检索结果-南通市图书馆

Peroxisome proliferator-activated receptors for hypertension

World Journal of Cardiology 2014年第8期6卷 744-754页

作者： Daisuke Usuda tsugiyasu kanda Department of Community Medicine Kanazawa Medical University Himi Municipal HospitalHimi-shi 935-8531Toyama-kenJapan

Peroxisome proliferator-activated receptors(PPARs) are ligand-activated transcription factors belonging to the nuclear receptor superfamily, which is composed of four members encoded by distinct genes(α, β, γ, and δ). The genes undergo transactivation or transrepression under specific mechanisms that lead to the induction or repression of target gene expression. As is the case with other nuclear receptors, all four PPAR isoforms contain five or six structural regions in four functional domains; namely, A/B, C, D, and E/F. PPARs have many functions, particularly functions involving control of vascular tone, inflammation, and energy homeostasis, and are, therefore, important targets for hypertension, obesity, obesity-induced inflammation, and metabolic syndrome in general. Hence, PPARs also represent drug targets, and PPARα and PPARγ agonists are used clinically in the treatment of dyslipidemia and type 2 diabetes mellitus, respectively. Because of their pleiotropic effects, they have been identified as active in a number of diseases and are targets for the development of a broad range of therapies for a variety of diseases. It is likely that the range of PPARγ agonist therapeutic actions will result in novel approaches to lifestyle and other diseases. The combination of PPARs with reagents or with other cardiovascular drugs, such as diuretics and angiotensin Ⅱ receptor blockers, should be *** article provides a review of PPAR isoform characteristics, a discussion of progress in our understanding of the biological actions of PPARs, and a summary of PPAR agonist development for patient management. We also include a summary of the experimental and clinical evidence obtained from animal studies and clinical trials conducted to evaluate the usefulness and effectiveness of PPAR agonists in the treatment of lifestyle-related diseases.

关键词： Peroxisome proliferator-activated receptors Nuclear receptor Isoform mRNA Blood pressure Hypertension Obesity Angiotensin II receptor blocker Diabetes mellitus

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Atypical lipomatous tumor in the ligamentum teres of liver:A case report and review of the literature

引用

World Journal of Clinical Cases 2018年第12期6卷 548-553页

作者： Daisuke Usuda Kento Takeshima Ryusho Sangen Kisuke Nakamura Kei Hayashi Hideyuki Okamura Yasuhiro Kawai Yuji Kasamaki Yoshitsugu Iinuma Hitoshi Saito tsugiyasu kanda Sachio Urashima Department of Community Medicine Kanazawa Medical University Himi Municipal Hospital Department of Infectious Diseases Kanazawa Medical University Department of General and Digestive Surgery Kanazawa Medical University Himi Municipal Hospital Department of Gastroenterology Kanazawa Medical University Himi Municipal Hospital

A 61-year-old male was referred to our hospital with a three-month history of persistent epigastralgia and right hypochondralgia. Initial examination revealed a fist-size mass at the epigastric fossa. Ultrasonography showed a hemangioma and a mosaic echoic lesion in the ventromedian with poor blood-flow signal and linear hyperechoic part inside, and a clear border to the surroundings. Dynamic computed tomography revealed a highly enhanced effect from the portal-venous phase continuing to the equilibrium phase. T1-weighted gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid-enhanced image revealed a high intensity effect at the early phase that continued to the next phase. On the other hand, it contained a low intensity area by a fat suppression of that image. In addition, a T2-weighted image did not show a high intensity effect. Laparotomy was performed on the second day of hospitalization. The tumor had arisen from the ligamentum teres of the liver, and no metastasis or invasion of other organs was noted. It consisted of a lipid component of mature adipocytes and a fibrous component of deep dyeing pleomorphic or multinuclear atypical stromal cells. Immunohistochemical study of the atypical stromal cells demonstrated that they were positive for MDM2 and CDK4. A pathological diagnosis of atypical lipomatous tumor(ALT) was made, and the patient was discharged on the eighth day following the procedure. At the 6-mo follow-up dynamic CT, the patient was free of recurrence or metastasis. We experienced a patient with ALT in the ligamentum teres of the liver. This case suggests the need for a careful and detailed examination when encountering patients presenting with a mass; when neoplastic lesion is confirmed by image inspection, we should thoroughly investigate, including further image investigations and pathologic examination. The latter is the most important.

关键词： Liposarcoma Atypical lipomatous tumor Malignant adipose mesenchymal tumor Ligamentum teres of liver Operation

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Interstitial Pneumonia in a 94-Year-Old Woman with MPO-ANCA Positive Vasculitis

引用

Case Reports in Clinical Medicine 2016年第2期5卷 61-65页

作者： Daisuke Usuda Ryusho Sangen Yoshifumi Iwata tsugiyasu kanda Department of Community Medicine Kanazawa Medical University Himi Municipal Hospital Himi Japan Department of Infectious Diseases Kanazawa Medical University Uchinada Japan

The interstitial pneumonia (IP) associated with myeloperoxidase anti-neutrophil cytoplasmic autoantibody (MPO-ANCA) showed characteristic histology dominated by usual IP pattern. We showed a 94-year-old woman, whose prognosis was poor by severity of IP by MPO-ANCA associated vasculitis. The median age at diagnosis of IP by MPO-ANCA associated vasculitis was over 60 years, with a male predominance. Most patients died related to respiratory insufficiency. Our case would be the oldest patient in IP by MPO-ANCA associated vasculitis in the literature.

关键词： Interstitial Pneumonia MPO-ANCA Woman Oldest

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

麻黄汤防治小鼠病毒性心肌炎的给药时间研究

引用

北京中医药大学学报 2008年第11期31卷 770-774,793页

作者：朱世杰贾立群李佩文高桥孝神田享勉中日友好医院中医肿瘤科北京100029 日本金泽医科大学综合诊疗科

目的探讨麻黄汤不同给药时间抗小鼠心肌炎病毒的作用,明确该药的最佳给药时机。方法选择8周龄C3H鼠116只,取29只为正常空白组,其余腹腔注射0.01%的心肌炎病毒（EMBV）0.1 mL后随机分为3组（n=29）：模型组0-4 d给予生理盐水0.2 mL灌胃;... 详细信息

目的探讨麻黄汤不同给药时间抗小鼠心肌炎病毒的作用,明确该药的最佳给药时机。方法选择8周龄C3H鼠116只,取29只为正常空白组,其余腹腔注射0.01%的心肌炎病毒（EMBV）0.1 mL后随机分为3组（n=29）：模型组0-4 d给予生理盐水0.2 mL灌胃;麻黄汤1组在0-4 d灌服麻黄汤0.2 mL（500 mg/kg.d）;麻黄汤2组在2-6 d灌服麻黄汤0.2 mL。各组随机取11只观察生存时间,其余在2、4、6、14 d分别观察胸腺指数、心脏指数、肺脏指数、脾脏指数,心脏常规HE染色后观察心肌坏死情况。结果模型组和麻黄汤1组的7 d生存率均为18.18%,麻黄汤2组为63.64%,模型组和麻黄汤1组的14 d生存率为0%,麻黄汤2组为36.36%（P〈0.05）。模型组和麻黄汤1组的体重在6 d明显低于麻黄汤2组,模型组心脏重量在4 d明显上升,其心脏指数与麻黄汤1组、麻黄汤2组相比有显著性差异（P〈0.05）。至6 d,麻黄汤2组的心脏重量和心脏指数明显低于模型组（P〈0.01）,麻黄汤2组的心脏指数在4 d和6 d均低于麻黄汤1组（P〈0.01）,麻黄汤1组、麻黄汤2组肺脏指数在4、6 d低于模型组,麻黄汤2组肺脏指数在4 d低于麻黄汤1组,麻黄汤1组的脾脏指数在2 d高于模型组（P〈0.01）,麻黄汤2组的脾脏指数在6 d高于模型组（P〈0.05）。心脏病理也显示病毒感染后2 d给麻黄汤心肌坏死明显减轻。结论心肌炎病毒感染后2 d给麻黄汤疗效优于同时给药;提示感染后2 d给麻黄汤,小鼠胸腺、脾脏及心脏能产生适度的免疫反应。

关键词：麻黄汤抗病毒心肌炎病毒小鼠

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：