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21.
CagA阳性幽门螺杆菌感染与上胃肠道疾病关系的研究 总被引:6,自引:2,他引:4
目的探讨CagA阳性幽门螺杆菌(Hp)感染与上胃肠道病变的关系;并观察Hp根除治疗后血清中抗CagAIgG抗体水平的变化.方法808例因上胃肠道症状而接受胃镜检查的病人,同时作Hp检查.对Hp感染者用ELISA方法检测血清中抗CagAIgG抗体;阳性者予含质子泵抑制剂(PPI)三联疗法根除治疗.其中60例根除治疗失败病人和120例根除成功病人在Hp根除治疗结束3个月和6个月时复查血清中抗CagAIgG抗体水平.结果在不同临床疾病中,慢性浅表性胃炎(CSG)、慢性萎缩性胃炎(CAG)、胃溃疡(GU)、十二指肠溃疡(DU)和胃癌(GC)感染Hp的病人中抗CagAIgG抗体阳性率分别为55.4%、70.5%、83.2%、90.8%、89.7%.后4组阳性率明显高于CSG组,后3组均明显高于CAG组;在不同程度的胃粘膜病变中,CSG、CAG、肠上皮化生(IM)、非典型增生(Dys)和GC感染Hp的病人中抗CagAIgG抗体的阳性率分别为43.0%、53.8%、77.6%、88.6%、89.7%.IM、Dys和GC组均明显高于CSG和CAG组;60例根除失败者在治疗前及治疗后3个月和6个月时血清中抗CagAIgG水平分别为(72±41)U/ml,(67±36)U/ml和(69±40)U/ml,治疗前后差异无显著意义,无一例转为阴性;120例根除治疗成功者治疗后3个月和6个月血清中抗CagAIgG水平平均由(69±38)U/ml分别下降至(47±30)U/ml和(32±15)U/ml,治疗后与治疗前比较差异均有显著意义,在治疗后3个月和6个月时分别有7.5%(9/120)和19.2%(23/120)的病人抗体转为阴性.结论CagA阳性的Hp可能导致更严重的上胃肠道疾病和更严重的胃粘膜病变;Hp根除治疗后血清中抗CagAIgG抗体水平明显下降,但下降较慢,不宜作为个体监测疗效的指标. 相似文献
22.
慢性肾病(chronic kidney disease,CKD)可引起肠道菌群失调及肠道屏障功能受损,而肠道稳态的破坏有
利于肠源性毒素的产生及肠腔细菌、内毒素的易位,加重CKD的尿毒症毒性及全身性炎症。膳食纤维可靶向作用于
“肠-肾轴”,从而降低CKD的尿毒症毒素水平及减轻全身性炎症。膳食纤维有望成为治疗CKD的新策略。 相似文献
23.
Jorge O. Ares 《Ecotoxicology (London, England)》1994,3(4):249-270
The ability of decomposers to process variable amounts of xenobiotics in the marine sediment is a useful aggregate indicator of their capacity to prevent their accumulation and eventual ecotoxic effects. Since decomposition processes depend on environmental factors at the sediment which are difficult to mimic in laboratory systems, in situ evaluations in undisturbed sediments are of great interest. A method and its results are presented to evaluate the decomposition rates of PAHs (polynuclear aromatic hydrocarbons) in coastal undisturbed marine sediments at different levels of pollution input. The method is based on the application of pulse chromatography concepts to interpret trap and bed sediment monitoring data obtained at regular time intervals, using models of the water column as an anisotropic carrying medium. The results are for a 14 month data series from moderately polluted sediments near an urban site and at a more distant nearly pristine site on the south Atlantic coast. QSAR (quantitative structure activity relations) indicate that decay rates increase with higher UV absorption and lipidic solubility. At low levels of total PAH input to the sediments (<0.05 g day–1 g–1), decomposition mechanisms effectively process these compounds within a few days. At higher input levels (up to 0.12 g day–1 g–1), decomposition lags behind the inputs by approximately 25% and PAHs accumulate in the sediment. In situ estimates of the PAH input/decay ratios provide reliable ecosystem indicators of a safe threshold for anthropogenic inputs of PAHs to the marine environment and a basis for receptor-based standards aimed at their regulation. 相似文献
24.
Ernest Hamel Andrei V. Blokhin Dale G. Nagle Hye-Dong Yoo William H. Gerwick 《Drug development research》1995,34(2):110-120
Curacin A is a newly isolated lipid natural product that binds in the colchicine site of tubulin and inhibits mitosis. We have examined its effects on tubulin polymerization, studied by turbidimetry, under three reaction conditions. In 1.0 M glutamate + 1.0 mM MgCl2, with a 37°C reaction temperature, we could find no concentration of curacin A that completely inhibited polymerization. A maximal inhibitory effect on turbidity development (about 50%) was observed with 5 m?M drug. Higher drug concentrations induced an abnormal polymerization reaction, which at 40 m?M differed little from the control reaction except for slightly delayed depolymerization in response to reducing the temperature to 0°C. In 0.8 M glutamate (no MgCl2), with a 30°C reaction temperature, complete inhibition did occur at 3–5 m?M drug, but higher drug concentrations again induced an abnormal polymerization reaction. With 40 m?M curacin A this reaction was also similar to the control reaction, except that cold-induced depolymerization was slightly enhanced relative to the control. When polymerization was induced by microtubule-associated proteins, maximal inhibition of turbidity development (about 70%) occurred with 2 m?M drug, with higher curacin A concentrations inducing abnormal polymerization reactions that reached about 60% of the control turbidity readings. Under all three reaction conditions the polymer induced by high concentrations of curacin A consisted of large aggregates of tightly coiled spiral fibers that had a 2–3 filament substructure. The implications of these findings with curacin A are discussed in terms of the use of tubulin polymerization assays as a screen for identifying new antimitotic drugs. © 1995 Wiley-Liss, Inc. 1 This article is a US Government work and, as such, is in the public domain in the United States of America. 相似文献
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27.
Role of Clostridium perfringens phospholipase C in the pathogenesis of gas gangrene. 总被引:4,自引:0,他引:4
Gas gangrene is an acute and devastating infection most frequently caused by Clostridium perfringens and characterized by severe myonecrosis, intravascular leukocyte accumulation, and significant thrombosis. Several lines of evidence indicate that C. perfringens phospholipase C (Cp-PLC), also called alpha-toxin, is the major virulence factor in this disease. This toxin is a Zn2+ metalloenzyme with lecithinase and sphingomyelinase activities. Its three dimensional structure shows two domains, an N-terminal domain which contains the active site, and a C-terminal domain required for the Ca2+dependent interaction with membranes. Cp-PLC displays several biological activities: it increases capillary permeability, induces platelet aggregation, hemolysis, myonecrosis, decreases cardiac contractility, and is lethal. Experiments with genetically engineered Cp-PLC variants have revealed that the sphingomyelinase activity and the C-terminal domain are required for toxicity. The myotoxicity of Cp-PLC is largely dependent on its membrane damaging effect. In addition, it has been suggested that the alterations in the blood flow induced by this toxin also contribute to muscle damage. In gas gangrene, Cp-PLC dysregulates transduction pathways in endothelial cells, platelets and neutrophils leading to the uncontrolled production of several intercellular mediators and adhesion molecules. Thus, Cp-PLC alters the traffic of neutrophils to the infected tissue and promotes thrombotic events, enhancing the conditions for anaerobic growth. 相似文献
28.
生化过程工程与中药现代化 总被引:6,自引:0,他引:6
在生化工程20余年的研究工作基础上。结合中药现代化开展了一些技术、材料与设备的研究开发工作。研究植物细胞、组织、器官大规模培养增殖技术,应用于细胞代谢产物、生物转化和人工育种及发根,实现了工厂化生产,并成功研制多种类型的生物反应器;在原有化学工程提取分离技术的基础上,发展了反应分离耦合、微波辅助提取等新技术,实现了高效浸出,并且节能、节水;此外,又发展了包括反胶团萃取、一步三相萃取青霉素、泡沫分级分离、膜分离、高速逆流色谱分离纯化等新技术。高速逆流色谱技术是一种没有固相载体的液一液多级逆流萃取技术,避免了不可逆吸附,已成功用于多种天然产物的分析和分离,作为研究中药指纹图谱的新方法具有很好的精密度和重现性。高效液相色谱、气相色谱、毛细管电泳、质谱等技术在指纹图谱研究中发挥了重要作用。与此同时,还研制了多种分离介质,并在药物的修饰与包埋方面做了大量工作。另外,在海洋药物研究领域,创造了连续培养连续采收的新流程、新技术.进行了转基因藻的培养。用于生产基因工程产品。 相似文献
29.
目的:对马尾藻科植物半叶马尾藻[Sargassum hemiphyllum(Turn.) Ag.]藻体的甾醇类成分进行研究。方法:利用真空液相层析、Sephadex LH-20层析和反复硅胶柱层析进行分离,根据甾醇的理化性质和光谱数据鉴定其结构。结果:得到5个甾醇类化合物,分别确定为岩藻甾醇(SPⅠ)、24 氢过氧基 24-乙烯基胆固醇(SPⅡ),(22E,24S)24-甲基-5α胆甾7,22二烯3β,5,6β三醇(SAⅢ),saringosterol (SPⅣ)和麦角甾醇过氧化物(ergosterol peroxide) (SAⅥ)。结论:SPⅡ,SAⅢ和SAⅥ为首次从褐藻类中发现。 相似文献
30.