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甘露糖蛋白、半乳甘露聚糖和1-3-β-D葡聚糖联合检测对艾滋病合并马尔尼菲篮状菌病的诊断价值
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作者 李小凤 张海燕 +1 位作者 何静 罗明 《中国热带医学》 北大核心 2025年第5期547-551,593,共6页
目的探讨甘露糖蛋白(mannoprotein,Mp1p)、半乳甘露聚糖(galactomannan,GM)和1-3-β-D葡聚糖(1-3-β-D glucan,BDG)单独和联合检测对艾滋病合并马尔尼菲篮状菌病(Talaromycosis marneffei,TSM)的诊断价值。方法收集291例艾滋病合并马尔... 目的探讨甘露糖蛋白(mannoprotein,Mp1p)、半乳甘露聚糖(galactomannan,GM)和1-3-β-D葡聚糖(1-3-β-D glucan,BDG)单独和联合检测对艾滋病合并马尔尼菲篮状菌病(Talaromycosis marneffei,TSM)的诊断价值。方法收集291例艾滋病合并马尔尼菲篮状菌住院患者和300例健康体检者外周血标本,检测Mp1p、GM和BDG并分析单独和联合检测诊断TSM的价值,采用ROC曲线分析Mp1p、GM、BDG和联合检测的诊断效能。结果在单独检测中,Mp1p、GM和BDG检测灵敏度和特异度之间差异有统计学意义(P<0.05),相较于GM和BDG,Mp1p的诊断效能最好,灵敏度和特异度最优。在两两联合检测中,Mp1p与GM组合灵敏度优于GM与BDG组合,差异有统计学意义(P<0.05);Mp1p与GM组合、Mp1p与BDG组合特异度优于GM与BDG组合,差异有统计学意义(P<0.05),Mp1p与GM组合的诊断效能最好。三者联合检测灵敏度优于两两联合检测,差异有统计学意义(P<0.05),Mp1p与GM组合、Mp1p与BDG组合特异度优于三者联合检测,差异有统计学意义(P<0.05)。Mp1p、GM、BDG检测阳性率分别在CD4^(+)T细胞计数≤100个/μL和>100个/μL患者中差异无统计学意义(P>0.05)。结论Mp1p、GM、BDG检测是艾滋病合并TSM早期辅助性诊断指标,其中Mp1p诊断效能优于GM和BDG,联合检测可提高诊断效能。 展开更多
关键词 甘露糖蛋白 半乳甘露聚糖 1-3-β-d葡聚糖 马尔尼菲篮状菌病 艾滋病
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4-(芳基乙炔基)-吡咯并[2,3-d]嘧啶通过抑制mGluR5调控ERK1/2-SGK1信号通路改善小鼠创伤后应激障碍
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作者 何存宝 杨绍杰 朱国旗 《南方医科大学学报》 北大核心 2025年第4期765-773,共9页
目的评价4-(芳基乙炔基)-吡咯并[2,3-d]嘧啶(10b)对单一长时程应激(SPS)诱导的小鼠创伤后应激障碍(PTSD)样行为及ERK1/2-SGK1信号通路的影响。方法将C57 BL/6小鼠随机分为正常对照组,SPS模型组,化合物10b低、中、高剂量组和帕罗西汀组,6... 目的评价4-(芳基乙炔基)-吡咯并[2,3-d]嘧啶(10b)对单一长时程应激(SPS)诱导的小鼠创伤后应激障碍(PTSD)样行为及ERK1/2-SGK1信号通路的影响。方法将C57 BL/6小鼠随机分为正常对照组,SPS模型组,化合物10b低、中、高剂量组和帕罗西汀组,6只/组。采用行为学实验评价SPS模型组小鼠的PTSD样行为;Western blotting联合免疫荧光检测小鼠海马组织代谢型谷氨酸受体5(mGluR5)、p-ERK、SGK1蛋白表达水平;HE染色检测肝肾组织的病理损伤;分子对接和分子动力学验证化合物10b与mGluR5结合的稳定性。结果与对照组比较,SPS模型组小鼠表现出PTSD样行为(P<0.05),海马mGluR5和p-ERK蛋白表达升高,SGK1蛋白表达减少(P<0.05),而化合物10b可改善SPS组小鼠的行为异常(P<0.05),并抑制mGluR5表达,逆转p-ERK和SGK1的异常(P<0.05),且无明显肝肾毒性;分子对接和分子动力学结果显示10b与mGluR5结合稳定。结论化合物10b能改善SPS诱导的小鼠PTSD样行为,其机制可能和抑制mGluR5调节ERK1/2-SGK1信号通路相关。 展开更多
关键词 4-(芳基乙炔基)-吡咯并[2 3-d]嘧啶 创伤后应激障碍 代谢型谷氨酸受体5 单一长时程应激 ERK1/2 SGK1
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混合感染中降钙素原联合1,3-β-D葡聚糖检测的诊断价值分析
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作者 邓承晓 《实验室检测》 2025年第13期63-65,共3页
目的分析血清降钙素原(PCT)联合1,3-β-D葡聚糖检测对重症监护病房(ICU)患者混合感染的诊断价值。方法选择2023年10月—2024年10月本院ICU收治的237例疑似混合感染患者作为研究对象。根据实验室检查结果分为真菌感染组(n=66)、细菌感染... 目的分析血清降钙素原(PCT)联合1,3-β-D葡聚糖检测对重症监护病房(ICU)患者混合感染的诊断价值。方法选择2023年10月—2024年10月本院ICU收治的237例疑似混合感染患者作为研究对象。根据实验室检查结果分为真菌感染组(n=66)、细菌感染组(n=103)和混合感染组(n=68)。检测并比较三组患者血清PCT和1,3-β-D葡聚糖水平。采用Logistic回归分析评估PCT与1,3-β-D葡聚糖水平与混合感染发生的相关性;绘制受试者工作特征(ROC)曲线,计算曲线下面积(AUC),评价单项及联合检测对混合感染的诊断效能。结果混合感染组血清PCT、1,3-β-D葡聚糖水平高于真菌感染组和细菌感染组(P<0.05)。Logistic回归显示,PCT、1,3-β-D葡聚糖水平升高是ICU患者发生混合感染的影响因素(P<0.05)。PCT、1,3-β-D葡聚糖及两者联合诊断发生混合感染的AUC分别为0.629、0.714、0.752,联合的AUC更高,其敏感度和特异度分别为72.06%、74.56%(P<0.05)。结论PCT联合1,3-β-D葡聚糖诊断ICU患者混合感染的效能更高,可通过上述指标水平分析混合感染的高风险人群。 展开更多
关键词 降钙素原 1 3-β-d葡聚糖 混合感染 细菌感染 病毒感染
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组织Spondin-2、MUC-1、Cath-D联合检测对宫颈癌术后复发的预测价值
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作者 董洁 李文凯 +3 位作者 王成静 刘畅 孔雪 刘玉珍 《临床误诊误治》 2025年第14期89-93,共5页
目的探讨组织脊椎蛋白-2(Spondin-2)、黏蛋白-1(MUC-1)、组织蛋白酶-D(Cath-D)联合检测对宫颈癌术后复发的预测价值。方法选取2019年4月至2021年4月就诊的235例宫颈癌手术患者,根据术后3年复发情况分为复发组和未复发组。统计并比较两... 目的探讨组织脊椎蛋白-2(Spondin-2)、黏蛋白-1(MUC-1)、组织蛋白酶-D(Cath-D)联合检测对宫颈癌术后复发的预测价值。方法选取2019年4月至2021年4月就诊的235例宫颈癌手术患者,根据术后3年复发情况分为复发组和未复发组。统计并比较两组人口学特征、临床病理特征及组织Spondin-2、MUC-1、Cath-D mRNA表达,采用Spearman相关分析临床病理特征与组织Spondin-2、MUC-1、Cath-D mRNA表达的相关性,采用多因素logistic回归分析宫颈癌术后复发的影响因素,采用受试者工作特征(ROC)曲线分析组织Spondin-2、MUC-1、Cath-D mRNA表达预测宫颈癌术后复发的价值。结果两组肿瘤直径、FIGO分期、分化程度、人乳头瘤病毒(HPV)感染、盆腔淋巴结转移比较存在显著差异(P<0.01)。复发组组织Spondin-2、MUC-1、Cath-D mRNA表达均高于未复发组(P<0.01)。Spearman相关分析显示,宫颈癌手术患者组织Spondin-2、MUC-1、Cath-D mRNA表达与肿瘤直径、FIGO分期、分化程度、HPV感染、盆腔淋巴结转移呈正相关(P<0.01)。多因素logistic回归分析显示,组织Spondin-2、MUC-1、Cath-D mRNA表达及HPV感染是宫颈癌术后复发的影响因素(P<0.01)。ROC曲线显示,组织Spondin-2、MUC-1、Cath-D mRNA表达联合预测宫颈癌术后复发的曲线下面积高于单一指标预测。结论组织Spondin-2、MUC-1、Cath-D联合检测对宫颈癌术后复发有较高的预测价值,利于临床早期预测宫颈癌术后复发、制订相应干预方案。 展开更多
关键词 宫颈肿瘤 手术治疗 复发 脊椎蛋白-2 黏蛋白-1 组织蛋白酶-d 相关性 预测价值
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Direct observation of natural products bound to protein based on UHPLC-ESI-MS combined with molecular dynamics simulation
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作者 Jinqi Yang Xiaoxiang Hu +5 位作者 Yuanyuan Zhang Lingyu Zhao Chunlin Yue Yuan Cao Yangyang Zhang Zhenwen Zhao 《Chinese Chemical Letters》 2025年第5期354-359,共6页
The bioactive constituents found in natural products(NPs)are crucial in protein-ligand interactions and drug discovery.However,it is difficult to identify ligand molecules from complex NPs that specifically bind to ta... The bioactive constituents found in natural products(NPs)are crucial in protein-ligand interactions and drug discovery.However,it is difficult to identify ligand molecules from complex NPs that specifically bind to target protein,which often requires time-consuming and labor-intensive processes such as isolation and enrichment.To address this issue,in this study we developed a method that combines ultra-high performance liquid chromatography-electrospray ionization-mass spectrometry(UHPLCESI-MS)with molecular dynamics(MD)simulation to identify and observe,rapidly and efficiently,the bioactive components in NPs that bind to specific protein target.In this method,a specific protein target was introduced online using a three-way valve to form a protein-ligand complex.The complex was then detected in real time using high-resolution MS to identify potential ligands.Based on our method,only 10 molecules from green tea(a representative natural product),including the commonly reported epigallocatechin gallate(EGCG)and epicatechin gallate(ECG),as well as the previously unreported eepicatechin(4β→8)-epigallocatechin 3-O-gallate(EC-EGCG)and eepiafzelechin 3-O-gallate-(4β→8)-epigallocatechin 3-O-gallate(EFG-EGCG),were screened out,which could form complexes with Aβ_(1-42)(a representative protein target),and could be potential ligands of Aβ_(1-42).Among of them,EC-EGCG demonstrated the highest binding free energy with Aβ_(1-42)(−68.54±3.82 kcal/mol).On the other side,even though the caffeine had the highest signal among green tea extracts,it was not observed to form a complex with Aβ_(1-42).Compared to other methods such as affinity selection mass spectrometry(ASMS)and native MS,our method is easy to operate and interpret the data.Undoubtedly,it provides a new methodology for potential drug discovery in NPs,and will accelerate the research on screening ligands for specific proteins from complex NPs. 展开更多
关键词 Natural products(NPS) Ligands screening Mass spectrum(MS) Molecular dynamic simulation(MDS) Post-column modification Amyloidβ-peptide 42(A_(β1-42)) Green tea
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Application of Modelica Based Multi- Domain Modeling and Simulation for Gravity-1
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作者 ZHANG Chi BU Xiangwei +3 位作者 XU Lijie WU Kao HOU Shiyuan XU Guoguang 《Aerospace China》 2024年第1期47-55,共9页
In the R&D phase of Gravity-1(YL-1), a multi-domain modeling and simulation technology based on Modelica language was introduced, which was a recent attempt in the practice of modeling and simulation method for la... In the R&D phase of Gravity-1(YL-1), a multi-domain modeling and simulation technology based on Modelica language was introduced, which was a recent attempt in the practice of modeling and simulation method for launch vehicles in China. It realizes a complex coupling model within a unified model for different domains, so that technologists can work on one model. It ensured the success of YL-1 first launch mission, supports rapid iteration, full validation, and tight design collaboration. 展开更多
关键词 MODELICA Gravity-1 simulation modeling launch vehicle model
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Comparison of two statistical methods for handling missing values of quantitative data in Bayesian N-of-1 trials: a simulation study
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作者 Jing-Bo Zhai Tian-Ci Guo Wei-Jie Yu 《Medical Data Mining》 2024年第1期10-15,共6页
Background:Missing data are frequently occurred in clinical studies.Due to the development of precision medicine,there is an increased interest in N-of-1 trial.Bayesian models are one of main statistical methods for a... Background:Missing data are frequently occurred in clinical studies.Due to the development of precision medicine,there is an increased interest in N-of-1 trial.Bayesian models are one of main statistical methods for analyzing the data of N-of-1 trials.This simulation study aimed to compare two statistical methods for handling missing values of quantitative data in Bayesian N-of-1 trials.Methods:The simulated data of N-of-1 trials with different coefficients of autocorrelation,effect sizes and missing ratios are obtained by SAS 9.1 system.The missing values are filled with mean filling and regression filling respectively in the condition of different coefficients of autocorrelation,effect sizes and missing ratios by SPSS 25.0 software.Bayesian models are built to estimate the posterior means by Winbugs 14 software.Results:When the missing ratio is relatively small,e.g.5%,missing values have relatively little effect on the results.Therapeutic effects may be underestimated when the coefficient of autocorrelation increases and no filling is used.However,it may be overestimated when mean or regression filling is used,and the results after mean filling are closer to the actual effect than regression filling.In the case of moderate missing ratio,the estimated effect after mean filling is closer to the actual effect compared to regression filling.When a large missing ratio(20%)occurs,data missing can lead to significantly underestimate the effect.In this case,the estimated effect after regression filling is closer to the actual effect compared to mean filling.Conclusion:Data missing can affect the estimated therapeutic effects using Bayesian models in N-of-1 trials.The present study suggests that mean filling can be used under situation of missing ratio≤10%.Otherwise,regression filling may be preferable. 展开更多
关键词 N-of-1 trial BAYESIAN missing data simulation study
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Inhibition of Cancer Cell Growth by Baicalein via ESR1 Based on Molecular Dynamics Simulations
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作者 Chao Kang Mengke Wang Yongsong Zhang 《Proceedings of Anticancer Research》 2024年第6期150-156,共7页
This study investigates the mechanism by which baicalin inhibits cancer cell growth through estrogen receptor 1 (ESR1) using molecular dynamics simulations. The results show that baicalin primarily binds to the ligand... This study investigates the mechanism by which baicalin inhibits cancer cell growth through estrogen receptor 1 (ESR1) using molecular dynamics simulations. The results show that baicalin primarily binds to the ligand-binding domain (LBD) of ESR1, interacting through hydrogen bonds and hydrophobic interactions. After binding, the overall and local conformations of ESR1 change, affecting its interactions with other proteins and thus modulating the signaling pathways of cancer cells. Binding free energy analysis indicates that the binding of baicalin to ESR1 is spontaneous and relatively stable. Additionally, baicalin can inhibit the binding of ESR1 to estrogen, blocking the estrogen signaling pathway and thereby suppressing the growth and proliferation of cancer cells. This study provides theoretical and experimental foundations for the potential use of baicalin as an anticancer drug, offering new insights and methods for the development of novel anticancer drugs. However, the study has some limitations, such as limited simulation time and simplified systems. Future research can extend the simulation time and consider more physiological factors to more accurately simulate the interactions between baicalin and ESR1. 展开更多
关键词 BAICALIN ESR1 Molecular dynamics simulation Cancer cell growth Estrogen signaling pathway
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Simulation of subcritical flow pattern in 180° uniform and convergent open-channel bends using SSIIM 3-D model 被引量:1
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作者 Rasool GHOBADIAN Kamran MOHAMMADI 《Water Science and Engineering》 EI CAS 2011年第3期270-283,共14页
In meandering rivers, the flow pattern is highly complex, with specific characteristics at bends that are not observed along straight paths. A numerical model can be effectively used to predict such flow fields. Since... In meandering rivers, the flow pattern is highly complex, with specific characteristics at bends that are not observed along straight paths. A numerical model can be effectively used to predict such flow fields. Since river bends are not uniform-some are divergent and others convergent-in this study, after the SSIIM 3-D model was calibrated using the result of measurements along a uniform 180° bend with a width of 0.6 m, a similar but convergent 180v bend, 0.6 m to 0.45 m wide, was simulated using the SSI1M 3-D numerical model. Flow characteristics of the convergent 180° bend, including lengthwise and vertical velocity profiles, primary and secondary flows, lengthwise and widtbwise slopes of the water surface, and the helical flow strength, were compared with those of the uniform 180° bend. The verification results of the model show that the numerical model can effectively simulate the flow field in the uniform bend. In addition, this research indicates that, in a convergent channel, the maximum velocity path at a plane near the water surface crosses the channel's centerline at about a 30° to 40° cross-section, while in the uniform bend, this occurs at about the 50° cross-section. The varying range of the water surface elevation is wider in the convergent channel than in the uniform one, and the strength of the helical flow is generally greater in the uniform channel than in the convergent one. Also, unlike the uniform bend, the convergent bend exhibits no rotational cell against the main direction of secondary flow rotation at the 135° cross-section. 展开更多
关键词 flow pattern numerical simulation convergent 180° bend SSIIM 3-d model
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Numerical Simulation for Remediation Planning for 1,4-Dioxane-Contaminated Groundwater at Kuwana Illegal Dumping Site in Japan Based on the Concept of Verified Follow Up 被引量:1
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作者 Ramrav Hem Toru Furuichi +1 位作者 Kazuei Ishii Yu-Chi Weng 《Journal of Water Resource and Protection》 2013年第7期699-708,共10页
At Kuwana illegal dumping site in Japan, where hazardous waste was illegally dumped, groundwater was severely contaminated by Volatile Organic Compounds (VOCs). Groundwater was already remedied by conducting Pump-and-... At Kuwana illegal dumping site in Japan, where hazardous waste was illegally dumped, groundwater was severely contaminated by Volatile Organic Compounds (VOCs). Groundwater was already remedied by conducting Pump-and-Treat (P&T) after containment of all the waste by vertical slurry walls from 2002 to 2007. However, 1,4-dioxane was detected in both waste and groundwater outside of slurry walls after it was newly added into Japan environmental standards in late 2009, which suggested that the walls did not contain 1,4-dioxane completely. Our previous study developed a model to predict the 1,4-dioxane distribution in groundwater after the previous remediation at the site. In this study, numerical simulation was applied for remediation planning at the site based on the concept of Verified Follow Up (VF-UP) that had been proposed as a new approach to complete remediation effectively with consideration of future risks. The amount of waste to be removed and pumping plans were discussed by numerical simulation to achieve the remedial objective in which 1,4-dioxane in groundwater outside of walls is remedied within 10 years and 1,4-dioxane spreading throughout the walls is prevented in the case where a portion of waste is remained. Firstly, the amount of waste to be removed considering pumping plans for P&T was determined by scenario analysis. As a result, at least two-third of waste should be removed by combining with P&T. However, if the waste is remained, future risks of 1,4-dioxane spreading through the slurry walls may occur. Our simulation suggested that groundwater within the remaining waste must be pumped up at least 20 m3/d for containment of 1,4-dioxane within the remaining waste. In conclusion, our numerical simulation determined the amount of waste to be removed and the pumping plans for P&T to achieve the remedial objective effectively considering future risks based on the concept of VF-UP. 展开更多
关键词 REMEDIATION PLANNING Numerical simulation Verified FOLLOW Up Pump-and-Treat 1 4-dioxane-Contaminated Groundwater ILLEGAL DUMPING Site
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Molecular dynamics simulation study on behaviors of liquid 1,2-dichloroethane under external electric fields
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作者 杜志强 陈正隆 《Journal of Zhejiang University Science》 EI CSCD 2003年第1期69-75,共7页
Molecular dynamics simulation was carried out to study the behavior of liquid 1,2-dichloroethane molecules under external electric fields including direct current field, alternating current field and positive-half-per... Molecular dynamics simulation was carried out to study the behavior of liquid 1,2-dichloroethane molecules under external electric fields including direct current field, alternating current field and positive-half-period cosin field. The maximum applied field strength was 10^8 V/m , the maximum frequency of the alternating current field and that of the positive-half-period cosine field was 10^12 Hz . The simulation revealed that the field type and field strength act on the population of the molecular configuration. In the strong direct current field, all trans forms converted completely into gauche forms. Order parameter and the correlation of the system torsion angle were also investigated. The results suggested that these two dynamical parameters depended also on the field type and the field strength. The maximum of order parameter was found to be at 0.6in the strong direct current field. 展开更多
关键词 Molecular dynamics simulation External electric field Liquid 1 2 dichloroethane
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(1-3)-β-D葡聚糖联合降钙素原、CD4^(+)T淋巴细胞多指标在艾滋病患者马尔尼菲篮状菌感染早期诊断临床研究 被引量:2
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作者 黄强 王宇 +5 位作者 江渊 梁道斌 黄锐洁 秦小超 潘燕妮 和鹰 《中国真菌学杂志》 CSCD 2024年第1期21-24,29,共5页
目的探讨(1-3)-β-D葡聚糖联合降钙素原(procalcitonin,PCT)、CD4^(+)T淋巴细胞多指标在艾滋病患者马尔尼菲篮状菌感染早期诊断临床研究。方法回顾性选取我院2020年1月—2022年6月住院的120例艾滋病患者为研究对象。依据实验室结果,将... 目的探讨(1-3)-β-D葡聚糖联合降钙素原(procalcitonin,PCT)、CD4^(+)T淋巴细胞多指标在艾滋病患者马尔尼菲篮状菌感染早期诊断临床研究。方法回顾性选取我院2020年1月—2022年6月住院的120例艾滋病患者为研究对象。依据实验室结果,将其分为马尔尼菲篮状菌感染确诊组(血或组织液培育养出马尔尼菲篮状菌),简称A组(62例),及马尔尼菲篮状菌感染临床诊断组[根据临床症状、体征、血常规及(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞多指标诊断],简称B组(58例)。检测患者(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞的表达水平,采用受试者工作特征(receiver-operating characteristic,ROC)曲线下面积(area under the curve,AUC)评估上述指标联合检测对艾滋病患者感染马尔尼菲篮状菌的诊断效能。结果A组的(1-3)-β-D葡聚糖和PCT水平均高于B组,CD4^(+)T淋巴细胞个数低于B组(P<0.05);(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞联合检测的AUC为0.933,(1-3)-β-D葡聚糖单独检测的AUC是0.812,PCT单独检测的AUC为0.883,CD4^(+)T淋巴细胞单独检测的AUC是0.810,(1-3)-β-D葡聚糖、PCT和CD4^(+)T淋巴细胞联合检测的AUC皆优于三项单独检测,表明(1-3)-β-D葡聚糖、PCT和CD4^(+)T淋巴细胞联合检测的诊断价值皆优于单一指标诊断,且联合检测的特异度、约登指数分别为92.43%和0.580,均高于三项单独检测。结论(1-3)-β-D葡聚糖联合PCT和CD4^(+)T淋巴细胞多指标对艾滋病马尔尼菲篮状菌感染具有非常高的临床诊断价值,能够帮助医生分析出高危风险患者,及时制定治疗方案,同时也承担预后效果的判断依据,对治疗艾滋病马尔尼菲篮状菌感染具有非常重要的研究价值。 展开更多
关键词 (1-3)-β-d葡聚糖 PCT CD4^(+)T淋巴细胞 艾滋病 马尔尼菲篮状菌感染
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血清SP-A、SP-D、HMGB1、KL-6、miR-21与老年急性加重特发性肺纤维化及肺功能的关系 被引量:1
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作者 李红 孙惠 王龙 《临床误诊误治》 CAS 2024年第20期26-30,共5页
目的 探讨血清表面活性蛋白-A(SP-A)、表面活性蛋白-D(SP-D)、高迁移率族蛋白B1(HMGB1)、涎液化糖链抗原-6(KL-6)、微小核糖核酸-21(miR-21)与老年急性加重特发性肺纤维化(AE-IPF)及肺功能的关系,以提高AE-IPF早期诊断率、防范误诊的发... 目的 探讨血清表面活性蛋白-A(SP-A)、表面活性蛋白-D(SP-D)、高迁移率族蛋白B1(HMGB1)、涎液化糖链抗原-6(KL-6)、微小核糖核酸-21(miR-21)与老年急性加重特发性肺纤维化(AE-IPF)及肺功能的关系,以提高AE-IPF早期诊断率、防范误诊的发生。方法 选取2023年1月至2024年1月收治的老年AE-IPF患者80例为AE-IPF组,另选择同期就诊的80例老年稳定特发性肺纤维化(IPF)患者为IPF组及50例体检健康老年人为对照组。比较3组血清SP-A、SP-D、HMGB1、KL-6、miR-21及肺功能指标[第1秒用力呼气容积(FEV1)、FEV1/用力肺活量(FVC)、第1秒用力呼气容积占预计值百分比(FEV1%pred)、1 min最大自主通气量(MVV)、1 min最大自主通气量占预计值百分比(MVV%pred)、肺一氧化碳弥散量占预计值百分比(DLCO%pred)]。分析血清SP-A、SP-D、HMGB1、KL-6、miR-21诊断AE-IPF的价值;分析血清SP-A、SP-D、HMGB1、KL-6、miR-21与肺功能指标的相关性。结果 IPF组、AE-IPF组血清SP-A、SP-D、HMGB1、KL-6、miR-21高于对照组,且AE-IPF组高于IPF组(P<0.05)。血清SP-A、SP-D、HMGB1、KL-6、miR-21诊断AE-IPF发生的曲线下面积分别为0.866、0.882、0.890、0.793、0.783,敏感度分别为0.800、0.825、0.800、0.763、0.813。AE-IPF组、IPF组FEV1、FEV1/FVC、FEV1%pred、MVV、MVV%pred、DLCO%pred均低于对照组,AE-IPF组低于IPF组(P<0.05)。血清SP-A、SP-D、HMGB1、KL-6、miR-21与FEV1、FEV1/FVC、FEV1%pred、MVV、MVV%pred、DLCO%pred均呈负相关(P<0.01)。结论 检测血清SP-A、SP-D、HMGB1、KL-6、miR-21表达情况可提高AE-IPF早期诊断率,防范误诊误治的发生。 展开更多
关键词 特发性肺纤维化 急性加重 表面活性蛋白-d 高迁移率族蛋白B1 1秒用力呼气容积 1 min最大自主通气量 肺一氧化碳弥散量
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血清sTLT-1、SP-D、NF-κB水平在脓毒症急性肺损伤预后评估中的价值 被引量:1
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作者 王晓林 李静 +2 位作者 范志强 佟庆 黄艳丽 《西部医学》 2024年第12期1781-1785,共5页
目的 探究血清可溶性髓样细胞触发受体样转录因子-1(sTLT-1)、表面活性蛋白-D(SP-D)、核转录因子-κB(NF-κB)水平在脓毒症急性肺损伤(ALI)预后评估中的价值。方法 选择2021年4月—2023年4月来我院就诊脓毒症患者36例作为脓毒症组,选择... 目的 探究血清可溶性髓样细胞触发受体样转录因子-1(sTLT-1)、表面活性蛋白-D(SP-D)、核转录因子-κB(NF-κB)水平在脓毒症急性肺损伤(ALI)预后评估中的价值。方法 选择2021年4月—2023年4月来我院就诊脓毒症患者36例作为脓毒症组,选择同期脓毒症并ALI患者80例作为ALI组。比较两组的一般资料、血清sTLT-1、SP-D、NF-κB水平、APACHEⅡ评分、LIPS评分。ALI组患者根据1个月内生存情况,分为死亡组(n=32)和存活组(n=48)。比较死亡组和存活组的一般资料、血清sTLT-1、SP-D、NF-κB水平、APACHEⅡ评分、LIPS评分,分析ALI组预后不良的影响因素及血清学sTLT-1、SP-D、NF-κB指标对ALI预后评估价值。结果 ALI组患者的sTLT-1、SP-D、NF-κB、APACHEⅡ评分、LIPS评分均高于脓毒症组(P<0.05);单因素分析结果显示,ALI患者中死亡组及存活组的性别、年龄、感染部位、吸烟例数及BMI水平比较,差异无统计学意义(P>0.05);ALI患者中死亡组血清sTLT-1、SP-D、NF-κB、APACHEⅡ评分、LIPS评分均高于存活组(P<0.05);多因素分析显示,血清sTLT-1、SP-D、NF-κB、APACHEⅡ评分、LIPS评分是ALI患者预后不良的独立危险因素;采用ROC曲线分析,sTLT-1、SP-D、NF-κB联合诊断ALI预后不良的AUC为0.914,均高于单一sTLT-1、SP-D、NF-κB的0.832、0.796、0.816。结论 血清sTLT-1、SP-D、NF-κB水平与脓毒症ALI的发生及发展相关,同时是其预后不良的独立危险因素,临床联合检测sTLT-1、SP-D、NF-κB三项指标有助于指导ALI预后评估。 展开更多
关键词 脓毒症 急性肺损伤 溶性髓样细胞触发受体样转录因子-1 表面活性蛋白-d 核转录因子-ΚB 预后
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老年COPD继发肺部真菌感染患者外周血(1-3)-β-D葡聚糖、淋巴细胞水平变化的临床意义 被引量:2
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作者 吴迪 赵运胜 +1 位作者 张林光 李保林 《中南医学科学杂志》 2024年第6期1043-1045,1078,共4页
目的分析老年慢性阻塞性肺疾病(COPD)继发肺部真菌感染(PFI)患者外周血(1-3)-β-D葡聚糖、淋巴细胞水平变化的临床意义。方法选取老年COPD继发PFI患者108例(PFI组)和老年COPD未继发PFI患者80例(非PFI组)。分析PFI组痰液病原菌分布情况;... 目的分析老年慢性阻塞性肺疾病(COPD)继发肺部真菌感染(PFI)患者外周血(1-3)-β-D葡聚糖、淋巴细胞水平变化的临床意义。方法选取老年COPD继发PFI患者108例(PFI组)和老年COPD未继发PFI患者80例(非PFI组)。分析PFI组痰液病原菌分布情况;比较两组临床资料、外周血(1-3)-β-D葡聚糖、淋巴细胞亚群水平。分析COPD继发PFI的影响因素及(1-3)-β-D葡聚糖与淋巴细胞水平的相关性。结果PFI组患者痰液病原菌主要为曲霉菌、假丝酵母菌和白念珠菌。PFI组(1-3)-β-D葡聚糖、CD3^(+)CD8^(+)高于非PFI组,CD3^(+)CD4^(+)、CD3^(+)CD4^(+)/CD3^(+)CD8^(+)低于非PFI组(P<0.05)。外周血(1-3)-β-D葡聚糖与CD3^(+)CD4^(+)、CD3^(+)CD4^(+)/CD3^(+)CD8^(+)呈负相关,与CD3^(+)CD8^(+)呈正相关(P<0.001);(1-3)-β-D葡聚糖、CD3^(+)CD4^(+)、CD3^(+)CD4^(+)/CD3^(+)CD8^(+)均为老年COPD患者继发PFI的独立影响因素(P<0.05)。结论(1-3)-β-D葡聚糖、CD3^(+)CD4^(+)、CD3^(+)CD4^(+)/CD3^(+)CD8^(+)是老年COPD患者继发PFI的影响因素,可为其临床治疗提供参考。 展开更多
关键词 老年 COPD PFI (1-3)-β-d葡聚糖 淋巴细胞
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子宫平滑肌肉瘤组织中Dicer蛋白、Cyclin-D1的表达及其对患者预后的预测价值
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作者 王倩 王璐 +1 位作者 徐臻 王武亮 《海南医学》 CAS 2024年第24期3581-3586,共6页
目的探究Dicer蛋白、细胞周期蛋白-D1(Cyclin-D1)在子宫平滑肌肉瘤组织中的表达及其对患者预后的预测价值。方法回顾性选取2015年7月至2021年7月期间收治并完成随访的68例子宫平滑肌肉瘤患者作为研究对象,取患者手术切除瘤组织和瘤旁正... 目的探究Dicer蛋白、细胞周期蛋白-D1(Cyclin-D1)在子宫平滑肌肉瘤组织中的表达及其对患者预后的预测价值。方法回顾性选取2015年7月至2021年7月期间收治并完成随访的68例子宫平滑肌肉瘤患者作为研究对象,取患者手术切除瘤组织和瘤旁正常组织进行分组。比较两组组织和不同子宫平滑肌肉瘤患者Dicer蛋白、Cyclin-D1表达的差异,采用KM生存分析不同Dicer蛋白、Cyclin-D1表达患者的生存情况,采用COX回归分析影响子宫平滑肌肉瘤患者预后的危险因素,采用受试者工作特征(ROC)曲线分析Dicer蛋白、Cyclin-D1表达预测子宫平滑肌肉瘤预后的价值。结果子宫平滑肌肉瘤中Dicer蛋白阳性和Cyclin-D1阳性表达分别为70.59%(48/68)、58.82%(40/68),明显高于瘤旁组织的10.29%(7/68)、8.82%(6/68),差异均有统计学意义(P<0.05);子宫平滑肌肉瘤组织中Dicer蛋白阳性表达、Cyclin-D1阳性表达均与年龄无相关性(P>0.05),但均与TNM分期、淋巴结受累存在相关性(P<0.05)。68例患者死亡22例(32.35%);Kaplan-Meier生存分析结果显示,Dicer蛋白阴性表达组生存状况优于Dicer蛋白阳性表达组,Cyclin-D1阴性表达组生存状况优于Cyclin-D1阳性表达组,差异均有统计学意义(P<0.05)。COX回归分析结果显示,Dicer蛋白阳性、Cyclin-D1阳性、TNM分期(Ⅲ期)、淋巴结受累均为子宫平滑肌肉瘤患者预后的危险因素(P<0.05);ROC曲线分析结果显示,Dicer蛋白、Cyclin-D1表达预测子宫平滑肌肉瘤预后的AUC分别为0.650、0.636,均具有一定准确性。结论Dicer蛋白、Cyclin-D1在子宫平滑肌肉瘤组织中高表达,与患者临床病理特征与预后状况密切相关,可作为预测子宫平滑肌肉瘤预后有效指标。 展开更多
关键词 子宫平滑肌肉瘤 Dicer蛋白 细胞周期蛋白-d1 预后 预测价值
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支气管哮喘并发肺部感染SP-D基因多态性、VCAM-1、MCP-1、TGF-β1水平 被引量:2
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作者 闻明 刘安静 +3 位作者 杨立志 韦玲 贾照英 纪明锁 《中华医院感染学杂志》 CAS CSCD 北大核心 2024年第13期1954-1958,共5页
目的探究支气管哮喘并发肺部感染患者表面活性蛋白-D(SP-D)基因多态性、血管细胞黏附分子-1(VCAM-1)、单核细胞趋化蛋白-1(MCP-1)、转化生长因子-β1(TGF-β1)变化及其与疾病进展的关系。方法回顾性选取2020年5月一2023年5月天津市泰达... 目的探究支气管哮喘并发肺部感染患者表面活性蛋白-D(SP-D)基因多态性、血管细胞黏附分子-1(VCAM-1)、单核细胞趋化蛋白-1(MCP-1)、转化生长因子-β1(TGF-β1)变化及其与疾病进展的关系。方法回顾性选取2020年5月一2023年5月天津市泰达医院64例支气管哮喘并发肺部感染患者(感染组)与66例支气管哮喘未并发肺部感染患者(未感染组)的临床资料,感染组根据病情程度分为轻度感染组(38例)和中-重度感染组(26例)。检测SP-D基因多态性、血清VCAM-1、MCP-1、TGF-β1水平,Spearman相关性分析VCAM-1、MCP-1、TGF-β1与疾病进展的关系。结果感染组SP-D基因位点rs721917的TT基因型、T等位基因频率低于未感染组,CC基因型、C等位基因频率高于未感染组(P<0.05)。感染组血清VCAM-1、MCP-1、TGF-β1水平均高于未感染组(P<0.05)。中-重度感染组血清VCAM-1、MCP-1、TGF-β1水平均高于轻度感染组(P<0.05)。血清VCAM-1、MCP-1、TGF-β1水平与疾病进展呈正相关(P<0.05)。结论临床上支气管哮喘并发肺部感染患者及疾病进展与血清VCAM-1、MCP-1、TGF-β1水平异常升高有关,且SP-D基因多态性与支气管哮喘患者并发肺部感染有明显关系。 展开更多
关键词 支气管哮喘 肺部感染 表面活性蛋白-d 血管细胞黏附分子-1 单核细胞趋化蛋白-1 转化生长因子-β1 基因多态性
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年龄相关性白内障患者血清和房水Hcy、25-(OH)-D、HMGB1与氧化应激指标和炎症细胞因子的相关性分析 被引量:1
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作者 邓斌 曾春梅 +2 位作者 白莹 李颖媛 梁光丽 《现代生物医学进展》 CAS 2024年第18期3585-3589,共5页
目的:探讨年龄相关性白内障(ARC)患者血清和房水同型半胱氨酸(Hcy)、25羟维生素D[25-(OH)-D]、高迁移率族蛋白B1(HMGB1)与氧化应激指标和炎症细胞因子的相关性。方法:选取2021年1月~2023年1月成都市第六人民医院收治的ARC患者135例作为... 目的:探讨年龄相关性白内障(ARC)患者血清和房水同型半胱氨酸(Hcy)、25羟维生素D[25-(OH)-D]、高迁移率族蛋白B1(HMGB1)与氧化应激指标和炎症细胞因子的相关性。方法:选取2021年1月~2023年1月成都市第六人民医院收治的ARC患者135例作为ARC组和同期60名眼外伤患者作为对照组。检测血清和房水Hcy、25-(OH)-D、HMGB1、氧化应激指标[超氧化物歧化酶(SOD)、丙二醛(MDA)、过氧化氢酶(CAT)、谷胱甘肽过氧化物酶(GSH-PX)]和炎症细胞因子[肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-1β、IL-6、IL-8]水平。Pearson相关性分析ARC患者血清和房水Hcy、25-(OH)-D、HMGB1与氧化应激和炎症细胞因子水平的相关性。结果:ARC组血清和房水Hcy、HMGB1、MDA、TNF-α、IL-1β、IL-6、IL-8水平高于对照组,25-(OH)-D、SOD、CAT、GSH-PX水平低于对照组(P<0.05)。Pearson相关性分析显示,ARC患者血清和房水Hcy、HMGB1与SOD、CAT、GSH-PX呈负相关,与MDA、TNF-α、IL-1β、IL-6、IL-8呈正相关(P<0.05);25-(OH)-D与SOD、CAT、GSH-PX呈正相关,与MDA、TNF-α、IL-1β、IL-6、IL-8呈负相关(P<0.05)。结论:ARC患者血清和房水Hcy、HMGB1水平升高,25-(OH)-D水平降低,与氧化应激和炎症细胞因子存在显著关联。Hcy、HMGB1、25-(OH)-D可能通过氧化应激和炎症反应参与ARC发生发展。 展开更多
关键词 年龄相关性白内障 HCY 25-(OH)-d HMGB1 氧化应激 炎症细胞因子
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Molecular Dynamic Simulation of Melting Points of Trans-1,4,5,8- tetranitro-1,4,5,8-tetraazadacalin (TNAD) with Some Propellants
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作者 李小红 居学海 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2014年第4期412-418,J0001,共8页
Molecular dynamic simulation was employed to predict the melting points Tm of TNAD/HMX, TNAD/RDX, TNAD/DINA, and TNAD/DNP systems (tans-1,4,5,8- tetranitro-1,4,5,8-tetraazadacalin (TNAD), dinitropiperazine (DNP),... Molecular dynamic simulation was employed to predict the melting points Tm of TNAD/HMX, TNAD/RDX, TNAD/DINA, and TNAD/DNP systems (tans-1,4,5,8- tetranitro-1,4,5,8-tetraazadacalin (TNAD), dinitropiperazine (DNP), cyclotetramethylenetetranitroamine (HMX), cyclotrimethylenetrinitramine (RDX), and N-nitrodihydroxyethylaminedinitrate (DINA)). Tm was determined from the inflexion point on the curve of mean specific volume vs. temperature. The result shows that the Tm values of TNAD/HMX, TNAD/RDX, and TNAD/DINA systems are 500, 536, and 488 K, respectively. The TNAD/DNP system has no obvious Tm value, which shows the system is insoluble. Using Tm, the solubility of the four systems was analyzed. The radial distribution functions of the four systems were analyzed and the main intermolecular forces between TNAD and other energetic components are short-range interactions. The better the solubility is, the stronger the intermoleenlar interaction is. In addition, the force field energy at different temperature was also analyzed to predict Tm of the four systems. 展开更多
关键词 Melting point Molecular dynamic simulation Radial distribution function Force field energy Trans-1 4 5 8-tetranitro-1 4 5 8-tetraazadaealin (TNAD)
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食管癌术后重症肺炎患者血清肺表面活性物质相关蛋白质-D、高迁移率族蛋白B1和中性粒细胞与淋巴细胞比值水平变化及检测意义 被引量:4
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作者 张少锋 李丹青 +2 位作者 杜凡 魏志强 王海军 《陕西医学杂志》 CAS 2024年第8期1114-1117,1123,共5页
目的:探讨中性粒细胞与淋巴细胞比值(NLR)、肺表面活性物质相关蛋白质-D(SP-D)及高迁移率族蛋白B1(HMGB1)在食管癌术后重症肺炎(SP)患者中的水平变化及检测意义。方法:选取接受手术治疗的食管癌患者257例,根据手术治疗后是否发生SP将患... 目的:探讨中性粒细胞与淋巴细胞比值(NLR)、肺表面活性物质相关蛋白质-D(SP-D)及高迁移率族蛋白B1(HMGB1)在食管癌术后重症肺炎(SP)患者中的水平变化及检测意义。方法:选取接受手术治疗的食管癌患者257例,根据手术治疗后是否发生SP将患者分为SP组(124例)和对照组(133例)。比较两组血清SP-D、HMGB1和NLR水平。记录SP组患者28 d内预后情况,根据28 d内生存情况将SP组患者分为生存组(104例)和病死组(20例)。比较两组一般资料及实验室指标,采用Logistic回归分析食管癌术后SP患者预后影响因素。绘制受试者工作特征(ROC)曲线分析NLR、SP-D及HMGB1对食管癌术后SP患者28 d内病死风险的预测价值。结果:SP组血清SP-D及HMGB1和NLR水平高于对照组(均P<0.05)。病死组NLR、SP-D及HMGB1水平高于生存组(均P<0.05)。NLR、SP-D及HMGB1是食管癌术后SP患者病死的影响因素(均P<0.05)。NLR、SP-D及HMGB1预测食管癌术后SP患者28 d内病死风险的AUC分别为0.744、0.763、0.715,而三者联合检测的AUC更高(均P<0.05)。结论:食管癌术后SP患者NLR、SP-D及HMGB1水平升高,且与患者预后有关,三者联合检测有助于提升对患者病死风险的预测价值。 展开更多
关键词 食管癌 重症肺炎 中性粒细胞与淋巴细胞比值 肺表面活性物质相关蛋白质-d 高迁移率族蛋白B1 预后
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