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基于高阶差分的type-1广义Feistel-SP结构与Feistel-SPSP结构比较研究
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作者 董乐 杜蛟 吴文玲 《通信学报》 EI CSCD 北大核心 2014年第7期1-9,共9页
通过对代数次数增加情况的分析,研究了type-1广义Feistel结构下,单SP(substitution-permutation)模型与双SP模型抵抗高阶差分分析的能力。结合高阶积分与高阶差分思想,开发了四路type-1广义Feistel-SP与Feistel-SPSP结构代数次数上界估... 通过对代数次数增加情况的分析,研究了type-1广义Feistel结构下,单SP(substitution-permutation)模型与双SP模型抵抗高阶差分分析的能力。结合高阶积分与高阶差分思想,开发了四路type-1广义Feistel-SP与Feistel-SPSP结构代数次数上界估计的新方法。利用这一方法,分别构造了这2种结构在2种常用参数下的区分器。结果显示,四路type-1广义Feistel结构下,双SP模型抵抗高阶差分攻击的能力不如单SP模型。 展开更多
关键词 type-1广义Feistel结构 单SP函数 双SP函数 高阶差分 伪随机性
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Natural course of chronic hepatitis B is characterized by changing patterns of programmed death type-1 of CD8-positive T cells 被引量:16
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作者 Liang, Xue-Song Zhou, Ying +1 位作者 Li, Chen-Zhong Wan, Mo-Bin 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第5期618-624,共7页
AIM:To investigate if and how programmed death type-1(PD-1)expression affects the natural course of hepatitis B virus(HBV)infection. METHODS:Sixty-four patients in different natural stages of chronic HBV infection wer... AIM:To investigate if and how programmed death type-1(PD-1)expression affects the natural course of hepatitis B virus(HBV)infection. METHODS:Sixty-four patients in different natural stages of chronic HBV infection were enrolled in this study.PD-1 expression in total T cells was detected by flow cytometry.Levels of total CD8+T cell responses and proliferation in relation to PD-1 expression levels were analyzed with intracellular staining and PD-1/ PD-L1 blockage. RESULTS:The PD-1 expression in T cells was dynamically changed during the natural course of chronic HBV infection,did not significantly increase in the immune tolerance phase,and returned to normal in the inactive virus carrier stage.Blockage of the PD-1/PD-L1 pathway could not affect the T-cell response in the immune tolerance and inactive virus carrier stages of chronic HBV infection.However,it could significantly restore the T-cell response in the immune clearance stage of chronic HBV infection.Furthermore,the PD-1 expression level in T cells was associated with the alanine aminotransferase level during the immune clearance stage of chronic HBV infection. CONCLUSION:The PD-l/PD-L1 pathway plays a different role in T-cell response during the natural course of chronic HBV infection. 展开更多
关键词 Programmed death type-1 Hepatitis B virus Chronic hepatitis B Natural stage CD8+T cell Serum viral load Programmed death ligand T cell response
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Electroacupuncture alleviates postoperative pain through inhibiting neuroinflammation via stimulator of interferon genes/type-1 interferon pathway 被引量:5
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作者 Yuan-yuan Ding Feng Xu +7 位作者 Ya-feng Wang Lin-lin Han Shi-qian Huang Shuai Zhao Lu-lin Ma Tian-hao Zhang Wen-jing Zhao Xiang-dong Chen 《Journal of Integrative Medicine》 SCIE CAS CSCD 2023年第5期496-508,共13页
Objective This work explores the impact of electroacupuncture(EA)on acute postoperative pain(APP)and the role of stimulator of interferon genes/type-1 interferon(STING/IFN-1)signaling pathway modulation in the analges... Objective This work explores the impact of electroacupuncture(EA)on acute postoperative pain(APP)and the role of stimulator of interferon genes/type-1 interferon(STING/IFN-1)signaling pathway modulation in the analgesic effect of EA in APP rats.Methods The APP rat model was initiated through abdominal surgery and the animals received two 30 min sessions of EA at bilateral ST36(Zusanli)and SP6(Sanyinjiao)acupoints.Mechanical,thermal and cold sensitivity tests were performed to measure the pain threshold,and electroencephalograms were recorded in the primary somatosensory cortex to identify the effects of EA treatment on APP.Western blotting and immunofluorescence were used to examine the expression and distribution of proteins in the STING/IFN-1 pathway as well as neuroinflammation.A STING inhibitor(C-176)was administered intrathecally to verify its role in EA.Results APP rats displayed mechanical and thermal hypersensitivities compared to the control group(P<0.05).APP significantly reduced the amplitude ofθ,αandγoscillations compared to their baseline values(P<0.05).Interestingly,expression levels of proteins in the STING/IFN-1 pathway were downregulated after inducing APP(P<0.05).Further,APP increased pro-inflammatory factors,including interleukin-6,tumor necrosis factor-αand inducible nitric oxide synthase,and downregulated anti-inflammatory factors,including interleukin-10 and arginase-1(P<0.05).EA effectively attenuated APP-induced painful hypersensitivities(P<0.05)and restored theθ,αandγpower in APP rats(P<0.05).Meanwhile,EA distinctly activated the STING/IFN-1 pathway and mitigated the neuroinflammatory response(P<0.05).Furthermore,STING/IFN-1 was predominantly expressed in isolectin-B4-or calcitonin-gene-related-peptide-labeled dorsal root ganglion neurons and superficial laminae of the spinal dorsal horn.Inhibition of the STING/IFN-1 pathway by intrathecal injection of C-176 weakened the analgesic and anti-inflammatory effects of EA on APP(P<0.05).Conclusion EA can generate robust analgesic and anti-inflammatory effects on APP,and these effects may be linked to activating the STING/IFN-1 pathway,suggesting that STING/IFN-1 may be a target for relieving APP. 展开更多
关键词 ELECTROACUPUNCTURE Inflammation Pain Primary sensory neurons Stimulator of interferongenes type-1 interferon
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THE INCREASE IN PLASMINOGEN ACTIVATOR INHIBITOR TYPE-1 EXPRESSION BY STIMULATION OF ACTIVATORS FOR PEROXISOME PROLIFERATOR-ACTIVATED RECEPTORS IN HUMAN ENDOTHELIAL CELLS 被引量:5
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作者 叶平 胡晓晖 赵亚力 《Chinese Medical Sciences Journal》 CAS CSCD 2002年第2期112-116,共5页
Objective.To investigate the effect of peroxis ome proliferator-activated recept ors(PPARs )activators on plasminogen activator inhibitor ty pe-1(PAI-1)expression in human umbilical vein e ndothelial cells and the pos... Objective.To investigate the effect of peroxis ome proliferator-activated recept ors(PPARs )activators on plasminogen activator inhibitor ty pe-1(PAI-1)expression in human umbilical vein e ndothelial cells and the possi-ble mechanism.Methods.Human umbilical vein endothelial ce lls(HUVECs )were obtained from normal fetus,and cul-tured conventionally.Then the HUVECs were exposed to test agents(linolenic acid,linoleic acid,oleic acid,stearic acid and prostaglandin J 2 respectively)in varying concentrations with fresh media.RT -PCR and ELISA were applied to determine the expression of PPARs and PAI-1in HUVECs.Results.PPARα,PPARδand PPARγmRNA were detected by using RT-PCR in HUVECs.Treatment of HUVECs with PPARαand PPARγactivators---linolenic acid,linoleic acid,oleic acid and prostaglandin J 2 respectively,but not with stearic a cid could augment PAI-I mRNA expression and protein secretion in a concentration-dependent manner.However,the mRNA expressions of 3subclasses of PPAR with their activators in HUVECs were not changed compared w ith controls.Conclusion.HUVECs express PPARs.PPARs activators may increase PAI-1expression in ECs,but the underlying mechanism remains uncle ar.Although PPARs expression was not enhanced after stimulated by their activators in ECs,the role of functionally active PPARs in regulating PA I-1expression in ECs needs to be further investigated by using transient gen e transfection assay. 展开更多
关键词 peroxisome proliferator-activate d receptors plasminogen activator inhibitor type-1 EXPRESSION endothelial cells
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Induction of Anxiety-Like Phenotypes by Knockdown of Cannabinoid Type-1 Receptors in the Amygdala of Marmosets 被引量:2
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作者 Lin Zhu Di Zheng +12 位作者 Rui Li Chen-Jie Shen Ruolan Cai Chenfei Lyu Binliang Tang Hao Sun Xiaohui Wang Yu Ding Bin Xu Guoqiang Jia Xinjian Li Lixia Gao Xiao-Ming Li 《Neuroscience Bulletin》 SCIE CSCD 2023年第11期1669-1682,共14页
The amygdala is an important hub for regulating emotions and is involved in the pathophysiology of many mental diseases,such as depression and anxiety.Meanwhile,the endocannabinoid system plays a crucial role in regul... The amygdala is an important hub for regulating emotions and is involved in the pathophysiology of many mental diseases,such as depression and anxiety.Meanwhile,the endocannabinoid system plays a crucial role in regulating emotions and mainly functions through the cannabinoid type-1 receptor(CB1R),which is strongly expressed in the amygdala of non-human primates(NHPs).However,it remains largely unknown how the CB1Rs in the amygdala of NHPs regulate mental diseases.Here,we investigated the role of CB1R by knocking down the cannabinoid receptor 1(CNR1)gene encoding CB1R in the amygdala of adult marmosets through regional delivery of AAV-SaCas9-gRNA.We found that CB1R knockdown in the amygdala induced anxiety-like behaviors,including disrupted night sleep,agitated psychomotor activity in new environments,and reduced social desire.Moreover,marmosets with CB1R-knockdown had up-regulated plasma cortisol levels.These results indicate that the knockdown of CB1Rs in the amygdala induces anxiety-like behaviors in marmosets,and this may be the mechanism underlying the regulation of anxiety by CB1Rs in the amygdala of NHPs. 展开更多
关键词 Cannabinoid type-1 receptor AMYGDALA MARMOSET ANXIETY CRISPR/Cas9
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The Risk of Islet Cell and Insulin Autoantibodies and Their Predictive Strength as Markers of Type-1 Diabetes in a Cross-Section of Nigerian Population 被引量:1
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作者 Babatunde Ishola Adejumo Uchechukwu Dimkpa +5 位作者 Chinwe Obianuju Ewenighi Alaba Micheal Emmanuel Uche Cletus Odionyenma Gregory Ashimedua Uchuno Kingsley Ifeanyi Omosor Festus Idiayuwaru Aghedo 《Health》 CAS 2016年第12期1223-1233,共11页
Aim: We demonstrated the risk of developing islet autoantibodies-Insulin Autoanti-bodies (IAAs) and Islets cell Autoantibodies (ICAs)-in type-1 diabetic relatives and newly diagnosed type-1 patients compared to non-di... Aim: We demonstrated the risk of developing islet autoantibodies-Insulin Autoanti-bodies (IAAs) and Islets cell Autoantibodies (ICAs)-in type-1 diabetic relatives and newly diagnosed type-1 patients compared to non-diabetic controls. We also aimed to determine the predictive strengths of both autoantibodies in the development of type-1 diabetes mellitus, and which of the two autoantibodies is a better predictive marker of type-1 diabetes mellitus among Nigerian adults. Methodology: A total number of four hundred and fifty five (455) subjects (211 (46%) males, and 244 (54%) females) aged between 35 - 76 years were recruited for the study. IAA and ICA levels were estimated using ELISA reagents from Biomerica Inc. Other parameters such as fasting blood sugar, urine glucose, and urine protein were assessed using standard biochemical techniques. Results: Relatives of type-1 diabetic patients and newly diagnosed type-1 diabetic patients were at greater risk (p < 0.05) of testing positive for more than one autoantibody (ICA and IAA) compared to non-diabetic controls. In addition, IAAs appeared to be better predictors or markers of type-1 diabetes mellitus compared to ICAs. Conclusion: The present study indicated a greater risk of autoim-mune destruction of the insulin producing beta cells of the pancrease of the type-1 relatives and newly diagnosed type-1 patients and suggests the need for periodic re-cruitment of individuals in the general population, siblings and relatives of type-1 diabetic patients for planned intervention trials. In addition, IAAs appeared to be better autoimmune markers of type-1 diabetes compared to ICAs. 展开更多
关键词 type-1 Diabetes IAA ICA Autoimmune Marker Edo State
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Energy Price Forecasting Through Novel Fuzzy Type-1 Membership Functions
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作者 Muhammad Hamza Azam Mohd Hilmi Hasan +2 位作者 Azlinda A Malik Saima Hassan Said Jadid Abdulkadir 《Computers, Materials & Continua》 SCIE EI 2022年第10期1799-1815,共17页
Electricity price forecasting is a subset of energy and power forecasting that focuses on projecting commercial electricity market present and future prices.Electricity price forecasting have been a critical input to ... Electricity price forecasting is a subset of energy and power forecasting that focuses on projecting commercial electricity market present and future prices.Electricity price forecasting have been a critical input to energy corporations’strategic decision-making systems over the last 15 years.Many strategies have been utilized for price forecasting in the past,however Artificial Intelligence Techniques(Fuzzy Logic and ANN)have proven to be more efficient than traditional techniques(Regression and Time Series).Fuzzy logic is an approach that uses membership functions(MF)and fuzzy inference model to forecast future electricity prices.Fuzzy c-means(FCM)is one of the popular clustering approach for generating fuzzy membership functions.However,the fuzzy c-means algorithm is limited to producing only one type of MFs,Gaussian MF.The generation of various fuzzy membership functions is critical since it allows for more efficient and optimal problem solutions.As a result,for the best and most improved results for electricity price forecasting,an approach to generate multiple type-1 fuzzy MFs using FCM algorithm is required.Therefore,the objective of this paper is to propose an approach for generating type-1 fuzzy triangular and trapezoidal MFs using FCM algorithm to overcome the limitations of the FCM algorithm.The approach is used to compute and improve forecasting accuracy for electricity prices,where Australian Energy Market Operator(AEMO)data is used.The results show that the proposed approach of using FCM to generate type-1 fuzzy MFs is effective and can be adopted. 展开更多
关键词 Fuzzy logic fuzzy C-means type-1 fuzzy membership function electricity price forecasting
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面向MPEG Type-1视频编码器的UMHexagonS算法
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作者 李芍 陈建文 何芸 《哈尔滨工程大学学报》 EI CAS CSCD 北大核心 2011年第9期1150-1156,共7页
针对Type-1视频编码平台中的帧间预测仅有全搜索算法,从而计算复杂度很高的问题,提出了改进的UMHexa-gonS快速搜索算法.该算法采用了UMHexagonS算法的框架,针对该算法在参考帧数目和编码模式受限的条件下,建立了一种起始位置运动矢量预... 针对Type-1视频编码平台中的帧间预测仅有全搜索算法,从而计算复杂度很高的问题,提出了改进的UMHexa-gonS快速搜索算法.该算法采用了UMHexagonS算法的框架,针对该算法在参考帧数目和编码模式受限的条件下,建立了一种起始位置运动矢量预测模型;同时,为了解决UMHexagonS算法中第2类提前截止阈值计算不准确而导致编码性能下降的问题,提出了利用空间相关性的阈值修正方式.在Type-1平台中的实验结果表明,该算法的搜索精度较高,并且能够较好地适应不同序列的纹理特性.相比于全搜索算法,平均节省97%以上的时间,同时编码效率下降控制在平均0.032 dB以内.得出结论:改进的算法能够提升编码效率,同时节省平均运动搜索时间. 展开更多
关键词 网络视频编码 UMHEXAGONS 帧间预测 快速运动搜索 视频编码
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Hypoglycemic and High Dosage Effects of <i>Bidens pilosa</i>in Type-1 Diabetes Mellitus
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作者 Mulkah O. Ajagun-Ogunleye Michael Tirwomwe +5 位作者 Ruth Nyaboke Mitaki John Nnamdi Ejekwumadu Keneth Iceland Kasozi Julia Pantoglou Elvis Ngala Mbiydzenyuy Nancy Bonareri Mitaki 《Journal of Diabetes Mellitus》 2015年第3期146-154,共9页
Ethno-pharmaceutical products have received a lot of international attention in the scientific community in the management of diabetes mellitus (DM). In this study we determined the anti-diabetic and high dosage effec... Ethno-pharmaceutical products have received a lot of international attention in the scientific community in the management of diabetes mellitus (DM). In this study we determined the anti-diabetic and high dosage effects of Bidens pliosa in type 1 DM (T1DM). Methodology: Thirty rats were divided into six groups and subgrouped into the extract and non extract treatment groups. The extract treated group was subdivided into three groups which received 200 mg/kg, 400 mg/ kg and 800 mg/kg dosage treatments respectively. The blood glucose levels were monitored using a standard glucometer for one month, and biochemical analysis of the two liver function enzymes;Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) were carried out at the Institute of Biomedical Research (IBR-KIU-WC) at the end of week IV. The study revealed that Bidens pilosa maintained hypoglycemia for a period of two weeks and this status was lost in subsequent weeks. T1DM rats treated with a dosage of 200 mg/kg showed a better recovery (355.25 - 164.5 mg/dl) of the glucose levels, followed by those that were being treated at 400 mg/kg. The AST and ALT enzymes in blood varied with a mean ± SEM (33.72 ± 32.32 to -7.23 ± 12.61 IU and 22.98 ± 11.12 to 42 ± 38.2 IU, respectively) in both the glibencimide? and in the 800 mg/ kg treatment groups in the study. High dosages of extract were associated (P = 0.049) with increased systemic enzyme leakage. In conclusion, tissue degeneration caused by high levels of the extract was accompanied by leakage of various enzymes (AST and ALT) into the blood, which could be a major etiological factor for the development of secondary systemic pathologies, thus potentially worsening the effects of an existing T1DM prognosis in human patients. The preliminary results indicate that a dose of Bidens pilosa has an anti-diabetic effect for a limited initial duration before starting to cause systemic toxicological effects. It is highly recommended that further investigation into the cellular mechanisms and consequences of any therapy involving Bidens pilosa be carried out. 展开更多
关键词 Type 1 DIABETES MELLITUS BIDENS pilosa and DIABETES Ethno-Pharmaceutical Medicine in Uganda Sub-Saharan Africa and DIABETES
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The Frequency of rs1799889 in Plasminogen Activator Inhibitor Type-1 Gene in Sudanese Type 2 Diabetic Patients, Gezira State, Sudan, 2020-2021
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作者 Rowida Eljack Ibrahim Sanaa Elfatih Hussein Ibrahim +4 位作者 Khalid Abdelsamea Mohamedahmed Abdarahim Ali Babikir Haj Alzebar Rania Ali Abdella Mohamed Adil Mergani Babiker Bakri Yousif Mohamed Nour 《Open Journal of Applied Sciences》 2022年第2期165-174,共10页
Background and Objectives: The cornerstone of the regulation fibrinolytic system is plasminogen activator inhibitor type-1. The 4G/5G polymorphism in the PAI-1 gene is a key genetic predictor of increased plasma level... Background and Objectives: The cornerstone of the regulation fibrinolytic system is plasminogen activator inhibitor type-1. The 4G/5G polymorphism in the PAI-1 gene is a key genetic predictor of increased plasma levels which is the most polymorphism associated with cardiovascular complications. The 4G carriers have six times higher PAI-1 levels than 5G carriers leading to an increase in the level of plasma inhibitor by about 25% more than 5G allele (wide type). Type 2 diabetes presents symptoms of hypercoagulability and hypofibrinolytic system that lead to contribute in the atherothrombosis and then the myocardial infarction (MI). These findings supported the hypothesis that there is a link between diabetes patients and this SNP. There is no data about the prevalence of this allele in Sudanese diabetic patients with type 2 and the allele differs in prevalence according to ethnicity, for these reasons, the aim of this study was to determine the allele and genotype frequency of the rs1799889 among Sudanese T2DM patients. Methods: A case-control study was conducted using 70 diagnosed diabetes type 2 patients and 50 healthy individuals as the control group. AS-PCR technique was used to genotype the rs1799889, and the allelic frequency was calculated according to Hardy-Weinberg equilibrium. Allelic frequencies were assessed using gene counting (SNP-STAT software V. Release 3.13), and genotypes were scored. Results: The result showed that 4G allele frequency was 28% among Sudanese diabetic patients without statistical difference when compared with control group (P-value = 0.998) but, high when compared with other studies in African population 13% and very low when compared with white and Indian populations studies. Conclusion: By this study, the allele frequency was higher in Sudanese diabetic patients with type 2, and also we need another study to evaluate the effect of this polymorphism in thrombophilic complications in Sudanese diabetic patients with type 2. 展开更多
关键词 4G/5G Polymorphism Diabetic Mellitus Type 2 and PAI-1 Gene
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利拉鲁肽对链脲佐菌素诱导的1型糖尿病大鼠的糖代谢及胰岛β细胞功能的影响 被引量:1
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作者 邸北冰 王佳丽 +2 位作者 李纯 曹宁 彭晖 《临床和实验医学杂志》 2025年第8期785-789,共5页
目的探讨利拉鲁肽对链脲佐菌素(STZ)诱导的1型糖尿病(T1DM)大鼠糖代谢和胰岛β细胞功能的影响。方法9只8周龄SD雄性大鼠按照随机数字表法将其分为3组:对照组、T1DM组、利拉鲁肽组,每组各3只。T1DM组和利拉鲁肽组大鼠STZ腹腔注射诱导T1D... 目的探讨利拉鲁肽对链脲佐菌素(STZ)诱导的1型糖尿病(T1DM)大鼠糖代谢和胰岛β细胞功能的影响。方法9只8周龄SD雄性大鼠按照随机数字表法将其分为3组:对照组、T1DM组、利拉鲁肽组,每组各3只。T1DM组和利拉鲁肽组大鼠STZ腹腔注射诱导T1DM大鼠成模,在注射STZ后第3天开始持续每日皮下注射利拉鲁肽(利拉鲁肽组)或胰岛素(T1DM组)12周,对照组大鼠皮下注射0.9%氯化钠溶液。治疗12周后,监测大鼠空腹血糖、糖化血红蛋白(GHb),并测量大鼠体重变化。之后对大鼠进行腹腔注射葡萄糖耐量试验(LPGTT),通过对胰腺组织切片及免疫组织化学染色方法评估胰岛β细胞胰岛素阳性染色面积以及胰高血糖素样肽-1受体(GLP-1R)的表达。马松染色评估大鼠冠状动脉及心肌胶原纤维的表达,超声心动图评估大鼠心脏功能。结果与对照组比较,T1DM组大鼠体重显著降低,GHb和空腹血糖水平显著升高,差异均有统计学意义(P<0.05);与T1DM组比较,利拉鲁肽组大鼠体重显著增加,GHb和空腹血糖水平显著降低,差异均有统计学意义(P<0.05)。糖耐量试验结果显示,在腹腔注射葡萄糖后0、2、5、15、30和60 min,T1DM组大鼠血糖水平均较对照组显著升高,胰岛素水平均较对照组显著降低,而利拉鲁肽组大鼠血糖均较T1DM组显著降低,胰岛素水平均较T1DM组显著升高,差异均有统计学意义(P<0.05)。T1DM组大鼠胰腺组织中胰岛素阳性胰岛细胞近乎消失,胰岛素染色阳性面积占胰腺组织的百分比较对照组下降[(0.63±0.31)%vs.(9.40±0.80)%],利拉鲁肽组大鼠胰腺组织的胰岛素阳性面积占胰腺组织的百分比较T1DM组大鼠显著增加[(4.96±0.71)%vs.(0.63±0.31)%],差异均有统计学意义(P<0.05)。T1DM组大鼠胰岛β细胞的GLP-1R表达水平是对照组大鼠的14%,而利拉鲁肽组大鼠胰岛β细胞中GLP-1R表达水平是T1DM组的3.2倍,差异均有统计学意义(P<0.05)。T1DM组大鼠心室肌组织胶原纤维比例较对照组显著增加,而利拉鲁肽组大鼠心室肌间质胶原纤维比例较T1DM组显著下降,差异均有统计学意义(P<0.05)。在给药处理12周后,超声心动图结果显示,3组大鼠心脏的左室舒张末内径(LVEDD)、左室收缩末内径(LVESD)、左室射血分数(LVEF)比较,差异均无统计学意义(P>0.05);T1DM组大鼠舒张早期二尖瓣血流最大流速/峰速度(E/E')较对照组(30±2 vs.19±1)显著升高,利拉鲁肽组E/E′较T1DM组(22±4 vs.30±2)显著降低,差异均有统计学意义(P<0.05)。结论利拉鲁肽可提高STZ素诱导的T1DM大鼠胰岛β细胞的数量和功能,改善血糖的控制水平,降低T1DM大鼠心肌组织胶原纤维的比例,改善心脏舒张功能。 展开更多
关键词 大鼠 1型糖尿病 利拉鲁肽 胰岛Β细胞 胰高血糖素样肽-1受体
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阿替利珠单抗致1型糖尿病合并酮症酸中毒1例
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作者 李友佳 李秀丽 +2 位作者 曲凯 杨鑫 谢姣 《中国医院药学杂志》 北大核心 2025年第12期1435-1438,共4页
1例肝细胞癌患者使用阿替利珠单抗免疫抑制治疗,用药7个周期后引发1型糖尿病合并酮症酸中毒。患者经降糖、纠正酮症酸中毒等治疗后,病情好转出院,诊断为免疫检查点抑制剂相关性1型糖尿病及糖尿病酮症酸中毒。1月后门诊随访,患者C肽水平... 1例肝细胞癌患者使用阿替利珠单抗免疫抑制治疗,用药7个周期后引发1型糖尿病合并酮症酸中毒。患者经降糖、纠正酮症酸中毒等治疗后,病情好转出院,诊断为免疫检查点抑制剂相关性1型糖尿病及糖尿病酮症酸中毒。1月后门诊随访,患者C肽水平持续低下。通过该病例的详细报道,以期提高临床医师对阿替利珠单抗相关不良反应的认识。 展开更多
关键词 阿替利珠单抗 免疫检查点抑制剂 1型糖尿病 不良反应
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新疆地区1型糖尿病儿童青少年生存质量现状调查与影响因素分析
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作者 雷瑞玲 穆扎帕尔·麦麦提阿卜杜拉 +4 位作者 马燕 黄霞 曹瑞 陈蕴 郭佳 《中国当代儿科杂志》 北大核心 2025年第7期815-821,共7页
目的调查新疆地区1型糖尿病(type 1 diabetes,T1DM)儿童青少年的生存质量现状和影响因素。方法采用便利抽样法,选取2023年1月—2024年2月期间在新疆三所三级甲等医院就诊的259例T1DM患儿及其主要照护者作为研究对象。使用儿童普适性生... 目的调查新疆地区1型糖尿病(type 1 diabetes,T1DM)儿童青少年的生存质量现状和影响因素。方法采用便利抽样法,选取2023年1月—2024年2月期间在新疆三所三级甲等医院就诊的259例T1DM患儿及其主要照护者作为研究对象。使用儿童普适性生存质量量表和糖尿病儿童特异性生存质量量表评估患儿的生存质量。同时,收集患儿家庭一般资料、照护者负担和照护能力等信息。采用多重线性回归分析影响患儿生存质量的相关因素。结果患儿儿童普适性生存质量量表和糖尿病儿童特异性生存质量量表得分分别为(77±16)和(71±16)分,均与照护负担呈负相关(P<0.05),与照护能力呈正相关(P<0.05)。多重线性回归分析显示:照护负担、照护能力、家庭收入、亲子关系与普适性生存质量密切相关(P<0.05);照护负担、照护能力、病程、居住地、糖化血红蛋白水平与糖尿病特异性生存质量密切相关(P<0.05)。结论新疆地区T1DM儿童青少年整体生存质量偏低。患儿生存质量受家庭照护负担、照护能力、家庭收入、亲子关系、病程、居住地以及糖化血红蛋白水平等综合因素影响,提升其生存质量的策略需综合考虑患儿个体疾病特征和家庭因素。 展开更多
关键词 1型糖尿病 生存质量 影响因素 儿童 青少年
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以脑积水起病的晚发型戊二酸血症1型1例
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作者 陈剑华 王向波 《中国神经精神疾病杂志》 北大核心 2025年第8期486-489,共4页
报告以脑积水起病的晚发型戊二酸血症1型(glutaric acidemia type 1,GA1)1例。患者女性,21岁,以急性脑积水为主要临床表现,头颅MRI示脑内大范围脑白质、双侧基底节区及小脑半球蚓部异常信号,双侧脑室扩张,双侧颞极蛛网膜囊肿。血尿有机... 报告以脑积水起病的晚发型戊二酸血症1型(glutaric acidemia type 1,GA1)1例。患者女性,21岁,以急性脑积水为主要临床表现,头颅MRI示脑内大范围脑白质、双侧基底节区及小脑半球蚓部异常信号,双侧脑室扩张,双侧颞极蛛网膜囊肿。血尿有机酸分析检出大量戊二酸和3-羟基戊二酸,GCDH基因检测发现为复合杂合性突变(S119L和R355H),确诊为戊二酸血症1型,给予相关治疗后,症状缓解。可见临床上如遇上难以解释的脑积水,头部MRI示典型对称性病灶,包括小脑损害,应进行血尿有机酸筛查以除外代谢性疾病。 展开更多
关键词 戊二酸血症1 成人晚发型 脑积水 小脑半球病变 颞极蛛网膜囊肿
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红细胞膜补体受体1对特发性膜性肾病的影响及其与临床病理的关系
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作者 刘兆云 吴春林 +2 位作者 李杰 杨晶晶 李艳林 《吉林医学》 2025年第8期1817-1821,共5页
目的:探讨特发性膜性肾病(IMN)患者红细胞补体受体1(CR1)表达调节及其与临床病理之间关系。方法:选取2023年1月~2024年1月在广西壮族自治区南溪山医院肾内科住院确诊为IMN的患者44例作为研究组,另随机选取门诊无偿献血屋健康献血者41例... 目的:探讨特发性膜性肾病(IMN)患者红细胞补体受体1(CR1)表达调节及其与临床病理之间关系。方法:选取2023年1月~2024年1月在广西壮族自治区南溪山医院肾内科住院确诊为IMN的患者44例作为研究组,另随机选取门诊无偿献血屋健康献血者41例作为对照组进行前瞻性研究,采用双抗体夹心酶联免疫吸附法分别测定两组红细胞膜唾液含量,同时收集病例组相关临床病理资料。结果:研究组患者的血红蛋白含量淋巴细胞计数、红细胞膜CR1含量明显低于对照组,差异均有统计学意义(P<0.05)。研究组内比较,红细胞膜CR1含量与24 h尿蛋白定量、血清肌酐、血清抗磷脂酶A2受体抗体(抗PLA2R抗体)呈负相关(r<0,P<0.05),与血红细胞计数、血白细胞计数、血红蛋白含量、血淋巴细胞计数、血中性粒细胞、血清IgG、血清白蛋白、肾脏免疫病理C3沉积等呈正相关(r>0,P<0.05);与肾脏病理分期、免疫病理IgG、IgG3、IgG4、IgM沉积阳性强度无相关性(P>0.05)。结论:IMN患者红细胞膜唾液酸表达下调,与临床关系较为紧密,对于临床具有重要价值。 展开更多
关键词 特发性膜性肾病 红细胞 补体受体1
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1型神经纤维瘤病合并双耳感音神经性耳聋一例
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作者 高儒真 范欣淼 +8 位作者 顾伟 杨腾裕 张竹花 王涛 马明圣 夏泽楠 付瀚辉 刘雅萍 陈晓巍 《罕见病研究》 2025年第3期348-354,共7页
1型神经纤维瘤病(neurofibromatosis type 1,NF1)的症状多样,可影响皮肤、骨骼、眼睛、中枢神经系统及其他器官。本文报道1例NF1合并双侧重度至极重度感音神经性听力损失患者诊治过程。基因检测提示NF1 NM_000267.3:c.4054_4058del(p.Se... 1型神经纤维瘤病(neurofibromatosis type 1,NF1)的症状多样,可影响皮肤、骨骼、眼睛、中枢神经系统及其他器官。本文报道1例NF1合并双侧重度至极重度感音神经性听力损失患者诊治过程。基因检测提示NF1 NM_000267.3:c.4054_4058del(p.Ser1352LeufsTer20)杂合变异,支持NF1诊断。通过充分评估,行右侧人工耳蜗植入术,术后效果满意。本病例提示NF1患者可能出现表型异质性和不典型性,为临床医师对此类患者的诊治提供参考。 展开更多
关键词 1型神经纤维瘤病 耳聋 人工耳蜗植入术
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特发性膜性肾病中1型血小板反应蛋白7A域、血清抗体的表达及临床意义
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作者 易锐 杨琳琳 +1 位作者 陈洁 唐万欣 《黑龙江医学》 2025年第15期1919-1920,F0003,共3页
膜性肾病(MN)成为继免疫球蛋白(IgA)肾病之后的第二大肾小球疾病,特发性膜性肾病(IMN)是MN的主要病理类型,M型磷脂酶A2受体(PLA2R)是IMN的主要靶抗原,1型血小板反应蛋白7A域(THSD7A)是导致IMN第2大足细胞靶抗原。目前,国内外关于THSD7A... 膜性肾病(MN)成为继免疫球蛋白(IgA)肾病之后的第二大肾小球疾病,特发性膜性肾病(IMN)是MN的主要病理类型,M型磷脂酶A2受体(PLA2R)是IMN的主要靶抗原,1型血小板反应蛋白7A域(THSD7A)是导致IMN第2大足细胞靶抗原。目前,国内外关于THSD7A及血清抗体在IMN中表达的研究较多。文章综述了THSD7A生物学特性,THSD7A及血清抗体在IMN发病机制的作用、临床诊断价值及预后判断。 展开更多
关键词 特发性膜性肾病 1型血小板反应蛋白7A域 血清抗1型血小板反应蛋白7A抗体
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男男性接触者1874例人类免疫缺陷病毒1型抗体确证阳性者免疫印迹试验条带分析
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作者 黄平 赵剑虹 +1 位作者 李崇 李丽 《实用医技杂志》 2025年第5期367-369,共3页
目的分析男男性接触者(MSM)人群人类免疫缺陷病毒(HIV-1)抗体阳性标本免疫印迹(WB)条带,了解条带分布特征,探索条带分布规律。方法收集2013—2022年北京市朝阳区疾病预防控制中心确证实验室MSM人群中1874例WB检测确证为HIV-1抗体阳性者... 目的分析男男性接触者(MSM)人群人类免疫缺陷病毒(HIV-1)抗体阳性标本免疫印迹(WB)条带,了解条带分布特征,探索条带分布规律。方法收集2013—2022年北京市朝阳区疾病预防控制中心确证实验室MSM人群中1874例WB检测确证为HIV-1抗体阳性者的基本信息和检测条带,进行带型统计分析。结果1874例HIV-1抗体阳性者的WB条带中,全条带(9条)出现220例,检出率11.74%;7~8条带1482例,检出率79.08%;1874例HIV-1确证阳性患者中,11例检出HIV-2抗体相关条带gp36,检出率0.59%。本研究中HIV-1抗体确证阳性者中年龄20~29岁1071例,占比57.15%。结论MSM人群HIV-1抗体阳性者中,7~8条带的带型较多,不同年龄感染者WB带型存在差异,中青年为本地区高危人群。 展开更多
关键词 男男性接触者 人类免疫缺陷病毒Ⅰ型 免疫印迹 年龄别率
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PAI-1、F5基因多态性和血小板聚集率对孕产妇静脉血栓形成的影响
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作者 刘巧方 刘宇 +3 位作者 马静静 贠荣纳 杨健丽 张壹 《中国计划生育学杂志》 2025年第10期2368-2373,共6页
目的:探讨PAI-1、F5基因多态性和血小板聚集率与孕产妇静脉血栓形成的相关性。方法:回顾性收集2023年9月-2024年12月本院产科分娩的孕产妇113例临床资料,收集一般资料并按是否发生静脉血栓栓塞症(VTE)分为VTE组和非VTE组。比较两组一般... 目的:探讨PAI-1、F5基因多态性和血小板聚集率与孕产妇静脉血栓形成的相关性。方法:回顾性收集2023年9月-2024年12月本院产科分娩的孕产妇113例临床资料,收集一般资料并按是否发生静脉血栓栓塞症(VTE)分为VTE组和非VTE组。比较两组一般资料、血小板聚集率及纤溶酶原激活物抑制剂1型(PAI-1)、F5基因型和等位基因分布情况,采用logistic回归分析基因多态性和血小板聚集率与孕产妇VTE形成的关系。结果:VTE组48例、非VTE组65例。VTE组剖宫产率、糖尿病史及高脂血症史、血清D-二聚体水平均高于非VTE组(P<0.05)。Hardy-Weinberg平衡检验显示PAI-1与F5位点实际和理论基因分布均无差异(P>0.05)。VTE组的PAI-1基因型及等位基因分布与非VTE组存在差异(P<0.05),而两组的F5各基因型及等位基因分布均无差异(P>0.05)。VTE组血小板聚集率高于非VTE组(P<0.05)。logistic回归分析显示,糖尿病史、高脂血症史、血清D-二聚体水平高及PAI-1基因型4G4G、等位基因4G和血小板聚集率高是孕产妇VTE形成的独立危险因素(均P<0.05)。结论:PAI-1基因多态性、糖尿病史、高脂血症史和血小板聚集率异常升高与孕产妇VTE形成相关,可为临床上尽早识别孕产妇VTE的形成提供参考。 展开更多
关键词 孕产妇 静脉血栓栓塞症 纤溶酶原激活物抑制剂1 F5基因 基因多态性 血小板聚集率 影响因素
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Ⅰ型神经纤维瘤病合并CDK13相关疾病1例报道并文献复习
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作者 卢亚亚 王亚琼 +1 位作者 彭慧芳 娄丹 《检验医学》 2025年第2期154-159,共6页
目的探讨Ⅰ型神经纤维瘤病(NF1)基因变异合并细胞周期蛋白依赖性激酶13(CDK13)基因变异患儿的临床特征和遗传学特点。方法收集1例NF1合并CDK13相关疾病患儿的临床资料,对患儿及其父母进行全外显子组测序,采用Sanger测序验证可疑变异,并... 目的探讨Ⅰ型神经纤维瘤病(NF1)基因变异合并细胞周期蛋白依赖性激酶13(CDK13)基因变异患儿的临床特征和遗传学特点。方法收集1例NF1合并CDK13相关疾病患儿的临床资料,对患儿及其父母进行全外显子组测序,采用Sanger测序验证可疑变异,并进行家系分析。以“CDK13基因和NF1基因”或“CDK13 gene and NF1 gene”为检索词分别检索中国知网、万方数据知识服务平台和PubMed数据库建库至2024年2月的相关文献,总结同患NF1和CDK13相关疾病患者的临床表型和遗传学特征。结果患儿,男,13岁,主要临床表现为皮肤牛奶咖啡斑,矮小身材,特殊面容(上眼睑外斜、宽眼距、内眦赘皮、鼻梁宽),智力障碍。患儿存在NF1基因杂合变异c.3610C>G(p.Arg1204Gly)和CDK13基因移码突变c.484dupG(p.Ala162Glyfs*108)(杂合)。Sanger测序验证结果显示,患儿母亲携带NF1基因杂合变异,未携带CDK13基因移码突变;父亲均未携带。未检索到关于同患NF1和CDK13相关疾病的患者的文献。共检索到CDK13相关疾病文献11篇,文献复习结果显示,97例患者主要临床表现为智力障碍或发育迟缓、特殊面容、先天性心脏缺陷,致病变异以错义突变为主。结论NF1基因变异可导致NF1。当发现有特殊面容的NF1患儿出现无法解释的现有表型或症状时,应注意2种遗传病同时存在的可能性。 展开更多
关键词 Ⅰ型神经纤维瘤病基因 细胞周期蛋白依赖性激酶13基因 全外显子组测序 智力发育障碍 发育迟缓
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