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年龄对腺苷脱氨酶和γ-干扰素释放实验诊断结核性胸膜炎敏感性的影响 被引量:14
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作者 杨晓乐 王静 +1 位作者 张国瑞 刘红 《中国现代医学杂志》 CAS 2018年第4期51-56,共6页
目的比较腺苷脱氨酶(ADA)和γ-干扰素释放实验T-SPOT.TB在不同年龄组结核性胸膜炎患者的诊断敏感性。方法对2015年1月-2016年8月该院以未明原因胸腔积液住院且已进行ADA或T-SPOT.TB检查的、最终确诊为结核性胸膜炎的271例患者进行回顾... 目的比较腺苷脱氨酶(ADA)和γ-干扰素释放实验T-SPOT.TB在不同年龄组结核性胸膜炎患者的诊断敏感性。方法对2015年1月-2016年8月该院以未明原因胸腔积液住院且已进行ADA或T-SPOT.TB检查的、最终确诊为结核性胸膜炎的271例患者进行回顾性分析。入组患者根据其所做检查,分为ADA组和T-SPOT.TB组,再将每组患者根据年龄分为0~30岁、31~50岁、51~70岁、≥71岁4组,分别计算各组2项检查的敏感性。组间比较采用Kruskal-Wallis检验。结果入组患者中,接受ADA检查的患者有129例,接受T-SPOT.TB检查的患者有142例。ADA诊断结核性胸膜炎的总体敏感性为72.86%,T-SPOT.TB诊断结核性胸膜炎的总体敏感性为90.14%。各年龄段ADA和T-SPOT.TB的敏感性分别为:0~30岁,85.41%和94.64%;31~50岁,69.44%和81.08%;51~70岁,55.88%和80.55%;≥71岁,42.85%和72.72%。年龄相关的敏感性变化在ADA和T-SPOT.TB检查中均有不同,差异有统计学意义(P=0.002和0.047)。结论 T-SPOT.TB诊断结核性胸膜炎的敏感性高于ADA,ADA和T-SPOT.TB对中青年患者结核性胸膜炎诊断敏感性均高于老年患者,应用于老年患者时应考虑假阴性结果。 展开更多
关键词 腺苷脱氨酶 γ-干扰素释放实验 结核性胸膜炎 年龄
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Canagliflozin ameliorates ferritinophagy in HFpEF rats
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作者 Sai MA Qing-Juan ZUO +5 位作者 Li-Li HE guo-rui zhang Ting-Ting zhang Zhong-Li WANG Jian-Long ZHAI Yi-Fang GUO 《Journal of Geriatric Cardiology》 2025年第1期178-189,共12页
Background Recent studies have shown that sodium-glucose cotransporters-2(SGLT2)inhibitors significantly improve major adverse cardiovascular events in heart failure with preserved ejection fraction(HFpEF)patients,but... Background Recent studies have shown that sodium-glucose cotransporters-2(SGLT2)inhibitors significantly improve major adverse cardiovascular events in heart failure with preserved ejection fraction(HFpEF)patients,but the exact mechanism is unknown.Ferritinophagy is a special form of selective autophagy that participates in ferroptosis.In this study,we aimed to investigate whether ferritinophagy was activated during the occurrence of HFpEF,and whether canagliflozin(CANA)could inhibite ferritinophagy.Methods We reared Dahl salt-sensitive(DSS)rats on a high-salt diet to construct a hypertensive HFpEF model,and simultaneously administered CANA intervention.Then we detected indicators related to ferritinophagy.Results The expression of nuclear receptor coactivator 4(NCOA4),as well as microtubule-associated proteins light chain 3(LC3),Bcl-2 interacting protein 1(Beclin-1)and p62,were upregulated in HFpEF rats,accompanied by the downregulation of ferritin heavy chain 1(FTH1),upregulation of mitochondrial iron transporter sideroflexin1(SFXN1)and increased reactive oxygen species(ROS)production.Above changes were diminished by CANA.CONCLUSION Ferritinophagy is activated in HFpEF rats and then inhibited by CANA,leading to HFpEF benefits.The inhibition of ferritinophagy could provide new prospective targets for the prevention and treatment of HFpEF,and provide new ideas for investigating the mechanism of cardiovascular benefit of SGLT2 inhibitors. 展开更多
关键词 PREVENTION TREATMENT MECHANISM
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Perforation of levonorgestrel-releasing intrauterine system found at one month after insertion:A case report
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作者 guo-rui zhang Xin Yu 《World Journal of Clinical Cases》 SCIE 2023年第1期172-176,共5页
BACKGROUND The levonorgestrel-releasing intrauterine system(LNG-IUS)is widely used in contraception,menorrhagia,dysmenorrhea and to prevent endometrial hyperplasia during estrogen supplementation.Perforation is more o... BACKGROUND The levonorgestrel-releasing intrauterine system(LNG-IUS)is widely used in contraception,menorrhagia,dysmenorrhea and to prevent endometrial hyperplasia during estrogen supplementation.Perforation is more often seen after early postpartum placement.Perforation of the LNG-IUS occurring one month after placement is rare.CASE SUMMARY A 42-year-old female complained of progressive dysmenorrhea and increased menstrual volume.She was diagnosed with adenomyosis and the LNG-IUS was inserted in her uterine cavity.Routine ultrasound examination one month later revealed that the intra-uterine device(IUD)was not found in the uterine cavity,and further X-ray and pelvic magnetic resonance imaging showed an abnormal signal area in the left posterior region of the uterus.Laparoscopic exploratory surgery was performed and the LNG-IUS was found in the left uterosacral ligament.CONCLUSION Perforation of a LNG-IUS occurring one month after placement is rare,and is more common in inexperienced operators and after early postpartum placement.When the operation is difficult,ultrasound monitoring is recommended to reduce the risk of IUD perforation.For patients with inadequate surgery,postoperative imaging is recommended to detect potential risks as soon as possible. 展开更多
关键词 Levonorgestrel-releasing intrauterine system PERFORATION MALPOSITION Case report
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Glycerol-3-Phosphate Acyltransferase 6 (GPAT6) Is Important for Tapetum Development in Arabidopsis and Plays Multiple Roles in Plant Fertility 被引量:29
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作者 Xiao-Chuan Li Jun Zhu +4 位作者 Jun Yang guo-rui zhang Wei-Feng Xing Sen zhang Zhong-Nan Yang 《Molecular Plant》 SCIE CAS CSCD 2012年第1期131-142,共12页
Glycerol-3-phosphate acyltransferase (GPAT) mediates the initial synthetic step for the formation of glycer- olipids, which act as the major components of biological membranes and the principal stored forms of energ... Glycerol-3-phosphate acyltransferase (GPAT) mediates the initial synthetic step for the formation of glycer- olipids, which act as the major components of biological membranes and the principal stored forms of energy. GPAT6 is a member of the Arabidopsis GPAT family, which is crucial for cutin biosynthesis in sepals and petals. In this work, a func- tional analysis of GPAT6 in anther development and plant fertility was performed. GPAT6 was highly expressed in the tapetum and microspores during anther development. The knockout mutant, gpat6, caused a massive reduction in seed production. This report shows that the ablation of GPAT6 caused defective tapetum development with reduced endoplas- mic reticulum (ER) profiles in the tapetum, which largely led to the abortion of pollen grains and defective pollen wall formation. In addition, pollen germination and pollen tube elongation were affected in the mutant plants. Furthermore, the double mutant analysis showed that GPAT6 and GPAT1 make joint effects on the release of microspores from tetrads and stamen filament elongation. This work shows that GPAT6 plays multiple roles in stamen development and fertility in Arabidopsis. 展开更多
关键词 Arabidopsis GPAT6 stamen development TAPETUM endoplasmic reticulum exine and pollen coat glycerolipid.
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