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Effects of nitric oxide on gastric ulceration induced by nicotine and cold-restraint stress 被引量:31
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作者 Bo-ShengQui Qi-BingMei +2 位作者 LiLiu Kam-Meng Tchou-Wong 《World Journal of Gastroenterology》 SCIE CAS CSCD 2004年第4期594-597,共4页
AIM:Stress induces gastric ulceration in human and experimental animals. People tend to smoke more cigarettes when under stress. Nitric oxide (NO) and nicotine have opposing effects on gastric integrity. The present s... AIM:Stress induces gastric ulceration in human and experimental animals. People tend to smoke more cigarettes when under stress. Nitric oxide (NO) and nicotine have opposing effects on gastric integrity. The present study examined the possible therapeutic benefit of NO in nicotine-treated rats with stress-induced gastric ulceration.METHODS:Rats drank a nicotine solution while control rats drank tap water for 20 days. The alkoloid was then replaced by water with or without supplementation of isosorbide dinitrate (NO donor) for an additional 10 days. Isosorbide dinitrate was given twice shortly before experiments (acute) or three times daily by oral gavages for 10 days after the rats stopped drinking nicotine solution. At the end of experiments,ulcer index, gastric adhesion mucus content and MPO activity were measured and analysed.RESULTS:Nicotine treatment decreased gastric mucus content and intensified stress-induced gastric ulcer. A higher ulcer index persisted even after the rats stopped drinking nicotine solution for 10 days. Acute NO donor showed no benefit on both mucus and ulcer index in nicotine treatment or/and stress condition.Chronic NO donor treatment reversed the worsening action of nicotine in stomach. Stress increased gastric mucosal myeloperoxidase (MPO) activity, which was antagonized by chronic NO treatment. However, nicotine was unlikely to change mucosal MPO activity.CONCLUSION:The intensifying action of nicotine on stressinduced gastric ulceration persists for 10 days after cessation.Nicotine treatment significantly decreases gastric mucus content that can be restored by chronic NO donor treatment.The present study suggests that NO antagonizes the ulcerogenic action of nicotine through a cytoprotective way. 展开更多
关键词 烟碱 胃溃疡 一氧化氮 动物模型 压力 病理机制
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Temporal expression of hepatic inducible nitric oxide synthase in liver cirrhosis 被引量:4
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作者 Chang-LiWei Wei-MinHon +1 位作者 Kang-HoeLee Hoon-EngKhoo 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第3期362-367,共6页
AIM: Nitric oxide (NO) has been implicated in the pathogenesis of liver cirrhosis. We have found inducible nitric oxide synthase (iNOS) can be induced in hepatocytes of cirrhotic liver. This study further investigated... AIM: Nitric oxide (NO) has been implicated in the pathogenesis of liver cirrhosis. We have found inducible nitric oxide synthase (iNOS) can be induced in hepatocytes of cirrhotic liver. This study further investigated the temporal expression and activity of hepatic iNOS in cirrhosis development. METHODS: Cirrhosis was induced in rats by chronic bile duet ligatjon (BDL). At different time points after the operation, samples were collected to examine NO concentration, liver function, and morphological changes. Hepatocytes were isolated for determination of iNOS mRNA, protein and enzymatic activity. RESULTS: Histological examination showed early cirrhosis 1-2 wk after BDL, with advanced cirrhosis at 3-4 wk. Bilirubin increased dramatically 3 d after BDL, but decreased by 47% on d 14. Three weeks after BDL, it elevated again. Systemic NO concentration did not increase significantly until 4 wk after BDL, when ascites developed. Hepatocyte iNOS mRNA expression was identified 3 d after BDL, and enhanced with time to 3 wk, but reduced thereafter. iNOS protein showed a similar pattern to mRNA expression. iNOS activity decreased from d 3 to d 7, but increased again thereafter till d 21. CONCLUSION: Hepatic iNOS can be induced in the early stage, which increases with time as cirrhosis develops. lts enzymatic activity is significantly correlated with protein expression and histological alterations of the liver, but not with systemic NO levels, nor with absolute values of liver function markers. 展开更多
关键词 Liver Cirrhosis Inducible nitric oxide synthase Nitric Oxide Bile duct ligation
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美国预防、检测、评估与治疗高血压联合委员会第七次报告 被引量:16
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作者 AramV.Chobanian GeorgeL.Bakris +10 位作者 HenryR.Black WilliamC.Cushman LeeA.Green JosephL.Izzo DanielW.Jones BarryJ.Materson SuzanneOparil JacksonT.Wright EdwardJ.Roccella 张慧 刘梅林 《美国医学会杂志(中文版)》 2003年第5期242-251,共10页
“美国预防、检测、评估与治疗膏血压联合委员会第七次报告(JNC7)”是预防和处理膏血压的最新指南。其主要内容包括:(1)在50岁以上的成人。收缩压>140mmHg是比舒张压更为重要的心血管病(cardiovascular disease,CVD)危险因素;(2)... “美国预防、检测、评估与治疗膏血压联合委员会第七次报告(JNC7)”是预防和处理膏血压的最新指南。其主要内容包括:(1)在50岁以上的成人。收缩压>140mmHg是比舒张压更为重要的心血管病(cardiovascular disease,CVD)危险因素;(2)血压从115/75mmHg起,每增加20/10mmHg,CVD的危险性增加一倍;55岁血压正常的人。未来发生高血压的危险性为90%;(3)收缩压120—139mmHg或舒张压80—89mmHg的个体。应考虑为高血压前期(prehypertensive)并需改善生活方式以预防CVD;(4)噻嗪类利尿剂适用于大多数无合并症的高血压患者。可单独或与其他类型的降压药联合应用。某些高危险因素的出现是启用其他类型降压药(血管紧张素转换酶抑制剂、血管紧张素受体拮抗剂、β—受体阻滞剂,钙拮抗剂)的必须指征(compelling in-dication);(5)大多数高血压患者需要2种或2种以上的降压药达到目标血压(<140/90mmHg,糖尿病或慢性肾病患者<130/80mmHg);(6)如血压超过目标血压20/10mmHg以上。应考虑选用2种药物作为初始治疗。其中一种通常为噻嗪类利尿剂;(7)只有在患者积极配合的前提下。临床医生认真选用最有效的治疗。才能够控翻好血压。患者治疗效果理想并信任医生时,会更好地配合治疗。医生赢得患者的信任,有助于提高疗效。最后,指南委员会指出最重要的仍然是负责医生的判断。 展开更多
关键词 美国 预防 检测 评估 治疗 高血压
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Helicobacter pylori infection is associated with increased expression of macrophage migration inhibitory factor by T cells and. macrophages in gastric mucosa
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作者 HEXingXiang HarryHuaXiangXIA +4 位作者 ZHAOYingHeng LINManPeng SHENQinYan LIUWei ZHENGXueLing 《中华腹部疾病杂志》 2004年第9期625-634,共10页
AIM Macrophaga migration inhibitory factor (MIF) plays a pivotal role in inflammatory/immune diseases. This study aimed to determine MIF expression in H. pylori- induced gastritis, and the effect of H. pylori on MIF e... AIM Macrophaga migration inhibitory factor (MIF) plays a pivotal role in inflammatory/immune diseases. This study aimed to determine MIF expression in H. pylori- induced gastritis, and the effect of H. pylori on MIF expression in moncoytes in vitro. METHODS Seventy- nine patients (M/F,39/40,mean age,52 yrs) referred for upper endoscopy were selected;19 with gastric ulcer, 1.5 with duodenal ulcer and 4.5 with non - ulcer dyspepsia (NUD). Gastric antral and body biopsies were obtained for histological examinations,deuble immunostaining for MIF/T- cells (CD45RO) and MIF/macrophaga (KP1) ,and in situ hybridization for the expression of MIF mRNA.THp-1,a monocyte cell line,was co- incubated with different concentrations of the whole cell proteins prepared from H. pylori strain ATCC26695 or its isogenic type with cagA gene deleted. The expression of MIF protein was determined by using enzyme linked immunosorbent assay and the MIF rnRNA by retrospective transcription - polymerase chain reaction techniques. RESULTS H. pylori was detected in .50 patients (10 with gastric ulcer, /5 with duodenal ulcer and 25 with NUD). Overall,the numbers of total T - cells,MIF+T - cells,total macrophages,MIF + macrophages and MIF mRNA + cells were greater in the gastric antrum than in the body. There was a significant increase in the numbers of total T - cells, MIF+T-cells,total macrophages,MIF+ macrophages and MIF mRNA+ cells in H. pylori positive,compared with H. pylori negative patients, in both the antral and body mucosa. Moreover, the cell numbers increased with more severe chronic gastritis in both the antrum and body, The numbers were also significantly higher in ulcer patients than in NUD patients, particularly in H. pylori positive patients. In vitro,the expression of MIF protein and mRNA in monocytes was significantly increased by incubation with H. pylori whole cell proteins, in a time and dose dependent manner.CONCLUSIONS H. pylori infection stimulates the expression of MIF in the gastric inflammatory cells,which may play a significance role in gastric inflammation and ulceration. 展开更多
关键词 螺旋幽门杆菌感染 巨噬细胞 细胞迁移 迁移抑制因子 T细胞 胃黏膜
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医生的抑郁症和自杀共识报告
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作者 ClaudiaCenter,JD MiriamDavis,PHD +13 位作者 ThomasDetre,MD DaniedE.Ford,MD,MPH WendyHansbrough,BSN HerbertHendin,MD Johnlaszlo,MD DavidA.Litts,OD JohnMann,MD PeterA.Mansky,MD RobertMichels,MD StevenH.Miles,MD RoyProujansky,MD CharlesF.ReynoldsⅢ,MD MortonM.Silverman,MD 张继志 《美国医学会杂志(中文版)》 2004年第3期140-144,共5页
目的:鼓励医生治疗自己的抑郁症、预防自杀,通过号召改变专业态度以及制度政策支持医生寻求帮助。参加者:美国预防自杀基金会计划组邀请15位专家对医生发生抑郁症和自杀的状况以及妨碍治疗的认识状况进行了评估。该计划组于2002年10... 目的:鼓励医生治疗自己的抑郁症、预防自杀,通过号召改变专业态度以及制度政策支持医生寻求帮助。参加者:美国预防自杀基金会计划组邀请15位专家对医生发生抑郁症和自杀的状况以及妨碍治疗的认识状况进行了评估。该计划组于2002年10月6~7日在Philadelphia,Pa召集组织了一次专题研讨会。证据:计划组与每位参加者于专题研讨会前在指定的范围内进行文献复习。在会前将有关论文摘要和关健刊物分发给参加者。在讨论会后,将参加者分配到两个小组:(1)医生作为患者和(2)医疗机构和专业组织。两个小组确定需进一步研究的领域、治疗的障碍以及对改革的建议。共识过程:本共识报告是在全体会议上产生的,在此期间每个工作小组都提出了他们的建议。本共识报告获得所有参加者的赞同。结论:尽管存在未治疗心境障碍与自杀负担增高的证据,但是医药文化仍与医生精神卫生档次质量较低一致。妨碍医生寻求帮助的障碍经常是惩罚性的,包括在医疗执照、医院的特权和专业技术提高方面的差异。本共识报告建议,为了鼓励医生寻求帮助,应转变人们的职业态度和有关机构的政策。在障碍去除后,医生面对同行的抑郁症和自杀时,他们就更可能在患者识别并治疗这些疾病,包括同事和医学生。 展开更多
关键词 医生 抑郁症 自杀行为 心境障碍
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Epidermal growth factor receptor mutations detected in tumors from Chinese “never smokers” with lung adenocarcinoma 被引量:1
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作者 RENGuo-ping TheresaY.WANG +2 位作者 PANQiu-lu WilliamPAO HUAIJing 《Chinese Medical Journal》 SCIE CAS CSCD 2005年第9期769-771,共3页
Lung cancer is the leading cause of cancer-related death in the world as well as in China. It is estimated that approximately 429 000 Chinese individuals may die from lung cancer in 2005, and the mortality rate for l... Lung cancer is the leading cause of cancer-related death in the world as well as in China. It is estimated that approximately 429 000 Chinese individuals may die from lung cancer in 2005, and the mortality rate for lung cancer will double in the next century. 1 Currently, chemotherapy is the a main treatment of advanced and recurrent lung cancer. However, the recent development of tyrosine kinase inhibitors (TKIs) such as gefitinib and erlotinib may change the therapeutic approaches for this disease. Gefitinib, for example, induces clinical responses in approximately 10% of patients with non-small cell lung cancer (NSCLC) in the USA and Europe, and 26% in Japan. 2,3 A study of gefitinib in 31 patients from Beijing showed an objective tumor response rate of 36%. 4 展开更多
关键词 non-small cell lung cancer epidermal growth factor receptor MUTATION never smoker tyrosine kinase inhibitors
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