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玻璃体腔注射康柏西普联合全视网膜激光光凝治疗不同分期增殖性糖尿病视网膜病变 被引量:12
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作者 单田慧 俞嘉宣 +4 位作者 刘春莉 高翔 原公强 孙晓蕾 张静静 《国际眼科杂志》 CAS 北大核心 2023年第8期1242-1249,共8页
目的:评价玻璃体腔注射康柏西普联合全视网膜激光光凝(PRP)治疗不同分期增殖性糖尿病视网膜病变(PDR)的疗效。方法:回顾性病例研究。选取于2018-01/2020-06期间初次就诊于我院的PDR患者100例100眼,入选患者均行玻璃体腔注射康柏西普治疗... 目的:评价玻璃体腔注射康柏西普联合全视网膜激光光凝(PRP)治疗不同分期增殖性糖尿病视网膜病变(PDR)的疗效。方法:回顾性病例研究。选取于2018-01/2020-06期间初次就诊于我院的PDR患者100例100眼,入选患者均行玻璃体腔注射康柏西普治疗,并在注药后1mo内进行PRP治疗。依据我国糖尿病视网膜病变临床诊疗指南,根据眼底荧光血管造影及眼底检查结果分为3组:A组早期PDR组34眼;B组高危PDR组43眼,C组纤维增生早期PDR组23眼。观察3组患者基线情况以及联合治疗后1、3、6mo和末次随访时的最佳矫正视力(BCVA)、黄斑中心厚度(CMT)、玻切手术率,视网膜脱离率。结果:本研究平均随访14.60±11.64mo(6-52mo)。患者平均年龄为54.22±9.32岁。治疗后行玻切手术患者15眼(15.0%),3组玻璃体切除率分别为2.9%(A组)、13.9%(B组)、34.7%(C组)。治疗后无视网膜脱离情况发生。末次随访较基线水平,3组患者治疗后BCVA和CMT值均有改善。结论:玻璃体腔注射康柏西普联合PRP治疗不同分期PDR是安全有效的,可有效提高患者视力,减轻视网膜水肿。 展开更多
关键词 增殖性糖尿病视网膜病变 玻璃体切除术 全视网膜光凝 康柏西普
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Bevacizumab modulates retinal pigment epithelial-tomesenchymal transition via regulating Notch signaling 被引量:1
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作者 Jing-Jing Zhang San-Jun Chu +2 位作者 xiao-lei sun Ting Zhang Wei-Yun Shi 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2015年第2期245-249,共5页
AIM: To investigate the effect of bevacizumab treatment on Notch signaling and the induction of epithelial-of-mesenchymal transition(EMT) in human retinal pigment epithelial cells(ARPE-19) in vitro.METHODS: In vitro c... AIM: To investigate the effect of bevacizumab treatment on Notch signaling and the induction of epithelial-of-mesenchymal transition(EMT) in human retinal pigment epithelial cells(ARPE-19) in vitro.METHODS: In vitro cultivated ARPE-19 cells were treated with 0.25 mg/m L bevacizumab for 12, 24, and 48 h.Cell morphology changes were observed under an inverted microscope. The expression of zonula occludens-1(ZO-1), vimentin and Notch-1 intracellular domain(NICD) was examined by immunofluorescence.The m RNA levels of ZO-1, α-SMA, Notch-1, Notch-2,Notch-4, Dll4, Jagged-1, RBP-Jk and Hes-1 expression were evaluated with quantitative real-time polymerase chain reaction(q RT-PCR). The protein levels of α-SMA,NICD, Hes-1 and Dll-4 expression were examined with Western blot.RESULTS: Bevacizumab stimulation increased the expression of α-SMA and vimentin in ARPE-19 cells which changed into spindle-shaped fibroblast-like cells.Meanwhile, the m RNA expression of Hes-1 increased and the protein expression of Hes-1 and NICD also increased, which Notch signaling was activated. The m RNA expression of Notch-1, Jagged-1 and RBP-Jk increased at 48 h, and while Dll4 m RNA and protein expression did not change after bevacizumab treatment.CONCLUSION: Jagged-1/Notch-1 signaling may play a critical role in bevacizumab-induced EMT in ARPE-19 cells, which provides a novel insight into the pathogenesis of intravitreal bevacizumab-associated complication. 展开更多
关键词 BEVACIZUMAB Notch signaling epithelial-tomesenchymal transition retinal pigment epithelial cells
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Deficiency of mitochondrial aldehyde dehydrogenase increases type 2 diabetes risk in males via autophagy dysregulation
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作者 Xiang-Wei Liu Lin Jiang +10 位作者 Peng Wang xiao-lei sun Xin Ma Hong Zhu Zhen Dong Cheng Shen San-Li Qian Bing-Yu Li Zhen-Sheng Xu Ai-Jun sun Jun-Bo Ge 《Chinese Medical Journal》 SCIE CAS CSCD 2021年第18期2246-2248,共3页
Metrics To the editor:The diabetes epidemic has increasingly become a major public health concern worldwide.In 2014,there were 102.9 million diabetic adults in China,representing 24.4%of the world's diabetic popul... Metrics To the editor:The diabetes epidemic has increasingly become a major public health concern worldwide.In 2014,there were 102.9 million diabetic adults in China,representing 24.4%of the world's diabetic population,even though China only comprised 18.7%of the global population at the time.[1]Furthermore,the estimated overall prevalence of diabetes and prediabetes was 10.9%and 35.7%,respectively,indicating China as one of the countries with the highest prevalence of diabetes in the world.[2]Although factors,including sedentary lifestyles and energy-dense diets,drive the diabetes epidemic,genetic architecture may also contribute to the susceptibility of an individual's response to environmental challenges.Aldehyde dehydrogenase(ALDH)2 is a key enzyme that eliminates toxic aldehydes by catalyzing their oxidation to non-reactive acids.Emerging evidence has suggested that individuals with ALDH2 deficiency have an increased risk of cardiovascular and metabolic diseases,in addition to alcohol intolerance,nitroglycerin tolerance,and carcinoma.[3]Notably,a unique ALDH2 loss-of-function allele,ALDH2∗2,is found in approximately 50%of the East Asian and 8%of the global populations.It has been reported that this ALDH2 mutation is associated with a higher prevalence of diabetes in coronary artery disease(CAD)patients,accompanied with increased C-reactive protein(CRP)levels.[4]ALDH2 mutation is also related to various diabetes risk factors,but the direct correlation remains elusive.Herein,we have explored the potential pathogenicity and mechanisms of ALDH2 deficiency in the development of type 2 diabetes in both laboratory and clinical settings. 展开更多
关键词 DIABETES PREVALENCE eliminate
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