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Fibrinogen-like protein 2 fibroleukin expression and its correlation with disease progression in murine hepatitis virus type 3-induced fulminant hepatitis and in patients with severe viral hepatitis B 被引量:26
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作者 Chuan-Long Zhu Wei-Ming Yan +6 位作者 Fan Zhu Yong-Fen Zhu Dong Xi De-Ying Tian Gary Levy Xiao-Ping Luo Qin Ning 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第44期6936-6940,共5页
AIM: To evaluate the expression of fibrinogenlike protein 2 (fgl2) and its correlation with disease progression in both mice and patients with severe viral hepatitis. METHODS: Balb/cJ or A/J mice were infected int... AIM: To evaluate the expression of fibrinogenlike protein 2 (fgl2) and its correlation with disease progression in both mice and patients with severe viral hepatitis. METHODS: Balb/cJ or A/J mice were infected intraperitoneally (ip) with 100 PFU of murine hepatitis virus type 3 (MHV-3), liver and serum were harvested at 24, 48, and 72 h post infection for further use. Liver tissues were obtained from 23 patients with severe acute chronic (AOC) hepatitis B and 13 patients with mild chronic hepatitis B. Fourteen patients with mild chronic hepatitis B with cirrhosis and 4 liver donors served as normal controls. In addition, peripheral blood mononuciear cells (PBMC) were isolated from 30 patients (unpaired) with severe AOC hepatitis B and 10 healthy volunteers as controls. Procoagulant activity representing functional prothrombinase activity in PBMC and white blood cells was also assayed. A polyclonal antibody against fgl2 was used to detect the expression of both mouse and human fgl2 protein in liver samples as well as in PBMC by immunohistochemistry staining in a separate set of studies. Alanine aminotransferase (ALT) and total bilirubin (TBil) in serum were measured to assess the severity of liver injury.RESULTS: Histological changes were found in liver sections 12-24 h post MHV-3 infection in Balb/cJ mice. In association with changes in liver histology, marked elevations in serum ALT and TBil were observed. House fgl2 (mfgl2) protein was detected in the endothelium of intrahepatic veins and hepatic sinusoids within the liver 24 h after MHV-3 infection. Liver tissues from the patients with severe AOC hepatitis B had classical pathological features of acute necroinflammation. Human fgl2 (hfgl2) was detected in 21 of 23 patients (91.30%) with severe AOC hepatitis B, while only 1 of 13 patients (7.69%) with mild chronic hepatitis B and cirrhosis had hfgl2 mRNA or protein expression. Twenty-eight of thirty patients (93.33%) with severe AOC hepatitis B and 1 of 10 with mild chronic hepatitis B had detectable hfgl2 expression in PBMC. No hfgl2 expression was found either in the liver tissue or in the PBMC from normal donors. There was a positive correlation between hfgl2 expression and the severity of the liver disease as indicated by the levels of TBil. PCA significantly increased in PBMC in patients with severe AOC hepatitis B. CONCLUSION: The molecular and cellular results reported here in both mice and patients with severe viral hepatitis suggest that virus-induced hfgl2 prothrombinase/fibroleukin expression and the coagulation activity associated with the encoded fgl2 protein play a pivotal role in initiating severe hepatitis. The measurement of hfgl2/fibroleukin expression in PBMC may serve as a useful marker to monitor the severity of AOC hepatitis B and a target for therapeutic intervention. 展开更多
关键词 Viral hepatitis FGL2 murine hepatitis virus Gene expression
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Local Expression of Vaginal Th1 and Th2 Cytokines in Murine Vaginal Candidiasis under Different Immunity Conditions 被引量:3
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作者 陈善娟 李少华 +2 位作者 吴艳 刘志香 李家文 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2008年第4期476-479,共4页
To investigate the expression of vaginal Th1 and Th2 cytokines in rats with experimental vaginal candidiasis under different immune conditions, ICR murine vaginal candidiasis model was established and immno-suppressed... To investigate the expression of vaginal Th1 and Th2 cytokines in rats with experimental vaginal candidiasis under different immune conditions, ICR murine vaginal candidiasis model was established and immno-suppressed murine models of vaginal cadidiasis were established in estrogen-treated mice. Non-estrogen-treated mice were used as controls. The mRNA level of Th1 (IL-2)/Th2 (IL-4, IL-10, TGF-β1) cytokines in murine vaginal tissues was determined by RT-PCR. The cykotine in local tissues was increased to different extent under normal immune condition. IL-2 mRNA was increased during early stage of infection, while IL-10 was increased transiently during late stage of infection. TGF-β1 production was found to be increased persistently. At same time, the expression of IL-2 mRNA was suppressed in immno-suppressed group, and the level of IL-4, IL-10, and TGF-β1 were higher than the normal immunity group to different degree during infection. The high level of IL-2 mRNA during early stage of infection was associated with clearance of mucosal Candidia albicans (C. albicans), and its expression suppressed leading to decreased clearance of mucosal C. albican in immuno-suppression. The over-expression of IL-4 and IL-10 could significantly enhance the susceptibility to C. albicans infection in mice. 展开更多
关键词 Candida albicans vaginal lavage murine model IMMUNO-SUPPRESSION Th1/Th2 cyto-kinese
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Maternal Murine Cytomegalovirus Infection during Pregnancy Up-regulates the Gene Expression of Toll-like Receptor 2 and 4 in Placenta 被引量:2
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作者 Yi LIAO Ya-nan ZHANG +5 位作者 Xing-lou LIU Yuan-yuan LU Lin-lin ZHANG Ting XI Sai-nan SHU Feng FANG 《Current Medical Science》 SCIE CAS 2018年第4期632-639,共8页
Increasing evidence has revealed that maternal cytomegalovirus (CMV) infection may be associated with neurodevelopmental disorders in offspring. Potential relevance between the placental inflammation and CMV-related... Increasing evidence has revealed that maternal cytomegalovirus (CMV) infection may be associated with neurodevelopmental disorders in offspring. Potential relevance between the placental inflammation and CMV-related autism has been reported by clinical observation. Meanwhile, abnormal expression of Toll-like receptor 2 (TLR2) and TLR4 in placenta of patients with chorioamnionitis was observed in multiple studies. IL-6 and IL- 10 are two important maternal inflammatory mediators involved in neurodevelopmental disorders. To investigate whether murine CMV (MCMV) infection causes alterations in placental IL-6/10 and TLR2/4 levels, we analyzed the dynamic changes in gene expression of TLR2/4 and IL-6/10 in placentas following acute MCMV infection. Mouse model of acute MCMV infection during pregnancy was created, and pre-pregnant MCMV infected, lipopolysaccharide (LPS)-treated and uninfected mice were used as controls. At E13.5, E 14.5 and E 18.5, placentas and fetal brains were harvested and mRNA expression levels of placental TLR2/4 and IL-6/10 were analyzed. The results showed that after acute MCMV infection, the expression levels of placental TLR2/4 and IL-6 were elevated at E13.5, accompanied by obvious placental inflammation and reduction of placenta and fetal brain weights. However, LPS 50 ktg/kg could decrease the IL-6 expression at E13.5 and E14.5. This suggests that acute MCMV infection during pregnancy could up-regulate the gene expression of TLR2/4 in placental trophoblasts and activate them to produce more pro- inflammatory cytokine IL-6. High dose of LPS stimulation (50 gg/kg) during pregnancy can lead to down-regulation of IL-6 levels in the late stage. Imbalance of IL-6 expression in placenta might be associated with the neurodevelopmental disorders in progeny. 展开更多
关键词 murine cytomegalovirus maternal immune activation PLACENTA TLR2 TLR4 IL-6
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Local Th1/Th2 Cytokine Expression in Experimental Murine Vaginal Candidiasis 被引量:1
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作者 欧阳为相 陈善娟 +2 位作者 刘志香 吴艳 李家文 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2008年第3期352-355,共4页
In order to investigate the expression of Th1 and Th2 cytokines in the vaginal candidiasis caused by Candida, the fungal vaginitis model was established in female ICR mice by intravaginal inoculation of suspension of ... In order to investigate the expression of Th1 and Th2 cytokines in the vaginal candidiasis caused by Candida, the fungal vaginitis model was established in female ICR mice by intravaginal inoculation of suspension of C. albicans after the animals were pretreated with estradiol. Reverse transcriptase-polymerase chain reaction (RT-PCR) was used to detect the expression of IL-2, IL-4, IL-10 and TGF-β1 in the vagina in the mice of different groups at different time points after the beginning of the experiment. The average expression level of IL-2 mRNA in group D (estrogen-treated mice) was significantly higher than that in groups H (estrogen-untreated mice) and I (control group) on the day 2. The average expression level of IL-4 mRNA in group D was significantly higher than that in groups I and H on the day 5. The average expression level of IL-10 mRNA in group D was significantly higher than that in groups H and I from day 7 to 11. The average expression level of TGF-β1 mRNA in group D was significantly higher than that in groups H and I at all time points. It was concludes that the high-level expression of IL-2 mRNA during early infection was associated with clearance of mucosal C. albicans, and the high-level expression of IL-10 mRNA during late stage of the infection was related to susceptibility to infection. TGF-β1 may play a predominant role when the virtual absence of changes in other Th-type cytokines during infection. 展开更多
关键词 Candida albicans vaginal lavage murine model Th1/Th2 cytokine
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LPS-induced activation of phospholipase A_2 phospholipase C and protein kinase C of murine macrophage-like cell lines (J774 and P388Dl)~1
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作者 CHANG ZnoNGLIANG, MICHAEL NOVOTNEY AND TSUNEOSUZUKIDepartment of Microbiology, Molecular Genetics, andImmunology, University of Kansas Medical Center, KansasCity, Kansas 66103 USA 《Cell Research》 SCIE CAS CSCD 1991年第1期53-66,共14页
A murine maorophage-like cell line, J774, acquri ed, in response to LPS, an ability to kill tumor necrosis factor (TNF)-insensitive target P815 mastocytoma cells, whereas another cell line, P388D1, did not. LPS-trigge... A murine maorophage-like cell line, J774, acquri ed, in response to LPS, an ability to kill tumor necrosis factor (TNF)-insensitive target P815 mastocytoma cells, whereas another cell line, P388D1, did not. LPS-triggered signaling mechanisms between the two cell lines were compared with an aim to inquire about the possible nature of the above-mentioned difference. The results showed that two cell lines respond to LPS-treatment by parallel activation of both phospholipases C and A2 (PLC and PLA2) to approximately the same extent. The maximum response of both enzymes of J774 cells was noted within 10 min of the treatment, whereas that of P388D1 cells required more than 20 min. The other properties of LPS-responsive enzymes studied were similar between two cell lines, includingAotivation of PLC and PLA2 and PKC in macrophages by LPSGa2+ augmentation of enzyme activation, participation of guanine nuoleotide binding (G) proteins in the initial activation processes, and inhibition of enzyme activation by the prior treatment of cells with cholera or pertussis toxins etc. Moreover, LPS-triggered activation of PLC and PLA2 was found to be followed by the increase of PKC activities in both cell lines. In spite of these similarities, J774 cells possessed both basic and acidic forms of PKC activities, while P 388D1 cells owned only PKC of basic form. Nevertheless, the question why J774 cells, but not P388D1 cells, can acquire the tumorioidal activity, aganist P815 cells following LPS-treatment remains to be answered. 展开更多
关键词 murine macrophagss LPS-induced activation PLO PLA2 PKO.
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Expression of Prothrombinase/fibroleukin Gene fg12 in Lung Impairment in a Murine Severe Acute Respiratory Syndrome Model 被引量:1
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作者 Wei-ming YAN  Jia-quan HUANG  +1 位作者 Xiao-ping LUO Qin NING 《中国病毒学》 CSCD 2007年第3期181-192,共12页
To evaluate the role of murine fibrinogen like protein 2 (mfgl2) /fibroleukin in lung impairment in Severe acute respiratory syndrome (SARS), a murine SARS model induced by Murine hepatitis virus strain 3 (MHV-3) thro... To evaluate the role of murine fibrinogen like protein 2 (mfgl2) /fibroleukin in lung impairment in Severe acute respiratory syndrome (SARS), a murine SARS model induced by Murine hepatitis virus strain 3 (MHV-3) through trachea was established. Impressively, all the animals developed interstitial pneumonia with extensive hyaline membranes formation within alveoli, and presence of micro-vascular thrombosis in the pulmonary vessels. MHV-3 nucleocapsid gene transcripts were identified in multiple organs including lungs, spleen etc. As a representative proinflammatory gene, mfgl2 prothrombinase expression was evident in terminal and respiratory bronchioles, alveolar epithelia and infiltrated cells in the lungs associated with fibrin deposition and micro-vascular thrombosis. In summary, the established murine SARS model could mimic the pathologic characteristics of lungs in patients with SARS. Besides the physical damages due to virus replication in organs, the up-regulation of novel gene mfgl2 in lungs may play a vital role in the development of SARS associated lung damage. 展开更多
关键词 凝血酶原酶 fg12基因 肺损伤 急性呼吸综合征 基因表达
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肺炎军团杆菌诱导NCI-H292细胞β-defensin-2表达的分子机制
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作者 佟爱华 米运强 +1 位作者 李康 李艳艳 《武警医学》 CAS 2012年第7期590-592,共3页
目的探讨人β防御素2(human beta defensin 2,hBD-2)基因作用的分子机制,为临床抗感染治疗提供依据。方法肺炎军团杆菌感染NCI-H292细胞,采用菌落形成实验,Western blot实验和ELISA实验检测丝裂原活化蛋白激酶(mi-togen-activatived pro... 目的探讨人β防御素2(human beta defensin 2,hBD-2)基因作用的分子机制,为临床抗感染治疗提供依据。方法肺炎军团杆菌感染NCI-H292细胞,采用菌落形成实验,Western blot实验和ELISA实验检测丝裂原活化蛋白激酶(mi-togen-activatived protein kinase,MAPK)途径内基因的变化。结果 hBD-2对肺炎军团杆菌有抑制作用,肺炎军团杆菌诱导分泌hBD-2主要是通过JNK和p38途径起作用。结论肺炎军团杆菌主要通过c-Jun氨基末端激酶(the c-Jun N-termi-nal kinase,JNK)和p38途径诱导NCI-H292细胞分泌hBD-2。 展开更多
关键词 军团杆菌 人Β防御素2 丝裂原活化蛋白激酶
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Intravitreal injection of resveratrol inhibits laser-induced murine choroidal neovascularization 被引量:3
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作者 Hui-Ming Zhang Xiao-Hua Li +1 位作者 Mingjiazi Chen Jing Luo 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2020年第6期886-892,共7页
AIM:To determine the effects of intravitreal resveratrol(RSV)on murine laser-induced choroidal neovascularization(CNV).METHODS:The toxicity of RSV to choroidal endothelial cell(CEC)was measured using thiazolyl blue te... AIM:To determine the effects of intravitreal resveratrol(RSV)on murine laser-induced choroidal neovascularization(CNV).METHODS:The toxicity of RSV to choroidal endothelial cell(CEC)was measured using thiazolyl blue tetrazolium bromide(M一)assay.Effects of RSV on choroidal endothelial cell(CEC)migration were evaluated with a modified Boyden chamber assay,while tube formation was evaluated in a 2-D gel assay.CNV was induced by laser photocoagulation in mice.The effects of intravitreal injection of RSV on CNV development were evaluated by fluorescein angiography(FA),confocal analysis of isolectin B4 labeled choroidal flat mounts,and histologic examination of CNV membranes.Immunostaining was used to analyze the expression and phosphorylation of vascular endothelial growth factor receptor 2(VEGFR2).RESULTS:No significant cell toxicity was observed in CEC if the concentration of RSV was less than 200 pmol/L(P>0.05).RSV inhibited vascular endothelial growth factor(VEGF)-induced CEC migration(P<0.05)and tube formation(P<0.05)invitro.Furthermore,intravitrealinjectionof RSV significantly inhibited laser induced CNV formation in mice.The FA leakage,CNV volume and CNV area analysis revealed that there were 41%,45%,and 58%reduction in RSV-treated eyes(1.691±0.1032,178163±78623μm^3 and 6508±619.0μm^2,respectively)compared with those in control(2.724±0.08447,379676±98382μm3and16576±2646μm^2,respectively;P<0.05).Phospho-VEGFR2expression was much weaker in the sections of CNV lesions in RSV injected mice compared with that in control(P<0.05).CONCLUSION:Intravitreal injection of RSV exerts an inhibitory effect on CNV,which may through suppressing endothelial cell migration,tube formation and VEGFR2 phosphorylation. 展开更多
关键词 RESVERATROL intravitreal injection choroidal neovascularization vascular endothelial growth factor receptor 2 tube formation murine
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意大利蜜蜂幼虫防御素Defensin-2在吡虫啉胁迫下的表达分析
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作者 王远晨 王悦弟 +2 位作者 陈兰春 秦启倩 李治 《环境昆虫学报》 CSCD 北大核心 2023年第6期1603-1614,共12页
防御素在昆虫免疫抵抗农药危害中具有重要作用,但蜜蜂防御素Defensin在幼虫抵御吡虫啉毒性中的作用鲜有报道。生物信息学鉴定意大利蜜蜂Apis mellifera ligustica防御素Defensin-2,分析其在吡虫啉暴露下蜜蜂幼虫中的表达模式,探讨其在... 防御素在昆虫免疫抵抗农药危害中具有重要作用,但蜜蜂防御素Defensin在幼虫抵御吡虫啉毒性中的作用鲜有报道。生物信息学鉴定意大利蜜蜂Apis mellifera ligustica防御素Defensin-2,分析其在吡虫啉暴露下蜜蜂幼虫中的表达模式,探讨其在幼虫抵御吡虫啉中的作用。生物信息学方法分析Defensin-2的氨基酸序列特征、功能域、高级结构、互作靶标、系统进化聚类关系;RT-qPCR分析幼虫口服暴露吡虫啉后Defensin-2基因的表达特征。结果显示,Defensin-2蛋白由104个氨基酸残基组成,相对分子质量为11.9 kDa,等电点PI为8.54,具有信号肽和跨膜结构域。多重序列比对显示Defensin-2属于防御素样超家族。系统进化分析表明,Defensin-2聚类于蜜蜂家族;RT-qPCR分析表明,在半致死浓度吡虫啉暴露下,Defensin-2基因在24 h时显著上调表达后在72 h时下调表达,但在环境浓度吡虫啉暴露后72 h,Defensin-2表达量呈显著上调。Defensin-2可能在意大利蜜蜂幼虫抵御吡虫啉毒性中发挥着重要作用。 展开更多
关键词 吡虫啉 意大利蜜蜂幼虫 defensin-2 生物信息学
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猪β-防御素-2在黄曲霉毒素B1致小鼠肠道炎症损伤中的作用
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作者 张曼 王坤丽 +4 位作者 王艳慧 李庆豪 李明 边思琦 皇甫和平 《畜牧与兽医》 CAS 北大核心 2024年第7期36-43,共8页
旨在探究猪β-防御素-2(pBD-2)在黄曲霉毒素B1(AFB1)致鼠肠道损伤中的作用。本试验以4周龄KM小鼠为研究对象,将体重相近的30只健康小鼠随机均分为5组,分别为空白对照组(不做任何处理)、DMSO组(1%DMSO灌胃)、AFB1组(0.3 mg/kg AFB1灌胃)... 旨在探究猪β-防御素-2(pBD-2)在黄曲霉毒素B1(AFB1)致鼠肠道损伤中的作用。本试验以4周龄KM小鼠为研究对象,将体重相近的30只健康小鼠随机均分为5组,分别为空白对照组(不做任何处理)、DMSO组(1%DMSO灌胃)、AFB1组(0.3 mg/kg AFB1灌胃)、pBD-2组(0.03 mg/kg pBD-2灌胃)和AFB1+pBD-2组(0.3 mg/kg AFB1灌胃28 d后再用0.03 mg/kg pBD-2灌胃28 d),试验持续56 d,通过观察小鼠肠道结构的变化以及采用qPCR和免疫荧光的方法检测炎症相关因子的表达水平。结果:与对照组相比,AFB1组小鼠的平均日增重(ADG)和平均日采食量(ADFI)均呈现显著下降趋势(P<0.05),料重比(F/G)降低,但差异不显著(P>0.05),而小鼠饲喂pBD-2以后ADG和ADFI均较AFB1组显著增加(P<0.05);HE染色结果显示,AFB1导致小鼠空肠黏膜显著损伤,并伴有严重的肠壁变薄,肠绒毛萎缩、稀疏,肠绒毛高度与隐窝深度之比、相对肠绒毛数量及肠壁厚度均显著降低(P<0.05),而使用pBD-2处理小鼠损伤模型,肠道结构可见显著恢复(P<0.05);qPCR和免疫荧光染色结果表明,AFB1处理小鼠可显著上调白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)的mRNA和蛋白表达水平(P<0.05),但对白细胞介素-8(IL-8)的表达水平出现了下调趋势,而用pBD-2处理小鼠损伤模型后可显著下调炎症因子的表达水平,说明pBD-2对AFB1造成的肠黏膜炎症具有缓解作用。本研究结果为AFB1中毒的防控及pBD-2在畜牧生产中的应用提供了科学依据。 展开更多
关键词 猪β-防御素-2 黄曲霉毒素B1 肠道炎症 小鼠
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Expression of LL-37, Human beta Defensin-2, and CCR6 mRNA in Patients with Psoriasis Vulgaris
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作者 李东升 李家文 +1 位作者 段逸群 周小勇 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2004年第4期404-406,共3页
To investigate whether LL-37 and human beta defensin-2 (hBD-2) is related to the patients with psoriasis seldom having skin infections and explore the role of the two peptides and CCR6 (the receptor of hBD-2) in the p... To investigate whether LL-37 and human beta defensin-2 (hBD-2) is related to the patients with psoriasis seldom having skin infections and explore the role of the two peptides and CCR6 (the receptor of hBD-2) in the pathogenesis of psoriasis, the expression levels of mRNA of LL-37, hBD-2, and CCR6 in skin lesions of patients with psoriasis vulgaris were detected by using RT-PCR. The results showed that the mRNA expression levels of the two peptides and CCR6 in psoriatic lesions all increased compared with the normal skin (P<0.001). It was suggested that up-regulated expression of LL-37 and hBD-2 might be the main reason that result in the the skin of patients with psoriasis being seldom infected, and the two peptides and CCR6 might play crucial roles in the pathogenesis of psoriasis. 展开更多
关键词 PSORIASIS LL-37 human beta defensin-2 CCR6
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意大利蜜蜂防御素-2蛋白序列分析及表达特性研究
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作者 邓晓银 于点点 +3 位作者 王珏 张旭凤 郭媛 郭丽娜 《南方农业学报》 CAS CSCD 北大核心 2024年第5期1454-1462,共9页
【目的】对意大利蜜蜂(Apis mellifera)防御素-2蛋白(Defensin-2,Def-2)进行蛋白序列分析和表达特性研究,以期为意大利蜜蜂防御素基因的免疫防御机制、发育和代谢途径研究提供理论基础。【方法】利用生物信息学在线网站及软件对Def-2蛋... 【目的】对意大利蜜蜂(Apis mellifera)防御素-2蛋白(Defensin-2,Def-2)进行蛋白序列分析和表达特性研究,以期为意大利蜜蜂防御素基因的免疫防御机制、发育和代谢途径研究提供理论基础。【方法】利用生物信息学在线网站及软件对Def-2蛋白进行预测分析,并采用实时荧光定量PCR对意大利蜜蜂不同发育时期(幼虫期、蛹期及1、5、10、15、20、25和30 d成年期工蜂)的基因相对表达量进行检测分析。【结果】意大利蜜蜂防御素-2基因(Def-2)编码104个氨基酸残基,相对分子量为11858.90 Da,理论等电点(pI)为8.54,为两性不稳定蛋白。该蛋白N-末端有一段含21个氨基酸的信号肽,存在1个跨膜结构域,亚细胞主要定位于内质网、液泡和高尔基体,无糖基化位点,存在15个磷酸化位点,其二级结构以无规卷曲(54.81%)为主、延伸链(28.85%)分布较多,α-螺旋(16.35%)分布较少,蛋白序列高度保守,与Def-1、GB44032-PA、Dl-2、Imd等蛋白存在基因互作关系,具有防御蛋白样结构域(DEFL),结构域采用以半胱氨酸稳定的α/β支架为特征的结构,亲缘关系与小蜜蜂极为相近。Def-2基因在意大利蜜蜂不同发育时期的表达水平存在差异且随日龄增大而升高,30 d的相对表达量显著高于其他日龄(P<0.05)。【结论】意大利蜜蜂Def-2蛋白属于两性不稳定蛋白,参与细胞间信号传输并维持细胞正常形态;蛋白序列高度保守,亲缘关系与小蜜蜂最近,且该基因在30 d成年期工蜂中高丰度表达,推测其可能调节免疫基因转运而影响蜜蜂的免疫识别过程。 展开更多
关键词 意大利蜜蜂 防御素-2蛋白 表达差异 实时荧光定量PCR
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MDM2的异常表达对胃癌细胞增殖、侵袭、迁移以及对CD4^(+)T和CD8^(+)T细胞免疫浸润的影响
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作者 常攀 魏娜 陈洁 《联勤军事医学》 CAS 2024年第7期543-552,共10页
目的 探讨鼠双微体同源基因2(murine double minute 2,MDM2)在胃癌中的表达,以及MDM2的表达对胃癌细胞增殖、侵袭、迁移以及CD4^(+)T和CD8^(+)T细胞免疫浸润的影响。方法 从基因表达综合(Gene Expression Omnibus,GEO)数据库中提取胃癌... 目的 探讨鼠双微体同源基因2(murine double minute 2,MDM2)在胃癌中的表达,以及MDM2的表达对胃癌细胞增殖、侵袭、迁移以及CD4^(+)T和CD8^(+)T细胞免疫浸润的影响。方法 从基因表达综合(Gene Expression Omnibus,GEO)数据库中提取胃癌芯片数据集GSE62254,统计分析MDM2在胃癌中的表达情况。通过基因表达谱交互分析(Gene Expression Profiling Interactive Analysis,GEPIA)数据库分析MDM2表达对胃癌患者预后的影响。基于单样本基因集富集分析(single-sample gene-set enrichment analysis,ssGSEA)探讨GSE62254中23种免疫细胞的浸润情况。免疫组织化学法检测临床样本组织中MDM2和CD4^(+)T和CD8^(+)T细胞的表达。细胞实验,分为sh组(shRNA-MDM2下调MDM2表达)和sh-NC组(shRNA-MDM2-NC无下调MDM2表达的作用),si组(siRNA-MDM2降低MDM2表达)和si-NC组(siRNA-MDM2-NC无降低MDM2表达的作用),pc组(pcDNA3.1-MDM2过表达MDM2)和pc-NC组(pcDNA3.1-MDM2-NC无过表达MDM2的作用),mimic组(MDM2 mimic上调MDM2表达)和mimic-NC组(MDM2-NC无上调MDM2表达的作用)。动物实验,分为si组(下调MDM2表达)、si-NC组(无下调MDM2表达),mimic组(升高MDM2表达)、mimic-NC组(无升高MDM2表达),每组各5只小鼠。5-乙炔基-2′-脱氧尿苷(5-ethynyl-2′-deoxyuridine,EdU)以及Transwell小室检测各组细胞的增殖、迁移与侵袭性能。动物实验检测各组细胞的体内生长与转移能力;Western blot检测细胞和小鼠瘤体组织中MDM2、增殖细胞核抗原(proliferating cell nuclear antigen,PCNA)、E-钙黏着蛋白(E-cadherin)和波形蛋白(Vimentin)的表达;同时细胞计数试剂盒(cell counting kit 8,CCK-8)检测小鼠脾组织单细胞悬液中CD8^(+)T细胞的体外杀伤肿瘤细胞的能力。结果 与癌旁正常组织相比,MDM2在胃癌组织的表达明显升高(P<0.05);与MDM2高表达患者相比,MDM2低表达患者的总生存期生存曲线明显升高(P<0.05);与MDM2高表达组相比,MDM2低表达组中CD4^(+)T、CD8^(+)T细胞的浸润明显升高(P<0.05);临床样本的免疫组织化学和相关性分析结果显示,MDM2的表达与CD4^(+)T、CD8^(+)T细胞的浸润水平呈负相关关系。细胞实验结果显示,与si-NC组相比,si组PAMC-82细胞中EDU阳性细胞比例、细胞侵袭和迁移数量以及细胞中MDM2、PCNA以及Vimentin的表达明显下降,E-cadherin的表达明显升高(P均<0.05);与mimic-NC组相比,mimic组PAMC-82细胞中EDU阳性细胞比例、细胞侵袭和迁移数量以及细胞中MDM2、PCNA以及Vimentin的表达明显升高,E-cadherin表达明显下降(P均<0.05)。动物实验结果显示,与si-NC组相比,si组小鼠瘤体组织的质量、病灶转移比例、瘤体组织中MDM2、PCNA和Vimentin的表达明显下降,瘤体组织中E-cadherin表达、CD4^(+)T免疫组织化学评分、CD8^(+)T免疫组织化学评分明显升高(P均<0.05);与mimic-NC组相比,mimic组小鼠瘤体组织的质量、病灶转移比例、瘤体组织中MDM2、PCNA和Vimentin的表达明显升高,瘤体组织中E-cadherin表达、CD4^(+)T免疫组织化学评分、CD8^(+)T免疫组织化学评分明显下降(P均<0.05)。小鼠脾组织中CD8^(+)T细胞对各组PAMC-82细胞的体外杀伤实验结果显示,si组细胞的存活率明显下降(P<0.05);与mimic-NC组相比,mimic组细胞的存活率明显升高(P<0.05);酶联免疫吸附试验(enzyme-linked immunosorbent assay,ELISA)结果显示,与si-NC组相比,si组细胞上清液中γ干扰素(interferon gamma,IFN-γ)及肿瘤坏死因子α(tumor necrosis factor alpha,TNF-α)的含量明显升高(P均<0.05),与mimic-NC组细胞相比,mimic组细胞中IFN-γ及TNF-α的含量明显下降(P均<0.05)。结论 在胃癌中,MDM2的表达升高,高表达的MDM2能明显促进细胞的增殖、迁移和侵袭,增强肿瘤细胞抵抗CD4^(+)T、CD8^(+)T细胞的杀伤能力,促进胃癌进展。 展开更多
关键词 鼠双微体同源基因2 胃癌 增殖 侵袭 迁移 免疫细胞浸润
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肺结核患者血清甲壳质酶蛋白40、β-防御素-2水平及其对肺结核的诊断价值
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作者 李春晓 李怀臣 《传染病信息》 2024年第2期142-146,共5页
目的探索肺结核患者血清甲壳质酶蛋白40(chitinase protein 40,YKL-40)、β-防御素-2(human beta defensin 2,HBD-2)水平及其对肺结核的诊断价值。方法选取2021年6月—2023年6月山东省立医院收治的86例肺结核患者为肺结核组,根据痰涂片... 目的探索肺结核患者血清甲壳质酶蛋白40(chitinase protein 40,YKL-40)、β-防御素-2(human beta defensin 2,HBD-2)水平及其对肺结核的诊断价值。方法选取2021年6月—2023年6月山东省立医院收治的86例肺结核患者为肺结核组,根据痰涂片结果分为活动性肺结核组(n=50)和非活动性肺结核组(n=36),另选取86例来自我院体检中心的健康受试者作为对照组。检测所有受试者血清中YKL-40、HBD-2水平并分析肺结核患者血清中YKL-40与HBD-2的相关性;采用受试者工作特征(receiver operating characteristic,ROC)曲线分析血清中YKL-40、HBD-2水平对肺结核及活动性肺结核的诊断价值。结果肺结核组血清YKL-40、HBD-2水平高于对照组(P均<0.05);活动性肺结核组血清YKL-40、HBD-2水平高于非活动性肺结核组(P均<0.05)。肺结核患者血清中YKL-40与HBD-2的水平呈正相关(r=0.601)。YKL-40、HBD-2及2者联合诊断肺结核的曲线下面积(area under the curve,AUC)分别为0.895、0.922、0.962,2者联合诊断优于单独诊断;YKL-40、HBD-2及2者联合诊断活动性肺结核的AUC分别为0.891、0.881、0.959,2者联合诊断优于单独诊断。结论肺结核患者血清YKL-40、HBD-2水平显著升高,且随病情加重而升高,2者对肺结核及活动性肺结核的具有一定的诊断价值。 展开更多
关键词 肺结核 甲壳质酶蛋白40 Β-防御素-2 诊断
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社区获得性肺炎患者血清HBD-1、SAA、sIL-2R水平变化及指导病情分级的意义
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作者 史振龙 李强如 赵军喜 《现代医药卫生》 2024年第19期3307-3310,共4页
目的检测社区获得性肺炎(CAP)患者血清防御素-1(HBD-1)、淀粉样蛋白A(SAA)、可溶性白细胞介素-2受体(sIL-2R)水平变化,并分析其对病情分级的指导意义。方法选取2021年7月至2023年8月在该院收治的85例CAP患者(CAP组),根据肺炎严重度指数(... 目的检测社区获得性肺炎(CAP)患者血清防御素-1(HBD-1)、淀粉样蛋白A(SAA)、可溶性白细胞介素-2受体(sIL-2R)水平变化,并分析其对病情分级的指导意义。方法选取2021年7月至2023年8月在该院收治的85例CAP患者(CAP组),根据肺炎严重度指数(PSI)将其分为低风险组(34例)、中风险组(41例)和高风险组(10例),另取85例健康成人作为对照组。比较CAP组和对照组血清HBD-1、SAA和sIL-2R水平,比较PSI不同风险分组血清HBD-1、SAA和sIL-2R水平;采用受试者操作特征(ROC)曲线分析HBD-1、SAA、sIL-2R水平对CAP患者的诊断价值;采用Spearman相关性分析CAP患者PSI值和血清HBD-1、SAA、sIL-2R水平之间的关系。结果CAP患者血清HBD-1、SAA和sIL-2R水平均高于对照组,其中PSI评分不同分组血清HBD-1、SAA和sIL-2R水平由高到低为高风险组>中风险组>低风险组,差异有统计学意义(P<0.05)。ROC曲线分析结果显示,血清HBD-1[曲线下面积(AUC)=0.739]、SAA(AUC=0.773)、sIL-2R(AUC=0.730)水平对CAP患者具有良好的诊断价值(P<0.05)。Spearman相关性分析结果显示,血清HBD-1水平[相关系数(r)=0.304]、SAA(r=0.498)和sIL-2R(r=0.435)水平与PSI评分呈正相关(P<0.05)。结论血清HBD-1、SAA、sIL-2R水平对CAP患者的病情分级具有较好的指导意义。 展开更多
关键词 社区获得性肺炎 血清防御素-1 淀粉样蛋白A 可溶性白细胞介素-2受体 病情分级
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pBD-2对热应激致小鼠小肠形态结构损伤及紧密连接蛋白表达的修复作用
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作者 汤雨晴 张曼 +5 位作者 齐振昌 李庆豪 李艺雷 董涵方 孙娟 金鑫 《黑龙江畜牧兽医》 CAS 北大核心 2024年第14期118-123,128,129,共8页
为了研究猪β-防御素-2(porcinβ-defensin2,pBD-2)对热应激致小鼠小肠形态结构损伤及紧密连接蛋白表达的修复作用,试验将36只1月龄昆明小鼠随机分为空白对照组、热应激组和热应激+pBD-2组,每组12只。空白对照组和热应激组每天每只小鼠... 为了研究猪β-防御素-2(porcinβ-defensin2,pBD-2)对热应激致小鼠小肠形态结构损伤及紧密连接蛋白表达的修复作用,试验将36只1月龄昆明小鼠随机分为空白对照组、热应激组和热应激+pBD-2组,每组12只。空白对照组和热应激组每天每只小鼠按体重10μL/g以灌胃的方式给予生理盐水,热应激+pBD-2组每天每只小鼠按体重0.01μg/g以灌胃的方式给予pBD-2。灌胃后将热应激组和热应激+pBD-2组放入40℃温箱热应激处理1 h,取出后与空白对照组一起放置于室温下进行饲养。按照相同的方式共处理28 d,并于第28天处理后断颈处死。每天灌胃前观察各组的行为,记录采食量并称重,试验结束后计算各组平均日采食量和平均日增重,并对小鼠进行剖检,分别取十二指肠、空肠、回肠组织进行石蜡切片制作和H.E.染色,比较各组肠绒毛高度与隐窝深度比值和单位面积内杯状细胞数目,并采用免疫组织化学技术对紧密连接蛋白ZO-1、Claudin-3和Occludin进行检测与相对表达量分析。结果表明:试验期间,空白对照组无异样行为;热应激组探索行为增加,焦虑好动;热应激+pBD-2组比热应激组安静。热应激组平均日采食量显著高于热应激+pBD-2组和空白对照组(P<0.05),而热应激+pBD-2组和空白对照组间差异不显著(P>0.05)。空白对照组和热应激+pBD-2组平均日增重显著高于热应激组(P<0.05),空白对照组和热应激+pBD-2组平均日增重差异不显著(P>0.05)。空白对照组肠道健康、无红肿,肠道内容物适中;热应激组肠道表面充血、红肿,肠道内容物较多;热应激+pBD-2组肠道无红肿现象,肠道内容物较少。热应激组十二指肠、空肠、回肠绒毛高度与隐窝深度比值均显著低于空白对照组和热应激+pBD-2组(P<0.05),空白对照组和热应激+pBD-2组间差异不显著(P>0.05)。热应激+pBD-2组十二指肠和空肠单位面积内杯状细胞数量显著高于空白对照组和热应激组(P<0.05),空白对照组显著高于热应激组(P<0.05);热应激+pBD-2组回肠单位面积内杯状细胞数量显著高于热应激组(P<0.05)且与空白对照组间差异不显著(P>0.05),热应激组与空白对照组间差异不显著(P>0.05)。空白对照组和热应激+pBD-2组十二指肠、空肠和回肠中ZO-1蛋白的相对表达量显著高于热应激组(P<0.05),空白对照组和热应激+pBD-2组间差异不显著(P>0.05)。空白对照组十二指肠和空肠中Claudin-3蛋白的相对表达量显著高于热应激组和热应激+pBD-2组(P<0.05),热应激+pBD-2组显著高于热应激组(P<0.05);各组回肠中Claudin-3蛋白的相对表达量差异不显著(P>0.05)。空白对照组十二指肠中Occludin蛋白的相对表达量显著高于热应激组,但热应激+pBD-2组与空白对照组、热应激组均差异不显著(P>0.05);空白对照组和热应激+pBD-2组空肠和回肠中Occludin蛋白的相对表达量显著高于热应激组(P<0.05),但空白对照组和热应激+pBD-2组间差异不显著(P>0.05)。说明热应激处理会影响小鼠的消化吸收功能和小肠形态结构,降低小鼠小肠中紧密连接蛋白的表达量,而pBD-2对热应激造成的上述影响具有较好的修复作用。 展开更多
关键词 猪β-防御素-2(pBD-2) 热应激 小肠 形态结构 紧密连接蛋白
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大疱性类天疱疮患者疱液中HBD-2、CXCR5及ECP的表达水平及意义
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作者 李丙南 刘桂丽 +2 位作者 曹娜 张海祥 赵子申 《川北医学院学报》 CAS 2024年第10期1338-1342,共5页
目的:探究大疱性类天疱疮(BP)患者疱液中人类β防御素2(HBD-2)、趋化因子受体5(CXCR5)、嗜酸性粒细胞阳离子蛋白(ECP)的表达水平及意义。方法:选取80例BP患者为BP组;50例非BP患者为非BP组,根据BP活动性皮损面积(A)和活动性皮损数目(B)... 目的:探究大疱性类天疱疮(BP)患者疱液中人类β防御素2(HBD-2)、趋化因子受体5(CXCR5)、嗜酸性粒细胞阳离子蛋白(ECP)的表达水平及意义。方法:选取80例BP患者为BP组;50例非BP患者为非BP组,根据BP活动性皮损面积(A)和活动性皮损数目(B)将BP组分为重度组、中度组及轻度组;随访6个月,根据疾病复发及并发症发生情况将BP组患者分为预后不良组及预后较好组,采用ELISA法检测BP患者及非BP患者、不同病情程度BP患者及不同预后结果BP患者之间HBD-2、CXCR5、ECP水平差异,并分析HBD-2、CXCR5、ECP水平与BP严重程度及患者预后的相关性。结果:BP组HBD-2、CXCR5、ECP水平均高于非BP组(P<0.05)。不同病情程度BP患者疱液HBD-2、CXCR5、ECP水平比较:重度组>中度组>轻度组(P<0.05)。相关性分析显示,BP患者疱液HBD-2、CXCR5、ECP水平与病情严重程度均呈正相关关系(P<0.05)。疱液HBD-2、CXCR5、ECP水平联合检测评估BP严重程度的曲线下面积(AUC)大于各指标单独检测(P<0.05)。预后不良组HBD-2、CXCR5、ECP水平均高于预后较好组(P<0.05)。疱液HBD-2、CXCR5、ECP水平联合检测预测BP患者预后的AUC大于各指标单独检测(P<0.05)。结论:大疱性类天疱疮患者疱液中HBD-2、CXCR5、ECP水平异常升高与疾病严重程度相关,且各指标联合检测对BP严重程度及患者预后具有预测价值。 展开更多
关键词 大疱性类天疱疮 疱液 人类β防御素2 趋化因子受体5 嗜酸性粒细胞阳离子蛋白
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25-羟基维生素D、人β防御素-2及胰岛素样生长因子1水平与痤疮患者疾病严重程度的关系
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作者 杨悦漪 林霞 王丽兵 《实用临床医药杂志》 CAS 2024年第16期60-64,共5页
目的探讨外周血25-羟基维生素D[25(OH)D]、人β防御素-2(HBD-2)及胰岛素样生长因子1(IGF-1)水平与痤疮患者疾病严重程度的相关性。方法选取128例寻常痤疮患者纳入痤疮组,另选取128例健康体检者纳入对照组。检测2组外周血25(OH)D、HBD-2... 目的探讨外周血25-羟基维生素D[25(OH)D]、人β防御素-2(HBD-2)及胰岛素样生长因子1(IGF-1)水平与痤疮患者疾病严重程度的相关性。方法选取128例寻常痤疮患者纳入痤疮组,另选取128例健康体检者纳入对照组。检测2组外周血25(OH)D、HBD-2及IGF-1水平。分析外周血25(OH)D、HBD-2及IGF-1水平与痤疮患者疾病严重程度的关系。分析痤疮患者外周血25(OH)D、HBD-2和IGF-1水平间的关系。采用受试者工作特征(ROC)曲线评估25(OH)D、HBD-2和IGF-1水平对重度痤疮的诊断价值。结果痤疮组外周血25(OH)D水平低于对照组,IGF-1水平高于对照组,差异有统计学意义(P<0.05);2组HBD-2水平比较,差异无统计学意义(P>0.05)。痤疮组中,随着患者疾病严重程度加重,其外周血25(OH)D水平依次降低,IGF-1水平依次升高,差异有统计学意义(P<0.05)。痤疮患者外周血25(OH)D水平与IGF-1水平、疾病严重程度呈负相关(r=-0.509、-0.586,P<0.05),IGF-1水平与疾病严重程度呈正相关(r=0.547,P<0.05),HBD-2水平与25(OH)D、IGF-1水平及疾病严重程度均无关(P>0.05)。外周血25(OH)D水平、IGF-1水平评估重度痤疮的敏感度分别为94.12%、61.26%,特异度分别为70.59%、77.48%,二者联合评估重度痤疮的敏感度为90.91%,特异度为71.43%。结论痤疮患者外周血25(OH)D水平降低,IGF-1水平升高,且其与疾病严重程度有关。25(OH)D、IGF-1水平联合评估重度痤疮的效能较好。 展开更多
关键词 痤疮 25-羟基维生素D 人Β防御素-2 胰岛素样生长因子1 疾病严重程度
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血清信号转导抑制因子3、β防御素2对胸部创伤并发细菌感染诊断价值研究
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作者 张泉河 张吉帅 +1 位作者 赵文 李锋 《创伤与急危重病医学》 2024年第2期84-89,共6页
目的探讨血清细胞因子信号转导抑制因子3(SOCS3)、β防御素2(HBD2)对胸部创伤并发细菌感染的诊断价值。方法选取自2021年7月至2023年12月收治的胸部创伤(包括以胸部创伤为主的多发伤)患者152例为创伤组,并根据其是否并发细菌感染分为感... 目的探讨血清细胞因子信号转导抑制因子3(SOCS3)、β防御素2(HBD2)对胸部创伤并发细菌感染的诊断价值。方法选取自2021年7月至2023年12月收治的胸部创伤(包括以胸部创伤为主的多发伤)患者152例为创伤组,并根据其是否并发细菌感染分为感染组(n=53)和无感染组(n=99),另选取同期在本院进行健康体检的志愿者152例为健康组。采用酶联免疫吸附法检测血清SOCS3、HBD2水平;采用Pearson相关分析感染组血清SOCS3与HBD2水平的相关性;采用多因素Logistic回归分析(逐步向前法)影响胸部创伤患者并发细菌感染的因素;采用受试者工作特征曲线分析血清SOCS3、HBD2对胸部创伤患者并发细菌感染的诊断价值,并采用Z检验比较其曲线下面积(AUC)。结果创伤组血清SOCS3、HBD2水平明显高于健康组,差异有统计学意义(P<0.05)。感染组创伤严重程度评分(ISS)、机械通气时间明显高于无感染组,差异有统计学意义(P<0.05)。感染组血清SOCS3、HBD2水平明显高于无感染组,差异有统计学意义(P<0.05)。感染组血清SOCS3与HBD2水平呈正相关(r=0.579,P<0.05)。SOCS3、HBD2、ISS评分是影响胸部创伤患者并发细菌感染的因素(P<0.05)。血清SOCS3、HBD2联合诊断胸部创伤患者并发细菌感染的AUC为0.920(95%可信区间:0.878~0.961),SOCS3、HBD2单独诊断胸部创伤患者并发细菌感染的AUC分别为0.830(95%可信区间:0.763~0.897)、0.811(95%可信区间:0.741~0.881),二者联合诊断效能较SOCS3(Z=2.252,P=0.024)、HBD2(Z=2.615,P=0.009)单独诊断效能更高。结论胸部创伤并发细菌感染患者血清SOCS3、HBD2水平异常升高,二者联合诊断胸部创伤患者并发细菌感染的价值较高。 展开更多
关键词 胸部创伤 细菌感染 细胞因子信号转导抑制因子3 β防御素2
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血清TIM-4、HBD2表达水平与肺炎支原体肺炎儿童病情的相关性研究
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作者 张娟 徐建英 何苗 《中国妇幼健康研究》 2024年第10期37-42,共6页
目的探讨血清T细胞免疫球蛋白与黏蛋白域分子-4(TIM-4)和人β-防御素2(HBD2)表达水平与肺炎支原体肺炎(MPP)儿童病情的相关性。方法选取本院于2020年7月至2023年1月收治的142例MPP患儿为研究对象,根据病情严重程度分为普通MPP组(n=99)... 目的探讨血清T细胞免疫球蛋白与黏蛋白域分子-4(TIM-4)和人β-防御素2(HBD2)表达水平与肺炎支原体肺炎(MPP)儿童病情的相关性。方法选取本院于2020年7月至2023年1月收治的142例MPP患儿为研究对象,根据病情严重程度分为普通MPP组(n=99)和难治性MPP组(n=43),另选取同期140例健康体检儿童为对照组。使用酶联免疫吸附试验(ELISA)检测血清TIM-4和HBD2水平;收集患儿临床资料,并采用多因素Logistic回归分析发生难治性MPP的影响因素;使用受试者工作特征(ROC)曲线分析血清TIM-4和HBD2水平对难治性MPP的诊断价值。结果普通MPP组和难治性MPP组在发热时间、住院时间、阿奇霉素治疗时间、中性粒细胞百分比、白细胞计数、反复呼吸道感染、肺外并发症方面比较差异具有统计学意义(t/χ^(2)值介于2.195~21.265,P<0.05);与对照组相比,研究组血清TIM-4和HBD2表达水平均明显升高(t=34.527、40.646,P<0.001);与普通MPP组相比,难治性MPP组血清TIM-4和HBD2表达水平均明显升高(t=12.410、15.316,P<0.001);多因素Logistic回归分析结果显示,血清TIM-4水平(OR=1.423,95%CI:1.140~1.776)、HBD2水平(OR=1.436,95%CI:1.162~1.775)、发热时间(OR=1.349,95%CI:1.056~1.724)、中性粒细胞百分比(OR=1.334,95%CI:1.032~1.725)、反复呼吸道感染(OR=1.521,95%CI:1.245~1.858)和肺外并发症(OR=1.432,95%CI:1.152~1.780)均是发生难治性MPP的独立危险因素(P<0.05)。ROC结果显示,血清TIM-4水平单独诊断难治性MPP发生的曲线下面积(AUC)为0.845(95%CI:0.774~0.900),灵敏度、特异度分别为69.77%、85.86%;血清HBD2水平单独诊断难治性MPP发生的AUC为0.815(95%CI:0.742~0.875),灵敏度、特异度分别为74.42%、82.83%;二者联合诊断难治性MPP发生的AUC为0.908(95%CI:0.848~0.950),灵敏度、特异度分别为90.70%、81.82%,显著高于血清TIM-4水平单独诊断(Z=2.047,P=0.040)和血清HBD2水平单独诊断(Z=2.443,P=0.015)。结论血清TIM-4及HBD2水平在肺炎支原体肺炎儿童中表达升高,且二者水平对难治性肺炎支原体肺炎具有一定诊断价值。 展开更多
关键词 肺炎支原体肺炎 T细胞免疫球蛋白与黏蛋白域分子-4 重组人β-防御素2
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