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find Author "管小俊" 3 results
  • Intrapulmonary Delivery of Bone Marrow Mesenchymal Stem Cells Can Attenuate Chroic Inflammation of Emphysematous Rats

    Objective Bone marrow mesenchymal stem cells (MSCs) have been suggested to play an important role in the treatment of a variety of pulmonary diseases. The present study was aimed at evaluating the therapeutical effect of MSCs transplantation on emphysematous rats,and explore its influence in local and systemic inflammation. Methods Emphysema rat model was established by cigarette smoking. MSCs were transfected with lentivirus vector carrying green fluorecent protein (GFP) and the transfected MSCs in lung of smoke rats were detected by imaging system for small animals. Thirty-six SD rats were randomly divided into a control group,an emphysema group,and a MSCs transplantation group. The total and differential cell counts in bronchoalveolar lavage fluid (BALF) were measured. TNF-α and IL-1β levels in BALF and serum were measured by ELISA. Malonaldehyde (MDA) level in lung tissue was detected by chromatometry. Emphysema changes were evaluated by mean linear intercept (MLI) of lung under light microscope by HE staining. Results The transfected MSC in different lung lobes were found to be alive at four weeks after intrapulmonary delivery. Compared with the emphysema group,the total cell count in BALF,TNF-α and IL-1β levels in BALF and serum,MDA level in lung tissue and MLI were significantly reduced intheMSCs transplantation group(Plt;0.01). Conclusions Transplantation of MSCs can mediate down-regulation of TNF-α and IL-1β in BALF and serum,attenuate inflammation,oxidative stress and emphysema change of lung,suggesting that MSCs have significant therapeutic effects on emphysema.

    Release date:2016-08-30 11:58 Export PDF Favorites Scan
  • 免疫检查点抑制剂治疗合并乙型肝炎或丙型肝炎的晚期非小细胞肺癌的安全性及疗效分析

    目的 探讨合并乙型肝炎或丙型肝炎的晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)治疗的安全性和疗效。方法 回顾性分析5例合并乙型肝炎或丙型肝炎的NSCLC,观察谷丙转氨酶(alanine aminotransferase,ALT)水平、病毒载量和总生存期。结果 1例活动性乙型肝炎和1例活动性丙型肝炎启动ICIs治疗时,ALT升高,加用抗病毒和保肝治疗,ALT即恢复正常。2例活动性和1例慢性乙型肝炎ICIs治疗,ALT持续正常水平。2例完全缓解,3例部分缓解,目前死亡2例,最长总生存期35.7个月,其余3例仍在随访中。结论 乙型肝炎或丙型肝炎不影响ICIs在NSCLC中的治疗地位,包括在部分NSCLC的一线治疗,全程监测肝功能和病毒拷贝数,推荐联合抗病毒治疗(特别对合并乙型肝炎),个体化调整抗病毒时机及疗程。

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  • 鹦鹉热衣原体肺炎的临床诊疗特点

    目的 探讨鹦鹉热衣原体肺炎的临床诊疗特点。方法 收集2020年9月—2021年12月由苏州大学附属第一医院和附属独墅湖医院呼吸与危重症医学科收治的12例鹦鹉热衣原体肺炎患者的临床资料,进行总结分析。结果 12例患者均以高热、咳嗽为主要表现起病,9例患者接触过鹦鹉,3例接触过活禽。12例患者淋巴细胞计数均不同程度降低,2例患者白细胞、中性粒细胞和降钙素原明显升高;C反应蛋白、红细胞沉降率和D-二聚体均明显升高,而白蛋白水平明显降低,4例患者出现了低钾血症。1例重症患者合并了呼吸衰竭、心力衰竭、肝衰竭、肾衰竭及轻度精神症状。胸部CT均表现为单一肺叶或多肺叶炎症渗出和实变,5例合并有少量胸腔积液。患者初始经验性治疗效果均不理想,支气管肺泡灌洗液宏基因组二代测序技术检测诊断鹦鹉热衣原体肺炎后,及时调整以四环素类药物和(或)喹诺酮类抗生素为基础的治疗方案后病情均好转出院。结论鹦鹉热衣原体肺炎临床相对少见,临床表现以及常规检查很难与其他社区获得性肺炎鉴别,易导致误诊和漏诊,应引起临床医生的重视,宏基因组二代测序技术在鹦鹉热衣原体肺炎诊疗方面具有重要指导意义,值得临床应用和推广。

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