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Neuroprotective effects of insulin-like growth factor-2 in 6-hydroxydopamine-induced cellular and mouse models of Parkinson’s disease 被引量:4
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作者 Hai-Ying Zhang Yong-Cheng Jiang +5 位作者 Jun-Rui Li Jia-Nan Yan Xin-Jue Wang Jia-Bing Shen Kai-Fu Ke Xiao-Su Gu 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第5期1099-1106,共8页
Skin-derived precursor Schwann cells have been reported to play a protective role in the central nervous system. The neuroprotective effects of skin-derived precursor Schwann cells may be attributable to the release o... Skin-derived precursor Schwann cells have been reported to play a protective role in the central nervous system. The neuroprotective effects of skin-derived precursor Schwann cells may be attributable to the release of growth factors that nourish host cells. In this study, we first established a cellular model of Parkinson’s disease using 6-hydroxydopamine. When SH-SY5 Y cells were pretreated with conditioned medium from skin-derived precursor Schwann cells, their activity was greatly increased. The addition of insulin-like growth factor-2 neutralizing antibody markedly attenuated the neuroprotective effects of skin-derived precursor Schwann cells. We also found that insulin-like growth factor-2 levels in the peripheral blood were greatly increased in patients with Parkinson’s disease and in a mouse model of Parkinson’s disease. Next, we pretreated cell models of Parkinson’s disease with insulin-like growth factor-2 and administered insulin-like growth factor-2 intranasally to a mouse model of Parkinson’s disease induced by 6-hydroxydopamine and found that the level of tyrosine hydroxylase, a marker of dopamine neurons, was markedly restored, α-synuclein aggregation decreased, and insulin-like growth factor-2 receptor downregulation was alleviated. Finally, in vitro experiments showed that insulin-like growth factor-2 activated the phosphatidylinositol 3 kinase(PI3 K)/AKT pathway. These findings suggest that the neuroprotective effects of skin-derived precursor Schwann cells on the central nervous system were achieved through insulinlike growth factor-2, and that insulin-like growth factor-2 may play a neuroprotective role through the insulin-like growth factor-2 receptor/PI3 K/AKT pathway. Therefore, insulin-like growth factor-2 may be an useful target for Parkinson’s disease treatment. 展开更多
关键词 6-HYDROXYDOPAMINE ALPHA-SYNUCLEIN insulin-like growth factor-2 receptor insulin-like growth factor-2 NEURODEGENERATION NEUROPROTECTION Parkinson’s disease skin-derived precursor Schwann cells
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Keratinocyte growth factor-2 and autologous serum potentiate the regenerative effect of mesenchymal stem cells in cornea damage in rats 被引量:7
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作者 Ferda Alpaslan Pinarli Gülsen Okten +5 位作者 Umit Beden Tunc Fisgin Mehmet Kefeli Nurten Kara Feride Duru Leman Tomak 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2014年第2期211-219,共9页
AIM:To investigate the healing process after severe corneal epithelial damage in rats treated with mesenchymal stem cells(MSCs)cultured with or without keratinocyte growth factor(KGF-2)and autologous serum(AS)on amnio... AIM:To investigate the healing process after severe corneal epithelial damage in rats treated with mesenchymal stem cells(MSCs)cultured with or without keratinocyte growth factor(KGF-2)and autologous serum(AS)on amniotic membrane(AM).Many patients are blind and devastated by severe ocular surface diseases due to limbal stem cell deficiency.Bone marrow-derived MSCs are potential sources for cellbased tissue engineering to repair or replace the corneal tissue,having the potential to differentiate to epithelial cells.METHODS:The study included 5 groups each including 10 female'Sprague Dawley'rats in addition to20 male rats used as bone marrow donors.Group I rats received AM+MSCs,Group II rats AM+MSCs cultured with KGF-2,Group III rats AM+MSCs cultured with KGF-2+AS,Group IV rats only AM and Group V rats,none.AS was derived from blood drawn from male rats and bone marrow was obtained from the femur and tibia bones of the same animals.Therapeutic effect was evaluated with clinical,histopathological and immunohistochemical assessment.MSC engraftment was demonstrated via detection of donor genotype(Y+)in the recipient tissue(X)with polymerase chain reaction.RESULTS:Corneal healing was significantly better in Groups I-III rats treated with MSC transplantation compared to Group IV and Group V rats with supportive treatment only.The best results were obtained in Group III rats with 90%transparency,70%lack of neovascularization,and 100%epithelium damage limited to less than 1/4 of cornea.CONCLUSION:We suggest that culture of MSCs with KGF-2 and AS on AM is effective in corneal repair in case of irreversible damage to limbal stem cells. 展开更多
关键词 corneal wound healing mesenchymal stem cells keratinocyte growth factor-2 autologous serum amniotic membrane
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Changes of Serum Insulin-like Growth Factor-2 Response to Negative Symptom Improvements in Schizophrenia Patients Treated with Atypical Antipsychotics 被引量:4
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作者 Xue-lin CHAO Shu-zhen JIANG +4 位作者 Jian-wen XIONG Jin-qiong ZHAN Bo WEI Chun-nuan CHEN Yuan-jian YANG 《Current Medical Science》 SCIE CAS 2020年第3期563-569,共7页
Accumulating evidence suggests that a disruption of early brain development,in which insulin-like growth factor-2(IGF-2)has a crucial role,may underlie the pathophysiology of schizophrenia.Our previous study has shown... Accumulating evidence suggests that a disruption of early brain development,in which insulin-like growth factor-2(IGF-2)has a crucial role,may underlie the pathophysiology of schizophrenia.Our previous study has shown that decreased serum IGF-2 was correlated with the severity of psychopathology in patients with schizophrenia.Here we conducted a prospective observation trial to investigate the effects of atypical antipsychotics on serum IGF-2 level and its relationship with clinical improvements in schizophrenia patients.Thirty-one schizophrenia patients with acute exacerbation and 30 healthy individuals were recruited in this study.Psychiatric symptoms were assessed using the Positive and Negative Syndrome Scale(PANSS)and serum IGF-2 levels were determined using ELISA.We found that schizophrenia patients with acute exacerbation had lower serum IGF-2 levels than control individuals at baseline(P<0.05).After 2 months of atypical antipsychotic treatment,a significant improvement in each PANSS subscore and total score was observed in patients(all P<0.01),and the serum IGF-2 levels of patients were significantly increased compared with those at baseline(203.13±64.62 vs.426.99±124.26 ng/mL;t=−5.044,P<0.001).Correlation analysis revealed that the changes of serum IGF-2 levels in patients were significantly correlated with the improvements of negative symptoms(r=−0.522,P=0.006).Collectively,our findings demonstrated changes of serum IGF-2 response to improvements of negative symptoms in schizophrenia patients treated with atypical antipsychotics,suggesting that serum IGF-2 might be a treatment biomarker for schizophrenia. 展开更多
关键词 SCHIZOPHRENIA atypical antipsychotic insulin-like growth factor-2 negative symptoms
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Glycosylation-independent binding to extracellular domains 11-13 of mannose-6-phosphate/insulin-like growth factor-2 receptor mediates the effects of soluble CREG on the phenotypic proliferation of vascular smooth muscle cells 被引量:5
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作者 LUAN Bo~1,HAN Ya-ling~1,SUN Ming-yu~1,GUO Liang~1,GUO Peng~1,TAO Jie~1,DENG Jie~1,WU Guang-zhe~1,YAN Cheng-hui~1, LI Shao-hua~2 (1.Department of Cardiology,Shenyang Northern Hospital, Shenyang,China 2.Division of Vascular Surgery,Robert Wood Johnson Medical School-UMDNJ,New Jersey,USA) 《岭南心血管病杂志》 2011年第S1期186-186,共1页
Background The present study aimed to investigate the detailed mode and specific sites for their binding as well as the functional relevance of this binding in the phenotypic proliferation of vascular smooth muscle ce... Background The present study aimed to investigate the detailed mode and specific sites for their binding as well as the functional relevance of this binding in the phenotypic proliferation of vascular smooth muscle cells(SMCs). Methods CREG knocked-down SMCs were employed to evaluate the biological activity of wtCREG and mCREG.Expressions of SMC differentiation markers SM myosin heavy chain(SM-MHC),SM-actin,heavy caldesmon and myocardin were determined by Western blotting using specific antibodies. Cellular growth of SMCs was assessed by bromide dewuridine (BrdU) incorporation and cell cycle analysis on fluorescence-activated cell sorting(FACS).A solid-phase binding assay was used to study the binding of CREG to extracellular domains of M6P/IGF2R.The cellular co-localization of the two recombinant CREGs with M6P/IGF2R was detected on SMC surface by immunoprecipitation and immunofluorescence analysis.Results The molecular weight of wtCREG was around 30 kD while that of the mCREG was~25 kD.Treatment of wtCREG with PNGase F reduced its molecular weight from~30 kD to~25 kD,whereas PNGase F treatment had no effect on the molecular weight of mCREG.Both wtCREG and mCREG proteins enhanced SMC differentiation,inhibited BrdU incorporation,and arrested cell cycle progression when added to the culture medium.In CREG knocked-down SMCs,the amount of CREG detected by immunoblotting in M6P/IGF2R immunoprecipitates was significantly reduced when compared to normal cells.Both recombinant CREGs co-immunoprecipitated with M6P/IGF2R, although slightly reduced amount of the mutant CREG was detected in M6P/IGF2R immunoprecipitates.Immunostaining revealed that His-tagged CREGs co-localized with IGF2R on the cell surface in a glycosylation-independent manner.In vitro binding assay showed that CREGs bound to M6P/ IGF2R extracellular domains 7-10 and 11-13 in a glycosylation -dependent and -independent manner,respectively.Further blocking experiments using soluble M6P/IGF2R fragments and M6P/IGF2R neutralizing antibody indicated that the biological activities of recombinant CREGs in SMC growth and the up-regulation of SMC differentiation markers were all abolished by treatment with the M6P/IGF2R neutralizing antibody. However,although the growth inhibitory effect of wtCREG was nearly abolished by D7-10 or D11-13,the effect of mCREG was only reversed by Dll-13,indicating that the binding to domains 11-13 is required for CREG to modulate the proliferation of SMCs.Conclusions These data suggest that solubleCREG proteins can exert their biological function via binding to the extracellular domains 7-10 and 11-13 of cell surface M6P/IGF2R in both a glycosylation-dependent and -independent manner. 展开更多
关键词 CREG Glycosylation-independent binding to extracellular domains 11-13 of mannose-6-phosphate/insulin-like growth factor-2 receptor mediates the effects of soluble CREG on the phenotypic proliferation of vascular smooth muscle cells IGF
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The effect of keratinocyte growth factor-2(KGF-2) on the proliferation of human keratinocytes 被引量:1
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作者 Yang Yinhui Fu Xiaobing Li Junyou Research Department of Burn Institute,304th Hospital,Beijing 100037 《感染.炎症.修复》 2002年第2期74-77,共4页
Objective;In vitro studies have shown that KGF-2 has a proliferative effect on neonatal foreskin kerati-nocytes.Cells from adult donors have been shown to respond to KGF-1 to a lesser degree than neonatal keratino-cyt... Objective;In vitro studies have shown that KGF-2 has a proliferative effect on neonatal foreskin kerati-nocytes.Cells from adult donors have been shown to respond to KGF-1 to a lesser degree than neonatal keratino-cytes.The purpose of the study was to investigate the proliferative effect of KGF-2 on keratinocytes from an adultsubject.Methods;Standard medium was Keratinocyte Growth Medium without BPE,hydrocortisone and EGF.Ke-ratinocytes cultured from a 48-year-old subject were seeded at 2 10~4 in 32 mm ... 展开更多
关键词 Keratinocyte growth factor-2 PROLIFERATION KERATINOCYTE
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Expression of fibroblast growth factor-2 and fibroblast growth factor receptor-1 protein in the hippocampus in rats exhibiting chronic stress-induced depression
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作者 Gonglin Hou Mingming Tang 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第13期1010-1016,共7页
There is evidence that the expression of members of the fibroblast growth factor (FGF) protein family is altered in post-mortem brains of humans suffering from major depressive disorder. The present study examined w... There is evidence that the expression of members of the fibroblast growth factor (FGF) protein family is altered in post-mortem brains of humans suffering from major depressive disorder. The present study examined whether the expression of fibroblast growth factor-2 (FGF2) and fibroblast growth factor receptor-1 (FGFR1) protein is altered following chronic stress in an animal model. Rats were exposed to 35 days of chronic unpredictable mild stress, and then tested using open-field and sucrose consumption tests. Compared with the control group, rats in the chronic stress group exhibited obvious depressive-like behaviors, including anhedonia, anxiety and decreased mobility. The results of western blot analysis and immunohistochemical analysis revealed a downregulation of the expression of FGF2 and FGFR1 in the hippocampus of rats, particularly in the CA1, CA3 and dentate gyrus. This decreased expression is in accord with the results of post-mortem studies in humans with major depressive disorder. These findings suggest that FGF2 and FGFR1 proteins participate in the pathophysiology of depressive-like behavior, and may play an important role in the mechanism of chronic stress-induced depression. 展开更多
关键词 DEPRESSION HIPPOCAMPUS fibroblast growth factor-2 fibroblast growth factor receptor-1 neural regeneration
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RNA interference affects tumorigenicity and expression of insulin-like growth factor-1,insulin-like growth factor-1 receptor,and basic fibroblast growth factor-2 in rat C6 glioma cells
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作者 Wanli Dong Jin Hu +3 位作者 Shaoyan Hu Yuanyuan Wang Juean Jiang Youxin Jin 《Neural Regeneration Research》 SCIE CAS CSCD 2009年第8期597-605,共9页
BACKGROUND: Human gliomas are more likely to express basic fibroblast growth factor-2 (FGF-2) insulin-like growth factor-1(IGF-1), and IGF-1 receptor (IGF-1R) than normal brain tissue. These factors activate si... BACKGROUND: Human gliomas are more likely to express basic fibroblast growth factor-2 (FGF-2) insulin-like growth factor-1(IGF-1), and IGF-1 receptor (IGF-1R) than normal brain tissue. These factors activate signal transduction systems of Ras/MAPK and PI3K/Akl, which promote glioma growth. OBJECTIVE: To utilize RNA interference (RNAi) technique to down-regulate FGF-2, IGF-1, and IGF-1R gene expression, and to investigate the effects of these genes on rat C6 glioma cells, as well as the feasibility of RNAi for treating glioma. DESIGN, TIME AND SETTING: This neurooncological, randomized, controlled, in vivo and in vitro experiment, which used RNAi methodology, was performed at the Laboratory of Molecular Biology, Institute of Biochemistry, Chinese Academy of Sciences between August 2005 and February 2008. MATERIALS: Rat C6 cell lines were purchased from Shanghai Institute of Cellular Biology Affiliated to Chinese Academy of Sciences. Small interfering RNA (siRNA) was synthesized by Shanghai GenePharma. Anti-IGF-1, anti-IGF-1R, anti-FGF-2, anti-mouse and anti-rabbit IgG G1-HRP antibodies were provided by Santa Cruz Biotechnology, USA. Four to six week-old BALB/c nude mice were purchased from the Laboratory Animal Center, Chinese Academy of Sciences. METHODS: C6 glioma cells were transfected with siRNA, which was chemically synthesized in vitro to correspond to endogenous FGF-2, IGF-1, and IGF-1R genes. The inhibition ratio of targeting mRNA expression was detected by semiquantitative RT-PCR, and protein expression was determined by Western blot analysis. C6 glioma cell proliferation was observed using a growth curve C6 glioma cell apoptosis rate and cell cycle were detected by flow cytometry. C6 glioma cell growth regression was observed by transwell migration assay. In addition, nude mouse subcutaneous tumor models were used in this study. For studying the anti-tumor effects of IGF-1 and IGF-1R siRNA, two blank control groups, with six mice each, were set up: A (2.5 μg siRNA was injected one week after C6 cells were inoculated, Le., when tumor volume reached 8 mm × 8 mm) and B (siRNA was injected at the same time with C6 cells were inoculated. To study the effects of FGF-2 siRNA, the groups consisted of a blank control group, negative control group, 2.6 μg siRNA group, 4 μg siRNA group, and 5.3 μg siRNA group, with six mice each. MAIN OUTCOME MEASURES: mRNA and protein inhibition ratio of FGF-2, IGF-1, and IGF-1 R; C6 glioma cell proliferation, apoptosis, and cycle growth arrest; C6 glioma cell growth regression and subcutaneous tumorigenicity rates. RESULTS: All siRNA constructs proved to be effective. After 48 hours, transfection of 200 nmol/L siRNA resulted in a FGF-2 or IGF-1R gene inhibition ratio 〉 80% and an IGF-1 gene inhibition ratio of approximately 70%. Protein expression levels for FGF-2, IGF-1, and IGF-1R decreased in a dose-dependent manner following siRNA transfection, with an inhibition rate 〉 85%, 60%, and 50%, respectively. C6 glioma cell proliferation and apoptosis rates increased in proportion to siRNA. The apoptosis rate of C6 glioma cells induced by FGF-2, IGF-1, and IGF-1R siRNA was 39.96%, 15.07% and 22.47%, respectively (P 〈 0.01). Transfection of 200 nmol/L IGF or IGF-1R siRNA for 48 hours suppressed C6 glioma cell migration. At 30 days after intratumoral injection of 2.6, 4, and 5.3 tJg FGF-2 siRNA, tumor growth regression rate of FGF-2 siRNA was 56%, 67%, and 86%, respectively. The tumor growth regression rate was 71.88% and 45.71%, respectively, when IGF-1 or IGF-1R siRNA was intratumorally injected 1 week after C6 glioma cell transplantation. When IGF-1 or IGF-1 R siRNA was intratumorally injected during C6 glioma cell transplantation, the tumor growth regression rate was 78.13% and 74.29%, respectively. CONCLUSION: siRNA transfection downregulated gene expression of FGF-2, IGF-1, and IGF-1R In addition, siRNA treatment markedly suppressed glioma cell proliferation, growth, and migration, and concomitantly reduced subcutaneous tumorigenicity. 展开更多
关键词 small interference RNA basic fibroblast growth factor-2 insulin-like growth factor 1 insulin-like growth factor 1 receptor C6 glioma cell line
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Chimeric oncogenic interferon regulatory factor-2 (IRF-2): Degradation products are biologically active
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作者 Krishna Prakash Pardeep Kumar Pramod C. Rath 《American Journal of Molecular Biology》 2012年第4期371-379,共9页
Interferon Regulatory Factor-2 (IRF-2) belongs to IRF family, was identified as a mammalian transcription factor involved in Interferon beta (IFNβ) gene regulation. Besides that IRF-2 is involved in immunomodulation,... Interferon Regulatory Factor-2 (IRF-2) belongs to IRF family, was identified as a mammalian transcription factor involved in Interferon beta (IFNβ) gene regulation. Besides that IRF-2 is involved in immunomodulation, hematopoietic differentiation, cell cycle regulation and oncogenesis. We have done molecular sub-cloning and expression of recombinant murine IRF-2 as GST (Glutathione-S-Transferase)- IRF-2 fusion protein in E. coli/XL-1blue cells. Recombinant IRF-2 with GST moiety at N-terminus expressed as GST-IRF-2 (~66 kd) in E. coli along with different low molecular mass degradation products revealed approximately 30, 42, 60 and 62 kd by SDS-PAGE and Western blot, respectively. We further confirm that degradation takes place at C-terminus of the fusion protein not at N-terminus as anti-GST antibody was detecting all bands in the immunoblot. The recombinant IRF-2 was biologically active along with their degradation products in terms of their DNA binding activity as assessed by Electrophoretically Mobility Shift Assay (EMSA). We observed three different molecular mass DNA/protein complexes (1 - 3) with Virus Response Element (VRE) derived from human Interferon IFNβ gene and five different molecular mass complexes (1 - 5) with IRF-E motif (GAAAGT)4 in EMSA gel. GST only expressed from empty vector did not bind to these DNA elements. To confirm that the binding is specific, all complexes were competed out completely when challenged with 100-X fold molar excess of IRF-E oligo under cold competition. It means degradation products along with full-length protein are able to interact with VREβ as well as IRF-E motif. This means degradation products may regulate the target gene (s) activation/repression via interacting with VRE/IRF-E. 展开更多
关键词 RECOMBINANT INTERFERON Regulatory factor-2 (IRF-2) DNA Binding Domain (DBD) C-TERMINUS of IRF-2 EMSA
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Keratinocyte Growth Factor-2 on the Proliferation of Corneal Epithelial Stem Cells in Rabbit Alkali Burned Cornea 被引量:2
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作者 Lin Liu Yongping Li +2 位作者 Shuqi Huang Jianxian Lin Wenxin Zhang 《眼科学报》 2007年第2期107-116,共10页
Purpose: To determine whether the topical application of keratinocyte growth factor-2 (KGF-2) can enhance corneal epithelial healing in rabbit alkali burned cornea. In addition, the distribution and proliferation of c... Purpose: To determine whether the topical application of keratinocyte growth factor-2 (KGF-2) can enhance corneal epithelial healing in rabbit alkali burned cornea. In addition, the distribution and proliferation of corneal epithelial stem cells in KGF-2-treated and control corneas were investigated to explain their mechanisms of effects on the epithelium. Methods: Twenty-four New Zealand eyes were divided into four groups, treated with KGF-2 solution (1, 50, 100 μg/ml) and PBS solution. Eighth millimeter filter paper discs, produced by standard paper punch, were soaked for 15 sec in 0.5N NaOH solution. The alkali-soaked discs were applied to the central cornea, centered on the pupil and held gently in position with forceps for 1 min. The cornea was finally irrigated over 1 min with 100 ml balanced salt solution (BSS). Keratinocyte growth factor-2 was then applied topically three times a day. The phosphate-buffered saline (PBS) group was served as a control. Each corneal epithelial defect was subsequently photographed every 24 hours with a slit lamp and was measured by computer-assisted digitizer. In each group, two rabbits were sacrificed for light microscopic examination after the interval of 7, 14 and 21 days. Meanwhile, the cornea epithelium was examined by immunohistochemistry for P63, AE5, EGFR. Results: Topical application of 10 μg/ml to 100 μg/ml KGF-2 significantly accelerated corneal epithelial wound healing when compared with controls. After 24 hours, epithelial healing rate of the 100 μg/ml KGF-2 group and the PBS treated group was (74±6)% and (40±8)% (P < 0.05). After 48 hours, the rate of the C group was (94±6)%, whereas in the control group it was (73±12)% (P < 0.05). Epithelial defects were often recurrent, which happened only two times in the 100 μg/ml KGF-2-treated group, but many times in the control group. In the corneal epithelial stem cell analysis, the number of the P63 positive cells was higher in the KGF-2-treated corneal epithelium than in the controls. The P63 positive cells in the alkali burned epithelium were found not only in the limbal area but also in the central cornea. In addition, the number of stem cells in each group came to the maximum on the 14th day. For example, on the 7th day after alkali injury, it was 40.3±2.1 NPC in the non-limbal area of 50 μg/ml KGF-2-treated group; whereas, it was 84.8±2.7 NPC on the 14th day(P = 0.000). Conclusions: From the daily evaluation of the corneal surface as well as the microscopic examinations at the end of the three periods of observation, we concluded that KGF-2 provided a beneficial effect in the treatment of alkali burns of the cornea. Furthermore, the results of epithelial stem cell analysis demonstrated that KGF-2 accelerated the corneal epithelial healing by markedly stimulating epithelial stem cells proliferation and making them migrate to the central cornea. 展开更多
关键词 角化细胞生长因子-2 角膜上皮干细胞 角膜碱烧伤 治疗 细胞培养
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Localization and function of a eukaryotic-initiation-factor-2-associated 67-kDa glycoprotein
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作者 Shiyong Wu,Edison Biotechnology Institute,Department of Chemistry and Biochemistry,Ohio University,Athens,OH 45701,United States 《World Journal of Biological Chemistry》 CAS 2010年第10期313-320,共8页
AIM: To study the localization and function of a eukaryotic initiation factor 2 (eIF2α)-associated 67-kDa glycoprotein (p67).METHODS: Immunofluorescence staining,35S-Met/Cys metabolic labeling,Western blotting analys... AIM: To study the localization and function of a eukaryotic initiation factor 2 (eIF2α)-associated 67-kDa glycoprotein (p67).METHODS: Immunofluorescence staining,35S-Met/Cys metabolic labeling,Western blotting analysis,sucrose gradient centrifugation and high speed centrifugation were used to determine the localization of proteins in transiently transfected COS-1 cells.Transient co-transfection followed by co-immunoprecipitation was used to study the interaction between p67 and double-stranded RNA (dsRNA)-dependent protein kinase (PKR).Wheat germ agglutinin agarose beads were used to absorb glycosylated proteins.In vivo 32P-labeling followed by immunoprecipitation and Western blotting were used to measure PKR autophosphorylation,eIF2α phosphorylation,and p67 expression in normal and breast cancer cells.RESULTS: The image from immunofluorescence staining showed that p67 was overexpressed in the cytosol but not in the nucleus.In a sucrose gradient,approxi-mately 30% of the overexpressed p67 was bound with ribosomes.p67 interacted with the kinase domain,butnot the dsRNA-binding domains of PKR.Only the glycosylated p67 was associated with the ribosome,and p67 did not compete with PKR for ribosome binding.In breast cancer cells,there was increased autophosphorylation of PKR but no phosphorylation of eIF2α,compared with normal breast cells.α The ratio of glycosylated/deglycosylated p67 was altered in breast cancer cells.CONCLUSION: Glycosylation of p67 is required for its ribosomal association and can potentially inhibit PKR via interaction with the kinase domain of PKR. 展开更多
关键词 EUKARYOTIC translation INITIATION factor 2 p67 DOUBLE-STRANDED RNA dependent protein KINASE PHOSPHORYLATION Cancer
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Material surface conjugated with fibroblast growth factor-2 for pluripotent stem cell culture and differentiation
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作者 Tzu-Cheng Sung Zhi-Xian Pan +11 位作者 Ting Wang Hui-Yu Lin Chia-Lun Chang Ling-Chun Hung Suresh Kumar Subbiah Remya Rajan Renuka Shih-Jie Chou Shih-Hwa Chiou Idaszek Joanna Henry Hsin-Chung Lee Gwo-Jang Wu Akon Higuchi 《Regenerative Biomaterials》 2025年第4期84-100,共17页
Fibroblast growth factor-2(FGF-2)is a critical molecule for sustaining the pluripotency of human pluripotent stem(PS)cells.However,FGF-2 is extremely unstable and cannot be stored long periods at room temperature.Ther... Fibroblast growth factor-2(FGF-2)is a critical molecule for sustaining the pluripotency of human pluripotent stem(PS)cells.However,FGF-2 is extremely unstable and cannot be stored long periods at room temperature.Therefore,the following FGF-2-conjugated cell culture materials were developed to stabilize FGF-2:FGF-2-conjugated polyvinyl alcohol(PVAI-C-FGF)hydro-gels and FGF-2-conjugated carboxymethyl cellulose-coated(CMC-C-FGF)dishes.Human induced pluripotent stem(iPS)cells were proliferated on recombinant vitronectin(rVN)-coated PVAI-C-FGF hydrogels and CMC-C-FGF dishes in medium without FGF-2.Human iPS cells could not be cultivated on rVN-coated PVAI-C-FGF hydrogels for more than two passages but could proliferate on rVN-coated CMC-C-FGF dishes.These results indicated that the amount of immobilized FGF-2 and the base cell materials are important,including the amount of immobilized rVN and the conformation of FGF-2 on the surfaces.When human iPS cells were pro-liferated on rVN-coated CMC-C-FGF surfaces in medium containing no FGF-2 for 10 passages,their pluripotency and potential to differen-tiate into cells originating from three germ layers were maintained in vivo and in vitro.Furthermore,the cells could extensively differentiate into cardiomyocytes,which can be used for cardiac infarction treatment in future and retinal pigment epithe-lium for retinal pigmentosa treatment in future.The FGF-2-immobilized surface could enable human PS cell culture in medium that does not need to contain unstable FGF-2.The amount of FGF-2 immobilization on the rVN-coated CMC-C-5FGF and CMC-C-20FGF dishes was reduced to 93.6 and 52.2 times,respectively,which is less than the conventional amount of FGF-2 used in culture medium for one passage(6 days)of human iPS cell culture.This reduction resulted from the stabilization of unstable FGF-2 by the immobilization of FGF-2,which was achieved by utilizing optimal base materials(CMC),coating materials(rVN)and long-joint segment(PEG4-SPDP)design. 展开更多
关键词 human pluripotent stem cells carboxymethyl cellulose fibroblast growth factor-2 cell differentiation material design
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健脾补肾益肺方联合布地格福治疗肺脾气虚型慢性阻塞性肺疾病稳定期患者疗效及对血清bFGF、COX-2水平的影响
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作者 吴峥嵘 李渊 郝素英 《广州中医药大学学报》 2026年第1期63-71,共9页
【目的】探究健脾补肾益肺方联合布地格福治疗肺脾气虚型慢性阻塞性肺疾病稳定期患者的疗效及其对血清碱性成纤维细胞生长因子(bFGF)、环加氧酶2(COX-2)的影响。【方法】选取2022年2月至2024年1月北京中医药大学东方医院收治的肺脾气虚... 【目的】探究健脾补肾益肺方联合布地格福治疗肺脾气虚型慢性阻塞性肺疾病稳定期患者的疗效及其对血清碱性成纤维细胞生长因子(bFGF)、环加氧酶2(COX-2)的影响。【方法】选取2022年2月至2024年1月北京中医药大学东方医院收治的肺脾气虚型慢性阻塞性肺疾病稳定期患者138例,采用随机数字表法将患者随机分为对照组和试验组,每组各69例。2组患者均给予加强营养、康复锻炼及避免有害因素等常规治疗,在此基础上,对照组给予布地格福吸入气雾剂吸入治疗,试验组在对照组的基础上联合健脾补肾益肺方治疗,疗程为3个月。观察2组患者治疗前后肺功能、血气指标、圣乔治呼吸问卷(SGRQ)评分、6 min步行距离(6MWD)及血清bFGF、COX-2水平的变化情况,比较2组患者的临床疗效,分析血清bFGF与COX-2水平、动脉血二氧化碳分压(PaCO_(2))、动脉血氧分压(PaO_(2))的相关性,并采用多因素Logistic回归分析肺脾气虚型慢性阻塞性肺疾病的影响因素。【结果】(1)疗效方面,治疗3个月后,试验组的总有效率为94.20%(65/69),对照组为78.26%(54/69),组间比较,试验组的疗效明显优于对照组(χ^(2)=6.103,P<0.05)。(2)血清bFGF、COX-2水平方面,治疗后,2组患者的血清bFGF、COX-2水平均较治疗前降低(P<0.05),且试验组的降低幅度均明显优于对照组(P<0.01)。(3)肺功能方面,治疗后,2组患者的呼气峰流速(PEF)、第一秒用力呼气容积(FEV_(1))、第一秒用力呼气容积与用力肺活量的比值(FEV_(1)/FVC)均较治疗前升高(P<0.05),且试验组的升高幅度均明显优于对照组(P<0.01)。(4)血气分析指标方面,治疗后,2组患者的PaCO_(2)均较治疗前降低(P<0.05),PaO_(2)均较治疗前升高(P<0.05),且试验组对PaCO_(2)的降低幅度及对PaO_(2)的升高幅度均明显优于对照组(P<0.01)。(5)生活质量方面,治疗后,2组患者的SGRQ评分均较治疗前降低(P<0.05),6MWD均较治疗前升高(P<0.05),且试验组对SGRQ评分的降低幅度及对6MWD的升高幅度均明显优于对照组(P<0.01)。(6)相关性分析方面,经对年龄、病程、烟酒史、糖尿病史、性别等校正后,血清bFGF与COX-2、PaCO_(2)呈正相关(P<0.01),与PaO_(2)呈负相关(P<0.01)。(7)肺脾气虚型慢性阻塞性肺疾病的影响因素方面,多因素Logistic回归结果显示:bFGF、COX-2、PaCO_(2)、SGRQ评分为保护因素(P<0.01),PEF、FEV_(1)、FEV_(1)/FVC、PaO_(2)、6MWD为危险因素(P<0.01)。【结论】健脾补肾益肺方联合布地格福治疗肺脾气虚型慢性阻塞性肺疾病稳定期患者疗效确切,能更有效地改善患者肺功能和血气指标,提高患者生活质量,降低血清bFGF、COX-2水平。 展开更多
关键词 健脾补肾益肺方 布地格福 肺脾气虚型 慢性阻塞性肺疾病稳定期 碱性成纤维细胞生长因子 环加氧酶2 肺功能 血气指标 生活质量
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核因子E2相关因子2调控非感染性脊柱疾病的机制与治疗潜力
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作者 黄磊 王向红 +2 位作者 张先绪 李世成 罗志强 《中国组织工程研究》 北大核心 2026年第15期3971-3982,共12页
背景:核因子E2相关因子2是一种关键的抗氧化应激转录因子,调控多种抗氧化基因表达,保护细胞免受氧化损伤。在正常生理条件下,核因子E2相关因子2活性由Kelch样ECH相关蛋白1介导的泛素化降解维持在低水平。氧化应激时,Kelch样ECH相关蛋白... 背景:核因子E2相关因子2是一种关键的抗氧化应激转录因子,调控多种抗氧化基因表达,保护细胞免受氧化损伤。在正常生理条件下,核因子E2相关因子2活性由Kelch样ECH相关蛋白1介导的泛素化降解维持在低水平。氧化应激时,Kelch样ECH相关蛋白1构象改变,释放核因子E2相关因子2至细胞核,激活抗氧化基因。核因子E2相关因子2与椎间盘退变、脊髓损伤、骨质疏松和强直性脊柱炎等非感染性脊柱疾病密切相关,可能在其中发挥重要调控作用。目的:综述核因子E2相关因子2及其Kelch样ECH相关蛋白1-核因子E2相关因子2-抗氧化反应元件信号通路在非感染性脊柱疾病中的作用机制,并探讨通过调节核因子E2相关因子2通路活性来改善这些疾病的潜在治疗策略,为临床药物治疗提供新方向。方法:以“椎间盘退变,脊髓损伤,骨质疏松,成骨细胞,破骨细胞,强直性脊柱炎,核因子E2相关因子2”为中文检索词,以“intervertebral disc degeneration,spinal cord injury,osteoporosis,osteoblasts,osteoclasts,ankylosing spondylitis,Nrf2”为英文检索词,在中国知网和PubMed数据库中搜寻建库以来至2025年1月发表的所有研究文献,根据入选标准最终纳入核心相关文献109篇进行综述。结果与结论:①核因子E2相关因子2通过抑制铁死亡、凋亡和自噬等细胞死亡方式,从而显著延缓椎间盘退变进程;②核因子E2相关因子2可以减轻脊髓损伤的氧化应激和炎症反应,保护神经细胞,促进功能恢复;③核因子E2相关因子2在骨质疏松中发挥双向调控作用:在破骨细胞中,核因子E2相关因子2抑制其分化和骨吸收,减缓骨质流失;在成骨细胞中,适度激活核因子E2相关因子2可促进骨形成相关基因表达,支持骨生成,但过度激活可能抑制成骨细胞分化;④核因子E2相关因子2在强直性脊柱炎中激活抗氧化防御机制,减轻组织损伤和炎症反应。 展开更多
关键词 Keap1/核因子E2相关因子2 氧化应激 炎症反应 铁代谢 自噬 综述
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PPARγ-Nrf2-HO-1信号通路在癫痫持续状态模型大鼠海马组织铁死亡中的调控作用
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作者 钟茹杰 王飞宇 +3 位作者 杨海林 李啸宇 王明建 高静 《精准医学杂志》 2026年第1期8-13,共6页
目的探究过氧化物酶体增殖物激活受体γ(PPARγ)-核因子E2相关因子2(Nrf2)-血红素加氧酶1(HO-1)信号通路在癫痫持续状态(SE)模型大鼠海马组织铁死亡中的调控作用。方法从57只雄性Wistar大鼠中随机选择47只大鼠,腹腔注射氯化锂、氢溴酸... 目的探究过氧化物酶体增殖物激活受体γ(PPARγ)-核因子E2相关因子2(Nrf2)-血红素加氧酶1(HO-1)信号通路在癫痫持续状态(SE)模型大鼠海马组织铁死亡中的调控作用。方法从57只雄性Wistar大鼠中随机选择47只大鼠,腹腔注射氯化锂、氢溴酸东莨菪碱和匹罗卡品诱导SE;其余10只大鼠作为对照组,腹腔注射等体积生理盐水。采用Racine分级方法评估大鼠癫痫发作程度,选择Ⅳ级及以上且发作时间>60 min的大鼠,随机分为癫痫组、激活剂组和抑制剂组,每组各10只。激活剂组和抑制剂组大鼠分别注射PPARγ激活剂Rosiglitazone溶液和PPARγ抑制剂T0070907溶液,对照组和癫痫组大鼠注射等剂量生理盐水;上述试剂均每隔1 d腹腔注射1次,持续21 d。第22天时处死各组大鼠并解剖分离海马组织。通过透射电子显微镜观察对照组和癫痫组大鼠海马组织细胞中线粒体超微结构,通过RT-qPCR和Western blot(WB)实验检测各组大鼠的海马组织中PPARγ、Nrf2、HO-1和谷胱甘肽过氧化物酶4(Gpx4)mRNA和蛋白相对表达水平,通过比色法检测各组大鼠海马组织中Fe^(2+)、谷胱甘肽(GSH)和丙二醛(MDA)的水平。结果与对照组相比,癫痫组大鼠海马组织细胞中线粒体体积缩小、线粒体嵴减少,海马组织中Fe^(2+)、MDA水平以及PPARγ、Nrf2、HO-1的mRNA和蛋白相对表达水平均显著升高,GSH水平以及Gpx4的mRNA和蛋白相对表达水平显著降低(F=28.090~153.500,t=12.350、2.355,q=6.216~20.510,P<0.05)。与癫痫组相比,激活剂组大鼠海马组织中Fe^(2+)和MDA水平显著降低,GSH水平以及Nrf2、HO-1、Gpx4的mRNA和蛋白相对表达水平显著升高(q=7.271~16.540,P<0.05);抑制剂组大鼠海马组织中Fe^(2+)和MDA水平显著升高,GSH水平以及Nrf2、HO-1、Gpx4的mRNA和蛋白相对表达水平显著降低(q=2.603~12.190,P<0.05)。结论PPARγ-Nrf2-HO-1信号通路的活化可通过抑制海马组织铁死亡,从而减轻SE模型大鼠海马组织的病理改变。 展开更多
关键词 癫痫 铁死亡 过氧化物酶体增殖物激活受体Γ 核因子E2相关因子2 血红素加氧酶1 大鼠 WISTAR
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熊果酸调控VEGF/COX-2/MMP-2通路减轻糖尿病小鼠视网膜病变损伤
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作者 杨璇 王永强 +1 位作者 崔泰国 齐艳秀 《中南医学科学杂志》 2026年第1期30-34,共5页
目的探讨熊果酸(UA)调控血管内皮生长因子(VEGF)/环氧化酶-2(COX-2)/金属基质酶-2(MMP-2)通路减轻糖尿病小鼠视网膜病变损伤的作用机制。方法建立小鼠糖尿病视网膜病变(DR)模型并分组,UA低、中、高剂量组分别予以10、20、40 mg/kg UA灌... 目的探讨熊果酸(UA)调控血管内皮生长因子(VEGF)/环氧化酶-2(COX-2)/金属基质酶-2(MMP-2)通路减轻糖尿病小鼠视网膜病变损伤的作用机制。方法建立小鼠糖尿病视网膜病变(DR)模型并分组,UA低、中、高剂量组分别予以10、20、40 mg/kg UA灌胃,对照组和DR组予以等量生理盐水灌胃。采用PAS染色测定小鼠视网膜内皮细胞、周细胞计数及其比值,采用免疫沉淀法测定视网膜组织氧化应激指标[超氧化物歧化酶(SOD)、丙二醛(MDA)、谷胱甘肽过氧化物酶(GSH-Px)],采用Western blotting检测视网膜组织凋亡相关蛋白(Bcl2、Bax、caspase-3)及VEGF、COX-2、MMP-2蛋白表达情况。结果与对照组相比,DR组小鼠视网膜组织中内皮细胞计数、内皮细胞/周细胞比值、MDA含量及Bax、Cleaved-caspase-3、VEGF、COX-2、MMP-2蛋白表达均显著升高,而周细胞计数、SOD与GSH-Px活性及Bcl-2蛋白表达均显著降低(P<0.05)。与DR组相比,UA各剂量组干预后,内皮细胞计数、内皮细胞/周细胞比值、MDA含量及Bax、Cleaved-caspase-3、VEGF、COX-2、MMP-2蛋白表达均显著降低,且高剂量组效果最优,而周细胞计数、SOD与GSH-Px活性及Bcl-2蛋白表达均显著升高,并呈现剂量依赖性增强(P<0.05)。结论UA可通过下调DR小鼠视网膜组织VEGF、COX-2、MMP-2表达,呈剂量依赖性保护DR小鼠视网膜组织,为临床治疗DR提供新的科学根据。 展开更多
关键词 熊果酸 糖尿病视网膜病变 VEGF COX-2 MMP-2
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血清miR-27a及Nrf2蛋白水平与急性心肌梗死患者PCI术后心肌缺血再灌注损伤的关系
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作者 董春慧 王圆 +1 位作者 喻晓荣 张冬梅 《检验医学与临床》 2026年第1期43-48,56,共7页
目的探讨血清miR-27a及核因子红系2相关因子2(Nrf2)蛋白水平与急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)术后心肌缺血再灌注损伤(IRI)的关系。方法选取2021年1月至2024年2月在该院接受PCI的152例AMI患者作为AMI组,根据PCI术后是... 目的探讨血清miR-27a及核因子红系2相关因子2(Nrf2)蛋白水平与急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)术后心肌缺血再灌注损伤(IRI)的关系。方法选取2021年1月至2024年2月在该院接受PCI的152例AMI患者作为AMI组,根据PCI术后是否发生心肌IRI分为IRI组和非IRI组。另选取同期在该院体检的78例健康体检者作为对照组。采用实时荧光定量聚合酶链反应检测血清miR-27a水平,采用酶联免疫吸附试验检测Nrf2蛋白水平。采用Pearson相关分析AMI患者血清miR-27a水平与Nrf2蛋白水平的相关性;采用多因素Logistic回归分析AMI患者PCI术后发生心肌IRI的影响因素;绘制受试者工作特征(ROC)曲线分析血清miR-27a及Nrf2蛋白对AMI患者PCI术后发生心肌IRI的预测价值。结果AMI组血清miR-27a水平高于对照组,Nrf2蛋白水平低于对照组,差异均有统计学意义(P<0.05)。Pearson相关分析结果显示,AMI患者血清miR-27a水平与Nrf2蛋白水平呈负相关(r=-0.742,P<0.05)。IRI组Gensini评分、miR-27a水平均高于非IRI组,Nrf2蛋白水平低于非IRI组,差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,Gensini评分增加、miR-27a水平升高均为AMI患者PCI术后发生心肌IRI的独立危险因素,血清Nrf2蛋白水平升高为AMI患者PCI术后发生心肌IRI的独立保护因素(P<0.05)。血清miR-27a与Nrf2蛋白联合预测AMI患者PCI术后发生心肌IRI的曲线下面积(AUC)为0.886,大于二者单独预测的AUC(0.799、0.785),差异均有统计学意义(Z=3.231、3.403,P<0.05)。结论血清miR-27a水平升高、Nrf2蛋白水平降低均与AMI患者PCI术后发生心肌IRI有关,血清miR-27a及Nrf2蛋白联合对AMI患者PCI术后发生心肌IRI有较高的预测价值。 展开更多
关键词 急性心肌梗死 miR-27a 核因子红系2相关因子2 经皮冠状动脉介入治疗 心肌缺血再灌注损伤
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维持性血液透析患者血清成纤维细胞生长因子、可溶性生长刺激表达基因2蛋白、高敏肌钙蛋白Ⅰ水平与心室结构的相关性
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作者 刘飞 刘志勇 +2 位作者 任建光 宋晓辉 朱江涛 《陕西医学杂志》 2026年第1期83-86,共4页
目的:探讨维持性血液透析(MHD)患者血清成纤维细胞生长因子(FGF-23)、可溶性生长刺激表达基因2蛋白(sST2)、高敏肌钙蛋白Ⅰ(hs-cTnI)水平与心室结构的相关性。方法:选取81例MHD患者,另选同期90例健康者为对照组。比较两组受试者血清FGF... 目的:探讨维持性血液透析(MHD)患者血清成纤维细胞生长因子(FGF-23)、可溶性生长刺激表达基因2蛋白(sST2)、高敏肌钙蛋白Ⅰ(hs-cTnI)水平与心室结构的相关性。方法:选取81例MHD患者,另选同期90例健康者为对照组。比较两组受试者血清FGF-23、sST2、hs-cTnI水平,记录MHD组左心室肥厚(LVH)发生情况,多因素Logistic回归分析MHD患者左心室肥厚的影响因素。结果:血清FGF-23、sST2、hs-cTnI水平比较,MHD组均高于对照组。与非LVH组比较,LVH组血清FGF-23、sST2、hs-cTnI水平及LVMI升高(均P<0.05)。影响MHD患者LVH的因素有:透析龄长、高血清FGF-23、sST2、hs-cTnI水平及LVMI升高(均P<0.05)。血清FGF-23、sST2、hs-cTnI水平均与MHD患者LVH呈正相关(均P<0.05)。结论:维持性血液透析患者血清FGF-23、sST2、hs-cTnI水平均呈上升趋势,与左心室肥厚有关,且以上指标均为左心室肥厚的影响因素。 展开更多
关键词 维持性血液透析 成纤维细胞生长因子23 可溶性生长刺激表达基因2蛋白 高敏肌钙蛋白I 左心室肥厚
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下腔静脉塌陷指数联合血清IGFBP7、sST2评估右心功能不全病人病情的临床价值
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作者 冯诚 吕建瑞 +1 位作者 王瑾 张红丽 《中西医结合心脑血管病杂志》 2026年第1期86-90,共5页
目的:探讨下腔静脉塌陷指数联合血清胰岛素样生长因子结合蛋白-7(IGFBP7)、可溶性生长刺激表达基因2蛋白(s ST2)评估右心功能不全病人病情的临床价值。方法:收集2022年6月—2023年12月我院收治的112例肥胖症病人的病历资料,根据是否右... 目的:探讨下腔静脉塌陷指数联合血清胰岛素样生长因子结合蛋白-7(IGFBP7)、可溶性生长刺激表达基因2蛋白(s ST2)评估右心功能不全病人病情的临床价值。方法:收集2022年6月—2023年12月我院收治的112例肥胖症病人的病历资料,根据是否右心功能不全分为右心功能不全组(57例)及无右心功能不全组(55例)。选取同期于我院进行健康体检者87名作为对照组。采用彩色多普勒超声诊断仪检测3组受检者下腔静脉塌陷指数;采用酶联免疫吸附法检测IGFBP7及s ST2水平,研究其与右心功能不全病人病情的关系。结果:3组受检者下腔静脉塌陷指数比较:右心功能不全组<无右心功能不全组<对照组(P<0.05),血清IGFBP7及s ST2水平比较:右心功能不全组>无右心功能不全组>对照组(P<0.05)。按心功能分级标准将57例右心功能不全病人分为Ⅱ级组(15例)、Ⅲ级组(31例)、Ⅳ级组(11例),结果显示,右心功能不全病人3个亚组下腔静脉塌陷指数比较:Ⅳ级<Ⅲ级<Ⅱ级(P<0.05),血清IGFBP7及s ST2水平比较:Ⅳ级>Ⅲ级>Ⅱ级(P<0.05)。随访6个月后,55例完整随访数据中10例病人出现心血管不良事件(预后不良组),余45例为预后良好组,结果显示,预后不良组病人下腔静脉塌陷指数较预后良好组低(P<0.05),血清IGFBP7及s ST2水平均较预后良好组高(P<0.05)。下腔静脉塌陷指数、血清IGFBP7、s ST2水平及三者联合预测右心功能不全病人预后不良的效能较高,其中联合检测的预测效能最高,当Youden指数为0.544时,曲线下面积(AUC)为0.816,敏感度为90.00%,特异度为64.44%。结论:右心功能不全病人的血清IGFBP7及s ST2水平异常增高,下腔静脉塌陷指数异常降低,与心功能分级及预后相关,三者均可作为预测右心功能不全预后及评估病情的有效指标,且联合检测预测效能更高。 展开更多
关键词 右心功能不全 下腔静脉塌陷指数 血清胰岛素样生长因子结合蛋白-7 可溶性生长刺激表达基因2蛋白
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早发2型糖尿病肾脏损伤的危险因素分析
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作者 李佳 刘心悦 +2 位作者 时佳 樊晓轩 刘苏 《实用医学杂志》 北大核心 2026年第1期87-93,共7页
目的 通过多维度评估,识别早发2型糖尿病(EOT2DM)相关肾脏损伤的危险因素,为建立早期预警体系、优化临床干预策略提供科学依据。方法 回顾性收集2024年8月至2025年8月于南京中医药大学附属医院内分泌科住院的EOT2DM患者541例,按是否出... 目的 通过多维度评估,识别早发2型糖尿病(EOT2DM)相关肾脏损伤的危险因素,为建立早期预警体系、优化临床干预策略提供科学依据。方法 回顾性收集2024年8月至2025年8月于南京中医药大学附属医院内分泌科住院的EOT2DM患者541例,按是否出现肾脏损伤相关指标异常分为EOT2DM伴有肾损组(n=241)和EOT2DM不伴有肾损组(n=300)。收集患者临床资料,进行单因素分析,针对P<0.05的变量以及结合既往文献研究具有明确临床意义的单因素分析P≥0.05的变量,构建Lasso logistic回归模型,剔除冗余变量后进行多因素logistic回归分析。计算约登指数确定各变量的最佳cutoff值,根据最佳cutoff值将连续型变量分为高风险组(≥cutoff值)与低风险组(<cutoff值),进行协方差矫正后计算校正后的OR值及其95%CI,以精确量化各风险变量高低水平与EOT2DM肾脏损伤风险的独立关联强度。绘制ROC曲线,结合ROC曲线下面积判断各风险因素的区分能力。结果 多因素logistic回归分析后筛选出6个风险因素:血栓调节蛋白(s TM)(OR=1.789,AUC=0.702)、甘油三酯(TG)(OR=2.647,AUC=0.602)、血尿酸(UA)(OR=1.693,AUC=0.637)、低密度脂蛋白(LDL-C)(OR=1.942,AUC=0.562)、腰臀比WHR(OR=2.364,AUC=0.566)、颈动脉斑块(OR=1.872,AUC=0.607);结合cutoff值进一步精确关联强度后得出以下四个风险因素:s TM、TG、WHR、颈动脉斑块。结论 高s TM、TG、WHR、颈动脉斑块是EOT2DM患者发生肾脏损伤的独立危险因素,其中sTM对EOT2DM肾脏损伤状态的判断准确性更优,可能更适合作为临床中评估肾脏损伤的工具。 展开更多
关键词 早发2型糖尿病 肾脏损伤 危险因素
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游泳运动与益生菌调控2型糖尿病模型大鼠肾组织抗炎及凋亡基因的表达
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作者 牛琦 陈俊吉 +3 位作者 涂海宁 莫伟彬 钟雨金 李明亮 《中国组织工程研究》 北大核心 2026年第16期4105-4114,共10页
背景:2型糖尿病常伴随肾脏炎症及细胞凋亡,导致糖尿病肾病,运动训练联合益生菌对糖尿病肾病一定效果,但作用机制尚未阐明。目的:探讨游泳运动和益生菌对2型糖尿病大鼠肾功能、肾组织细胞凋亡及炎症因子的影响。方法:60只8周龄SPF级雄性S... 背景:2型糖尿病常伴随肾脏炎症及细胞凋亡,导致糖尿病肾病,运动训练联合益生菌对糖尿病肾病一定效果,但作用机制尚未阐明。目的:探讨游泳运动和益生菌对2型糖尿病大鼠肾功能、肾组织细胞凋亡及炎症因子的影响。方法:60只8周龄SPF级雄性SD大鼠,随机选择10只大鼠为正常组,50只造模组大鼠腹腔注射链脲佐菌素建立2型糖尿病模型,选取40只造模成功大鼠再随机分为糖尿病组、游泳运动组、益生菌组、游泳运动+益生菌组(联合干预组),每组10只。游泳运动组和联合干预组大鼠每天进行1次无负重游泳运动,每周训练6 d,第1周前3 d游泳时间分别为15,25,40 min,第4天开始每天游泳60 min,共训练6周;益生菌组和联合干预组在训练前1 h灌胃10.0 mL/(kg·d)益生菌溶液(浓度为107 CFU/mL)。干预结束后测定大鼠肾功能指标、凋亡基因表达、炎症因子水平及蛋白表达。结果与结论:①联合干预组大鼠空腹血糖水平低于糖尿病组(P<0.01);游泳运动组、益生菌组、联合干预组大鼠尿微量白蛋白水平均低于糖尿病组(P<0.01);游泳运动组和联合干预组大鼠血清尿素氮水平均低于糖尿病组(P<0.01);联合干预组大鼠血肌酐、血清胱抑素C水平均低于糖尿病组(P<0.01);②游泳运动组、益生菌组、联合干预组大鼠肿瘤坏死因子α、白细胞介素1β、核因子κB抑制蛋白α和超敏C-反应蛋白水平均低于糖尿病组(P<0.05或P<0.01);联合干预组大鼠白细胞介素6水平低于糖尿病组、游泳运动组和益生菌组(P<0.01);③游泳运动组、益生菌组、联合干预组大鼠Bax、Caspase-3和P53表达均低于糖尿病组(P<0.05或P<0.01);游泳运动组、益生菌组和联合干预组大鼠Bcl-2表达均高于糖尿病组(P<0.05或P<0.01);④益生菌组与联合干预组大鼠核转录因子κB蛋白表达均低于糖尿病组(P<0.05);联合干预组大鼠Toll样受体4蛋白表达低于糖尿病组(P<0.05);益生菌组与联合干预组大鼠白细胞介素17蛋白表达均低于糖尿病组(P<0.05或P<0.01)。结果表明,游泳运动和益生菌干预可以降低血糖、改善肾功能指标和抑制肾脏炎症反应,从而达到保护肾脏的作用,其保护作用可能与核转录因子κB、Toll样受体4和白细胞介素17调控细胞炎症以及抑制细胞凋亡因子Bax、Bcl-2、Caspase-3和P53有关。游泳运动联合益生菌干预效果优于游泳运动和益生菌单独作用。 展开更多
关键词 游泳运动 益生菌 2型糖尿病 肾脏组织 炎症因子 凋亡基因
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