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Brain-Derived Glia Maturation Factor b Participates in Lung Injury Induced by Acute Cerebral Ischemia by Increasing ROS in Endothelial Cells 被引量:7
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作者 Fei-Fei Xu Zi-Bin Zhang +1 位作者 Yang-Yang Wang Ting-Hua Wang 《Neuroscience Bulletin》 SCIE CAS CSCD 2018年第6期1077-1090,共14页
Brain damage can cause lung injury. To explore the mechanism underlying the lung injury induced by acute cerebral ischemia(ACI), we established a middle cerebral artery occlusion(MCAO) model in male Sprague-Dawley rat... Brain damage can cause lung injury. To explore the mechanism underlying the lung injury induced by acute cerebral ischemia(ACI), we established a middle cerebral artery occlusion(MCAO) model in male Sprague-Dawley rats. We focused on glia maturation factor b(GMFB) based on quantitative analysis of the global rat serum proteome.Polymerase chain reaction, western blotting, and immunofluorescence revealed that GMFB was overexpressed in astrocytes in the brains of rats subjected to MCAO. We cultured rat primary astrocytes and confirmed that GMFB was also up-regulated in primary astrocytes after oxygen-glucose deprivation(OGD). We subjected the primary astrocytes to Gmfb RNA interference before OGD and collected the conditioned medium(CM) after OGD.We then used the CM to culture pulmonary microvascular endothelial cells(PMVECs) acquired in advance and assessed their status. The viability of the PMVECs improved significantly when Gmfb was blocked. Moreover,ELISA assays revealed an elevation in GMFB concentration in the medium after OGD. Cell cultures containing recombinant GMFB showed increased levels of reactive oxygen species and a deterioration in the state of the cells.In conclusion, GMFB is up-regulated in astrocytes after ACI, and brain-derived GMFB damages PMVECs by increasing reactive oxygen species. GMFB might thus be an initiator of the lung injury induced by ACI. 展开更多
关键词 Glial maturation factor b Acute cerebral ischemia Lung injury RNA interference Pulmonary microvascular endothelial cells Reactive oxygen species
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Complement factor B polymorphism(rs641153) and susceptibility to age-related macular degeneration: evidence from published studies 被引量:1
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作者 Xin Wang Ying Zhang Mao-Nian Zhang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2013年第6期861-867,共7页
AIM:To determine whether single nucleotide polymorphism(SNP)rs641153 is associated with the risk of age-related macular degeneration(AMD),we performed a systematic meta-analysis of 15 eligible studies.SNP in the compl... AIM:To determine whether single nucleotide polymorphism(SNP)rs641153 is associated with the risk of age-related macular degeneration(AMD),we performed a systematic meta-analysis of 15 eligible studies.SNP in the complement factor B(CFB)gene is considered to have significant association with AMD susceptibility,but there is great discrepancy in these results.METHODS:The eligible studies were identified by searching the databases of PubMed,EMBASE,and Web of Science.Odds ratios(ORs)with 95%confidence intervals(CIs)were used to assess the association.All data were analyzed using Stata software.RESULTS:The association between rs641153 and AMD risk was statistically significant under the homozygous model(AA vs GG:OR=0.26,95%CI=0.15-0.45,P_h=0.973,/~2=0.0%,fixed effects),dominant model(AA+GA vsGG:OR=0.49,95%CI=0.40-0.59,P_h=0.004,/~2=56.4%,random effects)and recessive model(AA vs GA+GG:OR=0.30,95%CI=0.17-0.51,R_n=0.983,I^2=0.0%,fixed effects).The same results were also observed in the stratified analyses by ethnicity,source of control and sample size.CONCLUSION:Our meta-analysis suggests that rs641153 in the CFB gene may play a protective role in AMD susceptibility,the late AMD in particular,both in Caucasians and in Asians. 展开更多
关键词 complement factor b rs641153 age-related macular degeneration META-ANALYSIS
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Role of vascular endothelial growth factor B in nonalcoholic fatty liver disease and its potential value 被引量:2
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作者 Yu-Qi Li Lei Xin +2 位作者 Yu-Chi Zhao Shang-Qi Li Ya-Nuo Li 《World Journal of Hepatology》 2023年第6期786-796,共11页
Nonalcoholic fatty liver disease(NAFLD)refers to fatty liver disease caused by liver injury factors other than alcohol.The disease is characterized by diffuse fat infiltration,including simple steatosis(no inflammator... Nonalcoholic fatty liver disease(NAFLD)refers to fatty liver disease caused by liver injury factors other than alcohol.The disease is characterized by diffuse fat infiltration,including simple steatosis(no inflammatory fat deposition),nonalcoholic fatty hepatitis,liver fibrosis,and so on,which may cause liver cirrhosis,liver failure,and even liver cancer in the later stage of disease progression.At present,the pathogenesis of NAFLD is still being studied.The"two-hit"theory,represented by lipid metabolism disorder and inflammatory reactions,is gradually enriched by the"multiple-hit"theory,which includes multiple factors,such as insulin resistance and adipocyte dysfunction.In recent years,vascular endothelial growth factor B(VEGFB)has been reported to have the potential to regulate lipid metabolism and is expected to become a novel target for ameliorating metabolic diseases,such as obesity and type 2 diabetes.This review summarizes the regulatory role of VEGFB in the onset and development of NAFLD and illustrates its underlying molecular mechanism.In conclusion,the signaling pathway mediated by VEGFB in the liver may provide an innovative approach to the diagnosis and treatment of NAFLD. 展开更多
关键词 Nonalcoholic fatty liver disease Vascular endothelial growth factor b "Twohit"theory "Multiple-hit"theory ObESITY
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Vascular endothelial growth factor B inhibits insulin secretion in MIN6 cells and reduces Ca2+ and cyclic adenosine monophosphate levels through PI3K/AKT pathway 被引量:1
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作者 Jing-Dan Jia Wen-Guo Jiang +4 位作者 Xu Luo Rong-Rong Li Yu-Chi Zhao Geng Tian Ya-Na Li 《World Journal of Diabetes》 SCIE 2021年第4期480-498,共19页
BACKGROUND Type 2 diabetes(T2 D) is characterized by insufficient insulin secretion caused by defective pancreatic β-cell function or insulin resistance,resulting in an increase in blood glucose.However,the mechanism... BACKGROUND Type 2 diabetes(T2 D) is characterized by insufficient insulin secretion caused by defective pancreatic β-cell function or insulin resistance,resulting in an increase in blood glucose.However,the mechanism involved in this lack of insulin secretion is unclear.The level of vascular endothelial growth factor B(VEGF-B) is significantly increased in T2 D patients.The inactivation of VEGF-B could restore insulin sensitivity in db/db mice by reducing fatty acid accumulation.It is speculated that VEGF-B is related to pancreatic β-cell dysfunction and is an important factor affecting β-cell secretion of insulin.As an in vitro model of normal pancreatic β-cells,the MIN6 cell line can be used to analyze the mechanism of insulin secretion and related biological effects.AIM To study the role of VEGF-B in the insulin secretion signaling pathway in MIN6 cells and explore the effect of VEGF-B on blood glucose regulation.METHODS The MIN6 mouse pancreatic islet β-cell line was used as the model system.By administering exogenous VEGF-B protein or knocking down VEGF-B expression in MIN6 cells,we examined the effects of VEGF-B on insulin secretion,Ca2+ and cyclic adenosine monophosphate(cAMP) levels,and the insulin secretion signaling pathway.RESULTS Exogenous VEGF-B inhibited the secretion of insulin and simultaneously reduced the levels of Ca2+ and cAMP in MIN6 cells.Exogenous VEGF-B also reduced the expression of phospholipase C gamma 1(PLCγ1),phosphatidylinositol 3-kinase(PI3 K),serine/threonine kinase(AKT),and other proteins in the insulin secretion pathway.Upon knockdown of VEGF-B,MIN6 cells exhibited increased insulin secretion and Ca2+ and cAMP levels and upregulated expression of PLCγ1,PI3 K,AKT,and other proteins.CONCLUSION VEGF-B can regulate insulin secretion by modulating the levels of Ca2+ and cAMP.VEGF-B involvement in insulin secretion is related to the expression of PLCγ1,PI3 K,AKT,and other signaling proteins.These results provide theoretical support and an experimental basis for the study of VEGF-B in the pathogenesis of T2 D. 展开更多
关键词 Type 2 diabetes Insulin secretion MIN6 cells Vascular endothelial growth factor b blood glucose regulation
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Decreased serum platelet derived growth factor BB levels in acute and increased in chronic pancreatitis 被引量:3
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作者 Magdalena Stojek Krystian Adrych +4 位作者 Lukasz Rojek Marian Smoczynski Tomasz Sledzinski Sylwia Szrok Julian Swierczynski 《World Journal of Gastroenterology》 SCIE CAS 2014年第36期13127-13132,共6页
AIM: To examine circulating growth factor concentrations in patients with acute pancreatitis (AP) and chronic pancreatitis (CP), and walled-off pancreatic necrosis (WOPN).
关键词 Acute pancreatitis Chronic pancreatitis Walled-off pancreatic necrosis Growth factors Platelet derived growth factor bb Transforming growth factor b2 -1 High-mobility group box chromosomal protein 1 CHEMERIN
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羊驼transcription elongation factor B(S III)(Tceb2)cDNA的获取与序列分析
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作者 范瑞文 董常生 +2 位作者 朱芷葳 赫晓燕 游蓉丽 《中国农学通报》 CSCD 2008年第11期1-4,共4页
【研究目的】分离和鉴定羊驼transcription elongation factorB(S III)(Tceb2)基因,分析其序列特征,为今后研究其生物学功能奠定理论基础。【方法】用Southern Blotting法从羊驼皮肤cDNA文库中筛选Tceb2基因,通过BLAST等生物学相关软件... 【研究目的】分离和鉴定羊驼transcription elongation factorB(S III)(Tceb2)基因,分析其序列特征,为今后研究其生物学功能奠定理论基础。【方法】用Southern Blotting法从羊驼皮肤cDNA文库中筛选Tceb2基因,通过BLAST等生物学相关软件对其进行结果分析。【结果】有6个阳性克隆,测序结果得知,序列片段大小大约为472bp,具有完整的开放阅读框,可编码119AA,分子量为13.2KDa。序列特征、结构和同源性分析表明:该序列预测为全长cDNA序列,该基因序列及其编码的氨基酸序列与大鼠和小鼠的troponinc2同源性可达100%。【结论】该基因是获得的羊驼全长Tceb2(GenBank DQ646397)(命名为AlpTceb2)。 展开更多
关键词 转录延长因子b(S Ⅲ)(Tceb2) 序列特征 羊驼
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Vascular endothelial growth factor B improves impaired glucose tolerance through insulin-mediated inhibition of glucagon secretion
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作者 Yu-Qi Li Lu-Yang Zhang +5 位作者 Yu-Chi Zhao Fang Xu Zhi-Yong Hu Qi-Hao Wu Wen-Hao Li Ya-Nuo Li 《World Journal of Diabetes》 SCIE 2023年第11期1643-1658,共16页
BACKGROUND Impaired glucose tolerance(IGT)is a homeostatic state between euglycemia and hyperglycemia and is considered an early high-risk state of diabetes.When IGT occurs,insulin sensitivity decreases,causing a redu... BACKGROUND Impaired glucose tolerance(IGT)is a homeostatic state between euglycemia and hyperglycemia and is considered an early high-risk state of diabetes.When IGT occurs,insulin sensitivity decreases,causing a reduction in insulin secretion and an increase in glucagon secretion.Recently,vascular endothelial growth factor B(VEGFB)has been demonstrated to play a positive role in improving glucose metabolism and insulin sensitivity.Therefore,we constructed a mouse model of IGT through high-fat diet feeding and speculated that VEGFB can regulate hyperglycemia in IGT by influencing insulin-mediated glucagon secretion,thus contributing to the prevention and cure of prediabetes.AIM To explore the potential molecular mechanism and regulatory effects of VEGFB on insulin-mediated glucagon in mice with IGT.METHODS We conducted in vivo experiments through systematic VEGFB knockout and pancreatic-specific VEGFB overexpression.Insulin and glucagon secretions were detected via enzyme-linked immunosorbent assay,and the protein expression of phosphoinositide 3-kinase(PI3K)/protein kinase B(AKT)was determined using western blot.Further,mRNA expression of forkhead box protein O1,phosphoenolpyruvate carboxykinase,and glucose-6 phosphatase was detected via quantitative polymerase chain reaction,and the correlation between the expression of proteins was analyzed via bioinformatics.RESULTS In mice with IGT and VEGFB knockout,glucagon secretion increased,and the protein expression of PI3K/AKT decreased dramatically.Further,in mice with VEGFB overexpression,glucagon levels declined,with the activation of the PI3K/AKT signaling pathway.CONCLUSION VEGFB/vascular endothelial growth factor receptor 1 can promote insulin-mediated glucagon secretion by activating the PI3K/AKT signaling pathway to regulate glucose metabolism disorders in mice with IGT. 展开更多
关键词 Vascular endothelial growth factor b Insulin-mediated Glucagon secretion PREDIAbETES Impaired glucose tolerance
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Complement factor B knockdown by short hairpin RNA inhibits laser-induced choroidal neovascularization in rats 被引量:2
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作者 Xin Wang Qing-Li Shang +3 位作者 Jing-Xue Ma Shu-Xia Liu Cai-Xia Wang Cheng Ma 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2020年第3期382-389,共8页
AIM:To evaluate whether recombinant complement factor B(CFB)short hairpin RNA(sh RNA)reduces laserinduced choroidal neovascularization(CNV)in rats.METHODS:Laser-induced rat CNV model was established,and then the anima... AIM:To evaluate whether recombinant complement factor B(CFB)short hairpin RNA(sh RNA)reduces laserinduced choroidal neovascularization(CNV)in rats.METHODS:Laser-induced rat CNV model was established,and then the animals underwent fundus fluorescence angiography(FFA)and hematoxylin and eosin(HE)staining.On day 3 and 7 after photocoagulation,the expression of CFB and membrane attack complex(MAC)was detected by immunhischemistry.A recombinant CFBsh RNA plasmid was constructed.CFB and scrambled sh RNA plasmids were intravenous injected into rats via the tail vein on the day of laser treatment,respectively.On day 7,the incidence of CNV was determined by FFA,and the expression of CFB and vascular endothelial growth factor(VEGF)in retinal pigment epithelium(RPE)/choroidal tissues was detected by immunhischemistry,Western blot and/or semi-quantitative reverse transcription-polymerase chain reaction(RT-PCR)in CFB and scrambled sh RNA groups.The possible adverse effects of CFB-sh RNA injection were assessed by transmission electron microscopy and electroretinography.RESULTS:FFA and HE results indicated that a laserinduced rat CNV model was successfully established on day 7 after photocoagulation.The expression of CFB and MAC was extremely weak in normal retina and choroid,and increased on day 3 after photocoagulation.However,it started to reduce on day 7.CFB sh RNA plasmid was successfully constructed and induced CFB knockdown in the retinal and choroidal tissues.FFA showed CFB knockdown significantly inhibited incidence of CNV in rats.Moreover,CFB knockdown significantly inhibited the expression of VEGF in RPE/choroidal tissues.CFB sh RNA caused no obvious side effects in eyes.CONCLUSION:CFB knockdown significantly inhibits the formation and development of CNV in vivo through reducing the expression of VEGF,which is a potential therapy target.The alternative pathway of complement activation plays an important role in CNV formation. 展开更多
关键词 choroidal NEOVASCULARIZATION COMPLEMENT factor b short HAIRPIN RNA membrane attack complex vascular ENDOTHELIAL growth factor
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5-O-Methylvisammioside alleviates depression-like behaviors by inhibiting nuclear factor kappa B pathway activation via targeting SRC
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作者 Wenqian Zhu Bingjin Li Ranji Cui 《Neural Regeneration Research》 2026年第8期3659-3667,共9页
Preliminary studies on emerging herbal ingredients have highlighted alternative pathways that inflammation and modulate perturbed immunity as valuable strategies for treating depression.Previous studies have shown tha... Preliminary studies on emerging herbal ingredients have highlighted alternative pathways that inflammation and modulate perturbed immunity as valuable strategies for treating depression.Previous studies have shown that 5-O-methylvisammioside,a bioactive compound derived from Saposhnikoviae Radix,possesses excellent anti-inflammatory and antioxidant biological functions,exhibits a neuroprotective effect.The purpose of this study was to explore the targets and signaling pathways of 5-O-methylvisammioside in the potential treatment of major depressive disorder using a combination of network pharmacology analysis and biological experiments.The network pharmacological analysis results indicated that the proto-oncogene tyrosine-protein kinase Src and the nuclear factor kappa B signaling pathway were highly correlated with the treatment of major depressive disorder with 5-O-methylvisammioside.Further experiments indicated that 5-O-methylvisammioside significantly improved lipopolysaccharide-induced depression-like behaviors in mice,ameliorated microglial polarization in the hippocampal CA1 and CA3 regions,and inhibited Src phosphorylation and nuclear factor kappa B pathway activation.The effects of 5-O-methylvisammioside were similar to those of the Src inhibitor PP2.When 5-O-methylvisammioside was administered with PP2,no effects were observed on lipopolysaccharide-induced depression-like behaviors in mice,nuclear factor kappa B pathway proteins,and microglial polarization.These findings indicate that 5-O-methylvisammioside may exert its antidepressant potential by inhibiting Src-mediated activation of the nuclear factor kappa B signaling pathway.Therefore,5-O-methylvisammioside might serve as a promising Chinese herbal medicine for the prevention and treatment of depression. 展开更多
关键词 5-O-methylvisammioside depression-like behavior HIPPOCAMPUS major depressive disorder MICROGLIA network pharmacology NEUROINFLAMMATION nuclear factor kappa b signaling pathway PP2 SRC
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Osteomodulin modulates the inflammatory responses via the interleukin-1 receptor 1/nuclear factor-κB signaling pathway in dental pulpitis 被引量:1
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作者 Yueyi Yang Xuchen Hu +6 位作者 Meiling Jing Xiaohan Zhu Xiaoyu Liu Wenduo Tan Zhanyi Chen Chenguang Niu Zhengwei Huang 《International Journal of Oral Science》 2025年第4期544-555,共12页
Pulpitis is a common infective oral disease in clinical situations.The regulatory mechanisms of immune defense in pulpitis are still being investigated.Osteomodulin(OMD)is a small leucine-rich proteoglycan family memb... Pulpitis is a common infective oral disease in clinical situations.The regulatory mechanisms of immune defense in pulpitis are still being investigated.Osteomodulin(OMD)is a small leucine-rich proteoglycan family member distributed in bones and teeth.It is a bioactive protein that promotes osteogenesis and suppresses the apoptosis of human dental pulp stem cells(hDPSCs).In this study,the role of OMD in pulpitis and the OMD-induced regulatory mechanism were investigated.The OMD expression in normal and inflamed human pulp tissues was detected via immunofluorescence staining.Intriguingly,the OMD expression decreased in the inflammatory infiltration area of pulpitis specimens.The cellular experiments demonstrated that recombined human OMD could resist the detrimental effects of lipopolysaccharide(LPS)-induced inflammation.A conditional Omd knockout mouse model with pulpal inflammation was established.LPS-induced inflammatory impairment significantly increased in conditional Omd knockout mice,whereas OMD administration exhibited a protective effect against pulpitis.Mechanistically,the transcriptome alterations of OMD overexpression showed significant enrichment in the nuclear factor-κB(NF-κB)signaling pathway.Interleukin-1 receptor 1(IL1R1),a vital membrane receptor activating the NF-κB pathway,was significantly downregulated in OMD-overexpressing hDPSCs.Additionally,the interaction between OMD and IL1R1 was verified using co-immunoprecipitation and molecular docking.In vivo,excessive pulpal inflammation in Omd-deficient mice was rescued using an IL1R antagonist.Overall,OMD played a protective role in the inflammatory response via the IL1R1/NF-κB signaling pathway.OMD may optimize the immunomodulatory functions of hDPSCs and can be used for regenerative endodontics. 展开更多
关键词 osteomodulin bioactive protein immune defense human dental pulp stem cells human dental pulp stem cells hdpscs nuclear factor b signaling pathway interleukin receptor dental pulpitis
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USP29 Represses the Osteoclastic Differentiation of Human CD14^(+) Peripheral Blood Mononuclear Cells by Stabilizing MafB
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作者 Shaoyu Hu Bingquan Li +4 位作者 Jianfeng Ouyang Yue Meng Jian Ji Xiaofei Zheng Yongheng Ye 《BIOCELL》 2026年第2期166-180,共15页
Objectives Dysregulated osteoclast function contributes to skeletal diseases.However,the specific ubiquitination regulators of the osteoclastogenesis repressor MafB,particularly at the post-translational level,remain ... Objectives Dysregulated osteoclast function contributes to skeletal diseases.However,the specific ubiquitination regulators of the osteoclastogenesis repressor MafB,particularly at the post-translational level,remain undefined.This study aims to identify ubiquitin-specific proteases(USPs)that deubiquitinate MafB and enhance its stability.Methods We constructed a MafB-conjugated luciferase and overexpressed 40 individual USPs,measuring changes in luciferase activity.The identified USP was overexpressed in human CD14^(+) peripheral blood mononuclear cells(PBMCs)to evaluate its effect.Osteoclast differentiation was assessed through osteoclast marker Integrin alpha-V(CD51)staining and Western blot analysis.Co-immunoprecipitation(co-IP)was performed to assess the interplay.The influence on MafB ubiquitination and degradation was evaluated via immunoprecipitation and Western blot.Finally,MafB was knocked down in the USP-overexpressing PBMCs to analyze its effect on osteoclast differentiation.Results Overexpression of ubiquitin-specific protease 29(USP29)significantly increased MafB expression by approximately 75%(p<0.0001).Elevated USP29 levels strongly inhibited osteoclastic differentiation in CD14^(+) PBMCs(p<0.0001).USP29 was found to interact with MafB,markedly reducing its ubiquitination and subsequent degradation in PBMCs(p<0.001).Knocking down MafB in USP29-overexpressing PBMCs alleviated the inhibitory effect of USP29 on osteoclastogenesis.Conclusion USP29 acts as a potent stabilizer of MafB,inhibiting osteoclastogenesis in human CD14^(+) PBMCs,at least in part,by enhancing MafB stability.These findings expand our understanding of USP29’s role and the post-translational regulation of MafB.Furthermore,USP29 serves as a vital factor that controls osteoclast differentiation,and its regulatory function is at least partially mediated by deubiquitinating and stabilizing MafB. 展开更多
关键词 MAF bZIP transcription factor b(Mafb) osteoclast differentiation peripheral blood mononuclear cell ubiquitin-specifc protease USP29 CD14^(+)
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基于临床特征与T细胞亚群构建HIV感染者合并HBV感染列线图风险预测模型
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作者 吴丛霞 徐晶晶 +6 位作者 文小平 朱晓红 黄左宇 曹力 王娟 翟祥军 邹美银 《传染病信息》 2026年第1期7-13,共7页
目的分析人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者合并乙型肝炎病毒(hepatitis B virus,HBV)感染的相关影响因素,基于临床特征及T细胞亚群构建并验证列线图风险预测模型。方法采用回顾性研究方法,选取2017年1月至2022... 目的分析人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者合并乙型肝炎病毒(hepatitis B virus,HBV)感染的相关影响因素,基于临床特征及T细胞亚群构建并验证列线图风险预测模型。方法采用回顾性研究方法,选取2017年1月至2022年6月南通市第三人民医院收治的150例HIV感染者作为研究对象,根据是否合并HBV感染分为合并感染组与未合并感染组。收集并比较两组患者的临床资料及实验室指标,对单因素分析中存在差异的指标进行共线性诊断,将不存在共线性的变量纳入多因素Logistic回归分析,筛选HIV感染者合并HBV感染的独立影响因素。利用R语言基于回归分析中有统计学意义的变量构建列线图预测模型,并进行内部验证。结果在150例HIV感染者中,合并HBV感染者22例(14.67%),未合并感染128例(85.33%)。两组在年龄、HBV家族史、乙型肝炎疫苗接种史、CD4^(+)T淋巴细胞、CD4^(+)/CD8^(+)水平方面差异均有统计学意义(均P<0.05),且这些变量间均无共线性问题(VIF≤10,容忍度≥0.1)。多因素Logistic回归分析显示,年龄(OR=3.846,P=0.029)、HBV家族史(OR=46.750,P=0.001)、无乙型肝炎疫苗接种史(OR=3.278,P=0.035)是合并HBV感染的危险因素(均P<0.01),而CD4^(+)T淋巴细胞(OR=0.942,P=0.001)和CD4^(+)/CD8^(+)(OR=0.004,P=0.001)为保护因素(均P<0.01)。基于上述6个预测因子构建列线图预测模型,内部验证显示受试者工作特征曲线下面积为0.955(95%CI:0.913~0.998),校准曲线拟合良好(P=0.353),Cox-Snell R2=0.689,Nagelkerke R^(2)=0.39,提示模型区分度与校准度良好,未出现过拟合;决策曲线分析显示该列线图在较大阈值范围内具有较高的临床净收益。结论年龄、HBV家族史、乙型肝炎疫苗接种史、CD4^(+)T淋巴细胞、CD4^(+)/CD8^(+)均为影响HIV感染者合并HBV感染的独立影响因素,基于上述因素构建的列线图预测模型具有良好的预测效能,可用于HIV感染者合并HBV感染风险的早期分层筛查。 展开更多
关键词 人类免疫缺陷病毒 乙型肝炎病毒 影响因素 免疫测定
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BAFF基因多态性与福建汉族人群系统性红斑狼疮易感性及中医证型相关性
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作者 俞烜华 刘昌泉 +6 位作者 吕雪冰 张伟桢 李和军 郑艺青 林互涵 曾珊婷 黄惠娟 《中国中西医结合杂志》 北大核心 2026年第2期167-174,共8页
目的探讨B细胞活化因子(BAFF)启动子-871C/T基因多态性与福建汉族人群系统性红斑狼疮(SLE)患者易感性及与SLE不同中医证型相关性。方法420例为符合纳入标准SLE患者,进行中医辨证分型。另设70名福建汉族健康体检人群作为健康对照组。通... 目的探讨B细胞活化因子(BAFF)启动子-871C/T基因多态性与福建汉族人群系统性红斑狼疮(SLE)患者易感性及与SLE不同中医证型相关性。方法420例为符合纳入标准SLE患者,进行中医辨证分型。另设70名福建汉族健康体检人群作为健康对照组。通过二代测序技术检测SLE患者及健康对照组BAFF基因rs9514828位点的多态性;应用χ^(2)检验比较分析不同中医辨证分型SLE患者BAFF基因rs9514828位点基因型、等位基因频率及与健康对照组的差异,同时采用Logistic回归分析BAFF基因rs9514828位点基因型、等位基因与SLE易感性及与不同中医证型相关性。结果(1)SLE患者中医辨证分型浊毒壅阻型最多(92例)。福建汉族不同中医证型SLE患者疾病活动度指数(SLEDAI)评分、血沉(ESR)、补体C3总体分布差异有统计学意义(P<0.05,P<0.01);(2)福建汉族SLE患者BAFF基因rs9514828位点检出3种基因型CC、CT、TT,SLE组CT基因型分布频率高于健康对照组,CC基因型分布频率低于健康对照组(P<0.05)。Logistic回归分析结果提示,与健康对照组比较,SLE组BAFF基因rs9514828位点CT基因型Logistic回归系数为0.788,OR值及95%置信区间分别为2.177(1.211~3.912),差异有统计学意义(P<0.05)。(3)福建汉族6种不同中医证型SLE患者BAFF rs9514828位点基因型及等位基因分布差异有统计学意义(P<0.05)。Logistic回归分析结果提示,与健康对照组比较,SLE热毒炽盛、浊毒壅阻、肝郁毒结型BAFF基因rs9514828位点CT基因型Logistic回归系数分别为1.351、0.828、0.798,OR值及95%置信区间分别为3.861(1.722~8.661)、2.290(1.132~4.632)、2.222(1.010~4.886),差异均有统计学意义(P<0.05)。与健康对照组比较,SLE热毒炽盛、热毒灼阴型T等位基因Logistic回归系数分别为0.751、0.603,OR值及其95%置信区间分别为2.119(1.265~3.548)、1.828(1.084~3.083),差异均有统计学意义(P<0.05)。结论福建汉族SLE患者多见浊毒壅阻型,BAFF rs9514828位点可能是福建汉族人群SLE的易感基因,CT基因型可能增加SLE发病风险;CT基因型可能增加热毒炽盛型、浊毒壅阻型、肝郁毒结型发病风险;而携带T等位基因可能增加热毒炽盛型、热毒灼阴型发病风险。 展开更多
关键词 b细胞活化因子 基因多态性 中医证型 红斑狼疮 福建汉族
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住院患者使用两性霉素B脱氧胆酸盐后发生急性肾损伤的危险因素分析与预测模型构建
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作者 谢昊 施奕迅 +4 位作者 许治清 李敏权 杜小莉 陈罡 赵彬 《协和医学杂志》 北大核心 2026年第2期429-437,共9页
目的探讨两性霉素B脱氧胆酸盐使用后发生急性肾损伤(acute kidney injury,AKI)的危险因素及构建预测模型以指导临床监测与干预。方法采用回顾性分析,纳入2014年1月至2024年9月使用两性霉素B脱氧胆酸盐的住院患者,分为训练集和验证集。... 目的探讨两性霉素B脱氧胆酸盐使用后发生急性肾损伤(acute kidney injury,AKI)的危险因素及构建预测模型以指导临床监测与干预。方法采用回顾性分析,纳入2014年1月至2024年9月使用两性霉素B脱氧胆酸盐的住院患者,分为训练集和验证集。提取患者一般资料、实验室检查结果和药品医嘱,根据用药期间及停药后7 d内是否发生AKI,将患者分为AKI组与非AKI组。通过单因素分析筛选潜在危险因素,采用多因素Logistic回归构建预测模型,并通过受试者操作特征曲线下面积和Hosmer-Lemeshow检验评估模型性能。结果训练集共纳入473例患者,其中男性255例(53.91%)、女性218例(46.09%),中位年龄为52(35,62)岁,AKI组191例(40.38%)、非AKI组282例(59.62%);验证集共纳入114例患者,其中男性80例(70.18%)、女性34例(29.82%),中位年龄为43.5(31.0,58.5)岁,AKI组42例(36.84%)、非AKI组72例(63.16%)。单因素分析显示两组患者一般资料(年龄、进入重症监护室治疗、死亡、住院时间)、实验室检查结果(血肌酐高于正常值、尿素高于正常值、中性粒细胞百分比低于正常值、中性粒细胞百分比高于正常值、淋巴细胞百分比低于正常值、血钠高于正常值)、合并用药(非甾体抗炎药、抗真菌药物、神经系统药物、肾上腺素类药物、碳酸氢钠片/注射液、苯海拉明/异丙嗪注射液、非甾体抗炎药+苯海拉明/异丙嗪、非甾体抗炎药+糖皮质激素、苯海拉明/异丙嗪+糖皮质激素、非甾体抗炎药+苯海拉明/异丙嗪+糖皮质激素)、合并症(糖尿病、肾病、心功能不全)共23个因素差异具有统计学意义(P均<0.05)。多因素分析显示,进入重症监护室治疗(OR=2.128,95%CI:1.415~3.201)、入院血肌酐高于正常值(OR=1.920,95%CI:1.235~2.985)、合并心功能不全(OR=3.394,95%CI:1.369~8.417)为危险因素,而预防性使用苯海拉明/异丙嗪注射液(OR=0.182,95%CI:0.083~0.399)或碳酸氢钠片/注射液(OR=0.512,95%CI:0.339~0.773)为保护因素。预测模型方程式为:logit(P)=ln[P/(1-P)]=-0.479+0.755X_(s_(1))+0.652X_(2)+1.222X_(3)-1.702X_(4)-0.67X_(5)(X_(1)为进入重症监护室治疗,X_(2)为入院血肌酐高于正常值,X_(3)为合并心功能不全,X_(4)为合并使用苯海拉明/异丙嗪注射液,X_(5)为合并使用碳酸氢钠片/注射液,X根据是否满足条件取值“1”或者“0”)。该模型在训练集和验证集的AUC分别为0.735(95%CI:0.691~0.780)和0.699(95%CI:0.604~0.795),Hosmer-Lemeshow检验显示,χ^(2)值为4.048,P=0.774,提示模型校准度良好。结论进入重症监护室治疗、入院血肌酐升高以及合并心功能不全是AKI发生的潜在危险因素,而预防性使用苯海拉明/异丙嗪或碳酸氢钠则表现出保护性关联,所构建的预测模型具有良好区分度和校准度,可为临床早期识别高危患者以及治疗方案的及时调整提供参考。 展开更多
关键词 侵袭性真菌感染 两性霉素b 急性肾损伤 危险因素 预测模型
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单核细胞增生李斯特菌inlA/inlB/llo缺失株回补株的构建及其部分生物学特性
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作者 邓秋艳 秦赫 +6 位作者 吕悦 谢嘉辉 王静 马勋 任静静 王鹏雁 蒋建军 《黑龙江畜牧兽医》 北大核心 2026年第4期1-9,共9页
为了探究inlA、inlB和llo基因对单核细胞增生李斯特菌(Listeria monocytogenes,LM)部分生物学特性的影响,试验在已有缺失株LM90SB2ΔinlA/inlB和LM90SB2ΔinlA/inlB/llo的基础上构建基因回补株CLM90SB2ΔinlA/inlB和ClloLM90SB2ΔinlA/i... 为了探究inlA、inlB和llo基因对单核细胞增生李斯特菌(Listeria monocytogenes,LM)部分生物学特性的影响,试验在已有缺失株LM90SB2ΔinlA/inlB和LM90SB2ΔinlA/inlB/llo的基础上构建基因回补株CLM90SB2ΔinlA/inlB和ClloLM90SB2ΔinlA/inlB/llo,并绘制致绵羊脑炎亲本株LM90SB2及LM90SB2ΔinlA/inlB、LM90SB2ΔinlA/inlB/llo、CLM90SB2ΔinlA/inlB和ClloLM90SB2ΔinlA/inlB/llo的生长曲线,将5株细菌感染小鼠后,检测其半数致死量(LD_(50))、小鼠组织中细菌的载量和脑组织紧密连接蛋白相关基因mRNA的相对表达量、溶血活性、对小鼠脑微血管内皮细胞(MBMEC)和小鼠小脑星形胶质细胞(C8D1A)的黏附及侵袭能力、胞内增殖能力、细胞中紧密连接蛋白相关基因mRNA的相对表达量。结果表明:各菌株生长曲线差异不明显;LM90SB2、LM90SB2ΔinlA/inlB、CLM90SB2ΔinlA/inlB和ClloLM90SB2ΔinlA/inlB/llo对小鼠的LD_(50)分别为1×10^(7.14)cfu/mL、1×10^(7.81)cfu/mL、1×10^(7.64)cfu/mL和1×10^(8.98)cfu/mL,LM90SB2ΔinlA/inlB/llo的LD_(50)在1×10^(9)cfu/mL以上;肝脏、脾脏和脑组织中的LM90SB2ΔinlA/inlB/llo和ClloLM90SB2ΔinlA/inlB/llo的载量极显著低于LM90SB2(P<0.01),脑组织中的LM90SB2ΔinlA/inlB的载量显著低于LM90SB2(P<0.05);LM可下调小鼠脑组织紧密连接蛋白的表达;缺失llo基因后LM基本无溶血现象;LM90SB2ΔinlA/inlB和LM90SB2ΔinlA/inlB/llo对MBMEC和C8D1A的黏附率和侵袭率显著或极显著低于LM90SB2(P<0.05或P<0.01);各菌株在MBMEC、C8D1A细胞内的定殖量随时间的延长呈上升趋势,感染12 h后,LM90SB2ΔinlA/inlB、LM90SB2ΔinlA/inlB/llo和ClloLM90SB2ΔinlA/inlB/llo在两种细胞内的定殖量均极显著低于LM90SB2(P<0.01);LM可下调两种细胞的紧密连接蛋白相关基因mRNA的相对表达量。说明inlA、inlB和llo基因不影响LM的正常生长,但对小鼠的致病性,细胞的黏附、侵袭和胞内增殖能力,小鼠脑组织及血脑屏障相关细胞的紧密连接蛋白的调控发挥一定的作用。 展开更多
关键词 单增李斯特菌 内化素A 内化素b 溶血素O 回补株
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消癥止痛外用方通过阻断PAR2/NF-κB/NLRP3信号通路减轻小鼠脊髓小胶质细胞活化及神经元损伤缓解骨癌痛 被引量:3
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作者 郑广达 孟令涵 +8 位作者 尚璐 任娟霞 李东滔 刘海啸 王凌云 李长林 陈耀华 杨桂平 鲍艳举 《中国实验方剂学杂志》 北大核心 2026年第5期91-100,共10页
目的:该研究旨在探讨消癥止痛外用方(XZP)对骨癌痛(BCP)的影响及作用机制。方法:30只BALB/c雌鼠随机分为假手术(Sham)组、BCP组、BCP+XZP低剂量组、BCP+XZP高剂量组及BCP+XZP高剂量+蛋白酶激活受体2(PAR2)激动剂(GB-110)组,通过将Lewis... 目的:该研究旨在探讨消癥止痛外用方(XZP)对骨癌痛(BCP)的影响及作用机制。方法:30只BALB/c雌鼠随机分为假手术(Sham)组、BCP组、BCP+XZP低剂量组、BCP+XZP高剂量组及BCP+XZP高剂量+蛋白酶激活受体2(PAR2)激动剂(GB-110)组,通过将Lewis肺癌细胞注射于小鼠右侧股腔内建立BCP小鼠模型,给予XZP治疗,共21 d。21 d后处死小鼠进行取材,尼氏染色评估脊髓神经元存活情况;免疫荧光染色(IF)定位脊髓组织中的离子钙结合适配器分子1(Iba1)和神经元核抗原(NeuN),评估脊髓小胶质细胞活化和神经元存活情况;酶联免疫吸附测定法(ELISA)检测脊髓组织中白细胞介素(IL)-1β、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、转化生长因子-β(TGF-β)、白细胞介素-4(IL-4)和白细胞介素-10(IL-10)的水平;实时荧光定量聚合酶链式反应(Real-time PCR)检测小胶质细胞M1/M2型极化相关mRNA表达水平;蛋白免疫印迹法(Western blot)检测脊髓小胶质细胞极化相关蛋白表达及脊髓组织中PAR2/核转录因子-κB(NF-κB)/NOD样受体蛋白3(NLRP3)通路相关蛋白的表达。结果:与Sham组比较,BCP组小鼠脊髓神经元损伤,脊髓组织尼氏阳性脊髓神经元显著减少(P<0.01),NeuN阳性细胞率显著降低(P<0.01);脊髓小胶质细胞被激活且增强脊髓组织炎症水平,Iba1染色显著增强(P<0.01),IL-1β、TNF-α、IL-6、TGF-β、IL-4和IL-10的水平显著升高(P<0.01);IL-1β、TNF-α和诱导型一氧化氮合酶(iNOS)的mRNA表达显著升高(P<0.01);且BCP小鼠脊髓组织中PAR2、NLRP3、凋亡相关斑点样蛋白(ASC)和NF-κB p65蛋白的表达显著增强(P<0.01)。与BCP组比较,高剂量的XZP治疗则显著增加了BCP小鼠尼氏阳性脊髓神经元的数量(P<0.01);显著提高脊髓组织中的NeuN阳性细胞率,且显著削弱了Iba1染色(P<0.01),IL-1β、TNF-α和IL-6水平明显降低,但TGF-β、IL-4和IL-10水平明显升高(P<0.05,P<0.01),IL-1β、TNF-α和iNOS的mRNA表达降低,但甘露糖受体(CD206)、精氨酸酶-1(Arg-1)和几丁质酶样蛋白1/2(YM1/2)的mRNA表达明显升高(P<0.05,P<0.01);低剂量和高剂量的XZP治疗均明显降低了脊髓组织中PAR2、NLRP3、ASC和NF-κB p65蛋白的表达(P<0.05,P<0.01)。而上述作用可被PAR2激动剂GB-110治疗明显消除。结论:XZP能减轻小鼠的BCP,XZP对BCP的治疗作用可能是通过阻断激活的PAR2/NF-κB/NLRP3信号通路的表达。 展开更多
关键词 骨癌痛(bCP) 消癥止痛外用方(XZP) 骨损伤 神经元损伤 蛋白酶激活受体2(PAR2)/核转录因子-κb(NF-κb)/NOD样受体蛋白3(NLRP3)
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基于NF-κB信号通路探讨中医药治疗肝细胞癌的研究进展
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作者 杨韧 李梦阁 +3 位作者 党志博 郭彪彪 刘世龙 党中勤 《中国实验方剂学杂志》 北大核心 2026年第6期327-335,共9页
肝细胞癌(HCC)作为原发性肝癌的主要亚型,在我国恶性肿瘤中发病率与死亡率均位居前列。该疾病早期症状或不明显,临床预后较差,患者生存率低,是严重威胁公众健康的重要疾病。其发病与肝炎病毒感染、饮酒、肥胖、药物损害、免疫紊乱等均... 肝细胞癌(HCC)作为原发性肝癌的主要亚型,在我国恶性肿瘤中发病率与死亡率均位居前列。该疾病早期症状或不明显,临床预后较差,患者生存率低,是严重威胁公众健康的重要疾病。其发病与肝炎病毒感染、饮酒、肥胖、药物损害、免疫紊乱等均有一定相关性,且可多因素结合共同致病。目前,现代医学治疗HCC的常用方法包括手术切除、肝移植、射频消融、放化疗等多种手段,但均存在一定局限性,如不良反应较大、预后较差等,对患者造成极大的心理及经济负担。中医药治疗肝癌历史悠久,具有多靶点、多层次、不良反应小、复发率低等优势,不仅可以增强疗效,还可减轻放化疗及手术后的不良反应,从而受到广泛关注。众多研究表明,中医药治疗确有抗肿瘤、抗炎和抗氧化等作用,其机制可能与调控核转录因子-κB(NF-κB)信号通路有关,可以影响肝癌发生的多个阶段,如细胞增殖、侵袭、转移和凋亡。NF-κB信号通路在中医药治疗HCC中的作用机制已成为当前肿瘤研究的重要方向之一。基于现有研究基础,采用系统性文献回顾方法,检索并分析近年相关中英文文献。通过整合NF-κB信号通路的分子调控机制及其在HCC发生发展中的关键作用,可深入探讨中医药干预该通路治疗HCC的最新研究进展,有助于为中医药防治HCC提供新的理论依据和临床转化思路。 展开更多
关键词 核转录因子-κb(NF-κb) 信号通路 肝细胞癌 中医药 研究进展
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金丝桃素通过抑制NF-κB信号通路减轻糖尿病肾病足细胞损伤
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作者 韩珍 王浩 +1 位作者 苏秀秀 方际 《上海交通大学学报(医学版)》 北大核心 2026年第1期43-53,共11页
目的·探讨天然化合物金丝桃素(hypericin,HYP)对糖尿病肾病(diabetic nephropathy,DN)足细胞损伤的保护作用及其可能的分子机制。方法·选取18只db/db小鼠构建DN模型,随机分为模型组、db/db+HYP低剂量组(db/db+HYP-L,1.5 mg/kg... 目的·探讨天然化合物金丝桃素(hypericin,HYP)对糖尿病肾病(diabetic nephropathy,DN)足细胞损伤的保护作用及其可能的分子机制。方法·选取18只db/db小鼠构建DN模型,随机分为模型组、db/db+HYP低剂量组(db/db+HYP-L,1.5 mg/kg)、db/db+HYP高剂量组(db/db+HYP-H,3.0 mg/kg),并设6只db/m小鼠为正常对照组。检测各组小鼠空腹血糖(fasting blood glucose,FBG)、胰岛素(insulin,INS)、总胆固醇(total cholesterol,TC)、甘油三酯(triglyceride,TAG)、低密度脂蛋白(low-density lipoprotein,LDL)、高密度脂蛋白(high-density lipoprotein,HDL)、血肌酐(serum creatinine,Scr)、血尿素氮(blood urea nitrogen,BUN)、尿白蛋白/肌酐比值(urinary albumin-to-creatinine ratio,UACR)及炎症因子[肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素-1β(interleukin-1β,IL-1β)、白细胞介素-6(interleukin-6,IL-6)、单核细胞趋化蛋白-1(monocyte chemoattractant protein-1,MCP-1)]水平。经苏木精-伊红(hematoxylin-eosin,HE)、过碘酸-希夫(periodic acid Schiff,PAS)染色以及透射电镜观察各组小鼠肾脏病理变化及足细胞超微结构。免疫组化及蛋白质印迹法(Western blotting)检测各组小鼠肾组织中足细胞标志物Wilms瘤1(Wilms tumor 1,WT-1)的表达。蛋白质印迹法检测肾组织核因子κB(nuclear factor-κB,NF-κB)的表达水平。体外培养人足细胞系,建立高糖诱导足细胞损伤模型,实验分为5组:正常糖组(5.5 mmol/L glucose,NG)、甘露醇组(5.5 mmol/L glucose+24.5 mmol/L mannitol,MA)、高糖组(30 mmol/L glucose,HG)、高糖+HYP 0.05μg/mL组(HG+0.05μg/mL HYP)、高糖+HYP 0.20μg/mL组(HG+0.20μg/mL HYP),48 h后收集细胞。通过蛋白质印迹法检测WT-1、p-NF-κB p65、NF-κB p65蛋白水平,实时荧光定量PCR(quantitative real-time,qPCR)检测各组人足细胞炎症因子(TNF-α、IL-1β、IL-6、MCP-1)的mRNA水平。结果·与模型组相比,HYP显著降低db/db小鼠FBG、INS、TC、TAG、LDL、Scr、BUN及UACR水平,显著升高HDL水平(均P<0.05),并减轻db/db小鼠足细胞损伤,表现为足突融合现象显著减轻,足突排列重现梳子齿状。体内和体外研究均发现,HYP上调WT-1表达,同时抑制NF-κB p65磷酸化及其介导的炎症因子(TNF-α、IL-1β、IL-6、MCP-1)释放(均P<0.05)。结论·HYP可以减轻db/db小鼠足细胞损伤,其作用可能与上调WT-1表达、抑制NF-κB通路、下调炎症因子表达有关。 展开更多
关键词 金丝桃素 糖尿病肾病 足细胞 核因子Κb 炎症反应
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200例原发性弥漫大B细胞淋巴瘤患者的生存和缓解分析
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作者 杨彩霞 陈涛 郑引索 《西安交通大学学报(医学版)》 北大核心 2026年第2期371-375,共5页
目的探讨原发性弥漫大B细胞淋巴瘤(DLBCL)患者的临床特征、生存情况及影响缓解与预后的相关因素。方法回顾性分析2018年1月至2023年12月入住陕西省宝鸡市中心医院200例原发性DLBCL患者的基线特征、治疗方案以及疗效评价等临床资料,应用K... 目的探讨原发性弥漫大B细胞淋巴瘤(DLBCL)患者的临床特征、生存情况及影响缓解与预后的相关因素。方法回顾性分析2018年1月至2023年12月入住陕西省宝鸡市中心医院200例原发性DLBCL患者的基线特征、治疗方案以及疗效评价等临床资料,应用Kaplan-Meier分析患者的总生存(OS)和缓解率(ORR)。结果完成治疗且在本院接受疗效评价患者的ORR为96.1%,200例患者中位随访50.2个月,5年OS率为67%;单因素分析表明,DLBCL细胞起源non-GCB为影响近期疗效的独立危险因素(P=0.038);国际预后指数(International Prognostic Index,IPI)2~5分为影响长期生存的独立危险因素(P=0.026)。结论IPI评分、肿瘤细胞起源是影响DLBCL患者生存和缓解率的不良预后因素。 展开更多
关键词 弥漫大b细胞淋巴瘤(DLbCL) 缓解率 生存 预后因素
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初治原发结外弥漫大B细胞淋巴瘤的预后影响因素分析
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作者 徐成波 黄彩玲 +2 位作者 洪士森 李灿灿 郑瑞玑 《山东医药》 2026年第1期109-113,共5页
目的分析初治原发结外弥漫大B细胞淋巴瘤(PE-DLBCL)预后的影响因素。方法选择初次接受系统治疗的原发PE-DLBCL患者151例,收集患者的临床资料,包括年龄、性别、临床分期、伴发全身性B症状、美国东部肿瘤协作组(ECOG)评分、结外累及数目... 目的分析初治原发结外弥漫大B细胞淋巴瘤(PE-DLBCL)预后的影响因素。方法选择初次接受系统治疗的原发PE-DLBCL患者151例,收集患者的临床资料,包括年龄、性别、临床分期、伴发全身性B症状、美国东部肿瘤协作组(ECOG)评分、结外累及数目、原发部位、国际预后指数(IPI)评分、血红蛋白浓度(HGB)、血清白蛋白(ALB)、乳酸脱氢酶(LDH)水平、β_(2)微球蛋白(β_(2)-MG)、Ki-67、细胞来源、双表达淋巴瘤(DEL)表型、治疗方案和临床疗效等。对患者进行随访,根据患者生存情况,采用Kaplan-Meier法绘制生存曲线并计算3年总生存期(OS)率和无进展生存期(PFS)率,使用Log-Rank检验法进行单因素分析,应用Cox比例风险模型进行多因素分析。结果151例患者中,97例生存、39例死亡、15例因未行系统检查无法评估疾病状态,3年PFS率为(66.9±4.6)%,3年OS率为(74.2±4.5)%。单因素分析结果显示,影响PE-DLBCL患者3年PFS率的相关因素为年龄>60岁、骨髓来源、原发于胃肠道、原发中枢神经系统(CNS)、IPI>2分、HGB<110 g/L、LDH升高、非生发中心B细胞样(non-GCB)来源、DEL表型、4个疗程未达CR(P均<0.05),影响PE-DLBCL患者3年OS率的相关因素为年龄>60岁、结外累及数目≥2个、骨髓来源、原发于胃肠道、原发CNS、IPI>2分、HGB<110 g/L、non-GCB来源、DEL表型、4个疗程未达CR(P均<0.05)。多因素分析结果显示,骨髓来源、原发CNS是PE-DLBCL患者3年PFS率的独立影响因素(P均<0.05),原发CNS、HGB<110 g/L、non-GCB来源、DEL表型是PE-DLBCL患者3年OS率的独立影响因素(P均<0.05)。结论骨髓来源、原发CNS、HGB<110 g/L、non-GCB来源、DEL表型等是初治原发PE-DLBCL预后的影响因素,可作为预后评价的参考指标。 展开更多
关键词 淋巴瘤 弥漫大b细胞淋巴瘤 结外弥漫大b细胞淋巴瘤 影响因素
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