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国家自然科学基金(81200264)

作品数:9 被引量:84H指数:6
相关作者:陈红旗秦环龙石忱长杨永志夏阳更多>>
相关机构:上海交通大学附属第六人民医院安徽医科大学同济大学更多>>
发文基金:国家自然科学基金中国博士后科学基金更多>>
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Microbial treatment in chronic constipation被引量:41
2018年
Chronic functional constipation is a kind of common intestinal disease that occurs in children, adults and elderly people. This disease not only causes great influence to physiological function, but also results in varying degrees of psychological barriers. At present, constipation treatments continue to rely on traditional methods such as purgative therapy and surgery. However, these approaches can disrupt intestinal function. Recent research between intestinal diseases and gut microbiota has gradually revealed a connection between constipation and intestinal flora disturbance, providing a theoretical basis for microbial treatment in chronic constipation. Microbial treatment mainly includes probiotic preparations such as probiotics, prebiotics, synbiotics and fecal microbiota transplantation(FMT). Due to its safety, convenience and curative effect, probiotic preparations have been widely accepted, especially gradually developed FMT with higher curative effects. Microbial treatment improves clinical symptoms, promotes the recovery of intestinal flora, and has no complications during the treatment process. Compared with traditional treatments, microbial treatment in chronic constipation has advantages, and is worthy of further promotion from clinical research to clinical application.
Linsheng HuangQi ZhuXiao QuHuanlong Qin
关键词:微生物便秘心理障碍植物群成年人FMT
乳酸菌对IL-10^(-/-)小鼠肠黏膜屏障损伤修复的机制研究被引量:6
2015年
目的 :评价乳酸菌对IL-10基因敲除(IL-10^(-/-))小鼠肠黏膜损伤的修复作用,初步阐明其作用机制。方法:以IL-10^(-/-)小鼠为模型,益生菌为植物乳杆菌(LP),随机分成对照组(WT组)、IL-10^(-/-)组、IL-10^(-/-)+LP组,分别灌饲Ringer液(WT组和IL-10^(-/-)组)和LP菌液(IL-10^(-/-)+LP组)4周。实验过程中记录各组小鼠的体重、腹泻及直肠脱垂情况,实验结束后收集各组小鼠结肠组织标本,用于炎症程度的病理评分、促炎细胞因子(TNF-α、IFN-γ)的ELISA检测和内质网应激相关蛋白Grp78表达的Western blot和RT-PCR检测,并利用Ussing chamber技术评估各组小鼠结肠黏膜的电生理及对大分子物质(Inulin-FITC)的通透性影响。结果:与IL-10^(-/-)组相比,IL-10^(-/-)+LP组小鼠腹泻和直肠脱垂的发生率显著降低(40%vs 80%,P<0.05;10%vs 30%,P<0.05),体重增加[(21.6±1.5)g vs(19.3±2.4)g,P<0.05],结肠组织炎症评分降低(4.5±1.1 vs 6.0±1.4,P<0.05),促炎细胞因子TNF-α、IFN-γ表达下调(P<0.05),结肠黏膜上皮对Inulin-FITC的通透性降低(P<0.05),跨膜电阻值增加(P<0.05),Grp78表达降低(P<0.05)。结论:乳酸菌能明显改善IL-10^(-/-)小鼠肠黏膜屏障功能,减轻肠道炎症,其作用机制可能与内质网应激反应的下调有关。
王忠锐陈红旗杨俊
关键词:肠黏膜屏障内质网应激炎症性肠病
多西他赛或奥沙利铂联合5-氟尿嘧啶治疗晚期胃癌的临床效果研究被引量:6
2016年
目的探讨多西他赛或奥沙利铂联合5-氟尿嘧啶(5-fluorouracil,5-FU)治疗晚期胃癌的近、远期疗效。方法将2010年5月至2015年4月渭南市中心医院收治的116例晚期胃癌患者依据其最终接受的化疗方案不同分为A、B、C三组。A组患者40例,采用多西他赛联合5-FU化疗方案;B组患者39例,采用奥沙利铂联合5-FU化疗方案;C组患者37例,采用多西他赛、奥沙利铂、5-FU三联化疗方案。三组患者均接受至少2个周期的化疗,且治疗2周后评定近期疗效,同时评估临床受益反应(clinical benefit response,CBR)和化疗相关不良反应发生情况。三组患者均随访至化疗结束后1年。结果 C组患者的客观缓解率和疾病控制率(67.6%、89.2%)均高于A组(42.5%、67.5%)和B组(43.6%、69.2%)(P<0.05),但A组和B组比较无显著差异(P>0.05)。C组患者的疾病稳定持续时间、1年无不良事件生存期和生存率虽然略优于A组和B组,但差异均无显著性(P>0.05)。三组CBR评价为有效者占比无显著差异(P>0.05)。C组患者骨髓抑制发生率明显高于A组和B组(P<0.05),其他不良反应发生率三组间比较均无显著差异(P>0.05)。结论三联化疗方案虽能获得显著的短期疗效,但患者不良反应较大,且未见显著的长期获益。3种化疗方案患者均可耐受,故应根据晚期胃癌患者的个体情况进行合理选择。
李晓莉朱佳马亚梅陈红旗
关键词:多西他赛奥沙利铂5-氟尿嘧啶胃癌
Alterations in intestinal microbiota of colorectal cancer patients receiving radical surgery combined with adjuvant CapeOx therapy被引量:7
2019年
An intricate relationship exists and interactions occur between gut microbiota and colorectal cancer(CRC).Radical surgery combined with adjuvant chemotherapy(AC) serves as the mainstream therapeutic scheme for most CRC patients.The current research was conducted to assess the effect of surgery or chemotherapy on gut microbiota.Forty-three CRC patients who received radical surgery and AC were enrolled.Fecal samples were collected preoperatively,postoperatively,and after the first to fifth cycles of postoperative chemotherapy.The microbial community of each sample was analyzed using high throughput 16S rRNA amplicon sequencing.Compared with preoperative samples,fecal samples collected postoperatively exhibited a significant decrease of obligate anaerobes,tumor-related bacteria,and butyric acid-producing bacteria.However,a significant increase of some conditional pathogens was observed.In addition,the AC regimen(CapeOx) was found to alter intestinal microbiota dramatically.In particular,several changes were observed after chemotherapy including an increase of pathogenic bacteria,the "rebound effect" of chemotherapy-adapted bacteria,the shift of lactate-utilizing microbiota from Veillonella to Butyricimonas and Butyricicoccus,as well as the decrease of probiotics.Both radical surgery and CapeOx chemotherapy exert a non-negligible effect on the gut microbiota of CRC patients.Microbiota-based intervention may be beneficial for patients during postoperative clinical management.
Cheng KongRenyuan GaoXuebing YanLinsheng HuangJide HeHao LiJie YouHuanlong Qin
关键词:SURGERYCHEMOTHERAPYINTESTINALMICROBIOTACOLORECTAL
益生菌制剂对结直肠癌患者围手术期的影响被引量:7
2014年
目的探讨酪酸梭菌二联活菌对结直肠癌患者围手术期的影响及其作用机制。方法我院2011年5月至7月共70例限期行结直肠癌手术患者,采用随机数字表法分为试验组(n=35)和对照组(n=35)。两组于术前5d至术后7d每日分别给予酪酸梭菌二联活菌制剂和安慰剂,于术中采集结直肠组织标本,超微电镜下观察肠上皮紧密连接结构,采用Westernblot和实时RT—PCR技术分析肠黏膜上皮细胞紧密连接蛋白的表达,采用UssingChamber技术评估肠上皮通透性。术后第7天收集患者粪便标本和血标本,采用末端限制性片段长度多态性(T—RFLP)技术分析粪便菌群多样性,并采用细菌培养方法对特定细菌进行定量检测。记录患者术后首次排气排便时间、腹泻腹胀发生率、全身炎症反应及术后感染并发症等临床参数。结果与对照组比较,试验组的结直肠黏膜上皮紧密连接超微结构明显改善,Western blot和RT—PCR均证实试验组的紧密连接蛋白occludin、claudin-1和ZO-1的蛋白和mRNA表达水平显著提高(蛋白:P均〈0.001;mRNA:P=0.005、0.001、0.006),跨膜电阻增加[(28.3±5.2)Ω·cm2比(22.1±4.7)Ω·cm2,P=0.002],对大分子物质甘露醇的通透性降低[(0.91±0.17)%比(1.65±0.33)%,P〈0.001];肠道菌群的T—RFLP及细菌培养检测发现,试验组肠道菌群多样性增加(P=0.006),肠道双歧杆菌[(143.4±35.9)比(100.0±0.0),P=0.002]和乳酸杆菌[(111.3±52.9))比(100.0±0.0),P〈0.001]生长增加,产气荚膜梭菌生长减少[(66.2±23.7)比(100.0±0.0),P〈0.001]。临床观察发现,试验组术后排气[(2.5±1.7)d比(4.5±2.0)d,P〈0.001]和排便时间[(5.0±1.3)d比(6.3±1.1)d,P=0.002]显著缩短,腹泻(20%比40%,P=0.005)和腹胀发生率降低(35%比60%,P
陈红旗夏阳石忱长梁勇杨永志秦环龙
关键词:益生菌制剂结直肠癌围手术期肠屏障功能肠道菌群
Dysbiosis of gut microbiota was closely associated with psoriasis被引量:9
2019年
Psoriasis is an autoimmune disease and gut microbiota participate in the establishment of intestinal immunity. This study was performed to identify the fecal microbial composition of psoriasis patients, and investigated the influence of subgroup(type and severity) on the fecal microbial composition, and to define the key microbiota in the pathogenesis of psoriasis. Fecal samples from 35 psoriasis patients and 27 healthy controls were sequenced by 16 S rRNA and then analyzed by informatics methods. We found that the microbiota of the psoriasis group differed from that of the heathy group. The relative abundances of Firmicutes and Bacteroidetes were inverted at the phylum level, and 16 kinds of phylotype at the genus level were found with significant difference. No microbial diversity and composition alteration were observed among the four types of psoriasis. The microbiota of psoriasis patients in the severe state differs from those of psoriasis patients with more mild conditions and also the healthy controls. The veillonella in fecal microbiota showed a positive relationship with h-CRP in blood. This research proved that psoriasis patients have a significant disturbed microbiota profiles. Further study of psoriasis based on microbiota may provide novel insights into the pathogenesis of psoriasis and more evidence for the prevention and treatment of psoriasis.
Linsheng HuangRenyuan GaoNing YuYefei ZhuYangfeng DingHuanlong Qin
关键词:DYSBIOSISGUTMICROBIOTAPSORIASISSEVERITY
Optimization of Hydrolysis Conditions for the Isolation of Angiotensin-I Converting Enzyme(ACE) Inhibitory Peptides from Rhopilema hispidum被引量:2
2018年
To obtain the maximum angiotensin-I converting enzyme(ACE) inhibitory activity, the protein hydrolysis conditions of the jellyfish Rhopilema hispidum were optimized using response surface methodology(RSM). Trypsin was selected to produce R. hispidum protein hydrolysates(RPH) with ACE inhibitory activity. The optimal parameters for producing protein hydrolysates with the highest ACE inhibitory activity were as follows: hydrolysis time 5 h, hydrolysis temperature 50℃, and the enzyme-to-substrate ratio 6%. Under these conditions, the ACE inhibitory rate of RPH could reach 64.28% ± 5.72%. In addition, RPH contained high levels of Gly, Glu, Pro, Ala, Asp and Arg, with a molecular weight distribution range of 0.32–6.84 kDa. The following three novel ACE inhibitory peptides were isolated and identified: Ile-Gly-Glu-Thr-Gly-Pro, Gly-Ala-Thr-Gly-Pro-Ala-Gly-Tyr-Val and Gly-AlaPhe-Gly-Pro-Gly-Gly-Leu-Val-Gly-Arg-Pro. The IC_(50) values of the ACE inhibitory activity of these three purified peptides were 19.07, 27.42 and 31.26 μmol L^(-1), respectively. These results suggested that proteins and peptides isolated from R. hispidum could be utilized as antihypertensive functional food sources.
SUN ZhenliangQIN HuanlongCAO DuoYAN XuebingLI HaoHUANG LinshengQU XiaoKONG ChengWANG Man
关键词:ACEINHIBITORYPEPTIDEHYDROLYSATE
Impact of probiotics supplement on the gut microbiota in neonates with antibiotic exposure: an open-label single-center randomized parallel controlled study被引量:2
2021年
Background Antibiotics,a common strategy used for neonatal infection,show consistent effect on the gut microbiota of neonates.Supplementation with probiotics has become increasingly popular in mitigating the loss of the gut microbiota.However,no clear consensus recommending the use of probiotics in the infection of neonates currently exists.This study examined the effects of probiotics on the gut microbiota of infectious neonates when used concurrently with or during the recovery period following antibiotic therapy.Methods Fifty-five full-term neonates diagnosed with neonatal infections were divided into the following groups:NI(no intervention,antibiotic therapy only),PCA(probiotics used concurrently with antibiotics),and PAA(probiotics used after antibiotics).The NI group received antibiotic treatment(piperacillin–tazobactam)for 1 week and the PCA group received antibiotic treatment together with probiotics(Bifidobacterium longum,Lactobacillus acidophilus,and Enterococcus faecalis)for 1 week.The PAA group received antibiotic treatment for 1 week followed by probiotics for 1 week.Fecal samples were collected at four time nodes:newborn,1 week,2 weeks,and 42 days after birth.The composition of the gut microbiota was determined by the high-throughput sequencing of 16S rRNA amplicons.Results Antibiotic exposure was found to dramatically alter gut microbiota,with a significant decrease of Bifidobacterium and Lactobacillus.The use of probiotics did not restore the overall diversity of the gut microbiota.However,using probiotics simultaneously with the antibiotics was found to be beneficial for the gut microbiota as compared to delaying the use of probiotics to follow treatment with antibiotics,particularly in promoting the abundance of Bifidobacterium.Conclusions These results suggest that the early use of probiotics may have a potential ability to remodel the gut microbiota during recovery from antibiotic treatment.However,further study is required to fully understand the long-term effects including the clinical ben
Hui ZhongXiang-Geng WangJing WangYan-Jie ChenHuan-Long QinRong Yang
关键词:ANTIBIOTICSPROBIOTICS
合生元对慢性功能性便秘患者肠道菌群的影响被引量:5
2018年
目的 分析合生元在治疗慢性功能性便秘过程中对肠道菌群的改善情况.方法 根据纳入和排除标准,选取6例慢性功能性便秘患者,留取新鲜粪便,在经过合生元持续治疗1个月后,再次留取粪便.同时选取6名健康志愿者的粪便作为对照组,粪便样本送至实验室并存放于-80℃冰箱.采用宏基因组测序技术对肠道菌群进行检测.结果 经合生元治疗4周后,患者的肠道菌群在种水平发生了改变.大肠埃希菌(Escherichia_ coli)、梭菌类(Clostridium_ sp._SS2/1、Clostridium_ sp._7_3_ 54FAA)在便秘人群中富集,经过治疗后丰度下降.口乳杆菌(Lactobacillus_ oris)和动物双歧杆菌(Bifidobacterium_ animalis)在健康人群中富集,经过治疗后升高.韦荣氏球菌(Veillonella_ parvula、Veillonella_ sp._6_1_27、VeiUoneUa_ sp._3_1_44)在健康人群中富集,经过治疗后含量下降.LEfSe分析发现狄氏副拟杆菌(parabacteroidesdistasonis)、阴沟肠杆菌(Escherichia_ coli、enterobacter-cloacae)菌种存在特征性差异.结论 合生元的使用能够改善患者的肠道菌群结构,其通过调节患者的肠道菌群结构,进一步发挥治疗效果,可成为新的临床治疗策略.
黄林生严雪冰李豪高仁元沈通一沈通一
关键词:便秘菌群宏基因组
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