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61.
The effect of fibrin polymers on thrombin-catalyzed factor XIIIa formation was studied in afibrinogenemic plasma. Fibrin polymers derived from des A fibrinogen and des A,B fibrinogen increased sixfold the rate of thrombin-catalyzed factor XIIIa formation in the presence of EDTA. Calcium chloride accelerated factor XIIIa formation 14-fold in the presence of des A,B fibrinogen without increasing the rate of thrombin formation. Fibrinopeptides A and B had no effect on factor XIIIa formation in afibrinogenemic plasma. Des A,B fibrinogen reduced by 20- to 40-fold the thrombin concentration required to activate factor XIII. Glycyl-L-prolyl-L-arginyl-L-proline (gly-pro-arg-pro), a fibrin polymerization inhibitor, inhibited des A and des A,B fibrinogen from enhancing thrombin-catalyzed factor XIIIa formation. Gly-pro-arg- pro did not modify factor XIIIa formation in afibrinogenemic plasma and did not inhibit thrombin cleavage of the chromogenic substrate S-2238. These results demonstrate that fibrin polymers accelerate thrombin- catalyzed plasma factor XIIIa formation. 相似文献
62.
AP-1和肿瘤的关系研究进展 总被引:4,自引:0,他引:4
转录因子AP-1(activatorprotein1),主要由Jun、Fos、ATF及JDP亚家族组成,亚家族单体以同源或异源二聚体的形式结合DNA靶序列,参与靶基因调节.对基因修饰小鼠和细胞的研究表明,AP-1参与细胞的正常生长和癌性转化过程,其在细胞中的作用取决于细胞类型、AP-1的组成和各组分的相对比例,也与刺激的种类密切相关.AP-1的活性受多种核因子调节,同时单体间也存在相互促进或拮抗作用.AP-1对各种刺激如应激、辐射或生长信号等作出生理或病理应答,参与细胞的增殖、分化和转化等过程,在肿瘤的形成、转移和侵袭中发挥重要作用,已经有学者研究通过抑制AP-1活性来发展抗肿瘤药物. 相似文献
63.
Comparison of clinical and self-reported diagnoses for participants on a community-based arthritis self-management programme 总被引:2,自引:0,他引:2
OBJECTIVE: With the advent of community-based arthritis education
programmes, it is important to determine the accuracy of participants'
self-reported diagnoses. The purpose of this study was to determine the
level of agreement between general practitioner (GP)-recorded and self-
reported diagnoses of participants attending an Arthritis Self- Management
Programme (ASMP). METHODS: Participants enrolling on the ASMP were asked to
(a) identify their type of arthritis via a self- administered postal
questionnaire and (b) obtain a written confirmation of their diagnosis from
their GP. The sample (n = 613) comprised mainly women (83%) with a mean age
of 58.8 yr (S.D. 12.6) and a mean disease duration of 15.4 yr (S.D. 12.5).
RESULTS: Participants' self-reported diagnoses were confirmed by GPs in 534
cases [87.1%, 95% confidence interval (CI): 84.4 89.8%]. Confirmed
diagnoses were reported by 86.9% (95% CI: 83.1-90.7%) of those with
osteoarthritis (OA) and 96.1% (95% CI: 93.6 98.6%) of those with rheumatoid
arthritis (RA). The concordance rate for all other types of arthritis
combined was lower at 60.5% (95% CI: 49.5-71.5%). There were no significant
differences with respect to age, gender, education, physical functioning,
duration of disease and number of GP visits between those who correctly
identified their type of arthritis and those who did not. CONCLUSIONS: This
study suggests that the majority of RA and OA participants attending an
arthritis education programme can correctly identify their specific type of
arthritis.
相似文献
64.
The functional characterization of interleukin-10 receptor expression on human natural killer cells 总被引:11,自引:1,他引:11
Carson WE; Lindemann MJ; Baiocchi R; Linett M; Tan JC; Chou CC; Narula S; Caligiuri MA 《Blood》1995,85(12):3577-3585
Human natural killer (NK) cells are large granular lymphocytes that constitutively express functional forms of the interleukin-2 receptor (IL-2R) and lyse tumor and virally infected cells without prior sensitization. NK cells with high density expression of CD56 (CD56bright) express the high affinity IL-2R and proliferate in response to low (picomolar) concentrations of IL-2. CD56dim NK cells express the intermediate affinity IL-2R and demonstrate enhanced cytotoxic activity without proliferation in response to high (nanomolar) concentrations of IL-2. In the present study, we characterized IL-10R expression on human NK cells and the functional consequences of IL-10 binding directly to highly purified subsets of CD56bright and CD56dim NK cells. Binding studies using 125I-IL-10 indicated that resting human NK cells constitutively express the IL-10 receptor protein at a surface density of approximately 90 receptor sites per cell, with a kd of approximately 1 nmol/L. Alone, IL-10 did not induce proliferation of CD56bright or CD56dim NK cell subsets. However, at low concentrations (0.5 to 5 ng/mL), IL-10 significantly augmented IL-2-induced proliferation of the CD56bright NK cell subset mediated via the high-affinity IL-2R. In the absence of IL-2, IL-10 was able to induce significant NK cytotoxic activity against NK-resistant tumor cell targets in both subsets of NK cells in a dose-dependent fashion. Furthermore, the combination of IL-10 and IL-2 had an additive effect on NK cytotoxic activity, whereas that of IL-10 and IL-12 did not. Production of interferon-gamma, tumor necrosis factor-alpha, and granulocyte-macrophage colony-stimulating factor by IL-2-activated NK cells was also significantly enhanced by IL-10. Neither resting nor activated human NK cells appear to produce human IL-10 protein. In summary, NK cells constitutively express the IL-10R protein in low density, and the functional consequences of IL-10 binding directly to human NK cell subsets appear to be stimulatory and dose-dependent. In contrast to its direct effects on human T cells and monocytes/macrophages, IL-10 potentiates cytokine production by human NK cells. 相似文献
65.
66.
Parathyroid adenomas in the aortopulmonary window 总被引:3,自引:0,他引:3
67.
Diverticular abscesses: percutaneous drainage 总被引:7,自引:0,他引:7
Neff CC; vanSonnenberg E; Casola G; Wittich GR; Hoyt DB; Halasz NA; Martini DJ 《Radiology》1987,163(1):15-18
Percutaneous catheter drainage was performed in 16 patients with diverticulitis complicated by abscesses. Each patient had resolution of fever within 72 hours. Eleven patients subsequently underwent simultaneous sigmoid resection and operative anastomosis 10-40 days after percutaneous drainage. One patient required a three-stage procedure after percutaneous drainage, and one patient was too unstable for operation at any time during her course and eventually died of respiratory failure. Three patients did not undergo resection after catheter drainage and have remained asymptomatic for 1-2 1/2 years. Ten of 16 patients had fistulas, eight of which closed spontaneously. Experience with percutaneous drainage of diverticular abscesses suggests that it obviates surgical abscess drainage and permits a single operation (sigmoid resection and closure) to be performed safely. Percutaneous abscess drainage has cost-saving implications, since one or two operations may be avoided in most patients, and in some high-risk elderly patients all operations may be obviated. 相似文献
68.
69.
Practical aspects of management of recurrent aphthous stomatitis 总被引:2,自引:0,他引:2
A Altenburg†¶ MB Abdel-Naser†‡¶ H Seeber§ M Abdallah‡ CC Zouboulis† 《Journal of the European Academy of Dermatology and Venereology》2007,21(8):1019-1026
Treatment of recurrent aphthous stomatitis (RAS) remains, to date, empirical and non-specific. The main goals of therapy are to minimize pain and functional disabilities as well as decrease inflammatory reactions and frequency of recurrences. Locally, symptomatically acting modalities are the standard treatment in simple cases of RAS. Examples include topical anaesthetics and analgesics, antiseptic and anti-phlogistic preparations, topical steroids as cream, paste or lotions, antacids like sucralfate, chemically stable tetracycline suspension, medicated toothpaste containing the enzymes amyloglucosidase and glucoseoxidase in addition to the well-known silver nitrate application. Dietary management supports the treatment. In more severe cases, topical therapies are again very useful in decreasing the healing time but fail to decrease the interval between attacks. Systemic immunomodulatory agents, like colchicine, pentoxifylline, prednisolone, dapsone, levamisol, thalidomide, azathioprine, methotrexate, cyclosporin A, interferon alpha and tumour necrosis factor (TNF) antagonists, are helpful in resistant cases of major RAS or aphthosis with systemic involvement. 相似文献
70.
A Kalayciyan†‡ CC Zouboulis†§ 《Journal of the European Academy of Dermatology and Venereology》2007,21(1):1-10
Behçet's disease (Adamantiades‐Behçet's disease, ABD) is a multisystemic inflammatory disease, the pathogenesis of which is still a mystery. Many questions are still to be answered and the available diverse data need to be brought together to be compared and analysed. There is at least consensus on the effect of possible, but currently unknown, environmental triggering factor(s) against a background of genetic susceptibility. The possible aetiological factors form a broad spectrum, with infectious agents being the most probable ones. Whatever the stimulus is, the target tissue seems to be the small blood vessels, with various consequences of either vasculitis and/or thrombosis in many organ systems. The endothelium seems to be the primary target in this disease; however, it may just be the subject of the bizarre behaviour of the immune system. The diverse existing data could be interpreted in favour of either explanation. A similar confusion exists about the thrombotic tendency in Adamantiades‐Behçet's disease, in terms of whether a primary hypercoagulability is present or whether it is secondary to inflammation. Recent interesting immunological data promise a way out of the existing dilemma. These findings will be outlined within the context of possible hypotheses and attention will be paid to further investigations that are needed. 相似文献