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Correlation of serum cytokine-induced neutrophil chemoattractant levels with Helicobacter pylori infection and disease severity in gastric cancer patients
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作者 Hai-Ling Zhang Xiao-Lei Niu Ning Wang 《World Journal of Gastrointestinal Oncology》 2025年第7期198-208,共11页
BACKGROUND Gastric cancer(GC)is a leading cause of cancer-related mortality worldwide,with Helicobacter pylori(H.pylori)infection recognized as a major risk factor.Chronic H.pylori-induced inflammation drives carcinog... BACKGROUND Gastric cancer(GC)is a leading cause of cancer-related mortality worldwide,with Helicobacter pylori(H.pylori)infection recognized as a major risk factor.Chronic H.pylori-induced inflammation drives carcinogenesis through neutrophilmediated pathways,in which cytokine-induced neutrophil chemoattractant(CINC)plays a pivotal role.However,the interplay among H.pylori virulence factors,systemic CINC levels,and GC progression remains poorly defined.AIM To investigate the correlation among serum CINC levels,H.pylori infection,and disease severity in patients with GC.METHODS This retrospective cohort study included 258 patients with GC diagnosed between April 2020 and November 2023.H.pylori infection was confirmed via histology,rapid urease test,and serology.Serum CINC levels were quantified using ELISA.Statistical analyses were performed with SPSS 26.0.RESULTS The H.pylori-positive patients exhibited significantly higher serum CINC levels(312.5±120.3 pg/mL)than the H.pylori-negative patients(150.2±95.4 pg/mL;P<0.05).CINC levels were correlated positively with TNM stage in the H.pyloripositive patients(P<0.05),with the highest levels recorded in stage IV(415.7±150.6 pg/mL).The patients infected with cytotoxin-associated gene A/vacuolating cytotoxin-positive H.pylori strains had elevated CINC levels(P<0.05).High CINC levels and H.pylori infection independently predicted poor survival CONCLUSION Elevated serum CINC levels are strongly associated with H.pylori infection,advanced TNM staging,and poor prognosis in GC.CINC serves as a novel prognostic biomarker,underscoring the role of neutrophil-driven inflammation in H.pylori-associated carcinogenesis. 展开更多
关键词 Gastric cancer Helicobacter pylori Cytokine-induced neutrophil chemoattractant INFLAMMATION PROGNOSIS
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脑小血管病抑郁患者血清LDH、MCP-1、TCF4水平检测及其临床意义
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作者 刘斯倩 于振剑 +2 位作者 张顺 李娜 王玲 《中风与神经疾病杂志》 2026年第1期47-51,共5页
目的探索脑小血管病合并抑郁患者血清乳酸脱氢酶(LDH)、单核细胞趋化蛋白-1(MCP-1)、转录因子4(TCF4)水平变化和临床意义。方法选择2022年1月—2024年8月在开滦总医院住院的患者作为研究对象,筛选出符合纳入和排除标准的患者90例(其中... 目的探索脑小血管病合并抑郁患者血清乳酸脱氢酶(LDH)、单核细胞趋化蛋白-1(MCP-1)、转录因子4(TCF4)水平变化和临床意义。方法选择2022年1月—2024年8月在开滦总医院住院的患者作为研究对象,筛选出符合纳入和排除标准的患者90例(其中确诊为脑小血管病合并抑郁患者27例,脑小血管病未合并抑郁患者63例),选择同期于开滦总医院体检显示头部MRI检查正常、无其他可引起精神障碍疾病的正常者45例作为对照组;收集3组一般资料,包括年龄、体重指数(BMI)、收缩压、舒张压等,对一般资料和三组血清LDH、MCP-1、TCF4水平进行比较,并分析血清LDH、MCP-1、TCF4水平和脑小血管病合并抑郁患者HAMD评分的相关性;使用Logistic回归分析导致脑小血管病患者发生抑郁的可能因素,利用受试者工作特征(ROC)曲线分析血清LDH、MCP-1、TCF4水平诊断脑小血管病发生抑郁的效能。结果脑小血管病合并抑郁组血清LDH、MCP-1、TCF4水平较对照组、脑小血管病未合并抑郁组升高,而且脑小血管病未合并抑郁组血清LDH、MCP-1、TCF4水平较对照组也升高(P<0.05);脑小血管病合并抑郁患者血清LDH、MCP-1、TCF4与汉密尔顿抑郁量表(HAMD)评分呈正相关(r分别为0.606、0.798、0.672,P均<0.001);血清LDH、MCP-1、TCF4是脑小血管病发生抑郁的影响因素(P<0.05);LDH、MCP-1、TCF4三者联合诊断脑小血管病发生抑郁的AUC是0.917,优于血清LDH、MCP-1、TCF4各自单独诊断(Z_(LDH-联合)=2.457、P=0.014,Z_(MCP-1-联合)=2.384、P=0.017,Z_(TCF4-联合)=2.317、P=0.021)。结论脑小血管病合并抑郁患者血清LDH、MCP-1、TCF4水平升高,三者联合检测对脑小血管病患者发生抑郁的诊断价值较好。 展开更多
关键词 脑小血管病 抑郁 乳酸脱氢酶 单核细胞趋化蛋白-1 转录因子4 临床意义
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血清IL-6、MCP-1、SAA在肾结石术后尿路感染中的表达及临床意义
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作者 张磊 陈鸿润 +1 位作者 张连峰 付陶柱 《疑难病杂志》 2026年第2期191-195,共5页
目的分析血清白介素-6(IL-6)、单核细胞趋化蛋白1(MCP-1)、淀粉样蛋白A(SAA)在肾结石术后尿路感染(UTI)中的表达及临床意义。方法选取2023年10月—2024年10月首都医科大学附属复兴医院泌尿外科行肾结石术治疗的患者187例,根据术后是否发... 目的分析血清白介素-6(IL-6)、单核细胞趋化蛋白1(MCP-1)、淀粉样蛋白A(SAA)在肾结石术后尿路感染(UTI)中的表达及临床意义。方法选取2023年10月—2024年10月首都医科大学附属复兴医院泌尿外科行肾结石术治疗的患者187例,根据术后是否发生UTI将其分为UTI组(n=45)和非UTI组(n=142)。ELISA法检测血清IL-6、MCP-1、SAA水平;利用微生物分析仪检测并鉴定病原菌类型;多因素Logistic回归分析患者行肾结石术后发生UTI的影响因素;受试者工作特征(ROC)曲线分析血清IL-6、MCP-1、SAA水平对患者行肾结石术后发生UTI的诊断价值。结果UTI组血清IL-6、MCP-1、SAA水平高于非UTI组(t/P=6.691/<0.001、6.060/<0.001、5.549/<0.001)。行肾结石术后,UTI组患者尿液分离培养出病原菌65株,其中革兰阳性菌22株(33.85%)、革兰阴性菌38株(58.46%)、真菌5株(7.69%)。多因素Logistic回归分析显示,术前留置输尿管支架管、尿管留置时间长、IL-6高、MCP-1高、SAA高是患者行肾结石术后发生UTI的独立危险因素[OR(95%CI)=2.453(1.527~3.942)、3.023(1.580~5.784)、4.112(3.168~5.337)、3.786(2.058~6.965)、4.978(2.859~8.669)];血清IL-6、MCP-1、SAA水平单独及三者联合诊断患者行肾结石术后发生UTI的曲线下面积(AUC)分别为0.753、0.766、0.832、0.931,三者联合优于各自单独诊断价值(Z/P=4.255/<0.001、4.303/<0.001、3.568/<0.001)。结论IL-6、MCP-1、SAA在肾结石术后发生UTI的患者中呈高水平,三者联合检测可以提高对肾结石术后发生UTI的诊断效能。 展开更多
关键词 肾结石术 尿路感染 白介素-6 单核细胞趋化蛋白1 淀粉样蛋白A
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滋膵通脉饮通过调控促炎脂肪因子TNF-α、MCP-1、PAI-1对糖尿病大鼠心肌纤维化的影响
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作者 陶翠宁 罗春玉 +5 位作者 李忠霄 钟聪璐 周婉莹 卜献春 谭军 袁春云 《湖南中医药大学学报》 2026年第2期240-247,共8页
目的探讨滋膵通脉饮调控促炎脂肪因子肿瘤坏死因子-α(TNF-α)、单核细胞趋化蛋白-1(MCP-1)、纤溶酶原激活物抑制因子-1(PAI-1)对糖尿病大鼠心肌纤维化的影响。方法SD大鼠40只,随机选10只作为空白对照组,其余30只采用高糖高脂饮食联合... 目的探讨滋膵通脉饮调控促炎脂肪因子肿瘤坏死因子-α(TNF-α)、单核细胞趋化蛋白-1(MCP-1)、纤溶酶原激活物抑制因子-1(PAI-1)对糖尿病大鼠心肌纤维化的影响。方法SD大鼠40只,随机选10只作为空白对照组,其余30只采用高糖高脂饮食联合腹腔注射链脲佐菌素(STZ)建立糖尿病心肌病(DCM)模型。将造模成功的大鼠随机分为模型组、滋膵通脉饮组(17.6 g·kg^(-1))、依那普利组(0.53 mg·kg^(-1)),每组9只。各组给予对应药物灌胃,每天1次,连续6周。治疗前后定期监测各组体质量及空腹血糖(FBG);采用生化法测定大鼠血清葡萄糖(GLU)、糖化血清蛋白(GSP)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、乳酸脱氢酶(LDH)含量;ELISA检测空腹胰岛素(FINS)水平,并计算胰岛素抵抗指数(HOMA-IR)及胰岛素敏感指数(ISI);ELISA检测肌酸激酶同工酶(CK-MB)、心肌肌钙蛋白T(cTnT)、Ⅰ型胶原蛋白(COL-Ⅰ)、TNF-α、MCP-1、PAI-1含量。通过HE染色、Masson染色和天狼星红染色观察DCM大鼠心肌组织病理形态学变化,并计算大鼠心肌组织心肌胶原容积分数(CVF)水平。结果与空白对照组比较,模型组体质量减轻(P<0.01),FBG、GLU、GSP、TC、TG、LDL-C、HOMA-IR、LDH、CK-MB、cTnT、COL-Ⅰ、TNF-α、MCP-1、PAI-1均升高(P<0.01),FINS、ISI降低(P<0.01),大鼠心肌组织结构排列紊乱,心肌纤维间隙增宽伴胶原沉积,心肌细胞出现脂肪变性,存在炎症细胞浸润,CVF升高(P<0.01)。与模型组比较,滋膵通脉饮组体质量增加(P<0.05),FBG、GLU、GSP、TC、TG、LDL-C、HOMA-IR、LDH、CK-MB、cTnT、COL-Ⅰ、TNF-α、MCP-1、PAI-1均降低(P<0.05,P<0.01),FINS、ISI均升高(P<0.05,P<0.01),大鼠心肌纤维排列趋于整齐,心肌细胞形态趋于正常,炎症浸润改善,CVF降低(P<0.01)。结论滋膵通脉饮可改善DCM大鼠心肌纤维化,其作用机制可能与下调促炎脂肪因子TNF-α、MCP-1、PAI-1的释放,抑制心肌纤维化有关。 展开更多
关键词 糖尿病心肌病 心肌纤维化 滋膵通脉饮 促炎脂肪因子 肿瘤坏死因子-α 单核细胞趋化蛋白-1 纤溶酶原激活物抑制因子-1
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循环单核细胞LincRNA-PACERR、IL-6、MCP-1及MHR对冠心病及严重程度的评估价值
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作者 蔡智伟 张伟 +1 位作者 郭涛 鲁志兵 《武汉大学学报(医学版)》 2026年第1期8-14,共7页
目的:探讨循环单核细胞LincRNA-PACERR、白细胞介素-6(IL-6)、单核细胞趋化蛋白-1(MCP-1)及单核细胞与高密度脂蛋白胆固醇比值(MHR)对冠心病(CAD)及其严重程度的联合风险评估。方法:回顾性纳入2022年4—10月在武汉大学中南医院行冠状动... 目的:探讨循环单核细胞LincRNA-PACERR、白细胞介素-6(IL-6)、单核细胞趋化蛋白-1(MCP-1)及单核细胞与高密度脂蛋白胆固醇比值(MHR)对冠心病(CAD)及其严重程度的联合风险评估。方法:回顾性纳入2022年4—10月在武汉大学中南医院行冠状动脉(冠脉)造影检查和冠脉血管内超声检查的306例患者,其中201例符合CAD诊断标准作为CAD组,105例作为对照组。比较两组及CAD不同严重程度患者的循环单核细胞LincRNA-PACERR、IL-6、MCP-1及MHR,采用受试者工作特征曲线(ROC)分析其对CAD及严重程度的诊断价值。结果:CAD组循环单核细胞LincRNA-PACERR、IL-6、MCP-1及MHR均显著高于对照组(均P<0.05),联合检测上述四项指标对CAD的诊断效能优于单一指标,曲线下面积(AUC)和特异度均较高。重度冠脉病变患者循环单核细胞LincRNA-PACERR、IL-6和MHR显著高于轻度病变患者(均P<0.05),且对CAD严重程度有诊断价值(均P<0.05)。联合检测四项指标对CAD严重程度的诊断效能优于单一指标,且敏感度均较高。结论:CAD患者循环单核细胞LincRNA-PACERR、IL-6、MCP-1及MHR显著升高,联合检测四项指标对CAD及其严重程度具有较高的诊断价值,或可作为筛查CAD严重程度的潜在指标。 展开更多
关键词 冠心病 循环单核细胞LincRNA-PACERR 白细胞介素-6 单核细胞趋化蛋白1 单核细胞与高密度脂蛋白胆固醇比值
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依折麦布联合阿托伐他汀钙对老年急性心肌梗死PCI术后患者血清ox-LDL、sdLDL-C及预后的影响
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作者 王刚 王琰 张华 《免疫学杂志》 2026年第1期35-39,共5页
目的 探讨依折麦布联合阿托伐他汀钙对老年急性心肌梗死(AMI)经皮冠状动脉介入治疗(PCI)术后患者血清氧化型低密度脂蛋白(ox-LDL)、小而密低密度脂蛋白胆固醇(sd LDL-C)及预后的影响。方法 选择2022年1月至12月接受PCI治疗的老年AMI患... 目的 探讨依折麦布联合阿托伐他汀钙对老年急性心肌梗死(AMI)经皮冠状动脉介入治疗(PCI)术后患者血清氧化型低密度脂蛋白(ox-LDL)、小而密低密度脂蛋白胆固醇(sd LDL-C)及预后的影响。方法 选择2022年1月至12月接受PCI治疗的老年AMI患者86例为研究对象,按随机数字表法分为联合组和对照组各43例。两组均给予常规PCI治疗,对照组另服用阿托伐他汀钙20 mg每日1次口服,联合组在对照组基础上加用依折麦布10 mg每日1次口服,均连续治疗1个月。观察两组治疗前后血清ox-LDL、sdLDL-C水平,炎性因子[单核细胞趋化蛋白-1(MCP-1)、白细胞介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)]水平;比较两组治疗前后左心室射血分数(LVEF)及左心室舒张末期内径(LVEDD)变化;并记录患者治疗后6个月内主要心血管不良事件(MACE)与治疗期间不良反应发生情况。结果 治疗后,两组血清ox-LDL、sdLDL-C水平均较治疗前下降,且联合组低于对照组(P<0.05,P<0.01)。治疗后,两组血清MCP-1、IL-6及TNF-α水平均较治疗前下降,且联合组低于对照组(P<0.05,P<0.01)。治疗后,两组LVEF均较治疗前升高、LVEDD均较治疗前降低,且联合组LVEF高于对照组、LVEDD低于对照组(P<0.05,P<0.01)。联合组MACE发生率为4.65%(2/43)低于对照组的20.93%(9/43),差异有统计学意义(P<0.05)。两组治疗期间不良反应发生率比较差异无统计学意义(P>0.05)。结论 依折麦布联合阿托伐他汀钙治疗能更有效降低老年AMI PCI术后患者血清ox-LDL、sdLDL-C水平,减轻炎症反应,改善心功能,降低短期MACE发生风险,且不良反应可控。 展开更多
关键词 急性心肌梗死 老年人 经皮冠状动脉介入治疗 依折麦布 阿托伐他汀钙 氧化型低密度脂蛋白 单核细胞趋化蛋白-1 左心室射血分数 安全性
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Effect of Danzhijiangtang capsule on monocyte chemoattractant protein-1 mRNA expression in newly diagnosed diabetes subclinical vascular lesions 被引量:9
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作者 Zhao-Hui Fang Yan Liu +6 位作者 Tao-Tao Bao Ying-Qun Ni Jian Liu Guo-Bin Shi Ji-Ping Wu Jun-Ping Yang Hong Zhang 《World Journal of Gastroenterology》 SCIE CAS 2013年第19期2963-2968,共6页
AIM:To investigate the effect of Danzhijiangtang capsule(DJC) on monocyte chemoattractant protein-1(MCP-1) mRNA expression in newly diagnosed type 2 diabetes mellitus(T2DM) subclinical vascular lesions.METHODS:Sixty-t... AIM:To investigate the effect of Danzhijiangtang capsule(DJC) on monocyte chemoattractant protein-1(MCP-1) mRNA expression in newly diagnosed type 2 diabetes mellitus(T2DM) subclinical vascular lesions.METHODS:Sixty-two patients with newly diagnosed T2DM subclinical vascular lesions were randomly divided into a control group and treatment group of 31 cases each.Oral antidiabetic therapy with routine western medicine was conducted in both groups,and the treatment group was additionally treated with DJCs.The treatment course for both groups was 12 wk.Before and after treatment,the total efficiency and traditional Chinese medicine(TCM) syndrome score were calculated.The fasting plasma glucose(FPG),2-h plasma glucose(2hPG),fasting insulin(FINS),insulin resistance index(IRI),hemoglobin(Hb)A1c,blood lipids,and hemorheology indices were determined.In addition,the levels of vascular endothelial growth factors including thrombomodulin(TM),von Willebrand factor(vWF),P-selectin and MCP-1 mRNA were determined.RESULTS:After 12 wk of treatment,the TCM syndrome score was significantly decreased compared to before treatment in both groups.After treatment,FPG,2hPG,HbA1c,FINS,IRI,total cholesterol,triglycerides,low-density lipoprotein,high-density lipoprotein,whole blood low shear specific viscosity,plasma specific viscosity,TM,vWF,P-selectin and MCP-1 mRNA were significantly improved compared to before treatment in both groups.After treatment,the total efficiency and TCM syndrome score in the treatment group were better than in the control group.FINS,IRI,whole blood high shear specific viscosity,plasma specific viscosity,TM,vWF,P-selectin and MCP-1 mRNA level in the treatment group were significantly reduced after treatment compared with control group.CONCLUSION:DJCs are efficacious in supplementing qi,nourishing yin and invigorating blood circulation,and upregulate MCP-1 mRNA expression in patients with T2DM subclinical vascular lesions. 展开更多
关键词 Danzhijiangtang CAPSULE Type 2 DIABETES MELLITUS SUBCLINICAL vascular lesions MONOCYTE chemoattractant protein-1
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Effects of Bifidobacterium infantis on cytokine-induced neutrophil chemoattractant and insulin-like growth factor-1 in the ileum of rats with endotoxin injury 被引量:9
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作者 Wei Wang Mei Sun +2 位作者 Yu-Ling Zheng Liu-Yu Sun Shu-Qiang Qu 《World Journal of Gastroenterology》 SCIE CAS 2019年第23期2924-2934,共11页
BACKGROUND The digestive tract is the maximal immunizing tissue in the body, and mucosal integrity and functional status of the gut is very important to maintain a healthy organism. Severe infection is one of the most... BACKGROUND The digestive tract is the maximal immunizing tissue in the body, and mucosal integrity and functional status of the gut is very important to maintain a healthy organism. Severe infection is one of the most common causes of gastrointestinal dysfunction, and the pathogenesis is closely related to endotoxemia and intestinal barrier injury. Bifidobacterium is one of the main probiotics in the human body that is involved in digestion, absorption, metabolism, nutrition, and immunity.Bifidobacterium plays an important role in maintaining the intestinal mucosal barrier integrity. This study investigated the protective mechanism of Bifidobacterium during ileal injury in rats.AIM To investigate the effects of Bifidobacterium on cytokine-induced neutrophil chemoattractant(CINC) and insulin-like growth factor 1(IGF-1) in the ileum of rats with endotoxin injury.METHODS Preweaning rats were randomly divided into three groups: Control(group C),model(group E) and treatment(group T). Group E was intraperitoneally injected with lipopolysaccharide(LPS) to create an animal model of intestinal injury.Group T was intragastrically administered Bifidobacterium suspension 7 d before LPS. Group C was intraperitoneally injected with normal saline. The rats were killed at 2, 6 or 12 h after LPS or physiological saline injection to collect ilealtissue samples. The expression of ileal CINC mRNA was evaluated by reverse transcription-polymerase chain reaction(RT-PCR), and expression of ileal IGF-1 protein and mRNA was detected by immunohistochemistry and RT-PCR,respectively.RESULTS The ileum of rats in Group C did not express CINC mRNA, ileums from Group E expressed high levels, which was then significantly decreased in Group T(F =23.947, P < 0.05). There was no significant difference in CINC mRNA expression at different times(F = 0.665, P > 0.05). There was a high level of IGF-1 brown granules in ileal crypts and epithelial cells in Group C, sparse staining in Group E, and dark, dense brown staining in Group T. There was a significant difference between Groups C and E and Groups E and T(P < 0.05). There was no significant difference in IGF-1 protein expression at different times(F = 1.269, P > 0.05). IGF-1 mRNA expression was significantly different among the three groups(P < 0.05),though not at different times(F = 0.086, P > 0.05).CONCLUSION Expression of CINC mRNA increased in the ileum of preweaning rats with endotoxin injury, and exogenous administration of Bifidobacterium reduced CINC m RNA expression. IGF-1 protein and mRNA expression decreased in the ileum of preweaning rats with endotoxin injury, and exogenous administration of Bifidobacterium prevented the decrease in IGF-1 expression. Bifidobacterium may increase IGF-1 expression and enhance intestinal immune barrier function in rats with endotoxin injury. 展开更多
关键词 BIFIDOBACTERIUM ILEUM Cytokine-induced neutrophil chemoattractant INSULIN-LIKE growth factor-1 RATS
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Relationship between vitamin D and IL-23,IL-17 and macrophage chemoattractant protein-1 as markers of fibrosis in hepatitis C virus Egyptians 被引量:12
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作者 Noha M El Husseiny Hala M Fahmy +1 位作者 Waleed A Mohamed Hisham H Amin 《World Journal of Hepatology》 CAS 2012年第8期242-247,共6页
AIM: To assess vitamin D in hepatitis C patients and its relationship to interleukin (IL)-23, IL-17, and macrophage chemoattractant protein-1 (MCP-1). METHODS: The study was conducted on 50 Egyptian hepatitis C virus ... AIM: To assess vitamin D in hepatitis C patients and its relationship to interleukin (IL)-23, IL-17, and macrophage chemoattractant protein-1 (MCP-1). METHODS: The study was conducted on 50 Egyptian hepatitis C virus (HCV) genotype number IV-infected patients and 25 age- and gender-matched healthy subjects. Venous blood samples were obtained. Samples were allowed to clot and sera were separated by centrifugation and stored at -20?°C. A 25 hydroxy vitamin D assay was carried out using solid phase RIA. A 1,25 dihydroxy vitamin D assay was carried out using a commercial kit purchased from Incstar Corporation. IL-17 and -23 and MCP-1 were assayed by an enzyme immunoassay. Quantitative and qualitative polymerase chain reaction for HCV virus were done by TaqMan technology. Only HCV genotype IV-infected subjects were included in the study. The mean ± SD were determined, a t-test for comparison of means of different parameters was used. Correlation analysis was done using Pearson’s correlation. Differences among different groups were determined using the Kruskal-Wallis test. RESULTS: The mean vitamin D level in HCV patients (group?I) was 15 ± 5.2 ng/mL while in control (group II) was 39.7 ± 10.8. For active vitamin D in group?I?as 16.6 ± 4.8 ng/mL while in group II was 41.9 ± 7.9. IL-23 was 154 ± 97.8 in group?I?and 6.7 ± 2.17 in group II. IL-17 was 70.7 ± 72.5 in cases and 1.2 ± 0.4 in control. MCP-1 was 1582 ± 794.4 in group?I?and 216.1 ± 5.38 in group II. Vitamin D deficiency affected 72% of HCV-infected patients and 0% of the control group. Vitamin D insufficiency existed in 28% of HCV-infected patients and 12% of the control group. One hundred percent of the cirrhotic patients and 40% of non cirrhotic HCV-infected patients had vitamin D deficiency. IL-23, IL-17, and MCP-1 were markedly increased in HCV-infected patients in comparison to controls.A significant negative correlation between vitamin D and IL-17 and -23 and MCP-1 was detected. HCV-infected males and females showed no differences with respect to viral load, vitamin D levels, IL-17, IL-23 and MCP-1. The viral load was negatively correlated with vitamin D and active vitamin D (P = 0.0001 and P = 0.001, respectively), while positively correlated with IL-23, IL-17, and MCP-1. We classified the patients according to sonar findings into four groups. Group?Ia with bright hepatomegaly and included 14 patients. Group?Ib with perihepatic fibrosis and included 11 patients. Group?Ic with liver cirrhosis and included 11 patients. Group?Id with hepatocellular carcinoma (HCC) and included 14 patients. Vitamin D and active vitamin D were shown to be lower in cirrhotic patients and much lower in patients with HCC, and this difference was highly significant (P = 0.0001). IL-17 and -23 and MCP-1 were higher in advanced liver disease) and the differences were highly significant (P = 0.0001). CONCLUSION: Whether the deficiency of vitamin D is related to HCV-induced chronic liver disease or predisposing factor for higher viral load is a matter of debate. 展开更多
关键词 Vitamin D Macrophage chemoattractant protin-1 Liver cirrhosis INTERLEUKIN-23 INTERLEUKIN-17 Liver cirrhosis
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尼莫地平联合亚低温治疗对急性缺血性脑卒中患者认知功能及侧支循环的影响
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作者 沈雷 梁燕 +3 位作者 武海博 傅国惠 白方会 邢娟 《实用临床医药杂志》 2026年第1期68-72,79,共6页
目的探讨尼莫地平片联合亚低温治疗对急性缺血性脑卒中患者认知功能及侧支循环的影响。方法选取100例急性缺血性脑卒中患者为研究对象,并随机分为对照组(亚低温治疗,n=50)和观察组(尼莫地平片联合亚低温治疗,n=50)。比较2组患者的神经... 目的探讨尼莫地平片联合亚低温治疗对急性缺血性脑卒中患者认知功能及侧支循环的影响。方法选取100例急性缺血性脑卒中患者为研究对象,并随机分为对照组(亚低温治疗,n=50)和观察组(尼莫地平片联合亚低温治疗,n=50)。比较2组患者的神经功能、认知功能、侧支循环指标、血清指标及安全性。结果治疗后,2组患者的美国国立卫生研究院卒中量表(NIHSS)评分低于治疗前,蒙特利尔认知评估量表(MoCA)评分高于治疗前,差异有统计学意义(P<0.05)。治疗后,观察组患者的NIHSS评分低于对照组,MoCA评分高于对照组,差异有统计学意义(P<0.05)。治疗后,2组患者的侧支循环指标均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗后,2组患者的N末端B型利钠肽原(NT-proBNP)、细胞间黏附分子-1(ICAM-1)以及单核细胞趋化蛋白-1(MCP-1)低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。2组患者的不良反应发生率比较,差异无统计学意义(P>0.05)。结论尼莫地平片联合亚低温治疗应用于急性缺血性脑卒中患者,可有效改善神经功能与认知功能,促进侧支循环建立,提高脑血流速度,且具有良好的安全性。 展开更多
关键词 急性缺血性脑卒中 亚低温治疗 侧支循环指标 认知功能 N末端B型利钠肽原 细胞间黏附分子-1 单核细胞趋化蛋白-1 神经功能
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Effects of Simvastatin on NF-κB-DNA Binding Activity and Monocyte Chemoattractant Protein-1 Expression in a Rabbit Model of Atherosclerosis 被引量:4
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作者 杨晓云 王琳 +3 位作者 曾和松 DUBEY Laxman 周宁 卜军 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2006年第2期194-198,共5页
To observe the effects of simvastatin on nuclear factor kappaB (NF-kB)-DNA binding activity and on the expression of monocyte chemoattractant protein-1 (MCP-1) in atherosclerotic plaque in rabbits and to explore t... To observe the effects of simvastatin on nuclear factor kappaB (NF-kB)-DNA binding activity and on the expression of monocyte chemoattractant protein-1 (MCP-1) in atherosclerotic plaque in rabbits and to explore the anti-atherosclerotic properties beyond its lipid-lowering effects. Thirty-six New Zealand male rabbits were randomly divided into low-cholesterol group (LC), high- cholesterol group (HC), high-cholesterol+ simvastatin group (HC+S) and then were fed for 12 weeks. At the end of the experiment, standard enzymatic assays, electrophoretic mobility shift as- say (EMSA), immunohistochemical staining, and morphometry were performed to observe serum lipids, NF-kB-DNA binding activity, MCP-1 protein expression, intirna thickness and plaque area of aorta respectively in all three groups. Our results showed that the serum lipids, NF-kB-DNA binding activity, expression of MCP-1 protein, intima thickness, and plaque area of aorta in the LC and HC+S groups were significantly lower than those in the HC group (P〈0.05). There was no significant difference in the serum lipids between the LC and HC+S groups (P〉0.05), but the NF-kB-DNA binding activity, the expression of MCP-1 protein and the intirna thickness and plaque area of aorta in the HC+S group were significantly decreased as compared to the LC group (P〈0. 05). This study demonstrated that simvastatin could decrease atherosclerosis by inhibiting the NF-kB-DNA binding activity and by reducing the expression of MCP-1 protein. 展开更多
关键词 SIMVASTATIN nuclear factor kappaB monocyte chemoattractant protein-1 ATHEROSCLEROSIS
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直肠炎灌肠方直肠滴入治疗溃疡性直肠炎的疗效及对血清白细胞介素-10、单核细胞趋化蛋白-1水平的影响
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作者 崔书德 李晓华 +1 位作者 石杰 马敬华 《中国中西医结合外科杂志》 2026年第1期40-44,共5页
目的:探究自拟直肠炎灌肠方直肠滴入联合美沙拉嗪肠溶片治疗溃疡性直肠炎(UP)的疗效及对血清白细胞介素10(IL-10)、单核细胞趋化蛋白-1(MCP-1)水平的影响。方法:选择我院2021年3月—2023年12月收治的UP患者90例,按随机数字表法分为治疗... 目的:探究自拟直肠炎灌肠方直肠滴入联合美沙拉嗪肠溶片治疗溃疡性直肠炎(UP)的疗效及对血清白细胞介素10(IL-10)、单核细胞趋化蛋白-1(MCP-1)水平的影响。方法:选择我院2021年3月—2023年12月收治的UP患者90例,按随机数字表法分为治疗组(采用自拟直肠炎灌肠方直肠滴入联合美沙拉嗪肠溶片)和对照组(采用美沙拉嗪肠溶片),每组45例。比较两组的临床疗效、炎症因子水平、肠道屏障功能指标、中医证候积分、直肠镜检查评分、炎症性肠病问卷(IBDQ)评分及不良反应情况。结果:治疗组的总有效率高于对照组(95.56%vs 80.00%,P<0.05)。治疗后,两组肿瘤坏死因子α(TNF-α)、MCP-1水平均比治疗前降低,且治疗组降幅更大(P<0.05);两组IL-10水平均升高,且治疗组增幅更大(P<0.05)。治疗后,两组二胺氧化酶(DAO)、D-乳酸水平均比治疗前降低,且治疗组降幅更大(P<0.05)。治疗后,两组中医证候积分均比治疗前降低,且治疗组降幅更大(P<0.05)。治疗后,两组直肠镜检查评分均比治疗前降低,且治疗组降幅更大(P<0.05);两组IBDQ评分均比治疗前升高,且治疗组增幅更大(P<0.05)。两组不良反应比较差异无统计学意义(P >0.05)。结论:采用自拟直肠炎灌肠方直肠滴入联合美沙拉嗪肠溶片治疗能够改善UP患者的临床症状,减轻炎症反应,修复肠道屏障功能,疗效显著。 展开更多
关键词 溃疡性直肠炎 直肠炎灌肠方 美沙拉嗪肠溶片 白细胞介素10 单核细胞趋化蛋白-1
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前锯肌平面阻滞辅助全身麻醉对保留胸肌乳腺癌根治术患者血流动力学及血清单核细胞趋化蛋白1、前列腺素E_(2)、P物质水平的影响
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作者 张洁瑞 郭新一 +2 位作者 付学明 毛毅 孟杰 《中国临床医生杂志》 2026年第2期164-168,共5页
目的探讨前锯肌平面阻滞辅助全身麻醉对保留胸肌乳腺癌根治术患者血流动力学及血清单核细胞趋化蛋白1(MCP1)、前列腺素E_(2)(PGE_(2))、P物质(SP)水平的影响。方法回顾性选取2022年5月至2024年3月于武汉科技大学附属孝感医院行乳腺癌根... 目的探讨前锯肌平面阻滞辅助全身麻醉对保留胸肌乳腺癌根治术患者血流动力学及血清单核细胞趋化蛋白1(MCP1)、前列腺素E_(2)(PGE_(2))、P物质(SP)水平的影响。方法回顾性选取2022年5月至2024年3月于武汉科技大学附属孝感医院行乳腺癌根治术126例患者为研究对象,将采用全身麻醉患者设为对照组(63例),将采用前锯肌平面阻滞辅助全身麻醉患者设为观察组(63例),两组均观察至出院。比较两组围手术期指标,麻醉前、麻醉后5min、手术开始30min和手术结束的血流动力学指标[心率(HR)、平均动脉压(MAP)、经皮动脉血氧饱和度(SpO_(2))],术前、术后24h的实验室指标(MCP1、PGE_(2)、SP),术后3、24、48h的镇痛和镇静效果,术后住院期间不良反应发生情况。结果观察组的术中瑞芬太尼、丙泊酚用量少于对照组,首次追加镇痛时间长于对照组、下床活动时间、术后住院时间短于对照组(P<0.05)。与T_(0)相比,T_(1)~T_(3)时两组MAP、SpO_(2)、HR水平总体先降低后升高,且观察组HR均高于对照组;T_(1)~T_(2)时观察组MAP均高于对照组(P<0.05)。术后24h与术前相比,两组MCP1、PGE_(2)、SP水平均升高,且观察组低于对照组(P<0.05)。与术后3h比,两组术后24h、术后48h的NRS评分呈下降趋势,观察组低于对照组,Ramsay镇静评分评分呈升高趋势,观察组高于对照组(P<0.05)。术后住院期间观察组总不良反应发生情况低于对照组(P<0.05)。结论前锯肌平面阻滞辅助全身麻醉效果优于全身麻醉,可改善患者各项围手术期指标,降低血流动力学波动,抑制MCP1、PGE_(2)、SP的表达,减轻术后疼痛程度,稳定患者情绪,降低总不良反应发生情况。 展开更多
关键词 乳腺癌 前锯肌 平面阻滞 血流动力学 单核细胞趋化蛋白1 前列腺素E_(2) P物质
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Interleukin-1β,Tumor Necrosis Factor-α and Lipopolysaccharide Induce Expression of Monocyte Chemoattractant Protein-1 in Calf Aortic Smooth Muscle Cells 被引量:2
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作者 孟峰 邓仲端 倪娟 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2000年第1期36-38,共3页
Summary: To investigate whether interleukin-1β(IL-1β), tumor necrosis factor-α (TNF-α) and lipopolysaccharide (LPS) induce expression of monocyte chemoattractant protein-1 (MCP-1 ) mRNA and protein in calf aortic ... Summary: To investigate whether interleukin-1β(IL-1β), tumor necrosis factor-α (TNF-α) and lipopolysaccharide (LPS) induce expression of monocyte chemoattractant protein-1 (MCP-1 ) mRNA and protein in calf aortic smooth muscle cells(SMCs), calf aortic SMCs were cultured by a substrate-attached explant method. The cultured SMCs were used between the third to the fifth passage. After the cells became confluent, the SMCs were exposed to 2 ng/ml IL-1β, 20ng/ml TNF-1α and 100 ng/ml LPS respectively, and the total RNA of SMCs which were incubated for 4 h at 37℃ were extracted from the cells by using guanidinium isothiocyanate method. The expres- ion of MCP-1 mRNA in SMCs was detected by using dot blotting analysis using a probe of γ-32 P- end-labelled 35-mer oligonucleotide. After a 24-h incubation, the media conditioned by the cul- tured SMCs were collected. The MCP-1 protein content in the conditioned media was determined by using sandwich ELISA. The results were as follows: Dot blotting analysis showed that the cul- tured SMCs could express MCP-1 mRNA. After a 4-h exposure to IL-1β, TNF-α and LPS, the MCP-1 mRNA expression in SMCs was increased (3.6-fold, 2. 3-fold and 1. 6-fold, respectively). ELISA showed that the levels of MCP-1 protein in the conditioned media were also increased (2.9- fold, 1.7-fold and 1.1-fold, respectively). The results suggest that calf aortic SMCs could ex- press MCP-1 mRNA and protein. IL-1β and TNF-α can induce strong expression of MCP-1 mRNA and protein, and the former is more effective than the latter. 展开更多
关键词 INTERLEUKIN-1Β tumor necrosis factor α lipopolysaccaride monocyte chemoattractant protein 1 muscle smooth vascular
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Expression of Monocyte Chemoattractant Protein-1 in Monocytes and Effects of Native and Oxidized Very Low Density Lipoproteins 被引量:1
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作者 王国平 邓仲端 倪娟 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 1997年第4期203-205,共3页
Monocyte chemoattractant protein-1(MCP-1), a potent chemoattractant, is thought to play an important role in migration of monocytes into atherosclerotic lesions. The present study was designed to investigate the capac... Monocyte chemoattractant protein-1(MCP-1), a potent chemoattractant, is thought to play an important role in migration of monocytes into atherosclerotic lesions. The present study was designed to investigate the capacity of human peripheral blood monocytes to express MCP-1 and effects of native very low density lipoprotein (VLDL) and oxidized VLDL(OX-VLDL) on the expression. The total RNA was extracted from cultured monocytes, which were exposed to VLDL and OX-VLDL, and the media conditioned by monocytes were collected. MCP-1 mRNA expression was examined by Northern blot analysis. MCP-1 protein in conditioned media was determined by using sandwich ELISA. The results showed that monocytes can express MCP-1 after a 24 h incubation at 37℃,and the expression was markedly increased by a exposure to OX-VLDL, whereas the expression was slightly increased when exposed to VLDL. It suggests that the capacity of monocytes to produce MCP-1 that recruits and activates circulating monocytes may be of considerable importance in atherogenesis, and oxidation of VLDL enhances its potential to promote atherogenesis. 展开更多
关键词 monocyte chemoattractant protein-1 very low density lipoprotein OXIDIZATION MONOCYTES ATHEROSCLEROSIS
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InterInterleukin (IL)-4 Induces Production of Cytokine-induced Neutrophil Chemoattractants (CINCs) and Intercellular Adhesion Molecule (ICAM)-1 in Lungs of Asthmatic Rats 被引量:1
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作者 郭亚丽 黄宏 +3 位作者 曾大雄 赵建平 方慧娟 Jean-pierre Lavoie 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2013年第4期470-478,共9页
Summary: The present study aimed to examine the effect of intedeukin (IL)-4 on neutrophil chemo- taxis in airway inflammation in asthmatic rats and the possible mechanism. Male Wistar rats were intranasally instill... Summary: The present study aimed to examine the effect of intedeukin (IL)-4 on neutrophil chemo- taxis in airway inflammation in asthmatic rats and the possible mechanism. Male Wistar rats were intranasally instilled with recombinant rat (rr) IL-4 (rrlL-4) at different doses [2, 4 or 8μ g/animal, dis- solved in 200 μL normal saline (NS)] or rrlL-4 at 4 μg/animal (dissolved in 200 μL NS). NS (200 μL) and LPS (6 mg/kg/animal, dissolved in 200 IxL NS) were intranasally given respectively in the negative and positive control groups. Moreover, the asthmatic lung inflammation was induced in rats which were then intranasally treated with rrlL-4 (4 μg/animal) or LPS (6 mg/kg/animal). The normal rats treated with different doses of rrlL-4 and those asthmatic rats were sacrificed 6 h later. And animals instilled with rrlL-4 at 4 μg were sacrificed 6, 12 or 24 h later. The bronchoalveolar lavage fluid (BALF) and lungs were harvested for detection of leukocyte counts by Wright-Giemsa staining and lung histopa- thology by haematoxylin-eosin (HE) staining. The levels of cytokine-induced neutrophil chemoattrac- tant (CINC)-I and intercellular adhesion molecule (ICAM)-I in BALF were determined by ELISA. Real-time PCR was used to measure the mRNA expression of C1NCs (CINC-1, CINC-2u, CINC-2a, CINC-3) and ICAM-1 in lung tissues. The results showed that the intranasal instillation of IL-4 did not induce a recruitment of neutrophils in BALF in rats. However, IL-4 could increase the CINC-1 level in BALF in a dose-dependent manner at 6 h. But the mRNA expression levels of CINC-1, C1NC-2a, CINC-2, CINC-3 were not significantly increased in lungs of IL-4-treated rats relative to NS negative control group. Moreover, IL-4 was found to augment the mRNA expression oflCAM-1 in lungs and the ICAM-1 level in BALF at 6 h. However, the increase in CINC-1 and ICAM-1 levels in BALF of IL-4-treated asthmatic rats was not significantly different from that in untreated asthmatic rats. These findings indicate that IL-4 does not directly recruit neutrophils in the rat lungs, but it may contribute to airway neutrophilia through up-regulation of CINC-1 and ICAM-1. 展开更多
关键词 INTERLEUKIN-4 cytkine-induced neutrophil chemoattractants intercellular adhesion mole-cule- 1 rat
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老年2型糖尿病患者轻度认知功能障碍的危险因素及预测模型构建
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作者 王艳 张小娟 卜丽霞 《实用临床医药杂志》 2026年第1期92-98,共7页
目的分析影响老年2型糖尿病(T2DM)患者轻度认知功能障碍(MCI)发生的相关因素并构建预测模型。方法回顾性收集山西省汾阳医院2023年10月-2024年10月收治的老年T2DM患者的临床资料,剔除自变量和因变量的缺失值后,最终筛选出244例老年T2DM... 目的分析影响老年2型糖尿病(T2DM)患者轻度认知功能障碍(MCI)发生的相关因素并构建预测模型。方法回顾性收集山西省汾阳医院2023年10月-2024年10月收治的老年T2DM患者的临床资料,剔除自变量和因变量的缺失值后,最终筛选出244例老年T2DM患者的相关资料作为原始数据集。采用简单随机抽样法并根据1∶1比例分为建模组(122例,其中发生MCI 67例,未发生MCI 55例)和验证组(122例,其中发生MCI 67例,未发生MCI 55例)。比较各组临床资料及实验室检测指标;采用多因素Logistic回归分析探讨老年T2DM患者发生MCI的危险因素,并构建预测模型;绘制受试者工作特征(ROC)曲线分析模型预测老年T2DM患者发生MCI的价值。结果在建模组和验证组中,MCI亚组T2DM病程≥10年、年龄>70岁、骨代谢异常、血清单核细胞趋化蛋白-1(MCP-1)水平≥350 pg/mL、血清超敏C反应蛋白(hs-CRP)水平≥10 mg/L、血清淀粉样β蛋白1-42(Aβ1-42)水平>70 pg/mL患者比率均高于无MCI亚组,差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,T2DM病程≥10年、年龄>70岁、骨代谢异常、血清MCP-1水平≥350 pg/mL、血清hs-CRP水平≥10 mg/L、血清Aβ1-42水平>70 pg/mL均为老年T2DM患者发生MCI的独立危险因素(P<0.05)。ROC曲线分析结果显示,构建的预测模型预测老年T2DM患者发生MCI的曲线下面积(AUC)为0.853(95%CI:0.784~0.921),敏感度为86.57%,特异度为69.09%。校准曲线结果显示,预测概率与实际概率接近,提示该预测模型具有良好的区分、校准和预测能力。结论老年T2DM患者发生MCI与T2DM病程、年龄、骨代谢异常及血清MCP-1、hs-CRP、Aβ1-42水平密切相关,据此构建的预测模型具有较好的预测价值。本研究创新性地将骨代谢指标与炎症标志物结合应用,能够为临床早期识别老年T2DM患者MCI发生风险提供参考。 展开更多
关键词 2型糖尿病 轻度认知功能障碍 老年人 单核细胞趋化蛋白-1 骨代谢异常 淀粉样β蛋白1-42 超敏C反应蛋白 炎症标志物
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Correlation of serum cyclophilin A and monocyte chemoattractant protein-1 levels with carotid atherosclerosis in patients with acute cerebral infarction 被引量:1
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作者 Jun Jia Liang Huang Zhan-Hua Zhang 《Journal of Hainan Medical University》 2017年第11期150-153,共4页
Objective:To study the correlation of serum cyclophilin A (CyPA) and monocyte chemoattractant protein-1 (MCP-1) levels with carotid atherosclerosis in patients with acute cerebral infarction.Methods: 106 patients with... Objective:To study the correlation of serum cyclophilin A (CyPA) and monocyte chemoattractant protein-1 (MCP-1) levels with carotid atherosclerosis in patients with acute cerebral infarction.Methods: 106 patients with acute cerebral infarction who were hospitalized in our hospital between July 2011 and August 2015 were selected as observation group, and 50 cases of healthy persons who received physical examination in our hospital during the same period were selected as normal control group. The serum CyPA and MCP-1 contnets in two groups were determined. According to the median of CyPA and MCP-1 contents in observation group, they were divided into high CyPA group and low CyPA group as well as high MCP-1 group and low MCP-1 group, 53 cases in each group. Contents of lipid metabolism indexes and carotid atherosclerosis illness-related indicators were compared between acute cerebral infarction patients with different CyPA and MCP-1 contents.Results:Serum CyPA and MCP-1 contents in observation group were significantly higher than those in control group. Serum TC, LP(a) and LDL-C contents in high CyPA group and high MCP-1 group were higher than those in low CyPA group and low MCP-1 group while HDL-C contents were lower than those in low CyPA group and low MCP-1 group. Serum CysC, Hcy and UA contents in high CyPA group and high MCP-1 group were higher than those in low CyPA group and low MCP-1 group.Conclusion: Serum CyPA and MCP-1 contents in patients with acute cerebral infarction are higher than those in normal population, and the contents of CyPA and MCP-1 are positively correlated with the degree of carotid atherosclerosis. 展开更多
关键词 Acute cerebral INFARCTION CYCLOPHILIN A MONOCYTE chemoattractant protein-1 CAROTID ATHEROSCLEROSIS
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The enhancement of astrocytic-derived monocyte chemoattractant protein-1 induced by the interaction of opiate and HIV tat in HIV-associated dementia
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作者 Xiao Han 《Journal of Pharmaceutical Analysis》 SCIE CAS 2009年第4期277-281,共5页
HIV-associated dementia(HAD)is a public health problem and is particularly prevalent in drug abusers.The neuropathogenesis of human immunodeficiency virus(HIV)infection involves a complex cascade of inflammatory event... HIV-associated dementia(HAD)is a public health problem and is particularly prevalent in drug abusers.The neuropathogenesis of human immunodeficiency virus(HIV)infection involves a complex cascade of inflammatory events,including monocyte/macrophage infiltration in the brain,glial immune activation and release of neurotoxic substances.In these events,astrocytic-derived monocyte chemoattractant protein-1(MCP-1)plays an important role,whose release is elevated by HIV transactivator of transcription(HIV tat)and could be further elevated by opiates.This review will also consider some critical factors and events in MCP-1 enhancement induced by the interactions of opiate and HIV tat,including the mediating role of mu opioid receptor(MOR)and CCR2 as well as the possible signal transduction pathways within the cells.Finally,it will make some future perspectives on the exact pathways,new receptors and target cells,and the vulnerability to neurodegeneration with HIV and opiates. 展开更多
关键词 DEMENTIA HIV transactivator of transcription ASTROCYTE MORPHINE monocyte chemoattractant protein-1
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Role of p38 Mitogen-activated Protein Kinase in Mediating Monocyte Chemoattractant Protein-1 in Human Umbilical Vein Endothelial Cells
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作者 李艳波 邓华聪 +1 位作者 郑丹 李呼伦 《Chinese Medical Sciences Journal》 CAS CSCD 2004年第1期71-71,共1页
关键词 Cells Cultured Endothelial Cells Humans Mitogen-Activated Protein Kinases Monocyte chemoattractant Protein-1 RNA Messenger Research Support Non-U.S. Gov't Umbilical Veins p38 Mitogen-Activated Protein Kinases
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