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Temperature-Induced Unfolding Pathway of Staphylococcal Enterotoxin B:Insights from Circular Dichroism and Molecular Dynamics Simulation 被引量:1
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作者 LIU Ji ZHANG Shiyu +1 位作者 ZENG Yu DENG Yi 《食品科学》 EI CAS CSCD 北大核心 2024年第18期55-76,共22页
In this study,circular dichroism(CD)and molecular dynamics(MD)simulation were used to investigate the thermal unfolding pathway of staphylococcal enterotoxin B(SEB)at temperatures of 298–371 and 298–500 K,and the re... In this study,circular dichroism(CD)and molecular dynamics(MD)simulation were used to investigate the thermal unfolding pathway of staphylococcal enterotoxin B(SEB)at temperatures of 298–371 and 298–500 K,and the relationship between the experimental and simulation results were explored.Our computational findings on the secondary structure of SEB showed that at room temperature,the CD spectroscopic results were highly consistent with the MD results.Moreover,under heating conditions,the changing trends of helix,sheet and random coil obtained by CD spectral fitting were highly consistent with those obtained by MD.In order to gain a deeper understanding of the thermal stability mechanism of SEB,the MD trajectories were analyzed in terms of root mean square deviation(RMSD),secondary structure assignment(SSA),radius of gyration(R_(g)),free energy surfaces(FES),solvent-accessible surface area(SASA),hydrogen bonds and salt bridges.The results showed that at low heating temperature,domain Ⅰ without loops(omitting the mobile loop region)mainly relied on hydrophobic interaction to maintain its thermal stability,whereas the thermal stability of domain Ⅱ was mainly controlled by salt bridges and hydrogen bonds.Under high heating temperature conditions,the hydrophobic interactions in domain Ⅰ without loops were destroyed and the secondary structure was almost completely lost,while domain Ⅱ could still rely on salt bridges as molecular staples to barely maintain the stability of the secondary structure.These results help us to understand the thermodynamic and kinetic mechanisms that maintain the thermal stability of SEB at the molecular level,and provide a direction for establishing safer and more effective food sterilization processes. 展开更多
关键词 staphylococcal enterotoxin b circular dichroism molecular dynamics simulations temperature-induced unfolding
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Synthesis and Electronic Structure of A2B Type Halogen Atoms Substituted H3-Triarylcorroles 被引量:1
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作者 李敏智 朱卫华 +3 位作者 MACK John MKHIZE Scebi NYOKONG Tebello 梁旭 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 2017年第3期367-380,共14页
Seven electron-deficient A_2 B type H_3-triarylcorroles have been synthesized and characterized. The solvent dependence of the electronic absorption and magnetic circular dichroism(MCD) spectra and a series of TD-DF... Seven electron-deficient A_2 B type H_3-triarylcorroles have been synthesized and characterized. The solvent dependence of the electronic absorption and magnetic circular dichroism(MCD) spectra and a series of TD-DFT calculations have been used to analyze trends in the electronic structures. Significant differences are observed in the optical spectra when solvents of differing polarity are used,which can be assigned to the effect of NH-tautomerism. 展开更多
关键词 A_2b type corrole solvatochromism electronic structure spectroscopy TD-DFT
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THE EFFECT OF SUPERANTIGEN STAPHYLOCOCCALENTEROTOXIN B AND D-GALACTOSAMINE ON BALB/CMOUSE HEPATOCYTES
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作者 印彤 童善庆 +2 位作者 朱佑明 陆德源 谢玉才 《Medical Bulletin of Shanghai Jiaotong University》 CAS 1999年第1期29-32,59,共5页
Objective To observe the role of superantigen staphylococcal enterotoxin B(SEB) andD - galactosamine (D - GalN) on Balb/c mouse hepatocytes and its mechanism. Methods After Balb/c mice wereinjected intraperitoneally w... Objective To observe the role of superantigen staphylococcal enterotoxin B(SEB) andD - galactosamine (D - GalN) on Balb/c mouse hepatocytes and its mechanism. Methods After Balb/c mice wereinjected intraperitoneally with SEB, D- GalN or both, blood samples were collected and livers were removed at 2,6, 12, 24h. Patterns of hepatocellular death were studied morphologically and biochemically, circulating cytokines(TNF, IFN-γ) were determined, and mice mortality within 24h was assessed. Results SEB could induce thetypical apoptotic changes of hepatocytes morphologically and biochemically. The mechanism is probably associatedwith the production and release of Cytokines (such as TNF, IFN- γ, etc).D - GalN could induce hepatocytesapoptosis and degeneration at the same time. Besides this, we confirmed hepatocytes of the mice which wereadministered SEB and D - GalN developing apoptosis at 2, 6h, but after 12h hepatocytes were characterized bysevere injury, the mice mortality within 24h is 50%. Conclusion SEB or D - GalN alone could induce the typicalapoptotic changes of hepatocytes. SEB+D-GalN developed hepatocytes apoptosis in the early stage and necrosisin the later. It suggests that there is some relationship between hepatic cell apoptosis and necrosis, and massivehepatocyte apoptosis is the probably initiating step of acute hepatic necrosis in mice. 展开更多
关键词 SUPERANTIGEN STAPHYLOCOCCAL enterotoxin b D - GALACTOSAMINE apoptosisacute hepatic necrosis
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The Akt Pathway Inhibitor Degeulin Prevents Staphylococcal Enterotoxin B Induced Splenocyte Proliferation and Inflammation
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作者 Sarah Joanne Christine Whitfield Jane Elizabeth Risdall +2 位作者 Gareth Griffiths Ethel Diane Williamson Alun James Carter 《Advances in Bioscience and Biotechnology》 2017年第1期1-12,共12页
Staphylococcal Enterotoxin B (SEB) is considered a potential biological weapon. It is toxic by both inhalation and ingestion. Effects of ingestion include fever, vomiting and diarrhoea, while inhalation may additional... Staphylococcal Enterotoxin B (SEB) is considered a potential biological weapon. It is toxic by both inhalation and ingestion. Effects of ingestion include fever, vomiting and diarrhoea, while inhalation may additionally result in chest pain, dyspnoea, pulmonary oedema and respiratory failure. Severe exposure may be fatal and treatment relies on symptomatic support. At a cellular level, SEB up-regulates T-cell proliferation leading to a pathological inflammatory response. Deguelin, a rotenoid isolated from the African plant Mundulea sericea (Leguminosae), has been shown to reduce cellular proliferation by inhibiting the phosphoinositide 3-kinase/Akt (PI3K/Akt) signalling pathway. Using isolated murine splenocytes, we have demonstrated that treatment with deguelin reduces SEB inducing T cell proliferation by 60%. Deguelin treatment also decreased IL-2 and CCL2 secretion by splenocytes exposed to SEB. We demonstrate that targeting cellular proliferation can significantly reduce inflammation after SEB exposure and suggest that anti-proliferatives may have a role as potential generic medical counter measures if superantigens are used as biological weapons. 展开更多
关键词 STAPHYLOCOCCAL enterotoxin b DEGUELIN Therapy INFLAMMATION biological WEAPON
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Expression of E. coli heat-labile enterotoxin B subunit in transgenic tobacco plants
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作者 刘红莉 张铮 +4 位作者 李文生 郑瑾 孔令洪 王一理 司履生 《Journal of Medical Colleges of PLA(China)》 CAS 2005年第5期262-267,共6页
Objective : To construct plant transformation vector containing Escherichia coli heat-labile enterotoxin B subunit (LT-B) gene and generate LT-B transgenic tobacco plants. Methods: The LT-B coding sequence was amp... Objective : To construct plant transformation vector containing Escherichia coli heat-labile enterotoxin B subunit (LT-B) gene and generate LT-B transgenic tobacco plants. Methods: The LT-B coding sequence was amplified from pMMB68 by PCR, subcloned into middle vector pUCmT and binary vector pBI121 to obtain plant expression vector pBI-LTB, in which LT-B expression was controlled under the Cauliflower mosaic virus (CaMV) 35S promoter. The tobacco plants (Nicotiana tobacum L. Cuttivar Xanthi) were transformed by co-cultivating leaf discs method via Agrobacterium tumefaciens LBA4404 harboring the plant expression vector. The regenerated transgenic tobacco plants were selected by kanamycin and confirmed by PCR, Southern blot, Western blot and ELISA. Resuits: LT-B gene integrated in the tobacco genomic DNA and were expressed in 9 strains of transgenic tobacco plants. The yield was varied from 3. 36-10. 56 ng/mg total soluble tobacco leaf protein. Conclusion: The plant binary expression vector pBI-LTB was constructed successfully, and transgenic LT-B tobacco plants was generated, and confirmed by Southern blot. The protein LT-B expressed by engineered plants was identified by Western blot analysis and had the expected molecular weight of LT-B pentamer protein. This result is an important step close to developing an edible vaccine and supplying a mucasal immunoajuvant, which will contribute to the preven- tion of mucosaroute evading pathogen. 展开更多
关键词 E. coli heat-labile enterotoxin b subunit transgenic tobacco Agrobacterium tumefaciens plant vaccine
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荧光纳米颗粒标记技术快速检测产enterotoxin B金黄色葡萄球菌的实验研究 被引量:3
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作者 向辉 朱海 +3 位作者 孙世宏 李颖 张汉斌 柳勤 《中国卫生检验杂志》 CAS 2015年第9期1359-1362,1365,共5页
目的通过制备SA肠毒素B(enterotoxin B)荧光纳米颗粒单克隆抗体,探讨产enterotoxin B的SA快速检测方法。方法将已构建好的重组质粒载体PET-28a-enterotoxin B转化入E.coli BL21(DE3),进行株中诱导表达,获得表达蛋白,免疫新西兰大白兔获... 目的通过制备SA肠毒素B(enterotoxin B)荧光纳米颗粒单克隆抗体,探讨产enterotoxin B的SA快速检测方法。方法将已构建好的重组质粒载体PET-28a-enterotoxin B转化入E.coli BL21(DE3),进行株中诱导表达,获得表达蛋白,免疫新西兰大白兔获得多克隆抗体。再免疫Bal b/c小鼠,制备单克隆抗体荧光纳米颗粒偶联物。最后将多克隆抗体包被,制成免疫层析检测试纸条,并设质控线。将不同浓度的标准菌株混入样品中,收集提取液,在反应杯中与荧光纳米颗粒-单抗偶联物和试纸条共同反应5 min,紫外光下肉眼观察结果。结果实验克隆分子量为798 bp的enterotoxin B基因片段,构建的重组质粒载体能高效表达,获得分子量为34.5 k D的目的蛋白质。单克隆抗体荧光颗粒偶联物与阳性菌株特异性反应,阴性对照菌株无反应。结论研制的荧光纳米颗粒-enterotoxin B单克隆抗体偶联物特异性强、稳定性好且灵敏度高,实现短时间内对产enterotoxin B的SA快速检测。 展开更多
关键词 金黄色葡萄球菌肠毒素b 荧光纳米颗粒 单(多)克隆抗体 偶联 快速检测
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Hyperglycemia promotes overexpression of SR-BII isoform of the scavenger receptor class B type I in type 2 diabetes mellitus: A study in Juana Koslay City, San Luis, Argentina
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作者 Gisela V. Mendoza Susana Siewert +3 位作者 Irma González María C. Della Vedova Gustavo Fernandez Marta S. Ojeda 《Journal of Diabetes Mellitus》 2013年第4期172-183,共12页
The scavenger receptor class B type I (SR-BI) is a high-density lipoprotein (HDL) receptor involved in reverse cholesterol transport. Some studies reported the association to be stronger in the presence of diabetes. T... The scavenger receptor class B type I (SR-BI) is a high-density lipoprotein (HDL) receptor involved in reverse cholesterol transport. Some studies reported the association to be stronger in the presence of diabetes. The full length gene encoding SR-BI is comprised in 13 exons that are alternatively spliced to produce two major transcripts: the full length SR-BI and the splice variant SR-BII, in which exon 12 is skipped. Considering that type 2 diabetes status is characterized by changes in the concentration of plasma lipids, modifications in lipoprotein size and composition, which may be important modulators of the SR-BI expression;the aims of the study were to examine the influence of SR-BI polymorphism (rs838895) on lipid profile and SR-BI mRNA expression in a population of diabetic patients living in Juana Koslay City. Blood samples were drawn from controls (n = 40) and Type 2 diabetic patients (n = 66) and DNA and total RNA were obtained. SR-BI mRNA expression was measured by RT-PCR and SR-BI polymorphism was detected by Tetra Primer ARMSPCR. Compared to controls, diabetic patients had higher fasting serum glucose, glycated hemoglobin, triglycerides, total cholesterol, lowdensity lipoprotein cholesterol, and lower highdensity lipoprotein cholesterol. SR-BI mRNA expression was lower in T2DM when compared to controls, suggesting that the hyperglycemia presents in T2DM patients down-regulates SR-BI mRNA expression. Interestingly, we found that decreased SR-BI expression resulted in markedly increased plasma LDL concentrations in T2DM subjects, and the overexpression of SRBII isoform is responsible for the markedly increased plasma LDL-c concentrations. The polymorphism (rs838895) did not modify the mRNA level of SR-BI in leucocytes from control and diabetic patients. This study provides novel evidence suggesting that hyperglycemia may affect reverse cholesterol transport by controlling SRBI expression in diabetic patients. LDL cholesterol levels are associated with low SR-BI mRNA expression in T2DM. 展开更多
关键词 type 2 Diabetes Mellitus HYPERGLYCEMIA SCAVENGER Receptor Class b type I and Polymorphism
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A Foodborne Outbreak Associated with ST59-spa t441-SCCmec IVa Methicillin-resistant Staphylococcus aureus Producing Enterotoxins A and B——Puyang City, Henan Province, China, September 2024
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作者 Zhijie Zhao Xiaoyue Wei +17 位作者 Aimei Wang Wanting Wang Xiaofei Meng Wentao Liu Yanlin Chang Yakun Zhao Guangkang Li Jianling Chen Yongli Li Yuanhai You Ling Zhao Jianzhong Zhang Xianying Yan Zhigang Cui Guofeng Xu Haijian Zhou Xiaomei Yan Qingjie Zhang 《China CDC weekly》 2025年第33期1093-1098,I0004,I0005,共8页
Introduction:On September 16,2024,the Puyang City CDC received a report of a suspected foodborne disease outbreak involving 14 individuals who developed nausea,vomiting,and diarrhea following attendance at a hotel ban... Introduction:On September 16,2024,the Puyang City CDC received a report of a suspected foodborne disease outbreak involving 14 individuals who developed nausea,vomiting,and diarrhea following attendance at a hotel banquet.Upon notification,the District CDC immediately deployed a specialized investigation team to characterize the epidemiological features of the outbreak,identify the causative pathogen,assess potential transmission risks,and implement effective control and prevention measures.Methods:We integrated comprehensive on-site epidemiological investigations,clinical symptom analyses,and laboratory diagnostics to isolate and identify pathogenic agents from retained food samples,environmental specimens,and anal swabs collected from affected cases.The recovered isolates underwent enterotoxin-virulence-gene profiling,antimicrobialsusceptibility testing,and phylogenetic analyses.Additionally,we characterized the architecture of the enterotoxin-A-linked pathogenicity island vSaβ.Results:A total of 4 S.aureus strains were successfully isolated from 22 leftover food samples,2 environmental swabs,and 2 patient anal swabs.Contaminated donkey and goose meat was identified as the outbreak source.All isolates harbored sea and seb enterotoxin genes,exhibited PEN-OXA-ERY-CLI resistance patterns,and were identified as clonal ST59-spa t441-SCCmec IVa CA-MRSA strains.Phylogenetic analysis positioned the outbreak strains within the Asia-Pacific clade,distinguishing them from the North American ST59 sublineage.Comprehensive analysis of the sea-associated virulence island vSaβidentified a novel structural arrangement containing a type A IEC cluster(sea-sak-chp-scn).Conclusions:The detection of foodborne ST59 CAMRSA clones in this outbreak underscores the prevalence and transmission risks associated with this hypervirulent lineage.These findings emphasize the critical need to strengthen surveillance measures for CA-MRSA among food industry workers. 展开更多
关键词 foodborne outbreak enterotoxins b henan province foodborne disease outbreak puyang city characterize epidemiological features methicillin resistant staphylococcus aureus st spa
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C-X-C chemokine receptor type 5+CD8+T cells as immune regulators in hepatitis Be antigen-positive chronic hepatitis B under interferonalpha treatment
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作者 Zhen-Yu Xu Zhong-Shang Dai +1 位作者 Guo-Zhong Gong Min Zhang 《World Journal of Gastroenterology》 SCIE CAS 2025年第3期73-83,共11页
BACKGROUND C-X-C chemokine receptor type 5(CXCR5)^(+)CD8^(+)T cells represent a unique immune subset with dual roles,functioning as cytotoxic cells in persistent viral infections while promoting B cell responses.Despi... BACKGROUND C-X-C chemokine receptor type 5(CXCR5)^(+)CD8^(+)T cells represent a unique immune subset with dual roles,functioning as cytotoxic cells in persistent viral infections while promoting B cell responses.Despite their importance,the specific role of CXCR5^(+)CD8^(+)T cells in chronic hepatitis B(CHB),particularly during interferon-alpha(IFN-α)treatment,is not fully understood.This study aims to elucidate the relationship between CXCR5^(+)CD8^(+)T cells and sustained serologic response(SR)in patients undergoing 48 weeks of pegylated IFN-α(peg-IFN-α)treatment for CHB.AIM To elucidate the relationship between CXCR5^(+)CD8^(+)T cells and sustained SR in patients undergoing 48 weeks of peg-IFN-αtreatment for CHB.METHODS This study enrolled 60 patients with hepatitis Be antigen(HBeAg)-positive CHB undergoing 48 weeks of peg-IFN-αtreatment.Participants were assessed for eligibility based on criteria such as persistent HBsAg-positive status for at least six months,HBeAb-negative,hepatitis B virus DNA levels exceeding 2×10^(4) copies/mL,and alanine aminotransferase(ALT)levels between 2 and 10 times the upper limit of normal.Blood samples were collected at baseline and at weeks 12,24,48,and a 24-week treatment-free follow-up(week 72)to measure serum interleukin(IL)-21 concentration via ELISA and to analyze CXCR5 and programmed death-ligand 1(PD-L1)expression on CD8^(+)T cells by flow cytometry,CXCR5 is a chemokine receptor that directs immune cells to specific tissues,while PD-L1 is a protein that regulates immune responses by inhibiting T cell activity.RESULTS Patients with CHB exhibited significantly lower levels of circulating CXCR5^(+)CD8^(+)T cells compared to healthy controls(P<0.01).Notably,CXCR5^(+)CD8^(+)T cells were prominently expressed in patients who achieved sustained SR compared to non-SR(NSR).A significant correlation was observed between CXCR5 and PD-L1 expression(r=-0.189,P=0.002).However,there was no significant correlation between serum IL-21 levels and CXCR5+CD8+lymphocytes(r=-0.03,P=0.625)or serum ALT levels(r=0.026,P=0.678).CONCLUSION The enhanced expression of CXCR5^(+)CD8^(+)T cells in patients achieving HBeAg seroconversion during IFN-αtreatment suggests that these cells play a crucial role in antiviral immune responses against hepatitis B.This study highlights the potential of CXCR5^(+)CD8^(+)T cells as immune regulators in CHB,which may inform future therapeutic strategies to optimize antiviral treatments. 展开更多
关键词 C-X-C chemokine receptor type 5 Programmed death-ligand 1 INTERLEUKIN-21 Pegylated interferon-alpha Chronic hepatitis b
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The STING/type I interferon axis drives the interplay between marginal zone B cells and T follicular helper cells in Sjögren's disease
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作者 Yacun Chen Sulan Yu +5 位作者 Philip Hei Li Haozhen Yan Jing Xie Iris Yanki Tang Hongyun Cheng Xiang Lin 《Cellular & Molecular Immunology》 2025年第11期1444-1458,共15页
Type I interferon(IFN-I)is highly prevalent in autoimmune disorders and is intricately involved in disease pathogenesis,including Sjögren's disease(SjD),also known as Sjögren's syndrome.Although the ... Type I interferon(IFN-I)is highly prevalent in autoimmune disorders and is intricately involved in disease pathogenesis,including Sjögren's disease(SjD),also known as Sjögren's syndrome.Although the T follicular helper(Tfh)cell response has been shown to drive SjD development in a mouse model of experimental Sjögren's syndrome(ESS),the connection between IFN-I and the Tfh cell response remains unclear.As the activation of stimulator of interferon genes(STING)induces IFN-I production,we first demonstrated that mice deficient in STING or IFN-I signaling presented diminished Tfh cells and were completely resistant to ESS development.However,the STING-IFN-I axis does not directly influence Tfh cell differentiation.Instead,IFN-I signaling in B cells was essential for mounting Tfh cell responses,as evidenced in Cd19CreIfnar1flox mice,which also showed resistance to ESS development.Mechanistic analyses revealed that IFN-I drove CXCR5 expression in innate-like marginal zone B cells via the MEKK3-OCT2 axis,facilitating their migration into the follicular area.Additionally,IFN-I promoted interleukin-6 production in B cells via the MEKK3-ERK5 axis,resulting in hyperactive Tfh cell responses.In SjD patients,STING activation was predominantly observed in circulating CD14+monocytes and was positively correlated with disease activity and effector T-cell responses.Pharmaceutical inhibition of either STING or IFNAR1 yielded moderate improvements in ESS mice with chronic inflammation,but combination therapy markedly improved outcomes and led to signs of disease remission.Our findings elucidate a novel mechanism by which IFN-I bridges innate and Tfh cell responses,suggesting new therapeutic avenues for SjD and related autoimmune disorders. 展开更多
关键词 SJOGREN T follicular helper STING type I IFN Marginal zone b MEKK3
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Sex-based outcomes following thoracic endovascular aortic repair for acute complicated type B aortic dissection:A meta-analysis
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作者 Muneeb Khawar Syed Abdullah Shah +11 位作者 Aqsa Komel Zainab Anfaal Umad Ali Moosa Mubarik Muhammad Khan Buhadur Ali Awon Muhammad Muneeb Saifullah Mirza Muhammad Hadeed Khawar Abdul Qadeer Saad Ur Rahman Mobeen Haider Abbas Muhammad Mehdi 《World Journal of Cardiology》 2025年第8期101-109,共9页
BACKGROUND Sex disparities in clinical outcomes following thoracic endovascular aortic repair(TEVAR)for acute complicated type B aortic dissection(TBAD)are not well understood.AIM To evaluates the impact of sex on pri... BACKGROUND Sex disparities in clinical outcomes following thoracic endovascular aortic repair(TEVAR)for acute complicated type B aortic dissection(TBAD)are not well understood.AIM To evaluates the impact of sex on primary and secondary outcomes by comparing male and female cohorts undergoing TEVAR.METHODS A systematic search of PubMed,EMBASE,Cochrane Library,and ScienceDirect identified five studies involving 2572 patients(1153 males and 1419 females).The primary outcome was hospital mortality.Secondary outcomes included reintervention rates,acute kidney injury(AKI),ischemic stroke,limb ischemia,and spinal cord ischemia.Odds ratios(OR)with 95%confidence intervals(CI)were calculated using a random-effects model.Heterogeneity was assessed using the I²statistic.RESULTS The primary outcome showed no significant difference between males and females for hospital mortality(OR:1.13,95%CI:0.81-1.59,P=0.47,I2=0).Among secondary outcomes,males had a significantly higher risk of AKI(OR:1.55,95%CI:1.21-2.00,P=0.0006,I²=0).No differences were observed for reintervention rates,ischemic stroke,limb ischemia,or spinal cord ischemia.CONCLUSION Male patients undergoing TEVAR for complicated TBAD are at increased risk of AKI but show comparable outcomes to females for mortality,ischemic events,reintervention,and other complications.Future research should explore mechanisms and strategies to optimize outcomes. 展开更多
关键词 Thoracic endovascular aortic repair type b aortic dissection SEX OUTCOMES Acute kidney injury
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Efficacy of free-flap-transfer and plate-fixation for Gustilo ⅢB fractures in type Ⅱ diabetic patients:A retrospective study
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作者 Qi Bao Sun-Wen Pan +5 位作者 Xiao-Kang Gong Bo Wang Zhi-Nan Wei Yong-Qing Xu Yue-Liang Zhu Zhen Shi 《World Journal of Clinical Cases》 2025年第28期30-42,共13页
BACKGROUND Managing Gustilo type ⅢB fractures in patients with type 2 diabetes is challenging due to delayed healing and elevated complication risks.This retro-spective study highlights the successful use of free-fla... BACKGROUND Managing Gustilo type ⅢB fractures in patients with type 2 diabetes is challenging due to delayed healing and elevated complication risks.This retro-spective study highlights the successful use of free-flap transfer combined with plate fixation,contributing insights into effective management strategies for these complex cases.AIM To evaluate free-flap transfer with plate fixation for managing Gustilo ⅢB fractures in diabetic patients,focusing on outcomes.METHODS A retrospective analysis of six cases was conducted with a minimum follow-up period of three years.Patients underwent free-flap transfer and plate fixation for fracture management.Outcomes assessed included bone union,flap viability,and complications requiring intervention or plate removal.The follow-up period ranged from three to four years.Persistent infections beneath the flap developed in two patients,necessitating daily wound care.RESULTS Bone healing occurred within 17 to 34 months,with plate removal required in three patients after fracture consolidation.Traumatic osteomyelitis was observed in at least one patient.Despite challenges such as sinus formation and variations in flap pedicle anatomy,successful bone union and flap viability were achieved in all cases.Freeflap transfer combined with plate fixation shows promise for treating Gustilo type ⅢB fractures in patients with diabetes.While infection and the need for plate removal surgeries were observed,consistent success in bone healing and flap viability highlights the potential of this approach.CONCLUSION Free-flap transfer with plate fixation effectively manages Gustilo ⅢB fractures in diabetics,achieving bone/flap healing despite infection risks.Careful patient selection and further validation are critical. 展开更多
关键词 Free flap GustiloⅢb fractures Plate fixation typeⅡdiabetes Soft tissue defect
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Chronic hepatitis B with type 2 diabetes mellitus: Association between glycemic control and liver fibrosis
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作者 Yan Luo Rui Li +6 位作者 Jun Kang Ben-Nan Zhao Li-Juan Lan Feng-Jiao Gao Xiao-Xia Ren Yan-Feng Zhu Da-Feng Liu 《World Journal of Diabetes》 2025年第7期227-243,共17页
BACKGROUND The interplay between abnormal glucose metabolism and the progression of liver fibrosis in patients with both chronic hepatitis B(CHB)and type 2 diabetes mellitus(T2DM)remains unclear.Previous studies have ... BACKGROUND The interplay between abnormal glucose metabolism and the progression of liver fibrosis in patients with both chronic hepatitis B(CHB)and type 2 diabetes mellitus(T2DM)remains unclear.Previous studies have suggested that the coexistence of these conditions may exacerbate liver inflammation and fibrosis;however,the impacts of dynamic changes in glucose metabolism indicators,hypoglycemic medication regimens,and glycemic control status on liver fibrosis require further elucidation.AIM To explore the effect of glycemic control on hepatic fibrosis in patients with CHB and T2DM.METHODS A total of 420 patients with CHB and T2DM admitted to the Public Health Clinical Center of Chengdu between October 2018 and January 2022 were retrospectively included and classified according to liver stiffness measurement and glycemic control for between-group comparisons.RESULTS Significant differences were observed in the alanine aminotransferase(ALT),aspartate aminotransferase(AST),alkaline phosphatase,AST/ALT ratio,total bilirubin,direct bilirubin,diabetes treatment program,and thrombin time values among the liver fibrosis groups(adjusted P<0.05).Significant differences in albumin and gamma-glutamyl transferase levels were observed among the groups categorized by glucose status at admission(adjusted P<0.05).A positive correlation between fasting plasma glucose(FPG)and liver stiffness measurement was found to be mediated by ALT and AST.Fibrinogen and the international normalized ratio were positively correlated with glycated hemoglobin A1c,while the fibrosis-4 score,ALT,AST/ALT ratio,type III procollagen N-terminal peptide,ferritin,and activated partial thromboplastin time were correlated with FPG at admission.Additionally,AST was positively correlated with FPG at discharge(P<0.05).CONCLUSION Specific glucose metabolic parameters,hypoglycemic agents,and glycemic control status markers are associated with hepatic fibrosis in patients with both CHB and T2DM.Close blood glucose monitoring,optimized use of hypoglycemic agents,and continuous maintenance of good glycemic control may slow the progression of liver fibrosis in patients with CHB and T2DM. 展开更多
关键词 Chronic hepatitis b type 2 diabetes mellitus Liver fibrosis Hypoglycemic agents Glycemic control status
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Progression from Initial Lesions to Type B Aortic Dissection:A Patient-Specific Study of Computational Fluid Dynamics Models with Follow-up Data
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作者 Yue-ying Pan Zhi-yue Guan +1 位作者 Chen-wei Li Han-xiong Guan 《Current Medical Science》 2025年第2期373-381,共9页
Background and Objective The natural history of type B aortic intramural hematoma(IMH)is highly heterogeneous.A computational fluid dynamics(CFD)model can be utilized to calculate a range of data pertinent to flow dyn... Background and Objective The natural history of type B aortic intramural hematoma(IMH)is highly heterogeneous.A computational fluid dynamics(CFD)model can be utilized to calculate a range of data pertinent to flow dynamics,including flow rates,blood velocity,pressure,and wall shear stress.This study presents a series of CFD simulations that model the dynamic progression from type B aortic IMH to false lumen formation.Methods A 66-year-old male patient presenting with chest and back pain underwent aortic computed tomography angiography(CTA),and a 3D patient-specific model was constructed.To evaluate the hemodynamic environment,the velocity,pressure,time-averaged wall shear stress(TAWSS),and oscillatory shear index(OSI)were calculated.Results A modest quantity of slow flow and recirculation flow was observed in the vicinity of the ulcer-like protrusion(ULP).During the formation of the false lumen,low-velocity blood flow entered the false lumen and resulted in vortex flow.ULPs were located in the region with higher TAWSS,and some high OSIs were found on the ULPs.Conclusion This preliminary study suggests a potential association between the TAWSS or OSI and progression from type B aortic IMH to aortic dissection. 展开更多
关键词 type b intramural hematomas Aortic dissection Computational fuid dynamics Time-averaged wall shear force
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Imrecoxib alleviates hepatic damage in type 2 diabetic rats by modulating PI3K/ AKT/NF-κB signaling
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作者 Xue-He Sheng Meng-Xue Liu +2 位作者 Lu-Lu Zhou Ting-Ting Luo Qin Yin 《Asian Pacific Journal of Tropical Biomedicine》 2025年第12期524-532,共9页
Objective:To investigate the influence and underlying mechanisms of imrecoxib on liver damage in rats with type 2 diabetes mellitus(T2DM).Methods:A rat model of T2DM was established by a high-fat diet and streptozotoc... Objective:To investigate the influence and underlying mechanisms of imrecoxib on liver damage in rats with type 2 diabetes mellitus(T2DM).Methods:A rat model of T2DM was established by a high-fat diet and streptozotocin administration.Rats were then treated with imrecoxib 10,20,or 40 mg/kg for 5 weeks.Body weight and fasting blood glucose levels were measured.The analysis included serum liver function,blood lipid profiles,and the levels of inflammatory factors in the rats.Liver tissue histology was evaluated using hematoxylin and eosin staining.Western blotting was conducted to measure the liver expression of proteins such as AKT,PI3K,NF-κB,p-AKT,p-PI3K,and p-NF-κB.Results:Rats treated with imrecoxib showed a greater weight gain compared to untreated diabetic rats.Compared to untreated diabetic rats,imrecoxib at all three doses reduced alanine aminotransferase,aspartate aminotransferase,triglycerides,cholesterol,tumor necrosis factor-α,interleukin(IL)-6,and IL-1β,and significantly increased the levels of IL-10 and IL-4.In imrecoxib-treated rats,the expression levels of AKT,PI3K,p-AKT,and p-PI3K were higher in comparison to the diabetes group,whereas the expression of p-NF-κB was lower.Conclusions:Imrecoxib could alleviate hepatic damage in T2DM rats by modulating PI3K/AKT/NF-κB signaling. 展开更多
关键词 type 2 diabetes Liver injury IMRECOXIb Inflammatory response PI3K/AKT/NF-κb signaling pathway
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Plantamajoside mitigates endoplasmic reticulum stress-mediated pancreatic β-cell apoptosis in type 2 diabetes via DNAJC1 upregulation
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作者 Md Abdul Alim Al-Bari Fabian Davamani +1 位作者 Payal Bhatnagar Nabil Eid 《World Journal of Diabetes》 2025年第4期318-325,共8页
Diabetes mellitus(DM)is a metabolic disorder characterized by persistent hyperglycemia and other symptoms,which pose significant challenges to individual health,life expectancy,and public healthcare systems.The escala... Diabetes mellitus(DM)is a metabolic disorder characterized by persistent hyperglycemia and other symptoms,which pose significant challenges to individual health,life expectancy,and public healthcare systems.The escalating global prevalence of diabetes underscores the need for innovative therapeutic interventions.In this article,we critically comment on the study by Wang et al,published in the World Journal of Diabetes,which elucidates the therapeutic potential of Plantamajoside(PMS)in type 2 DM(T2DM)management.The authors provide evidence for the mechanism of action of PMS in T2DM models,demonstrating prevention of endoplasmic reticulum stress and apoptosis of pancreaticβ-cells via activation of DNAJC1.This manuscript provides a brief review of the pathogenesis of T2DM,explores the various roles of PMS in disease therapy in addition to the DNAJC-related apoptotic and autophagic functions,critically evaluates the experimental approaches employed by Wang et al,and provides recommendations for advancing future research. 展开更多
关键词 Plantamajoside type 2 diabetes mellitus PI3K/AKT/NF-κb pathway Endoplasmic stress METFORMIN DNAJC1 APOPTOSIS AUTOPHAGY
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B型主动脉夹层病人围术期发生谵妄危险因素的Meta分析
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作者 余金甜 孙瑞祥 江海娇 《全科护理》 2026年第1期117-122,共6页
目的:系统评价B型主动脉夹层病人围术期发生谵妄的危险因素。方法:计算机检索PubMed、Web of Science、the Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库,搜集有关B型主动脉夹层病人围术期发生谵妄危... 目的:系统评价B型主动脉夹层病人围术期发生谵妄的危险因素。方法:计算机检索PubMed、Web of Science、the Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库,搜集有关B型主动脉夹层病人围术期发生谵妄危险因素的病例对照研究和队列研究,检索时限均为建库至2025年1月31日。由2名研究者独立筛选文献,提取资料并评价纳入研究的偏倚风险后,使用RevMan 5.3软件进行Meta分析。结果:共纳入6篇文献,共2063例病人。Meta分析结果显示,年龄[MD=5.91,95%CI(0.56,11.25),P=0.03]、年龄≥60岁[OR=1.74,95%CI(1.20,2.53),P=0.003]、饮酒史[OR=1.50,95%CI(1.10,2.05),P=0.01]、白蛋白水平<30 g/L[OR=2.64,95%CI(1.06,6.59),P=0.04]、红细胞沉降率[MD=11.76,95%CI(9.20,14.32),P<0.001]、麻醉时间[MD=11.15,95%CI(8.41,13.90),P<0.001]、手术时间[MD=12.16,95%CI(9.07,15.25),P<0.001]、围术期输血[OR=4.73,95%CI(2.99,7.48),P<0.001]、机械通气时间[MD=5.49,95%CI(3.18,7.80),P<0.001]和住院时间[MD=1.53,95%CI(0.98,2.08),P<0.001]是B型主动脉夹层病人围术期发生谵妄的危险因素。结论:年龄、年龄≥60岁、饮酒史、白蛋白水平<30 g/L、红细胞沉降率、麻醉时间、手术时间、围术期输血、机械通气时间和住院时间是B型主动脉夹层病人围术期发生谵妄的危险因素。医务人员可参考以上危险因素制定针对性的围术期谵妄防治措施,以期降低病人谵妄发生率,改善病人临床预后结局。 展开更多
关键词 b型主动脉夹层 围术期 谵妄 危险因素 META分析
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基于倾向性评分匹配探讨覆膜支架腔内修复术对Stanford B型主动脉夹层动脉瘤的治疗效果和血清内皮素-1、血尿酸水平的影响
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作者 王俊涛 辛君政 +2 位作者 黄华 金方方 张建卿 《疑难病杂志》 2026年第1期31-36,共6页
目的 基于倾向性评分匹配(PSM)法探讨覆膜支架腔内修复术对Stanford B型主动脉夹层(AD)的治疗效果和血清内皮素-1(ET-1)、血尿酸(UA)水平的影响。方法 选取2021年7月—2024年3月郑州市第七人民医院心血管外科收治的Stanford B型AD患者16... 目的 基于倾向性评分匹配(PSM)法探讨覆膜支架腔内修复术对Stanford B型主动脉夹层(AD)的治疗效果和血清内皮素-1(ET-1)、血尿酸(UA)水平的影响。方法 选取2021年7月—2024年3月郑州市第七人民医院心血管外科收治的Stanford B型AD患者160例为研究对象,根据随机数字表法分为研究组与对照组各80例。对照组接受常规药物保守治疗,研究组在对照组基础上接受覆膜支架腔内修复术。根据临床资料对2组患者进行1∶1匹配,最终有58组患者匹配成功。比较2组患者住院期间的病死率、再次手术或介入率、并发症情况及治疗前后肝肾功能指标,血清ET-1、UA水平,急性生理和慢性健康评估(APACHEⅡ)评分、SF-36量表评分变化。结果 住院期间,研究组术后并发症总发生率低于对照组(χ^(2)/P=4.921/0.027);治疗后,研究组ALT、AST、BUN、SCr水平下降,且均低于对照组(t/P=9.296/<0.001、14.561/<0.001、4.473/<0.001、11.468/<0.001);治疗后,研究组血清ET-1、UA水平下降,且均低于对照组(t/P=5.182/<0.001、7.411/<0.001);治疗后,2组APACHEⅡ评分降低,PCS评分、MCS评分升高,且研究组降低/升高幅度大于对照组(t/P=5.898/<0.001、7.982/<0.001、4.525/<0.001);随访1年,研究组再次手术或介入治疗发生率、病死率低于对照组(χ^(2)/P=8.700/0.003、5.902/0.015)。结论 药物联合覆膜支架腔内修复术治疗Stanford B型AD患者能够提高患者的生活质量,改善肝肾功能,降低并发症与再治疗发生率,改善预后,其治疗效果可能与血清ET-1、UA水平降低有关。 展开更多
关键词 主动脉夹层 Stanford b 覆膜支架腔内修复术 内皮素-1 血尿酸 疗效
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老年慢性心力衰竭B型钠尿肽和D-二聚体水平与心功能的相关性
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作者 周越 郝京京 《首都食品与医药》 2026年第3期57-59,共3页
目的探讨老年慢性心力衰竭(CHF)B型钠尿肽和D-二聚体水平与心功能的相关性。方法选取2023年7月-2025年2月本院心血管内科收治的88例老年CHF患者为研究对象。根据NYHA心功能分级将患者分为三组:Ⅱ级组22例(轻度活动受限)、Ⅲ级组34例(明... 目的探讨老年慢性心力衰竭(CHF)B型钠尿肽和D-二聚体水平与心功能的相关性。方法选取2023年7月-2025年2月本院心血管内科收治的88例老年CHF患者为研究对象。根据NYHA心功能分级将患者分为三组:Ⅱ级组22例(轻度活动受限)、Ⅲ级组34例(明显活动受限)、Ⅳ级组32例(静息状态下即有症状),另选取同期30例健康体检者为对照组。比较各组血清标志物水平,统计各组超声心动图中的LVEF水平,分析各组B型钠尿肽和D-二聚体水平与心功能相关性。结果CHF患者血清B型钠尿肽和D-二聚体水平均高于对照组(P<0.05),且随NYHA分级升高而递增(P<0.05),Ⅳ级组B型钠尿肽水平高于Ⅱ级组和Ⅲ级组(P<0.05),Ⅳ级组D-二聚体水平高于Ⅱ级组和Ⅲ级组(P<0.05),Ⅳ级组LVEF水平低于Ⅱ级组和Ⅲ级组(P<0.05),血清B型钠尿肽水平与LVEF呈显著负相关(P<0.05),D-二聚体与LVEF呈负相关(P<0.05),B型钠尿肽与D-二聚体之间存在正相关(P<0.05)。结论老年慢性心力衰竭患者血清B型钠尿肽和D-二聚体水平随心功能恶化显著升高,且与超声心动图参数密切相关。 展开更多
关键词 慢性心力衰竭 b型钠尿肽 D-二聚体 心功能 老年患者
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Castor单分支支架与Longuette烟囱支架技术治疗急性期累及LSA的Stanford B型主动脉夹层效果比较
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作者 柳娟娟 张勇 +2 位作者 任超 张潇 段元君 《临床误诊误治》 2026年第2期34-40,共7页
目的比较采用Castor单分支支架(一体式单分支覆膜支架输送系统)与Longuette烟囱支架(主动脉-分支动脉覆膜裙边型烟囱支架系统)技术治疗急性期累及左锁骨下动脉(LSA)的Stanford B型主动脉夹层(TBAD)对重塑主动脉、假腔血栓化、术后并发... 目的比较采用Castor单分支支架(一体式单分支覆膜支架输送系统)与Longuette烟囱支架(主动脉-分支动脉覆膜裙边型烟囱支架系统)技术治疗急性期累及左锁骨下动脉(LSA)的Stanford B型主动脉夹层(TBAD)对重塑主动脉、假腔血栓化、术后并发症影响。方法对2022年6月至2024年6月收治的急性期累及LSA的TBAD患者73例的临床资料进行回顾性研究。按治疗方法将采用Longuette烟囱支架治疗的37例作为Longuette组,采用Castor单分支支架治疗的36例作为Castor组。比较两组术中指标与住院时间、重塑主动脉情况、术后6个月假腔血栓化情况、近中期并发症。结果Castor组手术时间、X线透视时间长于Longuette组(P<0.05);Castor组术中出血量、住院时间与Longuette组比较差异无统计学意义(P>0.05)。Castor组术后2周、6个月真腔体积增加率、远端真腔最长径增加率、支架远端面积与Longuette组比较差异无统计学意义(P>0.05);与术后2周比较,两组术后6个月真腔体积增加率、远端真腔最长径增加率、支架远端面积均增加(P<0.05)。两组术后6个月假腔血栓化率比较差异无统计学意义(P>0.05)。Castor组近期并发症总发生率[5.56%(2/36)]低于Longuette组[21.62%(8/37)](P<0.05);Castor组中期并发症发生率[2.78%(1/36)]与Longuette组[8.11%(3/37)]比较差异无统计学意义(P>0.05)。结论Castor单分支支架与Longuette烟囱支架技术治疗急性期累及LSA的TBAD均可获得良好的效果及安全性,二者在促进主动脉重塑与假腔血栓化方面效果相当。然而,Castor单分支支架技术虽具有较长的手术时间与X线透视时间,但在降低内漏、支架移位等近期并发症风险方面具有优势,展现了更好的早期安全性。 展开更多
关键词 Stanford b型主动脉夹层 左锁骨下动脉 Castor单分支支架 Longuette烟囱支架 主动脉重塑 假腔血栓化 术后并发症
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