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多学科会诊协作模式对骨盆骨折患者血清D-Dimer、IL-1β水平及深静脉血栓形成的影响
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作者 刘中怀 李嘉平 +2 位作者 王伟 李云伟 李萧 《分子诊断与治疗杂志》 2026年第1期108-110,114,共4页
目的探究多学科会诊协作模式(MDT)对骨盆骨折患者血清D-二聚体(D-Dimer)、白细胞介素-1β(IL-1β)水平及深静脉血栓形成的影响。方法随机数字表法将2018年1月至2023年3月廊坊市第四人民医院收治的血流动力学不稳定性骨盆骨折患者120例... 目的探究多学科会诊协作模式(MDT)对骨盆骨折患者血清D-二聚体(D-Dimer)、白细胞介素-1β(IL-1β)水平及深静脉血栓形成的影响。方法随机数字表法将2018年1月至2023年3月廊坊市第四人民医院收治的血流动力学不稳定性骨盆骨折患者120例分为对照组(常规诊疗模式)、观察组(多学科协作诊疗模式)各60例,比较两组术前等待时长和住院时长,血清学指标[IL-1β、白细胞介素-6(IL-6)、D-Dimer]水平,髋关节功能和并发症发生情况。结果观察组术前等待、住院时长均短于对照组,差异均有统计学意义(P<0.05);治疗后两组IL-1β、IL-6均降低,D-Dimer均升高,且观察组指标均明显低于对照组,差异有统计学意义(P<0.05);两组治疗后Harris髋关节评分均升高,且观察组显著高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率(15.00%)明显低于对照组(38.33%),差异均有统计学意义(P<0.05)。结论MDT可以明显缩短骨盆骨折患者术前等待和住院时长,提高髋关节功能,减轻术后炎症反应,抑制血凝状态,降低深静脉血栓等并发症发生几率。 展开更多
关键词 多学科会诊协作模式 骨盆骨折 深静脉血栓 D-二聚体 白细胞介素-1β
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腰背痛患者中D-dimer水平对椎体骨质疏松压缩性骨折的诊断价值
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作者 孙岩岩 苏鹏 彭建刚 《分子诊断与治疗杂志》 2025年第5期931-934,共4页
目的评估血浆D-二聚体(DD)在腰背痛患者中对椎体骨质疏松压缩性骨折(OVCF)诊断的价值。方法回顾性分析2021年2月至2024年1月在怀远县中医院就诊的124例腰背痛患者数据,根据核磁共振成像(MRI)结果是否患有OVCF分为OVCF组(n=72)和非OVCF组... 目的评估血浆D-二聚体(DD)在腰背痛患者中对椎体骨质疏松压缩性骨折(OVCF)诊断的价值。方法回顾性分析2021年2月至2024年1月在怀远县中医院就诊的124例腰背痛患者数据,根据核磁共振成像(MRI)结果是否患有OVCF分为OVCF组(n=72)和非OVCF组(n=52),单变量分析两组患者的各变量差异,并采用Logistic回归方法分析各变量与椎体骨质疏松压缩性骨折的相关性,据此绘制ROC曲线进一步分析DD水平对椎体骨质疏松压缩性骨折的诊断效能。结果两组患者的年龄、性别、DD水平比较差异有统计学意义(P<0.05)。Logistic回归分析显示,年龄大、性别男、DD水平高表达为椎体骨质疏松压缩性骨折独立风险因素(OR=2.033)。ROC曲线分析表明,DD在OVCF诊断中的AUC为0.878,敏感性和特异性均为0.800,提示DD对OVCF具有良好的诊断效能。结论DD作为便捷的实验室指标,在影像受限时对OVCF筛查诊断具潜在价值,虽非特异性但诊断性能佳,是有前景的生物标志物。 展开更多
关键词 腰背痛 D-二聚体 椎体骨质疏松 压缩性骨折 诊断价值
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NT-proBNP、TNF-α、D-dimer在COPD合并肺心病中的表达和意义
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作者 任涛 《黑龙江医学》 2025年第15期1869-1872,共4页
目的:分析N端前脑钠肽(NT-proBNP)、肿瘤坏死因子-α(TNF-α)、D-二聚体(D-dimer)与慢性阻塞性肺疾病(COPD)合并肺心病患者疾病严重程度的关系。方法:回顾性分析2021年2月—2023年2月南阳医学高等专科学校第一附属医院收治的132例CPHD... 目的:分析N端前脑钠肽(NT-proBNP)、肿瘤坏死因子-α(TNF-α)、D-二聚体(D-dimer)与慢性阻塞性肺疾病(COPD)合并肺心病患者疾病严重程度的关系。方法:回顾性分析2021年2月—2023年2月南阳医学高等专科学校第一附属医院收治的132例CPHD患者临床资料。依据是否合并肺心病,分为单纯COPD组(单纯组,64例)和COPD合并肺心病组(合并组,68例)。比较两组患者NT-proBNP、TNF-α、D-dimer水平,采用logistic回归分析COPD合并肺心病危险因素,并绘制ROC曲线评价单独及联合预测效能。结果:单纯组MPV水平低于合并组,FEV1%、LVEF高于合并组,差异均有统计学意义(t=-2.869、5.709、4.856,P<0.001);单纯组NT-proBNP、TNF-α、D-dimer水平均低于合并组,差异均有统计学意义(t=-45.282、-31.174、-30.047,P<0.001);logistic回归分析结果显示,MPV≥11.80 fL、FEV1<55.00%、NT-proBNP≥512.80 ng/mL、TNF-α>174.20 ng/mL、D-dimer>268.00 mg/L是影响预后的独立危险因素(OR=1.584、1.108、1.833、1.237、1.118)。ROC曲线分析显示,NT-proBNP、TNF-α、D-dimer联合预测的AUC高于单独预测(Z=3.029、2.971、2.864,P<0.05)。结论:COPD合并肺心病患者NT-proBNP、TNF-α、D-dimer增加,与疾病加重紧密相关,三者联合对COPD合并肺心病有较高预测能力。 展开更多
关键词 N端前脑钠肽 肿瘤坏死因子-Α D-二聚体
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肺癌根治术后患者的血栓弹力图参数联合血清D-dimer、FDP检测对静脉血栓栓塞症的预测价值
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作者 辛叶 梅懿文 +1 位作者 韩海心 王波 《海南医学》 2025年第17期2506-2510,共5页
目的探究肺癌根治术后患者的血栓弹力图(TEG)参数联合血清D-二聚体(D-dimer)、纤维蛋白降解产物(FDP)检测对静脉血栓栓塞症的预测价值。方法回顾性分析2022年2月至2024年2月于南阳市中心医院行肺癌根治术治疗的80例患者的临床资料。按... 目的探究肺癌根治术后患者的血栓弹力图(TEG)参数联合血清D-二聚体(D-dimer)、纤维蛋白降解产物(FDP)检测对静脉血栓栓塞症的预测价值。方法回顾性分析2022年2月至2024年2月于南阳市中心医院行肺癌根治术治疗的80例患者的临床资料。按照患者肺癌根治术后是否发生静脉血栓栓塞症将患者分为血栓组(n=12)与非血栓组(n=68)。比较两组患者的TEG参数指标[凝血反应时间(R值)、血凝块形成时间(K值)、凝固角(α值)、血块强度(MA)]、血清D-dimer和FDP水平,采用受试者工作特征(ROC)曲线分析上述指标对肺癌根治术后VTE事件发生的预测价值。结果血栓组患者的R值、K值分别为(2.82±0.38)min、(1.12±0.21)min,明显低于非血栓组的(3.68±0.53)min、(1.40±0.25)min,α值、MA、血清D-dimer、FDP水平分别为(82.63±14.29)°、(80.49±14.96)min、(2.24±0.61)mg/L、(6.51±4.35)μg/mL,明显高于非血栓组的(71.42±12.51)°、(65.74±14.36)min、(1.33±0.57)mg/L、(3.06±2.41)μg/mL,差异均有统计学意义(P<0.05)。ROC曲线进一步分析结果显示,TEG参数预测肺癌根治术患者VTE发生的曲线下面积(AUC)、敏感度、特异度分别为0.841、75.00%、66.18%;D-dimer用于预测VTE的AUC、敏感度、特异度分别为0.889、83.33%、64.71%;FDP用于预测VTE的AUC、敏感度、特异度分别为0.775、66.67%、66.18%;三者联合用于预测VTE的AUC、敏感度、特异度分别为0.897、91.67%、64.71%。TEG联合D-dimer、FDP检测预测肺癌根治术患者VTE发生的AUC、敏感度、特异度均高于单独检测(P<0.05)。结论TEG联合血清D-dimer和FDP检测可以提高肺癌根治术后患者发生VTE的预测价值,为临床决策提供更为准确的依据。 展开更多
关键词 血栓弹力图 血清D-二聚体 纤维蛋白降解产物 肺癌根治术 静脉血栓栓塞症
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血清FABP4、D-Dimer、GFAP、PCT水平和联合检测对缺血性脑卒中早期诊断与预后评估的价值研究 被引量:1
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作者 李攀 刘玉洁 +1 位作者 高晓娟 遇阳 《宁夏医学杂志》 2025年第5期395-398,共4页
目的探讨脂肪酸结合蛋白4(FABP4)、D-二聚体(D-Dimer)、胶质原纤维酸性蛋白(GFAP)、降钙素原(PCT)水平及联合检测对缺血性脑卒中早期诊断和预后评估的价值。方法选择缺血性脑卒中患者90例作为病例组,选取健康体检者90例作为对照组。按... 目的探讨脂肪酸结合蛋白4(FABP4)、D-二聚体(D-Dimer)、胶质原纤维酸性蛋白(GFAP)、降钙素原(PCT)水平及联合检测对缺血性脑卒中早期诊断和预后评估的价值。方法选择缺血性脑卒中患者90例作为病例组,选取健康体检者90例作为对照组。按照改良Rankin量表(mRS)将病例组患者分为预后不良组(n=27)和预后良好组(n=63)。检测并对比各组的血清FABP4、D-Dimer、GFAP、PCT水平。各组间的比较用t检验,用受试者工作特征曲线(ROC)评估FABP4、D-Dimer、GFAP、PCT水平及四者联合检测对缺血性脑卒中患者早期诊断和预后的预测价值。结果病例组患者FABP4、D-Dimer、GFAP、PCT水平明显高于对照组(P<0.05),GFAP与PCT水平呈正相关(P<0.05);ROC曲线显示四者联合诊断缺血性脑卒中发生的曲线下面积(AUC)、灵敏度均大于各指标单独诊断时的值(P<0.05);预后不良组患者FABP4、D-Dimer、GFAP、PCT水平高于预后良好组(P<0.05);ROC曲线分析显示四者联合预测时,缺血性脑卒中的预后评估AUC、灵敏度大于各指标单独诊断时的值(P<0.05)。结论缺血性脑卒中患者血清FABP4、D-Dimer、GFAP、PCT水平呈高表达,四者联合检测对疾病的早期诊断效果优于单独检测。高FABP4、D-Dimer、GFAP、PCT提示患者预后不良,联合检测对预后评估效果更佳。 展开更多
关键词 缺血性脑卒中 脂肪酸结合蛋白4 D-二聚体 胶质原纤维酸性蛋白 降钙素原 早期诊断 预后评估
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血清CRP、D-Dimer、ALB、ApoB/ApoA1比值联合检测对缺血性脑卒中患者静脉溶栓预后的预测价值
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作者 吕凤华 唐宇 +2 位作者 梁博娜 鲁国 黄新颖 《中南医学科学杂志》 2025年第5期822-825,共4页
目的探讨血清C反应蛋白(CRP)、D-二聚体(D-Dimer)、白蛋白(ALB)、载脂蛋白B/载脂蛋白A1(ApoB/ApoA1)比值联合检测对缺血性脑卒中(CIS)患者静脉溶栓预后的预测价值。方法选取接受静脉溶栓治疗的CIS患者138例,根据改良Rankin量表(mRS)得... 目的探讨血清C反应蛋白(CRP)、D-二聚体(D-Dimer)、白蛋白(ALB)、载脂蛋白B/载脂蛋白A1(ApoB/ApoA1)比值联合检测对缺血性脑卒中(CIS)患者静脉溶栓预后的预测价值。方法选取接受静脉溶栓治疗的CIS患者138例,根据改良Rankin量表(mRS)得分分为预后良好组(n=82)和预后不良组(n=56)。入院后比较两组基线资料、血清CRP、D-Dimer、ALB、ApoB/ApoA1比值水平。采用ROC曲线分析上述指标对其预后不良的预测价值,采用多因素Logistic回归分析预后不良的影响因素。结果预后不良组总胆固醇、低密度脂蛋白胆固醇高于预后良好组,高密度脂蛋白胆固醇低于预后良好组(P<0.05)。预后不良组血清ALB水平低于预后良好组,CRP、D-Dimer、ApoB/ApoA1水平均高于预后良好组(P<0.05)。多因素分析显示,血清D-Dimer、ALB、ApoB/ApoA1比值为其预后不良的独立危险因素(P<0.05)。ROC曲线分析可见,血清CRP、D-Dimer、ALB、ApoB/ApoA1比值联合检测对CIS患者静脉溶栓预后的预测价值高于单独检测(P<0.05)。结论血清CRP、D-Dimer、ALB、ApoB/ApoA1比值联合检测对CIS患者静脉溶栓预后有较高的预测价值。 展开更多
关键词 CRP D-dimer ALB ApoB/ApoA1比值 缺血性脑卒中 静脉溶栓 预后
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Diterpenoids with unexpected 5/6/6-fused ring system and its dimer from Strophioblachia glandulosa
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作者 Xue-Wen Wu Bin-Bao Wang +6 位作者 Yu Qin Yong-Xiang Huang Muhammad Aurang Zeb Bin Cheng Xiao-Li Li Chang-Bo Zheng Wei-Lie Xiao 《Chinese Chemical Letters》 2025年第8期350-354,共5页
Six rearranged nor-diterpenoids with 5/6/6-fused tricyclic system(1–6),and one unprecedented dimer with 5/6/6/6/6/5-fused carbon core(7)were isolated from Strophioblachia glandulosa.Spectroscopic techniques,electroni... Six rearranged nor-diterpenoids with 5/6/6-fused tricyclic system(1–6),and one unprecedented dimer with 5/6/6/6/6/5-fused carbon core(7)were isolated from Strophioblachia glandulosa.Spectroscopic techniques,electronic circular dichroism(ECD),quantum chemical calculations,and single-crystal X-ray diffraction analysis were used to elucidate their structures.A preliminary bioactivity assay revealed compounds 2 and 3 exhibited potent anti-myocardial hypertrophy effect in vitro by significantly inhibiting the expression levels of atrial natriuretic peptide(ANP)and myosin heavy chain 7(MYH7)proteins.Additionally,mitogen-activated protein kinase 14(Mapk14)may be involved in the regulation of compound3 on cardiac hypertrophic disease by network pharmacology prediction and experimental verification. 展开更多
关键词 Strophioblachiag landulosa DITERPENOID dimer Cardiac hypertrophy Network pharmacology
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High-loading inducing Fe-dimer on carbon nitride promotes the generation of·O_(2)^(-)
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作者 Xinran Zheng Yuchao Wang +10 位作者 Jianping Guan Xu Liu Yu Bai Yingbi Chen Peiyao Yang Jing Zhang Houzheng Ou Meng Wang Yu Xiong Haozhi Wang Yongpeng Lei 《Advanced Powder Materials》 2025年第5期1-9,共9页
The research on metal dimer clusters is of great importance,owing to the potential in modulating the adsorption behavior towards reaction intermediates.Here,we develop a loading heightening strategy to obtain a 32.5wt... The research on metal dimer clusters is of great importance,owing to the potential in modulating the adsorption behavior towards reaction intermediates.Here,we develop a loading heightening strategy to obtain a 32.5wt%Fe-dimer catalyst(Fe-32.5).The co-anchoring of two Fe atoms in a single triazine ring of carbon nitride with an atomic spacing of∼0.23nm is proved.Fe atoms occupy the pores of the triazine ring in the lower iron content sample(Fe-12.9 and Fe-17.1).However,with the increase of iron content to 32.5wt%,two Fe atoms simultaneously occupy one triazine ring.For Fe-32.5,besides the main peak located at∼1.5Åcorresponding to the Fe–N interaction,a peak attributed to Fe–Fe bonding is observed at∼2.2Åin Fourier-transformed k3-weithted extended X-ray absorption fine structure.Density functional theoretical calculations reveal that Fe-dimer in Fe-32.5 induces a charge redistribution compared with that in Fe-12.9 and Fe-17.1.H_(2)O^(∗)is adsorbed on O^(∗)via hydrogen bonding in Fe-12.9 and Fe-17.1.However,H_(2)O^(∗)and O^(∗)in Fe-32.5 are adsorbed on Fe–Fe dimer,resulting in a decrease in the total energy of the reaction process.For the two former,O_(2)^(-)∗adsorbs on individual Fe atoms.Fe-dimer in Fe-32.5 adsorbs O_(2)^(-)∗in the form of bridge bonds,which facilitates the·O_(2)^(-)release.Furthermore,an enhanced affinity for the substrate 3,3′,5,5′-tetramethylbenzidine and higher peroxidase-like activity were displayed.This work provides an effective mean to synthesize metal dimer clusters through high loading. 展开更多
关键词 Single atom catalysts High loading dimer Adsorption strength INTERMEDIATE
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Dimeric four tartaric acid-bridged tetra-Zr-incorporated arsenotungstate showing decent proton conduction
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作者 Dong-Sheng Yang Li-Hua Liu +5 位作者 Jia-Yu Liu Zi-Yao Fu Tian-Jiao Li Xiang Ma Lin Sun Peng-Tao Ma 《Rare Metals》 2025年第2期1401-1408,共8页
Exploring a new and robust material for proton conduction is of significant importance to the scientific interest and technological importance.Polyoxometalates(POMs)are a class of molecular anion metal oxide clusters ... Exploring a new and robust material for proton conduction is of significant importance to the scientific interest and technological importance.Polyoxometalates(POMs)are a class of molecular anion metal oxide clusters with well-defined structures and diverse properties.Therefore,the design and synthesis of a POM-based material for proton conduction is extremely vital.Herein,a dimeric four tartaric acid-bridged tetra-Zr-incorporated arsenotungstate. 展开更多
关键词 molecular anion metal oxide clusters tetra zr incorporated proton conduction POLYOXOMETALATES tartaric acid ARSENOTUNGSTATE dimerIC
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One-step preparation of biocompatible amphiphilic dimer nanoparticles with tunable particle morphology and surface property for interface stabilization and drug delivery
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作者 Xingqun Pu Rongrong Liu +9 位作者 Yuting Xie Chenjing Yang Jingyi Chen Baoling Guo Chun-Xia Zhao Peng Zhao Jian Ruan Fangfu Ye David A Weitz Dong Chen 《Chinese Chemical Letters》 2025年第3期345-350,共6页
Biocompatible amphiphilic nanoparticles(NPs)with tunable particle morphology and surface property are important for their applications as functional materials.However,previously developed methods to prepare amphiphili... Biocompatible amphiphilic nanoparticles(NPs)with tunable particle morphology and surface property are important for their applications as functional materials.However,previously developed methods to prepare amphiphilic NPs generally involve several steps,especially an additional step for surface modification,greatly hindering their largescale production and widespread applications.Here,a versatile one-step strategy is developed to prepare biocompatible amphiphilic dimer NPs with tunable particle morphology and surface property.The amphiphilic dimer NPs,which consist of a hydrophobic shellac bulb and a hydrophilic poly(lactic acid)(PLA)bulb with PLA-poly(ethylene glycol)(PEG)on the bulb surface,are prepared in a single step by controlled co-precipitation and self-assembly.Amphiphilic PLA-PEG/shellac dimer NPs demonstrate excellent tunability in particle morphology,thus showing good performances in controlling the interfacial curvature and emulsion type.In addition,temperatureresponsive PLA-poly(N-isopropyl acrylamide)(PNIPAM)/shellac dimer NPs are prepared following the same method and emulsions stabilized by them show temperature-triggered response.The applications of PLA-PEG-folic acid(FA)/shellac dimer NPs for drug delivery have also been demonstrated,which show a very good performance.The strategy of preparing the dimer NPs is green,scalable,facile and versatile,which provides a good platform for the design of dimer NPs with tunable particle morphology and surface property for diverse applications. 展开更多
关键词 Janus particle Amphiphilic particle dimer particle Colloidal surfactant Pickering emulsion Drug delivery
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The controllable of BODIPY dimers without installing blocking groups as both fluorescence and singlet oxygen generators
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作者 Jianfang Cao Tianci Zhang +2 位作者 Xinyu Chen Xue Ma Jiangli Fan 《Smart Molecules》 2025年第1期21-34,共14页
We compared a range of BODIPY dimer derivatives without installing blocking groups by optimizing geometry structures and analyzing energies,frontier mo-lecular orbitals,Chole&Cele map,electron density difference,s... We compared a range of BODIPY dimer derivatives without installing blocking groups by optimizing geometry structures and analyzing energies,frontier mo-lecular orbitals,Chole&Cele map,electron density difference,spin-orbit coupling(SOC)matrix and decay rate constants from excited states.The dihedral angles of theβ-β-linked BODIPY dimer and theα-α-linked BODIPY dimer tend to flatten in the T_(1)state,which is detrimental to the occurrence of the intersystem crossing(ISC).Conversely,the dihedral angle of the meso-β-linked BODIPY dimer,the meso-meso-linked BODIPY dimer andα-γ-linked BODIPY dimer is within the range of 125°-143°in the T_(1)state,facilitating ISC and the generation of singlet oxygen.Notably,the transition from S1 to S0 involving lowest unoccupied mo-lecular orbital to highest occupied molecular orbital with long-wavelength emis-sion and moderate oscillator strength underpins the remarkable long emission peaks observed experimentally forα-γ-linked BODIPY dimer.Moreover,the apparent SOC matrix enhances the ISC process,resulting in a respectable effi-ciency in generating singlet oxygen for this dimer.In meso-β-linked BODIPY,meso-meso-linked BODIPY,andα-γ-linked BODIPY,the S_(1)→T_(1)process is characterized by a significant charge transfer,specifically transitioning from the^(1)CT state to the^(3)LE state,indicative of a spin-orbit charge transfer ISC(SOCTISC)mechanism.The ability to regulate the photosensitivity of BODIPY dimers by adjusting the dihedral angle between the two units in the T_(1)state unveils new avenues for designing high-performance photosensitizers for both therapeutic and imaging applications. 展开更多
关键词 BODIPY dimers density functional calculations dual-functioning photosensitizers spin-orbit coupling
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Dimeric sesquiterpenoids with anti-inflammatory activities from Inula britannica
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作者 Juan Zhang Jiankun Yan +7 位作者 Hongjun Dong RuiZhang Jing Chang Yanli Feng Xinrong Xu Wei Li Feng Qiu Chengpeng Sun 《Chinese Journal of Natural Medicines》 2025年第8期961-971,共11页
In continuation of research aimed at identifying anti-inflammatory agents from natural sesquiterpenoids,an activity-guided fractionation approach utilizing lipopolysaccharide(LPS)-mediated RAW264.7 cells was employed ... In continuation of research aimed at identifying anti-inflammatory agents from natural sesquiterpenoids,an activity-guided fractionation approach utilizing lipopolysaccharide(LPS)-mediated RAW264.7 cells was employed to investigate chemical constituents from Inula Britannica(I.britannica).Seven novel sesquiterpenoid dimers inulabritanoids A−G(1−7)and two novel sesquiterpenoid monomers inulabritanoids H(8)and I(9)were isolated from I.britannica together with eighteen known compounds(10−27).The structural elucidation was accomplished through comprehensive analysis of 1D and 2D nuclear magnetic resonance(NMR),high-resolution mass spectrometry(HR-MS),and electronic circular dichroism(ECD)spectra,complemented by quantum chemical calculations.Compounds 1,2,12,16,19,and 26 demonstrated inhibitory effects on NO production,with IC50 values of 3.65,5.48,3.29,6.91,3.12,and 5.67μmol·L^(−1),respectively.Mechanistic studies revealed that compound 1 inhibited IκB kinaseβ(IKKβ)phosphorylation,thereby blocking nuclear factorκB(NF-κB)nuclear translocation,and activated the kelch-like ECH-associated protein 1(Keap1)/nuclear factor erythroid 2-related factor 2(Nrf2)signal pathway,leading to decreased expression of NADPH oxidase 2(NOX-2),inducible nitric oxide synthase(iNOS),tumor necrosis factorα(TNF-α),interleukin-6(IL-6),monocyte chemotactic protein-1(MCP-1),IL-1β,and IL-1αand increased expression of NAD(P)H:quinone oxidoreductase 1(NQO-1)and heme oxygenase-1(HO-1),thus exhibiting anti-inflammatory effects in vitro.These results indicate that dimeric sesquiterpenoids may serve as promising candidates for anti-inflammatory drug development. 展开更多
关键词 Inula britannica Sesquiterpenoid dimers Anti-inflammatory effects Mechanism Keap1-Nrf2
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Graphene-supported isolated platinum atoms and platinum dimers for CO_(2) hydrogenation:Catalytic activity and selectivity variations
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作者 Sanmei Wang Dengxin Yan +1 位作者 Wenhua Zhang Liangbing Wang 《Chinese Chemical Letters》 2025年第4期241-245,共5页
Manipulating catalyst structures to control product selectivity while maintaining high activity presents a considerable challenge in CO_(2)hydrogenation.Combining density functional theory calculations and microkineti... Manipulating catalyst structures to control product selectivity while maintaining high activity presents a considerable challenge in CO_(2)hydrogenation.Combining density functional theory calculations and microkinetic analysis,we proposed that graphene-supported isolated Pt atoms(Pt1/graphene)and Pt_(2)dimers(Pt_(2)/graphene)exhibited distinct selectivity in CO_(2)hydrogenation.Pt_(1)/graphene facilitated the conversion of CO_(2)into formic acid,whereas Pt_(2)/graphene favored methanol generation.The variation in product selectivity arose from the synergistic interaction of Pt_(2)dimers,which facilitated the migration of H atoms between two Pt atoms and promoted the transformation from*COOH intermediates to*C(OH)_(2)intermediates,altering the reaction pathways compared to isolated Pt atoms.Additionally,an analysis of the catalytic activities of three Pt_(1)/graphene and three Pt_(2)/graphene structures revealed that the turnover frequencies for formic acid generation on Pt_(1ii)/graphene and methanol generation on Pt_(2i)/graphene were as high as 744.48 h-1and 789.48 h^(-1),respectively.These values rivaled or even surpassed those previously reported in the literature under identical conditions.This study provides valuable insights into optimizing catalyst structures to achieve desired products in CO_(2)hydrogenation. 展开更多
关键词 CO_(2)hydrogenation GRAPHENE Pt single-atom Pt_(2)dimers DFT
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Strongly Tilted Field Induced Hamiltonian Dimerization and Nested Quantum Scars in the 1D Spinless Fermi-Hubbard Model
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作者 Wei-Jie Huang Yu-Biao Wu +2 位作者 Guang-Can Guo Wu-Ming Liu Xu-Bo Zou 《Chinese Physics Letters》 2025年第8期106-120,共15页
We investigate the quantum dynamics of the 1D spinless Fermi-Hubbard model with a linear-tilted potential.Surprisingly in a strong resonance regime,we show that the model can be described by the kinetically constraine... We investigate the quantum dynamics of the 1D spinless Fermi-Hubbard model with a linear-tilted potential.Surprisingly in a strong resonance regime,we show that the model can be described by the kinetically constrained effective Hamiltonian,and it can be spontaneously divided into two commuting parts dubbed Hamiltonian dimerization,which are composed of two distinct sets of constrained nearest-neighbor hopping terms:one set acting exclusively on odd bonds and the other on even bonds.Specifically it is shown that each part can be independently mapped onto the well-known PXP model;therefore the dimerized Hamiltonian is equivalent to a two-fold PXP model.As a consequence,we numerically demonstrate this system can host the so-called quantum many-body scars,which present dynamical revivals and ergodicity-breaking behaviors.However,in sharp contrast with traditional quantum many-body scars,here the scarring states in our model driven by different parts of the Hamiltonian will revive in different periods,and those of double parts can display a biperiodic revival pattern,both originating from the Hamiltonian dimerization.Besides,the condition of off-resonance is also discussed,and we show the crossover from quantum many-body scar to ergodicity breaking is diagnosed via level statistics.Our model provides a platform for understanding the interplay of Hilbert space fragmentation and the constrained quantum systems. 展开更多
关键词 kinetically constrained effective hamiltonianand commuting parts Hamiltonian dimerization quantum dynamics kinetically constrained effective Hamiltonian quantum scars strong resonance regimewe hamiltonian dimerizationwhich
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Two racemic pairs of benzo bicyclo[3.3.1]/[4.2.1]nonene stilbenoid dimers from Heterosmilax yunnanensis and structural revision of syagrusin A
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作者 Ji-Ping Liao Jiang Li +7 位作者 Wen-Jie Qin Xiu-Mei Duan Peng-Fei Wang Jin-Ying Tian Xiang Yuan Pei-Cheng Zhang Fei Ye Ya-Nan Yang 《Chinese Chemical Letters》 2025年第9期502-506,共5页
Two racemic pairs of new stilbenoid dimers,(±)-heterosmilaxones A(1)and B(2),with unique 6/6/6and 6/5/7 tricyclic core systems,respectively,were isolated from the rhizomes of Heterosmilax yunnanensis.Their struct... Two racemic pairs of new stilbenoid dimers,(±)-heterosmilaxones A(1)and B(2),with unique 6/6/6and 6/5/7 tricyclic core systems,respectively,were isolated from the rhizomes of Heterosmilax yunnanensis.Their structures were elucidated through comprehensive spectroscopic analyses,quantum chemical calculations and X-ray diffraction crystallography.Compound(+)-1,initially reported as syagrusin A with a 1,4,4a,9a-tetrahydrofluoren-9-one skeleton,is now revised to a new structure characteristic with a benzo bicyclo[3.3.1]nonene scaffold.And compound 2 bears an unprecedented carbon skeleton with four continuous chiral centers in the central benzo bicyclo[4.2.1]nonene motif.Biogenetically,both 1 and2 were proposed to derive from 3,3',4,5,5'-pentahydroxy stilbene and could be generated through key inverse-electron-demand[4+2]and[5+2]cycloadditions,respectively.Interestingly,both(±)-1 and(±)-2 showed significant inhibition againstα-glucosidase.(±)-1 and its pure enantiomers could modulate protein tyrosine phosphatase-1B(PTP1B)enzyme activities and increased glucose consumption in HepG2 cells in a dose-dependent manner. 展开更多
关键词 Heterosmilax yunnanensis Stilbenoid dimer Heterosmilaxones A and B Structural revision of syagrusin A Inhibition ofα-glucosidase and PTP1B enzyme
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Occupied Outer Cationic Orbitals in Dimeric MX_(2)-Type BaSe_(2) Compound Lead to Reduced Thermal Conductivity and High Thermoelectric Performance
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作者 Jie Zhang Li Zhou +2 位作者 Xiaohong Xia Yun Gao Zhongbing Huang 《Energy & Environmental Materials》 2025年第1期203-214,共12页
Decoupling electrical and thermal properties to enhance the figure of merit of thermoelectric materials underscores an in-depth understanding of the mechanisms that govern the transfer of charge carriers.Typically,a f... Decoupling electrical and thermal properties to enhance the figure of merit of thermoelectric materials underscores an in-depth understanding of the mechanisms that govern the transfer of charge carriers.Typically,a factor that contributes to the optimization of thermal conductivity is often found to be detrimental to the electrical transport properties.Here,we systematically investigated 26 dimeric MX_(2)-type compounds(where M represents a metal and X represents a nonmetal element)to explore the influence of the electronic configurations of metal cations on lattice thermal transport and thermoelectric performance using first-principles calculations.A principled scheme has been identified that the filled outer orbitals of the cation lead to a significantly lower lattice thermal conductivity compared to that of the partly occupied case for MX_(2),due to the much weakened bonds manifested by the shallow potential well,smaller interatomic force constants,and higher atomic displacement parameters.Based on these findings,we propose two ionic compounds,BaAs and BaSe_(2),to realize reasonable high electrical conductivities through the structural anisotropy caused by the inserted covalent X_(2) dimers while still maintaining the large lattice anharmonicity.The combined superior electrical and thermal properties of BaSe_(2) lead to a high n-type thermoelectric ZT value of 2.3 at 500 K.This work clarifies the structural origin of the heat transport properties of dimeric MX_(2)-type compounds and provides an insightful strategy for developing promising thermoelectric materials. 展开更多
关键词 anisotropic electrical and thermal transport density functional theory dimeric MX_(2)-type compounds energy materials ionic compound BaSe_(2)and BaAs simulation THERMOELECTRICS
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血清NLR、PLR、PCT和D-dimer对急性胃肠道穿孔部位的预判价值
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作者 张强 赵正飞 +1 位作者 邓洪 刘勇 《国际消化病杂志》 2025年第5期325-329,349,共6页
目的探讨血清中性粒细胞与淋巴细胞比值(NLR)、血小板与淋巴细胞比值(PLR)、降钙素原(PCT)和D-二聚体(D-dimer)对急性胃肠道穿孔部位的预判价值。方法选择2019年1月至2020年12月西南医科大学附属医院胃肠外科收治并行急诊手术的80例急... 目的探讨血清中性粒细胞与淋巴细胞比值(NLR)、血小板与淋巴细胞比值(PLR)、降钙素原(PCT)和D-二聚体(D-dimer)对急性胃肠道穿孔部位的预判价值。方法选择2019年1月至2020年12月西南医科大学附属医院胃肠外科收治并行急诊手术的80例急性胃肠道穿孔患者作为研究对象,根据术中所见及术后病理检查结果,以屈氏韧带为界,将患者分为上消化道穿孔组(n=50)和下消化道穿孔组(n=30)。比较2组的基本资料,以及术前血清白细胞计数(WBC)、中性粒细胞计数(NEUT)、淋巴细胞计数(LYMPH)、血小板计数(PLT)、中性粒细胞百分比(NEU-R)、NLR、PLR、PCT、D-dimer。采用单因素和多因素logistic回归分析探讨鉴别上、下消化道穿孔的因素。采用ROC曲线分析血清NLR、PLR、PCT、D-dimer对上、下消化道穿孔的预判价值。结果下消化道穿孔组的血清NLR、PLR、PCT和D-dimer均显著高于上消化道穿孔组(P均<0.05),而血清LYMPH显著低于上消化道穿孔组(P=0.019)。多因素logistic回归分析结果显示,血清NLR、PLR、PCT和D-dimer均是鉴别上、下消化道穿孔的因素(P均<0.05)。ROC曲线分析结果显示,血清NLR、PLR、PCT和D-dimer预判上、下消化道穿孔的曲线下面积(AUC)分别为0.833、0.917、0.854和0.788(P均<0.01),其中血清PLR的AUC最大。血清NLR、PLR、PCT和D-dimer预判上、下消化道穿孔的最佳截断值分别为8.67、170.30、9.32 ng/mL和2.69 mg/L,血清PLR预判上、下消化道穿孔的敏感度最高(93.70%)。结论血清NLR、PLR、PCT和D-dimer对于急性胃肠道穿孔部位(上、下消化道)均有预判价值,其中血清PLR的预判价值最高,有助于术前早期预判穿孔部位,以指导治疗方法的选择。 展开更多
关键词 NLR PLR PCT D-dimer 急性胃肠道穿孔 预判价值
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C反应蛋白/白蛋白比值与D-二聚体联合检测对妊娠合并急性胰腺炎病情严重程度的预测价值
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作者 刘英男 严丽梅 《中国医科大学学报》 北大核心 2026年第1期75-79,共5页
目的探讨血清C反应蛋白/白蛋白比值(CAR)、D-二聚体及二者联合检测预测妊娠合并急性胰腺炎(APIP)病情严重程度的价值。方法收集2021年1月至2023年12月间我院APIP患者及同期分娩的正常妊娠者(健康对照组)的临床资料。根据APIP病情严重程... 目的探讨血清C反应蛋白/白蛋白比值(CAR)、D-二聚体及二者联合检测预测妊娠合并急性胰腺炎(APIP)病情严重程度的价值。方法收集2021年1月至2023年12月间我院APIP患者及同期分娩的正常妊娠者(健康对照组)的临床资料。根据APIP病情严重程度将患者分为非重症组、重症组;根据病因分为胆源型组、高脂血症型组、特发型组。用logistic回归分析影响APIP病情严重程度的危险因素及其诊断效能。结果CAR、D-二聚体是影响APIP病情严重程度的独立危险因素。CAR和D-二聚体联合检测受试者操作特征曲线下面积最大,且灵敏度、特异度等诊断效能均优于单独检测。结论CAR及D-二聚体是APIP病情严重程度的独立危险因素,且二者联合检测可作为APIP病情严重程度的良好预测指标。 展开更多
关键词 妊娠合并急性胰腺炎 C反应蛋白/白蛋白比值 D-二聚体 联合预测
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miR-21-3p、D-D联合PCT对髋关节置换术后假体周围感染的预测价值
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作者 张长成 刘瑜 +4 位作者 边森 高峰 魏昱博 胡选琛 陈宗超 《分子诊断与治疗杂志》 2026年第1期188-191,共4页
目的探究微小核糖核酸-21-3p(miR-21-3p)、D-二聚体(D-D)联合降钙素原(PCT)对髋关节置换术后假体周围感染的预测价值。方法将2021年12月至2024年12月于南阳市中心医院骨科诊治的髋关节置换术后发生假体周围感染的80例患者纳为感染组,另... 目的探究微小核糖核酸-21-3p(miR-21-3p)、D-二聚体(D-D)联合降钙素原(PCT)对髋关节置换术后假体周围感染的预测价值。方法将2021年12月至2024年12月于南阳市中心医院骨科诊治的髋关节置换术后发生假体周围感染的80例患者纳为感染组,另选取同期收治的未发生假体周围感染的髋关节置换术后患者80例为对照组。收集两组临床资料并以单因素及多因素logistic回归分析miR-21-3p、D-D、PCT水平与髋关节置换术后发生假体周围感染的关系,采用受试者工作特性曲线(ROC)分析miR-21-3p、D-D、PCT水平对髋关节置换术后发生假体周围感染的预测价值。结果单因素分析结果显示,长期激素药物史、术前3月髋关节腔穿刺史、合并糖尿病、手术时间、miR-21-3p、D-D、PCT水平与髋关节置换术后假体周围感染的发生相关(P<0.05);多因素分析显示,手术时间延长、具有长期激素药物史、合并糖尿病、miR-21-3p、D-D及PCT水平升高为髋关节置换术后发生假体周围感染的独立危险因素(P<0.05);ROC曲线显示,miR-21-3p、D-D联合PCT预测髋关节置换术后发生假体周围感染的曲线下的面积为0.902,优于单一检测(P<0.05)。结论miR-21-3p、D-D、PCT在髋关节置换术后发生假体周围感染患者中呈高表达,且三者联合检测的预测价值较好。 展开更多
关键词 微小核糖核酸-21-3p D-二聚体 降钙素原 髋关节置换术 假体周围感染
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CT灌注成像参数联合血清Hcy、D-二聚体水平检测对急性脑梗死患者静脉溶栓疗效的评估价值
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作者 胡义平 朱星阳 +2 位作者 魏红霞 宋元贞 朱一柯 《中国CT和MRI杂志》 2026年第2期12-15,共4页
目的探讨CT灌注成像(CTP)参数联合血清同型半胱1氨酸(Hcy)及D-二聚体(DD)水平在评估急性脑梗死患者静脉溶栓治疗效果中的临床价值。方法选取2022年1月至2024年12月于某三甲医院神经内科接受静脉溶栓治疗的急性脑梗死患者共150例,根据治... 目的探讨CT灌注成像(CTP)参数联合血清同型半胱1氨酸(Hcy)及D-二聚体(DD)水平在评估急性脑梗死患者静脉溶栓治疗效果中的临床价值。方法选取2022年1月至2024年12月于某三甲医院神经内科接受静脉溶栓治疗的急性脑梗死患者共150例,根据治疗后临床疗效分为良好组(n=98)与不良组(n=52)。所有患者在治疗前均行CT灌注成像检查,并检测血清Hcy及DD水平。记录CTP参数[包括脑血容量(CBV)、脑血流量(CBF)、平均通过时间(MTT)、峰值时间(TTP)]与血清指标变化,采用Pearson相关性分析上述指标和患者NIHSS评分的相关性,采用Logistic回归分析患者疗效不良的影响因素,并采用受试者工作特征曲线(ROC)分析CT灌注成像参数和血清Hcy和DD水平对静脉溶栓疗效的评估价值。结果良好组患者梗死体积较不良组小,NIHSS评分、MTT、TTP、Hcy和DD水平较不良组低,CBV、CBF水平较不良组高,差异有统计学意义(P<0.05)。相关性分析显示,患者CBV、CBF和NIHSS评分成反比,MTT、TTP、Hcy和DD与NIHSS评分成正比(P<0.05)。Logistic回归结果显示:患者高NIHSS评分、低水平CBV、低水平CBF以及高水平MTT、Hcy和DD是患者疗效不佳的独立危险因素(P<0.05)。CBV、CBF、MTT、Hcy、DD以及联合检测评估患者疗效不佳的ROC下曲线面积(AUC)为0.789、0.737、0.744、0.674、0.845和0.884,其中联合检测敏感度为92.31%,特异度为77.55%,具有较好评估效能。结论CT灌注成像参数联合血清Hcy与D-二聚体水平可有效评估急性脑梗死患者静脉溶栓治疗的疗效。 展开更多
关键词 急性脑梗死 CT灌注成像 同型半胱氨酸 D-二聚体 静脉溶栓 疗效评估
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