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Atherosis-associated lnc_000048 activates PKR to enhance STAT1-mediated polarization of THP-1 macrophages to M1 phenotype 被引量:1
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作者 Yuanyuan Ding Yu Sun +5 位作者 Hongyan Wang Hongqin Zhao Ruihua Yin Meng Zhang Xudong Pan Xiaoyan Zhu 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第11期2488-2498,共11页
Our previous study has demonstrated that lnc_000048 is upregulated in large-artery atherosclerotic stroke and promotes atherosclerosis in ApoE^(-/-)mice.However,little is known about the role of lnc_000048 in classica... Our previous study has demonstrated that lnc_000048 is upregulated in large-artery atherosclerotic stroke and promotes atherosclerosis in ApoE^(-/-)mice.However,little is known about the role of lnc_000048 in classically activated macrophage(M1)polarization.In this study,we established THP-1-derived testing state macrophages(M0),M1 macrophages,and alternately activated macrophages(M2).Real-time fluorescence quantitative PCR was used to verify the expression of marker genes and the expression of lnc_000048 in macrophages.Flow cytometry was used to detect phenotypic proteins(CD11b,CD38,CD80).We generated cell lines with lentivirus-mediated upregulation or downregulation of lnc_000048.Flow cytometry,western blot,and real-time fluorescence quantitative PCR results showed that down-regulation of lnc_000048 reduced M1 macrophage polarization and the inflammation response,while over-expression of lnc_000048 led to the opposite effect.Western blot results indicated that lnc_000048 enhanced the activation of the STAT1 pathway and mediated the M1 macrophage polarization.Moreover,catRAPID prediction,RNA-pull down,and mass spectrometry were used to identify and screen the protein kinase RNA-activated(PKR),then catRAPID and RPIseq were used to predict the binding ability of lnc_000048 to PKR.Immunofluorescence(IF)-RNA fluorescence in situ hybridization(FISH)double labeling was performed to verify the subcellular colocalization of lnc_000048 and PKR in the cytoplasm of M1 macrophage.We speculate that lnc_000048 may form stem-loop structure-specific binding and activate PKR by inducing its phosphorylation,leading to activation of STAT1 phosphorylation and thereby enhancing STAT1 pathway-mediated polarization of THP-1 macrophages to M1 and inflammatory factor expression.Taken together,these results reveal that the lnc_000048/PKR/STAT1 axis plays a crucial role in the polarization of M1 macrophages and may be a novel therapeutic target for atherosclerosis alleviation in stroke. 展开更多
关键词 ATHEROSCLEROSIS inflammation lnc_000048 lncRNA macrophage POLARIZATION protein kinase RNA-activated(PKR) STAT1
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Effect of Mnk1 on lipopolysaccharide-induced inflammatory responses in macrophages
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作者 XIA Hong-xia TANG Qi-zhu +1 位作者 ZHOU Heng LIU Zhe-yu 《Journal of Hainan Medical University》 2023年第4期6-12,共7页
Objective:To investigate the effect of mitogen-activated protein kinase interaction serine kinase 1(Mnk1)gene deletion on lipopolysaccharide(LPS)-induced inflammatory response in mouse macrophages(Mφ)and the possible... Objective:To investigate the effect of mitogen-activated protein kinase interaction serine kinase 1(Mnk1)gene deletion on lipopolysaccharide(LPS)-induced inflammatory response in mouse macrophages(Mφ)and the possible mechanism.Methods:Healthy male wildtype C57BL/6J(WT)and Mnk1 knockout(KO)mice were selected at 8-10 weeks of age and divided into WT+PBS,KO+PBS,WT+LPS and KO+LPS groups,and the serum levels of IL-1βwere measured by ELISA after 24 h intraperitoneal injection of PBS or LPS.The mRNA expression levels of IL-1βand Sprouty2(Spry2)in the spleen Mφwere measured by qRTPCR.Mφwas also extracted from the peritoneal cavity of two strains of mice for in vitro experiments to detect macrophage adhesion function and stimulated with equal volumes of LPS or PBS solution for 24 h,divided into WT+PBS group,KO+PBS group,WT+LPS group and KO+LPS group,and transfected with adenovirus expressing Spry2.qRT-PCR was used to detect the mRNA expression levels of LFA-1α,IL-1β,iNOS,CD206,Arg1 and Spry2 in Mφ.Mnk1,ERK1/2,P-ERK1/2,P-p38,P-JNK and Spry2 protein levels in Mφwere detected by western blot.Results:In the in vivo experiments,the concentration of IL-1βin the serum of the KO+LPS group was more significantly elevated than that of the WT+LPS group in mice injected intraperitoneally with LPS.The expression level of splenic MφIL-1βwas higher and the mRNA expression level of Spry2 was decreased in the KO+LPS group compared to the WT+LPS group.In the in vitro experiments,the mRNA expression levels of IL-1βand iNOS were elevated and those of CD206,Arg1 and Spry2 were decreased in the KO+LPS group compared with the WT+LPS group;the expression of LFA-1αwas not significantly different in the WT+PBS and WT+LPS groups,while the expression level of LFA-1αwas significantly increased in the KO+LPS group compared with the WT+LPS group.The results of the macrophage adhesion function assay showed that the adhesion rate of Mφin the KO group was increased at several time points compared to the WT group.After LPS stimulation,the expression of MφSpry2 decreased in Mnk1 KO group compared to WT group,while the expression of P-ERK1/2 increased compared to WT group.After Mφwas transfected with adenovirus overexpressing Spry2 and stimulated with LPS,MφSpry2 expression increased in the KO+AdSpry2 group and P-ERK1/2 expression decreased significantly compared to KO+AdGFP.Conclusion:Mnk1 knockdown enhances LPS-induced inflammatory responses in macrophages,and the mechanism may be related to the involvement of Spry2,a substrate of Mnk1,in regulating macrophage function. 展开更多
关键词 Mnk1 macrophageS inflammation Sprouty2
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Macrophage Inflammatory Protein-1 Beta (MIP-1<i>β</i>) and Platelet Indices as Predictors of Spontaneous Bacterial Peritonitis<br>—MIP, MPV and PDW in SBP 被引量:2
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作者 Soha E. Khorshed Hoda A. Ibraheem Shereen M. Awad 《Open Journal of Gastroenterology》 2015年第7期94-102,共9页
Background/Aims: The objective of this study is to measure macrophage inflammatory protein one beta (MIP-1β), mean platelet volume (MPV) and platelet distribution width (PDW) to evaluate their usefulness in the diagn... Background/Aims: The objective of this study is to measure macrophage inflammatory protein one beta (MIP-1β), mean platelet volume (MPV) and platelet distribution width (PDW) to evaluate their usefulness in the diagnosis of spontaneous bacterial peritonitis (SBP) in cirrhotic patients. Materials and Methods: This study comprised 41 cirrhotic patients with ascites. MPV, PDW and MIP-1β were measured in serum and ascitic fluid. Results: A significant increase MPV, PDW, C-reactive Protein (CRP) and white blood cell was observed in SBP group compared to non SBP (P ≤ 0.001, P = 0 β was significantly in-creased in ascitic fluid in patients with SBP versus non SBP (P ≤ 0.001). At cutoff value of 8.3 fl MPV had 85.7% sensitivity and 75% specificity (AUC = 0.876) for diagnosis of SBP. At cutoff value of 15.4 PDW had 90.4% sensitivity and 55% specificity (AUC = 0.762). At cutoff value of 121.9 pg/ml MIP-1β in ascitic fluid had 76.1% sensitivity and 100% specificity (AUC = 0.881) for detecting SBP. Conclusion: MIP-1β and platelet indices are useful marker in the diagnosis of SBP in cirrhotic patients. Combined measurement of MIP-1β in serum and ascitic fluid had 100% sensitivity and specificity for diagnosis of SBP. 展开更多
关键词 spontaneous bacterial protonates mean PLATELET volume macrophage inflammatory protein-1 BETA liver cirrhosis
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Inflammation: Complexity and significance of cellular and molecular responses 被引量:1
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作者 Serdar Ozdemir 《Journal of Acute Disease》 2024年第1期3-7,共5页
Inflammation is a multifaceted cellular and molecular response triggered by injury,infection,or various pathological conditions.Serving as a protective defense mechanism,the inflammatory response involves clinical sig... Inflammation is a multifaceted cellular and molecular response triggered by injury,infection,or various pathological conditions.Serving as a protective defense mechanism,the inflammatory response involves clinical signs like redness,swelling,pain,and increased body temperature.Immune cells,notably neutrophils and macrophages,play key roles in orchestrating this response.The delicate balance between proinflammatory and anti-inflammatory mediators,including cytokines and chemokines,regulates the inflammatory cascade.While acute inflammation is crucial for tissue repair,chronic inflammation may indicate an imbalance,contributing to conditions like autoimmune diseases.Understanding these mechanisms is vital for developing therapeutic strategies and managing chronic diseases. 展开更多
关键词 inflammation C-reactive protein PLATELETS SCUBE1 ADRENOMEDULLIN CALPROTECTIN Pentraxin-3 Immune response Acute phase response Vascular function
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Reveal more mechanisms of precondition mesenchymal stem cells inhibiting inflammation
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作者 Yi Li Qian-Qian Chen En-Qiang Linghu 《World Journal of Stem Cells》 SCIE 2024年第4期459-461,共3页
Hypoxia can get more ability to inhibit inflammation.But how it impact on survival time of mesenchymal stem cells(MSCs)is confusing and how preconditioned MSCs inhibiting inflammation are partially known.Those issues ... Hypoxia can get more ability to inhibit inflammation.But how it impact on survival time of mesenchymal stem cells(MSCs)is confusing and how preconditioned MSCs inhibiting inflammation are partially known.Those issues decided the value of preconditioned MSCs by hypoxia. 展开更多
关键词 Mesenchymal stem cell Hypoxia-inducible factor HYPOXIA inflammation macrophage
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Hepatitis B Virus X Protein Up-regulates TNF-α and IL-1β Secretion of Macrophages
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作者 陈春莲 吴移谋 +4 位作者 王静 朱翠明 刘安元 尹卫国 万艳平 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2007年第3期206-209,共4页
Objective: To provide the experimental basis for further studying the molecular transformation mechanism of Hepatitis B virus (HBV) X protein (HBx) on hepatocellular carcinoma. Methods: Reconstructed plasmid pcD... Objective: To provide the experimental basis for further studying the molecular transformation mechanism of Hepatitis B virus (HBV) X protein (HBx) on hepatocellular carcinoma. Methods: Reconstructed plasmid pcDNA3.1(+)-HBx was transfected into THP-1 macrophages. Expression of HBx was assayed in macrophages lysate by Western-blotting, and TNF-α and IL-1β contents were detected respectively by ELISA. All the data were analyzed by SPSS13.0. Results: In THP-lmacrophages, the pcDNA3.1(+)-HBx plasmid expressed HBx with a molecular weight of about 17 KDa demonstrated by Western-blotting. The secreted TNF-α and IL-1β from macrophages were determined by ELISA, the results from analysis of all groups showed as following: control group was different from LPS group and pcDNA3.1(+) group (P〈0.01), and so was pcDNA3.1(+)-HBx group; but there was no obvious difference between pcDNA3.1(+) group and LPS group (P〉0.05), all of which indicated that transient overexpression of HBx enhanced LPS-induced production of TNF-α and IL-1β by macrophages. Conclusion: Transient overexpression of HBx up-regulates LPS-induced TNF-t~ and IL-113 secretion of macrophages. 展开更多
关键词 HBV X protein macrophageS TNF-Α IL-1Β
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抑制lncRNA TUG1下调核苷酸结合寡聚结构域样受体蛋白1炎症小体在延缓阿尔茨海默病进展的作用 被引量:1
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作者 马婷婷 陈建红 +1 位作者 刘爱翠 李海宁 《解剖学报》 CAS CSCD 2024年第1期32-42,共11页
目的探讨敲低长链非编码RNA(lncRNA)牛磺酸上调基因1(TUG1)抑制核苷酸结合寡聚结构域样受体蛋白1(NLRP1)炎症小体在缓解阿尔茨海默病进展中的作用。方法选取9~10周龄遗传背景为C57/BL6的野生型小鼠(WT组,10只)或淀粉样前体蛋白(APP)/早... 目的探讨敲低长链非编码RNA(lncRNA)牛磺酸上调基因1(TUG1)抑制核苷酸结合寡聚结构域样受体蛋白1(NLRP1)炎症小体在缓解阿尔茨海默病进展中的作用。方法选取9~10周龄遗传背景为C57/BL6的野生型小鼠(WT组,10只)或淀粉样前体蛋白(APP)/早老素1(PS1)转基因小鼠(30只)。APP/PS1转基因小鼠随机分为模型(model)组,模型+敲低lncRNA TUG1组[model+lncRNA TUG1短发夹RNA(shRNA)组]和model+shRNA非靶标(NT)组,每组10只。分别采集12周龄第1天(3月龄)和32周龄第1天(8月龄)小鼠外周血和脑皮质组织,并分离皮质中的原代小胶质细胞和原代星形胶质细胞,每个时间点每组5只小鼠。Real-time PCR分别测定3月龄和8月龄上述4个分组小鼠脑皮质组织和原代小胶质细胞中lncRNA TUG1和巨噬细胞移动抑制因子(MIF)mRNA的水平,以及原代星形胶质细胞中补体蛋白C1r和C1s mRNA的水平。ELISA法测定其外周血浆中MIF含量。对3月龄和8月龄小鼠脑皮质原代小胶质细胞和原代星形胶质细胞共培养。CCK-8法测定上述2种细胞的增殖能力。Western blotting分别测定3月龄和8月龄上述4个分组小鼠脑皮质组织中MIF、白细胞介素1β前体(pro-IL-1β)、凋亡相关斑点样蛋白(ASC)、Caspase-1(p20)、Caspase-1(full)、NLRP1及NLRP3蛋白的表达水平。采用免疫荧光染色法测定8月龄各分组小鼠脑皮质组织中β淀粉样蛋白(Aβ)表达。结果3月龄和8月龄时,与WT组小鼠相比,model组小鼠脑皮质组织和原代小胶质细胞中lncRNA TUG1和MIF相对表达水平显著上调,原代小胶质细胞和原代星形胶质细胞增殖能力增强(P<0.05)。与model组相比,model+lncRNA TUG1 shRNA组小鼠脑皮质组织和原代小胶质细胞中lncRNA TUG1和MIF的相对表达水平显著降低,原代小胶质细胞和原代星形胶质细胞增殖能力降低(P<0.05)。与WT组相比,model组小鼠外周血浆中MIF含量显著升高;小鼠脑皮质组织中pro-IL-1β、ASC、Caspase-1(p20)、Caspase-1(full)、NLRP1以及NLRP3的蛋白表达水平显著升高;Aβ免疫荧光强度明显增强(P<0.05)。与model组相比,model+lncRNA TUG1 shRNA组小鼠外周血浆中MIF含量显著降低;小鼠脑皮质组织中pro-IL-1β、ASC、Caspase-1(p20)、Caspase-1(full)和NLRP1的蛋白表达水平显著降低,Aβ免疫荧光强度明显降低(P<0.05),而NLRP3蛋白质的表达水平无明显变化(P>0.05)。与model组相比,model+shRNA NT组小鼠上述所有检测指标差异均无显著性(P>0.05)。结论APP/PS1转基因小鼠脑皮质组织和原代小胶质细胞中lncRNA TUG1和MIF因子表达上调与脑皮质内NLRP1炎症小体激活成正相关,敲低lncRNA TUG1可缓解阿尔茨海默病的进展。 展开更多
关键词 阿尔茨海默病 长链非编码RNA 牛磺酸上调基因1 巨噬细胞移动抑制因子 核苷酸结合寡聚结构域样受体蛋白1 免疫印迹法 小鼠
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补体因子H相关蛋白1促进巨噬细胞分泌肿瘤坏死因子-α调控足细胞增殖和迁移实验研究
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作者 莫颖 王凤梅 +1 位作者 帕提古丽·阿斯讨拜 欧云塔娜 《陕西医学杂志》 CAS 2024年第4期444-448,共5页
目的:探讨补体因子H相关蛋白1(CFHR1)通过巨噬细胞分泌肿瘤坏死因子-α(TNF-α)调控足细胞增殖和迁移的作用。方法:体外培养人单核巨噬细胞和人肾足细胞。巨噬细胞分为对照组和CFHR1干预组,分别进行牛血清白蛋白或CFHR1重组蛋白干预24 h... 目的:探讨补体因子H相关蛋白1(CFHR1)通过巨噬细胞分泌肿瘤坏死因子-α(TNF-α)调控足细胞增殖和迁移的作用。方法:体外培养人单核巨噬细胞和人肾足细胞。巨噬细胞分为对照组和CFHR1干预组,分别进行牛血清白蛋白或CFHR1重组蛋白干预24 h,ELISA法测定上清液TNF-α水平。足细胞分为空白组、TNF-α干预组、对照上清液干预组、CFHR1上清液干预组、CFHR1上清液+TNF-α中和抗体干预组。CCK8法检测各组细胞增殖。Transwell法检测各组细胞迁移。Wb法检测各组细胞中相关蛋白变化。结果:巨噬细胞的CFHR1干预组上清液中TNF-α含量显著增加(P<0.05)。与空白组比较,TNF-α干预组、CFHR1上清液干预组的细胞增殖比率和迁移数量均显著降低(均P<0.05)。与CFHR1上清液干预组比较,CFHR1上清液+TNF-α中和抗体干预组的细胞增殖比率和迁移数量均显著提高(均P<0.05)。与空白组比较,TNF-α干预组、CFHR1上清液干预组的足细胞裂孔膜蛋白(Nephrin)、足突蛋白(Podocin)、纤维状肌动蛋白(F-Actin)、整合素α3β1蛋白(α3β1)表达均显著降低(均P<0.05)。与CFHR1上清液干预组比较,CFHR1上清液+TNF-α中和抗体干预组的Nephrin、Podocin、F-actin、α3β1蛋白表达均显著增多(均P<0.05)。结论:CFHR1促进巨噬细胞分泌的TNF-α可显著抑制足细胞增殖水平和迁移能力,这可能是高浓度CFHR1促进肾病综合征发展的途径。 展开更多
关键词 补体因子H相关蛋白1 肿瘤坏死因子-Α 足细胞 巨噬细胞 增殖 迁移
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NUSAP1在肿瘤相关巨噬细胞中的表达及对非小细胞肺癌的影响
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作者 李晓敏 于哲 +2 位作者 曹珊珊 槐梅 韩洪涌 《河北医药》 CAS 2024年第2期205-209,共5页
目的探究NUSAP1在肿瘤相关巨噬细胞中表达对非小细胞肺癌的影响机制。方法使用Western blot检测检测人癌和癌周巨噬细胞中NUSAP1、p-PI3K以及MMP-9的相对蛋白表达量;使用慢病毒感染M2巨噬细胞,构建骨髓诱导M2与人非小细胞肺癌细胞株Lewi... 目的探究NUSAP1在肿瘤相关巨噬细胞中表达对非小细胞肺癌的影响机制。方法使用Western blot检测检测人癌和癌周巨噬细胞中NUSAP1、p-PI3K以及MMP-9的相对蛋白表达量;使用慢病毒感染M2巨噬细胞,构建骨髓诱导M2与人非小细胞肺癌细胞株Lewis共培养体外模拟NSCLC肿瘤微环境,使用Western blot检测M2巨噬细胞中NUSAP1、p-PI3K以及MMP-9的相对蛋白表达量。使用细胞划痕实验检测非小细胞肺癌细胞的迁移能力。结果人体样本Western blot检测结果显示非小细胞肺癌组织中NUSAP1,PI3K与MMP-9的相对蛋白表达量显著高于癌周组织(P<0.05);体外实验通过小鼠巨噬细胞与Lewis共培养以模拟体内肿瘤环境,Western blot检测慢病转染敲低NUSAP1后p-PI3K与MMP-9均表达降低(P<0.05),上调NUSAP1后p-PI3K与MMP-9表达均升高(P<0.05)。MMP-9过表达(OV-MMP-9)抵消了由于敲低NUSAP1所造成的MMP-9表达水平降低,同时shRNA-NUSAP1+ovMMP-9组侵袭率明显高于shRNA-NUSAP1+OVNC组(P<0.05)。shRNANUSAP1(NUSAP1敲低)组比shNUSAP1组的迁移宽度明显增加,说明迁移能力受限;在敲低NUSAP1的基础尚过表达MMP-9(OV-MMP-9)后迁移能力明显变强,迁移宽度显著变小(P<0.05)。结论NUSAP1在肿瘤相关巨噬细胞中通过促进PI3K通路的激活及MMP-9的表达从而促进非小细胞肺癌细胞的迁移。 展开更多
关键词 非小细胞肺癌(NSCLC) NUSAP1 肿瘤相关巨噬细胞 PI3K MMP-9
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FHL2通过NF-κB信号通路调节THP-1巨噬细胞泡沫化
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作者 陈卫卫 廖煌 +1 位作者 史振鸿 罗颖 《基础医学与临床》 2024年第2期204-209,共6页
目的 明确4个半LIM结构域蛋白(FHL2)是否能够通过调节核因子κB(NF-κB)信号通路影响巨噬细胞泡沫化。方法 构建FHL2过表达质粒及合成FHL2小干扰RNA(si-FHL2),分别转染至人单核/巨噬细胞系THP-1中,Western blot检测FHL2表达;使用氧化低... 目的 明确4个半LIM结构域蛋白(FHL2)是否能够通过调节核因子κB(NF-κB)信号通路影响巨噬细胞泡沫化。方法 构建FHL2过表达质粒及合成FHL2小干扰RNA(si-FHL2),分别转染至人单核/巨噬细胞系THP-1中,Western blot检测FHL2表达;使用氧化低密度脂蛋白(ox-LDL)刺激细胞,ELISA检测细胞IL-6、IL-1β、TNF-α等细胞因子的表达;油红O染色检测细胞泡沫化程度;Western blot检测NF-κB信号通路相关蛋白表达。结果 转染过表达FHL2质粒的细胞中FHL2表达量升高(P<0.01),而转染si-FHL2的细胞表达量降低(P<0.05);敲低FHL2能够下调炎性细胞因子的分泌(P<0.01);FHL2下调能够缓解THP-1巨噬细胞泡沫化;同时,FHL2下调抑制NF-κB信号通路的活化(P<0.05),而在过表达FHL2组中结果呈相反趋势。结论 下调FHL2的表达可通过抑制NF-κB信号通路活化,降低炎性细胞因子的分泌,缓解巨噬细胞的泡沫化。 展开更多
关键词 4个半LIM结构域蛋白(FHL2) NF-ΚB信号通路 THP-1 巨噬细胞泡沫化
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肉桂醛调节Shh/Gli1信号通路对幽门螺旋杆菌胃炎大鼠胃黏膜损伤的影响 被引量:1
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作者 黄方 黄莉璇 +2 位作者 吴彬 李名福 卢长江 《安徽医学》 2024年第2期135-141,共7页
目的 探讨肉桂醛调节音猬因子(Shh)/Gli家族锌指蛋白1(Gli1)信号通路对幽门螺旋杆菌(Hp)胃炎大鼠胃黏膜损伤的影响。方法 将大鼠随机分为对照组、模型组、肉桂醛低剂量组、肉桂醛中剂量组、肉桂醛高剂量组、替普瑞酮组、肉桂醛高剂量+Sh... 目的 探讨肉桂醛调节音猬因子(Shh)/Gli家族锌指蛋白1(Gli1)信号通路对幽门螺旋杆菌(Hp)胃炎大鼠胃黏膜损伤的影响。方法 将大鼠随机分为对照组、模型组、肉桂醛低剂量组、肉桂醛中剂量组、肉桂醛高剂量组、替普瑞酮组、肉桂醛高剂量+Shh激活剂Purmorphamine(PUR)组,每组18只。通过灌胃Hp的方法构建胃炎大鼠模型。建模成功后,肉桂醛低、中、高剂量组大鼠分别灌胃12.5 mg/kg、25 mg/kg、50 mg/kg肉桂醛,替普瑞酮组大鼠灌胃0.13 g/kg替普瑞酮,肉桂醛高剂量+PUR组大鼠给予50 mg/kg肉桂醛灌胃和6.67 mg/kg PUR腹腔注射,每天给药1次,持续2周。HE染色检测大鼠胃黏膜组织病理变化;透射电镜观察大鼠胃黏膜细胞形态。将GES-1细胞分为vitro-对照组、vitro-模型组、vitro-肉桂醛低剂量组、vitro-肉桂醛中剂量组、vitro-肉桂醛高剂量组、vitro-替普瑞酮组、vitro-肉桂醛高剂量+PUR组。除vitro-对照组外,其他组GES-1细胞均需被Hp感染,感染结束后,vitro-肉桂醛低剂量组、vitro-肉桂醛中剂量组、vitro-肉桂醛高剂量组分别用5μmol/L、10μmol/L、20μmol/L肉桂醛处理24 h;vitro-替普瑞酮组用1μmol/L替普瑞酮处理24 h;vitro-肉桂醛高剂量+PUR组用20μmol/L肉桂醛和1μmol/L PUR共同处理24 h,CCK-8法检测GES-1细胞增殖抑制率;ELISA法检测大鼠胃黏膜组织及GES-1细胞上清中白细胞介素1β (IL-1β)、肿瘤坏死因子-α(TNF-α)水平;Western blot检测大鼠胃黏膜组织及GES-1细胞中Shh、Gli1蛋白表达。结果 与对照组比较,模型组大鼠胃黏膜组织病理损伤严重,胃黏膜表面上皮细胞固缩,细胞膜破损,IL-1β、TNF-α水平及Shh、Gli1蛋白表达升高(P<0.05);与模型组比较,肉桂醛低剂量组、肉桂醛中剂量组、肉桂醛高剂量组、替普瑞酮组大鼠胃黏膜组织病理损伤、胃黏膜表面上皮细胞结构及形态有所改善,IL-1β、TNF-α水平及Shh、Gli1蛋白表达降低(P<0.05);与肉桂醛高剂量组比较,肉桂醛高剂量+PUR组大鼠胃黏膜组织病理损伤加剧,胃黏膜表面上皮细胞结构及形态破环严重,IL-1β、TNF-α水平及Shh、Gli1蛋白表达升高(P<0.05)。与vitro-对照组比较,vitro-模型组GES-1细胞增殖抑制率、细胞上清中IL-1β、TNF-α水平及细胞中Shh、Gli1蛋白表达升高(P<0.05);与vitro-模型组比较,vitro-肉桂醛低剂量组、vitro-肉桂醛中剂量组、vitro-肉桂醛高剂量组、vitro-替普瑞酮组GES-1细胞增殖抑制率、细胞上清中IL-1β、TNF-α水平及细胞中Shh、Gli1蛋白表达降低(P<0.05);与vitro-肉桂醛高剂量组比较,vitro-肉桂醛高剂量+PUR组GES-1细胞增殖抑制率、细胞上清中IL-1β、TNF-α水平及细胞中Shh、Gli1蛋白表达升高(P<0.05)。结论 肉桂醛可能通过抑制Shh/Gli1通路减轻Hp诱导的胃炎大鼠胃黏膜损伤。 展开更多
关键词 肉桂醛 幽门螺旋杆菌 Shh/Gli家族锌指蛋白1信号通路 胃炎 炎症
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Linking inflammation and thrombosis:Role of C-reactive protein 被引量:6
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作者 William P Fay 《World Journal of Cardiology》 CAS 2010年第11期365-369,共5页
C-reactive protein(CRP) is a biomarker of inflammation.Increased plasma levels of CRP are associated with an increased risk of myocardial infarction.However,the correlation between plasma CRP concentration and atheros... C-reactive protein(CRP) is a biomarker of inflammation.Increased plasma levels of CRP are associated with an increased risk of myocardial infarction.However,the correlation between plasma CRP concentration and atherosclerotic plaque burden is poor.Based on these observations,it has been hypothesized that CRP increases the risk of myocardial infarction by promoting thrombosis.This article reviews available data that link enhanced CRP expression to increased risk of thrombosis,with a focus on the effects of CRP on hemostasis,platelet function,and fibrinolysis.Overall,the available data support the hypothesis that CRP is an important mechanistic link between inflammation and throm bosis. 展开更多
关键词 C-reactive protein THROMBOSIS inflammation Tissue factor FIBRINOLYSIS PLASMINOGEN ACTIVATOR inhibitor-1
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Biochanin A attenuates spinal cord injury in rats during early stages by inhibiting oxidative stress and inflammasome activation 被引量:2
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作者 Xigong Li Jing Fu +3 位作者 Ming Guan Haifei Shi Wenming Pan Xianfeng Lou 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第9期2050-2056,共7页
Previous studies have shown that Biochanin A,a flavonoid compound with estrogenic effects,can serve as a neuroprotective agent in the context of cerebral ischemia/reperfusion injury;howeve r,its effect on spinal cord ... Previous studies have shown that Biochanin A,a flavonoid compound with estrogenic effects,can serve as a neuroprotective agent in the context of cerebral ischemia/reperfusion injury;howeve r,its effect on spinal cord injury is still unclea r. In this study,a rat model of spinal cord injury was established using the heavy o bject impact method,and the rats were then treated with Biochanin A(40 mg/kg) via intrape ritoneal injection for 14 consecutive days.The res ults showed that Biochanin A effectively alleviated spinal cord neuronal injury and spinal co rd tissue injury,reduced inflammation and oxidative stress in spinal cord neuro ns,and reduced apoptosis and pyroptosis.In addition,Biochanin A inhibited the expression of inflammasome-related proteins(ASC,NLRP3,and GSDMD)and the Toll-like receptor 4/nuclear factor-κB pathway,activated the Nrf2/heme oxygenase 1 signaling pathway,and increased the expression of the autophagy markers LC3 Ⅱ,Beclin-1,and P62.Moreove r,the therapeutic effects of Biochanin A on early post-s pinal cord injury were similar to those of methylprednisolone.These findings suggest that Biochanin A protected neurons in the injured spinal cord through the Toll-like receptor 4/nuclear factor κB and Nrf2/heme oxygenase 1 signaling pathways.These findings suggest that Biochanin A can alleviate post-spinal cord injury at an early stage. 展开更多
关键词 apoptosis AUTOPHAGY Biochanin A heme oxygenase 1 inflammation Nrf2 protein nuclear factor kappa-B oxidative stress spinal cord injury Toll-like receptor 4
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血塞泰对缺血性脑卒中大鼠STIM1、Orai1蛋白表达的影响
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作者 郑钰 张逸凡 +5 位作者 王子焱 刘承鑫 任欣 聂子星 郭志华 申思 《湖南中医药大学学报》 CAS 2024年第4期557-564,共8页
目的研究血塞泰对缺血性脑卒中(ischemic stroke,IS)大鼠基质相互作用分子1(stromal interaction molecule 1,STIM1)及钙释放激活钙通道蛋白1(calcium release-activated calcium channel protein 1,Orai1)的影响。方法选取60只SPF级雄... 目的研究血塞泰对缺血性脑卒中(ischemic stroke,IS)大鼠基质相互作用分子1(stromal interaction molecule 1,STIM1)及钙释放激活钙通道蛋白1(calcium release-activated calcium channel protein 1,Orai1)的影响。方法选取60只SPF级雄性SD大鼠,随机分为假手术组10只、造模组50只,采用线栓法制备大脑中动脉栓塞(medial cerebral artery occlusion,MCAO)模型。采用随机数字表法将造模成功的41只大鼠分为模型组、血塞泰低剂量组(12.6 g/kg)、血塞泰中剂量组(25.2 g/kg)、血塞泰高剂量组(50.4 g/kg)和阿司匹林肠溶片组(18 mg/kg),其中血塞泰低剂量组9只,其余每组各8只;假手术组和模型组给予等量生理盐水灌胃。每组连续干预7 d。采用改良神经功能损伤评分(modified Neurological Severity Score,mNSS)评估各组大鼠神经功能损伤情况,TTC染色法检测大鼠脑组织的梗死面积,ELISA法测定大鼠血清中的白细胞介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)含量,RT-PCR检测脑组织中STIM1、Orai1 mRNA的表达,免疫共沉淀检测脑组织STIM1、Orai1的蛋白相对表达水平。结果与假手术组相比,模型组大鼠mNSS评分增加(P<0.01),脑梗死率增加(P<0.01),血清IL-6、TNF-α含量增加(P<0.01),脑组织STIM1、Orai1 mRNA表达水平和蛋白相对表达水平升高(P<0.01)。与模型组相比,血塞泰各剂量组和阿司匹林肠溶片组大鼠mNSS评分下降(P<0.05),血清IL-6、TNF-α含量下降(P<0.01),脑组织STIM1、Orai1 mRNA表达水平下降(P<0.01);血塞泰中、高剂量组和阿司匹林肠溶片组大鼠脑梗死率下降(P<0.01),脑组织STIM1、Orai1的蛋白相对表达水平降低(P<0.05,P<0.01)。与阿司匹林肠溶片组相比,血塞泰低剂量组脑梗死率增加(P<0.01),血清IL-6、TNF-α含量增加(P<0.01),脑组织STIM1、Orai1 mRNA表达水平增加(P<0.05);血塞泰中剂量组血清IL-6、TNF-α含量明显增加(P<0.01),脑组织STIM1、Orai1 mRNA表达水平下降(P<0.05,P<0.01);血塞泰高剂量组脑梗死率下降(P<0.01),血清IL-6、TNF-α含量明显下降(P<0.01),脑组织STIM1、Orai1 mRNA表达水平明显下降(P<0.01)。与血塞泰低、中剂量组相比,血塞泰高剂量组mNSS评分下降(P<0.05,P<0.01),脑梗死率下降(P<0.01),血清IL-6、TNF-α含量下降(P<0.01),脑组织STIM1、Orai1 mRNA表达水平下降(P<0.01)。结论血塞泰能够抑制STIM1、Orai1的表达及结合,减轻炎症反应,改善MCAO大鼠神经功能缺损与降低神经元损伤,从而发挥抗IS的作用。 展开更多
关键词 缺血性脑卒中 血塞泰 基质相互作用分子1 钙释放激活钙通道蛋白1 炎症
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Thioredoxin interacting protein,a key molecular switch between oxidative stress and sterile inflammation in cellular response 被引量:9
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作者 Islam N Mohamed Luling Li +2 位作者 Saifudeen Ismael Tauheed Ishrat Azza B El-Remessy 《World Journal of Diabetes》 SCIE 2021年第12期1979-1999,共21页
Tissue and systemic inflammation have been the main culprit behind the cellular response to multiple insults and maintaining homeostasis.Obesity is an independent disease state that has been reported as a common risk ... Tissue and systemic inflammation have been the main culprit behind the cellular response to multiple insults and maintaining homeostasis.Obesity is an independent disease state that has been reported as a common risk factor for multiple metabolic and microvascular diseases including nonalcoholic fatty liver disease(NAFLD),retinopathy,critical limb ischemia,and impaired angiogenesis.Sterile inflammation driven by high-fat diet,increased formation of reactive oxygen species,alteration of intracellular calcium level and associated release of inflammatory mediators,are the main common underlying forces in the pathophysiology of NAFLD,ischemic retinopathy,stroke,and aging brain.This work aims to examine the contribution of the pro-oxidative and pro-inflammatory thioredoxin interacting protein(TXNIP)to the expression and activation of NLRP3-inflammasome resulting in initiation or exacerbation of sterile inflammation in these disease states.Finally,the potential for TXNIP as a therapeutic target and whether TXNIP expression can be modulated using natural antioxidants or repurposing other drugs will be discussed. 展开更多
关键词 Thioredoxin interacting protein NOD-like receptor pyrin domain containing 3 inflammASOME Interleukin 1b inflammation Obesity High-fat diet ISCHEMIA REPERFUSION Oxidative stress
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血清COL10A1、TK1、MIP-3α水平与胃癌患者病理特征的关系及其对腹膜转移的诊断价值研究
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作者 王佩显 单彪 +2 位作者 张倩倩 吴殿超 雷秋香 《检验医学与临床》 CAS 2024年第12期1727-1730,1738,共5页
目的研究血清X型胶原α1链(COL10A1)、胸苷激酶1(TK1)、巨噬细胞炎症蛋白-3α(MIP-3α)水平与胃癌患者病理特征的关系及其对胃癌腹膜转移的诊断价值。方法以2021年1月至2022年12月邢台市人民医院收治的96例胃癌患者作为恶性组,其中有腹... 目的研究血清X型胶原α1链(COL10A1)、胸苷激酶1(TK1)、巨噬细胞炎症蛋白-3α(MIP-3α)水平与胃癌患者病理特征的关系及其对胃癌腹膜转移的诊断价值。方法以2021年1月至2022年12月邢台市人民医院收治的96例胃癌患者作为恶性组,其中有腹膜转移27例,无腹膜转移69例;选取同期收治的104例胃良性病变患者作为良性病变组,选取112例健康体检者作为健康对照组。比较各组血清COL10A1、TK1、MIP-3α水平及不同病理特征、有无腹膜转移胃癌患者血清COL10A1、TK1、MIP-3α水平,采用受试者工作特征(ROC)曲线分析血清COL10A1、TK1、MIP-3α对胃癌患者腹膜转移的诊断价值。结果恶性组血清COL10A1、MIP-3α、TK1水平高于健康对照组、良性病变组,良性病变组血清COL10A1、MIP-3α水平高于健康对照组,差异均有统计学意义(P<0.05)。低/未分化、有脉管浸润、肿瘤临床病理分期(TNM)分期Ⅲ~Ⅳ期胃癌患者血清COL10A1、TK1、MIP-3α水平高于高/中分化、无脉管浸润、TNM分期Ⅰ~Ⅱ期患者(P<0.05)。有腹膜转移胃癌患者血清COL10A1、TK1、MIP-3α水平高于无腹膜转移患者(P<0.05)。血清COL10A1、TK1、MIP-3α单项及3项联合检测诊断胃癌腹膜转移的曲线下面积(AUC)分别为0.722(95%CI:0.621~0.809)、0.749(95%CI:0.651~0.832)、0.736(95%CI:0.637~0.821)、0.853(95%CI:0.766~0.917),3项联合检测诊断的AUC大于3项单独检测(Z=1.990、3.617、2.986,P<0.001)。结论胃癌的发生导致患者血清COL10A1、TK1、MIP-3α水平升高,同时随着胃癌患者病情的进展,血清COL10A1、TK1、MIP-3α水平升高,且3项指标联合检测对胃癌患者腹膜转移具有较好的诊断价值。 展开更多
关键词 胃癌 X型胶原α1 胸苷激酶1 巨噬细胞炎症蛋白-3α 病理特征 腹膜转移 诊断
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血清MCP-1和MIP-1β水平与老年脓毒症患者心肌损伤的相关性
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作者 万林 樊媛 张瑞 《心脏杂志》 CAS 2024年第4期412-416,共5页
目的探讨血清单核细胞趋化因子蛋白1(MCP-1)和巨噬细胞炎性蛋白-1β(MIP-1β)水平与老年脓毒症患者心肌损伤的相关性。方法前瞻纳入2021年3月~2022年3月医院50例出现心肌损伤的老年脓毒症患者,纳入心肌损伤组,同期50例未出现心肌损伤的... 目的探讨血清单核细胞趋化因子蛋白1(MCP-1)和巨噬细胞炎性蛋白-1β(MIP-1β)水平与老年脓毒症患者心肌损伤的相关性。方法前瞻纳入2021年3月~2022年3月医院50例出现心肌损伤的老年脓毒症患者,纳入心肌损伤组,同期50例未出现心肌损伤的老年脓毒症患者,纳入非心肌损伤组,测定并比较两组入院时血清MCP-1和MIP-1β水平,分析血清MCP-1和MIP-1β水平与老年脓毒症患者心肌损伤的关系。结果心肌损伤组血清心肌肌钙蛋白T(cTnT)、B型钠尿肽前体(Pro-BNP)、肌酸激酶同工酶(CK-MB)、MCP-1和MIP-1β表达水平高于非心肌损伤组,差异有统计学意义(均P<0.01);经单项Logistic回归分析后建立多元回归模型行多因素分析,结果显示,血清c TnT、Pro-BNP、CK-MB、MCP-1、MIP-1β表达与老年脓毒症患者心肌损伤有关,可能是老年脓毒症患者心肌损伤的预测因素(OR>1,P<0.05);绘制ROC曲线发现,血清MCP-1、MIP-1β表达单独及联合预测老年脓毒症患者心肌损伤的AUC均>0.850,均有一定预测价值。结论血清MCP-1、MIP-1β过表达可能与老年脓毒症患者心肌损伤有关,增加心肌损伤,联合检测老年脓毒症早期血清MCP-1和MIP-1β水平可预测心肌损伤风险。 展开更多
关键词 脓毒症 老年 心肌损伤 单核细胞趋化因子蛋白1 巨噬细胞炎性蛋白-1β 相关性
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丁酸钠经AMPK/Nrf2/HO-1信号通路调节脂多糖诱导肺泡巨噬细胞极化的作用机制
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作者 陈健 周卫东 +2 位作者 王艳华 刘勤富 杨晓军 《中国急救医学》 CAS CSCD 2024年第2期156-163,共8页
目的探讨丁酸钠(sodium butyrate,SB)对脂多糖(lipopolysaccharide,LPS)诱导肺泡巨噬细胞极化的影响及其作用机制。方法小鼠肺泡巨噬细胞(MH-S细胞)随机分为对照(Control)组、LPS组、SB组、LPS+SB(LB)组、LPS+SB+腺苷酸活化蛋白激酶(AM... 目的探讨丁酸钠(sodium butyrate,SB)对脂多糖(lipopolysaccharide,LPS)诱导肺泡巨噬细胞极化的影响及其作用机制。方法小鼠肺泡巨噬细胞(MH-S细胞)随机分为对照(Control)组、LPS组、SB组、LPS+SB(LB)组、LPS+SB+腺苷酸活化蛋白激酶(AMPK)抑制剂(Compound C)(LC)组、LPS+SB+核因子E2相关因子2(Nrf2)抑制剂(ML385)(LM)组。通过CCK8检测MH-S细胞活力,筛选出最佳的1000 ng/mL LPS、1 mmol/L SB、10μmol/L Compound C、5μmol/L ML385药物浓度进行后续实验;实时荧光定量(qRT-PCR)检测MH-S细胞白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、白细胞介素-10(IL-10)、白细胞分化抗原86(CD86)、巨噬细胞甘露糖受体(CD206)、AMPK、Nrf2和血红素加氧酶1(HO-1)的mRNA表达水平;酶联免疫吸附试验(ELISA)检测培养基上清IL-6、TNF-α、IL-1β和IL-10蛋白含量;流式细胞术测定M1和M2型巨噬细胞相关标记物CD86和CD206的表达。各组数据通过单因素方差分析和Tukey法进行检验。结果通过CCK8选取了1000 ng/mL LPS、1 mmol/L SB、10μmol/L Compound C和5μmol/L ML385进行造模和干预。qRT-PCR和ELISA结果一致显示,与LPS组比较,LB组M1型巨噬细胞相关促炎细胞因子IL-6、TNF-α、IL-1β显著降低(均P<0.01),但M2型巨噬细胞相关抑炎细胞因子IL-10显著升高(均P<0.01)。qRT-PCR和流式细胞术结果一致显示,与Control组比较,LPS组CD86水平显著升高(均P<0.01),SB组差异无统计学意义;与LPS组比较,LB组CD86表达水平显著降低(均P<0.01),但M2型巨噬细胞标记物CD206的变化趋势与CD86相反。qRT-PCR结果显示,与LPS组比较,LB组促进AMPK/Nrf2/HO-1的表达(均P<0.05);与LB组比较,LC组降低了AMPK/Nrf2/HO-1的表达(均P<0.05),LM组降低了Nrf2/HO-1的表达(均P<0.05)。流式细胞术结果显示,与LB组比较,LC组和LM组逆转了SB对CD86水平的抑制作用(均P<0.01);M2型巨噬细胞标记物CD206的表达趋势与M1型巨噬细胞标记物CD86相反。结论SB通过激活AMPK/Nrf2/HO-1信号通路,抑制LPS诱导的M1型、促进M2型肺泡巨噬细胞极化,改善了炎症反应。 展开更多
关键词 丁酸钠 巨噬细胞极化 炎症 白细胞分化抗原86 巨噬细胞甘露糖受体 腺苷酸活化蛋白激酶 核因子E2相关因子2 血红素加氧酶1
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MuRF1在低氧性肺动脉高压中的作用及机制
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作者 张婧 文新元 +4 位作者 韦红梅 薛茜茜 金玲 杨自更 吴宾 《心脏杂志》 CAS 2024年第1期1-6,共6页
目的 探讨肌肉环指蛋白1(MuRF1)在低氧性肺动脉高压(HPH)中的作用及可能机制。方法 将MuRF1转基因敲除小鼠(MuRF1 KO)及其同窝野生型(WT)小鼠随机分到对照(nWT)组、对照+HPH(hWT)组、MuRF1 KO(nMuRF1-KO)组、MuRF1 KO+HPH(hMuRF1-KO)组... 目的 探讨肌肉环指蛋白1(MuRF1)在低氧性肺动脉高压(HPH)中的作用及可能机制。方法 将MuRF1转基因敲除小鼠(MuRF1 KO)及其同窝野生型(WT)小鼠随机分到对照(nWT)组、对照+HPH(hWT)组、MuRF1 KO(nMuRF1-KO)组、MuRF1 KO+HPH(hMuRF1-KO)组。其中,hWT组和hMuRF1-KO组置于低压低氧人工实验舱内,nWT组和nMuRF1-KO组置于常压常氧SPF环境中,维持28 d。检测小鼠右心功能及右心室重塑水平、远端肺小动脉血管重塑水平、肺泡灌洗液炎症因子表达、MuRF1和大电导钙激活钾通道β1亚基(BK-β1)蛋白表达。结果 与nWT组相比,hWT组右室内径(RVID)显著降低(P<0.01),右室前壁厚度(RVAW)、右心室收缩压(RVSP)、右心室肥厚指数(RVHI)、胶原容积分数(CVF)显著增加(P<0.01),远端肺动脉壁厚度比(WT%)、肺动脉壁面积比(WA%)、肺动脉肌化水平、相对肺重量显著增加(P<0.01),肺泡灌洗液中炎症因子IL-1β、IL-6、TNF-α显著增加(P<0.01),MuRF1表达显著增加(P<0.05),BK-β1表达降低(P<0.05)。与hWT组相比,hMuRF1-KO组RVID显著增加(P<0.05),RVAW、RVSP、RVHI、CVF显著降低(P<0.05),WT%、WA%、肺动脉肌化水平、相对肺重量显著降低(P<0.05,P<0.01),肺泡灌洗液中炎症因子IL-1β、IL-6、TNF-α也显著减少(P<0.05,P<0.01),BK-β1表达显著增加(P<0.05)。结论 敲除MuRF1可改善HPH小鼠右心功能障碍和右室重塑,减轻肺血管重塑和肺血管炎性环境,其机制可能与敲除MuRF1抑制BK-β1降解有关。 展开更多
关键词 肌肉环指蛋白1 低氧性肺动脉高压 大电导钙激活钾通道 炎症
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血清MIF、MCP-1、suPAR水平与脓毒症严重程度及合并ARDS风险的关系
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作者 闫晓笑 刘桢干 +3 位作者 李燕 杨立明 苗慧慧 王跃敏 《临床和实验医学杂志》 2024年第5期469-473,共5页
目的探讨血清巨噬细胞迁移抑制因子(MIF)、单核细胞趋化蛋白-1(MCP-1)、可溶性尿激酶型纤溶酶原激活物受体(suPAR)水平与脓毒症严重程度及合并急性呼吸窘迫综合征(ARDS)风险的关系。方法回顾性分析2022年2月至2023年5月太原钢铁(集团)... 目的探讨血清巨噬细胞迁移抑制因子(MIF)、单核细胞趋化蛋白-1(MCP-1)、可溶性尿激酶型纤溶酶原激活物受体(suPAR)水平与脓毒症严重程度及合并急性呼吸窘迫综合征(ARDS)风险的关系。方法回顾性分析2022年2月至2023年5月太原钢铁(集团)有限公司总医院收治的86例脓毒症患者的临床资料。依据病情程度不同将患者分为脓毒症组(n=20)、严重脓毒症组(n=48)和脓毒症休克组(n=18)。入院72 h内参考ARDS诊断标准将患者分为ARDS组(n=27)和非ARDS组(n=59)。检测并比较各组脓毒症患者血清MIF、MCP-1、suPAR水平。收集ARDS组与非ARDS组患者年龄、性别、体重指数、合并症、感染类型、既往史、心率、急性生理学和慢性健康状况评价Ⅱ(APACHEⅡ)、脓毒症相关性器官衰竭评价(SOFA)评分、白细胞计数、血乳酸、天冬氨酸转移酶(AST)、丙氨酸转移酶(ALT)、总胆固醇等指标。采用多因素Logistic回归分析对影响脓毒症患者并发ARDS的危险因素进行分析。通过受试者工作特征(ROC)曲线分析血清MIF、MCP-1、suPAR水平预测脓毒症患者并发ARDS的价值。结果脓毒症休克组患者血清MIF、MCP-1、suPAR水平分别为(94.02±10.13)、(506.55±45.15)、(13.89±3.95)ng/mL,均高于脓毒症组[(76.93±7.01)、(148.38±35.74)、(6.07±2.13)ng/mL]和严重脓毒症组[(85.46±8.74)、(327.08±40.62)、(8.42±1.07)ng/mL],而严重脓毒症组患者血清MIF、MCP-1、suPAR水平均高于脓毒症组,差异均有统计学意义(P<0.05)。ARDS组与非ARDS组患者的年龄、性别构成比、体重指数、合并症、感染类型、白细胞计数、心率、吸烟史、饮酒史、血乳酸、AST、ALT、总胆固醇比较,差异均无统计学意义(P>0.05);ARDS组患者APACHEⅡ评分、SOFA评分、有急腹症和胰腺炎占比及血清MIF、MCP-1、suPAR水平均高于非ARDS组,差异均有统计学意义(P<0.05)。经多因素Logistic回归分析结果显示,急腹症、胰腺炎、APACHEⅡ评分、SOFA评分、MIF、MCP-1、suPAR是影响脓毒症患者并发ARDS的独立危险因素(P<0.05)。经ROC曲线分析结果显示,血清MIF、MCP-1、suPAR水平均能预测脓毒症患者ARDS的发生,曲线下面积分别为0.904、0.910、0.917,预测价值较好(P<0.05)。结论血清MIF、MCP-1、suPAR水平与脓毒症患者病情程度、并发ARDS密切相关,且血清MIF、MCP-1、suPAR水平对ARDS的发生有较好的预测价值。 展开更多
关键词 脓毒症 巨噬细胞迁移抑制因子 单核细胞趋化蛋白-1 可溶性尿激酶型纤溶酶原激活物受体 急性呼吸窘迫综合征
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