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Zhongfeng Xingnao Liquid ameliorates post-stroke cognitive impairment through sirtuin1(SIRT1)/nuclear factor erythroid 2-related factor 2(Nrf2)/heme oxygenase 1(HO-1)pathway 被引量:1
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作者 Wenqin Yang Wen Wen +4 位作者 Hao Chen Haijun Zhang Yun Lu Ping Wang Shijun Xu 《Chinese Journal of Natural Medicines》 2025年第1期77-89,共13页
The activation of the sirtuin1(SIRT1)/nuclear factor erythroid 2-related factor 2(Nrf2)/heme oxygenase 1(HO-1)pathway has been shown to mitigate oxidative stress-induced apoptosis and mitochondrial damage by reducing ... The activation of the sirtuin1(SIRT1)/nuclear factor erythroid 2-related factor 2(Nrf2)/heme oxygenase 1(HO-1)pathway has been shown to mitigate oxidative stress-induced apoptosis and mitochondrial damage by reducing reactive oxygen species(ROS)levels.Clinical trials have demonstrated that Zhongfeng Xingnao Liquid(ZFXN)ameliorates post-stroke cognitive impairment(PSCI).However,the underlying mechanism,particularly whether it involves protecting mitochondria and inhibiting apoptosis through the SIRT1/Nrf2/HO-1 pathway,remains unclear.This study employed an oxygen-glucose deprivation(OGD)cell model using SHSY5Y cells and induced PSCI in rats through modified bilateral carotid artery ligation(2VO).The effects of ZFXN on learning and memory,neuroprotective activity,mitochondrial function,oxidative stress,and the SIRT1/Nrf2/HO-1 pathway were evaluated both in vivo and in vitro.Results indicated that ZFXN significantly increased the B-cell lymphoma 2(Bcl2)/Bcl2-associated X(Bax)ratio,reduced terminal deoxynucleotidyl transferase-mediated d UTP nickend-labeling(TUNEL)+cells,and markedly improved cognition,synaptic plasticity,and neuronal function in the hippocampus and cortex.Furthermore,ZFXN exhibited potent antioxidant activity,evidenced by decreased ROS and malondialdehyde(MDA)content and increased superoxide dismutase(SOD),catalase(CAT),and glutathione(GSH)levels.ZFXN also demonstrated considerable enhancement of mitochondrial membrane potential(MMP),Tom 20 fluorescence intensity,adenosine triphosphate(ATP)and energy charge(EC)levels,and mitochondrial complexⅠandⅢactivity,thereby inhibiting mitochondrial damage.Additionally,ZFXN significantly increased SIRT1 activity and elevated SIRT1,nuclear Nrf2,and HO-1 levels.Notably,these effects were substantially counteracted when SIRT1 was suppressed by the inhibitor EX-527 in vitro.In conclusion,ZFXN alleviates PSCI by activating the SIRT1/Nrf2/HO-1 pathway and preventing mitochondrial damage. 展开更多
关键词 Zhongfeng Xingnao Liquid Post-stroke cognitive impairment Oxidative stress Mitochondrial function Apoptosis Sirtuin1/nuclear factor erythroid 2-related factor 2/heme oxygenase 1 pathway
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Study on the mechanism of Fuzi Lizhong decoction(附子理中汤)inthe treatment of colorectal cancer of spleen kidney Yang deficiencyfrom the perspective of intestinal flora and hypoxia inducible factor-1α signalling pathway 被引量:1
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作者 ZHANG Lina LIN Xiu +2 位作者 ZHAO Xin LI Wenjuan ZHAO Ye 《Journal of Traditional Chinese Medicine》 2025年第4期845-851,共7页
OBJECTIVE:To evaluate the effect of Fuzi Lizhong decoction(附子理中汤)on intestinal flora,serum inflammatory factors,and hypoxia inducible factor-1α(HIF-1α)in patients with colorectal cancer associated with spleen a... OBJECTIVE:To evaluate the effect of Fuzi Lizhong decoction(附子理中汤)on intestinal flora,serum inflammatory factors,and hypoxia inducible factor-1α(HIF-1α)in patients with colorectal cancer associated with spleen and kidney Yang deficiency.METHODS:A total of 100 patients diagnosed with advanced colorectal cancer were randomly divided into two groups:a control group(CON,50)and a Traditional Chinese Medicine(TCM)group(n=50).The control group received treatment with the Capecitabine+Oxaliplatin(CAPEOX)regimen,while the TCM group received the same regimen along with Fuzi Lizhong decoction for six weeks.Changes in intestinal flora were assessed before and after six weeks in both groups.Serum markers,including HIF-1α,vascular endothelial growth factor(VEGF),interleukin-6(IL-6),and tumor necrosis factor-alpha(TNF-α),were measured using enzyme-linked immunosorbent assay.Adverse reactions,clinical efficacy,and TCM syndrome efficacy were also monitored.RESULTS:After six weeks,the levels of Lactobacillus and Bifidobacterium were significantly higher,while the levels of Enterobacter and Enterococcus were significantly lower in the TCM group compared to the control group(P<0.05).Serum levels of HIF-1α,VEGF,IL-6,and TNF-αwere also significantly reduced in the TCM group compared to the control group(P<0.05).Additionally,the incidence of adverse reactions was lower,and the clinical efficacy was higher in the TCM group compared to the control group(P<0.05).CONCLUSION:Fuzi Lizhong decoction effectively improves intestinal microbiota composition,reduces inflammatory factors and HIF-1αexpression,alleviates chemotherapy-related adverse reactions,enhances clinical efficacy,and may inhibit tumor growth in patients with colorectal cancer. 展开更多
关键词 colorectal neoplasms gastrointestinal microbiome vascular endothelial growth factors hypoxia-inducible factor 1 alpha subunit INTERLEUKIN-6 tumor necrosis factor-alpha Fuzi Lizhong decoction
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The VvHY5-VvMYB24-VvMYBA1 transcription factor cascade regulates the biosynthesis of anthocyanin in grape
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作者 Zhen Zhang Cui Chen +3 位作者 Hong Lin Changyue Jiang Yuhui Zhao Yinshan Guo 《Horticultural Plant Journal》 2025年第3期1066-1077,共12页
Anthocyanins are important pigments and nutrients in fruits.Red grape is popular because of the high anthocyanin content.Previous studies have identified VvMYBA1 and its homologs as key regulators of fruit color;howev... Anthocyanins are important pigments and nutrients in fruits.Red grape is popular because of the high anthocyanin content.Previous studies have identified VvMYBA1 and its homologs as key regulators of fruit color;however,other transcription factors(TFs)that contribute to fruit color remain poorly understood.The present study identified the R2R3-MYB TF VvMYB24,whose gene expression levels were significantly higher in red berries(L51,Vitis vinifera×Vitis labrusca L.)than in green berries(L20,V.vinifera×V.labrusca L.).Overexpression of VvMYB24 in grape calli increased anthocyanin biosynthesis by upregulating the expression of specific structural genes(VvDFR and VvUFGT).Furthermore,VvMYB24 interacted with VvMYBA1 to form a protein complex that additionally increased the expression of VvDFR and VvUFGT.In addition,light-responsive TF VvHY5 could bind to the VvMYB24 promoters to activate its transcription.Taken together,the results reveal a regulatory module,VvHY5-VvMYB24-VvMYBA1,that influences anthocyanin biosynthesis in grape. 展开更多
关键词 GRAPE VvMYB24 VvMYBa1 VvHY5 ANTHOCYANIN Transcription factor
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Pescadillo ribosomal biogenesis factor 1 as a therapeutic target in tumor immunotherapy
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作者 Jia Yu Bo Yu +1 位作者 Fei-Lin Ge Zhi-Gang Ren 《World Journal of Gastroenterology》 2025年第41期173-178,共6页
High expression of pescadillo ribosomal biogenesis factor 1(PES1)has been re-ported across multiple cancer types and is significantly associated with poor prog-nosis.Hu et al in their recent paper described their inve... High expression of pescadillo ribosomal biogenesis factor 1(PES1)has been re-ported across multiple cancer types and is significantly associated with poor prog-nosis.Hu et al in their recent paper described their investigation of PES1 in gastric cancer and head and neck squamous cell carcinoma,demonstrating positive cor-relations between PES1 and programmed death-ligand 1(PD-L1)expression(51.72%for PES1 and 58.62%for PD-L1),as well as associations with lymph node metastasis and tumor invasion depth.However,the relationship between PES1 and PD-L1 remains incompletely defined.To further address this gap,we ana-lyzed The Cancer Genome Atlas gastric adenocarcinoma dataset and found a negative correlation between PES1 expression and CD8+T cell infiltration,along-side a positive correlation with PD-L1 expression.Based on prior findings,we hypothesize that PES1 may regulate PD-L1 through the phosphatidylinositol 3-kinase/protein kinase B pathway or cellular Myc-mediated mechanisms.While these pathways require experimental validation,our observations highlight PES1 as a potential regulator of immune evasion and a promising target for cancer immunotherapy. 展开更多
关键词 Pescadillo ribosomal biogenesis factor 1 Programmed death-ligand 1 Tumor immune evasion Tumor immunotherapy Immune evasion mechanisms
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SMAD specific E3 ubiquitin protein ligase 1 accelerates diabetic macular edema progression by WNT inhibitory factor 1
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作者 Li-Fang Liang Jia-Qi Zhao +3 位作者 Yi-Fei Wu Hui-Jie Chen Tian Huang Xiao-He Lu 《World Journal of Diabetes》 2025年第3期216-231,共16页
BACKGROUND Diabetic macular edema(DME)is the most common cause of vision loss in people with diabetes.Tight junction disruption of the retinal pigment epithelium(RPE)cells has been reported to induce DME development.S... BACKGROUND Diabetic macular edema(DME)is the most common cause of vision loss in people with diabetes.Tight junction disruption of the retinal pigment epithelium(RPE)cells has been reported to induce DME development.SMAD-specific E3 ubiquitin protein ligase(SMURF)1 was associated with the tight junctions of cells.However,the mechanism of SMURF1 in the DME process remains unclear.AIM To investigate the role of SMURF1 in RPE cell tight junction during DME.METHODS ARPE-19 cells treated with high glucose(HG)and desferrioxamine mesylate(DFX)for establishment of the DME cell model.DME mice models were constructed by streptozotocin induction.The trans-epithelial electrical resistance and permeability of RPE cells were analyzed.The expressions of tight junction-related and autophagy-related proteins were determined.The interaction between insulin like growth factor 2 mRNA binding protein 2(IGF2BP2)and SMURF1 mRNA was verified by RNA immunoprecipitation(RIP).SMURF1 N6-methyladenosine(m6A)level was detected by methylated RIP.RESULTS SMURF1 and vascular endothelial growth factor(VEGF)were upregulated in DME.SMURF1 knockdown reduced HG/DFX-induced autophagy,which protected RPE cell tight junctions and ameliorated retinal damage in DME mice.SMURF1 activated the Wnt/β-catenin-VEGF signaling pathway by promoting WNT inhibitory factor(WIF)1 ubiquitination and degradation.IGF2BP2 upregulated SMURF1 expression in an m6A modification-dependent manner.CONCLUSION M6A-modified SMURF1 promoted WIF1 ubiquitination and degradation,which activated autophagy to inhibit RPE cell tight junctions,ultimately promoting DME progression. 展开更多
关键词 Diabetic macular edema Retinal pigment epithelium cells Autophagy SMAD specific E3 ubiquitin protein ligase 1 WNT inhibitory factor 1 N6-methyladenosine modification Vascular endothelial growth factor signaling pathway
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Glucocorticoid-insulin like growth factor 1 axis programming might be involved in pancreaticβ-cell dysplasia and dysfunction in female offspring rats exposed to caffeine prenatally
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作者 Shuxia Gui Xiaoling Guo +2 位作者 Yongguo Dai Hao Kou Hui Wang 《Food Science and Human Wellness》 2025年第10期4262-4277,共16页
Prenatal caffeine exposure(PCE)leads to intrauterine growth retardation and altered glucose homeostasis after birth,but the underlying mechanism remains unclear.This study aims to investigate the alteration of pancrea... Prenatal caffeine exposure(PCE)leads to intrauterine growth retardation and altered glucose homeostasis after birth,but the underlying mechanism remains unclear.This study aims to investigate the alteration of pancreatic development and insulin biosynthesis in the PCE female offspring and explore the intrauterine programming mechanism.Pregnant rats were orally treated with 120 mg/(kg·day)of caffeine from gestational day(GD)9 to 20.Results showed that fetal pancreaticβ-cells in the PCE group exhibited reduced mass and impaired insulin synthesis function,as evidenced by decreased expression of developmental and functional genes and reduced pancreatic insulin content.At postnatal week(PW)12,the PCE offspring exhibited glucose intolerance,diminishedβ-cell mass,and lower blood insulin levels.However,by PW28,glucose tolerance showed some improvement.Both in vivo and in vitro findings collectively indicated that excessive serum corticosterone(CORT)levels of the PCE fetuses may act through the activation of the pancreatic glucocorticoid receptor(GR)and recruitment of histone deacetylase 9(HDAC9),leading to H3K9 deacetylation in promoter and downregulation of insulin-like growth factor 1(IGF1),thereby inhibiting pancreatic islet morphogenesis and insulin synthesis in fetal rats.Furthermore,the PCE offspring after birth exhibited decreased blood CORT levels,increased H3K9 acetylation in promoter and upregulated gene expression of the pancreatic IGF1 promoter region,accompanied by elevated insulin biosynthesis.However,when exposed to chronic stress,the above changes were totally reversed.Conclusively,“glucocorticoid-insulin like growth factor 1(GC-IGF1)axis”programming may be involved in pancreaticβ-cell dysplasia and dysfunction in the PCE female offspring. 展开更多
关键词 Prenatal caffeine exposure Pancreatic development GLUCOCORTICOIDS Insulin-like growth factor 1 Intrauterine programming
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Modulating nuclear factor erythroid 2-related factor 2 and heme oxygenase-1 in liver-brain axis disorders
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作者 Yi-Ming Zhang Zhi-Gang Zhang 《World Journal of Psychiatry》 2025年第9期57-78,共22页
A broad spectrum of liver disorders and their associated complications most notably hepatic encephalopathy impact millions of individuals worldwide,including conditions such as non-alcoholic fatty liver disease,alcoho... A broad spectrum of liver disorders and their associated complications most notably hepatic encephalopathy impact millions of individuals worldwide,including conditions such as non-alcoholic fatty liver disease,alcoholic liver injury,viral hepatitis,hepatic fibrosis,cirrhosis,and hepatocellular carcinoma.The underlying pathogenic mechanisms are multifactorial,encompassing oxidative stress,inflammatory cascades,mitochondrial impairment,and disturbances in immune homeostasis.Hepatic encephalopathy patients experience cognitive impairment,mood disturbances,and psychomotor dysfunction,significantly reducing quality of life through mechanisms including oxidative stress,neuroinflammation,and neurotransmitter imbalances.The nuclear factor erythroid 2-related factor 2(Nrf2)/heme oxygenase-1(HO-1)signaling pathway serves as a critical antioxidative defense mechanism in these conditions.Nrf2 regulates the expression of protective enzymes,while HO-1 exerts anti-inflammatory,anti-apoptotic,and antifibrotic effects through heme degradation products.Natural herbal monomers as Nrf2 activators offer advantages of low toxicity,multi-target actions,and extensive traditional use.Various herbal monomers demonstrate specific effects against different liver diseases:In fatty liver,baicalin alleviates lipid accumulation and inflammation;In alcoholic liver disease,curcumin enhances Nrf2 activity reducing oxidative damage;In drug-induced liver injury,dihydromyricetin mitigates oxidative stress;In viral hepatitis,andrographolide inhibits hepatitis C virus replication;In liver fibrosis,multiple compounds inhibit stellate cell activation.These natural compounds simultaneously alleviate hepatic dysfunction and neuropsychiatric symptoms by modulating the Nrf2/HO-1 pathway,though clinical application still faces challenges such as low bioavailability,requiring further research. 展开更多
关键词 Nuclear factor erythroid 2-related factor 2/heme oxygenase-1 pathway Liver brain axis dysfunction Hepatic encephalopathy Cognitive impairment Depression ANXIETY
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Unraveling the role of flotillin-1 in driving hepatocellular carcinoma progression through transcription factor E3-mediated Golgi stress response
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作者 Chiara Mazziotta John Charles Rotondo 《World Journal of Gastroenterology》 2025年第38期1-5,共5页
In this editorial,we comment on the article by Zhang et al recently published in the World Journal of Gastroenterology.The manuscript elucidates significant novel mechanisms underlying hepatocellular carcinoma(HCC)pro... In this editorial,we comment on the article by Zhang et al recently published in the World Journal of Gastroenterology.The manuscript elucidates significant novel mechanisms underlying hepatocellular carcinoma(HCC)progression.HCC is currently considered one of the major causes of global cancer-associated deaths,underscoring the critical need for novel therapeutic targets.Growing evidence underlines the role of the lipid raft protein flotillin-1(FLOT1)in cancer,whose dysregulation drives tumor cell growth and survival.However,the regulatory role of FLOT1 on Golgi apparatus function in HCC is unknown.In this study,Zhang et al elucidated a pivotal mechanism by which FLOT1 promotes HCC progression through activation of transcription factor E3-mediated Golgi stress response.The study reveals that FLOT1 inhibits the mechanistic target of rapamycin complexes 1 and 2 by ubiquitination,facilitating transcription factor E3 dephosphorylation,nuclear translocation,and subsequent upregulation of Golgi stress-associated genes,thereby leading to enhanced HCC cell growth and invasive capacity.These findings obtained in vitro/in vivo highlight the interplay between FLOT1 and Golgi homeostasis in HCC.Targeting FLOT1 may offer a new strategy for the treatment of HCC. 展开更多
关键词 Hepatocellular carcinoma Transcription factor E3 Flotillin-1 Mechanistic target of rapamycin complexes 1 and 2 Golgi stress
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Pescadillo ribosomal biogenesis factor 1 and programmed deathligand 1 in gastric and head and neck squamous cell carcinoma
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作者 Xiao-Nan Hu Chun-Feng Li +2 位作者 Si-Meng Huang Chun-Lei Nie Rui Pang 《World Journal of Gastroenterology》 2025年第19期100-108,共9页
BACKGROUND Gastric cancer(GC)and head and neck squamous cell carcinoma(HNSCC)are common malignancies with high morbidity and mortality rates.Traditional treatments often yield limited efficacy,especially in advanced c... BACKGROUND Gastric cancer(GC)and head and neck squamous cell carcinoma(HNSCC)are common malignancies with high morbidity and mortality rates.Traditional treatments often yield limited efficacy,especially in advanced cases.Recent advancements in immunotherapy,particularly immune checkpoint inhibitors targeting programmed death-ligand 1(PD-L1),have shown promise.However,the expression and interaction of pescadillo ribosomal biogenesis factor 1(PES1)and PD-L1 in these cancers remain unclear.Understanding their roles could provide new insights into tumor biology and improve therapeutic strategies.AIM To investigate the expression levels of PES1 and PD-L1 in tumor tissues of patients with GC and HNSCC.METHODS A total of 58 cases of GC and HNSCC undergoing surgical resection were selected from January 2022 to January 2024.Paraffin specimens of GC and HNSCC tissues were taken from the patients,and the sections were subjected to staining with immunohistochemistry and hematoxylin-eosin staining,and the protein expression of PES1 and PD-L1 was observed microscopically.RESULTS Among 58 GC and HNSCC tissues,30 cases were positive and 28 cases were negative for PES1 expression,and 34 cases were positive and 24 cases were negative for PD-L1 expression.The positive expression rates of PES1 and PDL1 were 51.72% and 58.62%,respectively.PES1 expression was correlated with the TNM stage,lymph node metastasis,and the depth of infiltration(P<0.05),and PD-L1 expression was correlated with the differentiation degree,lymph node metastasis,and infiltration depth(P<0.05).CONCLUSION PES1 and PD-L1 were positively expressed in GC and HNSCC tissues and correlated with clinical features.They may serve as potential biomarkers for immune-targeted therapies. 展开更多
关键词 Pescadillo ribosomal biogenesis factor 1 Programmed death-ligand 1 Gastric cancer Head and neck squamous cell carcinoma Expression level
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Hypoxia-inducible factor 1-alpha and lactate dehydrogenase-A axis in metabolic changes and aggression in esophageal squamous-cell carcinoma
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作者 Xia Chen Hai-Yan Liu +3 位作者 Wu-Bi Zhou Li-Li Zhang Jian Huang Da-Wei Bao 《World Journal of Gastrointestinal Oncology》 2025年第3期322-333,共12页
BACKGROUND Esophageal squamous-cell carcinoma(ESCC)is a highly aggressive cancer,predominantly affecting populations in Eastern Asia and parts of Africa.Its pathogenesis is influenced by both genetic and environmental... BACKGROUND Esophageal squamous-cell carcinoma(ESCC)is a highly aggressive cancer,predominantly affecting populations in Eastern Asia and parts of Africa.Its pathogenesis is influenced by both genetic and environmental factors.Despite recent therapeutic advances,survival rates remain dismal,underscoring an urgent need for novel therapeutic targets.AIM To investigate the role of hypoxia-inducible factor 1-alpha(HIF1A)in the progression of ESCC and its impact on the metabolic enzyme lactate dehydrogenase A(LDHA),which is crucial for the glycolytic pathway in hypoxic tumor environments.METHODS Utilizing transcriptomic data from multiple public databases,we analyzed differential gene expression and conducted gene ontology and transcription factor network analyses.The regulatory impact of HIF1A on LDHA was specifically examined through integrative analysis with HIF1A ChIP-seq data and confirmed via siRNA-mediated knockdown experiments in ESCC cell lines.RESULTS Our findings reveal a significant upregulation of HIF1A in ESCC tissues,associated with poor prognosis.HIF1A directly regulates LDHA,enhancing glycolysis under hypoxic conditions and contributing to tumor aggressiveness.Knockdown of HIF1A in cell lines not only reduced LDHA expression but also altered key pathways related to cell cycle and apoptosis.CONCLUSION The critical role of the HIF1A-LDHA axis in ESCC highlights its potential as a therapeutic target,underscoring the need for future clinical trials to validate the efficacy of HIF1A inhibitors in enhancing treatment outcomes. 展开更多
关键词 Esophageal squamous-cell carcinoma Hypoxia-inducible factor 1-alpha Lactate dehydrogenase A Metabolic reprogramming Therapeutic target
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SPDL1 inhibition enhances colorectal cancer progression via epidermal growth factor receptor/extracellular signal-regulated kinase pathways
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作者 Peng Peng Juan Sun +5 位作者 Meng-Shi Li Ruo-Xi Cheng Shi-Quan Liu Meng-Bin Qin Jin-Xiu Zhang Jie-An Huang 《World Journal of Gastrointestinal Oncology》 2025年第5期338-355,共18页
BACKGROUND In patients with colorectal cancer(CRC),tumour metastasis is the leading cause of death.The search for key genes involved in metastasis of CRC is imperative for improved prognoses and treatments.SPDL1 has b... BACKGROUND In patients with colorectal cancer(CRC),tumour metastasis is the leading cause of death.The search for key genes involved in metastasis of CRC is imperative for improved prognoses and treatments.SPDL1 has been implicated in the deve-lopment of CRC,however,its mechanism of action remains unclear.AIM To investigate the role and mechanism of action by which SPDL1 inhibits the development and metastasis of CRC.METHODS In this study,we examined the relationship between SPDL1 expression and CRC prognosis using immunohistochemistry.Survival analyses were performed using Kaplan-Meier analysis and log-rank test.After knocking down SPDL1 in the HCT116 cancer cell line changes in cell viability,migration,invasion,and gene expression were examined using a cell counting kit 8 assay,Transwell assay,and Western blot.The effect of SPDL1 on the cell cycle was assessed using flow cy-tometry.RNA sequencing was used to analyse the effect of SPDL1 on gene expression of CRC cells.The mechanism of action of SPDL1 in CRC was further clarified using U0126,an inhibitor of the mitogen-activated protein kinase signaling pathway.RESULTS SPDL1 is expressed at low levels in tissues of patients with CRC,and this reduced expression is associated with poor prognosis.Functionally,low expression of SPDL1 in CRC promotes cell proliferation,migration,invasion,and affects the cell cycle.Mechanistically,SPDL1 affects the progression of CRC through its regulation of the process of epithelial-mesenchymal transition(EMT)and of the epidermal growth factor receptor(EGFR)/extracellular signal-regulated kinase(ERK)signaling pathways.CONCLUSION This study showed that the loss of SPDL1 may induce EMT and promote cell migration and invasion in CRC through the EGFR/ERK pathway. 展开更多
关键词 Colorectal cancer SPDL1 Epidermal growth factor receptor Epithelial-mesenchymal transition Extracellular signal-regulated kinase MIGRATION INVASION
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Exercise training benefits pancreatic islet by modulating the insulinlike growth factor 1/phosphatidylinositol 3-kinase/protein kinase B pathway
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作者 Ya-Wen Wu Chu-Yan Wu +1 位作者 Feng Lin Jun-Ying Wu 《World Journal of Diabetes》 2025年第5期271-282,共12页
BACKGROUND Diabetes is characterized by insulin resistance as well as impaired insulin production,withβ-cell dysfunction playing a critical role in disease progression.Exercise is known to improve insulin sensitivity... BACKGROUND Diabetes is characterized by insulin resistance as well as impaired insulin production,withβ-cell dysfunction playing a critical role in disease progression.Exercise is known to improve insulin sensitivity,but its effects on pancreatic islet quality and function remain poorly understood.This work hypothesized that swimming training enhances glycemic control and insulin secretion by upregulating the insulin-like growth factor 1(IGF-1)/phosphatidylinositol 3-kinase/protein kinase B(PI3K/AKT)pathway in streptozotocin(STZ)-induced diabetic rats.AIM To investigate the effects of swimming on pancreatic islet quality and function in STZ-induced diabetic rats via the IGF-1/PI3K/AKT pathway.METHODS Twenty-six Sprague-Dawley rats were grouped into diabetic and control groups,with each group further split into exercise and sedentary subgroups.Diabetic rats were induced with STZ.The exercise groups underwent swimming training for 60 minutes/day,5 days/week,for 8 weeks.Body weight,food intake,blood glucose,insulin,lipids,and muscle glycogen were measured.Pancreatic islet morphology and the protein expression levels of IGF-1,PI3K,and AKT were analyzed.Data were analyzed using two-way repeated-measure ANOVA,followed by Tukey’s post-hoc test.RESULTS Exercise training significantly improved body weight[diabetic exercise group(D-Ex):390.66±50.14 g vs diabetic sedentary group(D-Sed):315.89±50.12 g,P<0.05],reduced blood glucose(D-Ex:12.21±4.43 mmol/L vs D-Sed:17.79±2.05 mmol/L,P<0.05),and increased insulin levels(D-Ex:53.50±15.31 pmol/L vs D-Sed:25.31±10.23 pmol/L,P<0.05)in diabetic rats.It also enhanced islet morphology,increased IGF-1 expression,and activated the PI3K/AKT pathway(P<0.05).In-vitro experiments confirmed that IGF-1 positively regulated insulin expression and inhibitedβ-cell apoptosis via the PI3K/AKT pathway.CONCLUSION Exercise training improves pancreatic islet quality and function in diabetic rats by modulating the IGF-1/PI3K/AKT pathway,highlighting its therapeutic potential for diabetes management. 展开更多
关键词 Exercise training DIABETES Insulin-like growth factor 1 Phosphatidylinositol 3-kinase/protein kinase B ISLET
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Interleukin-33 Knockout Promotes High Mobility Group Box 1 Release from Astrocytes by Acetylation Mediated by P300/CBP-Associated Factor in Experimental Autoimmune Encephalomyelitis
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作者 Yifan Xiao Liyan Hao +15 位作者 Xinyi Cao Yibo Zhang Qingqing Xu Luyao Qin Yixuan Zhang Yangxingzi Wu Hongyan Zhou Mengjuan Wu Mingshan Pi Qi Xiong Youhua Yang Yuran Gui Wei Liu Fang Zheng Xiji Shu Yiyuan Xia 《Neuroscience Bulletin》 2025年第7期1181-1197,共17页
High mobility group box 1(HMGB1),when released extracellularly,plays a pivotal role in the development of spinal cord synapses and exacerbates autoimmune diseases within the central nervous system.In experimental auto... High mobility group box 1(HMGB1),when released extracellularly,plays a pivotal role in the development of spinal cord synapses and exacerbates autoimmune diseases within the central nervous system.In experimental autoimmune encephalomyelitis(EAE),a condition that models multiple sclerosis,the levels of extracellular HMGB1 and interleukin-33(IL-33)have been found to be inversely correlated.However,the mechanism by which IL-33 deficiency enhances HMGB1 release during EAE remains elusive.Our study elucidates a potential signaling pathway whereby the absence of IL-33 leads to increased binding of P300/CBP-associated factor with HMGB1 in the nuclei of astrocytes,upregulating HMGB1 acetylation and promoting its release from astrocyte nuclei in the spinal cord of EAE mice.Conversely,the addition of IL-33 counteracts the TNF-α-induced increase in HMGB1 and acetylated HMGB1 levels in primary astrocytes.These findings underscore the potential of IL-33-associated signaling pathways as a therapeutic target for EAE treatment. 展开更多
关键词 INTERLEUKIN-33 High mobility group box 1 P300/CBP-associated factor ASTROCYTES Experimental autoimmune encephalomyelitis
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Qufeng Jiejing formula(祛风解痉方)ameliorated the injury ofairway smooth muscle cells induced by platelet-derived growth factor-BB through the transforming growth factor-β1/Smads signalingpathway
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作者 FAN Changzheng ZHANG Qiong +5 位作者 FAN Maorong MENG Hongxu CONG Xiaodong FAN Yiling YUAN Shasha MIAO Qing 《Journal of Traditional Chinese Medicine》 2025年第4期730-738,共9页
OBJECTIVE:To explore the role and mechanism of Qufeng Jiejing(祛风解痉,QFJJ)formula in the asthma progression.METHODS:The Bagg Albino/c mice treated with Ovalbumin and AL(OH)3,and airway smooth muscle cells(ASMCs)trea... OBJECTIVE:To explore the role and mechanism of Qufeng Jiejing(祛风解痉,QFJJ)formula in the asthma progression.METHODS:The Bagg Albino/c mice treated with Ovalbumin and AL(OH)3,and airway smooth muscle cells(ASMCs)treated with platelet-derived growth factor(PDGF)-BB to establish a asthma model in vivo and in vitro.The cell morphology was observed with microscope and immunofluorescence staining.The cell viability was assessed with methyl thiazolyl tetrazolium assay.The tumor necrosis factor-αlpha(TNF-α),interleukin-1beta(IL-1β),laminin,fibronectin and collagen IV levels in the ASMCs were detected with corresponding enzyme linked immunosorbent assay kits.Transwell and wound healing assays were conducted to test the cell migration.The TGF-β1,Smad2 and Smad3 levels were measured with Western blot.RESULTS:We found that QFJJ formula treatment dramatically decreased the cell viability,TNF-α,IL-1β,laminin,fibronectin and collagen IV levels in the PDGFBB stimulated ASMCs.Additionally,the protein levels of TGF-β1,Smad2 and Smad3 in the PDGF-BB stimulated ASMCs were prominently depleted after QFJJ formula treatment.Besides,SRI treatment neutralized the role of QFJJ formula in the PDGF-BB stimulated ASMCs.CONCLUSION:QFJJ formula effectively relieved the asthma progression through ameliorate the ASMCs function,which was achieved through suppressing the TGF-β1/Smads signaling pathway. 展开更多
关键词 asthma myocytes smooth muscle transforming growth factor beta1 Smad proteins signal transduction Qufeng Jiejing formula
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Curcumol ameliorates diabetic retinopathy via modulating fat mass and obesity-associated protein-demethylated MAF transcription factor G antisense RNA 1
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作者 Han Rong Yu Hu Wei Wei 《World Journal of Diabetes》 2025年第4期220-235,共16页
BACKGROUND Diabetic retinopathy(DR)is a major microvascular complication of diabetes mellitus,leading to significant visual impairment and blindness among adults.Current treatment options are limited,making it essenti... BACKGROUND Diabetic retinopathy(DR)is a major microvascular complication of diabetes mellitus,leading to significant visual impairment and blindness among adults.Current treatment options are limited,making it essential to explore novel therapeutic strategies.Curcumol,a sesquiterpenoid derived from traditional Chinese medicine,has shown anti-inflammatory and anti-cancer properties,but its potential role in DR remains unclear.AIM To investigate the therapeutic effects of curcumol on the progression of DR and to elucidate the underlying molecular mechanisms,particularly its impact on the fat mass and obesity-associated(FTO)protein and the long non-coding RNA(lncRNA)MAF transcription factor G antisense RNA 1(MAFG-AS1).METHODS A streptozotocin-induced mouse model of DR was established,followed by treatment with curcumol.Retinal damage and inflammation were evaluated through histological analysis and molecular assays.Human retinal vascular endothelial cells were exposed to high glucose conditions to simulate diabetic environments in vitro.Cell proliferation,migration,and inflammation markers were assessed in curcumoltreated cells.LncRNA microarray analysis identified key molecules regulated by curcumol,and further experiments were conducted to confirm the involvement of FTO and MAFG-AS1 in the progression of DR.RESULTS Curcumol treatment significantly reduced blood glucose levels and alleviated retinal damage in streptozotocininduced DR mouse models.In high-glucose-treated human retinal vascular endothelial cells,curcumol inhibited cell proliferation,migration,and inflammatory responses.LncRNA microarray analysis identified MAFG-AS1 as the most upregulated lncRNA following curcumol treatment.Mechanistically,FTO demethylated MAFG-AS1,stabilizing its expression.Rescue experiments demonstrated that the protective effects of curcumol against DR were mediated through the FTO/MAFG-AS1 signaling pathway.CONCLUSION Curcumol ameliorates the progression of DR by modulating the FTO/MAFG-AS1 axis,providing a novel therapeutic pathway for the treatment of DR.These findings suggest that curcumol-based therapies could offer a promising alternative for managing this debilitating complication of diabetes. 展开更多
关键词 Diabetic retinopathy CURCUMOL MAF transcription factor G antisense RNA 1 Fat mass and obesity-associated protein Diabetes mellitus
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血府逐瘀汤对冠心病不稳定型心绞痛痰浊痹阻型Lp-PLA2、MCP-1、sICAM-1、炎性因子及生存质量的影响分析 被引量:3
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作者 梁媛媛 彭鑫 +3 位作者 毛黎黎 杨欣怡 刘晶晶 邵欣 《中华中医药学刊》 北大核心 2025年第1期222-226,共5页
目的探讨血府逐瘀汤对冠心病不稳定型心绞痛痰浊痹阻型患者与脂蛋白相关的磷脂酶A2(lipoprotein-associated phospholipase A2,Lp-PLA2)、单核细胞趋化因子-1(monocyte chemoattractant protein-1,MCP-1)、可溶性细胞间黏附分子-1(solub... 目的探讨血府逐瘀汤对冠心病不稳定型心绞痛痰浊痹阻型患者与脂蛋白相关的磷脂酶A2(lipoprotein-associated phospholipase A2,Lp-PLA2)、单核细胞趋化因子-1(monocyte chemoattractant protein-1,MCP-1)、可溶性细胞间黏附分子-1(soluble intercellular adhesion molecule-1,sICAM-1)、炎性因子及生存质量的影响。方法纳入收治的120例冠心病不稳定型心绞痛痰浊痹阻型患者,将其随机分为观察组及对照组各60例。对照组患者给予常规西药治疗,观察组在此基础上给予血府逐瘀汤加减,两组治疗周期均为8周。于治疗结束后观察两组患者临床疗效、心绞痛发作情况、中医临床症状积分、炎性因子水平、Lp-PLA2、MCP-1、sICAM-1水平及生存质量情况。结果治疗后观察组总有效率为90.00%(54/60),显著高于对照组(70.00%,42/60)的总有效率(P<0.05);两组患者的心绞痛发作次数、持续时间及疼痛程度均较治疗前有了显著改善(P<0.05);同时观察组在心绞痛发作次数、持续时间及疼痛程度均较对照组有更为显著改善(P<0.05);治疗后两组在胸闷、胸痛、气短喘促、身体困重、痰多纳呆的中医临床症状积分变化均较治疗前改善显著(P<0.05);且观察组在各症状积分的改善上显著优于对照组(P<0.05);治疗后两组患者炎性因子白细胞介素-4(interleukin-4,IL-4)、白细胞介素-6(interleukin-6,IL-6)、白细胞介素-8(interleukin-8,IL-8)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平均较治疗前改善下降(P<0.05);且观察组各项炎性因子降幅显著优于对照组(P<0.05);治疗后两组患者Lp-PLA2、MCP-1、sLCAM水平均较治疗前显著降低(P<0.05),同时观察组改善显著优于对照组(P<0.05);治疗后两组患者SF-36评分均较治疗前有显著改善(P<0.05),同时观察组的生活质量改善显著优于对照组。结论血府逐瘀汤可有效提高冠心病不稳定型心绞痛痰浊痹阻型患者的临床治疗效果,减少患者心绞痛发作频率及程度,改善患者临床症状改善炎性因子水平,降低患者Lp-PLA2、MCP-1、sICAM-1水平,提高患者生存质量。 展开更多
关键词 血府逐瘀汤 冠心病不稳定型心绞痛 痰浊痹阻 LP-PLA2 MCP-1 SICAM-1 炎性因子 生存质量
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葛根素调控SIRT1-FOXO1通路抑制成骨细胞凋亡 被引量:2
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作者 周凡 高扬 +3 位作者 胡艳平 向超 万骐 周茹 《中国骨质疏松杂志》 北大核心 2025年第5期671-675,702,共6页
目的 探讨葛根素(puerarin, PR)调节沉默信息调节因子1(SIRT1)-叉头状转录因子O1(FOXO1)信号通路对类固醇诱导的成骨细胞自噬和凋亡的影响。方法 用浓度为0~50μmol/L的PR及10μmol/L的地塞米松(DEX)共同处理小鼠成骨细胞(MC3T3-E1),MT... 目的 探讨葛根素(puerarin, PR)调节沉默信息调节因子1(SIRT1)-叉头状转录因子O1(FOXO1)信号通路对类固醇诱导的成骨细胞自噬和凋亡的影响。方法 用浓度为0~50μmol/L的PR及10μmol/L的地塞米松(DEX)共同处理小鼠成骨细胞(MC3T3-E1),MTT法筛选最佳PR作用浓度;将MC3T3-E1细胞分为对照组(不进行任何干预)、DEX组(10μmol/L DEX)、PR+DEX组(10μmol/L DEX+40μmol/L PR)、DEX+EX527组(10μmol/L DEX+100 nmol/L的SIRT1抑制剂EX527)、PR+DEX+EX527组(10μmol/L DEX+40μmol/L PR+100 nmol/L EX527),MTT法、流式细胞术、MDC法测定各组细胞增殖活力、凋亡率及细胞自噬数量;Western Blot检测SIRT1-FOXO1通路相关蛋白、自噬标志蛋白Beclin-1、LC3及凋亡蛋白Bax、Bcl-2表达水平。结果 0~40μmol/L的PR可促进DEX诱导的MC3T3-E1细胞增殖活力,40μmol/L PR处理后MC3T3-E1细胞增殖活力最高,选择40μmol/L PR进行后续实验。与对照组比较,DEX组MC3T3-E1细胞增殖活力、自噬阳性率、SIRT1、FOXO1、Beclin-1、LC3、Bax蛋白表达均降低,凋亡率及Bcl-2蛋白表达升高(P<0.05);与DEX组对比,PR+DEX组凋亡率及Bcl-2蛋白表达降低,上述其余指标均升高(P<0.05),DEX+EX527组凋亡率及Bcl-2蛋白表达升高,上述其余指标均降低(P<0.05);与PR+DEX组对比,PR+DEX+EX527组凋亡率及Bcl-2蛋白表达升高,上述其余指标均降低(P<0.05)。结论 PR可通过激活SIRT1-FOXO1信号通路增强MC3T3-E1细胞自噬进而抑制DEX诱导的细胞凋亡。 展开更多
关键词 葛根素 沉默信息调节因子1-叉头状转录因子O1 类固醇 成骨细胞 自噬
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川芎嗪对白细胞介素-1β诱导的软骨细胞凋亡和氧化应激的影响及作用机制研究 被引量:3
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作者 李科 曹玉净 +2 位作者 钱亚男 李光辉 周松林 《中医正骨》 2025年第2期21-27,共7页
目的:观察川芎嗪(tetramethylpyrazine,TMP)对白细胞介素(interleukin,IL)-1β诱导的软骨细胞凋亡和氧化应激的影响,并探讨其作用机制。方法:选用ATDC5小鼠软骨细胞进行实验,加入IL-1β模拟骨关节炎环境,通过测定不同浓度TMP干预后的细... 目的:观察川芎嗪(tetramethylpyrazine,TMP)对白细胞介素(interleukin,IL)-1β诱导的软骨细胞凋亡和氧化应激的影响,并探讨其作用机制。方法:选用ATDC5小鼠软骨细胞进行实验,加入IL-1β模拟骨关节炎环境,通过测定不同浓度TMP干预后的细胞存活率确定本实验中TMP的浓度为5μg·mL^(-1)和10μg·mL^(-1)。将ATDC5小鼠软骨细胞分为4组。对照组常规培养,模型组、TMP低剂量组、TMP高剂量组均按照10μmol·L^(-1)加入IL-1β,TMP低剂量组、TMP高剂量组在此基础上分别按照5μg·mL^(-1)和10μg·mL^(-1)加入TMP。采用CCK-8法测定细胞增殖抑制率,采用Western Blot法检测B细胞淋巴瘤-2相关X(B-cell lymphoma-2 Associated X,Bax)蛋白含量、B细胞淋巴瘤-2(B-cell lymphoma-2,Bcl-2)蛋白含量确定细胞凋亡情况,采用ELISA测定技术检测炎症因子含量[IL-6、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)],分别采用硫代巴比妥酸法、黄嘌呤氧化酶法和比色法测定丙二醛(malondialdehyde,MDA)、超氧化物歧化酶(superoxide dismutase,SOD)、谷胱甘肽(glutathione,GSH)等氧化应激指标含量,采用Western Blot法检测核转录因子红系2相关因子2(nuclear factor-erythroid 2-related factor 2,Nrf2)信号通路相关蛋白[Kelch样ECH相关蛋白1(Kelch-like ECH-associated protein 1,Keap1)、Nrf2、血红素加氧酶-1(heme oxygenase-1,HO-1)、SOD2]含量。将ATDC5小鼠软骨细胞分为4组。空白组常规培养;诱导组按照10μmol·L^(-1)加入IL-1β;TMP组按照10μmol·L^(-1)加入IL-1β,并按照10μg·mL^(-1)加入TMP;Nrf2抑制剂组先按照10μmol·L^(-1)加入IL-1β、按照5μg·mL^(-1)加入Nrf2抑制剂ML385,最后按照10μg·mL^(-1)加入TMP,采用Western Blot法检测Nrf2下游蛋白(HO-1、SOD2)含量。结果:①软骨细胞增殖情况检测结果。模型组的细胞增殖抑制率高于对照组(P=0.043),TMP低剂量组和TMP高剂量组的细胞增殖抑制率均低于模型组(P=0.030,P=0.033),TMP低剂量组的细胞增殖抑制率高于TMP高剂量组(P=0.049)。②软骨细胞凋亡情况检测结果。模型组的Bax/Bcl-2蛋白含量比值高于对照组、TMP低剂量组及TMP高剂量组(P=0.000,P=0.005,P=0.000),TMP高剂量组的Bax/Bcl-2蛋白含量比值低于TMP低剂量组(P=0.003)。③软骨细胞中炎症因子含量检测结果。模型组的IL-6和TNF-α含量均高于对照组、TMP低剂量组及TMP高剂量组(IL-6:P=0.035,P=0.024,P=0.049;TNF-α:P=0.017,P=0.039,P=0.032);TMP低剂量组的IL-6和TNF-α含量均高于TMP高剂量组(P=0.019,P=0.028)。④软骨细胞中氧化应激指标含量检测结果。模型组的MDA含量高于对照组(P=0.027),SOD和GSH含量均低于对照组(P=0.013,P=0.028);TMP低剂量组和TMP高剂量组的MDA含量均低于模型组(P=0.020,P=0.040),SOD和GSH含量均高于模型组(SOD:P=0.048,P=0.039;GSH:P=0.031,P=0.022);TMP高剂量组的MDA含量低于TMP低剂量组(P=0.040),SOD和GSH含量均高于TMP低剂量组(P=0.026,P=0.038)。⑤软骨细胞中Nrf2信号通路相关蛋白含量检测结果。模型组的Keap1蛋白含量高于对照组(P=0.000),Nrf2、HO-1及SOD2蛋白含量均低于对照组(P=0.003,P=0.004,P=0.003);TMP低剂量组和TMP高剂量组的Keap1蛋白含量均低于模型组(P=0.002,P=0.000),Nrf2、HO-1及SOD2蛋白含量均高于模型组(Nrf2:P=0.002,P=0.008;HO-1:P=0.000,P=0.001;SOD2:P=0.002,P=0.000);TMP高剂量组的Keap1蛋白含量低于TMP低剂量组(P=0.034),Nrf2、HO-1及SOD2蛋白含量均高于TMP低剂量组(P=0.000,P=0.039,P=0.029)。⑥Nrf2抑制剂干预后软骨细胞中Nrf2下游蛋白含量测定结果。诱导组的HO-1、SOD2蛋白含量均低于空白组(P=0.000,P=0.001),TMP组的HO-1、SOD2蛋白含量均高于诱导组(P=0.023,P=0.030),Nrf2抑制剂组的HO-1、SOD2蛋白含量均低于TMP组(P=0.040,P=0.000)。结论:TMP对IL-1β诱导的软骨细胞凋亡和氧化应激具有保护作用,其作用机制可能与激活Nrf2信号通路,增强软骨细胞抗氧化能力有关。 展开更多
关键词 川芎嗪 骨关节炎 软骨细胞 细胞凋亡 氧化性应激 白细胞介素-1β 核转录因子红系2相关因子2 体外试验
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腺病毒介导SDF-1/NELL-1双基因转染ADSCs复合Nano-n HA支架对犬下颌骨缺损修复的实验研究 被引量:1
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作者 郭延伟 张广德 杨世茂 《口腔颌面修复学杂志》 2025年第1期33-41,共9页
目的:构建腺病毒介导的基质细胞衍生因子-1(stromal cell-derived factor-1,SDF-1)和尼尔样-1型分子(Nell-like molecule-l,Nell-1)双基因转染犬ADSCs复合Nano-n HA支架,观察其对犬下颌骨缺损的修复作用。方法:构建携SDF-1及NELL-1目的... 目的:构建腺病毒介导的基质细胞衍生因子-1(stromal cell-derived factor-1,SDF-1)和尼尔样-1型分子(Nell-like molecule-l,Nell-1)双基因转染犬ADSCs复合Nano-n HA支架,观察其对犬下颌骨缺损的修复作用。方法:构建携SDF-1及NELL-1目的基因片段的腺病毒表达载体,分组转染犬ADSCs后行体外成骨分化诱导,ELISA法检测目的基因转染ADSCs后结合支架体内外生长各期目的蛋白表达。20只比格犬随机分为5组,A组为空白组(无支架置入),B组为单纯支架组,C组为SDF-1/Nano-n HA组,D组为Nell-1/Nano-n HA组,E组为SDF-1/Nell-1/Nano-n HA组。CM-Dil细胞标记后构建ADSCs-Nano-n HA支架骨组织工程复合体,制备犬双侧下颌骨缺损模型,将不同细胞支架复合体分组植入下颌骨缺损区。术后第4、8、12周取材行大体观察、CT、扫描电镜、细胞示踪实验及组织学检测,比较各组缺损区新骨形成情况,行统计学分析。结果:ADSCs传代培养及成骨诱导分化状态良好,荧光显微镜下观察SDF-1、Nell-1及SDF-1/Nell-1重组腺病毒均能稳定转染ADSCs,各组目的蛋白表达体内外实验表达有显著性差异。通过大体观察及X线、CT扫描、ECM检测发现转染组骨缺损区新骨形成情况优于未转染组,且共转染组成骨速度及质量优于其他各组。组织学染色可见转染组新骨形成及血管生成情况均优于未转染组,且共转染组新生骨小梁面积及骨成熟度均优于其他各组。结论:SDF-1、Nell-1均可转染ADSCs并可稳定表达,目的基因转染ADSCs复合Nano-n HA支架后可显著促进下颌骨缺损的成骨修复,为组织工程修复成骨提供了新路径。 展开更多
关键词 基质细胞衍生因子-1 尼尔样-1型分子 脂肪干细胞 下颌骨缺损 成骨
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缩宫素联合卡前列素氨丁三醇预防瘢痕子宫再次分娩后产后出血的效果及其对血清THBS-1、TGF-β1水平和凝血功能的影响 被引量:2
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作者 杨小妹 王雪 +5 位作者 刘莉 殷秀莉 冯颖 武启芸 于树静 冯小明 《临床和实验医学杂志》 2025年第10期1058-1062,共5页
目的探讨缩宫素联合卡前列素氨丁三醇对瘢痕子宫再次分娩后产后出血的预防效果及其对血清血小板反应蛋白-1(THBS-1)、转化生长因子-β1(TGF-β1)水平和凝血功能的影响。方法前瞻性选取2022年9月至2024年10月唐山市妇幼保健院瘢痕子宫产... 目的探讨缩宫素联合卡前列素氨丁三醇对瘢痕子宫再次分娩后产后出血的预防效果及其对血清血小板反应蛋白-1(THBS-1)、转化生长因子-β1(TGF-β1)水平和凝血功能的影响。方法前瞻性选取2022年9月至2024年10月唐山市妇幼保健院瘢痕子宫产妇120例,按照随机数字表法将其分为观察组与对照组,每组各60例。对照组仅应用缩宫素,观察组在对照组基础上给予子宫体肌肉注射卡前列素氨丁三醇注射液。观察两组的出血量(产中、产后24 h)、子宫情况(子宫底下降速度、子宫持续收缩时间,产后10 min、30 min及产后1 h子宫收缩强度),并比较两组产后24 h的血清指标(血清THBS-1、TGF-β1)、凝血功能指标[纤维蛋白原(Fib)、凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)]及不良反应发生情况。结果观察组产中、产后24 h出血量及产后出血率分别为(357.39±70.30)mL、(290.54±72.12)mL、0,均低于对照组[(398.85±73.54)mL、(372.15±65.30)mL、11.67%],差异均有统计学意义(P<0.05)。观察组产后10 min、30 min及产后1 h子宫收缩强度分别为(9.74±0.16)、(25.90±1.35)、(31.53±1.26)kPa,均明显高于对照组[(7.55±0.20)、(22.85±1.32)、(25.32±2.40)kPa],观察组子宫底下降速度为(1.35±0.23)cm/d,较对照组[(1.07±0.19)cm/d]快,子宫持续收缩时间为(3.40±0.81)h,长于对照组[(1.32±0.15)h],差异均有统计学意义(P<0.05)。观察组产后24 h血清THBS-1为(256.71±19.36)μg/L,低于对照组[(279.32±20.38)μg/L],TGF-β1为(125.32±11.65)ng/mL,高于对照组[(103.62±10.21)ng/mL],差异均有统计学意义(P<0.05)。观察组产后24 h Fib分别为(3.03±0.25)g/mL,均低于对照组[(3.54±0.57)g/mL],PT、TT、APTT分别为(11.35±1.27)、(13.46±2.13)、(20.04±1.05)s,均短于对照组[(14.62±1.80)、(16.23±2.01)、(23.19±1.70)s],差异均有统计学意义(P<0.05)。结论缩宫素联合卡前列素氨丁三醇可预防瘢痕子宫再次分娩后产后出血,使血清THBS-1水平降低、TGF-β1水平升高,改善凝血功能。 展开更多
关键词 瘢痕子宫 产后出血 缩宫素 卡前列素氨丁三醇 血小板反应蛋白-1 转化生长因子-β1
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