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脓毒症患者C3AR1及巨噬细胞细胞因子表达水平与心脏损伤及预后的关系
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作者 李欣 徐建博 杜娟 《南昌大学学报(医学版)》 2025年第1期69-75,共7页
目的探讨脓毒症补体成分3A受体1(C3AR1)及巨噬细胞细胞因子与心脏损伤及预后的关系。方法将106例脓毒症患者按是否存在脓毒症诱导的心肌功能障碍(SIMD)分为SIMD组21例和非SIMD组85例。采用连续器官衰竭评估(SOFA)量表对患者进行SOFA评... 目的探讨脓毒症补体成分3A受体1(C3AR1)及巨噬细胞细胞因子与心脏损伤及预后的关系。方法将106例脓毒症患者按是否存在脓毒症诱导的心肌功能障碍(SIMD)分为SIMD组21例和非SIMD组85例。采用连续器官衰竭评估(SOFA)量表对患者进行SOFA评分。使用Milliplex MAP试剂盒测定患者血浆人粒细胞集落刺激因子(G-CSF)、C3A和肿瘤坏死因子-α(TNF-α)水平,使用PCR法检测外周血单个核细胞(PBMCs)中C3AR1 mRNA的表达,使用血液分析仪检测节状中性粒细胞-单核细胞比率(SeMo)。采用Logistic回归分析评估与SIMD相关的免疫功能参数,采用生成受试者操作曲线(ROC)评估免疫功能参数组合评分和SOFA评分预测SIMD的效果。结果与非SIMD组相比,SIMD组SeMo显著降低(P<0.05),SOFA评分、TNF-α、G-CSF、C3A、C3AR1水平显著增加(P<0.05)。Logistic回归分析显示,SeMo、G-CSF、C3A和C3AR1是SIMD的独立预测因素;按β回归系数值确定的各免疫功能参数风险评分的组合评分:0、1、2、3、4、5、6、7、8分的SIMD发生率分别为0.0%(0/20)、4.5%(1/22)、0.0%(0/6)、13.3%(2/15)、20.8%(5/24)、61.5%(8/13)、0.0%(0/1)、100.0%(4/4)、100.0%(1/1),组间比较差异具有统计学意义(χ^(2)=44.796,P<0.001)。ROC分析显示,免疫功能参数组合评分预测SIMD的AUC为0.862、敏感度为66.7%、特异度为90.6%,显著高于SOFA评分的0.725、61.9%、75.3%(P<0.001)。结论免疫功能参数组合评分结合了血浆G-CSF水平、C3A水平、血清SeMo比率和单核细胞C3AR1表达水平,在预测SIMD方面优于SOFA评分。 展开更多
关键词 脓毒症 补体成分3a受体1 外周血单核细胞 心脏损伤 免疫功能
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创伤性颅脑损伤患者血清C3AR1、AngⅡ、VEGF水平变化及检测意义
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作者 李兴华 李稳 +3 位作者 任贻强 赵春 范永祥 陆卫华 《陕西医学杂志》 2025年第8期1103-1107,1112,共6页
目的:探究创伤性颅脑损伤(TBI)患者血清补体3a受体1(C3AR1)、血管生成素Ⅱ(AngⅡ)、血管内皮生长因子(VEGF)水平变化及检测意义。方法:选取88例TBI患者,根据格拉斯哥昏迷量表(GCS)将TBI患者分为轻度组(28例)、中度组(33例)和重度组(27例... 目的:探究创伤性颅脑损伤(TBI)患者血清补体3a受体1(C3AR1)、血管生成素Ⅱ(AngⅡ)、血管内皮生长因子(VEGF)水平变化及检测意义。方法:选取88例TBI患者,根据格拉斯哥昏迷量表(GCS)将TBI患者分为轻度组(28例)、中度组(33例)和重度组(27例)。根据是否发生急性创伤性凝血病(ATC)将TBI患者分为ATC组(41例)和非ATC组(47例)。采用ELISA法检测血清C3AR1、AngⅡ、VEGF水平。Spearman法分析TBI患者血清C3AR1、AngⅡ、VEGF水平与GCS评分的相关性。采用Logistic回归分析TBI患者并发ATC的影响因素。血清C3AR1、AngⅡ、VEGF对TBI患者并发ATC的预测价值通过绘制受试者工作特征(ROC)曲线进行分析。结果:中、重度组患者血清C3AR1、AngⅡ、VEGF水平高于轻度组,且重度组高于中度组(均P<0.05)。TBI患者血清C3AR1、AngⅡ、VEGF水平与GCS评分呈负相关(均P<0.05)。与非ATC组比较,ATC组患者GCS评分降低(P<0.05)。ATC组患者血清C3AR1、AngⅡ、VEGF水平高于非ATC组(均P<0.05)。GCS评分、血清C3AR1、AngⅡ、VEGF是TBI患者并发ATC的独立影响因素(均P<0.05)。血清C3AR1、AngⅡ、VEGF联合检测的曲线下面积(AUC)高于各自单独检测的AUC(均P<0.05)。结论:TBI患者血清C3AR1、AngⅡ、VEGF水平升高,与病情严重程度和ATC发生有关,三者联合检测对TBI患者并发ATC具有一定预测价值。 展开更多
关键词 创伤性颅脑损伤 急性创伤性凝血病 补体3a受体1 血管生成素Ⅱ 血管内皮生长因子 病情严重程度 预测价值
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大剂量阿托伐他汀联合双联抗血小板对急性脑梗死患者C3aR1的影响及颈动脉斑块的超声研究 被引量:3
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作者 康丽娟 李盼 +4 位作者 耿丽颖 孟琦 李志安 段雪娇 郭艳敏 《中国实用神经疾病杂志》 2024年第7期843-848,共6页
目的探讨大剂量阿托伐他汀联合双联抗血小板对急性脑梗死患者补体激活3a受体1(C3aR1)及颈动脉斑块的影响。方法回顾性分析保定市第一中心医院诊治的129例急性脑梗死患者的一般资料,分为大剂量组65例,常规剂量组64例。常规剂量组接受常... 目的探讨大剂量阿托伐他汀联合双联抗血小板对急性脑梗死患者补体激活3a受体1(C3aR1)及颈动脉斑块的影响。方法回顾性分析保定市第一中心医院诊治的129例急性脑梗死患者的一般资料,分为大剂量组65例,常规剂量组64例。常规剂量组接受常规剂量阿托伐他汀联合双联抗血小板治疗,大剂量组接受大剂量阿托伐他汀联合双联抗血小板治疗,比较2组患者颈动脉斑块面积、颈动脉内膜中层厚度(IMT)、NIHSS评分、生活自理量表(ADL)评分、超敏C反应蛋白(hs-CRP)、血脂、C3aR1及不良反应发生率。结果治疗后大剂量组甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)水平较常规剂量组低,高密度脂蛋白胆固醇(HDL-C)水平较常规剂量组高(P<0.05)。治疗后,大剂量组hs-CRP、C3aR1水平较常规剂量组低(P<0.05),颈动脉斑块面积较常规剂量组小,IMT较常规剂量组薄(P<0.05)。治疗后,大剂量组NIHSS评分较常规剂量组低,ADL评分较常规剂量组高(P<0.05)。2组治疗期间不良反应发生率比较(13.85%比9.38%)差异无统计学意义(χ^(2)=0.627,P=0.428)。结论大剂量阿托伐他汀联合双联抗血小板治疗可改善急性脑梗死患者的血脂水平,减轻炎症反应和神经损伤,降低C3aR1水平,减小颈动脉斑块面积,疗效确切,安全性高。 展开更多
关键词 急性脑梗死 大剂量阿托伐他汀 氯吡格雷 阿司匹林 补体激活3a受体1 颈动脉斑块
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Complement C3a activates osteoclasts by regulating the PI3K/PDK1/SGK3 pathway in patients with multiple myeloma 被引量:6
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作者 Fengjuan Jiang Hui Liu +10 位作者 Fengping Peng Zhaoyun Liu Kai Ding Jia Song Lijuan Li Jin Chen Qing Shao Siyang Yan Kim De Veirman Karin Vanderkerken Rong Fu 《Cancer Biology & Medicine》 SCIE CAS CSCD 2021年第3期721-733,共13页
Objective:Myeloma bone disease(MBD)is the most common complication of multiple myeloma(MM).Our previous study showed that the serum levels of C3/C4 in MM patients were significantly positively correlated with the seve... Objective:Myeloma bone disease(MBD)is the most common complication of multiple myeloma(MM).Our previous study showed that the serum levels of C3/C4 in MM patients were significantly positively correlated with the severity of bone disease.However,the mechanism of C3 a/C4 a in osteoclasts MM patients remains unclear.Methods:The formation and function of osteoclasts were analyzed after adding C3 a/C4 a in vitro.RNA-seq analysis was used to screen the potential pathways affecting osteoclasts,and the results were verified by Western blot,q RT-PCR,and pathway inhibitors.Results:The osteoclast area per view induced by 1μg/m L(mean±SD:50.828±12.984%)and 10μg/m L(53.663±12.685%)of C3 a was significantly increased compared to the control group(0μg/m L)(34.635±8.916%)(P<0.001 and P<0.001,respectively).The relative m RNA expressions of genes,OSCAR/TRAP/RANKL/cathepsin K,induced by 1μg/m L(median:5.041,3.726,1.638,and 4.752,respectively)and 10μg/m L(median:5.140,3.702,2.250,and 5.172,respectively)of C3 a was significantly increased compared to the control group(median:3.137,2.004,0.573,and 2.257,respectively)(1μg/m L P=0.001,P=0.003,P<0.001,and P=0.008,respectively;10μg/m L:P<0.001,P=0.019,P<0.001,and P=0.002,respectively).The absorption areas of the osteoclast resorption pits per view induced by 1μg/m L(mean±SD:51.464±11.983%)and 10μg/m L(50.219±12.067%)of C3 a was also significantly increased(33.845±8.331%)(P<0.001 and P<0.001,respectively)compared to the control.There was no difference between the C4 a and control groups.RNA-seq analysis showed that C3 a promoted the proliferation of osteoclasts using the phosphoinositide 3-kinase(PI3 K)signaling pathway.The relative expressions of PIK3 CA/phosphoinositide dependent kinase-1(PDK1)/serum and glucocorticoid inducible protein kinases(SGK3)genes and PI3 K/PDK1/p-SGK3 protein in the C3 a group were significantly higher than in the control group.The activation role of C3 a in osteoclasts of MM patients was reduced by the SGK inhibitor(EMD638683).Conclusions:C3 a activated osteoclasts by regulating the PI3 K/PDK1/SGK3 pathways in MM patients,which was reduced using a SGK inhibitor.Overall,our results identified potential therapeutic targets and strategies for MBD patients。 展开更多
关键词 Multiple myeloma complement C3a OSTEOCLASTS PI3K/PDK1/SGK3 pathways SGK inhibitor
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泽泻醇B抑制C3a介导的人肾小管上皮细胞间充质转分化的实验研究 被引量:4
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作者 张瑞芳 万建新 +3 位作者 许艳芳 尤丹瑜 崔炯 潘阳彬 《中国中西医结合杂志》 CAS CSCD 北大核心 2012年第10期1407-1412,共6页
目的探讨泽泻醇B能否抑制C3a介导的肾小管上皮细胞间充质转分化(epithelial-mesenchymal transition,EMT)。方法将体外培养的人肾小管上皮细胞(HK-2)分别用5ng/mL转化生长因子β(transfor-ming growth factor-β,TGF-β)、0.1μmolC3a和... 目的探讨泽泻醇B能否抑制C3a介导的肾小管上皮细胞间充质转分化(epithelial-mesenchymal transition,EMT)。方法将体外培养的人肾小管上皮细胞(HK-2)分别用5ng/mL转化生长因子β(transfor-ming growth factor-β,TGF-β)、0.1μmolC3a和0.1μmolC3a加10μmol泽泻醇B进行干预。分别采用RT-PCR、Western blot和细胞免疫荧光法检测HK-2细胞C3、α-平滑肌肌动蛋白(α-SMA)和上皮钙黏蛋白(E-cadherin)mRNA及蛋白表达。结果经C3a刺激后,HK-2细胞C3mRNA和蛋白表达明显增加(P<0.01),α-SMA mRNA及蛋白表达明显增加(P<0.01),E-cadherin mRNA及蛋白表达明显减少(P<0.01)。与经外源性C3a干预组比较,经泽泻醇B干预后,HK-2细胞α-SMA mRNA及蛋白表达明显减少(P<0.01),E-cad-herin mRNA及蛋白表达明显增加(P<0.05)。结论外源性C3a能诱导肾小管上皮细胞发生EMT,泽泻醇B可抑制C3a诱导的EMT。 展开更多
关键词 泽泻醇B 补体成分C3 肾小管上皮细胞 间充质转分化
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C3a、C5a、MDA、SOD表达在婴幼儿体外循环心肌损伤中作用 被引量:1
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作者 李祥 褚衍林 +4 位作者 马黎明 程前进 刘高利 孙卓祥 董海新 《检验医学》 CAS 2012年第9期722-724,共3页
目的探讨婴幼儿体外循环(CPB)术后心肌损害机理及预防方法。方法 20例行CPB手术的先天性心脏病患儿分别在CPB转流前、CPB转流结束后20 min(简称术后20 min)、术后2 h、术后6 h、术后12 h测定动脉血浆补体3a(C3a)、补体5a(C5a)、白细胞介... 目的探讨婴幼儿体外循环(CPB)术后心肌损害机理及预防方法。方法 20例行CPB手术的先天性心脏病患儿分别在CPB转流前、CPB转流结束后20 min(简称术后20 min)、术后2 h、术后6 h、术后12 h测定动脉血浆补体3a(C3a)、补体5a(C5a)、白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)、丙二醛(MDA)、超氧化物歧化酶(SOD)、肌酸激酶同工酶(CK-MB)、肌酸激酶(CK)、肌钙蛋白(cTnI)及乳酸脱氢酶(LDH)浓度。结果与CPB转流前比较,术后20 min及2、6、12 h血浆C3a、C5a浓度降低(P<0.05),血浆CK、LDH浓度升高(P<0.05);术后20 min、2 h血浆IL-6浓度逐渐增高(P<0.05),术后6、12 h逐渐下降,但仍高于CPB转流前(P<0.05);血浆TNF-α浓度术后20 min增高(P<0.05),术后2 h开始逐渐下降;血浆CK-MB术后2 h升高(P<0.05),术后6、12 h逐渐下降,但仍高于CPB转流前(P<0.05);术后2 h血浆cTnI升高(P<0.05);血浆MDA浓度术后20 min和2 h降低(P<0.05),术后6 h明显增高(P<0.05),术后12 h降低(P<0.05);血浆SOD浓度术后2、6、12 h明显降低(P<0.05)。结论婴幼儿CPB术后12 h心肌功能明显受损,其机理可能与CPB术后再灌注损伤补体激活及氧自由基释放导致心肌及内皮损伤有关。 展开更多
关键词 补体C3a 补体C5A 丙二醛 超氧化物歧化酶 心肌损伤 婴幼儿 体外循环
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补体激活3a受体检测评估大剂量阿托伐他汀联合双联抗血小板治疗急性脑梗死的效果研究 被引量:9
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作者 康丽娟 李盼 +1 位作者 耿丽颖 孟琦 《河北医科大学学报》 CAS 2023年第9期1011-1016,共6页
目的观察补体激活3a受体(complement component 3a receptor 1,C3AR1)评估大剂量阿托伐他汀联合双联抗血小板治疗急性脑梗死(acute cerebral infarct,ACI)的疗效及预后的价值。方法选取医院收治的ACI患者60例作为观察组,同期医院健康体... 目的观察补体激活3a受体(complement component 3a receptor 1,C3AR1)评估大剂量阿托伐他汀联合双联抗血小板治疗急性脑梗死(acute cerebral infarct,ACI)的疗效及预后的价值。方法选取医院收治的ACI患者60例作为观察组,同期医院健康体检人群60例作为对照组。观察组按随机方法分为常规剂量组和大剂量组,各30例。使用逆转录-聚合酶链反应(reverse transcription-polymerase chain reaction,RT-PCR)检测2组治疗前和治疗1周、2周、4周后血清C3AR1基因表达水平差异,并检测患者颈动脉斑块(或软斑)数量、颈动脉内膜中层厚度(intima-media thickness,IMT),同时评价其美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分、生活自理量表评分(Activity of Daily Living Scale,ADL)、改良Rankin量表评分(Modified Rankin Score,mRS)、超敏C反应蛋白(hypersensitive C-reactive protein,hs-CRP)及血脂[胆固醇(total cholesterol,TC)、三酰甘油(triglyceride,TG)、高密度脂蛋白胆固醇(high-density lipoprotein cholesterol,HDL-C)、低密度脂蛋白胆固醇(low-density lipoprotein cholesterol,LDL-C)]水平,通过Pearson方法分析C3AR1与以上指标的相关性。结果观察组的C3AR1 mRNA相对表达量高于对照组(P<0.05);2组的颈动脉斑块(或软斑)数量、IMT、NIHSS评分、ADL评分、mRS评分、hs-CRP水平、TC、TG、HDL-C和LDL-C水平及C3AR1 mRNA相对表达量随着治疗时间的延长而下降,且大剂量组下降趋势均低于常规剂量组,IMT、TC、TG、LDL-C的组间·时点间交互作用差异无统计学意义(P>0.05),其余组间、时点间、组间·时点间交互作用差异均有统计学意义(P<0.05)。经双变量Pearson相关性分析结果显示,治疗前C3AR1 mRNA相对表达量与ACI患者的颈动脉斑块(或软斑)数量、IMT、NIHSS评分、ADL评分、mRS评分、hs-CRP水平、TC、TG、HDL-C和LDL-C水平无相关性(P>0.05);治疗1周、2周及4周时,C3AR1 mRNA相对表达量与ACI患者的颈动脉斑块(或软斑)数量、IMT、NIHSS评分、ADL评分、mRS评分、hs-CRP水平、TC、TG、HDL-C和LDL-C水平呈正相关(P<0.05)。结论C3AR1检测可用于评估大剂量阿托伐他汀联合双联抗血小板治疗ACI的疗效和预后。 展开更多
关键词 脑梗死 补体激活3a受体 阿托伐他汀
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补体C3a及其受体在马兜铃酸Ⅰ致人源性肾小管上皮细胞损伤中的表达分析
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作者 叶晶 钱知知 +4 位作者 朱思睿 李玉 刘笑利 蔡丹红 张良 《中药新药与临床药理》 CAS CSCD 北大核心 2019年第3期313-318,共6页
目的研究补体C3a(Complement 3a)及其受体C3aR(Complement 3a receptor)在马兜铃酸Ⅰ(Aristolochic acid Ⅰ,AAⅠ)诱导的人源性肾小管上皮细胞(HK-2)损伤中的作用。方法将不同浓度的AAⅠ作用于HK-2细胞后,收集细胞上清以酶联免疫吸附法(... 目的研究补体C3a(Complement 3a)及其受体C3aR(Complement 3a receptor)在马兜铃酸Ⅰ(Aristolochic acid Ⅰ,AAⅠ)诱导的人源性肾小管上皮细胞(HK-2)损伤中的作用。方法将不同浓度的AAⅠ作用于HK-2细胞后,收集细胞上清以酶联免疫吸附法(ELISA)检测细胞上清中白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)和C3a含量;免疫荧光观察AAⅠ作用后HK-2细胞C3aR蛋白表达变化;蛋白免疫印迹(Western blot)法检测AAⅠ作用后HK-2细胞中C3aR表达情况;RT-PCR法检测细胞内C3a、C3aR mRNA的表达。结果AAⅠ可致HK-2细胞上清中IL-6、TNF-α、C3a含量显著升高,且呈剂量依赖性;AAⅠ可增加HK-2细胞中C3aR蛋白表达及C3a、C3aR mRNA表达。结论补体C3a及其受体C3aR参与了AAⅠ致人源性肾小管上皮细胞的损伤过程,补体系统可能通过诱导炎症损伤促进马兜铃酸肾病的发生发展。 展开更多
关键词 马兜铃酸Ⅰ 马兜铃酸肾病 C3a C3aR 肾小管上皮细胞
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急性哮喘患者血浆中C3a含量变化的临床意义
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作者 陶玉滨 杜民 许勇臣 《解放军保健医学杂志》 2005年第4期221-222,共2页
目的探讨支气管哮喘患者血浆中补体3a(C3a)含量变化,旨在说明C3a与哮喘表现间的关系。方法采集56例支气管哮喘患者急性发作期、缓解期及30例健康人外周血,放射免疫法检测血浆C3a/去精氨酸C3a的含量。结果支气管哮喘患者急性发作期血浆C3... 目的探讨支气管哮喘患者血浆中补体3a(C3a)含量变化,旨在说明C3a与哮喘表现间的关系。方法采集56例支气管哮喘患者急性发作期、缓解期及30例健康人外周血,放射免疫法检测血浆C3a/去精氨酸C3a的含量。结果支气管哮喘患者急性发作期血浆C3a含量为230±150ng/ml,缓解期为170±132ng/ml,健康对照组为164±140ng/ml,急性发作期血浆C3a含量明显高于缓解期和对照组(P<0.05),而缓解期与对照组间无显著差异(P>0.05)。结论C3a可能参与支气管哮喘急性发作时的病理生理过程。 展开更多
关键词 哮喘 补体3a
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外周血C3aR1及NETs表达水平对脓毒症性凝血病的预测价值 被引量:9
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作者 曹锐 刘开勋 +1 位作者 胡丹 齐共健 《中国当代儿科杂志》 CAS CSCD 北大核心 2023年第12期1259-1264,共6页
目的研究补体C3a受体1(complement-3a receptor1,C3aR1)及中性粒细胞胞外诱捕网(neutrophil extracellular traps,NETs)对脓毒症性凝血病(sepsis-induced coagulopathy,SIC)的临床预测价值。方法前瞻性纳入2022年6月—2023年6月于徐州... 目的研究补体C3a受体1(complement-3a receptor1,C3aR1)及中性粒细胞胞外诱捕网(neutrophil extracellular traps,NETs)对脓毒症性凝血病(sepsis-induced coagulopathy,SIC)的临床预测价值。方法前瞻性纳入2022年6月—2023年6月于徐州医科大学附属徐州儿童医院就诊的脓毒症患儿78例为研究对象,根据是否发生SIC分为SIC组(36例)和非SIC组(42例)。比较两组临床资料、C3aR1和NETs水平,分析SIC发生的相关因素。应用受试者操作特征曲线(receiver operating characteristic curve,ROC曲线)评估C3aR1及NETs对SIC的预测效能。结果SIC组C反应蛋白、白细胞介素(interleukin,IL)-6、IL-10、C3aR1及NETs水平高于非SIC组(P<0.05)。多因素logistic回归分析显示,C3aR1、NETs及IL-6升高与SIC发生密切相关(P<0.05)。ROC曲线分析显示,C3aR1联合NETs预测SIC的曲线下面积为0.913(P<0.05),高于C3aR1、IL-6的曲线下面积(P<0.05),与NETs的曲线下面积比较差异无统计学意义(P>0.05)。结论SIC患儿外周血中C3aR1及NETs表达水平显著升高,二者表达水平对预测SIC发生具有较高的临床价值。 展开更多
关键词 脓毒症 脓毒症性凝血病 补体C3a受体1 中性粒细胞胞外诱捕网 儿童
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Complement C3 Aggravates Post-epileptic Neuronal Injury Via Activation of TRPV1 被引量:5
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作者 Guang-Tong Jiang Lin Shao +10 位作者 Shuo Kong Meng-Liu Zeng Jing-Jing Cheng Tao-Xiang Chen Song Han Jun Yin Wan-Hong Liu Xiao-Hua He Yu-Min Liu Lanzi Gongga Bi-Wen Peng 《Neuroscience Bulletin》 SCIE CAS CSCD 2021年第10期1427-1440,共14页
Epilepsy is a brain condition characterized by the recurrence of unprovoked seizures.Recent studies have shown that complement component 3(C3)aggravate the neuronal injury in epilepsy.And our previous studies revealed... Epilepsy is a brain condition characterized by the recurrence of unprovoked seizures.Recent studies have shown that complement component 3(C3)aggravate the neuronal injury in epilepsy.And our previous studies revealed that TRPV1(transient receptor potential vanilloid type 1)is involved in epilepsy.Whether complement C3 regulation of neuronal injury is related to the activation of TRPV1 during epilepsy is not fully understood.We found that in a mouse model of status epilepticus(SE),complement C3 derived from astrocytes was increased and aggravated neuronal injury,and that TRPV 1-knockout rescued neurons from the injury induced by complement C3.Circular RNAs are abundant in the brain,and the reduction of circRad52 caused by complement C3 promoted the expression of TRPV 1 and exacerbated neuronal injury.Mechanistically,disorders of neuron-glia interaction mediated by the C3-TRPV1 signaling pathway may be important for the induction of neuronal injury.This study provides support for the hypothesis that the C3-TRFV1 pathway is involved in the prevention and treatment of neuronal injury and cognitive disorders. 展开更多
关键词 TRPV 1 complement C3 EPILEPSY CircRad52 Cognitive disorder
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支气管哮喘患者血清TSLP、C3a和MMP-9水平测定及临床价值探讨 被引量:3
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作者 张筱骞 《中国现代医生》 2020年第19期43-46,共4页
目的探讨血清胸腺基质淋巴细胞生成素(TSLP)、补体3a(C3a)及基质金属蛋白酶-9(MMP-9)在支气管哮喘患者临床诊治中的价值。方法选择2017年2~12月在我院就诊的支气管哮喘患者81例作为研究对象,另选取我院健康体检者50例作为对照组。采用EL... 目的探讨血清胸腺基质淋巴细胞生成素(TSLP)、补体3a(C3a)及基质金属蛋白酶-9(MMP-9)在支气管哮喘患者临床诊治中的价值。方法选择2017年2~12月在我院就诊的支气管哮喘患者81例作为研究对象,另选取我院健康体检者50例作为对照组。采用ELISA法检测支气管哮喘组与健康对照组的血清TSLP、C3a和MMP-9的浓度水平,并采用德国PowerCube肺功能仪测定两组的PEF、FEVl及FEV1/FVC水平。比较支气管哮喘组与健康对照组TSLP、C3a和MMP-9的水平差异,并对支气管哮喘组TSLP、C3a和MMP-9水平与其肺功能的相关性进行分析。结果支气管哮喘组血清TSLP、C3a和MMP-9水平均高于健康对照组(P<0.001);支气管哮喘组PEF、FEV1及FEV1/FVC水平均低于健康对照组(P<0.001);SPSS Pearson相关性分析表明,支气管哮喘患者血清TSLP、C3a和MMP-9水平与其PEF、FEVl及FEV1/FVC水平呈负相关性(P<0.01)。结论支气管哮喘患者血清TSLP、C3a和MMP-9的水平升高,且与患者肺功能具有一定的负相关性。该三项指标共同参与支气管哮喘的气道炎症与重塑的过程,联合检测该三项指标对判断支气管哮喘患者的病情严重程度和预后、辅助诊断和治疗具有重要临床价值。 展开更多
关键词 支气管哮喘 胸腺基质淋巴细胞生成素 补体3a 基质金属蛋白酶-9
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胰岛移植术后立即经血液介导的炎症反应机制 被引量:4
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作者 程颖 李鹏 +3 位作者 王本刚 石蕊 赵宁 刘永锋 《器官移植》 CAS 2010年第1期24-27,共4页
目的初步探讨胰岛移植术后立即经血液介导的炎症反应(instant blood-mediated in-flammatory reaction,IBMIR)的发生机制。方法Wistar大鼠,雌雄不限,体重为250~300g,分离、纯化胰岛,建立体外循环模型,于37℃下循环反应60min后加入胰岛... 目的初步探讨胰岛移植术后立即经血液介导的炎症反应(instant blood-mediated in-flammatory reaction,IBMIR)的发生机制。方法Wistar大鼠,雌雄不限,体重为250~300g,分离、纯化胰岛,建立体外循环模型,于37℃下循环反应60min后加入胰岛800当量模拟IBMIR,分别于循环前、加入胰岛前、加入胰岛后5min、15min、30min、60min后留取血液行血常规检测,用酶标法检测血浆凝血酶-抗凝血酶复合物(thrombin-antithrombin complex,TAT),并用酶联免疫吸附法检查血浆补体3a(C3a)含量。循环60min后取过滤残余血栓和组织行形态学检查。结果加入胰岛体外循环60min后血液中的血小板几乎全部耗竭,白细胞及单核细胞减少亦较为明显,但淋巴细胞比例变化不明显。血浆中的TAT、C3a含量随循环时间延长而增加。循环60min后的过滤残余的血栓块和组织中胰岛数量较少,结构破坏严重,被膜不完整,胰岛周围被微血栓包绕,大量中性粒细胞浸润。结论凝血反应、补体激活和白细胞激活可能是导致IBMIR的重要机制。 展开更多
关键词 立即经血液介导的炎症反应 胰岛移植 血浆凝血酶-抗凝血酶复合物 补体3a
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成人与儿童急性髓系白血病患者肿瘤免疫相关的差异表达基因分析 被引量:1
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作者 李玲玲 李倩 +2 位作者 李明玉 刘峥 沈倩诚 《上海交通大学学报(医学版)》 CAS CSCD 北大核心 2021年第5期579-587,共9页
目的·分析成人与儿童急性髓系白血病(acute myeloid leukemia,AML)患者骨髓中肿瘤免疫相关的差异表达基因(differentially expressed genes,DEGs)。方法·从GEO(Gene Expression Omnibus)数据库下载GSE134589数据集,选取初次确... 目的·分析成人与儿童急性髓系白血病(acute myeloid leukemia,AML)患者骨髓中肿瘤免疫相关的差异表达基因(differentially expressed genes,DEGs)。方法·从GEO(Gene Expression Omnibus)数据库下载GSE134589数据集,选取初次确诊/复发状态的患者,按年龄分为儿童组(0~16岁,34例)、中青年组(17~59岁,62例)和老年组(60~80岁,62例),用R语言程序包筛选不同组患者骨髓样本中肿瘤免疫相关的DEGs。选取中青年组与儿童组,老年组与儿童组共同的DEGs,与完全缓解状态的成人与儿童患者的DEGs进行比对,并进行功能富集分析。利用Kaplan-Meier法筛选与预后显著相关的基因,通过构建蛋白质相互作用(protein-protein interaction,PPI)网络筛选核心调控基因,将以上2种方法筛选出的基因视为关键基因。用GEPIA服务器对比关键基因在AML、弥漫大B细胞淋巴瘤(diffuse large B cell lymphoma,DLBCL)和胸腺癌的肿瘤样本与正常人样本的表达量,在GEXC网站分析关键基因在AML患者肿瘤干细胞和健康人的原始造血细胞中mRNA的表达情况。结果·GSE134589数据集中,中青年组与儿童组比,上调的DEGs有51个,下调的有21个;老年组与儿童组比,上调的DEGs有47个,下调的有20个;而中青年组与老年组比,没有发现DEG。筛选了中青年组和老年组共同的肿瘤免疫相关DEGs 57个,其中上调有39个,下调有18个,仅有3个基因的表达水平差异在疾病完全缓解时仍有统计学意义。57个共同DEGs主要富集在白细胞迁移和细胞因子介导的信号通路,其中白细胞介素2受体α亚基(interleukin-2 receptor subunit alpha,IL2RA)、FMS-样酪氨酸激酶3(FMS-like tyrosine kinase 3,FLT3)高表达的患者与低表达的患者相比总体生存期显著缩短(均P<0.05),补体成分3a受体1(complement component 3a receptor 1,C3AR1)是PPI网络的核心调控基因。这3个基因作为关键基因,均在AML肿瘤样本特异性高表达(均P<0.05),IL2RA还在DLBCL患者样本中显著高表达(P<0.05)。IL2RA在AML肿瘤干细胞和健康人的原始造血细胞中均低表达,FLT3均高表达,而C3AR1的表达在AML肿瘤干细胞特异性升高。结论·成人与儿童AML患者预后的差异可能与骨髓中肿瘤免疫相关基因表达的差异有关,其中IL2RA、FLT3和C3AR1可能是发挥重要作用的关键基因。 展开更多
关键词 急性髓系白血病 肿瘤免疫 差异表达基因 白细胞介素2受体α亚基 FMS-样酪氨酸激酶3 补体成分3a受体1
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血清补体成分3a和sC5b⁃9水平与脓毒症患者预后的关系
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作者 苏一星 鲍磊 +1 位作者 俞俊安 顾志坚 《中国临床研究》 2025年第11期1654-1659,共6页
目的探讨血清补体成分3a(C3a)、可溶性终末补体复合物C5b⁃9(sC5b⁃9)水平与脓毒症患者病情严重程度及28 d临床预后的相关性,为脓毒症的早期风险分层和预后评估提供新的生物标志物参考。方法回顾性纳入2022年3月至2024年9月于江苏大学附... 目的探讨血清补体成分3a(C3a)、可溶性终末补体复合物C5b⁃9(sC5b⁃9)水平与脓毒症患者病情严重程度及28 d临床预后的相关性,为脓毒症的早期风险分层和预后评估提供新的生物标志物参考。方法回顾性纳入2022年3月至2024年9月于江苏大学附属昆山市第一人民医院收治的209例脓毒症患者作为研究组。根据病情严重程度,将其分为休克组(n=129)和未休克组(n=80);根据患者入院后28 d的生存状态,分为生存组(n=137)和死亡组(n=72)。并纳入同期56例体检健康者作为对照组。收集所有受试者的临床资料,比较各组血清C3a、sC5b⁃9水平;采用Spearman相关法分析血清C3a、sC5b⁃9水平与脓毒症患者病情严重程度及预后的相关性;采用受试者工作特征(ROC)曲线下面积(AUC)评估血清C3a、sC5b⁃9对脓毒症患者预后不良的预测效能;采用单因素和多因素logistic回归分析脓毒症患者预后不良的独立影响因素。结果与对照组的C3a和sC5b⁃9[(98.25±19.25)ng/mL,(89.36±12.14)ng/mL]相比,未休克组[(169.25±21.47)ng/mL,(325.69±25.36)ng/mL]和休克组[(198.74±19.86)ng/mL,(356.98±36.21)ng/mL]的C3a、sC5b⁃9水平显著升高(P<0.05);与未休克组患者相比,休克组患者C3a、sC5b⁃9水平显著升高(P<0.05)。与生存组相比,死亡组患者C3a、sC5b⁃9水平显著升高(P<0.05)。Spearman相关性分析结果显示,血清C3a、sC5b⁃9水平与脓毒症患者病情严重程度呈正相关(r=0.802、0.744,P<0.05),与患者预后不良呈正相关(r=0.507、0.602,P<0.05)。ROC分析结果显示,C3a、sC5b⁃9二者联合预测脓毒症患者预后不良的AUC为0.910,灵敏度为80.56%,特异度为87.59%。多因素logistic回归分析结果显示,C3a、sC5b⁃9、白细胞计数(WBC)、血清淀粉样蛋白A(SAA)、总胆红素(TBIL)、序贯器官衰竭评估(SOFA)评分均为脓毒症患者预后不良的独立危险因素(P<0.05)。结论血清补体C3a和sC5b⁃9水平与脓毒症患者病情严重程度及不良预后显著相关,二者联合检测对脓毒症患者预后不良具有较高的预测价值,可作为临床评估脓毒症严重程度和预后的有效生物标志物。 展开更多
关键词 血清补体成分3a 可溶性终末补体复合物C5b⁃9 脓毒症 病情严重程度 预后
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Effects of Moxa-Cone Moxibustion at Guanyuan on Erythrocytic Immunity and Its Regulative Function in Tumor-Bearing Mice 被引量:6
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作者 武平 曹勇 +1 位作者 吴俊梅 王友京 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2001年第1期68-71,共4页
In the sarcoma S180 ascitic mice, the effects of moxa-cone moxibustion at Guanyuan (CV 4) on erythrocytic immunity and its regulative function were investigated. The results indicated that moxibustion at Guanyuan (CV ... In the sarcoma S180 ascitic mice, the effects of moxa-cone moxibustion at Guanyuan (CV 4) on erythrocytic immunity and its regulative function were investigated. The results indicated that moxibustion at Guanyuan (CV 4) could significantly increase the decreased erythrocytic C3b receptor rosette forming rate (RBC-C3bRR), lower the raised erythrocytic immunocomplex rosette forming rate (RBC-ICR, P 展开更多
关键词 Acupuncture Points MOXIBUSTION ANIMALS Erythrocytes Female Male Mice Receptors complement 3b Rosette Formation Sarcoma 180
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Naoxintong dose effects on inflammatory factor expression in the rat brain following focal cerebral ischemia 被引量:3
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作者 Xiangjian Zhang Li Xu +4 位作者 Zuoran Chen Shuchao Hu Liying Zhang Haiyan Li Ruichun Liu 《Neural Regeneration Research》 SCIE CAS CSCD 2008年第10期1111-1115,共5页
BACKGROUND: Certain components of tetramethylpyrazine, a traditional Chinese medicine, exhibit protective effects against brain injury. OBJECTIVE: To investigate the effects of different Naoxintong doses on expressi... BACKGROUND: Certain components of tetramethylpyrazine, a traditional Chinese medicine, exhibit protective effects against brain injury. OBJECTIVE: To investigate the effects of different Naoxintong doses on expression of nuclear factor-kappa B ( kB), interleukin-6, tumor necrosis factor-α, and complement 3 in rats following focal cerebral ischemia. DESIGN, TIME AND SETTING: The randomized experiment was performed at the Laboratory of Neurology, Second Hospital of Hebei Medical University from June 2004 to June 2006. MATERIALS: A total of 150 adult, healthy, male, Sprague Dawley rats, weighing 280-320g, were selected. Naoxintong powder (mainly comprising szechwan lovage rhizome, milkvetch root, danshen root, and radix angelicae sinensis) was obtained from Buchang Pharmacy Co., Ltd. in Xianyang City of Shanxi Province of China, lot number 040608. METHODS: The rats were randomly assigned into sham operation, saline, high-dose Naoxintong, moderate-dose Naoxintong, and low-dose Naoxintong groups, with 30 rats in each group. Rat models of middle cerebral artery occlusion were established using the suture method, with the exception of the sham operation group. Rats in the high-dose, moderate-dose and low-dose Naoxintong groups received 4, 2, and 1 g/kg Naoxintong respectively, by gavage. Rats in the saline group were treated with 1 mL saline by gavage All rats were administered by gavage at 5 and 23 hours following surgery, and subsequently, once per day. MAIN OUTCOME MEASURES: At 6, 24, 48, 72 hours, and 7 days following model establishment, brain water content was measured. Histopathological changes in brain tissues were detected using hematoxylin-eosin staining. Expression of nuclear factor- kB, interleukin-6, tumor necrosis factor- α, and complement 3 was examined by immunohistochemistry. RESULTS: A total of 150 rats were included in the final analysis with no loss. Brain water content was significantly increased in the ischemic hemisphere of rats from the saline, as well as the high-dose, moderate-dose, and low-dose Naoxintong groups at 24 hours, which reached a peak at 48 hours. At 6, 24, 48, 72 hours, and 7 days, brain water content was greater in the ischemic hemisphere of rats from the saline, as well as the high-dose, moderate-dose, and low-dose Naoxintong groups, compared with the sham operation group (P 〈 0.05). At 24 and 48 hours, brain water content was reduced in the high-dose and moderate-dose Naoxintong groups, compared to the saline and low-dose Naoxintong groups (P 〈 0.05). In the saline, as well as high-dose, moderate-dose, and low-dose Naoxintong groups, neuronal edema was observed at 6 hours surrounding the ischemic sites. Inflammatory cells appeared at 24 hours, reached a peak at 48 hours, and gradually diminished. A small amount of glial cell proliferation and neuronal degeneration were observed in the hippocampus at 72 hours following infarction. Microglial proliferation and aggregation were detected at 7 days after infarction. Expression of nuclear factor- kB, interleukin-6, tumor necrosis factor-α, and complement 3 was significantly less in the high-dose, moderate-dose, and low-dose Naoxintong groups, compared to the sham operation group (P 〈 0.05). Expression of the above-mentioned inflammatory cytokines was lower in rat brain tissues of the high-dose Naoxintong group, compared to the low-dose Naoxintong group (P 〈 0.05). CONCLUSION: High-dose Naoxintong and moderate-dose Naoxintong significantly alleviated rat brain edema and decreased expression of nuclear factor-kB, interleukin-6, tumor necrosis factor-α, and complement 3 in brain tissues. The protective effect of high-dose Naoxintong was most significant. 展开更多
关键词 brain ischemia complement 3 INTERLEUKIN-6 NAOXINTONG nuclear factor-kB RAT tumor necrosis factor-α
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Protective effects of Rabdosia japonica var. glaucocalyx extract on lipopolysaccharide-induced acute lung injury in mice 被引量:3
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作者 XU Nai-Yu CHU Chun-Jun +2 位作者 XIA Long ZHANG Jian CHEN Dao-Feng 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2015年第10期767-775,共9页
The present study was designed to evaluate the protective effects of ethanol extracts of Rabdosia japonica var. glaucocalyx(Maxim.) Hara(RJ) on lipopolysaccharide(LPS)-induced acute lung injury(ALI) in mice and the po... The present study was designed to evaluate the protective effects of ethanol extracts of Rabdosia japonica var. glaucocalyx(Maxim.) Hara(RJ) on lipopolysaccharide(LPS)-induced acute lung injury(ALI) in mice and the possible underlying mechanisms of action. The mice were orally administrated with RJ extract(16, 32 or 64 mg?kg–1) daily for consecutive7 days before LPS challenge. The ung specimens and the bronchoalveolar lavage fluid(BALF) were collected for histopathological examinations and biochemical analyses. Pretreatment with RJ significantly enhanced superoxide dismutase(SOD) activity and reduced the wet-to-dry weight(W/D) ratio, the levels of nitric oxide(NO) and protein leakage, and myeloperoxidase(MPO) activity in mice with ALI, in a dose-dependent manner. RJ reduced complement deposition and significantly attenuated LPS-induced ALI by reducing productions of inflammatory mediators, such as tumor necrosis factor-α(TNF-α), interleukin-6(IL-6), and interleukin-1β(IL-1β). The results demonstrated that RJ may attenuate LPS-induced ALI via reducing the production of pro-inflammatory mediators, and reducing complement deposition and radicals. 展开更多
关键词 Rabdosia japonica var.glaucocalyx(Maxim.) Hara LIPOPOLYSACCHARIDE Acute lung injury complement 3
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Efficient algorithm for 3D bimodulus structures 被引量:6
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作者 Qinxue Pan Jianlong Zheng Pihua Wen 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2020年第1期143-159,共17页
The bimodulus material is a classical model to describe the elastic behavior of materials with tension-compression asymmetry.Due to the inherently nonlinear properties of bimodular materials,traditional iteration meth... The bimodulus material is a classical model to describe the elastic behavior of materials with tension-compression asymmetry.Due to the inherently nonlinear properties of bimodular materials,traditional iteration methods suffer from low convergence efficiency and poor adaptability for large-scale structures in engineering.In this paper,a novel 3D algorithm is established by complementing the three shear moduli of the constitutive equation in principal stress coordinates.In contrast to the existing 3D shear modulus constructed based on experience,in this paper the shear modulus is derived theoretically through a limit process.Then,a theoretically self-consistent complemented algorithm is established and implemented in ABAQUS via UMAT;its good stability and convergence efficiency are verified by using benchmark examples.Numerical analysis shows that the calculation error for bimodulus structures using the traditional linear elastic theory is large,which is not in line with reality. 展开更多
关键词 Elastic theory Bimodulus material 3D complemented algorithm Finite element method Generalized elastic law General 3D shear modulus
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EFFECTS OF ACUPUNCTURE ON THE IMMUNOLOGICAL FUNCTIONS IN HEPATITIS B VIRUS CARRIERS 被引量:1
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作者 陈家福 陈民 +2 位作者 赵斌 王英 毛树章 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1999年第4期268-272,共5页
A contrast study on the effects of manual acupuncture and electroacupuncture wasconducted in 60 cases of chronic hepatitis B carriers.The results demonstrated that theimmunological functions,both cellular and humoral,... A contrast study on the effects of manual acupuncture and electroacupuncture wasconducted in 60 cases of chronic hepatitis B carriers.The results demonstrated that theimmunological functions,both cellular and humoral,were markedly regulated asevidenced by the negative turnover rates of HBsAg,HBeAg,anti-HBc and HBcAg,as wellas the positive turnover rate of anti-HBe. 展开更多
关键词 Acupuncture Therapy ELECTROACUPUNCTURE ADOLESCENT ADULT CD4-CD8 Ratio Carrier State complement C3 Female Hepatitis B Hepatitis B Antibodies Hepatitis B Surface Antigens Humans Immunoglobulin A Immunoglobulin G Male
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