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不同亚型FD患者血浆Ghrelin、NPY和UCN-1的水平研究 被引量:1
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作者 朱亚娜 任雅迪 +3 位作者 李路 牛燕青 王绕绕 李熳 《世界华人消化杂志》 2025年第1期62-69,共8页
背景功能性消化不良(functional dyspepsia,FD)是一种普遍存在的消化系统疾病,其所占用的医疗资源也在逐年增加.脑肠轴功能紊乱被认为是其重要的发病机制,脑肠肽在肠脑轴中具有重要的调节作用.本研究检测血浆酰基化胃饥饿素(acyl ghreli... 背景功能性消化不良(functional dyspepsia,FD)是一种普遍存在的消化系统疾病,其所占用的医疗资源也在逐年增加.脑肠轴功能紊乱被认为是其重要的发病机制,脑肠肽在肠脑轴中具有重要的调节作用.本研究检测血浆酰基化胃饥饿素(acyl ghrelin,AG)、去酰基化胃饥饿素(des-acyl ghrelin,DAG)、神经肽Y(neuropeptide Y,NPY)和尿皮质素-1(urocortin-1,UCN1)水平,并进行广泛性焦虑障碍量表及病人健康问卷抑郁量表问卷,揭示FD相关.目的分析不同亚型FD患者血浆AG、DAG、NPY和UCN1的水平差异及FD患者的精神心理状况特点,为临床治疗提供有效的理论支持.方法选取2022-02/2023-03就诊于天津医科大学第二医院消化内科病房的FD患者53例(均符合RomeⅣ诊断标准),其中餐后不适综合征(postprandial discomfort syndrome,PDS)组19例、重叠综合征组19例及上腹痛综合征(epigastrium pain syndrome,EPS)组15例.对照组为同一时间段15例健康体检者.所有研究对象均采用酶联免疫分析法检测血浆AG、DAG、NPY和UCN-1水平,并进行广泛性焦虑障碍量表及病人健康问卷抑郁量表问卷.结果(1)PDS组血浆AG水平较健康对照组降低(P<0.001),并且较EPS组(P<0.001)及重叠综合征组(P=0.030)也明显降低;重叠综合征组血浆AG水平较健康对照组(P=0.017)及EPS组(P=0.008)均显著降低;而EPS组与健康对照组比较,差异无统计学意义(P=0.684);(2)血浆DAG水平在PDS组与健康对照组之间(P=0.458)、EPS组与健康对照组之间(P=0.638)、重叠综合征组与健康对照组之间(P=0.612)、PDS组与EPS组之间(P=0.170)、PDS组与重叠综合征组之间(P=0.709)及EPS组与重叠综合征组之间(P=0.239)差异均无统计学意义;(3)PDS组血浆NPY水平较健康对照组降低(P=0.043),且较EPS组(P=0.044)及重叠综合征组(P=0.049)也降低;而在EPS组血浆NPY水平与健康对照组比较(P=0.971)、EPS组与重叠综合征组比较(P=0.929)及重叠综合征组与健康对照组比较(P=0.929),差异均无统计学意义;(4)PDS组血浆UCN-1水平较健康对照组显著升高(P=0.036),且较EPS组(P=0.015)及重叠综合征组(P=0.045)也显著升高;而EPS组血浆UCN-1水平与健康对照组比较(P=0.978)、EPS组与重叠综合征组比较(P=0.571)及重叠综合征组与健康对照组比较(P=0.649),差异均无统计学意义;(5)FD组与健康对照组相比,焦虑抑郁程度差异有统计学意义(焦虑P<0.001,抑郁P<0.001);FD亚组之间比较差异无统计学意义(焦虑P=0.471,抑郁P=0.171).结论(1)除EPS组与健康对照组外,不同亚型的FD患者之间,以及不同亚型的FD患者与健康对照组之间血浆AG差异均有统计学意义,推测其在FD的发病过程中至关重要,推测其水平可预测FD临床表现.各组之间血浆DAG差异均无统计学意义,推测其可能不参与FD的发病过程;(2)PDS组与其他三组相比,血浆AG、NPY、UCN-1差异均有统计学意义,推测上述三种脑肠肽可能参与PDS的发病过程;(3)FD患者更易于合并焦虑抑郁,提示改善患者的情绪问题,对提高FD的远期疗效很有帮助. 展开更多
关键词 功能性消化不良 餐后不适综合征 上腹痛综合征 胃饥饿素 神经肽Y 尿皮质素-1 焦虑 抑郁
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Effects of heme oxygenase-1-modified bone marrow mesenchymal stem cells on microcirculation and energy metabolism following liver transplantation 被引量:10
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作者 Liu Yang Zhong-Yang Shen +5 位作者 rao-rao wang Ming-Li Yin Wei-Ping Zheng Bin Wu Tao Liu Hong-Li Song 《World Journal of Gastroenterology》 SCIE CAS 2017年第19期3449-3467,共19页
AIM To investigate the effects of heme oxygenase-1(HO-1)-modified bone marrow mesenchymal stem cells(BMMSCs)on the microcirculation and energy metabolism of hepatic sinusoids following reduced-size liver transplantati... AIM To investigate the effects of heme oxygenase-1(HO-1)-modified bone marrow mesenchymal stem cells(BMMSCs)on the microcirculation and energy metabolism of hepatic sinusoids following reduced-size liver transplantation(RLT)in a rat model.METHODS BMMSCs were isolated and cultured in vitro using an adherent method,and then transduced with HO-1-bearing recombinant adenovirus to construct HO-1/BMMSCs.A rat acute rejection model following 50%RLT was established using a two-cuff technique.Recipients were divided into three groups based on the treatment received:normal saline(NS),BMMSCs and HO-1/BMMSCs.Liver function was examined at six time points.The levels of endothelin-1(ET-1),endothelial nitric-oxide synthase(e NOS),inducible nitric-oxide synthase(i NOS),nitric oxide(NO),and hyaluronic acid(HA)were detected using an enzyme-linked immunosorbent assay.The portal vein pressure(PVP)was detected by Power Lab ML880.The expressions of ET-1,i NOS,e NOS,and von Willebrand factor(v WF)protein in the transplanted liver were detected using immunohistochemistry and Western blotting.ATPase in the transplanted liver was detected by chemical colorimetry,and the ultrastructural changes were observed under a transmission electron microscope.RESULTS HO-1/BMMSCs could alleviate the pathological changes and rejection activity index of the transplanted liver,and improve the liver function of rats following 50%RLT,with statistically significant differences compared with those of the NS group and BMMSCs group(P<0.05).In term of the microcirculation of hepatic sinusoids:The PVP on POD7 decreased significantly in the HO-1/BMMSCs and BMMSCs groups compared with that of the NS group(P<0.01);HO-1/BMMSCs could inhibit the expressions of ET-1 and i NOS,increase the expressions of e NOS and inhibit amounts of NO production,and maintain the equilibrium of ET-1/NO(P<0.05);and HO-1/BMMSCs increased the expression of v WF in hepatic sinusoidal endothelial cells(SECs),and promoted the degradation of HA,compared with those of the NS group and BMMSCs group(P<0.05).In term of the energy metabolism of the transplanted liver,HO-1/BMMSCs repaired the damaged mitochondria,and improved the activity of mitochondrial aspartate aminotransferase(ASTm)and ATPase,compared with the other two groups(P<0.05).CONCLUSION HO-1/BMMSCs can improve the microcirculation of hepatic sinusoids significantly,and recover the energy metabolism of damaged hepatocytes in rats following RLT,thus protecting the transplanted liver. 展开更多
关键词 Reduced-size liver transplantation Bone marrow mesenchymal stem cells MICROCIRCULATION Heme oxygenase-1 Energy metabolism
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Influence of cyclic loading on the fracture toughness and load bearing capacities of all-ceramic crowns 被引量:2
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作者 rao-rao wang Cheng-Lin Lu +1 位作者 Gang wang Dong-Sheng Zhang 《International Journal of Oral Science》 SCIE CAS CSCD 2014年第2期99-104,共6页
The purpose of this study was to investigate how cyclic loading influenced the fracture toughness of hot-press lithium disilicate and zirconia core materials and whether there was an increase in the propensity for cro... The purpose of this study was to investigate how cyclic loading influenced the fracture toughness of hot-press lithium disilicate and zirconia core materials and whether there was an increase in the propensity for crown failure. Two types of all-ceramic crowns including the IPS e.max Press system (n=24) and the Lava zirconia system (n=24), were selected. Sectioned specimens were subjected to cyclic loading with the maximum magnitude of 200 N (R=0.1) until two million cycles. The material properties including Young's modulus (E) and hardness (H) and the fracture toughness (K,c) of the core materials were evaluated using indentation methods (n= 12 each). The load-bearing capacities of the specimens were examined by means of monotonic load to fracture (n=12 each). It was found that the material properties, including E, Hand Knc, of the two types of dental ceramics, were reduced. Statistical analysis indicated that there were no significant influences of fatigue loading on material properties E and H for both types of dental ceramics or Kgc for zirconia, while for the IPS e.max Press core, K,c, which was parallel to the direction of the lithium disilicate crystals, was significantly reduced (P-0.001). A conclusion was drawn that zirconia possesses high mechanical reliability and sustainable capacity to resist fatigue loading, while fatigue loading remarkably degraded the anisotropic mechanical behaviour of hot-press lithium disilicate ceramics. 展开更多
关键词 dental ceramics fatigue loading fracture toughness load-bearing capacity
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Region-dependent micro damage of enamel under indentation 被引量:2
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作者 Bing-Bing An rao-rao wang .Dong-Sheng Zhang +1 位作者 rao-rao wang Dong-Sheng Zhang 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2012年第6期1651-1658,共8页
The objective of this investigation is to explore the region-dependent damage behavior of enamel, as well as to develop a good understanding of the deformation mech- anisms of enamel with numerical modeling. Nanoinden... The objective of this investigation is to explore the region-dependent damage behavior of enamel, as well as to develop a good understanding of the deformation mech- anisms of enamel with numerical modeling. Nanoinden- tation experiments have been performed to investigate the load-penetration depth responses for outer and inner enamel. Results show that the unloading curve does not follow the loading curve, and degradation of stiffness in the unloading curve is observed. Based on the experimental data, a physi- cal quantity, the chain density in protein, has been introduced to the Drucker-Prager plastic model. Numerical simulations show that the simulated load-penetration depth curves agree with the experiments, and the stiffness degradation behav- iors of outer and inner enamel are captured by the numerical model. The region-dependent damage behavior of enamel could be revealed by the numerical model. The micro dam- age affected area at inner enamel is larger than that at outer enamel, indicating that the inner enamel experiences more micro damage than the outer one. Compared with its outer counterpart, the inner enamel which is rich in organic protein could break more internal protein chains to dissipate energy and to enhance its resistance to fracture accordingly. 展开更多
关键词 Enamel. Nanoindentation Damage. Numerical simulation
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