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血清铁蛋白对丙种球蛋白无反应型川崎病的预测价值及新预测模型的建立 被引量:9
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作者 张玉杰 白海涛 陈培玲 《中华儿科杂志》 CAS CSCD 北大核心 2021年第12期1080-1085,共6页
目的分析血清铁蛋白(SF)对丙种球蛋白无反应型川崎病(IVIGRKD)的预测价值并建立新的预测模型。方法回顾性收集泉州市妇幼保健院2017年1月至2019年12月收治的422例川崎病患儿的病例资料,根据是否对静脉用丙种球蛋白(IVIG)治疗敏感分为IVI... 目的分析血清铁蛋白(SF)对丙种球蛋白无反应型川崎病(IVIGRKD)的预测价值并建立新的预测模型。方法回顾性收集泉州市妇幼保健院2017年1月至2019年12月收治的422例川崎病患儿的病例资料,根据是否对静脉用丙种球蛋白(IVIG)治疗敏感分为IVIG耐药组和IVIG敏感组。对比分析两组患儿的一般临床特征、实验室检测结果等41项临床指标,组间比较采用t检验、Mann-WhitneyU检验或χ^(2)检验。运用受试者工作特征(ROC)曲线分析SF对IVIGRKD的预测效能,运用二元Logistic回归分析研究SF是否为IVIGRKD的独立危险因素,并建立新的预测评分系统,检测新评分法和4个常用预测评分系统的预测效能并进行比较。结果422例川崎病患儿中男285例、女137例,年龄17.0(9.0,29.0)月龄,其中IVIG耐药组57例、IVIG敏感组365例。耐药组SF水平明显高于敏感组[245.0(131.0,519.0)比145.0(92.5,232.5)μg/L,Z=-5.109,P<0.05],ROC曲线分析SF取截断值403.5μg/L时,SF预测IVIGRKD的Youden指数为0.326,预测效能良好。二元Logistic回归分析结果显示SF、初次IVIG治疗时病程、颈淋巴结肿大、多形性皮疹、白细胞计数、C反应蛋白(CRP)、活化部分凝血活酶时间(APTT)、丙氨酸转氨酶(ALT)、肌酐这9项指标是IVIGRKD的独立危险因素,最终建立新预测模型:多形性皮疹(2分),颈淋巴结肿大(1分),SF≥403.5μg/L(1分),白细胞计数≥18.3×10^(9)/L(1分),CRP≥83.1 mg/L(1分),APTT≥25.3 s(1分),ALT≥37.5 U/L(1分);≥4分为高危。4个常用评分系统的Youden指数为0.315~0.512,预测效能均尚可,新评分法灵敏度0.772,特异度0.923,Youden指数0.695。结论SF对IVIGRKD的预测效能良好,且是独立危险因素之一,SF可作为一项新的IVIGRKD预测指标。 展开更多
关键词 铁蛋白质类 丙种球蛋白类 黏膜皮肤淋巴结综合征 模型 统计学
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Lymphoid-biased hematopoietic stem cells and myeloid-biased hematopoietic progenitor cells have radioprotection activity
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作者 Shanshan Zhang Aled O’Neill +8 位作者 Miner Xie Peng Wu Xiaofang Wang haitao bai Fang Dong Jinhong Wang Qingyun Zhang Toshio Suda Hideo Ema 《Blood Science》 2021年第4期113-121,共9页
Radioprotection was previously considered as a function of hematopoietic stem cells(HSCs).However,recent studies have reported its activity in hematopoietic progenitor cells(HPCs).To address this issue,we compared the... Radioprotection was previously considered as a function of hematopoietic stem cells(HSCs).However,recent studies have reported its activity in hematopoietic progenitor cells(HPCs).To address this issue,we compared the radioprotection activity in 2 subsets of HSCs(nHSC1 and 2 populations)and 4 subsets of HPCs(nHPC1–4 populations)of the mouse bone marrow,in relation to their in vitro and in vivo colony-forming activity.Significant radioprotection activity was detected in the nHSC2 population enriched in lymphoid-biased HSCs.Moderate radioprotection activity was detected in nHPC1 and 2 populations enriched in myeloid-biased HPCs.Low radioprotection activity was detected in the nHSC1 enriched in myeloid-biased HSCs.No radioprotection activity was detected in the nHPC3 and 4 populations that included MPP4(LMPP).Single-cell colony assay combined with flow cytometry analysis showed that the nHSC1,nHSC2,nHPC1,and nHPC2 populations had the neutrophils/macrophages/erythroblasts/megakaryocytes(nmEMk)differentiation potential whereas the nHPC3 and 4 populations had only the nm differentiation potential.Varying day 12 spleen colony-forming units(day 12 CFU-S)were detected in the nHSC1,nHSC2,and nHPC1–3 populations,but very few in the nHPC4 population.These data suggested that nmEMk differentiation potential and day 12 CFU-S activity are partially associated with radioprotection activity.Reconstitution analysis showed that sufficient myeloid reconstitution around 12 to 14 days after transplantation was critical for radioprotection.This study implied that radioprotection is specific to neither HSC nor HPC populations,and that lymphoid-biased HSCs and myeloid-biased HPCs as populations play a major role in radioprotection. 展开更多
关键词 Hematopoietic progenitor cells(HPCs) Hematopoietic stem cells(HSCs) Lymphoid-biased hematopoietic stem cells Myeloid-biased hematopoietic progenitor cells lymphoid-primed multipotent progenitors(LMPPs) Myeloid-biased hematopoietic stem cells RADIOPROTECTION
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Genetic Architecture of Childhood Kidney and Urological Diseases in China
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作者 Ye Fang Hua Shi +66 位作者 Tianchao Xiang Jiaojiao Liu Jialu Liu Xiaoshan Tang Xiaoyan Fang Jing Chen Yihui Zhai Qian Shen Guomin Li Li Sun Yunli Bi Xiang Wang Yanyan Qian Bingbing Wu Huijun Wang Wenhao Zhou Duan Ma Jianhua Mao Xiaoyun Jiang Shuzhen Sun Ying Shen Xiaorong Liu Aihua Zhang Xiaowen Wang Wenyan Huang Qiu Li Mo Wang Xiaojie Gao Yubin Wu Fang Deng Ruifeng Zhang Cuihua Liu Li Yu Jieqiu Zhuang Qing Sun Xiqiang Dang haitao bai Ying Zhu Siguang Lu Bili Zhang Xiaoshan Shao Xuemei Liu Mei Han Lijun Zhao Yuling Liu Jian Gao Ying Bao Dongfeng Zhang Qingshan Ma Liping Zhao Zhengkun Xia Biao Lu Yulong Wang Mengzhun Zhao Jianjiang Zhang Shan Jian Guohua He Huifeng Zhang Bo Zhao Xiaohua LI Feiyan Wang Yufeng Li Hongtao Zhu Xinhui Luo Jinghai Li Jia Rao Hong Xu 《Phenomics》 2021年第3期91-104,共14页
Kidney disease is manifested in a wide variety of phenotypes,many of which have an important hereditary component.To delineate the genotypic and phenotypic spectrum of pediatric nephropathy,a multicenter registration ... Kidney disease is manifested in a wide variety of phenotypes,many of which have an important hereditary component.To delineate the genotypic and phenotypic spectrum of pediatric nephropathy,a multicenter registration system is being imple-mented based on the Chinese Children Genetic Kidney Disease Database(CCGKDD).In this study,all the patients with kidney and urological diseases were recruited from 2014 to 2020.Genetic analysis was conducted using exome sequencing for families with multiple affected individuals with nephropathy or clinical suspicion of a genetic kidney disease owing to early-onset or extrarenal features.The genetic diagnosis was confirmed in 883 of 2256(39.1%)patients from 23 provinces in China.Phenotypic profiles showed that the primary diagnosis included steroid-resistant nephrotic syndrome(SRNS,23.5%),glomerulonephritis(GN,32.2%),congenital anomalies of the kidney and urinary tract(CAKUT,21.2%),cystic renal disease(3.9%),renal calcinosis/stone(3.6%),tubulopathy(9.7%),and chronic kidney disease of unknown etiology(CKDu,5.8%).The pathogenic variants of 105 monogenetic disorders were identified.Ten distinct genomic disorders were identified as pathogenic copy number variants(CNVs)in 11 patients.The diagnostic yield differed by subgroups,and was highest in those with cystic renal disease(66.3%),followed by tubulopathy(58.4%),GN(57.7%),CKDu(43.5%),SRNS(29.2%),renal calcinosis/stone(29.3%)and CAKUT(8.6%).Reverse phenotyping permitted correct identification in 40 cases with clinical reassessment and unexpected genetic conditions.We present the results of the largest cohort of children with kidney disease in China where diagnostic exome sequencing was performed.Our data demonstrate the utility of family-based exome sequencing,and indicate that the combined analysis of genotype and phenotype based on the national patient registry is pivotal to the genetic diagnosis of kidney disease. 展开更多
关键词 Chronic kidney disease(CKD) Exome sequencing(ES) Steroid-resistant nephrotic syndrome(SRNS) Congenital anomalies of the kidney and urinary tract(CAKUT) Nephronophthisis(NPHP) Polycystic kidney disease(PKD)
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Interleukin-12 supports in vitro self-renewal of long-term hematopoietic stem cells
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作者 Shanshan Zhang Maiko Morita +11 位作者 Zhao Wang Jun Ooehara Sen Zhang Miner Xie haitao bai Wenying Yu Xiaofang Wang Fang Dong Jinhong Wang Shihui Ma Satoshi Yamazaki Hideo Ema 《Blood Science》 2019年第1期92-101,共10页
Hematopoietic stem cells(HSCs)self-renew or differentiate through division.Cytokines are essential for inducing HSC division,but the optimal cytokine combination to control self-renewal of HSC in vitro remains unclear... Hematopoietic stem cells(HSCs)self-renew or differentiate through division.Cytokines are essential for inducing HSC division,but the optimal cytokine combination to control self-renewal of HSC in vitro remains unclear.In this study,we compared the effects of interleukin-12(IL-12)and thrombopoietin(TPO)in combination with stem cell factor(SCF)on in vitro self-renewal of HSCs.Single-cell assays were used to overcome the heterogeneity issue of HSCs,and serum-free conditions were newly established to permit reproduction of data.In single-cell cultures,CD150^(+)CD48^(-)CD41^(-)CD34^(-)c-Kit^(+)Sca-1^(+)lineage^(-)SCs divided significantly more slowly in the presence of SCF+IL-12 compared with cells in the presence of SCF+TPO.Serial transplantation of cells from bulk and clonal cultures revealed that TPO was more effective than IL-12 at supporting in vitro self-renewal of short-term(<6 months)HSCs,resulting in a monophasic reconstitution wave formation,whereas IL-12 was more effective than TPO at supporting the in vitro selfrenewal of long-term(>6 months)HSCs,resulting in a biphasic reconstitution wave formation.The control of division rate in HSCs appeared to be crucial for preventing the loss of self-renewal potential from their in vitro culture. 展开更多
关键词 Ex vivo expansion Hematopoietic stem cells INTERLEUKIN-12 SELF-RENEWAL
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