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全国医疗机构头孢菌素皮试现状分析 被引量:10
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作者 邹鹤娟 李颖 +3 位作者 吕娟丽 杨小强 颜青 杨帆 《中国感染与化疗杂志》 CAS CSCD 北大核心 2023年第1期14-19,共6页
目的 调查全国各级医疗机构头孢菌素皮试现状,了解《β内酰胺类抗菌药物皮肤试验指导原则(2021年版)》(以下简称《指导原则》)的执行情况及其影响因素,为进一步规范β内酰胺类抗生素皮肤试验提供依据。方法 采用问卷调查法,依托全国抗... 目的 调查全国各级医疗机构头孢菌素皮试现状,了解《β内酰胺类抗菌药物皮肤试验指导原则(2021年版)》(以下简称《指导原则》)的执行情况及其影响因素,为进一步规范β内酰胺类抗生素皮肤试验提供依据。方法 采用问卷调查法,依托全国抗菌药物临床应用监测网,统计入网医院的调查参与率,了解参与调查医院对头孢菌素皮试的规定,并分析《指导原则》发布,各省级卫健委发文传达《指导原则》、医院等级和类型、头孢菌素药品说明书等因素对头孢菌素皮试的影响。结果 监测网6 794家成员医院(发文传达省份的医院2 776家,未发文传达省份的医院4 018家)中4 003家医院(58.9%)参与调查,三级医院参与率高于二级医院(76.4%对47.5%,P<0.05),传达省份和不传达省份的参与调查率分别为64.6%和55.0%(P<0.05)。2 114家(52.8%)被调查医院已无皮试要求,其中三级医院的占比高于二级医院(P<0.05)。相同等级医院中,三级综合医院已无皮试要求的占比高于三级专科医院(P<0.05);相同类型医院中,三级综合、三级专科医院的占比分别高于二级综合、二级专科医院(P均<0.05)。在国家卫健委发布《指导原则》后,34.7%的医院取消了皮试规定,三级和二级医院中取消皮试规定的占比分别为40.1%和29.1%(P<0.05)。各省卫健委发文传达后,传达省份和不传达省份分别有37.6%(675/1 794)和32.4%(716/2 209)医院取消皮试规定(P<0.05)。三级医院中(含三级综合医院、三级专科医院),传达省份取消皮试规定的占比均高于不传达省份(P<0.05)。2 114家取消皮试规定的医院中,72.6%的医院依然按照说明书要求进行皮试。结论 调查反映了行政推动在取消头孢菌素皮试规定中发挥积极作用;三级医院取消头孢菌素皮试的实践优于二级医院,综合医院强于专科医院;头孢菌素类抗生素的药品说明书对于取消皮试规定有很大的影响。 展开更多
关键词 Β内酰胺类 头孢菌素 皮肤试验 医院等级 医院类型 药品说明书
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Liraglutide prevents high glucose level induced insulinoma cells apoptosis by targeting autophagy 被引量:11
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作者 CHEN Ze-fang LI Yan-bo +4 位作者 HAN Jun-yong YIN Jia-jing WANG Yang ZHU Li-bo XIE Guang-ying 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第5期937-941,共5页
Background The pathophysiology of type 2 diabetes is progressive pancreatic beta cell failure with consequential reduced insulin secretion. Glucotoxicity results in the reduction of beta cell mass in type 2 diabetes b... Background The pathophysiology of type 2 diabetes is progressive pancreatic beta cell failure with consequential reduced insulin secretion. Glucotoxicity results in the reduction of beta cell mass in type 2 diabetes by inducing apoptosis. Autophagy is essential for the maintenance of normal islet architecture and plays a crucial role in maintaining the intracellular insulin content by accelerating the insulin degradation rate in beta cells. Recently more attention has been paid to the effect of autophagy in type 2 diabetes. The regulatory pathway of autophagy in controlling pancreatic beta cells is still not clear. The aim of our study was to evaluate whether liraglutide can inhibit apoptosis and modulate autophagy in vitro in insulinoma cells (INS-1 cells). Methods INS-1 cells were incubated for 24 hours in the presence or absence of high levels of glucose, liraglutide (a long-acting human glucagon-like peptide-1 analogue), or 3-methyadenine (3-MA). Cell viability was measured using the Cell Counting Kit-8 (CCK8) viability assay. Autophagy of INS-1 cells was tested by monodansylcadaverine (MDC) staining, an autophagy fluorescent compound used for the labeling of autophagic vacuoles, and by Western blotting of microtubule-associated protein I light chain 3 (LC3), a biochemical markers of autophagic initiation. Results The viability of INS-1 cells was reduced after treatment with high levels of glucose. The viability of INS-1 cells was reduced and apoptosis was increased when autophagy was inhibited. The viability of INS-1 cells was significantly increased by adding liraglutide to supplement high glucose level medium compared with the cells treated with high glucose levels alone. Conclusions Apoptosis and autophagy were increased in rat INS-1 cells when treated with high level of glucose, and the viability of INS-1 cells was significantly reduced by inhibiting autophagy. Liraglutide protected INS-1 cells from high glucose level-induced apoptosis that is accompanied by a significant increase 展开更多
关键词 AUTOPHAGY pancreatic beta-cell type 2 diabetes LIRAGLUTIDE APOPTOSIS
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湖州地区孕妇β-地中海贫血基因类型及构成分析 被引量:5
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作者 杨胜 沈国松 +3 位作者 刘鹏 唐克峰 朱玉蓉 刘春玲 《中国优生与遗传杂志》 2019年第5期524-526,共3页
目的了解浙江省湖州地区孕妇β-地中海贫血基因携带率及基因类型分布,为遗传咨询提供参考,提高人群优生质量。方法对2015年9月到2016年8月来我院早孕检查孕妇进行地中海贫血筛查,应用红细胞参数分析与血红蛋白成分分析联合筛查;筛查阳... 目的了解浙江省湖州地区孕妇β-地中海贫血基因携带率及基因类型分布,为遗传咨询提供参考,提高人群优生质量。方法对2015年9月到2016年8月来我院早孕检查孕妇进行地中海贫血筛查,应用红细胞参数分析与血红蛋白成分分析联合筛查;筛查阳性孕妇采用"多色荧光PCR熔解曲线(MMCA)"技术进行β-地中海贫血基因检测。结果浙江省湖州地区孕妇β-地中海贫血表型阳性率1.26%(186/14 411),基因携带率为0.85%;154例β-地中海贫血表型阳性进行β-地中海贫血基因检测,101例携带β-地中海贫血基因,阳性检出率为65.6%(101/154);共检测出突变基因9种,其中β0突变(IVS-Ⅱ-654、CD17、CD41-42、-28、CD71-72)5种,β+突变(CD26、CD27-28、-73、-90)4种;101例携带β-地中海贫血基因孕妇均为杂合突变,所占比例较高的基因型为:βIVS-Ⅱ-654/βN(30.7%)、βCD17/βN(24.8%)、βCD41-42/βN(19.8%)和β-28/βN(13.9%);β0和β+两组地中海贫血孕妇血液学参数比较,血红蛋白(Hb)、平均血红蛋白体积(MCV)、平均血红蛋白含量(MCH)、红细胞分布宽度(RDW)有显著性差异,血红蛋白A2(HbA2)无显著性差异。结论湖州市孕妇人群β-地中海贫血基因携带率略高于全国平均水平,基因型突变类型多样,突变谱有地区差异;联合筛查对β-地中海贫血产前筛查有一定的社会经济效益;本研究对β-地中海贫血遗传咨询和产前诊断提供数据支持。 展开更多
关键词 Β-地中海贫血 孕妇 基因类型 毛细血管血红蛋白电泳
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β_3肾上腺素能受体通过微小RNA对慢性心力衰竭大鼠左心房肌L型钙离子通道的调控 被引量:5
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作者 赵强 邹月柳 +3 位作者 邹筱冬 邓春玉 李彪 曾芳 《中华老年心脑血管病杂志》 CAS 北大核心 2019年第1期67-71,共5页
目的探讨β_3肾上腺素能受体(β_3-AR)对慢性心力衰竭(CHF)大鼠左心房肌L型Ca2+通道亚单位α2δ-2编码基因CACNA2D2的调控是否与微小RNA(miRNA)-1及miRNA-328存在关联。方法 22只雄性Wistar大鼠随机选6只为正常对照组(NC组),另16只采用... 目的探讨β_3肾上腺素能受体(β_3-AR)对慢性心力衰竭(CHF)大鼠左心房肌L型Ca2+通道亚单位α2δ-2编码基因CACNA2D2的调控是否与微小RNA(miRNA)-1及miRNA-328存在关联。方法 22只雄性Wistar大鼠随机选6只为正常对照组(NC组),另16只采用皮下注射异丙肾上腺素建立CHF动物模型,将存活的12只大鼠再随机分为CHF组6只和BRL组(在大鼠尾静脉注射β_3-AR特异性激动剂BRL-37344) 6只。采用超声心动图检测大鼠左心房内径(LAD)、左心房射血分数(LAEF)及LVEF。采用苏木精-伊红染色检测大鼠左心房肌病理学变化。采用实时荧光定量PCR检测大鼠左心房肌β_3-AR、CACNA2D2以及miRNA-1、miRNA-328表达水平。结果BRL组大鼠LAD显著大于NC组和CHF组[(4. 42±0. 15) mm vs (3. 50±0. 21) mm和(4. 09±0. 17) mm,P <0. 01]; BRL组LAEF显著低于NC组和CHF组[(34. 91±1. 51)%vs (59. 89±3. 17)%和(40. 09±0. 95)%,P <0.01]。与CHF组比较,BRL组大鼠左心房肌细胞水肿进一步加重,可见明显肥大细胞等病理学改变更显著。与NC组比较,CHF组大鼠左心房肌β3-AR、CACNA2D2、miRNA-1及miRNA-328表达上调(P <0. 01);与CHF组比较,BRL组大鼠左心房肌β3-AR、CACNA2D2、miRNA-1及miRNA-328表达进一步上调(P <0. 01)。miRNA-1、miRNA-328、CACNA2D2与β3-AR表达呈正相关(r=0. 870、0. 904、0. 911,P <0. 01); CACNA2D2与miRNA-1、miRNA-328表达呈正相关(r=0. 880、0. 954,P <0. 01)。结论β3-AR对左心房CACNA2D2的正性调控可能与miRNA-1、miRNA-328存在关联。 展开更多
关键词 受体 肾上腺素能β3 心力衰竭 钙通道 L型 心房 微RNAS
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Associations of insulin resistance and beta-cell function with abnormal lipid profile in newly diagnosed diabetes 被引量:3
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作者 Xiaohan Tang Xiang Yan +7 位作者 Houde Zhou Gan Huang Xiaohong Niu Hongwei Jiang Heng Su Xilin Yang Xia Li Zhiguang Zhou 《Chinese Medical Journal》 SCIE CAS CSCD 2022年第21期2554-2562,共9页
Background:Abnormal lipids are strong predictors of cardiovascular disease in type 1 diabetes mellitus(T1DM)and type 2 diabetes mellitus(T2DM).However,the potential associations of insulin resistance(IR)and beta-cell ... Background:Abnormal lipids are strong predictors of cardiovascular disease in type 1 diabetes mellitus(T1DM)and type 2 diabetes mellitus(T2DM).However,the potential associations of insulin resistance(IR)and beta-cell function(BCF)with abnormal lipids in newly diagnosed T1DM or T2DM patients are not fully understood.Methods:A cross-sectional survey of 15,928 participants was conducted.Homeostasis model assessment and postprandial C-peptide levels were used to estimate IR and BCF.A restricted cubic spline(RCS)nested in binary logistic regression was used to examine the associations of IR and BCF with abnormal lipids.Results:High triglyceride(TG),low high-density lipoprotein cholesterol,and high low-density lipoprotein cholesterol(LDL-C)accounted for 49.7%,47.8%,and 59.2%of the participants,respectively.In multivariable analysis,high IR was associated with an increased risk of high TGs(P for trend<0.001)in T1DM and is associated with an elevated risk of high TG and low HDL-C(all P for trend<0.01)in T2DM.Low BCF was not associated with risks of dyslipidemia in patients with T1DM or T2DM after adjustment for potential confounders.Conclusion:High IR had different associations with the risk of dyslipidemia in newly diagnosed T1DM and T2DM patients,suggesting that early treatment that improves IR may benefit abnormal lipid metabolism. 展开更多
关键词 beta-cell function DYSLIPIDEMIA Insulin resistance type 1 diabetes type 2 diabetes
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Efficacy of multigrain supplementation in type 2 diabetes mellitus:A pilot study protocol for a randomized intervention trial
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作者 Nur Anis Mohd Ariffin Mastura Mohd Sopian Lai Kuan Lee 《World Journal of Diabetes》 SCIE 2023年第5期606-616,共11页
BACKGROUND Uncontrolled type 2 diabetes mellitus(T2DM)may lead to microvascular complications(nephropathy,retinopathy,and neuropathy)and cardiovascular diseases.The beta-glucan content in grains has the potential to i... BACKGROUND Uncontrolled type 2 diabetes mellitus(T2DM)may lead to microvascular complications(nephropathy,retinopathy,and neuropathy)and cardiovascular diseases.The beta-glucan content in grains has the potential to improve insulin sensitivity,lowering postprandial glucose response and reducing inflammation degrees.A proper combination of grains not only satisfies human body’s need,but also provides essential and reasonable nutritional contents.However,no trial has been conducted to evaluate the roles of multigrain in T2DM.AIM To determine the efficacy of multigrain supplementation among T2DM patients.METHODS From October 2020 to June 2021,a total of 50 adults living with T2DM,who were receiving standard diabetes care at Day Care Clinic,were randomized into either a supplementation group or a control group.The supplementation group received twice daily 30 g multigrain supplement(equivalent to 3.4 g beta-glucan)with standard medication for 12 wk,while the control group was prescribed with standard medication.Parameters such as glycemic control(HbA1c,FPG,and HOMO-IR),cardiometabolic profile(lipid profile,renal function test,and liver function test),oxidative stress status,nutritional status,and quality of life(QoL)were assessed at two time points:Baseline and the end of the treatment period(week 12).RESULTS The primary outcomes were the mean difference of glycated haemoglobin(%),fasting plasma glucose,and serum insulin as intervention effects.Secondary outcomes included the measurement of cardiometabolic profile,antioxidative and oxidative stress status,nutritional status indices,and QoL.Tertiary outcomes involved the determination of safety and tolerability,and supplementation compliance.CONCLUSION The present clinical trial will reveal the effectiveness of multigrain supplementation among T2DM patients for the improvement of diabetes management. 展开更多
关键词 beta-GLUCAN Clinical trial Multigrain type 2 diabetes mellitus Glycemic control
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Signaling interactions among neurons impact cell fitness and death in Alzheimer's disease
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作者 Catherine Yeates Prajakta Deshpande +1 位作者 Madhuri Kango-Singh Amit Singh 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第4期784-789,共6页
The pathology of Alzheimer’s disease involves a long preclinical period,where the characteristic clinical symptoms of the changes in the brain are undetectable.During the preclinical period,homeostatic mechanisms may... The pathology of Alzheimer’s disease involves a long preclinical period,where the characteristic clinical symptoms of the changes in the brain are undetectable.During the preclinical period,homeostatic mechanisms may help prevent widespread cell death.Evidence has pointed towards selective cell death of diseased neurons playing a potentially protective role.As the disease progresses,dysregulation of signaling pathways that govern cell death contributes to neurodegeneration.Aberrant activation of the c-Jun N-terminal kinase pathway has been established in human and animal models of Alzheimer’s disease caused by amyloid-beta 42-or tau-mediated neurodegeneration.Clonal mosaic studies in Drosophila that examine amyloid-beta 42 in a subset of neurons suggest complex interplay between amyloid-beta 42-expressing and wild-type cells.This review examines the role of c-Jun N-terminal kinase signaling in the context of cell competition and short-range signaling interactions between amyloid-beta 42-expressing and wild-type neurons.Cell competition is a conserved phenomenon regulating tissue integrity by assessing the fitness of cells relative to their neighbors and eliminating suboptimal cells.Somatic clones of amyloid-beta 42 that juxtapose genetically distinct neuronal cell populations show promise for studying neurodegeneration.Generating genetic mosaics with labeled clones of amyloid-beta 42-or tau-expressing and wild-type neurons will allow us to understand how short-range signaling alterations trigger cell death in neurons and thereby contribute to the progression of Alzheimer’s disease.These approaches have the potential to uncover biomarkers for early Alzheimer’s disease detection and new therapeutic targets for intervention. 展开更多
关键词 Alzheimer’s disease amyloid-beta 42 mediated neurodegeneration cell competition Drosophila c-Jun N-terminal kinase signaling suboptimal cell super competition super competitor cell two clone-approach wild type cell
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阳江地区地中海贫血常见基因类型的调查分析 被引量:4
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作者 陈文锋 刘恩赐 李桦 《现代医院》 2018年第5期701-703,共3页
目的探讨广东阳江地区地中海贫血常见基因类型的分布情况,为临床诊断、预防及治疗提供理论依据。方法选择2015年4月—2017年4月本院妇科门诊、产前门诊、儿科门诊以及儿童保健科收集的病例标本,共检测9 277例。采用PCR+导流杂交法检测... 目的探讨广东阳江地区地中海贫血常见基因类型的分布情况,为临床诊断、预防及治疗提供理论依据。方法选择2015年4月—2017年4月本院妇科门诊、产前门诊、儿科门诊以及儿童保健科收集的病例标本,共检测9 277例。采用PCR+导流杂交法检测α地中海贫血和β地中海贫血。结果 9 277例检测中,检测α地中海贫血1 711例,占18.44%(1 711/9 277);检测β地中海贫血671例,占7.24%(671/9 277),β地中海贫血中存在3种纯合子基因型,α地中海贫血与β地中海贫血合并100例,占1.08%(100/9 277),其中检测出16种α地中海贫血基因类型,14种β地中海贫血基因类型。结论广东阳江地区α地中海贫血以--^(SEA)/αα为主,β地中海贫血主要以β^(CD41-42/βN)、β^(654)/β~N、β^(-28)/β~N为主,α、β地中海贫血复合型较少。阳江地区基因类型调查对于阳江地区地中海贫血的诊断、治疗以及预防具有重大的临床意义。 展开更多
关键词 Α地中海贫血 Β地中海贫血 基因类型 阳江地区
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Autophagic dysfunction of β cell dysfunction in type 2 diabetes,a double-edged sword 被引量:4
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作者 Ding Yao Yang GangYi Wu QiNan 《Genes & Diseases》 SCIE 2021年第4期438-447,共10页
Diabetes is an age-related disease,most of which is type 2 diabetes,and islet β cell dysfunction and insulin resistance are the main mechanisms of type 2 diabetes.Recent studies have revealed that autophagy plays an ... Diabetes is an age-related disease,most of which is type 2 diabetes,and islet β cell dysfunction and insulin resistance are the main mechanisms of type 2 diabetes.Recent studies have revealed that autophagy plays an important role in maintaining the structure and func-tion of islet beta cells and inhibiting insulin resistance and apoptosis induced by oxidative stress.In this review,we discussed the positive and negative effects of autophagy and its dysfunction on type 2 diabetes mellitus,which is the so-called double-edged sword,analysed its possible mechanism,and identifed possible research hot spots. 展开更多
关键词 APOPTOSIS Autophagic dysfunction Insulin resistance Islet beta cell dysfunction type 2 diabetes mellitus
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Adult neural stem cell dysfunction in the subventricular zone of the lateral ventricle leads to diabetic olfactory defects 被引量:2
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作者 Yu-hong Jing Chu-chu Qi +3 位作者 Li Yuan Xiang-wen Liu Li-ping Gao Jie Yin 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第7期1111-1118,共8页
Sensitive smell discrimination is based on structural plasticity of the olfactory bulb,which depends on migration and integration of newborn neurons from the subventricular zone.In this study,we examined the relations... Sensitive smell discrimination is based on structural plasticity of the olfactory bulb,which depends on migration and integration of newborn neurons from the subventricular zone.In this study,we examined the relationship between neural stem cell status in the subventricular zone and olfactory function in rats with diabetes mellitus.Streptozotocin was injected through the femoral vein to induce type 1 diabetes mellitus in Sprague-Dawley rats.Two months after injection,olfactory sensitivity was decreased in diabetic rats.Meanwhile,the number of Brd U-positive and Brd U+/DCX+double-labeled cells was lower in the subventricular zone of diabetic rats compared with agematched normal rats.Western blot results revealed downregulated expression of insulin receptorβ,phosphorylated glycogen synthase kinase 3β,and β-catenin in the subventricular zone of diabetic rats.Altogether,these results indicate that diabetes mellitus causes insulin deficiency,which negatively regulates glycogen synthase kinase 3β and enhances β-catenin degradation,with these changes inhibiting neural stem cell proliferation.Further,these signaling pathways affect proliferation and differentiation of neural stem cells in the subventricular zone.Dysfunction of subventricular zone neural stem cells causes a decline in olfactory bulb structural plasticity and impairs olfactory sensitivity in diabetic rats. 展开更多
关键词 nerve regeneration diabetic encephalopathy adult neural stem cells olfactory function subventricular zone proliferation glycogen synthase kinase 3 beta β-catenin differentiation rats INSULIN type i diabetes mellitus neural regeneration
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U50,488H对正常及缺氧心肌细胞L型钙电流的作用 被引量:3
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作者 毕辉 郭海涛 +4 位作者 朱妙章 王跃民 张晓东 董玲 裴建明 《解放军医学杂志》 CAS CSCD 北大核心 2004年第8期700-702,共3页
目的 探讨心脏阿片受体和β 受体相互作用的机制。方法 采用全细胞膜片钳技术 ,观察U5 0 ,4 88H(β 阿片受体选择性激动剂 )对正常和缺氧心肌细胞L型钙电流的作用。结果 U5 0 ,4 88H剂量依赖性(0 1~10 0 μmol/L)地抑制正常心肌细... 目的 探讨心脏阿片受体和β 受体相互作用的机制。方法 采用全细胞膜片钳技术 ,观察U5 0 ,4 88H(β 阿片受体选择性激动剂 )对正常和缺氧心肌细胞L型钙电流的作用。结果 U5 0 ,4 88H剂量依赖性(0 1~10 0 μmol/L)地抑制正常心肌细胞的L型钙电流及异丙肾上腺素(0 1μmol/L)激动的钙电流 ,而细胞缺氧后 ,这一抑制作用减弱 ;U5 0 ,4 88H对Forskolin(10 μmol/L)激动的L型钙电流无明显影响。结论 β 阿片受体对β 受体信号的负性调节作用在细胞缺氧后减弱 ,其作用位点可能发生于β 受体与腺苷酸环化酶环节之间。 展开更多
关键词 受体 阿片样 κ 受体 肾上腺素能 β 通道 L型 缺氧
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21例β-地中海贫血患儿的临床和基因诊断 被引量:3
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作者 方建培 李文益 +1 位作者 邓庆丽 陈琴 《实用儿科临床杂志》 CAS CSCD 1995年第5期259-261,共3页
目的探讨β-地中海贫血患儿的临床和基因类型的关系。方法用反向点杂交法(RDB)诊断患儿的基因突变点。临床按表现和血生化分为重、中间、轻3型。结果16例重型患儿中,3例基因表型为β°纯合子,β°或β°/β+... 目的探讨β-地中海贫血患儿的临床和基因类型的关系。方法用反向点杂交法(RDB)诊断患儿的基因突变点。临床按表现和血生化分为重、中间、轻3型。结果16例重型患儿中,3例基因表型为β°纯合子,β°或β°/β+双重杂合子13例。5例中间型者中,4例基因表型为β°/β+双重杂合子,1例为非典型β地中海贫血杂合子。结论β-地中诲贫血的临床类型与基因突变点密切相关。 展开更多
关键词 儿童 地中海贫血 临床类型 基因突变
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G蛋白偶联AT1和β1受体抗体早期预测2型糖尿病伴冠心病患者死亡危险性分析 被引量:2
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作者 赵林双 谭学莹 +4 位作者 向光大 王敏 孙慧伶 乐岭 白伟伟 《中华临床医师杂志(电子版)》 CAS 2013年第10期22-25,共4页
目的研究血清抗血管紧张素Ⅱ1型受体自身抗体(AT1R—Ab)和B1肾上腺素能受体自身抗体(β1R—Ab)与老年2型糖尿病伴冠心病患者死亡危险性的关系。方法随机选择2001年1月至2007年1月广州军区武汉总医院内分泌科及华中科技大学附属协和... 目的研究血清抗血管紧张素Ⅱ1型受体自身抗体(AT1R—Ab)和B1肾上腺素能受体自身抗体(β1R—Ab)与老年2型糖尿病伴冠心病患者死亡危险性的关系。方法随机选择2001年1月至2007年1月广州军区武汉总医院内分泌科及华中科技大学附属协和医院心内科收治的老年2型糖尿病伴冠心病患者137例,进行了3—11年的追踪研究,老年2型糖尿病不伴冠心病137例作对照。以合成的B1R和AT1R多肽片段为抗原,应用酶联免疫吸附测定(ELISA)技术,检测上述患者血清中B1R—Ab和AT1R-Ab。采用Kap-lan-Meier生存曲线计算死亡率。结果(1)2型糖尿病伴冠心病血清β1R-Ab阳性率(41.7%)和AT1R-Ab阳性率(43.7%)明显高于2型糖尿病不伴冠心病组(17.5%和19.7%),两组比较差异具有统计学意义(P〈0.01);(2)2型糖尿病伴冠心病患者同一个体β1R-Ab和AT1R—Ab双阳性率为30.7%(42/137),明显高于不伴冠心病组的9.5%(11/137),两组比较差异具有统计学意义(P〈0.01);(3)2型糖尿病伴冠心病组AT1R-Ab阳性组死亡率51.7%(31/60),明显高于受体抗体阴性组的9.1%(7/77),两组比较差异具有统计学意义(P〈0.01)。结论β1R-Ab和AT1R—Ab可能参与老年2型糖尿病伴冠心病患者的发病,并且是导致老年2型糖尿病伴冠心病患者死亡危险性增高的主要原因之一。 展开更多
关键词 糖尿病 2型 冠心病 受体 肾上腺素能β1 受体 血管紧张素 1型 自身抗体 死亡率
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颜料红170的合成 被引量:1
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作者 朱文朴 戴翎 《四川化工》 CAS 2013年第3期7-10,共4页
讨论了颜料红170的主要合成条件,分别对α型、β型和γ型颜料的生成条件进行了试验。通过试验,找到了合成上述三种晶型颜料的最佳条件。
关键词 颜料 α型 β型 γ型
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The involvement of interleukin-22 in the expression of pancreatic beta cell regenerative Reg genes 被引量:2
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作者 Thomas Hill Olga Krougly +5 位作者 Enayat Nikoopour Stacey Bellemore Edwin Lee-Chan Lynette A Fouser David J Hill Bhagirath Singh 《Cell Regeneration》 2013年第1期7-17,共11页
Background:In Type 1 diabetes,the insulin-producingβ-cells within the pancreatic islets of Langerhans are destroyed.We showed previously that immunotherapy with Bacillus Calmette-Guerin(BCG)or complete Freund’s adju... Background:In Type 1 diabetes,the insulin-producingβ-cells within the pancreatic islets of Langerhans are destroyed.We showed previously that immunotherapy with Bacillus Calmette-Guerin(BCG)or complete Freund’s adjuvant(CFA)of non-obese diabetic(NOD)mice can prevent disease process and pancreaticβ-cell loss.This was associated with increased islet Regenerating(Reg)genes expression,and elevated IL-22-producing Th17 T-cells in the pancreas.Results:We hypothesized that IL-22 was responsible for the increased Reg gene expression in the pancreas.We therefore quantified the Reg1,Reg2,and Reg3δ(INGAP)mRNA expression in isolated pre-diabetic NOD islets treated with IL-22.We measured IL-22,and IL-22 receptor(R)-αmRNA expression in the pancreas and spleen of pre-diabetic and diabetic NOD mice.Our results showed:1)Reg1 and Reg2 mRNA abundance to be significantly increased in IL-22-treated islets in vitro;2)IL-22 mRNA expression in the pre-diabetic mouse pancreas increased with time following CFA treatment;3)a reduced expression of IL-22Rαfollowing CFA treatment;4)a down-regulation in Reg1 and Reg2 mRNA expression in the pancreas of pre-diabetic mice injected with an IL-22 neutralizing antibody;and 5)an increased isletβ-cell DNA synthesis in vitro in the presence of IL-22.Conclusions:We conclude that IL-22 may contribute to the regeneration ofβ-cells by up-regulating Regenerating Reg1 and Reg2 genes in the islets. 展开更多
关键词 Adjuvant immunotherapy INTERLEUKIN-22 Regenerating(Reg)genes beta-cell regeneration type 1 diabetes
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血管紧张素转化酶抑制剂联合β受体阻滞剂治疗慢型克山病临床效果评价 被引量:1
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作者 王志强 范杰 《内蒙古医学杂志》 2010年第S5期4-6,共3页
目的:观察分析血管紧张素转化酶抑制剂(ACEI)联合β受体阻滞剂治疗慢型克山病临床效果。方法:2008年在内蒙古克山病病区选择一定数量的慢型克山病患者为治疗对象,以ACEI联合β受体阻滞剂以及利尿剂为治疗组用药,以ACEI联合强心药以及利... 目的:观察分析血管紧张素转化酶抑制剂(ACEI)联合β受体阻滞剂治疗慢型克山病临床效果。方法:2008年在内蒙古克山病病区选择一定数量的慢型克山病患者为治疗对象,以ACEI联合β受体阻滞剂以及利尿剂为治疗组用药,以ACEI联合强心药以及利尿剂为对照组用药,进行为期6个月的药物治疗,以治疗初期、末期心电图诊断结果、心胸比例结果、心功能分级结果、克山病类型、劳动能力为判定指标,以其中一项指标改善即为治疗有效,统计两组的有效人数及有效率。结果:71人参与治疗组用药,60人有效,有效率85%,65人参与对照组用药,43人有效,有效率为66%,两组有效率有显著性差异,治疗组高于对照组,x^2=6.22,P<0.05。结论:血管紧张素转化酶抑制剂联合β受体阻滞剂治疗以充血性心力衰竭为主要特征的慢型克山病效果明显,对改善患者健康状况有意义。 展开更多
关键词 克山病 ACEI Β受体阻滞剂 慢型 疗效评价
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C型凝集素1受体参与人中性粒细胞体外杀伤白念珠菌活性的实验研究 被引量:1
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作者 陈青 曾荣 +3 位作者 沈永年 胡素泉 李岷 刘维达 《中华皮肤科杂志》 CAS CSCD 北大核心 2013年第8期543-546,共4页
目的探讨人中性粒细胞能否通过C型凝集素1受体(dectin-1)识别白念珠菌细胞壁不溶性β葡聚糖来介导体外杀伤自念珠菌的活性。方法100mg/Lβ葡聚糖体外作用于中性粒细胞1、6、24h后,实时荧光定量逆转录PCR分析dectin-1和Toll样受体2m... 目的探讨人中性粒细胞能否通过C型凝集素1受体(dectin-1)识别白念珠菌细胞壁不溶性β葡聚糖来介导体外杀伤自念珠菌的活性。方法100mg/Lβ葡聚糖体外作用于中性粒细胞1、6、24h后,实时荧光定量逆转录PCR分析dectin-1和Toll样受体2mRNA表达水平。100mg/Lβ葡聚糖体外分别刺激中性粒细胞15min、2h、6h,或先用dectin-1抑制剂昆布多糖100mg/L和50mg/L预处理30min后,再予100mg/Lβ葡聚糖刺激2h,微量培养板荧光分析法检测中性粒细胞H2O2释放水平。昆布多糖预处理的中性粒细胞与白念珠菌体外共培养后,检测菌落形成单位(CFU)。结果β葡聚糖作用中性粒细胞1、6、24h后,dectin-1mRNA水平分别为2.8195±0.1669、5.4859±0.7244、3.6041±0.5372,均明显高于空白对照组(均P〈0.01)。β葡聚糖刺激中性粒细胞15min后H2O2水平为(64.55±15.67)μmol/L,2h时为(290.34±30.56)μmol/L,6h时为(208.54±26.88)μmol/L,与空白对照组(22.05±3.99)μmol/L比较,差异均有统计学意义(均P〈0.01);100mg/L和50mg/L昆布多糖预处理组分别为(80.45±22.41)μmol/L和(130.42±44.55)μmol/L,与β葡聚糖刺激组相比,分别降低了73%和45%,差异均有统计学意义(P〈0.01)。昆布多糖能明显抑制中性粒细胞体外杀伤白念珠菌的活性(均P〈0.01)。结论Dectin-1参与人中性粒细胞分泌H2O2以及对白念珠菌杀灭活性,为过继性粒细胞转输治疗系统性念珠菌感染提供初步依据。 展开更多
关键词 念珠菌 白色 中性白细胞 β葡聚糖类 外源凝集素类 c型 过氧化氢
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产CMY型AmpC酶费劳地枸橼酸杆菌的分子学特性研究 被引量:1
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作者 张晓坤 徐韫健 +2 位作者 廖伟娇 张东梅 张丽梅 《国际检验医学杂志》 CAS 2011年第7期731-733,共3页
目的对产CMY型AmpC酶费劳地枸橼酸杆菌进行耐药表型及分子学特性进行研究,探讨研制新的酶抑制剂。方法对临床分离的两株费劳地枸橼酸杆菌所产CMY型AmpC酶用纸片扩散法、三相水解试验进行耐药表型检测,以该菌总基因组DNA和质粒DNA为模板... 目的对产CMY型AmpC酶费劳地枸橼酸杆菌进行耐药表型及分子学特性进行研究,探讨研制新的酶抑制剂。方法对临床分离的两株费劳地枸橼酸杆菌所产CMY型AmpC酶用纸片扩散法、三相水解试验进行耐药表型检测,以该菌总基因组DNA和质粒DNA为模板进行PCR扩增、序列分析、质粒接合试验、构建重组表达载体及AmpC酶检测。结果两株菌株对青霉素类、头孢菌素类、喹诺酮类、氨基糖苷类抗生素均表现为耐药,对呋喃类和碳青霉烯类表现为敏感;三相水解试验结果显示该菌能水解头孢西丁;PCR扩增出大小为1 146 bp的基因片段,与GenBank上多种CMY亚型的基因序列同源性为97%;质粒接合试验证实质粒上含CMY基因,为可转移质粒。结论两株菌株所产CMY型AmpC酶为新的CMY型头孢菌素酶,它介导了该菌对青霉素类、头孢菌素类、喹诺酮类等抗生素耐药,其耐药性能水平传播。 展开更多
关键词 Β内酰胺酶类 费劳地枸橼酸杆菌 分子学特性 CMY型
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Inhibition of Ubiquitin-specific Protease 4 Attenuates Epithelial-Mesenchymal Transition of Renal Tubular Epithelial Cells via Transforming Growth Factor Beta Receptor Type Ⅰ
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作者 Jin-yun PU Yu ZHANG +2 位作者 Li-xia WANG Jie WANG Jian-hua ZHOU 《Current Medical Science》 SCIE CAS 2022年第5期1000-1006,共7页
Objective Ubiquitin-specific protease 4(USP4)facilitates the development of transforming growth factor-beta 1(TGF-β1)-induced epithelial-mesenchymal transition(EMT)in various cancer cells.Moreover,EMT of renal tubula... Objective Ubiquitin-specific protease 4(USP4)facilitates the development of transforming growth factor-beta 1(TGF-β1)-induced epithelial-mesenchymal transition(EMT)in various cancer cells.Moreover,EMT of renal tubular epithelial cells(RTECs)is required for the progression of renal interstitial fibrosis.However,the role of USP4 in EMT of RTECs remains unknown.The present study aimed to explore the effect of USP4 on the EMT of RTECs as well as the involved mechanism.Methods In established unilateral ureteral obstruction(UUO)rats and NRK-52E cells,immunohistochemistry and Western blot assays were performed.Results USP4 expression was increased significantly with obstruction time.In NRK-52E cells stimulated by TGF-β1,USP4 expression was increased in a time-dependent manner.In addition,USP4 silencing with specific siRNA indicated that USP4 protein was suppressed effectively.Meanwhile,USP4 siRNA treatment restored E-cadherin and weakened alpha smooth muscle actin(α-SMA)expression,indicating that USP4 may promote EMT.After treatment with USP4 siRNA and TGF-β1 for 24 h,the expression of TGF-β1 receptor type I(TβRI)was decreased.Conclusion USP4 promotes the EMT of RTECs through upregulating TβRI,thereby facilitating renal interstitial fibrosis.These findings may provide a potential target of USP4 in the treatment of renal fibrosis. 展开更多
关键词 ubiquitin-specific protease 4 renal tubular epithelial cells epithelial-mesenchymal transition transforming growth factor-beta 1 receptor type I renal interstitial fibrosis
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Estrogen Biosynthesis and Its Regulation in Endometriosis
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作者 Qiu-Ming Qi Sun-Wei Guo Xi-Shi Liu 《Reproductive and Developmental Medicine》 CSCD 2017年第1期55-61,共7页
Endometriosis is a common benign gynecological disorder with an enigmatic etiology and pathogenesis.It affects approximately 10%women of reproductive age.Although its etiology and pathogenesis remain poorly understood... Endometriosis is a common benign gynecological disorder with an enigmatic etiology and pathogenesis.It affects approximately 10%women of reproductive age.Although its etiology and pathogenesis remain poorly understood,it is characterized by the elevated local production of estrogen in the endometriotic tissues.In this paper,we review the mechanisms of estrogen biosynthesis and its regulation in endometriosis. 展开更多
关键词 17 beta-Hydroxysteroid Dehydrogenase type 2 AROMATASE ENDOMETRIOSIS Estrogen Biosynthesis Steroidogenic Acute Regulatory Protein
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