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Laccase/caffeic acid-catalyzed crosslinking coupled with galactomannan alters the conformational structure of ovalbumin and alleviates Th2-mediated allergic asthma 被引量:1
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作者 Ishfaq Ahmed Suidong Ouyang +9 位作者 Shengquan Wu Haochang Song Miaoyuan Zhang Renxing Luo Peishan Lu Jiaqi Deng Tingting Zheng Yanyan Wang Xinguang Liu Gonghua Huang 《Food Science and Human Wellness》 SCIE CAS CSCD 2024年第4期1962-1973,共12页
Ovalbumin(OVA)is the major allergenic protein that can induce T helper 2(Th2)-allergic reactions,for which current treatment options are inadequate.In this study,we developed a polymerized hypoallergenic OVA product v... Ovalbumin(OVA)is the major allergenic protein that can induce T helper 2(Th2)-allergic reactions,for which current treatment options are inadequate.In this study,we developed a polymerized hypoallergenic OVA product via laccase/caffeic acid(Lac/CA)-catalyzed crosslinking in conjunction with galactomannan(Man).The formation of high molecular weight crosslinked polymers and the Ig G-binding were analyzed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis(SDS-PAGE)and Western blotting.The study indicated that Lac/CA-catalyzed crosslinking plus Man conjugation substantially altered secondary and tertiary structures of OVA along with the variation in surface hydrophobicity.Gastrointestinal digestion stability assay indicated that crosslinked OVA exhibited less resistance in simulated gastric fluid(SGF)and simulated intestinal fluid(SIF).Mouse model study indicated that Lac-Man/OVA ameliorated eosinophilic airway inflammatory response and efficiently downregulated the expression of Th2-related cytokines(interleukin(IL)-4,IL-5,and IL-13),and upregulated IFN-γand IL-10 expression.Stimulation of bone marrow-derived dendritic cells with Lac-Man/OVA suppressed the expression of phenotypic maturation markers(CD80 and CD86)and MHC class II molecules,and suppressed the expression levels of proinflammatory cytokines.The knowledge obtained in the present study offers an effective way to acquire a hypoallergenic OVA product that can have a therapeutic effect in alleviating OVA-induced allergic asthma. 展开更多
关键词 OVALBUMIN LACCASE galactomannan Conformational structure Asthma
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Convergent synthesis and immunological study of oligosaccharide derivatives related to galactomannan from Antrodia cinnamomea
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作者 Shuying Li Weiwei ZhuGe +5 位作者 Xuan Sun Chongzhen Sun Zhaojun Liu Chenghe Xiong Min Xiao Guofeng Gu 《Chinese Chemical Letters》 SCIE CAS CSCD 2024年第5期155-160,共6页
The galactomannan from Antrodia cinnamomea(AC)is characterized as one of the important bioactive components that exhibits potential immunostimulatory propriety.The biological function of its corresponding oligosacchar... The galactomannan from Antrodia cinnamomea(AC)is characterized as one of the important bioactive components that exhibits potential immunostimulatory propriety.The biological function of its corresponding oligosaccharide fragments has not been revealed yet.In this study,we reported the first chemical synthesis of the series of oligosaccharide fragments related to AC galactomannan via the convergent glycosylation strategy.The preliminary immunological evaluation of these synthesized AC oligosaccharides disclosed that the backbone tetrasaccharide 1d showed the best immunomodulatory ability on enhancing proliferation,phagocytosis and cytokines secretion of Raw264.7 macrophages in vitro,indicating its immense potential as an immunostimulant candidate. 展开更多
关键词 Antrodia cinnamomea galactomannan OLIGOSACCHARIDE Immunostimulatory propriety Chemical synthesis
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Dormancy release and germination of Echinochloa crus-galli grains in relation to galactomannan-hydrolysing enzyme activity 被引量:3
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作者 SONG Bing-yan SHI Jin-xiao SONG Song-quan 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2015年第8期1627-1636,共10页
Echinochloa crus-galli, one of the world's most serious weeds, influences seriously the yield and quality of cereal crop plant.It is well known that E.crus-galli grain is dormant, but its dormant type, as well as its... Echinochloa crus-galli, one of the world's most serious weeds, influences seriously the yield and quality of cereal crop plant.It is well known that E.crus-galli grain is dormant, but its dormant type, as well as its dormancy release and germination in relation to galactomannan-hydrolysing enzyme activity were poorly understood.The cooperation of endo-β-mannanase(EC 3.2.1.78), β-mannosidase(EC 3.2.1.25) and α-galactosidase(EC 3.2.1.22) can hydrolyze the cell walls rich in mannan-based polymers.In the present paper, the mature grains are used as experimental materials, we investigated the water uptake of grains, the effect of removing partial endosperm, after-ripening, stratification and phytohormone on grain germination, and the change in endo-β-mannanase, β-mannosidase and α-galactosidase activities of grains during after-ripening and germination.The results showed that the freshly-collected grains were water-permeable and had only phase I and II of water uptake, while the grains after-ripened for 150 d had an obvious phase III of water uptake.In alternating photoperiod, the germination of grains freshly-collected was zero at 10–35°C, and that of half grains was 11% at 20°C only.The grain germination was notably promoted by after-ripening and stratification, but not by gibberellic acid and 6-benzyladenine at 0.0001–1 mmol L–1.β-Mannosidase activity increased during 0 to 300 d of after-ripening and then decreased.The activity of endo-β-mannanase and α-galactosidase of grains decreased with after-ripening.During grain germination, endo-β-mannanase and β-mannosidase activities obviously increased, while α-galactosidase activity decreased.Our data showed that E.crus-galli grain was a deep physiological dormant, the dormancy release by after-ripening was related to an increasing β-mannosidase activity, and its germination was closely associated with an increasing endo-β-mannanase and β-mannosidase activity; which have provided new knowledge to decrease the harm of E.crus-galli on production of cereal crop plant. 展开更多
关键词 AFTER-RIPENING deep physiological dormancy Echinochloa crus-galli galactomannan-hydrolysing enzyme PHYTOHORMONE STRATIFICATION
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Antidiabetic effects of galactomannans from Adenanthera pavonina L.in streptozotocin-induced diabetic mice
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作者 Icaro Gusmao Pinto Vieira Francisca Noelia Pereira Mendes +5 位作者 Sabrina Cesar da Silva Raquel Teixeira Terceiro Paim Bruno Bezerra da Silva Stephen Rathinaraj Benjamin Eridan Orlando Pereira Tramontina Florean Maria Izabel Florindo Guedes 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2018年第2期116-122,共7页
Objective: To evaluate the antidiabetic effect of galactomannans extracted from Adenanthera pavonina's L.seeds(GAP) in streptozotocin(STZ) induced diabetic mice.Methods:The preliminary galactomannan yield from Ade... Objective: To evaluate the antidiabetic effect of galactomannans extracted from Adenanthera pavonina's L.seeds(GAP) in streptozotocin(STZ) induced diabetic mice.Methods:The preliminary galactomannan yield from Adenanthera pavonina L.plant and extraction products composition were evaluated.Various chemical characterization methods like thin layer chromatography, Fourier transform infrared spectroscopy, ~1H and ^(13)C nuclear magnetic resonance, and molecular weight by gel permeation chromatography have been employed to characterize the extracted galactomannan.The mice were divided in four groups: Normal control, diabetic control, GAP(1% and 2%) treated and standard drug treated groups.Diabetic mice received treatment daily for 30 d.Diabetes was induced by STZ at a single dose of 120 mg/kg.Body weight, water and food intake, fasting blood glucose, total cholesterol and triglycerides were measured.Histopathological analysis of pancreas and liver were performed to evaluate STZ-induced tissue injuries.Results: The isolated and extracted galactomannan from Adenanthera pavonina was confirmed by various chemical characterization methods.GAP exhibited a 1.46:1 mannose: galactose ratio, and high molar weight.Both GAP enriched food decreased glycaemia, total cholesterol and triacylglycerol.GAP didn't interfere on food intakes or body weight, although it increased water intake.Furthermore, the relative liver weight indicated toxic galactomannan effects on the histopathological changes of the pancreas in STZ induced diabetes.Conclusions: It is concluded that GAP is a natural product that contains potent galactomannan and is useful in preventing and treating diabetes. 展开更多
关键词 Adenanthera pavonina galactomannanS DIABETES GLYCAEMIA Total cholesterol TRIACYLGLYCEROL
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Discovery of Unusual Highly Branched Galactomannan from Seeds of <i>Desmanthus illinoensis</i>
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作者 Masakuni Tako Yukihiro Tamaki Takeshi Teruya 《Journal of Biomaterials and Nanobiotechnology》 2018年第2期101-116,共16页
A galactomannan was isolated from seeds of a leguminous plant, Desmanthus illinoensis, which is grown in Okinawa, Japan. D-Galactose (molar ratio, 1.0) and D-mannose (0.82) were identified via High-performance Anion E... A galactomannan was isolated from seeds of a leguminous plant, Desmanthus illinoensis, which is grown in Okinawa, Japan. D-Galactose (molar ratio, 1.0) and D-mannose (0.82) were identified via High-performance Anion Exchange Chromatography Coupled with a Pulse Amperometric Detector. The molecular mass and specific rotation were estimated to be 1000 kDa and +53.8&deg;, respectively. The infrared spectrum indicated that the galactomannan was involved in both α- and β-linkages, and two types of α-linkages were detected at 814 and 830 cm-1. The 1H- and 13C-NMR spectra indicated that the majority of the β-D-mannan main chain was substituted with mono α-D-galactose or α-D-galacto-disaccharide-side chains. Methylation analysis was used to identify 2,3,4,6-tetra-O-methyl-D-galactose (molar ratio, 3.3), 2,3,4-tri-O-methyl- D-galactose (1.0) and 2,3-di-O-methyl-D-mannose (3.1). Specifically, unique 2,3,4-tri-O-methyl D-galactose residue was identified from mass spectrum. The results suggested that the galactomannan was 1,4-linked-β-D-mannan substituted with α-D-galactose or 1,6-linked-α-D-galacto-disaccharide side chains at C-6 on the main chain. The galactomannan isolated from D. illinoensis was an unusual highly branched polysaccharide, and its chemical structure was proposed. This work is the first to report on the galactomannan involving 1,6-linked α-D-galacto-disaccharide side chains in addition to α-D-galactose mono side chains. 展开更多
关键词 UNUSUAL Highly BRANCHED galactomannan Desmanthus illinoensis NMR ANALYSIS Methylation ANALYSIS Chemical Structure
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慢性肺曲霉病抗真菌药停药依据研究
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作者 李天义 肖海浩 +3 位作者 汤春梅 李宇 苏雯婕 陈家华 《广东医学》 2025年第2期284-288,共5页
目的探讨支气管肺泡灌洗液(bronchoalveolar lavage fluid,BALF)曲霉多重荧光定量PCR联合血清曲霉IgG抗体、BALF-半乳甘露聚糖(galactomannan,GM)检测作为慢性肺曲霉病(chronic pulmonary aspergillosis,CPA)抗真菌药停药依据。方法研... 目的探讨支气管肺泡灌洗液(bronchoalveolar lavage fluid,BALF)曲霉多重荧光定量PCR联合血清曲霉IgG抗体、BALF-半乳甘露聚糖(galactomannan,GM)检测作为慢性肺曲霉病(chronic pulmonary aspergillosis,CPA)抗真菌药停药依据。方法研究对象为2020年7月1日至2024年6月30日在广州市胸科医院肺结核科住院并诊断为CPA的120例患者,按照随机数字表法分为试验组和对照组,每组60例。两组患者均给予伏立康唑治疗,并定期行支气管镜下真菌清除术。对照组参考2015年《慢性肺曲霉病的诊断与治疗临床指南》推荐的至少6个月抗真菌治疗时间,停药依据参考临床症状改善+影像学表现+真菌学检查结果+支气管镜检查。在对照组的基础上,试验组的停药依据参考BALF曲霉多重荧光定量PCR+血清曲霉IgG抗体+BALF-GM检测结果。比较两组患者服药时长,并随访观察两组患者停药后3、6、12个月时间,记录两组CPA复发情况。结果试验组患者的服药时长为14(4,24)个月,对照组患者的服药时长为12(6,20)个月,两组数据经秩和检验分析显示差异无统计学意义(Z=-0.025,P>0.05)。停药后3个月(0.00%vs.7.55%)、停药后6个月(9.09%vs.20.75%),两组的复发率比较差异无统计学意义(P>0.05)。停药后12个月,试验组的复发率为16.36%,显著低于对照组的33.96%,差异有统计学意义(P<0.05)。结论采用BALF曲霉多重荧光定量PCR联合血清曲霉IgG抗体、BALF-GM检测作为临床指导CPA患者抗真菌停药的依据能有效降低停药12个月后的复发率。 展开更多
关键词 多重荧光定量PCR 曲霉IgG抗体 半乳甘露聚糖 慢性肺曲霉病 停药
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重症乙型流感病毒性肺炎合并侵袭性肺曲霉菌病的影响因素分析
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作者 赵志刚 刘辉 刘红梅 《天津医药》 2025年第7期736-740,共5页
目的 探讨重症乙型流感病毒性肺炎合并侵袭性肺曲霉菌病的临床特点及危险因素。方法 收集重症乙型流感病毒性肺炎患者46例,根据是否合并侵袭性肺曲霉菌感染分为合并肺曲霉菌病组(合并组)17例和对照组(29例),比较2组患者的临床表现、实... 目的 探讨重症乙型流感病毒性肺炎合并侵袭性肺曲霉菌病的临床特点及危险因素。方法 收集重症乙型流感病毒性肺炎患者46例,根据是否合并侵袭性肺曲霉菌感染分为合并肺曲霉菌病组(合并组)17例和对照组(29例),比较2组患者的临床表现、实验室指标、胸部CT影像学表现、气管镜下表现、肺泡灌洗液(BALF)培养及宏基因组二代测序结果;治疗情况及最终治疗结局。单因素和多因素Logistic回归分析重症乙型流感病毒性肺炎合并侵袭性肺曲霉菌病的危险因素。结果 经治疗后6例(35.30%)患者死亡,均为合并组。2组患者中呼吸困难、咳嗽、咳痰、胸痛症状较重,同时乏力、发热、肌肉酸痛等全身症状也较为明显。2组临床症状、合并细菌感染和使用激素情况差异无统计学意义。与对照组比较,合并组白细胞计数、中性粒细胞计数、血半乳甘露聚糖(GM)试验以及BALF GM试验水平,影像学表现为结节和斑片影的患者占比、气管镜下出现伪膜表现患者占比更高(P<0.05)。单因素Logistic回归分析结果显示,白细胞计数、BALF GM、肺部影像中结节影和斑片影、气管镜下伪膜表现是重症乙型流感病毒性肺炎合并侵袭性肺曲霉菌病的影响因素(P<0.05)。多因素Logistic回归分析结果显示,肺泡灌洗液GM≥1和气管镜下伪膜表现为重症乙型流感病毒性肺炎合并侵袭性肺曲霉菌病的独立危险因素(P<0.05)。结论 重症乙型流感病毒性肺炎患者肺泡灌洗液GM试验水平≥1且气管镜下见伪膜表现时,需高度警惕合并侵袭性肺曲霉菌感染可能。 展开更多
关键词 乙型流感 肺炎 病毒性 侵袭性肺曲霉菌病 支气管镜 半乳甘露聚糖试验
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体外法分析不同肠段微生物对半乳甘露聚糖的利用规律
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作者 蒋雨欣 张亭 +2 位作者 陈亚楠 赖晨欢 勇强 《食品科学》 北大核心 2025年第21期126-136,共11页
为探究不同肠段微生物对半乳甘露聚糖的利用规律,以生长猪回肠和结肠微生物为接种物,以半乳甘露聚糖为唯一碳源,进行厌氧发酵。结果表明:1)回肠和结肠微生物对半乳甘露聚糖的利用效率在发酵6~12 h后较高(P<0.05),此时发酵液pH值显著... 为探究不同肠段微生物对半乳甘露聚糖的利用规律,以生长猪回肠和结肠微生物为接种物,以半乳甘露聚糖为唯一碳源,进行厌氧发酵。结果表明:1)回肠和结肠微生物对半乳甘露聚糖的利用效率在发酵6~12 h后较高(P<0.05),此时发酵液pH值显著下降,短链脂肪酸、氨氮以及菌体蛋白含量显著增加(P<0.05)。相较而言,结肠微生物对半乳甘露聚糖的利用能力更强。2)乳酸和乙酸是两类微生物厌氧发酵的主要有机酸代谢产物,丙酸和丁酸是差异有机酸代谢产物。3)半乳甘露聚糖改变了回肠和结肠发酵液微生物的β多样性,导致乳酸杆菌属(Lactobacillus)相对丰度显著上调(P<0.05),大肠杆菌-志贺菌属(Escherichia-Shigella)相对丰度显著下调(P<0.05)。半乳甘露聚糖还显著上调了回肠发酵液不动杆菌属(Acinetobacter)的相对丰度(P<0.05),显著下调了结肠发酵液巨球型菌属(Megasphaera)、肠球菌属(Enterococcus)、韦荣氏球菌属(Veillonella)、梭状芽孢杆菌属(Solobacterium)和考拉杆菌属(Phascolarctobacterium)的相对丰度(P<0.05)。综上,半乳甘露聚糖具有益生元潜力,能够优化菌群结构、驱动肠道短链脂肪酸的产生,其中结肠微生物对半乳甘露聚糖的利用能力更强。 展开更多
关键词 半乳甘露聚糖 肠道微生物 体外发酵 回肠 结肠
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甘露糖蛋白、半乳甘露聚糖和1-3-β-D葡聚糖联合检测对艾滋病合并马尔尼菲篮状菌病的诊断价值
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作者 李小凤 张海燕 +1 位作者 何静 罗明 《中国热带医学》 北大核心 2025年第5期547-551,593,共6页
目的探讨甘露糖蛋白(mannoprotein,Mp1p)、半乳甘露聚糖(galactomannan,GM)和1-3-β-D葡聚糖(1-3-β-D glucan,BDG)单独和联合检测对艾滋病合并马尔尼菲篮状菌病(Talaromycosis marneffei,TSM)的诊断价值。方法收集291例艾滋病合并马尔... 目的探讨甘露糖蛋白(mannoprotein,Mp1p)、半乳甘露聚糖(galactomannan,GM)和1-3-β-D葡聚糖(1-3-β-D glucan,BDG)单独和联合检测对艾滋病合并马尔尼菲篮状菌病(Talaromycosis marneffei,TSM)的诊断价值。方法收集291例艾滋病合并马尔尼菲篮状菌住院患者和300例健康体检者外周血标本,检测Mp1p、GM和BDG并分析单独和联合检测诊断TSM的价值,采用ROC曲线分析Mp1p、GM、BDG和联合检测的诊断效能。结果在单独检测中,Mp1p、GM和BDG检测灵敏度和特异度之间差异有统计学意义(P<0.05),相较于GM和BDG,Mp1p的诊断效能最好,灵敏度和特异度最优。在两两联合检测中,Mp1p与GM组合灵敏度优于GM与BDG组合,差异有统计学意义(P<0.05);Mp1p与GM组合、Mp1p与BDG组合特异度优于GM与BDG组合,差异有统计学意义(P<0.05),Mp1p与GM组合的诊断效能最好。三者联合检测灵敏度优于两两联合检测,差异有统计学意义(P<0.05),Mp1p与GM组合、Mp1p与BDG组合特异度优于三者联合检测,差异有统计学意义(P<0.05)。Mp1p、GM、BDG检测阳性率分别在CD4^(+)T细胞计数≤100个/μL和>100个/μL患者中差异无统计学意义(P>0.05)。结论Mp1p、GM、BDG检测是艾滋病合并TSM早期辅助性诊断指标,其中Mp1p诊断效能优于GM和BDG,联合检测可提高诊断效能。 展开更多
关键词 甘露糖蛋白 半乳甘露聚糖 1-3-β-D葡聚糖 马尔尼菲篮状菌病 艾滋病
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肾移植术后侵袭性肺曲霉病的诊治进展 被引量:1
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作者 彭悦 周江桥 《中国现代医学杂志》 2025年第7期60-64,共5页
侵袭性曲霉菌感染属于侵袭性真菌感染中的一类,是一种机会性感染疾病。肾移植是终末期肾脏疾病的有效治疗手段,侵袭性曲霉病严重影响肾移植术后患者的生存质量。曲霉菌病可发生于肺部、腹部、皮肤等部位,以肺部感染最多见,往往缺乏特异... 侵袭性曲霉菌感染属于侵袭性真菌感染中的一类,是一种机会性感染疾病。肾移植是终末期肾脏疾病的有效治疗手段,侵袭性曲霉病严重影响肾移植术后患者的生存质量。曲霉菌病可发生于肺部、腹部、皮肤等部位,以肺部感染最多见,往往缺乏特异性的临床表现。随着临床诊断技术的发展,除肺部CT外,还可以通过纤维支气管镜、二代测序、聚合酶链式反应、基质辅助激光解吸/电离飞行时间质谱、半乳甘露聚糖和β-D-葡聚糖试验、T2磁共振成像进行识别诊断。伏立康唑是目前临床治疗侵袭性肺曲霉病的首选药物。近年来,免疫治疗的尝试也有望成为侵袭性肺曲霉病治疗的新方案。该文对肾移植术后侵袭性肺曲霉病的诊断和治疗作一综述,整理了临床对侵袭性肺曲霉病诊治的最新策略和存在的问题,为肾移植术后侵袭性曲霉菌肺炎的诊治提供理论参考。 展开更多
关键词 侵袭性肺曲霉病 肺部感染 肾移植 半乳甘露聚糖
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Prognostic value of serum galactomannan index in critically ill patients with chronic obstructive pulmonary disease at risk of invasive pulmonary aspergillosis 被引量:3
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作者 He Hangyong Li Qian +4 位作者 Chang Shuo Ding Lin Sun Bing Li Fang Zhan Qingyuan 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第1期23-28,共6页
Background Critically ill chronic obstructive pulmonary disease (COPD) patients admitted to an intensive care unit (ICU) due to respiratory failure are at particularly high risk of Aspergillus infection.The serum ... Background Critically ill chronic obstructive pulmonary disease (COPD) patients admitted to an intensive care unit (ICU) due to respiratory failure are at particularly high risk of Aspergillus infection.The serum galactomannan index (GMI) has proven to be one of the prognostic criteria for invasive pulmonary aspergillosis (IPA) in classical immunocompromised patients.However,the prognostic value of serum GMI in critically ill COPD patients needs evaluation.The purpose of this study is to investigate the prognostic value of serum GMI in patients with severe COPD.Methods In this single-center prospective cohort study,serum samples for GMI assay were collected twice a week from the first day of ICU admission to the day of the patients' discharge or death.Patients were divided into two groups according to their clinical outcome on the 28th day of their ICU admission.Univariate analysis and survival analysis were tested in these two groups.Results One hundred and fifty-three critically ill COPD patients were included and were divided into survival group (106 cases) and non-survival group (47 cases) according to their outcome.Univariate analysis showed that the highest GMI level during the first week after admission (GMI-high 1st week) was statistically different between the two groups.Independent prognostic factors for poor outcome in severe COPD patients were:GMI-high 1st week >0.5 (RR:4.04,95% CI:2.17-7.51) combined with accumulative dosage of corticosteroids >216 mg before the RICU admission (RR:2.25,95% CI:1.11-4.56) and clearance of creatinine (Ccr) <64.31 ml/min (RR:2.48,95% CI:1.22-5.07).Conclusions The positive GMI-high 1st week (>0.5) combined with an accumulative dosage of corticosteroids >216 mg before the ICU admission and a low Ccr may predicate a poor outcome of critically ill COPD patients. 展开更多
关键词 ASPERGILLUS invasive pulmonary aspergillosis galactomannan PROGNOSIS pulmonary disease chronic obstructive
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艾滋病并发马尔尼菲篮状菌病23例的临床特征
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作者 裴学玉 方明霞 +2 位作者 池云 蒋学友 魏洪霞 《安徽医药》 2025年第10期2036-2040,共5页
目的分析艾滋病合并马尔尼菲篮状菌病的临床特征,提高对该疾病的认识。方法回顾分析2017年9月至2023年8月南京市第二医院收治的23例确诊为马尔尼菲篮状菌病的艾滋病病人的临床、实验室及影像学资料,总结其临床特征。结果病人主要以发热... 目的分析艾滋病合并马尔尼菲篮状菌病的临床特征,提高对该疾病的认识。方法回顾分析2017年9月至2023年8月南京市第二医院收治的23例确诊为马尔尼菲篮状菌病的艾滋病病人的临床、实验室及影像学资料,总结其临床特征。结果病人主要以发热、皮疹、咳嗽咳痰、乏力、淋巴结肿大为临床特征,可出现白细胞、血红蛋白、血小板下降,肝功能受损,降钙素原、C反应蛋白、乳酸脱氢酶、G试验(1,3-β-D葡聚糖试验)、GM试验(血清半乳甘露聚糖试验)增高,马尔尼菲篮状菌肺炎影像学上多表现为多发小结节影、斑片影、团块影、空洞样表现,且艾滋病病人CD4^(+)T淋巴计数较低常常合并机会性感染,本研究发现CD4^(+)T淋巴细胞计数水平与马尔尼菲篮状菌病类型有关(P=0.0395),在CD4^(+)T淋巴细胞≤50个/微升的18例中,100%(18/18)表现为播散性马尔尼菲篮状菌病;而CD4^(+)T淋巴细胞>50个/微升的5例中,60%(3/5)为播散性马尔尼菲篮状菌病,40%(2/5)为局限性马尔尼菲篮状菌病。结论艾滋病合并马尔尼菲篮状菌感染病人临床表现复杂多样,缺乏特异性,对于合并贫血及血小板下降且CD4^(+)T淋巴细胞低于50个/微升的艾滋病者要重点考虑马尔尼菲篮状菌感染的可能,尽早获得病原菌学结果,启动抗真菌治疗,降低艾滋病合并马尔尼菲篮状菌病死率。 展开更多
关键词 艾滋病 马尔尼菲篮状菌 CD4^(+)T淋巴计数 血小板减少 半乳甘露聚糖抗原试验 疾病特征
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支气管肺泡灌洗液G、GM试验检测对急性下呼吸道真菌感染的诊疗价值
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作者 牙蕾蕾 刘大鹰 +3 位作者 罗丽琼 林美莲 廖美荣 彭玲 《智慧健康》 2025年第27期39-43,共5页
目的分析肺泡灌洗液(1,3)-β-D葡萄糖检测(G试验)、曲霉半乳甘露聚糖抗原检测(GM试验)对急性下呼吸道真菌感染的诊断价值。方法收集2020年2月—2022年8月柳铁中心医院收治的72例急性下呼吸道真菌感染患者作为急性下呼吸道真菌感染组,另... 目的分析肺泡灌洗液(1,3)-β-D葡萄糖检测(G试验)、曲霉半乳甘露聚糖抗原检测(GM试验)对急性下呼吸道真菌感染的诊断价值。方法收集2020年2月—2022年8月柳铁中心医院收治的72例急性下呼吸道真菌感染患者作为急性下呼吸道真菌感染组,另收集同期来院治疗的54例急性下呼吸道细菌感染患者作为对照组。患者入院后完成G试验、GM试验,分析急性下呼吸道真菌感染组和对照组的G试验、GM试验检测结果,绘制支气管肺泡灌洗液G、GM试验诊断急性下呼吸道真菌感染的ROC曲线。结果急性下呼吸道真菌感染组患者的I值、(1,3)-β-D葡萄糖[β-(1,3)-D-Glucan,BG]浓度高于对照组(P<0.05)。支气管肺泡灌洗液G、GM试验诊断急性下呼吸道真菌感染的AUC(ROC曲线下面积)、灵敏度和特异度分别是0.976、90.30%、94.40%;0.952、87.50%、98.10%。支气管肺泡灌洗液G、GM试验联合诊断急性下呼吸道真菌感染的AUC、灵敏度和特异度分别是0.994、95.80%、98.10%,支气管肺泡灌洗液G、GM试验联合诊断急性下呼吸道真菌感染的AUC高于支气管肺泡灌洗液G、GM试验单独检测(P<0.05)。结论支气管肺泡灌洗液G、GM试验均可以用于急性下呼吸道真菌感染的诊断,且支气管肺泡灌洗液G、GM试验联合检测可提升急性下呼吸道真菌感染的诊断效能。 展开更多
关键词 支气管肺泡灌洗液 (1 3)-β-D葡萄糖检测 曲霉半乳甘露聚糖抗原检测 急性下呼吸道真菌感染
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瓜尔胶来源的半乳甘露聚糖在化妆品领域的应用研究
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作者 吴晗 王颖 +7 位作者 苏宁 张颖 王懿敏 王莉娜 张思淼 闫妍 刘燕静 龚征晨 《日用化学品科学》 2025年第3期46-54,共9页
研究了瓜尔豆来源的半乳甘露聚糖在化妆品中使用的安全性及保湿功效。通过细胞毒性、急性皮肤刺激、急性眼刺激、光毒性,验证了半乳甘露聚糖的安全性;利用物理法、生物化学法、细胞生物法3种不同的实验方法,验证了其在皮肤保湿剂方面的... 研究了瓜尔豆来源的半乳甘露聚糖在化妆品中使用的安全性及保湿功效。通过细胞毒性、急性皮肤刺激、急性眼刺激、光毒性,验证了半乳甘露聚糖的安全性;利用物理法、生物化学法、细胞生物法3种不同的实验方法,验证了其在皮肤保湿剂方面的功效。研究表明,半乳甘露聚糖能够有效促进HACaT细胞天然保湿因子AQP3表达,改善皮肤保湿能力;在1.250%,2.500%,5.000%能够抵御干燥对HACaT细胞的损伤,提升细胞存活能力与半乳甘露聚糖浓度成正比;在抑制透明质酸酶方面,同在低浓度下半乳甘露聚糖与甘油效果接近,均能明显提高透明质酸酶抑制率,且优于β-葡聚糖保湿剂。 展开更多
关键词 瓜尔胶 半乳甘露聚糖 安全性 保湿
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侵袭性肺曲霉病1例并文献复习
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作者 余京 朱虹 胡红玲 《江汉大学学报(自然科学版)》 2025年第1期35-43,共9页
目的探讨侵袭性肺曲霉病的早期诊断与治疗。方法对1例侵袭性肺曲霉病的临床资料进行回顾性研究,并复习文献。结果本例患者经过严格的抗真菌治疗之后,病情有所好转,无其他并发症及死亡发生。结论在临床上,要详细询问病史,通过影像学检查... 目的探讨侵袭性肺曲霉病的早期诊断与治疗。方法对1例侵袭性肺曲霉病的临床资料进行回顾性研究,并复习文献。结果本例患者经过严格的抗真菌治疗之后,病情有所好转,无其他并发症及死亡发生。结论在临床上,要详细询问病史,通过影像学检查,尽快完善血清、肺泡灌洗液GM试验和血清G试验等,做到早诊断、早治疗,改善IPA患者的预后,降低病死率。 展开更多
关键词 侵袭性肺曲霉病 粒缺 (1 3)-β-D-葡聚糖试验 GM试验
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宏基因组二代测序和半乳甘露聚糖检测对侵袭性肺曲霉菌病的诊断价值 被引量:2
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作者 杨佳 张茜茜 +4 位作者 林晨晨 武旋 于奕 张鑫妍 安云霞 《中华实用诊断与治疗杂志》 2025年第3期277-282,共6页
目的 探讨支气管肺泡灌洗液(BALF)宏基因组二代测序(mNGS)、BALF半乳甘露聚糖(GM)试验、血清GM试验诊断侵袭性肺曲霉菌病(IPA)的价值。方法 2021年6月—2024年2月河南省人民医院诊治235例肺部感染患者,均行传统微生物学检测(CMT)(包括... 目的 探讨支气管肺泡灌洗液(BALF)宏基因组二代测序(mNGS)、BALF半乳甘露聚糖(GM)试验、血清GM试验诊断侵袭性肺曲霉菌病(IPA)的价值。方法 2021年6月—2024年2月河南省人民医院诊治235例肺部感染患者,均行传统微生物学检测(CMT)(包括痰涂片、痰培养、气管镜刷检和BALF培养)、血清GM试验、BALF GM试验和BALF mNGS检测。临床诊断IPA患者118例为IPA组,非IPA的肺部感染患者117例为非IPA组,比较2组血清GM、BALF GM值;以临床诊断结果为金标准,计算血清GM、BALF GM、BALF mNGS诊断IPA的灵敏度、特异度、阳性预测值、阴性预测值;根据血清GM和BALF GM诊断IPA的约登指数确定其最佳截断值,绘制ROC曲线,评估血清GM、BALF GM以及BALF mNGS诊断IPA的效能。结果 (1)IPA组118例中血清GM阳性22例,GM值为0.252(0.129,0.756);BALF GM阳性58例,GM值为0.894(0.382,2.994)。非IPA组117例中血清GM阳性3例,GM值为0.182(0.134,0.236);BALF GM阳性7例,GM值为0.270(0.176,0.412)。IPA组血清GM、BALF GM值均高于非IPA组(U=-7.83,P<0.001;U=-2.90,P=0.004)。(2)IPA组118例中BALF mNGS检出曲霉菌109例,其中烟曲霉菌60例、黄曲霉菌35例、黑曲霉菌11例、土曲霉菌3例、构巢曲霉菌1例、百岁兰曲霉菌2例,19例患者为多种曲霉菌混合感染。(3)以临床诊断结果为金标准,血清GM、BALF GM诊断IPA的灵敏度分别为18.6%、49.2%,特异度分别为97.4%、94.0%,阳性预测值分别为88.0%、89.2%,阴性预测值分别为54.3%、64.7%,约登指数分别为0.16、0.43。BALF mNGS诊断IPA的灵敏度、特异度、阳性预测值和阴性预测值分别为92.4%、94.0%、93.9%和92.4%。(4)ROC曲线分析结果显示,血清GM、BALF GM分别以0.295、0.546为最佳截断值,BALF mNGS以阳性为节点,诊断IPA的AUC分别为0.61(95%CI:0.53~0.69,P=0.002)、0.80(95%CI:0.74~0.85,P<0.001)、0.94(95%CI:0.91~0.97,P<0.001)。结论 与非IPA的肺部感染患者比较,IPA患者血清GM、BALF GM值增高;BALF GM诊断IPA的效能优于血清GM;BALF mNGS可明显提高IPA的诊断灵敏度,减少漏诊,在IPA的早期诊断和针对性治疗中具有更高的应用价值。 展开更多
关键词 侵袭性肺曲霉菌病 支气管肺泡灌洗液 宏基因组二代测序 半乳甘露聚糖检测
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支气管肺泡灌洗液中GM试验对非免疫功能低下病人IPA的诊断价值分析 被引量:1
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作者 徐佳 王延君 +2 位作者 杨鑫 赵思琪 丁芹 《安徽医药》 2025年第3期604-608,共5页
目的探讨在非免疫功能低下病人中,支气管肺泡灌洗液(BALF)及血清中半乳甘露聚糖检测(GM试验)对侵袭性肺曲霉病(IPA)的诊断价值,并确定BALF-GM试验对IPA的最优截断值。方法选择2018年9月至2022年10月徐州医科大学附属医院173例疑为肺部... 目的探讨在非免疫功能低下病人中,支气管肺泡灌洗液(BALF)及血清中半乳甘露聚糖检测(GM试验)对侵袭性肺曲霉病(IPA)的诊断价值,并确定BALF-GM试验对IPA的最优截断值。方法选择2018年9月至2022年10月徐州医科大学附属医院173例疑为肺部真菌感染的非免疫功能低下病人,分级诊断结果为确诊、临床诊断的人群纳入IPA组,结果为排除的纳入非IPA组(对照组),所有病人均进行血清及BALF-GM试验,对试验结果进行统计分析,比较其对非免疫功能低下病人IPA的诊断价值。结果在非免疫功能低下病人中,BALF-GM试验对IPA的诊断最佳截断值为0.55,灵敏度及特异度分别为91.9%、59.5%,曲线下面积(AUC)及其95%CI为0.81(0.66,0.86),血清GM试验对IPA的诊断最佳截断值为0.25,灵敏度及特异度分别为43.2%、90.4%,AUC及其95%CI为0.66(0.56,0.77)。结论在非免疫功能低下病人中,BALF-GM试验对IPA具有良好的辅助诊断作用,血清GM试验对非免疫功能低下病人IPA诊断敏感性较低,诊断作用有限。 展开更多
关键词 侵袭性肺曲霉病 支气管肺泡灌洗液 免疫功能 半乳甘露聚糖试验 诊断价值
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微生物检验对肺部曲霉菌感染的临床诊断价值分析 被引量:1
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作者 李星 邢洪 《中外医药研究》 2025年第8期157-159,共3页
目的:分析微生物检验对肺部曲霉菌感染的诊断价值。方法:选取2022年4月—2023年11月恩施土家族苗族自治州妇幼保健院收治的疑似肺部曲霉菌感染患者96例作为研究对象,行半乳甘露聚糖检验、血浆1,3-β-D-葡聚糖试验及痰培养,以病理组织学... 目的:分析微生物检验对肺部曲霉菌感染的诊断价值。方法:选取2022年4月—2023年11月恩施土家族苗族自治州妇幼保健院收治的疑似肺部曲霉菌感染患者96例作为研究对象,行半乳甘露聚糖检验、血浆1,3-β-D-葡聚糖试验及痰培养,以病理组织学诊断结果作为“金标准”,对不同检验结果进行对比分析。结果:病理组织学检验结果显示,96例疑似肺部曲霉菌感染患者中阳性71例,阴性25例。痰培养及血浆1,3-β-D-葡聚糖试验符合率、灵敏度、特异度、阳性预测值均低于半乳甘露聚糖检验(P<0.05)。痰培养及血浆1,3-β-D-葡聚糖试验阳性检出率低于半乳甘露聚糖检验(P<0.05)。结论:半乳甘露聚糖检验诊断肺部曲霉菌感染的价值较血浆1,3-β-D-葡聚糖试验及痰培养更高。 展开更多
关键词 肺部感染 曲霉菌 微生物检验 半乳甘露聚糖检验 血浆1 3-β-D-葡聚糖试验 痰培养
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变应性支气管肺曲霉病复发患者血清半乳甘露聚糖水平与烟曲霉特异性抗体相关
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作者 王文陶 谭薇 《基础医学与临床》 2025年第4期511-516,共6页
目的探究变应性支气管肺曲霉病(ABPA)复发患者血清半乳甘露聚糖(GM)水平与烟曲霉特异性抗体水平的关系。方法回顾性分析2020年6月—2023年6月确诊并经激素治疗ABPA的124例患者作为研究对象,以治疗后复发情况分组为非复发组(n=72)和复发... 目的探究变应性支气管肺曲霉病(ABPA)复发患者血清半乳甘露聚糖(GM)水平与烟曲霉特异性抗体水平的关系。方法回顾性分析2020年6月—2023年6月确诊并经激素治疗ABPA的124例患者作为研究对象,以治疗后复发情况分组为非复发组(n=72)和复发组(n=52)。分别记录两组患者的临床资料、血常规指标、GM以及烟曲霉特异性抗体水平。结果复发组患者年龄、白细胞(WBC)、中性粒细胞(NEU)、淋巴细胞(LYM)、嗜酸性粒细胞数(EOS)、GM、血清总免疫球蛋白E(tIgE)、烟曲霉特异性免疫球蛋白E(sIgE)和烟曲霉特异性免疫球蛋白G(sIgG)水平均高于非复发组患者(P<0.05)。GM与sIgE、sIgG之间存在一定的非线性关系(P<0.05)。GM、sIgE、sIgG均与ABPA复发风险存在独立相关性(P<0.05),与ABPA复发风险呈非线性剂量-反应关系(P for non linear<0.005)。不同GM水平下、sIgE、sIgG越高,ABPA复发率越高。GM与sIgE、sIgG存在交互作用。结论GM,sIgE、sIgG升高,ABPA复发率升高。ABPA复发患者血清GM水平与烟曲霉特异性抗体相关。 展开更多
关键词 变应性支气管肺曲霉病 复发 半乳甘露聚糖 烟曲霉特异性免疫球蛋白G 烟曲霉特异性免疫球蛋白E
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The Diagnostic performance of galactomannan detection for invasive pulmonary aspergillosis in non-nentropenic hosts
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作者 林鹏程 《China Medical Abstracts(Internal Medicine)》 2017年第1期38-39,共2页
Objective To evaluate the diagnostic performance of galactomannan(GM)detection in serum and BALF for invasive pulmonary aspergillosis(IPA)in non-neutropenic hosts.Methods A prospective study was performed for 1 356 no... Objective To evaluate the diagnostic performance of galactomannan(GM)detection in serum and BALF for invasive pulmonary aspergillosis(IPA)in non-neutropenic hosts.Methods A prospective study was performed for 1 356 non-neutropenic hosts admitted to the Department of Pulmonary and Critical Care Medicine of 展开更多
关键词 BALF GM The Diagnostic performance of galactomannan detection for invasive pulmonary aspergillosis in non-nentropenic hosts
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