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Hypoxia inducible factor-1alpha mediates protection of DL-3-n-butylphthalide in brain microvascular endothelial cells against oxygen glucose deprivation-induced injury 被引量:7
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作者 Weihong Yang Ling Li +3 位作者 Ruxun Huang Zhong Pei Songjie Liao Jinsheng Zeng 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第12期948-954,共7页
Studies have demonstrated that DL-3-n-butylphthalide can significantly alleviate oxygen glucose deprivation-induced injury of human umbilical vein endothelial cells at least partly associated with its enhancement on o... Studies have demonstrated that DL-3-n-butylphthalide can significantly alleviate oxygen glucose deprivation-induced injury of human umbilical vein endothelial cells at least partly associated with its enhancement on oxygen glucose deprivation-induced hypoxia inducible factor-1α expression.In this study,we hypothesized that DL-3-n-butylphthalide can protect against oxygen glucose deprivation-induced injury of newborn rat brain microvascular endothelial cells by means of upregulating hypoxia inducible factor-1α expression.MTT assay and Hoechst staining results showed that DL-3-n-butylphthalide protected brain microvascular endothelial cells against oxygen glucose deprivation-induced injury in a dose-dependent manner.Western blot and immunofluorescent staining results further confirmed that the protective effect was related to upregulation of hypoxia inducible factor-1α.Real-time RT-PCR reaction results showed that DL-3-n-butylphthalide reduced apoptosis by inhibiting downregulation of pro-apoptotic gene caspase-3 mRNA expression and upregulation of apoptosis-executive protease bcl-2 mRNA expression;however,DL-3-n-butylphthalide had no protective effects on brain microvascular endothelial cells after knockdown of hypoxia inducible factor-1α by small interfering RNA.These findings suggest that DL-3-n-butylphthalide can protect brain microvascular endothelial cells against oxygen glucose deprivation-induced injury by upregulating bcl-2 expression and downregulating caspase-3 expression though hypoxia inducible factor-1α pathway. 展开更多
关键词 DL-3-n-butylphthalide APOPTOSIS brain microvascular endothelial cells hypoxia inducible factor-1α
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慢性心力衰竭患者血清COL1A1、CCN1水平及其与预后的相关性
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作者 张玥 李秀珍 +1 位作者 杜新丽 朱嵘 《疑难病杂志》 2026年第1期25-30,共6页
目的 探讨慢性心力衰竭(CHF)患者血清Ⅰ型胶原α1链(COL1A1)、蜂窝通信网络因子1(CCN1)水平及与预后的相关性。方法 按照2∶1比例前瞻性选取2022年1月—2024年8月因CHF加重在南京医科大学第二附属医院急诊科诊治的CHF患者158例(CHF组)... 目的 探讨慢性心力衰竭(CHF)患者血清Ⅰ型胶原α1链(COL1A1)、蜂窝通信网络因子1(CCN1)水平及与预后的相关性。方法 按照2∶1比例前瞻性选取2022年1月—2024年8月因CHF加重在南京医科大学第二附属医院急诊科诊治的CHF患者158例(CHF组)和同期健康体检者79例(健康对照组),根据危险分层将CHF患者分为低危CHF组(52例)、中危CHF组(60例)、高危CHF组(46例),根据6个月预后将CHF患者分为不良亚组(52例)和良好亚组(106例)。采用酶联免疫吸附法检测血清COL1A1、CCN1水平;Spearman等级相关分析血清COL1A1、CCN1水平与CHF患者危险分层的相关性;多因素Logistic回归分析CHF患者预后不良的影响因素;受试者工作特征(ROC)曲线分析血清COL1A1、CCN1水平对CHF患者预后不良的预测效能。结果 CHF组血清COL1A1、CCN1水平高于健康对照组(t/P=24.185/<0.001、18.129/<0.001);血清COL1A1、CCN1水平比较,低危CHF组<中危CHF组<高危CHF组(F/P=64.321/<0.001、63.243/<0.001)。与良好亚组比较,不良亚组患者年龄大,NYHA心功能Ⅳ级、危险分层高危比例高,血清NT-proBNP、COL1A1、CCN1水平高(t/U/P=3.176/0.002、1 165.000/<0.001、704.000/<0.001、5.815/<0.001、6.913/<0.001、7.267/<0.001);CHF患者血清COL1A1、CCN1水平与危险分层呈正相关(r_(s)/P=0.653/<0.001、0.649/<0.001)。多因素Logistic回归分析显示,年龄大、NYHA心功能分级Ⅳ级、危险分层高危、NT-proBNP升高、COL1A1升高、CCN1升高为CHF患者预后不良的独立危险因素[OR(95%CI)=1.102(1.026~1.184)、9.301(2.221~38.943)、7.074(1.352~36.995)、1.001(1.001~1.002)、1.027(1.010~1.045)、1.051(1.023~1.079)];血清COL1A1、CCN1水平及二者联合预测CHF患者预后不良的AUC分别为0.790、0.806、0.880,二者联合预测价值大于单独预测(Z/P=3.002/0.003、2.757/0.006)。结论 CHF患者血清COL1A1、CCN1水平升高,与病情加重及预后不良密切相关,二者联合对CHF患者预后不良的预测效能较高。 展开更多
关键词 慢性心力衰竭 Ⅰ型胶原α1 蜂窝通信网络因子1 危险分层 预后
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补肾痹通方调控HIF-1α信号通路抑制膝骨关节炎大鼠软骨细胞凋亡的作用机制研究
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作者 梁治权 向文远 +3 位作者 邓迎杰 热米拉·艾买提 张文豪 方锐 《新疆医科大学学报》 2026年第2期153-159,共7页
目的基于缺氧诱导因子1α(Hypoxia inducible factor 1 subunit alpha,HIF-1α)信号通路探讨补肾痹通方对膝骨关节炎(Knee osteoarthritis,KOA)大鼠抑制软骨细胞凋亡的作用机制。方法采用改良Hulth法构建KOA大鼠模型,将32只造模成功的KO... 目的基于缺氧诱导因子1α(Hypoxia inducible factor 1 subunit alpha,HIF-1α)信号通路探讨补肾痹通方对膝骨关节炎(Knee osteoarthritis,KOA)大鼠抑制软骨细胞凋亡的作用机制。方法采用改良Hulth法构建KOA大鼠模型,将32只造模成功的KOA大鼠随机分为模型组、高剂量组、低剂量组及HIF-1抑制剂组,每组8只,另取8只正常SD大鼠设为空白组。低剂量组和高剂量组分别给予16.34、32.68 g/kg补肾痹通方灌胃,HIF-1抑制剂组在给予32.68 g/kg补肾痹通方灌胃的同时腹腔注射2 mg/kg利非西呱,空白组给予等体积生理盐水灌胃,每天灌胃或注射1次,连续3周。药物干预结束24 h后,脱颈处死各组大鼠,沿髌骨周缘剪开皮肤,完整切取软骨组织。番红固绿染色和大体评分观察关节软骨病理变化;免疫荧光检测大鼠软骨组织Ⅱ型胶原蛋白(Collagen typeⅡ,CollagenⅡ)和骨形态发生蛋白7(Bone morphogenetic protein-7,BMP-7)荧光强度水平;生化检测大鼠软骨组织活性氧(Reactive oxygen species,ROS)水平;采用酶联免疫吸附法(Enzyme-linked immunosorbent assay,ELISA)测定大鼠软骨组织炎症因子白细胞介素-1β(Interleukin-1 beta,IL-1β)、白细胞介素-6(Interleukin-6,IL-6)、肿瘤坏死因子-α(Tumor necrosis factor-alpha,TNF-α)的水平;免疫印记法(Western blot,WB)检测B细胞淋巴瘤-2相关X蛋白(B-cell lymphoma-2 associated X protein,Bax)、B细胞淋巴瘤-2(Bcl-2)、活化型半胱天冬酶-3(cleaved-Caspase3)、HIF-1α蛋白表达情况。结果与空白组相比,模型组大鼠关节软骨大体评分升高,软骨细胞减少,基质着色减弱,局部缺损;软骨组织中CollagenⅡ、BMP-7荧光表达下调,ROS和炎症因子IL-6、IL-1β、TNF-α水平升高,HIF-1α、cleaved-Caspase3、Bax蛋白表达升高,Bcl-2蛋白表达降低(P均<0.05)。与模型组比较,高剂量组关节软骨大体观察评分降低,软骨细胞数量增加,基质染色较正常,潮线较完整;软骨组织中CollagenⅡ、BMP-7荧光表达上调,ROS和炎症因子IL-6、IL-1β、TNF-α水平降低,HIF-1α、cleaved-Caspase3、Bax蛋白表达降低,Bcl-2蛋白表达升高(P均<0.05)。与高剂量组相比,HIF-1抑制剂组关节软骨大体观察评分降低,大鼠软骨破坏程度减轻,基质着色深;软骨组织中CollagenⅡ、BMP-7荧光表达上调,ROS和炎症因子IL-6、IL-1β、TNF-α水平降低,HIF-1α、cleaved-Caspase3、Bax蛋白表达降低,Bcl-2蛋白表达升高(P均<0.05)。结论补肾痹通方能有效改善KOA大鼠软骨的病理状况,通过HIF-1α通路抑制KOA大鼠软骨细胞凋亡。 展开更多
关键词 补肾痹通方 膝骨关节炎 HIF-1α信号通路 凋亡 炎症
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Hypoxia inducible factor-1 alpha stabilization for regenerative therapy in traumatic brain injury 被引量:7
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作者 Mushfiquddin Khan Hamza Khan +1 位作者 Inderjit Singh Avtar K.Singh 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第5期696-701,共6页
Mild traumatic brain injury(TBI), also called concussion, initiates sequelae leading to motor deficits, cognitive impairments and subtly compromised neurobehaviors. While the acute phase of TBI is associated with ne... Mild traumatic brain injury(TBI), also called concussion, initiates sequelae leading to motor deficits, cognitive impairments and subtly compromised neurobehaviors. While the acute phase of TBI is associated with neuroinflammation and nitroxidative burst, the chronic phase shows a lack of stimulation of the neurorepair process and regeneration. The deficiency of nitric oxide(NO), the consequent disturbed NO metabolome, and imbalanced mechanisms of S-nitrosylation are implicated in blocking the mechanisms of neurorepair processes and functional recovery in the both phases. Hypoxia inducible factor-1 alpha(HIF-1α), a master regulator of hypoxia/ischemia, stimulates the process of neurorepair and thus aids in functional recovery after brain trauma. The activity of HIF-1α is regulated by NO via the mechanism of S-nitrosylation of HIF-1α. S-nitrosylation is dynamically regulated by NO metabolites such as S-nitrosoglutathione(GSNO) and peroxynitrite. GSNO stabilizes, and peroxynitrite destabilizes HIF-1α. Exogenously administered GSNO was found not only to stabilize HIF-1α and to induce HIF-1α-dependent genes but also to stimulate the regeneration process and to aid in functional recovery in TBI animals. 展开更多
关键词 traumatic brain injury hypoxia inducible factor-1 alpha S-NITROSOGLUTATHIONE NEUROREPAIR functional recovery
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Is the hypoxia-inducible factor-1 alpha mRNA expression activated by ethanol-induced injury, the mechanism underlying alcoholic liver disease? 被引量:8
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作者 Lin Li Shao-Hua Chen +3 位作者 Yu Zhang Chao-Hui Yu Shu-Dan Li You-Ming Li 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2006年第4期560-563,共4页
BACKGROUND:Excessive alcohol consumption can result in multiple organ injury,of which alcoholic liver disease(ALD)is the most common.With economic development and improvement of living standards,the incidence of disea... BACKGROUND:Excessive alcohol consumption can result in multiple organ injury,of which alcoholic liver disease(ALD)is the most common.With economic development and improvement of living standards,the incidence of diseases caused by alcohol abuse has been increasing in China,although its pathogenesis remains obscure.The aim of this study was to investigate the role of hypoxia in chronic ALD.METHODS:Twenty-eight male Sprague-Dawley rats were randomized into a control group(n=12)with a normal history and an experimental group(n=16)fed with 10 ml/kg of 56%(vol/vol)ethanol once per day by gastric lavage for 24 weeks.At 24 weeks,blood samples were collected and then the rats were killed.Liver samples were frozen at-80℃and used for RT-PCR;other liver samples were obtained for immunohistochemical staining.RESULTS:When the period of alcohol consumption increased,the positive rate of expression of hypoxia-inducible factor-1 alpha(HIF-1α)mRNA was more significantly elevated in the liver of the alcohol group than in the control group(P≤0.05).The HIF-1αprotein located in the cytoplasm was seldom expressed in the control group,but significantly in the alcohol group(P≤0.01).CONCLUSION:HIF-1αmRNA expression was activated by ethanol-induced injury in this study,suggesting that hypoxia is involved in the underlying mechanism of ALD. 展开更多
关键词 alcoholic liver disease hypoxia-inducible factor-1 alpha mRNA immunohistochemical staining
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Wortmannin influences hypoxia-inducible factor-1 alpha expression and glycolysis in esophageal carcinoma cells 被引量:7
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作者 Ling Zeng Hai-Yun Zhou +5 位作者 Na-Na Tang Wei-Feng Zhang Gui-Jun He Bo Hao Ya-Dong Feng Hong Zhu 《World Journal of Gastroenterology》 SCIE CAS 2016年第20期4868-4880,共13页
AIM: To investigate the influence of phosphatidylinositol-3-kinase protein kinase B(PI3K/AKT)-HIF-1α signaling pathway on glycolysis in esophageal carcinoma cells under hypoxia. METHODS: Esophageal carcinoma cell lin... AIM: To investigate the influence of phosphatidylinositol-3-kinase protein kinase B(PI3K/AKT)-HIF-1α signaling pathway on glycolysis in esophageal carcinoma cells under hypoxia. METHODS: Esophageal carcinoma cell lines Eca109 and TE13 were cultured under hypoxia environment, and the protein, m RNA and activity levels of hypoxia inducible factor-1 alpha(HIF-1α), glucose transporter 1, hexokinase-Ⅱ, phosphofructokinase 2 and lactate dehydrogenase-A were determined. Supernatant lactic acid concentrations were also detected. The PI3K/AKT signaling pathway was then inhibited with wortmannin, and the effects of hypoxia on the expression or activities of HIF-1α, associated glycolytic enzymes and lactic acid concentrations were observed. Esophageal carcinoma cells were then transfected with interference plasmid with HIF-1α-targeting si RNA to assess impact of the high expression of HIF-1α on glycolysis.RESULTS: HIF-1α is highly expressed in the esophageal carcinoma cell lines tested, and with decreasing levels of oxygen, the expression of HIF-1α and the associated glycolytic enzymes and the extracellular lactic acid concentration were enhanced in the esophageal carcinoma cell lines Eca109 and TE13. In both normoxia and hypoxic conditions, the level of glycolytic enzymesand the secretion of lactic acid were both reduced by wortmannin. The expression and activities of glycolytic enzymes and the lactic acid concentration in cells were reduced by inhibiting HIF-1α, especially the decreasing level of glycolysis was significant under hypoxic conditions.CONCLUSION: The PI3K/AKT pathway and HIF-1α are both involved in the process of glycolysis in esophageal cancer cells. 展开更多
关键词 Hypoxia-inducible factor-1 alpha HYPOXIA GLYCOLYSIS Esophageal NEOPLASMS Cell metabolism
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Puerarin decreases hypoxia inducible factor-1 alpha in the hippocampus of vascular dementia rats 被引量:3
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作者 Haiqin Wu Huqing Wang Bei Zhang Guilian Zhang Ru Zhang Lingfeng Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第6期421-425,共5页
In this study, a rat vascular dementia model was established by permanent bilateral common carotid arterial occlusion. Rats were intraperitoneally injected with puerarin 3 days before modeling, for 45 successive days.... In this study, a rat vascular dementia model was established by permanent bilateral common carotid arterial occlusion. Rats were intraperitoneally injected with puerarin 3 days before modeling, for 45 successive days. Results demonstrated that in treated animals hippocampal structures were clear, nerve cells arranged neatly, and cytoplasm was rich in Nissl bodies. The number of cells positive for hypoxia inducible factor-1 alpha, erythropoietin and endothelial nitric oxide synthase was reduced; and the learning and memory abilities of rats were significantly improved. Our experimental findings indicate that puerarin can significantly improve learning and memory in a vascular dementia model, and that the underlying mechanism may be associated with the regulation of the expression of hypoxia inducible factor-1 alpha. 展开更多
关键词 PUERARIN vascular dementia hypoxia-inducible factor-1 alpha ERYTHROPOIETIN endothelial nitric-oxide synthase
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Clinicopathological and Prognostic Significance of Hypoxia-inducible Factor-1 alpha in Lung Cancer: a Systematic Review with Meta-analysis 被引量:13
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作者 杨盛力 任全广 +1 位作者 文璐 胡建莉 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2016年第3期321-327,共7页
Hypoxia-inducible factor-1 alpha(HIF-1α) plays a vital role in the initiation, evaluation and prognosis in lung cancer. The prognostic value of HIF-1α reported in diverse study remains disputable. Accordingly, a m... Hypoxia-inducible factor-1 alpha(HIF-1α) plays a vital role in the initiation, evaluation and prognosis in lung cancer. The prognostic value of HIF-1α reported in diverse study remains disputable. Accordingly, a meta-analysis was implemented to further understand the prognostic role of HIF-1α in lung cancer. The relationship between HIF-1α and the clinicopathological characteristics and prognosis of lung cancer were investigated by a meta-analysis. Pub Med and Embase were searched from their inception to January 2015 for observational studies. Fixed-effects or random-effects meta-analyses were used to calculate odds ratios and 95% confidence intervals of different comparisons. A total of 20 studies met the criteria. The results showed that HIF-1α expression in lung cancer tissues was significantly higher than that in normal lung tissues. Expression of HIF-1α in patients with squamous cell carcinoma was significantly higher than that of patients with adenocarcinomas. Similarly, non-small cell lung cancer(NSCLC) patients had higher HIF-1α expression than small cell lung cancer(SCLC) patients. Moreover, lymph node metastasized tissues had higher HIF-1α expression than non-lymph node metastasized tissues. A high level HIF-1α expression was well correlated with the expression of vascular endothelial growth factor and epidermal growth factor receptor in the NSCLC. Notably, NSCLC or SCLC patients with positive HIF-1α expression in tumor tissues had lower overall survival rate than patients with negative HIF-1α expression. It was suggested that HIF-1α expression may be a prognostic biomarker and a potential therapeutic target for lung cancer. 展开更多
关键词 non-small cell lung cancer small cell lung cancer hypoxia-inducible factor-1 alpha vascular endothelial growth factor epidermal growth factor receptor
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Expression of hypoxia inducible factor-1 alpha and ischemic erythropoietin tolerance in the brain of cerebral ischemic tolerance model rats 被引量:2
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作者 Renliang Zhao Ruijian Dong Zhongling Sun 《Neural Regeneration Research》 SCIE CAS CSCD 2006年第3期209-212,共4页
BACKGROUND: Hypoxia inducible factor-1 alpha (HIF-1 (x) and erythropoietin(EPO), possessing neuroprotective effect in the cerebral ischemia, might play an important role in the formation of cerebral ischemic tol... BACKGROUND: Hypoxia inducible factor-1 alpha (HIF-1 (x) and erythropoietin(EPO), possessing neuroprotective effect in the cerebral ischemia, might play an important role in the formation of cerebral ischemic tolerance (IT). OBJECTIVE:To observe the neuroprotective effect of cerebral ischemic preconditioning(IPC) of rats, and the expression and mechanism of HIF-1α and target gene erythropoietin in the brain tissue following the formation of cerebral IT. DESIGN : A randomized and controlled observation SETTING: Department of Neurology, the Affiliated Hospital of Medical College, Qingdao University MATERIALS: Totally 84 enrolled adult healthy male Wistar rats of clean grade, weighing 250 to 300 g, were provided by the Animal Experimental Department, Tongji Medical College of Huazhong University of Science and Technology. Ready-to-use SABC reagent kit and rabbit anti-rat HIF-1α monoclonal antibody were purchased from Boshide Bioengineering Co.Ltd (Wuhan); Rabbit anti-rat EPO monoclonal antibody was purchased from Santa Cruz Company (USA). METHODS: This experiment was carried out in the Department of Anatomy, Medical College, Qingdao University during March 2005 to March 2006. ① The 84 rats were divided into 3 groups by a lot: IPC group (n=40), sham-operation group (n=40) and control group (n=4). In the IPC group, middle cerebral artery was occluded for 2 hours respectively on the 1^st, 3^rd, 7^th, 14^th and 21^st days of the reperfusion following 10-minute preischemia was made using a modified middle cerebral artery second suture method from Zea-Longa. The rats were sacrificed 22 hours after reperfusion in the end of middle cerebral artery occlusion (MCAO). That was to say, after 10-minute preischemia, suture was exited to the extemal carotid artery and embedded subcutaneously. Middle cerebral artery was occluded again to form the second reperfusion at the set time point after reperfusion. Twenty-two hours later, rats were sacrificed; In the sham-operation group,the preischemia was substituted by sham-operation(only common carotid artery and crotch were exposed, and MCAO by suture was omitted), and the other procedures were the same as those in the IPC group. In the control group, rats were given sham-operation twice at an interval of one day, and they were sacrificed 24 hours after the second sham-operation. ② Brain tissue was taken from the rats in each group. Cerebral infarction area of each layer was measured with TTC staining, and total cerebral infarction volume (The total cerebral infarction area of each layerxinterspace ) was calculated. After brain tissue was stained by haematoxylin-esoin (HE), the form of nerve cells was observed under an optical microscope, and the expressions of HIF-1α(and EPO protein in the brain tissue were detected with immunohistochemical method. MAIN OUTCOME MEASURES: ①Cerebral infarction volume;②form of nerve cell; ③ the expression of HIF-1α and EPO protein in the brain tissue. RESULTS:Totally 84 rats were enrolled in the experiment. The dead rats were randomly supplied during the experiment, and finally 84 rats entered the stage of result analysis. ① Detection of cerebral infarction volume of rats in each group: Cerebral infarction volume in the IPC group was significantly smaller than that in the sham-operation group on the 1^st, 3^rd and 7^th days after reperfusion respectively [(161.2±6.9) mm^3 vs (219.9±11.2) mm^3, (134.9±9.0) mm^3 vs (218.6±13.0) mm^3, (142.9±13.7) mm^3 vs (221.3±14.2) mm^3, t=-8.924, 10.587,7.947, P〈 0.01]. ② Observation of nerve cell form of brain tissue: HE staining showed that the ischemic degree, range and cerebral edema degree of IPC group were significantly milder than those of sham-operation group. ③ The expressions of HIF-1α and EPO protein in cerebral cortex and hippocampus : The expression of HIF-1αof IPC group was significantly higher than that of sham-operation group on the 1^st, 3^rd and 7^th days after reperfusion respectively (125.93±3.79 vs 117.65±5.60, 140.63±4.64 vs 119.33±4.26, 131.15±2.74 vs 107.60±3.89, t=2.449, 6.763,9.899,P 〈 0.05-0.01). The expression of EPO of IPC group was significantly higher than that of sham-operation group on the 3^rd and 7^th days after perfusion respectively (141.68±3.29 vs 126.33±4.51, 138.88±2.59 vs 125.58±6.18,t=5.499,3.970, P〈 0.05). CONCLUSION : ①IPC can protect the never cells in rat brain and the best time to onset of cerebral IT induced by IPC is 1 to 7 days after reperfusion. ② Neuroprotective effect of cerebral IT might be related to the expression of HIF-1α and its target gene EPO. 展开更多
关键词 Expression of hypoxia inducible factor-1 alpha and ischemic erythropoietin tolerance in the brain of cerebral ischemic tolerance model rats EPO IPC HIF
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Prognostic value of hypoxia-inducible factor-1 alpha and prolyl 4-hydroxylase beta polypeptide overexpression in gastric cancer 被引量:14
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作者 Jun Zhang Yue Wu +5 位作者 Yu-Hang Lin Shuai Guo Pei-Fang Ning Zhi-chao Zheng Yue Wang Yan Zhao 《World Journal of Gastroenterology》 SCIE CAS 2018年第22期2381-2391,共11页
AIM To investigate the relationship between hypoxia-inducible factor-1α(HIF-1α), prolyl 4-hydroxylase beta(P4 HB) expression, and clinicopathologic parameters, as well as the prognostic value of these genes for pati... AIM To investigate the relationship between hypoxia-inducible factor-1α(HIF-1α), prolyl 4-hydroxylase beta(P4 HB) expression, and clinicopathologic parameters, as well as the prognostic value of these genes for patients with gastric cancer(Gc).METHODS Hypoxia is a critical factor that shapes the Gc microenvironment. In previous reports, we have demonstrated that P4 HB is a potential target of HIF-1α. In the present study, gene expression profiling interactive analysis(GEPIA) was used to analyze the relationship between P4 HB and hypoxia-associated genes. To this end, 428 Gc tissue samples were used to analyze the expression of HIF-1α and P4 HB via immunohistochemical staining. Patient samples were classified as having weak-expression or over-expression both in terms of HIF-1α and P4 HB. Correlations between biomarkers and clinicopathological factors were analyzed to predict survival. RESULTS P4 HB demonstrated a positive correlation with hypoxiaassociated genes(P < 0.05). HIF-1α and P4 HB overexpression have a significant correlation with TNM staging(χ2 = 23.32, P = 0.00; χ2 = 65.64, P = 0.00) and peritoneum cavity metastasis(χ2 = 12.67, P = 0.00; χ2 = 39.29, P = 0.00). In univariate analysis, patients with a high HIF-1α expression trend had a shorter disease-free survival(DFS: 44.80 mo vs 22.06 mo) and overall survival(OS: 49.58 mo vs 39.92 mo). P4 HB overexpression reflected similar results: patients with over-expression of P4 HB had a shorter survival time than those with weak-expression(DFS: 48.03 mo vs 29.64 mo, OS: 52.48 mo vs 36.87 mo). Furthermore, HIF-1α is also a clinicopathological predictor of dismal prognosis according to multivariate analysis(DFS, 95%c I: 0.52-0.88, P < 0.00; OS, 95%c I: 0.50-0.85, P < 0.00). However, P4 HB was meaningful in DFS(95%c I: 0.58-1.00, P < 0.05) but not in OS(95%c I: 0.72-1.23, P > 0.05).CONCLUSION Overexpression of HIF-1α and P4 HB is associated with poor prognosis in patients with Gc. Thus, these genes may be potential prognostic biomarker candidates in GC. 展开更多
关键词 Gastric cancer Hypoxia INDUCIBLE factor-1α Prolyl 4-hydroxylase BETA POLYPEPTIDE Overall SURVIVAL CLINICOPATHOLOGICAL predictors Disease free SURVIVAL
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Xuebijing alters tumor necrosis factor-alpha, interleukin-1beta and p38 mitogen activated protein kinase content in a rat model of cardiac arrest following cardiopulmonary resuscitation 被引量:2
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作者 Haifeng Li Mingli Sun Yaxin Yu Xiaoliang Liu 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第33期2573-2576,共4页
We established a rat model of cardiac arrest by clamping the endotracheal tube of adult rats at expiration. Twenty-four hours after cardiopulmonary resuscitation, nerve cell injury and expression of tumor necrosis fac... We established a rat model of cardiac arrest by clamping the endotracheal tube of adult rats at expiration. Twenty-four hours after cardiopulmonary resuscitation, nerve cell injury and expression of tumor necrosis factor-α, interleukin-1β, and p38 mitogen activated protein kinase content were increased. Rats injected with Xuebijing, a Chinese herb compound preparation, exhibited normal cellular structure and morphology, dense neuronal cytoplasm, and decreased tumor necrosis factor-α, interleukin-1β, and p38 mitogen activated protein kinase expression at 24 hours following cardiopulmonary resuscitation. These data suggest that Xuebijing can attenuate neuronal injury induced by hypoxia and reperfusion during cardiopulmonary resuscitation. 展开更多
关键词 cardiac arrest brain tumor necrosis factor-α INTERLEUKIN-1Β p38 mitogen activated protein kinase XUEBIJING cardiopulmonary resuscitation
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Study on the mechanism of Fuzi Lizhong decoction(附子理中汤)inthe treatment of colorectal cancer of spleen kidney Yang deficiencyfrom the perspective of intestinal flora and hypoxia inducible factor-1α signalling pathway 被引量:1
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作者 ZHANG Lina LIN Xiu +2 位作者 ZHAO Xin LI Wenjuan ZHAO Ye 《Journal of Traditional Chinese Medicine》 2025年第4期845-851,共7页
OBJECTIVE:To evaluate the effect of Fuzi Lizhong decoction(附子理中汤)on intestinal flora,serum inflammatory factors,and hypoxia inducible factor-1α(HIF-1α)in patients with colorectal cancer associated with spleen a... OBJECTIVE:To evaluate the effect of Fuzi Lizhong decoction(附子理中汤)on intestinal flora,serum inflammatory factors,and hypoxia inducible factor-1α(HIF-1α)in patients with colorectal cancer associated with spleen and kidney Yang deficiency.METHODS:A total of 100 patients diagnosed with advanced colorectal cancer were randomly divided into two groups:a control group(CON,50)and a Traditional Chinese Medicine(TCM)group(n=50).The control group received treatment with the Capecitabine+Oxaliplatin(CAPEOX)regimen,while the TCM group received the same regimen along with Fuzi Lizhong decoction for six weeks.Changes in intestinal flora were assessed before and after six weeks in both groups.Serum markers,including HIF-1α,vascular endothelial growth factor(VEGF),interleukin-6(IL-6),and tumor necrosis factor-alpha(TNF-α),were measured using enzyme-linked immunosorbent assay.Adverse reactions,clinical efficacy,and TCM syndrome efficacy were also monitored.RESULTS:After six weeks,the levels of Lactobacillus and Bifidobacterium were significantly higher,while the levels of Enterobacter and Enterococcus were significantly lower in the TCM group compared to the control group(P<0.05).Serum levels of HIF-1α,VEGF,IL-6,and TNF-αwere also significantly reduced in the TCM group compared to the control group(P<0.05).Additionally,the incidence of adverse reactions was lower,and the clinical efficacy was higher in the TCM group compared to the control group(P<0.05).CONCLUSION:Fuzi Lizhong decoction effectively improves intestinal microbiota composition,reduces inflammatory factors and HIF-1αexpression,alleviates chemotherapy-related adverse reactions,enhances clinical efficacy,and may inhibit tumor growth in patients with colorectal cancer. 展开更多
关键词 colorectal neoplasms gastrointestinal microbiome vascular endothelial growth factors hypoxia-inducible factor 1 alpha subunit INTERLEUKIN-6 tumor necrosis factor-alpha Fuzi Lizhong decoction
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颅脑损伤术后外周血HIF-1α、MMP-9及PTX-3表达水平与发生脑血管痉挛的关系
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作者 马宝 于畅 索士桓 《分子诊断与治疗杂志》 2026年第2期317-320,共4页
目的分析颅脑损伤术后外周血中缺氧诱导因子-1α(HIF-1α)、基质金属蛋白酶-9(MMP-9)及正五聚蛋白-3(PTX-3)表达水平与发生脑血管痉挛(CVS)的关系。方法选取2023年2月至2025年4月于吉林大学第一医院乐群院区进行手术治疗的134例颅脑损... 目的分析颅脑损伤术后外周血中缺氧诱导因子-1α(HIF-1α)、基质金属蛋白酶-9(MMP-9)及正五聚蛋白-3(PTX-3)表达水平与发生脑血管痉挛(CVS)的关系。方法选取2023年2月至2025年4月于吉林大学第一医院乐群院区进行手术治疗的134例颅脑损伤患者,依据术后是否并发CVS将患者分为CVS组(n=62)及非CVS组(n=72),比较两组患者外周血HIF-1α、MMP-9及PTX-3表达水平,采用Spearman分析以上各指标与CVS严重程度的相关性,通过受试者工作特征(ROC)曲线分析各指标对CVS的预测效能。结果134例颅脑损伤患者,术后发生CVS有62例(46.27%),其中轻度31例、中度20例、重度11例。CVS组外周血HIF-1α、MMP-9及PTX-3表达水平显著高于非CVS组,差异有统计学意义(P<0.05)。三组患者外周血HIF-1α、MMP-9及PTX-3表达水平比较:重度组>中度组>轻度组,差异有统计学意义(P<0.05)。Spearman相关性分析结果显示,外周血HIF-1α、MMP-9及PTX-3表达水平与CVS严重程度呈正相关(r=0.412、0.430、0.524,P<0.05)。ROC曲线分析结果显示,外周血HIF-1α、MMP-9及PTX-3联合检测预测颅脑损伤术后发生CVS的曲线下面积(AUC)、特异度及灵敏度分别为0.918、0.906、0.931,其AUC、特异度显著高于单一指标检测(P<0.05)。结论颅脑损伤术后外周血HIF-1α、MMP-9及PTX-3表达水平与术后CVS的发生及严重程度存在明显关联,且对CVS的发生具有良好的预测效能。 展开更多
关键词 颅脑损伤 脑血管痉挛 缺氧诱导因子-1Α 基质金属蛋白酶-9 正五聚蛋白-3
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Upregulation of stromal cell-derived factor-1 alpha/CXCR4 axis-induced migration of human neural progenitors by tumor necrosis factor-alpha and interleukin-8
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作者 Jing Qu Hongtao Zhang +2 位作者 Guozhen Hui Xueguang Zhang Huanxiang Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2009年第11期832-837,共6页
BACKGROUND: Studies of several animal models of central nervous system diseases have shown that neural progenitor cells (NPCs) can migrate to injured tissues. Stromal cell-derived factor 1 alpha (SDF-la), and its... BACKGROUND: Studies of several animal models of central nervous system diseases have shown that neural progenitor cells (NPCs) can migrate to injured tissues. Stromal cell-derived factor 1 alpha (SDF-la), and its primary physiological receptor CXCR4, have been shown to contribute to this process. OBJECTIVE: To investigate migration efficacy of human NPCs toward a SDF-1α gradient, and the regulatory roles of tumor necrosis factor-α (TNF-α) and interleukin-8 (IL-8) in SDF-1α/CXCR4 axis-induced migration of NPCs. DESIGN, TIME AND SETTING: An in vitro, randomized, controlled, cellular and molecular biology study was performed at the Laboratory of Department of Cell Biology, Medical College of Soochow University between October 2005 and November 2007. MATERIALS: SDF-1α and mouse anti-human CXCR4 fusion antibody were purchased from R&D Systems, USA. TNF-αwas purchased from Biomyx Technology, USA and IL-8 was kindly provided by the Biotechnology Research Institute of Soochow University. METHODS: NPCs isolated from forebrain tissue of 9 to 10-week-old human fetuses were cultured in vitro. The cells were incubated with 0, 20, and 40 ng/mL TNF-α, or 0, 20, and 40 ng/mL IL-8, for 48 hours prior to migration assay. For antibody-blocking experiments, cells were further pretreated with 0, 20, and 40 μg/mL mouse anti-human CXCR4 fusion antibody for 2 hours. Subsequently, the transwell assay and CXCR4 blockade experiments were performed to evaluate migration of human NPCs toward a SDF-1α gradient. Serum-free culture medium without SDF-1α served as the negative control. MAIN OUTCOME MEASURES: The transwell assay was performed to evaluate migration of human NPCs toward a SDF-1α gradient, which was blocked by fusion antibody against CXCR4. In addition, CXCR4 expression in human NPCs stimulated by TNF-α and IL-8 was measured by flow cytometry. RESULTS: Results from the transwell assay demonstrated that SDF-1α was a strong chemoattractant for human NPCs (P 〈 0.01), and 20 ng/mL produced the highest levels of migration. Anti-human CXCR4 fusion antibody significantly blocked the chemotactic effect (P 〈 0.05). Flow cytometry results showed that treatment with TNF-α and IL-8 resulted in increased CXCR4 expression and greater chemotaxis efficiency of NPCs towards SDF-1α(P 〈 0.01). CONCLUSION: These results demonstrated that SDF-la significantly attracted NPCs in vitro, and neutralizing anti-CXCR4 antibody could block part of this chemotactic function. TNF-α and IL-8 increased chemotaxis efficiency of NPCs towards the SDF-1αgradient by upregulating CXCR4 expression in NPCs. 展开更多
关键词 human neural progenitor cells MIGRATION stromal cell-derived factor 1 alpha CXCR4 tumor necrosis factor-α INTERLEUKIN-8
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High hypoxia inducible factor-1αexpression is associated with reduced survival in patients with breast cancer:A meta-analysis
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作者 Xue-Di Zheng Huan-Yu Li +2 位作者 Si-Yu Gao Qi Wang Jiang-Bo Liu 《World Journal of Clinical Oncology》 2025年第6期287-304,共18页
BACKGROUND Hypoxia-inducible factor 1α(HIF-1α)plays a crucial role in the prognosis of breast cancer,but the current evidence remains inconclusive.AIM To provide comprehensive evidence about the correlation of alter... BACKGROUND Hypoxia-inducible factor 1α(HIF-1α)plays a crucial role in the prognosis of breast cancer,but the current evidence remains inconclusive.AIM To provide comprehensive evidence about the correlation of altered HIF-1αexpression with overall survival(OS)and disease-free survival(DFS)in breast cancer patients.METHODS A systematic search was conducted in PubMed,Embase,and Web of Science databases to collect relevant articles that were published before April 8,2024.A meta-analysis was used to assess the impact of altered HIF-1αexpression on the OS and DFS of breast cancer patients.Subgroup and sensitivity analyses were also performed in this meta-analysis.RESULTS This meta-analysis included 40 studies.The average percentage of breast cancer patients with high HIF-1αexpression was 39.6%.The overall meta-analysis results demonstrated that high HIF-1αexpression is strongly linked to poor outcomes in patients of breast cancer.Compared with low HIF-1αexpression,the overall hazard ratio for OS in patients with high HIF-1αexpression was 1.47[95%confidence interval(CI):1.29-1.69],and the overall hazard ratio for DFS was 1.82(95%CI:1.56-2.12).Furthermore,both OS[1.18(95%CI:1.01-1.38)]and DFS[1.79(95%CI:1.03-3.11)]were markedly shorter in triple-negative breast cancer cases with high HIF-1αexpression.Subgroup analysis revealed that the antibody used to detect HIF-1αexpression affected only the correlation linking HIF-1αexpression to DFS in breast cancer patients(P=0.0004).Furthermore,the sensitivity analysis demonstrates that the overall conclusions of the meta-analysis were unaffected by the removal of individual studies.CONCLUSION Compared to patients with low HIF-1αexpression,those with high expression level had shorter OS and DFS.However,the prognostic significance of high HIF-1αexpression varies across molecularly stratified breast cancer cohorts needs to be further elucidated. 展开更多
关键词 Breast cancer Hypoxia-inducible factor-1α PROGNOSIS HYPOXIA Systematic review META-ANALYSIS
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Mechanism of Hypoxia-Inducible Factor 1 Alpha Regulation of Apoptosis in Human Spermatozoa
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作者 Xinge Liu Linfeng Mo +5 位作者 Yinjia Zhang Liangzhao Liu Yan Zhang Yonghua He Mingxue Zhang Lishan Tang 《Advances in Reproductive Sciences》 2025年第1期49-62,共14页
Objective: To investigate the specific mechanism of hypoxia-inducible factor 1 alpha (HIF-1α) in the regulation of human sperm apoptosis, and to provide a new theoretical reference and scientific basis for the diagno... Objective: To investigate the specific mechanism of hypoxia-inducible factor 1 alpha (HIF-1α) in the regulation of human sperm apoptosis, and to provide a new theoretical reference and scientific basis for the diagnosis and treatment of asthenospermia and other related conditions. Methods: Semen samples were categorized into the normal group and asthenospermia group based on sperm motility criteria. HIF-1α interfering agent cobalt chloride (CoCl2) and guanylate cyclase activator (Lificiguat, YC-1) were added respectively, with a control group established accordingly. Sperm motility (using anterior viability rate as an index), apoptosis level, ATP level, mitochondrial membrane potential, and reactive oxygen species (ROS) level were measured. The expression levels of HIF-1α, p-PI3K, and Bcl-2 in the samples were analyzed using Western blotting. Results: Following CoCl2 treatment, there was a significant increase in sperm apoptosis compared to the normal control group (12.51% ± 2.50% VS 11.15% ± 2.42%);additionally, sperm motility (45.34% ± 3.37% VS 51.36% ± 11.68%), ATP production (11.51 ± 2.87 nM/µL VS 14.99 ± 2.83 nM/µL), ROS levels, and mitochondrial membrane potential all decreased significantly (all P α and p-PI3K increased significantly while Bcl-2 expression decreased (all P α in the YC-1 treatment group were decreased, and the expression level of Bcl-2 was increased (all P α can influence human sperm apoptosis and motility through the PI3K signaling pathway. 展开更多
关键词 Hypoxia Inducible factor-1α APOPTOSIS Sperm Motility ASTHENOSPERMIA
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Hypoxia-inducible factor-1α at the invasive tumor front in oral squamous cell carcinoma
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作者 Felipe Martins Silveira Lauren Frenzel Schuch +7 位作者 Vanesa Pereira-Prado Nelly Molina-Frechero Sandra Lopez-Verdin Marcelo Gómez Palacio-Gastélum Miguel Arocena Sven Niklander Estefania Sicco Ronell Bologna-Molina 《World Journal of Experimental Medicine》 2025年第2期83-92,共10页
BACKGROUND Hypoxia in oral cancer promotes tumoral invasion by inducing epithelial-mesenchymal transition,leading to aggressive tumor progression.AIM To characterize the expression of hypoxia-inducible factor 1-alpha(... BACKGROUND Hypoxia in oral cancer promotes tumoral invasion by inducing epithelial-mesenchymal transition,leading to aggressive tumor progression.AIM To characterize the expression of hypoxia-inducible factor 1-alpha(HIF-1α)at the invasive tumor front(ITF)in comparison to tumor islands(TI)in oral squamous cell carcinoma(OSCC)and to explore its relationship with E-cadherin and Vimentin expression.METHODS Thirty-eight cases of OSCC and five cases of normal oral mucosa(NOM)were included in this study.The ITF was identified based on the region and immune expression of AE1/AE3.Immunohistochemistry was performed to assess the expression of HIF-1α,Vimentin,and E-cadherin.The immunostaining was analyzed using an immunoreactive score,and the results were illustrated using immunofluorescence.RESULTS HIF-1αexpression was significantly higher in the TI region compared to the ITF region(P=0.0134).Additionally,a significant difference was observed between TI and NOM(P=0.0115).In the ITF regions,HIF-1αexpression showed a significant correlation with Vimentin expression,with higher levels of HIF-1αassociated with increased Vimentin expression(P=0.017).CONCLUSION Based on the results of this study,HIF-1αappears to play a distinct role in OSCC tumor progression,underscoring the importance of exploring hypoxia-driven changes in cellular phenotype at the ITF of OSCC.Further research is needed to better understand their impact on OSCC prognosis. 展开更多
关键词 Hypoxia-inducible factor-1α Oral squamous cell carcinoma IMMUNOHISTOCHEMISTRY VIMENTIN E-CADHERIN
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miR-1 Promotes Apoptosis and Aggravates Myocardial Ischemia–Reperfusion Injury by Downregulating Insulin-Like Growth Factor-1
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作者 Zhen Lei Fei Yan +5 位作者 Yan Shu Tengyun Liang Mengwen Zhang Xinzhou Wang Haixia Gao Hong Wu 《Chinese Medicine and Natural Products》 2025年第3期162-171,共10页
Objective MicroRNA-1(miR-1)aggravates myocardial ischemia–reperfusion(I/R)injury,whereas insulin-like growth factor-1(IGF-1)maintains cardiomyocyte homeostasis.In this study,the aim is to investigate whether miR-1 ca... Objective MicroRNA-1(miR-1)aggravates myocardial ischemia–reperfusion(I/R)injury,whereas insulin-like growth factor-1(IGF-1)maintains cardiomyocyte homeostasis.In this study,the aim is to investigate whether miR-1 can exacerbate I/R injury through the regulation of IGF-1.Methods The infarct area,lactate dehydrogenase,miR-1 level,and apoptosis level were examined in the Langendorff isolated rat I/R model.The hypoxia–reoxygenation model of rat cardiacmyocytes and H9c2 cells were developed to determine the levels of miR-1,IGF-1 mRNA,and IGF-1 protein.Furthermore,the dual-luciferase assay was used to verify the relationship between miR-1 and IGF-1.Results Overexpression of miR-1 increased the level of apoptosis and decreased the IGF-1 expression.However,inhibition of miR-1 expression decreased the level of apoptosis,alleviated the degree of injury,and increased the IGF-1 expression.Overexpression of IGF-1 also reduced the degree of cellular damage and level of apoptosis caused by the overexpression of miR-1.When IGF-1 was knocked down,myocardial cells displayed more severe damage and a higher apoptosis level,even with decreased levels of miR-1.Conclusion miR-1 promotes apoptosis and aggravates I/R injury by downregulating IGF-1. 展开更多
关键词 MIR-1 insulin-like growth factor-1 myocardial ischemia–reperfusion injury hypoxia–reperfusion injury APOPTOSIS
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血清LRG1、S100A14预测腹腔镜结肠癌根治术后复发转移的临床价值
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作者 肖高春 惠远见 +3 位作者 李俊 谭华勇 向峰 刘焱伟 《疑难病杂志》 2026年第2期173-177,共5页
目的探究血清富亮氨酸α-2糖蛋白-1(LRG1)、S100钙离子结合蛋白A14(S100A14)预测腹腔镜结肠癌根治术后复发转移的临床价值。方法回顾性选取2020年7月—2022年6月十堰市太和医院胃肠外科进行腹腔镜结肠癌根治术的结肠癌患者220例为结肠癌... 目的探究血清富亮氨酸α-2糖蛋白-1(LRG1)、S100钙离子结合蛋白A14(S100A14)预测腹腔镜结肠癌根治术后复发转移的临床价值。方法回顾性选取2020年7月—2022年6月十堰市太和医院胃肠外科进行腹腔镜结肠癌根治术的结肠癌患者220例为结肠癌组,根据术后3年内是否复发转移将结肠癌患者分为复发转移亚组54例和未复发转移亚组166例,另选取同期就诊的结肠良性病变患者90例为对照组。采用酶联免疫吸附试验(ELISA)检测血清LRG1、S100A14水平;采用多因素Logistic回归分析结肠癌患者行腹腔镜结肠癌根治术后复发转移的影响因素;受试者工作特征(ROC)曲线评估血清LRG1、S100A14水平对结肠癌患者行腹腔镜结肠癌根治术后复发转移的预测价值。结果结肠癌组血清LRG1、S100A14水平均高于对照组(t/P=24.094/<0.001、29.156/<0.001);复发转移亚组结肠癌低分化程度、TNM分期Ⅲ期、淋巴结转移比例及血清LRG1、S100A14水平高于未复发转移亚组(χ^(2)/P=23.979/<0.001、11.324/0.001、22.861/<0.001,t/P=5.990/<0.001、6.469/<0.001);多因素Logistic回归分析显示,分化程度低、TNM分期Ⅲ期、淋巴结转移、LRG1高、S100A14高是结肠癌患者术后复发转移的独立危险因素[OR(95%CI)=25.953(3.077~218.923)、10.057(1.151~87.835)、3.231(1.379~7.569)、1.041(1.023~1.060)、1.481(1.249~1.756)];血清LRG1、S100A14水平单独及二者联合预测结肠癌患者术后复发转移的曲线下面积(AUC)分别为0.760、0.758、0.833,二者联合优于各自单独预测价值(Z/P=2.921/0.003、2.647/0.008)。结论血清LRG1、S100A14水平与腹腔镜结肠癌根治术后复发转移密切相关,二者联合对结肠癌患者发生术后复发转移有较高的预测价值。 展开更多
关键词 结肠癌 腹腔镜根治术 复发转移 富亮氨酸α-2糖蛋白-1 S100钙离子结合蛋白A14
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Exploring the mechanism of Shenhua tablet(肾华片)alleviating renal injury by regulating macrophage glycolysis via hypoxia-inducible factor-1α/pyruvate kinase M2 signaling pathway in diabetic kidney disease mice
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作者 CHEN Yuanchun JING Jiaxing +5 位作者 LI Qingmin ZHOU Xiaohong JIN Xiaofei GAO Weijuan CHEN Xiangmei YU Wentao 《Journal of Traditional Chinese Medicine》 2025年第3期528-537,共10页
OBJECTIVE:To investigate the impact of Shenhua tablet(肾华片,SHT)on renal macrophage polarization and renal injury in mice with diabetic kidney disease(DKD)and to explore the potential mechanism involving the hypoxia-... OBJECTIVE:To investigate the impact of Shenhua tablet(肾华片,SHT)on renal macrophage polarization and renal injury in mice with diabetic kidney disease(DKD)and to explore the potential mechanism involving the hypoxia-inducible factor-1α(HIF-1α)and pyruvate kinase M2(PKM2)signaling pathway,along with the glycolysis metabolism pathway.METHODS:The animals were divided into the following groups:Model,Control,dapagliflozin,SHT low-dose,SHT medium-dose,and SHT high-dose.We assessed 24-hour urine protein(24 h-UTP)levels,urinary albuminto-creatinine ratio,and regularly monitored fasting blood glucose during the treatment period.After treatment,we examined renal tissue structure,renal function(urea nitrogen,uric acid,creatinine,cystatin C,β2-microglobulin),and glycolysis in renal macrophages.Additionally,we observed macrophage polarization in renal tissue and measured inflammatory factors(tumor necrosis factor-α,interleukin-1β,interleukin-6,interleukin-10,monocyte chemoattractant protein-1)to assess the immunoinflammatory status of the renal tissue.Finally,we investigated the expression of the HIF-1α/PKM2 signaling pathway in macrophages to explore its role in the glycolysis process.RESULTS:SHT shows a beneficial effect in treating DKD by reducing 24 h-UTP,regulating blood glucose levels,improving renal tissue structure,protecting renal function,inhibiting macrophage glycolysis,reducing macrophage transformation to the M1 state,and suppressing the expression of the HIF-1α/PKM2 signaling pathway.CONCLUSION:SHT may exert renoprotective effects by inhibiting macrophage glycolysis via the HIF-1α/PKM2 signaling pathway.This inhibition decreases macrophage M1 polarization and reduces immunoinflammatory injury in the renal tissue of DKD mice. 展开更多
关键词 diabetic kidney disease MACROPHAGES GLYCOLYSIS hypoxia-inducible factor-1α pyruvate kinase M2 Shenhua tablet
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