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TUMOR NECROSIS FACTOR-ALPHA POLYMORPHISM AND SECRETION IN MYASTHENIA GRAVIS 被引量:10
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作者 Yu-zhouGuan Li-yingCui Yan-fengLi Jun-baoZhang 《Chinese Medical Sciences Journal》 CAS CSCD 2005年第2期104-107, ,共4页
Objective To analyze the relationship between tumor necrosis factor-alpha (TNFα) gene promoter -308 polymorphism and myasthenia gravis (MG) in Chinese and analyze secretion of TNFα in peripheral blood mononuclear ce... Objective To analyze the relationship between tumor necrosis factor-alpha (TNFα) gene promoter -308 polymorphism and myasthenia gravis (MG) in Chinese and analyze secretion of TNFα in peripheral blood mononuclear cells (PBMC) in MG patients. Methods A biallelic polymorphism at position -308 in the promoter of TNFα gene was screened by PCR amplification and NcoI recognition site. One hundred and twenty-three MG cases and 115 healthy controls were included in this study. MG patients were classified to different groups according to clinical type, age at onset, and sex respectively. PBMC were isolated from 20 patients and 20 healthy controls, and then cultured in the presence or absence of phytohemag- glutinin (PHA) and acetycholine receptors (AchR). The supernatants were harvested after incubation and stored until TNFα was assayed by enzyme-linked immunosorbent assay. Results The frequency of TNFα-308 allele 2 (A) was found significantly increase in MG patients and showed a trend especially in late onset (≥ 40 years) and male patients (P < 0.05). The allele A had no relationship with thymic pathogenesis in MG patients. But frequency of allele A was significantly higher in general type than in ocular type (P < 0.05). MG patients had a higher inducible level of TNFα by PHA and AchR, and could be down regulated after treatment. Conclusion Polymorphism in TNFα gene promoter -308 is associated with onset of MG. The microsatellite allele TNFα2 confer risk for the development of MG in Chinese patients. MG patients have a higher inducible level of TNFα. 展开更多
关键词 myasthenia gravis tumor necrosis factor ALLELE POLYMORPHISM
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Investigation of tumor necrosis factor receptor -p55expression in human colorectal cancer 被引量:5
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作者 高蕾 白岚 +4 位作者 南清振 杨希山 张亚历 陈凯 温汉平 《Journal of Medical Colleges of PLA(China)》 CAS 2001年第4期285-287,291,共4页
Objective:To investigatetheclinicalsignificanceof tumornecrosisfactorreceptor-p55(TNFR-p55)expression anditsrelationshipwiththeclinicalpathologyandDukes’classificationof humancolorectalcancer.Methods:SABCimmuno-histo... Objective:To investigatetheclinicalsignificanceof tumornecrosisfactorreceptor-p55(TNFR-p55)expression anditsrelationshipwiththeclinicalpathologyandDukes’classificationof humancolorectalcancer.Methods:SABCimmuno-histochemistrymethodwasusedto examineTNFR-p55expressionin91specimensof colorectalcancer,81surroundingmu-cosasof thetumorsand13normaltissues.Results:TNFR-p55expressionincolorectalcancerwas significantlyhigher than thatinthesurroundingmucosaandnormaltissues,anditwassignificantlyhigherinthesurroundingmucosathaninnormal tissue.TNFR-p55was inverselycorrelatedto serousmembraneinvasionandlymphnodemetastasisof colorectalcancers.TNFR-p55expressioninDukes’A andB stageswassignificantlyhigherthanthatof C stage.Conclu sion:TNFR-p55expres-sionwasimportantto determinethedegreeof malignancyandassessinvasiondepth,lymphnodemetastasisandDukes’clas-sificationincolorectalcancer. 展开更多
关键词 colorectal NEOPLASM receptors tumor necrosis factor IMMUNOHISTOCHEMISTRY
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Increased serum and ascitic fluid levels of soluble tumor necrosis factor-p55 in hepatocellular carcinoma patients 被引量:3
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作者 高蕾 白岚 +6 位作者 南清振 杨希山 陈凯 温汉平 柏林 张亚历 张振书 《Journal of Medical Colleges of PLA(China)》 CAS 2002年第3期232-234,共3页
Objective: To explore the levels of serum and ascitic fluid soluble tumor necrosis factor receptor-p55 (sTNFR-p55) and understand their clinical implication in primary hepatocellular carcinoma (HCC) patients. Methods:... Objective: To explore the levels of serum and ascitic fluid soluble tumor necrosis factor receptor-p55 (sTNFR-p55) and understand their clinical implication in primary hepatocellular carcinoma (HCC) patients. Methods: Enzyme-linked immunosorbent assay (ELISA) was used to examine the levels of sTNFR-p55 in the serum and ascitic fluid in 25 HCC patients and 25 patients with liver cirrhosis (LC). The test was also performed on the serum of 30 healthy subjects who served as control group. To assess the clinical effects of increased serum concentrations of sTNFR-p55, four parameters were analyzed by logistic regression. Results: Serum and ascitic fluid levels of sTNFR-p55 in HCC patients were significantly higher than those in LC patients and controls (P=0. 001). No significant difference was found between serum sTNFR-p55 levels in the latter 2 groups (P = 0. 19), and positive correlation between serum levels of sTNFR-p55 and that in ascitic fluid was noted in the 2 patient groups (r=1. 000, P<0. 001). Levels of the sTNFR-p55 positively correlated with TBIL and AFP in the peripheral blood of HCC patients (r=0. 524, P = 0. 01 and r=0. 234, P = 0. 03, respectively). Conclusion: Increased levels of sTNFRs-p55 in the serum and ascitic fluid could reflect the abnormal immune status of the HCC patients and may help predict the development of the tumor. 展开更多
关键词 hepatocellular carcinoma soluble tumor necrosis factor receptors enzyme-linked immunosor- bent assay
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Effect of tumor necrosis factor-α on ventricular arrhythmias in rats with acute myocardial infarction in vivo 被引量:2
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作者 Yu Chcn Zhi-jian Chcn +4 位作者 Yu-hua Liao Zhc Cao Jia-ding Xia Hua Yang Yi-mci Du 《World Journal of Emergency Medicine》 SCIE CAS 2010年第1期53-58,共6页
Acute myocardial infarction (AMI) is an acute cardiovascular emergency. This study was undertaken to assess the effect of tumor necrosis factor-a (TNF-a) on ventricular arrhythmias induced byAMI in rats in vivo. ... Acute myocardial infarction (AMI) is an acute cardiovascular emergency. This study was undertaken to assess the effect of tumor necrosis factor-a (TNF-a) on ventricular arrhythmias induced byAMI in rats in vivo. Two hundred and forty male Wistar rats were randomized into a sham- operation group, an AMI group, and a recombinant human tumor necrosis factor receptor:Fc fusion protein(rhTNFR:Fc) group. Acute anterior wall myocardial infarction was produced in the AMI group by ligating the left anterior descending coronary artery (LAD), and there was no ligation but operation in the sham-operation group. The rhTNFR:Fc group was treated with rhTNFR:Fc(10 mg/kg), a TNF-a antagonist, 24 hours before LAD ligation. The spontaneous and induced programmed electrical stimulation ventricular arrhythmias were recorded at baseline and 10 minutes, 20 minutes, 30 minutes, 60 minutes, 3 hours, 6 hours and 12 hours after ligation. At the same time the protein and mRNA expression levels of TNF-a among different groups were detected by histochemistry and real-time fluorescent quantitative PCR. Expression of TNF-a increased markedly from 10 minutes after infarction, peaked at 20-30 minutes, and returned to baseline gradually in the AMI group and rhTNFR:Fc group. The time- windows of spontaneous and induced ventricular arrhythmias were similar. Compared with the AMI group, the rhTNFR:Fc group showed a lesser expression of TNF-a protein and a lower incidence of ventricular arrhythmias (P〈0.05). There was no obvious change in the sham-operation group. The expression of TNF-a induced by AMI could contribute to the onset of ventricular arrhythmias. 展开更多
关键词 Acute myocardial infarction tumor necrosis factor Ventricular arrhythmia Recombinant human tumor necrosis factor receptor: Fc fusion protein (rhtnfR: Fc)
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ROLE OF TUMOR NECROSIS FACTOR IN NEONATAL SEPSIS 被引量:1
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作者 史源 沈际臬 +3 位作者 汪江淮 李华强 覃世文 刘韧 《Chinese Medical Sciences Journal》 CAS CSCD 1994年第1期45-48,共4页
In order to assess the role of tumor necrosis factor (TNF) in neonatal sepsis, plasma TNF levels were determined by a method using L929 cells at the time of septic work-up in 67 neonates. Thirty-three patients, with s... In order to assess the role of tumor necrosis factor (TNF) in neonatal sepsis, plasma TNF levels were determined by a method using L929 cells at the time of septic work-up in 67 neonates. Thirty-three patients, with sepsis were found to have significantly higher TNF levels (533. 33 ±468. 74 U/ml ; 1 U corresponding to 1. 67 pg recombinant TNF) as compared with 34 non-sepsis patients (100. 0±188, 97 U/ml) and 30 healthy newborns (27. 33±1 6. 1 7 U/ml, P<0. 05. respectively) . The upper limit of normal plasma TNF levels was 60 U/ml and the best cutoff value for predicting neonatal sepsis was 160 U/ml. This had remarkable sensitivity (88%), specificity (82%). positive predictive value (83%). and negative predictive value (88%). Plasma TNF levels were significantly associated with the occurrence of shock,organ failure. sclerema and outcome. Thus, anti-TNF antibodies might be used in protecting newborns from septic death. 展开更多
关键词 tumor necrosis factor SEPSIS INFANT NEWBORN
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THE ASSOCIATION BETWEEN TUMOR NECROSIS FACTORαGENE POLYMORPHISM AND ASTHMA 被引量:1
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作者 高金明 林耀广 +3 位作者 邱长春 刘怡雯 马毅 刘英 《Chinese Medical Sciences Journal》 CAS CSCD 2003年第4期248-253,共6页
Objective.In this study,we investigated the hypothesis that tumor necrosis factor(TNF)α-308gene polymorphism might be of the genetic predisposition to asthma and asthma phenotypes.Methods.TNFα-308gene polymorphism w... Objective.In this study,we investigated the hypothesis that tumor necrosis factor(TNF)α-308gene polymorphism might be of the genetic predisposition to asthma and asthma phenotypes.Methods.TNFα-308gene polymorphism was genotyped in221random unrelated Northern Chinese population(comprising125asthmatics and96healthy controls)and52individuals from12asthmatic families with Han ethnic by using polymerase chain reaction(PCR)-restriction fragment length polymor-phism(RFLP).Methacholine(Mch)broncho-challenge test,bronchial reversibility test and lung function were underwent in all asthmatics.Results.TNFα-3082homozygosity was present at a significantly higher frequency in asthmatics than that in controls(20.8%vs11.4%,P<0.05,OR2.259),the TNF allele2was also higher in asthmatics compared with controls(0.42vs0.33,P<0.01).TNFα-3082homozygosity was an weak independent risk factor for asthma etiology(OR0.226,P<0.05).Moreover,patients carrying TNFα-3082homozy-gosity had less responsive to inhaledβ 2 -agonist in20minutes than patients carrying other two genotypes(24.1%vs29.5%vs38.8%,P<0.05).Linkage analysis didn’t support that TNFαgene was linked to asthma (Likelihood of odds,LOD<1)based on familial data.Conclusion These results suggest that TNFα-3082homozygosity may be of a component contribut-ing to the genetic predisposition to asthma ,and airway responsiveness toβ2 -agonist. 展开更多
关键词 tumor necrosis factor ASTHMA GENETIC
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Studies on structural features of human tumor necrosis factor 被引量:1
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作者 YinChuan-Yuan GuoDong-Lin 《Nuclear Science and Techniques》 SCIE CAS CSCD 1997年第4期218-220,共3页
StudiesonstructuralfeaturesofhumantumornecrosisfactorTheProjectSupportedbyNationalNaturalScienceFoundationof... StudiesonstructuralfeaturesofhumantumornecrosisfactorTheProjectSupportedbyNationalNaturalScienceFoundationofChinaManuscript... 展开更多
关键词 人体肿瘤坏死因子 结构特征 质子湮没技术
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Morphological Study on the Mechanism of Tumor-selective Cytocidal Action of Tumor Necrosis Factor
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作者 阎伦飙 何德华 张璞 《Journal of Medical Colleges of PLA(China)》 CAS 1989年第3期200-204,共5页
Using light microscopy and electron microscopy, we observed the morphological changes inheuman hepatocellular carcinoma cell line (SMMC-7721) treated with tumor necrosis tumor necrosis factor (TNF)and the cytocidal ef... Using light microscopy and electron microscopy, we observed the morphological changes inheuman hepatocellular carcinoma cell line (SMMC-7721) treated with tumor necrosis tumor necrosis factor (TNF)and the cytocidal effect of TNF on the heterotransplanted human hepatocellular carcinoma. It wasfound that the changes of the injury occurred earlier in the cell membranes than in the nuclei duringthe course of TNF killing of SMMC-7721 cells and there were similar lesions around the necroticarea in the heterotransplanted human hepatocellular carcinoma in the nude mice as compared withthose produced in SMMC-7721 cells. In addition, the determination of the DNA content in TNF-treated SMMC-7721 cells and controls revealed no significant difference between them. On the basisof these results and Darzynkiewicz’s proposals, it is suggested that TNF exerts its tumor-selectivekilling effect by binding to a specific to a specific plasma membrane receptor to disturb synthesis or assembly ofcell membrane components, thus causing the plasma membrane injury and finally cell lysis. 展开更多
关键词 tumor necrosis factor human HEPATOCELLULAR CARCINOMA cell line heterotransplanted tumor electron MICROSCOPY flow CYTOMETRY
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The effects of tumor necrosis factor on cultured hepatocytes and non-parenchymal liver ceils in the mouse
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作者 王宇明 大西弘生 +1 位作者 武藤泰敏 刘沛 《Journal of Medical Colleges of PLA(China)》 CAS 1992年第3期287-290,共4页
The effects of tumor necrosis factor(TNF)on the cultured mouse hepa-tocytes and non-parenchymal liver cells were observed.It was found that therewere no significant changes of the morphological integrity and viability... The effects of tumor necrosis factor(TNF)on the cultured mouse hepa-tocytes and non-parenchymal liver cells were observed.It was found that therewere no significant changes of the morphological integrity and viability of thehepatocytes and the aspartate transferase level in the culture supernate after theaddition of TNF into the culture medium as compared with those of the normalcontrol,which indicates that TNF exerts no obvious cytotoxocity on the culturedmouse hepatocytes. In addition,there were also no significant changes of theabove mentioned parameters after TNF was added to the cocultures of hepato-cytes and non-parenchymal liver cells,which implies that the unactivated non-parenchymal liver cells are not involved in the TNF-related hepatocyte injury. 展开更多
关键词 tumor necrosis factor CULTURED HEPATOCYTE non-parenchymal LIVER cell MOUSE
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Inhibitory effect of matrine on tumor necrosis factor production and protein kinase C activity
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作者 张俊平 胡振林 +1 位作者 林文 钱定华 《Journal of Medical Colleges of PLA(China)》 CAS 1996年第1期49-51,共3页
The present study was designed to determine the effect of matrine on tumor necrosis factor (TNF) production as well as the change of protein kinase C (PK C) activity in cytosol fraction and membrane fraction during th... The present study was designed to determine the effect of matrine on tumor necrosis factor (TNF) production as well as the change of protein kinase C (PK C) activity in cytosol fraction and membrane fraction during the induction. Matrine 0. 5, 1. 0 mmol/L markedly inhibited lipopolysaccharides (50 ng/ml) induced TNF release from peritoneal macrophages (MΦ) primed by calcimycin (1 μmol/L), and PK C activity in cytosol fraction and membrane fraction of MΦ was also inhibited. These results suggest that inhibitory effect of matrine on TNF production is possibly attributed to its inhibitory action on the intercellular PK C activity. 展开更多
关键词 MATRINE macrophages tumor necrosis factor PROTEIN KINASE
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Construction of murine interleukin-3 and murine tumor necrosis factor-α hepatoma-specific retroviral vectors and specific expression in the hepatoma cell lines
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作者 曹广文 杜平 +2 位作者 杨文国 戚中田 孔宪涛 《Journal of Medical Colleges of PLA(China)》 CAS 1995年第4期253-258,共6页
PSV23SMTNF and pSPMoIL-3 plasmids were cleaved to release murine interleukin-3 (mIL-3)and murine tumor necrosis factor (mTNF) complementary DNA (cDNA) resectively.The 3'terminal instable sequence of mIL-3 cDNA was... PSV23SMTNF and pSPMoIL-3 plasmids were cleaved to release murine interleukin-3 (mIL-3)and murine tumor necrosis factor (mTNF) complementary DNA (cDNA) resectively.The 3'terminal instable sequence of mIL-3 cDNA was deleted with Nco I digestion. Both cDNAs 展开更多
关键词 INTERLEUKIN-3 tumor necrosis factor gene transferi HEPATOMA ALBUMIN enhancer/promoter
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Increase of tumor necrosis factor receptor 1 expression in women with unexplained early spontaneous abortion
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作者 闫春芳 于学文 +1 位作者 金辉 李旭 《Journal of Medical Colleges of PLA(China)》 CAS 2004年第6期359-362,366,共5页
Objective: To investigate membrane tumor necrosis factor receptor 1 protein expression level in decidua and concentration of soluble tumor necrosis factor receptor 1 in serum in women with unexplained early spontaneou... Objective: To investigate membrane tumor necrosis factor receptor 1 protein expression level in decidua and concentration of soluble tumor necrosis factor receptor 1 in serum in women with unexplained early spontaneous abortion, threatened abortion, and compare the levels with healthy pregnant women. Methods: Thirty-seven women with unexplained early spontaneous abortion, 27 women with threatened abortion, and 34 healthy pregnant women undergoing artificial abortion of pregnancy at 6 - 10 weeks of gestation were selected. Decidual samples were collected when women were undergoing artificial abortion, and blood samples were collected at the same time. The level of membrane tumor necrosis factor receptor 1 in decidua was detected by flow cytometer, and the concentration of soluble tumor necrosis factor receptor 1 in sera was measured with an enzyme-linked immunosorbent assay. Results: The percentages of membrane tumor necrosis factor receptor 1 positive decidual cells were 16.42 ± 7.10 Mean ± SD for women with unexplained early spontaneous abortion and 13. 14 ± 6.30 for healthy pregnant women ( P < 0.05). Serum concentration of soluble tumor necrosis factor receptor 1 was significantly higher in women with unexplained early spontaneous abortion than in healthy pregnant women and in women with threatened abortion, and no difference was found between healthy pregnant women and women with threatened abortion. Conclusion: Women with unexplained early spontaneous abortion present significantly higher expression of tumor necrosis factor receptor 1 than healthy pregnant women, suggesting that over-expression of tumor necrosis factor receptor 1 may contribute to the development of early spontaneous abortion. 展开更多
关键词 membrane tumor necrosis factor receptor 1 soluble tumor necrosis factor receptor 1 unexplained early spontaneous abortion unexplained recurrent spontaneous abortion flow cytometer
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Gene expression and cellular localizations of tumor necrosis factor-α at the site of implanted bovine cancellous bone in mice
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作者 郭征 胡蕴玉 +1 位作者 王剑波 张传山 《Journal of Medical Colleges of PLA(China)》 CAS 1997年第4期304-307,共4页
The objective of this study was to determine if mRNA encoding for tumor necrosls factor-α(TNFα) was present at the site of implanted bovine cancellous bone and to observe the cellular localizations. The particles of... The objective of this study was to determine if mRNA encoding for tumor necrosls factor-α(TNFα) was present at the site of implanted bovine cancellous bone and to observe the cellular localizations. The particles of bovine cancellous bone treated by special chemical reagents were implanted in the mouse’s muscle pouch. removed 5.10 and 20 days after implantation, and the specimens were processed for determining the expression and cellular localizations of TNFα mRNA, which was performed by a nonradioactive in situ hybridization technique. The results showed that (1) 5, 10 and 20 days after transplantation, the TNFα mRNA expressions were positive, andthe positive rate of expression was the highest by 10 days (P<0. 05 ). (2)There was strong hybridization signal localization to the nuclei of morphologically ldentifiable monocytes and multinucleated giant cells. (3)Similar activity was detected in the cytoplasm and (or) nuclei of partial adjacent mesenchymal cells, fibroblasts as well as striated muscle fibers. This finding tended to indicate that mRNA encoding for TNFα was intensely expressed in several kinds of cells and that TNFα seemed to be of importance for the modulation of local cellular immunity in the region of implanted xenogeneic bone. 展开更多
关键词 bone GRAFT tumor necrosis factor gene expression in SITU HYBRIDIZATION MICE
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AN EXPERIMENTAL STUDY OF THE TUMOUR NECROSIS FACTOR LEVELSIN AQUEOUS HUMOR AFTER TRAUMATIC CATARACT AND INTRAOCULAR LENS IMPLANTATION 被引量:2
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作者 周朝晖 何守志 《Chinese Medical Sciences Journal》 CAS CSCD 1999年第1期64-66,共3页
Purpose. This paper studies the tumour necrosis factor (TNF) levels in aqueous humor after traumatic cataract extraction and posterior chamber (PC) intraocular lens (IOL) implantation in rabb... Purpose. This paper studies the tumour necrosis factor (TNF) levels in aqueous humor after traumatic cataract extraction and posterior chamber (PC) intraocular lens (IOL) implantation in rabbits,and discusses the effect of TNF on postoperative anterior ocular inflammation. Methods. Twenty seven pigmented rabbits were divided into three groups: for the first group, the IOL were placed in the capsular bag after traumatic cataract extraction; for the second, the Extracapsular cataract extraction without IOL implantation; and for the third, the control group without surgical intervention. On the 1st, 3rd, 7th and 14th day postoperatively, aqueous humor samples were obtained. A modified double antibodies indirect sandwich ELISA was used to detected for the presence of TNF. The data were studied by means of analysis of variance in SAS software. Result. The TNF level was increased in aqueous humor and reached its maximum on the 1st postoperative days after traumatic cataract extraction and PC IOLs implantation, and the TNF levels are significantly higher (P<0 05) on the 1st, 3rd, 7th and 14th day postoperatively in traumatic cataract extraction and PC IOL implanted group than that in the non surgical intervention group and extracapsular cataract extraction group. Conclusions. The increase of TNF levels had a close relationship with presence of the IOL itself which induces the secretion of TNF. This suggested that TNF as the principal mediators of immunological and inflammatory responses, so that may play critical role in anterior ocular inflammative response after traumatic cataract extraction and IOL implantation. 展开更多
关键词 intraocular lens traumatic cataract extraction tumour necrosis factor (tnf)
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外周血和肺泡灌洗液CARDS TX、TNF-α、SAA对难治性支原体肺炎儿童的鉴别诊断价值
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作者 梁利红 许丽萍 梁东阁 《四川生理科学杂志》 2025年第1期34-36,53,共4页
目的:分析外周血和肺泡灌洗液社区获得性呼吸窘迫综合征毒素(CARDS TX)、肿瘤坏死因子-α(TNF-α)、血清淀粉样蛋白A(SAA)对难治性支原体肺炎(RMPP)儿童的鉴别诊断价值。方法:将2023年06月至2024年06月郑州大学附属儿童医院住院治疗的10... 目的:分析外周血和肺泡灌洗液社区获得性呼吸窘迫综合征毒素(CARDS TX)、肿瘤坏死因子-α(TNF-α)、血清淀粉样蛋白A(SAA)对难治性支原体肺炎(RMPP)儿童的鉴别诊断价值。方法:将2023年06月至2024年06月郑州大学附属儿童医院住院治疗的100例RMPP病儿、100例普通MPP病儿、100例健康查体儿童分别纳入RMPP组、MPP组及对照组。比较MPP组和RMPP组患儿的临床表现、肺外脏器受累情况、影像学变化、支气管镜检查表现,比较三组患儿的血清及肺泡灌洗液内CARDS TX、TNF-α、SAA水平,并ROC曲线分析血清及肺泡灌洗液内CARDS TX、TNF-α、SAA水平对RMPP的诊断价值。结果:与MPP组相比,RMPP组患儿的呼吸音减低、肺外脏器受累、肺实变、胸腔积液、黏膜糜烂、黏膜脱落、黏液栓形成发生率升高(P<0.05)。与对照组相比,MPP组和RMPP组患儿的血清及肺泡灌洗液内CARDS TX、TNF-α、SAA水平均升高,且RMPP组高于MPP组(P<0.05)。ROC曲线分析,肺泡灌洗液CARDS TX诊断RMPP的曲线下面积最大,诊断截点值为,诊断灵敏度和特异度分别为85.02%和78.71%。结论:外周血和肺泡灌洗液CARDS TX、TNF-α、SAA对RMPP患儿均有一定的诊断效能,其中肺泡灌洗液CARDS TX的诊断效能最佳。 展开更多
关键词 难治性支原体肺炎 肿瘤坏死因子-α 血清淀粉样蛋白A 诊断
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不同基因型终末期心力衰竭患者TNF-α水平差异及其与原发性肝癌的相关性
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作者 吉顺年 吉涵铭 刘爱明 《医学研究与战创伤救治》 北大核心 2025年第4期399-403,共5页
目的探讨肿瘤坏死因子-α(TNF-α)-238位点不同基因型终末期心力衰竭患者与原发性肝癌(PHC)的相关性。方法选取2014年6月至2024年6月在海安市中医院及海安市人民医院入院接受治疗的1350例终末期心力衰竭患者。选取其中102例经B超及甲胎... 目的探讨肿瘤坏死因子-α(TNF-α)-238位点不同基因型终末期心力衰竭患者与原发性肝癌(PHC)的相关性。方法选取2014年6月至2024年6月在海安市中医院及海安市人民医院入院接受治疗的1350例终末期心力衰竭患者。选取其中102例经B超及甲胎蛋白检测为合并PHC患者作为心衰+PHC组,应用倾向性匹配积分在另外1248例未合并肝癌者中匹配100例患者作为对照组。比较两组TNF-α水平的差异。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)技术扩增目的基因片段,并用特异性限制性内切酶对产物片段进行酶切,根据电泳结果对两组TNF-α-238 G/A基因型和等位基因频率分别进行检测并统计。分别检测两组各基因型表达的TNF-α水平。结果心衰+PHC组TNF-α表达较对照组明显升高(P<0.05)。心衰+PHC组基因型分布为:GG型84例(82.35%),GA型+AA型18例(17.65%);对照组GG型95例(95.00%),GA型+AA型5例(5.00%)。心衰+PHC组G等位基因频率和A等位基因频率分别为184(90.20%)、20(9.8%);对照组中分别为195(97.50%)、5(2.50%)。心衰+PHC组中GA型+AA型、A等位基因显著多于对照组(P<0.05)。心衰+PHC组GA型+AA基因型血清TNF-α水平[(164.83±23.32)pg/mL]明显高于GG基因型[(128.21±15.84)pg/mL],差异具有统计学意义(P<0.05)。结论终末期心力衰竭患者的TNF-α水平与肝癌发病相关,TNF-α-238位点为GA型的终末期心力衰竭患者与PHC发病密切相关,该位点A等位基因可能是并发PHC的易感基因,且TNF-α浓度和其基因型密切相关。 展开更多
关键词 心力衰竭 肿瘤坏死因子-Α 基因多态性 肝癌
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低氧环境对妊娠大鼠胎盘组织TNF-α、IL-10的表达及其生殖功能、胚胎发育的影响
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作者 李丹 李建华 许佳佳 《解剖学杂志》 2025年第1期7-11,F0002,共6页
目的:探讨高原低氧环境下妊娠大鼠体内,肿瘤坏死因子α(TNF-α)、白介素10(IL-10)在胎盘中的表达及对生殖功能、子代发育的影响。方法:将20只雌鼠、10只雄鼠以2∶1为一笼随机分为低氧组(低压氧舱,模拟6000 m海拔)和常氧组(青海省西宁市... 目的:探讨高原低氧环境下妊娠大鼠体内,肿瘤坏死因子α(TNF-α)、白介素10(IL-10)在胎盘中的表达及对生殖功能、子代发育的影响。方法:将20只雌鼠、10只雄鼠以2∶1为一笼随机分为低氧组(低压氧舱,模拟6000 m海拔)和常氧组(青海省西宁市,平均2200 m海拔)饲养,记录每组雌鼠受孕率,直至妊娠第20天,2组妊娠大鼠禁食12h后,尾部采血测量空腹血糖,采取腹主动脉血液、取整个子宫,并剥离胎盘和胎鼠。记录2组妊娠大鼠子宫质量、胎鼠数量,计算2组妊娠大鼠子代畸形率。ELISA检测妊娠大鼠血清空腹胰岛素水平,H-E染色观察低氧下胎盘组织结构的改变,免疫组织化学染色检测妊娠大鼠胎盘组织TNF-α、IL-10阳性表达情况,RT-qPCR及免疫印迹检测妊娠大鼠胎盘组织TNF-α、IL-10mRNA及蛋白表达。结果:与常氧组相比,低氧组妊娠大鼠孕晚期子宫质量较轻;低氧组妊娠大鼠空腹血糖降低、空腹胰岛素水平升高;低氧组妊娠大鼠受孕率降低,胎鼠数量减少,胎鼠畸形率升高。低氧组妊娠大鼠胎盘结构不完整,血管分布增多,管壁增厚,绒毛发育缓慢且数目减少,绒毛间质血管分布密集,基底膜增厚,可见少量炎症细胞,合体滋养层增厚界限模糊。与常氧组比较,低氧组胎盘组织中TNF-α、IL-10 mRNA和蛋白表达均上调。结论:低氧环境下胎盘组织中的TNF-α、IL-10表达上调,可能与雌性大鼠生殖功能下降、不良妊娠有关。 展开更多
关键词 高原低氧 妊娠大鼠 肿瘤坏死因子α 白介素10 生殖功能 胎盘
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血清sTNFR1、HDAC4水平对维持性血液透析并发心血管事件的预测价值
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作者 思雅芳 刘瑜瑜 常露元 《中国医药导报》 2025年第9期110-114,共5页
目的探讨血清可溶性肿瘤坏死因子受体1(sTNFR1)、组蛋白去乙酰化酶4(HDAC4)水平对维持性血液透析(MHD)并发心血管事件(CVE)的预测价值。方法选取2021年1月至2023年8月西安交通大学第一附属医院榆林医院收治的MHD患者278例,根据是否发生... 目的探讨血清可溶性肿瘤坏死因子受体1(sTNFR1)、组蛋白去乙酰化酶4(HDAC4)水平对维持性血液透析(MHD)并发心血管事件(CVE)的预测价值。方法选取2021年1月至2023年8月西安交通大学第一附属医院榆林医院收治的MHD患者278例,根据是否发生CVE将患者分为CVE组(95例)和无CVE组(183例)。检测血清sTNFR1、HDAC4水平。分析血清sTNFR1、HDAC4水平与MHD并发CVE的关系及预测能效。结果278例MHD患者1年CVE发生率为34.17%(95/278)。两组年龄、透析龄、血磷、甲状旁腺素(PTH)、甘油三酯、高密度脂蛋白胆固醇、sTNFR1、HDAC4比较,差异有统计学意义(P<0.05)。年龄高、透析龄长、PTH高、sTNFR1高为MHD并发CVE的独立危险因素,HDAC4高为独立保护因素(P<0.05)。血清sTNFR1、HDAC4水平联合预测MHD并发CVE的曲线下面积为0.891,大于血清sTNFR1、HDAC4水平单独预测的0.773、0.798(P<0.05)。结论MHD患者血清sTNFR1水平升高和HDAC4水平降低与并发CVE有关,二者联合对MHD并发CVE有较高预测能效。 展开更多
关键词 维持性血液透析 可溶性肿瘤坏死因子受体1 组蛋白去乙酰化酶4 心血管事件
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基于血清sTNFR-Ⅱ与血栓弹力图评价子痫前期病情及母儿并发症发生风险
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作者 娄娟 顾成敏 +2 位作者 李洋 鲁会红 冯敏 《发育医学电子杂志》 2025年第2期120-127,共8页
目的基于血清可溶性肿瘤坏死因子受体(soluble tumor necrosis factor receptor,sTNFR)-Ⅱ与血栓弹力图(thrombelastography,TEG)评价子痫前期病情及母儿并发症发生风险,为改善子痫前期患者预后提供有利参考。方法采用回顾性研究方法,选... 目的基于血清可溶性肿瘤坏死因子受体(soluble tumor necrosis factor receptor,sTNFR)-Ⅱ与血栓弹力图(thrombelastography,TEG)评价子痫前期病情及母儿并发症发生风险,为改善子痫前期患者预后提供有利参考。方法采用回顾性研究方法,选取2020年3月至2023年1月秦皇岛市妇幼保健院收治的70例子痫前期孕妇,根据病情程度不同分为非重度子痫前期组(n=38)、重度子痫前期组(n=32),另选取同期70例妊娠晚期妊娠期高血压孕妇为妊娠期高血压组、70例正常妊娠晚期孕妇为正常妊娠组,入组后检测血清sTNFR-Ⅱ水平、TEG参数[血凝块形成速率(rate of hemagglutination formationα,α角)、凝血反应时间(coagulation reaction time,R)、凝血综合指数(coagulation index,CI)、血细胞凝集块形成时间(blood clot formation time,K)、血细胞凝集块、最大振幅(blood clot maximum intensity,MA)],并随访至妊娠终止,监测孕妇病情及围产儿并发症情况。比较4组血清sTNFR-Ⅱ水平及TEG参数,分析其与子痫前期凝血指标的关系,比较不同预后患者血清sTNFR-Ⅱ、TEG参数,分析血清sTNFR-Ⅱ、TEG参数对母儿并发症诊断的影响及其与母儿并发症的关系。统计学方法采用单因素方差分析、t检验、χ^(2)检验,采用Spearman法描述各变量之间的相关性,受试者操作特征(receiver operating characteristic,ROC)曲线分析TEG参数对母儿并发症的诊断价值,采用危险度分析TEG参数与母儿并发症的关系。结果重度子痫前期组的血清sTNFR-Ⅱ、α角、CI、MA均高于非重度子痫前期组、妊娠期高血压组、正常妊娠组,差异有统计学意义(P值均<0.05);重度子痫前期组的R、K均低于非重度子痫前期组、妊娠期高血压组、正常妊娠组,差异有统计学意义(P值均<0.05);血清sTNFR-Ⅱ、TEG参数中α角、CI、MA与子痫前期病情程度呈正相关(r值分别为0.681、0.584、0.734、0.610,P值均<0.05),R、K与子痫前期病情程度呈负相关(r值分别为-0.602、-0.557,P值均<0.05);重度子痫前期组母儿并发症发生率高于非重度子痫前期组[56.25%(18/32)与26.32%(10/38),χ^(2)=6.486,P<0.05];发生母儿并发症的子痫前期患者血清sTNFR-Ⅱ、α角、CI、MA均高于未发生母儿并发症患者(P值均<0.05);发生母儿并发症的子痫前期患者R、K均低于未发生母儿并发症患者(P值均<0.05);血清sTNFR-Ⅱ、α角、R、CI、K、MA联合预测子痫前期母儿并发症的曲线下面积(area under the curve,AUC)值最大,为0.950(95%CI:0.870~0.988)(P<0.05);血清sTNFR-Ⅱ、α角、R、CI、K、MA所致母儿并发症的相对危险度分别为3.240(95%CI:1.780~5.897)、2.632(95%CI:1.384~5.003)、2.356(95%CI:1.381~4.023)、0.326(95%CI:0.184~0.578)、4.933(95%CI:2.108~11.543)、0.338(95%CI:0.175~0.653)(P值均<0.001)。结论子痫前期不同病情程度患者血清sTNFR-Ⅱ、TEG参数存在明显差异,血清sTNFR-Ⅱ、α角、R、CI、K、MA与子痫前期病情联系密切,联合检测对子痫前期母儿并发症有较高的预测价值,对临床评估子痫前期病情、减少母儿并发症具有现实指导作用。 展开更多
关键词 子痫前期 血清可溶性肿瘤坏死因子受体-Ⅱ 血栓弹力图 并发症 危险度 相关性 预测价值
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血清TNF-α、IL-17表达预测腰椎间盘突出症患者术后残留疼痛的价值
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作者 郭淼勇 《河南医学研究》 CAS 2024年第16期2935-2938,共4页
目的探讨血清肿瘤坏死因子(TNF-α)、白细胞介素-17(IL-17)表达预测腰椎间盘突出症患者术后残留疼痛的价值。方法回顾性收集2020年1月至2023年1月郑州大学第二附属医院收治的165例腰椎间盘突出症患者的临床资料,根据患者术后6个月时残... 目的探讨血清肿瘤坏死因子(TNF-α)、白细胞介素-17(IL-17)表达预测腰椎间盘突出症患者术后残留疼痛的价值。方法回顾性收集2020年1月至2023年1月郑州大学第二附属医院收治的165例腰椎间盘突出症患者的临床资料,根据患者术后6个月时残留疼痛情况分为残留疼痛组(19例)和未残留疼痛组(146例)。术前检测患者血清TNF-α、IL-17水平,分析血清TNF-α、IL-17对腰椎间盘突出症患者术后残留疼痛的预测价值。结果两组纤维环损伤、TNF-α、IL-17水平差异有统计学意义(P<0.05);经logistic回归分析,结果显示,血清TNF-α、IL-17水平、纤维环损伤是腰椎间盘突出症患者术后残留疼痛发生的危险因素(OR>1,P<0.05);绘制受试者工作特征(ROC)曲线,结果显示,血清TNF-α、IL-17以及联合预测腰椎间盘突出症患者术后残留疼痛的曲线下面积(AUC)均>0.7,具有一定预测价值,且联合预测价值更高。结论血清TNF-α、IL-17高表达是腰椎间盘突出症患者术后残留疼痛的影响因素,且具有一定预测价值。 展开更多
关键词 肿瘤坏死因子 白细胞介素-17 腰椎间盘突出症 残留疼痛 预测
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