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Infiltration by monocytes of the central nervous system and its role in multiple sclerosis: reflections on therapeutic strategies 被引量:1
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作者 Guangyong Zhang Qing Yao +9 位作者 Chubing Long Pengcheng Yi Jiali Song Luojia Wu Wei Wan Xiuqin Rao Yue Lin Gen Wei Jun Ying Fuzhou Hua 《Neural Regeneration Research》 SCIE CAS 2025年第3期779-793,共15页
Mononuclear macrophage infiltration in the central nervous system is a prominent feature of neuroinflammation. Recent studies on the pathogenesis and progression of multiple sclerosis have highlighted the multiple rol... Mononuclear macrophage infiltration in the central nervous system is a prominent feature of neuroinflammation. Recent studies on the pathogenesis and progression of multiple sclerosis have highlighted the multiple roles of mononuclear macrophages in the neuroinflammatory process. Monocytes play a significant role in neuroinflammation, and managing neuroinflammation by manipulating peripheral monocytes stands out as an effective strategy for the treatment of multiple sclerosis, leading to improved patient outcomes. This review outlines the steps involved in the entry of myeloid monocytes into the central nervous system that are targets for effective intervention: the activation of bone marrow hematopoiesis, migration of monocytes in the blood, and penetration of the blood–brain barrier by monocytes. Finally, we summarize the different monocyte subpopulations and their effects on the central nervous system based on phenotypic differences. As activated microglia resemble monocyte-derived macrophages, it is important to accurately identify the role of monocyte-derived macrophages in disease. Depending on the roles played by monocyte-derived macrophages at different stages of the disease, several of these processes can be interrupted to limit neuroinflammation and improve patient prognosis. Here, we discuss possible strategies to target monocytes in neurological diseases, focusing on three key aspects of monocyte infiltration into the central nervous system, to provide new ideas for the treatment of neurodegenerative diseases. 展开更多
关键词 blood–brain barrier MACROPHAGES monocytes multiple sclerosis NEUROINFLAMMATION review therapy
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Immune indicators and depression in adolescents:Associations with monocytes,lymphocytes,and direct bilirubin
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作者 Jian Dai Xiao-Tong Lin +5 位作者 Lu-Lu Shen Xi-Wen Zhang Zi-Wen Ding Jing Wang Xi-Wang Fan Wei-Dong Ning 《World Journal of Psychiatry》 2025年第2期23-32,共10页
BACKGROUND Depression is a significant psychiatric disorder with particularly high prevalence among adolescents.This mental health condition can have severe consequences,including academic failure,social withdrawal,an... BACKGROUND Depression is a significant psychiatric disorder with particularly high prevalence among adolescents.This mental health condition can have severe consequences,including academic failure,social withdrawal,and suicidal behavior.Given the increasing rate of depression in this age group,understanding the underlying biological mechanisms is essential for early detection and intervention.Recent studies have suggested that immune markers play a role in the pathophysiology of depression,prompting further investigation of their potential association with depressive symptoms in adolescents.AIM To investigate the relationship between immune markers(monocytes,lymphocytes,and direct bilirubin)and the incidence and severity of depression among adolescents.METHODS This cross-sectional study recruited 145 adolescent patients with depression[male(M)/female(F)=38/107]from Jiangbin Hospital in Guangxi,Zhuang and 163 healthy controls(M/F=77/86)from routine health check-ups.Blood samples were collected after an overnight fast.Depression severity was measured using the Zung Self-Rating Depression Scale.The inclusion criteria were age 12-24 years,diagnosis of depressive disorder(ICD-10),and no recent antidepressant use.The exclusion criteria included psychiatric comorbidities and serious somatic diseases.Key statistical methods included group comparisons and correlation analyses.RESULTS There was a higher prevalence of females in the depression group(P<0.001).Significant age differences were observed between the groups(Z=9.43,P<0.001).The depression group had higher monocyte(Z=3.43,P<0.001)and lymphocyte(t=2.29,P<0.05)counts,and higher serum direct bilirubin levels(Z=4.72,P<0.001).Monocyte count varied significantly according to depression severity,with lower counts in the mild group(Z=-2.90,P<0.05).A negative correlation between age and lymphocyte counts was observed(ρ=-0.22,P<0.01).Logistic regression analysis showed that serum direct bilirubin levels significantly predicted depression.CONCLUSION The potential role of elevated levels of immune markers in the early detection of depression in adolescents has been highlighted.Therefore,it is necessary to explore further the relationships between these immune markers and depression. 展开更多
关键词 DEPRESSION Adolescents Immune markers MONOCYTE LYMPHOCYTE Direct bilirubin
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Single-cell transcriptomic analysis identifies systemic immunosuppressive myeloid cells and local monocytes/macrophages as key regulators in polytrauma-induced immune dysregulation
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作者 Drishti Maniar MCole Keenum +6 位作者 Casey E.Vantucci Tyler Guyer Paramita Chatterjee Kelly Leguineche Kaitlyn Cheung Robert E.Guldberg Krishnendu Roy 《Bone Research》 2025年第5期1224-1238,共15页
Polytrauma with significant bone and volumetric muscle loss presents substantial clinical challenges.Although immune responses significantly influence fracture healing post-polytrauma,the cellular and molecular underp... Polytrauma with significant bone and volumetric muscle loss presents substantial clinical challenges.Although immune responses significantly influence fracture healing post-polytrauma,the cellular and molecular underpinnings of polytrauma-induced immune dysregulation require further investigation.While previous studies examined either injury site tissue or systemic tissue(peripheral blood),our study uniquely investigated both systemic and local immune cells at the same time to better understand polytrauma-induced immune dysregulation and associated impaired bone healing.Using single-cell RNA sequencing(scRNA-seq)in a rat polytrauma model,we analyzed blood,bone marrow,and the local defect soft tissue to identify potential cellular and molecular targets involved in immune dysregulation.We identified a trauma-associated immunosuppressive myeloid(TIM)cell population that drives systemic immune dysregulation,immunosuppression,and potentially impaired bone healing.We found CD1d as a global marker for TIM cells in polytrauma. 展开更多
关键词 bone volumetric muscle loss local monocytes macrophages injury site tissue polytrauma induced immune dysregulation systemic immunosuppressive myeloid cells systemic local immune cells systemic tissue peripheral blood our immune responses
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Impaired efferocytosis by monocytes and monocyte-derived macrophages in patients with poorly controlled type 2 diabetes
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作者 Qian-Yun Mao Hui Ran +11 位作者 Qiu-Yue Hu Sun-Yue He Yao Lu Han Li Yi-Meng Chai Zhao-Yin Chu Xu Qian Wan Ding Yi-Xin Niu Hong-Mei Zhang Xiao-Yong Li Qing Su 《World Journal of Diabetes》 2025年第5期283-296,共14页
BACKGROUND Deficient efferocytosis(i.e.,phagocytic clearance of apoptotic cells)by macrophages has been frequently reported in experimental models of type 2 diabetes(T2D).AIM To translate these findings to humans by t... BACKGROUND Deficient efferocytosis(i.e.,phagocytic clearance of apoptotic cells)by macrophages has been frequently reported in experimental models of type 2 diabetes(T2D).AIM To translate these findings to humans by testing whether the efferocytosis capacity of blood monocytes and monocyte-derived macrophages is impaired in T2D patients.METHODS Overall,30 patients with poorly controlled T2D[glycosylated hemoglobin(HbA1c)≥8.0%]and 30 age-and sex-matched control subjects were enrolled in the study.The efferocytosis capacities of peripheral blood monocytes and monocyte-derived macrophages were assessed by flow cytometry and immunostaining.Macrophage membrane CD14 expression was examined by flow cytometry.Metabolic factors such as 25(OH)D and immune factors such as interleukin-1βwere also measured.RESULTS The mean monocyte efferocytosis index in the diabetes group was significantly lower than that in the control group.Notably,efferocytosis remained impaired after monocytes differentiated into macrophages.Additionally,the percentages of classical monocytes(CD14^(++)CD16-monocytes)and CD14^(+)macrophages were significantly lower in the diabetes group.Multivariate linear regression analysis in diabetes patients demonstrated that the monocyte efferocytosis index was independently associated with the HbA1c level,and that the macrophage efferocytosis index was significantly associated with the percentage of CD14^(+)macrophages.CONCLUSION Impaired efferocytosis was observed in T2D patients,with poor glycemic control affecting both blood monocytes and monocyte-derived macrophages.The efferocytosis index was negatively associated with metrics of glycemic control,and glucotoxicity may impact efferocytosis through reducing CD14 expression on both monocytes and macrophages. 展开更多
关键词 Type 2 diabetes EFFEROCYTOSIS MONOCYTE MACROPHAGE
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术后单核细胞与高密度脂蛋白胆固醇比值与体外循环瓣膜置换术患者院内死亡的相关性分析
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作者 彭泰峦 向军 赖应龙 《心肺血管病杂志》 2026年第2期192-198,共7页
目的:探讨术后单核细胞(monocyte,MO)与HDL-C比值(monocyte to high-density lipoprotein cholesterol ratio,MHR)在体外循环瓣膜置换术后院内死亡的相关性,为临床工作提供参考指标。方法:回顾性分析2019年1月至2022年12月于川北医学院... 目的:探讨术后单核细胞(monocyte,MO)与HDL-C比值(monocyte to high-density lipoprotein cholesterol ratio,MHR)在体外循环瓣膜置换术后院内死亡的相关性,为临床工作提供参考指标。方法:回顾性分析2019年1月至2022年12月于川北医学院附属医院行体外循环瓣膜置换术的648例患者的临床资料。收集患者基线资料、实验室指标(包括单核细胞、HDL-C、BNP及cTnT等)、手术情况及并发症,计算入院MHR和术后MHR。采用Wilcoxon秩和检验、χ^(2)检验比较存活组与死亡组差异;Spearman相关分析MHR与各指标的相关性;多因素Logistic回归筛选院内死亡的独立危险因素;ROC曲线评估术后MHR的预测价值。结果:死亡组年龄、cTnT、BNP、术后MHR、体外循环时间、冠心病比例及心功能分级均高于存活组,EF值低于存活组(均P<0.05)。术后MHR与院内死亡、低心排综合征、急性肾损伤、重症感染均呈正相关(P<0.001)。多因素分析显示,术后MHR(OR=2.033,95%CI:1.088~3.802)、EF值、冠心病、体外循环时间、BNP、心功能分级是院内死亡的独立危险因素(P<0.05)。术后MHR预测院内死亡的AUC为0.849(95%CI:0.813~0.887),最佳截断值1.455对应的敏感度89.8%、特异度74.3%。结论:术后MHR与体外循环瓣膜置换术后院内死亡独立相关,可作为早期风险识别的辅助指标,但其临床效用尚需前瞻性多中心研究验证。 展开更多
关键词 单核细胞与高密度脂蛋白胆固醇比值 体外循环 瓣膜置换术 院内死亡
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血清Nε-羧甲基赖氨酸及白细胞相关炎症指标预测股腘动脉粥样硬化闭塞症预后的价值
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作者 杨国栋 赵乐 +4 位作者 段利科 申东彦 李静 宋德洋 马腾腾 《河南医学研究》 2026年第2期203-206,共4页
目的探讨Nε-羧甲基赖氨酸(CML)及白细胞相关炎症指标中性粒细胞与淋巴细胞比值(NLR)、单核细胞与淋巴细胞比值(MLR)和血小板与淋巴细胞比值(PLR)的表达与入股腘动脉粥样硬化闭塞症的相关性。方法采用酶联免疫吸附试验(ELISA)检测入股... 目的探讨Nε-羧甲基赖氨酸(CML)及白细胞相关炎症指标中性粒细胞与淋巴细胞比值(NLR)、单核细胞与淋巴细胞比值(MLR)和血小板与淋巴细胞比值(PLR)的表达与入股腘动脉粥样硬化闭塞症的相关性。方法采用酶联免疫吸附试验(ELISA)检测入股腘动脉粥样硬化闭塞症患者斑块组(68例)及正常健康体检对照组(36例)中血清CML的表达;同时检测所有受试者的NLR、MLR和PLR值。结果血清中CML在对照组、斑块组中的表达量分别为(12.88±2.49)、(96.45±11.36)mg·L^(-1);与对照组相比,斑块组的男性、吸烟史的占比及年龄、NLR、MLR、PLR均高于对照组(P<0.05)。受试者工作特征(ROC)曲线分析显示,NLR、MLR、PLR、CML及四项联合预测股腘动脉粥样硬化闭塞症的曲线下面积(AUC)分别为0.820、0.770、0.787、0.873和0.890(P<0.05)。NLR>1.81、MLR>0.22、PLR>136.54、CML>76.60、男性、吸烟和高龄是股腘动脉粥样硬化闭塞症的独立危险因素(P<0.05)。结论斑块组CML的表达升高,提示CML可能与股腘动脉粥样硬化的发生有关。同时,炎症反应可能参与了股腘动脉粥样硬化闭塞症的发病过程。CML是股腘动脉粥样硬化性闭塞的独立危险因素,NLR、MLR、PLR联合CML检测可提高临床早期诊断股腘动脉粥样硬化闭塞症的敏感度和准确度。 展开更多
关键词 Nε-羧甲基赖氨酸 动脉粥样硬化斑块 中性粒细胞/淋巴细胞比值 单核细胞/淋巴细胞比值 血小板/淋巴细胞比值
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脑小血管病抑郁患者血清LDH、MCP-1、TCF4水平检测及其临床意义
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作者 刘斯倩 于振剑 +2 位作者 张顺 李娜 王玲 《中风与神经疾病杂志》 2026年第1期47-51,共5页
目的探索脑小血管病合并抑郁患者血清乳酸脱氢酶(LDH)、单核细胞趋化蛋白-1(MCP-1)、转录因子4(TCF4)水平变化和临床意义。方法选择2022年1月—2024年8月在开滦总医院住院的患者作为研究对象,筛选出符合纳入和排除标准的患者90例(其中... 目的探索脑小血管病合并抑郁患者血清乳酸脱氢酶(LDH)、单核细胞趋化蛋白-1(MCP-1)、转录因子4(TCF4)水平变化和临床意义。方法选择2022年1月—2024年8月在开滦总医院住院的患者作为研究对象,筛选出符合纳入和排除标准的患者90例(其中确诊为脑小血管病合并抑郁患者27例,脑小血管病未合并抑郁患者63例),选择同期于开滦总医院体检显示头部MRI检查正常、无其他可引起精神障碍疾病的正常者45例作为对照组;收集3组一般资料,包括年龄、体重指数(BMI)、收缩压、舒张压等,对一般资料和三组血清LDH、MCP-1、TCF4水平进行比较,并分析血清LDH、MCP-1、TCF4水平和脑小血管病合并抑郁患者HAMD评分的相关性;使用Logistic回归分析导致脑小血管病患者发生抑郁的可能因素,利用受试者工作特征(ROC)曲线分析血清LDH、MCP-1、TCF4水平诊断脑小血管病发生抑郁的效能。结果脑小血管病合并抑郁组血清LDH、MCP-1、TCF4水平较对照组、脑小血管病未合并抑郁组升高,而且脑小血管病未合并抑郁组血清LDH、MCP-1、TCF4水平较对照组也升高(P<0.05);脑小血管病合并抑郁患者血清LDH、MCP-1、TCF4与汉密尔顿抑郁量表(HAMD)评分呈正相关(r分别为0.606、0.798、0.672,P均<0.001);血清LDH、MCP-1、TCF4是脑小血管病发生抑郁的影响因素(P<0.05);LDH、MCP-1、TCF4三者联合诊断脑小血管病发生抑郁的AUC是0.917,优于血清LDH、MCP-1、TCF4各自单独诊断(Z_(LDH-联合)=2.457、P=0.014,Z_(MCP-1-联合)=2.384、P=0.017,Z_(TCF4-联合)=2.317、P=0.021)。结论脑小血管病合并抑郁患者血清LDH、MCP-1、TCF4水平升高,三者联合检测对脑小血管病患者发生抑郁的诊断价值较好。 展开更多
关键词 脑小血管病 抑郁 乳酸脱氢酶 单核细胞趋化蛋白-1 转录因子4 临床意义
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MHR、TyG水平与冠状动脉原位狭窄病变药物涂层球囊治疗后再狭窄的关联
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作者 王小燕 吴瑶 +4 位作者 汪带娣 唐文婧 夏龙凤 曹素晴 孙振 《中国动脉硬化杂志》 2026年第1期33-38,共6页
[目的]探索单核细胞/高密度脂蛋白比值(MHR)和甘油三酯葡萄糖指数(TyG)与冠状动脉原位狭窄病变行药物涂层球囊治疗后发生再狭窄的关联性。[方法]纳入2022年1月—2024年12月行药物涂层球囊扩张术,并再次复查冠状动脉造影的患者共115例。... [目的]探索单核细胞/高密度脂蛋白比值(MHR)和甘油三酯葡萄糖指数(TyG)与冠状动脉原位狭窄病变行药物涂层球囊治疗后发生再狭窄的关联性。[方法]纳入2022年1月—2024年12月行药物涂层球囊扩张术,并再次复查冠状动脉造影的患者共115例。根据复查造影结果分为未狭窄组(59例)和再狭窄组(56例),单因素/多因素回归分析、相关性分析和ROC曲线分析评估MHR、TyG对再狭窄发生的影响和预测价值。[结果]相较于未狭窄组,再狭窄组在糖尿病患者占比、单核细胞数、空腹血糖、甘油三酯、低密度脂蛋白胆固醇、脂蛋白(a)、MHR和TyG方面均显著增加(P<0.05)。Logistic回归分析显示MHR、TyG水平升高是药物涂层球囊治疗后再狭窄发生的独立危险因素,且MHR、TyG水平与药物涂层球囊治疗后再狭窄发生呈正相关。ROC曲线分析显示MHR、TyG水平对药物涂层球囊治疗后再狭窄的发生有较好的预测效能,且其联合应用的预测效能进一步提升。[结论] MHR、TyG水平升高与冠状动脉原位狭窄病变药物涂层球囊治疗后再狭窄发生风险存在显著关联,是有效预测再狭窄发生的潜在指标。 展开更多
关键词 单核细胞/高密度脂蛋白比值 甘油三酯葡萄糖指数 药物涂层球囊 冠心病 再狭窄
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血清IL-6、MCP-1、SAA在肾结石术后尿路感染中的表达及临床意义
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作者 张磊 陈鸿润 +1 位作者 张连峰 付陶柱 《疑难病杂志》 2026年第2期191-195,共5页
目的分析血清白介素-6(IL-6)、单核细胞趋化蛋白1(MCP-1)、淀粉样蛋白A(SAA)在肾结石术后尿路感染(UTI)中的表达及临床意义。方法选取2023年10月—2024年10月首都医科大学附属复兴医院泌尿外科行肾结石术治疗的患者187例,根据术后是否发... 目的分析血清白介素-6(IL-6)、单核细胞趋化蛋白1(MCP-1)、淀粉样蛋白A(SAA)在肾结石术后尿路感染(UTI)中的表达及临床意义。方法选取2023年10月—2024年10月首都医科大学附属复兴医院泌尿外科行肾结石术治疗的患者187例,根据术后是否发生UTI将其分为UTI组(n=45)和非UTI组(n=142)。ELISA法检测血清IL-6、MCP-1、SAA水平;利用微生物分析仪检测并鉴定病原菌类型;多因素Logistic回归分析患者行肾结石术后发生UTI的影响因素;受试者工作特征(ROC)曲线分析血清IL-6、MCP-1、SAA水平对患者行肾结石术后发生UTI的诊断价值。结果UTI组血清IL-6、MCP-1、SAA水平高于非UTI组(t/P=6.691/<0.001、6.060/<0.001、5.549/<0.001)。行肾结石术后,UTI组患者尿液分离培养出病原菌65株,其中革兰阳性菌22株(33.85%)、革兰阴性菌38株(58.46%)、真菌5株(7.69%)。多因素Logistic回归分析显示,术前留置输尿管支架管、尿管留置时间长、IL-6高、MCP-1高、SAA高是患者行肾结石术后发生UTI的独立危险因素[OR(95%CI)=2.453(1.527~3.942)、3.023(1.580~5.784)、4.112(3.168~5.337)、3.786(2.058~6.965)、4.978(2.859~8.669)];血清IL-6、MCP-1、SAA水平单独及三者联合诊断患者行肾结石术后发生UTI的曲线下面积(AUC)分别为0.753、0.766、0.832、0.931,三者联合优于各自单独诊断价值(Z/P=4.255/<0.001、4.303/<0.001、3.568/<0.001)。结论IL-6、MCP-1、SAA在肾结石术后发生UTI的患者中呈高水平,三者联合检测可以提高对肾结石术后发生UTI的诊断效能。 展开更多
关键词 肾结石术 尿路感染 白介素-6 单核细胞趋化蛋白1 淀粉样蛋白A
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NLR、LMR、PLR及肝功能指标在自身免疫性肝炎中的诊断价值分析
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作者 柴华 吴琪 殷雨梅 《中国实用医药》 2026年第3期75-78,共4页
目的探讨中性粒细胞/淋巴细胞比值(NLR)、淋巴细胞/单核细胞比值(LMR)、血小板/淋巴细胞比值(PLR)及肝功能指标在自身免疫性肝炎中的诊断价值。方法回顾性选取自身免疫性肝炎患者96例(自身免疫性肝炎组)和同期健康体检者50例(对照组)。... 目的探讨中性粒细胞/淋巴细胞比值(NLR)、淋巴细胞/单核细胞比值(LMR)、血小板/淋巴细胞比值(PLR)及肝功能指标在自身免疫性肝炎中的诊断价值。方法回顾性选取自身免疫性肝炎患者96例(自身免疫性肝炎组)和同期健康体检者50例(对照组)。比较两组一般资料,炎症指标(NLR、LMR、PLR)及肝功能指标[谷丙转氨酶(ALT)、谷草转氨酶(AST)、γ-谷氨酰转肽酶(GGT)、碱性磷酸酶(ALP)、总胆红素(TBil)],分析NLR、LMR、PLR、ALT单独及联合诊断自身免疫性肝炎的效能。结果自身免疫性肝炎组自身抗体阳性率89.6%(86/96)。自身免疫性肝炎组NLR、PLR、ALT、AST、GGT、ALP、TBil水平分别为(3.2±0.2)、(156.2±35.7)、(128.6±25.3)U/L、(98.7±22.5)U/L、(156.8±32.4)U/L、(132.5±25.7)U/L、(42.3±12.6)μmol/L,均高于对照组的(1.6±0.2)、(98.6±28.4)、(22.5±8.7)U/L、(20.8±7.2)U/L、(28.6±12.3)U/L、(68.4±18.6)U/L、(12.5±4.8)μmol/L,LMR(3.5±0.8)低于对照组的(4.3±1.0)(P<0.05)。受试者工作特征(ROC)曲线分析显示:NLR、LMR、PLR、ALT单独及联合诊断自身免疫性肝炎的AUC分别为0.812、0.785、0.798、0.862、0.932,提示联合诊断的效能最高。结论NLR、LMR、PLR联合ALT对自身免疫性肝炎具有很高的诊断价值,可作为传统诊断体系的有益补充。 展开更多
关键词 中性粒细胞/淋巴细胞比值 淋巴细胞/单核细胞比值 血小板/淋巴细胞比值 肝功能指标 自身免疫性肝炎
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MLR、SII与口腔鳞状细胞癌临床病理特征及预后相关性分析
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作者 徐克 徐文毅 +1 位作者 苏涵 姜荣荣 《交通医学》 2026年第1期13-16,共4页
目的:探讨单核细胞/淋巴细胞比值(monocyte to lymphocyte ratio,MLR)、全身免疫炎症指数(systemic immune inflammation index,SII)与口腔鳞状细胞癌(oral squamous cell carcinoma,OSCC)患者临床病理特征及预后的相关性。方法:选取口... 目的:探讨单核细胞/淋巴细胞比值(monocyte to lymphocyte ratio,MLR)、全身免疫炎症指数(systemic immune inflammation index,SII)与口腔鳞状细胞癌(oral squamous cell carcinoma,OSCC)患者临床病理特征及预后的相关性。方法:选取口腔鳞状细胞癌患者93例作为观察组,以同期体检正常的志愿者86例作为对照组。比较两组MLR、SII水平;比较不同病理分级、病理分期、有无淋巴结转移患者MLR、SII水平。93例OSCC患者术后随访期间复发或死亡37例为预后不良组,其余56例为预后良好组,比较两组MLR、SII水平。绘制受试者工作特征(receiver operating characteristic,ROC)曲线,并计算曲线下面积(area under curve,AUC),分析MLR、SII单独及联合检测对OSCC患者预后不良的预测价值。结果:观察组血液MLR、SII水平为0.690±0.174、(512.4±122.3)×10~9/L,分别高于对照组的0.509±0.136和(385.5±109.1)×10~9/L(均P<0.001)。中低分化患者MLR(0.729±0.168 vs 0.635±0.170)、SII[(540.2±119.4)×10~9/L vs(472.2±116.5)×10~9/L]水平高于高分化患者;临床分期Ⅲ~Ⅳ期患者MLR(0.789±0.140 vs 0.636±0.168)、SII[(588.0±108.7)×10~9/L vs(470.9±109.4)×10~9/L]水平高于临床分期Ⅰ~Ⅱ期患者;淋巴结转移的口腔癌患者MLR(0.754±0.163 vs 0.659±0.171)、SII[(561.3±115.9)×10~9/L vs(485.6±118.2)×10~9/L]水平高于无淋巴结转移患者(均P<0.01)。预后不良组MLR、SII水平为0.731±0.173、(542.1±125.3)×10~9/L,分别高于预后良好组的0.663±0.171、(491.9±117.0)×10~9/L(均P<0.001)。ROC曲线分析显示,MLR、SII单独预测OSCC患者预后不良的AUC分别为0.765、0.751,低于MLR、SII联合预测的AUC 0.783(均P<0.001)。结论:口腔鳞状细胞癌患者MLR、SII水平异常升高,与肿瘤恶性程度及不良预后密切相关,MLR与SII联合检测可显著提升OSCC患者预后评估的准确性。 展开更多
关键词 口腔鳞状细胞癌 单核细胞/淋巴细胞比值 全身免疫炎症指数 临床病理特征 预后
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Expression of dendritic cell-specific intercellular adhesion molecule 3 grabbing nonintegrin on dendritic cells generated from human peripheral blood monocytes 被引量:2
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作者 Jun Li Zhi-Hua Feng Guang-Yu Li Dan-Lei Mou Qing-He Nie 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第3期453-456,共4页
AIM: To generate dendritic cells (DCs) from human peripheral blood and to detect the expression of dendritic cell-specific intercellular adhesion molecule 3 grabbing nonintegrin (DC-SIGN; CD209) for the further s... AIM: To generate dendritic cells (DCs) from human peripheral blood and to detect the expression of dendritic cell-specific intercellular adhesion molecule 3 grabbing nonintegrin (DC-SIGN; CD209) for the further study of DC-SIGN in hepatitis C virus (HCV) transmission. METHODS: Peripheral blood monocytes were isolated from blood of healthy individuals by Ficoll--Hypaque sedimentation and cultured in complete medium containing rhGM-CSF and rhIL-4. Cells were cultured for seven days, with cytokine addition every two days to obtain immature DCs. Characteristics of the cultured cells were observed under light and scanning microscope, and the expression of DC-SIGN was detected by immunofluorescence staining. RESULTS: After seven-day culture, a large number of cells with typical characteristics of DCs appeared. Their characteristics were observed under light and scanning electron microscope. These cells had a variety of cell shapes such as those of bipolar elongate cells, elaborate stellate cells and DCs. DC-SIGN was detected by immunofluorescence staining and its expression level on cultivated dendritic cells was high. CONCLUSION: DCs with a high expression of DC-SIGN can be generated from human peripheral blood monocytes in complete medium containing rhGM-CSF and rhIL-4. 展开更多
关键词 Expression of DC-SIGN Dentric cells Peripheral blood monocytes.
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外周血MHR、NLR水平联合NT-proBNP对HFrEF患者预后评估的增益价值
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作者 孔憨 白静 +1 位作者 牛婷 严鸣光 《海南医学》 2026年第3期327-333,共7页
目的探究外周血中性粒细胞与淋巴细胞比值(NLR)、单核细胞计数与高密度脂蛋白胆固醇比值(MHR)、N-端B型利钠肽前体(NT-proBNP)与射血分数降低的心力衰竭(HFrEF)患者预后的相关性,并分析联合检测对预后模型的增益价值。方法回顾性收集202... 目的探究外周血中性粒细胞与淋巴细胞比值(NLR)、单核细胞计数与高密度脂蛋白胆固醇比值(MHR)、N-端B型利钠肽前体(NT-proBNP)与射血分数降低的心力衰竭(HFrEF)患者预后的相关性,并分析联合检测对预后模型的增益价值。方法回顾性收集2023年1月至2024年1月商丘市中心医院收治的HFrEF患者的临床资料,选取60例1年内预后不良者纳入预后不良组,60例1年内预后良好者纳入预后良好组。比较两组患者的一般资料、治疗前外周血MHR、NLR、NT-proBNP水平,通过多因素Logistic回归分析治疗前外周血MHR、NLR、NT-proBNP对预后不良的影响,采用限制性立方样条(RCS)分析治疗前外周血MHR、NLR、NT-proBNP与预后不良的剂量-反应关系及预测预后不良的价值。根据常规指标构建常规Logistic回归方程(LR)模型,根据常规指标、MHR、NLR、NT-proBNP构建新LR模型,通过受试者工作特征(ROC)曲线分析两种模型的预测效能,采用校准曲线、决策曲线分析新LR模型的准确性及临床效用。结果预后不良组患者的糖尿病、住院期间室性心律失常(VA)、营养不良、衰弱者比例及治疗前外周血MHR、NLR、NT-proBNP水平分别为43.33%、21.67%、43.33%、33.33%、0.62±0.18、6.58±1.76、(4327.48±426.51)pg/mL,明显高于预后良好组的18.33%、3.33%、18.33%、11.67%、0.40±0.13、5.03±1.52、(3867.91±389.74)pg/mL,左室射血分数(LVEF)为(32.78±2.95)%,明显低于预后良好组的(35.14±2.37)%,差异均有统计学意义(P<0.05);多因素Logistic回归分析结果显示,治疗前外周血MHR、NLR、NT-proBNP均为HFrEF患者预后不良的独立危险因素(P<0.05);RCS分析结果显示,外周血MHR、NLR、NT-proBNP均与预后不良风险存在非线性的正性剂量-反应关系(P-nonlinear<0.05);ROC分析结果显示,治疗前外周血MHR、NLR、NT-proBNP预测HFrEF患者预后不良的曲线下面积(AUC)分别为0.751、0.724、0.731;新LR模型、常规LR模型预测HFrEF患者预后不良的AUC分别为0.932、0.846,新LR模型的AUC明显大于常规LR模型(P<0.05);校准曲线、决策曲线分析结果显示,新LR模型的校准度较高,在预测HFrEF患者预后不良风险方面具有较高临床效用。结论HFrEF患者外周血MHR、NLR、NT-proBNP与预后不良存在显著关联性,基于上述指标构建模型对预后不良风险评估具有明显增益。 展开更多
关键词 射血分数降低的心力衰竭 单核细胞计数与高密度脂蛋白胆固醇比值 中性粒细胞与淋巴细胞比值 N-端B型利钠肽前体 预后 增益价值
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Arsenic trioxide inhibites transgenic tumor necrosis factor-α promoter activity in vascular smooth muscle cells and THP-1 monocytes in vitro
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作者 张卓琦 曹希传 黄永麟 《Journal of Chinese Pharmaceutical Sciences》 CAS 2007年第2期134-138,共5页
Aim This study was to evaluate the effect of arsenic trioxide (As2O3) on the transgenic TNF-α promoter activity in cultured vascular smooth muscle cells (VSMCs) and THP-1 monocytes. Methods Human TNF-α promoter ... Aim This study was to evaluate the effect of arsenic trioxide (As2O3) on the transgenic TNF-α promoter activity in cultured vascular smooth muscle cells (VSMCs) and THP-1 monocytes. Methods Human TNF-α promoter was constructed by reporter gene system and was transiently transfected into VSMCs and THP-1 in vitro. The promoter activity was tested by luciferase activity with or without LPS and Ang Ⅱ stimulation, before and after different dosage of As2O3 treatment. Results 1. TNF-α promoter effectively expressed in VSMCs and THP-1 compared with CMV promoter (58.3% and 80.9%, respectively). Both LPS and Ang Ⅱ significantly up-regulated TNF-α promoter activity (P〈0.05). 2. As2O3 significantly inhibited, both intact and LPS/Ang Ⅱ stimulated promoter activity, in a dose dependent manner (P〈0.05), and in both cell type. Conclusion These results manifested that, the inhibition effect of As2O3 on the activity of human TNF-α promoter indicated its potential inhibition on pro-inflammatory cytokine genes expression at transcriptional level and its potential anti-inflammatory property in the cardiovascular system. 展开更多
关键词 Arsenic trioxide TNF-α promoter INFLAMMATION Smooth muscle cells VASCULAR monocytes
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Effect of HSV-2 Infected Monocytes on the Production of TNF-a and IL-6
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作者 敖俊红 杨蓉娅 +2 位作者 王文岭 周礼义 陈兴平 《Chinese Journal of Sexually Transmitted Infections》 2003年第2期47-48,70,共3页
Objective: In order to detect the role of monocytes inHSV-2 infection, we studied the effect of herpes sim-plex Virus-2 infection on the production of tumor ne-crosis factor (TNF-σ), interleukin-6 (IL-6) secretedby m... Objective: In order to detect the role of monocytes inHSV-2 infection, we studied the effect of herpes sim-plex Virus-2 infection on the production of tumor ne-crosis factor (TNF-σ), interleukin-6 (IL-6) secretedby monocytes. Methods: Monocytes were infected by HSV-2 (333Strain). Culture supernatants were collected at 1, 3,5, 7 days post-infection. The levels of TNF-α, IL-6were measured by enzyme-linked immunosorbent as-say (ELISA). Results: The levels of TNF-α secretion by mono-cytes significantly decreased on first day post-infection. The levels of IL-6 significantly decreasedon first and third days post-infection, and then gradu-ally increased to the control on seventh day post-infection. Conclusions: TNF-α and IL-6 production by mono-cytes was inhibited during HSV-2 infection. The pro-duction of cytokines may play an important role inherpes simplex viurs-2 pathogenicity and immunity. 展开更多
关键词 HSV-2 monocytes CYTOKINES
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Effect of Herpes Simplex Virus-2 Infection in Vitro on the Expression of HLA Class II Antigen of Monocytes
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作者 敖俊红 周礼义 +2 位作者 陈兴平 杨蓉娅 宋克敏 《Chinese Journal of Sexually Transmitted Infections》 2004年第1期25-27,63,共4页
Objectives: In order to investigate the role of mono-cytes and human leukocyte antigen (HLA) class II an-tigen in herpes simplex virus-2 (HSV-2) infection, westudied the effect of HSV-2 infection in vitro on theexpres... Objectives: In order to investigate the role of mono-cytes and human leukocyte antigen (HLA) class II an-tigen in herpes simplex virus-2 (HSV-2) infection, westudied the effect of HSV-2 infection in vitro on theexpression of HLA class II antigen on monocytes.Methods: Monocytes were infected with HSV-2(Strain 333). Culture cells were collected 1, 3, 5 and 7days after infection. The levels of expression of HLAclass II antigen were measured by using alkaline phos-phatase antialkaline phosphatase method (APAAP).Results: The levels of the expression of HLA class IIantigen on monocytes significantly decreased on thefirst day of post-infection, and then gradually returnedto levels found in the controls by the 7th day post-infection.Conclusion: HLA class II antigen expression onmonocytes was inhibited with HSV-2 infection, whichmight be one means of virus escape at an early phase.The expression of HLA class II antigen may play animportant role in herpes simplex viurs-2 pathogenic-ity and immunity. 展开更多
关键词 HSV-2 MONOCYTE HLA class II antigen
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循环单核细胞LincRNA-PACERR、IL-6、MCP-1及MHR对冠心病及严重程度的评估价值
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作者 蔡智伟 张伟 +1 位作者 郭涛 鲁志兵 《武汉大学学报(医学版)》 2026年第1期8-14,共7页
目的:探讨循环单核细胞LincRNA-PACERR、白细胞介素-6(IL-6)、单核细胞趋化蛋白-1(MCP-1)及单核细胞与高密度脂蛋白胆固醇比值(MHR)对冠心病(CAD)及其严重程度的联合风险评估。方法:回顾性纳入2022年4—10月在武汉大学中南医院行冠状动... 目的:探讨循环单核细胞LincRNA-PACERR、白细胞介素-6(IL-6)、单核细胞趋化蛋白-1(MCP-1)及单核细胞与高密度脂蛋白胆固醇比值(MHR)对冠心病(CAD)及其严重程度的联合风险评估。方法:回顾性纳入2022年4—10月在武汉大学中南医院行冠状动脉(冠脉)造影检查和冠脉血管内超声检查的306例患者,其中201例符合CAD诊断标准作为CAD组,105例作为对照组。比较两组及CAD不同严重程度患者的循环单核细胞LincRNA-PACERR、IL-6、MCP-1及MHR,采用受试者工作特征曲线(ROC)分析其对CAD及严重程度的诊断价值。结果:CAD组循环单核细胞LincRNA-PACERR、IL-6、MCP-1及MHR均显著高于对照组(均P<0.05),联合检测上述四项指标对CAD的诊断效能优于单一指标,曲线下面积(AUC)和特异度均较高。重度冠脉病变患者循环单核细胞LincRNA-PACERR、IL-6和MHR显著高于轻度病变患者(均P<0.05),且对CAD严重程度有诊断价值(均P<0.05)。联合检测四项指标对CAD严重程度的诊断效能优于单一指标,且敏感度均较高。结论:CAD患者循环单核细胞LincRNA-PACERR、IL-6、MCP-1及MHR显著升高,联合检测四项指标对CAD及其严重程度具有较高的诊断价值,或可作为筛查CAD严重程度的潜在指标。 展开更多
关键词 冠心病 循环单核细胞LincRNA-PACERR 白细胞介素-6 单核细胞趋化蛋白1 单核细胞与高密度脂蛋白胆固醇比值
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炎症细胞因子与冻结肩:来自FinnGen GWAS数据库欧洲人群的大样本分析
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作者 颜威 孔令军 +3 位作者 何天翔 朱清广 奚小冰 房敏 《中国组织工程研究》 北大核心 2026年第22期5867-5875,共9页
背景:冻结肩是骨伤科常见疾病,但无特异性确诊的临床指标,炎症细胞因子与冻结肩有相当大的关联,但具体因果关系尚未明确。此研究采用全基因组关联研究的汇总统计数据进行孟德尔随机化分析,全基因组关联研究数据基于大样本遗传变异信息,... 背景:冻结肩是骨伤科常见疾病,但无特异性确诊的临床指标,炎症细胞因子与冻结肩有相当大的关联,但具体因果关系尚未明确。此研究采用全基因组关联研究的汇总统计数据进行孟德尔随机化分析,全基因组关联研究数据基于大样本遗传变异信息,可减少环境混杂因素干扰,更可靠地推断炎症细胞因子与冻结肩的因果关系,弥补传统观察性研究无法确定因果关联的局限。目的:运用双向双样本孟德尔随机化方法,探讨炎症细胞因子与冻结肩发病之间的因果关系。方法:利用FinnGen数据库中全基因组关联研究的汇总统计数据,对41种炎性细胞因子和冻结肩的因果关系进行分析。FinnGen数据库由芬兰国立卫生与福利研究院(THL)、赫尔辛基大学等多家芬兰科研机构联合发起,包括2942例病例和167641例欧洲血统对照,整合数十万至百万级人群的基因组、临床表型和生化指标数据,支持疾病遗传关联研究。该研究基于公开可用的汇总统计数据库,无需伦理审批。采用逆方差加权法、加权中位数法、加权模型法、简单模型法、MR-Egger回归和敏感性分析(包括MR-Egger、MR-PRESSO、Cochran’s Q检验)进行双向孟德尔随机化分析。结果与结论:单核细胞趋化蛋白3在正反两个方向上均具有显著的因果效应。在正向分析中,单核细胞趋化蛋白3与冻结肩风险呈正相关(OR=1.176,95%CI:1.034-1.338,P=0.014);在反向分析中,冻结肩与单核细胞趋化蛋白3水平呈负相关(OR=0.782,95%CI:0.625-0.979,P=0.032)。此外,发现肿瘤坏死因子β与冻结肩风险之间有显著关联(OR=1.126,95%CI:1.002-1.264,P=0.046);在反向分析中,基质细胞衍生因子1α与冻结肩风险之间也有显著关联(OR=1.1,95%CI:1.011-1.196,P=0.028),表明肿瘤坏死因子β、基质细胞衍生因子1α与冻结肩存在可靠的相关性。此双向孟德尔随机化研究揭示了单核细胞趋化蛋白3与冻结肩之间的复杂相互作用,提示单核细胞趋化蛋白3可能作为一个潜在的治疗靶点。此外,研究还表明肿瘤坏死因子β与冻结肩风险相关,可能是冻结肩潜在的风险因子;而冻结肩亦与基质细胞衍生因子1α水平升高相关,基质细胞衍生因子1α具备成为冻结肩诊断标志物的潜力。但还需进一步研究以阐明这些因果关系背后的生物学机制。此外国际数据库的分析为中国研究提供了候选分子和因果推断范式,但需结合本土数据实现精准转化。 展开更多
关键词 冻结肩 炎症细胞因子 单核细胞趋化蛋白3 基质细胞衍生因子1Α 孟德尔随机化分析
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系统性红斑狼疮患者单核细胞亚群分布与病情的相关性
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作者 尹秀杉 谭雪玲 +1 位作者 何仁栋 邢艳 《检验医学》 2026年第1期20-27,共8页
目的探讨系统性红斑狼疮(SLE)患者外周血单核细胞亚群与病情的相关性。方法选取2022年1—8月川北医学院附属医院SLE患者67例(SLE组)、健康体检者46名(正常对照组)。收集所有研究对象的年龄、性别等一般资料和单核细胞百分比(MO%)、单核... 目的探讨系统性红斑狼疮(SLE)患者外周血单核细胞亚群与病情的相关性。方法选取2022年1—8月川北医学院附属医院SLE患者67例(SLE组)、健康体检者46名(正常对照组)。收集所有研究对象的年龄、性别等一般资料和单核细胞百分比(MO%)、单核细胞亚群[经典型单核细胞百分比(CM%)、中间型单核细胞百分比(IM%)、非经典型单核细胞百分比(NCM%)],以及SLE患者的疾病活动性指标[单核细胞绝对数(MO#)、红细胞沉降率(ESR)、C反应蛋白(CRP)、补体(C)3、C4、抗双链DNA(dsDNA)抗体、抗核抗体(ANA)]检测结果。采用Spearman秩相关分析评估SLE患者MO#、CM%、IM%与疾病活动性指标的相关性。采用Logistic回归分析评估SLE疾病活动性的影响因素。采用受试者工作特征(ROC)曲线评价CM%和IM%诊断SLE的效能。结果与正常对照组比较,SLE组MO#、MO%、IM%升高(P<0.001),CM%降低(P<0.001),NCM%差异无统计学意义(P>0.05);SLE缓解组MO#、MO%、IM%升高(P<0.05),CM%、NCM%差异无统计学意义(P>0.05)。与SLE缓解组比较,SLE活动组CM%降低(P<0.001),IM%升高(P<0.001),MO#、MO%、NCM%差异均无统计学意义(P>0.05)。SLE活动组CM%与CRP、抗dsDNA抗体水平均呈负相关(P<0.05),与C3、C4水平均呈正相关(P<0.05);IM%与CRP、抗dsDNA抗体水平均呈正相关(P<0.05),与C4水平呈负相关(P<0.05)。年龄较小和IM%升高是SLE患者疾病活动性的危险因素[比值比(OR)值分别为0.948、2.410,95%可信区间(CI)分别为0.900~0.998、1.386~4.192,P<0.05]。CM%和IM%诊断SLE的曲线下面积(AUC)分别为0.785、0.827,判断SLE疾病活动性的AUC分别为0.951、0.966。结论单核细胞亚群分布与SLE疾病活动性密切相关,或可作为SLE诊断和疾病活动性评估的新的生物标志物。 展开更多
关键词 单核细胞亚群 经典型单核细胞 中间型单核细胞 非经典型单核细胞 系统性红斑狼疮
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Decoding monocyte signatures in ischemic stroke:A multi-scale transcriptomic approach
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作者 Yanyi Peng Bo Xiao Mengqi Zhang 《Neural Regeneration Research》 2026年第7期3209-3224,共16页
Monocytes play a crucial role in post-stroke immune infiltration,yet the intricate immune regulatory networks they orchestrate in ischemic stroke remain poorly understood.This knowledge gap has hindered the developmen... Monocytes play a crucial role in post-stroke immune infiltration,yet the intricate immune regulatory networks they orchestrate in ischemic stroke remain poorly understood.This knowledge gap has hindered the development of targeted monocyte-based therapies for stroke.Here,we used a multi-omics approach combining single-cell and bulk transcriptomics.CellChat analysis revealed intercellular communication networks,while key genes were identified and predictive models built through Lasso regression.Immune cell infiltration dynamics were quantified using single-sample gene set enrichment analysis.Gene set enrichment analysis and gene set variation analysis identified disease-regulated pathways of core genes.MicroRNA networks and transcription factors were investigated using mircode and RcisTarget.Experimental validation was performed using oxygen-glucose deprivation and transient middle cerebral artery occlusion models,focusing on the influence of abhydrolase domain-containing protein 2 on monocyte function.We observed significantly elevated monocyte content in stroke brain tissue samples,and identified key monocyte genes associated with immune inflammation,chemokine signaling,and cell receptor function.A robust seven-gene predictive model for ischemic stroke was developed.CD274 strongly correlated with these seven genes,suggesting a potential immunomodulatory axis.In vivo transient middle cerebral artery occlusion experiments validated the predictive value of key genes.In vitro studies demonstrated that abhydrolase domain-containing protein 2 overexpression enhanced monocyte proliferation and phagocytic activity post-oxygen-glucose deprivation while reducing reactive oxygen species generation.In conclusion,this study maps post-stroke monocyte communication networks,identifies key signaling pathways,identifies regulatory mechanisms,and validates the functional importance of key genes,particularly abhydrolase domain-containing protein 2.These findings provide a foundation for developing targeted immunomodulatory therapies and precision diagnostics in ischemic stroke management. 展开更多
关键词 abhydrolase domain-containing protein 2 bulk-RNA sequencing CellChat diagnosis model gene signature ischemic stroke monocytes PHAGOCYTOSIS reactive oxygen species single-cell transcriptomics
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