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制备 MED1(转录中介子亚基)基因纳米载体及其在慢性急性肝衰竭中促进肝细胞再生的作用机制。

Preparation of MED1(transcription mediator subunit) gene nanocarrier and its mechanism of action on liver cell regeneration in chronic acute liver failure.

机构信息

Department of Infectious Diseases, Shenzhen Hospital, University of Chinese Academy of Sciences (Guangming), Shenzhen Guangdong Province, China.

出版信息

Bioengineered. 2021 Dec;12(1):7600-7615. doi: 10.1080/21655979.2021.1981756.

DOI:10.1080/21655979.2021.1981756
PMID:34612778
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8806916/
Abstract

Liver failure has attracted attention in clinical work due to its high mortality, and the development of liver transplantation is restricted by various factors. Therefore, it is very important to carry out research on the mechanism of liver cell regeneration. This article has studied in depth the preparation of MED1 gene nanocarriers, collected human plasmids and cells through experimental materials and experimental instruments, and conducted comparative research on conventional culture. This question conducts a regeneration experiment on liver cells in chronic-onset acute liver failure, divides patients into an experimental group and a control group, and understands the recovery of liver function according to the screening of their plasma samples and separation of plasma. This article selects the commonly used clinical biological markers, such as Na+, AFP, Alb, CHE (serum cholinesterase) and other indicators to reflect the regeneration ability of liver function. The incidence of surgical complications in the control group, such as ascites, infection, bleeding, HE, hepatorenal syndrome, and hyponatremia were 71.3%, 87.4%, 16.1%, 41.4%, 19.5%, and 33.3%, respectively. Significantly higher than the experimental group, the difference was statistically significant (P < 0.05); while gender, age, PLT level and whether to use hormones, artificial liver or not there was no significant difference between the two groups (P > 0.05).

摘要

肝衰竭因其高死亡率而在临床工作中受到关注,肝移植的发展受到多种因素的限制。因此,开展肝细胞再生机制的研究非常重要。本文深入研究了 MED1 基因纳米载体的制备,通过实验材料和实验仪器收集了人源质粒和细胞,并对常规培养进行了对比研究。本问题对慢性发作性急性肝衰竭的肝细胞进行再生实验,将患者分为实验组和对照组,根据其血浆样本的筛选和血浆分离,了解肝功能的恢复情况。本文选择常用的临床生物标志物,如 Na+、AFP、Alb、CHE(血清胆碱酯酶)等指标来反映肝功能的再生能力。对照组手术并发症的发生率,如腹水、感染、出血、HE、肝肾综合征和低钠血症分别为 71.3%、87.4%、16.1%、41.4%、19.5%和 33.3%,明显高于实验组,差异有统计学意义(P<0.05);而性别、年龄、PLT 水平以及是否使用激素、人工肝与否两组间差异无统计学意义(P>0.05)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/02409e7578d5/KBIE_A_1981756_F0007_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/3901c81f47a5/KBIE_A_1981756_UF0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/18afd260b9c7/KBIE_A_1981756_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/e7f7fce3ca96/KBIE_A_1981756_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/f419f88ebacd/KBIE_A_1981756_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/e6a8c8ab44db/KBIE_A_1981756_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/a24f5dc0d4a1/KBIE_A_1981756_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/fe986fb3bef2/KBIE_A_1981756_F0006_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/02409e7578d5/KBIE_A_1981756_F0007_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/3901c81f47a5/KBIE_A_1981756_UF0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/18afd260b9c7/KBIE_A_1981756_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/e7f7fce3ca96/KBIE_A_1981756_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/f419f88ebacd/KBIE_A_1981756_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/e6a8c8ab44db/KBIE_A_1981756_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/a24f5dc0d4a1/KBIE_A_1981756_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/fe986fb3bef2/KBIE_A_1981756_F0006_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377c/8806916/02409e7578d5/KBIE_A_1981756_F0007_OC.jpg

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Effectiveness and safety of Chinese herbal medicines for hepatitis B virus-related acute-on-chronic liver failure: study protocol for a multicenter randomized controlled trial.中药治疗乙型肝炎病毒相关慢加急性肝衰竭有效性和安全性的多中心随机对照研究方案
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