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Clinical effects of phospholipase D2 in attenuating acute pancreatitis
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作者 Jin-Wei Niu Guo-Chao Zhang +3 位作者 Wu Ning Hai-Bin Liu Hua Yang Chao-Feng Li 《World Journal of Gastroenterology》 SCIE CAS 2025年第2期52-60,共9页
BACKGROUND The objective of the current study was to elucidate the clinical mechanism through which phospholipase D2(PLD2)exerted a regulatory effect on neutrophil migra-tion,thereby alleviating the progression of acu... BACKGROUND The objective of the current study was to elucidate the clinical mechanism through which phospholipase D2(PLD2)exerted a regulatory effect on neutrophil migra-tion,thereby alleviating the progression of acute pancreatitis.AIM To elucidate the clinical mechanism through which PLD2 exerted a regulatory effect on neutrophil migration,thereby alleviating the progression of acute pan-creatitis.METHODS The study involved 90 patients diagnosed with acute pancreatitis,admitted to our hospital between March 2020 and November 2022.A retrospective analysis was conducted,categorizing patients based on Ranson score severity into mild(n=25),moderate(n=30),and severe(n=35)groups.Relevant data was collected for each group.Western blot analysis assessed PLD2 protein expression in patient serum.Real-time reverse transcription polymerase chain reaction was used to evaluate the mRNA expression of chemokine receptors associated with neutrophil migration.Serum levels of inflammatory factors in patients were detected using enzyme-linked immunosorbent assay.Transwell migration tests were conducted to compare migration of neutrophils across groups and analyze the influence of PLD2 on neutrophil migration.RESULTS Overall data analysis did not find significant differences between patient groups(P>0.05).The expression of PLD2 protein in the severe group was lower than that in the moderate and mild groups(P<0.05).The expression level of PLD2 in the moderate group was also lower than that in the mild group(P<0.05).The severity of acute pancreatitis is negatively correlated with PLD2 expression(r=-0.75,P=0.002).The mRNA levels of C-X-C chemokine receptor type 1,C-X-C chemokine receptor type 2,C-C chemokine receptor type 2,and C-C chemokine receptor type 5 in the severe group are significantly higher than those in the moderate and mild groups(P<0.05),and the expression levels in the moderate group are also higher than those in the mild group(P<0.05).The levels of C-reactive protein,tumor necrosis factor-α,interleukin-1β,and interleukin-6 in the severe group were higher than those in the moderate and mild groups(P<0.05),and the levels in the moderate group were also higher than those in the mild group(P<0.05).The number of migrating neutrophils in the severe group was higher than that in the moderate and mild groups(P<0.05),and the moderate group was also higher than the mild group(P<0.05).In addition,the number of migrating neutrophils in the mild group combined with PLD2 inhibitor was higher than that in the mild group(P<0.05),and the number of migrating neutrophils in the moderate group combined with PLD2 inhibitor was higher than that in the moderate group(P<0.05).The number of migrating neutrophils in the severe group+PLD2 inhibitor group was significantly higher than that in the severe group(P<0.05),indicating that PLD2 inhibitors significantly stimulated neutrophil migration.CONCLUSION PLD2 exerted a crucial regulatory role in the pathological progression of acute pancreatitis.Its protein expression varied among patients based on the severity of the disease,and a negative correlation existed between PLD2 expression and disease severity.Additionally,PLD2 appeared to impede acute pancreatitis progression by limiting neutrophil migration. 展开更多
关键词 Phospholipase D2 Neutrophil migration Acute pancreatitis Retrospective analysis Inflammatory response
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Plant Phosphatidylcholine-Hydrolyzing Phospholipases C NPC3 and NPC4 with Roles in Root Development and Brassinolide Signaling in Arabidopsis thaliana 被引量:14
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作者 Rinukshi Wimalasekera Premysl Pejchar +2 位作者 Andre Holka Jan Martinec Gunther RE. Scherer 《Molecular Plant》 SCIE CAS CSCD 2010年第3期610-625,共16页
Phosphatidylcholine-hydrolyzing phospholipase C (PC-PLC) catalyzes the hydrolysis of phosphatidylcholine (PC) to generate phosphocholine and diacylglycerol (DAG). PC-PLC has a long tradition in animal signal tra... Phosphatidylcholine-hydrolyzing phospholipase C (PC-PLC) catalyzes the hydrolysis of phosphatidylcholine (PC) to generate phosphocholine and diacylglycerol (DAG). PC-PLC has a long tradition in animal signal transduction to generate DAG as a second messenger besides the classical phosphatidylinositol splitting phospholipase C (PI-PLC). Based on amino acid sequence similarity to bacterial PC-PLC, six putative PC-PLC genes (NPC1 to NPC6) were identified in the Arabidopsis genome. RT-PCR analysis revealed overlapping expression pattern of NPC genes in root, stem, leaf, flower, and silique. In auxin-treated PNPc3:GUS and PNPc4:GUS seedlings, strong increase of GUS activity was visible in roots, leaves, and shoots and, to a weaker extent, in brassinolide-treated (BL) seedlings. PNPc4:GUS seedlings also responded to cytokinin with increased GUS activity in young leaves. Compared to wild-type, T-DNA insertional knockouts npc3 and npc4 showed shorter primary roots and lower lateral root density at low BL concentrations but increased lateral root densities in response to exogenous 0.05-1.0 I^M BL BL-induced expression of TCH4 and LRX2, which are involved in cell expansion, was impaired but not impaired in repression of CPD, a BL biosynthesis gene, in BL-treated npc3 and npc4. These observations suggest NPC3 and NPC4 are important in BL-mediated signaling in root growth. When treated with 0.1 I^M BL, DAG accumulation was observed in tobacco BY-2 cell cultures labeled with fluorescent PC as early as 15 min after application. We hypothesize that at least one PC-PLC is a plant signaling enzyme in BL signal transduction and, as shown earlier, in elicitor signal transduction. 展开更多
关键词 AUXIN brassinolide signaling phosphate deficiency phosphatidylcholine-splitting phospholipase C (PC-PLC) NPC genes.
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Bromocriptine protects perilesional spinal cord neurons from lipotoxicity after spinal cord injury 被引量:1
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作者 Ying Peng Zhuoxuan Li +7 位作者 Zhiyang Zhang Yinglun Chen Renyuan Wang Nixi Xu Yuanwu Cao Chang Jiang Zixian Chen Haodong Lin 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第5期1142-1149,共8页
Recent studies have revealed that lipid droplets accumulate in neurons after brain injury and evoke lipotoxicity,damaging the neurons.However,how lipids are metabolized by spinal cord neurons after spinal cord injury ... Recent studies have revealed that lipid droplets accumulate in neurons after brain injury and evoke lipotoxicity,damaging the neurons.However,how lipids are metabolized by spinal cord neurons after spinal cord injury remains unclear.Herein,we investigated lipid metabolism by spinal cord neurons after spinal cord injury and identified lipid-lowering compounds to treat spinal cord injury.We found that lipid droplets accumulated in perilesional spinal cord neurons after spinal cord injury in mice.Lipid droplet accumulation could be induced by myelin debris in HT22 cells.Myelin debris degradation by phospholipase led to massive free fatty acid production,which increased lipid droplet synthesis,β-oxidation,and oxidative phosphorylation.Excessive oxidative phosphorylation increased reactive oxygen species generation,which led to increased lipid peroxidation and HT22 cell apoptosis.Bromocriptine was identified as a lipid-lowering compound that inhibited phosphorylation of cytosolic phospholipase A2 by reducing the phosphorylation of extracellular signal-regulated kinases 1/2 in the mitogen-activated protein kinase pathway,thereby inhibiting myelin debris degradation by cytosolic phospholipase A2 and alleviating lipid droplet accumulation in myelin debris-treated HT22 cells.Motor function,lipid droplet accumulation in spinal cord neurons and neuronal survival were all improved in bromocriptine-treated mice after spinal cord injury.The results suggest that bromocriptine can protect neurons from lipotoxic damage after spinal cord injury via the extracellular signal-regulated kinases 1/2-cytosolic phospholipase A2 pathway. 展开更多
关键词 BROMOCRIPTINE central nervous system cytosolic phospholipase A2 high-content screening lipid droplet lipid metabolism LIPOTOXICITY mitogen-activated protein kinase spinal cord injury spinal cord neurons
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High patatin like phospholipase domain containing 8 expression as a biomarker for poor prognosis of colorectal cancer
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作者 Peng-Yang Zhou De-Xiang Zhu +4 位作者 Yi-Jiao Chen Qing-Yang Feng Yi-Hao Mao Ao-Bo Zhuang Jian-Min Xu 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第3期787-797,共11页
BACKGROUND Patatin like phospholipase domain containing 8(PNPLA8)has been shown to play a significant role in various cancer entities.Previous studies have focused on its roles as an antioxidant and in lipid peroxidat... BACKGROUND Patatin like phospholipase domain containing 8(PNPLA8)has been shown to play a significant role in various cancer entities.Previous studies have focused on its roles as an antioxidant and in lipid peroxidation.However,the role of PNPLA8 in colorectal cancer(CRC)progression is unclear.AIM To explore the prognostic effects of PNPLA8 expression in CRC.METHODS A retrospective cohort containing 751 consecutive CRC patients was enrolled.PNPLA8 expression in tumor samples was evaluated by immunohistochemistry staining and semi-quantitated with immunoreactive scores.CRC patients were divided into high and low PNPLA8 expression groups based on the cut-off va-lues,which were calculated by X-tile software.The prognostic value of PNPLA8 was identified using univariate and multivariate Cox regression analysis.The over-all survival(OS)rates of CRC patients in the study cohort were compared with Kaplan-Meier analysis and Log-rank test.RESULTS PNPLA8 expression was significantly associated with distant metastases in our cohort(P=0.048).CRC patients with high PNPLA8 expression indicated poor OS(median OS=35.3,P=0.005).CRC patients with a higher PNPLA8 expression at either stage I and II or stage III and IV had statistically significant shorter OS.For patients with left-sided colon and rectal cancer,the survival curves of two PN-PLA8-expression groups showed statistically significant differences.Multivariate analysis also confirmed that high PNPLA8 expression was an independent prog-nostic factor for overall survival(hazard ratio HR=1.328,95%CI:1.016-1.734,P=0.038). 展开更多
关键词 BIOMARKER Colorectal cancer Expression level Overall survival Patatin like phospholipase domain containing 8 Prognosis
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Mogroside IIE,an in vivo metabolite of sweet agent,alleviates acute lung injury via Pla2g2a-EGFR inhibition
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作者 Weichao Lü Guoqing Ren +2 位作者 Kuniyoshi Shimizu Renshi Li Chaofeng Zhang 《Food Science and Human Wellness》 SCIE CSCD 2024年第1期299-312,共14页
In the face of increasingly serious environmental pollution,the health of human lung tissues is also facing serious threats.Mogroside IIE(M2E)is the main metabolite of sweetening agents mogrosides from the anti-tussiv... In the face of increasingly serious environmental pollution,the health of human lung tissues is also facing serious threats.Mogroside IIE(M2E)is the main metabolite of sweetening agents mogrosides from the anti-tussive Chinese herbal Siraitia grosvenori.The study elucidated the anti-inflammatory action and molecular mechanism of M2E against acute lung injury(ALI).A lipopolysaccharide(LPS)-induced ALI model was established in mice and MH-S cells were employed to explore the protective mechanism of M2E through the western blotting,co-immunoprecipitation,and quantitative real time-PCR analysis.The results indicated that M2E alleviated LPS-induced lung injury through restraining the activation of secreted phospholipase A2 type IIA(Pla2g2a)-epidermal growth factor receptor(EGFR).The interaction of Pla2g2a and EGFR was identified by co-immunoprecipitation.In addition,M2E protected ALI induced with LPS against inflammatory and damage which were significantly dependent upon the downregulation of AKT and m TOR via the inhibition of Pla2g2a-EGFR.Pla2g2a may represent a potential target for M2E in the improvement of LPS-induced lung injury,which may represent a promising strategy to treat ALI. 展开更多
关键词 Mogroside IIE Acute lung injury Secreted phospholipase A2 type IIA(Pla2g2a) Epidermal growth factor receptor(EGFR)
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Plasma Lysophosphatidylcholine and Phospholipase A2 Activity in Chagas Disease Patients: A Comparative Analysis
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作者 Maria Fernanda Carvalho de Araujo Bruna Maria Ferreira Iaciura +1 位作者 Fillipe Araujo de Sá Georgia Correa Atella 《Advances in Bioscience and Biotechnology》 CAS 2024年第8期462-473,共12页
Chagas disease (CD) affects 21 countries in the Americas and is caused by the parasite Trypanosoma cruzi. A key molecule involved in CD is lysophosphatidylcholine (LPC), which has been studied in various contexts: in ... Chagas disease (CD) affects 21 countries in the Americas and is caused by the parasite Trypanosoma cruzi. A key molecule involved in CD is lysophosphatidylcholine (LPC), which has been studied in various contexts: in the saliva of insect vectors, during the establishment of infection in the vertebrate host, and for the parasite itself. This lipid can be produced by the action of phospholipases A2 (PLA2), enzymes that catalyze the hydrolysis of phospholipids releasing fatty acids and lysophospholipids, such as LPC. This study investigates LPC levels and PLA2 activities in the plasma of CD patients and compares these levels with those in healthy individuals and patients with idiopathic dilated cardiomyopathy (IDCM). Plasma from 64 CD patients, 54 healthy individuals, and 16 IDCM patients were analyzed. LPC levels and the activity of two types of phospholipase A2: secreted (sPLA2) and lipoprotein-associated (Lp-PLA2) were measured. LPC levels and sPLA2 activity were similar between CD patients and the control groups. However, there were notable differences in LPC levels and sPLA2 activity between subgroups of CD patients and IDCM patients. This study is the first to identify LPC in patients with CD across various stages of the disease. It also offers new insights into the biochemical changes observed in the plasma of patients with IDCM. 展开更多
关键词 LYSOPHOSPHATIDYLCHOLINE Phospholipase A2 PLASMA Chagas Disease Idiopathic Dilated Cardiomyopathy
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Link between mutations in ACVRL1 and PLA2G4A genes and chronic intestinal ulcers:A case report and review of literature
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作者 Yong-Jing Tang Jian Zhang +7 位作者 Jie Wang Ren-Dong Tian Wei-Wei Zhong Ben-Sheng Yao Bing-Yu Hou Ying-Hua Chen Wei He Yi-Huai He 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第3期932-943,共12页
BACKGROUND Genetic factors of chronic intestinal ulcers are increasingly garnering attention.We present a case of chronic intestinal ulcers and bleeding associated with mu-tations of the activin A receptor type II-lik... BACKGROUND Genetic factors of chronic intestinal ulcers are increasingly garnering attention.We present a case of chronic intestinal ulcers and bleeding associated with mu-tations of the activin A receptor type II-like 1(ACVRL1)and phospholipase A2 group IVA(PLA2G4A)genes and review the available relevant literature.CASE SUMMARY A 20-year-old man was admitted to our center with a 6-year history of recurrent abdominal pain,diarrhea,and dark stools.At the onset 6 years ago,the patient had received treatment at a local hospital for abdominal pain persisting for 7 d,under the diagnosis of diffuse peritonitis,acute gangrenous appendicitis with perforation,adhesive intestinal obstruction,and pelvic abscess.The surgical treat-ment included exploratory laparotomy,appendectomy,intestinal adhesiolysis,and pelvic abscess removal.The patient’s condition improved and he was dis-charged.However,the recurrent episodes of abdominal pain and passage of black stools started again one year after discharge.On the basis of these features and results of subsequent colonoscopy,the clinical diagnosis was established as in-flammatory bowel disease(IBD).Accordingly,aminosalicylic acid,immunotherapy,and related symptomatic treatment were administered,but the symptoms of the patient did not improve significantly.Further investigations revealed mutations in the ACVRL1 and PLA2G4A genes.ACVRL1 and PLA2G4A are involved in angiogenesis and coagulation,respectively.This suggests that the chronic intestinal ulcers and bleeding in this case may be linked to mutations in the ACVRL1 and PLA2G4A genes.Oral Kangfuxin liquid was administered to promote healing of the intestinal mucosa and effectively manage clinical symptoms.CONCLUSION Mutations in the ACVRL1 and PLA2G4A genes may be one of the causes of chronic intestinal ulcers and bleeding in IBD.Orally administered Kangfuxin liquid may have therapeutic potential. 展开更多
关键词 Intestinal ulcers Crohn’s disease Ulcerative colitis Activin A receptor type II-like 1 Phospholipase A2 group 4A Case report
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In Silico Screening of Potential Inhibitors against dPLA2 from Named Chinese Herbs for Identification of Compounds with Antivenom Effects Due to Deinagkistrodon acutus Snake Bites
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作者 Xingyang Xiao Mengyi Lai +3 位作者 Zechang Rao Jianzhong Huang Yiwei Xie Hongbin Zhang 《American Journal of Molecular Biology》 CAS 2024年第3期107-125,共19页
Phospholipase A2 (PLA2) is the key enzyme to the venom from Deinagkistrodon acutus which is one of the highly venomous snakes in China. In addition to being a catalyst for the hydrolysis of phospholipases A2 from snak... Phospholipase A2 (PLA2) is the key enzyme to the venom from Deinagkistrodon acutus which is one of the highly venomous snakes in China. In addition to being a catalyst for the hydrolysis of phospholipases A2 from snake venom, its well known that it possesses a broad spectrum of pharmacological activities, such as myotoxicity, neurotoxicity, cardiotoxicity, and hemolytic, anticoagulant and antiplatelet activities. However, snakebites are not efficiently treated by conventional serum therapy. Acute wounds can still cause poisoning and death. In order to find effective inhibitors of Deinagkistrodon venom acid phospholipase A2 (dPLA2), we obtained 385 compounds in 9 Chinese herbs from the TCMSP. These compounds were further performed to virtual screen using in silico tools like ADMET analysis, molecular docking and molecular dynamics (MD) simulation. After Pharmacokinetics analysis, we found 7 candidate compounds. Besides, analysis of small molecule interactions with dPLA2 confirmed that the amino acid residues HIS47 and GLY29 are key targets. Because they bind not only to the natural substrate phosphatidylcholine and compounds known for having inhibitory functions, but also for combining with potential antidote molecules in Chinese herbal medicine. This study is the first to report experience with virtual screening for possible inhibitor of dPLA2, such as the interaction spatial structure, binding energy and binding interaction analysis, these experiences not only provide reference for further experimental research, but also have a guideline for the study of drug molecular mechanism of action. 展开更多
关键词 Chinese Herbal Medicine Phospholipase A2 Inhibitor Molecular Docking Molecular Mechanism
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Virtual Screening and Mechanism Analysis of Effective Components from Several Chinese Herbs to Inhibit dPLA2 of Deinagkistrodon acutus Venom
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作者 Hongbin Zhang Xingyang Xiao +2 位作者 Mengyi Lai Yi Gong Jianzhong Huang 《Pharmacology & Pharmacy》 2024年第11期347-363,共17页
Objective: In folk and TCM clinical medicine, Chinese herbal medicine is used to treat snakebite and has good curative effect, but its active ingredients and mechanism are still unclear. In this study, virtual screeni... Objective: In folk and TCM clinical medicine, Chinese herbal medicine is used to treat snakebite and has good curative effect, but its active ingredients and mechanism are still unclear. In this study, virtual screening and mechanism analysis of effective components from 6 Chinese herbs to inhibit phospholipase A2 of Deinagkistrodon acutus (dPLA2) venom were conducted. Methods: With advanced computing software AutoDock, Pymol and GROMACS, the molecules selected from the Chinese herbal Medicine Chemical Composition databas6e (TCMSP) were docked with the dPLA2 from the protein database (PDB). Further molecular dynamics simulation was used to evaluate the molecular binding stability. Results: Four potential dPLA2-inhibiting molecules were screened: lobelanidine, lobeline, norlobelanine and pratensein, by analyzing the spatial structure, binding energy and binding interaction of small molecular-dPLA2 complexes, as well as the RMSD and RMSF of molecular dynamics simulation. Conclusion: To our knowledge, this is the first report of lobeline has an inhibitory effect on dPLA2, and lobelanidine, as a precursor of lobeline, has a stronger inhibitory effect. According to the docking results, it is speculated that the mechanism of action of the four molecules is to form stable interactions with calcium ions and amino acid residues on the calcium ion binding ring in dPLA2. Moreover, these small molecules compete with phosphatidylcholine (the natural substrate of dPLA2) to bind dPLA2 and have a higher affinity than phosphatidylcholine, resulting in inhibition of dPLA2 activity. 展开更多
关键词 Chinese Herbal Medicine Deinagkistrodon acutus Phospholipase A2 Inhibitor Molecular Docking Molecular Dynamics Simulation Molecular Mechanism
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慢性阻塞性肺疾病急性加重合并呼吸衰竭患者血清环氧化酶2和前列腺素E2及磷脂酶A2水平的变化及其临床意义 被引量:3
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作者 张杰根 戴富林 武凡 《中国医药》 2014年第3期328-330,共3页
目的 观察慢性阻塞性肺疾病急性加重合并呼吸衰竭患者血清环氧化酶2、前列腺素E2和磷脂酶A2水平变化及意义.方法 选取河北省涿州市医院2011年12月至2012年12月100例慢性阻塞性肺疾病急性加重患者,完全随机分为无呼吸衰竭组(50例)和呼... 目的 观察慢性阻塞性肺疾病急性加重合并呼吸衰竭患者血清环氧化酶2、前列腺素E2和磷脂酶A2水平变化及意义.方法 选取河北省涿州市医院2011年12月至2012年12月100例慢性阻塞性肺疾病急性加重患者,完全随机分为无呼吸衰竭组(50例)和呼吸衰竭组(50例),另选择20例健康查体者作为健康对照组.观察3组患者血清环氧化酶2、前列腺素E2和磷脂酶A2的变化.结果 呼吸衰竭组和无呼吸衰竭组血清环氧化酶2、前列腺素E2和磷脂酶A2浓度明显高于健康对照组[(158±45)、(132±12)μg/L比(57±12)μg/L,(317±213)、(207±30)ng/L比(103±18)ng/L,(28.2±1.5)、(20.2±1.4)μg/L比(7.0±2.4)μg/L],差异均有统计学意义(均P<0.05).呼吸衰竭组血清环氧化酶2、前列腺素E2和磷脂酶A2浓度与无呼吸衰竭组比较,差异有统计学意义(P<0.05).呼吸衰竭组血清环氧化酶2、前列腺素E2水平与磷脂酶A2水平呈正相关(r分别为0.406、0.356,P<0.05);血清环氧化酶2水平与前列腺素E2水平呈正相关(r为0.848,P<0.01).结论 慢性阻塞性肺疾病急性加重合并呼吸衰竭患者血清环氧化酶2、前列腺素E2和磷脂酶A2的浓度明显升高,血清环氧化酶2、前列腺素E2和磷脂酶A2三者之间相互关联并相互作用,共同导致呼吸衰竭的发生和发展. 展开更多
关键词 肺疾病 慢性阻塞性 呼吸衰竭 环氧化酶2 前列腺素E2 磷脂酶A2 CYCLOOXYGENASE-2 PROSTAGLANDIN E2 phospholipases A2
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阿加曲班联合阿替普酶治疗缺血性脑卒中的疗效及其对Lp-PLA_2、FIB和神经相关因子水平的影响 被引量:18
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作者 吴娟 刘爱东 +2 位作者 蒋娟莉 陈力 陈灿 《医学研究杂志》 2017年第1期67-70,共4页
目的探讨阿加曲班联合阿替普酶治疗缺血性脑卒中(ischemic stroke,IS)的疗效及其对脂蛋白磷脂酶A_2(lipoprotein associated phospholipase A_2,Lp-PLA_2)、纤维蛋白原(fibrinogen,FIB)、S100钙结合蛋白A8/A9(S100A8/A9)和神经肽Y(neuro... 目的探讨阿加曲班联合阿替普酶治疗缺血性脑卒中(ischemic stroke,IS)的疗效及其对脂蛋白磷脂酶A_2(lipoprotein associated phospholipase A_2,Lp-PLA_2)、纤维蛋白原(fibrinogen,FIB)、S100钙结合蛋白A8/A9(S100A8/A9)和神经肽Y(neuropeptide Y,NPY)水平的影响。方法选取2012年9月~2015年12月期间于成都医学院附属第一医院神经内科诊治的78例IS患者为研究对象,依据治疗方法的不同将患者分为单独组(阿替普酶组)和联合组(阿加曲班+阿替普酶组),每组各39例。分别利用脑卒中量表评分、Barthel指数和长谷川简易智能量表(Hasegawa dementia scale,HDS)评估两组患者的治疗效果,比较两组患者S100A8/A9、NPY、Lp-PLA_2和FIB的变化水平。结果治疗后,两组患者的NIHSS评分均较治疗前明显降低(P<0.05),而Barthel指数和HDS量表得分值则均较治疗前显著升高(P<0.05);并且,联合组患者的NIHSS得分、Barthel指数和HDS量表评分的变化幅度均显著优于单独组(P<0.05)。治疗后,两组患者S100A8/A9、NPY、Lp-PLA_2和FIB含量均较治疗前显著降低(P<0.05),而且,联合组患者NPY和FIB水平的下降幅度明显高于单独组(P<0.05),但其余指标与单独组比较差异无统计学意义(P>0.05)。结论阿加曲班联合阿替普酶对IS患者具有显著临床疗效,可改善其自理生活能力和认知功能,促进NPY和FIB水平的恢复。 展开更多
关键词 阿加曲班 阿替普酶 缺血性脑卒中 脂蛋白磷脂酶A2 纤维蛋白原 LIPOPROTEIN associated PHOSPHOLIPASE A2
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脑出血患者微创抽吸引流术前后白细胞介素-6、白细胞介素-10和磷脂酶A2水平变化及临床意义 被引量:3
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作者 曹雄彬 宫丽 +5 位作者 匡良洪 刘雅芳 孙元平 戴军 南毛球 胡智安 《微循环学杂志》 2016年第2期46-48,52,共4页
目的:分析脑出血患者微创抽吸引流术前后白细胞介素-6(IL-6)、白细胞介素-10(IL-10)水平和磷脂酶A2(PLA2)活性变化及临床意义。方法:92例脑出血患者按照格拉斯哥昏迷指数评分分为意识清醒组(n=30)、浅昏迷组(n=36)和深昏迷组(n=26);另... 目的:分析脑出血患者微创抽吸引流术前后白细胞介素-6(IL-6)、白细胞介素-10(IL-10)水平和磷脂酶A2(PLA2)活性变化及临床意义。方法:92例脑出血患者按照格拉斯哥昏迷指数评分分为意识清醒组(n=30)、浅昏迷组(n=36)和深昏迷组(n=26);另选体检健康人群作为对照组(n=52)。检测各组治疗前后血清IL-6、IL-10水平、PLA2活性及神经功能缺损程度评分(NIHSS),分析不同神志状态脑出血患者治疗前血清IL-6、IL-10水平与PLA2活性变化及与昏迷程度的关系;分析脑出血患者治疗前后IL-6、IL-10、PLA2水平变化及其与NIHSS评分变化的相关性。结果:治疗前不同神志状态脑出血患者血清IL-6、IL-10、PLA2水平均高于对照组(P<0.01),且随昏迷程度加重而逐渐升高,血清IL-6、IL-10、PLA2水平均与昏迷程度呈正相关(rIL-6=0.583、rIL-10=0.608、rPLA2=0.552,P<0.05)。治疗后,脑出血患者血清IL-6、IL-10、PLA2水平较治疗前明显均降低,NIHSS评分也显著降低(P<0.01),血清IL-6、IL-10、PLA2与NIHSS评分亦呈正相关(rIL-6=0.617、rIL-10=0.569、rPLA2=0.655,P<0.05)。结论:IL-6、IL-10、PLA2等水平变化可反映脑出血病情,微创抽吸引流术可有效减轻脑出血患者神经功能缺损程度。 展开更多
关键词 脑出血 微创抽吸引流术 白细胞介素 磷脂酶A2 PHOSPHOLIPASE A2
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严重烧伤脓毒症患者血清TNF-α、IL-6、IL-10、PLA2的变化及器官功能损害状况分析 被引量:26
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作者 陈凯 《重庆医学》 CAS CSCD 北大核心 2014年第8期937-940,共4页
目的研究严重烧伤脓毒症患者血清肿瘤坏死因子-α(TNF-α)、IL-6、IL-10、血清磷脂酶A2(PLA2)的变化及器官功能损害状况。方法该院自2010年3月至2011年3月共收治重度烧伤患者57例,33例发生脓毒血症,其中19例并发多器官功障碍综合征(MODS... 目的研究严重烧伤脓毒症患者血清肿瘤坏死因子-α(TNF-α)、IL-6、IL-10、血清磷脂酶A2(PLA2)的变化及器官功能损害状况。方法该院自2010年3月至2011年3月共收治重度烧伤患者57例,33例发生脓毒血症,其中19例并发多器官功障碍综合征(MODS)。将其按照并发症状况分为脓毒血症组(S组)、脓毒血并发MODS组(M组)及阴性组(N组),对比3组患者的基本情况,IL-10、IL-6、TNF-α、PLA2等炎性相关介质浓度差异及变化趋势,器官功能障碍发病状况等。结果 S组和M组患者的PLA2、TNF-α、IL-6值明显高于N组,且治疗后无明显下降;3组患者血清IL-10变化趋势差异无统计学意义(P>0.05)。并发脓毒血症或MODS烧伤患者的烧伤面积较大、深度较深,器官衰竭及病死率显著高于一般烧伤患者,并以呼吸循环功能衰竭最为常见。结论严重烧伤患者的血浆PLA2、TNF-α、IL-6水平与烧伤程度呈正相关,其活性持续维持在高水平可能与患者发生脓毒血症及MODS密切相关,影响患者愈后。 展开更多
关键词 烧伤 多器官功能障碍 肿瘤坏死因子α 白细胞介素类 磷脂酶A2 PHOSPHOLIPASE A2
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糖尿病冠状动脉粥样硬化性心脏病患者测定血清脂蛋白相关磷脂酶A2和血脂水平的临床价值 被引量:13
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作者 姚建华 《中国血液流变学杂志》 CAS 2015年第1期89-92,107,共5页
目的:探讨糖尿病冠状动脉粥样硬化性心脏病(简称糖尿病冠心病)患者血清脂蛋白相关磷脂酶A2(Lp-PLA2)和血脂(TG、HDL-C、LDL-C、Lp(a)、ApoA1、ApoB和ApoB/ApoA1比值)水平的临床价值。方法采用酶联免疫分析、生化法和免疫比浊... 目的:探讨糖尿病冠状动脉粥样硬化性心脏病(简称糖尿病冠心病)患者血清脂蛋白相关磷脂酶A2(Lp-PLA2)和血脂(TG、HDL-C、LDL-C、Lp(a)、ApoA1、ApoB和ApoB/ApoA1比值)水平的临床价值。方法采用酶联免疫分析、生化法和免疫比浊分析测定157例糖尿病冠心病患者血清Lp-PLA2和血脂水平,并与60名健康对照组进行比较性分析。受试者工作曲线(ROC曲线)分析血清Lp-PLA2、TG、HDL-C、LDL-C、Lp(a)、ApoA1、ApoB水平,并进行预测冠状动脉粥样硬化性心血管疾病(CVD)的性能评估。结果糖尿病冠心病患者血清Lp-PLA2、TG、LDL-C、Lp(a)、ApoB和ApoB/ApoA1比值水平明显增高,而血清HLD-C、ApoA1水平稍降低。ROC曲线分析表明:血清Lp-PLA2、LDL-C、ApoA1和ApoB水平具有预测冠状动脉硬化性CVD性能的价值,并以血清Lp-PLA2为最佳。结论糖尿病冠心病的特点是血糖和血脂代谢紊乱,胰岛素抵抗和高尿酸血症,血清Lp-PLA2、LDL-C、ApoA1、ApoB和ApoB/ApoA1比值测定具有早期诊断的临床价值,血清Lp-PLA2、LDL-C、ApoA1和ApoB水平是预测冠心病心血管事件的有价值指标。 展开更多
关键词 糖尿病冠状动脉粥样硬化性心脏病 脂蛋白相关磷脂酶A2 血脂 早期诊断 预测 冠心病心血管事件 lipoprotein-associated PHOSPHOLIPASE A2 (Lp-PLA2)
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力学敏感TRPC通道介导心肌细胞肥大的力学门控新机制初探
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作者 刘小菁 李君丽 +2 位作者 陈晓莹 吴文超 李良 《医用生物力学》 EI CAS CSCD 北大核心 2013年第S1期40-41,共2页
研究背景力学门控性离子通道(mechanogated ion channels),又称为力学敏感性离子通道(mechanosensitive ion channels,MSIC),是心肌细胞的力学感受器之一。MSIC在心脏受到力学超负荷后电生理改变过程中起主要作用,可能是心肌细胞肥... 研究背景力学门控性离子通道(mechanogated ion channels),又称为力学敏感性离子通道(mechanosensitive ion channels,MSIC),是心肌细胞的力学感受器之一。MSIC在心脏受到力学超负荷后电生理改变过程中起主要作用,可能是心肌细胞肥大过程中,力学负荷与蛋白质合成之间信号传导的一条重要通路。瞬时感受器电位(Transient receptor potential,TRP)离子通道C亚族(TRPC)蛋白TRPC1、C6对于心肌细胞适应生物力学刺激很重要,其表达上调会导致病理性心肌肥大及心衰<sup>[1-3]</sup>。TRPC通道不仅可被G蛋白耦联受体下游的磷脂酶C(phospholipase C,PLC)、二脂酰甘油(diacylglycerol,DAG)等信号分子继发激活,TRPC1、C6等可能还是力学敏感的离子通道, 展开更多
关键词 心肌细胞肥大 TRPC通道 离子通道 力学感受器 二脂酰甘油 门控 PHOSPHOLIPASE 电生理改变 力学刺激 亚族
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Phospholipase A_2 changes and its significance on brain tissue of rat in severe acute pancreatitis
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作者 姚烜 陈喜 纪宗正 《Journal of Pharmaceutical Analysis》 SCIE CAS 2007年第1期110-111,121,共3页
Objective To survey changes and the significance of phospholipase A_2(PLA_2) on brain tissue of SD rat in acute pancreatitis.Methods With retrograde injection of 3% taurocholate sodium into pancreatic and biliary duct... Objective To survey changes and the significance of phospholipase A_2(PLA_2) on brain tissue of SD rat in acute pancreatitis.Methods With retrograde injection of 3% taurocholate sodium into pancreatic and biliary duct,rat model of severe acute pancreatitis(SAP) was made,and it included four groups: the control group,the sham-operation group, the SAP group and the PLA_2 inhibitor-treated group of SAP.Serum amylases,PLA_2 and PLA_2 in brain tissue were measured and the brain tissue changes were observed.Results There were no significant difference in serum amylases, PLA_2 and PLA_2 in brain tissue between the sham-operation and the control groups;the levels of serum amylases,PLA_2 and PLA_2 in brain tissue in the SAP group were higher than those in the control.In the SAP group expansion and hemorrhage of meninges,intracephalic arteriolar hyperemia,in meninges and cephalic-parenchyma infiltration of inflammatory cells and interval broaden were observed,significant differences were found between two groups.Compared with the SAP group,the level of serum amylase,PLA_2 and PLA_2 in brain tissue were reduced significantly in the treatment group of SAP.Pathological damages in the treatment group were significantly reduced when compared with the SAP group.Conclusion PLA_2 might play an important role in brain tissue damages in severe acute pancreatitis. 展开更多
关键词 PANCREATITIS phospholipases brain pathophisiology RAT
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表观健康人群血清脂蛋白相关磷脂酶A_2参考区间的建立 被引量:11
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作者 丰睿捷 胡晓晨 +2 位作者 赵莉芳 张海晨 宋云霄 《检验医学》 CAS 2017年第6期495-499,共5页
目的建立上海地区表观健康人群血清脂蛋白相关磷脂酶A_2(Lp-PLA_2)的参考区间。方法检测800名健康体检者(男、女性各400名)血清Lp-PLA_2活性,根据美国临床实验室标准化协会(CLSI)C28-A3文件的相关要求,以百分位数法确定Lp-PLA_2的95%参... 目的建立上海地区表观健康人群血清脂蛋白相关磷脂酶A_2(Lp-PLA_2)的参考区间。方法检测800名健康体检者(男、女性各400名)血清Lp-PLA_2活性,根据美国临床实验室标准化协会(CLSI)C28-A3文件的相关要求,以百分位数法确定Lp-PLA_2的95%参考区间[第2.5百分位数(P2.5)~第97.5百分位数(P97.5),可信区间为90%]。结果表观健康人群血清Lp-PLA_2活性呈正态分布。男性Lp-PLA_2活性为(479±126)U/L,女性为(433±118)U/L,二者间差异有统计学意义(t=5.311,P<0.01)。男性血清LpPLA_2活性保持恒定,女性血清Lp-PLA_2活性随年龄的增加而呈升高趋势,各年龄段Lp-PLA_2活性比较差异有统计学意义(F=2.017,P<0.05)。进一步分析显示<50岁的各年龄组之间和≥50岁的各年龄组之间Lp-PLA_2活性差异均无统计学意义(P>0.05),因此将女性各年龄组合并为18~49岁组和50~89岁组。由此得出上海地区表观健康人群血清Lp-PLA_2的参考区间男性为219~694 U/L,女性18~49岁为204~651 U/L、50~89岁为217~686 U/L。结论初步建立了上海地区表观健康人群血清Lp-PLA_2的参考区间,为临床应用Lp-PLA_2作为心血管疾病风险评估指标提供依据。 展开更多
关键词 脂蛋白相关磷脂酶A2 表观健康成人 参考区间 Lipoprotein-associated PHOSPHOLIPASE A2
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Lipoprotein-associated phospholipase A2 prognostic role in atherosclerotic complications 被引量:67
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作者 Giuseppe Maiolino Valeria Bisogni +1 位作者 Giacomo Rossitto Gian Paolo Rossi 《World Journal of Cardiology》 CAS 2015年第10期609-620,共12页
Atherosclerosis manifests itself clinically at advanced stages when plaques undergo hemorrhage and/or rupture with superimposed thrombosis, thus abruptly stopping blood supply. Identification of markers of plaque dest... Atherosclerosis manifests itself clinically at advanced stages when plaques undergo hemorrhage and/or rupture with superimposed thrombosis, thus abruptly stopping blood supply. Identification of markers of plaque destabilization at a pre-clinical stage is, therefore, a major goal of cardiovascular research. Promising results along this line were provided by studies investigating the lipoprotein-associated phospholipase A2(Lp-PLA2), a member of phospholipase A2 proteins family that plays a key role in the metabolism of pro-inflammatory phospholipids, as oxidized low-density lipoproteins, and in the generation of pro-atherogenic metabolites, including lysophosphatidylcholine and oxidized free fatty acids. We herein review the experimental and clinical studies supporting use of Lp-PLA2 activity for predicting cardiovascular events. To his end we considered not only Lp-PLA2 activity and mass, but also Lp-PLA2 gene variations and their association with incident coronary artery disease, stroke, and cardiovascular mortality. Based on these evidences the major scientific societies have included in their guidelines the measurement of Lp-PLA2 activity among the biomarkers that are useful in risk stratification of adult asymptomatic patients at intermediate cardiovascular risk. The results of two recently published major clinical trials with the LpPLA2 inhibitor darapladib, which seem to challenge the pathogenic role of Lp-PLA2, will also be discussed. 展开更多
关键词 Lipoprotein-associated PHOSPHOLIPASE A2 Atheroscle
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Hepatocellular carcinoma in nonalcoholic fatty liver: Role of environmental and genetic factors 被引量:39
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作者 Paola Dongiovanni Stefano Romeo Luca Valenti 《World Journal of Gastroenterology》 SCIE CAS 2014年第36期12945-12955,共11页
Hepatocellular carcinoma(HCC) is the fourth cause of cancer related mortality, and its incidence is rapidly increasing. Viral hepatitis, alcohol abuse, and exposure to hepatotoxins are major risk factors, but nonalcoh... Hepatocellular carcinoma(HCC) is the fourth cause of cancer related mortality, and its incidence is rapidly increasing. Viral hepatitis, alcohol abuse, and exposure to hepatotoxins are major risk factors, but nonalcoholic fatty liver disease(NAFLD) associated with obesity, insulin resistance, and type 2 diabetes, is an increasingly recognized trigger, especially in developed countries. Older age, severity of insulin resistance and diabetes, and iron overload have been reported to predispose to HCC in this context. Remarkably, HCCs have been reported in non-cirrhotic livers in a higher proportion of cases in NAFLD patients than in other etiologies. Inherited factors have also been implicated to explain the different individual susceptibility to develop HCC, and their role seems magnified in fatty liver, where only a minority of affected subjects progresses to cancer. In particular, the common I148 M variant of the PNPLA3 gene influencing hepatic lipid metabolism influences HCC risk independently of its effect on the progression of liver fibrosis. Recently, rare loss-of-function mutations in Apolipoprotein B resulting in very low density lipoproteins hepatic retention and in Telomerase reverse transcriptase influencing cellular senescence have also been linked to HCC in NAFLD. Indeed, hepatic stellate cells senescence has been suggested to bridge tissue aging with alterations of the intestinal microbiota in the pathogenesis of obesity-related HCC. A deeper understanding of the mechanisms mediating hepatic carcinogenesis during insulin resistance, and the identification of its genetic determinants will hopefully provide new diagnostic and therapeutic tools. 展开更多
关键词 Nonalcoholic fatty liver disease STEATOSIS Hepatocellular carcinoma CIRRHOSIS FIBROGENESIS Liver disease Genetics Single nucleotide polymorphism Patatin-like phospholipase domain-containing 3
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Changes of gastric and intestinal blood flow, serum phospholipase A_2 and interleukin-1β in rats with acute necrotizing pancreatitis 被引量:22
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作者 Jian-XinZhang Sheng-ChunDang Jian-GuoQu Xue-QingWang Guo-ZuoChen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第23期3578-3581,共4页
AIM:To explore the relationship between gastric and intestinal microcirculatory impairment and inflammatory mediators released in rats with acute necrotizing pancreatitis (ANP). METHODS: A total of 64 rats were random... AIM:To explore the relationship between gastric and intestinal microcirculatory impairment and inflammatory mediators released in rats with acute necrotizing pancreatitis (ANP). METHODS: A total of 64 rats were randomized into control group and ANP group. ANP model was induced by injection of 5% sodium taurocholate under the pancreatic membrane. Radioactive biomicrosphere technique was used to measure the gastric and intestinal tissue blood flow at 2 and 12 h after the induction of ANP, meanwhile serum phospholipase A2 (PLA2) activities and interleukin-1β levels were determined. Pathologic changes in pancreas, gastric and intestinal mucosae were studied. RESULTS: The gastric blood flow in ANP group (0.62±0.06 and 0.35±0.05) mL/(min·g) was significantly lower than that in control group (0.86±0.11 and 0.85±0.06) mL/(min·g) (P<0.01) at 2 and 12 h after induction of ANP. The intestinal blood flow in ANP group (0.80±0.07 and 0.50±0.06) mlV(min·g) was significantly lower than that in control group (1.56±0.18 and 1.61±0.11) mL/(min·g) (P<0.01). Serum PLA2 activities (94.29±9.96 and 103.71± 14.40) U/L and IL-1β levels (0.78±0.13 and 0.83±0.20)μg/L in ANP group were higher than those in control group (65.27±10.52 and 66.63±9.81) U/L, (0.32±0.06 and 0.33±0.07)μg/L (P<0.01). At 2 and 12 h after introduction of the model, typical pathologic changes were found in ANP. Compared with control group, the gastric and intestinal mucosal pathologic changes were aggravated significantly (P<0.01) at 12 h after induction of ANP. Gastric and intestinal mucosal necrosis, multiple ulcer and hemorrhage occurred. CONCLUSION: Decrease of gastric and intestinal blood flow and increase of inflammatory mediators occur simultaneously early in ANP, both of them are important pathogenic factors for gastric and intestinal mucosal injury in ANP. 展开更多
关键词 Acute necrotizing pancreatitis INTERLEUKIN-1 Phospholipase A2 MICROCIRCULATION
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