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Psoriatic arthritis: clinical patterns, rheumatoid factor, anti-cyclic citrullinated peptide and human leukocyte antigen risk alleles
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作者 Devolina Bhowmik Shirin Tarafder Manash Chandra Sarker 《TMR Aging》 2020年第3期89-96,共8页
Psoriatic arthritis is an inflammatory arthritis associated with psoriasis.Both rheumatoid factor and anti-cyclic citrullinated peptide antibodies positive psoriatic arthritis patients may be in risk for development o... Psoriatic arthritis is an inflammatory arthritis associated with psoriasis.Both rheumatoid factor and anti-cyclic citrullinated peptide antibodies positive psoriatic arthritis patients may be in risk for development of symmetrical polyarthritis pattern.Symmetrical polyarthritis pattern was predominant(42%)among clinical pattern of psoriatic arthritis.Among 10 rheumatoid factor positive patients,8(80%)patients had symmetrical polyarthritis pattern and out of 7 anti-cyclic citrullinated peptide antibody positive patients,7(100%)patients had symmetrical polyarthritis pattern.Association of anti-cyclic citrullinated peptide(P=0.008)and rheumatoid factor(P=0.006)showed statistical significance with symmetrical polyarthritis pattern.Human leukocyte antigen-B*07,*38 and human leukocyte antigen-C*07 were predominantly found in rheumatoid factor and anti-cyclic citrullinated peptide positive psoriatic arthritis patients.Background:Psoriatic arthritis is an inflammatory arthritis associated with psoriasis.It is usually seronegative in nature but a small percentage of patients may be positive for rheumatoid factor and anti-cyclic citrullinated peptide antibodies.Anti-cyclic citrullinated peptide and rheumatoid factor are highly specific for rheumatoid arthritis but their role is not clear in psoriatic arthritis.The prevalence and prognostic value of anti-cyclic citrullinated peptide antibody and rheumatoid factor in psoriatic arthritis patients is not well known.The aim of this study was therefore to investigate the prevalence of anti-cyclic citrullinated peptide antibodies and rheumatoid factor in psoriatic arthritis patients and assess their clinical associations and also to see the distribution of human leukocyte antigen-B and human leukocyte antigen-C locus antigens in anti-cyclic citrullinated peptide antibody and rheumatoid factor positive psoriatic arthritis patients.Methods:Fifty patients with psoriatic arthritis were tested for the presence of rheumatoid factor and anti-cyclic citrullinated peptide antibodies.Polymerase chain reaction was done with sequence specific primer for detection of human leukocyte antigen-B and human leukocyte antigen-C locus antigens in rheumatoid factor and anti-cyclic citrullinated peptide positive psoriatic arthritis patients.Data on five clinical patterns of rheumatological manifestations of psoriatic arthritis patients were collected prospectively on all patients and statistically compared between anti-cyclic citrullinated peptide,rheumatoid factor positive and negative patients by chi-square test.We also see the distribution of human leukocyte antigen-B and human leukocyte antigen-C locus antigens in anti-cyclic citrullinated peptide antibody and rheumatoid factor positive psoriatic arthritis patients.Results:Among 50 psoriatic arthritis patients,rheumatoid arthritis test was positive in 10(20%)patients and anti-cyclic citrullinated peptide was positive in 7(14%)patients.Symmetrical polyarthritis pattern is predominant among clinical pattern of psoriatic arthritis which was found in 21(42%)patients.Among 7 anti-cyclic citrullinated peptide positive psoriatic arthritis patients,symmetrical polyarthritis pattern is predominant and it was found in 7(100%)patients.Among 10 rheumatoid factor positive psoriatic arthritis patients,symmetrical polyarthritis pattern is predominant and it was found in 8(80%)patients.In this study,symmetrical polyarthritis pattern is statistically associated with anti-cyclic citrullinated peptide positive psoriatic arthritis patients(P=0.008)and rheumatoid factor positive psoriatic arthritis patients(P=0.006).Human leukocyte antigen-B*07,*38 and human leukocyte antigen-C*07 were predominantly found in rheumatoid factor and anti-cyclic citrullinated peptide positive psoriatic arthritis patients.Conclusion:Both rheumatoid factor and anti-cyclic citrullinated peptide positive psoriatic arthritis patients may be in risk for development of symmetrical polyarthritis pattern.Among rheumatoid factor and anti-cyclic citrullinated peptide positive psoriatic arthritis patients,Human leukocyte antigen-B*07,*38 and human leukocyte antigen-C*07 alleles were more frequently found alleles. 展开更多
关键词 Psoriatic arthritis Rhematoid factor Anti-cyclic citrullinated peptide Human leukocyte antigen
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Anti-cyclic citrullinated peptide antibody predicts the development of rheumatoid arthritis in patients with undifferentiated arthritis 被引量:4
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作者 Chun Li Yan Zhang +41 位作者 Hui Song Jie Gao Dong-Bao Zhao Qi Zhu Dong-Yi He Li Wang Xiang-Pei Li Xu-Dong Liu Wei-Guo Xiao Xin-Yu Wu Hua-Xiang Wu Wei Tu Shao-Xian Hu Xin Wang Zhi-Jun Li Zhi-Min Lu Zhan-Yun Da Bo Liang Xiao-Min Liu Jin-Wei Zhao Ling Li Feng Han Wu-Fang Qi Wei Wei Xu Ma Zhen-Bin Li Gui-Min Zheng Feng-Xiao Zhang Yi Li You-Lian Wang Guang-Hui Ling Jin-Wei Chen Xiao-Qiang Hou Jing Zhang Qing-Ping Chen Chang-Lian Liu Yan Zhang Jia-Shun Zeng Qing-Hua Zou Yong-Fei Fang Yin Su Zhan-Guo Li 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第24期2899-2904,共6页
Background:Clinical outcomes of undifferentiated arthritis(UA)are diverse,and only 40%of patients with UA develop rheumatoid arthritis(RA)after 3 years.Discovering predictive markers at disease onset for further inter... Background:Clinical outcomes of undifferentiated arthritis(UA)are diverse,and only 40%of patients with UA develop rheumatoid arthritis(RA)after 3 years.Discovering predictive markers at disease onset for further intervention is critical.Therefore,our objective was to analyze the clinical outcomes of UA and ascertain the predictors for RA development.Methods:We performed a prospective,multi-center study from January 2013 to October 2016 among Chinese patients diagnosed with UA in 22 tertiary-care hospitals.Clinical and serological parameters were obtained at recruitment.Follow-up was undertaken in all patients every 12 weeks for 2 years.Predictive factors of disease progression were identified using multivariate Cox proportional hazards regression.Results:A total of 234 patients were recruited in this study,and 17(7.3%)patients failed to follow up during the study.Among the 217 patients who completed the study,83(38.2%)patients went into remission.UA patients who developed RA had a higher rheumatoid factor(RF)-positivity(42.9%vs.16.8%,χ^2=8.228,P=0.008),anti-cyclic citrullinated peptide(CCP)antibodypositivity(66.7%vs.10.7%,χ^2=43.897,P<0.001),and double-positivity rate of RF and anti-CCP antibody(38.1%vs.4.1%,χ^2=32.131,P<0.001)than those who did not.Anti-CCP antibody but not RF was an independent predictor for RA development(hazard ratio 18.017,95%confidence interval:5.803–55.938;P<0.001).Conclusion:As an independent predictor of RA,anti-CCP antibody should be tested at disease onset in all patients with UA. 展开更多
关键词 Anti-cyclic citrullinated peptide ANTIBODY Arthritis Rheumatoid RHEUMATOID factor UNDIFFERENTIATED ARTHRITIS
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Macrophage-inducible C-type lectin is associated with anti-cyclic citrullinated peptide antibodies-positive rheumatoid arthritis in men 被引量:1
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作者 WU Xin-yu GUO Jian-ping +5 位作者 YIN Fang-rui LU Xiao-lan LI Ru HE Jing LIU Xu LI Zhan-guo 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第17期3115-3119,共5页
关键词 类风湿关节炎 C型凝集素 抗体阳性 巨噬细胞 瓜氨酸 男性 Logistic回归分析 诱导
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Two New Cyclic Peptides from Psammosilene tunicoides 被引量:6
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作者 Zhong Tao DING You Chu WANG +2 位作者 Jun ZHOU Ning Hua TAN Hou Ming WU(1Laboratory of Phytochemisty, Kunming institute of Botany, Academia Sinica, Kunming 650204)(2Department of Chemistry, Yunnan University, Kunming 650091)(3State Key Laboratory of Bio-Organic 《Chinese Chemical Letters》 SCIE CAS CSCD 1999年第12期0-0,0-0,共4页
From Psammosilene tunicoides W. C. Wu et C. Y Wu, two cyclic octapeptides (namedpsammosilenins A and B) were isolated. Their structures were determined as cyclo(-Pro1-phe1-Pro2-Phe2-Phe3-Ala-Pro3-Leu-) and cyclo(-Pro1... From Psammosilene tunicoides W. C. Wu et C. Y Wu, two cyclic octapeptides (namedpsammosilenins A and B) were isolated. Their structures were determined as cyclo(-Pro1-phe1-Pro2-Phe2-Phe3-Ala-Pro3-Leu-) and cyclo(-Pro1-Gly-Phe1-Val-Pro2-Phe2-Thr-Ile) by spectroscopicmethods. 展开更多
关键词 Psammosilene tUnicoides Cmpophyllaceae cyclic peptide psammosilenins A psammosilenins B.
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Synthesis of a highly hydrophobic cyclic decapeptide by solid-phase synthesis of linear peptide and cyclization in solution 被引量:5
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作者 Chen, Jian Zhang, Bei +2 位作者 Xie, Cao Lu, Yi Wu, Wei 《Chinese Chemical Letters》 SCIE CAS CSCD 2010年第4期391-394,共4页
A general method was described to synthesize a highly hydrophobic cyclic peptide,cyclo[LWLWLWLWLQ]where underlines indicate D-configuration of the amino acid,by a two-step solid-phase/solution synthesis strategy.The l... A general method was described to synthesize a highly hydrophobic cyclic peptide,cyclo[LWLWLWLWLQ]where underlines indicate D-configuration of the amino acid,by a two-step solid-phase/solution synthesis strategy.The linear decapeptide was assembled by standard Boc chemistry on solid-phase and subsequently cyclized in solution with high efficiency and reproducibility. In subsequent purification by semi-preparative HPLC,50%(v/v) DMF/H_2O was employed as the solvent to overcome the difficulty of solubilizat... 展开更多
关键词 cyclic peptide Decapeptide cyclo[LWLWLWLWLQ] Solid-phase synthesis CYCLIZATION PURIFICATION
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Structural and Electronic Properties of Cyclic Peptide-gold Nanoparticle as a Drug Delivery System 被引量:1
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作者 KHOSHBAYAN Bahareh MORSALI Ali BOZORGMEHR Mohammad Reza 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 2019年第4期566-580,共15页
Using Au6 cluster and cyclooctaglycine model for gold nanoparticle(AuNP) and cyclic peptide(CP), twelve configurations for the functionalization of cyclic peptide-gold nanoparticle(CPAuNP) with gemcitabine(GEM) antica... Using Au6 cluster and cyclooctaglycine model for gold nanoparticle(AuNP) and cyclic peptide(CP), twelve configurations for the functionalization of cyclic peptide-gold nanoparticle(CPAuNP) with gemcitabine(GEM) anticancer drug were investigated(CPAuNP/GEM1-12). Structural and electronic properties have been studied in gas phase and aqueous solution at M06-2 X/6-31 g(d,p). The energetic stability of CPAuNP/GEM1-12 was confirmed by the calculation of binding energies. Since the solubility of drug, CP and AuNP increases in CPAuNP/GEM1-12, cyclic peptide-gold nanoparticle could be used as an appropriate drug delivery system. Quantum molecular descriptors such as electrophilicity power and global hardness demonstrated that the reactivity of CP and GEM drug increases in CPAuNP/GEM1-12 configurations. The AIM analysis for CPAuNP/GEM1-12 indicated that the Au-L(L = H, O, F, C, N) interactions and intermolecular hydrogen bonds play important roles in this drug delivery system. All Au-Au and some of Au-L interactions are related to medium interactions. The most stable configurations are those in which GEM drug is parallel to the CPAuNP and interacts simultaneously with AuNP and CP. 展开更多
关键词 gold NANOPARTICLE GEMCITABINE cyclic peptide AIM analysis NANOCARRIER
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Two Cyclic Peptides Produced by the Endophytic Fungus # 2221 from Castaniopsis fissa on the South China Sea Coast 被引量:2
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作者 WenQingYIN JieMingZOU +3 位作者 ZhiGangSHE L.L.P.Vrijmoed E.B.GarethJones YongChengLIN 《Chinese Chemical Letters》 SCIE CAS CSCD 2005年第2期219-222,共4页
New cyclic peptides 1 and 2 were isolated from the endophytic fungus #2221 fromCastaniopsis fissa on the south China sea coast. By 2D NMR methods and chiral HPLC technique,their structures were elucidated as cyclo (L-... New cyclic peptides 1 and 2 were isolated from the endophytic fungus #2221 fromCastaniopsis fissa on the south China sea coast. By 2D NMR methods and chiral HPLC technique,their structures were elucidated as cyclo (L-Val-L-Leu-L-Val-L-Leu) and cyclo(L-Leu-L-Ala-L-Leu-L-Ala), respectively. 展开更多
关键词 缩氨酸 蘑菇 Castaniopsis fissa 2D核磁共振方法 手性HPLC技术 代谢物 细菌 生物活性 化学结构
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Investigation of the interaction between HIV-1 DNA and cyclic peptides by electrospray ionization mass spectrometry 被引量:2
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作者 Yi Quan Liu Hui Hui Li +1 位作者 Yun Hua Ye Gu Yua 《Chinese Chemical Letters》 SCIE CAS CSCD 2009年第3期330-333,共4页
在 HIV-1 DNA 和五周期的肽之间的相互作用(CP1&#x2013; CP5 ) 用电镀物品被调查祈祷电离团 spectrometry (ESIMS ) 。它揭示了那 CP1 [c (Ala-Tyr-Leu-Ala-Gly )] 并且 CP4 [c (Pro-D-Tyr-Leu-D-Ala-Gly )] 在五周期的肽之中与双 ... 在 HIV-1 DNA 和五周期的肽之间的相互作用(CP1&#x2013; CP5 ) 用电镀物品被调查祈祷电离团 spectrometry (ESIMS ) 。它揭示了那 CP1 [c (Ala-Tyr-Leu-Ala-Gly )] 并且 CP4 [c (Pro-D-Tyr-Leu-D-Ala-Gly )] 在五周期的肽之中与双 DNA 有更高有约束力的亲密关系。 展开更多
关键词 双链DNA 电喷雾质谱 相互作用 HIV 环肽 结合亲和力 丙氨酸 酪氨酸
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Anti-metastatic Effect of Repeated Cyclic-GRGDSPA Peptide Produced by Intein Protein Trans-splicing on Murine B16 Melanoma Cells 被引量:1
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作者 Fuxiang ZHU Zelong LIU +1 位作者 Xiaoyan CHI Xianqing LIU 《中国肺癌杂志》 CAS 2009年第6期665-667,共3页
Background and objective Metastasis is one of the most important causes of mortality in tumor. The pathological process of metastasis includes several sequential steps as
关键词 肺癌 治疗 临床 药物
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Software-aided detection and structural characterization of cyclic peptide metabolites in biological matrix by high-resolution mass spectrometry
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作者 Ming Yao Tingting Cai +3 位作者 Eva Duchoslav Li Ma Xu Guo Mingshe Zhu 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2020年第3期240-246,共7页
Compared to their linear counterparts,cyclic peptides show better biological activities,such as antibacterial,immunosuppressive,and anti-tumor activities,and pharmaceutical properties due to their conformational rigid... Compared to their linear counterparts,cyclic peptides show better biological activities,such as antibacterial,immunosuppressive,and anti-tumor activities,and pharmaceutical properties due to their conformational rigidity.However,cyclic peptides could form numerous putative metabolites from potential hydrolytic cleavages and their fragments are very difficult to interpret.These characteristics pose a great challenge when analyzing metabolites of cyclic peptides by mass spectrometry.This study was to assess and apply a software-aided analytical workflow for the detection and structural characterization of cyclic peptide metabolites.Insulin and atrial natriuretic peptide(ANP)as model cyclic peptides were incubated with trypsin/chymotrypsin and/or rat liver S9,followed by data acquisition using TripleTOF?5600.Resultant full-scan MS and MS/MS datasets were automatically processed through a combination of targeted and untargeted peak finding strategies.MS/MS spectra of predicted metabolites were interrogated against putative metabolite sequences,in light of a,b,y and internal fragment series.The resulting fragment assignments led to the confirmation and ranking of the metabolite sequences and identification of metabolic modification.As a result,29 metabolites with linear or cyclic structures were detected in the insulin incubation with the hydrolytic enzymes.Sequences of twenty insulin metabolites were further determined,which were consistent with the hydrolytic sites of these enzymes.In the same manner,multiple metabolites of insulin and ANP formed in rat liver S9 incubation were detected and structurally characterized,some of which have not been previously reported.The results demonstrated the utility of software-aided data processing tool in detection and identification of cyclic peptide metabolites. 展开更多
关键词 Atrial natriuretic peptide Metabolism of cyclic peptide High resolution mass spectrometry INSULIN Software-aided data processing
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Design and Synthesis of Muramyl Dipeptide Cyclic Analogue
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作者 Suo De ZHANG Gang LIU +1 位作者 Su Quan XIA Ping WU 《Chinese Chemical Letters》 SCIE CAS CSCD 2002年第1期17-18,共2页
A new conformationally restricted cyclic analogue of muramyl dipeptide was designed and manually synthesized by our 揗eshed-Bag Gathered-Bunch?method with a combination of Fmoc, allyl and N-1-(4,4-dimethyl2,6-dioxocyc... A new conformationally restricted cyclic analogue of muramyl dipeptide was designed and manually synthesized by our 揗eshed-Bag Gathered-Bunch?method with a combination of Fmoc, allyl and N-1-(4,4-dimethyl2,6-dioxocyclo-hexylidene)ethyl chemical protection strategy. 展开更多
关键词 Muramyl dipeptide “Meshed-Bag Gathered-Bunch”method cyclic peptides solid-phase synthesis
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Cyclic heptapeptides with metal binding properties isolated from the fungus Cadophora malorum from Antarctic soil
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作者 Guidmar C.Donalle María Martha Martorell +2 位作者 Gastón E.Siless Lucas Ruberto Gabriela M.Cabrera 《Natural Products and Bioprospecting》 2022年第1期393-402,共10页
The Antarctic fungus Cadophora malorum produces previously undescribed cyclic heptapeptides(cadophorin A and B)containing an anthranilic acid residue.The planar structure of these peptides was determined by high-resol... The Antarctic fungus Cadophora malorum produces previously undescribed cyclic heptapeptides(cadophorin A and B)containing an anthranilic acid residue.The planar structure of these peptides was determined by high-resolution mass spectrometry combined with extensive 1D and 2D NMR spectroscopy.The absolute configuration of the amino acids was determined by Marfey’s method,with HPLC analysis of FDVA(Nα-(2,4-dinitro-5-fluorphenyl)-l-valinamide)derivatives making use of a PFP column.Remarkably,cadophorin 2 possesses both the uncommon d-Ile and d-allo-Ile in its structure.The peptides have metal binding properties as shown by LCMS with post column addition of metal salt solutions.These results were supported by DFT calculations. 展开更多
关键词 cyclic peptide Cadophora malorum Metal binding
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Synthesis and Crystallization of a Cyclic Decapeptide GG-110824
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作者 丁慧文 钟家亮 +1 位作者 杨萍 穆青 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 2013年第9期1303-1306,共4页
A highly hydrophobic cyclic peptide GG-110824,cyclo(Gly-Leu-Val-Leu-LeuVal-Pro-Ile-Gly-Leu)(C49H86N10O10),has been synthesized by a strategy combined with solid-phase synthesis(SPPS) of linear peptide and cyclization ... A highly hydrophobic cyclic peptide GG-110824,cyclo(Gly-Leu-Val-Leu-LeuVal-Pro-Ile-Gly-Leu)(C49H86N10O10),has been synthesized by a strategy combined with solid-phase synthesis(SPPS) of linear peptide and cyclization in solution.The structure including the absolute configuration of synthesized GG-110824 was confirmed by CuK radiation X-ray crystallography in the monoclinic system,space group P21 with a = 11.4966(10),b = 18.5286(2),c = 13.3943(10),= 95.03o,V = 2842.20(4)3,F(000) = 1080 and Z = 2. 展开更多
关键词 固相合成法 循环 X射线结晶学 环化反应 单斜晶系 绝对构型 甘氨酸
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Dock-able linear and homodetic di, tri, tetra and pentapeptide library from canonical amino acids: SARS-CoV-2 Mpro as a case study
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作者 Sarfraz Ahmad Muhammad Usman Mirza John F.Trant 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2023年第5期523-534,共12页
Peptide-based therapeutics are increasingly pushing to the forefront of biomedicine with their promise of high specificity and low toxicity.Although noncanonical residues can always be used,employing only the natural ... Peptide-based therapeutics are increasingly pushing to the forefront of biomedicine with their promise of high specificity and low toxicity.Although noncanonical residues can always be used,employing only the natural 20 residues restricts the chemical space to a finite dimension allowing for comprehensive in silico screening.Towards this goal,the dataset comprising all possible di-,tri-,and tetra-peptide combinations of the canonical residues has been previously reported.However,with increasing computational power,the comprehensive set of pentapeptides is now also feasible for screening as the comprehensive set of cyclic peptides comprising four or five residues.Here,we provide both the complete and prefiltered libraries of all di-,tri-,tetra-,and penta-peptide sequences from 20 canonical amino acids and their homodetic(N-to-C-terminal)cyclic homologues.The FASTA,simplified molecular-input line-entry system(SMILES),and structure-data file(SDF)-three dimension(3D)libraries can be readily used for screening against protein targets.We also provide a simple method and tool for conducting identity-based filtering.Access to this dataset will accelerate small peptide screening workflows and encourage their use in drug discovery campaigns.As a case study,the developed library was screened against severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)main protease to identify potential small peptide inhibitors. 展开更多
关键词 DIpeptideS TRIpeptideS Tetrapeptides Pentapeptides N-to-C-terminal cyclic peptides peptide library
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CDFI血流信号分级、抗CCP抗体、G6PI、RF对类风湿性关节炎的诊断价值
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作者 吕蕾 巴燕·艾克海提 +2 位作者 杨丽 杨婷 林雨薇 《临床和实验医学杂志》 2024年第6期634-637,共4页
目的分析彩色多普勒血流显像(CDFI)血流信号分级、抗环瓜氨酸肽抗体(CCP)、葡萄糖6磷酸异构酶(G6PI)、类风湿因子(RF)对类风湿性关节炎(RA)的诊断价值。方法回顾性选取2022年4月至2023年10月新疆医科大学附属中医医院收治的100例RA患者... 目的分析彩色多普勒血流显像(CDFI)血流信号分级、抗环瓜氨酸肽抗体(CCP)、葡萄糖6磷酸异构酶(G6PI)、类风湿因子(RF)对类风湿性关节炎(RA)的诊断价值。方法回顾性选取2022年4月至2023年10月新疆医科大学附属中医医院收治的100例RA患者纳入观察组,根据病情分为RA活动期组(n=50)和RA非活动期组(n=50);依据血流信号CDFI分级分为0~1级组(n=20)、2级组(n=17)、3级组(n=13)。选取同期本院收治的100例其他自身免疫性疾病患者纳入对照组。比较观察组、对照组一般临床资料(性别、病程、年龄、RA家族史、体重指数、吸烟史、饮酒史、居住地、职业等),比较不同活动期患者抗CCP抗体、G6PI及RF水平;比较不同血流信号分级组患者抗CCP抗体、G6PI及RF水平;采用受试者工作特征(ROC)曲线评估CDFI血流信号分级、抗CCP抗体、G6PI、RF联合检测对RA的诊断价值。结果两组患者性别构成比、病程、年龄、RA家族史、体重指数、吸烟史、饮酒史、居住地、职业比较,差异均无统计学意义(P>0.05);观察组患者抗CCP抗体、G6PI及RF水平均高于对照组,差异均有统计学意义(P<0.05)。RA活动期组患者抗CCP抗体、G6PI及RF水平均高于RA非活动期组患者,差异均有统计学意义(P<0.05)。血流信号3级组患者抗CCP抗体、G6PI及RF水平均高于血流信号0-1级组、2级组患者,差异均有统计学意义(P<0.05)。CDFI血流信号分级、抗CCP抗体、G6PI、RF单独检测RA的敏感度分别为79.57%、86.45%、82.14%、77.89%,特异度分别为83.89%、79.28%、83.67%、84.15%,AUC分别为0.855(0.804~0.907)、0.940(905~0.976)、0.893(0.852~0.935)、0.800(0.736~0.864),CDFI血流信号分级、抗CCP抗体、G6PI、RF联合检测RA的敏感度为89.36%,特异度为77.24%,AUC为0.957(0.933~0.980)。结论RA患者血清CCP抗体、G6PI、RF水平升高,随着CDFI血流信号分级增大,升高愈加明显,CDFI血流信号分级、抗CCP抗体、G6PI、RF联合检测RA诊断价值较高,对判断RA进展具有意义。 展开更多
关键词 风湿性关节炎 彩色多普勒血流显像 抗环瓜氨酸肽抗体 葡萄糖6磷酸异构酶 类风湿因子
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抗MCV抗体、抗CCP抗体对类风湿关节炎的诊断价值及其与疾病活动度的相关性
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作者 张宪波 刘月皎 《广西医学》 CAS 2024年第1期53-58,共6页
目的探讨抗突变型瓜氨酸波形蛋白(MCV)抗体、抗环瓜氨酸肽(CCP)抗体对类风湿关节炎(RA)的诊断价值,并分析其与RA疾病活动度的相关性。方法选取74例RA患者(RA组)、95例结缔组织病患者(非RA组)和60例健康体检者(健康对照组)作为研究对象... 目的探讨抗突变型瓜氨酸波形蛋白(MCV)抗体、抗环瓜氨酸肽(CCP)抗体对类风湿关节炎(RA)的诊断价值,并分析其与RA疾病活动度的相关性。方法选取74例RA患者(RA组)、95例结缔组织病患者(非RA组)和60例健康体检者(健康对照组)作为研究对象。基于红细胞沉降率的28个关节疾病活动度评分(DAS28-ESR)将RA组患者分为高活动期组(n=22)、中活动期组(n=18)、低活动期组(n=14)和缓解期组(n=20)。比较RA组、非RA组、健康对照组之间的血清抗MCV抗体、血清抗CCP抗体、血清类风湿因子(RF)和ESR阳性率,以及RA不同活动期组之间的血清抗MCV抗体水平、血清抗CCP抗体水平、血清RF水平和ESR。通过绘制受试者工作特征曲线分析血清抗MCV抗体水平、血清抗CCP抗体水平、血清RF水平和ESR单独及联合诊断RA的价值。分析RA组患者血清抗MCV抗体水平、血清抗CCP抗体水平、血清RF水平和ESR与DAS28-ESR的相关性。结果(1)RA组的血清抗MCV抗体、血清抗CCP抗体、血清RF和ESR阳性率高于非RA组和健康对照组(P<0.05);非RA组的血清抗CCP抗体、血清RF和ESR阳性率高于健康对照组(P<0.05),但两组的血清抗MCV抗体阳性率差异无统计学意义(P>0.05)。(2)缓解期组、低活动期组、中活动期组、高活动期组的血清抗MCV抗体水平、血清抗CCP抗体水平和ESR依次升高(P<0.05);高活动期组血清RF水平高于其他3组(P<0.05),其他3组之间的血清RF水平差异无统计学意义(P>0.05)。(3)血清抗MCV抗体水平、血清抗CCP抗体水平单独诊断RA的曲线下面积(AUC)均>0.85,且均大于血清RF水平和ESR的AUC(P<0.05);血清抗MCV抗体水平与血清抗CCP抗体水平诊断RA的敏感度、特异度、AUC差异无统计学意义(P>0.05);血清抗MCV抗体水平、血清抗CCP抗体水平、血清RF水平和ESR联合诊断RA的AUC达0.935,大于任意单一指标诊断RA的AUC(P<0.05)。(4)RA患者的血清抗MCV抗体水平、血清抗CCP抗体水平和ESR与DAS28-ESR均呈正相关(P<0.05)。结论相比于传统指标血清RF和ESR,血清抗MCV抗体和血清抗CCP抗体对RA均有较高的诊断价值;将二者联合血清RF和ESR用于诊断RA,可明显提高诊断效能。血清抗MCV抗体水平、血清抗CCP抗体水平均与RA疾病活动度呈正相关,可作为评估患者疾病活动度的辅助指标。 展开更多
关键词 类风湿关节炎 抗突变型瓜氨酸波形蛋白抗体 抗环瓜氨酸肽抗体 诊断价值 疾病活动度
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血清信号素3A在类风湿关节炎的诊断价值
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作者 宋丽云 宋丽青 +2 位作者 戴薇 曾频频 谭立明 《中国医药指南》 2024年第6期5-8,共4页
目的通过检测血清信号素3A(Sema3A)在类风湿关节炎(RA)中的表达水平,探讨其对RA的诊断价值。方法随机选取到赣州市人民医院就诊者并分为三组:(1)RA组(病情活动性RA 51例,病情非活动性RA 52例)。(2)非RA组患者93例。(3)健康对照组(HC)50... 目的通过检测血清信号素3A(Sema3A)在类风湿关节炎(RA)中的表达水平,探讨其对RA的诊断价值。方法随机选取到赣州市人民医院就诊者并分为三组:(1)RA组(病情活动性RA 51例,病情非活动性RA 52例)。(2)非RA组患者93例。(3)健康对照组(HC)50例。采用酶联免疫吸附法(ELISA)检测血清中Sema3A、抗环瓜氨酸多肽抗体(anti-CCP)和抗RA33抗体(anti-RA33);散射比浊法检测类风湿因子(RF)和C-反应蛋白(CRP);魏氏法检测红细胞沉降率(ESR)。结果RA组血清Sema3A、anti-CCP、RF和anti-RA33表达水平分别为(27.15±8.19)ng/ml、131.31(399.50)U/ml、105.90(167.50)U/ml和30.80(23.80)U/ml,与非RA组和HC组比较,结果具有统计学差异。Sema3A对RA诊断的曲线下面积为0.76,标准误为0.03,95%可信区间(95%CI)为0.70~0.82。ROC曲线分析各项指标对RA的诊断显示,特异度最高的是anti-CCP(Sp=0.92),灵敏度最高的是RF(Se=0.83),约登指数和曲线下面积最高的是anti-CCP(YDI=0.73,AUC=0.85)。RA病情活动组和非活动组血清Sema3A水平比较具有统计学差异(P<0.01),血清Sema3A与ESR、CRP、DAS28均呈负相关(r=-0.54,r=-0.66,r=-0.42,P<0.01)。结论Sema3A对RA患者具有良好诊断价值,与非RA患者比较具有鉴别诊断价值,且可以用来判断RA疾病的严重程度。 展开更多
关键词 类风湿关节炎 诊断 信号素3A 抗环瓜氨酸多肽抗体 类风湿因子 抗RA33抗体
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关节腔内注射肿瘤坏死因子受体抗体融合蛋白对难治性类风湿关节炎患者关节积液情况、膝关节功能及ACPA水平的影响
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作者 吴旭强 郑冰 +1 位作者 顾维杰 朱勇 《标记免疫分析与临床》 CAS 2024年第1期118-122,共5页
目的 探讨关节腔内注射肿瘤坏死因子受体抗体融合蛋白[rhTNFR:Fc,益赛普(etanercept)]对难治性类风湿关节炎(RA)患者关节积液情况、膝关节功能及抗瓜氨酸肽抗体(ACPA)水平的影响。方法 选取我院收治的难治性RA患者为研究对象,分为两组... 目的 探讨关节腔内注射肿瘤坏死因子受体抗体融合蛋白[rhTNFR:Fc,益赛普(etanercept)]对难治性类风湿关节炎(RA)患者关节积液情况、膝关节功能及抗瓜氨酸肽抗体(ACPA)水平的影响。方法 选取我院收治的难治性RA患者为研究对象,分为两组。对照组患者给予甲氨蝶呤片等常规基础治疗,研究组在对照组基础上于患者关节腔内注射rhTNFR:Fc治疗,观察治疗后两组患者关节积液情况、膝关节功能及ACPA水平的变化。结果 研究组治疗有效率高于对照组(P<0.05)。治疗后,研究组患者关节积液深度、滑膜厚度低于对照组(P<0.05);VAS评分低于对照组(P<0.05);Lysholm膝关节功能评分高于对照组(P<0.05);血沉(ESR)、C反应蛋白(CRP)、ACPA水平低于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论 于难治性RA患者关节腔内注射rhTNFR:Fc疗效明显,能够减少关节积液量,改善膝关节功能,延缓病情发展。 展开更多
关键词 肿瘤坏死因子受体抗体融合蛋白 难治性类风湿关节炎 关节积液 膝关节功能 抗瓜氨酸肽抗体
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风湿性多肌痛误诊为类风湿关节炎六例临床分析
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作者 李岚 焦付达 赵金梅 《临床误诊误治》 CAS 2024年第3期5-8,共4页
目的 探讨风湿性多肌痛(PMR)的临床特点及误诊原因和防范措施。方法 回顾性分析2020年3月—2023年3月收治的被误诊为类风湿关节炎(RA)PMR 6例的临床资料。结果 本组4例无诱因出现多处外周关节轻微疼痛持续1个月~1.5年,疼痛加剧3 d;2例... 目的 探讨风湿性多肌痛(PMR)的临床特点及误诊原因和防范措施。方法 回顾性分析2020年3月—2023年3月收治的被误诊为类风湿关节炎(RA)PMR 6例的临床资料。结果 本组4例无诱因出现多处外周关节轻微疼痛持续1个月~1.5年,疼痛加剧3 d;2例肩颈部肌肉僵痛,全身关节痛,并伴发热症状。6例均误诊为RA,误诊时间9 d~6个月。给予相应治疗后效果不佳,进一步完善相关检查,磁共振发现患者疼痛处无侵袭或破坏性病变,查抗环瓜氨酸肽抗体阴性,使用小剂量糖皮质激素治疗有效。详细询问家族史,并结合疼痛部位的特点及检查、试验治疗结果,最终确诊为PMR。给予小剂量糖皮质激素联合非甾体抗炎药或不同的免疫抑制剂治疗,症状消失后减量维持治疗,效果较好。结论 PMR临床表现多样化,缺少特异性实验检查指标,极其容易误诊为RA。临床医师需加强对该病的鉴别诊断能力,及时完善相关检查,减少PMR误诊或漏诊。 展开更多
关键词 风湿性多肌痛 误诊 关节炎 类风湿 关节痛 发热 糖皮质激素类 免疫抑制剂 抗环瓜氨酸肽抗体
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血清抗环瓜氨酸肽抗体、类风湿因子、免疫球蛋白G、补体C3、补体C4检测在类风湿关节炎诊断中的应用价值
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作者 付鹏 张敏 《中国社区医师》 2024年第7期80-82,共3页
目的:探讨血清抗环瓜氨酸肽(CCP)抗体、类风湿因子(RF)、免疫球蛋白G(IgG)、补体C3、补体C4检测在类风湿关节炎诊断中的应用价值。方法:选取2020年3月—2022年3月枝江市人民医院收治的类风湿关节炎患者126例作为观察组,另选取同期体检... 目的:探讨血清抗环瓜氨酸肽(CCP)抗体、类风湿因子(RF)、免疫球蛋白G(IgG)、补体C3、补体C4检测在类风湿关节炎诊断中的应用价值。方法:选取2020年3月—2022年3月枝江市人民医院收治的类风湿关节炎患者126例作为观察组,另选取同期体检健康者126例作为对照组,根据类风湿关节炎疾病活动(DAS-28)评分将观察组分为缓解期组(n=72)与活动期组(n=54)。所有研究对象检测血清CCP抗体、RF、IgG、补体C3、补体C4水平。比较各组各项指标水平。结果:观察组血清CCP抗体、RF、IgG、补体C3、补体C4水平均高于对照组,差异有统计学意义(P<0.001)。活动期组血清CCP抗体、RF、IgG、补体C3、补体C4水平均高于缓解期组,差异有统计学意义(P<0.001)。结论:类风湿关节炎患者体内血清CCP抗体、RF、IgG、补体C3、补体C4均异常升高,并与类风湿关节炎病情活动度有关,可作为类风湿关节炎早期诊断及病情监测的重要指标。 展开更多
关键词 类风湿关节炎 补体C3 补体C4 类风湿因子 抗环瓜氨酸肽抗体 免疫球蛋白G
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