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Current status of drug candidates against SARS-CoV-2 抗严重急性呼吸系统综合征冠状病毒2型候选药物的现状
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-06-01 DOI: 10.11855/j.issn.0577-7402.2021.06.16
D. Luo, Yongqiang Deng, C. Qin
By April 19, 2021, the ongoing coronavirus disease 2019 (COVID-2019), which is caused by severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) has infected more than one hundred and fourty million individuals across more than 200 countries or territories and killed more than three million twenty-six thousand individuals worldwide. There are currently no specific drugs available for patients with COVID-19 infection, but a number of potential drug targets have been identified with the further understanding of the virological characteristics and pathogenesis of SARS-CoV-2. Some candidate drugs have shown good antiviral activity against SARS-CoV-2 in preclinical or clinical trials. This paper summarizes the current status of potential therapeutic drugs for COVID-19 in order to provide references for future COVID-19 therapy. DOI: 10.11855/j.issn.0577-7402.2021.06.16
截至2021年4月19日,由严重急性呼吸系统综合征冠状病毒2型(SARS-CoV-2)引起的2019冠状病毒病已在全球200多个国家或地区感染了一亿四千万人,并导致三亿六千多人死亡。目前还没有针对新冠肺炎感染患者的特效药,但随着对SARS-CoV-2病毒学特征和发病机制的进一步了解,已经确定了一些潜在的药物靶点。一些候选药物在临床前或临床试验中显示出对严重急性呼吸系统综合征冠状病毒2型的良好抗病毒活性。本文综述了新冠肺炎潜在治疗药物的现状,为今后新冠肺炎的治疗提供参考。DOI:10.11855/j.issn.577-7402.2021.06.16
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引用次数: 1
Recent advances in vaccine development of severe acute respiratory syndrome coronavirus 2 严重急性呼吸综合征冠状病毒疫苗研究进展
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2021-01-01 DOI: 10.11855/j.issn.0577-7402.2021.07.11
Q. Xi-Jing, W. Cai-hong, Z. Ping, Q. Zhong-tian
[Abstract] The outbreak of coronavirus disease 2019 (COVID-19) has become a global pandemic. The pathogen responsible for this disease is a novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It belongs to coronavirus family, a pathogen similar to SARS and Middle East respiratory syndrome (MERS), and manifests strong infectivity and pathogenicity to progress into severe pneumonia. Till now, there is no specific therapeutic drug targeting against this virus. With the rapid spread and deterioration of the epidemic situation, vaccination has become an urgent need. This review introduces the immune defense mechanism of human body against coronavirus briefly, set forth the key viral spike protein for coronavirus vaccine development, and then summarize the recent advances/progresses and potential challenges in safety and efficacy of vaccine development for SARS-CoV-2.
【摘要】2019冠状病毒病(COVID-19)疫情已成为全球性大流行。导致该病的病原体是一种新型严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)。它属于冠状病毒科,是一种与SARS和中东呼吸综合征(MERS)相似的病原体,具有很强的传染性和致病性,可发展为重症肺炎。到目前为止,还没有针对这种病毒的特异性治疗药物。随着疫情的迅速蔓延和恶化,接种疫苗已成为迫切需要。本文简要介绍了人体对冠状病毒的免疫防御机制,阐述了冠状病毒疫苗研制的关键病毒刺突蛋白,总结了SARS-CoV-2疫苗研制的最新进展和安全性、有效性方面的潜在挑战。
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引用次数: 1
Analyses of the clinical features of 13 corona virus disease 2019 non-survivors 2019冠状病毒病13例非幸存者临床特征分析
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-05-28 DOI: 10.11855/J.ISSN.0577-7402.2020.05.03
Li Hai-chao, L. Long, Mao Cong-Zheng, Xu Rui-juan, Zhang Fang-qi, Hu Zhen-hong, S. Qing
Objective To investigate the clinical features of 13 fatal cases of corona virus disease 2019 (COVID-19). Methods The clinical data of 13 patients who died of COVID-19 in Central Theater General Hospital, China, between January 4, 2020, and February 24, 2020, were analyzed retrospectively. The data reviewed included clinical manifestations, laboratory test results, radiographic features and dinical treatment plan. The cellular immune function, the expression of inflammatory factors, and lactate level in deceased patients at different stages of the disease were analyzed. Results Of those who died, the patients consisted of 10 men and 3 women. The age of those who died was (74±19) years, and 10(76.9%) patients were over 70 years old. For the patients who died, 9 presented with underlying diseases, 6(46.2%) of whom had more than 2 diseases. On admission, the chest computed tomography (CT) for 8 patients (61.5%) mainly showed multiple patchy ground-glass opacities. When the disease progressed, the ground-glass opacities rapidly developed into diffuse lesions in both lungs. The lymphocyte and CD3+, CD4+, and CD8+ T lymphocyte counts in the peripheral blood of 13 patients were significantly lower than normal levels and decreased more substantially during the disease course based on the levels when admitted (P<0.01). Additionally, the interleukin (IL)-6, D-dimer, C-reactive protein (CRP), lactic acid levels gradually increased, and most peaked before death. The cause of death for most patients was acute respiratory distress syndrome (ARDS) with type I respiratory failure. Three patients eventually developed multiorgan deficiency syndrome (MODS). Conclusions The risk factors of death for COVID-19 patients included older men, more underlying diseases, poor cellular immune function and over-expression of inflammatory factors. The main cause of death in patients with COVID-19 was ARDS, which led to respiratory failure and MODS.DOI: 10.11855/j.issn.0577-7402.2020.05.03
目的探讨13例2019冠状病毒病(新冠肺炎)死亡病例的临床特点。方法回顾性分析中部战区总医院2020年1月4日至2月24日收治的13例新冠肺炎患者的临床资料。回顾的数据包括临床表现、实验室检查结果、放射学特征和临床治疗方案。分析了疾病不同阶段死亡患者的细胞免疫功能、炎症因子的表达和乳酸水平。结果死亡患者中,男性10例,女性3例。死亡者年龄为(74±19)岁,70岁以上患者10例(76.9%)。在死亡的患者中,9人有潜在疾病,其中6人(46.2%)患有2种以上疾病。入院时,8例(61.5%)患者的胸部计算机断层扫描(CT)主要显示多发片状磨玻璃影。当疾病进展时,磨玻璃样混浊迅速发展为双肺弥漫性病变。13例患者外周血淋巴细胞及CD3+、CD4+、CD8+T淋巴细胞计数均明显低于正常水平,且在病程中与入院时相比下降幅度更大(P<0.01)。大多数患者的死因是急性呼吸窘迫综合征(ARDS)伴I型呼吸衰竭。三名患者最终发展为多器官功能障碍综合征(MODS)。结论新冠肺炎患者死亡的危险因素包括年龄较大、基础疾病较多、细胞免疫功能较差和炎症因子过度表达。新冠肺炎患者的主要死亡原因是ARDS,导致呼吸衰竭和MODS.DOI:10.11855/j.issn.057-7402.2020.05.03
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引用次数: 1
Current status of clinical trial registration regarding coronavirus disease 2019 2019冠状病毒病临床试验注册现状
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-04-01 DOI: 10.11855/J.ISSN.0577-7402.2020.04.04
Feifei Hou, Jun Liu, Zhaoqing Bai, Yan-yan Wu, X. Qi
Objective To summarize the main characteristics of clinical studies regarding coronavirus disease 2019 (COVID-19) registered on the Chinese and US NIH Official Clinical Trial Registration Websites. Methods To search all the clinical studies about COVID-19 which were registered on the Chinese and U.S. NIH official clinical trial registration websites until March 9, 2020. The search terms were "new coronavirus pneumonia (COVID-19), 2019-nCoV, novel coronavirus pneumonia". Results Overall, 360 studies with a total sample size of 268,773 participants are registered on Chinese clinical trial registration website, and 74 studies with a total sample size of 73,723 participants in the U.S. NIH clinical trial registration website. According to the information provided by the Chinese Clinical Trial Registration Website, there are 237 interventional studies, 108 observational studies, and 15 diagnostic test studies; and the most commonly studied interventions were Traditional Chinese Medicine in 80 studies, antiviral therapy in 58 studies, stem cells in 19 studies, plasma of recovered patients in 13 studies, glucocorticoid in 7 studies, molecular targeted therapy in 4 studies, and vaccine in 2 studies. According to the information provided by the U.S. NIH Clinical Trial Registration Website, there were 54 interventional studies, 17 observational studies, and 3 diagnostic test studies; and the most commonly studied interventions were antiviral therapy in 16 studies, stem cells in 7 studies, Traditional Chinese Medicine in 6 studies, molecular targeted therapy in 3 studies, and vaccine in 3 studies. Conclusions Numerous clinical studies related to COVID-19 have been registered during a very short period. Among them, Traditional Chinese Medicine is the most commonly studied intervention, which suggests the Chinese characteristics in medical care. However, considering such a large sample size needed for these clinical studies, it is very important to ensure the enrollment of participants effectively and orderly in future.DOI: 10.11855/j.issn.0577-7402.2020.04.04
目的总结中美两国NIH官方临床试验注册网站注册的新型冠状病毒病(COVID-19)临床研究的主要特点。方法检索截至2020年3月9日在中美两国NIH官方临床试验注册网站上注册的所有关于COVID-19的临床研究。检索词为“新型冠状病毒肺炎(COVID-19)、2019-nCoV、新型冠状病毒肺炎”。结果总体而言,在中国临床试验注册网站上注册了360项研究,总样本量为268,773名受试者;在美国NIH临床试验注册网站上注册了74项研究,总样本量为73,723名受试者。根据中国临床试验注册网站提供的信息,介入研究237项,观察研究108项,诊断试验研究15项;最常见的干预措施是80项中药研究、58项抗病毒治疗、19项干细胞研究、13项康复患者血浆治疗、7项糖皮质激素研究、4项分子靶向治疗和2项疫苗研究。根据美国国立卫生研究院临床试验注册网站提供的信息,共有54项介入性研究,17项观察性研究和3项诊断试验研究;最常见的干预措施是抗病毒治疗(16项)、干细胞治疗(7项)、中药治疗(6项)、分子靶向治疗(3项)和疫苗治疗(3项)。在很短的时间内注册了大量与COVID-19相关的临床研究。其中,中医是研究最多的干预手段,在医疗护理中体现出中国特色。然而,考虑到这些临床研究需要如此大的样本量,确保未来有效有序地纳入参与者是非常重要的。DOI: 10.11855 / j.issn.0577-7402.2020.04.04
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引用次数: 1
The interpretation of Consensus on emergency surgery and infection prevention and control for severe trauma patients with 2019 novel corona virus pneumonia 《2019年新型冠状病毒肺炎重症创伤患者急诊手术及感染防控共识》解读
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-02-01 DOI: 10.11855/J.ISSN.0577-7402.2020.02.02
Yang Li, lianyang zhang
A coronavirus disease 2019 (COVID-19) outbreak has occurred in Wuhan, Hubei province since Dec. 2019. As of Feb. 10, 2020, more than 40,000 cases had been confirmed, nearly 30,000 cases in Hubei alone, and no inflection point in epidemiology appeared. Severe trauma may still occur during the outbreak of the COVID-19. In order to protect the medical personnel involved in emergency treatment and ensuring the timeliness of treatment for trauma patients, The Trauma Surgery Branch of Chinese Medical Doctors' Association (CMDA) organized the drafting of the present expert consensus. This paper interprets the main views of the expert consensus, emphasizes that the safety of health care staff and patients are equally important, and that the treatment strategies and procedures for severe trauma need to be adjusted during the COVID-19 outbreak. The consensus also recommends the use of CT scan, which plays both the role of screening COVID-19 and accurate assessment of trauma, and strengthening the protection of medical staff. The consensus states that medical personnel can be exempted from isolation if they wear standard three-level protective equipment and are not accidentally exposed during the operation. This expert consensus is the first one to systematically review, summarize and analyze the progress of COVID-19 from a surgeon's perspective. It may be used as a reference for medical institutions at all levels to treat patients with severe trauma and perform other kinds of operations during the COVID-19 outbreak.DOI: 10.11855/j.issn.0577-7402.2020.02.02
自2019年12月以来,湖北省武汉市爆发了2019冠状病毒病(新冠肺炎)疫情。截至2020年2月10日,确诊病例超过4万例,仅湖北就有近3万例,流行病学没有出现拐点。新冠肺炎疫情暴发期间仍可能发生严重创伤。为了保护参与急救的医务人员,确保创伤患者治疗的及时性,中华医师协会创伤外科分会组织起草了本专家共识。本文解释了专家共识的主要观点,强调医护人员和患者的安全同等重要,并强调在新冠肺炎爆发期间需要调整严重创伤的治疗策略和程序。共识还建议使用CT扫描,它既能起到筛查新冠肺炎和准确评估创伤的作用,又能加强对医护人员的保护。共识指出,如果医务人员穿戴标准的三级防护装备,并且在手术过程中没有意外暴露,他们可以免于隔离。这一专家共识是首次从外科医生的角度系统回顾、总结和分析新冠肺炎的进展。可作为新冠肺炎疫情期间各级医疗机构救治严重创伤患者及开展其他手术的参考。DOI:10.11855/j.issn.577-7402.2020.02.02
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引用次数: 3
Research updates of diagnosis and treatment of COVID-19 新冠肺炎诊疗研究进展
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-01-01 DOI: 10.11855/J.ISSN.0577-7402.2020.03.06
T. Z. Li, G. Xu
From December 2019, the outbreak of corona virus disease 2019 (COVID-19) hits Hubei Province of China It causes severe acute respiratory syndrome in some patients and notable number of cases died of multiple organ failures SARS-CoV-2 mainly spread by respiratory droplets and close contact It is highly infectious and has been found in many countries and regions around the world So far, no specific vaccine and specific drugs against SARS-CoV-2 have been developed for clinical use This article reviews the virological characteristics, clinical symptoms, infection mechanism, epidemiology, research progress and clinical effect of COVID-19 It could provide new insights for clinical prevention of COVID-19
2019年12月起,中国湖北省爆发新型冠状病毒病(COVID-19),部分患者出现严重急性呼吸综合征,多器官衰竭死亡病例显著。SARS-CoV-2主要通过呼吸道飞沫和密切接触传播,传染性强,目前已在全球多个国家和地区发现。现就新冠肺炎的病毒学特征、临床症状、感染机制、流行病学、研究进展及临床疗效等方面进行综述,为临床预防新冠肺炎提供新的思路
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引用次数: 0
Role of epithelial-mesenchymal transition in the enrichment of colorectal cancer stem cells 上皮-间质转化在结直肠癌干细胞富集中的作用
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2016-09-01 DOI: 10.11855/J.ISSN.0577-7402.2016.09.03
Jia Cheng, Jiang Li, Xuan-Chun Su, Yi-lin Chen, Qing-liang Zeng, Kun-ming Wen
Objective  To explore whether the enrichment of cancer stem cells (CSCs) in colorectal cancer by suspension culture method is involved with epithelial-mesenchymal transition (EMT). Methods  3D microspheres were cultured by suspension culture method to human colorectal cancer SW620 cells. The 3D microspheres and SW620 cells were used as the research objects. To clarify whether 3D microspheres were enriched with CSCs, we made tumorigenicity experiments in NOD/SCID mice, soft agar cloning experiments, and detected the expression levels of cancer stem cells markers CD44 and Ep-CAM by flow cytometry or by Western blotting. The protein expression levels of EMT markers such as E-cadherin, N-cadherin and vimentin were detected by Western blotting. Results  Compared with the parental SW620 cells, colony formation in vitro (P<0.01) and tumorigenicity in NOD/SCID mice were significantly enhanced, the percentage of CD44-positive cells and Ep-CAM protein expression levels was significantly increased (P<0.01) in 3D microspheres. The protein expression level of epithelial marker E-cadherin was obviously increased (P<0.01), while the protein expression levels of mesenchymal markers N-cadherin and vimentin were significantly decreased (P<0.01). Conclusions  Colorectal cancer stem cells can be enriched by suspension culture method, and the process may be related to EMT. DOI: 10.11855/j.issn.0577-7402.2016.09.03
目的探讨悬浮培养法富集结直肠癌肿瘤干细胞(CSCs)是否参与上皮-间质转化(EMT)过程。方法采用悬浮培养法培养人结直肠癌SW620细胞三维微球。以三维微球和SW620细胞为研究对象。为了明确3D微球中是否富集了CSCs,我们在NOD/SCID小鼠中进行了致瘤性实验和软琼脂克隆实验,并通过流式细胞术和Western blotting检测了肿瘤干细胞标志物CD44和Ep-CAM的表达水平。Western blotting检测EMT标志物E-cadherin、N-cadherin、vimentin蛋白表达水平。结果与亲本SW620细胞相比,体外集落形成(P<0.01)和NOD/SCID小鼠的致瘤性显著增强,3D微球中cd44阳性细胞百分比和Ep-CAM蛋白表达水平显著提高(P<0.01)。上皮标志物E-cadherin蛋白表达量显著升高(P<0.01),间充质标志物N-cadherin和vimentin蛋白表达量显著降低(P<0.01)。结论悬浮培养可使结直肠癌干细胞富集,其过程可能与EMT有关。DOI: 10.11855 / j.issn.0577-7402.2016.09.03
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引用次数: 0
Influences of combination of chemotherapy and autophagy inhibitor on the calreticulin expression in colon cancer cells 化疗联合自噬抑制剂对结肠癌细胞钙调蛋白表达的影响
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2016-04-01 DOI: 10.11855/J.ISSN.0577-7402.2016.04.03
R. Peng, D. Li, Ya Ding, Xingjie Zhang, Xiao Zhang, Xiao-jun Wu
Objective  To investigate the influence of chemotherapy combined with autophagy inhibitor on apoptosis and calreticulin (CRT) expression on colonic cancer cells. Methods  The colon cancer cells HCT116 were taken as the target in the present study. The inhibition rates (IC50) of chemotherapeutics oxaliplatin, 5-Fu and SN-38 were assessed by MTT assay. The changes in CRT expression on the membrane of HCT116 and apoptosis were determined with flow cytometry before and after treatment with chemotherapeutics. CRT location in HCT116 was detected by fluorescent immunoassay before and after treatment with chemotherapeutic agents. The influence on HCT116 autophagy was determined by Western blotting after treatment with these chemotherapeutic agents. The changes in CRT expression on HCT116 membrane and apoptosis were determined with flow cytometry before and after treatment with the chemotherapeutics combined with autophagy inhibitor chloroquine (CQ). Results  The ratio of apoptosis and membrane expression of CRT were elevated 12 hours after treatment with Oxaliplatin, 5-Fu and SN38, but without statistical significance. Fluorescent immunoassay showed a transposition of CRT from cytoplasm to the membrane after oxaliplatin treatment. Western blotting revealed that oxaliplatin, 5Fu and SN38 induced autophagy of HCT116 cells, and the autophagy was inhibited by the addition of CQ. Flow cytometric analysis indicated that the percentages of annexin V+ cells and membrane expression of CRT were higher after treatment with the chemotherapy agents combined with CQ. The upregulation of CRT expression on membrane was obviously higher after treatment with oxaliplatin combined with CQ than that before the treatment with these agents (P=0.027). Conclusion  Oxaliplatin combined with CQ may increase the apoptosis rate of HCT116 cells and upregulate CRT expression in the membrane. DOI: 10.11855/j.issn.0577-7402.2016.04.03
目的探讨化疗联合自噬抑制剂对结肠癌细胞凋亡及钙调蛋白(CRT)表达的影响。方法以结肠癌细胞HCT116为研究对象。MTT法测定化疗药物奥沙利铂、5-Fu和SN-38的抑制率(IC50)。采用流式细胞术检测化疗前后HCT116细胞膜上CRT表达及细胞凋亡的变化。采用荧光免疫法检测化疗前后HCT116的CRT位置。采用Western blotting检测化疗药物对HCT116细胞自噬的影响。采用流式细胞术检测化疗药物联合自噬抑制剂氯喹(CQ)治疗前后HCT116膜上CRT表达及细胞凋亡的变化。结果奥沙利铂、5-Fu和SN38治疗12 h后,细胞凋亡率和CRT膜表达均升高,但差异无统计学意义。荧光免疫分析显示,奥沙利铂治疗后,CRT从细胞质转移到膜。Western blotting结果显示,奥沙利铂、5Fu和SN38均可诱导HCT116细胞自噬,CQ的加入可抑制细胞自噬。流式细胞术分析显示,化疗药物联合CQ治疗后,膜联蛋白V+细胞百分比和CRT膜表达均较高。奥沙利铂联合CQ治疗后,膜上CRT表达的上调幅度明显高于治疗前(P=0.027)。结论奥沙利铂联合CQ可提高HCT116细胞的凋亡率,上调细胞膜上CRT的表达。DOI: 10.11855 / j.issn.0577-7402.2016.04.03
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引用次数: 1
Correlation of the mTOR gene expression in peripheral blood lymphocytes with the degree of coronary artery stenosis 外周血淋巴细胞mTOR基因表达与冠状动脉狭窄程度的关系
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2016-01-03 DOI: 10.11855/J.ISSN.0577-7402.2016.03.13
Shujie Wei, Shuangtao Ma, Yan Zhang, Qiang Wang, De Li, Dachun Yang, Y. Yang
Objective  To investigate the correlation of the expression level of mammalian target of rapamycin (mTOR) gene in peripheral blood lymphocyte with the degree of stenosis of the coronary artery. Methods  One hundred and seventy consecutive patients (male 86, female 84, aged from 18 to 82) who received coronary angiography (CAG) in the General Hospital of Chengdu Command were divided into coronary stenosis group and coronary normal group according to the result of CAG, and the Gensini scores were calculated based on the result of selective CAG. For the two groups, the age, gender, ethnic group, height and weight were collected, and the fasting glucose, lipids, liver and renal function parameters were measured, the total RNA was extracted from peripheral blood lymphocytes, and the mTOR expression level was measured, the correlation between mTOR expression level and other cardiovascular risk factors with Gensini score was then analyzed. Results  Among the 170 patients, the age, body mass index, triglycerides (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) and the expression level of mTOR gene in peripheral blood lymphocyte were significantly higher in coronary stenosis group than in normal group (P<0.05). Positive correlation was found between the Gensini score with the age, the levels of plasma TG and TC, and the expressions level of mTOR gene, and the correlation coefficients (r) were 0.207, 0.254, 0.236 and 0.343, respectively (P<0.01). Conclusions  The mTOR expression level in peripheral blood lymphocytosis is positively correlated with the degree of coronary artery stenosis, implying that the monocyte mTOR may play an important role in the generation and development of coronary atherosclerosis. DOI: 10.11855/j.issn.0577-7402.2016.03.13
目的探讨哺乳动物外周血淋巴细胞雷帕霉素靶蛋白(mTOR)基因表达水平与冠状动脉狭窄程度的相关性。方法在成都军区总医院连续行冠状动脉造影(CAG)患者170例(男86例,女84例,年龄18 ~ 82岁),根据CAG结果分为冠状动脉狭窄组和冠状动脉正常组,根据选择性CAG结果计算Gensini评分。收集两组患者的年龄、性别、民族、身高、体重,测定空腹血糖、血脂、肝肾功能参数,提取外周血淋巴细胞总RNA,测定mTOR表达水平,分析mTOR表达水平与其他心血管危险因素与Gensini评分的相关性。结果170例患者中,冠状动脉狭窄组患者的年龄、体重指数、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)及外周血淋巴细胞mTOR基因表达水平均显著高于正常组(P<0.05)。Gensini评分与年龄、血浆TG、TC水平及mTOR基因表达水平呈正相关,相关系数(r)分别为0.207、0.254、0.236、0.343 (P<0.01)。结论外周血淋巴细胞增多症中mTOR表达水平与冠状动脉狭窄程度呈正相关,提示单核细胞mTOR可能在冠状动脉粥样硬化的发生发展中起重要作用。DOI: 10.11855 / j.issn.0577-7402.2016.03.13
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引用次数: 1
Subtemporal transtentorial approach for excision of tumors in mid-superior petroclival region 颞下经幕入路在岩石斜坡中上区肿瘤切除术中的应用
Q4 Biochemistry, Genetics and Molecular Biology Pub Date : 2014-02-28 DOI: 10.3760/CMA.J.ISSN.1001-2346.2014.02.015
Xue-min Xing, J. Gu, B. Kong, Y. Kuang, Wei-qi He, Jing-min Cheng, Tao Yang, Lin Cheng, Hai-dong Huang, Wen-tao Yang, Xun Xia, M. Yuan, Kai Zhao, Xiu-zhong Zhang, Long Lin, F. Zeng
Objective To improve the therapeutic effect of the petroclival tumors removed via subtemporal transtentorial approach by microsurgical techniques.Methods Thirty-two patients with tumors in mid-superior petroclival region,admitted to our hospital from January 2005 to December 2011 and underwent microsurgery through subtemporal transtentorial approach.The clinical manifestations,surgical methods and treatment efficacy were retrospectively analyzed.Results Thirty-two patients with tumors included 20 meningiomas,7 neurilemmoma and 5 epidermoid cyst.Total resection was achieved in 22 cases,subtotal resection in 6 cases,and partial resection in 4 cases.Fifteen patients developed new postoperative neurological deficits.The patients were followed up for 3 to 12 months,and the neurological functions recovered in varying degrees.Conclusions The subtemporal transtentorial approach is one of the optimal approaches to remove the mid-superior petroclival tumors because of its mini-invasion and less complications,indicating for a wide application in clinic. Key words: Subtemporal transtentorial approach ;  Microsurgery;  Petroclival tumors
目的提高显微外科技术对经颞下经小脑幕入路石斜坡肿瘤的治疗效果。方法我院2005年1月至2011年12月收治的32例岩石斜坡中上区肿瘤患者,经颞下经额叶入路行显微手术治疗。回顾性分析其临床表现、手术方法及治疗效果。结果32例肿瘤中脑膜瘤20例,神经鞘瘤7例,表皮样囊肿5例。全切除22例,次全切除6例,部分切除4例。15例患者术后出现新的神经功能缺损。随访3 ~ 12个月,患者神经功能均有不同程度恢复。结论颞下经额幕入路侵犯小,并发症少,是切除中上岩斜坡肿瘤的最佳入路之一,具有广泛的临床应用价值。关键词:颞下经额叶入路;显微外科;岩斜肿瘤
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