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Long noncoding RNA X-inactive specific transcript regulates NLR family pyrin domain containing 3/caspase-1-mediated pyroptosis in diabetic nephropathy 被引量:11
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作者 Jia Xu Qin Wang +4 位作者 Yi-Fan Song Xiao-Hui Xu He Zhu Pei-Dan Chen Ye-Ping Ren 《World Journal of Diabetes》 SCIE 2022年第4期358-375,共18页
BACKGROUND NLRP3-mediated pyroptosis is recognized as an essential modulator of renal disease pathology.Long noncoding RNAs(lncRNAs)are active participators of diabetic nephropathy(DN).X inactive specific transcript(X... BACKGROUND NLRP3-mediated pyroptosis is recognized as an essential modulator of renal disease pathology.Long noncoding RNAs(lncRNAs)are active participators of diabetic nephropathy(DN).X inactive specific transcript(XIST)expression has been reported to be elevated in the serum of DN patients.AIM To evaluate the mechanism of lncRNA XIST in renal tubular epithelial cell(RTEC)pyroptosis in DN.METHODS A DN rat model was established through streptozotocin injection,and XIST was knocked down by tail vein injection of the lentivirus LV sh-XIST.Renal metabolic and biochemical indices were detected,and pathological changes in the renal tissue were assessed.The expression of indicators related to inflammation and pyroptosis was also detected.High glucose(HG)was used to treat HK2 cells,and cell viability and lactate dehydrogenase(LDH)activity were detected after silencing XIST.The subcellular localization and downstream mechanism of XIST were investigated.Finally,a rescue experiment was carried out to verify that XIST regulates NLR family pyrin domain containing 3(NLRP3)/caspase-1-mediated RTEC pyroptosis through the microRNA-15-5p(miR-15b-5p)/Toll-like receptor 4(TLR4)axis.RESULTS XIST was highly expressed in the DN models.XIST silencing improved renal metabolism and biochemical indices and mitigated renal injury.The expression of inflammation and pyroptosis indicators was significantly increased in DN rats and HG-treated HK2 cells;cell viability was decreased and LDH activity was increased after HGtreatment. Silencing XIST inhibited RTEC pyroptosis by inhibiting NLRP3/caspase-1. Mechanistically,XIST sponged miR-15b-5p to regulate TLR4. Silencing XIST inhibited TLR4 by promotingmiR-15b-5p. miR-15b-5p inhibition or TLR4 overexpression averted the inhibitory effect ofsilencing XIST on HG-induced RTEC pyroptosis.CONCLUSIONSilencing XIST inhibits TLR4 by upregulating miR-15b-5p and ultimately inhibits renal injury inDN by inhibiting NLRP3/caspase-1-mediated RTEC pyroptosis. 展开更多
关键词 Diabetic nephropathy PYROPTOSIS Renal tubular epithelial cell Long noncoding RNA x-inactive specific transcript microRNA-15b-5p Toll-like receptor 4 NLR family pyrin domain containing 3/caspase-1 pathway
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Pivotal role of long non-coding ribonucleic acid-X-inactive specific transcript in regulating immune checkpoint programmed death ligand 1 through a shared pathway between miR-194-5p and miR-155-5p in hepatocellular carcinoma 被引量:10
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作者 Sara M Atwa Heba Handoussa +2 位作者 Karim M Hosny Margarete Odenthal Hend M El Tayebi 《World Journal of Hepatology》 2020年第12期1211-1227,共17页
BACKGROUND Anti-programmed death therapy has thrust immunotherapy into the spotlight.However,such therapy has a modest response in hepatocellular carcinoma(HCC).Epigenetic immunomodulation is a suggestive combinatoria... BACKGROUND Anti-programmed death therapy has thrust immunotherapy into the spotlight.However,such therapy has a modest response in hepatocellular carcinoma(HCC).Epigenetic immunomodulation is a suggestive combinatorial therapy with immune checkpoint blockade.Non-coding ribonucleic acid(ncRNA)driven regulation is a major mechanism of epigenetic modulation.Given the wide range of ncRNAs that co-opt in programmed cell-death protein 1(PD-1)/programmed death ligand 1(PD-L1)regulation,and based on the literature,we hypothesized that miR-155-5p,miR-194-5p and long non-coding RNAs(lncRNAs)X-inactive specific transcript(XIST)and MALAT-1 are involved in a regulatory upstream pathway for PD-1/PD-L1.Recently,nutraceutical therapeutics in cancers have received increasing attention.Thus,it is interesting to study the impact of oleuropein on the respective study key players.AIM To explore potential upstream regulatory ncRNAs for the immune checkpoint PD-1/PD-L1.METHODS Bioinformatics tools including microrna.org and lnCeDB software were adopted to detect targeting of miR-155-5p,miR-194-5p and lncRNAs XIST and MALAT-1 to PD-L1 mRNA,respectively.In addition,Diana tool was used to predict targeting of both aforementioned miRNAs to lncRNAs XIST and MALAT-1.HCC and normal tissue samples were collected for scanning of PD-L1,XIST and MALAT-1 expression.To study the interaction among miR-155-5p,miR-194-5p,lncRNAs XIST and MALAT-1,as well as PD-L1 mRNA,a series of transfections of the Huh-7 cell line was carried out.RESULTS Bioinformatics software predicted that miR-155-5p and miR-194-5p can target PDL1,MALAT-1 and XIST.MALAT-1 and XIST were predicted to target PD-L1 mRNA.PD-L1 and XIST were significantly upregulated in 23 HCC biopsies compared to healthy controls;however,MALAT-1 was barely detected.MiR-194 induced expression elevated the expression of PD-L1,XIST and MALAT-1.However,overexpression of miR-155-5p induced the upregulation of PD-L1 and XIST,while it had a negative impact on MALAT-1 expression.Knockdown of XIST did have an impact on PD-L1 expression;however,following knockdown of the negative regulator of X-inactive specific transcript(TSIX),PD-L1 expression was elevated,and abolished MALAT-1 activity.Upon co-transfection of miR-194-5p with siMALAT-1,PD-L1 expression was elevated.Co-transfection of miR-194-5p with siXIST did not have an impact on PD-L1 expression.Upon co-transfection of miR-194 with siTSIX,PD-L1 expression was upregulated.Interestingly,the same PD-L1 expression pattern was observed following miR-155-5p cotransfections.Oleuropein treatment of Huh-7 cells reduced the expression profile of PD-L1,XIST,and miR-155-5p,upregulated the expression of miR-194-5p and had no significant impact on the MALAT-1 expression profile.CONCLUSION This study reported a novel finding revealing that opposing acting miRNAs in HCC,have the same impact on PD-1/PD-L1 immune checkpoint by sharing a common signaling pathway. 展开更多
关键词 Hepatocellular carcinoma x-inactive specific transcript MiR-155-5p MiR-194-5p Programmed cell-death protein 1/Programmed death ligand 1 Immune checkpoint
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SPOROCYTELESS Is a Novel Embryophyte-Specific Transcription Repressor that Interacts with TPL and TCP Proteins in Arabidopsis 被引量:4
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作者 Guang-Hui Chen Jia-Ying Sun +2 位作者 Man Liu Jie Liu Wei-Cai Yang 《Journal of Genetics and Genomics》 SCIE CAS CSCD 2014年第12期617-625,共9页
Germlines in plants are formed de novo during post-embryonic development, while little is known about the mechanism that controls this process. In Arabidopsis, the earliest gene controlling this process is SPOROCYTELE... Germlines in plants are formed de novo during post-embryonic development, while little is known about the mechanism that controls this process. In Arabidopsis, the earliest gene controlling this process is SPOROCYTELESS (SPL). A decade ago, we showed that loss of SPL function abolished sporogenesis in both male and female organs of Arabidopsis. However, its function is unclear up to now. In this study, we showed that SPL belongs to a novel transcription repressor family specific in embryophyte, which consists of 173 members in the land plants so far. All of them contain a conserved SPL-motif in their N-terminal and an ethylene-responsive element binding factor-associated amphiphilic repression (EAR) motif in the C-terminal, therefore designated as SPL-like, EAR-containing proteins (SPEARs). Consis- tently, SPL acts as a transcriptional repressor in yeast and tobacco cells, and SPEAR proteins are able to form homodimer and/or het- erodimer with each other in vitro. Furthermore, SPEARs interact with the TOPLESS (TPL) co-repressors via the EAR motif and TCP family transcription factors in yeast cells. Together, we propose that SPL and SPEARs most likely belong to a novel transcription repressor family in land plants which may play a variety of developmental roles in plants. 展开更多
关键词 Germline specification SPOROGENESIS SPL transcription repressor ARABIDOPSIS
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An <i>in silico</i>Analysis of Upstream Regulatory Modules (URMs) of Tapetum Specific Genes to Identify Regulatory <i>cis</i>-Elements and Transcription Factors 被引量:1
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作者 Preeti Apurve Sharma Pradeep Kumar Burma 《American Journal of Molecular Biology》 2018年第1期13-25,共13页
The present work presents an iin silicoi analysis of Upstream Regulatory Modules (URMs) of genes expressed in tapetum specific manner in dicotyledon and monocotyledon plants. In the current analysis, we identified sev... The present work presents an iin silicoi analysis of Upstream Regulatory Modules (URMs) of genes expressed in tapetum specific manner in dicotyledon and monocotyledon plants. In the current analysis, we identified several motifs conserved in these URMs of which ten were observed to be part of known icisi-elements using tools and databases like MEME, PLACE, MAST and TFSEARCH. We also identified that binding sites for two transcription factors, DOF and WRKY71 were found to be present in majority of the URMs. 展开更多
关键词 TAPETUM specific Promoter CIS-ELEMENTS transcription Factors
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Transcription factors specificity protein and nuclear receptor 4A1 in pancreatic cancer 被引量:2
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作者 Stephen Safe Rupesh Shrestha +3 位作者 Kumaravel Mohankumar Marcell Howard Erik Hedrick Maen Abdelrahim 《World Journal of Gastroenterology》 SCIE CAS 2021年第38期6387-6398,共12页
Specificity protein(Sp)transcription factors(TFs)Sp1,Sp3 and Sp4,and the orphan nuclear receptor 4A1(NR4A1)are highly expressed in pancreatic tumors and Sp1 is a negative prognostic factor for pancreatic cancer patien... Specificity protein(Sp)transcription factors(TFs)Sp1,Sp3 and Sp4,and the orphan nuclear receptor 4A1(NR4A1)are highly expressed in pancreatic tumors and Sp1 is a negative prognostic factor for pancreatic cancer patient survival.Results of knockdown and overexpression of Sp1,Sp3 and Sp4 in pancreatic and other cancer lines show that these TFs are individually pro-oncogenic factors and loss of one Sp TF is not compensated by other members.NR4A1 is also a prooncogenic factor and both NR4A1 and Sp TFs exhibit similar functions in pancreatic cancer cells and regulate cell growth,survival,migration and invasion.There is also evidence that Sp TFs and NR4A1 regulate some of the same genes including survivin,epidermal growth factor receptor,PAX3-FOXO1,α5-andα6-integrins,β1-,β3-andβ4-integrins;this is due to NR4A1 acting as a cofactor and mediating NR4A1/Sp1/4-regulated gene expression through GC-rich gene promoter sites.Several studies show that drugs targeting Sp downregulation or NR4A1 antagonists are highly effective inhibitors of Sp/NR4A1-regulated pathways and genes in pancreatic and other cancer cells,and the triterpenoid celastrol is a novel dual-acting agent that targets both Sp TFs and NR4A1. 展开更多
关键词 specificity protein Nuclear receptor 4A1 Pancreatic cancer transcription factors Ligand inhibitors Nuclear receptor 4A antagonists
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Identification of epididymis-specific transcripts in the mouse and rat by transcriptional profiling 被引量:8
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作者 Daniel S. Johnston Terry T. Turner +3 位作者 Joshua N. Finger Tracy L. Owtscharuk Gregory S. Kopf Scott A. Jelinsky 《Asian Journal of Andrology》 SCIE CAS CSCD 2007年第4期522-527,共6页
As part of our efforts to identify novel contraceptive targets in the epididymis we performed transcriptional profiling on each of the 10 and 19 segments of the mouse and rat epididymidis, respectively, using Affymetr... As part of our efforts to identify novel contraceptive targets in the epididymis we performed transcriptional profiling on each of the 10 and 19 segments of the mouse and rat epididymidis, respectively, using Affymetrix whole genome microarrays. A total of 17 096 and 16 360 probe sets representing transcripts were identified as being expressed in the segmented mouse and rat epididymal transcriptomes, respectively. Comparison of the expressed murine transcripts against a mouse transcriptional profiling database derived from 22 other mouse tissues identified 77 transcripts that were expressed uniquely in the epididymis. The expression of these genes was further evaluated by reverse transcription polymerase chain reaction (RT-PCR) analysis of RNA from 21 mouse tissues. RT-PCR analysis confirmed epididymis-specific expression of Defensin Beta 13 and identified two additional genes with expression restricted only to the epididymis and testis. Comparison of the 16 360 expressed transcripts in the rat epididymis with data of 21 other tissues from a rat transcriptional profiling database identified 110 transcripts specific for the epididymis. Sixty-two of these transcripts were further investigated by qPCR analysis. Only Defensin 22 (E3 epididymal protein) was shown to be completely specific for the epididymis. In addition, 14 transcripts showed more than 100-fold selective expression in the epididymis. The products of these genes might play important roles in epididymal and/or sperm function and further investigation and validation as contraceptive targets are warranted. The results of the studies described in this report are available at the Mammalian Reproductive Genetics (MRG) Database (http://mrg. genetics.washington.edu/). (Asian J Androl 2007July; 9: 522-527) 展开更多
关键词 MOUSE RAT EPIDIDYMIS transcriptional profiling CONTRACEPTION microarray epididymis-specific epididymis-selective
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Transcriptional regulation in the development and dysfunction of neocortical projection neurons 被引量:2
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作者 Ningxin Wang Rong Wan Ke Tang 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第2期246-254,共9页
Glutamatergic projection neurons generate sophisticated excitatory circuits to integrate and transmit information among different cortical areas,and between the neocortex and other regions of the brain and spinal cord... Glutamatergic projection neurons generate sophisticated excitatory circuits to integrate and transmit information among different cortical areas,and between the neocortex and other regions of the brain and spinal cord.Appropriate development of cortical projection neurons is regulated by certain essential events such as neural fate determination,proliferation,specification,differentiation,migration,survival,axonogenesis,and synaptogenesis.These processes are precisely regulated in a tempo-spatial manner by intrinsic factors,extrinsic signals,and neural activities.The generation of correct subtypes and precise connections of projection neurons is imperative not only to support the basic cortical functions(such as sensory information integration,motor coordination,and cognition)but also to prevent the onset and progression of neurodevelopmental disorders(such as intellectual disability,autism spectrum disorders,anxiety,and depression).This review mainly focuses on the recent progress of transcriptional regulations on the development and diversity of neocortical projection neurons and the clinical relevance of the failure of transcriptional modulations. 展开更多
关键词 autism spectrum disorders COGNITION DIFFERENTIATION excitatory circuits intellectual disability NEOCORTEX neurodevelopmental disorders projection neuron specification transcriptional regulation
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lncRNA GAS5基因多态性与多囊卵巢综合征发病风险的相关性研究
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作者 陆玉兰 庞晓霞 +2 位作者 陈兴鸿 韦玉霞 刘纯宏 《中国病理生理杂志》 北大核心 2025年第2期348-353,共6页
目的:研究长链非编码RNA(lncRNA)生长阻滞特异性转录物5(GAS5)基因多态性与多囊卵巢综合征(PCOS)发病的关联性。方法:选取2018年5月~2019年5月在广西右江民族医学院附属医院生殖医学中心确诊的236例PCOS患者作为病例组,同时选取同期性... 目的:研究长链非编码RNA(lncRNA)生长阻滞特异性转录物5(GAS5)基因多态性与多囊卵巢综合征(PCOS)发病的关联性。方法:选取2018年5月~2019年5月在广西右江民族医学院附属医院生殖医学中心确诊的236例PCOS患者作为病例组,同时选取同期性别、年龄相匹配的277例健康女性作为对照组,采用iMLDR单核苷酸多态性(SNP)分型方法检测GAS5基因rs145204276 I/D、rs55829688 C/T和rs6790 G/A位点基因型。采用logistic回归分析GAS5基因多态性与PCOS的相关性。结果:GAS5基因rs145204276 I/D位点多态性在对照组和PCOS组之间差异有统计学意义,logistic回归分析结果显示,与I/I基因型相比,I/D和D/D基因型以及显性模型I/D+D/D具有较低的PCOS发病风险[I/D vs I/I:OR(95%CI)=0.61(0.42,0.88),P=0.009;D/D vs I/I:OR(95%CI)=0.44(0.23,0.84),P=0.013;I/D+D/D vs I/I:OR(95%CI)=0.57(0.40,0.81),P=0.002];与I等位基因相比,D等位基因显著降低PCOS的发病风险[D vs I:OR(95%CI)=0.62(0.47,0.82),P=0.001]。rs55829688 C/T和rs6790 G/A位点多态性在对照组和PCOS组之间比较差异均无统计学意义(P>0.05)。单倍型联合分析显示D-T-A单倍型在对照组和PCOS组间的分布差异有统计学意义[OR(95%CI)=0.61(0.45,0.84),P=0.002]。结论:GAS5基因rs145204276 I/D位点多态性可能与PCOS遗传易感性相关,即携带D等位基因的个体可能具有较低的PCOS发病风险。 展开更多
关键词 多囊卵巢综合征 单核苷酸多态性 长链非编码RNA 生长阻滞特异性转录物5
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血清lncRNA GAS5、miR-223-3p对帕金森病的早期诊断价值及其与病情严重程度的相关性分析
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作者 郝洁 刘昌佳 +1 位作者 闫昆 白雪娇 《检验医学与临床》 2025年第12期1655-1660,共6页
目的 探讨血清长链非编码RNA生长停滞特异性转录本5(lncRNA GAS5)、miR-223-3p对帕金森病(PD)的早期诊断价值及其与病情严重程度的相关性。方法 选取2023年6月至2024年6月该院收治的89例PD患者作为PD组,根据帕金森病评分量表(UPDRS)、Ho... 目的 探讨血清长链非编码RNA生长停滞特异性转录本5(lncRNA GAS5)、miR-223-3p对帕金森病(PD)的早期诊断价值及其与病情严重程度的相关性。方法 选取2023年6月至2024年6月该院收治的89例PD患者作为PD组,根据帕金森病评分量表(UPDRS)、Hoehn-Yahr分级量表评估患者的病情严重程度及分期。另选取同期该院89例健康体检者作为对照组。采用实时荧光定量反转录聚合酶链反应检测所有研究对象血清lncRNA GAS5、miR-223-3p水平。采用Pearson相关分析PD患者血清lncRNA GAS5水平与miR-223-3p水平的相关性;采用Spearman相关分析PD患者血清lncRNA GAS5水平、miR-223-3p水平与UPDRS评分、Hoehn-Yahr分级的相关性。采用多因素Logistic回归分析PD发生的影响因素。绘制受试者工作特征(ROC)曲线分析血清lncRNA GAS5、miR-223-3p对PD的诊断价值。结果 PD组有PD遗传病史患者占比高于对照组,差异有统计学意义(P<0.05)。PD组血清lncRNA GAS5水平低于对照组,血清miR-223-3p水平高于对照组,差异均有统计学意义(P<0.05)。轻度组、中度组、重度组血清lncRNA GAS5水平依次降低,血清miR-223-3p水平依次升高,差异均有统计学意义(P<0.05)。Pearson相关分析结果显示,PD患者血清lncRNA GAS5水平与血清miR-223-3p水平呈负相关(r=-0.616,P<0.001)。Spearman相关分析结果显示,PD患者血清lncRNA GAS5水平与UPDRS评分、Hoehn-Yahr分级均呈负相关(r_s=-0.687、-0.837,P<0.001);PD患者血清miR-223-3p水平与UPDRS评分、Hoehn-Yahr分级均呈正相关(r_s=0.606、0.795,P<0.001)。多因素Logistic回归分析结果显示,有PD遗传病史及血清miR-223-3p水平升高是PD发生的危险因素(P<0.05);血清lncRNA GAS5水平升高是PD发生的保护因素(P<0.05)。血清lncRNA GAS5、miR-223-3p联合诊断PD的曲线下面积(AUC)为0.940,明显高于二者单独诊断的AUC(0.827、0.823),差异均有统计学意义(P<0.05)。结论 PD患者血清lncRNA GAS5水平降低,miR-223-3p水平升高,均与PD的病情严重程度相关,二者联合检测对PD有较高的早期诊断价值。 展开更多
关键词 帕金森病 长链非编码RNA生长停滞特异性转录本5 微小RNA-223-3p 病情严重程度 早期诊断
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间充质干细胞促进肝细胞增殖治疗急性肝衰竭的体外实验研究 被引量:1
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作者 安然 任昊桢 管文贤 《肝胆胰外科杂志》 CAS 2025年第1期18-25,共8页
目的探讨过量肿瘤坏死因子α(TNF-α)对肝细胞增殖能力的影响以及间充质干细胞(MSCs)促进肝细胞增殖的具体机制。方法体外使用过量TNF-α作用于小鼠肝细胞系AML12并使用MSCs治疗。转录组测序分析阴性对照(NC)组和TNF-α组AML12细胞的差... 目的探讨过量肿瘤坏死因子α(TNF-α)对肝细胞增殖能力的影响以及间充质干细胞(MSCs)促进肝细胞增殖的具体机制。方法体外使用过量TNF-α作用于小鼠肝细胞系AML12并使用MSCs治疗。转录组测序分析阴性对照(NC)组和TNF-α组AML12细胞的差异表达基因(DEGs)以及基因功能富集和增殖通路的变化。使用公共数据库Gene Transcription Regulation Database(GTRD)预测转录因子(TF)并与DEGs交集,进一步分析调控增殖信号通路的关键因子。利用染色质免疫共沉淀(ChIP)、荧光素酶报告基因实验、蛋白免疫印迹(WB)、实时荧光定量聚合酶链式反应(qRT-PCR)以及CCK-8检测目标TF及其调控的下游靶基因和信号通路对肝细胞增殖的影响。结果转录组分析提示TNF-α组肝细胞增殖受限,经典的Wnt信号通路被显著负调控,其中β-catenin的转录受限,下游通路被抑制。通过GTRD预测β-catenin的TF并于DEGs交集发现,广泛调控细胞存活、增殖、迁移等生物学行为的TF特异蛋白1(SP1)的转录也受到抑制。慢病毒转染敲低AML12细胞SP1的表达后WB和qRT-PCR结果显示β-catenin及其下游增殖相关分子的蛋白和mRNA水平降低;ChIP-qRT-PCR和荧光素酶报告实验表明处理后SP1参与调控β-catenin的转录。对过量TNF-α处理后的AML12细胞进行WB、qRT-PCR、ChIP-qRT-PCR和荧光素酶报告实验发现,由SP1/β-catenin轴介导的细胞增殖被抑制。MSCs治疗提高了AML12细胞内SP1和β-catenin的蛋白含量,但被SP1抑制剂普卡霉素(MrA)显著抑制。qRT-PCR观察到相似的趋势,但MSCs治疗后AML12细胞内SP1的mRNA含量并未增加,提示MSCs并非通过促进SP1的转录发挥治疗作用。鉴于MSCs传递生物活性物质的功能,使用短发夹敲低SP1表达的MSCs进行治疗,结果表明,敲低SP1导致MSCs的上述治疗作用被显著抑制。结论过量TNF-α导致肝细胞内Wnt信号通路介导的增殖被抑制,MSCs通过传递SP1上调肝细胞β-catenin的表达发挥促进增殖的作用。 展开更多
关键词 间充质干细胞 肿瘤坏死因子α 转录因子 特异蛋白1 急性肝功能衰竭 肝细胞增殖 小鼠
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尿液中外泌体circTFDP2、circHIPK3联合PCA3评分对tPSA灰区前列腺癌的诊断价值
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作者 刘培龙 沈红梅 +2 位作者 顾屏 贲亮亮 王玉蓉 《中国性科学》 2025年第7期45-50,共6页
目的探讨尿液中外泌体环状RNA转录因子DP2(circTFDP2)、环状RNA同源结构域相互作用蛋白激酶3(circHIPK3)联合前列腺癌基因3(PCA3)评分对总前列腺特异性抗原(tPSA)灰区前列腺癌的诊断价值。方法选取2021年6月至2023年12月南通市第二人民... 目的探讨尿液中外泌体环状RNA转录因子DP2(circTFDP2)、环状RNA同源结构域相互作用蛋白激酶3(circHIPK3)联合前列腺癌基因3(PCA3)评分对总前列腺特异性抗原(tPSA)灰区前列腺癌的诊断价值。方法选取2021年6月至2023年12月南通市第二人民医院收治的208例血清tPSA处于灰区(4~10 ng/mL)患者作为研究对象,根据前列腺穿刺活检结果分为前列腺癌组(前列腺癌患者,n=45)和对照组(良性前列腺增生患者,n=163)。检测尿液外泌体circTFDP2、circHIPK3表达水平及PCA3评分,比较两组临床资料、尿液中外泌体circTFDP2、circHIPK3及PCA3评分,采用Logistic回归分析tPSA灰区患者发生前列腺癌的影响因素,采用受试者工作特征(ROC)曲线和曲线下面积(AUC)分析各指标对tPSA灰区前列腺癌的诊断价值。结果前列腺癌组年龄高于对照组,前列腺体积、游离前列腺特异性抗原(fPSA)/tPSA低于对照组(P<0.05)。前列腺癌组尿液中外泌体circTFDP2、circHIPK3表达及PCA3评分均高于对照组(P<0.05)。fPSA/tPSA、circTFDP2、circHIPK3、PCA3评分是血清tPSA处于灰区患者发生前列腺癌的影响因素(P<0.05)。circTFDP2、circHIPK3、PCA3评分3项指标联合诊断AUC均高于单一指标(P<0.05);fPSA/tPSA、circTFDP2、circHIPK3、PCA3评分4项指标联合诊断AUC均高于单一指标(P<0.05);circTFDP2、circHIPK3、PCA3评分3项指标联合诊断AUC与fPSA/tPSA、circTFDP2、circHIPK3、PCA3评分4项指标联合诊断AUC比较,差异无统计学意义(P>0.05)。结论尿液中外泌体circTFDP2、circHIPK3联合PCA3评分可作为tPSA灰区前列腺癌的诊断依据,联合血清前列腺癌标志物fPSA/tPSA无法优化诊断效能。 展开更多
关键词 前列腺癌 总前列腺特异性抗原灰区 外泌体 环状RNA转录因子DP2 环状RNA同源结构域相互作用蛋白激酶3 前列腺癌基因3评分
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温经汤调控活化转录因子6/转录因子C/EBP同源蛋白通路抑制内质网应激改善卵巢储备功能下降模型的机制研究 被引量:6
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作者 刘鹏 邢易 +2 位作者 郭权磊 聂晓博 任艳青 《中草药》 北大核心 2025年第1期121-132,共12页
目的探究温经汤调控内质网应激(endoplasmic reticulum stress,ERS)介导的活化转录因子6(activating transcription factor 6,ATF6)/转录因子C/EBP同源蛋白(C/EBP homologous protein,CHOP)信号通路改善卵巢储备功能下降(decreased ovar... 目的探究温经汤调控内质网应激(endoplasmic reticulum stress,ERS)介导的活化转录因子6(activating transcription factor 6,ATF6)/转录因子C/EBP同源蛋白(C/EBP homologous protein,CHOP)信号通路改善卵巢储备功能下降(decreased ovarian reserve,DOR)的作用机制。方法通过ig雷公藤多苷建立DOR大鼠模型,分为对照组、模型组、芬吗通组(采用第1~2天ig雌二醇片0.2 mg/kg,第3~5天ig雌二醇地屈孕酮片1.2 mg/kg的序贯疗法)及温经汤低、中、高剂量(4.85、9.70、19.40 g/kg)组,各组给药4周后计算卵巢及子宫指数;ELISA法检测血清抗缪勒管激素(anti-mullerian hormone,AMH)、卵泡刺激素(follicle stimulating hormone,FSH)、雌二醇(estradiol,E2)、促黄体生成素(luteinizing hormone,LH)水平;苏木素-伊红(Hematoxylin eosin,HE)染色观察卵巢病理结构,并对各级卵泡进行计数;qRT-PCR检测各组大鼠卵巢组织ERS标志物葡萄糖调节蛋白78(glucose-regulated protein 78,GRP78)、ATF6、CHOP mRNA表达;Western blotting检测GRP78、ATF6、CHOP、半胱氨酸天冬氨酸特异性蛋白酶-12(cysteine aspartic acid specific protease-12,Caspase-12)蛋白表达水平。采用CCK-8法筛选雷公藤多苷的造模浓度;将人类卵巢颗粒KGN细胞分为对照组、雷公藤多苷组、雷公藤多苷+5%空白血清组、雷公藤多苷+5%温经汤血清组、ERS激动剂毒胡萝卜素(thapsigargin,TG)组,CCK-8法检测温经汤对雷公藤多苷处理的KGN细胞活力的影响;Fluo-4 AM钙离子(Ca^(2+))荧光探针检测各组细胞中Ca^(2+)浓度;Western blotting检测各组细胞GRP78、ATF6、CHOP、Caspase-12蛋白表达水平。结果与对照组比较,模型组大鼠卵巢及子宫指数显著下降(P<0.05、0.01),血清AMH、E2水平显著降低(P<0.01),FSH、LH水平显著升高(P<0.01),卵巢组织颗粒细胞数量及层数较少、排列稀疏、卵巢皮质空洞,发育期卵泡数量显著减少(P<0.01),闭锁卵泡数量显著增加(P<0.01);卵巢组织GRP78、ATF6、CHOP mRNA及蛋白表达、Caspase-12蛋白表达水平显著升高(P<0.05、0.01);与模型组比较,芬吗通组及温经汤中、高剂量组大鼠卵巢及子宫指数显著升高(P<0.05、0.01),各给药组大鼠血清AMH水平均显著升高(P<0.01),FSH水平均降低(P<0.01),芬吗通组及温经汤中、高剂量组大鼠血清LH水平显著降低(P<0.01),E2水平显著升高(P<0.05、0.01),各给药组卵巢组织发育期卵泡数量增多,闭锁卵泡数量减少(P<0.05、0.01),芬吗通组及温经汤中、高剂量组大鼠卵巢组织GRP78、ATF6、CHOP mRNA及蛋白表达、Caspase-12蛋白表达水平均显著降低(P<0.05、0.01)。体外实验表明40、80、120、200、500μg/mL的雷公藤多苷能够显著抑制KGN细胞增殖(P<0.05);雷公藤多苷+5%空白血清组细胞存活率、Ca^(2+)含量,GRP78、ATF6、CHOP、Caspase-12蛋白表达水平无明显变化(P>0.05);雷公藤多苷+5%温经汤血清组细胞存活率升高(P<0.01),Ca^(2+)显著降低(P<0.01),GRP78、ATF6、CHOP、Caspase-12蛋白表达水平显著降低(P<0.05、0.01)。结论温经汤可显著提高大鼠卵巢储备功能,对DOR具有较好的治疗作用,其作用机制可能与调控ATF6/CHOP通路、抑制ERS有关。 展开更多
关键词 温经汤 卵巢储备功能下降 雷公藤多苷 内质网应激 活化转录因子6 转录因子C/EBP同源蛋白 半胱氨酸天冬氨酸特异性蛋白酶-12
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花生疮痂病菌次生代谢基因簇特异性转录因子挖掘及EaPSTF1生物信息学分析
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作者 张凌萱 朴静子 +3 位作者 刘丹 郝婧文 李自博 周如军 《中国油料作物学报》 北大核心 2025年第2期356-362,共7页
痂囊腔菌素(Elsinchrome,ESC)是花生疮痂病菌产生的一种具有光敏活性的苝醌类真菌毒素,为病菌的毒力因子。为了进一步揭示ESC生物合成的调控网络,在全基因组测序分析基础上,开展了病菌次生代谢基因簇特异性转录因子的挖掘、EaPSTF1基因... 痂囊腔菌素(Elsinchrome,ESC)是花生疮痂病菌产生的一种具有光敏活性的苝醌类真菌毒素,为病菌的毒力因子。为了进一步揭示ESC生物合成的调控网络,在全基因组测序分析基础上,开展了病菌次生代谢基因簇特异性转录因子的挖掘、EaPSTF1基因克隆、生物信息学和表达分析。结果表明,病菌次生代谢基因簇上共有3个特异性转录因子,其中EaPSTF1全长1305 bp,含有一个完整的开放阅读框,编码长度为434个氨基酸的蛋白质,分子量110.58 kD,理论等电点4.94,亚细胞定位细胞核中,是一个以α-螺旋为主的亲水性蛋白,含有GAL4和AFLR两个Zn(II)2Cys6型结构域。RT-qPCR定量分析表明,EaPSTF1表达模式与毒素累积趋势基本一致,EaPSTF1可能参与ESC毒素的生物合成调控。 展开更多
关键词 花生疮痂病菌 特异性转录因子 基因克隆 生物信息学分析 次生代谢基因簇
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长链非编码RNA核富集转录本1对瘢痕成纤维细胞增殖、凋亡和迁移的影响
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作者 张彦峰 张慧敏 +1 位作者 何翔 郑屿萍 《中国组织工程研究》 CAS 北大核心 2025年第2期347-354,共8页
背景:已有研究阐明核富集转录本1(nuclear enriched abundant transcript 1,NEAT1)下调抑制了瘢痕成纤维细胞的进展,但具体机制尚不完全清楚。目的:探讨长链非编码RNA NEAT1调节miR-136-5p/泛素特异性蛋白酶4(ubiquitin specific protea... 背景:已有研究阐明核富集转录本1(nuclear enriched abundant transcript 1,NEAT1)下调抑制了瘢痕成纤维细胞的进展,但具体机制尚不完全清楚。目的:探讨长链非编码RNA NEAT1调节miR-136-5p/泛素特异性蛋白酶4(ubiquitin specific protease 4,USP4)轴对瘢痕成纤维细胞生物学行为的影响。方法:将瘢痕成纤维细胞分为5组:si-NC组、空白对照组、si-NEAT1组、si-NEAT1+miR-136-5p inhibitor组、si-NEAT1+inhibitor-NC组,qRT-PCR检测NEAT1、miR-136-5p表达;CCK-8法及EDU染色检测细胞增殖能力;流式细胞术检测细胞凋亡情况;划痕愈合实验检测细胞迁移情况;Western blot检测USP4、p27、Bax、基质金属蛋白酶9、α-平滑肌肌动蛋白、Ⅰ型胶原蛋白α1链蛋白表达;双荧光素酶实验检测NEAT1与miR-136-5p、miR-136-5p与USP4的关系。结果与结论:①与si-NC组比较,si-NEAT1组NEAT1表达、A450值、EDU阳性细胞百分比、划痕愈合率以及USP4、基质金属蛋白酶9、α-平滑肌肌动蛋白、Ⅰ型胶原蛋白α1链蛋白表达降低(P<0.05),miR-136-5p表达、细胞凋亡率及p27、Bax蛋白表达升高(P<0.05);②miR-136-5p inhibitor逆转了沉默NEAT1对瘢痕成纤维细胞生物学行为的影响;③miR-136-5p与NEAT1、miR-136-5p与USP4存在靶向调控关系。结果表明,沉默NEAT1可能通过调控miR-136-5p/USP4轴抑制瘢痕成纤维细胞的增殖和迁移,诱导其凋亡。 展开更多
关键词 长链非编码RNA核富集转录本1 miR-136-5p 泛素特异性蛋白酶4 瘢痕成纤维细胞 增殖
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乙型肝炎患者血清lncRNA XIST表达与HBV-DNA载量、肝纤维化的关系 被引量:1
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作者 王慧 郝泉水 +3 位作者 肖华 彭郭飞 张丹平 宋伟 《中国现代医学杂志》 2025年第2期78-82,共5页
目的 探讨乙型肝炎患者血清长链非编码RNA X染色体失活特异转录本(lncRNA XIST)表达与乙肝病毒脱氧核糖核酸(HBV-DNA)载量、肝纤维化的关系。方法 选取2020年6月—2022年6月黄冈市中心医院收治的87例乙型肝炎患者作为乙肝组,另取同期该... 目的 探讨乙型肝炎患者血清长链非编码RNA X染色体失活特异转录本(lncRNA XIST)表达与乙肝病毒脱氧核糖核酸(HBV-DNA)载量、肝纤维化的关系。方法 选取2020年6月—2022年6月黄冈市中心医院收治的87例乙型肝炎患者作为乙肝组,另取同期该院健康体检者71例作为对照组。所有纳入对象均检测血清lncRNA XIST表达与HBV-DNA载量及肝纤维化指标[透明质酸(HA)、层粘连蛋白(LN)、Ⅳ型胶原(Ⅳ-C)、Ⅲ型前胶原(PC-Ⅲ)]。采用Pearson相关分析探讨血清lncRNA XIST与HBV DNA载量、肝纤维化指标的关系,采用受试者工作特征(ROC)曲线分析血清lncRNA XIST对乙型肝炎的诊断价值。结果 乙肝组血清TBil、ALT、AST、lncRNA XIST、HA、LN、Ⅳ-C、PC-Ⅲ水平均高于对照组(P <0.05)。高载量组乙型肝炎患者血清lncRNA XIST及HA、LN、Ⅳ-C、PC-Ⅲ水平均高于中、低载量组(P <0.05);中载量组乙型肝炎患者血清lncRNA XIST及HA、LN、Ⅳ-C、PC-Ⅲ水平均高于低载量组(P <0.05)。Pearson相关分析结果显示,乙型肝炎患者血清lncRNA XIST相对表达量与HBV-DNA载量、HA、LN、Ⅳ-C、PC-Ⅲ均呈正相关(r=0.445、0.420、0.369、0.330和0.419,均P=0.000)。ROC曲线结果显示,血清lncRNA XIST诊断乙型肝炎的敏感性为80.65%(95%CI:0.801,0.811),特异性为88.74%(95%CI:0.866,0.908)。结论 乙型肝炎患者血清lncRNA XIST表达升高,且随着HBV-DNA载量增加而逐渐上升,同时与肝纤维化密切相关,有望作为临床诊断乙型肝炎的有效指标。 展开更多
关键词 乙型肝炎 长链非编码RNA X染色体失活特异转录本 乙肝病毒脱氧核糖核酸载量 肝纤维化 相关性
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文冠果XsWRI1基因克隆、转录活性及组织特异性表达分析
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作者 张薇 李麟坤 +1 位作者 梁重钧 王利兵 《南京林业大学学报(自然科学版)》 北大核心 2025年第2期23-30,共8页
【目的】表征文冠果(Xanthoceras sorbifolium)中WRINKLED1(WRI1)转录因子的序列同一性、转录激活活性和功能域,为探究其在种子油生物合成中的调控作用提供参考。【方法】利用cDNA末端快速扩增(RACE)技术从成熟文冠果胚乳组织中克隆XsW... 【目的】表征文冠果(Xanthoceras sorbifolium)中WRINKLED1(WRI1)转录因子的序列同一性、转录激活活性和功能域,为探究其在种子油生物合成中的调控作用提供参考。【方法】利用cDNA末端快速扩增(RACE)技术从成熟文冠果胚乳组织中克隆XsWRI1全长cDNA序列,利用生物信息学工具分析蛋白质序列特性。构建pGBKT7-XsWRI1载体,并将其转化到Y2HGold酵母感受态验证转录激活活性。通过实时荧光定量PCR技术(qRT-PCR)对根、茎、叶、花瓣、雄蕊和发育中的种仁组织特异性表达模式进行定量分析。【结果】XsWRI1基因(GenBank登录号:OR500287)全长1 688 bp,编码414个氨基酸,为亲水性不稳定蛋白。酵母活性检测证实XsWRI1具有较强的转录激活活性。组织特异性表达分析显示,XsWRI1的表达在发育胚乳中占主导地位,营养器官(根、茎、叶)和其他生殖器官(花瓣、雄蕊)中的表达水平可以忽略不计。结构预测确定了2个保守的AP2/EREBP DNA结合结构域(残基76-148和177-238)和一个核定位信号。【结论】本研究阐明XsWRI1在文冠果中的分子特征和组织特异性调控作用,突出了其在脂质生物合成途径中的潜在作用。这些发现为有针对性的基因操作,以增强木本油料作物的种子油积累奠定了基础。 展开更多
关键词 文冠果 XsWRI1 基因克隆 转录激活 组织特异性表达 种子油生物合成
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过表达ETV2激活牙髓干细胞Osterix转录并促进巨噬细胞M2极化的分子机制研究
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作者 郜康 杜浩然 +2 位作者 徐一帆 李子潇 周建 《口腔生物医学》 2025年第4期197-205,共9页
目的:探究过表达E26转化特异性变异体2(ETV2)在牙髓干细胞(DPSCs)成骨分化中的分子调控作用,阐明其对成骨细胞特异性转录因子Osterix(OSX)转录活性和巨噬细胞极化的影响机制。方法:构建ETV2过表达DPSCs稳定转染细胞系,通过转录组测序分... 目的:探究过表达E26转化特异性变异体2(ETV2)在牙髓干细胞(DPSCs)成骨分化中的分子调控作用,阐明其对成骨细胞特异性转录因子Osterix(OSX)转录活性和巨噬细胞极化的影响机制。方法:构建ETV2过表达DPSCs稳定转染细胞系,通过转录组测序分析基因表达谱变化;采用双荧光素酶报告基因实验验证ETV2过表达对OSX启动子的直接调节作用,同时免疫荧光染色检测OSX蛋白表达。建立转染ETV2过表达DPSCs与巨噬细胞共培养体系,使用流式细胞术检测巨噬细胞CD86(M1型标志物)和CD206(M2型标志物)阳性率,实时荧光定量PCR检测炎症相关细胞因子白细胞介素(IL)-1β、IL-6、IL-1受体拮抗剂(IL-1ra)和转化生长因子-β(TGF-β)基因水平。将ETV2过表达DPSCs/支架复合物植入大鼠临界尺寸颅骨缺损区域,免疫荧光染色验证过表达ETV2对骨组织OSX和巨噬细胞标志物诱导型一氧化氮合酶(iNOS)和CD206表达的调节作用。结果:转录组分析显示,过表达ETV2显著激活了DPSCs成骨分化相关信号通路。双荧光素酶实验证实ETV2能够直接结合OSX启动子并激活其转录活性(P<0.001),免疫荧光染色发现ETV2过表达后DPSCs中OSX蛋白表达增加(P<0.01)。共培养实验发现,过表达ETV2显著调节巨噬细胞极化,CD86阳性细胞减少(P<0.01),CD206阳性细胞增加(P<0.05);同时,促炎因子IL-1β和IL-6基因表达下调(P<0.05),抗炎因子IL-1ra和TGF-β基因表达上调(P<0.01)。体内实验显示,过表达ETV2后大鼠术后3天缺损区骨组织OSX阳性细胞比例显著升高(P<0.05),CD206表达增加,iNOS表达下降。结论:ETV2在DPSCs中发挥双重分子调节作用:直接激活OSX基因转录和促进巨噬细胞向M2表型极化。 展开更多
关键词 E26转化特异性变异体2(ETV2) 转录因子 牙髓干细胞 巨噬细胞 成骨分化
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环介导逆转录等温扩增法在快速检测人呼吸道合胞病毒中的应用
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作者 杨海玉 宋冬梅 +7 位作者 唐妮娜 吴学琴 王艳 许佳 胡道来 宋健锋 杭佳 朱伯林 《现代医学》 2025年第3期475-479,共5页
目的:建立适用人呼吸道合胞病毒(RSV)核酸检测的逆转录等温扩增法(RT-Lamp),为基层实验室和口岸现场的快速诊断提供时效性、便捷性服务。方法:对RSV靶基因保守区用在线软件设计并筛选出一套环介导特异性引物,采用RT-Lamp技术对RSV核酸... 目的:建立适用人呼吸道合胞病毒(RSV)核酸检测的逆转录等温扩增法(RT-Lamp),为基层实验室和口岸现场的快速诊断提供时效性、便捷性服务。方法:对RSV靶基因保守区用在线软件设计并筛选出一套环介导特异性引物,采用RT-Lamp技术对RSV核酸进行恒温扩增,优化反应体系和条件,并对灵敏度、特异度和试剂稳定性等指标进行验证。结果:该方法能检测出RSV-A和RSV-B两种亚型。与荧光RT-PCR法比对,RT-Lamp灵敏度为50 copies·mL^(-1),特异度检测发现流感病毒、人冠状病毒、人偏肺病毒、人腺病毒、人鼻病毒、肠道病毒EV71、肠道病毒CoxA16均无扩增反应。加速稳定性试验显示,反应体系3周内仍然稳定。临床验证中,扩增反应判读结果时间跨度在35 min以内,总体符合率为91.7%(55/60),与RT-PCR方法比较差异无统计学意义(P=0.65)。结论:RSV RT-Lamp检测方法准确性良好,且快速简便,为进一步开展大样本诊断准确性研究提供了基础。 展开更多
关键词 逆转录等温扩增 呼吸道合胞病毒 逆转录-聚合酶链反应 灵敏度 特异度 加速稳定性
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凋亡外囊泡传递LncRNA-XIST在胶质瘤细胞耐药性作用机制研究
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作者 薛箕山 赵媛媛 +3 位作者 邱浩 阿衣希塔·奴尔江 刘正 杜鹏 《重庆医科大学学报》 北大核心 2025年第7期931-939,共9页
目的:探讨胶质瘤细胞来源的凋亡外囊泡(apoptotic cell-derived extracellular vesicles,apoEVs)对胶质瘤肿瘤发生和替莫唑胺(temozolomide,TMZ)耐药性的影响及作用机制。方法:经提取的apoEVs经纳米颗粒跟踪分析和透射电子显微镜表征,... 目的:探讨胶质瘤细胞来源的凋亡外囊泡(apoptotic cell-derived extracellular vesicles,apoEVs)对胶质瘤肿瘤发生和替莫唑胺(temozolomide,TMZ)耐药性的影响及作用机制。方法:经提取的apoEVs经纳米颗粒跟踪分析和透射电子显微镜表征,并通过Western blot、流式细胞术、CCK-8实验、细胞克隆形成实验和Transwell实验等方法评估其对细胞增殖、迁移、侵袭及凋亡的影响。结果:apoEVs促进胶质瘤细胞的TMZ耐药性,显著提高TMZ半数抑制浓度(IC50)(t=9.326,P=0.001),抑制细胞凋亡,并通过外泌体抑制剂GW4869逆转该效应。apoEVs促进胶质瘤细胞的迁移和侵袭,增加波形蛋白(Vimentin)和Twist蛋白的表达(t=8.762,P=0.002和t=7.941,P=0.004),抑制裂解型半胱氨酸天冬氨酸蛋白酶-3(leaved-Caspase-3)的表达(t=9.217,P=0.002)。进一步机制研究表明,apoEVs通过调控LncRNA-XIST/miR-29c/O6-甲基鸟嘌呤-DNA甲基转移酶(O6-methylguanineDNA methyltransferase,MGMT)轴,影响胶质瘤细胞对TMZ的耐药性。沉默LncRNA-XIST降低MGMT表达、增加miR-29c表达,从而增强TMZ敏感性,抑制细胞迁移和侵袭。结论:胶质瘤细胞来源的凋亡外囊泡通过传递LncRNA-XIST调节miR-29c/MGMT轴从而促进胶质瘤恶性进展和替莫唑胺耐药。 展开更多
关键词 胶质瘤 凋亡外囊泡 长链非编码RNA-X染色体失活转录物 上皮-间质转化 miR-29c/O6-甲基鸟嘌呤-DNA甲基转移酶轴
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带状疱疹患者血清STAT3,LncRNA XIST水平表达与疱疹后遗神经痛发生的相关性研究 被引量:1
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作者 许凤婷 杜佳繁 蒋颖 《现代检验医学杂志》 2025年第1期73-77,89,共6页
目的 探讨信号转导和转录激活因子3(signal transduction and transcription activator 3,STAT3)、长链非编码RNA X染色体失活特异转录物(long non-coding RNA X chromosome inactivation specific transcript,LncRNA XIST)在带状疱疹... 目的 探讨信号转导和转录激活因子3(signal transduction and transcription activator 3,STAT3)、长链非编码RNA X染色体失活特异转录物(long non-coding RNA X chromosome inactivation specific transcript,LncRNA XIST)在带状疱疹后遗神经痛(postherpetic neuralgia,PHN)患者中的表达水平及其与PHN病情的相关性。方法 回顾性选取绵阳市中心医院2021年4月~2023年3月收治的179例带状疱疹患者为研究对象,根据PHN的发生与否分为PHN组(n=43)和非PHN组(n=136),并根据疼痛程度将43例PHN患者分为轻度组(n=20)、中度组(n=16)和重度组(n=7);另选取绵阳市中心医院同期健康体检者120例作为对照组。血清STAT3水平采用ELISA进行检测;LncRNA XIST水平采用RT-qPCR进行检测;采用多因素Logistic回归分析法分析影响PHN发生的因素;采用受试者工作特征(ROC)曲线分析血清STAT3和LncRNA XIST水平对PHN发生的预测价值。结果 与对照组比较,非PHN组、PHN组血清STAT3(1.44±0.38 ng/L,2.13±0.51 ng/L vs 0.86±0.20 ng/L),LncRNA XIST(1.79±0.47,2.82±0.66 vs 1.05±0.24)水平均明显升高(t=14.986,15.549;22.894,25.197),且PHN组高于非PHN组(t=9.514,11.292),差异具有统计学意义(均P<0.05)。与轻度组比较,中度组和重度组血清STAT3(2.21±0.53ng/L,3.04±0.59 ng/L vs 1.72±0.42 ng/L)和LncRNA XIST(2.96±0.68,4.15±0.76 vs 2.24±0.51)水平显著升高(t=3.097,3.632;6.443,7.500),且重度组显著高于中度组(t=3.343,3.731),差异具有统计学意义(均P<0.05)。与非PHN组比较,PHN组辅助性T细胞(T helper cell 17,Th17)/调节性T细胞(regulatory T cells,Treg)(0.60±0.12 vs 0.54±0.08)和白细胞介素-10(interleukin-10,IL-10)水平(29.69±4.58 pg/ml vs 23.57±3.62 pg/ml)明显升高,差异具有统计学意义(t/χ^(2)=3.765,9.040,均P<0.05)。多因素Logistic回归分析显示,STAT3,LncRNA XIST,Th17/Treg,IL-10均为影响PHN发生的独立危险因素(OR=1.157,1.149,1.153,1.125,均P<0.05);ROC曲线结果显示,血清STAT3,LncRNA XIST水平单独预测PHN发生的AUC(95%CI)分别为0.807(0.741~0.862),0.787(0.720~0.845),血清STAT3和LncRNA XIST联合预测PHN发生的AUC(95%CI)为0.881(0.824~0.924),高于二者单独预测的AUC,差异具有统计学意义(Z=1.994,2.175,P=0.046,0.030),敏感度和特异度分别为81.82%,84.56%。结论 STAT3和LncRNA XIST在PHN患者血清中升高,PHN患者疼痛程度越高STAT3和LncRNA XIST水平越高,二者联合检测对PHN的预测价值较高,有一定临床参考价值。 展开更多
关键词 带状疱疹后遗神经痛 信号转导和转录激活因子3 长链非编码RNA X染色体失活特异转录物
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