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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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Tumor necrosis factor-alpha mediates hyperthermia-induced glioma invasiveness decreases
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作者 ZHANG Tian ZHANG Yibing +1 位作者 QIN Lijuan ZHANG Yuxin 《Journal of Medical Colleges of PLA(China)》 CAS 2013年第5期313-320,F0003,共9页
Background: Thermothempy has already been proved effective for the treatment of various tumors, including glioma. This study was performed to determine whether tumor necrosis factor-alpha was involved in the regulati... Background: Thermothempy has already been proved effective for the treatment of various tumors, including glioma. This study was performed to determine whether tumor necrosis factor-alpha was involved in the regulation of this biological process. Methods: RT-PCR and immunocytochemistry were used to investigate the levels of tumor necrosis factor-alpha mRNA and heat shock factor-1 protein, respectively, in glioma cells. Radioimmunoassay was used to dynamically monitor contents of TNF-α in nutrient fluid for C6 cells after hyperthermia treatment. Crystal violet staining method was used to detect glioma invasiveness. Results: The most obvious increase of heat shock factor-1 protein and tumor necrosis factor -alpha mRNA in C6 cells were observed at 30 min and 60 min after hyperthermia, respectively. In addition, the radioactivity of tumor necrosis factor-alpha in C6 cells' culture fluid also reached peak at 120 min of hyperthermia. The glioma invasiveness decreases and the concentration of tumor necrosis factor-alpha reached the maximum at 120 min of hyperthermia. Conclusion: Our results showed that the hyperthermia-mediated glioma invasiveness decreases was due to accelerated release of tumor necrosis factor-alpha,which could cause the decreases of glioma invasiveness by promoting the release heat shock factor-1 from neurospongioma cells . 展开更多
关键词 tumor necrosis factor-α Heat shock factor- 1 THERMOTHERAPY Glioma invasiveness
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EFFECT OF PEROXISOME PROLIFERATOR-ACTIVATED RECEPTOR ACTIVATORS ON TUMOR NECROSIS FACTOR-αEXPRESSION IN NEONATAL RAT CARDIAC MYOCYTES 被引量:7
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作者 PingYe HongFang +2 位作者 XinZhou Yan-liHe Yong-xueLiu 《Chinese Medical Sciences Journal》 CAS CSCD 2004年第4期243-247,共5页
Objective To investigate the effect of peroxisome proliferator-activated receptor-α(PPARα) and PPARγactivators on tumor necrosis factor-α(TNFα) expression in neonatal rat cardiac myocytes. Methods Primary culture... Objective To investigate the effect of peroxisome proliferator-activated receptor-α(PPARα) and PPARγactivators on tumor necrosis factor-α(TNFα) expression in neonatal rat cardiac myocytes. Methods Primary cultures of cardiac myocytes from 1- to 3-day-old Wistar rats were prepared, and myocytes were ex-posed to lipopolysaccharide (LPS) and varying concentrations of PPARαor PPARγactivator (fenofibrate or pioglitazone).RT-PCR and ELISA were used to measure TNFα, PPARα, and PPARγexpression in cultured cardiac myocytes. Transient tr-ansfection of TNFαpromoter with or without nuclear factor-kappaB (NF-κB) binding site to cardiac myocytes was performed. Results Pretreatment of cardiac myocytes with fenofibrate or pioglitazone inhibited LPS-induced TNFαmRNA and protein expression in a dose-dependent manner. However, no significant changes were observed on PPARαor PPARγmRNA expression when cardiac myocytes were pretreated with fenofibrate or pioglitazone. Proportional suppression of TNFαpromoter activity was observed when myocytes was transiently transfected with whole length of TNFαpromoter (-721/+17) after being stimulated with LPS and fenofibrate or pioglitazone, whereas no change of promoter activity was observed with transfection of TNFαreporter construct in deletion of NF-κB binding site (-182/+17). Conclusions PPARαand PPARγactivators may inhibit cardiac TNFαexpression but not accompanied by change of PPARαor PPARγmRNA expression. Therefore PPARαand PPARγactivators appear to play a role in anti-inflammation. The mechanism may partly be involved in suppression of the NF-κB pathway. 展开更多
关键词 peroxisome proliferator-activated receptors tumor necrosis factor-α cardiac myocytes ACTIVATORS
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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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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-α Ventricular arrhythmia Recombinant human tumor necrosis factor receptor: Fc fusion protein (rhTNFR: Fc)
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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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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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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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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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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-α gene expression in SITU HYBRIDIZATION MICE
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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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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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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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体质结合辨证分型中医疗法辅助治疗活动期溃疡性结肠炎的效果及对炎症免疫的影响
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作者 孙岩 井晓峰 +3 位作者 陆莎 李梅素 赵黎 李家明 《临床误诊误治》 2025年第2期67-71,89,共6页
目的探讨体质结合辨证分型中医疗法辅助治疗活动期溃疡性结肠炎(UC)的效果及对炎症、免疫的影响。方法收集2021年7月至2022年1月活动期UC患者60例,按照随机数字表法分为中医组和西医组各30例。西医组给予美沙拉嗪肠溶片治疗,在此基础上... 目的探讨体质结合辨证分型中医疗法辅助治疗活动期溃疡性结肠炎(UC)的效果及对炎症、免疫的影响。方法收集2021年7月至2022年1月活动期UC患者60例,按照随机数字表法分为中医组和西医组各30例。西医组给予美沙拉嗪肠溶片治疗,在此基础上,中医组给予体质结合辨证分型的中医疗法治疗,疗程均为6周。比较2组治疗效果,治疗前后中医证候积分、肿瘤坏死因子-α(TNF-α)、白细胞介素-2(IL-2)、白细胞介素-6(IL-6)、CD3+、CD4+、CD8+、CD4+/CD8+水平,以及治疗期间不良反应。结果中医组总有效率为96.67%(29/30)高于西医组的66.67%(20/30),差异有统计学意义(P<0.01);治疗6周后,中医组腹泻、脓血便、腹痛、里急后重积分低于西医组(P<0.01);治疗6周后,中医组TNF-α、IL-2、IL-6、CD8+低于西医组,CD3+、CD4+、CD4+/CD8+高于西医组(P<0.01);2组治疗期间不良反应总发生率比较无差异(P>0.05)。结论体质结合辨证分型的中医疗法辅助治疗活动期UC效果良好,可有效减轻患者炎症损伤,提高免疫水平,从而改善症状,促进病情好转,且安全性好。 展开更多
关键词 溃疡性结肠炎 活动期 中医疗法 体质 证型 肿瘤坏死因子-α CD3+ 药物毒性
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清热解毒化痰泻肺汤联合阿奇霉素治疗儿童痰热闭肺证肺炎支原体肺炎临床效果观察
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作者 王飞 赵富强 +1 位作者 佟丹 洪岩 《临床误诊误治》 2025年第6期90-94,共5页
目的探讨清热解毒化痰泻肺汤联合阿奇霉素治疗儿童痰热闭肺证肺炎支原体肺炎(MPP)的临床效果及对症状体征积分、炎性因子的影响。方法选取2023年10月至2024年6月收治的中医辨证为痰热闭肺证MPP患儿96例,随机数字表法分为对照组和观察组... 目的探讨清热解毒化痰泻肺汤联合阿奇霉素治疗儿童痰热闭肺证肺炎支原体肺炎(MPP)的临床效果及对症状体征积分、炎性因子的影响。方法选取2023年10月至2024年6月收治的中医辨证为痰热闭肺证MPP患儿96例,随机数字表法分为对照组和观察组各48例,2组均给予常规治疗,对照组使用阿奇霉素治疗,观察组在对照组基础上加服清热解毒化痰泻肺汤治疗。观察2组临床疗效,治疗后症状体征积分、炎症指标(C反应蛋白、白细胞介素-6及肿瘤坏死因子-α)、胸CT病变改善情况,观察治疗期间2组不良反应发生情况。结果观察组总有效率[95.83%(46/48)]高于对照组[79.17%(38/48)],差异有统计学意义(P<0.05)。治疗后,2组症状、体征及总积分、炎症指标水平均较治疗前下降,且观察组低于对照组(P<0.05,P<0.01)。治疗后,2组肺实变、肺不张、支气管狭窄、胸腔积液患者总占比低于对照组,且观察组低于对照组(P<0.05)。2组不良反应总发生率比较差异无统计学意义(P>0.05)。结论清热解毒化痰泻肺汤联合阿奇霉素治疗儿童痰热闭肺证MPP能有效缓解临床症状,减轻炎症反应,促进胸部病变恢复,提高临床疗效,且安全性较高。 展开更多
关键词 清热解毒化痰泻肺汤 痰热闭肺证 肺炎 支原体 C反应蛋白 白细胞介素-6 肿瘤坏死因子-Α 症状体征积分 儿童
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2型糖尿病患者血清TRAF3表达水平与胰岛功能和胰岛素抵抗的相关性研究
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作者 孟珂 尹东 +2 位作者 李娟 李雅冰 杜丽坤 《临床误诊误治》 2025年第3期47-53,共7页
目的分析2型糖尿病患者血清肿瘤坏死因子受体相关因子3(TRAF3)的表达水平与胰岛功能和胰岛素抵抗(IR)的相关性。方法选取2022年8月至2023年12月收治的148例2型糖尿病患者,根据胰岛素抵抗指数(HOMA-IR)值分为无IR组75例和IR组73例;另选8... 目的分析2型糖尿病患者血清肿瘤坏死因子受体相关因子3(TRAF3)的表达水平与胰岛功能和胰岛素抵抗(IR)的相关性。方法选取2022年8月至2023年12月收治的148例2型糖尿病患者,根据胰岛素抵抗指数(HOMA-IR)值分为无IR组75例和IR组73例;另选80例同期体检健康者作为对照组。酶联免疫吸附法测定血清TRAF3的表达水平;Pearson和Spearman法分析血清TRAF3表达水平与空腹胰岛素(FINS)、餐后2 h血糖(2 h PG)、胰岛β细胞功能指数(HOMA-β)、胰岛素敏感指数(ISI)相关性;多元线性回归分析2型糖尿病患者发生IR的影响因素;受试者工作特征(ROC)曲线分析血清TRAF3表达水平对2型糖尿病患者IR的预测价值。结果2型糖尿病患者血清TRAF3水平高于体检健康者,无IR组患者血清TRAF3水平低于IR组(P<0.01)。2型糖尿病患者无IR组和IR组FINS、三酰甘油、低密度脂蛋白胆固醇(LDL-C)、糖化血红蛋白(HbA1c)、空腹血糖(FPG)、2 h PG、HOMA-IR、HOMA-β、ISI比较差异有统计学意义(P<0.05,P<0.01);2型糖尿病患者血清TRAF3水平与FINS、2 h PG、HOMA-β、FPG呈显著正相关(P<0.05);多元线性回归分析结果显示,TRAF3、FINS、FPG、2 h PG、LDL-C、HbA1c均为2型糖尿病患者IR的影响因素(P<0.05,P<0.01);ROC曲线分析结果显示,血清TRAF3表达水平评估2型糖尿病患者IR的曲线下面积为0.818,敏感度和特异度分别为78.08%和73.00%。结论血清TRAF3表达水平与2型糖尿病患者胰岛功能和IR密切相关。 展开更多
关键词 糖尿病 2型 肿瘤坏死因子受体相关因子3 胰岛功能 胰岛素抵抗 空腹血糖 胰岛素水平 低密度脂蛋白胆固醇 糖化血红蛋白
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清热解毒方联合纤维支气管镜治疗儿童难治性肺炎支原体肺炎痰热闭肺证的效果及对肺功能、炎性因子和免疫功能的影响
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作者 张思源 《临床误诊误治》 2025年第2期90-95,共6页
目的探究清热解毒方联合纤维支气管镜治疗难治性肺炎支原体肺炎(RMPP)痰热闭肺证患儿的效果及对肺功能、炎性因子和免疫功能的影响。方法选取2024年1月至2024年8月收治的106例RMPP痰热闭肺证患儿,依据不同治疗方案分为观察组(清热解毒... 目的探究清热解毒方联合纤维支气管镜治疗难治性肺炎支原体肺炎(RMPP)痰热闭肺证患儿的效果及对肺功能、炎性因子和免疫功能的影响。方法选取2024年1月至2024年8月收治的106例RMPP痰热闭肺证患儿,依据不同治疗方案分为观察组(清热解毒方联合纤维支气管镜治疗)和对照组(纤维支气管镜治疗)各53例。2组治疗2周后评估治疗效果和支气管黏膜损伤修复情况,比较2组治疗前、治疗2周后肺功能指标、中医证候积分、炎性因子、免疫功能指标以及不良反应发生情况。结果治疗2周后,观察组愈显率高于对照组(P<0.05),且观察组治疗后支气管黏膜修复效果优于对照组。治疗2周后,2组最大呼气流量、第一秒用力呼气容积、用力肺活量较治疗前升高,且观察组高于对照组(P<0.05)。2组治疗2周后咳嗽、发热、咳黄黏痰、气喘积分低于治疗前,且观察组各项积分均低于对照组(P<0.05,P<0.01)。治疗2周后,2组血清肿瘤坏死因子-α、淀粉样蛋白A/C反应蛋白、白细胞介素-23、γ-干扰素水平较治疗前降低,且观察组较对照组低(P<0.05,P<0.01)。2组治疗2周后CD3+、免疫球蛋白A、CD4+/CD8+、免疫球蛋白G水平高于治疗前,且观察组高于对照组(P<0.05,P<0.01)。2组治疗期间不良反应总发生率比较差异无统计学意义(P>0.05)。结论清热解毒方联合纤维支气管镜治疗能抑制RMPP痰热闭肺证患儿体内炎症反应,改善临床症状及免疫功能,增强肺功能,且安全较好。 展开更多
关键词 支原体肺炎 难治性 儿童 清热解毒方 纤维支气管镜 用力肺活量 肿瘤坏死因子-α 免疫球蛋白
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异维A酸间歇给药联合超分子水杨酸换肤治疗玫瑰痤疮的临床效果
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作者 税利 冉小红 +1 位作者 雷启蓉 杨毅 《临床误诊误治》 2025年第3期89-93,100,共6页
目的探讨异维A酸间歇给药联合超分子水杨酸换肤治疗玫瑰痤疮的临床效果。方法选取2021年5月至2022年5月收治的玫瑰痤疮患者94例,采用随机数字表法分为对照组和观察组,每组47例。2组均行超分子水杨酸换肤治疗,在此基础上,对照组给予常规... 目的探讨异维A酸间歇给药联合超分子水杨酸换肤治疗玫瑰痤疮的临床效果。方法选取2021年5月至2022年5月收治的玫瑰痤疮患者94例,采用随机数字表法分为对照组和观察组,每组47例。2组均行超分子水杨酸换肤治疗,在此基础上,对照组给予常规疗法异维A酸治疗,观察组给予间歇疗法异维A酸治疗。比较2组治疗效果、治疗前后皮肤屏障功能指标[表皮含水量、红斑数量、经皮水分流失(TEWL)、油脂含量]、炎性因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、超敏C反应蛋白(hs-CRP)]、面部美观评分、生活质量、不良反应发生情况,治疗后随访1年,统计2组复发率。结果观察组总有效率[93.62%(44/47)]与对照组[97.87%(46/47)]比较差异无统计学意义(P>0.05)。2组治疗后红斑数量、TEWL、油脂含量少于治疗前,表皮含水量大于治疗前,血清TNF-α、IL-6、hs-CRP水平低于治疗前(P<0.05)。2组治疗后数字等级量表(NRS)评分高于治疗前,皮肤病生活质量量表(DLQI)评分低于治疗前(P<0.05);2组治疗后NRS和DLQI评分比较差异无统计学意义(P>0.05)。观察组治疗期间不良反应发生率[6.38%(3/47)]低于对照组[21.28%(10/47)],差异有统计学意义(P<0.05);2组复发率比较差异无统计学意义(P>0.05)。结论常规疗法、间歇疗法异维A酸联合超分子水杨酸换肤治疗玫瑰痤疮患者均能获得较好近远期疗效,间歇疗法异维A酸治疗安全性较高。 展开更多
关键词 玫瑰痤疮 异维A酸 间歇疗法 超分子水杨酸换肤 表皮含水量 经皮水分流失 油脂含量 肿瘤坏死因子-α 生活质量
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