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慢性乙型肝炎患者血清suPAR和IP-1O水平及其临床意义 被引量:5
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作者 赵媛 曹维章 +3 位作者 房荣 张建军 王兴宁 姚向波 《实用肝脏病杂志》 CAS 2017年第3期345-347,共3页
目的探讨以血清可溶性尿激酶型纤溶酶原激活物受体(su PAR)和干扰素γ诱导蛋白-10(IP-10)水平诊断慢性乙型肝炎肝纤维化的可能性。方法 65例接受肝组织病理学检查的慢性乙型肝炎患者,轻度肝纤维化组37例和重度肝纤维化组28例。另选择同... 目的探讨以血清可溶性尿激酶型纤溶酶原激活物受体(su PAR)和干扰素γ诱导蛋白-10(IP-10)水平诊断慢性乙型肝炎肝纤维化的可能性。方法 65例接受肝组织病理学检查的慢性乙型肝炎患者,轻度肝纤维化组37例和重度肝纤维化组28例。另选择同期20例肝移植供肝者作为对照。采用ELISA检测血清su PAR和IP-1O水平。采用受试者工作特征曲线(ROC)分析su PAR和IP-10对慢性乙型肝炎患者重度肝纤维化的诊断价值。结果慢性乙型肝炎患者血清su PAR水平为4.5(1.8~10.5)ng/ml),显著高于健康人(2.2(0.7~4.4)ng/ml,P<0.05);血清IP-10水平为255(71~455)pg/ml,显著高于健康人(87(70~135)pg/ml,P<0.05);轻度纤维化患者血清su PAR和IP-10水平分别为3.5(1.7~5.5)ng/ml和215(68~408)pg/ml,显著低于重度纤维化患者的(5.2(1.8~9.2)ng/ml和290(106~525)pg/ml(P<0.05);以血清su PAR>4.2 ng/ml或IP-10>265pg/ml为截断点,其诊断慢性乙型肝炎患者重度肝纤维化的曲线下面积(AUC)分别是0.742和0.698,其敏感性分别为67.86%和64.29%,特异性分别为78.34%和72.97%。结论血清su PAR和IP-10可作为慢性乙型肝炎肝纤维化的生物标志物,有助于慢性乙型肝炎肝纤维化的早期诊断。 展开更多
关键词 慢性乙型肝炎 肝纤维化 可溶性尿激酶型纤溶酶原激活物受体 干扰素γ诱导蛋白-10 诊断 IP-10
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Bioactive proteins in healthy pregnancies and preeclampsia: relevance to hypertension and proteinuria 被引量:1
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作者 WANG Tao WANG Yan-yun +5 位作者 ZHOU Rong SONG Chang-ping LIN Wei NIU Xiao-yu ZHANG Lin HU Huai-zhong 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第11期2015-2020,共6页
Background Bioactive proteins, such as cytokines and chemokines, have not been systematically evaluated in healthy and preeclamptic pregnancies. We aimed to investigate the difference of these proteins between healthy... Background Bioactive proteins, such as cytokines and chemokines, have not been systematically evaluated in healthy and preeclamptic pregnancies. We aimed to investigate the difference of these proteins between healthy and preeclamptic pregnancies in order to help clarify their potential roles in the pathogenesis of hypertension and proteinuria in preeclampsia. Methods Samples of amniotic fluid and maternal/umbilical cord blood were collected from normal pregnancies and women with preeclampsia for examination of bioactive proteins. Fifty-three pregnant women were enrolled in this study. Of them, 30 pregnant women were recruited as healthy controls, and 23 pregnant women were diagnosed with preeclampsia. An antibody array was used to screen for higher levels of cytokines and related proteins in amniotic fluid than in the blood samples, and these proteins were then selected for quantification by immunoassay. Results Interleukin-1 receptor 4, hepatocyte growth factor, and urokinase plasminogen activator receptor were significantly elevated in the blood of preec^ampsia patients. In particular, intedeukin-1 receptor 4 was 8-fold higher in preeclampsia patients than in the healthy pregnancies. Moreover, in cord blood samples hepatocyte growth factor and interleukin-8 were significantly higher in preeclampsia patients. Conclusions Because of the biologic activities, Interleukin-1 receptor 4, hepatocyte growth factor, urokinase plasminogen activator receptor and interleukin-8 in maternal and/or cord blood could play a role in the pathogenesis of hypertension and proteinuria in preeclampsia. 展开更多
关键词 epidermal growth factor hepatocyte growth factor interleukin-1 receptor 4 interleukin-1 receptor antagonist urokinase plasminogen activator receptor monocyte chemotactic protein-1
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uPA-uPAR拼接结合变化与肝硬化患者恶变趋势的相关性研究
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作者 周英群 吕小平 +2 位作者 李山 覃锦耀 詹灵凌 《现代检验医学杂志》 CAS 2013年第5期75-76,80,共3页
目的 探讨引起尿激酶型纤溶酶原激活物及其可溶型受体比值(uPA/suPAR)及uPA-uPAR拼接结合的变化与肝硬化恶变趋势的相关性.方法 选择2008年8月~2010年4月肝硬化初诊患者133例,经3年随访后分为病情稳定组和恶变组,应用酶联免疫法(EL... 目的 探讨引起尿激酶型纤溶酶原激活物及其可溶型受体比值(uPA/suPAR)及uPA-uPAR拼接结合的变化与肝硬化恶变趋势的相关性.方法 选择2008年8月~2010年4月肝硬化初诊患者133例,经3年随访后分为病情稳定组和恶变组,应用酶联免疫法(ELISA)检测其血浆中uPA和suPAR水平,采用免疫组化法检测初诊患者、恶变组的uPA及其受体(uPAR)在组织中的表达.结果 肝硬化恶变组uPA/suPAR值较稳定组患者有显著升高,差异有统计学意义(t=5.626,P=0.00〈0.05);肝硬化初诊患者与稳定组比较差异无统计学显著性意义(t=1.19,P=0.24〉0.05).uPA和uPAR在恶变组患者组织中的阳性表达率比初诊患者明显增高,比较差异均有统计学意义(χ2=5.443~6.091,P值均〈0.05).结论 uPA/suPAR比值的变化可能存在uPA-uPAR拼接变异体结合的改变,其与肝硬化患者恶变趋势密切相关. 展开更多
关键词 肝硬化 尿激酶型纤溶酶原激活物 尿激酶型纤溶酶原激活物可溶型受体 uPA-uPAR拼接变异
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凝血酶对U_(937)细胞uPAR mRNA表达的影响
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作者 张启良 刘玮 +3 位作者 黄海浪 张健 杨君蕊 张建平 《上海第二医科大学学报》 CSCD 2000年第3期214-216,235,共4页
目的研究凝血酶通过凝血酶受体 (TR)对细胞uPARmRNA表达的影响。 方法在凝血酶、灭活凝血酶、和抗TR小肽多抗等作用下 ,以RT -PCR法测定培养U937细胞uPARmRNA的表达量。 结果凝血酶增强uPARmRNA表达呈现凝血酶剂量和作用时间的依赖性... 目的研究凝血酶通过凝血酶受体 (TR)对细胞uPARmRNA表达的影响。 方法在凝血酶、灭活凝血酶、和抗TR小肽多抗等作用下 ,以RT -PCR法测定培养U937细胞uPARmRNA的表达量。 结果凝血酶增强uPARmRNA表达呈现凝血酶剂量和作用时间的依赖性。其作用机制与凝血酶和细胞膜上TR间的结合、以及凝血酶的蛋白水解活性有关。高浓度凝血酶或中等浓度凝血酶在延长作用时间时 ,对U937细胞uPARmRNA表达有明显抑制效应。 结论凝血酶对U937细胞uPARmRNA表达的影响 ,除通过活化TR外可能还存在其它的途径 。 展开更多
关键词 凝血酶 凝血酶受体 UPAR MRNA U937细胞
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