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find Author "曾春芳" 2 results
  • 胸腔子宫内膜异位症致血性胸腔积液一例并文献复习

    目的 拓展血性胸腔积液的鉴别诊断范畴,加深临床医师对胸腔子宫内膜异位症的认识,为其诊断、治疗提供有价值的参考。方法 报道1例罕见的胸腔子宫内膜异位症致血性胸腔积液患者的诊治经过,并在PubMed数据库以胸腔子宫内膜异位症为关键词进行文献检索予以文献复习。结果 该患者血性胸腔积液于外院初诊为癌性胸腔积液,入院后经胸腔镜获取病理组织行病理活检和免疫组织化后明确诊断为胸腔子宫内膜异位症,通过胸腔置管引流及促性腺激素释放激素类似物治疗后目前随访3个月暂未见复发。检索相关文献发现,胸腔子宫内膜异位症导致血性胸腔积液患者临床罕见,发病机制不明确,缺乏特异的症状及影像学特征,其诊断需基于临床表现、影像学及病理活检,治疗需依据病情合理选择药物及手术,但该病复发率较高。结论 胸腔子宫内膜异位症为胸腔积液的罕见病因,需加深对其认识避免误诊及漏诊,对于症状与月经周期存在时间关系、右侧胸腔病变、育龄期女性、病情反复的患者临床需谨慎排除。

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  • 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.

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