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国家重点基础研究发展计划(2012CB966300)

作品数:7 被引量:22H指数:3
相关作者:吴思荣胡锦周良辅毛颖杜倬婴更多>>
相关机构:复旦大学苏州大学同济大学更多>>
发文基金:国家重点基础研究发展计划国家自然科学基金全球变化研究国家重大科学研究计划更多>>
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单纯创伤性脑损伤患者凝血因子Ⅶ启动子区甲基化及其与进展性颅内出血的相关性研究
2018年
目的研究单纯创伤性脑损伤(TBI)患者血浆凝血因子Ⅶ(FⅦ)启动子区甲基化水平与FⅦ活性(FⅦa)的关系,探讨FⅦ启动子区甲基化与进展性颅内出血(PHI)的相关性。方法采用前瞻性队列研究分析2010年8月-2014年8月急诊入院的79例单纯TBI患者的临床资料。采集患者入院时外周静脉血并送检FVHa,提取患者血液DNA,检测FⅦ启动子区CpG2、CpG3、CpG4、CpG5、CpG6甲基化率。根据患者血浆FVHa水平,将患者分为FⅦa≥90%组和FVHa〈90%组;根据患者是否存在PHI,将患者分为PHI组和非PHI组。比较四组患者FⅦ启动子区CpG各位点甲基化率、性别、年龄、收缩压、格拉斯哥昏迷评分(GCS)、住院时间及病死率。结果四组患者性别、年龄、收缩压、GCS、住院时间和病死率差异均无统计学意义(P均〉0.05)。FⅦa≥90%组患者CpG3位点甲基化率小于FVHa〈90%组(0.83±0.05:0.85±0.03)(P〈0.05),而两组患者CpG2、CpG4、CpG5、CpG6等位点甲基化率差异无统计学意义(P〉0.05)。PHI组与非PHI组患者以上CpG各位点甲基化率差异无统计学意义(P〉0.05)。结论单纯TBI患者FⅦ基因启动子区甲基化率与血浆FVHa水平相关,甲基化率高,患者血浆FVHa水平低;而FⅦ启动子区甲基化率与患者是否发生PHI无相关性。
卢香琼吴惺袁强吴思荣路鑫毛颖周良辅胡锦
关键词:脑损伤甲基化
Specification of functional neurons and glia from human pluripotent stem cells
2012年
Human pluripotent stem cells(PSCs)such as embryonic stem cells(ESCs)and induced pluripotent stem cells(iPSCs)hold great promise in regenerative medicine as they are an important source of functional cells for potential cell replacement.These human PSCs,similar to their counterparts of mouse,have the full potential to give rise to any type of cells in the body.However,for the promise to be fulfilled,it is necessary to convert these PSCs into functional specialized cells.Using the developmental principles of neural lineage specification,human ESCs and iPSCs have been effectively differentiated to regional and functional specific neurons and glia,such as striatal gama-aminobutyric acid(GABA)-ergic neurons,spinal motor neurons and myelin sheath forming oligodendrocytes.The human PSCs,in general differentiate after the similar developmental program as that of the mouse:they use the same set of cell signaling to tune the cell fate and they share a conserved transcriptional program that directs the cell fate transition.However,the human PSCs,unlike their counterparts of mouse,tend to respond divergently to the same set of extracellular signals at certain stages of differentiation,which will be a critical consideration to translate the animal model based studies to clinical application.
Yuan JiangMei-Jiang ZhangBao-Yang Hu
MEMOIR: A Novel System for Neural Lineage Tracing被引量:1
2017年
Memory by Engineered Mutagenesis with Optical In situ Readout(MEMOIR)is a novel strategy for lineage tracing that combines Cas9/g RNA and sequential multiplexed single-molecule RNA fluorescence hybridization(seqFISH)[1],which was created by Cai Long et al.at the California Institute of Technology[2].In MEMOIR,dynamic cellular event histories are recorded,then read out in single cells using seq FISH.Here,we introduce the
Zhifu WangJianhong Zhu
非火器类异物致眶颅贯通伤的救治(附20例报告)被引量:3
2015年
目的 通过总结20例眶颅贯通伤患者的临床资料,为眶颅贯通伤的处理提供数据支持与经验.方法 回顾性分析2004年1月至2014年1月复旦大学附属华山医院神经外科收治的20例非火器类异物所致的眶颅贯通伤患者.患者的临床资料包括年龄、性别、入院时格拉斯哥昏迷评分(GCS)、受伤至手术的时间、异物种类、手术方式、受伤类型及范围、住院时间和视敏度,以及影响预后的主要并发症.随访时间为3个月至2年.以格拉斯哥预后分级(GOS)评估患者预后.结果 眶颅贯通伤患者共20例,其中男18例,女2例;年龄9~66岁,平均31.7岁.GCS评分15 ~ 14分19例(95%),12分1例(5%).所有损伤均为意外事故导致,其中金属异物11例,木质异物4例,竹制品3例,塑料异物2例.CT检查结果示8例异物眶内入口位于内眦,8例位于下眼睑,2例位于外眦,2例位于上眼睑.10例异物由眶上裂进入颅内,8例颅内入口位于蝶骨大翼,2例颅内入口位于前床突.5例患者经双额底入路、15例经翼点入路手术.5例患者并发颅内感染,最终痊愈出院.GOS分级Ⅴ级18例,Ⅳ级2例.结论 对于非火器类眶颅贯通伤,早期发现颅内损伤和正确的手术治疗将显著改善该类患者的预后.
卢香琼吴惺袁强吴思荣虞剑孙一睿杜倬婴毛颖周良辅胡锦
关键词:颅脑损伤
单纯颅脑创伤患者血浆凝血因子Ⅶ活性变化与进展性颅内出血的相关性研究被引量:14
2015年
目的研究单纯创伤性脑损伤(TBI)患者早期血浆凝血因子Ⅶ(FⅦ)的变化,分析其与进展性颅内出血(PHI)的相关性,为治疗PHI提供依据。方法选取2010年8月—2014年6月收治的年龄≥16岁的中、重度单纯TBI患者112例,分别采集患者入院时、入院后24h、48h外周静脉血标本检测国际标准化比值(INR)、活化部分凝血活酶时间(APTT)、血小板、D-二聚体、纤维蛋白蛋(FIB)及FⅦ活性。每24h随访患者头颅CT1次,当再次CT扫描较首次CT扫描显示的出血性病灶扩大或有新出现的出血性病灶则诊断为PHI,否则为非PHI。结果PHI患者入院时、入院后24,48h血浆FⅦ活性均显著低于非PHI患者[入院时,(77.79±22.82)%:(100.32±30.39)%]、[入院后24h,(95.25±28.20)%:(113.52±21.66)%]、[入院后48h,(93.02±21.34)%:(107.69±20.26)%](P〈0.05);PHI组患者入院时、24h、48h血小板水平同样显著低于非PHI组患者[入院时,(126.95±48.46):(148.13±53.41)]、[入院后24h,(108.79±42.88):(129.53±48.22)]、[入院后48h,(101.45±41.91):(128.44±51.52)](P〈0.05)。PHI患者伤后48h内血浆APTT、INR、D-二聚体、FIB均高于非PHI患者,但两组间差异无统计学意义(P〉0.05)。Logistic回归分析结果显示,FⅦ活性降低和血小板水平降低是单纯TBI患者发生PHI的独立危险因素(P〈0.05)。结论单纯TBI早期FⅦ活性降低和血小板水平降低与PHI密切相关,对指导治疗PHI具有重要意义。
卢香琼吴惺吴思荣路鑫袁强虞剑孙一睿杜倬婴毛颖周良辅胡锦
关键词:颅脑损伤颅内出血凝血功能
BCNU/PLGA microspheres:a promising strategy for the treatment of gliomas in mice
2014年
Objective:To investigate the effects of BCNU/PLGA microspheres on tumor growth,apoptosis and chemotherapy resistance in a C57BL/6 mice orthotopic brain glioma model using GL261 cell line.Methods:BCNU/PLGA sustained-release microspheres were prepared by the water-in-oil-in-water emulsion technique.GL261 cells were intracranially injected into C57BL/6 mouse by using the stereotactic technology.A total of 60 tumor-bearing mice were randomly and equally divided into three groups:untreated control,PLGA treated,BCNU/PLGA treated.Magnetic resonance imaging (MRI) was taken to evaluate tumor volume.BCNU/PLGA sustained-release wafers were implanted in the treatment group two weeks after inoculation.Survival time and quality were observed.Specimens were harvested,and immunohistochemical staining was used to check the expression of Bax,Bcl-2,and O6-methylguanine-DNA methyltransferase (MGMT).Statistical methods was used for analysis of relevant data.Results:BCNU/PLGA sustained-release wafers were fabricated and implanted successfully.There is statistical difference of survival time between the BCNU/PLGA treated group and control groups (P<0.05).MRIscan showed inhibitory effect of BCNU/PLGA on tumor growth.Compared to the group A and B,BCNU/PLGA decreased the expression of apoptosis related gene Bcl-2 (P<0.05),but did not elevate the expression level of Bax (P>0.05),with the ratio of Bax/Bcl-2 increased.For MGMT protein expression,no statistically significant change was found in treated group (P>0.05).Conclusions:Local implantation of BCNU/PLGA microspheres improved the survival quality and time of GL261 glioma-bearing mice significandy,inhibited the tumor proliferation,induced more cell apoptosis,and did not increase the chemotherapy resistance.
Tongming ZhuYiwen ShenQisheng TangLuping ChenHuasong GaoJianhong Zhu
关键词:GLIOMAAPOPTOSIS
神经干细胞与创伤性颅脑损伤后的神经修复被引量:4
2015年
外伤性脑损伤是当今社会致死、致残的主要原因。神经干细胞(NSCs)的治疗研究就是试图通过引入新的细胞来替代丧失的神经元,或者所引进细胞通过神经营养作用来增加受损的神经细胞的存活、可塑性和功能的恢复来发挥作用。本文从干细胞在神经修复治疗中的背景、机制、策略及展望几个方面进行了综述。
高亮章小清
关键词:外伤性脑损伤神经干细胞干细胞移植
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