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血清AQP4、NFL、BAFF水平与癫痫患儿认知功能的相关性及其对认知功能损害的评估价值
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作者 尚凤伟 王瑞丽 +1 位作者 李海珍 马振林 《海南医学》 CAS 2024年第10期1426-1430,共5页
目的探讨癫痫患儿血清水通道蛋白4(AQP4)、神经丝轻链蛋白(NFL)、B细胞活化因子(BAFF)水平与认知功能的相关性及其对认知功能损害的评估价值。方法选取2020年5月至2023年5月周口市中心医院收治的126例癫痫患儿作为研究对象,依据蒙特利... 目的探讨癫痫患儿血清水通道蛋白4(AQP4)、神经丝轻链蛋白(NFL)、B细胞活化因子(BAFF)水平与认知功能的相关性及其对认知功能损害的评估价值。方法选取2020年5月至2023年5月周口市中心医院收治的126例癫痫患儿作为研究对象,依据蒙特利尔认知评估量表(MoCA)分为认知损害组58例和认知正常组68例,同时选取同期体检正常儿童42例作为对照组。比较三组受检者的血清AQP4、NFL、BAFF水平;采用Pearson法分析血清AQP4、NFL、BAFF水平与国立医院癫痫发作严重程度量表(NHS3)、MoCA评分的相关性;采用多因素Logistic回归分析认知功能损害的影响因素,绘制受试者工作特征曲线(ROC)及曲线下面积(AUC)分析血清AQP4、NFL、BAFF水平对认知功能损害的评估价值。结果认知损害组患者的血清AQP4水平明显低于认知正常组和对照组,且认知正常组明显低于对照组,认知损害组患者的血清NFL、BAFF水平则明显高于认知正常组和对照组,且认知正常组明显高于对照组,差异均有统计学意义(P<0.05);认知损害组患者的NHS3评分为(14.25±3.75)分,明显高于认知正常组的(10.08±3.16)分,差异有统计学意义(P<0.05);经Pearson法分析结果显示,AQP4与MoCA评分呈正相关(r=0.528,P<0.05),与NHS3评分呈负相关(r=-0.429,P<0.05),而NFL、BAFF与MoCA评分呈负相关(r=-0.438、-0.501,P<0.05),NFL、BAFF与NHS3评分呈正相关(r=0.442、0.538,P<0.05);经多因素Logistic回归分析结果显示,全面性发作、发作频率升高、AQP4水平降低及NFL、BAFF水平升高均为认知功能损害的危险因素(P<0.05);经ROC分析结果显示,血清AQP4、NFL、BAFF、AQP4+NFL、AQP4+BAFF、BAFF+NFL、AQP4+NFL+BAFF评估认知功能损害的AUC分别为0.716、0.705、0.786、0.834、0.818、0.828、0.940,且AQP4+NFL+BAFF评估认知功能损害的AUC明显大于任意两项指标联合评估、单独指标评估(P<0.05)。结论癫痫患儿认知功能损害者血清AQP4水平降低,血清NFL、BAFF水平升高,其与癫痫发作严重程度密切相关,且为认知功能损害的影响因素,联合检测其水平对认知功能损害的评估具有临床意义。 展开更多
关键词 癫痫 认知功能 水通道蛋白4 神经丝轻链蛋白 B细胞活化因子 相关性
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Neurofilament proteins in axonal regeneration and neurodegenerative diseases 被引量:8
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作者 Haitao Wang Minfei Wu +4 位作者 Chuanjun Zhan Enyuan Ma Maoguang Yang Xiaoyu Yang Yingpu Li 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第8期620-626,共7页
Neurofilament protein is a component of the mature neuronal cytoskeleton, and it interacts with the zygosome, which is mediated by neurofilament-related proteins. Neurofilament protein regulates enzyme function and th... Neurofilament protein is a component of the mature neuronal cytoskeleton, and it interacts with the zygosome, which is mediated by neurofilament-related proteins. Neurofilament protein regulates enzyme function and the structure of linker proteins. In addition, neurofilament gene expression plays an important role in nervous system development. Previous studies have shown that neurofilament gene transcriptional regulation is crucial for neurofilament protein expression, especially in axonal regeneration and degenerative diseases. Post-transcriptional regulation increased neurofilament protein gene transcription during axonal regeneration, ultimately resulting in a pattern of neurofilament protein expression. An expression imbalance of post-transcriptional regulatory proteins and other disorders could lead to amyotrophic lateral sclerosis or other neurodegenerative diseases. These findings indicated that after transcription, neurofilament protein regulated expression of related proteins and promoted regeneration of damaged axons, suggesting that regulation disorders could lead to neurodegenerative diseases. 展开更多
关键词 axonal regeneration nerve injury neurodegenerative diseases neurofilament protein post-transcriptional regulation REVIEWS
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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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Neuronal apoptosis and neurofilament protein expression in the lateral geniculate body of cats following acute optic nerve injuries 被引量:1
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作者 Feng Yu Shao ji Yuan Gang Sui Rong wei Zhang Zi sheng Liu Pei gang Lu 《Neural Regeneration Research》 SCIE CAS CSCD 2007年第10期577-581,共5页
The visual pathway have 6 parts, involving optic nerve, optic chiasm, optic tract, lateral geniculate body, optic radiation and cortical striatum area. Corresponding changes may be found in these 6 parts following opt... The visual pathway have 6 parts, involving optic nerve, optic chiasm, optic tract, lateral geniculate body, optic radiation and cortical striatum area. Corresponding changes may be found in these 6 parts following optic nerve injury. At present, studies mainly focus on optic nerve and retina, but studies on lateral geniculate body are few. OBJECTIVE: To prepare models of acute optic nerve injury for observing the changes of neurons in lateral geniculate body, expression of neurofilament protein at different time after injury and cell apoptosis under the optical microscope, and for investigating the changes of neurons in lateral geniculate body following acute optic nerve injury. DESIGN: Completely randomized grouping design, controlled animal experiment. SETTING: Department of Neurosurgery, General Hospital of Ji'nan Military Area Command of Chinese PLA. MATERIALS: Twenty-eight adult healthy cats of either gender and common grade, weighing from 2.0 to 3.5 kg, were provided by the Animal Experimental Center of Fudan University. The involved cats were divided into 2 groups according to table of random digit: normal control group (n=3) and model group (n=25). Injury 6 hours, l, 3, 7 and 14 days five time points were set in model group for later observation, 5 cats at each time point. TUNEL kit (Bohringer-Mannheim company )and NF200& Mr 68 000 mouse monoclonal antibody (NeoMarkers Company) were used in this experiment. METHODS: This experiment was carded out in the Department of Neurosurgery, General Hospital of Ji'nan Military Area Command of Chinese PLA between June 2004 and June 2005.① The cats of model group were developed into cat models of acute intracranial optic nerve injury as follows: The anesthetized cats were placed in lateral position. By imitating operation to human, pterion approach was used. An incision was made at the joint line between outer canthus and tragus, and deepened along cranial base until white optic nerve via optic nerve pore and further to brain tissue. Optic nerve about 3 mm was liberated and occluded by noninvasive vascular clamp for 20 s. After removal of noninvasive vascular clamp, the area compressed by optic nerve was hollowed and narrowed, but non-fractured. Skull was closed when haemorrhage was not found. Bilateral pupillary size, direct and indirect light reflect were observed. Operative side pupil was enlarged as compared with opposite side, direct light reflect disappeared and indirect light reflect existed, which indicated that the models were successful. Animals of control group were not modeled .② The animals in the control group and model group were sacrificed before and 6 hours, 1, 3, 7 and 14 days after modeling respectively. Lateral geniculate body sample was taken and performed haematoxylin & eosin staining. Immunohistochemical staining showed lateral geniculate body neurofilament protein expression, and a comparison of immunohistochemial staining results was made between experimental group and control group. Terminal deoxynucleo-tidyl transferase (TdT)-mediated dUTP-biotin nick end labeling (TUNEL) was used to label apoptotic cells in lateral geniculate body. MAIN OUTCOME MEASURES: Neuronal morphological change, neurofilament protein expression and cell apoptosis in lateral geniculate body following acute optic nerve injury. RESULTS: Twenty-eight involved cats entered the final analysis. ① Histological observation results: In the control group, cell processes were obviously found, which were few or shortening in the model group. ② Neuronal neurofilament protein expression: Cells in lateral geniculate body in the control group and at 6 hours after injury presented clear strip-shaped staining, and those at 7 and 14 days presented irregular distribution without layers and obviously decreasing staining intensity. The positive rate of neurofilament protein in lateral geniculate body in control group and 6 hours, l, 3, 7 and 14 days after injury was ( 10.22±0.42) %, (10.03±0.24) %, (9.94±0.14) %, (9.98±0.22) %, (8.18±0.34) % and (6.37±0.18)%, respectively. Positive rate of neurofilament protein in control group, at 6 hours, 1 or 3 days after injury was significantly different from that at 7 days after injury (P 〈 0.05); Positive rate of neurofilament protein in control group, at 6 hours, 1, 3 or 7 days after injury was significantly different from that at 14 days after injury (P 〈 0.05). It indicated that neuronal injury in lateral geniculate body was not obvious within short term after optic nerve injury, but obvious at 7 days after injury and progressively aggravated until at 14 days after injury.③ Neuronal apoptosis: TUNEL staining showed that neuronal apoptosis in lateral geniculate body appeared at 7 days after injury, and a Lot of neuronal apoptosis in lateral geniculate body was found at 14 days after injury. It indicated that neuronal injury in lateral geniculate body was related to apoptosis. CONCLUSION: In short term after optic nerve injury (within 7 days), nerve injury of lateral geniculate body is not obvious, then, it will aggravate with the elongation of injury time. The occurrence of neuronal iniury of lateral geniculate body is related to the apoptosis of nerve cells. 展开更多
关键词 optic nerve injuries lateral geniculate bodies apoptosis neurofilament proteins
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清解化攻方调控NLRP3/TLR4/NF-κB信号通路对重症急性胰腺炎小鼠模型胰腺组织的保护作用 被引量:2
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作者 冯敏超 秦百君 +4 位作者 罗芳 李凯 王宁 陈国忠 唐曦平 《临床肝胆病杂志》 CAS 北大核心 2024年第2期343-350,共8页
目的观察清解化攻方对重症急性胰腺炎(SAP)小鼠模型的治疗作用,探索清解化攻方抗炎症反应的作用机制。方法将36只C57BL/6J雄性小鼠随机分成空白组,模型组,清解化攻方低、中、高剂量组,西药组(乌司他丁),每组6只,除空白组小鼠,余各组小... 目的观察清解化攻方对重症急性胰腺炎(SAP)小鼠模型的治疗作用,探索清解化攻方抗炎症反应的作用机制。方法将36只C57BL/6J雄性小鼠随机分成空白组,模型组,清解化攻方低、中、高剂量组,西药组(乌司他丁),每组6只,除空白组小鼠,余各组小鼠采用逆行胰胆管注射5%牛黄胆酸钠建立SAP模型,清解化攻方低、中、高剂量组在造模后分别予以清解化攻方1、2、4 g/kg灌胃,西药组在造模后予以腹腔注射乌司他丁(5×10^(4) U/kg),共干预7 d。采用苏木素-伊红染色观察胰腺组织病理改变;酶联免疫吸附测定法(ELISA)检测小鼠α-淀粉酶、脂肪酶、IL-1β、IL-6、IL-8、IL-18和TNF-α水平;RTqPCR检测胰腺组织NOD样受体蛋白3(NLRP3)、Toll样受体4(TLR4)、核因子-κB(NF-κB)mRNA表达水平;免疫组化检测胰腺组织NLRP3、TLR4、NF-κB的阳性表达率;Western Blot技术检测NLRP3、TLR4、NF-κB、IL-1β、IL-6蛋白的表达水平。计量资料多组间比较采用方差分析,进一步两两比较采用LSD-t检验。结果与空白组相比,模型组小鼠胰腺组织结构弥漫性破坏、胰腺小叶间隔局灶性扩张、腺泡萎缩和大量炎症细胞浸润,α-淀粉酶、脂肪酶、IL-1β、IL-6、IL-8、IL-18和TNF-α含量明显升高(P值均<0.05),NLRP3、TLR4、NF-κB mRNA表达水平及阳性表达率均明显上升(P值均<0.05),NLRP3、TLR4、NF-κB、IL-1β、IL-6蛋白表达均明显上调(P值均<0.05)。与模型组相比,清解化攻方各剂量组和西药组可见小鼠胰腺组织结构稍紧密、完整,胰腺腺泡细胞排列有序,伴少量炎症细胞浸润和胰腺小叶出血灶,α-淀粉酶、脂肪酶、IL-1β、IL-6、IL-8、IL-18和TNF-α含量明显下降(P值均<0.05),NLRP3、TLR4、NF-κB mRNA表达水平及阳性表达率均明显降低(P值均<0.05),NLRP3、TLR4、NF-κB、IL-1β、IL-6蛋白表达水平均明显减弱(P值均<0.05)。结论清解化攻方可能通过抑制NLRP3/TLR4/NF-κB信号通路相关蛋白的激活,减少炎症介质的释放,防止炎症级联反应增强,进而对SAP小鼠胰腺组织发挥保护作用。 展开更多
关键词 胰腺炎 NLR蛋白质类 Toll样受体4 nf-κB 清解化攻方 小鼠 近交C57BL
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山羊痘病毒锚蛋白ORF140对NF-κB信号通路的调控作用
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作者 冯秋媛 余翰维 +8 位作者 杨云凤 张慧 韩武玮怡 孙心童 邵晓龙 刘俊林 陈国华 景志忠 陈轶霞 《畜牧兽医学报》 CAS CSCD 北大核心 2024年第11期5191-5199,共9页
NF-κB通路是病毒调控宿主免疫功能的一个重要靶点,在病毒感染致病的过程中发挥重要作用。研究证明,一些痘病毒编码的锚蛋白可通过多种方式调控NF-κB通路,但山羊痘病毒编码的锚蛋白对NF-κB通路有怎样的调控作用尚未有研究报道。为了... NF-κB通路是病毒调控宿主免疫功能的一个重要靶点,在病毒感染致病的过程中发挥重要作用。研究证明,一些痘病毒编码的锚蛋白可通过多种方式调控NF-κB通路,但山羊痘病毒编码的锚蛋白对NF-κB通路有怎样的调控作用尚未有研究报道。为了探究山羊痘病毒编码的锚蛋白ORF140对NF-κB通路的调控作用,作者通过双荧光素酶报告系统检测山羊痘病毒锚蛋白ORF140对NF-κB通路的影响;采用间接免疫荧光检测ORF140在HEK293T细胞中的定位;应用Western blot技术分别检测在NF-κB通路被激活的不同时间点ORF140对NF-κB通路相关因子的影响。结果显示:ORF140能够抑制NF-κB通路;ORF140定位于细胞质中,且在NF-κB通路被激活的情况下也未发生核移位;ORF140能够抑制NF-κB-p65的核移位与p-IκBα的降解。山羊痘病毒锚蛋白ORF140定位在细胞质中,通过抑制NF-κB-p65的核移位与p-IκBα的降解来下调NF-κB通路的活性。 展开更多
关键词 山羊痘病毒 锚蛋白 nf-ΚB ORF140
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Oxidative phosphorylated neurofilament protein M protects spinal cord against ischemia/reperfusion injury
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作者 Haitao Wang Su Pan +2 位作者 Xiaoyu Yang Benqing Zhu Dalin Wang 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第18期1672-1677,共6页
Previous studies have shown that neurofilament protein M expression is upregulated in the early stage of spinal cord ischemia/reperfusion injury, indicating that this protein may play a role in the injury process. In ... Previous studies have shown that neurofilament protein M expression is upregulated in the early stage of spinal cord ischemia/reperfusion injury, indicating that this protein may play a role in the injury process. In the present study, we compared protein expression in spinal cord tissue of rabbits after 25 minutes of ischemia followed by 0, 12, 24, or 48 hours of reperfusion with that of sham operated rabbits, using proteomic two-dimensional gel electrophoresis and mass spec- trometry. In addition, the nerve repair-related neurofilament protein M with the unregulated expression was detected with immunohistochemistry and western blot analysis. Two-dimen- sional gel electrophoresis and mass spectrometry showed that, compared with the sham group, upregulation of protein expression was most significant in the spinal cords of rabbits that had undergone ischemia and 24 hours of reperfusion. Immunohistochemical analysis revealed that neurofilament protein M was located in the membrane and cytoplasm of neuronal soma and axons at each time point after injury. Western blot analysis showed that neurofilament protein M expression increased with reperfusion time until it peaked at 24 hours and returned to baseline level after 48 hours. Furthermore, neurofilament protein M is phosphorylated under oxidative stress, and expression changes were parallel for the phosphorylated and non-phosphorylated forms. Neurofilament protein M plays an important role in spinal cord ischemia/reperfusion injury, and its functions are achieved through oxidative phosphorylation. 展开更多
关键词 nerve regeneration neurofilament protein M spinal cord injury ISCHEMIA/REPERFUSION proteomics phosphorylation NEUROPROTECTION NSFC grant neural regeneration
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血必净注射液联合乌司他丁注射液治疗脓毒症并发急性肺损伤的效果及对HMGB1/TLR4/NF-κB信号通路的影响 被引量:3
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作者 郑卫伟 张志斌 《转化医学杂志》 2024年第2期259-263,共5页
目的 探讨血必净注射液联合乌司他丁注射液治疗脓毒症合并急性肺损伤的临床效果及对高迁移率族蛋白B1(HMGB1)/Toll样受体4(TLR4)/核因子-κB(NF-κB)信号通路的影响。方法 采用随机数字表法将2022年1—12月接受治疗的140例脓毒症并发急... 目的 探讨血必净注射液联合乌司他丁注射液治疗脓毒症合并急性肺损伤的临床效果及对高迁移率族蛋白B1(HMGB1)/Toll样受体4(TLR4)/核因子-κB(NF-κB)信号通路的影响。方法 采用随机数字表法将2022年1—12月接受治疗的140例脓毒症并发急性肺损伤患者分为研究组70例和对照组70例。2组均按指南给予基础治疗,在此基础上研究组给予血必净注射液联合乌司他丁注射液治疗,对照组给予血必净注射液治疗,2组疗程均为2周。比较2组临床疗效,治疗前后血清HMGB1、TLR4及NF-κB水平,血清炎性因子水平,并记录2组不良反应。结果 治疗后研究组总有效率为91.43%(64/70)优于对照组的75.71%(53/70)(P<0.05)。治疗后2组血清HMGB1、TLR4、NF-κB、超敏C反应蛋白、肿瘤坏死因子-α、降钙素原水平均降低,且研究组低于对照组(P<0.05,P<0.01)。2组不良反应总发生率比较差异无统计学意义(P>0.05)。结论 血必净注射液联合乌司他丁注射液治疗脓毒症并发急性肺损伤患者临床效果较好,可有效降低血清HMGB1、TLR4、NF-κB和炎性因子水平,且安全性较高。 展开更多
关键词 脓毒症 急性肺损伤 血必净注射液 乌司他丁注射液 高迁移率族蛋白B1 Toll样受体4 核因子-κB 超敏C反应蛋白
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茯苓酸调节PI3K/AKT/NF-κB信号通路对大鼠幽门螺旋杆菌相关性胃炎的治疗作用 被引量:1
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作者 徐璐 张冬雨 王瑞锋 《基础医学与临床》 CAS 2024年第4期489-495,共7页
目的 探讨茯苓酸(PA)对大鼠幽门螺旋杆菌(Hp)相关性胃炎的治疗效果及作用机制。方法 建立Hp相关性胃炎大鼠模型;所有大鼠分为对照组(CT组)、模型组(M组)、PA低剂量组(PA L组)和PA高剂量组(PA H组)、PA H+磷脂酰肌醇3-激酶(PI3K)激活剂(7... 目的 探讨茯苓酸(PA)对大鼠幽门螺旋杆菌(Hp)相关性胃炎的治疗效果及作用机制。方法 建立Hp相关性胃炎大鼠模型;所有大鼠分为对照组(CT组)、模型组(M组)、PA低剂量组(PA L组)和PA高剂量组(PA H组)、PA H+磷脂酰肌醇3-激酶(PI3K)激活剂(740 Y-P)组;评估各组大鼠胃黏膜损伤指数(UI),透射电子显微镜观察胃黏膜细胞形态学,HE染色评价胃黏膜病理学特征,ELISA检测胃组织白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、IL-10、诱导型一氧化氮合酶(iNOS)、超氧化物歧化酶(SOD)的水平,Western blot法检测PI3K、磷酸化-PI3K(p-PI3K)、蛋白激酶B(AKT)、p-AKT、核因子(NF)-κB p65、p-NF-κB p65蛋白表达。结果 与CT组比较,M组大鼠胃黏膜糜烂,上皮水肿、充血、溃疡严重,上皮细胞固缩,炎性细胞浸润,UI、IL-6、TNF-α、iNOS以及p-PI3K/PI3K、p-AKT/AKT、p-NF-κB p65/NF-κB p65蛋白表达水平升高,IL-10和SOD水平降低(P<0.05);与M组比较,PA L组、PA H组大鼠胃黏膜损伤改善,炎性细胞浸润减少,UI、IL-6、TNF-α、iNOS以及p-PI3K/PI3K、p-AKT/AKT、p-NF-κB p65/NF-κB p65蛋白表达水平降低,IL-10和SOD水平升高(P<0.05);与PA H组比较,PA H+740 Y-P组大鼠胃黏膜病理损伤加重,上皮细胞固缩,UI、IL-6、TNF-α、iNOS以及p-PI3K/PI3K、p-AKT/AKT、p-NF-κB p65/NF-κB p65蛋白表达水平升高,IL-10和SOD水平降低(P<0.05)。结论 PA可能通过抑制PI3K/AKT/NF-κB信号通路发挥对大鼠Hp相关性胃炎的治疗作用。 展开更多
关键词 茯苓酸 幽门螺旋杆菌相关性胃炎 磷脂酰肌醇3-激酶/蛋白激酶B/核因子-κB信号通路
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血浆GFAP与NfL水平评估创伤性脑损伤患者疾病严重程度及预后的价值
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作者 何晓峰 邓文静 《中国实用神经疾病杂志》 2024年第7期826-830,共5页
目的探讨血浆GFAP、NfL水平评估创伤性脑损伤(TBI)患者疾病严重程度及预后的价值。方法纳入40例TBI患者(创伤组),16例健康对照者(对照组),应用Simoa HD-X平台检测血浆GFAP、NfL水平,格拉斯哥预后扩展量表(GOSE)评估患者预后,使用lnGFAP... 目的探讨血浆GFAP、NfL水平评估创伤性脑损伤(TBI)患者疾病严重程度及预后的价值。方法纳入40例TBI患者(创伤组),16例健康对照者(对照组),应用Simoa HD-X平台检测血浆GFAP、NfL水平,格拉斯哥预后扩展量表(GOSE)评估患者预后,使用lnGFAP、lnNfL和平均指标(lnGFAP与lnNfL均值)进行分析。结果创伤组血浆lnGFAP及lnNfL值较对照组显著升高,差异有统计学意义(P<0.001)。血浆lnGFAP及lnNfL值在重度TBI患者中显著增高(P<0.001),在轻度与中度TBI患者中无统计学差异(P>0.05)。lnGFAP、lnNfL和平均指标与GCS评分(rs=-0.723、-0.791、-0.838)、GOSE评分(rs=-0.671、-0.704、-0.771)呈负相关,对伤后6个月不良预后(AUC=0.83、0.83、0.89)和病死率(AUC=0.91、0.91、0.94)有预测价值。结论TBI患者急性期血浆GFAP、NfL水平有助于疾病早期病情判断和预后评估,平均指标的效果优于单个指标。 展开更多
关键词 创伤性脑损伤 生物标记物 纤维酸性蛋白 神经丝蛋白 病情判断 预后评估
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Neurofilament 200 expression in a rat model of complete spinal cord injury following growth-associated protein-43 treatment
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作者 Yanping Duan Dongkui Zhang +5 位作者 Yingchun Ba Yun Yuan Jun Sun Dengli Fu Ran Zhang Jinde Wang 《Neural Regeneration Research》 SCIE CAS CSCD 2009年第11期827-831,共5页
BACKGROUND: Growth-associated protein-43 (GAP-43) expression in the nervous system has been demonstrated to promote neural regeneration, neuronal growth and development, as well as synaptic reconstruction. Neurofil... BACKGROUND: Growth-associated protein-43 (GAP-43) expression in the nervous system has been demonstrated to promote neural regeneration, neuronal growth and development, as well as synaptic reconstruction. Neurofilament 200 (NF200) expression could reflect degree of injury and repair in injured spinal axons. OBJECTIVE: To observe NF200 expression changes in a rat model of complete spinal cord injury following GAP-43 treatment and to explore the effects of GAP-43 following spinal cord injury. DESIGN, TIME AND SETTING: A randomized, controlled, animal experiment was performed at the Laboratory of Histology and Embryology of Kunming Medical University between March 2007 and October 2008. MATERIALS: GAP-43 and GAP-43 antibody were provided by Beijing Boao Biology, China; mouse anti-rat NF200 antibody was purchased from Chemicon, USA. METHODS: Female, 8-week-old, Sprague Dawley rats were randomly assigned into three groups following complete spinal cord injury, with 20 animals in each group: GAP-43 antibody, GAP-43, and model groups. In addition, each group was subdivided into four subgroups according to sampling time after modeling, Le., 3-, 5-, 9-, and 15-day groups, with 5 rats in each group. GAP-43 antibody or GAP-43 was injected into injury sites of the spinal cord, 5 μg/0.2 mL, respectively, twice daily for three consecutive days, followed by three additional days of injection, once daily. The model group did not receive any treatment following injury. MAIN OUTCOME MEASURES: NF200 expression in the damaged spinal area at different stages was detected by immunohistochemistry; lower limb motion function following injury was evaluated using the Basso, Beattie and Bresnahan (BBB) locomotor rating scale. RESULTS: NF200 expression was significantly reduced in the GAP-43 antibody group, compared with GAP-43 and model groups, at 3 and 5 days after spinal cord injury (P 〈 0.05). In addition, the model group expressed significantly less NF200 than the GAP-43 group (P 〈 0.05). BBB scores from the GAP-43 antibody and model groups were remarkably less than the GAP-43 group (P 〈 0.05). At 9 and 15 days of injury after drug withdrawal, NF200 expression was increased in the GAP-43 antibody group, and NF200 expression and BBB scores in the GAP-43 antibody and GAP-43 groups were significantly greater than in the model group (P 〈 0.05). In particular, the GAP-43 group exhibited greater BBB scores than the GAP-43 antibody group at day 9 (P 〈 0.05). CONCLUSION: GAP-43 promoted NF200 expression and recovery of lower limb function. Early administration of GAP-43 antibody produced reversible nerve inhibition, which was rapidly restored following withdrawal. 展开更多
关键词 spinal cord injury growth-associated protein-43 neurofilament 200 Basso Beattie and Bresnahan locomotor rating scale
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脑小血管病患者血清NFL、GFAP水平与睡眠障碍的关系
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作者 黎昌炫 朱娴 +2 位作者 陈奕斌 陈浩 李威 《脑与神经疾病杂志》 CAS 2024年第7期405-408,共4页
目的探讨脑小血管病(CSVD)患者血清神经丝轻链(NFL)、胶质纤维酸性蛋白(GFAP)水平与睡眠障碍的关系。方法选取2020年1月至2022年12月海南医学院第一附属医院神经内科收治的153例CSVD患者,根据匹茨堡睡眠质量指数(PSQI)量表评分分为睡眠... 目的探讨脑小血管病(CSVD)患者血清神经丝轻链(NFL)、胶质纤维酸性蛋白(GFAP)水平与睡眠障碍的关系。方法选取2020年1月至2022年12月海南医学院第一附属医院神经内科收治的153例CSVD患者,根据匹茨堡睡眠质量指数(PSQI)量表评分分为睡眠障碍组(PSQI≥10分)和睡眠正常组(PSQI<10分)。对比两组一般临床资料及血清NFL、GFAP水平,分析血清NFL、GFAP水平与CSVD患者睡眠障碍的关系。结果153例CSVD患者中发生睡眠障碍56例,发病率36.60%。睡眠障碍组患者年龄、脑白质高信号(WMH)比例明显高于睡眠正常组(P<0.05),睡眠障碍组血清NFL、GFAP水平也高于睡眠正常组(P<0.05)。CSVD患者血清NFL、GFAP水平与PSQI评分呈显著正相关(P<0.05)。Logistic分析显示,年龄大、脑白质病变、血清NFL和GFAP升高是CSVD患者发生睡眠障碍的危险因素(P<0.05)。结论血清NFL、GFAP水平与CSVD患者睡眠障碍密切相关,其水平升高是睡眠障碍的重要危险因素。 展开更多
关键词 脑小血管病 睡眠障碍 神经丝轻链 胶质纤维酸性蛋白
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Effects of Echinacea Polysaccharide on Expression of NF-κB Protein Secreted by LPS-injured IEC-6 Cells
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作者 Shi Qiumei Zhang Yanying +4 位作者 Jia Qinghui Gao Guisheng Gao Guangping Wang Jinfeng Zhang Donglin 《Animal Husbandry and Feed Science》 CAS 2017年第1期32-33,40,共3页
[ Objective ] The paper was to explore effects of Echinacea polysaccharide (EPS) on expression of NF-KB protein secreted by LPS-injured IEC-6 cells, and to provide a theoretical basis for clinical application of Ech... [ Objective ] The paper was to explore effects of Echinacea polysaccharide (EPS) on expression of NF-KB protein secreted by LPS-injured IEC-6 cells, and to provide a theoretical basis for clinical application of Echinacea purpurea against bacterial diseases and enhancement of immunity. [ Method] Nucleoprotein extracted from IEC-6 cells in normal control group, LPS group, different concentrations of EPS (50, 100,200,500 μg/mL) + LPS groups were detected by SDS- PAGE electrophoresis, and the content of NF-κB protein was analyzed using western blotting method. [ Result ] The content of NF-KB protein in normal control group was the lowest, while that in LPS group was the highest. The content of NF-κB protein in EPS group gradually decreased with the increasing concentration of EPS. [ Result] The expression of NF-κB protein increased when IEC-6 cells were stimulated by LPS, and EPS could effectively inhibit increased expression of NF- κB protein. With the increasing concentration of EPS, the inhibition effect against increased expression of NF-κB protein gradually strengthened. 展开更多
关键词 EPS nf-κB protein LPS IEC-6 ceils
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鞣花酸通过TLR4-SRC/MAPK/NF-κB途径抑制脂多糖诱导RAW264.7巨噬细胞的炎症反应
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作者 乌里盼·托乎达阿里 丁宛婷 +3 位作者 孙媛 周茂杰 姚雨含 赵军 《中南药学》 CAS 2024年第4期943-949,共7页
目的基于Toll样受体4(TLR4)-酪氨酸激酶(SRC)/丝裂原活化蛋白激酶(MAPK)/核转录因子-κB(NF-κB)通路探讨鞣花酸的抗炎机制。方法采用不同浓度(0、0.5、5、25、50、75、100μmol·L^(-1))鞣花酸对RAW264.7巨噬细胞[或脂多糖(LPS)诱... 目的基于Toll样受体4(TLR4)-酪氨酸激酶(SRC)/丝裂原活化蛋白激酶(MAPK)/核转录因子-κB(NF-κB)通路探讨鞣花酸的抗炎机制。方法采用不同浓度(0、0.5、5、25、50、75、100μmol·L^(-1))鞣花酸对RAW264.7巨噬细胞[或脂多糖(LPS)诱导的RAW264.7细胞]干预24 h,噻唑蓝(MTT)法检测RAW264.7巨噬细胞存活率,筛选最适给药浓度。实验分为空白对照组,模型组(0.5 mg·L^(-1)LPS),阳性对照地塞米松组(10μmol·L^(-1)),鞣花酸(5、25、50μmol·L^(-1))给药组。Griess法检测细胞上清液中一氧化氮(NO)的含量;采用ELISA法检测细胞上清液中前列腺素-2(PGE2)、白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β)和肿瘤坏死因子-α(TNF-α)的表达水平;采用Western blot法检测诱导型一氧化氮合酶(iNOS)、环氧合酶-2(COX-2)蛋白以及TLR4-SRC/MAPK/NF-κB通路相关蛋白的表达水平。结果MTT结果筛选出鞣花酸的干预浓度为5~50μmol·L^(-1)。与空白对照组比较,模型组PGE_(2)、NO和炎症因子IL-6、IL-1β、TNF-α表达显著升高(P<0.01);炎症标志物iNOS、COX-2蛋白表达水平显著升高(P<0.01),说明炎症模型建立成功。与模型组比较,鞣花酸能显著抑制LPS诱导NO、PGE_(2)的产生和降低TNF-α、IL-1β、IL-6水平(P<0.05,P<0.01),降低i NOS、COX-2蛋白表达水平(P<0.05,P<0.01),且呈浓度依赖性;显著抑制TLR4蛋白的表达水平以及SRC、P38、JNK、p65、IκBα蛋白的磷酸化水平,并呈浓度依赖性。但对ERK1/2蛋白磷酸化没有显示出明显的抑制作用。结论鞣花酸可能通过TLR4-SRC/MAPK/NF-κB信号通路的调控抑制LPS诱导RAW264.7巨噬细胞的炎症反应,具体的调控机制有待进一步研究。 展开更多
关键词 鞣花酸 抗炎作用 RAW264.7巨噬细胞 SRC蛋白激酶 MAPK通路 nf-ΚB通路
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脑脊液NF-L pNF-H与脊髓性肌萎缩症患者病情严重程度及治疗的相关性
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作者 徐丹丹 王磊 +7 位作者 臧欢欢 诸宏伟 刁艳霞 关艳春 岳倩文 夏群 张微笑 周瑞 《中国实用神经疾病杂志》 2024年第8期975-980,共6页
目的探讨脑脊液神经丝蛋白轻链(NF-L)及磷酸化神经丝蛋白重链(pNF-H)水平与脊髓性肌萎缩症(SMA)患者病情及治疗的相关性。方法选取2022-02—2023-08蚌埠医科大学第一附属医院儿科确诊为脊髓性肌萎缩(SMA)并接受诺西那生钠治疗的22例患... 目的探讨脑脊液神经丝蛋白轻链(NF-L)及磷酸化神经丝蛋白重链(pNF-H)水平与脊髓性肌萎缩症(SMA)患者病情及治疗的相关性。方法选取2022-02—2023-08蚌埠医科大学第一附属医院儿科确诊为脊髓性肌萎缩(SMA)并接受诺西那生钠治疗的22例患儿为研究对象,收集患儿性别、基因检测结果、疾病分型、开始治疗的年龄、发病年龄、开始治疗前疾病持续时间等基本信息,于诺西那生钠鞘内注射前收集脑脊液标本并检测脑脊液NF-L、pNF-H水平,采用汉默史密斯功能性运动量表扩展版(HFMSE)及上肢模块修订版(RULM)对SMA患儿进行运动功能评估,比较SMA患儿开始治疗时脑脊液NF-L、pNF-H水平,分析脑脊液NF-L、pNF-H水平与开始治疗的年龄、治疗前疾病持续时间及运动功能的相关性,对比治疗期间脑脊液NF-L、pNF-H水平。结果Ⅱ型与Ⅲ型SMA患儿脑脊液NF-L水平(438.15±163.41比283.47±108.11)存在统计学差异(t=2.123,P=0.047),与Ⅱ型、Ⅲ型SMA患儿HFMSE评分(r=-0.521,P=0.15)及RULM评分(r=-0.528,P=0.014)呈负相关,接受诺西那生钠治疗后差异有统计学意义(381.21±166.80比284.94±150.08比194.53±91.09)(Z=23.684,P<0.001);Ⅱ型与Ⅲ型SMA患儿脑脊液pNF-H水平(335.04±110.30比251.64±146.64)差异无统计学意义(P>0.05),与Ⅱ型、Ⅲ型SMA患儿HFMSE评分(r=-0.471,P=0.31)及RULM评分(r=-0.577,P=0.006)呈负相关,接受诺西那生钠治疗后差异有统计学意义(306.71±128.85比179.64±69.28比130.85±49.60)(Z=22.842,P<0.001)。结论脑脊液NF-L、pNF-H水平与SMA患儿病情严重程度呈负相关,并在接受诺西那生钠修正治疗后降低。 展开更多
关键词 脊髓性肌萎缩 神经丝蛋白轻链 磷酸化神经丝蛋白重链 诺西那生钠
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振幅整合脑电图联合血清HIF-1α、NFP在新生儿脑损伤中的诊断价值 被引量:1
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作者 胡娟娟 何晓娜 贾圆圆 《深圳中西医结合杂志》 2024年第8期78-81,I0004,共5页
目的:探讨振幅整合脑电图联合血清缺氧诱导因子–1α(HIF–1α)、神经丝蛋白(NFP)在新生儿脑损伤中的诊断价值。方法:选择2020年1月至2023年1月灵宝市第一人民医院收治的76例足月新生儿缺氧缺血性脑病(HIE)患儿作为观察组,根据脑损伤程... 目的:探讨振幅整合脑电图联合血清缺氧诱导因子–1α(HIF–1α)、神经丝蛋白(NFP)在新生儿脑损伤中的诊断价值。方法:选择2020年1月至2023年1月灵宝市第一人民医院收治的76例足月新生儿缺氧缺血性脑病(HIE)患儿作为观察组,根据脑损伤程度将其分为轻度损伤组(19例)、中度损伤组(37例)、重度损伤组(20例),行振幅整合脑电图(aEEG)监测,并检测血清HIF–1α、NFP水平。并选择同期50例健康新生儿作为对照组。采用受试者工作特征(ROC)曲线评估aEEG、HIF–1α、NFP及联合诊断新生儿脑损伤的价值。结果:观察组患儿血清HIF–1α、NFP水平明显高于对照组(P<0.05)。随着脑损伤程度加重,血清HIF–1α、NFP水平随之升高(P<0.05)。经ROC曲线分析,血清HIF–1α诊断新生儿HIE的曲线下面积(AUC)为0.683(95%CI:0.327~0.973),截断值为764.09 pg·mL^(-1)。血清NFP诊断新生儿HIE的AUC为0.771(95%CI:0.506~0.879),截断值为19.29 ng·mL^(-1),aEEG、血清HIF–1α和NFP联合诊断新生儿HIE的AUC为0.889(95%CI:0.627~0.995)。结论:联合aEEG和血清HIF–1α、NFP在诊断新生儿HIE上具有较高的潜能。 展开更多
关键词 新生儿缺氧缺血性脑病 振幅整合脑电图 缺氧诱导因子–1α 神经丝蛋白
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白藜芦醇调节HMGB1/TLR4/NF-κB信号通路对急性脑梗死大鼠神经元损伤的影响
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作者 黄丽 陈玉芳 +1 位作者 黄燕飞 吕海琴 《中药新药与临床药理》 CAS CSCD 北大核心 2024年第11期1705-1712,共8页
目的探讨白藜芦醇调节高迁移率族蛋白B1(HMGB1)/Toll样受体4(TLR4)/核因子κB(NF-κB)信号通路对急性脑梗死(ACI)大鼠神经元损伤的影响。方法大鼠随机分为空白组、梗死组、白藜芦醇组、HMGB1激活剂(重组大鼠HMGB1蛋白,rRHMGB1)组、白藜... 目的探讨白藜芦醇调节高迁移率族蛋白B1(HMGB1)/Toll样受体4(TLR4)/核因子κB(NF-κB)信号通路对急性脑梗死(ACI)大鼠神经元损伤的影响。方法大鼠随机分为空白组、梗死组、白藜芦醇组、HMGB1激活剂(重组大鼠HMGB1蛋白,rRHMGB1)组、白藜芦醇+rRHMGB1组,每组18只。除空白组外,其它组大鼠均采用大脑中动脉闭塞法构建急性脑梗死模型,建模成功后1 h开始给药处理,每日给药1次,持续7 d。检测神经功能损伤评分、脑梗死体积比率变化;ELISA法检测梗死区脑组织中肿瘤坏死因子α(TNF-α)、白细胞介素(IL)-1β和IL-6水平;尼氏染色检测梗死区脑组织存活的神经元数量;TUNEL染色检测梗死区脑组织的神经元凋亡;Western Blot法检测脑组织中Bcl2相关X蛋白(Bax)、TLR4、裂解的天冬氨酸特异性半胱氨酸蛋白酶3(Cleaved Caspase-3)、HMGB1、p-NF-κB p65蛋白。结果与空白组比较,梗死组神经功能损伤评分、脑梗死体积比率,梗死区脑组织中TNF-α、IL-1β、IL-6水平,神经元凋亡率及Bax、TLR4、Cleaved Caspase-3、HMGB1、p-NF-κB p65蛋白均升高(P<0.05);梗死区脑组织中存活的神经元数量降低(P<0.05)。与梗死组比较,白藜芦醇组及白藜芦醇+rRHMGB1组神经功能损伤评分,脑梗死体积比率,梗死区脑组织中TNF-α、IL-1β、IL-6水平,神经元凋亡率及Bax、TLR4、Cleaved Caspase-3、HMGB1、p-NF-κB p65蛋白均降低(P<0.05);梗死区脑组织中存活的神经元数量升高(P<0.05)。rRHMGB1组上述对应指标变化趋势均比梗死组升高(P<0.05)。与白藜芦醇组比较,白藜芦醇+rRHMGB1组神经功能损伤评分,脑梗死体积比率,梗死区脑组织中TNF-α、IL-1β、IL-6水平,神经元凋亡率及Bax、TLR4、Cleaved Caspase-3、HMGB1、p-NF-κB p65蛋白均升高(P<0.05);梗死区脑组织中存活的神经元数量降低(P<0.05)。结论白藜芦醇改善急性脑梗死大鼠神经元损伤的机制可能与抑制HMGB1/TLR4/NF-κB信号通路有关。 展开更多
关键词 白藜芦醇 急性脑梗死 炎症 凋亡 高迁移率族蛋白B1/Toll样受体4/核因子κB信号通路 大鼠
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孤独症谱系障碍患儿血清NFL、t-tau表达水平及临床意义
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作者 潘萌 周德 《中国妇幼健康研究》 2024年第1期81-85,共5页
目的探讨孤独症谱系障碍(ASD)患儿血清神经丝蛋白轻链(NFL)、tau蛋白(t-tau)表达水平及临床意义。方法选取2021年5月至2023年1月期间我院门诊初次诊断为ASD的78例患儿作为研究对象(ASD组),根据儿童期孤独症评定量表(CARS)评分结果将分... 目的探讨孤独症谱系障碍(ASD)患儿血清神经丝蛋白轻链(NFL)、tau蛋白(t-tau)表达水平及临床意义。方法选取2021年5月至2023年1月期间我院门诊初次诊断为ASD的78例患儿作为研究对象(ASD组),根据儿童期孤独症评定量表(CARS)评分结果将分为轻中度组(n=51)和重度组(n=27)。另选同期来我院进行健康检查的120例健康儿童作为健康组。对比组间血清NFL、t-tau水平差异;采用Pearson相关分析探讨血清NFL、t-tau与CARS评分的关系;采用受试者工作特性(ROC)曲线评估血清NFL、t-tau对ASD发生的预测价值。结果ASD组患儿基本资料与健康组相比,差异无统计学意义(P>0.05)。ASD组患儿血清NFL、t-tau水平均明显高于健康组(t值分别为46.795和76.669,均P<0.05)。重度组患儿血清NFL、水平均明显高于轻中度组(t值分别为11.753和30.382,均P<0.05)。Pearson相关分析结果显示,ASD患儿血清NFL、t-tau水平与CARS评分均呈正相关(r值分别为0.503和0.442,均P<0.05)。ROC曲线结果显示,血清NFL、t-tau预测ASD发病的曲线下面积(AUC)(95%CI)分别为0.752(0.701~0.803)、0.837(0.786~0.888),截断值分别为18.74pg/mL、516.71ng/L,特异度分别为55.27%、66.14%,灵敏度为91.24%、91.24%;两者联合预测的AUC(95%CI)为0.905(0.854~0.956),特异度为87.31%,灵敏度为86.05%。结论血清NFL、t-tau水平在ASD患儿中表达上调,且与病情严重程度密切相关,有望作为预测ASD发生的潜在血清标记物。 展开更多
关键词 孤独症谱系障碍 儿童 神经丝蛋白轻链 TAU蛋白 病情严重程度
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血清NFL、GFAP水平与帕金森病患者焦虑抑郁的相关性研究
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作者 李杨丹钰 李富佳 +2 位作者 刘旭 徐传英 崔桂云 《中风与神经疾病杂志》 CAS 2024年第11期982-987,共6页
目的探究血清神经丝轻链(NFL)和胶质纤维酸性蛋白(GFAP)与帕金森病(PD)伴焦虑抑郁的相关性。方法本研究共选取96例PD患者和38例健康对照,并根据汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁评定量表(HAMD)评估PD患者焦虑抑郁情况并进行疾病分... 目的探究血清神经丝轻链(NFL)和胶质纤维酸性蛋白(GFAP)与帕金森病(PD)伴焦虑抑郁的相关性。方法本研究共选取96例PD患者和38例健康对照,并根据汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁评定量表(HAMD)评估PD患者焦虑抑郁情况并进行疾病分组。运用超灵敏单分子阵列(Simoa)技术定量检测血清中NFL和GFAP含量。比较不同组间的NFL及GFAP水平,并通过Spearman相关性分析及Logistic回归分析探究NFL、GFAP与PD焦虑抑郁的相关性,最后通过ROC曲线确定GFAP水平对于PD伴抑郁的诊断价值。结果与健康对照组相比,PD伴或不伴焦虑抑郁患者中的NFL水平升高(P<0.001);与PD不伴抑郁或焦虑的患者相比,PD伴抑郁或焦虑患者中的GFAP水平升高(P<0.05)。PD患者血清GFAP水平与焦虑抑郁程度呈正相关(r=0.271,P=0.008;r=0.302,P=0.003)。调整混杂因素后,Logistic回归分析显示GFAP仍是PD是否伴发抑郁的独立危险因素(P=0.028)。ROC曲线显示GFAP诊断PD伴抑郁的曲线下面积为0.660。结论血清GFAP水平与PD焦虑抑郁有关,并且是PD伴抑郁的独立危险因素。 展开更多
关键词 帕金森病 神经丝轻链 胶质纤维酸性蛋白 焦虑 抑郁
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PE患者血清NfL、IFI16、TGF-β1水平变化及其预测妊娠结局价值
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作者 梁洁 尹学敬 郭丽 《中国计划生育学杂志》 2024年第3期665-668,共4页
目的:探讨子痫前期(PE)患者血清神经丝轻链蛋白(NfL)、人γ干扰素诱导蛋白16(IFI16)、转化生长因子β1(TGF-β1)水平变化及其对不良妊娠结局的预测价值。方法:选择2021年1月-2023年1月本院接诊的PE患者97例临床资料为病例组,根据围产结... 目的:探讨子痫前期(PE)患者血清神经丝轻链蛋白(NfL)、人γ干扰素诱导蛋白16(IFI16)、转化生长因子β1(TGF-β1)水平变化及其对不良妊娠结局的预测价值。方法:选择2021年1月-2023年1月本院接诊的PE患者97例临床资料为病例组,根据围产结局分为正常组32例,母体不良结局组27例,围生儿不良结局组38例;同期产前检查健康孕妇95例为对照组,分析各组血清NfL、IFI16、TGF-β1水平及其对PE患者妊娠结局的预测价值。结果:病例组血清NfL(4.89±0.56 pg/ml)、IFI16(17.84±2.14 ng/ml)、TGF-β1(84.21±9.41 pg/ml)水平高于对照组(4.41±0.16 pg/ml、13.35±1.28 ng/ml、68.71±5.98 pg/ml),妊娠结局正常患者、母体不良结局患者、围生儿不良结局患者血清中依次升高(均P<0.05);受试者工作特征曲线分析,预测PE患者不良妊娠结局,血清NfL的曲线下面积(AUC)为0.807,灵敏度82.7%,特异度85.0%,截断值4.64pg/ml;血清IFI16的AUC为0.973,灵敏度86.9%,特异度90.0%,截断值15.69 ng/ml;血清TGF-β1的AUC为0.921,灵敏度93.5%,特异度98.5%,截断值74.56 pg/ml。结论:PE患者血清NfL、IFI16、TGF-β1表达异常升高,且与不良妊娠结局有关,可作为评估妊娠结局的有效指标。 展开更多
关键词 子痫前期 神经丝轻链蛋白 人γ干扰素诱导蛋白16 转化生长因子Β1 不良妊娠结局 预测价值
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