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Endothelial Cell Integrin α6 Regulates Vascular Remodeling Through the PI3K/Akt-eNOS-VEGFA Axis After Stroke
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作者 Bing-Qiao Wang Yang-Ying Duan +6 位作者 mao Chen yu-fan ma Ru Chen Cheng Huang Fei Gao Rui Xu Chun-Mei Duan 《Neuroscience Bulletin》 2025年第9期1522-1536,共15页
The angiogenic response is essential for the repair of ischemic brain tissue.Integrin α6(Itga6)expression has been shown to increase under hypoxic conditions and is expressed exclusively in vascular structures;howeve... The angiogenic response is essential for the repair of ischemic brain tissue.Integrin α6(Itga6)expression has been shown to increase under hypoxic conditions and is expressed exclusively in vascular structures;however,its role in post-ischemic angiogenesis remains poorly understood.In this study,we demonstrate that mice with endothelial cell-specific knockout of Itga6 exhibit reduced neovascularization,reduced pericyte coverage on microvessels,and accelerated breakdown of microvascular integrity in the peri-infarct area.In vitro,endothelial cells with ITGA6 knockdown display reduced proliferation,migration,and tube-formation.Mechanistically,we demonstrated that ITGA6 regulates post-stroke angiogenesis through the PI3K/Akt-eNOS-VEGFA axis.Importantly,the specific overexpression of Itga6 in endothelial cells significantly enhanced neovascularization and enhanced the integrity of microvessels,leading to improved functional recovery.Our results suggest that endothelial cell Itga6 plays a crucial role in key steps of post-stroke angiogenesis,and may represent a promising therapeutic target for promoting recovery after stroke. 展开更多
关键词 Integrinα6 ISCHEMIA ANGIOGENESIS
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70岁以上老年急性胰腺炎患者的临床特征分析 被引量:12
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作者 孟飞 袁景 +5 位作者 蒲垠全 彭莉 马雨凡 汤小伟 陈霞 彭燕 《中国现代医学杂志》 CAS 2019年第8期41-45,共5页
目的探讨≥70岁老年急性胰腺炎(AP)患者的临床特征。方法选取2013年6月—2018年3月于西南医科大学附属医院住院的342例≥70岁老年AP患者的病历资料作为实验组,随机选择同期年龄15~59岁的AP患者684例作为对照组,分析两组患者的病历资料... 目的探讨≥70岁老年急性胰腺炎(AP)患者的临床特征。方法选取2013年6月—2018年3月于西南医科大学附属医院住院的342例≥70岁老年AP患者的病历资料作为实验组,随机选择同期年龄15~59岁的AP患者684例作为对照组,分析两组患者的病历资料。结果两组男女比例、性别比较,差异有统计学意义(P <0.05)。实验组的首位病因为胆道疾病(54.97%),对照组的首位病因为高脂血症(44.01%)。实验组血淀粉酶、谷丙转氨酶、谷草转氨酶、直接胆红素及肌酐水平高于对照组(P<0.05),血钙、总胆固醇、甘油三酯、白蛋白水平低于对照组(P<0.05)。实验组合并高血压、冠状动脉粥样硬化性心脏病比例高于对照组(P <0.05)。相比对照组,实验组更易发生呼吸衰竭、肾衰竭、胆道感染及肺部感染(P <0.05)。实验组总病死率及重症急性胰腺炎病死率高于对照组(P <0.05)。结论年龄≥70岁老年AP患者女性比例较高,主要病因为胆道疾病,其并发症发生率及病死率高,了解其临床特征有助于制定有针对性的诊疗方案。 展开更多
关键词 胰腺炎 老年人 病症特征 胆道疾病
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