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麦考酚酸酯治疗AQP4抗体阳性视神经炎疗效观察
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作者 曾峥 杨淑芳 +4 位作者 刘晓瑞 杨春生 孙立新 王甜 由彩云 《国际眼科杂志》 CAS 北大核心 2022年第6期887-891,共5页
目的:评价麦考酚酸酯(MMF)对AQP4抗体阳性视神经脊髓炎谱系障碍(NMOSD)患者预防复发和视力预后的作用。方法:回顾性病例研究。收集2017-01/2019-12收治的AQP4抗体阳性NMOSD患者11例,其中男3例,女8例。NMOSD特有的重要临床表现为视神经... 目的:评价麦考酚酸酯(MMF)对AQP4抗体阳性视神经脊髓炎谱系障碍(NMOSD)患者预防复发和视力预后的作用。方法:回顾性病例研究。收集2017-01/2019-12收治的AQP4抗体阳性NMOSD患者11例,其中男3例,女8例。NMOSD特有的重要临床表现为视神经炎。发病平均年龄36.3±6.0(27~47)岁,平均病程3.4±1.4(2.2~6.8)a。在NMOSD缓解期加用MMF 1a或1a以上。记录应用MMF患者的年复发率(ARR)、最佳矫正视力(BCVA)和不良反应。结果:MMF治疗的中位时间为18(12,36)mo。ARR在基线时为0.66/a,治疗后为0.16/a。91%的患者ARR下降,82%的患者无临床复发。MMF治疗后ARR明显改善(P<0.05)。治疗后平均BCVA与治疗前比较无显著差异(P>0.05)。11例患者中,3例(27%)出现不良反应,其中1例(9%)出现转氨酶升高,2例(18%)出现轻度胃肠道反应。没有因不良反应而停用MMF的情况。结论:MMF治疗AQP4抗体阳性NMOSD患者能在一定程度上降低其视神经炎的ARR,保护患者的视功能。 展开更多
关键词 视神经脊髓炎谱系障碍 视神经炎 麦考酚酸酯 复发 视力
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栀子苷抗肾间质纤维化的作用机制研究 被引量:5
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作者 孙源博 李桂芹 +4 位作者 孙丽欣 王云枫 关利新 朱敏 贠捷 《中国现代医学杂志》 CAS 2019年第11期8-13,共6页
目的通过转化生长因子-β1(TGF-β1)/Smad-2信号通路探讨栀子苷对肾间质纤维化的影响。方法将SD大鼠随机分为对照组、正常大鼠灌胃组、模型组、30 mg/kg及15 mg/kg栀子苷组,每组8只。复制大鼠单侧输尿管结扎(UUO)肾间质纤维化模型,栀子... 目的通过转化生长因子-β1(TGF-β1)/Smad-2信号通路探讨栀子苷对肾间质纤维化的影响。方法将SD大鼠随机分为对照组、正常大鼠灌胃组、模型组、30 mg/kg及15 mg/kg栀子苷组,每组8只。复制大鼠单侧输尿管结扎(UUO)肾间质纤维化模型,栀子苷组连续给予栀子苷14 d,对照组和模型组灌胃同体积的生理盐水;实验结束后,取大鼠结扎侧的肾脏,用HE染色观察肾间质纤维化病理情况;全自动生化仪检测血肌酐和尿素氮;ELISA检测大鼠血清中白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)、超氧化物歧化酶(SOD)活力和丙二醛(MDA)含量,Western blotting检测TGF-β1和Smad-2蛋白含量。结果与模型组比较,30 mg/kg和15 mg/kg栀子苷组大鼠血清中炎症因子TNF-α和IL-1β含量均降低(P <0.05),且呈剂量依赖性降低,MDA含量降低(P <0.05),SOD活性升高(P <0.05),且随着栀子苷浓度的增加而升高。与对照组比较,模型组肾脏组织中TGF-β1和Smad-2蛋白的表达增加(P <0.05);给予30和15 mg/kg的栀子苷后大鼠肾脏组织中TGF-β1和Smad-2蛋白表达降低(P <0.05)。结论栀子苷具有抗肾间质纤维化作用,其机制可能与通过抑制TGF-β1/Smad信号通路,降低炎症反应及氧化应激损伤有关。 展开更多
关键词 肾病 纤维化 栀子苷 转化生长因子-Β1 Smad-2
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Electroacupuncture preconditioning protects against focal cerebral ischemia/reperfusion injury via suppression of dynamin-related protein 1 被引量:16
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作者 Gao-feng Zhang Pei Yang +7 位作者 Zeng Yin Huai-long Chen Fu-guo Ma Bin Wang li-xin sun Yan-lin Bi Fei Shi Ming-shan Wang 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第1期86-93,共8页
Electroacupuncture preconditioning at acupoint Baihui(GV20) can reduce focal cerebral ischemia/reperfusion injury. However, the precise protective mechanism remains unknown. Mitochondrial fission mediated by dynamin-r... Electroacupuncture preconditioning at acupoint Baihui(GV20) can reduce focal cerebral ischemia/reperfusion injury. However, the precise protective mechanism remains unknown. Mitochondrial fission mediated by dynamin-related protein 1(Drp1) can trigger neuronal apoptosis following cerebral ischemia/reperfusion injury. Herein, we examined the hypothesis that electroacupuncture pretreatment can regulate Drp1, and thus inhibit mitochondrial fission to provide cerebral protection. Rat models of focal cerebral ischemia/reperfusion injury were established by middle cerebral artery occlusion at 24 hours after 5 consecutive days of preconditioning with electroacupuncture at GV20(depth 2 mm, intensity 1 m A, frequency 2/15 Hz, for 30 minutes, once a day). Neurological function was assessed using the Longa neurological deficit score. Pathological changes in the ischemic penumbra on the injury side were assessed by hematoxylin-eosin staining. Cellular apoptosis in the ischemic penumbra on the injury side was assessed by terminal deoxyribonucleotidyl transferase-mediated d UTP-digoxigenin nick end labeling staining. Mitochondrial ultrastructure in the ischemic penumbra on the injury side was assessed by transmission electron microscopy. Drp1 and cytochrome c expression in the ischemic penumbra on the injury side were assessed by western blot assay. Results showed that electroacupuncture preconditioning decreased expression of total and mitochondrial Drp1, decreased expression of total and cytosolic cytochrome c, maintained mitochondrial morphology and reduced the proportion of apoptotic cells in the ischemic penumbra on the injury side, with associated improvements in neurological function. These data suggest that electroacupuncture preconditioning-induced neuronal protection involves inhibition of the expression and translocation of Drp1. 展开更多
关键词 nerve regeneration ELECTROACUPUNCTURE focal cerebral ischemia/reperfusion injury dynamin-related protein 1 death-associated protein kinases mitochondrial dynamics mitochondrial ultrastructure APOPTOSIS cytochrome c neural regeneration
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Selective brain hypothermia-induced neuroprotection against focal cerebral ischemia/reperfusion injury is associated with Fis1 inhibition 被引量:13
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作者 Ya-Nan Tang Gao-Feng Zhang +6 位作者 Huai-Long Chen Xiao-Peng sun Wei-Wei Qin Fei Shi li-xin sun Xiao-Na Xu Ming-Shan Wang 《Neural Regeneration Research》 SCIE CAS CSCD 2020年第5期903-911,共9页
Selective brain hypothermia is considered an effective treatment for neuronal injury after stroke,and avoids the complications of general hypothermia.However,the mechanisms by which selective brain hypothermia affects... Selective brain hypothermia is considered an effective treatment for neuronal injury after stroke,and avoids the complications of general hypothermia.However,the mechanisms by which selective brain hypothermia affects mitochondrial fission remain unknown.In this study,we investigated the effect of selective brain hypothermia on the expression of fission 1 (Fis1) protein,a key factor in the mitochondrial fission system,during focal cerebral ischemia/reperfusion injury.Sprague-Dawley rats were divided into four groups.In the sham group,the carotid arteries were exposed only.In the other three groups,middle cerebral artery occlusion was performed using the intraluminal filament technique.After 2 hours of occlusion,the filament was slowly removed to allow blood reperfusion in the ischemia/reperfusion group.Saline,at 4℃ and 37℃,were perfused through the carotid artery in the hypothermia and normothermia groups,respectively,followed by restoration of blood flow.Neurological function was assessed with the Zea Longa 5-point scoring method.Cerebral infarct volume was assessed by 2,3,5-triphenyltetrazolium chloride staining,and apoptosis was assessed by terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling staining.Fis1 and cytosolic cytochrome c levels were assessed by western blot assay.Fis1 mRNA expression was assessed by quantitative reverse transcription-polymerase chain reaction.Mitochondrial ultrastructure was evaluated by transmission electron microscopy.Compared with the sham group,apoptosis,Fis1 protein and mRNA expression and cytosolic cytochrome c levels in the cortical ischemic penumbra and cerebral infarct volume were increased after reperfusion in the other three groups.These changes caused by cerebral ischemia/reperfusion were inhibited in the hypothermia group compared with the normothermia group.These findings show that selective brain hypothermia inhibits Fis1 expression and reduces apoptosis,thereby ameliorating focal cerebral ischemia/reperfusion injury in rats.Experiments were authorized by the Ethics Committee of Qingdao Municipal Hospital of China (approval No.2019008). 展开更多
关键词 apoptosis Fis1 HYPOTHERMIA ISCHEMIA/REPERFUSION injury mitochondria MITOCHONDRIAL fission MITOCHONDRIAL ultrastructure NEUROPROTECTION SELECTIVE BRAIN HYPOTHERMIA stroke
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Interaction between Colon Cancer Cells and Human Liver Sinusoidal Endothelial Cells Promotes Liver Metastasis of Tumor Cells 被引量:1
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作者 Li-chao sun Shu-ting Li +5 位作者 Long YU li-xin sun Lu-lu HAN Tong LIU Zhi-hua YANG Yu-liang RAN 《Clinical oncology and cancer resexreh》 CAS CSCD 2011年第3期138-143,共6页
关键词 肝窦内皮细胞 肿瘤细胞 相互作用 癌细胞 结肠癌 WESTERN印迹 基质金属蛋白酶 生长能力
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Pharmacokinetic behavior of 16-dehydropregnenolone after intramuscular administration in rats
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作者 Hong-Ying Yang Wen-Meng Zhang +2 位作者 Wen-Wen Yang Ting Zhao li-xin sun 《Journal of Pharmaceutical Analysis》 SCIE CAS 2011年第2期135-138,共4页
The pharmacokinetics of 16-dehydropregnenolone(16-DHP),a sterols compound isolated from Solanum lyratum Thunb.,was investigated in rats following a single intramuscular administration(40 mg/kg).The concentration of 16... The pharmacokinetics of 16-dehydropregnenolone(16-DHP),a sterols compound isolated from Solanum lyratum Thunb.,was investigated in rats following a single intramuscular administration(40 mg/kg).The concentration of 16-DHP in rat plasma was determined by a high performance liquid chromatography(HPLC)method with UV detection.Levonorgestrel was used as the internal standard(IS).The pharmacokinetic parameters of 16-DHP were derived by non-compartmental method.After a single intramuscular administration,the maximum plasma concentration(Cmax)was(289±25)ng/mL,time to reach Cmax(tmax)was(0.38±0.14)h,the elimination half-life(t1/2)was(2.5±1.1)h,the area under the plasma concentration-time curve from time zero to the time of the last measurable concentration(AUC(0-t))was(544±73)ng·h/mL.The results indicated that 16-DHP was absorbed quickly and eliminated rapidly in rats after the intramuscular injection. 展开更多
关键词 动力学行为 大鼠 醇酮 给药 肌注 肌肉注射 高效液相色谱 浓度测定
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Eustachian tube teratoma: A case report
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作者 Jin-Ye Li li-xin sun +4 位作者 Na Hu Ge-Sheng Song Wei-Qiang Dou Ruo-Zhen Gong Chuan-Ting Li 《World Journal of Clinical Cases》 SCIE 2022年第1期316-322,共7页
BACKGROUND Mature teratoma composed of all three basic germ cell layers of the head and neck is a rare disease.Teratomas involving the temporal bone are particularly scarce.CASE SUMMARY A 48-year-old male patient with... BACKGROUND Mature teratoma composed of all three basic germ cell layers of the head and neck is a rare disease.Teratomas involving the temporal bone are particularly scarce.CASE SUMMARY A 48-year-old male patient with a history of chronic otitis of the left ear from infancy,for which he had been operated on twice,was referred to our hospital for chronic otitis,cholesteatoma and a middle ear mass.Computed tomography(CT)scan and magnetic resonance imaging(MRI)revealed a eustachian tube teratoma,in which the anterior lower part and posterior upper part were connected by a thin membranaceous tissue.The mass was removed completely under general anesthesia by mastoidectomy.As of last follow-up(2 years post-surgery),the disease had not relapsed.CONCLUSION Pre-operative CT and MRI are necessary for eustachian tube teratoma.Complete surgical resection provided excellent prognosis. 展开更多
关键词 Eustachian tube TERATOMA Chronic otitis Computed tomography Magnetic resonance imaging Case report
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Decision-tree analysis for cost-effective management of solitary pulmonary nodules in China
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作者 Bei Lu li-xin sun +2 位作者 Xi Yan Zhen-Zhong Ai Jin-Zhi Xu 《World Journal of Meta-Analysis》 2014年第3期127-134,共8页
AIM: To analyze the cost-effectiveness of the diagnosis of solitary pulmonary nodule(SPN) in China. METHODS: Decision analysis models were constructed to assess the cost-effectiveness of four strategies for the manage... AIM: To analyze the cost-effectiveness of the diagnosis of solitary pulmonary nodule(SPN) in China. METHODS: Decision analysis models were constructed to assess the cost-effectiveness of four strategies for the management of SPN: computed tomography(CT) alone, CT plus CT-guided automated cutting needle biopsy(ACNB), CT plus positron emission tomography/computed tomography(PET/CT), CT plus diffusionweighted magnetic resonance imaging(DWI) plus PET/CT. RESULTS: The prevalence of lung cancer among SPN discovered in the clinical setting was approximately 50%. The CT plus ACNB strategy had higher diagnostic accuracies(87% vs 81%), with a cost saving of $1945 RMB per patient, and reducing unnecessary thoracotomy by 16.5%; this was associated with a 4.5% missed diagnosis rate. CT plus DWI plus PET/CT strategy also had higher accuracies(95% vs 81%), with a cost saving of $590 RMB per patient, and reducing unneces-sary thoracotomy by 13.5%; this was accompanied by 0.3% missed diagnosis rate. CT plus PET strategy is cost effective at a prevalence rate of 0-34%, but there was a larger prevalence range of lung cancer for CT plus ACNB strategy(from 0 to 0.6) and CT plus DWI plus PET/CT strategy(from 0 to 0.64). CONCLUSION: CT plus DWI plus PET/CT strategy was cost-effective, and had a higher accuracy accompanied by a lower missed diagnosis rate than CT plus ACNB strategy. 展开更多
关键词 Solitary pulmonary nodules Diffusion-weighted Magnetic resonance imaging Computed tomographyguided automated cutting needle biopsy Positron emission tomography/computed tomography Cost effectiveness
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Petrology,Zircon Chronology and Geochemistry of the Late Silurian Ophiolitic Mélanges and the Baiyunshan Forearc Complex in the Central Beishan Orogenic Belt,NE China
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作者 Hou-Tian Xin Jian Tian +4 位作者 Xue-Jian Teng li-xin sun Guo-Zhen Zhang Yong Zhang Bang-Fang Ren 《Journal of Earth Science》 SCIE CAS CSCD 2023年第2期444-455,共12页
The WNW-ESE-trending Baiyunshan ophiolitic mélange is exposed in the central Beishan orogenic belt(BOB),between the Hongliuhe-Niujuanzi and Xichangjing ophiolitic mélanges in the west and east,respectively.H... The WNW-ESE-trending Baiyunshan ophiolitic mélange is exposed in the central Beishan orogenic belt(BOB),between the Hongliuhe-Niujuanzi and Xichangjing ophiolitic mélanges in the west and east,respectively.Here we present new petrological,geochemical,and zircon U-Pb age data for the Baiyunshan ophiolitic mélange and metamorphosed lithic sandstones of“the Baiyunshan Formation”.The Baiyunshan ophiolitic mélange is characterized by a block-in-matrix structure,and the blocks of ultramafic-mafic rocks are mainly pyroxenites,dunites,gabbros,and minor hornblendites.Zircon U-Pb dating yielded an emplacement age of 424.2±3.7 Ma for the gabbros.The ultramaficmafic rocks have geochemical features of supra-subduction zone-type ophiolites,including low Ti contents(TiO2=0.01 wt.%–0.35 wt.%),negative Nb-Ta anomalies,and U-shaped rare earth element patterns with positive Eu anomalies(δEu=0.99–3.25).“The Baiyunshan Formation”is exposed to the north of the ophiolitic mélange,and comprises mainly meta-cherts in its lower part and metasandstones and marbles in its upper part.Blocks of basalt are locally dispersed in the sand-slate matrix.The ages of detrital zircons in the metamorphosed lithic sandstones range from 521 to 464 Ma,with an age peak of 500 Ma,which is similar to those of the Gongpoquan arc in the north.The central Beishan orogenic belt experienced continuous subduction of the Hongliuhe-Xichangjing oceanic lithosphere in the Late Silurian,which produced the Baiyunshan forearc complex and supra-subduction zone-type ophiolite. 展开更多
关键词 Beishan orogenic belt the Hongliuhe-Xichangjing Ocean the ultramafic-mafic rocks Late Silurian SSZ-type ophiolite Subduction and accretion GEOCHEMISTRY
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