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Myocardial reperfusion injury and oxidative stress: Therapeutic opportunities 被引量:57
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作者 Jaime González-Montero Roberto Brito +1 位作者 Abraham IJ Gajardo Ramón Rodrigo 《World Journal of Cardiology》 CAS 2018年第9期74-86,共13页
Acute myocardial infarction(AMI) is the leading cause of death worldwide. Its associated mortality, morbidity and complications have significantly decreased with the development of interventional cardiology and percut... Acute myocardial infarction(AMI) is the leading cause of death worldwide. Its associated mortality, morbidity and complications have significantly decreased with the development of interventional cardiology and percutaneous coronary angioplasty(PCA) treatment, which quick-ly and effectively restore the blood flow to the area previously subjected to ischemia. Paradoxi-cally, the restoration of blood flow to the ischemic zone leads to a massive production of reactive oxygen species(ROS) which generate rapid and severe damage to biomolecules, generating a phenomenon called myocardial reperfusion injury(MRI). In the clinical setting, MRI is associated with multiple complications such as lethal reperfusion, no-reflow, myocardial stunning, and reperfusion arrhythmias. Despite significant advances in the understanding of the mechanisms accounting for the myocardial ischemia reperfusion injury, it remains an unsolved problem. Although promising results have been obtained in experimental studies(mainly in animal models), these benefits have not been translated into clinical settings. Thus, clinical trials have failed to find benefits from any therapy to prevent MRI. There is major evidence with respect to the contribution of oxidative stress to MRI in cardiovascular diseases. The lack- of consistency between basic studies and clinical trials is not solely based on the diversity inherent in epidemiology but is also a result of the methodological weak-nesses of some studies. It is quite possible that pharmacological issues, such as doses, active ingredients, bioavailability, routes of administration, co-therapies, startup time of the drug intervention,and its continuity may also have some responsibility for the lack- of consistency between different studies. Furthermore, the administration of high ascorbate doses prior to reperfusion appears to be a safe and rational therapy against the development of oxidative damage associated with myocardial reperfusion. In addition, the association with N-acetylcysteine(a glutathione do 展开更多
关键词 Acute MYOCARDIAL INFARCTION Repefusion injury Oxidative stress ASCORBATE N-ACETYLCYSTEINE deferoxamine
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Deferoxamine promotes recovery of traumatic spinal cord injury by inhibiting ferroptosis 被引量:43
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作者 Xue Yao Yan Zhang +12 位作者 Jian Hao Hui-Quan Duan Chen-Xi Zhao Chao Sun Bo Li Bao-You Fan Xu Wang Wen-Xiang Li Xuan-Hao Fu Yong Hu Chang Liu Xiao-Hong Kong Shi-Qing Feng 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第3期532-541,共10页
Ferroptosis is an iron-dependent novel cell death pathway. Deferoxamine, a ferroptosis inhibitor, has been reported to promote spinal cord injury repair. It has yet to be clarified whether ferroptosis inhibition repre... Ferroptosis is an iron-dependent novel cell death pathway. Deferoxamine, a ferroptosis inhibitor, has been reported to promote spinal cord injury repair. It has yet to be clarified whether ferroptosis inhibition represents the mechanism of action of Deferoxamine on spinal cord injury recovery. A rat model of Deferoxamine at thoracic 10 segment was established using a modified Allen's method. Ninety 8-week-old female Wistar rats were used. Rats in the Deferoxamine group were intraperitoneally injected with 100 mg/kg Deferoxamine 30 minutes before injury. Simultaneously, the Sham and Deferoxamine groups served as controls. Drug administration was conducted for 7 consecutive days. The results were as follows:(1) Electron microscopy revealed shrunken mitochondria in the spinal cord injury group.(2) The Basso, Beattie and Bresnahan locomotor rating score showed that recovery of the hindlimb was remarkably better in the Deferoxamine group than in the spinal cord injury group.(3) The iron concentration was lower in the Deferoxamine group than in the spinal cord injury group after injury.(4) Western blot assay revealed that, compared with the spinal cord injury group, GPX4, xCT, and glutathione expression was markedly increased in the Deferoxamine group.(5) Real-time polymerase chain reaction revealed that, compared with the Deferoxamine group, mRNA levels of ferroptosis-related genes Acyl-CoA synthetase family member 2(ACSF2) and iron-responsive element-binding protein 2(IREB2) were up-regulated in the Deferoxamine group.(6) Deferoxamine increased survival of neurons and inhibited gliosis. These findings confirm that Deferoxamine can repair spinal cord injury by inhibiting ferroptosis. Targeting ferroptosis is therefore a promising therapeutic approach for spinal cord injury. 展开更多
关键词 nerve REGENERATION iron spinal CORD INJURY secondary INJURY ferroptosis deferoxamine GPX4 xCT treatment ASTROGLIOSIS lipid PEROXIDATION neural REGENERATION
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Baicalin induces ferroptosis in bladder cancer cells by downregulating FTH1 被引量:37
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作者 Na Kong Xiaying Chen +20 位作者 Jiao Feng Ting Duan Shuiping Liu Xueni Sun Peng Chen Ting Pan Lili Yan Ting Jin Yu Xiang Quan Gao Chengyong Wen Weirui Ma Wencheng Liu Mingming Zhang Zuyi Yang Wengang Wang Ruonan Zhang Bi Chen Tian Xie Xinbing Sui Wei Tao 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2021年第12期4045-4054,共10页
Ferroptosis is a non-apoptotic regulated cell death caused by iron accumulation and subsequent lipid peroxidation.Currently,the therapeutic role of ferroptosis on cancer is gaining increasing interest.Baicalin an acti... Ferroptosis is a non-apoptotic regulated cell death caused by iron accumulation and subsequent lipid peroxidation.Currently,the therapeutic role of ferroptosis on cancer is gaining increasing interest.Baicalin an active component in Scutellaria baicalensis Georgi with anticancer potential various cancer types;however,the effects of baicalein on bladder cancer and the underlying molecular mechanisms remain largely unknown.In the study,we investigated the effect of baicalin on bladder cancer cells5637 and KU-19-19.As a result,we show baicalin exerted its anticancer activity by inducing apoptosis and cell death in bladder cancer cells.Subsequently,we for the first time demonstrate baicalin-induced ferroptotic cell death in vitro and in vivo,accompanied by reactive oxygen species(ROS) accumulation and intracellular chelate iron enrichment.The ferroptosis inhibitor deferoxamine but not necrostatin-1,chloroquine(CQ),N-acetyl-L-cysteine,L-glutathione reduced,or carbobenzoxy-valyl-alanyl-aspartyl-[O-methyl]-fluoromethylketone(Z-VAD-FMK) rescued baicalin-induced cell death,indicating ferroptosis contributed to baicalin-induced cell death.Mechanistically,we show that ferritin heavy chain1(FTH1) was a key determinant for baicalin-induced ferroptosis.Overexpression of FTH1 abrogated the anticancer effects of baicalin in both 5637 and KU19-19 cells.Taken together,our data for the first time suggest that the natural product baicalin exerts its anticancer activity by inducing FTH1-dependent ferroptosis,which will hopefully provide a prospective compound for bladder cancer treatment. 展开更多
关键词 BAICALIN Ferroptosis Bladder cancer FTH1 deferoxamine
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去铁胺对大鼠脑出血后小胶质细胞活化的抑制及其继发性神经损伤的保护作用 被引量:19
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作者 缪星宇 刘晓斌 +7 位作者 岳青 秋楠 黄卫东 王继军 许彦钢 张越林 杨军 陈新林 《南方医科大学学报》 CAS CSCD 北大核心 2012年第7期970-975,共6页
目的观察铁螯合剂去铁胺(DFA)对脑出血(ICH)后小胶质细胞活化的抑制及其继发性神经损伤的保护作用。方法随机将大鼠分为假手术组、ICH组和DFA治疗组,利用胶原酶制备大鼠基底节区ICH模型,术后1 h开始每12 h腹腔注射DFA,共7 d。测定给药... 目的观察铁螯合剂去铁胺(DFA)对脑出血(ICH)后小胶质细胞活化的抑制及其继发性神经损伤的保护作用。方法随机将大鼠分为假手术组、ICH组和DFA治疗组,利用胶原酶制备大鼠基底节区ICH模型,术后1 h开始每12 h腹腔注射DFA,共7 d。测定给药后不同时间点血肿周围脑组织的铁离子浓度变化。OX42免疫组织化学染色观察血肿周围脑组织小胶质细胞变化。ELISA方法测定脑组织IL-1β和TNF-α含量变化。神经功能缺失评分和Nissl染色观察DFA处理后大鼠神经功能恢复和神经元丢失情况。结果 ICH后3 d开始,血肿周围脑组织铁离子浓度较假手术组动物显著增高,并可持续至28 d,同时伴随有局部小胶质细胞数量的显著性增加。应用DFA后,显著降低了血肿周围脑组织的铁离子浓度,且小胶质细胞的数量显著减少,活化小胶质细胞分泌的神经毒性细胞因子IL-1β和TNF-α含量显著降低。同时,血肿周围组织神经元的丢失显著减少,神经功能缺失评分显著降低。结论 ICH后血肿持续释放的铁离子可激活局部小胶质细胞,造成继发性脑损伤。DFA通过清除血肿周围脑组织的铁离子,抑制小胶质细胞的过度活化,减少ICH的神经元死亡,从而改善继发性神经功能障碍。 展开更多
关键词 脑出血 去铁胺 小胶质细胞 继发性神经损伤
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Neuroprotective effect of deferoxamine on erastin-induced ferroptosis in primary cortical neurons 被引量:11
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作者 Yan Zhang Bao-You Fan +9 位作者 Yi-Lin Pang Wen-Yuan Shen Xu Wang Chen-Xi Zhao Wen-Xiang Li Chang Liu Xiao-Hong Kong Guang-Zhi Ning Shi-Qing Feng Xue Yao 《Neural Regeneration Research》 SCIE CAS CSCD 2020年第8期1539-1545,共7页
The iron chelator deferoxamine has been shown to inhibit ferroptosis in spinal cord injury.However,it is unclear whether deferoxamine directly protects neurons from ferroptotic cell death.By comparing the survival rat... The iron chelator deferoxamine has been shown to inhibit ferroptosis in spinal cord injury.However,it is unclear whether deferoxamine directly protects neurons from ferroptotic cell death.By comparing the survival rate and morphology of primary neurons and SH-SY5Y cells exposed to erastin,it was found that these cell types respond differentially to the duration and concentration of erastin treatment.Therefore,we studied the mechanisms of ferroptosis using primary cortical neurons from E16 mouse embryos.After treatment with 50μM erastin for 48 hours,reactive oxygen species levels increased,and the expression of the cystine/glutamate antiporter system light chain and glutathione peroxidase 4 decreased.Pretreatment with deferoxamine for 12 hours inhibited these changes,reduced cell death,and ameliorated cellular morphology.Pretreatment with the apoptosis inhibitor Z-DEVD-FMK or the necroptosis inhibitor necrostain-1 for 12 hours did not protect against erastin-induced ferroptosis.Only deferoxamine protected the primary cortical neurons from ferroptosis induced by erastin,confirming the specificity of the in vitro ferroptosis model.This study was approved by the Animal Ethics Committee at the Institute of Radiation Medicine of the Chinese Academy of Medical Sciences,China(approval No.DWLL-20180913)on September 13,2018. 展开更多
关键词 cystine/glutamate antiporter system light chain deferoxamine erastin ferroptosis glutathione peroxidase 4 neurons NEUROPROTECTION reactive oxygen species
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去铁胺治疗血液病输血相关性铁过载42例疗效观察 被引量:13
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作者 吴迪炯 叶宝东 +9 位作者 罗赟飞 曾玉晓 温晓文 沈一平 沈建平 林圣云 胡致平 郑智茵 高雁婷 周郁鸿 《实用医学杂志》 CAS 北大核心 2013年第24期4097-4099,共3页
目的:探讨去铁胺治疗输血依赖性铁过载的疗效。方法:回顾2009年1月至2012年12月收治合并铁过载的血液病患者42例。观察去铁前后血清铁蛋白、血象、脏器功能、输血频次的变化。结果:去铁胺1~3疗程的反应率分别为11.9%、15.2%和1... 目的:探讨去铁胺治疗输血依赖性铁过载的疗效。方法:回顾2009年1月至2012年12月收治合并铁过载的血液病患者42例。观察去铁前后血清铁蛋白、血象、脏器功能、输血频次的变化。结果:去铁胺1~3疗程的反应率分别为11.9%、15.2%和16%。3个疗程治疗中,每增加1个疗程。总体疗效等级分别提高21.2%和20%。铁负荷2—4级的患者。3个疗程反应率分别为50%.27.5%,0%。3个疗程后。骨髓衰竭性疾病患者血红蛋白提高(P〈0.05),每月输血量减少,输血间隔延长。去铁治疗能改善患者脏器功能,不良反应较少。结论:去铁胺治疗输血依赖铁过载安全、有效,能一定程度上改善造血,但需坚持治疗。 展开更多
关键词 去铁胺 铁过载 输血相关 疗效
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脑泰方对脑出血急性期大鼠脑铁代谢的干预作用及神经保护机制 被引量:11
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作者 曾劲松 李弘 +4 位作者 廖君 刘林 黄娟 喻坚柏 葛金文 《中医药导报》 2020年第11期27-32,共6页
目的:研究脑泰方对脑出血急性期大鼠脑组织铁代谢的调节作用,从铁死亡角度探究其神经保护机制。方法:采用自体血注射法构建SD大鼠脑出血模型,分为假手术组、模型组、去铁胺组、脑泰方常规剂量组、脑泰方高剂量组,各组于造模并给药7 d后... 目的:研究脑泰方对脑出血急性期大鼠脑组织铁代谢的调节作用,从铁死亡角度探究其神经保护机制。方法:采用自体血注射法构建SD大鼠脑出血模型,分为假手术组、模型组、去铁胺组、脑泰方常规剂量组、脑泰方高剂量组,各组于造模并给药7 d后取材;采用HE染色观察脑组织病理形态改变,采用Zea Longa 5级评分法进行大鼠神经功能缺失评分,采用普鲁士蓝染色观察并检测病灶脑组织铁沉积量,采用免疫组化和Western Blotting技术检测转铁蛋白受体(TfR)、铁调节蛋白-2(IRP-2)、膜铁转运蛋白-1(Fpn-1)的表达,采用生物试剂盒检测病灶脑组织脂质活性氧(lipid-ROS)含量,采用Western Blotting技术检测铁死亡标志物环氧合酶-2(COX-2)的表达。结果:与假手术组比较,模型组大鼠脑组织病理损伤明显加重,神经功能缺失评分明显升高,TfR、IRP-2表达均明显升高,Fpn-1表达明显降低,病灶脑组织铁沉积量、lipid-ROS含量及COX-2表达均明显升高,差异均有统计学意义(P<0.05或P<0.01)。与模型组比较,去铁胺组及脑泰方各剂量组病理损伤明显减轻,神经功能缺失评分明显降低,TfR、IRP-2表达均明显降低,Fpn-1表达明显升高,脑组织铁沉积量、lipid-ROS含量及COX-2表达均明显降低(P<0.05或P<0.01);脑泰方高剂量组铁沉积量高于去铁胺组,而其Lipid-ROS含量及COX-2表达均明显低于去铁胺组与脑泰方常规剂量组,差异均有统计学意义(P<0.05)。结论:脑泰方可通过调节脑出血急性期大鼠神经细胞铁代谢蛋白的表达,减少脑组织铁沉积,从而抑制神经细胞铁死亡而发挥脑保护作用;铁超载并非神经细胞铁死亡的唯一因素,高剂量的脑泰方还可能通过其他途径抑制神经细胞铁死亡而发挥脑保护作用。 展开更多
关键词 脑出血 脑泰方 去铁胺 铁代谢 铁死亡 神经保护 大鼠
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Baicalin and deferoxamine alleviate iron accumulation in different brain regions of Parkinson's disease rats 被引量:8
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作者 Pei Xiong Xin Chen Chunyan Guo Nan Zhang Baocang Ma 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第27期2092-2098,共7页
Previous studies found that iron accumulates in the substantia nigra of Parkinson's disease patients However, it is still unclear whether other brain regions have iron accumulation as well. In this experiment, rats w... Previous studies found that iron accumulates in the substantia nigra of Parkinson's disease patients However, it is still unclear whether other brain regions have iron accumulation as well. In this experiment, rats with rotenone-induced Parkinson's disease were treated by gastric perfusion of baicalin or intraperitoneal injection of deferoxamine. Immunohistochemical staining demonstrated that iron accumulated not only in the substantia nigra pars compacta, but also significantly in the striatum globus pallidus, the dentate gyrus granular layer of the hippocampus, the dentate-interpositus and the facial nucleus of the cerebellum. Both baicalin and deferoxamine, which are iron chelating agents, significantly inhibited iron deposition in these brain areas, and substantially reduced the loss of tyrosine hydroxylase-positive cells. These chelators also reduced iron content in the substantia nigra. In addition to the substantia nigra, iron deposition was observed in other brain regions as well. Both baicalin and deferoxamine significantly inhibited iron accumulation in different brain regions, and had a protective effect on dopaminergic neurons. 展开更多
关键词 Parkinson's disease ROTENONE iron BAICALIN deferoxamine substantia nigra STRIATUM hippocampus CEREBELLUM neurodegenerative disease regeneration neural regeneration
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去铁胺对新生大鼠缺氧缺血性脑的保护作用 被引量:8
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作者 黄越芳 庄思齐 梁英杰 《中国病理生理杂志》 CAS CSCD 北大核心 2007年第8期1535-1539,共5页
目的:研究去铁胺对新生大鼠缺氧缺血性脑病(HIE)模型新生血管形成的影响。方法:新生7 dSD大鼠建立HIE模型,模型组和治疗组建模前24 h分别用去铁胺或生理盐水注射。第1 d、3 d、7 d和14 d处死大鼠,检测缺氧缺血(左)侧脑组织毛细血管密度(... 目的:研究去铁胺对新生大鼠缺氧缺血性脑病(HIE)模型新生血管形成的影响。方法:新生7 dSD大鼠建立HIE模型,模型组和治疗组建模前24 h分别用去铁胺或生理盐水注射。第1 d、3 d、7 d和14 d处死大鼠,检测缺氧缺血(左)侧脑组织毛细血管密度(BCDI)、增生毛细血管数、脑含水量、脑萎缩程度及其血管内皮生长因子(VEGF)和低氧诱导因子-1α(HIF-1α)mRNA表达。结果:治疗组左脑含水量和左脑萎缩比显著低于模型组(P<0.01);左侧脑组织增生毛细血管数目显著高于模型组[(2.01±0.31)条/HPFvs(0.90±0.25)条/HPF,P<0.01]。去铁胺显著上调左侧脑组织VEGF和HIF-1αmRNA表达[12 h时VEGF:(1.41±0.07)vs(1.10±0.15),P<0.05;HIF-1α:(1.49±0.12)vs(1.11±0.16),P<0.05]。结论:去铁胺可能通过上调脑组织HIF-1α和VEGF表达,促进缺氧缺血脑组织新生血管形成,减轻缺氧缺血性脑损伤。 展开更多
关键词 缺氧缺血性脑病 内皮生长因子 低氧诱导因子-1 去铁胺
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输血和去铁治疗对儿童重型地中海贫血心功能的影响 被引量:9
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作者 张旸 《包头医学院学报》 CAS 2018年第1期26-28,共3页
目的:探讨对于重型地中海贫血儿童使用输血治疗和去铁治疗的临床效果。方法:选取160例重型地中海贫血患儿的治疗效果进行研究,根据病案资料进行回顾性分析,分成输血依从组(40例)、输血非依从组(40例)、去铁治疗依从组(40例)、去铁治疗... 目的:探讨对于重型地中海贫血儿童使用输血治疗和去铁治疗的临床效果。方法:选取160例重型地中海贫血患儿的治疗效果进行研究,根据病案资料进行回顾性分析,分成输血依从组(40例)、输血非依从组(40例)、去铁治疗依从组(40例)、去铁治疗非依从组(40例)四组,治疗一年后对患儿超声心动图、血清脑钠肽(BNP)、心肌肌钙蛋白I(cTnI)等心功能指标进行测量。结果:输血依从组和非输血依从组相比患儿的血清BNP、cTnI水平下降(P<0.05),输血依从组左室舒张内径、左室收缩内径均低于输血非依从组(P<0.05),输血依从组心输出量、心指数高于输血非依从组(P<0.05);去铁治疗依从组和去铁治疗非依从组相比患儿的血清BNP、cTnI水平下降(P<0.05),去铁治疗依从组左室舒张内径、左室收缩内径均低于去铁治疗非依从组(P<0.05),去铁治疗依从组心输出量、心指数高于去铁治疗非依从组(P<0.05)。结论:去铁治疗和输血,对于儿童重型地中海贫血的治疗都可以在预防患儿心衰方面发挥一定的作用。 展开更多
关键词 重型地中海贫血 去铁酮 去铁胺 地拉罗司
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SiO_2粉尘介导的DNA损伤及其影响因素的研究 被引量:8
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作者 余晨 曾昭玉 吴巍巍 《中华劳动卫生职业病杂志》 CAS CSCD 北大核心 2002年第2期128-130,共3页
目的 研究小剂量 (7.5~ 12 0 .0 μg/ml)SiO2 粉尘对中国仓鼠肺成纤维细胞 (CHLF)的DNA损伤作用。方法 采用彗星试验 ,按SiO2 粉尘不同的作用浓度和时间分组来观察DNA损伤 ,通过去铁胺(DFX)和盐酸维拉帕米 (Ver)的作用间接观察钙离... 目的 研究小剂量 (7.5~ 12 0 .0 μg/ml)SiO2 粉尘对中国仓鼠肺成纤维细胞 (CHLF)的DNA损伤作用。方法 采用彗星试验 ,按SiO2 粉尘不同的作用浓度和时间分组来观察DNA损伤 ,通过去铁胺(DFX)和盐酸维拉帕米 (Ver)的作用间接观察钙离子和羟自由基对DNA损伤的影响。以彗星尾长作为DNA损伤程度的评价指标。结果 与对照组相比 ,SiO2 明显增加了CHLF的DNA迁移距离 ,差异有显著性(P <0 .0 1) ;在 7.5~ 12 0 .0 μg/ml剂量范围内 ,彗星尾长随SiO2 剂量的增加而增加 ,2h组的DNA损伤比1h组更严重。 0 .5~ 2 .0mmol/LDFX和 2 .5~ 2 0 .0 μg/mlVer能有效减轻 90 μg/mlSiO2 所致的DNA损伤 ,其保护作用随浓度加大而增加。结论 小剂量SiO2 有致CHLFDNA损伤的作用 ,损伤过程中有羟自由基和钙离子的参与 ,抗氧化剂和钙拮抗剂可对抗SiO2 对机体DNA的损伤作用。 展开更多
关键词 影响因素 SiO2彗星试验 矽肺 DNA损伤 肺成纤维细胞
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慢性“髓劳”患者“血瘀证”与铁负荷过载的相关性研究 被引量:9
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作者 吴迪炯 罗贇飞 +3 位作者 刘文宾 叶宝东 沈一平 周郁鸿 《浙江中医药大学学报》 CAS 2016年第4期265-269,共5页
[目的]探讨慢性"髓劳"患者"血瘀证"与铁负荷过载的相关性。[方法]纳入2013年1月至9月期间就诊的慢性"髓劳"患者43例,按是否合并铁负荷过载分组,进行血瘀证证候评分并与患者血清铁蛋白水平进行相关性分析... [目的]探讨慢性"髓劳"患者"血瘀证"与铁负荷过载的相关性。[方法]纳入2013年1月至9月期间就诊的慢性"髓劳"患者43例,按是否合并铁负荷过载分组,进行血瘀证证候评分并与患者血清铁蛋白水平进行相关性分析。此外,观察11例接受去铁胺治疗的慢性"髓劳"合并铁过载患者(其中9例存在血瘀证),比较治疗前后铁蛋白及血瘀证积分变化。[结果]合并铁过载组的慢性"髓劳"患者血瘀证评分显著高于单纯"髓劳"患者(P<0.05),主要表现为舌脉瘀滞以及肌肤甲错。铁蛋白水平与患者血瘀证具有较好的相关性(r=0.873);去铁胺治疗能显著下调患者血清铁蛋白水平(P<0.05),同时血瘀证证候积分减少(P<0.01)。接受去铁治疗后,9例被诊断有血瘀证病的慢性"髓劳"合并铁过载患者中,6例的血瘀证积分得到了显著改善,差异具有统计学意义(χ2=6.60,P<0.05)。[结论]慢性"髓劳"血瘀证可能与铁负荷过载有关,是血瘀证证候的病理基础之一,去铁治疗可能是改善疾病血瘀证的有效干预方案之一。 展开更多
关键词 髓劳 再生障碍性贫血 血瘀证 铁负荷 过载 血清铁蛋白 去铁胺
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Baicalin suppresses iron accumulation after substantia nigra injury: relationship between iron concentration and transferrin expression 被引量:6
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作者 Chunyan Guo Xin Chen Pei Xiong 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第6期630-636,共7页
Previous studies have shown that baicalin prevented iron accumulation after substantia nigra injury, reduced divalent metal transporter 1 expression, and increased ferroportin 1 expression in the substantia nigra of r... Previous studies have shown that baicalin prevented iron accumulation after substantia nigra injury, reduced divalent metal transporter 1 expression, and increased ferroportin 1 expression in the substantia nigra of rotenone-induced Parkinson's disease rats. In the current study, we investigated the relationship between iron accumulation and transferrin expression in C6 cells, to explore the mechanisms of the inhibitory effect of baicalin on iron accumulation observed in Parkinson's disease rats. Iron content was detected using inductively coupled plasma-atomic emission spectroscopy. Results showed that iron content decreased 41% after blocking divalent metal transporter 1 and ferroportin 1 proteins. After treatment with ferric ammonium citrate of differing concentrations (10, 50, 100, 400 ktg/mL) in C6 glioma cells, cell survival rate and ferroportin 1 expression were negatively correlated with ferric ammonium citrate concentration, but divalent metal transporter 1 expression positively correlated with ferric ammonium citrate concentration. Baicalin or deferoxamine reduced divalent metal transporter 1 expression, but increased ferroportin 1 expression in the 100 μg/mL ferric ammonium citrate-loaded C6 cells. These results indicate that baicalin down-regulated iron concentration, which positively regulat- ed divalent metal transporter 1 expression and negatively regulated ferroportin 1 expression, and decreased iron accumulation in the substantia nigra. 展开更多
关键词 nerve regeneration Parkinson's disease iron BAICALIN divalent metal transporter 1 ferroportin 1 deferoxamine C6 cells the Scientific Research Common Program of Beijing MunicipalCommission of Education neural regeneration
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去铁胺、去铁酮治疗重型β地中海贫血铁过载患者的临床研究 被引量:8
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作者 陈津晶 易海振 +1 位作者 赖永榕 黄毅 《国际输血及血液学杂志》 CAS 2020年第2期148-154,共7页
目的探讨去铁胺、去铁酮治疗重型β-地中海贫血铁过载患者的临床疗效。方法选择2015年6月1日至2016年5月31日,广西贵港市人民医院血液科收治的52例重型β-地中海贫血铁过载患者为研究对象。按照采取的去铁治疗方法,将其分为去铁胺组(采... 目的探讨去铁胺、去铁酮治疗重型β-地中海贫血铁过载患者的临床疗效。方法选择2015年6月1日至2016年5月31日,广西贵港市人民医院血液科收治的52例重型β-地中海贫血铁过载患者为研究对象。按照采取的去铁治疗方法,将其分为去铁胺组(采用去铁胺治疗,n=17)、去铁酮组(采用去铁酮治疗,n=20)和联合治疗组(采用去铁胺联合去铁酮治疗,n=15)。采用回顾性研究方法,观察3组患者治疗前、治疗12个月后的心、肝MRI T2*值变化,以及治疗前和治疗3、6、9、12个月后的血清铁蛋白(SF)值变化。组内治疗前、后比较采用配对样本t检验,3组间比较采用单向方差分析,两两比较采用最小显著差异(LSD)法。本研究遵循的程序符合2013年修订的《世界医学协会赫尔辛基宣言》要求。结果①治疗12个月后,去铁胺组、去铁酮组和联合治疗组患者心MRI T2*值分别为(22.71±2.57)、(26.50±3.32)和(34.93±8.26)ms,分别较治疗前的(13.76±3.85)、(13.60±3.73)、(14.30±2.95)ms显著升高,差异均有统计学意义(t=-11.697、-11.352、-9.449,P<0.001、0.001、0.001);3组患者治疗12个月后心MRI T2*值比较,总体差异有统计学意义(F=23.885,P<0.001)。其中,联合治疗组患者心MRI T2*值,分别高于去铁胺组及去铁酮组,并且差异均有统计学意义(联合治疗组比去铁胺组:LSD-t=5.806,P<0.001;联合治疗组比去铁酮组:LSD-t=5.213,P<0.001)。②治疗12个月后,去铁胺组、去铁酮组和联合治疗组患者肝MRI T2*值分别为(8.30±1.07)、(8.27±1.25)和(9.04±1.01)ms,均较治疗前的(4.27±1.06)、(4.24±1.01)、(4.23±0.99)ms显著升高(t=-12.378、-13.384、-12.619,P<0.001、0.001、0.001)。治疗12个月后,3组患者肝MRI T2*值比较,总体差异无统计学意义(F=2.423,P=0.099)。其中,联合治疗组患者肝MRI T2*值分别大于去铁胺组及去铁酮组,并且差异均有统计学意义(联合治疗组比去铁胺组:LSD-t=-2.339,P=0.026;联合治疗组与去 展开更多
关键词 Β地中海贫血 铁超负荷 铁蛋白质类 去铁胺 去铁酮
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去铁胺联合去铁酮在重症地中海贫血患者中的疗效及对铁代谢状态的影响研究 被引量:8
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作者 卜声镝 陈江明 菜宁 《中国医学创新》 CAS 2017年第31期37-40,共4页
目的:探讨重症地中海贫血患者应用去铁胺与去铁酮联合治疗的临床效果及对患者铁代谢状态的影响研究。方法:选取2014年3月-2016年5月在医院接受诊治的重症地中海贫血患者90例为研究对象,根据治疗方案不同分两组,其中对照组患者43例采用... 目的:探讨重症地中海贫血患者应用去铁胺与去铁酮联合治疗的临床效果及对患者铁代谢状态的影响研究。方法:选取2014年3月-2016年5月在医院接受诊治的重症地中海贫血患者90例为研究对象,根据治疗方案不同分两组,其中对照组患者43例采用常规去铁胺治疗,观察组患者47例采用去铁胺联合去铁酮治疗,以连续治疗12个月为观察期,比较两组患者在治疗后3、6、12个月的尿铁排泄(UIE)情况,血清铁蛋白(SF)、肝内铁浓度(LIC)及促红细胞生长素(EPO)等体内铁代谢状态水平的变化,同时分析两组患者的治疗总有效率。结果:两组患者在治疗3、6、12个月后的UIE排泄量均逐渐增多,且观察组明显多于对照组(P<0.05);观察组患者治疗后的SF、LIC、EPO水平均明显低于对照组(P<0.05);观察组患者的治疗有效率为93.62%,明显高于对照组79.07%(P<0.05)。结论:重症地中海贫血患者采用去铁胺和去铁酮联合治疗,能够有效减少机体内铁过载状态,增加铁尿排泄量,具有显著的临床治疗效果。 展开更多
关键词 去铁胺 去铁酮 重症地中海贫血 铁代谢状态 疗效
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去铁胺对剖腹探查术后老龄大鼠海马神经细胞自噬的影响 被引量:8
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作者 李小军 潘科 +2 位作者 朱丹 李玉萍 陶国才 《中华麻醉学杂志》 CAS CSCD 北大核心 2016年第1期39-42,共4页
目的 探讨去铁胺对剖腹探查术后老龄大鼠海马神经细胞自噬的影响.方法 清洁级健康雄性SD大鼠44只,18月龄,体重500~600 g,采用随机数字表法分为2组(n=22):手术组(O组)和去铁胺组(D组).D组腹腔注射去铁胺50 mg/kg,1次/d,连续14 d.... 目的 探讨去铁胺对剖腹探查术后老龄大鼠海马神经细胞自噬的影响.方法 清洁级健康雄性SD大鼠44只,18月龄,体重500~600 g,采用随机数字表法分为2组(n=22):手术组(O组)和去铁胺组(D组).D组腹腔注射去铁胺50 mg/kg,1次/d,连续14 d.O组以等容量生理盐水替代.于第7天给药后2h进行剖腹探查术.于术前、术后第1、3和7天进行Morris水迷宫实验;随后处死大鼠,分离海马组织,采用Western blot法检测自噬蛋白Beclin-1、铁蛋白H和铁蛋白L的表达.结果 与术前比较,O组术后各时点逃避潜伏期和游泳总路程延长(P<0.05),D组术后各时点逃避潜伏期和游泳总路程差异无统计学意义(P>0.05).与O组比较,D组术后各时点逃避潜伏期和游泳总路程缩短,海马Beclin-1表达上调,铁蛋白H和铁蛋白L表达下调(P<0.05).结论 去铁胺减轻老龄大鼠术后认知功能障碍的机制可能与诱导海马神经细胞自噬,从而降解铁蛋白,抑制脑内铁超载有关. 展开更多
关键词 去铁胺 认知障碍 海马 自噬
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甲磺酸去铁胺对老年脑出血患者血肿及其周围水肿以及功能预后的影响 被引量:8
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作者 于垚 范洋溢 +5 位作者 赵伟 朱春鹏 孔志平 徐燕 刘广志 高旭光 《中华老年心脑血管病杂志》 CAS 2016年第6期574-576,共3页
目的研究甲磺酸去铁胺对老年脑出血患者血肿及其周围水肿以及功能预后的影响。方法将19例脑出血患者随机分为去铁胺组12例和对照组7例,分析2组患者的影像学资料及入院第15、30及90天的改良Rankin量表评分(mRS),将2组资料进行比较。结... 目的研究甲磺酸去铁胺对老年脑出血患者血肿及其周围水肿以及功能预后的影响。方法将19例脑出血患者随机分为去铁胺组12例和对照组7例,分析2组患者的影像学资料及入院第15、30及90天的改良Rankin量表评分(mRS),将2组资料进行比较。结果与去铁胺组比较,对照组1~8d血肿相对吸收量显著增加,差异有统计学意义(0.15±0.18 vs 0.42±0.23,P=0.013);对照组8~15d血肿相对吸收量显著增加,差异有统计学意义(0.48±0.22 vs 0.74±0.29,P=0.042)。去铁胺组与对照组患者入院第15、30和90天mRS≥3分比例比较,差异无统计学意义(66.7%vs 42.9%,58.3%vs 28.6%,33.3%vs 28.6%,P〉0.05)。结论甲磺酸去铁胺能够抑制老年脑出血患者血肿的吸收。 展开更多
关键词 去铁胺 脑出血 血肿 水肿 预后
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New developments and controversies in iron metabolism and iron chelation therapy 被引量:5
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作者 Christina N Kontoghiorghe George J Kontoghiorghes 《World Journal of Methodology》 2016年第1期1-19,共19页
Iron is essential for all organisms including microbial,cancer and human cells. More than a quarter of the human population is affected by abnormalities of iron metabolism, mainly from iron deficiency and iron overloa... Iron is essential for all organisms including microbial,cancer and human cells. More than a quarter of the human population is affected by abnormalities of iron metabolism, mainly from iron deficiency and iron overload. Iron also plays an important role in free radical pathology and oxidative damage which is observed in almost all major diseases, cancer and ageing. New developments include the complete treatment of iron overload and reduction of morbidity and mortality in thalassaemia using deferiprone and selected deferiprone/deferoxamine combinations and also the use of the maltol iron complex in the treatment of iron deficiency anaemia. There is also a prospect of using deferiprone as a universal antioxidant in non iron overloaded diseases such as neurodegenerative, cardiovascular, renal, infectious diseases and cancer. New regulatory molecules of iron metabolism such as endogenous and dietary chelating molecules, hepcidin, mitochondrial ferritin and their role in health and disease is under evaluation. Similarly, new mechanisms of iron deposition, removal, distribution and toxicity have been identified using new techniques such as magnetic resonance imaging increasing our understanding of iron metabolic processes and the targeted treatment of related diseases. The uniform distribution of iron in iron overload between organs and within each organ is no longer valid. Several other controversies such as the toxicity impact of non transferrin bound iron vs injected iron, the excess levels of iron in tissues causing toxicity and the role of chelation on iron absorption need further investigation. Commercial interests of pharmaceutical companies and connections to leading journals are playing a crucial role in shaping worldwide medical opinion on drug sales and use but also patients' therapeutic outcome and safety. Major controversies include the selection criteria and risk/benefit assessment in the use of deferasirox in thalassaemia and more so in idiopathic haemochromatosis, thalassaemia intermedia and ex-thalass 展开更多
关键词 IRON metabolism IRON CHELATION therapy DEFERIPRONE deferoxamine DEFERASIROX IRON diseases Medical journals CONTROVERSIES
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地拉罗司与去铁胺治疗输血依赖型地中海贫血铁过载的效果分析 被引量:7
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作者 李欣瑜 黄科 +4 位作者 周敦华 许吕宏 徐宏贵 刘勇 方建培 《儿科药学杂志》 CAS 2017年第9期8-11,共4页
目的:比较地拉罗司(DFX)及去铁胺(DFO)治疗输血依赖型地中海贫血(TDT)的效果,评价单药治疗的优势及局限性。方法:回顾分析我院门诊2013年1月-2015年6月TDT合并铁过载并接受DFX或DFO治疗的病例资料。DFX组58例患儿选择DFX 20~35 mg/(kg&#... 目的:比较地拉罗司(DFX)及去铁胺(DFO)治疗输血依赖型地中海贫血(TDT)的效果,评价单药治疗的优势及局限性。方法:回顾分析我院门诊2013年1月-2015年6月TDT合并铁过载并接受DFX或DFO治疗的病例资料。DFX组58例患儿选择DFX 20~35 mg/(kg·d)治疗,DFO组27例患儿选择DFO 25~45 mg/(kg·d)治疗,每周5 d。自用药起随访1年,每3~6个月检测血清铁蛋白(SF)水平、肝肾功能、血常规。结果:两组患儿中位年龄、平均铁摄入率及治疗前SF比较差异无统计学意义。随访6个月,DFX组和DFO组SF下降均值分别为168(-2 650,7 254)ng/mL和170(-260,599)ng/mL(P>0.05)。DFX组SF下降与剂量呈正相关(P<0.05)。随访7~12个月,DFX组与DFO组SF下降均值分别为212(-370,795)ng/mL和-1 330(-2 454,-206)ng/mL(P<0.05)。结论:DFX较DFO治疗TDT有优势,宜使用耐受范围内最大剂量。DFX可稳定SF,宜长期用药。DFO安全剂量用于大量输血患儿效果不佳。 展开更多
关键词 地拉罗司 去铁胺 输血依赖型地中海贫血 血清铁蛋白
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铁离子致脑出血后血肿周围组织损伤研究 被引量:7
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作者 刘圣山 李长清 《重庆医科大学学报》 CAS CSCD 2008年第6期700-703,共4页
目的:研究脑出血后血红蛋白的代谢产物铁离子在血肿周围组织损伤中的作用及去铁胺的干预影响。方法:将SD大鼠随机分为假手术组、脑出血组和去铁胺干预组,以自体血大鼠尾状核注射为模型,观察各组大鼠建模术后不同时间点神经功能评分、脑... 目的:研究脑出血后血红蛋白的代谢产物铁离子在血肿周围组织损伤中的作用及去铁胺的干预影响。方法:将SD大鼠随机分为假手术组、脑出血组和去铁胺干预组,以自体血大鼠尾状核注射为模型,观察各组大鼠建模术后不同时间点神经功能评分、脑组织含水量和血脑屏障通透性变化、血清S100B蛋白和神经元特异性烯醇化酶(Neuron-specific-enolas,NSE)水平及去铁胺干预的影响。结果:与对照组比较,脑出血模型大鼠在建模术后1~7d存在明显神经功能障碍,血肿周围脑组织水份含量明显增加,血脑屏障通透性明显增高,血清S100B蛋白和NSE水平明显升高。去铁胺干预组模型大鼠各观察指标与脑出血模型大鼠呈现相同变化趋势,但神经功能评分明显低于脑出血组,血肿周围脑组织水份含量明显低于脑出血组,血脑屏障通透性明显低于脑出血组,血清S100B蛋白和NSE水平明显低于脑出血组。结论:脑出血后铁离子异常积聚参与了脑出血后血肿周围组织的损伤,去铁胺对这种损伤有保护作用。 展开更多
关键词 脑出血 去铁胺
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