交繁殖出第3代雄性TNFAIP8... 目的探讨肿瘤坏死因子α诱导蛋白8样分子1(TNFAIP8L1)在小鼠急性肝损伤中的作用及机制。方法选择C57BL/6J雄性野生型(WT)小鼠和C57BL/6J雌性TNFAIP8L1+/-小鼠杂交繁殖的第2代TNFAIP8L1+/-小鼠和WT小鼠,进一步自交繁殖出第3代雄性TNFAIP8L1-/-小鼠和第3代WT雄性小鼠。分别取5只正常第3代雄性WT小鼠和5只正常第3代雄性TNFAIP8L1-/-小鼠,检测比较2种正常小鼠的血清丙氨酸氨基转移酶(ALT)水平,苏木精-伊红(HE)染色观察2种正常小鼠肝组织中炎症细胞浸润及细胞坏死情况,采用流式细胞术检测2种正常小鼠肝组织髓系细胞亚群中性粒细胞(Neu)、嗜酸性粒细胞(EOS)、树突状细胞(DC)、骨髓来源的巨噬细胞(BMDMs)、骨髓来源的单核细胞(BMNCs)所占百分比。另取5只第3代雄性WT小鼠和4只第3代雄性TNFAIP8L1-/-小鼠,采用脂多糖(LPS)/D-半乳糖胺(D-Gal)诱导制备急性肝损伤小鼠模型,24 h后采取上述方法检测比较2种急性肝损伤小鼠血清ALT水平,观察2种急性肝损伤小鼠肝组织中炎症细胞浸润及细胞坏死情况,并检测2种急性肝损伤小鼠肝组织髓系细胞亚群Neu、EOS、DC、BMDMs、BMNCs所占百分比。结果正常WT小鼠和TNFAIP8L1-/-组小鼠肝组织中髓系细胞亚群Neu、EOS、DC、BMDMs、BMNCs百分比及血清ALT水平比较差异无统计学意义(P>0.05)。正常WT小鼠和TNFAIP8L1-/-小鼠的肝组织HE染色结果均显示肝小叶结构完整清晰,肝细胞形态正常、排列整齐,无明显炎症细胞浸润及细胞坏死。急性肝损伤24 h后,TNFAIP8L1-/-小鼠肝组织髓系细胞亚群中Neu、BMNCs百分比及血清ALT水平显著高于WT小鼠(P<0.05);2组小鼠肝组织髓系细胞亚群EOS、DC、BMDMs百分比比较差异无统计学意义(P>0.05)。急性肝损伤WT小鼠肝组织中肝小叶结构模糊,肝细胞肿胀、散在空泡样脂肪变性,有少量炎症细胞浸润。急性肝损伤TNFAIP8L1-/-小鼠肝组织中肝小叶结构几乎不存在,肝细胞损伤严重且大量坏死,并有大量炎症细胞浸润。结论TNFAIP8L1基因缺陷不影响小鼠肝组织中髓系细胞的发育和小鼠肝脏稳态。TNFAIP8L1在急性肝损伤的发生发展过程中起抑制作用。TNFAIP8L1基因缺陷加重LPS/D-Gal诱导的急性肝损伤,有可能是通过增加Neu和BMNCs浸润而招募其他类型的免疫细胞浸润入肝组织,从而加重肝细胞的坏死。 展开更多
关键词 肿瘤坏死因子α诱导蛋白8样分子1 急性肝损伤 中性粒细胞 单核细胞
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Inhibiting phosphatase and actin regulator 1 expression is neuroprotective in the context of traumatic brain injury 被引量:1
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作者 Yao Jing Lin Zhang +8 位作者 Shi-Wen Chen Yan Guo Shi-Ming Ju Fang Yuan Hao Chen Dian-Xu Yang Heng-Li Tian Zhi-Ming Xu Jun Ding 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第7期1578-1583,共6页
Studies have found that the phosphatase actin regulatory factor 1 expression can be related to stroke,but it remains unclear whether changes in phosphatase actin regulatory factor 1 expression also play a role in trau... Studies have found that the phosphatase actin regulatory factor 1 expression can be related to stroke,but it remains unclear whether changes in phosphatase actin regulatory factor 1 expression also play a role in traumatic brain injury.In this study we found that,in a mouse model of traumatic brain injury induced by controlled cortical impact,phosphatase actin regulatory factor 1 expression is increased in endothelial cells,neurons,astrocytes,and microglia.When we overexpressed phosphatase actin regulatory factor 1 by injection an adeno-associated virus vector into the contused area in the traumatic brain injury mice,the water content of the brain tissue increased.However,when phosphatase actin regulatory factor 1 was knocked down,the water content decreased.We also found that inhibiting phosphatase actin regulatory factor 1 expression regulated the nuclear factor kappa B signaling pathway,decreased blood-brain barrier permeability,reduced aquaporin 4 and intercellular adhesion molecule 1 expression,inhibited neuroinflammation,and neuronal apoptosis,thereby improving neurological function.The findings from this study indicate that phosphatase actin regulatory factor 1 may be a potential therapeutic target for traumatic brain injury. 展开更多
关键词 apoptosis aquaporin 4 blood brain barrier intercellular adhesion molecule 1 NEUROINFLAMMATION nuclear factor kappa B OCCLUDIN phosphatase and actin regulator-1 traumatic brain injury zonula occludens 1
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Prognostic Factors in Cardiorenal Syndrome Type 1: Retrospective Observational and Analytical Study
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作者 Mariam El Galiou Amal Zniber +5 位作者 Hajar Fitah Naima Ouzeddoun Tarik Bouattar Nawal Doghmi Laila Lahlou Loubna Benamar 《World Journal of Cardiovascular Diseases》 CAS 2024年第7期435-445,共11页
Introduction: Type 1 cardiorenal syndrome (CRS 1) is characterized by acute impairment of cardiac function leading to acute renal dysfunction. CRS1 is present in 25% of patients admitted for heart failure. The objecti... Introduction: Type 1 cardiorenal syndrome (CRS 1) is characterized by acute impairment of cardiac function leading to acute renal dysfunction. CRS1 is present in 25% of patients admitted for heart failure. The objective of our study is to analyze the epidemiological, clinical, therapeutic profile and the risk and prognostic factors of these patients. Materials and Methods: We identified 120 patients with cardiorenal syndrome (CRS) over a one-year period to determine the prevalence and risk factors for developing CRS 1. We analyzed the clinical, biological, and evolutionary profiles of patients with CRS 1 and determined the risk factors for the occurrence of acute kidney injury (AKI) as well as the mortality factors in these patients. Résultats: The average age of our patients with CRS1 is 58 ± 9 years, with a sex ratio of 1.4. The average eGFR of our patients is 35 ± 6.5 ml/min/1.73m2. Diabetes was found in 17% of our patients and hypertension in 14%. The etiology of cardiac impairment is predominantly acute coronary syndrome (ACS), followed by rhythm disorders. Renally, all our patients have acute kidney injury (AKI), with 86% having functional acute renal failure and 14% having acute tubular necrosis. Therapeutically, 50% of our patients are on diuretics, 42% receive beta-blocker treatment, and RAAS blockers are used in 29% of cases. Renal replacement therapy (RRT) sessions were required in 13.8% of cases. In univariate analysis, male gender, tachyarrhythmia, and hypertension are associated with the early onset of acute kidney injury (AKI). The use of diuretics, anemia, and low left ventricular ejection fraction (LVEF) are linked to a higher risk of developing CRS 1 (p = 0.021, p = 0.037, p = 0.010 respectively). In multivariate analysis, advanced age is significantly associated with increased mortality risk in CRS 1 patients (p = 0.030), while beta-blocker use is considered a protective factor (p = 0.014). Conclusion: Our study identifies several key factors associated with outcomes in type 1 CRS. Male gender, tachyarrhythmia, and hypertension are linked to early-onset AKI. The use of diuretics and the presence of anemia increase the risk of developing CRS1. Advanced age is significantly associated with higher mortality rates. Conversely, the use of beta-blockers appears to be protective in this patient population. . 展开更多
关键词 Acute kidney injury Type 1 Cardiorenal Syndrome Acute Heart Failure DIURETICS
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KIM1、TIMP2及炎症指标与2型糖尿病肾病进展风险的相关性研究
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作者 孙小芳 尹丽明 +3 位作者 包利文 廖智威 付文金 王少波 《海南医学》 CAS 2024年第14期2036-2041,共6页
目的检测不同程度肾脏疾病的糖尿病患者中血清肾损伤分子-1(KIM-1)、金属基质蛋白酶抑制剂-2(TIMP2)、白介素6(IL-6)和C反应蛋白(CRP)的水平,并评估其与糖尿病肾脏进展风险的关系。方法选取2022年3月至2023年3月东莞厚街医院收治的65例... 目的检测不同程度肾脏疾病的糖尿病患者中血清肾损伤分子-1(KIM-1)、金属基质蛋白酶抑制剂-2(TIMP2)、白介素6(IL-6)和C反应蛋白(CRP)的水平,并评估其与糖尿病肾脏进展风险的关系。方法选取2022年3月至2023年3月东莞厚街医院收治的65例2型糖尿病患者纳入研究,根据患者肾脏病变的严重程度,按照改善全球预后指南将糖尿病肾病(DKD)分为低风险组(n=19)、中风险组(n=22)和高风险组(n=24),同期选择20例体检健康者作为对照组。比较各组受试者血清KIM-1、TIMP-2、IL-6、CRP、糖化血红蛋白(HbAlc)、尿蛋白/肌酐比值(UACR)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FPG)、血清总胆固醇(TC)、肾小球滤过率(eGFR)、高密度脂蛋白胆固醇(HDL-C)、25羟维生素D_(3)[(25(OH)D_(3))]和甘油三酯(TG)的水平,采用Pearson法分析血清TIMP-2、KIM-1与DKD糖脂代谢、肾功能指标的相关性,利用受试者工作(ROC)曲线分析血清KIM-1、TIMP-2、IL-6、CRP、KIM-1与TIMP-2联合检测对DKD疾病进展的预测价值。结果四组受检者血清LDL-C、HDL-C和CRP水平比较差异均无统计学意义(P>0.05);对照组血清FPG、HbAlc、TIMP2、KIM-1水平分别为(5.13±0.56)mmol/L、(5.56±0.30)%、(4.91±0.76)ng/mL、(0.46±0.33)ng/mL,明显低于低风险组的(12.17±9.82)mmol/L、(9.45±2.46)%、(11.51±25.01)ng/mL、(1.00±0.68)ng/mL及中风险组的(11.35±10.63)mmol/L、(9.73±2.82)%、(30.23±17.42)ng/mL、(1.26±1.31)ng/mL和高风险组的(8.04±7.69)mmol/L、(9.27±2.21)%、(30.51±46.01)ng/mL、(1.63±1.09)ng/mL,而低风险组的血清中TIMP2、KIM-1水平明显低于中风险组、高风险组,差异均有统计学意义(P<0.05);高风险组患者的血清CREA、IL-6水平分别为(122.00±79.23)μmmol/L、(3.51±5.92)pg/mL,明显高于低风险组的(77.00±42.70)μmmol/L、(0.50±2.79)pg/mL和中风险组的(74.00±32.25)μmmol/L、(1.34±3.61)pg/mL,差异均有统计学意义(P<0.05);经Spearman相关分析结果显示2型糖尿病肾病患者TIMP-2、KIM-1与HbA1c、IL-6、UACR均呈正相关(P<0.05),而TIMP-2、KIM-1与eGFR呈负相关(P<0.05);经ROC分析结果显示,KIM-1、TIMP-2、IL-6、CRP以及KIM-1联合TIMP-2预测2型糖尿病肾病进展风险的曲线下面积(AUC)分别为0.869、0.867、0.751、0.633和0.935,KIM-1联合TIMP-2预测较各单一指标预测的准确度更高。结论血清KIM-1、TIMP-2、IL-6、CRP水平升高与2型糖尿病肾病疾病进展密切相关,其中KIM-1联合TIMP-2预测2型糖尿病肾病进展风险的价值较高。 展开更多
关键词 糖尿病肾病 肾损伤分子-1 金属基质蛋白酶抑制剂-2 炎症因子 相关性
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中性粒细胞明胶酶相关脂质运载蛋白、肾损伤分子-1联合尿微量白蛋白检测对胰腺炎并发急性肾损伤的诊断价值
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作者 肖礼红 鲁力 石伟 《中国当代医药》 CAS 2024年第11期117-120,共4页
目的分析尿液中性粒细胞明胶酶相关脂质运载蛋白(NGAL)、肾损伤分子-1(KIM-1)联合尿微量白蛋白(MAU)检测在急性胰腺炎(AP)并发急性肾损伤(AKI)早期诊断中的价值。方法选取2020年7月至2023年7月北京积水潭医院贵州医院收治的120例AP患者... 目的分析尿液中性粒细胞明胶酶相关脂质运载蛋白(NGAL)、肾损伤分子-1(KIM-1)联合尿微量白蛋白(MAU)检测在急性胰腺炎(AP)并发急性肾损伤(AKI)早期诊断中的价值。方法选取2020年7月至2023年7月北京积水潭医院贵州医院收治的120例AP患者作为研究对象,根据入院后7 d内是否发生AKI分为AKI组、非AKI组,患者均于入院当日采集尿液,检测NGAL、KIM-1、MAU水平。比较两组患者一般资料及尿液NGAL、KIM-1、MAU水平,分析NGAL、KIM-1和MAU水平与急性生理学和慢性健康评估Ⅱ(APACHEⅡ)评分的相关性,采用受试者工作特征曲线(ROC)评估NGAL、KIM-1和MAU单独及联合检测对AP并发AKI的预测价值。结果两组患者年龄、性别、体重指数(BMI)、糖尿病史、高血压史、发病至入院时间、基线血肌酐水平比较,差异均无统计学意义(P>0.05);AKI组APACHEⅡ评分高于非AKI组,差异有统计学意义(P<0.05);AKI组尿液NGAL、KIM-1、MAU水平均高于非AKI组,差异有统计学意义(P<0.05);Pearson相关性分析显示,尿液NGAL、KIM-1、MAU水平与APACHEⅡ评分均呈正相关(P<0.05);ROC曲线显示,尿液NGAL、KIM-1、MAU预测AP并发AKI的最佳截断值分别为158.50 ng/ml、3.23 ng/ml和23.85 mg/L,对应的AUC分别为0.872、0.853和0.841,联合诊断AUC为0.912。结论尿液NGAL、KIM-1和MAU检测对AP并发AKI具有较高的预测价值,可提高早期诊断效能。 展开更多
关键词 急性胰腺炎 急性肾损伤 中性粒细胞明胶酶相关脂质运载蛋白 肾损伤分子-1 尿微量白蛋白 诊断价值
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UACR联合血清KIM-1、NGAL对冠心病病人术后并发造影剂肾病的预测分析
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作者 祁兴敏 安惠旒 +4 位作者 王瑞 曹炜红 焦霞 王世杰 于改革 《蚌埠医学院学报》 CAS 2023年第2期178-181,共4页
目的:探讨尿微量白蛋白/尿肌酐比值水平(urine micro-albumin/urinary creatinine ratio,UACR)联合血清肾损伤分子-1(kidney injury molecule-1,KIM-1)、中性粒细胞明胶酶相关脂质运载蛋白(neutrophil gelatinase-associated lipocalin,... 目的:探讨尿微量白蛋白/尿肌酐比值水平(urine micro-albumin/urinary creatinine ratio,UACR)联合血清肾损伤分子-1(kidney injury molecule-1,KIM-1)、中性粒细胞明胶酶相关脂质运载蛋白(neutrophil gelatinase-associated lipocalin,NGAL)对冠心病病人术后并发造影剂肾病(contrast-induced nephropathy,CIN)的评估价值。方法:选取162例冠心病病人,均行冠状动脉造影、经皮冠状动脉介入术,根据术后是否发生CIN分为CIN组(22例)、非CIN组(140例)。比较2组病人临床基线资料以及术后24 h的UACR、血清KIM-1、NGAL水平,采用多因素logistic回归分析CIN发生的危险因素,采用受试者工作特征曲线(ROC曲线)分析UACR、KIM-1、NGAL预测CIN的诊断价值。结果:CIN病人术后24 h的NGAL、血清KIM-1、UACR水平以及术前尿肌酐均高于非CIN组,而术前肾小球滤过率低于对照组,差异有统计学意义(P<0.05~P<0.01)。多因素logistic回归分析显示,UACR、KIM-1、NGAL升高均是CIN发生的危险因素(P<0.01)。ROC曲线分析显示,NGAL、KIM-1、UACR以及联合诊断预测CIN的曲线下面积分别为0.826、0.801、0.790、0.886,联合诊断的曲线下面积明显高于单独诊断,差异有统计学意义(P<0.05)。结论:UACR以及血清KIM-1、NGAL是冠心病病人术后发生CIN的独立危险因素,发生CIN的高风险病人各指标均处于较高水平,三种指标联合检测可提高CIN的预测价值。 展开更多
关键词 造影剂肾病 尿微量白蛋白/尿肌酐比值水平 肾损伤分子-1 中性粒细胞明胶酶相关脂质运载蛋白
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骨折创伤性休克患者血清KIM-1、NGAL、NAG水平变化及其对病情诊断预测价值
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作者 顾顺强 王海江 刘飞 《宁夏医科大学学报》 2023年第9期909-914,共6页
目的评估血清肾损伤分子-1(KIM-1)、中性粒细胞明胶酶相关脂质运载蛋白(NGAL)及N-乙酰-β-D-葡萄糖苷酶(NAG)对骨折创伤性休克患者病情的预测价值。方法选取武警宁夏总队医院2018年9月至2022年7月收治的88例骨折创伤性休克患者为观察组... 目的评估血清肾损伤分子-1(KIM-1)、中性粒细胞明胶酶相关脂质运载蛋白(NGAL)及N-乙酰-β-D-葡萄糖苷酶(NAG)对骨折创伤性休克患者病情的预测价值。方法选取武警宁夏总队医院2018年9月至2022年7月收治的88例骨折创伤性休克患者为观察组,另选取同样数量的健康体检者为对照组。根据急性生理学和慢性健康状况量表(APACHE-Ⅱ)将观察组分为轻中度组49例,重度组39例。采用ELISA法检测观察组与对照组患者血清KIM-1、NGAL、NAG水平的差异,以及观察组中不同严重程度骨折创伤性休克患者血清KIM-1、NGAL、NAG水平差异;采用Pearson相关分析分析KIM-1、NGAL、NAG与患者病情严重程度的相关性;采用受试者工作特征(ROC)曲线评估上述指标单一及联合对患者病情的预测价值。结果Elisa结果显示,观察组血清KIM-1、NGAL、NAG水平明显高于对照组,且重度组明显高于轻中度组。Pearson分析结果显示,血清KIM-1(r=0.411,P<0.001)、NGAL(r=0.421,P<0.001)、NAG(r=0.381,P<0.001)水平与骨折创伤性休克患者病情严重程度相关。血清KIM-1、NGAL、NAG及三者联合诊断预测骨折创伤性休克的AUC分别为0.755、0.750、0.772及0.915。结论血清KIM-1、NGAL和NAG具有作为辅助预测骨折创伤性休克患者病情严重程度指标的潜力,且三者联合检测更具有效力,监测以上指标有利于骨折创伤性休克患者的及时诊疗。 展开更多
关键词 骨折创伤性休克 肾损伤分子-1 中性粒细胞明胶酶相关脂质运载蛋白 N-乙酰-Β-D-葡萄糖苷酶
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血清miR-210、miR-218-5p和KIM-1水平对妊娠期高血压疾病患者肾损伤的诊断价值
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作者 居蕾 曹雨辰 樊莉萍 《检验医学与临床》 CAS 2023年第5期650-654,659,共6页
目的评估血清微小RNA(miR)-210、miR-218-5p和肾损伤分子(KIM)-1水平对妊娠期高血压疾病患者肾损伤的诊断价值。方法选择2019年1月至2020年12月复旦大学附属妇产科医院诊断为妊娠期高血压疾病的患者106例为研究组,选择同期健康产检孕妇7... 目的评估血清微小RNA(miR)-210、miR-218-5p和肾损伤分子(KIM)-1水平对妊娠期高血压疾病患者肾损伤的诊断价值。方法选择2019年1月至2020年12月复旦大学附属妇产科医院诊断为妊娠期高血压疾病的患者106例为研究组,选择同期健康产检孕妇75例为对照组。比较研究组与对照组血清miR-210、miR-218-5p、KIM-1和β_(2)-微球蛋白(β_(2)-MG)水平;分析血清miR-210、miR-218-5p、KIM-1和β_(2)-MG水平与妊娠期高血压疾病严重程度及肾功能的关系;评估血清miR-21、miR-218-5p、KIM-1和β_(2)-MG水平对妊娠期高血压疾病患者肾损伤的诊断效能;分析妊娠期高血压疾病患者血清miR-210、miR-218-5p和KIM-1水平间的相关性。结果研究组血清miR-210、KIM-1和β_(2)-MG水平明显高于对照组,血清miR-218-5p水平明显低于对照组,差异有统计学意义(P<0.05)。重度子痫前期组血清miR-210、KIM-1和β_(2)-MG水平明显高于轻度子痫前期组和妊娠期高血压组,血清miR-218-5p水平明显低于轻度子痫前期组和妊娠期高血压组,差异有统计学意义(P<0.05);轻度子痫前期组血清miR-210、KIM-1和β_(2)-MG水平明显高于妊娠期高血压组,血清miR-218-5p水平明显低于妊娠期高血压组,差异有统计学意义(P<0.05)。肾功能异常组血清miR-210、KIM-1和β_(2)-MG水平明显高于肾功能正常组,血清miR-218-5p水平明显低于肾功能正常组,差异有统计学意义(P<0.05)。血清miR-210、KIM-1、miR-218-5p联合检测诊断妊娠期高血压疾病患者肾损伤的灵敏度为84.6%,特异度为95.5%,曲线下面积为0.957,明显优于各指标单独检测(P<0.05)。妊娠期高血压疾病患者血清miR-210和KIM-1水平与miR-218-5p水平均呈负相关(r=-0.555、-0.542,P<0.05),而血清miR-210与KIM-1水平呈正相关(r=0.575,P<0.05)。结论血清miR-210、miR-218-5p和KIM-1水平与妊娠期高血压疾病的发生、发展有关,且对患者肾损伤具有较高的诊断价值,联合检测的诊断价值优于各指标单独检测。 展开更多
关键词 妊娠期高血压疾病 肾损伤 微小RNA-210 微小RNA-218-5p 肾损伤分子-1
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Mechanism of miR-214-mediated HIF1 α and KIM1 signaling pathway in rats with ischemic acute kidney injury
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作者 Dan Li Na An +1 位作者 Lu Liu Yan Xu 《Journal of Hainan Medical University》 2019年第24期6-10,共5页
Objective:To investigate the mechanism of mir-214-mediated HIF1 alpha and KIM1 signaling pathways in rats with ischemic acute kidney injury. Methods:Rats were divided into three groups according to the difference of t... Objective:To investigate the mechanism of mir-214-mediated HIF1 alpha and KIM1 signaling pathways in rats with ischemic acute kidney injury. Methods:Rats were divided into three groups according to the difference of the preparation model, 16 in each group, sham operation group, IAKI group and miR-214 group.The rats in the latter two groups were established with ischemic acute kidney injury. After 48 hours, three groups of rats were treated with orbital venous blood. Urine was collected, biochemical parameters and KIM1 expression were detected. After using Masson's Trichrome, TUNEL, immunoblotting and PCR, renal histopathology, apoptosis of glomerular epithelial cells and expression of HIF1α, KIM1 protein and mRNA in renal tissues were detected. Results:The biochemical parameters of rats in the IAKI group included Scr, BUN and 24hUTP, which were higher than the previous group (P<0.05). The MIR-214 group was higher than the IAKI group. The sham operation group had intact renal tissue structure and good renal tubular and glomeruli. The IAKIgroup had increased glomerular interstitial, renal interstitial widening and inflammation. Severe infiltration, severe tubular atrophy, miR-214 group and IAKIgroup, renal interstitial inflammation increased, hardness increased, tubular atrophy more serious;black yellow is apoptotic cells, IAKIgroup rat renal tubular epithelial cell apoptosis The most serious, the degree of apoptosis was significantly higher than the sham operation group;the degree of apoptosis of renal tubular epithelial cells was increased in the miR-214 group compared with the IAKIgroup, and high levels of miR-214 could accelerate the apoptosis of epithelial cellsThe HIF1α and KIM1 proteins in the IAKI group were higher than those in the Previous group(P<0.05). The above indexes in the mir-214 group were better than those in the IAKI group(P<0.05). The HIF1α and KIM1 mRNA in the IAKI group were higher than in the sham operation group, and the above indicators in the mir-214 group(P<0.05). Better than the IAKI group(P<0.05);Conclusions:The increase of miR-214 accelerates the apoptosis of glomerular epithelial cells, impaired renal tissue damage, and mediates the elevation of HIF1α and KIM1, further aggravating the condition of IAKI rats. 展开更多
关键词 miR-214 HIF1 α KIM1 ISCHEMIC ACUTE kidney injury
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