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脓毒症急性肾损伤患者血清miR-146a USF2 sCD74水平与病情严重程度的相关性及对预后的影响
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作者 张梅香 左志刚 刘秀娟 《河北医学》 2025年第7期1158-1164,共7页
目的:探讨脓毒症急性肾损伤(AKI)患者血清微小核糖核酸-146a(miR-146a)、上游刺激因子2(USF2)、可溶性CD74(sCD74)水平与病情严重程度的相关性及对预后的影响。方法:选取秦皇岛市第一医院2022年1月至2024年1月脓毒症AKI患者144例,根据28... 目的:探讨脓毒症急性肾损伤(AKI)患者血清微小核糖核酸-146a(miR-146a)、上游刺激因子2(USF2)、可溶性CD74(sCD74)水平与病情严重程度的相关性及对预后的影响。方法:选取秦皇岛市第一医院2022年1月至2024年1月脓毒症AKI患者144例,根据28d预后分为预后良好组与预后不良组,比较两组临床资料、血清miR-146a、USF2、sCD74水平,采用Spearman相关系数分析血清miR-146a、USF2、sCD74与脓毒症严重程度、AKI严重程度的相关性,偏相关性分析血清miR-146a、USF2、sCD74与预后的关系,受试者工作特征(ROC)曲线评价各指标对预后的预测价值。结果:预后不良组脓毒症严重程度、AKI严重程度、APACHEⅡ、SOFA评分高于预后良好组(P<0.05);预后不良组血清miR-146a、USF2、sCD74水平高于预后良好组(P<0.05);脓毒症休克患者血清miR-146a、USF2、sCD74水平高于脓毒症患者(P<0.05);重度AKI患者血清miR-146a、USF2、sCD74水平高于轻度AKI患者(P<0.05);血清miR-146a、USF2、sCD74与脓毒症严重程度、AKI严重程度均呈正相关(P<0.05);偏相关性分析,血清miR-146a、USF2、sCD74与预后显著相关(P<0.05);ROC曲线分析,血清miR-146a、USF2、sCD74预测脓毒症AKI患者预后的AUC为0.776、0.751、0.780,Youden指数为0.438、0.406、0.479,敏感度为64.58%、64.58%、70.83%,特异度为79.17%、76.04%、77.08%;血清miR-146a、USF2、sCD74联合预测脓毒症AKI患者预后的AUC为0.922,Youden指数为0.771,敏感度为89.58%,特异度为87.50%,较各指标单独预测价值显著提高(Z=3.741、4.120、3.192,P均<0.001)。结论:脓毒症AKI患者血清miR-146a、USF2、sCD74水平与脓毒症和AKI严重程度显著相关,是预后的独立预测因子,联合检测时能提高预测价值。 展开更多
关键词 脓毒症 急性肾损伤 微小核糖核酸-146a 上游刺激因子2 可溶性CD74
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急性缺血性脑卒中患者静脉溶栓前血清FSTL1、USF2水平对溶栓后出血转化的预测效能 被引量:2
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作者 戴芳 李英红 +1 位作者 郭姝丽 姚庆萍 《山东医药》 2025年第3期83-87,共5页
目的观察静脉溶栓后发生出血转化(HT)的急性缺血性脑卒中(AIS)患者静脉溶栓前血清卵泡抑素样蛋白1(FSTL1)、上游刺激因子2(USF2)水平变化,并分析其对AIS患者静脉溶栓后发生HT的预测效能。方法AIS患者429例,均接受静脉溶栓治疗,根据患者... 目的观察静脉溶栓后发生出血转化(HT)的急性缺血性脑卒中(AIS)患者静脉溶栓前血清卵泡抑素样蛋白1(FSTL1)、上游刺激因子2(USF2)水平变化,并分析其对AIS患者静脉溶栓后发生HT的预测效能。方法AIS患者429例,均接受静脉溶栓治疗,根据患者静脉溶栓治疗后是否发生HT分为HT组67例和非HT组362例。采用酶联免疫吸附试验检测两组患者静脉溶栓前血清FSTL1、USF2水平,收集并比较两组患者的性别、年龄、身体质量指数、既往病史、吸烟史、饮酒史、溶栓前美国国立卫生研究院卒中量表(NIHSS)评分、发病至溶栓时间(ONT)、基线收缩压、基线舒张压、甘油三酯、总胆固醇、尿酸、尿素氮、血肌酐、白细胞计数、中性粒细胞计数等基线资料和实验室检查指标。以单因素分析中差异有统计学意义的指标为自变量并赋值,采用Logistic逐步回归法分析AIS患者静脉溶栓后发生HT的影响因素。采用受试者工作特征曲线分析静脉溶栓前血清FSTL1、USF2水平对AIS患者静脉溶栓后发生HT的预测效能。结果HT组患者静脉溶栓前血清FSTL1、USF2水平均高于非HT组(P均<0.05)。HT组年龄、身体质量指数、既往房颤比例、尿酸水平、溶栓前NIHSS评分等资料均高于非HT组(P均<0.05)。Logistic回归分析结果显示,静脉溶栓前NIHSS评分高(OR=2.353,95%CI:1.305~4.246)、静脉溶栓前血清FSTL1水平高(OR=1.702,95%CI:1.093~2.651)、静脉溶栓前血清USF2水平高(OR=1.640,95%CI:1.113~2.418)是AIS患者静脉溶栓后发生HT的危险因素(P均<0.05)。静脉溶栓前血清FSTL1水平预测AIS患者静脉溶栓后发生HT的曲线下面积为0.829(0.790~0.863),取截断值为39.42 ng/mL时,其灵敏度为82.09%、特异度为85.08%。静脉溶栓前血清USF2水平预测AIS患者静脉溶栓后发生HT的曲线下面积为0.809(0.769~0.845),取截断值为41.06 ng/mL时,其灵敏度为79.10%、特异度为85.91%。静脉溶栓前血清FSTL1、USF2水平联合预测AIS患者静脉溶栓后发生HT的曲线下面积为0.898(0.865~0.925),灵敏度为97.01%、特异度为84.25%。结论静脉溶栓前血清FSTL1、USF2水平升高是AIS患者静脉溶栓后发生HT的危险因素,检测静脉溶栓前血清FSTL1、USF2水平可用于AIS患者静脉溶栓后发生HT的预测。 展开更多
关键词 急性缺血性脑卒中 静脉溶栓 出血转化 卵泡抑素样蛋白1 上游刺激因子2
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Mechanisms of repetitive transcranial magnetic stimulation for antidepression: Evidence from preclinical studies 被引量:6
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作者 Di Luan Ming-Ge Zhao +4 位作者 Ya-Chen Shi Ling Li Yu-Jia Cao Hai-Xia Feng Zhi-Jun Zhang 《World Journal of Psychiatry》 SCIE 2020年第10期223-233,共11页
This review summarizes the anti-depressant mechanisms of repetitive transcranial magnetic stimulation in preclinical studies,including anti-inflammatory effects mediated by activation of nuclear factor-E2-related fact... This review summarizes the anti-depressant mechanisms of repetitive transcranial magnetic stimulation in preclinical studies,including anti-inflammatory effects mediated by activation of nuclear factor-E2-related factor 2 signaling pathway,anti-oxidative stress effects,enhancement of synaptic plasticity and neurogenesis via activation of the endocannabinoid system and brain derived neurotrophic factor signaling pathway,increasing the content of monoamine neurotransmitters via inhibition of Sirtuin 1/monoamine oxidase A signaling pathway,and reducing the activity of the hypothalamic-pituitary-adrenocortical axis.We also discuss the shortcomings of transcranial magnetic stimulation in preclinical studies such as inaccurate positioning,shallow depth of stimulation,and difficulty in elucidating the neural circuit mechanism up-and down-stream of the stimulation target brain region. 展开更多
关键词 Repetitive transcranial magnetic stimulation Anti-depressant mechanisms Nuclear factor-e2-related factor 2 Endocannabinoid system Monoamine oxidase Hypothalamic-pituitary-adrenocortical axis Brain derived neurotrophic factor
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Associations between Hormonal and Mechanical Factors of Knee Osteoarthritis in Women—A Preliminary Study
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作者 David S. Mandeville Gretchen A. Casazza +3 位作者 Andrea C. Alvarez Julia Sheremet Brandee L. Waite Brian A. Davis 《Open Journal of Rheumatology and Autoimmune Diseases》 2013年第2期79-85,共7页
The purpose of this study was to determine the associations between urinary estradiol (E2) metabolite concentration and medial knee loading with radiographic disease severity in middle aged women with initial stage kn... The purpose of this study was to determine the associations between urinary estradiol (E2) metabolite concentration and medial knee loading with radiographic disease severity in middle aged women with initial stage knee osteoarthritis (OA). Women presenting with knee pain were recruited into a cross-sectional correlation study (KOA, n = 9, age = 52 ± 4 yrs). Self report menstrual history, the Modified Baecke Questionnaire and the Knee Injury and Osteoarthritis Outcome Score (KOOS) subjective data were collected. A fasting blood sample (follicle stimulating hormone (FSH) and Tumor Necrosis Factor-α (TNF-α)), and urine catch (16α-hydroxyestrone and 2-hydroxyestrone) were collected. Gait analysis using an 8-camera motion analysis system assessed internal knee varus moment and foot progression angle. Pearson Product moments tested for associations between urinary 16α-hydroxyestrone and 2-hydroxyestrone, TNF-α, medial knee loading, and radiographic disease severity (Kellgren/Lawrence (K/L) radiographic score). Significant correlations were found within the hormonal biomarkers (r = 0.94, p p p = 0.31). No correlations were found for radiographic disease severity or TNF-α. The lack of association between hormonal and biomechanical variables could be due to large variability of the E2 metabolites seen in the menopause transition and the limited structural changes of initial staged knee OA. 展开更多
关键词 KNEE OSTEOARTHRITIS 2-Hydroxyestrone Follicle stimulating HORMONE Gait Analysis MEDIAL KNEE Loading Tumor NECROSIS factor-α
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S100A8 promotes epithelial-mesenchymal transition and metastasis under TGF-β/USF2 axis in colorectal cancer 被引量:18
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作者 Si Li Jun Zhang +8 位作者 Senmi Qian Xuesong Wu Liang Sun Tianyi Ling Yao Jin Wenxiao Li Lichao Sun Maode Lai Fangying Xu 《Cancer Communications》 SCIE 2021年第2期154-170,共17页
Background:The transforming growth factor-β(TGF-β)pathway plays a pivotal role in inducing epithelial-mesenchymal transition(EMT),which is a key step in cancer invasion and metastasis.However,the regulatory mechanis... Background:The transforming growth factor-β(TGF-β)pathway plays a pivotal role in inducing epithelial-mesenchymal transition(EMT),which is a key step in cancer invasion and metastasis.However,the regulatory mechanism of TGF-βin inducing EMT in colorectal cancer(CRC)has not been fully elucidated.In previous studies,it was found that S100A8 may regulate EMT.This study aimed to clarify the role of S100A8 in TGF-β-induced EMT and explore the underlying mechanism in CRC.Methods:S100A8 and upstream transcription factor 2(USF2)expression was detected by immunohistochemistry in 412 CRC tissues.Kaplan-Meier survival analysis was performed.In vitro,Western blot,and migration and invasion assays were performed to investigate the effects of S100A8 and USF2 on TGF-β-induced EMT.Mouse metastasis models were used to determine in vivo metastasis ability.Luciferase reporter and chromatin immunoprecipitation assay were used to explore the role of USF2 on S100A8 transcription.Results:During TGF-β-induced EMT in CRC cells,S100A8 and the transcription factor USF2 were upregulated.S100A8 promoted cell migration and invasion and EMT.USF2 transcriptionally regulated S100A8 expression by directly binding to its promoter region.Furthermore,TGF-βenhanced the USF2/S100A8 signaling axis of CRC cells whereas extracellular S100A8 inhibited the USF2/S100A8 axis of CRC cells.S100A8 expression in tumor cells was associated with poor overall survival in CRC.USF2 expression was positively related to S100A8 expression in tumor cells but negatively related to S100A8-positive stromal cells.Conclusions:TGF-βwas found to promote EMT and metastasis through the USF2/S100A8 axis in CRC while extracellular S100A8 suppressed the USF2/S100A8 axis.USF2 was identified as an important switch on the intracellular and extracellular S100A8 feedback loop. 展开更多
关键词 colorectal cancer epithelial-mesenchymal transition METASTASIS prognosis transforming growth factor-β upstream transcription factor 2 S100 calcium-binding protein A8
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