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Beneficial effect of berberine on atherosclerosis based on attenuating vascular inflammation and calcification 被引量:2
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作者 Xiao-ming LI Qing-zhu WANG Lei GUO 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2017年第10期993-994,共2页
OBJECTIVE To investigate the beneficial effect of berberine(BBR)on atherosclerosisin Apo^(-/-) E mice and explore the underlying mechanisms based on attenuating vascular inflammation and modulating calcification in hu... OBJECTIVE To investigate the beneficial effect of berberine(BBR)on atherosclerosisin Apo^(-/-) E mice and explore the underlying mechanisms based on attenuating vascular inflammation and modulating calcification in human umbilical vein endothelial cells(HUVECs) and smooth muscle cells(SMCs).METHODS 48 Apo-/-E mice,at 6-8 weeks old,were randomly allocated into 4 groups:normal,model,bbr and atorvastatin(positive control) groups with 12 mice in each group.They were fed with high-fat diet for 4 weeks except those in Normal group and then treated with indicated drugs orsolvent for another 4 weeks.The morphology and inflammation infiltration of aortic were examined with HE staining.The expression of BMP-2 in aortic was examined by immumohistochemical staining.Blood lipid levels were examined by automatic biochemical analyzer.The expression of IL-6,TNF-α and BMP-2 in serum and tissues was detected by ELISA method.The expression of ALP and the content of calcium were detected by commercially-available kits.HUVEC cells were stimulated with TNF-α and incubated with various concentrations of BBR for 24 h.The contents of intercellular cell adhesion molecule-1(ICAM-1),vascular cell adhesion molecule(VCAM-1),matrix metalloprotein-9(MMP-9) in the culture supernatant were detected by ELISA method.Calcification was induced with β-glycerophosphatein SMC cells and the effect of BBR on the content of calcium was examined.RESULTS 4-week berberine treatment markedly lowered serum TC and LDL-c levels and improved the plaque stability in Apo-/-E mice fed with a high-fat diet(P<0.05 or P<0.01) which was comparable with the effect of atorvastatin.Berberineal so significantly decreased the levels of IL-6 and TNF-α in mice serum and aortic tissues(P<0.05 or P<0.001).Berberine tended to decrease ALP,BMP-2 levels and the content of calcium in mice serum and aortic tissues(P<0.05,P<0.01 or P<0.001) which were not observed in atorvastatin group.Berberine significantly lowered the levels of ICAM-1,VCAM-1,and MMP-9 in TNF-α-stimulated HUVECs.It can also lowered the content of calcium in SMCs.CONCLUSION BBR can profitably regulate the levels of blood lipid in mice fed with a high-fat diet,decrease the injury caused by inflammation,and attenuate vascular calcification.It may improve atherosclerosis and play a role in cardiovascular protection. 展开更多
关键词 BERBERINE atherosclerosis vascular endothelium INFLAMMATION vascular calcification
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Salidroside improves endothelial function and alleviates atherosclerosis by activating a mitochondria-related AMPK/PI3K/Akt/eNOS pathway 被引量:2
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期189-189,共1页
Aim Salidroside (SAL) is a phenylpropanoid glycoside isolated from the medicinal plant Rhodiola rosea. A recent study has reported that SAL can efficiently decrease atherosclerotic plaque formation in low-density li... Aim Salidroside (SAL) is a phenylpropanoid glycoside isolated from the medicinal plant Rhodiola rosea. A recent study has reported that SAL can efficiently decrease atherosclerotic plaque formation in low-density lipoprotein receptor - deficient mice. This study was to investigate the molecular mechanism of antiatherogenic effects of SAL. Method Six-week old apoE-/- male mice were fed a high-fat diet for 8 weeks and then were ad- ministered with SAL for another 8 weeks. Atherosclerotic lesion and vascular function were analyzed. Primary cul- tured human umbilical vein endothelial cells (HUVECs) were prepared. Superoxide anion (O2^-), NO produc- tion, mitochondrial membrane potential (△ψm) and intracellular ATP and AMP levels were measured. Expression of eNOS and AMPK were analyzed by Western blot. Result SAL significantly improved endothelial function asso- ciated with increasing eNOS activation thus reduced the atherosclerotic lesion area. SAL increased eNOS-Serl177 phosphorylation and decreased eNOS-Thr495 phosphorylation. SAL significantly activated AMP-activated protein ki- nase (AMPK). Both AMPK inhibitor and AMPK small interfering RNA (siRNA) abolished SAL-induced Akt- Ser473 and eNOS-Serl177 phosphorylation. In contrast, LY294002, the PI3k/Akt pathway inhibitor, abolished SAL-induced phosphorylation and expression of eNOS. SAL decreased cellular ATP content and increased the cel- lular AMP/ATP ratio, which was associated with the activation of AMPK. SAL was found to decrease A^m, which is likely consequence of reduced ATP production. Conclusion The action of SAL to reduce atherosclerotic lesion formation may at least be attributed to its effect on improving endothelial function by promoting nitric oxide (NO) production, which was associated with mitochondria depolarization and subsequent activation of the AMPK/PI3 IC/ Akt/eNOS pathway. Taken together, our data described the effects of SAL on mitochondria, which played critical roles in improving endothelial function in atherosclerosis. 展开更多
关键词 atherosclerosis ENDOTHELIAL DYSFUNCTION SALIDROSIDE MITOCHONDRIA
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Role of α3 nicotinic acetylcholine receptor subunit in the inflammatory responses of atherosclerosis
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期187-187,共1页
Aim The expression of α3 subunit of nicotinic acetylcholine receptor (α3-nAChR) has been demonstra- ted in aorta, adipocyte and macrophage. The objective of the present study was to verify the regulatory roles of ... Aim The expression of α3 subunit of nicotinic acetylcholine receptor (α3-nAChR) has been demonstra- ted in aorta, adipocyte and macrophage. The objective of the present study was to verify the regulatory roles of α3- nAChR in the inflammatory responses of atherosclerosis. Methods The inflammatory indicators were detected in mouse macrophage, adipocytes and mouse aortic endothelial cells (MAECs) after the α3-nAChR was antagonized or after the α3-nAChR gene was silenced. Meanwhile, atherogenesis was induced in the apolipoprotein E knock-out ( ApoE^ -/- ) mice after fed with an atherogenic high-fat diet for 7 weeks. Results In MAECs, the lipopolysaccha- ride (LPS)-stimulated secretions of the adhesion molecules and inflammatory cytokines were significantly enhanced (30%± 80% ) after pretreatment with α-Conotoxin MII (an antagonist for α3-nAChR) or after knock-down with α3-nAChR gene. In adipocytes, the knock-down of α3 gene promoted the generations of the proin? ammatory adi- pokines or cytokines but decreased the production of adiponectin, an anti-inflammatory adipokine, by 29.29 ± 9.43%. In macrophage silenced with α3-nAChR gene, the M1 (classical) activation was predominantly stimula- ted, whereas the M2 (alternative) activation was suppressed. In addition, the amount of the atherosclerotic lesions and the infiltration of the M1 type activated macrophages into the arterial wall were markedly elevated in the α- Conotoxin MII-treated ApoE -/- mice. Conclusion The α3-nAChR may play a pivotal role in regulating the atherogenesis through influencing the inflammatory responses of ECs, macrophages and adipocytes. The mecha- nisms involve the regulations of multiple cell signaling pathways. 展开更多
关键词 NICOTINIC RECEPTOR SUBUNIT alpha3 atherosclerosis inflammation ENDOTHELIAL cell MACROPHAGE adi-pocyte
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ZBM30 suppresses atherosclerosis through up-regulating ATP-binding cassette A1 and G1
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期47-47,共1页
Atherosclerosis is the most common cause of cardiovascular diseases, such as myocardial infarction and stroke. The aim of this study was to investigate the effects of a novel compound ZBM30 on atherosclerosis in ApoE-... Atherosclerosis is the most common cause of cardiovascular diseases, such as myocardial infarction and stroke. The aim of this study was to investigate the effects of a novel compound ZBM30 on atherosclerosis in ApoE- deficient mice and its associated mechanism. ApoE-deficient mice (6 weeks old), fed an atherogenic high-fat and high cholesterol diet for 8 weeks, were divided into three groups. Two groups were orally administrated ZBM30 (10, 30 nag ~ kg-1) daily for 12 weeks, while the control group was administered saline. Atherosclerotic lesions with en face aortas were evaluated by Sudan IV staining, and lesion areas in aortic sinuses were evaluated by oil red O staining. Necrotic core areas and fibrous cap areas in the lesion were evaluated by henaatoxylin and eosin (HE) staining and Masson' s trichronae staining in the aorta sinuses. The effects of ZBM30 on cholesterol accumulation in naacrophages and cholesterol transporters: ATP binding cassette A1 (ABCA1) and ATP binding cassette G1 (AB- CG1) were evaluated by oil red O assay, 3H-cholesterol efflux assay, Western blot, and real-time PCR on macro- phage cell lines: Raw 264.7 and THP-1. Inanauno-fluoresces was used to determine the ABCA1 expression in naac- rophage in aorta sinuses. Luciferase reporters of wild type and mutant types of ABCA1 promoter were constructed to determine the regulatory domain of ZBM30 on ABCA1 promoter. Results showed that, compared with the control group, en face lesions in ZBM30 group ( 10, 30 mg · kg^-1 ) were reduced 54.96 ± 10.06% and 71.50 ± 15.37% respectively, and aorta sinus lesions were reduced 41.85 ± 11.21% and 82.23 ± 8.25% respectively. Necrotic core areas in the ZBM30 group were markedly reduced and fibrous cap areas were not changed. Oil red O staining and 3 H-cholesterol efflux assays on Raw 264.7 cell line revealed that ZBM30 significantly attenuated the cholesterol accumulation in naacrophages by enhancing apolipoprotein AI and HDL mediated cholesterol efflux. Furthermore, ZBM30 induced the protein and naRNA expression of cholesterol transporters such as ABCA1 and ABCG1. Inanauno- fluoresces experiment revealed that ZBM30 induced the ABCA1 expression in naacrophage in the lesion, which is consistent with the results in vitro. Luciferase reporter assay revealed that ZBM30 exerted its effect on ABCA1 via liver X receptor (LXR) binding domain. In conclusion, ZBM30 suppresses atherosclerosis through up-regulating cholesterol efflux via ABCA1 and ABCG1 transporters in ApoE-deficient mice. 展开更多
关键词 atherosclerosis macrophage cholesterol EFFLUX ATP-BINDING CASSETTE A1 ATP-BINDING CASSETTE G1 Liver X receptor
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1H-NMR based metabolomics approach to evaluate effect of Cydonia oblanga Miller total flavonoid on atherosclerosis apoE(-/-) mice 被引量:1
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作者 Ainiwaer WUMAIER Adili ABUDOUREHEMAN Wen-ting ZHOU 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2018年第4期315-316,共2页
OBJECTIVE ~1H-NMR-based metabolomics approach was conducted to holistically explore the effect and mechanisms of Cydonia oblanga Mill flavonoids(COMF) on high-fat diet induced Atherosclerosis(AS) apoE-/-mice.METHODS A... OBJECTIVE ~1H-NMR-based metabolomics approach was conducted to holistically explore the effect and mechanisms of Cydonia oblanga Mill flavonoids(COMF) on high-fat diet induced Atherosclerosis(AS) apoE-/-mice.METHODS AS model was established on the apolipoprotein e knockout mice by high-fat diet.The ApoE-/-mice were split into 6 groups including control group,AS model group,COMF High dose(COMF-H) group,COMF medium dose(COMF-M) group,COMF Low dose(COMF-L) group and Simvastatin group as the positive control group.Serum samples from all groups were analyzed by ~1H-NMR technology and the OPLS-DA was conducted to distinguish the metabolic phenotypes.RESULTS Compared to the control group,serum levels of cholesterol,VLDL,leucine,isoleucine,valine,blood lipid,citrulline,methylamine,glucose,glycine,glycerol,myo-inositol,fructose,phenylalanine,unsaturated lipid,urea and other metabolites content significantly increased,while HDL,lactate,alanine,glutamate,glutamine,pyruvate,carnitine,citrate,choline content signifi.cantly decreased and the difference was statistically significant(P<0.05).The trend of metabolites in serum samples of COMF low,medium and high group was opposite to that of atherosclerosis model group and the difference was statistically significant(P<0.05).CONCLUSION Through functional analysis of these biomakers,amino acid metabolism,lipid metabolism,cholesterol metabolism,energy metabolism and inflammation reaction were considered as the most relevant pathological biomakers in the serum of AS mice.This study also demonstrates that COMF had the therapeutic effectiveness on AS through partly reversing the lipid,cholesterol,amino acid,energy metabolism and Inflammation reaction. 展开更多
关键词 白花蛇舌草黄酮 动脉硬化 治疗方法 临床分析
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Effect and mechanism of Huanglianjiedu decoction on high fat-induced atherosclerosisrats and metabolomics study by ultra-performance liquid chromatography-mass spectrometry
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作者 Li JIANG Bing-tao LI +3 位作者 Xiao-jun YAN Hong-ning LIU Yu CHEN Guo-liang XU 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2018年第4期289-290,共2页
OBJECTIVE To explore the biomarkers and molecular mechanism of Huanglianjiedu decoction(HJD) on high fat diet-induced experimental atherosclerosis in rats.METHODS SD male rats were randomly dividedinto five groups(n=8... OBJECTIVE To explore the biomarkers and molecular mechanism of Huanglianjiedu decoction(HJD) on high fat diet-induced experimental atherosclerosis in rats.METHODS SD male rats were randomly dividedinto five groups(n=8):normal control group,model group,and three dosage groups(1.5,3 and 6 g crude drug per kilogram of body weight).Atherosclerosis was induced by the combination of regular intraperitoneal injection of vitamin D3 and high fat diet for 8 weeks.HJD was administered by oral gavage from the third week once per day and until the end of the study.After the final administration,the blood samples were collected for biochemical analyses [total cholesterol(TC),triglycerides(TG),highdensity lipoprotein(HDL-C),low-density cholesterol(LDL-C)] and blood gas analyses(PaO_2,PaCO_2,pH,ctHb,etc);the abdominal aorta sections were stained with hematoxylin and eosin for histopathology;the liver homogenate were determined for MDA,SOD,OX-LDL,MCP-1 and VCAM-1.The plasma samples were detected using ultraper formance liquid chromatography coupled with quadrupole-time-of-flight tandem mass spectrometry(UPLC-Q-TOF-MS).The data of endogenous compounds were preliminarily preprocessed by software Progenesis QI and then analyzed by multivari.ate statistical analysis software EZinfo 2.0 to screen the distinguished biomarkers and the metabolic pathways were analyzed through website http://www.metaboanalyst.ca/.RESULTS Compared with the normal control group,the content of TC,TG,LDL-C,PaCO_2,MDA,Ox-LDL,MCP-1 and VCAM-1 were significantly increased and HDL-C,PaO_2,ctHb and SOD decreased in the atherosclerosis rats.HJD could significantly attenuated the high fat-induced atherosclerosis pathological injury and the abovementioned indexes(P<0.05).The five groups could be clearly distinguished using the metabolomics method.The administration groups profile exhibited an apparent returning trend from that of the model group and that of the normal control group.Twenty-one endogenous metabolites has been significantly changed in atherosclerosis rats.HJD could remarkably up-regulate 5-L-glutamyl-taurine,L-beta-aspartylL-glutamic acid,histidinyl-hydroxyproline,tryptophyl-alanine,4′-O-methyl-(-)-epicatechin,and downregulate protoporphyrin IX,azelaic acid,lacto-N-triaose,cinnamoylglycine and 9′-carboxy-alpha-tocotri.enol.CONCLUSION The beneficial effect of HJD in high fat-induced atherosclerosis rats may be due to anti-oxidant and anti-inflammatory.And it is suggested that HJD may affect the model rats through tryptophan metabolism,taurine and hypotaurine metabolism,histidine metabolism,lysine degradation and porphyrin and chlorophyll metabolism pathway. 展开更多
关键词 黄连解毒汤 高脂饮食 动脉硬化 治疗方法
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两种血清指标与老年大动脉粥样硬化性急性脑梗死患者短期预后的关系 被引量:2
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作者 张辉 陈亚伦 +3 位作者 孙新超 宋彦 王民珩 高媛媛 《中华老年心脑血管病杂志》 北大核心 2025年第2期206-210,共5页
目的探讨老年大动脉粥样硬化(large artery atherosclerotic,LAA)性急性脑梗死(acute ischemic stroke,AIS)患者血清程序性细胞死亡因子4(programmed cell death 4,PDCD4)、解整合素-金属蛋白酶10(a disingtergrin and metalloprotease ... 目的探讨老年大动脉粥样硬化(large artery atherosclerotic,LAA)性急性脑梗死(acute ischemic stroke,AIS)患者血清程序性细胞死亡因子4(programmed cell death 4,PDCD4)、解整合素-金属蛋白酶10(a disingtergrin and metalloprotease 10,ADAM10)水平与短期预后的关系。方法回顾性选取2022年4月至2024年4月南阳市第二人民医院诊治的LAA性AIS患者122例作为观察组,根据神经功能和预后分为轻度组29例、中度组68例、重度组25例,预后良好组72例和预后不良组50例。同期选取健康体检者125例作为对照组。采用酶联免疫吸附测定法检测血清PDCD4、ADAM10水平,采用多因素logistic回归分析血清PDCD4、ADAM10水平与LAA性AIS患者短期预后的关系,采用ROC曲线分析血清PDCD4、ADAM10对LAA性AIS患者短期预后的预测价值。结果观察组血清PDCD4、ADAM10水平显著高于对照组,差异有统计学意义(P<0.01)。重度组和中度组血清PDCD4、ADAM10水平显著高于轻度组,差异有统计学意义(P<0.05);重度组血清PDCD4、ADAM10水平显著高于中度组(P<0.05)。预后不良组重度神经缺损、高血压、Hcy水平显著高于预后良好组,差异有统计学意义(P<0.01)。PDCD4、ADAM10与LAA性AIS患者短期预后不良有关(OR=2.759,95%CI:1.479~5.146,P=0.001;OR=2.818,95%CI:1.559~5.093,P=0.001)。PDCD4、ADAM10单独和联合预测短期预后不良的AUC分别为0.840、0.864、0.935,联合预测的AUC显著优于单独预测(Z=2.687、2.008,P<0.05)。结论发生短期预后不良的LAA性AIS患者血清PDCD4、ADAM10水平较高,二者联合预测短期预后不良的效能较佳。 展开更多
关键词 动脉粥样硬化 脑梗死 预后 回归分析 预测
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柚皮苷对心血管疾病的药理作用研究进展 被引量:1
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作者 刘丹 苗加伟 +3 位作者 谭子豪 何春瑶 赵明珠 何秀贞 《中国临床药理学与治疗学》 北大核心 2025年第2期272-281,共10页
柚皮苷是一种黄酮类化合物,具有广泛的生物和药理活性,可用于治疗肿瘤、糖尿病、神经退行性疾病、心血管疾病、代谢综合征等。其中,柚皮苷在心血管疾病方面的应用得到了众多研究者的关注,本文主要综述了柚皮苷对心血管疾病的作用(调血... 柚皮苷是一种黄酮类化合物,具有广泛的生物和药理活性,可用于治疗肿瘤、糖尿病、神经退行性疾病、心血管疾病、代谢综合征等。其中,柚皮苷在心血管疾病方面的应用得到了众多研究者的关注,本文主要综述了柚皮苷对心血管疾病的作用(调血脂、抗动脉粥样硬化、降血压、抑制心肌肥厚、抗心肌梗死、减轻心肌缺血/再灌注损伤、改善肺动脉高压)、对心脏毒性的保护作用、在心血管疾病中的信号通路(PI3K-Akt-mTOR、p-eNOS/p-Akt/p-ERK、miR-126/GSK-3β/β-catenin)、临床试验等。希望通过综述柚皮苷在细胞、动物模型研究现状,以揭示其临床应用前景,也为其相关领域的进一步研究提供参考。 展开更多
关键词 柚皮苷 动脉粥样硬化 缺血/再灌注 心肌肥厚 心脏毒性
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基于NOD样受体3炎性小体通路对利拉鲁肽在氧化低密度脂蛋白诱导内皮细胞损伤的作用机制研究 被引量:1
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作者 陈玲 徐锐 +2 位作者 程新春 张占英 徐红 《中国全科医学》 CAS 北大核心 2025年第5期601-606,共6页
背景动脉粥样硬化是世界范围内引起心脑血管疾病最主要的原因,炎症是目前研究热点,其中NOD样受体3(NLRP3)是研究最为深入的炎症小体。胰高糖素样肽1(GLP-1)受体激动剂有抗动脉粥样硬化作用,具体机制尚不明确。目的研究利拉鲁肽通过拮抗... 背景动脉粥样硬化是世界范围内引起心脑血管疾病最主要的原因,炎症是目前研究热点,其中NOD样受体3(NLRP3)是研究最为深入的炎症小体。胰高糖素样肽1(GLP-1)受体激动剂有抗动脉粥样硬化作用,具体机制尚不明确。目的研究利拉鲁肽通过拮抗氧化低密度脂蛋白(ox-LDL)诱导的内皮细胞损伤的作用机制。方法2022-03-25—05-19培养人脐静脉内皮细胞(HUVEC),取HUVEC加空白血清作为对照组,100μg/mL的ox-LDL干预HUVEC 48 h作为模型组,100μg/mL的ox-LDL干预HUVEC 24 h后分别加入100、200、400 nmol/L利拉鲁肽处理24 h作为利拉鲁肽低浓度组、利拉鲁肽中浓度组、利拉鲁肽高浓度组。CCK-8法计算细胞增殖率。通过扫描电镜观察焦亡细胞形态。检测乳酸脱氢酶(LDH)活力。酶联免疫吸附试验(ELISA)检测白介素(IL)-1β、IL-18表达水平。蛋白质免疫印迹试验(Western blot)检测NLRP3、接头蛋白凋亡相关斑点样蛋白(ASC)、天冬氨酸蛋白水解酶1(Caspase-1)、焦亡执行蛋白(GSDMD)、N端结构域的焦亡执行蛋白(N-GSDMD)表达水平。结果模型组、利拉鲁肽低浓度组和利拉鲁肽中浓度组细胞增殖率低于对照组,利拉鲁肽低浓度组、利拉鲁肽中浓度组、利拉鲁肽高浓度组细胞增殖率高于模型组(P<0.05)。细胞扫描电镜结果示模型组细胞焦亡明显,利拉鲁肽低浓度组、利拉鲁肽中浓度组、利拉鲁肽高浓度组细胞焦亡情况明显改善。模型组、利拉鲁肽低浓度组LDH活力高于对照组,利拉鲁肽低浓度组、利拉鲁肽中浓度组、利拉鲁肽高浓度组低于模型组(P<0.05)。模型组、利拉鲁肽低浓度组IL-1β表达水平高于对照组,利拉鲁肽中浓度组、利拉鲁肽高浓度组IL-1β表达水平低于模型组(P<0.05);模型组IL-18表达水平高于对照组,利拉鲁肽低浓度组、利拉鲁肽中浓度组、利拉鲁肽高浓度组IL-18表达水平低于模型组(P<0.05)。模型组NLRP3、ASC、Caspase-1、GSDMD、N-GSDMD表达水平高于对照组,利拉鲁肽低浓度组ASC、Caspase-1表达水平高于对照组,利拉鲁肽中浓度组NLRP3、ASC表达水平低于模型组,利拉鲁肽高浓度组NLRP3、ASC、Caspase-1表达水平低于模型组(P<0.05)。结论利拉鲁肽显著抑制ox-LDL诱导的内皮细胞NLRP3炎性小体活化,并且能够抑制内皮细胞的焦亡,具有抗动脉粥样硬化作用。 展开更多
关键词 动脉粥样硬化 利拉鲁肽 内皮细胞 氧化低密度脂蛋白 NOD样受体3
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巨噬细胞极化对血管平滑肌细胞PI3K/Akt/mTOR信号通路的影响 被引量:1
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作者 冯莹 张妍 +3 位作者 雷杰 刘娟 方勇 贺立群 《中国免疫学杂志》 北大核心 2025年第2期315-319,共5页
目的:探讨巨噬细胞极化对血管平滑肌细胞PI3K/Akt/mTOR信号通路和炎症反应的影响。方法:佛波酯诱导THP-1细胞成为巨噬细胞,分别用LPS和IFN-γ、IL-4和IL-13处理48 h,更换不含血清的新鲜培养基培养24 h,取上清作为条件培养基。将血管平... 目的:探讨巨噬细胞极化对血管平滑肌细胞PI3K/Akt/mTOR信号通路和炎症反应的影响。方法:佛波酯诱导THP-1细胞成为巨噬细胞,分别用LPS和IFN-γ、IL-4和IL-13处理48 h,更换不含血清的新鲜培养基培养24 h,取上清作为条件培养基。将血管平滑肌细胞分成对照组、M0培养基组、M1培养基组和M2培养基组。CCK-8检测细胞增殖能力,流式细胞术检测细胞凋亡,ELISA检测细胞上清中炎症因子IL-1α、IL-6和TGF-β表达,RT-qPCR和Western blot检测血管平滑肌细胞中PI3K、Akt、mTOR mRNA和磷酸化蛋白表达。结果:与对照组相比,M0培养基组细胞增殖能力、细胞上清中TGF-β水平显著降低(P<0.01),细胞凋亡率、细胞上清中IL-1α和IL-6水平、细胞中PI3K、Akt、mTOR mRNA和蛋白磷酸化水平显著升高(P<0.01);与M0培养基组相比,M1培养基组细胞增殖能力、细胞上清中TGF-β水平显著降低(P<0.05),细胞凋亡率、细胞上清中IL-1α和IL-6水平、细胞中PI3K、Akt、mTOR mRNA和蛋白磷酸化水平显著升高(P<0.01),M2培养基组趋势相反(P<0.05)。结论:巨噬细胞极化能够通过调控PI3K/Akt/mTOR信号通路调节炎症细胞因子表达,参与动脉粥样硬化炎症反应。 展开更多
关键词 巨噬细胞极化 动脉粥样硬化 PI3K/Akt/mTOR信号通路
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miR-34b-5p通过靶向调控IGFBP1表达对动脉粥样硬化泡沫细胞形成及炎症反应的影响 被引量:1
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作者 惠慧 吴光鹏 +1 位作者 廖梅 李光智 《中国免疫学杂志》 北大核心 2025年第4期879-884,共6页
目的:探究miR-34b-5p在动脉粥样硬化(AS)泡沫细胞形成及炎症反应中的作用及可能机制。方法:检测34例AS患者和20例健康体检者血清中miR-34b-5p和胰岛素样生长因子结合蛋白1(IGFBP1)mRNA的表达差异。使用氧化低密度脂蛋白(ox-LDL)诱导RAW2... 目的:探究miR-34b-5p在动脉粥样硬化(AS)泡沫细胞形成及炎症反应中的作用及可能机制。方法:检测34例AS患者和20例健康体检者血清中miR-34b-5p和胰岛素样生长因子结合蛋白1(IGFBP1)mRNA的表达差异。使用氧化低密度脂蛋白(ox-LDL)诱导RAW264.7巨噬细胞构建AS泡沫细胞模型,检测细胞中miR-34b-5p和IGFBP1 mRNA表达水平。双荧光素酶报告基因实验验证miR-34b-5p和IGFBP1的相互作用关系。将miR-34b-5p抑制剂(inhibitor)、抑制剂阴性对照(inhibitor-NC)、IGFBP1 siRNA质粒(si-IGFBP1)和siRNA阴性对照(si-NC)分别或共转染至AS泡沫细胞模型,观察泡沫细胞沉积脂质能力及胞内总胆固醇(TC)、IL-1β、IL-6、TNF-α水平。结果:与健康体检者相比,AS患者血清中miR-34b-5p水平显著升高(P<0.05),IGFBP1 mRNA水平显著降低(P<0.05)。ox-LDL处理的RAW264.7巨噬细胞中miR-34b-5p表达水平显著升高(P<0.05),IGFBP1 mRNA表达水平显著降低(P<0.05)。双荧光素酶报告基因实验显示,IGFBP1是miR-34b-5p的靶基因。与inhibitor-NC组比较,inhibitor组RAW264.7巨噬细胞中IGFBP1蛋白表达水平显著升高(P<0.05)。ox-LDL诱导后,下调miR-34b-5p表达可抑制巨噬细胞脂质沉积能力,降低胞内TC含量及IL-1β、IL-6和TNF-α水平;而干扰IGFBP1基因表达可通过增强巨噬细胞脂质沉积能力,提高胞内TC、IL-1β、IL-6和TNF-α水平,并逆转miR-34b-5p inhibitor对巨噬细胞的干预作用。结论:下调miR-34b-5p表达可抑制AS泡沫细胞的形成,并降低其炎症反应,其机制可能通过靶向上调IGFBP1表达实现。 展开更多
关键词 动脉粥样硬化 miR-34b-5p 胰岛素样生长因子结合蛋白1 泡沫细胞 炎症
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血管软化丸调控AMPK/NLRP3信号通路防治动脉粥样硬化的机制研究 被引量:1
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作者 秦合伟 王梦楠 +3 位作者 李彦杰 孙孟艳 高洋 刘丹丹 《中华中医药学刊》 北大核心 2025年第5期35-39,I0015-I0017,共8页
目的探讨血管软化丸能否通过调控腺苷酸活化蛋白激酶(AMP-activated protein kinase,AMPK)/NOD样受体热蛋白结构域相关蛋白3(NOD-like receptor thermal protein domain associated protein 3,NLRP3)通路抑制细胞焦亡改善载脂蛋白E基因... 目的探讨血管软化丸能否通过调控腺苷酸活化蛋白激酶(AMP-activated protein kinase,AMPK)/NOD样受体热蛋白结构域相关蛋白3(NOD-like receptor thermal protein domain associated protein 3,NLRP3)通路抑制细胞焦亡改善载脂蛋白E基因敲除(apolipoprotein E knockout,APOE^(-/-))小鼠动脉粥样硬化(atherosclerosis,AS)。方法10只C57BL/6J小鼠作为空白对照组,60只APOE^(-/-)小鼠随机分为模型组、血管软化丸低剂量组、血管软化丸高剂量组、阿托伐他汀组、血管软化丸高剂量和AMPK抑制剂联合组、AMPK抑制剂组,给予高脂饮食饲养18周建造动脉粥样硬化小鼠模型,并于第13周给予不同方法干预,干预6周后取材,分别检测各组小鼠甘油三酯(triglyceride,TG)、总胆固醇(total cholesterol,TC)、低密度脂蛋白-胆固醇(low density lipoprotein-eholesterol,LDL-C)、高密度脂蛋白-胆固醇(high density lipoprotein-eholesterol,HDL-C)水平,HE和油红O染色观察小鼠主动脉组织病理形态学变化,Elisa测定主动脉组织白细胞介素(interleukin,IL)-1β和IL-18水平,Western Blot检测AMPK、P-AMPK、NLRP3、裂解的半胱氨酸天冬酶1(Cleaved-Caspase-1)、Gasdermin D(GSDMD)-N蛋白表达,免疫荧光检测P-AMPK、NLRP3蛋白在主动脉根部的分布情况,透射电子显微镜观察主动脉内皮超微结构改变情况。结果与对照组相比,模型组大鼠血清TG、TC、LDL-C水平显著升高,HDL-C水平显著降低(P<0.01),主动脉根部细胞排列紊乱,且脂肪空泡明显,主动脉有明显粥样斑块沉积,P-AMPK蛋白表达水平显著降低,NLRP3、Cleaved-Caspase 1、GSDMD-N蛋白表达水平及IL-1β和IL-18水平显著升高(P<0.05或P<0.01);与模型组比较,血管软化丸高低剂量组及阿托伐他汀组血脂紊乱得到改善,主动脉组织及细胞病变程度减轻,P-AMPK蛋白表达水平显著升高,NLRP3、Cleaved-Caspase 1、GSDMD-N蛋白表达水平显著降低(P<0.05或P<0.01),IL-1β和IL-18水平显著降低(P<0.05或P<0.01);与血管软化丸高剂量+AMPK抑制剂组比较,血管软化丸高剂量组焦亡相关蛋白水平显著降低(P<0.05或P<0.01),主动脉内皮细胞损伤程度减轻,而AMPK抑制剂组与之相反。结论血管软化丸可能通过调控AMPK/NLRP3通路减轻细胞焦亡发挥对动脉粥样硬化小鼠的保护作用。 展开更多
关键词 血管软化丸 动脉粥样硬化 AMPK/NLRP3信号通路 细胞焦亡
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基于“三焦者、水谷之道路”探讨苓桂术甘汤影响淋巴管生成参与m-RCT防治动脉粥样硬化理论研究
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作者 曹媛 刘春英 +5 位作者 贾连群 宋囡 马艺鑫 裘雪莹 冷雪 朱敬轩 《中华中医药学刊》 北大核心 2025年第6期147-150,I0023,共5页
动脉粥样硬化(atherosclerosis,AS)发病机制繁多复杂,其中脂代谢在AS发生发展中具有不可忽视的作用,调节胆固醇稳态亦成为防治AS的策略之一。胆固醇逆向转运(reverse cholesterol transport,RCT)的目的为将肝外胆固醇通过血液循环回输... 动脉粥样硬化(atherosclerosis,AS)发病机制繁多复杂,其中脂代谢在AS发生发展中具有不可忽视的作用,调节胆固醇稳态亦成为防治AS的策略之一。胆固醇逆向转运(reverse cholesterol transport,RCT)的目的为将肝外胆固醇通过血液循环回输至肝脏,于肝内代谢转化,随即排出体外。RCT通过将过量的胆固醇从动脉血管壁排出体外来抑制AS的发生和发展。然而,目前对RCT的研究主要集中于胆固醇的代谢转化过程中,而对胆固醇运输过程的研究较为少见。淋巴管存在于动脉壁外膜中,淋巴管生成在AS的病理进程中较为关键,当淋巴管功能障碍时,免疫细胞的输送、免疫应答反应以及吸收膳食脂肪等功能受阻,进而加速AS的发生发展。越来越多的研究证实,淋巴管作为RCT的重要通道,斑块内胆固醇排出依赖于淋巴管运输,于是,该综述推测增加动脉外膜淋巴管新生可能是缓解斑块中过量蓄积胆固醇的应对措施。苓桂术甘汤源自《金匮要略》,课题组前期证明其对AS疗效显著,就苓桂术甘汤影响淋巴管生成参与m-RCT防治AS进行综述。 展开更多
关键词 动脉粥样硬化 淋巴管生成 胆固醇逆向转运
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老年穿支动脉粥样硬化病患者血清微小RNA预测早期神经功能恶化的回归分析
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作者 聂莉 乔向亮 +2 位作者 程伟 胡苏华 胡环环 《中华老年心脑血管病杂志》 北大核心 2025年第8期1047-1050,共4页
目的分析老年穿支动脉粥样硬化病患者血清微小RNA(micorRNA,miRNA)预测早期神经功能恶化的回归分析。方法选择2020年2月至2023年2月湖北医药学院附属随州市中心医院神经内科收治的老年穿支动脉粥样硬化病患者134例,依据早期神经功能恶... 目的分析老年穿支动脉粥样硬化病患者血清微小RNA(micorRNA,miRNA)预测早期神经功能恶化的回归分析。方法选择2020年2月至2023年2月湖北医药学院附属随州市中心医院神经内科收治的老年穿支动脉粥样硬化病患者134例,依据早期神经功能恶化情况分为恶化组28例和未恶化组106例。入院时测定患者血清miR-130a、miR-210、miR-141-3p、miR-29a-3p水平,入院时及入院后7 d采用美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分评估早期神经功能恶化情况。采用二元logistic回归分析法构建miR-130a、miR-210、miR-141-3p、miR-29a-3p预测老年穿支动脉粥样硬化病患者早期神经功能恶化模型,ROC曲线分析血清miR-130a、miR-210、miR-141-3p、miR-29a-3p水平对老年穿支动脉粥样硬化病患者早期神经功能恶化的预测价值。结果恶化组血清miR-130a、miR-210水平明显高于未恶化组,miR-141-3p、miR-29a-3p水平明显低于未恶化组,差异有统计学意义(P<0.01)。Logistic回归分析显示,血清miR-130a、miR-210、miR-141-3p、miR-29a-3p水平为老年穿支动脉粥样硬化病患者早期神经功能恶化的独立预测指标(P<0.05,P<0.01)。ROC曲线分析显示,血清miR-130a、miR-210、miR-141-3p、miR-29a-3p联合预测老年穿支动脉粥样硬化病患者早期神经功能恶化的曲线下面积为0.977(95%CI:0.936~0.995),敏感性为96.43%,特异性为90.57%,联合预测的效能明显优于各指标单独预测(P<0.01)。结论老年穿支动脉粥样硬化病患者血清miR-130a、miR-210、miR-141-3p、miR-29a-3p对预测早期神经功能恶化具有一定的价值,且四者联合检测可提高其预测效能。 展开更多
关键词 动脉粥样硬化 神经病学表现 微RNAS 回归分析 预测
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流固耦合下早期粥样硬化斑块生长动力学数值研究
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作者 李扬 张晓敏 +5 位作者 赵志鹏 吴琼 赵立波 程可 刘曙东 唐戈 《力学学报》 北大核心 2025年第7期1747-1755,共9页
粥样硬化斑块的生长会显著改变血管几何形态,引发血流动力学异常,进而导致脑卒中、缺血性眼病、急性肾衰竭等严重并发症.现有研究对涉及炎症反应与脂质代谢的早期斑块动态演化机制仍存在认知局限,亟需建立更精细的生长动力学模型.本文... 粥样硬化斑块的生长会显著改变血管几何形态,引发血流动力学异常,进而导致脑卒中、缺血性眼病、急性肾衰竭等严重并发症.现有研究对涉及炎症反应与脂质代谢的早期斑块动态演化机制仍存在认知局限,亟需建立更精细的生长动力学模型.本文构建了一套融合早期斑块生长动力学的流固耦合多物理场模型,可以同时反映脂蛋白浓度扩散、斑块体积膨胀协同作用下的粥样硬化斑块生长,以及内膜下层变形与血流动力学响应的交互耦合作用.前者硬化斑块的非线性力学特性采用neo-Hookean本构模型来表征,并通过将血管壁总的变形梯度分解为弹性和生长两部分来表征斑块的生长;后者则采用双向迭代耦合算法,通过位移-应力边界传递机制同步求解血流与内膜的动力学耦合行为.数值模拟显示模型预测的早期斑块生长形态与临床经验曲线具有高度一致性.通过定义影响因子A(膨胀/扩散速率比)定量揭示了脂蛋白扩散驱动的膨胀变形对早期斑块尺寸的调控.同时,数值模拟结果证实斑块生长过程会通过几何形变改变血流的剪切应力分布,从而加剧血栓形成的风险,并给出了血小板活化的临界斑块高度. 展开更多
关键词 动脉粥样硬化 生长 流固耦合 扩散机制 血流动力学
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黄芩苷调节HIF-1α/SLC7A11/GPX4轴抑制ox-LDL诱导的巨噬细胞源性泡沫细胞形成
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作者 于宁 宋囡 +2 位作者 隋国媛 曹媛 贾连群 《中国病理生理杂志》 北大核心 2025年第5期909-918,共10页
目的:观察黄芩苷(baicalin)调节缺氧诱导因子1α(hypoxia-inducible factor-1α,HIF-1α)/溶质载体家族7成员11(solute carrier family 7 member 11,SLC7A11)/谷胱甘肽过氧化酶4(glutathione peroxidase 4,GPX4)轴影响ox-LDL诱导的巨噬... 目的:观察黄芩苷(baicalin)调节缺氧诱导因子1α(hypoxia-inducible factor-1α,HIF-1α)/溶质载体家族7成员11(solute carrier family 7 member 11,SLC7A11)/谷胱甘肽过氧化酶4(glutathione peroxidase 4,GPX4)轴影响ox-LDL诱导的巨噬细胞源性泡沫细胞铁死亡的分子机制。方法:用100μg/mL氧化型低密度脂蛋白(oxidized low-density lipoprotein,ox-LDL)作用于RAW264.7巨噬细胞24 h诱导为泡沫细胞,采用黄芩苷和(或)铁死亡抑制剂ferrostatin-1(Fer-1)干预相应时间。油红O染色检测各组脂滴形成情况;透射电镜观察细胞线粒体超微结构;荧光显微镜观察细胞内活性氧(reactive oxygen species,ROS)、脂质过氧化物和Fe2+荧光强度;比色法检测细胞丙二醛(malonaldehyde,MDA)和谷胱甘肽(glutathione,GSH)水平;Western blot法检测细胞HIF-1α、SLC7A11和GPX4蛋白水平。结果:与空白对照组比较,ox-LDL组泡沫细胞形成,有大量脂滴,线粒体结构明显肿胀,嵴变短或消失,细胞内ROS、脂质过氧化物和Fe2+荧光强度明显增强,细胞内MDA水平明显升高,GSH水平明显降低;细胞内HIF-1α蛋白表达显著升高,SLC7A11及GPX4蛋白表达显著降低(P<0.05)。与ox-LDL组比较,黄芩苷+ox-LDL组和Fer-1+ox-LDL组脂滴明显减少,线粒体结构显著改善,细胞内ROS、脂质过氧化物、Fe2+荧光强度和MDA水平明显降低,GSH水平明显升高;细胞内HIF-1α蛋白表达显著降低,SLC7A11和GPX4蛋白表达显著升高(P<0.05)。与黄芩苷+ox-LDL组比较,黄芩苷+Fer-1+ox-LDL组脂滴显著减少,线粒体结构趋于完整,细胞内ROS、脂质过氧化物和Fe2+荧光强度明显降低,细胞内MDA水平明显降低,GSH水平明显升高;细胞内HIF-1α蛋白表达显著降低;SLC7A11和GPX4蛋白表达显著升高(P<0.05)。结论:黄芩苷通过调节HIF-1α/SLC7A11/GPX4轴抑制ox-LDL诱导的巨噬细胞源性泡沫细胞铁死亡。 展开更多
关键词 黄芩苷 动脉粥样硬化 泡沫细胞 铁死亡 HIF-1α/SLC7A11/GPX4轴
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联合脑小血管病及脑动脉狭窄预测冠状动脉粥样硬化的效能
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作者 徐贤 常鑫玮 +4 位作者 刘林松 赵建 刘贯中 李晶 王新江 《中华老年心脑血管病杂志》 北大核心 2025年第10期1292-1297,共6页
目的通过脑小血管病和脑动脉狭窄预测冠状动脉粥样硬化风险,辅助临床早期识别冠心病(coronary heart disease,CHD)。方法回顾性分析2019年1月至2024年12月解放军总医院65岁以上行头颅MRI、磁共振血管成像(magnetic resonance angiograph... 目的通过脑小血管病和脑动脉狭窄预测冠状动脉粥样硬化风险,辅助临床早期识别冠心病(coronary heart disease,CHD)。方法回顾性分析2019年1月至2024年12月解放军总医院65岁以上行头颅MRI、磁共振血管成像(magnetic resonance angiography,MRA)及冠状动脉CT血管造影(computed tomography angiography,CTA)检查的患者130例,依据冠状动脉CTA检查结果分为无症状性CHD组56例和非CHD组74例。通过头颅MRI和MRA评估脑白质高信号、扩大的血管周围间隙、腔隙灶、脑微出血灶评分、脑小血管病总负荷及脑动脉狭窄。采用多因素logistic回归分析筛选与CHD显著相关的临床及影像学预测指标,构建预测模型并评估效能。结果血糖、低密度脂蛋白胆固醇、脑微出血灶≥1分和大脑后动脉≥50%狭窄是CHD的危险因素(P<0.05)。联合临床指标、脑小血管病及脑动脉狭窄的联合预测模型效能最佳,曲线下面积为0.867(95%CI:0.807~0.927),优于单纯临床模型和临床-脑小血管病模型。结论脑小血管病和脑动脉狭窄与冠状动脉粥样硬化密切相关,联合临床特征及脑血管病影像指标的预测模型可为CHD的早期筛查提供重要参考。 展开更多
关键词 动脉粥样硬化 大脑小血管疾病 冠心病 预测
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后循环颅内动脉粥样硬化性急性大血管闭塞的早期识别
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作者 杨成双 刘圣 +4 位作者 梁堃 曹月洲 赵林波 施海彬 贾振宇 《介入放射学杂志》 北大核心 2025年第1期18-23,共6页
目的根据患者临床资料及影像学检查建立简单的临床预测模型,以期术前更方便地识别后循环颅内动脉粥样硬化狭窄导致急性大血管闭塞患者。方法回顾性分析南京医科大学第一附属医院2019年1月至2022年9月后循环急性大血管闭塞血管内介入治... 目的根据患者临床资料及影像学检查建立简单的临床预测模型,以期术前更方便地识别后循环颅内动脉粥样硬化狭窄导致急性大血管闭塞患者。方法回顾性分析南京医科大学第一附属医院2019年1月至2022年9月后循环急性大血管闭塞血管内介入治疗患者的临床资料。根据术中血管造影结果,将患者分为急性颅内动脉粥样硬化性狭窄(intracranial atherosclerotic stenosis-acute large vessel occlusion,ICAS-LVO)所致大血管闭塞(ICAS-LVO组)和非ICAS所致大血管闭塞(非ICAS-LVO组),将患者的人口学特征、临床病史、影像学资料和实验室检查结果进行单因素和多因素logistic回归分析,建立ICAS-LVO临床预测模型并根据相关参数绘制Nomogram图。结果共计110例后循环急性大血管闭塞血管内治疗患者纳入最终分析。其中51例患者(49.6%)血管闭塞原因是颅内动脉粥样硬化狭窄。与非ICAS-LVO组相比,ICAS-LVO组患者更年轻,伴心房颤动更少,血浆D-二聚体水平更低,最终筛选出3个因素可用于构建ICAS-LVO术前诊断预测模型,包括心房颤动、闭塞部位和侧支循环情况,该模型具有可接受的校准(Hosmer-Lemeshow检验,P=0.562)和良好的识别力(AUC=0.956,95%CI:0.906~0.986)。结论由无心房颤动、闭塞部位为椎动脉V4段及基底动脉近、中段和侧支循环良好3个预测因素构建的ICAS-LVO临床预测模型具有较高的灵敏度和准确性,有助于神经介入医师早期识别ICAS-LVO并制定血管再通治疗策略。 展开更多
关键词 急性缺血性脑卒中 后循环 动脉粥样硬化 大血管闭塞 预测模型
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颈动脉粥样硬化与认知障碍的关系:一项以西安市农村地区40岁及以上脑卒中高危人群为基础的横断面研究
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作者 陈晨 高玲 +6 位作者 商苏杭 党亮君 魏珊 王敬谊 王瑾 屈秋民 陆文惠 《西安交通大学学报(医学版)》 北大核心 2025年第5期783-788,共6页
目的探讨西安市农村地区40岁及以上脑卒中高危人群颈动脉粥样硬化(carotid atherosclerosis,CAS)与认知障碍的关系,明确CAS在该部分人群中是否是认知障碍的危险因素。方法本研究以2014年10月至2015年3月在西安市鄠邑区开展的“社区及农... 目的探讨西安市农村地区40岁及以上脑卒中高危人群颈动脉粥样硬化(carotid atherosclerosis,CAS)与认知障碍的关系,明确CAS在该部分人群中是否是认知障碍的危险因素。方法本研究以2014年10月至2015年3月在西安市鄠邑区开展的“社区及农村人群脑卒中高危人群筛查与干预项目”中发现的脑卒中高危人群为研究对象。采用彩色多普勒超声评估CAS,CAS定义为颈动脉内中膜厚度(carotid intima-media thickness,CIMT)≥1.0 mm,或颈动脉(包括颈总动脉、颈动脉窦、颈内动脉、颈外动脉)有动脉粥样硬化斑块,或颈动脉管腔狭窄。采用简易精神状态检查量表(Mini-Mental State Examination,MMSE)评估认知功能,MMSE评分低于分界值(文盲≤17分;小学≤20分;初中及以上文化程度≤24分)定义为认知障碍。以有无CAS及有无认知障碍对研究人群进行分组,采用单因素方差分析及二元多因素Logistic回归分析CAS与认知障碍的关系。结果共451位研究对象被纳入分析,平均年龄(58.72±9.83)岁,女性占比44.3%。其中有CAS 329例(72.9%),符合认知障碍诊断标准57例(12.6%)。CAS组认知障碍患病率显著高于非CAS组(14.6%vs.7.4%,P=0.041)。多因素Logistic回归分析显示,认知障碍与年龄显著相关(OR=1.121,95%CI:1.056~1.189,P<0.001),但与CAS未见显著相关性(OR=1.008,95%CI:0.202~5.170,P=0.992)。结论在西安市农村地区40岁及以上脑卒中高危人群中,未发现CAS与认知障碍有显著关联。 展开更多
关键词 认知障碍 危险因素 颈动脉粥样硬化(CAS) 脑卒中 横断面研究
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清脂通脉方改善肠道菌群防治动脉粥样硬化的理论与机制探究
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作者 张欢 于游 +10 位作者 段盈竹 庞琳琳 赵宏月 张颖 郭鹤 郑一 于嘉详 刘鑫 戴劲 胡楠 于睿 《中华中医药学刊》 北大核心 2025年第7期63-67,I0018-I0026,共14页
目的基于“心合小肠”理论,探讨清脂通脉方防治动脉粥样硬化的机制。方法将32只雄性ApoE-/-小鼠随机分为模型组、清脂通脉方最佳剂量1组、清脂通脉方最佳剂量2组和西药对照组。正常对照组为8只雄性C57BL/6J小鼠。模型组、中药干预组及... 目的基于“心合小肠”理论,探讨清脂通脉方防治动脉粥样硬化的机制。方法将32只雄性ApoE-/-小鼠随机分为模型组、清脂通脉方最佳剂量1组、清脂通脉方最佳剂量2组和西药对照组。正常对照组为8只雄性C57BL/6J小鼠。模型组、中药干预组及西药组以高脂饲料喂饲,正常对照组喂以普通饲料,喂饲12周后,中药干预组给予最佳剂量清脂通脉方灌胃,西药对照药为立普妥。第12周采集小鼠新鲜粪便标本,采用16S rRNA基因测序技术对各组粪便样本进行肠道菌群分析。结果肠道菌群16S rRNA基因测序发现,各组小鼠肠道菌群主要由厚壁菌门、拟杆菌门、变形杆菌门、TM7菌门、疣微菌门、放线菌门、脱铁杆菌门、软壁菌门、绿菌门以及绿弯菌门构成,在乳酸杆菌、异杆菌、脱硫弧菌、葡萄球菌、图灵杆菌、颤螺菌、安德克氏菌、瘤胃球菌、拟杆菌等菌属存在差异。正常对照组在门水平上的优势菌门为拟杆菌门(Bacteroidetes),其平均相对丰度为65%;模型组样本在门水平上的优势菌门为拟杆菌门(Bacteroidetes),其平均相对丰度为50%;清脂通脉方最佳剂量1组和清脂通脉方最佳剂量2组样本在门水平上的优势菌门为厚壁菌门(Firmicutes),其平均相对丰度分别为56%和65%;西药组样本在门水平上的优势菌门为厚壁菌门(Firmicutes),其平均相对丰度为65%,由各组门分类学水平菌种组成及相对丰度比较结果可知,各组优势菌门相似、但菌种的丰度比例均发生变化。结论清脂通脉方能够通过改善菌门构成,影响肠道菌群物种组成、结构、菌群多样性,维持肠道菌群稳态,发挥防治AS的作用。 展开更多
关键词 清脂通脉方 动脉粥样硬化 肠道菌群
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