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急性肾损伤早期生物标志物即时检测的研究进展 被引量:1
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作者 何许巍 刘洋 +1 位作者 程庆砾 敖强国 《中华肾病研究电子杂志》 2025年第1期48-52,共5页
长期以来急性肾损伤(AKI)的诊断依据主要为血清肌酐和估算的肾小球滤过率,但是其检测滞后性容易导致临床上错过最佳诊疗时机。当代纳米技术和生物医学发展为AKI的早期诊断带来希望。即时检测(POCT)生物标志物如肾损伤分子-1、中性粒细... 长期以来急性肾损伤(AKI)的诊断依据主要为血清肌酐和估算的肾小球滤过率,但是其检测滞后性容易导致临床上错过最佳诊疗时机。当代纳米技术和生物医学发展为AKI的早期诊断带来希望。即时检测(POCT)生物标志物如肾损伤分子-1、中性粒细胞明胶酶相关脂质运载蛋白、微小RNA等,有可能使AKI的诊断过程变得较为快速、简单和低成本。本文综述了AKI早期生物标志物的意义及其POCT研究现状,并对未来的挑战及应用前景进行展望。 展开更多
关键词 急性肾损伤 早期生物标志物 即时检测
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三种急性肾脏病小鼠模型的建立及肾脏功能和病理比较
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作者 李孟坤 张雅宾 +4 位作者 敖强国 何许巍 刘洋 陈泓宇 程庆砾 《中华肾病研究电子杂志》 2025年第1期18-25,共8页
目的建立并比较3种急性肾脏病(AKD)动物模型,为研究AKD病理生理机制提供基础研究证据。方法选取6~8周健康雄性C57BL/6J小鼠90只,按照建立3种AKD模型,各分为模型组和对照组(15只/组):叶酸模型组(给予0.5%叶酸250 mg/kg腹腔注射)、叶酸对... 目的建立并比较3种急性肾脏病(AKD)动物模型,为研究AKD病理生理机制提供基础研究证据。方法选取6~8周健康雄性C57BL/6J小鼠90只,按照建立3种AKD模型,各分为模型组和对照组(15只/组):叶酸模型组(给予0.5%叶酸250 mg/kg腹腔注射)、叶酸对照组(等量0.3 M碳酸氢钠腹腔注射);单侧输尿管梗阻(UUO)模型组(行单侧输尿管结扎)、UUO对照组(仅游离输尿管);单侧缺血再灌注(UIR)模型组(钳夹单侧肾蒂30 min)、UIR对照组(仅游离单侧肾蒂)。建模后2 d、8 d和14 d分别取材,检测血清肌酐、血尿素氮、蛋白尿水平,观测肾组织病理并评估肾损伤及胶原沉积。Western印迹检测纤维化相关的波形蛋白和α-平滑肌肌动蛋白表达;RT-qPCR检测肾组织的肾损伤分子(KIM-1)及炎症因子(TNF-α、IL-1β、IL-8、IFN-γ)mRNA表达。结果叶酸模型组在建模后8 d时血清肌酐和血尿素氮明显升高(P均<0.05),在建模后2 d时KIM-1表达高于其他两个模型组。UUO模型组在建模后8 d时KIM-1表达则高于其他两个模型组(P均<0.05)。3个模型组的肾小管损伤分数和胶原沉积呈现时间依赖性增多,且均多于各自对照组。在建模后14 d时,UUO模型组肾小管损伤分数、胶原沉积、波形蛋白和α-平滑肌肌动蛋白表达均高于另外两个模型组(P均<0.05)。在建模后8 d时,3个模型组的IL-8、IL-1β、TNF-α和IFN-γmRNA表达均高于其对照组(P均<0.05),而UUO模型组的这些炎症因子表达高于另外两个模型组(P<0.05)。结论小鼠AKD的叶酸模型、UUO模型和UIR模型均在建模操作后8 d建成,其中UUO模型在疾病进展中的肾纤维化更为严重。 展开更多
关键词 急性肾脏病 动物模型 叶酸 单侧输尿管梗阻 缺血再灌注
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Rapid and sensitive detection of urinary KIM-1 using fully printed photonic crystal microarrays 被引量:2
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作者 Yang Liu xuwei he +10 位作者 Zewei Lian Qian Guo Jimei Chi Xiaoxue Lin Liyue Zhang Zheng Liu Yingyuan Liu Meng Su Keyu Wang Qiangguo Ao Qingli Cheng 《Nano Research》 SCIE EI CSCD 2024年第5期4329-4337,共9页
Urinary kidney injury molecule 1(uKIM-1)serves as a reliable marker for the early diagnosis of acute kidney injury(AKI).The rapid and facile detection of changes in uKIM-1 is essential for early AKI diagnosis,ultimate... Urinary kidney injury molecule 1(uKIM-1)serves as a reliable marker for the early diagnosis of acute kidney injury(AKI).The rapid and facile detection of changes in uKIM-1 is essential for early AKI diagnosis,ultimately improving the prognosis of patients.In this study,we developed a fully printed photonic crystal-integrated microarray with photonic crystal-enhanced fluorescence properties,which can detect uKIM-1 levels at the point-of-care.We confirmed its efficacy in the early diagnosis of AKI using clinical urine specimens.Direct quantitative detection of uKIM-1 was achieved within 10 min.The lowest limit of detection is 8.75 pg·mL^(-1) with an accuracy of 94.2%.The diagnostic efficacy was validated using 86 clinical urine samples,highlighting the high sensitivity and stability of the photonic crystal microarray.Consequently,a facile and reliable immunoassay was designed and prepared for the rapid quantitative detection of uKIM-1,which is crucial for the early identification and convenient detection of AKI in hospital or community settings.Rapid,convenient,cost-effective,and long-term monitoring of changes in uKIM-1 levels can assist clinicians in making timely adjustments to treatment regimens,preventing the transition from AKI to chronic kidney disease(CKD),improving the quality of life of patients with AKI,and reducing healthcare costs.It highlights the advantages of utilizing urine samples as a noninvasive and easily accessible medium for early detection and monitoring of kidney-related conditions. 展开更多
关键词 photonic crystal point-of-care testing URINE kidney injury molecule-1(KIM-1) acute kidney injury
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One-droplet saliva detection on photonic crystal-based competitive immunoassay for precise diagnosis of migraine
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作者 Xiaoxue Lin Jimei Chi +16 位作者 Zewei Lian Yang Yun Xu Yang xuwei he Zheng Liu Shuqing Wang Wei Zhao Zihua Gong Yingyuan Liu Shuhua Zhang Deqi Zhai Siyuan Xie Yin Sun Meng Su Zhao Dong Shengyuan Yu Yanlin Song 《SmartMat》 2024年第5期112-122,共11页
Migraine exhibits a substantial prevalence worldwide.The current diagnostic criteria rests exclusively on clinical characteristics without any objective and reliable means.The calcitonin gene-related peptide(CGRP),as ... Migraine exhibits a substantial prevalence worldwide.The current diagnostic criteria rests exclusively on clinical characteristics without any objective and reliable means.The calcitonin gene-related peptide(CGRP),as a biomarker for distinguishing migraine,undergoes swift degradation,featuring a half-life of under 10min,which poses a significant challenge to the point-of-care testing of CGRP in clinical application.Here,a photonic crystal(PC)-based biochip has been developed to detect CGRP via the fluorescence competition assay.The chip integrates the functionalities of fluorescence enhancement and hydrophilic–hydrophobic patterning enrichment,enabling rapid and sensitive detection of CGRP.After investigating the optimal enhancement distance of fluorescence near PCs,the chip allows CGRP detection using<30μL of saliva at room temperature within 10 min.A minimum detection limit of 0.05 pg/mL is achieved.Furthermore,CGRP concentrations in the saliva of 70 subjects have been tested by PC biochips.The results exhibit strong concordance with the enzyme-linked immunosorbent assay(ELISA),demonstrating a linear correlation coefficient of R 2 of 0.97.This sensitive detection of markers within such a short duration surpasses the capacities of ELISA,which paves the way for establishing a precise diagnostic framework integrating clinical phenotypes and biomarkers for migraine. 展开更多
关键词 calcitonin gene-related peptide migraine biomarkers photonic crystals point-of-care testing
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