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Epac1/Rap1 signaling pathway is involved in the pathogenesis of myocardial ischemia/reperfusion injury in rats 被引量:1
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作者 Xin WANG Xia CHE +2 位作者 Qin JIANG Gong-liang ZHANG Liu-yi DONG 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2018年第4期309-310,共2页
OBJECTIVE In this study we explored the role of Epac1-Rap1 pathway in the acute myocardial ischemia/reperfusion injury(MIRI) in vitro and in vivo.METHODS An acute myocardial ischemia/reperfusion injury model was estab... OBJECTIVE In this study we explored the role of Epac1-Rap1 pathway in the acute myocardial ischemia/reperfusion injury(MIRI) in vitro and in vivo.METHODS An acute myocardial ischemia/reperfusion injury model was established by the ligation of left anterior descending coronary.Myocardial architecture,fibers and apoptosis was evaluated by the Masson trichrome staining,Sirius red staining and TUNEL assay.H9c2 cells were subjected to hypoxia for 5 h followed by 1-h reoxygen.ation in vitro.Cell viability was measured by MTT assay and cellular injury was evaluated by measuring the release of lactate dehydrogenase(LDH).Western blot,real-time PCR and immunofluorescence were used to detect the expressions of Epac1 and relative downstream molecules.RESULTS Myocardial IR-induced cardiac apoptosis and accumulation of Epac1 and Rap1 in rat IR injury model.Direct Epac activation by 8-CPT(8-(4-chlorophenylthio)-2′-O-methyl-cAMP) exacerbated cardiomyocyte death and dysfunction following hypoxia-reoxygenation(H/R),selective activation of Epac in response to H/R was evident which enriched for cytosolic/membrane proteins and mRNA.Harmacological inhibitor of Epac(ESI-09) significantly ameliorated myocardial injury with the decline of Epac expression.Epac inhibitor and agonist studies also implicated the effect of Rap1,which is downstream of Epac in this pathway.The expression of Rap1 elevated when activated by Epac agonist and was blocked by Epac inhibitor.The same result was true for myocyte CaMK-II and intracellular calcium ions activation.Moreover,ESI-09 also increased ERK1/2 phosphorylation.CONCLUSION Our study reveal that Epac1/Rap1 signaling pathway is involved in the pathogenesis of myocardial I/R injury in rats,which provides evidence on the development of therapeutic strategies target this pathway for myocardial I/R injury. 展开更多
关键词 急性心肌缺血 冠状动脉 治疗方法 临床分析
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Study on potential mechanism of hyperoside on improving ischemia/reperfusion injury based on network pharmacology
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作者 LU Jia-jun JIANG Chen-chen +2 位作者 SHI Lei CAO Di HAN Jun 《中国药理学与毒理学杂志》 CAS 北大核心 2021年第10期769-769,共1页
OBJECTIVE To predict the potential targets of hyperoside(Hyp)on improving ischemia/reperfusion injury by network pharmacology,and explore its possible mechanism combined with related literature.METHODS The action targ... OBJECTIVE To predict the potential targets of hyperoside(Hyp)on improving ischemia/reperfusion injury by network pharmacology,and explore its possible mechanism combined with related literature.METHODS The action targets of Hyp and ischemia/reperfusion injury were obtained by TCMSP,Swiss Target Prediction,Pharm Mapper,Similarity ensemble approach,Online Mendelian Inheritance in Man,DisGENT and database.The common targets of drugs and diseases were screened by Omishare and STRING database respectively,and the protein-protein interaction(PPI)network map was constructed.Then the interaction network between Hyp and disease targets was constructed by Cytoscape software and topological cross-linking analysis was carried out.Then the interaction network between Hyp and disease targets was constructed and cross-linked analysis was carried out by using Cytoscape software.The gene ontology(GO)of the core target was analyzed by David database,and then the related pathways of the core target were enriched by KEGG database.RESULTS A total of 54 GO enrichment processes were obtained by GO enrichment analysis of 44 common genes,including 38 biological processes(BP),15 cell composition(CC)processes,and 1 molecular functional(MF)process.43 items were obtained by signal pathway enrichment analysis in KEGG database.CONCLUSION It is suggested that the mechanism of Hyp may be related to PI3K-Akt,RAP1,RAS,VEGF and other signal transduction pathways.The above results laid a theoretical foundation for the study of the mechanism and clinical application of the treatment of ischemia/reperfusion injury. 展开更多
关键词 HYPEROSIDE ischemia/reperfusion injury network pharmacology
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Cardioprotective effects of Salvia miltiorrhiza Bunge and Lignum dalbergiae odoriferae on rat myocardial ischemia/reperfusion injury
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期168-169,共2页
Aim Salvia miltiorrhiza Bunge (SM) and lignum dalbergiae odoriferae (DO) are both traditional Chi- nese medicine that have cardioprotective effects. Here, we further examined the combined effects of SM and DO on r... Aim Salvia miltiorrhiza Bunge (SM) and lignum dalbergiae odoriferae (DO) are both traditional Chi- nese medicine that have cardioprotective effects. Here, we further examined the combined effects of SM and DO on rat myocardial ischemia/reperfusion injury. The possible mechanism of SM and DO also were elucidated. Methods DO was divided into aqueous extract of lignum dalbergiae odoriferae (DOW) and lignum dalbergiae odoriferae oil (DOO). Sprague-Dawley rats were randomized to seven groups: sham group, model group, treatment groups inclu- ding SM (10 g · kg^-1), DOW (5 g · kg^-1), DOO (0.5 ml · kg^-1), SM + DOW (10 g · kg^-1 + 5 g · kg^-1), SM + DOO ( 10 g · kg^-1 + 0. 5 ml · kg^-1). Rats were pretreated with homologous drug for 7 days and then subjec- ted to 30 rain of ischemia followed by 180 rain of reperfusion. Electrocardiogram (ECG) and heart rate were moni- tored and recorded continuously. At the end of reperfusion, blood samples were collected to determine the serum levels of creatine kinase-MB (CK-MB) and lactate dehydrogenase (LDH). Hearts were harvested to assess heart- body rate, infarct size and histopathological changes as well. Maximum and minimum effective points were deter- mined by measuring indicators associate with myocardial injury at different time-points of reperfusion (Smin, 15min, 30min, 45rain, 60min, 120min, 180min). The potential therapeutic mechanism of SM and SM + DOO were carried out by detecting superoxide dismutase (SOD), malondialdehyde (MDA), tumor necrosis factor-alpha (TNF-alpha) and interleukin 6 (IL-6). Results The results showed SM and DO can ameliorate cardiac function respectively, and this cardioprotective effect was further strengthened by their combinations. Among all the combi- nations, SM + DOO showed predominant potential to improve ECG and heart rate, reduce heart-body rate (28.5% + 1.4% , P 〈 0.01 vs model) and myocardial infarct size ( 20.96% + 1.61% , P 〈 0.01 vs model, P 〈 0.05 vs SM) , attenuate histopathological damage, decrease the levels of CK-MB and LDH (P 〈 0.01 vs model, P 〈 0.05 vs SM). The maximum effective points of SM and SM + DOO were 15min and 30rain respectively, and the minimum effective points of them were 180rain. In reducing serum level of MDA, TNF-alpha, IL-6 and increasing SOD activ- ity, SM + DOO was similar to SM. Conclusion The results of this study indicated that SM + DOO have combined effects that are highly effective than single pretreatment against myocardial ischemie reperfusion injury in rats. The possible mechanism of SM and DO were likely through its anti-oxidant and anti-inflammatory properties, and thus may be an effective and promising medicine for both prophylaxis and treatment of ischemic heart disease. 展开更多
关键词 Keywords:myocardialischemia/reperfusioninjury SalviamiltiorrhizaBunge Lignumdalbergiaeodoriferae the MYOCARDIAL ischemia/reperfusion injury SALVIA miltiorrhiza BUNGE Lignum dalbergiae odoriferae themaximum and minimum effective points ANTI-OXIDANT anti-inflammatory
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Effects of total flavonoids of Rhododendra simsii on ameliorating brain injury via G protein-coupled SOCE pathway mediated by STIM and Orai in subacute phase of ischemia/reperfusion
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作者 LU Jia-jun JIANG Chen-chen +5 位作者 HE Yu-xiang SHI Lei YIN Xiu-yun CHEN Zhuo CAO Di HAN Jun 《中国药理学与毒理学杂志》 CAS 北大核心 2021年第10期768-769,共2页
OBJECTIVE To explore the effect of total flavonoids of Rhododendra simsii(TFR)on improving cerebral ischemia/reperfusion injury(CIRI)and its relationship with STIM/Orai-regulated operational Ca^(2+)influx(SOCE)pathway... OBJECTIVE To explore the effect of total flavonoids of Rhododendra simsii(TFR)on improving cerebral ischemia/reperfusion injury(CIRI)and its relationship with STIM/Orai-regulated operational Ca^(2+)influx(SOCE)pathway.METHODS Oxygen-glucose deprivation/reoxygenation(OGD/R)PC12 cells were used to simulate CIRI in vitro,and the intracellular Ca^(2+)concentration and apoptosis rate of PC12 cells were detected by laser confocal microscope and flow cytometry,respectively.The regulation of STIM/Orai on SOCE was analyzed by STIM/Orai gene silencing and STIM/O rai gene overexpression.The CIRI model was established by MCAO in SD rats.The activities of inflammatory cytokines IL^(-1),IL-6 and TNF-αin serum were detected by ELISA.The pathological changes of ischemic brain tissue and the infarction of rat brain tissue were detected by HE staining and TTC staining.The protein and mRNA expression levels of STIM1,STIM2,Orai1,caspase-3 and PKB in brain tissue were detected by Western blotting and RT-qPCR,respectively.RESULTS The results of in vitro experiment showed that the fluorescence intensity of Ca^(2+)and apoptosis rate in PC12 cells treated with TFR were significantly lower than those in OGD/R group,and this trend was enhanced by SOCE antagonist 2-APB.STIM1/STIM2/Orai1 gene silencing significantly reduced apoptosis and Ca^(2+)overload in OGD/R model,while TFR combined with overexpression of STIM1/STIM2/Orai1 aggravated apoptosis and Ca2+overload.In the in vivo experiment,TFR significantly reduced the brain histopathological damage,infarction of brain tissue,the contents of IL^(-1),IL-6 and TNF-αin the serum in MCAO rats and down-regulated the expression of STIM1,STIM2,Orai1 and caspase-3 protein and mRNA in the brain tissue,and up-regulated the expression of PKB.The above effects were enhanced by the addition of 2-APB.CONCLUSION The above results indicate that TFR may reduce the contents of inflammatory factors and apoptosis,decrease Ca2+overload and ameliorate brain injury by inhibiting SOCE pathway mediated by STIM and Orai,suggesting that it has a protective effect against subacute CIRI. 展开更多
关键词 total flavonoids of Rhododendra simsii cerebral ischemia/reperfusion injury STIM/Orai store-operated calcium entry 2-APB
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Progress in protective effect and mechanism of 6-gingerol on myocardial ischemia/reperfusion injury
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作者 MA Yun-feng PAN Fei-bing +1 位作者 ZHANG Dan-shen JING Yong-shuai 《中国药理学与毒理学杂志》 CAS 北大核心 2021年第10期769-770,共2页
The morbidity and mortality of cardiovascular diseases are very high,which has attracted more and more attention all over the world.Common treatment methods for clinical treatment of acute myocardial infarction includ... The morbidity and mortality of cardiovascular diseases are very high,which has attracted more and more attention all over the world.Common treatment methods for clinical treatment of acute myocardial infarction include direct percutaneous coronary intervention and coronary artery bypass grafting,which can quickly restore blocked coronary blood flow and reduce the infarct size.However,the inevitable ischemia/reperfusion injury will occur during the recovery of coronary blood flow,its pathological mechanism is complicated,and the Western medicine countermeasures are very limited.Among the current drugs for the treatment of cardiovascular diseases,traditional Chinese medicine has become a research hotspot due to its multiple targets,safety,and low side effects.Ginger is the fresh rhizome of Zingiber officinale Rosc.,a perennial herbaceous plant in the ginger family.It is a dual-purpose resource of medicine and food.Ginger has the functions of relieving the appearance and dispelling cold,warming up and relieving vomiting,resolving phlegm and relieving cough,and relieving fish and crab poison.The chemical components of ginger mainly include volatile oil,gingerol,diphenylheptane,etc..Among them,6-gingerol,as the main active component of gingerols,has obvious pharmacological effects in myocardial protection,anti-oxidation,anti-inflammatory,etc..Studies have shown that 6-gingerol protects myocardium mainly through anti-oxidative stress,anti-inflammatory,inhibiting cell apoptosis,and preventing calcium influx.①Anti-oxidative stress:oxidative stress is a state where oxidation and anti-oxidation in the body are out of balance,and it is also an important factor leading to myocardial damage.Many studies have confirmed that 6-gingerol has an antioxidant effect,and it is considered a natural antioxidant.6-gingerol can significantly reduce the degree of oxidative stress and the level of reactive oxygen species caused by cardiomyocyte damage,and has a significant cardioprotective effect.②Anti-inflammatory:inflammation can cause substantial cell damage and organ dysfunction,which is another important cause of myocardial damage.6-gingerol can reduce the levels of inflammatory factors such as interleukin-6,interleukin-1β,and tumor necrosis factor-αin cardiomyocytes,and at the same time inhibit the TLR4/NF-κB signaling pathway,an important regulatory pathway of inflammation,showing that it may improve myocardial damage through anti-inflammatory effects.③Inhibition of apoptosis:apoptosis is a complex and orderly process in the autonomous biochemical process of cells,and one of the main mechanisms of myocardial injury.This process can be roughly divided into three pathways:mitochondria,endoplasmic reticulum,and death receptors.Among them,the mitochondrial pathway plays an important role,and Bcl-2 and Bax located upstream of this pathway can regulate the entire process of cell apoptosis by regulating the permeability of the mitochondrial membrane.Studies have found that the preventive application of 6-gingerol can reduce cell damage,reduce the number of apoptotic cells,reduce the activity of Bax and caspase-3,and increase the expression of Bcl-2.Therefore,6-gingerol pretreatment can reduce the damage of cardiomyocytes,and its mechanism may be related to the inhibition of apoptosis.④Prevent calcium influx:calcium overload is involved in the pathogenesis of myocardial ischemic injury,which may be related to excessive contracture,arrhythmia,and mitochondrial Ca2+accumulation that impairs myocardial function.6-gingerol inhibits the increase of intracellular Ca2+concentration by inhibiting L-type calcium current,thereby reducing extracellular Ca2+influx,thereby avoiding calcium overload and playing a cardioprotective effect.In summary,6-gingerol can effectively treat and improve myocardial ischemia/reperfusion injury,and it has great development potential in the fields of medicine and health products. 展开更多
关键词 6-GINGEROL myocardial ischemia/reperfusion injury
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Roles of berbamine in the normal and ischemia/reperfusion hearts
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期199-200,共2页
Myocardial infarction resulting from coronary atherosclerosis is the leading cause of death in modern soci- ety. Reperfusion is an essential treatment to salvage ischemia myocardium from necrosis, while it also leads ... Myocardial infarction resulting from coronary atherosclerosis is the leading cause of death in modern soci- ety. Reperfusion is an essential treatment to salvage ischemia myocardium from necrosis, while it also leads to addi- tional damage. Therefore, exploring effective medicines to protect the heart from post-ischemic injury is one of the major objectives of cardiovascular research. Berbamine is a nature compound of bisbenzylisochinoline alkaloids from Barberry. We found that it displays positive inotropic and lusitropic effects at lower concentrations by increasing myofilament Ca2+ sensitivity via a PKCe-dependent signaling pathway. Moreover, berbamine preconditioning con- fers cardioprotection against ischemia/reperfusion (I/R) injury by attenuating the Ca2+ overloading and preventing the calpain activation through the activating of PI3K-Akt-GSK3β pathway and subsequently opening of the mitoKATP channel. Furthermore, we demonstrate that berbamine postconditioning conferred the cardioprotective effect against I/R injury by the regulation of autophagy. These findings reveal new roles and mechanisms of berbamine in the heart and cardioprotection against I/R injury. 展开更多
关键词 MYOCARDIAL INFARCTION BERBAMINE POSTCONDITIONING AUTOPHAGY ischemia/reperfusion injury
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舒芬太尼通过调节HIF-1α-Kcnq1ot1影响缺氧-复氧导致的心肌细胞损伤 被引量:1
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作者 邓方方 李继勇 +4 位作者 张力 邹高锐 陈治军 辛欢 乐薇 《中国药理学通报》 北大核心 2025年第3期500-507,共8页
目的探讨舒芬太尼(sufentanil,Suf)能否通过调节缺氧诱导因子-1α(hypoxia inducible factor-1α,HIF-1α)-KCNQ1重叠转录物1(KCNQ1 opposite strand/antisense transcript 1,Kcnq1ot1)改善缺氧-复氧(hypoxia-reoxygenation,H/R)导致的... 目的探讨舒芬太尼(sufentanil,Suf)能否通过调节缺氧诱导因子-1α(hypoxia inducible factor-1α,HIF-1α)-KCNQ1重叠转录物1(KCNQ1 opposite strand/antisense transcript 1,Kcnq1ot1)改善缺氧-复氧(hypoxia-reoxygenation,H/R)导致的心肌细胞损伤。方法生物信息学分析预测HIF-1α与Kcnq1ot1的相互作用。将H9c2细胞分为Ctrl组、H/R组、Suf组;oe-HIF-1α组、oe-HIF-1α+Suf组、sh-HIF-1α组、sh-HIF-1α+Kcnq1ot1组。MTT法检测细胞活性,TUNEL法检测细胞凋亡,ELISA法检测细胞上清液中的CK-MB与HBDH浓度,Western blot分析细胞中HIF-1α蛋白表达,逆转录定量PCR(RT-qPCR)测定Kcnq1ot1的mRNA表达水平。构建心肌缺血/再灌注大鼠模型,评估Suf对体内心肌缺血/再灌注的治疗潜力。结果生物信息学分析发现,HIF-1α与Kcnq1ot1之间存在直接的相互作用。与Ctrl组相比,H/R组的H9c2细胞活性降低,细胞凋亡增加,CK-MB与HBDH浓度上调,HIF-1α与Kcnq1ot1的表达增强(均P<0.05)。转染oe-HIF-1α后,进一步加剧了上述结果(均P<0.05);而Suf干预抑制了以上结果(均P<0.05)。与H/R组相比,sh-HIF-1α组的细胞活性明显改善,凋亡减少,CK-MB与HBDH浓度降低(均P<0.05);转染Kcnq1ot1则部分逆转了这些结果(均P<0.05)。动物实验发现,Suf能够改善大鼠心肌缺血/再灌注损伤。结论Suf通过抑制HIF-1α-Kcnq1ot1改善心肌H/R损伤。 展开更多
关键词 舒芬太尼 缺氧诱导因子-Α KCNQ1重叠转录物1 心肌缺氧-复氧损伤 缺血/再灌注损伤 心肌损伤
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铁死亡相关LncRNA在中医药防治脑缺血再灌注损伤中的研究进展 被引量:1
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作者 樊程程 张新宇 +4 位作者 王奡 王圣澎 孙梦月 王哲 刘继东 《中华中医药学刊》 北大核心 2025年第4期52-58,共7页
铁死亡,一种由铁依赖性脂质过氧化所驱动的细胞凋亡模式,在脑缺血再灌注损伤的复杂病理过程中占据重要位置。此类损伤通常发生在脑部缺血后血流恢复阶段,此时脑组织会经历更为严重的二次伤害。在一连串的复杂生理反应中,包括氧化应激、... 铁死亡,一种由铁依赖性脂质过氧化所驱动的细胞凋亡模式,在脑缺血再灌注损伤的复杂病理过程中占据重要位置。此类损伤通常发生在脑部缺血后血流恢复阶段,此时脑组织会经历更为严重的二次伤害。在一连串的复杂生理反应中,包括氧化应激、细胞内钙浓度超标以及炎症反应等多种机制共同作用,铁死亡为其中不可忽视的一环。近期研究显示,某些LncRNA能够通过影响铁死亡相关基因的表达,进而对脑缺血再灌注损伤过程产生显著影响。某些LncRNA通过调控与细胞自噬有关的基因表达,从而在脑缺血再灌注损伤后的细胞凋亡过程中发挥作用。关于LncRNA在脑缺血再灌注损伤中如何影响铁死亡的研究尚处于初始阶段,但这一领域的研究价值和应用潜力已经显现。未来,可以更深入地探索LncRNA调控铁死亡的相关作用机制,并努力发现更多与铁死亡相关的LncRNA,以期找到治疗脑缺血再灌注损伤的新方法和新途径。 展开更多
关键词 缺血性脑卒中 脑缺血再灌注损伤 中风 铁死亡 LncRNA 中医药疗法
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黄芪甲苷通过PINK1/parkin通路介导的线粒体自噬途径减轻大鼠脑缺血再灌注损伤 被引量:1
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作者 马莉 赵俊杰 +2 位作者 王鹏 钱建华 李良勇 《中国病理生理杂志》 北大核心 2025年第3期501-508,共8页
目的:探讨黄芪甲苷(astragaloside IV,AS-IV)通过PTEN诱导激酶1(PTEN-induced kinase 1,PINK1)/parkin通路介导的线粒体自噬途径,抑制氧化应激及减轻脑缺血再灌注损伤的作用机制。方法:构建大鼠大脑中动脉阻塞/再灌注(middle cerebral a... 目的:探讨黄芪甲苷(astragaloside IV,AS-IV)通过PTEN诱导激酶1(PTEN-induced kinase 1,PINK1)/parkin通路介导的线粒体自噬途径,抑制氧化应激及减轻脑缺血再灌注损伤的作用机制。方法:构建大鼠大脑中动脉阻塞/再灌注(middle cerebral artery occlusion/reperfusion,MCAO/R)模型,将SD大鼠随机分为sham、MCAO/R、AS-IV及线粒体分裂抑制剂1(mitochondrial division inhibitor-1,Mdivi-1)组。AS-IV及Mdivi-1组腹腔注射AS-IV(20 mg/kg,每天1次,连续7 d),Mdivi-1组同时给予Mdivi-1腹腔注射(1.2 mg·kg^(-1)·d^(-1)),sham和MCAO/R组则给予等体积的蒸馏水。Zea-Longa法检测神经功能缺损评分,TTC染色检测脑梗死体积,HE染色观察脑组织病理形态学改变,透射电子显微镜观察线粒体自噬,酶标法测定丙二醛(malondialdehyde,MDA)含量和超氧化物歧化酶(superoxide dismutase,SOD)活性,流式细胞术检测活性氧(reactive oxygen species,ROS)含量,Western blot和RTqPCR检测PINK1、parkin、微管相关蛋白1轻链3(microtubule-associated protein 1 light chain 3,LC3)蛋白和mRNA表达水平。结果:MCAO/R组大鼠经AS-IV治疗后,脑组织神经元及线粒体的损伤明显减轻,自噬小体增多(P<0.05),脑梗死体积显著减小,神经功能缺损情况亦明显减轻(P<0.05),PINK1、parkin及LC3蛋白和mRNA表达水平显著上调(P<0.05),ROS和MDA含量明显降低,SOD活性显著增加(P<0.05);Mdivi-1干预后则完全逆转了ASIV的作用,阻抑了PINK1/parkin通路的激活,LC3蛋白和mRNA表达水平下调,线粒体明显损伤,自噬小体减少,ROS和MDA含量增加,SOD活性下降,脑梗死体积增加,神经功能缺损加剧(P<0.05)。结论:AS-IV可能通过激活PINK1/parkin通路介导的线粒体自噬,抑制氧化应激反应,从而减轻大鼠脑缺血再灌注损伤。 展开更多
关键词 黄芪甲苷 线粒体自噬 氧化应激 脑缺血再灌注损伤
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野黄芩苷调控miR-26a-3p/Survivin分子轴对大鼠心肌缺血/再灌注损伤的影响
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作者 黄建成 刘佳 +3 位作者 刘璞娟 董彦博 王军 李红英 《世界科学技术-中医药现代化》 北大核心 2025年第5期1360-1367,共8页
目的探讨野黄芩苷(Scutellarin,Scu)调控miR-26a-3p/Survivin分子轴对大鼠心肌缺血/再灌注损伤(Myocardial ischemia/reperfusion injury,MIRI)的影响及其机制。方法将50只SD大鼠随机分为假手术组(Sham)、模型组(Model)、野黄芩苷组(Scu... 目的探讨野黄芩苷(Scutellarin,Scu)调控miR-26a-3p/Survivin分子轴对大鼠心肌缺血/再灌注损伤(Myocardial ischemia/reperfusion injury,MIRI)的影响及其机制。方法将50只SD大鼠随机分为假手术组(Sham)、模型组(Model)、野黄芩苷组(Scu)、miR-26a-3p激动剂组(agomir)和野黄芩苷+miR-26a-3p agomir组(Scu+agomir),每组10只。结扎大鼠冠状动脉前降支建立MIRI动物模型,各组大鼠于术前及术中分别给予20 mg/kg Scu或10 nmol agomir干预,Sham组和Model组大鼠给予等量溶剂。术后48 h,采用超声心动图检查大鼠心功能;苏木素-伊红(HE)染色检测大鼠心肌组织病理学改变;生化试剂盒检测大鼠血清中心肌损伤标志物肌酸激酶同工酶(CreatinekinaseisoenzymeMB,CK-MB)、乳酸脱氢酶(Lactate dehydrogenase,LDH)、心肌肌钙蛋白I(Cardiac troponin I,cTnI)水平以及心肌组织中氧化水平标志物丙二醛(Malondialdehyde,MDA)、超氧化物歧化酶(Superoxide dismutase,SOD)、谷胱甘肽过氧化物酶(Glutathione peroxidase,GSH-Px)含量;TUNEL染色检测大鼠心肌细胞凋亡水平;qRT-PCR检测大鼠心肌组织中miR-26a-3p及生存素(Survivin)mRNA表达水平;Western blot检测大鼠心肌组织中Survivin、细胞周期蛋白依赖激酶抑制因子(p21)及cleaved-caspase 3蛋白表达水平。结果与Sham组比较,Model组大鼠心肌组织病理损伤严重,心功能LVEDP水平及血清中CK-MB、LDH、cTnI水平显著升高(P<0.01),LVESP、LVEF、LVFS水平显著降低(P<0.01);心肌组织细胞凋亡水平及MDA水平显著升高(P<0.01),SOD、GSH-Px水平显著降低(P<0.01);同时,心肌组织中miR-26a-3p及cleaved-caspase 3蛋白表达水平显著升高(P<0.01),而p21蛋白及Survivin mRNA和蛋白表达水平显著降低(P<0.01)。与Model组比较,Scu组大鼠心肌组织病理损伤明显改善,心功能LVEDP水平及血清中CK-MB、LDH、cTnI水平显著升高(P<0.01),LVESP、LVEF、LVFS水平显著升高(P<0.01);心肌组织细胞凋亡水平及MDA水平显著降低(P<0.01),SOD、GSH-Px水平显著升高(P<0.01);同时,心肌组织中miR-26a-3p及cleaved-caspase 3蛋白表达水平显著降低(P<0.01),p21蛋白及Survivin mRNA和蛋白表达水平显著升高(P<0.01)。然而,使用miR-26a-3p激动剂干预可明显逆转Scu对大鼠MIRI的改善作用。结论Scu可改善MIRI大鼠心功能及心肌损伤,抑制心肌细胞凋亡,其作用机制可能与调控miR-26a-3p/Survivin分子轴有关。 展开更多
关键词 野黄芩苷 心肌 缺血/再灌注损伤 miR-26a-3p 生存素
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电针预处理调控NLRP3/TRIF/Beclin 1信号通路改善大鼠心肌缺血再灌注损伤
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作者 贺丽丽 姜春宏 +3 位作者 刘顺畅 白桦 顾一煌 李开平 《中华中医药学刊》 北大核心 2025年第2期100-104,I0010-I0013,共9页
目的观察电针预处理对心肌缺血再灌注损伤(myocardial ischemia-reperfusion injury,MIRI)大鼠心功能、心肌损伤相关指标及自噬水平的影响,探讨电针预处理改善心肌缺血再灌注损伤的可能机制,进一步发挥中医“治未病”思想指导临床实践... 目的观察电针预处理对心肌缺血再灌注损伤(myocardial ischemia-reperfusion injury,MIRI)大鼠心功能、心肌损伤相关指标及自噬水平的影响,探讨电针预处理改善心肌缺血再灌注损伤的可能机制,进一步发挥中医“治未病”思想指导临床实践的优势。方法将60只雄性SD大鼠随机分为5组:假手术组、模型组、电针组、电针+生理盐水组、电针+激动剂组,每组12只。大鼠结扎左冠状动脉前降支30 min再灌注4 h建立I/R模型。电针组、电针+生理盐水组、电针+激动剂组于“内关”行电针干预,每次20 min,1次/d,连续4 d;电针+激动剂组在每次电针前30 min于腹腔注射NLRP3受体激动剂尼日利亚菌素钠盐Nigericin(1 mg/kg);电针+生理盐水组在每次电针前30 min于腹腔注射生理盐水,剂量同激动剂组。采用超声心动图观察造模后4h后大鼠左心室射血分数(left ventricular ejection fraction,LVEF)、左心室短轴缩短率(left ventricular fractional shortening,LVFS)评估心功能;ELISA法检测血清中炎性因子白细胞介素-6(IL-6)水平;苏木素-伊红(HE)染色法观察大鼠心肌组织形态;实时荧光定量PCR(RT-qPCR)和Western blot法检测NLRP3、Beclin 1、TRIF、Caspase-1、LC3、IL-18 mRNA和蛋白表达。结果与假手术组相比,模型组大鼠LVEF、LVFS值明显降低(P<0.05),心肌纤维排列紊乱、结构模糊、有大片炎性浸润,心肌组织中IL-6水平及NLRP3、TRIF、Beclin 1、LC3 mRNA和蛋白等指标含量均升高(P<0.05);与模型组相比,电针组大鼠LVEF、LVFS明显升高(P<0.05),心肌纤维断裂减轻,少量炎性细胞浸润,心肌组织中IL-6水平、NLRP3 mRNA及蛋白表达均降低(P<0.05),TRIF、Beclin 1、LC3 mRNA和蛋白含量均升高(P<0.05);与电针组相比,电针+生理盐水组LVEF、LVFS及心肌组织中IL-6水平及NLRP3、TRIF、Beclin 1、LC3 mRNA和蛋白含量均无明显变化(P>0.05),而电针+激动剂组大鼠LVEF、LVFS明显降低(P<0.05),心肌结构异常,有明显的组织纤维化和炎性浸润,心肌组织中IL-6水平、NLRP3 mRNA及蛋白表达均升高(P<0.05),TRIF、Beclin 1、LC3 mRNA和蛋白含量均降低(P<0.05)。结论电针预处理可通过调控自噬水平减轻I/R大鼠心肌损伤,其机制可能与NLRP3/TRIF/Beclin 1信号通路有关,对中医疗法防治心肌缺血再灌注损伤有一定指导意义。 展开更多
关键词 电针预处理 心肌缺血再灌注损伤 自噬 NLRP3 Beclin 1
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柚皮素通过调控PI3K/Akt/eNOS途径改善大鼠心肌缺血再灌注损伤
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作者 郑茂东 苟红艳 +1 位作者 訾聪娜 颜娟 《辽宁中医杂志》 北大核心 2025年第7期190-194,共5页
目的 探讨柚皮素对大鼠离体心脏缺血/再灌注损伤的保护作用及缺氧/复氧心肌细胞的保护作用。方法 通过Langendorff离体心脏灌流技术建立大鼠心肌缺血/再灌注模型并检测心肌血流动力学指标;检测心肌组织中eNOS活性,NO含量,检测心肌组织... 目的 探讨柚皮素对大鼠离体心脏缺血/再灌注损伤的保护作用及缺氧/复氧心肌细胞的保护作用。方法 通过Langendorff离体心脏灌流技术建立大鼠心肌缺血/再灌注模型并检测心肌血流动力学指标;检测心肌组织中eNOS活性,NO含量,检测心肌组织中谷氨酸脱氢酶含量;建立缺氧/复氧心肌损伤模型,考察柚皮素对心肌细胞的活力,乳酸脱氢酶水平,eNOS/No途径的调控作用。结果 给予柚皮素的缺血/再灌注大鼠离体心脏血流动力学明显改善;心肌组织中eNOS活性,NO含量显著升高;当将柚皮素给予缺氧/复氧心肌细胞后,细胞损伤显著降低,乳酸脱氢酶水平明显降低,eNOS活性,NO含量明显升高,当将柚皮素与PI3K抑制剂联合使用后,柚皮素的保护作用显著降低。结论 柚皮素可改善大鼠心肌缺血再灌注损伤其作用机制与通过PI3K/Akt途径调节eNOS/NO相关。 展开更多
关键词 心肌缺血再灌注损伤 柚皮素 eNOS/NO
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右美托咪定改善心肌缺血-再灌注损伤作用机制的研究进展
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作者 谢卫华 李小龙 +6 位作者 张瑛 王彩红 薛建军 王春爱 汤峰 徐紫清 侯怀晶 《临床麻醉学杂志》 北大核心 2025年第6期639-643,共5页
心肌缺血-再灌注损伤(MIRI)是心血管疾病中的一种常见且严重的并发症,是心脏病学领域的重要且具有挑战性的临床问题。MIRI的机制涉及氧化应激、炎症反应和细胞凋亡等因素。右美托咪定作为一种选择性α_(2)肾上腺素能受体激动药,近年来... 心肌缺血-再灌注损伤(MIRI)是心血管疾病中的一种常见且严重的并发症,是心脏病学领域的重要且具有挑战性的临床问题。MIRI的机制涉及氧化应激、炎症反应和细胞凋亡等因素。右美托咪定作为一种选择性α_(2)肾上腺素能受体激动药,近年来在心肌保护方面显示出了潜在的治疗效果。本文重点探讨了右美托咪定通过干预PI3K/Akt信号通路、MAPK信号通路、NF-κB信号通路、mTOR信号通路、Nrf2信号通路、AMPK信号通路、JAK/STAT信号通路从而显著减轻MIRI的机制与作用,旨在为临床上MIRI的防治提供策略和后续研究提供参考。 展开更多
关键词 右美托咪定 心肌缺血-再灌注损伤 信号通路 作用机制
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急性缺血性卒中超早期血压管理研究进展
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作者 杨志进 谭荃丹 +5 位作者 毛凤凯 李朝晖 陈晨 李刚 杨杰 林亚鹏 《中国卒中杂志》 北大核心 2025年第7期829-839,共11页
卒中是全球范围内致残和致死的主要病因之一,其中缺血性卒中占卒中的70%以上,是全球重大公共卫生问题之一。急性缺血性卒中(acute ischemic stroke,AIS)患者发病早期常出现血压升高,大量观察性研究提示血压升高与AIS患者预后不良相关。... 卒中是全球范围内致残和致死的主要病因之一,其中缺血性卒中占卒中的70%以上,是全球重大公共卫生问题之一。急性缺血性卒中(acute ischemic stroke,AIS)患者发病早期常出现血压升高,大量观察性研究提示血压升高与AIS患者预后不良相关。AIS超早期血压管理的核心挑战在于脑血流自动调节受损背景下血压波动对缺血半暗带的双重影响,合理的血压管理策略是改善患者预后的关键因素之一。当前,在AIS超早期血压管理领域,在降压时机的抉择、目标血压值的个体化设定,以及不同降压策略对脑灌注和再灌注损伤的影响等方面仍存在广泛争议。鉴于此,本文对AIS超早期血压管理的最新研究进展进行梳理与探讨,以期为临床实践提供更具价值的参考。 展开更多
关键词 急性缺血性卒中 超早期 血压管理 缺血再灌注损伤
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单细胞测序在缺血再灌注领域的研究进展
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作者 张洁 杨正飞 《中山大学学报(医学科学版)》 北大核心 2025年第1期1-10,共10页
缺血再灌注损伤(IRI)往往伴有严重的临床表现,包括心肌冬眠、急性心力衰竭、脑功能障碍、肾脏功能障碍、胃肠功能障碍、肝移植排斥反应,全身炎症反应综合征、多器官功能障碍综合征等,在临床上对医生提出了重要的治疗挑战。单细胞测序技... 缺血再灌注损伤(IRI)往往伴有严重的临床表现,包括心肌冬眠、急性心力衰竭、脑功能障碍、肾脏功能障碍、胃肠功能障碍、肝移植排斥反应,全身炎症反应综合征、多器官功能障碍综合征等,在临床上对医生提出了重要的治疗挑战。单细胞测序技术是在单细胞水平上对基因组、转录组或表观基因组进行高通量测序,从而揭示细胞的异质性,了解细胞的发育轨迹、类型、状态和各种相互作用。自首次发现以来,单细胞测序技术已经在各个领域都得到了广泛应用,尤其是肿瘤早期诊断和个性化治疗等。本文主要是对单细胞测序在IRI引起的各个器官功能障碍方面的应用和进展进行综述,进一步了解IRI机制和信号通路,为器官IRI的靶治疗提供新的思路。 展开更多
关键词 缺血再灌注损伤 单细胞测序 凋亡 移植 异质性 信号通路
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杜鹃花总黄酮对脑缺血再灌注大鼠脑氧化应激损伤的改善作用
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作者 余孝海 金宇 +2 位作者 孙敏琼 从辉 郭欠影 《中国临床药理学与治疗学》 北大核心 2025年第2期216-221,共6页
目的:探索杜鹃花总黄酮(TFR)对脑缺血/再灌注(ischemia reperfusion,I/R)大鼠脑氧化应激损伤的改善作用。方法:将40只雄性SD大鼠随机分为5组,假手术组(Sham组)、脑缺血再灌注组(MCAO组)、脑缺血再灌注加药组(TFR 50、100和200 mg/kg组),... 目的:探索杜鹃花总黄酮(TFR)对脑缺血/再灌注(ischemia reperfusion,I/R)大鼠脑氧化应激损伤的改善作用。方法:将40只雄性SD大鼠随机分为5组,假手术组(Sham组)、脑缺血再灌注组(MCAO组)、脑缺血再灌注加药组(TFR 50、100和200 mg/kg组),MCAO组与TFR 50、100和200 mg/kg组行缺血再灌注手术,TFR 50、100和200 mg/kg组在脑缺血再灌注损伤手术后,连续14 d给予TFR灌胃;14 d后比较神经功能评分、血清炎症因子指标、氧化应激指标、脑损伤指标,苏木精-伊红(HE)染色显微镜下观察脑组织形态结构、脑血流图观察脑血流,试剂盒测定血清中乳酸脱氢酶(LDH)、特异性烯醇化酶(NSE)活性,白介素-1(IL-1)、白介素-6(IL-6)水平,超氧化物歧化酶(SOD)活性、丙二醛(MDA)含量、一氧化氮(NO)含量和一氧化氮合酶(NOS)活力的变化。结果:与Sham组相比,MCAO大鼠神经功能评分异常,脑组织微观结构受损严重,脑组织形态学和脑血流变化明显,LDH、NSE的活性升高;IL-1和IL-6水平升高,MDA含量升高,SOD、NOS活性和NO含量降低。与MCAO组相比,TFR 50、100和200 mg/kg组大鼠神经功能评分异常恢复,脑组织微观结构受损减轻,LDH、NSE的活性降低;IL-1和IL-6水平降低,MDA含量降低,SOD、NOS活性和NO含量升高。结论:杜鹃花总黄酮可保护脑缺血缺氧性损伤,降低氧化应激水平。 展开更多
关键词 杜鹃花总黄酮 脑缺血再灌注 脑缺血缺氧性损伤 氧化应激
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灯盏花乙素通过CX3CL1/CX3CR1-PI3K/AKT通路减轻大鼠脑缺血再灌注损伤
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作者 李军 侯祎 +3 位作者 刘荣辉 胡文超 陶松 黄洪 《神经解剖学杂志》 北大核心 2025年第4期469-476,共8页
目的:探讨灯盏花乙素(Scu)对脑缺血再灌注损伤(CIRI)大鼠的神经保护作用及其对CX3CL1/CX3CR1-PI3K/AKT通路的调控机制。方法:采用Longa线栓法建立大鼠CIRI模型,分为假手术组(Sham)、脑缺血再灌注损伤组(CIRI)、Scu组(40 mg/kg/d Scu灌胃... 目的:探讨灯盏花乙素(Scu)对脑缺血再灌注损伤(CIRI)大鼠的神经保护作用及其对CX3CL1/CX3CR1-PI3K/AKT通路的调控机制。方法:采用Longa线栓法建立大鼠CIRI模型,分为假手术组(Sham)、脑缺血再灌注损伤组(CIRI)、Scu组(40 mg/kg/d Scu灌胃)和Scu+LY294002组(Scu联合PI3K抑制剂LY294002)。每组15只。连续干预4周后,通过Longa评分、TTC染色、HE染色、透射电镜、免疫荧光及Western blot技术评估神经功能、病理形态及通路蛋白表达。结果:与模型组相比,Scu组神经功能评分降低,脑梗死体积缩小,神经元损伤减轻(P<0.05);CX3CL1/CX3CR1表达下调,p-PI3K/PI3K、p-AKT/AKT及Bcl-2/Bax比值升高,IL-17A表达下降(P<0.05)。LY294002可部分逆转Scu的保护效应。结论:Scu通过下调CX3CL1/CX3CR1表达,激活PI3K/AKT通路,减轻炎症与凋亡,发挥神经保护作用。 展开更多
关键词 脑缺血再灌注损伤 灯盏花乙素 PI3K/AKT信号通路 CX3CL1/CX3CR1信号通路 大鼠
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电针预处理基于mTOR/NLRP3信号通路改善心肌缺血再灌注损伤的作用机制 被引量:1
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作者 姜春宏 贺丽丽 +3 位作者 刘顺畅 白桦 顾一煌 李开平 《中华中医药学刊》 北大核心 2025年第3期102-106,I0027-I0029,共8页
目的基于mTOR/NLRP3信号通路探讨电针预处理抗大鼠心肌缺血再灌注损伤的作用机制。方法70只SD大鼠随机分为假手术组、模型组、电针组、电针+生理盐水组,电针+MHY1485(mTOR激动剂)组,各14只。采用超声心动图评估大鼠心脏功能指标心室射... 目的基于mTOR/NLRP3信号通路探讨电针预处理抗大鼠心肌缺血再灌注损伤的作用机制。方法70只SD大鼠随机分为假手术组、模型组、电针组、电针+生理盐水组,电针+MHY1485(mTOR激动剂)组,各14只。采用超声心动图评估大鼠心脏功能指标心室射血分数(LVEF)和左心室短轴缩短率分数(LVFS),苏木精-伊红(HE)染色法观察心肌组织病理学改变,酶联免疫吸附法(ELISA)检测心肌组织中肿瘤坏死因子-α(TNF-α)水平变化,实时荧光定量PCR(RT-qPCR)检测心肌组织中凋亡相关斑点样蛋白(ASC)、含半胱氨酸的天冬氨酸蛋白水解酶-1(Caspase-1)、白细胞介素-1β(IL-1β)、白细胞介素-18(IL-18)的基因表达水平,蛋白质免疫印迹法(Western blot)检测心肌组织中哺乳动物雷帕霉素靶蛋白(mTOR)、NOD样受体家族蛋白3(NLRP3)及核因子-κB(NF-κB)的表达水平。结果与假手术组相比,模型组大鼠FS、EF值下降(P<0.05);心肌组织出现肌纤维断裂、结构模糊、炎性细胞浸润等现象,心肌组织内TNF-α含量升高(P<0.05),Caspase-I、ASC、IL-1β、IL-18的基因相对表达水平(P<0.05)与mTOR、NLRP3、NF-κB的蛋白表达水平均上调(P<0.05);与模型组相比,电针组大鼠FS、EF值上升(P<0.05),心肌组织肌纤维结构改善,炎性细胞浸润减少,心肌组织内的TNF-α含量降低(P<0.05),Caspase-I、ASC、IL-1β、IL-18的基因相对表达水平(P<0.05)与mTOR、NLRP3、NF-κB的蛋白表达水平(P<0.05)均下调;与电针+生理盐水组比,激动剂组大鼠心肌组织损伤加重,心肌组织内TNF-α含量升高(P<0.05),Caspase-I、ASC、IL-1β、IL-18的基因相对表达水平(P<0.05)与mTOR与NLRP3、NF-κB的蛋白表达水平(P<0.05)均上调。结论mTOR激动剂MHY1485可减弱电针对心肌缺血再灌注损伤(MIRI)大鼠心肌组织损伤的保护作用,电针预处理能减轻MIRI大鼠心肌细胞炎性反应,进而改善缺血再灌注引起的心肌组织损伤;因此推断电针预处理改善大鼠MIRI损伤的机制可能与mTOR/NLRP3信号通路有关。 展开更多
关键词 心肌缺血再灌注损伤 电针预处理 炎症 mTOR/NLRP3信号通路
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孕期运动对子代小鼠心肌缺血/再灌注损伤的保护作用 被引量:1
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作者 李凤仪 倪紫琪 +4 位作者 邱方 李朋 任俊杰 张严焱 石丽君 《中国运动医学杂志》 北大核心 2025年第3期199-208,共10页
目的:探究孕期运动对成年雄性子代小鼠血压、心脏表型和心肌缺血/再灌注(myocardial ischaemia/reperfusion,MI/R)损伤易感性的影响。方法:将孕鼠随机分为安静组(p-Ctr)和运动组(p-EX),每组各12只。运动组从妊娠期第1天(gestation day 1... 目的:探究孕期运动对成年雄性子代小鼠血压、心脏表型和心肌缺血/再灌注(myocardial ischaemia/reperfusion,MI/R)损伤易感性的影响。方法:将孕鼠随机分为安静组(p-Ctr)和运动组(p-EX),每组各12只。运动组从妊娠期第1天(gestation day 1,GD1)至GD18进行无负重游泳训练(60 min/day,6 days/week)。选取两组孕鼠所产3月龄(3M)雄性子代小鼠为研究对象,即Ctr-3M组和EX-3M组,每组各12只。采用结扎左冠状动脉前降支(left anterior descending artery,LAD)手术(缺血30 min,再灌注24 h)建立MI/R模型。采用无创尾动脉血压监测收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、平均动脉压(mean arterial pressure,MAP);小动物超声检测心功能;HE染色观察心脏形态,Masson染色测定心肌胶原容积分数(collagen volume fraction,CVF);WGA染色测定心肌细胞横截面积(cross-sectional area,CSA);Evans Blue-TTC双染色测量心肌梗死面积[梗死区(infarct size,INF)/缺血危险区(area at risk,AAR)];TUNEL染色检测心肌细胞凋亡指数(apoptosis index,AI);ELISA检测血清心肌肌钙蛋白I(cardiac troponin I,cTnI);免疫蛋白印迹测定Bax和Bcl-2蛋白表达水平。结果:(1)自GD11至GD19,p-EX组孕鼠体重始终显著低于p-Ctr组(GD11、GD13:P<0.05;GD12、GD14~GD19:P<0.01),产仔数和流产率均没有显著性差异(P>0.05)。(2)与Ctr-3M组相比,EX-3M组小鼠的心脏重量(HW)、体重(BW)、心脏重量/体重(HW/BW)、SBP、DBP、MAP、CVF和CSA均无显著性差异(P>0.05)。实施MI/R手术后,两组小鼠MI/R术后可见心肌横纹消失,心肌细胞排列紊乱并伴有变性坏死,EX-3M组小鼠MI/R术后CVF显著低于Ctr-3M组(P<0.05)。(3)两组间子代3M小鼠的心脏射血分数(EF)、短轴缩短率(FS)、左心室舒张末期内径(LVIDd)和左心室收缩末期内径(LVIDs)均无显著性差异(P>0.05)。实施MI/R手术后,EX-3M组小鼠术后LVIDs(P<0.05)、EF和FS(P<0.01)均显著高于Ctr-3M组,LVIDd无显著性差异(P>0.05)。(4)EX-3M组小鼠MI/R术后心肌细胞AI(P<0.01)和心肌INF/AAR(P<0.001)显著小于Ctr-3M组,血清cTnI水平显著低于Ctr-3M组(P<0.001)。(5)EX-3M组小鼠MI/R术后心肌Bcl-2蛋白相对表达水平显著高于Ctr-3M组(P<0.05),Bax蛋白相对表达水平(P<0.05)和Bax/Bcl-2比值(P<0.01)均显著低于Ctr-3M组。结论:孕期运动可以显著降低雄性子代小鼠成年后心肌缺血/再灌注损伤易感性,增强心脏收缩功能,减轻心肌细胞凋亡和坏死程度,在心肌缺血/再灌注损伤中发挥心脏保护作用。 展开更多
关键词 孕期运动 子代健康 心肌 缺血再灌注损伤
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黄葵胶囊预处理人脐带间充质干细胞外泌体改善肾脏缺血-再灌注损伤的作用及机制 被引量:1
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作者 姚雅韡 贺佳辉 +5 位作者 王浩 王誉潼 王睿妍 万幸雨 刘雨佳 吕兴华 《器官移植》 北大核心 2025年第2期237-245,共9页
目的 探讨黄葵胶囊预处理的人脐带间充质干细胞(HUC-MSC)来源外泌体(Exo)对肾脏缺血-再灌注损伤(IRI)的影响及机制。方法 将HUC-MSC分别置于含有不同浓度的黄葵胶囊培养基中培养24 h,测定细胞活力,选取适宜浓度进行后续实验。选取50μg... 目的 探讨黄葵胶囊预处理的人脐带间充质干细胞(HUC-MSC)来源外泌体(Exo)对肾脏缺血-再灌注损伤(IRI)的影响及机制。方法 将HUC-MSC分别置于含有不同浓度的黄葵胶囊培养基中培养24 h,测定细胞活力,选取适宜浓度进行后续实验。选取50μg/mL的黄葵胶囊预处理HUC-MSC 24 h,使用Exo提取试剂盒提取Exo,透射电镜观察其形态、纳米粒径分析检测粒径大小、蛋白质印迹法检测Exo膜表面标记蛋白表达。将人肾小管上皮细胞(HK-2细胞)随机分为缺氧/复氧组(M组)、缺氧/复氧+Exo组(E组)和缺氧/复氧+黄葵胶囊预处理Exo组(H组)。蛋白质印迹法测定内质网应激(ERS)相关蛋白表达,实时荧光定量聚合酶链反应测定ERS相关基因信使RNA(mRNA)表达。将小鼠随机分为假手术组(Sham组)、缺血-再灌注组(I/R组)、缺血-再灌注+Exo组(E组)和缺血-再灌注+黄葵胶囊预处理Exo组(H组)。24 h后行肾脏组织学评估,血清肌酐(Scr)、血尿素氮(BUN)测定及炎症因子检测。结果 Exo和黄葵胶囊预处理Exo均具有双层膜结构,呈杯状形态;二者平均粒径大小分别为116.8 nm和81.3 nm;两者均表达CD9、CD63、TSG101。与M组比较,E组转录激活因子6(ATF6)、蛋白激酶R样内质网激酶(PERK)蛋白相对表达量下降,m RNA相对表达量升高,C/EBP同源蛋白(CHOP)蛋白相对表达量升高,mRNA相对表达量下降;与E组相比,H组ATF6、PERK、CHOP蛋白相对表达量均降低,ATF6、PERK mRNA相对表达量下降(均为P<0.05)。动物实验结果显示,与Sham组相比,I/R组肾小管损伤评分升高,Scr、BUN、白细胞介素(IL)-1β、IL-10、IL-18、肿瘤坏死因子(TNF)-α水平升高;与I/R组比较,E组和H组肾小管损伤评分降低,Scr、BUN、IL-1β、IL-10、IL-18、TNF-α水平下降;与E组比较,H组肾小管损伤评分下降,Scr、BUN、IL-1β、IL-10、IL-18、TNF-α水平下降(均为P<0.05)。结论 黄葵胶囊预处理HUC-MSC来源的Exo可通过抑制ERS,改善肾脏IRI。 展开更多
关键词 肾移植 缺血-再灌注损伤 黄葵胶囊 人脐带间充质干细胞 外泌体 内质网应激 急性肾损伤 炎症因子
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