期刊文献+
共找到2篇文章
< 1 >
每页显示 20 50 100
脓毒症定义和诊断标准的演进 被引量:31
1
作者 陈晓洁 董天皞 +4 位作者 张桂萍 刘斯 王起运 贺星 董凯 《医学综述》 2017年第16期3230-3235,共6页
脓毒症作为威胁生命的综合征,其发病机制复杂,是重症患者死亡的主要原因之一。自20世纪90年代初"脓毒症"概念提出以来,经历了"脓毒症-1"到"脓毒症-3"定义的演进,但是前两次定义的基本核心并无变化。2016... 脓毒症作为威胁生命的综合征,其发病机制复杂,是重症患者死亡的主要原因之一。自20世纪90年代初"脓毒症"概念提出以来,经历了"脓毒症-1"到"脓毒症-3"定义的演进,但是前两次定义的基本核心并无变化。2016年,第45届美国重症医学年会发布了"脓毒症-3"新定义及相应的临床诊断标准,将脓毒症定义为针对感染的宿主反应失调引起的致命性器官功能障碍。脓毒症-3是基于学者们对脓毒症本质有了更加深刻的理解而提出的,体现了人类对脓毒症发病机制的深入认识,满足了诊断标准合理化、临床诊断准确化和便捷化的需要。 展开更多
关键词 脓毒 脓毒症-1 脓毒-2 脓毒-3 诊断标准 感染
在线阅读 下载PDF
Maresin 1 alleviates neuroinflammation and cognitive decline in a mouse model of cecal ligation and puncture
2
作者 LI Longyan XING Manyu +1 位作者 WANG Lu ZHAO Yixia 《中南大学学报(医学版)》 CAS CSCD 北大核心 2024年第6期890-902,共13页
Objective:Inflammation in the central nervous system plays a crucial role in the occurrence and development of sepsis-associated encephalopathy.This study aims to explore the effects of maresin 1(MaR1),an anti-inflamm... Objective:Inflammation in the central nervous system plays a crucial role in the occurrence and development of sepsis-associated encephalopathy.This study aims to explore the effects of maresin 1(MaR1),an anti-inflammatory and pro-resolving lipid mediator,on sepsis-induced neuroinflammation and cognitive impairment.Methods:Mice were randomly assigned to 4 groups:A sham group(sham operation+vehicle),a cecal ligation and puncture(CLP)group(CLP operation+vehicle),a MaR1-LD group(CLP operation+1 ng MaR1),and a MaR1-HD group(CLP operation+10 ng MaR1).MaR1 or vehicle was intraperitoneally administered starting 1 h before CLP operation,then every other day for 7 days.Survival rates were monitored,and serum inflammatory cytokines[tumor necrosis factor alpha(TNF-α),interleukin(IL)-1β,and IL-6]were measured 24 h after operation using enzyme-linked immunosorbent assay(ELISA).Cognitive function was assessed 7 days after operation using the Morris water maze(MWM)test and novel object recognition(NOR)task.The mRNA expression of TNF-α,IL-1β,IL-6,inducible nitric oxide synthase(iNOS),IL-4,IL-10,and arginase 1(Arg1)in cortical and hippocampal tissues was determined by real-time reverse transcription PCR(RT-PCR).Western blotting was used to determine the protein expression of iNOS,Arg1,signal transducer and activator of transcription 6(STAT6),peroxisome proliferator-activated receptor gamma(PPARγ),and phosphorylated STAT6(p-STAT6)in hippocampal tissue.Microglia activation was visualized via immunofluorescence.Mice were also treated with the PPARγantagonist GW9662 to confirm the involvement of this pathway in MaR1’s effects.Results:CLP increased serum levels of TNF-α,IL-1β,and IL-6,and reduced body weight and survival rates(all P<0.05).Both 1 ng and 10 ng doses of MaR1 significantly reduced serum TNF-α,IL-1β,and IL-6 levels,improved body weight,and increased survival rates(all P<0.05).No significant difference in efficacy was observed between the 2 doses(all P>0.05).MWM test and NOR task indicated that CLP impaired spatial learning,which MaR1 mitigated.However,GW9662 partially reversed MaR1’s protective effects.Real-time RTPCR results demonstrated that,compared to the sham group,mRNA expression of TNF-α,IL-1β,and iNOS significantly increased in hippocampal tissues following CLP(all P<0.05),while IL-4,IL-10,and Arg1 showed a slight decrease,though the differences were not statistically significant(all P>0.05).Compared to the CLP group,both 1 ng and 10 ng MaR1 decreased TNF-α,IL-1β,and iNOS mRNA expression in hippocampal tissues and increased IL-4,IL-10,and Arg1 mRNA expression(all P<0.05).Immunofluorescence results indicated a significant increase in Iba1-positive microglia in the hippocampus after CLP compared to the sham group(P<0.05).Administration of 1 ng and 10 ng MaR1 reduced the percentage area of Iba1-positive cells in the hippocampus compared to the CLP group(both P<0.05).Western blotting results showed that,compared to the CLP group,both 1 ng and 10 ng MaR1 down-regulated the iNOS expression,while up-regulated the expression of Arg1,PPARγ,and p-STAT6(all P<0.05).However,the inclusion of GW9662 counteracted the MaR1-induced upregulation of Arg1 and PPARγcompared to the MaR1-LD group(all P<0.05).Conclusion:MaR1 inhibits the classical activation of hippocampal microglia,promotes alternative activation,reduces sepsis-induced neuroinflammation,and improves cognitive decline. 展开更多
关键词 SEPSIS cognitive decline maresin 1 MICROGLIA NEUROINFLAMMATION
在线阅读 下载PDF
上一页 1 下一页 到第
使用帮助 返回顶部