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Liver-specific gene expression in mesenchymal stem cells is induced by liver cells 被引量:31
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作者 Claudia Lange Philipp Bassler +4 位作者 Michael V. Lioznov Helge Bruns Dietrich Kluth Axel R. Zander Henning C. Fiegel 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第29期4497-4504,共8页
AIM: The origin of putative liver cells from distinct bone marrow stem cells, e.g. hematopoietic stem cells or multipotent adult progenitor cells was found in recent in vitro studies. Cell culture experiments reveale... AIM: The origin of putative liver cells from distinct bone marrow stem cells, e.g. hematopoietic stem cells or multipotent adult progenitor cells was found in recent in vitro studies. Cell culture experiments revealed a key role of growth factors for the induction of liver-specific genes in stern cell cultures. We investigated the potential of rat mesenchymal stem cells (MSC) from bone marrow to differentiate into hepatocytic cells in vitro. Furthermore, we assessed the influence of cocultured liver cells on induction of liver-specific gene expression. METHODS: Mesenchymal stem cells were marked with green fluorescent protein (GFP) by retroviral gene transduction. Clonal marked MSC were either cultured under liver stimulating conditions using fibronectin-coated culture dishes and medium supplemented with SCF, HGF, EGF, and FGF-4 alone, or in presence of freshly isolated rat liver cells. Cells in cocultures were harvested and GFP+ or GFP- cells were separated using fluorescence activated cell sorting. RT-PCR analysis for the stem cell marker Thyl and the hepatocytic markers CK-18, albumin, CK-19, and AFP was performed in the different cell populations. RESULTS: Under the specified culture conditions, rat MSC cocultured with liver cells expressed albumin-, CK-18, CK-19, and AFP-RNA over 3 weeks, whereas MSC cultured alone did not show liver specific gene expression, CONCLUSION: The results indicate that (1) rat MSC from bone marrow can differentiate towards hepatocytic lineage in vitro, and (2) that the microenvironment plays a decisive role for the induction of hepatic differentiation of rMSC. 展开更多
关键词 Mesenchymal stem cells liver-specific differentiation COCULTURE
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Cloning and characterization of a mouse liver-specific gene mfrep-1,up-regulated in liver regeneration 被引量:6
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作者 JUNYAN HAOYING +4 位作者 FEIGU JINHE YuLILI HuIMINLIU YONGHUAXU 《Cell Research》 SCIE CAS CSCD 2002年第5期353-361,共9页
Human fibrinogen-related protein-1/liver fibrinogen-related protein-1 (HFREP-l/LFIRE-1), a liver-specific protein, is a member of fibrinogen superfamily that exerts various biological activities. However, the function... Human fibrinogen-related protein-1/liver fibrinogen-related protein-1 (HFREP-l/LFIRE-1), a liver-specific protein, is a member of fibrinogen superfamily that exerts various biological activities. However, the function of HFREP-l/LFIRE-1 in liver remains unknown. Here we isolated its mouse ortholog gene-mouse fibrinogen-related protein-1 (mfrep-1), which encoded 314 amino acids, exhibiting 80.4% similarity to HFREP-l/LFIRE-1. Northern blot analysis revealed that 1.2-kb mfrep-1 mRNA was detected selectively in mouse liver. To explore the function of MFREP-1, we examined the levels of mfrep-1 mRNA during regeneration after 70% partial hepatectomy (PHx) in mice, mfrep-1 mRNA increased in the regenerating liver and reached the first shoulder peak at 2-4 h after PHx. Cycloheximide pretreatment could suppress the induction of mfrep-1, indicating the up-regulation of this gene need de novo protein synthesis. Its mRNA continued to elevate at 6 h thereafter and reached the second peak at 24 h. The enhanced expression of mfrep-1 maintained high until 72 h and then declined slowly to the basal level. Immunohistochemistry assessment confirmed the up-regulated expression of MFREP-1 protein in parenchymal cells during liver regeneration. These data suggested that MFREP-1 might play an important role in liver regeneration and be involved in the regulation of cell growth. 展开更多
关键词 mfrep-1 in silico cloning liver regeneration liver-specific expression.
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Generation of the regulatory protein rtTA transgenic mice 被引量:7
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作者 KangXu Xin-YanDeng YingYue Zhong-MinGuo BingHuang XunHong DongXiao Xi-GuChen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第19期2885-2891,共7页
AIM: To translate Tet-on system into a conditional mouse model, in which hepatitis B or C virus (HBV or HCV) gene could be spatiotemporally expressed to overcome 'immune tolerance' formed during the embryonic ... AIM: To translate Tet-on system into a conditional mouse model, in which hepatitis B or C virus (HBV or HCV) gene could be spatiotemporally expressed to overcome 'immune tolerance' formed during the embryonic development and 'immune escape' against hepatitis virus antigen(s), an effector mouse, carrying the reverse tetracycline-responsive transcriptional activator (rtTA) gene under the tight control of liver-specific human apoE promoter, is required to be generated. METHODS: To address this end, rtTA fragment amplified by PCR was effectively inserted into the vector of pLiv.7 containing apoE promoter to create the rtTA expressing vector, I.e., pApoE-rtTA. ApoE-rtTA transgenic fragment (-6.9 kb) released from pApoE-rtTA was transferred into mice by pronucleus injection, followed by obtaining one transgene (+) founder animal from microinjection through PCR and Southern blot analysis.RESULTS: rtTA transgene which could be transmitted to subsequent generation (F1) derived from founder was expressed in a liver-specific fashion. CONCLUSION: Taken together, these findings demonstrate that rtTA transgenic mice, in which rtTA expression is appropriately targeted to the murine liver, are successfully produced, which lays a solid foundation to 'off-on-off' regulate expression of target gene (s) (e.g., HBV and/or HCV) in transgenic mice mediated by Tet-on system. 展开更多
关键词 Hepatitis virus Tet-on system Transgenic mice liver-specific human apoE promoter
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Establishment of a transgenic mouse model with liver-specific expression of secretory immunoglobulin D 被引量:6
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作者 WANG Ping WEI ZhiGuo +9 位作者 YAN BoWen HUANG Tan GOU KeMian DAI YunPing ZHENG Min WANG MeiLi CHENG XueQian WANG XiFeng XU Chen SUN Yi 《Science China(Life Sciences)》 SCIE CAS 2012年第3期219-227,共9页
Mutation of mevalonate kinase (MVK) is thought to account for most cases of hyperimmunoglobulinemia D syndrome (HIDS) with recurrent fever. However, its mechanism and the relationship between elevated serum immuno... Mutation of mevalonate kinase (MVK) is thought to account for most cases of hyperimmunoglobulinemia D syndrome (HIDS) with recurrent fever. However, its mechanism and the relationship between elevated serum immunoglobulin D (IgD) and the clinical features of HIDS are unclear. In this study, we generated by fusion PCR a vector to express high levels of chimeric secretory IgD (cslgD) specifically in the liver. We then generated seven founder lines of transgenic mice by co-microinjection, and verified them using genomic PCR and Southern blotting. We detected the expression of csIgD by reverse transcription PCR, quantitative PCR, western blotting, and enzyme-linked immunosorbent assays. We demonstrated that csIgD could be specifically and stably expressed in the liver. We used flow cytometry to show that overexpression of csIgD in the bone marrow and spleen cells had no effect on B cell development. Morphologic and anatomical observation of the transgenic mice revealed skin damage, hepatosplenomegaly, and nephromegaly in some transgenic mice; in these mice, pathological sections showed high levels of cell necrosis and protein-like sediments in the liver, spleen, and kidney. We demonstrated that the genomic insertion sites of the transgeues did not disrupt the MVK gene on mouse chromosome 5. This transgenic mouse will be useful to explore the pathogenesis of HIDS. 展开更多
关键词 sIgD liver-specific expression vector HIDS MVK
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Liver-specific glucocorticoid action in alcoholic liver disease:Study of glucocorticoid receptor knockout and knockin mice
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作者 Yazheng Wang Conor Fahy Hong Lu 《Liver Research》 CSCD 2024年第2期91-104,共14页
Background and aim:Glucocorticoids are the only first-line drugs for severe alcoholic hepatitis(AH),with limited efficacy and various side effects on extrahepatic tissues.Liver-targeting glucocorticoid therapy may hav... Background and aim:Glucocorticoids are the only first-line drugs for severe alcoholic hepatitis(AH),with limited efficacy and various side effects on extrahepatic tissues.Liver-targeting glucocorticoid therapy may have multiple advantages over systemic glucocorticoid for AH.The aim of this study was to determine the role of hepatocellular glucocorticoid receptor(GR)in alcohol-associated steatosis(AS)and AH.Materials and methods:AS was induced by a high-fat diet plus binge alcohol in adult male and female mice with liver-specific knockout(LKO)and heterozygote of GR.AH was induced by chronic-plus-binge in middle-aged male mice with liver-specific knockin of GR.Changes in hepatic mRNA and protein expression were determined by quantitative real-time polymerase chain reaction and Western blot.Results:GR-LKO aggravated steatosis and decreased hepatic expression and circulating levels of albumin in both genders of AS mice but only increased markers of liver injury in male AS mice.Marked steatosis in GR-LKO mice was associated with induction of lipogenic genes and down-regulation of bile acid synthetic genes.Hepatic protein levels of GR,hepatocyte nuclear factor 4 alpha,and phosphorylated signal transducer and activator of transcription 3 were gene-dosage-dependently decreased,whereas that of lipogenic ATP citrate lyase was increased in male GR heterozygote and LKO mice.Interestingly,hepatic expression of estrogen receptor alpha(ERα)was induced,and the essential estrogen-inactivating enzyme sulfotransferase 1e1 was gene-dosage-dependently down-regulated in GR heterozygote and knockout AS mice,which was associated with induction of ERα-target genes.Liver-specific knockin of GR protected against liver injury and steatohepatitis in middle-aged AH mice.Conclusions:Hepatic GR deficiency plays a crucial role in the pathogenesis of AS induced by high-fat diet plus binge,and liver-specific overexpression/activation of GR protects against chronic-plus-binge-induced AH in middle-aged mice.Hepatocellular GR is important for prote 展开更多
关键词 Glucocorticoid receptor(GR) Alcohol-associated steatosis(AS) Alcoholic hepatitis(AH) HETEROZYGOTE liver-specific knockout liver-specific knockin Hepatic protection
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Effect of magnetic resonance imaging in liver metastases
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作者 Xing-Liang Huang Xiao-Dong Wang +2 位作者 Zhao-Miao Gong Yan-Feng Zheng Jing-Xin Mao 《World Journal of Gastroenterology》 SCIE CAS 2024年第1期112-114,共3页
This letter to the editor is a commentary on a study titled"Liver metastases:The role of magnetic resonance imaging."Exploring a noninvasive imaging evaluation system for the biological behavior of hepatocel... This letter to the editor is a commentary on a study titled"Liver metastases:The role of magnetic resonance imaging."Exploring a noninvasive imaging evaluation system for the biological behavior of hepatocellular carcinoma(HCC)is the key to achieving precise diagnosis and treatment and improving prognosis.This review summarizes the role of magnetic resonance imaging in the detection and evaluation of liver metastases,describes its main imaging features,and focuses on the added value of the latest imaging tools(such as T1 weighted in phase imaging,T1 weighted out of phase imaging;diffusion-weighted imaging,T2 weighted imaging).In this study,I investigated the necessity and benefits of gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid for HCC diagnostic testing and prognostic evaluation. 展开更多
关键词 liver metastases Magnetic resonance imaging liver-specific contrast agents Gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid Hepatocellular carcinoma Hepatobiliary contrast agents
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Optimized human factor IX expression cassettes for hepaticdirected gene therapy of hemophilia B 被引量:2
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作者 Ru Zhang Qiang Wang Lin Zhang Saijuan Chen 《Frontiers of Medicine》 SCIE CAS CSCD 2015年第1期90-99,共10页
Gene therapy provides a potential cure for hemophilia B, and significant progress has been achieved in liver-directed gene transfer mediated by adeno-associated viral vectors. Recent clinical trials involving the use ... Gene therapy provides a potential cure for hemophilia B, and significant progress has been achieved in liver-directed gene transfer mediated by adeno-associated viral vectors. Recent clinical trials involving the use of a self-complementary adeno-associated virus serotype 8-human codon-optimized factor IX (AAV8-hFIXco) vector demonstrated encouraging efficacy with hFIX expression stabilized at 1% to 6% of normal level in patients, but safety concerns related to high vector doses are still present. Thus, further improvement of AAV vectors and hFIX expression cassette may positively contribute to the ultimate success of hemophilia B gene therapy. In this study, to obtain a higher expression level of hFIX that potentiates the coagulant capacity of recipients, human FIX expression vector was optimized by upgrading the codon adaption index and adjusting the GC content, inserting a Kozak sequence (GCCACC), and introducing a gain-of-function mutation, R338L (FIX Padua). The efficiency of the published and the presently constructed cassettes was compared through in vivo screening. In addition, the regulatory elements that control the FIX gene expression in these cassettes were screened for liver-specific effectiveness. Among all the constructed cassettes, scAAV-Pre-hFIXco-SIH-R338L, which was the construct under the control of the prothrombin enhancer and prealbumin promoter, resulted in the highest level of coagulant activity, and the expression levels of two constructed cassettes (scAAV-Chi-hFIXco-SIH-R338L and scAAV-Pre- hFIXco-SIH-R338L) were also higher than that of the published cassette (scAAV-LPI-hFIXco-SJ). In summary, our strategies led to a substantial increase in hFIX expression at the protein level or a remarkably elevated coagulant activity. Thus, these reconstructs of hFIX with AAV vector may potentially contribute to the creation of an efficacious gene therapy of hemophilia B. 展开更多
关键词 factor IX hemophilia B liver-specific regulatory elements hydrodynamic gene transfer
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一类肝靶向含钆大环磁共振对比剂的设计、制备与性能表征 被引量:2
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作者 孙宏顺 周进 +7 位作者 刘成 陈旭 杜怡璟 李玉龙 蒋蕻 王建强 宋喆 郭成 《化学学报》 SCIE CAS CSCD 北大核心 2022年第9期1250-1255,共6页
肝靶向磁共振对比剂有助于肝细胞癌的早期诊断,目前临床使用的线性对比剂存在导致病人肾源性系统性纤维化和钆离子沉积的风险.本工作设计制备了一类含有乙氧芳基或甲氧苯基亲脂性基团、以DOTA-酰肼(DOTA:1,4,7,10-tetraazacyclododecan-... 肝靶向磁共振对比剂有助于肝细胞癌的早期诊断,目前临床使用的线性对比剂存在导致病人肾源性系统性纤维化和钆离子沉积的风险.本工作设计制备了一类含有乙氧芳基或甲氧苯基亲脂性基团、以DOTA-酰肼(DOTA:1,4,7,10-tetraazacyclododecan-1,4,7,10-tetraacetic acid)为Gd^(3+)离子螯合基团的大环类磁共振对比剂.0.5 T磁场下测得其纵向弛豫率r^(1)值介于3.7~5.4 L·mmol^(−1)·s^(−1),优于临床使用对比剂Gd-DOTA,弛豫率最高的为对比剂7h(Gd-DOTAH-EOPEI)(EOPEI:1-(4-ethoxyphenyl)ethanimine),略高于临床使用肝靶向对比剂Gd-EOB-DTPA(EOB:ethoxybenzy1;DTPA:diethylenetriaminepentaacetic acid),比我们前期制得的肝靶向磁共振对比剂5d提高了约15%.动物活体体内肝靶向磁共振成像研究显示,所制备对比剂7b、7g和7h具有作为肝靶向磁共振对比剂的应用潜力.结合弛豫率和活体体内成像数据,筛选出了先导化合物7h. 展开更多
关键词 磁共振成像 对比剂 制备 肝靶向 弛豫率 DOTA-酰肼
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肝脏特异性表达载体的构建及Western blotting检测 被引量:1
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作者 张利涛 刘慧琳 曹以诚 《中国畜牧兽医》 CAS 北大核心 2011年第1期100-104,共5页
研究靶向于肝细胞的组织特异性siRNA,实现siRNA基因治疗的组织特异性,可用于特异性治疗乙肝,突破RNA干扰技术在临床应用的一大障碍。用靶向于EGFP的siRNA(以下简称siEGFP)替代靶向于乙肝病毒保守区的siRNA,构建可以在肝细胞中特异性表... 研究靶向于肝细胞的组织特异性siRNA,实现siRNA基因治疗的组织特异性,可用于特异性治疗乙肝,突破RNA干扰技术在临床应用的一大障碍。用靶向于EGFP的siRNA(以下简称siEGFP)替代靶向于乙肝病毒保守区的siRNA,构建可以在肝细胞中特异性表达的载体,用来表达siRNA。将目标载体分别转染肝癌细胞HepG2、乳腺癌细胞MDB-MB-231、人胚肾细胞293,在蛋白质水平上检验siRNA抑制的组织特异性。Western blotting结果证实,siEGFP在肝组织来源的细胞系HepG2中抑制效率明显高于其他两组细胞。构建的载体可以在肝癌细胞系中特异性的表达siRNA,而在其他组织细胞中不表达,实现了组织特异性。进一步将siEGFP替换为抑制HBV表达的siRNA,同样可以实现肝脏特异性的表达。 展开更多
关键词 RNAI 组织特异性siRNA 肝脏特异性 EGFP WESTERN BLOTTING
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Expression liver-directed genes by employing synthetic transcriptional control units
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作者 Marie-Luise Lemken Wolfgang A.Wybranietz +4 位作者 Ulrike Schmidt Florian Graepler Sorin Armeanu Michael Bitzer Ulrich M.Lauer 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第34期5295-5302,共8页
AIM: To generate and characcerize the synthetic transoiptional control units for transcriptional targeting of the liver, thereby compensating for the lack of specificity of currently available gene therapeutic vector... AIM: To generate and characcerize the synthetic transoiptional control units for transcriptional targeting of the liver, thereby compensating for the lack of specificity of currently available gene therapeutic vector systems. METHODS: Synthetic transcriptional control unit constructs were generated and analyzed for transcriptional activities in different cell types by FACS quantification, semi-quantitative RT-PCR, and Western blotting. RESULTS: A new bifunctionally-enhanced green fluorescent protein (EGFP)/neor fusion gene cassette was generated, and could flexibly be used both for transcript quantification and for selection of stable cell clones. Then, numerous synthetic transcriptional control units consisting of a minimal promoter linked to “naturally” derived composite enhancer elements from liver-specific expressed genes or binding sites of liver-specific transcription factors were inserted upstream of this reporter cassette. Following liposome-mediated transfection, EGFP reporter protein quantification by FACS analysis identified constructs encoding multimerized composite elements of the apolipoprotein B100 (APOB) promoter or the ornithin transcarbamoylase (OTC) enhancer to exhibit maximum transcriptional activities in liver originating cell lines, but only background levels in non-liver originating cell lines. In contrast, constructs encoding only singular binding sites of liver-specific transcription factors, namely hepatocyte nuclear factor (HNF), HNF3, HNF4, HNF5, or CAAT/enhancer binding protein (C/EBP) only achieved background levels of EGFP expression. Finally, both semi-quantitative RT-PCR and Western blotting analysis of Hep3B cells demonstrated maximum transcriptional activities for a multimeric 4xAPOB cassette construct, which fully complied with the dataobtained by initial FACS analysis CONCLUSION: Synthetic transcriptional control unit constructs not only exhibit a superb degree of structural compactness, but also provide new means for liver-directed expression o 展开更多
关键词 liver gene therapy Hepatoma gene therapy liver-directed gene expression Synthetic liver-specific promoters
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Novel liver-specific nitric oxide(NO) releasing drugs with bile acid as both NO carrier and targeting ligand
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作者 Xue-Yuan Jin Shi-Yong Fan +4 位作者 Hong-Wu Li Wei-Guo Shi Wei Chen Hui-Fen Wang Bo-Hua Zhong 《Chinese Chemical Letters》 SCIE CAS CSCD 2014年第5期787-790,共4页
Novel liver-specific nitric oxide(NO) releasing drugs with bile acid as both the NO carrier and targeting ligand were designed and synthesized by direct nitration of the hydroxyl group in bile acids or the 3-Ohydrox... Novel liver-specific nitric oxide(NO) releasing drugs with bile acid as both the NO carrier and targeting ligand were designed and synthesized by direct nitration of the hydroxyl group in bile acids or the 3-Ohydroxyl alkyl derivatives,with the intact 24-COOH being preserved for hepatocyte specific recognition.Preliminary biological evaluation revealed that oral administrated targeted conjugates could protect mice against acute liver damage induced by acetaminophen or carbon tetrachloride.The nitrate level in the liver significantly increased after oral administration of 1e while nitrate level in the blood did not significantly change.Co-administration of ursodeoxycholic acid(UDCA) significantly antagonized the increase of nitrate in the liver resulted by administration of 1e. 展开更多
关键词 liver-specific Nitric oxide releasing drugs Hepatoprotective activity Bile acid
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Glucose-responsive artificial promoter-mediated insulin gene transfer improves glucose control in diabetic mice 被引量:1
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作者 Jaeseok Han Eung-Hwi Kim +1 位作者 Woohyuk Choi Hee-Sook Jun 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第44期6420-6426,共7页
AIM:To investigate the effect of insulin gene therapy using a glucose-responsive synthetic promoter in type 2 diabetic obese mice.METHODS:We employed a recently developed novel insulin gene therapy strategy using a sy... AIM:To investigate the effect of insulin gene therapy using a glucose-responsive synthetic promoter in type 2 diabetic obese mice.METHODS:We employed a recently developed novel insulin gene therapy strategy using a synthetic promoter that regulates insulin gene expression in the liver in response to blood glucose level changes.We intravenously administered a recombinant adenovirus expressing furin-cleavable rat insulin under the control of the synthetic promoter(rAd-SP-rINSfur) into diabetic Lepr db/db mice.A recombinant adenovirus expressing β-galactosidase under the cytomegalovirus promoter was used as a control(rAd-CMV-βgal).Blood glucose levels and body weights were monitored for 50 d.Glucose and insulin tolerance tests were performed.Immunohistochemical staining was performed to investigate islet morphology and insulin content.RESULTS:Administration of rAd-SP-rINSfur lowered blood glucose levels and normoglycemia was maintained for 50 d,whereas the rAd-CMV-βgal control virus-injected mice remained hyperglycemic.Glucose tolerance tests showed that rAd-SP-rINSfur-treated mice cleared exogenous glucose from the blood more efficiently than control virus-injected mice at 4 wk [area under the curve(AUC):21 508.80 ± 2248.18 vs 62 640.00 ± 5014.28,P < 0.01] and at 6 wk(AUC:29 956.60 ± 1757.33 vs 60 016.60 ± 3794.47,P < 0.01).In addition,insulin sensitivity was also significantly improved in mice treated with rAd-SP-rINSfur compared with rAd-CMV-βgal-treated mice(AUC:9150.17 ± 1007.78 vs 11 994.20 ± 474.40,P < 0.05).The islets from rAd-SP-rINSfur-injected mice appeared to be smaller and to contain a higher concentration of insulin than those from rAd-CMV-βgal-injected mice.CONCLUSION:Based on these results,we suggest that insulin gene therapy might be one therapeutic option for remission of type 2 diabetes. 展开更多
关键词 Insulin gene therapy Synthetic promoter Glucose-responsive element liver-specific promoter Type 2 diabetes
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基于Th17/Treg细胞失衡探讨小柴胡汤治疗慢性乙肝的机制 被引量:13
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作者 宋银芳 赫伟丽 韩安晖 《世界中医药》 CAS 2020年第17期2593-2597,共5页
目的:探讨小柴胡汤对慢性乙型肝炎疗效及对Th17/Treg细胞的影响。方法:选取2017年7月至2019年2月北京中医医院顺义医院收治的慢性乙肝患者150例作为研究对象,按照入院编号分为对照组和观察组,每组75例。对照组常规西药治疗,观察组加用... 目的:探讨小柴胡汤对慢性乙型肝炎疗效及对Th17/Treg细胞的影响。方法:选取2017年7月至2019年2月北京中医医院顺义医院收治的慢性乙肝患者150例作为研究对象,按照入院编号分为对照组和观察组,每组75例。对照组常规西药治疗,观察组加用小柴胡汤治疗。观察入组时、疗程完成时肝功能、T淋巴细胞亚群、肝纤维化、慢性肝病特异性量表(CLDQ)、Th17/Treg细胞变化并比较。结果:完成治疗后2组患者ALT、TBIL、GLB、ALB、PTA、TNF-α、CD3^+、CD4^+、CD4^+/CD8^+、CD8^+、Treg、IL-10、TGF-β1、Th17、IL-17、IL-23、HA、PCⅢ、Ⅳ-C、LN及临床症状体征积分均较治疗前有明显改善,且观察组患者改善幅度均优于对照组患者(P<0.05)。结论:小柴胡汤能提高慢性乙肝患者肝功能和免疫功能,改善肝纤维化,提高生存治疗,促使Th17/Treg细胞趋向平衡。 展开更多
关键词 小柴胡汤 慢性乙型肝炎 TH17/TREG细胞 疗效 肝功能 肝纤维化 慢性肝病特异性量表 T淋巴细胞亚群
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合并微血管侵犯的肝癌肝移植受者的预后评价 被引量:9
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作者 梁梓明 叶林森 +3 位作者 唐晖 宋来恩 顾世杰 易述红 《器官移植》 CAS CSCD 北大核心 2020年第3期350-355,共6页
目的探讨合并微血管侵犯(MVI)的肝细胞癌(肝癌)肝移植受者的预后情况。方法通过美国国立癌症研究所的监测、流行病学和最终结果(SEER)数据库提取行肝移植术的3447例肝癌受者的临床资料。根据受者有否MVI分为MVI组(376例)和无MVI组(3071... 目的探讨合并微血管侵犯(MVI)的肝细胞癌(肝癌)肝移植受者的预后情况。方法通过美国国立癌症研究所的监测、流行病学和最终结果(SEER)数据库提取行肝移植术的3447例肝癌受者的临床资料。根据受者有否MVI分为MVI组(376例)和无MVI组(3071例)。分析比较两组肝移植受者的预后情况,包括术后1、3、5年总生存率(OS)及肝癌特异生存率(LCSS)。纳入两组受者的相关临床资料,包括年龄、性别、人种、病理分化、肿瘤大小、淋巴结转移、远处转移、肿瘤-淋巴结-转移(TNM)分期、MVI,采用多因素Cox模型分析肝癌肝移植受者预后的独立危险因素。绘制预测受者预后的列线图,通过一致性指数评价模型准确度。结果无MVI组受者术后1、3、5年OS和LCSS分别为93.5%、82.1%、75.3%和98.3%、93.8%、90.7%,明显高于MVI组的88.8%、72.1%、68.4%和95.3%、83.1%、80.4%(均为P<0.05)。多因素回归分析显示病理分化、肿瘤大小、淋巴结转移、远处转移、TNM分期以及MVI均是影响肝癌肝移植受者OS与LCSS的独立危险因素(均为P<0.05)。列线图一致性指数为0.624(0.602~0.648)。结论MVI是肝癌肝移植受者预后的独立危险因素,与受者预后不良显著相关,以此为基础构建的列线图可预测患者预后情况。 展开更多
关键词 肝细胞癌 肝移植 微血管侵犯 预后 危险因素 总生存率 肝癌特异生存率
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超声引导联合CT监视在特殊部位肝癌射频治疗中的应用价值 被引量:10
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作者 侯继野 刘瑞宝 +2 位作者 刘岩 沈海洋 李世杰 《临床放射学杂志》 CSCD 北大核心 2012年第7期1014-1017,共4页
目的探讨超声引导联合CT监视在特殊部位肝癌射频治疗中的应用价值。方法采用超声引导联合CT监视经皮射频治疗45例(75个病灶)特殊部位肝癌患者。统计消融术中、术后的并发症情况。1个月后复查CT、MRI资料,观察病灶的消融情况。结果消融... 目的探讨超声引导联合CT监视在特殊部位肝癌射频治疗中的应用价值。方法采用超声引导联合CT监视经皮射频治疗45例(75个病灶)特殊部位肝癌患者。统计消融术中、术后的并发症情况。1个月后复查CT、MRI资料,观察病灶的消融情况。结果消融术中无严重并发症,15例(33.3%)术后出现一过性发热;16例(35.6%)出现腹痛;3例顽固性咯呃逆;6例(13.3%)出现恶心。射频治疗后1个月随访显示,邻近膈肌13个病灶,其中病灶完全消融12个(92.31%);邻近胆囊8个病灶,完全消融6个(75%);邻近肠管5个病灶,完全消融5个(100%);邻近大血管9个病灶,其中病灶完全消融8个(88.89%),邻近胆管14个,其中病灶完全消融13个(92.86%)。45例患者仅1例靠近胆囊患者出现肝内肿瘤新生,无一例出现肝外转移。结论超声引导联合CT监视射频治疗特殊部位肝癌疗效满意,并发症发生率低,值得临床推广。 展开更多
关键词 肝肿瘤 特殊位置 射频消融 体层摄影术 X线计算机 超声 临床疗效
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人工肝胆红素特异性吸附治疗对高胆红素血症患者的临床疗效总结以及护理体会 被引量:8
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作者 邓莉 寇国先 曹冬梅 《中国中西医结合急救杂志》 CAS CSCD 北大核心 2017年第4期426-428,共3页
目的 观察人工肝胆红素特异性吸附治疗高胆红素血症患者的疗效以及护理对其的影响.方法 采用前瞻性研究方法.选择2015年1月至2016年12月绵阳市中心医院收治的146例高胆红素血症患者,将患者按随机数字表法分为观察组77例和对照组69例.观... 目的 观察人工肝胆红素特异性吸附治疗高胆红素血症患者的疗效以及护理对其的影响.方法 采用前瞻性研究方法.选择2015年1月至2016年12月绵阳市中心医院收治的146例高胆红素血症患者,将患者按随机数字表法分为观察组77例和对照组69例.观察组在内科常规治疗基础上行人工肝胆红素特异性吸附治疗,对照组仅进行内科常规治疗.观察两组治疗后肝功能指标丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、总胆红素(TBil)、直接胆红素(DBil)水平的变化及临床疗效.结果 两组治疗前ALT、AST、TBil、DBil比较差异均无统计学意义(均P〉0.05),治疗后上述指标均较治疗前明显降低,且以观察组的降低程度较对照组更加显著〔ALT(U/L):341±42比455±37,AST(U/L):120±35比197±37,TBil(μmol/L):185.4±20.6比302.6±30.6,DBil(μmol/L):42.6±10.8比87.5±11.6,均P〈0.05〕,观察组总有效率明显高于对照组〔62.3%(48/77)比40.6%(28/69),P〈0.05〕.结论 在保肝、对症支持治疗基础上配合人工肝胆红素特异性吸附治疗高胆红素血症患者安全、有效,密切观察与精心护理有利于减少并发症的发生,提高治疗有效率. 展开更多
关键词 人工肝胆红素特异性吸附 高胆红素血症 护理
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MR特异性对比剂肝功能评价研究 被引量:7
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作者 冯汝静 黄仲奎 《临床放射学杂志》 CSCD 北大核心 2013年第4期503-507,共5页
目的探讨MRI特异性对比剂对肝功能评价的应用价值。方法选择2011年至2012年行肝脏MRI检查的33例肝功能障碍患者资料。行肝脏常规MRI平扫、肝脏MRI特异性对比剂[钆贝葡胺(Gd-BOPTA)26例,钆塞酸二钠(Gd-EOB-DTPA)10例]增强,对肝胆排泄期... 目的探讨MRI特异性对比剂对肝功能评价的应用价值。方法选择2011年至2012年行肝脏MRI检查的33例肝功能障碍患者资料。行肝脏常规MRI平扫、肝脏MRI特异性对比剂[钆贝葡胺(Gd-BOPTA)26例,钆塞酸二钠(Gd-EOB-DTPA)10例]增强,对肝胆排泄期的各级胆管显示情况进行5级评分,再根据各级胆管显示总评分进行肝功能MRI分级。结果 33例患者的肝功能MR分级与临床Child-Pugh分级一致性良好(K=0.570,P=0.000),其中10例Gd-EOB-DTPA增强肝功能MR分级与临床Child-Pugh分级吻合程度极佳(K=0.804,P=0.000)。结论观察肝脏MRI特异性对比剂增强肝胆排泄期的胆管显示情况,可以评价整个肝脏肝功能情况。 展开更多
关键词 磁共振成像 肝脏特异性对比剂 肝功能 CHILD-PUGH分级
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早期原发性胆汁性肝硬化的诊断(附20例病例分析) 被引量:5
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作者 陈学平 杨晋辉 +4 位作者 尤丽英 唐映梅 尧颖 胥莹 杨婧 《胃肠病学和肝病学杂志》 CAS 2008年第6期446-448,共3页
目的分析20例早期原发性胆汁性肝硬化(primary biliary cirrhosis,PBC)患者的临床、生化及病理特征,以早期诊断、早期治疗。方法20例早期PBC患者的一般资料、病程、临床表现、血清化学指标、免疫学及病理学改变等进行分析。结果本... 目的分析20例早期原发性胆汁性肝硬化(primary biliary cirrhosis,PBC)患者的临床、生化及病理特征,以早期诊断、早期治疗。方法20例早期PBC患者的一般资料、病程、临床表现、血清化学指标、免疫学及病理学改变等进行分析。结果本组患者中女16例,男4例,确诊时年龄25~74岁,平均48.2岁。确诊时间为0.5-24月。早期PBC临床表现缺乏特异性,常见表现有纳差(40%)、乏力(35%)、尿黄(35%)、黄疸(30%),9例无症状仅发现ALP、GGT升高(45%)。所有病例中AMA-M,阳性13例(65%)、gp210阳性4例(20%)、SP100阳性3例(15%)。肝脏组织病理学检查为Ⅰ-Ⅱ期表现。结论早期PBC临床表现不典型,可无症状或有乏力、纳差等非特异性表现。对ALP、GGT升高或(和)AMA-M2、sp210、SP100阳性患者要考虑PBC可能,对中老年人群,特别是女性筛查肝功能和自身免疫性肝病抗体,完善肝脏组织学检查可帮助早期诊断PBC。 展开更多
关键词 早期原发性胆汁性肝硬化 自身免疫性肝病抗体 肝组织学检查
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胰岛素样生长因子-1在原发性结直肠癌中表达的研究 被引量:6
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作者 黄桂林 吴毅平 雷娜 《中国普外基础与临床杂志》 CAS 2009年第9期693-697,共5页
目的通过在肝特异性胰岛素样生长因子-1(insulin-like growth factor 1,IGF-1)基因缺失(LID)小鼠体内建立稳定的原发性结直肠癌模型,探讨IGF-1与小鼠原发性结直肠癌发生可能存在的关系。方法①建立结直肠癌模型:使用LID小鼠(实验组)和BA... 目的通过在肝特异性胰岛素样生长因子-1(insulin-like growth factor 1,IGF-1)基因缺失(LID)小鼠体内建立稳定的原发性结直肠癌模型,探讨IGF-1与小鼠原发性结直肠癌发生可能存在的关系。方法①建立结直肠癌模型:使用LID小鼠(实验组)和BALB/c小鼠(对照组)。LID小鼠体循环中的IGF-1水平仅为BALB/c小鼠的25%,用化学致癌剂1,1二甲基肼(DMH)颈部皮下注射诱导原发性结直肠肿瘤。②应用免疫组织化学法(SP)对80只模型小鼠的结直肠癌组织及其癌旁组织标本进行IGF-1的抗原染色,将染色结果与小鼠的体质量及结直肠的致癌情况进行综合分析。结果①实验组和对照组小鼠的体质量在注药后与注药前比较体质量均减轻,注药后18及24周时与各组注药前相应时相比较差异有统计学意义(P<0.05)。②IGF-1免疫组化染色结果:IGF-1在结直肠癌中的表达部位是在癌细胞的核周胞浆中,呈弥散状分布。③IGF-1在实验组和对照组结直肠癌组织及癌旁组织中表达阳性者分别为6/7只、2/7只及13/16只、7/16只。2组结直肠癌组织中的IGF-1表达阳性者均高于癌旁组织(P<0.05)。实验组和对照组两组间癌组织和癌旁组织中的IGF-1的表达阳性情况差异均无统计学意义(P>0.05)。结论在致癌剂DMH诱导的结直肠癌模型中,IGF-1对结直肠癌的发生和发展起重要作用。 展开更多
关键词 胰岛素样生长因子-1 肝脏特异性胰岛素样生长因子-1基因缺失小鼠 结直肠癌 免疫组织化学法
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COTL1对非酒精性脂肪肝病发生发展的作用研究 被引量:3
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作者 邵文丽 叶桦 +4 位作者 孙爱华 徐梦丹 邵倩倩 林巍然 姜颖 《军事医学》 CAS CSCD 北大核心 2018年第12期924-929,共6页
目的初步探讨coactosin样蛋白1(coactosin-like protein 1,COTL1)对非酒精性脂肪肝病(nonalcoholic fatty liver disease,NAFLD)的作用及可能的分子机制。方法构建腺相关病毒载体特异性敲低小鼠肝COTL1的表达,同时蛋氨酸胆碱缺乏(methio... 目的初步探讨coactosin样蛋白1(coactosin-like protein 1,COTL1)对非酒精性脂肪肝病(nonalcoholic fatty liver disease,NAFLD)的作用及可能的分子机制。方法构建腺相关病毒载体特异性敲低小鼠肝COTL1的表达,同时蛋氨酸胆碱缺乏(methionine choline deficiency,MCD)饮食诱导NAFLD模型。通过小鼠活体成像观察敲低载体是否注射成功;蛋白质免疫印迹实验(Western blotting,WB)检测肝特异性敲低COTL1的效果;定期观察并记录分析小鼠的体质量和肝质量变化;全自动生化仪检测小鼠血清肝功能指标变化;病理切片染色观察小鼠肝结构及脂滴变化; WB检测肝特异性敲低COTL1,其分子伴侣花生四烯酸盐5-脂氧合酶(arachidonate 5-lipoxygenase,ALOX5)的表达量变化。结果 COTL1在MCD饮食诱导的NAFLD模型小鼠肝中表达量上调;特异性地敲低肝COTL1表达,小鼠体质量、肝质量增加,血清转氨酶水平升高;肝脂肪蓄积减少,脂滴明显变小减少,脂肪变性减轻; ALOX5的表达量随COTL1表达水平的降低而下降。结论特异性敲低肝COTL1表达可减轻肝脂肪变性,COTL1可能通过与ALOX5的相互作用促进NAFLD的发生发展。 展开更多
关键词 脂肪肝 非酒精性脂肪肝病 COTL1 饮食习惯 MCD饮食 肝特异性敲低 ALOX5 印迹法 蛋白质 转氨酶类
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