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    find Author "曾春芳" 2 results
    • 胸腔子宮內膜異位癥致血性胸腔積液一例并文獻復習

      目的 拓展血性胸腔積液的鑒別診斷范疇,加深臨床醫師對胸腔子宮內膜異位癥的認識,為其診斷、治療提供有價值的參考。方法 報道1例罕見的胸腔子宮內膜異位癥致血性胸腔積液患者的診治經過,并在PubMed數據庫以胸腔子宮內膜異位癥為關鍵詞進行文獻檢索予以文獻復習。結果 該患者血性胸腔積液于外院初診為癌性胸腔積液,入院后經胸腔鏡獲取病理組織行病理活檢和免疫組織化后明確診斷為胸腔子宮內膜異位癥,通過胸腔置管引流及促性腺激素釋放激素類似物治療后目前隨訪3個月暫未見復發。檢索相關文獻發現,胸腔子宮內膜異位癥導致血性胸腔積液患者臨床罕見,發病機制不明確,缺乏特異的癥狀及影像學特征,其診斷需基于臨床表現、影像學及病理活檢,治療需依據病情合理選擇藥物及手術,但該病復發率較高。結論 胸腔子宮內膜異位癥為胸腔積液的罕見病因,需加深對其認識避免誤診及漏診,對于癥狀與月經周期存在時間關系、右側胸腔病變、育齡期女性、病情反復的患者臨床需謹慎排除。

      Release date:2022-01-12 11:04 Export PDF Favorites Scan
    • Knockdown of estrogen receptor alpha inhibits the proliferation and migration of A549 cells and the formation of transplanted tumors in nude mice

      Objective To explore the effect of interfering RNA (shRNA) on biological activity of A549 cells and tumor growth in nude mice after knockdown of estrogen receptor α (ERα) gene. Methods The ERα gene in A549 cells was knocked down by shRNA. RT-PCR and Western blot were used to detect the gene expression and protein expression after knockdown; colony formation experiment was used to detect the proliferation of cells, and RT-PCR was used to detect the expression of Ki-67 and PCNA; flow cytometry was used to detect apoptosis rate; transwell assay was used to detect cell invasion ability; Western blot was used to detect the expression of epithelial cadherin (E-cad) and neuropathic cadherin (N-cad) protein. The control group and A549 cells transfected with ERα-shRNA1 were injected subcutaneously in nude mice to construct transplanted tumors. Immunohistochemistry was used to detect the expression of Ki-67 and N-cad in tumor tissues. Results Compared with the control group, after transfection of ERα-shRNA1 and ERα-shRNA2, the mRNA and protein expressions of ERα were reduced significantly (P<0.05), and shRNA1 with high interference efficiency was used for subsequent experiments. Compared with the control group, the A549 cells were transfected with ERα-shRNA1, the colony formation rate was down-regulated significantly (P<0.05), the apoptosis rate was increased significantly (P<0.05), the expression of Ki-67 and PCNA were down-regulated significantly (P<0.05), the number of invasive cells was reduced significantly, the expression of E-cad was increased, and the expression of N-cad was decreased (P<0.05). The results of tumor formation in nude mice showed that interfering with ERα expression can significantly inhibit tumor growth (P<0.05), and down-regulate the rate of Ki-67 and N-cad positive cells (P<0.05). Conclusion Knockdown of ERα inhibits the proliferation and migration ability of NSCLC cells and the occurrence and development of transplanted tumors in nude mice.

      Release date:2021-11-18 04:57 Export PDF Favorites Scan
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  • 松坂南