目的研究外周血CD4^(+)CD28^(null)T细胞、肿瘤坏死因子受体超家族成员4(OX40)、4-1BB变化与糖尿病患者动脉粥样硬化(AS)进展的关联性。方法选取2型糖尿病(T2DM)患者120例,根据是否合并AS分为DM-AS组和DM组,比较两组外周血CD4^(+)CD28^(...目的研究外周血CD4^(+)CD28^(null)T细胞、肿瘤坏死因子受体超家族成员4(OX40)、4-1BB变化与糖尿病患者动脉粥样硬化(AS)进展的关联性。方法选取2型糖尿病(T2DM)患者120例,根据是否合并AS分为DM-AS组和DM组,比较两组外周血CD4^(+)CD28^(null)T细胞亚群比率及OX40、4-1BB阳性比率变化,并根据颈动脉狭窄程度分为轻度AS组(狭窄≤50%)、中度AS组(狭窄51%~69%)及重度AS组(狭窄≥70%),分析CD4^(+)CD28^(null)T细胞、OX40、4-1BB变化与AS进展的关联性。结果120例患者中,DM-AS组有76例,占63.33%;与DM组相比,DM-AS组的DM病程、收缩压、餐后2 h血糖(2 h PG)、糖化血红蛋白、载脂蛋白B、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)水平及CD4^(+)CD28^(null)T细胞亚群比率、OX40阳性比率、4-1BB阳性比率较高,载脂蛋白A1水平较低,差异均有统计学意义(t分别=2.57、2.49、2.78、2.19、3.12、2.94、4.31、5.97、16.91、11.47、-2.52,P均<0.05);CD4^(+)CD28^(null)T细胞、OX40、4-1BB联合诊断DM-AS的曲线下面积(AUC)为0.96。DM-AS组76例中,其中轻度AS组37例、中度AS组29例、重度AS组10例。AS程度与CD4^(+)CD28^(null)T细胞亚群比率及OX40、4-1BB阳性比率均呈正相关(r分别=0.24、0.48、0.38,P均<0.05)。结论DM-AS患者的外周血CD4^(+)CD28^(null)T细胞亚群比率及OX40、4-1BB阳性比率均明显升高,对DM-AS具有诊断价值,与AS进展呈正相关。展开更多
Ag-doped alkali borosilicate glasses with different TiO_(2) contents were prepared by the melting method.The viscosity-temperature curves of the glass samples were fitted using the MYEGA equation,and it was found that...Ag-doped alkali borosilicate glasses with different TiO_(2) contents were prepared by the melting method.The viscosity-temperature curves of the glass samples were fitted using the MYEGA equation,and it was found that the viscosity of the glass showed a gradual decrease with the increase of TiO_(2) content in the interval of the crystallization temperature of the glass.The results of XPS analysis show that TiO_(2) mainly enters the glass network in the form of[TiO_(4)]before the heat treatment of the glass samples.In contrast,after the heat treatment,the contents of[TiO_(4)]and[TiO_(5)]in the glass decreased significantly,and the content of[TiO_(6)]increased,which led to the separation of TiO_(2) from the glass network.The microhardness of glass shows the same pattern.Raman spectral analysis shows that the introduction of TiO_(2) promotes phase separation in glass.The reduction of glass viscosity facilitates the movement of particles within the glass,while the creation of phase separation promotes heterogeneous nucleation of grains.FE-SEM analysis reveals that the silver halide grains in the heat-treated glass are dispersed in the matrix in a spherical shape,and the average size of the silver halide grains tends to increase with the increase of TiO_(2) content.展开更多
文摘目的研究外周血CD4^(+)CD28^(null)T细胞、肿瘤坏死因子受体超家族成员4(OX40)、4-1BB变化与糖尿病患者动脉粥样硬化(AS)进展的关联性。方法选取2型糖尿病(T2DM)患者120例,根据是否合并AS分为DM-AS组和DM组,比较两组外周血CD4^(+)CD28^(null)T细胞亚群比率及OX40、4-1BB阳性比率变化,并根据颈动脉狭窄程度分为轻度AS组(狭窄≤50%)、中度AS组(狭窄51%~69%)及重度AS组(狭窄≥70%),分析CD4^(+)CD28^(null)T细胞、OX40、4-1BB变化与AS进展的关联性。结果120例患者中,DM-AS组有76例,占63.33%;与DM组相比,DM-AS组的DM病程、收缩压、餐后2 h血糖(2 h PG)、糖化血红蛋白、载脂蛋白B、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)水平及CD4^(+)CD28^(null)T细胞亚群比率、OX40阳性比率、4-1BB阳性比率较高,载脂蛋白A1水平较低,差异均有统计学意义(t分别=2.57、2.49、2.78、2.19、3.12、2.94、4.31、5.97、16.91、11.47、-2.52,P均<0.05);CD4^(+)CD28^(null)T细胞、OX40、4-1BB联合诊断DM-AS的曲线下面积(AUC)为0.96。DM-AS组76例中,其中轻度AS组37例、中度AS组29例、重度AS组10例。AS程度与CD4^(+)CD28^(null)T细胞亚群比率及OX40、4-1BB阳性比率均呈正相关(r分别=0.24、0.48、0.38,P均<0.05)。结论DM-AS患者的外周血CD4^(+)CD28^(null)T细胞亚群比率及OX40、4-1BB阳性比率均明显升高,对DM-AS具有诊断价值,与AS进展呈正相关。
基金Funded by Key R&D Projects in Hubei Province of China(No.2020BAB061)。
文摘Ag-doped alkali borosilicate glasses with different TiO_(2) contents were prepared by the melting method.The viscosity-temperature curves of the glass samples were fitted using the MYEGA equation,and it was found that the viscosity of the glass showed a gradual decrease with the increase of TiO_(2) content in the interval of the crystallization temperature of the glass.The results of XPS analysis show that TiO_(2) mainly enters the glass network in the form of[TiO_(4)]before the heat treatment of the glass samples.In contrast,after the heat treatment,the contents of[TiO_(4)]and[TiO_(5)]in the glass decreased significantly,and the content of[TiO_(6)]increased,which led to the separation of TiO_(2) from the glass network.The microhardness of glass shows the same pattern.Raman spectral analysis shows that the introduction of TiO_(2) promotes phase separation in glass.The reduction of glass viscosity facilitates the movement of particles within the glass,while the creation of phase separation promotes heterogeneous nucleation of grains.FE-SEM analysis reveals that the silver halide grains in the heat-treated glass are dispersed in the matrix in a spherical shape,and the average size of the silver halide grains tends to increase with the increase of TiO_(2) content.
