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Insulin-like growth factor binding protein related protein 1 knockdown attenuates hepatic ?brosis via the regulation of MMPs/TIMPs in mice 被引量:11
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作者 Jun-Jie Ren Ting-Juan Huang +5 位作者 Qian-Qian Zhang Hai-Yan Zhang Xiao-Hong Guo Hui-Qin Fan Ren-Ke Li Li-Xin Liu 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS CSCD 2019年第1期38-47,共10页
Background: Previous research suggested that insulin-like growth factor binding protein related protein 1(IGFBPrP1), as a novel mediator, contributes to hepatic fibrogenesis. Matrix metalloproteinases(MMP) and tissue ... Background: Previous research suggested that insulin-like growth factor binding protein related protein 1(IGFBPrP1), as a novel mediator, contributes to hepatic fibrogenesis. Matrix metalloproteinases(MMP) and tissue inhibitors of metalloproteinases(TIMP) play an essential role in hepatic fibrogenesis by regulating homeostasis and remodeling of the extracellular matrix(ECM). However, the interaction between IGFBPrP1 and MMP/TIMP is not clear. The present study was to knockdown IGFBPrP1 to investigate the correlation between IGFBPrP1 and MMP/TIMP in hepatic fibrosis. Methods: Hepatic fibrosis was induced by thioacetamide(TAA) in mice. Knockdown of IGFBPrP1 expression by ultrasound-targeted microbubble destruction-mediated CMB-shRNA-IGFBPrP1 delivery, or inhibition of the Hedgehog(Hh) pathway by cyclopamine treatment, was performed in TAA-induced liver fibrosis mice. Hepatic fibrosis was determined by hematoxylin and eosin and Sirius red staining. Hepatic expression of IGFBPrP1, α-smooth muscle actin( α-SMA), transforming growth factor β 1(TGF β1), collagen I, MMPs/TIMPs, Sonic Hedgehog(Shh), and glioblastoma family transcription factors(Gli1) were investigated by immunohistochemical staining and Western blotting analysis. Results: We found that hepatic expression of IGFBPrP1, TGF β1, α-SMA, and collagen I were increased longitudinally in mice with TAA-induced hepatic fibrosis, concomitant with MMP2/TIMP2 and MMP9/TIMP1 imbalance and Hh pathway activation. Knockdown of IGFBPrP1 expression, or inhibition of the Hh pathway, reduced the hepatic expression of IGFBPrP1, TGF β1, α-SMA, and collagen I and re-established MMP2/TIMP2 and MMP9/TIMP1 balance. Conclusions: Our findings suggest that IGFBPrP1 knockdown attenuates liver fibrosis by re-establishing MMP2/TIMP2 and MMP9/TIMP1 balance, concomitant with the inhibition of hepatic stellate cell activation, down-regulation of TGF β1 expression, and degradation of the ECM. Furthermore, the Hh pathway mediates IGFBPrP1 knockdown-induced attenuation of hepatic fibrosis through the regulation of MMPs/TIMPs balance. 展开更多
关键词 HEPATIC fibrosis INSULIN-LIKE growth factor binding PROTEIN RELATED PROTEIN 1 Matrix METALLOPROTEINASE Tissue inhibitor of METALLOPROTEINASE Ultrasound-targeted microbubble destruction Hedgehog signaling pathway
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Effects of transfected adenovirus-mediated transcription factor X-box binding protein 1 on hippocampal-derived neural stem cell proliferation and apoptosis under hypoxia 被引量:4
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作者 Ying Sha Baohua Liu +3 位作者 Qun Liu Lei Song Jia Fan Yong Liu 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第13期981-986,共6页
BACKGROUND: Neural stem cell (NSC) survival is closely associated with cell apoptosis in ischemic-hypoxic regions following transplantation. Numerous studies have revealed that X-box binding protein 1 (XBP1) is a... BACKGROUND: Neural stem cell (NSC) survival is closely associated with cell apoptosis in ischemic-hypoxic regions following transplantation. Numerous studies have revealed that X-box binding protein 1 (XBP1) is a transcription factor during endoplasmic reticulum unfolded protein response and is essential for cell survival, differentiation, and anti-apoptotic effects. OBJECTIVE: To determine the effects of the XBP1 gene on NSC proliferation and apoptosis under hypoxic conditions following XBP1 gene transfection into rat embryonic hippocampal NSCs using recombinant adenovirus vector. DESIGN, TIME AND SETTING: In vitro experiments were performed at the Laboratory of Cell Biology of Jilin University and Laboratory of Proteomics, Department of Neurology, Jilin University China from September 2008 to November 2009. MATERIALS: Recombinant adenovirus package XBP1 gene and Ad-XBPl-enhanced green fluorescent protein plasmid (Guangzhou Easywin BioMed Technology, China), rabbit anti-XBP1 and its target gene estrogen receptor degradation-enhancing a-mannosidase-like protein (EDEM) glucose-regulated protein 78 (GRP78), anti-apoptotic molecule Bcl-2 and proapoptotic molecule Bax polyclonal antibody (Santa Cruz Biotechnology, Inc., Santa Cruz, CA, USA), and COCI2 (Sigma, St. Louis, MO, USA) were used in the present study. METHODS: Hippocampi from embryonic, Sprague Dawley rats on gestational day 16 were harvested for NSC isolation and cloning, followed by immunofluorescence for Nestin and sub-culturing. The recombinant adenovirus Ad-XBPl-enhanced green fluorescent protein plasmid was transfected into rat embryonic hippocampal NSCs, and then CoCl2 was applied to induce hypoxia. MAIN OUTCOME MEASURES: Cell quantification and 3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide colorimetric assay were utilized to detect proliferation in XBPl-transfected NSCs for 7 consecutive days. Western blot assay was utilized to quantify XBP1 GRP78, EDEM, Bcl-2, and Bax expression. Flow cytometry was used to measure apoptosis. RESULTS: NSC proliferation was significantly enhanced following XBP1 gene transfection (P 〈 0.05). Under hypoxic conditions, GRP78, EDEM, and Bcl-2 levels increased, but Bax levels decreased. In addition, NSC apoptosis decreased following transfection (P 〈 0.05). CONCLUSION: The XBP1 gene was successfully transfected into rat embryonic hippocampal NSCs using a recombinant adenovirus vector. NSC proliferation following transfection, as well as anti-apoptotic effects under hypoxia, was significantly increased. 展开更多
关键词 X-box binding protein 1 HYPOXIA apoptosis endoplasmic reticulum stress neural stem cells transplantation nerve growth factor neural regeneration
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Interaction between insulin-like growth factor binding protein-related protein 1 and transforming growth factor beta 1 in primary hepatic stellate cells 被引量:3
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作者 Xiu-Qing Li Qian-Qian Zhang +3 位作者 Hai-Yan Zhang Xiao-Hong Guo Hui-Qin Fan Li-Xin Liu 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS CSCD 2017年第4期395-404,共10页
BACKGROUND: We previously showed that insulin-like growth factor binding protein-related protein 1 (IGFBPrP1) is a novel mediator in liver fibrosis. Transforming growth factor beta 1 (TGF beta 1) is known as the stron... BACKGROUND: We previously showed that insulin-like growth factor binding protein-related protein 1 (IGFBPrP1) is a novel mediator in liver fibrosis. Transforming growth factor beta 1 (TGF beta 1) is known as the strongest effector of liver fibrosis. Therefore, we aimed to investigate the detailed interaction between IGFBPrP1 and TGF beta 1 in primary hepatic stellate cells (HSCs). METHODS: We overexpressed TGF beta 1 or IGFBPrP1 and inhibited TGF beta 1 expression in primary HSCs for 6, 12, 24, 48, 72, and 96 hours to investigate their interaction and observe the accompanying expressions of a-smooth muscle actin (alpha-SMA), collagen I, fibronectin, and phosphorylated-mothers against decapentaplegic homolog 2/3 (p-Smad2/3). RESULTS: We found that the adenovirus vector encoding the TGF beta 1 gene (AdTGF beta 1) induced IGFBPrP1 expression while that of alpha-SMA, collagen I, fibronectin, and TGF beta 1 increased gradually. Concomitantly, AdIGFBPrP1 upregulated TGF beta 1, alpha-SMA, collagen I, fibronectin, and p-Smad2/3 in a time-dependent manner while IGFBPrP1 expression was decreased at 96 hours. Inhibition of TGF beta 1 expression reduced the IGFBPrP1-stimulated expression of alpha-SMA, collagen I, fibronectin, and p-Smad2/3. CONCLUSIONS: These findings for the first time suggest the existence of a possible mutually regulation between IGFBPrP1 and TGF beta 1, which likely accelerates liver fibrosis progression. Furthermore, IGFBPrP1 likely participates in liver fibrosis in a TGF beta 1-depedent manner, and may act as an upstream regulatory factor of TGF beta 1 in the Smad pathway. 展开更多
关键词 insulin-like growth factor binding protein related protein 1 transforming growth factor in primary hepatic stellate cells alpha-smooth muscle actin extracellular matrix Smad pathway
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Study on the expression and mutation of human telomeric repeat binding factor (hTRF1) in 10 malignant hematopoietic cell lines 被引量:1
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作者 SUN Jie +12 位作者 (孙洁) HUANG He(黄河) ZHU Yuan-yuan(朱园园) LAN Jian-ping(蓝建平) LI Jing-yuan(李静远) LAI Xiao-yu(来晓瑜) YU Jian(余建) 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2005年第12期1141-1147,共7页
Objective: Detecting the expression and mutation of human telomeric repeat binding factor (hTRF1) in 10 malignant hematopoietic cell line cells on the base of determining its genomic structure and its four pseudoge... Objective: Detecting the expression and mutation of human telomeric repeat binding factor (hTRF1) in 10 malignant hematopoietic cell line cells on the base of determining its genomic structure and its four pseudogenes to clarify ifhTRF1 mutation is one of the factors of the activation of telomerase. Methods: hTRFlcDNA sequences were obtained from GenBank, its genome structure and pseudogenes were forecasted by BLAST and other biology information programs and then testified by sequencing. Real-time RT-PCR was used to detect the expression of h TRFlmRNA in 10 cell line cells, including myelogenous leukemia cell lines K562, HL-60, U-937, NB4, THP-I, HEL and Dami; lymphoblastic leukemia cell lines 6T-CEM, Jurkat and Raji. Telomerase activities of cells were detected by using telomeric repeat amplification (TRAP)-ELISA protocol. PCR and sequencing were used to detect mutation of each exon ofhTRF1 in 10 cell line cells. Results: hTRF1 gene, mapped to 8q13, was divided into 10 exons and spans 38.6 kb. Four processed pseudogenes ofhTRF1 located on chromosome 13, 18, 21 and X respectively, was named as ψhTRFI-13, ψhTRFI-18, ψhTRF1-21 and ψhTRFI-X respectively. All cell line cells showed positive telomerase activity. The expression of hTRF1 was significantly lower in malignant hematopoietic cell lines cells (0.0338, 0.0108-0.0749) than in normal mononuclear cells (0.0493, 0.0369-0.128) (P=0.004). But no significant mutation was found in all exons of hTRF1 in 10 cell line cells. Four variants were found in part ofintron 1, 2 and 8 ofhTRF1. Their infection on gene function is unknown and needs further studies. Conclusion: hTRF1 mutation is probably not one of the main factors for telomerase activation in malignant hematopoietic disease. 展开更多
关键词 Human telomeric repeat binding factor (hTRF1 EXPRESSION MUTATION Genome Processed pseudogene
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Insulin-like growth factor 2 mRNA-binding protein 1 promotes cell proliferation via activation of AKT and is directly targeted by microRNA-494 in pancreatic cancer 被引量:8
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作者 Bai-Shun Wan Ming Cheng Ling Zhang 《World Journal of Gastroenterology》 SCIE CAS 2019年第40期6063-6076,共14页
BACKGROUND Studies have shown that insulin-like growth factor 2 mRNA-binding protein 1(IGF2BP1)plays critical roles in the genesis and development of human cancers.AIM To investigate the clinical significance and role... BACKGROUND Studies have shown that insulin-like growth factor 2 mRNA-binding protein 1(IGF2BP1)plays critical roles in the genesis and development of human cancers.AIM To investigate the clinical significance and role of IGF2BP1 in pancreatic cancer.METHODS Expression levels of IGF2BP1 and microRNA-494(miR-494)were mined based on Gene Expression Omnibus datasets and validated in both clinical samples and cell lines by quantitative real-time polymerase chain reaction and Western blot.The relationship between IGF2BP1 expression and clinicopathological factors of pancreatic cancer patients was analyzed.The effect and mechanism of IGF2BP1 on pancreatic cancer cell proliferation were investigated in vitro and in vivo.Analyses were performed to explore underlying mechanisms of IGF2BP1 upregulation in pancreatic cancer and assays were carried out to verify the posttranscriptional regulation of IGF2BP1 by miR-494.RESULTS We found that IGF2BP1 was upregulated and associated with a poor prognosis in pancreatic cancer patients.We showed that downregulation of IGF2BP1 inhibited pancreatic cancer cell growth in vitro and in vivo via the AKT signaling pathway.Mechanistically,we showed that the frequent upregulation of IGF2BP1 was attributed to the downregulation of miR-494 expression in pancreatic cancer.Furthermore,we discovered that reexpression of miR-494 could partially abrogate the oncogenic role of IGF2BP1.CONCLUSION Our results revealed that upregulated IGF2BP1 promotes the proliferation of pancreatic cancer cells via the AKT signaling pathway and confirmed that the activation of IGF2BP1 is partly due to the silencing of miR-494. 展开更多
关键词 PANCREATIC cancer INSULIN-LIKE growth factor 2 mRNA-binding protein 1 Proliferation MicroRNA-494
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Significance of highly phosphorylated insulin-like growth factor binding protein-1 and cervical length for prediction of preterm delivery in twin pregnancies 被引量:1
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作者 Rui-Hong Lan Jie Song +3 位作者 Hu-Min Gong Yang Yang Hong Yang Lin-Mei Zheng 《World Journal of Clinical Cases》 SCIE 2021年第18期4553-4558,共6页
BACKGROUND A twin pregnancy can carry greater risks than singleton pregnancies.About 60 in 100 twin pregnancies result in spontaneous birth before 37 wk,which is associated with several complications in the premature ... BACKGROUND A twin pregnancy can carry greater risks than singleton pregnancies.About 60 in 100 twin pregnancies result in spontaneous birth before 37 wk,which is associated with several complications in the premature babies.Clinical detection of biomarkers may help to predict the possibility of premature birth so that corresponding interventions can be given to the pregnant women in a timely manner,in order to reduce the risk of preterm birth and improve the outcomes of the newborn infants.AIM To explore the clinical value of transvaginal ultrasound measurement of cervical length combined with insulin-like growth factor binding protein-1(IGFBP-1)hyperphosphorylation in cervical secretions as predictors of preterm delivery in twin pregnancies.METHODS A total of 254 pregnant women with twin pregnancies,who were admitted to Hainan General Hospital and underwent maternity examination,were selected as the study subjects from January 2015 to December 2018.All participants received transvaginal ultrasound measurement of cervical length and phosphorylated IGFBP-1(phIGFBP-1)test between 24 and 34 wk gestation.The pregnancy outcomes were analyzed.RESULTS Of the women with a positive phIGFBP-1 test result,preterm birth rate was higher in those with a cervical length≤25 mm than those with a cervical length>25 mm(all P<0.05).Similarly,in women with a negative phIGFBP-1 test result,preterm birth rate was higher in those with a cervical length≤25 mm than those with a cervical length>25 mm(all P<0.05).The sensitivity,specificity,and positive and negative predictive values of the phIGFBP-1 test combined with the cervical length test were 95.71%,91.21%,95.12%and 92.22%,respectively,for the prediction of preterm birth.CONCLUSION Cervical length combined with phIGFBP-1 tests is of value for the prediction of outcomes of preterm delivery in twin pregnancies. 展开更多
关键词 Hyperphosphorylated insulin-like growth factor binding protein-1 Cervical length ULTRASOUND Twin pregnancies Preterm delivery
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Insulin-like growth factor-binding protein-3 inhibits IGF-1-induced proliferation of human hepatocellular carcinoma cells
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作者 Yang MA Chen-chen HAN +2 位作者 Yi-fan LI Yang WANG Wei WEI 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2017年第10期966-966,共1页
OBJECTIVE Basic fibroblast growth factor(b FGF)and platelet-derived growth factor(PDGF)produced by hepatocellular carcinoma(HCC)cells are responsible for the cell growth.Accumulating evidence shows that insulin-like g... OBJECTIVE Basic fibroblast growth factor(b FGF)and platelet-derived growth factor(PDGF)produced by hepatocellular carcinoma(HCC)cells are responsible for the cell growth.Accumulating evidence shows that insulin-like growth factor-binding protein-3(IGFBP-3)suppresses HCC cell proliferation in both IGF-dependent and independent manners.The present study is to investigate whether treatment with exogenous IGFBP-3 inhibits bF GF and PDGF production and the cell proliferation of HCC cells.METHODS Cell Counting Kit 8 assay were designed to detect HCC cell proliferation,transcription factor early growth response-1(EGR1)involving in IGFBP-3 regulation of b FGF and PDGF were detected by RT-PCR and Western blot assays.Western blot assay was adopted to detect the IGFBP-3 regulating insulin-like growth factor 1 receptor(IGF-1R)signaling pathway.RESULTS The present study demonstrates that IGFBP-3 suppressed IGF-1-induced b FGF and PDGF expression while it does not affect their expression in the absence of IGF-1.To delineate the underlying mechanism,Western-blot and RT-PCR assays confirmed that the transcription factor early growth response protein 1(EGR1)is involved in IGFBP-3 regulation of b FGF and PDGF.IGFBP-3 inhibition of type 1 insulin-like growth factor receptor(IGF1R),ERK and AKT activation is IGF-1-dependent.Furthermore,transient transfection with constitutively activated AKT or MEK partially blocks the IGFBP-3 inhibition of EGR1,b FGF and PDGF expression.CONCLUSION In conclusion,these findings suggest that IGFBP-3suppresses transcription of EGR1 and its target genes b FGF and PDGF through inhibiting IGF-1-dependent ERK and AKT activation.It demonstrates the importance of IGFBP-3 in the regulation of HCC cell proliferation,suggesting that IGFBP-3 could be a target for the treatment of HCC. 展开更多
关键词 insulin-like growth factor-binding protein-3 early growth response-1 insulin-like growth factor 1 receptor cell proliferation
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抑制lncRNA TUG1下调核苷酸结合寡聚结构域样受体蛋白1炎症小体在延缓阿尔茨海默病进展的作用 被引量:1
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作者 马婷婷 陈建红 +1 位作者 刘爱翠 李海宁 《解剖学报》 CAS CSCD 2024年第1期32-42,共11页
目的探讨敲低长链非编码RNA(lncRNA)牛磺酸上调基因1(TUG1)抑制核苷酸结合寡聚结构域样受体蛋白1(NLRP1)炎症小体在缓解阿尔茨海默病进展中的作用。方法选取9~10周龄遗传背景为C57/BL6的野生型小鼠(WT组,10只)或淀粉样前体蛋白(APP)/早... 目的探讨敲低长链非编码RNA(lncRNA)牛磺酸上调基因1(TUG1)抑制核苷酸结合寡聚结构域样受体蛋白1(NLRP1)炎症小体在缓解阿尔茨海默病进展中的作用。方法选取9~10周龄遗传背景为C57/BL6的野生型小鼠(WT组,10只)或淀粉样前体蛋白(APP)/早老素1(PS1)转基因小鼠(30只)。APP/PS1转基因小鼠随机分为模型(model)组,模型+敲低lncRNA TUG1组[model+lncRNA TUG1短发夹RNA(shRNA)组]和model+shRNA非靶标(NT)组,每组10只。分别采集12周龄第1天(3月龄)和32周龄第1天(8月龄)小鼠外周血和脑皮质组织,并分离皮质中的原代小胶质细胞和原代星形胶质细胞,每个时间点每组5只小鼠。Real-time PCR分别测定3月龄和8月龄上述4个分组小鼠脑皮质组织和原代小胶质细胞中lncRNA TUG1和巨噬细胞移动抑制因子(MIF)mRNA的水平,以及原代星形胶质细胞中补体蛋白C1r和C1s mRNA的水平。ELISA法测定其外周血浆中MIF含量。对3月龄和8月龄小鼠脑皮质原代小胶质细胞和原代星形胶质细胞共培养。CCK-8法测定上述2种细胞的增殖能力。Western blotting分别测定3月龄和8月龄上述4个分组小鼠脑皮质组织中MIF、白细胞介素1β前体(pro-IL-1β)、凋亡相关斑点样蛋白(ASC)、Caspase-1(p20)、Caspase-1(full)、NLRP1及NLRP3蛋白的表达水平。采用免疫荧光染色法测定8月龄各分组小鼠脑皮质组织中β淀粉样蛋白(Aβ)表达。结果3月龄和8月龄时,与WT组小鼠相比,model组小鼠脑皮质组织和原代小胶质细胞中lncRNA TUG1和MIF相对表达水平显著上调,原代小胶质细胞和原代星形胶质细胞增殖能力增强(P<0.05)。与model组相比,model+lncRNA TUG1 shRNA组小鼠脑皮质组织和原代小胶质细胞中lncRNA TUG1和MIF的相对表达水平显著降低,原代小胶质细胞和原代星形胶质细胞增殖能力降低(P<0.05)。与WT组相比,model组小鼠外周血浆中MIF含量显著升高;小鼠脑皮质组织中pro-IL-1β、ASC、Caspase-1(p20)、Caspase-1(full)、NLRP1以及NLRP3的蛋白表达水平显著升高;Aβ免疫荧光强度明显增强(P<0.05)。与model组相比,model+lncRNA TUG1 shRNA组小鼠外周血浆中MIF含量显著降低;小鼠脑皮质组织中pro-IL-1β、ASC、Caspase-1(p20)、Caspase-1(full)和NLRP1的蛋白表达水平显著降低,Aβ免疫荧光强度明显降低(P<0.05),而NLRP3蛋白质的表达水平无明显变化(P>0.05)。与model组相比,model+shRNA NT组小鼠上述所有检测指标差异均无显著性(P>0.05)。结论APP/PS1转基因小鼠脑皮质组织和原代小胶质细胞中lncRNA TUG1和MIF因子表达上调与脑皮质内NLRP1炎症小体激活成正相关,敲低lncRNA TUG1可缓解阿尔茨海默病的进展。 展开更多
关键词 阿尔茨海默病 长链非编码RNA 牛磺酸上调基因1 巨噬细胞移动抑制因子 核苷酸结合寡聚结构域样受体蛋白1 免疫印迹法 小鼠
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血清LTBP2、TM4SF1在大肠癌患者预后评估中的研究
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作者 方玲 夏永欣 张向东 《成都医学院学报》 CAS 2024年第1期56-60,共5页
目的探讨血清转化生长因子结合蛋白2(LTBP2)、四次跨膜蛋白1(TM4SF1)在大肠癌患者预后评估中的意义。方法将南阳市中心医院2016年7月至2019年7月手术治疗的大肠癌患者108例作为试验组,同期108例健康体检者作为对照组。采用酶联免疫吸附... 目的探讨血清转化生长因子结合蛋白2(LTBP2)、四次跨膜蛋白1(TM4SF1)在大肠癌患者预后评估中的意义。方法将南阳市中心医院2016年7月至2019年7月手术治疗的大肠癌患者108例作为试验组,同期108例健康体检者作为对照组。采用酶联免疫吸附试验(ELISA)检测两组血清LTBP2、TM4SF1水平;比较不同血清LTBP2和TM4SF1表达水平的大肠癌患者临床资料的差异;采用免疫组化染色法分析大肠癌组织中LTBP2、TM4SF1的表达;Pearson相关分析明确血清LTBP2和TM4SF1表达的相关性;受试者工作特征(ROC)曲线分析血清LTBP2和TM4SF1联合评估大肠癌患者预后的价值。结果试验组血清LTBP2和TM4SF1水平均高于对照组(P<0.05),二者表达水平呈正相关(r=0.305,P<0.05),大肠癌组织LTBP2和TM4SF1表达阳性率高于癌旁组织(P<0.05)。肿瘤直径>5cm、肿瘤低分化、有淋巴结转移、TNM分期Ⅲ~Ⅳ期、有脉管瘤栓的大肠癌患者血清LTBP2和TM4SF1表达水平高于患者肿瘤直径≤5 cm、肿瘤中高分化、无淋巴结转移、TNM分期Ⅰ~Ⅱ期、无脉管瘤栓的大肠癌患者(P<0.05)。血清LTBP2、TM4SF1联合预测大肠癌患者预后不良的AUC为0.886。结论大肠癌患者血清LTBP2和TM4SF1水平升高,二者联合对大肠癌患者预后不良具有较好的预测价值。 展开更多
关键词 大肠癌 转化生长因子结合蛋白2 四次跨膜蛋白1 预后评估
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脑脊液IGF-1、β_(2)-MG、HBP与儿童化脓性脑膜炎发生发展的相关性
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作者 李凤艳 周柳 +1 位作者 袁文华 禚志红 《河南医学研究》 CAS 2024年第16期2951-2954,共4页
目的探究脑脊液中胰岛素样生长因子-1(IGF-1)、β_(2)微球蛋白(β_(2)-MG)、肝素结合蛋白(HBP)水平与儿童化脓性脑膜炎疾病发生发展的相关性。方法选取2021年2月至2023年2月郑州大学第一附属医院儿科收治的86例化脓性脑膜炎患儿为研究组... 目的探究脑脊液中胰岛素样生长因子-1(IGF-1)、β_(2)微球蛋白(β_(2)-MG)、肝素结合蛋白(HBP)水平与儿童化脓性脑膜炎疾病发生发展的相关性。方法选取2021年2月至2023年2月郑州大学第一附属医院儿科收治的86例化脓性脑膜炎患儿为研究组,另选取86例非中枢神经系统感染患儿为对照组,比较两组脑脊液IGF-1、β_(2)-MG、HBP水平,探究其与研究组患儿病情严重程度及预后的相关性。结果研究组脑脊液中IGF-1、β_(2)-MG、HBP水平均高于对照组(P<0.05),且对化脓性脑膜炎具有较高的诊断价值,其曲线下面积分别为0.925、0.930、0.850;重度组脑脊液IGF-1、β_(2)-MG、HBP水平高于轻度组(P<0.05);预后不良组脑脊液IGF-1、β_(2)-MG、HBP水平高于预后良好组(P<0.05),且对化脓性脑膜炎预后不良具有较高的预测价值,其曲线下面积分别为0.879、0.854、0.822。结论监测化脓性脑膜炎患儿脑脊液中IGF-1、β_(2)-MG、HBP的水平对于早期诊断、判断病情严重程度以及预测疾病预后具有重要价值。 展开更多
关键词 脑脊液 胰岛素样生长因子-1 β_(2)微球蛋白 肝素结合蛋白 儿童化脓性脑膜炎
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胃癌患者癌组织LDOC1、GNL3L表达及其与病理特征、预后的关系
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作者 毛建娜 沈裕厚 +1 位作者 段花玲 高琦 《河南医学研究》 CAS 2024年第21期3904-3908,共5页
目的探讨胃癌患者癌组织中亮氨酸拉链下调因子1(LDOC1)、鸟嘌呤核苷酸结合蛋白样3-样蛋白(GNL3L)表达水平及与患者病理特征、预后的关系。方法收集2019年12月至2022年12月新乡市中心医院收治的65例胃癌患者癌组织标本(胃癌组)及对应癌... 目的探讨胃癌患者癌组织中亮氨酸拉链下调因子1(LDOC1)、鸟嘌呤核苷酸结合蛋白样3-样蛋白(GNL3L)表达水平及与患者病理特征、预后的关系。方法收集2019年12月至2022年12月新乡市中心医院收治的65例胃癌患者癌组织标本(胃癌组)及对应癌旁组织标本(癌旁组)。采用免疫组化法检测组织中LDOC1、GNL3L表达水平。采用χ^(2)检验分析LDOC1、GNL3L表达与胃癌患者临床病理特征的关系,多因素Cox回归分析探讨影响胃癌患者预后的相关因素。结果胃癌组LDOC1阳性表达率(30.76%)低于癌旁组(61.52%),GNL3L阳性表达率(72.31%)高于癌旁组(43.07%)(χ^(2)=12.381、11.377,P<0.05)。低分化、肿瘤直径>3 cm、TNM分期Ⅲ/Ⅳ期、淋巴结转移的胃癌患者LDOC1阴性率、GNL3L阳性率高于中/高分化、肿瘤直径≤3 cm、TNM分期Ⅰ/Ⅱ期、无淋巴结转移患者(P<0.05)。LDOC1阳性表达患者3 a生存率(85.00%)高于LDOC1阴性表达患者(37.77%),GNL3L阳性表达患者3 a生存率(36.17%)低于GNL3L阴性表达患者(94.44%)(P<0.05)。低分化、TNM分期Ⅲ/Ⅳ期、淋巴结转移胃癌患者的3 a生存率低于中/高分化、TNM分期Ⅰ/Ⅱ期、无淋巴结转移患者(P<0.05)。多因素Cox回归分析显示,TNM分期Ⅲ~Ⅳ期(HR=2.113,95%CI:1.425~3.133)、淋巴结转移(HR=2.625,95%CI:1.564~4.404)、LDOC1阴性表达(HR=5.607,95%CI:3.408~9.224)、GNL3L阳性表达(HR=2.930,95%CI:1.716~5.003)是胃癌患者预后的危险因素(P<0.05)。结论LDOC1在胃癌患者中呈低表达,GNL3L在胃癌患者中呈高表达,二者均与患者临床病理特征、预后有关。 展开更多
关键词 胃癌 预后 亮氨酸拉链下调因子1 鸟嘌呤核苷酸结合蛋白样3-样蛋白
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危重患者血浆IGF-1和IGFBP-3水平对预测ARDS和预后判断的临床价值
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作者 夏炎火 董一华 +2 位作者 童秋玲 周爱明 钱松赞 《中国现代医生》 2024年第29期41-44,49,共5页
目的探讨危重患者血浆胰岛素样生长因子(insulin-like growth factor,IGF)-1和胰岛素样生长因子结合蛋白(insulin-like growth factor binding protein,IGFBP)-3水平对预测急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS... 目的探讨危重患者血浆胰岛素样生长因子(insulin-like growth factor,IGF)-1和胰岛素样生长因子结合蛋白(insulin-like growth factor binding protein,IGFBP)-3水平对预测急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)和预后判断的临床价值。方法回顾性分析131例在温州医科大学附属第一医院重症监护室住院的危重患者,检测入组患者血浆IGF-1、IGFBP-3水平和血生化、降钙素原(procalcitonin,PCT)、乳酸(lactic acid,LAC)、血白蛋白等。计算入组患者60d病死率。比较ARDS患者和对照组患者及60d死亡患者和生存患者的差异。结果ARDS组患者血浆IGF-1、IGFBP-3明显低于对照组,而PCT高于对照组。死亡组患者血浆IGF-1、IGFBP-3水平明显低于存活组。多因素Logistic回归分析和受试者操作特征曲线结果显示IGF-1曲线下面积(area under the curve,AUC)为0.770、序贯器官衰竭评分(sequential organ failure assessment,SOFA)评分(AUC=0.692)和PCT(AUC=0.710)是危重患者发生ARDS的独立危险因素,IGF-1(AUC=0.807)、IGFBP-3(AUC=0.759)和SOFA评分(AUC=0.859)是危重患者死亡发生的独立危险因素。结论危重患者血浆IGF-1、IGFBP-3水平明显降低,血浆IGF-1和IGFBP-3水平降低是危重患者可能发生ARDS和死亡的重要因素。 展开更多
关键词 急性呼吸窘迫综合征 胰岛素样生长因子1 胰岛素样生长因子结合蛋白3
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鉴定LTBP1作为胃癌预后的生物标志物及其与肿瘤免疫微环境的相关性
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作者 王小瑞 王觅柱 《医学分子生物学杂志》 CAS 2024年第1期57-62,共6页
目的探索潜在转化生长因子β结合蛋白1(latent transforming growth factor beta binding protein 1,LTBP1)在胃癌发生发展及免疫微环境中的生物学功能。方法在TCGA数据库中分析LTBP1在泛癌中的表达,然后通过胃癌组织和癌旁组织进行验... 目的探索潜在转化生长因子β结合蛋白1(latent transforming growth factor beta binding protein 1,LTBP1)在胃癌发生发展及免疫微环境中的生物学功能。方法在TCGA数据库中分析LTBP1在泛癌中的表达,然后通过胃癌组织和癌旁组织进行验证。通过回归比例分析法分析LTBP1表达与临床病理变量之间的相关性。Cox回归分析和Kaplan-Meier图用于评估LTBP1在胃癌中的预后价值。通过TIMER分析LTBP1的表达水平与胃癌中免疫细胞浸润之间的相关性。免疫组织化学染色检测LTBP1蛋白在胃癌组织及癌旁组织中的表达水平。结果与正常胃组织相比,胃癌组织中LTBP1表达显著上调。其表达与病理TNM分期显著相关。LTBP1高表达的胃癌患者的总体生存率(overall survival,OS)缩短。免疫组化结果显示,与癌旁组织相比,LTBP1在胃癌组织中显著高表达。TIMER检测发现LTBP1的表达与3种免疫细胞浸润呈正相关。结论LTBP1可能是胃癌预后的一个潜在生物标志物,并影响癌症的肿瘤免疫微环境。 展开更多
关键词 胃癌 潜在转化生长因子β结合蛋白1 生存分析 肿瘤微环境
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IGF-1、IGFBP-3在非小细胞肺癌患者血清中的表达及其临床意义
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作者 李卫 岳晓静 +1 位作者 赵晓光 李军民 《实用癌症杂志》 2024年第9期1439-1442,共4页
目的探讨胰岛素样生长因子-1(IGF-1)、胰岛素样生长因子结合蛋白-3(IGFBP-3)在非小细胞肺癌(NSCLC)患者血清中的表达及其临床意义。方法选择84例NSCLC患者作为肺癌组,84例肺部良性疾病患者作为对照组。采集所有患者入院第2 d时空腹静脉... 目的探讨胰岛素样生长因子-1(IGF-1)、胰岛素样生长因子结合蛋白-3(IGFBP-3)在非小细胞肺癌(NSCLC)患者血清中的表达及其临床意义。方法选择84例NSCLC患者作为肺癌组,84例肺部良性疾病患者作为对照组。采集所有患者入院第2 d时空腹静脉血4 ml,应用全自动化学发光免疫分析仪检测血清IGF-1、IGFBP-3含量。对比两组受检者血清IGF-1、IGFBP-3差异,分析血清IGF-1、IGFBP-3表达与NSCLC患者临床病理特征的关系。结果肺癌组血清IGF-1水平高于对照组,IGFBP-3水平低于对照组,有统计学差异(P<0.05);不同年龄、性别、肿瘤部位、肿瘤最大直径、病理类型、分化程度NSCLC患者血清IGF-1、IGFBP-3水平比较,无统计学差异(P<0.05);局部侵犯T_(1)~T_(2)、Ⅰ~Ⅱ期NSCLC患者血清IGF-1水平低于T_(3)~T_(4)、Ⅲ期者,IGFBP-3水平高于T_(3)~T_(4)、Ⅲ期者,有淋巴结转移者血清IGF-1水平高于T_(3)~T_(4)者,IGFBP-3水平低于T_(3)~T_(4)者,有统计学差异(P<0.05)。Pearson分析显示,血清IGF-1水平与NSCLC患者局部侵犯程度、TNM分期、淋巴结转移呈正相关(P<0.05),血清IGFBP-3-水平与NSCLC患者局部侵犯程度、TNM分期、淋巴结转移呈负相关(P<0.05)。结论NSCLC患者血清IGF-1、IGFBP-3水平表达异常,其水平高低与患者局部侵犯程度、TNM分期、淋巴结转移有关。 展开更多
关键词 非小细胞肺癌 胰岛素样生长因子-1 相关性 胰岛素样生长因子结合蛋白-3
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安图A2000全自动化学发光分析仪检测IGFBP3的性能验证及与IGF-1相关性研究
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作者 陈庆 刘英杰 郑桂喜 《医学检验与临床》 2024年第3期1-4,共4页
目的:对安图A2000全自动化学发光仪检测血清胰岛素样生长因子结合蛋白3(IGFBP3)的性能进行评价,并探讨其在矮小症、性早熟及垂体性病变中与IGF-1的相关性。方法:对安图A2000系统检测IGFBP3的精密度(CV)、线性范围、可报告范围、参考区... 目的:对安图A2000全自动化学发光仪检测血清胰岛素样生长因子结合蛋白3(IGFBP3)的性能进行评价,并探讨其在矮小症、性早熟及垂体性病变中与IGF-1的相关性。方法:对安图A2000系统检测IGFBP3的精密度(CV)、线性范围、可报告范围、参考区间进行验证。选取2023年1月-2023年9月在本院诊断或治疗的矮小症21例、性早熟10例、垂体性病变19例,回顾性分析其胰岛素生长因子-Ⅰ(IGF-1)和IGHBP3水平,并进行Spearman相关性分析。结果:IGFBP3高低水平质控品批内CV为2.019%、2.931%,批间CV为3.818%、4.137%;测定结果在0.3~16.0μg/mL范围内呈线性,线性回归方程为Y=0.9995X~0.0213,R2=0.9974;临床可报告范围为0.3~32.0μg/mL;18~70岁和>70岁健康体检者检测结果均在厂家提供的参考区间内;IGFBP3和IGF-1在矮小症、性早熟和垂体性病变患者中具有较好的相关性(r=0.81,P<0.0001)。结论:安图A2000检测血清IGFBP3的性能能够满足实验室质量要求,且与IGF-1具有较好的相关性。 展开更多
关键词 全自动化学发光分析仪 胰岛素样生长因子结合蛋白3 胰岛素样生长因子-1 性能验证
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胰岛素样生长因子-1、胰岛素样生长因子结合蛋白-1表达与首发精神分裂症患者认知损伤的相关性 被引量:1
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作者 潘淑娟 李伟 谭云龙 《临床精神医学杂志》 CAS 2024年第1期9-12,共4页
目的:探讨精神分裂症患者血清胰岛素样生长因子-1(IGF-1)和胰岛素样生长因子结合蛋白1(IGFBP-1)水平及与认知功能之间的关系。方法:采用酶联免疫吸附双抗体夹心法(ELISA)检测103例精神分裂症患者和64名正常对照的血清IGF-1和IGFBP-1蛋... 目的:探讨精神分裂症患者血清胰岛素样生长因子-1(IGF-1)和胰岛素样生长因子结合蛋白1(IGFBP-1)水平及与认知功能之间的关系。方法:采用酶联免疫吸附双抗体夹心法(ELISA)检测103例精神分裂症患者和64名正常对照的血清IGF-1和IGFBP-1蛋白的表达水平;采用阳性和阴性症状量表(PANSS)评估患者的临床症状及严重程度;使用中文版认知功能成套测验(MCCB)评价研究对象的认知功能。结果:精神分裂症组外周血中的IGFBP-1表达增高(P=0.01),而IGF-1的表达与HCs组无明显差异(P>0.05)。IGF-1的表达水平与患者认知功能维度中的工作记忆、言语学习与记忆、视觉学习与记忆、社会认知及MCCB总分均呈负相关(P均<0.05),IGFBP-1的表达水平与患者的认知功能维度中的处理速度评分呈负相关(P<0.05),正常对照组IGF-1和IGFBP-1与认知功能评分均无相关性(P>0.05)。结论:精神分裂症患者血清中IGF-1与IGFBP-1的表达与患者认知功能存在负相关,表明IGF-1及IGFBP-1在精神分裂症认知损伤中发挥了一定的作用。 展开更多
关键词 精神分裂症 胰岛素样生长因子-1 胰岛素样生长因子结合蛋白-1
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磁共振SWI序列联合血清Id1、IGFBP-3对脑胶质瘤术前分级的评估价值 被引量:1
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作者 刘梦雯 赵森 《中国CT和MRI杂志》 2024年第2期5-7,共3页
目的分析磁共振磁敏感加权成像(SWI)序列联合血清分化抑制因子1(Id1)、胰岛素样生长因子结合蛋白-3(IGFBP-3)对脑胶质瘤术前分级的评估价值。方法选取2019年12月至2022年6月我院收治的脑胶质瘤患者98例作为此次研究对象,根据恶化情况分... 目的分析磁共振磁敏感加权成像(SWI)序列联合血清分化抑制因子1(Id1)、胰岛素样生长因子结合蛋白-3(IGFBP-3)对脑胶质瘤术前分级的评估价值。方法选取2019年12月至2022年6月我院收治的脑胶质瘤患者98例作为此次研究对象,根据恶化情况分为低级别组(世界卫生组织Ⅰ级和Ⅱ级)46例,高级别组(世界卫生组织Ⅲ级和Ⅳ级)52例;入选患者均进行磁共振SWI序列检查;采用酶联免疫吸附(ELISA)法检测血清Id1、IGFBP-3水平;采用Pearson法分析血清Id1、IGFBP-3水平的相关性;受试者工作特征(ROC)曲线分析Id1、IGFBP-3水平对脑胶质瘤术前分级的临界诊断点;采用四格表分析磁共振SWI序列联合血清Id1、IGFBP-3对脑胶质瘤术前高低级别的诊断价值。结果高级别组ITSS分级显著高于低级别组(P>0.05)。高级别组Id1、IGFBP-3水平均显著高于低级别组(P>0.05)。根据pearson相关性分析得知,脑胶质瘤患者血清Id1、IGFBP-3水平呈正相关(r=0.486,P<0.05)。根据ROC曲线得知,Id1、IGFBP-3诊断脑胶质瘤术前分级的曲线下面积(AUC)分别为0.837、0.861,二者联合诊断脑胶质瘤术前分级的AUC为0.908。磁共振SWI序列在脑胶质瘤术前分级诊断中准确度为83.67%,灵敏度为84.62%,特异度为82.61%;Id1在脑胶质瘤术前分级诊断中准确度为79.59%,灵敏度为80.77%,特异度为78.26%;IGFBP-3在脑胶质瘤术前分级诊断中准确度为81.63%,灵敏度为82.69%,特异度为80.43%;三者联合检测在脑胶质瘤术前分级诊断中准确度为91.84%,灵敏度为92.31%,特异度为91.30%。结论Id1、IGFBP-3在脑胶质瘤患者血清中显著升高,磁共振SWI序列联合血清Id1、IGFBP-3可以提高对脑胶质瘤术前分级的评估价值。 展开更多
关键词 磁共振 磁敏感加权成像 分化抑制因子1 胰岛素样生长因子结合蛋白-3 脑胶质瘤
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探讨脾虚汤联合生长激素治疗特发性矮小症的临床疗效及其对血清IGFBP-3、IGF-1表达的影响 被引量:1
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作者 李丹丹 《中国实用医药》 2024年第2期144-146,共3页
目的 探讨脾虚汤联合生长激素治疗特发性矮小症的临床疗效及其对血清胰岛素样生长因子结合蛋白-3(IGFBP-3)、胰岛素样生长因子-1(IGF-1)表达的影响。方法 70例特发性矮小症患儿,以随机数字表法分为对照组和观察组,各35例。对照组采用生... 目的 探讨脾虚汤联合生长激素治疗特发性矮小症的临床疗效及其对血清胰岛素样生长因子结合蛋白-3(IGFBP-3)、胰岛素样生长因子-1(IGF-1)表达的影响。方法 70例特发性矮小症患儿,以随机数字表法分为对照组和观察组,各35例。对照组采用生长激素治疗,观察组在对照组基础上联合脾虚汤治疗。对比两组患儿治疗6、12个月后的身高增长量,治疗前后血清IGFBP-3、IGF-1指标改善情况。结果 观察组治疗6、12个月的身高增长量(5.3±0.6)、(11.2±0.8)cm均高于对照组的(4.1±1.0)、(8.9±0.9)cm,差异有统计学意义(P<0.05);观察组治疗后的血清IGFBP-3(6.8±1.2)mg/L、IGF-1(452.0±14.1)ng/ml均高于对照组的(6.0±0.9)mg/L、(388.5±17.1)ng/ml,差异有统计学意义(P<0.05)。结论 特发性矮小症采用脾虚汤联合生长激素治疗,可有效改善患儿的血清IGFBP-3、IGF-1,促使身高增长,应用效果显著。 展开更多
关键词 特发性矮小症 脾虚汤 生长激素 胰岛素样生长因子结合蛋白-3 胰岛素样生长因子-1
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Tribulus terrestris extracts alleviate muscle damage and promote anaerobic performance of trained male boxers and its mechanisms: Roles of androgen, IGF-1, and IGF binding protein-3 被引量:2
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作者 Yiming Ma Zhicheng Guo Xiaohui Wang 《Journal of Sport and Health Science》 SCIE 2017年第4期474-481,共8页
Purpose: To investigate the effects of Tribulus terrestris(TT) extracts on muscle mass, muscle damage, and anaerobic performances of trained male boxers and its mechanisms: roles of plasma androgen, insulin growth fac... Purpose: To investigate the effects of Tribulus terrestris(TT) extracts on muscle mass, muscle damage, and anaerobic performances of trained male boxers and its mechanisms: roles of plasma androgen, insulin growth factor 1(IGF-1), and IGF-1 binding protein-3(IGFBP-3).Methods: Fifteen male boxers were divided into exercise group(E, n = 7) and exercise plus TT group(E + TT, n = 8). The 2 groups both undertook3-week high-intensity and 3-week high-volume trainings separated by a 4-week rest. TT extracts(1250 mg/day) were orally administered by boxers in E + TT group. TT extract compositions were detected by UHPLC–Q-TOF/MS. Before and at the end of the 2 trainings, muscle mass, anaerobic performance, and blood indicators were explored.Results: Compared with E group, decreases of plasma CK(1591.5 ± 909.6 U/L vs. 2719.9 ± 832.5 U/L) and IGFBP-3(3075.5 ± 1072.5 ng/m L vs. 3950.8 ± 479.3 ng/m L) as well as increases of mean power(MP, 459.4 ± 122.3 W vs. 434.6 ± 69.5 W) and MP/body weight(MP/BW, 7.5 ± 0.9 W/kg vs. 7.1 ± 1.1 W/kg) were detected in E + TT group after a high-intensity training. For high-volume training, reduction of IGFBP-3(2946.4 ± 974.1 ng/m L vs. 3632.7 ± 470.1 ng/m L) and increases of MP(508.7 ± 103.2 W vs. 477.8 ± 49.9 W) and MP/BW(8.2 ± 0.3 W/kg vs.7.5 ± 0.9 W/kg) were detected in E + TT group, compared with E group. Muscle mass, blood levels of testosterone, dihydrotestosterone(DHT),and IGF-1 were not signifiantly changed between the 2 groups.Conclusion: Taking 1250 mg capsules containing TT extracts did not change muscle mass and plasma levels of testosterone, DHT, and IGF-1 but significantly alleviated muscle damage and promoted anaerobic performance of trained male boxers, which may be related to the decrease of plasma IGFBP-3 rather than androgen in plasma. 展开更多
关键词 IGF binding protein-3 Insulin growth factor 1(IGF-1) Muscle damage PERFORMANCE Testosterone Tribulus terrestris
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IGF-1及其相关指标对CPP患儿GnRHa治疗期间生长减速的诊断价值 被引量:1
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作者 汪鹿瑶 刘晓静 《临床医学研究与实践》 2024年第15期54-57,78,共5页
目的 分析胰岛素样生长因子-1(IGF-1)及其相关指标对中枢性性早熟(CPP)患儿促性腺激素释放激素类似物(GnRHa)治疗期间生长减速的诊断价值,并找出最佳参考指标及截断值以指导临床工作。方法 回顾分析53例接受GnRHa治疗的特发性CPP女童的... 目的 分析胰岛素样生长因子-1(IGF-1)及其相关指标对中枢性性早熟(CPP)患儿促性腺激素释放激素类似物(GnRHa)治疗期间生长减速的诊断价值,并找出最佳参考指标及截断值以指导临床工作。方法 回顾分析53例接受GnRHa治疗的特发性CPP女童的临床资料[身高、骨龄(BA)、生长速率(CV)等],分析IGF-1及其相关指标、性激素等与生长速度的相关性,并采用受试者工作特征(ROC)曲线分析CPP患儿过度生长减速的最佳参考指标。结果 GV、GV SDS与ΔBA-IGF-1 SDS、治疗12个月时的雌二醇(E2)均呈正相关,与初诊时BA-IGF-1 SDS均呈负相关(P<0.05)。患儿以GV SDS≥0和GV SDS<0分组,ΔBA-IGF-1 SDS的ROC曲线面积最大[曲线下面积(AUC)=0.782],其最佳界值点为-1.274。结论 在GnRHa治疗期间生长减速与生长激素(GH)-IGF-1轴的变化、性类固醇缺乏有关,ΔBA-IGF-1 SDS可考虑作为CPP患儿GnRHa治疗后临床上指导联合使用重组人生长激素(rhGH)的参考指标。 展开更多
关键词 中枢性性早熟 生长速率 胰岛素样生长因子-1 胰岛素生长因子结合蛋白-3
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