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补阳还五汤联合丹红注射液对缺血性脑卒中气虚血瘀证神经功能及血清神经生长因子、脑源性神经细胞营养因子的影响 被引量:79
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作者 王爱丽 王倩 《陕西中医》 2019年第6期692-695,共4页
目的:研究补阳还五汤加减联合丹红注射液对气虚血瘀型缺血性脑卒中恢复期患者神经功能及血清神经生长因子(NGF)、脑源性神经细胞营养因子(BDNF)水平的影响。方法:选取气虚血瘀型缺血性脑卒中恢复期患者94例,根据治疗方案不同分为研究组(... 目的:研究补阳还五汤加减联合丹红注射液对气虚血瘀型缺血性脑卒中恢复期患者神经功能及血清神经生长因子(NGF)、脑源性神经细胞营养因子(BDNF)水平的影响。方法:选取气虚血瘀型缺血性脑卒中恢复期患者94例,根据治疗方案不同分为研究组(n=47)和对照组(n=47)。两组均给予常规药物治疗,于此基础上,对照组采用丹红注射液治疗,研究组于对照组基础上加用补阳还五汤加减治疗,2周为1个疗程,两组均持续治疗3个疗程。对比两组治疗前后神经功能缺损(NIHSS评分)、中医证候积分、血清NGF、BDNF水平、生活质量(SF-36评分)、血液流变学指标[血小板聚集指数(PAG)、血浆纤维蛋白原(FIB)、红细胞聚集指数(EAI)]变化情况及中医临床效果。结果:治疗后两组NIHSS评分及中医证候积分均低于治疗前,且研究组低于对照组(P<0.05)。研究组治疗总有效率95.74%(45/47)高于对照组76.60%(36/47)(P<0.05)。治疗后两组血清NGF、BDNF水平均高于治疗前,且研究组高于对照组(P<0.05)。治疗后,两组PAG、FIB、EAI水平均低于治疗前,且研究组低于对照组(P<0.05)。治疗后,两组SF-36各项评分均高于治疗前,且研究组高于对照组(P<0.05)。结论:补阳还五汤加减联合丹红注射液治疗气虚血瘀型缺血性脑卒中恢复期患者,能显著提高治疗效果及患者神经功能,改善血液流变学指标及血清NGF、BDNF水平,并进一步提高患者生活质量。 展开更多
关键词 缺血性脑卒中恢复期 气虚血瘀证 丹红注射液 补阳还五汤 神经功能 神经细胞因子 血液流变学
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醒脑静注射液在急性脑出血治疗中的临床疗效和安全性 被引量:30
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作者 李震 陈磊 +1 位作者 肖明 许峰 《世界中医药》 CAS 2019年第3期661-665,共5页
目的:探讨醒脑静注射液应用于急性脑出血患者治疗的临床疗效和安全性。方法:选取2016年5月至2017年5月盘锦市人民医院收治的急性脑出血患者103例作为研究对象,按照用药方案不同随机分为对照组(n=49)和观察组(n=54)。对照组在常规对症治... 目的:探讨醒脑静注射液应用于急性脑出血患者治疗的临床疗效和安全性。方法:选取2016年5月至2017年5月盘锦市人民医院收治的急性脑出血患者103例作为研究对象,按照用药方案不同随机分为对照组(n=49)和观察组(n=54)。对照组在常规对症治疗基础上,应用依达拉奉治疗;观察组基于对照组,增加醒脑静注射液治疗,比较2组治疗前和治疗14 d后的脑血流指标、神经细胞因子、炎性反应递质变化情况,统计治疗14 d期间的有效率和不良反应率。结果:观察组脑源性神经营养因子(BDNF)(63. 24±3. 07) ng/L、血管内皮生长因子(VEGF)(503. 38±16. 28) ng/L显著高于对照组,神经胶质纤维酸性蛋白(GFAP)(0. 76±0. 27) ng/L、神经元特异性烯醇化酶(NSE)(7. 38±1. 24)μg/L、S100B蛋白(S-100B)(0. 33±0. 10)μg/L、髓鞘碱性蛋白(MBP)(1. 29±0. 36)μg/L、D-二聚体(208. 59±8. 16)μg/L、内皮素-1 (ET-1)(6. 24±0. 59) ng/L显著低于对照组(P <0. 05);观察组纤维蛋白原(FN)(2. 76±0. 27) G/L显著高于对照组,白细胞介素-6(IL-6)(10. 33±2. 10) pg/m L、高迁移率族蛋白B1(HMGB1)(1. 29±0. 36)μg/L、降钙素原(PCT)(0. 44±0. 16)μg/L、IL-1β(87. 38±7. 24) pg/m L、α1-抗胰蛋白酶(α1-AT)(1. 59±0. 36) U/L、C反应蛋白(CRP)(7. 38±1. 28) mg/L、正水通道蛋白-4(AQP-4)(33. 24±3. 65)μg/m L显著低于对照组(P <0. 05);观察组血管搏动指数(PI)(0. 96±1. 28)、舒张压末期血流速度(EDV)(38. 19±1. 15) cm/s、收缩期峰值流速(PSV)(93. 45±1. 56) cm/s、血流速度(Vm)(56. 43±2. 58) cm/s高于对照组,阻力指数(RI)(0. 47±0. 22)低于对照组(P <0. 05);观察组在治疗14 d后的治疗有效率(94. 44%)高于对照组(83. 67%)(P <0. 05);不良反应率观察组(7. 41%)和对照组(14. 29%)差异有统计学意义(P <0. 05)。结论:对于急性脑出血,临床上可在常规对症治疗、西医依达拉奉治疗基础上,增加中药醒脑静注射液,能有效提高治疗有效率,改善患者神经细胞� 展开更多
关键词 醒脑静注射液 急性脑出血 有效性 安全性 炎性反应递质 神经细胞因子 D-二聚体 脑血流动力学
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周围神经再生及其影响因素 被引量:23
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作者 佟晓杰 《现代康复》 CSCD 2000年第10期1456-1457,共2页
周围神经损伤的形态结构重建和功能恢复,是相当复杂的生物学问题之一,其影响因素众多。此文概述了周围神经损伤后的再生过程;着重综述了雪旺细胞、神经营养因子以及神经基质各种成分对周围神经再生和功能恢复的影响。
关键词 周围神经再生 雪旺氏细胞 神经营养因子
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左乙拉西坦辅助治疗对难治性癫痫部分性发作患者血清神经细胞因子、凋亡分子的影响 被引量:19
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作者 谭向红 宋志彬 +2 位作者 王珲 王琴 何建丽 《海南医学院学报》 CAS 2017年第11期1575-1578,共4页
目的:探讨左乙拉西坦辅助治疗对难治性癫痫部分性发作患者血清神经细胞因子、凋亡分子的影响。方法:选取在本院接受治疗的难治性癫痫部分性发作患者92例,随机分为对照组(n=46)、观察组(n=46)。对照组接受常规治疗,观察组接受常规治疗+... 目的:探讨左乙拉西坦辅助治疗对难治性癫痫部分性发作患者血清神经细胞因子、凋亡分子的影响。方法:选取在本院接受治疗的难治性癫痫部分性发作患者92例,随机分为对照组(n=46)、观察组(n=46)。对照组接受常规治疗,观察组接受常规治疗+左乙拉西坦辅助治疗,持续20周。对比两组患者的治疗前后血清中神经细胞因子、凋亡分子含量的差异。结果:治疗前,两组患者血清中神经损伤指标、神经保护指标、单胺类神经递质、凋亡分子含量差异无`统计学意义(P>0.05)。治疗后,两组患者血清中神经损伤指标S-100β、GFAP、NSE、MBP的含量显著低于治疗前,神经保护指标BDNF、IGF-1的含量显著高于治疗前,单胺类神经递质DA、5-HT、NE的含量显著高于治疗前,凋亡分子Bcl-2、Fas、FasL的含量低于治疗前,且观察组患者上述指标含量变化大于对照患者(P<0.05)。结论:左乙拉西坦辅助治疗可减轻难治性癫痫部分性发作患者的神经损伤,发挥积极的脑保护作用。 展开更多
关键词 难治性癫痫 左乙拉西坦 神经细胞因子 凋亡分子
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中药治疗痰湿体质脑梗死恢复期患者的疗效研究 被引量:16
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作者 杨明 程玉静 +1 位作者 管士伟 司国民 《中国现代医学杂志》 CAS 2018年第2期69-72,共4页
目的研究中药对痰湿体质脑梗死恢复期神经细胞因子、血小板功能的影响。方法选取2013年5月-2015年12月于泰安市第一人民医院和山东大学附属省立医院接受治疗的146例痰湿体质脑梗死康复期患者并随机分为两组,观察组患者接受常规药物治疗... 目的研究中药对痰湿体质脑梗死恢复期神经细胞因子、血小板功能的影响。方法选取2013年5月-2015年12月于泰安市第一人民医院和山东大学附属省立医院接受治疗的146例痰湿体质脑梗死康复期患者并随机分为两组,观察组患者接受常规药物治疗、康复训练以及中药复方制剂,对照组患者接受常规药物治疗和康复训练。治疗前后分别评估神经功能、测定神经细胞因子含量及血小板功能指标。结果治疗后4和8周时,两组患者的美国国立卫生院神经功能缺损评分血小板聚集率及血清中CD62p和PAC-1的含量均低于治疗前,简易智能精神状态检查量表评分、日常生活活动能力量表评分、血清中脑源性神经营养因子及神经生长因子的含量均高于治疗前。结论针对痰湿体质的中药能够改善脑梗死恢复期患者的神经功能并增加神经细胞因子分泌、抑制血小板聚集。 展开更多
关键词 脑梗死 中药 痰湿体质 神经细胞因子 血小板聚集
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Folic acid contributes to peripheral nerve injury repair by promoting Schwann cell proliferation, migration, and secretion of nerve growth factor 被引量:10
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作者 Wei-Bo Kang Yong-Jie Chen +1 位作者 Du-Yi Lu Jia-Zhi Yan 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第1期132-139,共8页
After peripheral nerve injury, intraperitoneal injection of folic acid improves axon quantity, increases axon density and improves electromyography results. However, the mechanisms for this remain unclear. This study ... After peripheral nerve injury, intraperitoneal injection of folic acid improves axon quantity, increases axon density and improves electromyography results. However, the mechanisms for this remain unclear. This study explored whether folic acid promotes peripheral nerve injury repair by affecting Schwann cell function. Primary Schwann cells were obtained from rats by in vitro separation and culture. Cell proliferation, assayed using the Cell Counting Kit-8 assay, was higher in cells cultured for 72 hours with 100 mg/L folic acid compared with the control group. Cell proliferation was also higher in the 50, 100, 150, and 200 mg/L folic acid groups compared with the control group after culture for 96 hours. Proliferation was markedly higher in the 100 mg/L folic acid group compared with the 50 mg/L folic acid group and the 40 ng/L nerve growth factor group. In Transwell assays, the number of migrated Schwann cells dramatically increased after culture with 100 and 150 mg/L folic acid compared with the control group. In nerve growth factor enzyme-linked immunosorbent assays, treatment of Schwa nn cell cultures with 50, 100, and 150 mg/L folic acid increased levels of nerve growth factor in the culture medium compared with the control group at 3 days. The nerve growth factor concentration of Schwann cell cultures treated with 100 mg/L folic acid group was remarkably higher than that in the 50 and 150 mg/L folic acid groups at 3 days. Nerve growth factor concentration in the 10, 50, and 100 mg/L folic acid groups was higher than that in the control group at 7 days. The nerve growth factor concentration in the 50 mg/L folic acid group was remarkably higher than that in the 10 and 100 mg/L folic acid groups at 7 days. In vivo, 80 μg/kg folic acid was intraperitoneally administrated for 7 consecutive days after sciatic nerve injury. Immunohistochemical staining showed that the number of Schwann cells in the folic acid group was greater than that in the control group. We suggest that folic acid may play a role in improvin 展开更多
关键词 nerve regeneration folic acid Schwann cell cell functions peripheral nerve injury peripheral nerve repair neurotrophic factor tissue engineering neural regeneration biomaterial neural regeneration
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生物材料导管修复面神经损伤与再生 被引量:6
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作者 徐聪 赵赫 孙岩 《中国组织工程研究》 CAS 北大核心 2023年第7期1089-1095,共7页
背景:自体神经移植是目前修复受损面神经、治疗面瘫的首选治疗方式,但供体神经有限,并会对供体部位造成一定的损伤。生物材料导管是组织工程的一项重要分支,通过连接神经断端,为神经提供物理屏障及三维再生通道,是最有潜力的面神经修复... 背景:自体神经移植是目前修复受损面神经、治疗面瘫的首选治疗方式,但供体神经有限,并会对供体部位造成一定的损伤。生物材料导管是组织工程的一项重要分支,通过连接神经断端,为神经提供物理屏障及三维再生通道,是最有潜力的面神经修复方法。目的:对近年来用于修复面神经损伤的生物材料应用进展进行综述。方法:以“biomaterials,nerve conduits,facial nerve”为英文检索词,以“生物材料、神经导管、面神经”为中文检索词,检索自建库至2022年1月收录在PubMed与中国知网数据库的相关文献,依据纳入和排除标准,最终纳入相关文献68篇进行综述。结果与结论:①目前用于修复面神经损伤的神经导管生物材料,大致分为脱细胞材料及可降解材料;脱细胞材料主要包括动脉、静脉及肌肉等,可降解材料主要包括胶原蛋白、聚乙醇酸、聚己内酯、丝蛋白、壳聚糖及石墨烯等。②静脉及胶原蛋白是目前研究最多的2种材料,与干细胞和神经营养因子结合后,其促进面神经再生效果明显增强,但距离自体神经移植的效果仍有一定差距。③石墨烯性质更加活泼,更易与神经营养物质结合,具有抗炎、促进M2巨噬细胞增多的作用,有利于损伤的面神经愈合再生,是目前最有发展潜力的修复面神经损伤的生物材料之一。④文章总结了各种生物材料搭载干细胞、生长因子或雕刻微图案后对面神经损伤修复的效果发现,“多组合”是神经导管发展的趋势,其结合细胞和生长因子,能有效促进面神经再生,但由于生物材料之间的吸附率及释放率差异较大,容易导致资源浪费且作用时间短。⑤在神经导管上雕刻纵行微通道可为神经元再生提供引导方向,加快轴突再生速度,是未来用于修复面神经损伤的神经导管研究的重点方向。 展开更多
关键词 面神经 神经导管 生物材料 神经损伤 多组合 干细胞 生长因子 纵行微通道
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A comparative study on the transplantation of different concentrations of human umbilical mesenchymal cells into diabetic rats 被引量:9
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作者 Jia-Hui Kong Dan Zheng +4 位作者 Song Chen Hong-Tao Duan Yue-Xin Wang Meng Dong Jian Song 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2015年第2期257-262,共6页
AIM: To observe the effects of intravitreal injections of different concentrations of human umbilical mesenchymal stem cells on retinopathy in rats with diabetes mellitus.METHODS: Healthy and adult male Sprague-Dawley... AIM: To observe the effects of intravitreal injections of different concentrations of human umbilical mesenchymal stem cells on retinopathy in rats with diabetes mellitus.METHODS: Healthy and adult male Sprague-Dawley(SD) rats were randomly assigned to a normal control group(group A), a diabetic retinopathy(DR) blank control group(group B), a high-concentration transplantation group(group C), a low-concentration transplantation group(group D) and a placebo transplantation group(group E). The expression of nerve growth factor(NGF)protein in the retinal layers was detected by immunohistochemical staining at 2, 4, 6 and 8wk.RESULTS: The expression of NGF was positive in group A and most positive in the retinal ganglion cell layer. In groups B and E, the expression of NGF was positive 2wk after transplantation and showed an increase in all layers. However, the level of expression had decreased in all layers at 4wk and was significantly reduced at 8wk. In groups C and D, the expression of NGF had increased at 2wk and continued to increase up to 8wk. The level of expression in group C was much higher than that in group D.CONCLUSION: DR can be improved by intravitreal injection of human umbilical mesenchymal stem cells.High concentrations of human umbilical mesenchymal stem cells confer a better protective effect on DR than low concentrations. 展开更多
关键词 diabetic retinopathy human umbilical mesenchymal stem cells nerve growth factor stem cell therapy
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Rapamycin promotes Schwann cell migration and nerve growth factor secretion 被引量:6
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作者 Fang Liu Haiwei Zhang +3 位作者 Kaiming Zhang Xinyu Wang Shipu Li Yixia Yin 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第6期602-609,共8页
Rapamycin, similar to FKS06, can promote neural regeneration in vitro. We assumed that the mechanisms of action of rapamycin and FK506 in promoting peripheral nerve regeneration were similar. This study compared the e... Rapamycin, similar to FKS06, can promote neural regeneration in vitro. We assumed that the mechanisms of action of rapamycin and FK506 in promoting peripheral nerve regeneration were similar. This study compared the effects of different concentrations of raparnycin and FK506 on Sc hwann cells and investigated effects and mechanisms of rapamycin on improving peripheral nerve regeneration. Results demonstrated that the lowest rapamycin concentration (1.53 nmol/L) more significantly promoted Schwann cell migration than the highest FK506 concentration (100μmol/L). Rapamycin promoted the secretion of nerve growth factors and upregulated growth-associated protein 43 expression in Schwann cells, but did not significantly affect Schwann cell proliferation. Therefore, rapamycin has potential application in peripheral nerve regeneration therapy. 展开更多
关键词 nerve regeneration peripheral nerve injury RAPAMYCIN FK506 Schwann cell cell mi-gration nerve growth factor growth-associated protein 43 NSFC grant neural regeneration
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Role of transforming growth factor-βin peripheral nerve regeneration 被引量:3
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作者 Zihan Ding Maorong Jiang +4 位作者 Jiaxi Qian Dandan Gu Huiyuan Bai Min Cai Dengbing Yao 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第2期380-386,共7页
Injuries caused by trauma and neurodegenerative diseases can damage the peripheral nervous system and cause functional deficits.Unlike in the central nervous system,damaged axons in peripheral nerves can be induced to... Injuries caused by trauma and neurodegenerative diseases can damage the peripheral nervous system and cause functional deficits.Unlike in the central nervous system,damaged axons in peripheral nerves can be induced to regenerate in response to intrinsic cues after reprogramming or in a growth-promoting microenvironment created by Schwann cells.However,axon regeneration and repair do not automatically result in the restoration of function,which is the ultimate therapeutic goal but also a major clinical challenge.Transforming growth factor(TGF)is a multifunctional cytokine that regulates various biological processes including tissue repair,embryo development,and cell growth and differentiation.There is accumulating evidence that TGF-βfamily proteins participate in peripheral nerve repair through various factors and signaling pathways by regulating the growth and transformation of Schwann cells;recruiting specific immune cells;controlling the permeability of the blood-nerve barrier,thereby stimulating axon growth;and inhibiting remyelination of regenerated axons.TGF-βhas been applied to the treatment of peripheral nerve injury in animal models.In this context,we review the functions of TGF-βin peripheral nerve regeneration and potential clinical applications. 展开更多
关键词 MYELINATION nerve repair and regeneration NEURITE NEUROINFLAMMATION peripheral nerve injury Schwann cell transforming growth factor Wallerian degeneration
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依达拉奉联合纳美芬对急性重型颅脑损伤患者血清神经细胞因子和炎性因子的影响 被引量:7
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作者 孙尊鹏 刘荣明 +2 位作者 葛卫星 严金霞 路玉宇 《现代生物医学进展》 CAS 2018年第23期4522-4526,共5页
目的:探讨依达拉奉联合纳美芬对急性重型颅脑损伤患者血清神经细胞因子和炎性因子的影响。方法:选择2015年1月至2017年12月我院接诊的急性重型颅脑损伤患者80例,按照随机数字表法分为对照组(n=40)和观察组(n=40),对照组患者入院后接受... 目的:探讨依达拉奉联合纳美芬对急性重型颅脑损伤患者血清神经细胞因子和炎性因子的影响。方法:选择2015年1月至2017年12月我院接诊的急性重型颅脑损伤患者80例,按照随机数字表法分为对照组(n=40)和观察组(n=40),对照组患者入院后接受常规综合治疗,观察组在此基础上给予依达拉奉联合纳美芬进行治疗,比较两组患者血清神经细胞因子、炎性因子水平及格拉斯哥昏迷评分(GCS)、急性生理学及慢性健康状况Ⅱ(APACHEⅡ)评分变化情况,观察两组患者颅内压情况、脑水肿情况以及不良反应发生情况。结果:观察组患者治疗后1d、治疗后1周血清β-内咖肽、S100β蛋白、神经特异性烯醇化酶(NSE)水平均低于治疗前和对照组(P<0.05)。两组患者治疗后1周血清超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-8(IL-8)水平均较治疗前降低,且观察组低于对照组(P<0.05)。观察组患者治疗1周后颅内压<15 mm Hg所占比例及轻度脑水肿所占比例均高于对照组(P<0.05),而颅内压≥20 mm Hg所占比例及重度脑水肿所占比例均著低于对照组(P<0.05)。两组患者治疗后1周GCS评分较治疗前升高,APACHEⅡ评分较治疗前降低(P<0.05);且观察组治疗后1周GCS评分较对照组升高,APACHEⅡ评分较对照组降低(P<0.05)。两组患者不良反应发生率经统计分析差异无统计学意义(P>0.05)。结论:依达拉奉联合纳美芬能够明显改善急性重型颅脑损伤患者血清神经细胞因子和炎性因子水平,促进颅内压下降和脑水肿吸收,有利于提升患者预后,且安全性好。 展开更多
关键词 急性 重型颅脑损伤 依达拉奉 纳美芬 神经细胞因子 炎性因子
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天麻钩藤饮加减治疗对脑梗死恢复期患者脑血流动力学、氧化应激和神经细胞因子的影响
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作者 郑云凤 李铁 +2 位作者 王冠 陈思 路皓婷 《现代生物医学进展》 CAS 2024年第4期651-655,共5页
目的:探讨天麻钩藤饮加减治疗对脑梗死恢复期患者脑血流动力学、氧化应激和神经细胞因子的影响。方法:选取2020年4月~2022年12月期间于天津中医药大学第二附属医院治疗的108例脑梗死恢复期患者,按随机数字表法分为对照组和联合组,各为5... 目的:探讨天麻钩藤饮加减治疗对脑梗死恢复期患者脑血流动力学、氧化应激和神经细胞因子的影响。方法:选取2020年4月~2022年12月期间于天津中医药大学第二附属医院治疗的108例脑梗死恢复期患者,按随机数字表法分为对照组和联合组,各为54例。对照组患者接受常规治疗,联合组在对照组基础上接受天麻钩藤饮加减治疗。对比两组中医证候评分、脑血流动力学、Barthel指数评分、氧化应激指标、美国国立卫生研究院卒中量表(NIHSS)评分、神经细胞因子。结果:与对照组治疗2个月后相比,联合组偏身麻木、半身不遂、舌强言蹇、头晕头痛、面红目赤、口苦口干等症状评分更低(P<0.05)。与对照组治疗2个月后相比,联合组NIHSS评分更低,Barthel指数评分更高(P<0.05)。与对照组治疗2个月后相比,联合组搏动指数(PI)更低,平均血流速度值(Vm)、收缩期血流速度峰值(Vs)更高(P<0.05)。与对照组治疗2个月后相比,联合组丙二醛(MDA)更低,超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)更高(P<0.05)。与对照组治疗2个月后相比,联合组髓磷脂碱性蛋白(MBP)更低,神经生长因子(NGF)、脑源性神经营养因子(BDNF)更高(P<0.05)。结论:天麻钩藤饮加减治疗脑梗死恢复期患者,可促进患者临床症状好转,降低神经功能损伤,改善脑血流动力学,减轻氧化应激,改善神经细胞因子分泌,提高生活自理能力。 展开更多
关键词 天麻钩藤饮 脑梗死恢复期 脑血流动力学 氧化应激 神经细胞因子
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Nerve growth factor expression in astrocytoma and cerebrospinal fluid: a new biomarker for prognosis of astrocytoma 被引量:5
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作者 LI Qiao-yu YANG Yong +8 位作者 ZHANG Yan ZHANG Zhi-jian GONG Ai-hua YUAN Zhi-cheng LU Pei-son ZHAN Li-ping WANG Peng FENG Yun XU Wen-lin 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第14期2222-2227,共6页
Background Recent studies have discovered that nuclear translocation of nerve growth factor (NGF) and its receptor fragments function differently from the traditional model. This study aimed to uncover the nuclear e... Background Recent studies have discovered that nuclear translocation of nerve growth factor (NGF) and its receptor fragments function differently from the traditional model. This study aimed to uncover the nuclear expression of NGF in astrocytoma and its biological significance.Methods Ninety-four paraffin-embedded astrocytoma specimens were subjected to immunohistochemical (IHC) and hemotoxylin & eosin (HE) staining. Preoperative cerebrospinal fluid (CSF) specimens and intraoperative snap-frozen astrocytoma tissues were assayed for NGF expression by ELISA and Western blotting. The outcome of patients who contributed samples was tracked. Each ten tissue samples from patients with traumatic brain injury who had received decompression surgery and CSF samples from patients undergoing spinal anesthesia but with no history of nervous system disease were taken as control.Results NGF-positive immunoreactive products were distributed in both the cytoplasm and nucleus of astrocytoma, but were only located in the cytoplasm of traumatic brain injury (TBI) tissue. NGF nuclear-positive rate (NPR) of grades Ⅲ-Ⅳ astrocytomas (70.0%) was higher than that of grades Ⅰ-Ⅱ astrocytoma (28.6%, P<0.05). NGF-NP expression positively correlated with the NGF concentration in cerebrospinal fluid (CSF) (r=0.755, P<0.01). Kaplan-Meier survival analysis indicated that the median survival time was 25 months for NGF-NP astrocytoma grade Ⅰ-Ⅱ patients and 42 months in NGF nuclear negative (NGF-NN) astrocytoma grade Ⅰ-Ⅱ patients (P<0.05). In astrocytoma Ⅲ-Ⅳ patients, the median survival was 7 months for NGF-NP patients and 24 months for NGF-NN patients (P<0.01). Two types of NGF with molecular weights of 13 and 36 kDa were present in astrocytoma, but only the 36 kDa NGF was found in the CSF. NGF expression elevated as the malignancy increased.Conclusions NGF-NP expression and NGF level in CSF were significant prognostic factors in astrocytoma patients.Because of the 展开更多
关键词 nerve growth factor ASTROCYTOMA cell nucleus PROGNOSIS
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Cloning of the Eukaryotic Expression Vector with Nerve Growth Factor in Rats and Its Effects on Proliferation and Differentiation of Mesencephal Neural Stem Cells of Fetal Rats 被引量:5
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作者 林敏华 杨林 +1 位作者 符荣 赵洪洋 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2008年第5期513-516,共4页
The eukaryotic expression vector containing full-length cDNA sequence of rate nerve growth factor (NGF) β subunit was constructed and its effects on proliferation and differentiation of neural stem cells were obser... The eukaryotic expression vector containing full-length cDNA sequence of rate nerve growth factor (NGF) β subunit was constructed and its effects on proliferation and differentiation of neural stem cells were observed. By using PCR, full-length cDNA sequence of NGF β subunit in rats was cloned and ligated into the eukaryotic expression vector pEGFP-N1-NGF. The recombinant plasmid pEGFP-N1-NGF was transfected into the mesencephal neural stem cells of embryonic rats by Lipofectamin and transiently expressed. MTT method was used to determine the effects of NGF on proliferation of neural stem cells, and under phase-contrast microscopy, the effects of NGF on growth of nervous processes following differentiation of neural stem cells were observed. Sequence analysis indicated that the cloned full-length cDNA sequence of rat NGF β was identical to that of published sequence encoding NGF in gene GeneBank. The transfection of recombinant plasmid pEGFP-N1-NGF into mesencephal neural stem cells of embryonic rats could obviously promote proliferation of neural stem cells and faciliate the growth of neural stem cells-derived nerve cells. It was suggested that neural stem cells could be used as a vehicle of gene transfer, and the expression of NGF β subunit in the neural stem cells could promote the growth of nerve cells derived from neural stem cells. 展开更多
关键词 neural stem cells nerve growth factor TRANSFECTION cell proliferation
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Electroacupuncture Promotes Functional Recovery after Facial Nerve Injury in Rats by Regulating Autophagy via GDNF and PI3K/m TOR Signaling Pathway
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作者 YAO Jun-peng FENG Xiu-mei +6 位作者 WANG Lu LI Yan-qiu ZHU Zi-yue YAN Xiang-yun YANG Yu-qing LI Ying ZHANG Wei 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2024年第3期251-259,共9页
Objective:To explore the mechanism of electroacupuncture(EA) in promoting recovery of the facial function with the involvement of autophagy,glial cell line-derived neurotrophic factor(GDNF),and phosphatidylinositol-3-... Objective:To explore the mechanism of electroacupuncture(EA) in promoting recovery of the facial function with the involvement of autophagy,glial cell line-derived neurotrophic factor(GDNF),and phosphatidylinositol-3-kinase(PI3K)/mammalian target of rapamycin(mTOR) signaling pathway.Methods:Seventy-two male Sprague-Dawley rats were randomly allocated into the control,sham-operated,facial nerve injury(FNI),EA,EA+3-methyladenine(3-MA),and EA+GDNF antagonist groups using a random number table,with 12 rats in each group.An FNI rat model was established with facial nerve crushing method.EA intervention was conducted at Dicang(ST 4),Jiache(ST 6),Yifeng(SJ 17),and Hegu(LI 4) acupoints for 2 weeks.The Simone’s 10-Point Scale was utilized to monitor the recovery of facial function.The histopathological evaluation of facial nerves was performed using hematoxylin-eosin(HE) staining.The levels of Beclin-1,light chain 3(LC3),and P62 were detected by immunohistochemistry(IHC),immunofluorescence,and reverse transcriptionpolymerase chain reaction,respectively.Additionally,IHC was also used to detect the levels of GDNF,Rai,PI3K,and mTOR.Results:The facial functional scores were significantly increased in the EA group than the FNI group(P<0.05 or P<0.01).HE staining showed nerve axons and myelin sheaths,which were destroyed immediately after the injury,were recovered with EA treatment.The expressions of Beclin-1 and LC3 were significantly elevated and the expression of P62 was markedly reduced in FNI rats(P<0.01);however,EA treatment reversed these abnormal changes(P<0.01).Meanwhile,EA stimulation significantly increased the levels of GDNF,Rai,PI3K,and mTOR(P<0.01).After exogenous administration with autophagy inhibitor 3-MA or GDNF antagonist,the repair effect of EA on facial function was attenuated(P<0.05 or P<0.01).Conclusions:EA could promote the recovery of facial function and repair the facial nerve damages in a rat model of FNI.EA may exert this neuroreparative effect through mediating the release of GDNF,activating the P 展开更多
关键词 ELECTROACUPUNCTURE facial nerve injury AUTOPHAGY glial cell line-derived neurotrophic factor phosphatidylinositol-3-kinase/mammalian target of rapamycin Chinese medicine
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关注视神经损伤性疾病促进视神经再生研究 被引量:5
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作者 莫晓芬 王振宇 《中华实验眼科杂志》 CAS CSCD 北大核心 2013年第3期209-214,共6页
青光眼、视神经炎或眼外伤可累及视神经,导致视力的不可逆性损害甚至失明,视神经的有效再生对于挽救患者的视力、提高患者的生活质量、减轻患者的家庭负担和社会负担无疑具有重要意义。近年来围绕视神经再生的问题,通过调节细胞信号... 青光眼、视神经炎或眼外伤可累及视神经,导致视力的不可逆性损害甚至失明,视神经的有效再生对于挽救患者的视力、提高患者的生活质量、减轻患者的家庭负担和社会负担无疑具有重要意义。近年来围绕视神经再生的问题,通过调节细胞信号通路和应用神经胶质细胞、神经干细胞、神经营养因子等方法取得了一定的进展,这些进展为视神经损伤性疾病的治疗研究提供了一定的理论基础,眼科医师应积极关注和参与相关研究,共同促进视觉再生医学的进步。基于视神经再生影响因素的探讨,总结视神经再生研究的最新进展,提出研究中尚待解决的和值得进一步研究的问题。 展开更多
关键词 视神经 再生 视网膜神经节细胞 神经胶质细胞 干细胞 神经营养因子
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自组装多肽凝胶联合可降解神经导管修复长节段周围神经损伤 被引量:4
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作者 张伟 岳靓 +7 位作者 易红蕾 王传峰 陈家瑜 吴冰 魏显招 郯志清 李明 傅强 《中国矫形外科杂志》 CAS CSCD 北大核心 2011年第24期2083-2087,共5页
[目的]探讨自组装多肽凝胶联合可降解神经导管修复长节段周围神经损伤的可行性及效果。[方法]选取新西兰大白兔48只,体重1 500 g左右,雌雄不限,按随机数字法分为A:自体神经移植组、B:神经导管+NSCs+NGF组、C:神经导管+IKVAV多肽凝胶+NSC... [目的]探讨自组装多肽凝胶联合可降解神经导管修复长节段周围神经损伤的可行性及效果。[方法]选取新西兰大白兔48只,体重1 500 g左右,雌雄不限,按随机数字法分为A:自体神经移植组、B:神经导管+NSCs+NGF组、C:神经导管+IKVAV多肽凝胶+NSCs+NGF组;选取兔坐骨神经,暴露后人为造成10 mm缺损损伤,按照分组分别进行移植修复。术后3、6、9、12周观察兔下肢溃疡形成及愈合情况;术后12周对各组动物进行坐骨神经肌电图检查,处死后取标本观察神经再生情况、小腿三头肌湿重、组织学观察及神经干细胞存活情况。[结果]术后3组动物均出现不同程度的足底溃疡,恢复情况以A组最好,C组次之,B组最差。术后12周神经肌电图、肌肉湿重检测均显示自体神经移植组神经功能恢复良好,优于其余两组(P<0.05)。组织学观察显示C组神经再生情况接近自体神经移植组,明显优于B组。术后12周荧光显微镜下观察到在神经损伤处有绿色荧光蛋白(GFP)荧光表达,神经干细胞仍然存活。[结论]自组装多肽凝胶联合可降解神经导管修复长节段周围神经损伤可以取得良好的疗效。 展开更多
关键词 自组装多肽 神经导管 坐骨神经 神经干细胞 神经生长因子 组织工程
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Neural plasticity occurs in the adrenal medulla of asthmatic rats 被引量:4
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作者 FENG Jun-tao LI Xiao-zhao +2 位作者 HU Cheng-ping WANG Jun NIE Hua-ping 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第10期1333-1337,共5页
Background Airway symptoms in asthma are related to decrease of epinephrine secretion, which may be ascribed to elevated nerve growth factor (NGF) in the organism. The aim of this study was to monitor the neuroendoc... Background Airway symptoms in asthma are related to decrease of epinephrine secretion, which may be ascribed to elevated nerve growth factor (NGF) in the organism. The aim of this study was to monitor the neuroendocrine alteration in the adrenal medulla of asthmatic rats. Methods Sixteen rats were randomly divided into two groups (n=-8), control group and asthma group, and the asthmatic rats were sensitized and challenged with ovalbumin (OVA). The levels of NGF, epinephrine and norepinephrine in serum were detected by enzyme linked immunosorbent assay (ELISA), the NGF expression in adrenal medulla was detected by immunohistochemistry, and the changes in the ultrastructure of the adrenal medulla was observed by electron microscopy. Results The NGF expression was increased in asthmatic rats compared with control rats. Compared with control rats, the results indicated that the epinephrine level was decreased in asthmatic rats, but no significant difference was found in norepinephrine levels. We found more ganglion cells in the adrenal medulla of asthmatic rats than in control rats, with NGF immunostaining mainly located in these ganglion cells. Electron microscopic images showed the density of chromaffin granula decreased and there was shrunken nucleolemma in the adrenal medullary cells of asthmatic rats. Conclusion The innervation of the adrenal medulla is changed in asthmatic rats, and it may contribute to the epinephrine decrease in asthma. 展开更多
关键词 neuralplasticity ASTHMA adrenal medulla nerve growth factor chromaffin cell
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鼠神经生长因子联合左乙拉西坦对局灶性发作型癫痫患儿疾病发作情况及神经细胞因子水平的影响
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作者 李延芳 邓静 《临床医学研究与实践》 2023年第23期65-68,共4页
目的探讨鼠神经生长因子联合左乙拉西坦治疗局灶性发作型癫痫的临床效果。方法选取2019年1月至2021年5月我院收治的300例局灶性发作型癫痫患儿为研究对象,依据随机数字表法将其分为研究组(n=150,鼠神经生长因子联合左乙拉西坦治疗)与对... 目的探讨鼠神经生长因子联合左乙拉西坦治疗局灶性发作型癫痫的临床效果。方法选取2019年1月至2021年5月我院收治的300例局灶性发作型癫痫患儿为研究对象,依据随机数字表法将其分为研究组(n=150,鼠神经生长因子联合左乙拉西坦治疗)与对照组(n=150,左乙拉西坦治疗)。比较两组的治疗效果。结果研究组的治疗总有效率高于对照组(P<0.05)。治疗后,研究组的癫痫发作频率低于对照组,癫痫持续时长短于对照组(P<0.05)。治疗后,研究组的脑源性神经营养因子(BDNF)、胰岛素样生长因子-1(IGF-1)水平高于对照组,胶质纤维酸性蛋白(GFAP)、中枢神经特异蛋白(S100β)水平低于对照组(P<0.05)。治疗后,研究组的痫样放电、累及导联数少于对照组(P<0.05)。两组的不良反应总发生率比较,差异无统计学意义(P>0.05)。结论鼠神经生长因子联合左乙拉西坦治疗局灶性发作型癫痫的效果显著,可抑制脑电活动及癫痫发作,调节神经细胞因子水平,且安全性较高。 展开更多
关键词 鼠神经生长因子 左乙拉西坦 局灶性发作型癫痫 神经细胞因子
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针灸联合药物治疗对脑梗死康复期神经细胞因子分泌及氧化应激状态的影响 被引量:4
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作者 谭伟 熊洁 《世界复合医学》 2019年第8期149-151,共3页
目的分析针灸联合药物疗法对脑梗死康复期患者疗效的影响。方法选取连云港市赣榆区人民医院2015年5月—2018年8月60例脑梗死康复期患者,根据不同治疗方法分组,观察组给予针灸联合药物疗法,对照组单纯药物治疗,对比两组疗效。结果观察组... 目的分析针灸联合药物疗法对脑梗死康复期患者疗效的影响。方法选取连云港市赣榆区人民医院2015年5月—2018年8月60例脑梗死康复期患者,根据不同治疗方法分组,观察组给予针灸联合药物疗法,对照组单纯药物治疗,对比两组疗效。结果观察组治疗后血清中神经营养因子(IGF-1、BDNF、NGF)含量分别为(115.64±13.97)μg/L、(4.86±1.57)ng/mL、(146.56±16.78)pg/mL,均明显高于对照组(t=56.632、10.241、28.927,P<0.05);观察组患者治疗后神经损伤因子(NSE、GFAP、S-100β、UCH-L1)含量低于对照组(t=10.824、18.937、8.236、5.931,P<0.05);观察组治疗后氧化应激指标均优于对照组(P<0.05)。结论针灸联合药物疗法能够改善患者神经功能,减轻神经功能损伤程度,避免全身氧化应激反应。 展开更多
关键词 针灸 脑梗死康复期 神经细胞因子 氧化应激
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