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结石成分分析在草酸盐结石患者饮食指导中的作用(附746例报告) 被引量:9
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作者 吴林斌 鲍文朔 《中国中西医结合外科杂志》 CAS 2015年第3期246-248,共3页
目的:探讨结石成分分析在草酸盐结石患者饮食指导中的作用。方法:分析746例经结石成分分析确定为草酸盐结石的患者,给予相应的饮食指导。结果:746例草酸钙结石中单纯草酸钙结石(包括一水草酸钙和二水草酸钙)占28.7%,混合性结石564... 目的:探讨结石成分分析在草酸盐结石患者饮食指导中的作用。方法:分析746例经结石成分分析确定为草酸盐结石的患者,给予相应的饮食指导。结果:746例草酸钙结石中单纯草酸钙结石(包括一水草酸钙和二水草酸钙)占28.7%,混合性结石564例占71.3%,主要为草酸钙与碳酸磷灰石的混合成分占64.5%;平均随访11个月(3~24个月),草酸钙结石患者无复发者674例(90.3%),其中遵循饮食指导的484例(71.8%),复发者未遵循饮食指导的57例(79.2%)。结论:草酸盐结石复发与饮食指导关系密切,依据结石成分分析结果,采用针对性的饮食指导对草酸盐结石的预防有重要的作用。 展开更多
关键词 结石分析 饮食指导 草酸盐结石
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Decreased Expression of Vitamin K Epoxide Reductase Complex Subunit 1 in Kidney of Patients with Calcium Oxalate Urolithiasis 被引量:2
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作者 胡波 王涛 +5 位作者 刘卓 郭小林 杨俊 刘继红 王少刚 叶章群 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2011年第6期807-814,共8页
Urinary prothrombin fragment 1 (UPTFl) is a potent inhibitor of urinary stone formation. UPTF1 exerts such inhibitory effect by effective 7-carboxylation in which vitamin K epoxide reductase complex subunit 1 (VKO... Urinary prothrombin fragment 1 (UPTFl) is a potent inhibitor of urinary stone formation. UPTF1 exerts such inhibitory effect by effective 7-carboxylation in which vitamin K epoxide reductase complex subunit 1 (VKORC1), the rate-limiting enzyme, is involved. This study examined the correlation between VKORC1 expression and calcium oxalate urolithiasis. The renal cortex samples were obtained from patients undergoing nephrectomy and then divided into 3 groups: urolithiasis group, control group A [hydronephrosis-without-stone (HWS) group], control group B (normal control group), The localization and expression of VKORC1 in renal tissues were determined by using immunohistochemistry, immunofluorescence microscopy, Western blotting and SYBR Green I real-time reverse-transcription PCR. The rapid amplification of cDNA ends (RACE) were conducted to obtain the 3'- and 5'-untranslated region (UTR) of VKORC1. The results showed that VKORC1 was located in the cytoplasm of renal tubular epithelial cells. The expression of VKORC1 in the uro- lithiasis group was significantly lower than that in the other two control groups (P〈0.05). Moreover, the 3'- and 5'-UTR sequence of the VKORC1 gene was successfully cloned. No insertion or deletion was found in the 3'- and 5'-UTR. However, a 171-bp new base sequence was discovered in the up- stream of 5'-UTR end in the urolithiasis group. It was concluded that the decreased expression of VKORC 1 may contribute to the development of calcium oxalate urolithiasis in the kidney. 展开更多
关键词 calcium oxalate urolithiasis vitamin K epoxide reductase complex subunit 1 vitamin K circle urinary prothrombin fragment 1
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草酸钙尿石症患者肾脏组织中VKORC1基因剪接异构体的表达和鉴定 被引量:1
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作者 胡波 王涛 +5 位作者 刘卓 郭小林 杨俊 刘继红 王少刚 叶章群 《中华实验外科杂志》 CAS CSCD 北大核心 2011年第6期887-889,共3页
目的对草酸钙尿石症患者肾脏组织中维生素K环氧化物还原酶亚单位1(VKORCl)剪接异构体进行分析。方法收集草酸钙肾结石患者肾脏组织标本21例,应用逆转录-聚合酶链反应(RT-PCR)对肾脏组织中的VKORCl进行扩增,经过PCR产物纯化,通过... 目的对草酸钙尿石症患者肾脏组织中维生素K环氧化物还原酶亚单位1(VKORCl)剪接异构体进行分析。方法收集草酸钙肾结石患者肾脏组织标本21例,应用逆转录-聚合酶链反应(RT-PCR)对肾脏组织中的VKORCl进行扩增,经过PCR产物纯化,通过直接测序和克隆测序的方法分析得到肾脏组织中VKORCl的剪接异构体。结果应用RT—PCR的方法成功地在草酸钙尿石症患者肾脏组织中扩增出VKORCl,并且得到2个剪接异构体,3%琼脂糖凝胶电泳显示1条约500bp的电泳条带(V1)和另1条约400bp的电泳条带(V2),经过测序鉴定可见两者碱基相差110bp,其余序列完全一致。结论草酸钙尿石症患者肾脏组织中存在VKORCl的剪接异构体。 展开更多
关键词 草酸钙尿石症 肾脏 维生素K
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草酸钙尿石症患者肾组织γ-谷氨酰基羧化酶基因启动子序列分析及其活性研究
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作者 杨俊 刘继红 +5 位作者 王涛 郭小林 王军凯 陈美元 王少刚 叶章群 《中华实验外科杂志》 CAS CSCD 北大核心 2009年第10期1261-1263,共3页
目的分析草酸钙尿石症患者肾组织γ-谷氨酰基羧化酶(GGCX)基因启动子序列多态性,并探讨该序列变化对启动子活性的影响。方法分别以42例草酸钙尿石症患者肾组织(尿石组)与31例非结石肾组织(肾肿瘤癌旁正常组织,对照组)基因组DNA... 目的分析草酸钙尿石症患者肾组织γ-谷氨酰基羧化酶(GGCX)基因启动子序列多态性,并探讨该序列变化对启动子活性的影响。方法分别以42例草酸钙尿石症患者肾组织(尿石组)与31例非结石肾组织(肾肿瘤癌旁正常组织,对照组)基因组DNA为模板,PCR扩增GGCX基因5’-侧翼启动子区1329bp片段(-1270-+58bp),电泳鉴定后,分别对两组PCR产物测序。筛选差异启动子序列克隆至萤光素酶报告基因载体pGL3-basic,转染293细胞,双萤光素酶检测启动子活性。结果与Ensembl正常序列比较,尿石组启动子片段测序共发现4处变异位点,-804bp处TT缺失(refsnp ID:rs11433794),-704bp处A→G、-511bp处A→G、-115bp处T→C。其中尿石组rsll43794SNP发生明显高于对照组(P〈0.05)。构建含rs11433794SNP位点的萤光素酶重组子pGL3-GGCX Promoter(804TT),与正常序列的重组子pGL3-GGCX Promoter比较,pGL3-GGCX Prorooter(804TT)转录活性明显下降(P〈0.01)。结论GGCX启动子区rs11433794SNP位点可能与草酸钙尿石症发生存在一定关系,该SNP位点可导致启动子转录活性下调,导致GGCX基因表达下降。 展开更多
关键词 草酸钙尿石症 γ-谷氨酰基羧化酶 启动子 萤光素酶
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Decreased renal vitamin K-dependent γ-glutamyl carboxylase activity in calcium oxalate calculi patients 被引量:2
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作者 陈俊汇 刘继红 +2 位作者 章咏裳 叶章群 王少刚 《Chinese Medical Journal》 SCIE CAS CSCD 2003年第4期569-572,共4页
To study the activity of vitamin K-dependent γ-glutamyl carboxylase in patients with calcium oxalate (CaOx) urolithiasis compared with healthy individuals and to assess its relationship to the renal calcium oxalate u... To study the activity of vitamin K-dependent γ-glutamyl carboxylase in patients with calcium oxalate (CaOx) urolithiasis compared with healthy individuals and to assess its relationship to the renal calcium oxalate urolithiasis Methods Renal parenchymas were harvested from urolithic patients and renal tumor patients undergoing nephrectomy The renal carboxylase activity was evaluated as the radioactivity of [ 14 C] labeled sodium bicarbonate in carboxylic reactions in vitro using β-liquid scintillation counting Results Significantly reduced activity of renal vitamin K-dependent γ-glutamyl carboxylase was observed in the urolithic group as compared with normal controls (P<0 01) Conclusion It suggests that the reduced carboxylase activity observed in the urolithic patients may play an important role in the course of renal calcium oxalate urolithiasis 展开更多
关键词 calcium oxalate urolithiasis vitamin K-dependent carboxylase
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