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Synthesis of Amphiphilic Hepatocyte Targeting Cholesterylated Thiogalactosides 被引量:2
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作者 Li HAI Xun SUN +2 位作者 Zhi Rong ZHANG Yu LUO Yong WU 《Chinese Chemical Letters》 SCIE CAS CSCD 2005年第8期1021-1023,共3页
Six amphiphilic cholesterylated thiogalactosides la-f with high affinity for the asialoglycoprotein receptor have been synthesized by coupling 2,3,4,6-tetra -O-acetyl-l-thio-β-D-galactopyranose 8 with prepared choles... Six amphiphilic cholesterylated thiogalactosides la-f with high affinity for the asialoglycoprotein receptor have been synthesized by coupling 2,3,4,6-tetra -O-acetyl-l-thio-β-D-galactopyranose 8 with prepared cholesterol derivatives 7a-f, then by deacetylating. Preliminary results show liposomes containing those galactosides derivatives exhibited higher affinity and transfection activity in hepatoma cells HepG2 and SMMC-7721. 展开更多
关键词 Hepatocyte target cholesterylated thiogalactosides synthesis.
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Pharmacophore-based design,synthesis,and biological evaluation of novel 3-((3,4-dichlorophenyl)(4-substituted benzyl)amino)propanamides as cholesteryl ester transfer protein(CETP)inhibitors 被引量:1
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作者 Dong-Mei Zhao Wen-Yan Li +5 位作者 Yu-Fang Shi Xu-Qiong Xiong Shuai Song Chen-Zhou Hao Mao-Sheng Cheng Jing-Kang Shen 《Chinese Chemical Letters》 SCIE CAS CSCD 2014年第2期299-304,共6页
Cholesteryl ester transfer protein (CETP) is a plasma glycoprotein that plays an important role in decreasing high-density lipoprotein cholesterol (HDL-C) levels and increasing low-density lipoprotein cholesterol ... Cholesteryl ester transfer protein (CETP) is a plasma glycoprotein that plays an important role in decreasing high-density lipoprotein cholesterol (HDL-C) levels and increasing low-density lipoprotein cholesterol (LDL-C) levels. Inhibition of CETP may be a new therapy for treating atherosclerosis. Herein, we report the development of a ligand-based pharmacophore model and pharmacophore-based virtual screening of the ZINC/big-n-greasy database, leading to the identification of compound H-10 as a potential CETP inhibitor in vitro. Based on H-10, a series of 3-((3,4-dichlorophenyl)(4-substituted benzyl)amino) propanamides were designed, synthesized, and evaluated against CETP. Compound 41 was found to have the best activity, resulting in 85.0% inhibition of CETP at l0 μmol/L. 展开更多
关键词 cholesteryl ester transfer protein CETP inhibitors PHARMACOPHORE Virtual screening SYNTHESIS
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Association between TaqIB polymorphism of cholesteryl ester transfer protein and coronary artery disease in the Chinese population 被引量:1
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作者 Qi YU En-qi LIU +7 位作者 Si-hai ZHAO Ya-feng LI Yan-li WANG Yu-long CHEN Ke-na WEI Bing-qiao HUANG Jian-lin FAN Peng-hui YANG 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2012年第5期342-347,共6页
Objective: To assess whether the TaqIB polymorphism of cholesteryl ester transfer protein (CETP) is associated with coronary artery disease (CAD) in Chinese population, we performed a meta-analysis in this paper. Meth... Objective: To assess whether the TaqIB polymorphism of cholesteryl ester transfer protein (CETP) is associated with coronary artery disease (CAD) in Chinese population, we performed a meta-analysis in this paper. Methods: We searched PubMed, Embase, the Science Citation Index (SCI), the China Biological Medicine database (CBM), the China National Knowledge Infrastructure (CNKI), and the Wanfang database for relevant articles. Data were extracted, and pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Results: The lit- erature search yielded 448 studies, in which 10 case-control studies including 1 694 cases and 1 456 controls matched the selection criteria. The combined B1 and B2 allele frequencies were 0.587 and 0.413, respectively. The pooled OR was 1.10 (95% CI, 0.89-1.34) for comparing the B1B1 or B1B2 carriers with B2B2 carriers, and was 1.27 (95% CI, 1.09-1.49) in the B1B1 carriers versus B2B2 or B1B2 carriers. Conclusions: In the present study, the TaqIB poly- morphism of CETP was found to be associated with CAD in the Chinese population. 展开更多
关键词 cholesteryl ester transfer protein Coronary artery disease POLYMORPHISM Chinese population
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Effect of Tumor Necrosis Factor-α on Acyl Coenzyme A: Cholesteryl Acyltransferase Activity and ACAT1 Gene Expression in THP-1 Macrophages 被引量:1
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作者 何平 成蓓 +1 位作者 王毅 王洪星 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2007年第2期170-172,共3页
In order to explore the effect and mechanisms of tumor necrosis factor-α (TNF-α) on the activity of the acyl coenzyme A: cholesteryl acyltransferase (ACAT), THP-I monocytes were cul- tured and induced to differ... In order to explore the effect and mechanisms of tumor necrosis factor-α (TNF-α) on the activity of the acyl coenzyme A: cholesteryl acyltransferase (ACAT), THP-I monocytes were cul- tured and induced to differentiate into macrophages with phorbol ester. TNF-α (60 ng/mL) was added at different time points into the macrophage-containing medium and the ACAT enzyme activity was measured by quantifying the incorporation of [1-^14C] oleoyl CoA into cholesteryl esters. The expression of ACAT-1 protein and mRNA was respectively detected by Western blotting and RT-PCR in THP-1 macrophages 24 h after treatment with TNF-α (60 ng/mL). The results indicated that ACAT activity in THP-I macrophages treated with TNF-α was increased in a time-dependent manner. The expression levels of ACAT-1 protein and mRNA were significantly increased in THP-I macrophages after treatment with TNF-α (P〈0.05). It was suggested that TNF-α could increase the activity of ACAT in THP-1 macrophages by up-regulating the expression of ACAT-1 gene. 展开更多
关键词 acyl coenzyme A: cholesteryl acyltransferase tumor necrosis factor-α MACROPHAGES CHOLESTEROL ATHEROSCLEROSIS
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High level of serum cholesteryl ester transfer protein inactive hepatitis C virus infection
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作者 Kenichi Satoh Tomohisa Nagano +7 位作者 Nobuyoshi Seki Yoichi Tomita Yuta Aida Tomonori Sugita Munenori Itagaki Satoshi Sutoh Hiroshi Abe Yoshio Aizawa 《World Journal of Hepatology》 CAS 2016年第5期291-300,共10页
AIM: To determine the significance of cholesteryl ester transfer protein(CETP) in lipoprotein abnormalities in chronic hepatitis C virus(HCV) infection.METHODS: We evaluated the significance of the serum concentration... AIM: To determine the significance of cholesteryl ester transfer protein(CETP) in lipoprotein abnormalities in chronic hepatitis C virus(HCV) infection.METHODS: We evaluated the significance of the serum concentration of CETP in 110 Japanese patients with chronic HCV infection. Fifty-five patients had active HCV infection, and HCV eradication had been achieved in 55. The role of CETP in serum lipoprotein abnormalities, specifically, in triglyceride(TG) concentrations in the four major classes of lipoproteins, was investigated using Pearson correlations in conjunction with multiple regression analysis and compared them between those with active HCV infection and those in whom eradication had been achieved. RESULTS: The serum CETP levels of patients with active HCV infection were significantly higher than those of patients in whom HCV eradication was achieved(mean ± SD, 2.84 ± 0.69 μg/m L vs 2.40 ± 1.00 μg/m L, P = 0.008). In multiple regression analysis, HCV infection status(active or eradicated) was an independent factor significantly associated with the serum CETP level. TG concentrations in low-density lipoprotein(mean ± SD, 36.25 ± 15.28 μg/m L vs 28.14 ± 9.94 μg/m L, P = 0.001) and high-density lipoprotein(HDL)(mean ± SD, 25.9 ± 7.34 μg/m L vs 17.17 ± 4.82 μg/m L, P < 0.001) were significantly higher in patientswith active HCV infection than in those in whom HCV eradication was achieved. The CETP level was strongly correlated with HDL-TG in patients with active HCV infection(R = 0.557, P < 0.001), whereas CETP was not correlated with HDL-TG in patients in whom HCV eradication was achieved(R =-0.079, P = 0.56). CONCLUSION: Our results indicate that CETP plays a role in abnormalities of lipoprotein metabolism in patients with chronic HCV infection. 展开更多
关键词 HEPATITIS C virus cholesteryl ESTER transferprotein HIGH-DENSITY LIPOPROTEIN TRIGLYCERIDE Casecontrol study LIPOPROTEIN metabolism
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Synthesis of Novel Lipids Bearing Cholesteryl Group as Gene Vectors
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作者 Zhu, MZ Wu, QH +2 位作者 Wei, JN Zheng, XQ Guo, QX 《Chinese Chemical Letters》 SCIE CAS CSCD 2000年第7期577-580,共4页
Some cationic and neutral lipids bearing cholesteryl group were synthesized as gene vectors, and the structures of the compounds were characterized by IR, (HNMR)-H-1, MS and elemental analysis.
关键词 cholesteryl derivatives gene vector LIPID
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Tag single nucleotide polymorphism rs1532624 located in cholesteryl ester transfer protein gene is associated with atherosclerosis cerebral ischemia
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作者 Lin Huang Dan-Xin Wang +4 位作者 Li-Min Zhou Tao Wang Hai-Ying Zhang Yun-Xia Zhang Yin-Dong Zhang 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2018年第4期309-312,共4页
Objective: To investigate the relationship between polymorphisms of rs1532624 and rs289741 loci in cholesteryl ester transfer protein(CETP) genes and atherosclerotic cerebral infarction(ACI). Methods: The CETP gene rs... Objective: To investigate the relationship between polymorphisms of rs1532624 and rs289741 loci in cholesteryl ester transfer protein(CETP) genes and atherosclerotic cerebral infarction(ACI). Methods: The CETP gene rs1532624 and rs289741 in 95 patients with ACI and 177 healthy subjects were genotyped by Mass ARRAY mass spectrometry. Each locus genotype and allele frequency distributions were compared. Results: The difference of allele frequency distribution between the rs1532624(χ~2=1.723, P=0.189) and rs289741(χ~2=2.466, P=0.116) were not statistically significant. The frequency distribution of rs1532624 genotype between the cerebral infarction group and healthy control group was statistically significant(χ~2=7.096, P=0.029), while rs289741 genotype frequency distribution between the two groups was not statistically significant(χ~2=2.906, P=0.234). Conclusion: ACI have a positive correlation with rs1532624 polymorphism, and AA genotype may be susceptible factors of ACI. 展开更多
关键词 cholesteryl ester transfer protein gene Atherosclerotic cerebral infarction Gene polymorphism
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Pathogenic contribution of cholesteryl ester accumulation in the brain to neurodegenerative disorders
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作者 Michiko Shirane 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第10期2099-2100,共2页
Cholesteryl esters(CEs) have been increasingly implicated in neurodegenerative disorders such as Alzheimer's disease(AD).Alois Alzheimer noted three prominent neuropathologic features in his original analysis of t... Cholesteryl esters(CEs) have been increasingly implicated in neurodegenerative disorders such as Alzheimer's disease(AD).Alois Alzheimer noted three prominent neuropathologic features in his original analysis of the AD brain:senile plaques,neurofibrillary tangles,and lipid granule accumulation.Senile plaques,which are aggregates of amyloid-beta(Aβ),and neurofibrillary tangles,which are aggregates of phosphorylated tau,have been regarded as more consistent characteristics of the AD brain compared with lipid granule accumulation and thus have been studied more intensively(Foley,2010). 展开更多
关键词 ESTERS ESTER cholesteryl
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Qualitative Distribution of Endogenous Cholesteryl Esters in Plasma of Humans and Three Rodent Species Using Stepwise UPLC-Q-Exactive-MS
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作者 Jing-chen WANG Xue-chen LIU +6 位作者 Peng CAO Sen LI Bing-ying HU Shuai-long JIA Pan YAN Zhi-feng DU Hong-liang JIANG 《Current Medical Science》 SCIE CAS 2022年第4期692-701,共10页
Objective:Cholesteryl esters(CEs)are composed of various fatty acyl chains attached to the hydroxyl groups of cholesterol,and abnormalities in their metabolism are related to many diseases.This study aimed to develop ... Objective:Cholesteryl esters(CEs)are composed of various fatty acyl chains attached to the hydroxyl groups of cholesterol,and abnormalities in their metabolism are related to many diseases.This study aimed to develop an ultrahigh-performance liquid chromatography-quadrupole exactive mass spectrometry(UPLC-Q-Exactive MS)method to identify the CEs in plasma.Methods:First,the MS fragmentation patterns were investigated using seven commercial CE standards.Then,the CEs in plasma were characterized through the accurate mass data of precursor ions and characteristic product ions.A strategy of step-by-step m/z scans in a narrow range was proposed to identify more trace CEs by the full-scan data-dependent MS/MS(ddMS2)mode.Results:A total of 50 CE species consisting of 55 regioisomers were identified in human plasma.Among them,two species were reported for the first time.Conclusion:This study is the most comprehensive identification of CE species in human plasma to date.These results will contribute to the in-depth profiling of CEs in human plasma and provide guidance for animal model selection when studying lipid-related diseases. 展开更多
关键词 cholesteryl ester ultrahigh-performance liquid chromatography-quadrupole exactive mass spectrometry profile PLASMA
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SPECTROSCOPIC DETERMINATION OF THE AVERAGE NUMBER OF COAGGREGATES (Nco) OF CHOLESTERYL ESTERS AND THE FLUORESCENCE PROBE
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作者 Xi Kui JIANG Jin Tao ZHANG Shanghai Institute of Organic Chemistry,Academia Sinica,345 Ling-ling LU,Shanghai 200032 Zhen He TONG The Laboratory of Photochemistry,Institute of Photographio Chemistry,Academia Sinica,Beijing 100101 《Chinese Chemical Letters》 SCIE CAS CSCD 1992年第9期673-674,共2页
Average aggregate number of coaggregates(N_co)of CE-n or BL-n and the fluoresc- ence probe(Np-16)have been determined by using time-resolved fluorescence spectroscopy. Chain-length,hydroxy-group and chain-foldability ... Average aggregate number of coaggregates(N_co)of CE-n or BL-n and the fluoresc- ence probe(Np-16)have been determined by using time-resolved fluorescence spectroscopy. Chain-length,hydroxy-group and chain-foldability effects on the N_co have been discussed. 展开更多
关键词 CE NCO OF cholesteryl ESTERS AND THE FLUORESCENCE PROBE SPECTROSCOPIC DETERMINATION OF THE AVERAGE NUMBER OF COAGGREGATES
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Synthesis and Characterization of Mesomorphic Behaviour of New Mesogenic Compounds Incorporating Cholesteryl Ester Moiety Connected to 1,3,4-Oxadiazole
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作者 Ivan H. R. Tomi Maha T. S. Al-Mahdawi +2 位作者 Isam A. Latif Fawwaz I. Khlili Ammar H. AI-Dujaili 《Journal of Chemistry and Chemical Engineering》 2011年第10期946-955,共10页
The synthesis and characterization of new series of liquid crystals containing cholesteryl moiety connected via an ester linkage to 1,3,4-oxadiazole are reported. The molecular structures of the intermediates and targ... The synthesis and characterization of new series of liquid crystals containing cholesteryl moiety connected via an ester linkage to 1,3,4-oxadiazole are reported. The molecular structures of the intermediates and target compounds were confirmed by elemental analyses and FT-IR, ^1H NMR and mass spectrometry. The mesomorphic behaviors were investigated by polarizing optical microscopy (POM) attached with hot stage and differential scanning calorimetry (DSC). Enantiotropic smectic 1, smectic A, blue phase and cholesteric mesophases are exhibited by the newly synthesized compounds. 展开更多
关键词 MESOMORPHIC 1 3 4-oxadiazole cholesteryl ester cholesteric phase smectic phase
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Self-assembly behaviors of the cholesteryl trimeric-phenylene vinylene derivative in the H_2 O/THF system
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作者 Yu-Zhen Zhao Zhen-Lin Zhang +4 位作者 Ying Li Xue-Qiang Liu Shi-Min Liu Jin-Ku Yu Hai-Quan Zhang 《Chinese Chemical Letters》 SCIE CAS CSCD 2014年第1期99-103,共5页
Cholesteryl trimeric phenylene vinylene (ChoI-TPV) has been synthesized and characterized. The self- assembly behaviors of ChoI-TPV in THF/H20 system at different water content (water content: 40% and 80%) and di... Cholesteryl trimeric phenylene vinylene (ChoI-TPV) has been synthesized and characterized. The self- assembly behaviors of ChoI-TPV in THF/H20 system at different water content (water content: 40% and 80%) and different solute concentration (solute concentration: 1.0 ×10^-5 mol/L and saturated concentration) were studied using UV-vis spectrophotometry, photoluminescence spectrophotometry, and circular dichroism spectroscopy. Based on an analysis of the UV-vis and photoluminescence spectra, Chol-TPV shows the typical H-type aggregation at saturated concentration in 80% aqueous THF. However, ChoI-TPV shows the non-typical H-type aggregation under other conditions. The circular dichroism signal suggests that the Chol-TPV exists in the right handed helical architectures with high water content at a concentration of 1.0 × 10^-5 mol/L, and a helix inversion was found at saturated concentration. 展开更多
关键词 cholesteryl phenylene vinylene Self-assembly Helical architectures
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Taq1B polymorphism and plasma activity of cholesteryl ester transfer protein and restenosis after coronary stent placement
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作者 靳立军 王敏 +2 位作者 张斌 董太明 于汇明 《South China Journal of Cardiology》 CAS 2011年第3期187-196,共10页
Cholesteryl ester transfer protein (CETP), an important regulatory factor in reverse cholesterol transport, has been investigated in relation to plasma HDL cholesterol, which is associated with restenosis after perc... Cholesteryl ester transfer protein (CETP), an important regulatory factor in reverse cholesterol transport, has been investigated in relation to plasma HDL cholesterol, which is associated with restenosis after percutaneous transluminal coronary angioplasty (PTCA) and stent implantation. We examined the effect of plasma CETP activity and the Taq1B polymorphism on restenosis in Chinese HaM population. Methods and Results Our study included 228 patients with symptomatic coronary artery disease (CAD). The genotype of the subjects for Taq1B polymorphism of CETP was analyzed by using polymerase chain reaction-restriction fragment length poly- morphism (PCR-RFLP). In-stent restenosis (ISR) was observed in 93 patients (40.8 %). Baseline clinical, angiographic,and procedural characteristics data were not significantly different in patients with and without restenosis,except previous history of myocardial infarction (MI), left ventricular ejection fraction (LVEF), statin medication, and stent type. Taq1B polymorphism and plasma activity of CETP were not associated with the incidence of ISR (P = 0.68, P = 0.30, respectively). Linear regression analysis revealed that the risk of ISR was statistically significant correlation with stent type, LVEF, statin medication, and lesion length (P 〈 0.05). Conclusions Useful markers for risk of ISR were stent type, LVEF, statin medication and lesion length but not the Taq1B polymorphism and plasma activity of CETP. 展开更多
关键词 cholesteryl ester transfer protein POLYMORPHISM coronary artery disease coronary stent RESTENOSIS
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A New Initiator Cholesteryl Chloroformate for Cupper-Based Atom Transfer Radical Polymerization of Methyl Methacrylate
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作者 曹健 楚娟 张可达 《Chinese Journal of Chemistry》 SCIE CAS CSCD 2004年第12期1436-1439,共4页
The polymerization of metyl methacrylate (MMA) was studied in detail by use of CuCl/L as a catalyst and cho-lesteryl chloroformate (CC) as an initiator. It was found that the atom transfer radical polymerization of MM... The polymerization of metyl methacrylate (MMA) was studied in detail by use of CuCl/L as a catalyst and cho-lesteryl chloroformate (CC) as an initiator. It was found that the atom transfer radical polymerization of MMA could proceed when L equals to a multidentate aliphatic amine ligand, N,N,N',N'',N″-penta(methyl acry-late)diethylenetriamine (MA5-DETA), and no polymerization was occurred while L=2,2'-bipyridine and 1,10- phenanthroline. The linear proportionality of the molecular weights to the conversions and straight lines observed in ln[M]0/[M] versus time plots indicated that the present polymerization system had the typical controlled polymeri-zation characteristics. 展开更多
关键词 ATRP INITIATOR polymethyl methacrylate cholesteryl chloroformate
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Low and Wide Phase Transition Temperature Dimesogenic Compounds Consisting of a Cholesteryl and 4-(trans-4-n-Alkylcyclohexyl)phenoxy Mesogens
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作者 张春波 丛志奇 +2 位作者 尹炳柱 田英载 久保勘二 《Chinese Journal of Chemistry》 SCIE CAS CSCD 2006年第3期435-438,共4页
Unsymmetrical dimesogenic compounds with cholesteryl and 4-(trans-4-n-alkylcyclohexyl)phenoxy parts were synthesized by condensation of cholester-3-yl 6-bromohexanoate with appropriate 4-(trans-4-n-alkylcyclohexyl... Unsymmetrical dimesogenic compounds with cholesteryl and 4-(trans-4-n-alkylcyclohexyl)phenoxy parts were synthesized by condensation of cholester-3-yl 6-bromohexanoate with appropriate 4-(trans-4-n-alkylcyclohexyl)- phenols. Structures and thermal phase behaviour of these dimesogenic compounds have been confirmed by IR, IH NMR, elemental analysis, DSC, polarity microscopy and XRD measurements. Their thermal phase behaviour was significantly different with that of other cholesterol-based dimesogens while they exhibited low and wide phase transition temperature. 展开更多
关键词 liquid crystal dimesogen cholesteryl 4-(trans-4-n-alkylcyclohexyl)phenol chiral nematic phase
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子宫颈鳞状上皮内病变中DHCR24蛋白的表达及其诊断价值
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作者 张弛 杜靖然 +3 位作者 廖定准 张昌林 杨峥 李田 《实用医学杂志》 北大核心 2025年第17期2748-2754,共7页
目的 探究Δ(24)-胆甾醇还原酶(DHCR24)在子宫颈鳞状上皮内病变(SILs)组织中的表达及其在SILs病理诊断中的价值。方法 采用免疫组织化学方法定量检测DHCR24、p16及Ki-67在51例正常宫颈组织,44例LSIL和57例HSIL中的表达,绘制受试者工作... 目的 探究Δ(24)-胆甾醇还原酶(DHCR24)在子宫颈鳞状上皮内病变(SILs)组织中的表达及其在SILs病理诊断中的价值。方法 采用免疫组织化学方法定量检测DHCR24、p16及Ki-67在51例正常宫颈组织,44例LSIL和57例HSIL中的表达,绘制受试者工作特征曲线(ROC)分析DHCR24、p16及Ki-67蛋白评估SILs分级的诊断效能。结果 DHCR24、p16、Ki-67蛋白表达水平与SILs进展均呈正相关;ROC结果显示,DHCR24在正常宫颈组织与LSIL之间的免疫组化评分截断值为0.114 5,LSIL与HSIL间截断值为0.196 9,在诊断LSIL时敏感度为79.55%,高于p16及Ki-67的15.91%与18.08%(P<0.05);DHCR24与p16联合鉴别正常宫颈组织与LSIL组织的ROC曲线下面积(AUC)为0.932(95%CI:0.878~0.986),高于p16与Ki-67联合的0.861(95%CI:0.785~0.936);DHCR24与p16联合鉴别LSIL与HSIL的AUC为0.971(95%CI:0.946~0.997),高于p16与Ki-67联合的0.870(95%CI:0.790~0.949)。结论 DHCR24与p16蛋白表达水平均可为SILs的分级提供参考依据,且二者联合可提高诊断效率;DHCR24免疫组化染色强度绘制的ROC曲线所衍生的截断值可以提高LSIL诊断的敏感度。 展开更多
关键词 子宫颈鳞状上皮内病变 Δ(24)-胆甾醇还原酶 P16
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1例急性髓系白血病患儿化疗后继发镰刀菌侵袭感染诊治实录
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作者 温建芸 李秀 +1 位作者 陈娟 裴夫瑜 《儿科药学杂志》 2025年第7期34-37,共4页
目的:探讨1例临床药师参与治疗的急性髓系白血病(AML)儿童侵袭性镰刀菌病的经验。方法:总结1例AML诱导化疗后接受伏立康唑预防但仍发生镰刀菌侵袭感染的1例患儿诊疗过程,从临床药师角度分析多学科协作的个体化用药精准治疗及不良反应管... 目的:探讨1例临床药师参与治疗的急性髓系白血病(AML)儿童侵袭性镰刀菌病的经验。方法:总结1例AML诱导化疗后接受伏立康唑预防但仍发生镰刀菌侵袭感染的1例患儿诊疗过程,从临床药师角度分析多学科协作的个体化用药精准治疗及不良反应管理。结果:临床药师提供的药学监护服务使患儿感染控制效果良好,避免了严重不良事件的发生。结论:镰刀菌侵袭性感染治疗需基于药物可及性、儿童药代动力学特征及治疗药物监测(TDM)制定联合抗真菌方案,在免疫功能低下患儿中实施多学科协作对优化方案提高疗效与降低不良反应至关重要。 展开更多
关键词 儿童 侵袭性镰刀菌病 两性霉素B胆固醇硫酸酯复合物 泊沙康唑 治疗药物监测
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Lysosomal acid lipase deficiency:The forgotten link between liver and cardiovascular disease
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作者 Paolo Fornengo Arianna Ferro +3 位作者 Sharmila Fagoonee Elisa Rinaudo Cristina Amione Marilena Durazzo 《World Journal of Cardiology》 2025年第11期55-67,共13页
Lysosomal acid lipase-deficiency(LAL-D)is a rare and systemic condition,secondary to lipase A gene mutations,responsible for lysosomal accumulation of cholesteryl esters and triglycerides in many tissues.It is a very ... Lysosomal acid lipase-deficiency(LAL-D)is a rare and systemic condition,secondary to lipase A gene mutations,responsible for lysosomal accumulation of cholesteryl esters and triglycerides in many tissues.It is a very heterogeneous disease in terms of the age of onset,severity,and the type of clinical and radiological manifestations.Dyslipidemia,hepatomegaly,and hepatosteatosis with increased levels of transaminases are the most common features.In association with liver dysfunction and evolution to cirrhosis,there is an increased risk of premature atherosclerosis and cardiovascular disorders,secondary to a generalized alteration of lipid profile and lipoprotein dysfunction associated with LAL-D.Therefore,we provide an update on the frequently under-recognized LAL-D,focusing on the late-onset form:Cholesteryl ester storage disease. 展开更多
关键词 cholesteryl ester storage disease Lysosomal acid lipase deficiency DYSLIPIDEMIA Non-alcoholic fatty liver disease Lipase A
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HIV阴性播散型马尔尼菲篮状菌骨髓炎合并肺结核患者的药学监护
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作者 张清华 何丽庭 《中国药房》 北大核心 2025年第16期2062-2066,共5页
目的为人类免疫缺陷病毒(HIV)阴性患者播散型马尔尼菲篮状菌(TM)骨髓炎合并肺结核抗感染治疗的药学监护提供参考。方法临床药师参与1例HIV阴性播散型TM骨髓炎合并肺结核患者的治疗全过程,系统评估患者临床症状、体征及检验、影像学结果... 目的为人类免疫缺陷病毒(HIV)阴性患者播散型马尔尼菲篮状菌(TM)骨髓炎合并肺结核抗感染治疗的药学监护提供参考。方法临床药师参与1例HIV阴性播散型TM骨髓炎合并肺结核患者的治疗全过程,系统评估患者临床症状、体征及检验、影像学结果后,协助医师制定治疗方案及完善诊断,建议给予两性霉素B胆固醇硫酸酯复合物抗真菌治疗和完善结核菌素试验及痰涂片抗酸染色,实时监护患者的临床表现及检验结果;及时发现患者血钾降低,分析原因后,先后建议口服和静脉补钾,并调整治疗方案(改用伊曲康唑,联合异烟肼+利福平+吡嗪酰胺+乙胺丁醇四联抗结核),同时建议监测伊曲康唑血药浓度。此外,临床药师还对患者进行了系统的用药和健康教育。结果医师采纳临床药师的建议,患者治疗后好转出院。临床药师随访1年患者病情治愈,无不良反应发生。结论两性霉素B胆固醇硫酸酯复合物是HIV阴性患者播散型TM骨髓炎的有效治疗药物,延长疗程可防止复发;用药期间临床药师需加强药学监护,保障患者用药安全。 展开更多
关键词 马尔尼菲篮状菌 两性霉素B胆固醇硫酸酯复合物 化脓性骨髓炎 肺结核 药学监护
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1例两性霉素B胆固醇硫酸酯复合物致老年肺毛霉菌病患者低钾血症的药学监护
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作者 李冰 刘朔 《中国药物警戒》 2025年第10期1159-1161,共3页
目的分析药师参与1例伴有基础低钾血症老年肺毛霉菌病患者予静脉泵入联合雾化两性霉素B胆固醇硫酸酯复合物(ABCD)治疗出现严重低钾血症的药学实践,为临床安全用药提供参考。方法临床药师在1例基础低血钾状态因使用ABCD治疗肺毛霉菌病而... 目的分析药师参与1例伴有基础低钾血症老年肺毛霉菌病患者予静脉泵入联合雾化两性霉素B胆固醇硫酸酯复合物(ABCD)治疗出现严重低钾血症的药学实践,为临床安全用药提供参考。方法临床药师在1例基础低血钾状态因使用ABCD治疗肺毛霉菌病而导致血钾进一步下降的老年患者药学监护过程中,分析应用ABCD用法用量的合理性,探究再次发生低钾血症的原因,计算补钾所需的剂量,并对纠正血钾方案进行调整。结果在临床药师的协助下,患者全身和局部应用ABCD治疗肺毛霉菌病并针对低钾血症状态通过口服和静脉途径补充血钾进行治疗。经过积极抗真菌药物治疗,患者病情稳定,复查真菌检测为阴性,同时血钾得到及时的纠正。结论临床药师对老年患者个体化多途径应用ABCD治疗肺毛霉菌病的合理性进行分析,对ABCD所致低钾血症的不良反应有敏感的辨识能力,辅助医师提供科学的补钾方案,有效减少药品不良反应同时达到良好的治疗效果。 展开更多
关键词 两性霉素B胆固醇硫酸酯复合物 老年患者 肺毛霉菌病 低钾血症 药学监护
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