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Should Malaysia consider introducing dengue vaccine into routine immunization programs?
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作者 Asraf Ahmad Qamruddin 《Asian Pacific Journal of Tropical Medicine》 2025年第5期193-194,共2页
Dengue fever remains a significant public health challenge in Malaysia,with its incidence continuing to rise despite existing control measures.Dengue,a disease caused by the dengue virus and transmitted by Aedes mosqu... Dengue fever remains a significant public health challenge in Malaysia,with its incidence continuing to rise despite existing control measures.Dengue,a disease caused by the dengue virus and transmitted by Aedes mosquitoes,places a substantial burden on healthcare systems and economic productivity.Despite efforts by the Malaysian government,including the release of Wolbachia-carrying Aedes aegypti mosquitoes in dengue hotspot areas since 2017,the problem persists.In 2023,Malaysia reported 123133 dengue cases,an 86.3%increase compared to 2022[1].This highlights the urgent need for more effective interventions,including the potential integration of dengue vaccines into routine immunization programs.Currently,two dengue vaccines have been licensed:Dengvaxia(CYD-TDV)by Sanofi Pasteur and Qdenga(TAK-003)by Takeda.Dengvaxia,the first licensed dengue vaccine,has significant limitations,as it increases the risk of hospitalization in dengue-naïve individuals due to antibody-dependent enhancement[2,3].As a result,it is only licensed for individuals with prior dengue infections,necessitating pre-vaccination screening.These constraints make it unsuitable for inclusion in Malaysia’s routine immunization programs. 展开更多
关键词 control measures WOLBACHIA incidence public health dengue virus immunization VACCINE MALAYSIAN
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Plug-and-display nanoparticle immunization of the core epitope domain induces potent neutralizing antibody and cellular immune responses against PEDV
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作者 Minghui Li Yilan Chen +7 位作者 Siqiao Wang Xueke Sun Yongkun Du Siyuan Liu Ruiqi Li Zejie Chang Peiyang Ding Gaiping Zhang 《Journal of Integrative Agriculture》 2025年第9期3598-3613,共16页
Porcine epidemic diarrhea virus(PEDV),an enteric coronavirus,is widely spread worldwide and causes huge economic losses.The effective measure to control the viral infection is to develop ideal vaccines.Here,the collag... Porcine epidemic diarrhea virus(PEDV),an enteric coronavirus,is widely spread worldwide and causes huge economic losses.The effective measure to control the viral infection is to develop ideal vaccines.Here,the collagenase equivalent domain(COE)of PEDV was displayed on the surface of nanoparticles(NPs)in order to develop a newer,safer and more effective subunit vaccine against PEDV.The monomeric COE was displayed on the mi3 protein,which self-assembles into nanoparticles composed of 60 subunits,using the SpyTag/SpyCatcher system.The size,zeta potential,microstructure of the COE-mi3 virus-like particles(VLPs)were investigated.The COE-mi3 VLPs that possessed good security,stability and better retention can be more efficiently taken up by antigen-presenting cells(APCs)and help promote dendritic cells(DCs)maturation.Moreover,COE-mi3 VLPs could prominently improve specifc antibody levels including neutralizing antibodies(NAbs),and serum IgG,mucosal IgA.Moreover,COE-mi3 VLPs elicited more activation of CD4^(+)and CD8^(+)T cells and production of IFN-γand IL-4 cytokines.In particular,COE-mi3 VLPs is an effectual antigen-delivery platform to enhance germinal center(GC)B cell responses.This structure-based self-assembly of NP gives great potential to be developed as a new subunit vaccines attractive platform,and may also provide new ideas for the development of other enteric coronavirus vaccines. 展开更多
关键词 PEDV nanoparticle multimerization mucosal immunization germinal center
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Monitoring and Analysis of Antibody Levels and Immunization Efficacy for Five Major Diseases in Large-scale Pig Farms
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作者 Jinrong SHEN Min YAO +6 位作者 Ping LI Mingzong TANG Xinyu WANG Qixin YANG Hongwen YANG Wenwu FENG Qingmeng LONG 《Agricultural Biotechnology》 2025年第6期28-35,39,共9页
[Objectives]This study was conducted to evaluate the immunization efficacy and infection status of classical swine fever(CSF),foot-and-mouth disease(FMD),porcine reproductive and respiratory syndrome(PRRS),pseudorabie... [Objectives]This study was conducted to evaluate the immunization efficacy and infection status of classical swine fever(CSF),foot-and-mouth disease(FMD),porcine reproductive and respiratory syndrome(PRRS),pseudorabies(PR),and porcine circovirus type 2(PCV2)in large-scale pig farms.[Methods]Antibody and pathogen detection was performed on 56 serum samples collected in March 2025.[Results]The antibody qualification rates for CSF,FMD,and PRRS were 76.8%,73.2%,and 76.8%,respectively,all meeting the national standards.However,nursery pigs exhibited an immunity gap,indicating a need for timely booster vaccinations.No PRV gE antibodies or PCV2 antibodies were detected,reflecting the absence of vaccination against these diseases and suggesting significant effectiveness of comprehensive biosecurity measures.The low antibody qualification rate for PRRS in the nursery stage highlights the need for improved immunization management.[Conclusions]This study provides data support and practical insights for integrated disease prevention and control in large-scale pig farms. 展开更多
关键词 Antibody detection Pathogen detection Immune analysis Prevention and control research
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TyG-BMI对接受免疫检查点抑制剂治疗的肿瘤患者发生免疫相关不良反应的风险分层价值
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作者 魏丽 林子怡 +2 位作者 陈珍 孙荷静 董敏 《实用医学杂志》 北大核心 2026年第1期12-20,共9页
目的 探讨甘油三酯-葡萄糖-体质量指数(TyG-BMI)对接受免疫检查点抑制剂(ICIs)治疗的肿瘤患者发生免疫相关不良反应(irAE)的风险分层价值。方法 回顾性选取2023年9月至2024年9月中山大学第三附属医院收治的204例接受程序化细胞死亡蛋白... 目的 探讨甘油三酯-葡萄糖-体质量指数(TyG-BMI)对接受免疫检查点抑制剂(ICIs)治疗的肿瘤患者发生免疫相关不良反应(irAE)的风险分层价值。方法 回顾性选取2023年9月至2024年9月中山大学第三附属医院收治的204例接受程序化细胞死亡蛋白/程序化细胞死亡配体-1(PD-1/PD-L1)单克隆抗体治疗的恶性肿瘤住院患者的临床资料,根据TyG-BMI四分位数将所有患者分为TyG-BMI Q1组、TyG-BMI Q2组、TyG-BMI Q3组和TyG-BMI Q4组,各51例。比较4组临床资料、irAE发生率,多因素logistic回归分析免疫检查点抑制剂治疗肿瘤患者发生irAE的影响因素,Pearson相关性分析TyG-BMI水平与炎症因子水平相关性,绘制受试者工作特征曲线(ROC)分析TyG-BMI预测irAE的价值。结果 4组体质量指数(BMI)、血脂异常、糖尿病史、甘油三酯、低密度脂蛋白(LDL-C)、空腹血糖、游离甲状腺素(FT4)和美国东部肿瘤协作组体能状态评分(ECOG)评分经比较,差异有统计学意义(P<0.05);4组任意级别irAE、≥3级irAE、内分泌irAE、皮肤irAE发生率经比较,差异有统计学意义(P<0.05);单因素分析显示,TyG-BMI越高,任何级别irAE、≥3级irAE、内分泌irAE、肺irAE、皮肤irAE和其他irAE的风险越高(P<0.05);校正年龄、性别、肿瘤类型、药物类别、肿瘤分期等混杂因素后,多因素logistic回归结果显示,TyG-BMI是任何级别irAE(OR=1.517,95%CI:1.220~1.886,P<0.001)、≥3级irAE(OR=1.215,95%CI:1.046~1.410,P=0.011)和内分泌irAE(OR=1.331,95%CI:1.131~1.568,P<0.001)发生的独立危险因素;进一步调整白细胞计数(WBC)、血红蛋白(Hb)、血小板计数(PLT)、丙氨酸氨基转移酶(ALT)、总胆红素(TBIL)、血肌酐(Scr)、肌钙蛋白I(TnI)、促甲状腺激素(TSH)后,TyG-BMI仍为任何级别irAE、≥3级irAE和内分泌irAE发生的独立危险因素(P<0.05);4组白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)水平经比较,差异有统计学意义(P<0.05);Pearson相关性分析显示,TyG-BMI与IL-6、TNF-α、CRP水平均呈正相关(r=0.643、0.731、0.894,P<0.001);ROC曲线显示,TyG-BMI预测任何级别irAE、≥3级irAE及内分泌irAE价值均高于TyG和BMI(P<0.05)。结论 TyG-BMI可用于评估免疫检查点抑制剂治疗肿瘤患者发生irAE风险,为临床制定治疗方案和预后评估提供参考。 展开更多
关键词 甘油三酯-葡萄糖-体质量指数 免疫检查点抑制剂 恶性肿瘤 免疫相关不良反应 风险分层
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儿童传染性单核细胞增多症与肝功能异常的相关性及长期预后分析
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作者 王沁芳 冯晅 秦海荣 《中国现代医学杂志》 2026年第2期72-77,共6页
目的探讨儿童传染性单核细胞增多症(IM)合并肝功能异常的危险因素及长期预后,并分析其潜在机制。方法回顾性分析2021年1月—2023年12月山西省儿童医院收治的80例IM住院患儿的临床资料。依据肝功能状态分为肝功能异常组(32例)和肝功能正... 目的探讨儿童传染性单核细胞增多症(IM)合并肝功能异常的危险因素及长期预后,并分析其潜在机制。方法回顾性分析2021年1月—2023年12月山西省儿童医院收治的80例IM住院患儿的临床资料。依据肝功能状态分为肝功能异常组(32例)和肝功能正常组(48例)。比较两组的一般临床特征及实验室指标,采用多因素一般Logistic回归模型分析IM合并肝功能异常的影响因素。随访12个月,评估患儿的肝功能恢复情况、复发率及并发症发生情况。结果肝功能异常组丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶、总胆红素和直接胆红素水平均高于肝功能正常组(P<0.05)。两组患儿发热天数、肝脏肿大、皮疹、异形淋巴细胞比值、中性粒细胞与淋巴细胞比值(NLR)和CD4^(+)/CD8^(+)比值比较,差异均有统计学意义(P<0.05)。两组患儿性别构成、年龄、咽峡炎、淋巴结肿大、脾脏肿大、白细胞计数、血红蛋白、EB病毒DNA载量、EB病毒衣壳抗原抗体阳性和CD3^(+)比较,差异均无统计学意义(P>0.05)。多因素一般Logistic回归分析结果显示:发热天数长[O^R=4.775(95%CI:1.550,14.709)]、肝脏肿大[O^R=5.438(95%CI:1.529,19.338)]、皮疹[O^R=5.370(95%CI:1.725,16.712)]、异形淋巴细胞比例大[O^R=6.234(95%CI:1.673,23.226)]、NLR水平低[O^R=0.315(95%CI:0.107,0.928)]、CD4^(+)/CD8^(+)水平低[O^R=0.384(95%CI:0.153,0.967)]均是IM患儿发生肝功能异常的危险因素(P<0.05)。肝功能异常组中87.50%(28/32)的患儿在3个月内肝酶及胆红素水平恢复正常;9.38%(3/32)的患儿在6个月内恢复;仅1例(3.13%)患儿在6个月后ALT仍轻度升高,但至12个月随访时已基本恢复正常。两组患儿均复发2例,均未出现典型慢性IM或慢性肝炎病例。结论IM患儿易合并肝功能异常,其发生与发热持续时间长、肝脏肿大、皮疹、异形淋巴细胞比例升高、NLR降低及CD4^(+)/CD8^(+)比值下降关系密切。尽管部分患儿肝功能恢复较慢,但长期预后总体良好,未见严重慢性肝损伤。 展开更多
关键词 传染性单核细胞增多症 肝功能异常 危险因素 免疫调节 长期预后
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老年急性心衰患者医院获得性肺炎风险预测模型的构建与验证:基于系统免疫炎性指数和预后营养指数
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作者 沈丽丽 沈华 +1 位作者 孙才智 梁钰 《实用老年医学》 2026年第1期57-61,共5页
目的探讨系统免疫炎性指数(SII)和预后营养指数(PNI)对老年心力衰竭(心衰)患者合并医院获得性肺炎(HAP)的预测价值。方法选取2020年3月至2023年3月南京医科大学附属南京医院收治的122例老年急性心衰患者作为训练集,依据是否发生HAP分为... 目的探讨系统免疫炎性指数(SII)和预后营养指数(PNI)对老年心力衰竭(心衰)患者合并医院获得性肺炎(HAP)的预测价值。方法选取2020年3月至2023年3月南京医科大学附属南京医院收治的122例老年急性心衰患者作为训练集,依据是否发生HAP分为感染组(n=54)和未感染组(n=68),采用多因素logistic回归分析筛选HAP的独立危险因素并构建预测模型。另选取2023年4月至2024年3月收治的80例患者作为验证集进行外部验证。采用ROC曲线评估模型的区分度,采用Hosmer-Lemeshow(H-L)拟合优度检验评估校准度,并采用DeLong检验比较模型在训练集与验证集上的一致性。结果感染组年龄、吸烟史、合并症、心功能指标、炎症及营养参数等方面与未感染组差异有统计学意义(均P<0.05)。多因素logistic回归分析显示,年龄≥66岁、合并糖尿病、侵入性操作、SII≥346、PNI<43是老年急性心衰患者合并HAP的独立危险因素。基于此构建的预测模型在训练集和验证集中的ROC曲线的AUC分别为0.829和0.830;DeLong检验提示两数据集AUC差异无统计学意义(P=0.990);H-L检验显示,预测概率与实际概率拟合良好(P=0.056、0.159)。结论基于SII和PNI构建的预测模型可有效评估老年急性心衰患者发生HAP的风险,具有良好的临床适用性与泛化能力,可作为辅助工具,用于早期识别高危人群,优化临床管理。 展开更多
关键词 老年人 心力衰竭 医院获得性肺炎 系统免疫炎性指数 预后营养指数
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粪菌移植联合糖皮质激素治疗溃疡性结肠炎的疗效观察
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作者 牛思 蒋冬 倪猛 《西南医科大学学报》 2026年第1期91-95,共5页
目的探讨粪菌移植联合糖皮质激素治疗溃疡性结肠炎的临床疗效。方法选取我院2023年6月至2024年12月收治的溃疡性结肠炎患者80例,根据随机数字表法分为粪菌移植组和对照组,每组40例。对照组采用糖皮质激素治疗,粪菌移植组在此基础上加用... 目的探讨粪菌移植联合糖皮质激素治疗溃疡性结肠炎的临床疗效。方法选取我院2023年6月至2024年12月收治的溃疡性结肠炎患者80例,根据随机数字表法分为粪菌移植组和对照组,每组40例。对照组采用糖皮质激素治疗,粪菌移植组在此基础上加用粪菌移植联合治疗,两组患者均持续治疗3个月。比较两组临床疗效,治疗前后疾病活动度评分、炎性因子和免疫功能水平,观察两组患者不良反应发生情况。应用SPSS 27.0统计学软件,采用χ^(2)检验和t检验进行统计分析,P<0.05为差异有统计学意义。结果粪菌移植组患者治疗总有效率为97.50%,高于对照组的80.00%(χ^(2)=6.135,P=0.013)。粪菌移植组患者的Mayo评分(4.2±0.7)和CAI评分(4.2±1.1)低于对照组(6.6±0.9、6.7±1.3)(P<0.05)。粪菌移植组患者治疗后IL-6(32.1±3.9)、CRP(18.1±1.8)和TNF-α(8.4±1.3)低于对照组(48.5±4.8、25.0±2.6、13.9±1.8),差异均有统计学意义(P<0.05)。粪菌移植组患者治疗后CD3+(62.4±5.8)、CD4+(32.6±3.2)水平高于对照组(54.5±5.2、27.8±2.9),CD8+(25.6±2.3)水平低于对照组(32.2±3.1)(P<0.05)。粪菌移植组患者不良反应发生率为5.00%,明显低于对照组的25.00%,差异有统计学意义(χ^(2)=4.804,P=0.028)。结论粪菌移植联合糖皮质激素治疗溃疡性结肠炎的临床疗效显著,可减轻患者炎症反应,提高免疫功能,减少不良反应。 展开更多
关键词 粪菌移植 糖皮质激素 溃疡性结肠炎 临床疗效 炎性因子 免疫功能
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Regulatory T cells in neurological disorders and tissue regeneration:Mechanisms of action and therapeutic potentials 被引量:1
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作者 Jing Jie Xiaomin Yao +5 位作者 Hui Deng Yuxiang Zhou Xingyu Jiang Xiu Dai Yumin Yang Pengxiang Yang 《Neural Regeneration Research》 2026年第4期1277-1291,共15页
Regulatory T cells,a subset of CD4^(+)T cells,play a critical role in maintaining immune tolerance and tissue homeostasis due to their potent immunosuppressive properties.Recent advances in research have highlighted t... Regulatory T cells,a subset of CD4^(+)T cells,play a critical role in maintaining immune tolerance and tissue homeostasis due to their potent immunosuppressive properties.Recent advances in research have highlighted the important therapeutic potential of Tregs in neurological diseases and tissue repair,emphasizing their multifaceted roles in immune regulation.This review aims to summarize and analyze the mechanisms of action and therapeutic potential of Tregs in relation to neurological diseases and neural regeneration.Beyond their classical immune-regulatory functions,emerging evidence points to non-immune mechanisms of regulatory T cells,particularly their interactions with stem cells and other non-immune cells.These interactions contribute to optimizing the repair microenvironment and promoting tissue repair and nerve regeneration,positioning non-immune pathways as a promising direction for future research.By modulating immune and non-immune cells,including neurons and glia within neural tissues,Tregs have demonstrated remarkable efficacy in enhancing regeneration in the central and peripheral nervous systems.Preclinical studies have revealed that Treg cells interact with neurons,glial cells,and other neural components to mitigate inflammatory damage and support functional recovery.Current mechanistic studies show that Tregs can significantly promote neural repair and functional recovery by regulating inflammatory responses and the local immune microenvironment.However,research on the mechanistic roles of regulatory T cells in other diseases remains limited,highlighting substantial gaps and opportunities for exploration in this field.Laboratory and clinical studies have further advanced the application of regulatory T cells.Technical advances have enabled efficient isolation,ex vivo expansion and functionalization,and adoptive transfer of regulatory T cells,with efficacy validated in animal models.Innovative strategies,including gene editing,cell-free technologies,biomaterial-based recruitment,and in situ delivery have expanded the therapeutic potential of regulatory T cells.Gene editing enables precise functional optimization,while biomaterial and in situ delivery technologies enhance their accumulation and efficacy at target sites.These advancements not only improve the immune-regulatory capacity of regulatory T cells but also significantly enhance their role in tissue repair.By leveraging the pivotal and diverse functions of Tregs in immune modulation and tissue repair,regulatory T cells–based therapies may lead to transformative breakthroughs in the treatment of neurological diseases. 展开更多
关键词 demyelinating diseases gene editing immune regulation immune tolerance neural regeneration neurological diseases non-immune mechanisms regulatory T cells stem cells STROKE tissue homeostasis tissue repair
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NLRP3 inflammasome and gut microbiota–brain axis:A new perspective on white matter injury after intracerebral hemorrhage 被引量:1
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作者 Xiaoxi Cai Xinhong Cai +4 位作者 Quanhua Xie Xueqi Xiao Tong Li Tian Zhou Haitao Sun 《Neural Regeneration Research》 2026年第1期62-80,共19页
Intracerebral hemorrhage is the most dangerous subtype of stroke,characterized by high mortality and morbidity rates,and frequently leads to significant secondary white matter injury.In recent decades,studies have rev... Intracerebral hemorrhage is the most dangerous subtype of stroke,characterized by high mortality and morbidity rates,and frequently leads to significant secondary white matter injury.In recent decades,studies have revealed that gut microbiota can communicate bidirectionally with the brain through the gut microbiota–brain axis.This axis indicates that gut microbiota is closely related to the development and prognosis of intracerebral hemorrhage and its associated secondary white matter injury.The NACHT,LRR,and pyrin domain-containing protein 3(NLRP3)inflammasome plays a crucial role in this context.This review summarizes the dysbiosis of gut microbiota following intracerebral hemorrhage and explores the mechanisms by which this imbalance may promote the activation of the NLRP3 inflammasome.These mechanisms include metabolic pathways(involving short-chain fatty acids,lipopolysaccharides,lactic acid,bile acids,trimethylamine-N-oxide,and tryptophan),neural pathways(such as the vagus nerve and sympathetic nerve),and immune pathways(involving microglia and T cells).We then discuss the relationship between the activated NLRP3 inflammasome and secondary white matter injury after intracerebral hemorrhage.The activation of the NLRP3 inflammasome can exacerbate secondary white matter injury by disrupting the blood–brain barrier,inducing neuroinflammation,and interfering with nerve regeneration.Finally,we outline potential treatment strategies for intracerebral hemorrhage and its secondary white matter injury.Our review highlights the critical role of the gut microbiota–brain axis and the NLRP3 inflammasome in white matter injury following intracerebral hemorrhage,paving the way for exploring potential therapeutic approaches. 展开更多
关键词 gut microbiota gut microbiota–brain axis immune intracerebral hemorrhage NEUROINFLAMMATION NLRP3 protein stroke THERAPEUTICS white matter injury
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MPEG1作为泛癌预后标志物及其与免疫浸润的相关性研究
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作者 魏瑜 孟平平 《农垦医学》 2026年第1期43-50,共8页
目的:研究MPEG1在泛癌中的作用。方法:采用TCGA、TCGA_GTEx和TCGA配对样本分析MPEG1表达情况;利用Cox回归评估TCGA泛癌患者中MPEG1表达和临床结果之间的关系;运用TIMER 2.0分析异常表达MPEG1与免疫浸润的相关性;以基因本体论(Gene Ontol... 目的:研究MPEG1在泛癌中的作用。方法:采用TCGA、TCGA_GTEx和TCGA配对样本分析MPEG1表达情况;利用Cox回归评估TCGA泛癌患者中MPEG1表达和临床结果之间的关系;运用TIMER 2.0分析异常表达MPEG1与免疫浸润的相关性;以基因本体论(Gene Ontology,GO)/京都基因与基因组百科全书(Kyoto Encyclopediaof Genesand Genomes,KEGG)进行MPEG1相关基因的功能富集分析。结果:TCGA、TCGA_GTEx和TCGA配对样本分析MPEG1在多种肿瘤中高表达;Cox回归分析表明MPEG1表达与多种肿瘤患者预后有关,且MPEG1表达与病理分期、T分期、M分期有关;异常表达MPEG1与免疫浸润显著相关,如B细胞、T细胞;基因富集分析表明,MPEG1主要和免疫反应通路相关。结论:MPEG1可能是预测泛癌预后和免疫治疗效果的有价值的分子生物标志物。 展开更多
关键词 MPEG1 免疫浸润 泛癌 生存分析 预后标志物 生物信息学分析
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ω-3多不饱和脂肪酸对重症急性胰腺炎继发腹腔感染患者炎症反应、免疫功能及营养指标的影响
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作者 张侃 詹磊磊 程树红 《西北药学杂志》 2026年第1期186-191,共6页
目的观察ω-3多不饱和脂肪酸对重症急性胰腺炎(severe acute pancreatitis,SAP)继发腹腔感染患者炎症反应、免疫功能及营养指标的影响。方法选取2022年4月—2024年2月收治的SAP继发腹腔感染患者102例作为研究对象,采用抽签法分为2组,每... 目的观察ω-3多不饱和脂肪酸对重症急性胰腺炎(severe acute pancreatitis,SAP)继发腹腔感染患者炎症反应、免疫功能及营养指标的影响。方法选取2022年4月—2024年2月收治的SAP继发腹腔感染患者102例作为研究对象,采用抽签法分为2组,每组51例。常规组给予鼻胃管减压、补液、抗休克、抗感染和解痉等常规治疗,营养组在常规组治疗的基础上给予ω-3多不饱和脂肪酸治疗。观察2组的病原菌分布情况,比较2组的单核细胞趋化因子蛋白1(monocyte chemoattractant protein-1,MCP-1)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞计数(white blood cell count,WBC)、生长激素释放肽(ghrelin)、免疫功能、营养代谢指标及急性生理和慢性健康评估Ⅱ(Acute Physiology and Chronic Health Evaluation-Ⅱ,APACHEⅡ)评分、Balthazar CT评分。结果2组病原菌鉴定结果均以革兰氏阴性菌为主,其次为革兰氏阳性菌和真菌。2组病原菌鉴定分布情况比较差异无统计学意义(P>0.05)。治疗后,2组的前白蛋白(prealbumin,PA)、白蛋白(albumin,ALB)、血红蛋白(hemoglobin,Hb)均升高,且营养组均高于常规组(P<0.05)。治疗后,2组的MCP-1、ghrelin、TNF-α、WBC均降低,且营养组均低于常规组(P<0.05);2组的CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)均升高,且营养组均高于常规组(P<0.05);2组的APACHEⅡ、Balthazar CT评分均降低,且营养组均低于常规组(P<0.05)。结论ω-3多不饱和脂肪酸可减轻SAP继发腹腔感染患者的病情程度,减轻炎症反应,提高营养指标和免疫功能。 展开更多
关键词 Ω-3多不饱和脂肪酸 重症急性胰腺炎 腹腔感染 免疫功能 炎症反应 病原菌
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Construction of DNA Vaccine for FMDV P1 Gene and Immunization Experiment
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作者 史秋梅 高桂生 +2 位作者 张艳英 高光平 张东林 《Agricultural Science & Technology》 CAS 2013年第8期1069-1071,共3页
[Objective] This study aimed to construct DNA vaccine of foot-and-mouth disease (FMD).[Method] Plasmid carriers plESZP1 and pUTK3CP1 with PRV were constructed for FMDV P1 gene expression.Mice were immunized,and thei... [Objective] This study aimed to construct DNA vaccine of foot-and-mouth disease (FMD).[Method] Plasmid carriers plESZP1 and pUTK3CP1 with PRV were constructed for FMDV P1 gene expression.Mice were immunized,and their antibody level was detected.The two eukaryotic expression plasmids constructed were transfected into Vero cells.PCR,IFA and Westem-blot were carried out to detect the transcription and expression of the objective gene.Balb/C mice were intramuscularly inoculated with the DNA plasmid which expressed the target gene correctly,and the antibody level in mice was detected by the means of ELISA and serum neutralization (SN).[Result] DNA plasmid carrying P1 gene which encodes FMDV capsid protein caused specific body fluid immunoreaction in mice,and the antibody level of anti-FMDV had no difference in the mice induced by the two recombinant plasmids.[Conclusion] This study lays a foundation for evaluating the genetically modified vaccine by immunizing animals with recombinant PRV containing the FMDV P1 gene and recombinant virus. 展开更多
关键词 FMDV P1 gene DNA plasmid immunization experiment
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乳酸化修饰潜在靶点及靶向中药活性成分治疗脊髓损伤:GEO数据库筛选分析 被引量:1
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作者 梁亮 严雨露 +3 位作者 郑洋 章晓云 汪磊 祁文 《中国组织工程研究》 北大核心 2026年第12期3156-3170,共15页
背景:乳酸化修饰通过调控免疫微环境在脊髓损伤中发挥重要作用,但其关键生物标志物及机制尚未明确。此研究基于GEO等多个数据库数据整合多区域脊髓损伤数据(涵盖欧洲及亚洲群体),旨在全方面系统解析乳酸代谢异常与脊髓损伤的关联。通过... 背景:乳酸化修饰通过调控免疫微环境在脊髓损伤中发挥重要作用,但其关键生物标志物及机制尚未明确。此研究基于GEO等多个数据库数据整合多区域脊髓损伤数据(涵盖欧洲及亚洲群体),旨在全方面系统解析乳酸代谢异常与脊髓损伤的关联。通过挖掘乳酸化相关基因调控网络揭示代谢-免疫交互作用的新机制及预测靶向药物,为开发靶向治疗策略提供理论依据。目的:筛选脊髓损伤中乳酸化相关的核心生物标志物,解析其调控机制,并预测潜在的中药活性成分。方法:研究整合GEO数据库(NCBI维护,收录全球公开基因表达谱)中3个脊髓损伤数据集(GSE45006、GSE114426、GSE2599,含30例脊髓损伤与10例正常样本)及验证集(GSE151371,58例样本),结合MSigDB数据库(Broad研究所开发,用于基因功能注释)的395个乳酸相关基因,通过差异表达分析、加权基因共表达网络及机器学习算法(LASSO、XGBoost、随机森林)筛选核心基因。利用IEU数据库(由MRC综合流行病学单位开发并维护,存储和共享全基因组关联研究数据的资源库)共815 376例样本的数据和孟德尔随机化分析验证乳酸代谢与脊髓损伤的因果关联,并进行免疫浸润等分析。同时从ITCM、HERB中药数据库(中国科学院建设,涵盖传统药物活性成分)预测靶向成分。结果与结论:鉴定出SLC16A7和ACACA为脊髓损伤相关的核心乳酸化基因,其表达与M2巨噬细胞和T细胞浸润显著相关。孟德尔随机化分析表明,乳酸(OR=1.89,95%CI:0.99-3.62)及乳酸脱氢酶(OR=0.34,95%CI:0.16-0.74)与脊髓损伤存在显著因果关系(P <0.05),而SLC16A7和ACACA是脊髓损伤的危险因素(OR> 1.00)。分子对接筛选出槲皮素、雌二醇和人参皂苷等活性成分,其与靶点结合稳定,符合类药性标准。结果表明,SLC16A7和ACACA是脊髓损伤中乳酸化修饰相关生物标志物,靶向这些基因的中药及其活性成分具有潜在治疗价值。此研究基于国际标准化数据库及欧洲群体主导的多组学数据,揭示了乳酸化修饰在脊髓损伤中的调控作用,其方法学框架(如多组学整合、孟德尔随机化因果推断)为中国生物医学研究提供了重要借鉴:一方面,推动跨种族数据共享与验证,弥补区域样本不足;另一方面,通过挖掘中药活性成分与靶点互作机制,为中西医结合治疗脊髓损伤的药物开发开辟新路径,助力精准医学的本土化实践。 展开更多
关键词 乳酸化修饰 脊髓损伤 生物标志物 免疫浸润 孟德尔随机化
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早期非小细胞肺癌经PD-1抑制剂与立体定向体部放疗联合治疗的疗效观察研究
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作者 焦健方 张佳 《陕西医学杂志》 2026年第1期48-52,共5页
目的:探讨早期非小细胞肺癌(NSCLC)经PD-1抑制剂与立体定向体部放疗(SABR)联合治疗的疗效观察。方法:选取154例NSCLC患者作为研究对象。按照随机数字表法,将其分为观察组和对照组,各77例。对照组给予SABR治疗,观察组给予PD-1抑制剂联合S... 目的:探讨早期非小细胞肺癌(NSCLC)经PD-1抑制剂与立体定向体部放疗(SABR)联合治疗的疗效观察。方法:选取154例NSCLC患者作为研究对象。按照随机数字表法,将其分为观察组和对照组,各77例。对照组给予SABR治疗,观察组给予PD-1抑制剂联合SABR治疗。比较两组患者临床疗效、肿瘤标志物水平、免疫功能、生活质量及不良反应。结果:观察组ORR(45.45%)及DCR(84.42%)显著高于对照组(19.48%、54.55%)(均P<0.05)。治疗后,观察组CEA、CYFRA21-1及VEGF水平显著低于对照组(均P<0.05)。观察组CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)及NK水平显著高于对照组(均P<0.05);CD8^(+)显著低于对照组(P<0.05)。观察组生活质量改善率(80.52%)显著高于对照组(46.75%,P<0.05)。观察组总不良反应率(10.39%)显著低于对照组(22.08%,P<0.05)。结论:PD-1抑制剂与SABR联合应用能够显著提高早期NSCLC患者治疗效果。 展开更多
关键词 非小细胞肺癌 PD-1抑制剂 立体定向体部放疗 联合治疗 肿瘤标志物 免疫功能
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肿瘤相关中性粒细胞在肿瘤免疫微环境中的作用及治疗研究进展
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作者 刘威 司瑜 张志钢 《中国肿瘤》 北大核心 2026年第1期69-80,共12页
肿瘤免疫微环境(tumor immune microenvironment,TIME)的异质性及免疫细胞空间分布特征,是决定肿瘤进展轨迹与治疗响应的核心因素。全文综述了TIME的三大分类模式及其与免疫治疗敏感性的内在关联机制,深入解析了肿瘤相关中性粒细胞(tumo... 肿瘤免疫微环境(tumor immune microenvironment,TIME)的异质性及免疫细胞空间分布特征,是决定肿瘤进展轨迹与治疗响应的核心因素。全文综述了TIME的三大分类模式及其与免疫治疗敏感性的内在关联机制,深入解析了肿瘤相关中性粒细胞(tumor-associated neutrophils,TAN)从早期通过细胞毒性作用、免疫激活及抗原呈递发挥抗肿瘤效应,到后期通过介导慢性炎症、促进基质重塑及诱导免疫抑制推动肿瘤进展的功能动态演变规律,系统阐述了靶向TAN的核心治疗策略(阻断中性粒细胞募集与浸润、调节中性粒细胞表型与功能、构建中性粒细胞介导的创新药物递送系统、靶向髓系免疫检查点及探索中性粒细胞靶向-免疫-化疗联合方案),并提出未来需依托单细胞测序等技术解析中性粒细胞异质性,通过时空特异性调控策略精准干预其功能状态、协同现有治疗手段构建高效低毒肿瘤治疗体系的研究方向,旨在为改善肿瘤患者预后提供新方向。 展开更多
关键词 肿瘤免疫微环境 免疫细胞调控 肿瘤相关中性粒细胞
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Revisiting collagen:A breaching point in tumor immunotherapy
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作者 Yi-Da Wang Hai-Yue You +3 位作者 Feng Zhang Xin Ning Jie Mei Yan Zhang 《Life Research》 2026年第1期1-4,共4页
Immunotherapy has brought unprecedented breakthroughs to advanced malignant tumors,yet the immune microenvironment shaped by the tumor stroma has often been underestimated in the traditional focus on the“immune check... Immunotherapy has brought unprecedented breakthroughs to advanced malignant tumors,yet the immune microenvironment shaped by the tumor stroma has often been underestimated in the traditional focus on the“immune checkpoint-T cell”axis.Collagen not only constitutes a mechanical barrier that distinguishes between the periphery and core of solid tumors but also systematically remodels the orientation of metabolism,vasculature,and immune cell phenotypic plasticity through its spatial density,fiber arrangement,and crosslinking patterns(F igure 1)[1,2].Abundant evidence suggests that over-accumulated types I and III collagen drive CD8+T cell exhaustion,NK cell functional inhibition,and tumor-associated macrophage polarization through ligand-receptor networks involving LAIR-1,DDR2,andβ1/β3 integrins[3-6].Mechanistically,collagen engagement of LAIR-1 delivers inhibitory signals in effector lymphocytes,promoting dysfunctional or exhausted states[7-9].In parallel,collagen-β1/β3 integrin signaling activates mechanotransduction pathways(e.g.,FAK/SRC),reducing T-cell motility and immune-tumor contact,while DDR2 activation supports matrix-remodeling programs that limit lymphocyte trafficking. 展开更多
关键词 immune microenvironment advanced malignant tumorsyet tumor immunotherapy immune cell phenotypic plasticity COLLAGEN tumor stroma collagen I solid tumors
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Recent advances in immunotherapy targeting amyloid-beta and tauopathies in Alzheimer’s disease
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作者 Sha Sha Lina Ren +5 位作者 Xiaona Xing Wanshu Guo Yan Wang Ying Li Yunpeng Cao Le Qu 《Neural Regeneration Research》 2026年第2期577-587,共11页
Alzheimer’s disease,a devastating neurodegenerative disorder,is characterized by progressive cognitive decline,primarily due to amyloid-beta protein deposition and tau protein phosphorylation.Effectively reducing the... Alzheimer’s disease,a devastating neurodegenerative disorder,is characterized by progressive cognitive decline,primarily due to amyloid-beta protein deposition and tau protein phosphorylation.Effectively reducing the cytotoxicity of amyloid-beta42 aggregates and tau oligomers may help slow the progression of Alzheimer’s disease.Conventional drugs,such as donepezil,can only alleviate symptoms and are not able to prevent the underlying pathological processes or cognitive decline.Currently,active and passive immunotherapies targeting amyloid-beta and tau have shown some efficacy in mice with asymptomatic Alzheimer’s disease and other transgenic animal models,attracting considerable attention.However,the clinical application of these immunotherapies demonstrated only limited efficacy before the discovery of lecanemab and donanemab.This review first discusses the advancements in the pathogenesis of Alzheimer’s disease and active and passive immunotherapies targeting amyloid-beta and tau proteins.Furthermore,it reviews the advantages and disadvantages of various immunotherapies and considers their future prospects.Although some antibodies have shown promise in patients with mild Alzheimer’s disease,substantial clinical data are still lacking to validate their effectiveness in individuals with moderate Alzheimer’s disease. 展开更多
关键词 Alzheimer’s disease amyloid deposits AMYLOID-BETA antibody cognitive dysfunction dementia IMMUNOTHERAPY OLIGOMER preventive immunization tau hyperphosphorylation
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Lactylation modification of prostate apoptosis response protein-4(PAR-4)p otential driving immune tolerance of hepatocellular carcinoma cells
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作者 Xue-Qin Wu Meng-Sen Li 《Cancer Advances》 2026年第1期1-4,共4页
Post-translational modifications(PTMs)regulate the occurrence and development of cancer,and lactylation modification is a new form of PTMs.Recent studies have found that lactic acid modification can regulate the immun... Post-translational modifications(PTMs)regulate the occurrence and development of cancer,and lactylation modification is a new form of PTMs.Recent studies have found that lactic acid modification can regulate the immune tolerance of cancer cells.The classical theory holds that prostate apoptosis response-4(PAR-4)is a tumor suppressor protein.However,our recent research has found that PAR-4 has a biological function of promoting cancer in hepatocellular carcinoma(HCC),and our analysis shows that PAR-4 can be modified of lactic acid.These research evidences suggest that PAR-4 lactylation modification may drive immune tolerance in HCC.Therefore,inhibiting PAR-4 lactylation modification is very likely to increase the sensitivity of HCC to immunotherapy. 展开更多
关键词 hepatocellular carcinoma lactylation promoting cancer prostate apoptosis response protein lactic acid modification immune tolerance lactylation modification regulate immune tolerance
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Gut microbiota and the colorectal cancer tumor microenvironment:From carcinogenic mechanisms to therapeutic opportunities
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作者 Zi-Ke Chen Jia-Wei Zhao +2 位作者 Yu-Gang Wang Chen Wang Min Shi 《World Journal of Gastrointestinal Oncology》 2026年第1期114-121,共8页
Colorectal cancer(CRC)is ranked as the third most common tumor globally,representing approximately 10%of all cancer cases,and is the second primary cause of cancer-associated mortality.Existing therapeutic approaches ... Colorectal cancer(CRC)is ranked as the third most common tumor globally,representing approximately 10%of all cancer cases,and is the second primary cause of cancer-associated mortality.Existing therapeutic approaches demonstrate limited efficacy against CRC,partially due to the immunosuppressive tumor microenvironment(TME).In recent years,substantial evidence indicates that dysbiosis of the gut microbiota and its metabolic products is closely associated with the initiation,progression,and prognostic outcomes of CRC.In this minireview,we systematically elaborate on how these microbes and their metabolites directly impair intestinal epithelial integrity,activate cancer-associated fibroblasts,remodel tumor vasculature,and critically,sculpt an immunosuppressive landscape by modulating T cells,dendritic cells,and tumor-associated macrophages.We highlight the translational potential of targeting the gut microbiota,including fecal microbiota transplantation,probiotics,and engineered microbial systems,to reprogram the TME and overcome resistance to immunotherapy and chemotherapy.A deeper understanding of the microbiota-TME axis is essential for developing novel diagnostic and therapeutic paradigms for CRC. 展开更多
关键词 Gut microbiota Tumor immune microenvironment Colorectal cancer Tumor stromal cells Immune cells
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重组活载体疫苗研究进展
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作者 郭双霖 郝飞 +5 位作者 刘永杰 秦浩然 陈蓉 马孙婷 冯志新 谢星 《中国畜牧兽医》 北大核心 2026年第1期81-93,共13页
重组活载体疫苗利用病原体作为载体递送目标抗原,具有免疫效果强、生产成本低、免疫策略灵活等优势,在传染病防控和肿瘤治疗等领域展现出广阔前景。笔者系统综述了细菌和病毒活载体疫苗的研究进展,重点分析了其抗原表达特性、适用动物... 重组活载体疫苗利用病原体作为载体递送目标抗原,具有免疫效果强、生产成本低、免疫策略灵活等优势,在传染病防控和肿瘤治疗等领域展现出广阔前景。笔者系统综述了细菌和病毒活载体疫苗的研究进展,重点分析了其抗原表达特性、适用动物模型及免疫效果。在细菌载体方面,卡介苗通过基因改造表达结核分枝杆菌抗原或免疫调节因子,可显著提升免疫效果;沙门菌载体因其口服接种便利性在黏膜免疫和癌症治疗中表现突出;乳酸菌作为载体可诱导黏膜和全身免疫。此外,大肠杆菌、枯草芽孢杆菌等也在抗感染和抗肿瘤疫苗研发中取得进展。病毒载体方面,腺病毒因其高效的转导能力,已成功用于新型冠状病毒肺炎和猪流感疫苗开发;痘病毒因其可容纳大片段外源基因,适用于多价疫苗设计;疱疹病毒宿主范围有限,安全性高,在表达口蹄疫病毒和流感病毒抗原时表现出良好的免疫原性;新城疫病毒和猪繁殖与呼吸障碍综合征病毒等RNA病毒载体因其独特的复制特性成为多病原联苗的理想平台。此外,肠道病毒载体在神经系统疾病治疗中也显示出潜力。尽管活载体疫苗已取得显著成果,但其免疫效率提升、安全性优化及规模化生产仍是未来研究重点。本综述为活载体疫苗的进一步开发和临床应用提供了重要参考。 展开更多
关键词 重组疫苗 免疫效果 病毒载体 细菌载体
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