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心肌桥致急性心肌梗死1例报道及文献回顾
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作者 寇晓庆 甘义荣 +5 位作者 张云龙 谢定雄 冒锐 梁天香 杨小丽 王延震 《中国介入心脏病学杂志》 2025年第2期111-116,共6页
药物治疗和手术治疗是心肌桥的两种主要治疗方法。然而,关于冠状动脉旁路移植术(CABG)和心肌桥松解术的应用仍存在争议。本病例报道1例心肌桥患者在CABG后发生心肌梗死。患者因持续胸痛、胸闷、呼吸短促2 h就诊于兰州市第一人民医院,体... 药物治疗和手术治疗是心肌桥的两种主要治疗方法。然而,关于冠状动脉旁路移植术(CABG)和心肌桥松解术的应用仍存在争议。本病例报道1例心肌桥患者在CABG后发生心肌梗死。患者因持续胸痛、胸闷、呼吸短促2 h就诊于兰州市第一人民医院,体格检查未见明显阳性征象。心电图显示广泛的前壁心肌梗死。实验室检查肌红蛋白140.1 ng/ml;肌钙蛋白I为2.59 ng/ml。未发现其他异常。初步诊断为急性广泛前壁心肌梗死。急诊冠状动脉造影显示左前降支中段心肌桥。行左乳内动脉-左前降支急诊CABG,病情好转出院。在术后7年再次发生心肌梗死,再次给予药物二级预防治疗。患者现在正在接受持续的随访。CABG是治疗心肌桥的有效方法。但根据本文报道的病例,建议仔细评估患者是否可以从CABG中获益。 展开更多
关键词 心肌桥 急性心肌梗死 冠状动脉旁路移植术
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LPS诱导胆管炎症对胆管上皮细胞骨架形态学变化的影响及大黄灵仙方对其干预机制研究 被引量:2
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作者 李承积 俞渊 +2 位作者 甘苡榕 庞浇安 杨文 《海南医学院学报》 CAS 2022年第10期750-755,共6页
目的:观察脂多糖(lipopolysaccharide,LPS)对细胞骨架的影响以及大黄灵仙方调节NF-κB/MAPK信号通路对细胞骨架蛋白的作用。方法:采用鬼笔环肽荧光染色剂对各组干预后的胆管上皮细胞进行染色,在激光共聚焦显微镜下观察各组细胞骨架的排... 目的:观察脂多糖(lipopolysaccharide,LPS)对细胞骨架的影响以及大黄灵仙方调节NF-κB/MAPK信号通路对细胞骨架蛋白的作用。方法:采用鬼笔环肽荧光染色剂对各组干预后的胆管上皮细胞进行染色,在激光共聚焦显微镜下观察各组细胞骨架的排列情况;采用免疫印迹法检测骨架蛋白F-actin的表达。结果:LPS干预后,胆管上皮细胞出现细胞核皱缩或破损,骨架丝状断裂或成团;通路阻制剂联合大黄灵仙方干预后细胞骨架部分修复;其余各组细胞骨架均有不同程度的断裂。与正常组相比,LPS组F-actin蛋白表达减少(P<0.05);与LPS组相比,LPS组+中药组、LPS+PDTC+中药组、LPS+SB203580+中药组、LPS+PDTC+SB203580+中药组F-actin蛋白表达明显增加(P<0.05);与中药组相比,LPS+PDTC+中药组、LPS+SB203580+中药组、LPS+PDTC+SB203580+中药组F-actin蛋白表达差异无统计学意义(P>0.05)。结论:大黄灵仙方可恢复炎症状态下胆管上皮细胞骨架的排列顺序,保护其微丝结构,其机制可能与调节NF-κB/MAPK信号通路的传导有关。 展开更多
关键词 胆管上皮细胞 大黄灵仙方 LPS 细胞骨架 胆管炎症
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To explore the mechanism of Dahuang Lingxian Formula in relieving inflammatory response of bile duct cells based on IL-6/JAK/STAT3 signaling pathway
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作者 PANG Jiao-an Yu Yuan +7 位作者 CHEN Wei-tang YANG Wen LIU Chun-li XIAO Li-jun TENGJin-hao YE Gui-yuan LI Chen-ji gan yi-rong 《Journal of Hainan Medical University》 CAS 2023年第10期8-16,共9页
Objective:To explore the mechanism of action of Dahuang Lingxian Formula in alleviating the inflammatory response of bile duct cells in LPS-induced intrahepatic bile duct inflammation model rats based on IL-6/JAK/STAT... Objective:To explore the mechanism of action of Dahuang Lingxian Formula in alleviating the inflammatory response of bile duct cells in LPS-induced intrahepatic bile duct inflammation model rats based on IL-6/JAK/STAT3 signaling pathway.Methods:Fifty SD rats were randomly divided into five groups,blank group,model group,choling tablets(0.5 g/kg),and low and high concentration groups(2.4 g/kg and 4.8 g/kg)of Dahuang Lingxian Formula,ten rats in each group.Except for the blank group,the rats in each group were injected with 1.25 mg/kg LPS at the common bile duct at one time to construct an animal model of intrahepatic bile duct infection.After gavage on day 8,liver tissues were taken from rats at the hepatic hilum,and the histopathological changes of the hepatic hilum and biliary tree were observed by HE staining.The expression levels of serum glutamic alanine transaminase(ALT),glutamic oxalacetic transaminase(AST),malondialdehyde(MDA)and superoxide dismutase(SOD)were measured by biochemical method.The expression levels of interleukin 6(IL-6),Janus protein tyrosine kinase 2(JAK2),signal transducer and activator of transcription 3(STAT3)in rat serum were measured by enzyme-linked immunosorbent assay(ELISA).Protein immunoblotting(WB)and real-time fluorescence quantitative PCR(RT-qPCR)were used to detect the expression levels of IL-6,JAK2,STAT3 protein and mRNA in biliary tree tissues.Results:①Compared with the blank group,the structures such as interlobular bile ducts in the hepatic sinusoids and portal duct area of the model rats were destroyed,and inflammatory cells infiltrated around them.The expression of ALT,AST,MDA,IL-6,JAK2 and STAT3 in the serum increased significantly,the expression level of SOD decreased,and the expression levels of IL-6,JAK2 and STAT3 proteins and mRNA increased.②Compared with the model group,the degree of liver pathological damage in rats in the Chiling Ning tablet group and the low and high concentration groups of Dahuang Lingxian Formula were improved,which could significantly reduce the expression levels of ALT,AST,MDA,IL-6,JAK2,STAT3 and up-regulate SOD in serum,and down-regulate the expression of IL-6,JAK2,STAT3 protein and mRNA,with the best effect in the high concentration group of Dahuang Lingxian Formula.③Compared with the choling tablet group,the rats in the low and high concentration groups of Dahuang Lingxian Formula tended to normalize the degree of liver pathological damage,without obvious inflammatory cell infiltration,and the expression levels of ALT,AST,MDA,IL-6,JAK2,STAT3 and the expression levels of IL-6,JAK2,STAT3 protein and mRNA in serum were reduced,and the expression levels of SOD were increased,with the best effect of Dahuang Lingxian Formula The treatment effect was best in the high concentration group.Conclusion:The mechanism may be related to the down-regulation of IL-6/JAK/STAT3 signaling pathway activation,and the best therapeutic effect was achieved by the high concentration group of Dahuang Lingxian Formula. 展开更多
关键词 Dahuang Lingxian formula Cholangiocyte inflammation HEPATOLITHIASIS IL-6/JAK/STAT3 signaling pathway
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大黄灵仙方调控TAK1与TRAF6相互作用及共定位对胆管细胞炎症反应的影响 被引量:7
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作者 甘苡榕 桂雄斌 +5 位作者 俞渊 许斌 戴建业 常明 陈金梅 李承积 《中国实验方剂学杂志》 CAS CSCD 北大核心 2022年第6期92-99,共8页
目的:观察大黄灵仙方(DHLX)对大鼠胆管上皮细胞的修复作用,探讨其作用机制是否通过调节转化生长因子-β(TGF-β)激活激酶1(TAK1)与肿瘤坏死因子受体相关因子6(TRAF6)的相互结合,调控核转录因子-κB(NF-κB)/丝裂原活化蛋白激酶(MAPK)信... 目的:观察大黄灵仙方(DHLX)对大鼠胆管上皮细胞的修复作用,探讨其作用机制是否通过调节转化生长因子-β(TGF-β)激活激酶1(TAK1)与肿瘤坏死因子受体相关因子6(TRAF6)的相互结合,调控核转录因子-κB(NF-κB)/丝裂原活化蛋白激酶(MAPK)信号通路活化而发挥作用。方法:将20只SD大鼠随机分为正常组和DHLX组,分别予生理盐水及DHLX(320 mg·kg^(-1)·d^(-1))灌胃8 d,制备正常血清及含DHLX血清;从正常SD大鼠中提取胆管上皮细胞,取胆管上皮细胞分为9组:正常组、模型组(20 mg·L^(-1))、脂多糖(LPS)+DHLX组(20 mg·L^(-1)+10%含药血清)、LPS+PDTC组(20 mg·L^(-1)+200μmol·L^(-1))、LPS+SB203580组(20 mg·L^(-1)+0.5μmol·L^(-1))、LPS+PDTC+SB203580组(20 mg·L^(-1)+200μmol·L^(-1)+0.5μmol·L^(-1))、LPS+PDTC+DHLX组(20 mg·L^(-1)+200μmol·L^(-1)+10%含药血清)、LPS+SB203580+DHLX组(20 mg·L^(-1)+0.5μmol·L^(-1)+10%含药血清)、LPS+PDTC+SB203580+DHLX组(20 mg·L^(-1)+200μmol·L^(-1)+0.5μmol·L^(-1)+10%含药血清);显微镜下观察药物干预后各组细胞的形态学变化,采用酶联免疫吸附测定法(ELISA)检测各组细胞中白细胞介素(IL)-1β与IL-6的表达量;蛋白免疫印迹法(Western blot)检测各组细胞中TAK1与TRAF6蛋白表达水平,免疫共沉淀技术检测TAK1与TRAF6的相互作用,激光共聚焦显微镜观察TAK1与TRAF6在细胞中的分布及共定位情况。结果:LPS作用后,细胞突触减少,胞体变圆变小,用药后各组细胞形态趋向正常;与正常组比较,模型组IL-1β和IL-6表达量明显上升(P<0.05),TAK1表达量降低而TRAF6的表达量升高(P<0.05),TAK1-TRAF6蛋白质复合物含量呈降低趋势;与模型组比较,LPS+DHLX组IL-1β和IL-6表达量明显降低(P<0.05),TAK1表达量升高而TRAF6表达量降低(P<0.05),TAK1-TRAF6蛋白质复合物含量显著增加(P<0.01),两蛋白共定位于细胞质中;与LPS+DHLX组比较,其余各组IL-1β和IL-6表达量均明显降低(P<0.05,P<0.01),通路阻滞剂干预后各组TAK1-TRAF6蛋白质复合物含量明显降低(P<0.05),通路阻滞剂联合DHLX干预后各组TAK1-TRAF6蛋白质复合物含量明显增加(P<0.05),两蛋白在细胞质中存在共定位但不明显。结论:在LPS诱导的胆管细胞炎症反应中,TAK1与TRAF6相互结合呈减弱趋势,大黄灵仙方可逆转此现象,其作用机制可能与促进TAK1与TARF6的相互结合从而抑制NF-κB/MAPK信号通路活化有关。 展开更多
关键词 胆管炎症 大黄灵仙方 转化生长因子-β(TGF-β)激活激酶1(TAK1) 肿瘤坏死因子受体相关因子6(TRAF6) 相互作用 核转录因子-κB(NF-κB)/丝裂原活化蛋白激酶(MAPK)信号通路
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