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Sci Rep:代谢组学研究确定了大鼠心脏移植急性排斥反应相关生物标志物

2017-11-14 xiangting MedSci原创

这项研究结果表明D-塔格糖、胆碱、C16二氢鞘氨醇和D-谷氨酰胺对心脏移植后的急性排斥反应的早期诊断具有高度的敏感性和特异性。

这项研究的目的是使用基于LC-MS的代谢组学方法鉴定大鼠心脏移植后急性排斥反应的代谢产物生物标志物。

建立大鼠异位心脏移植模型,Wistar大鼠为供体,SD大鼠为受体。从空白对照大鼠(A组),大鼠心脏移植后5天(B组)和7天(C组),以及移植后5天预处理的大鼠(D组)和7天大鼠(E组)采集血液和心肌样本用于病理和代谢组学分析。

A组到E组的国际心脏和肺移植协会(ISHLT)评分为排斥0、3B、4、1和1。A组和B组间有15种差异代谢物,A组和C组间有14种不同代谢物,B组和C组间有10种不同代谢产物。另外,在移植后第5天和第7天,鉴定了4种常见的差异代谢物,包括D-塔格糖、胆碱,C16二氢鞘氨醇和D-谷氨酰胺。

这项研究结果表明D-塔格糖、胆碱、C16二氢鞘氨醇和D-谷氨酰胺对心脏移植后的急性排斥反应的早期诊断具有高度的敏感性和特异性,基于LC-MS的代谢组学方法有助于筛查移植后生物标志物。

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体外膜式氧合(ECMO)是儿童短期机械循环支持的标准治疗手段,然而,新一代的临时循环支持(TCS)设备相比于ECMO对儿童循环支持的有效性如何尚属未知。本研究目的旨在比较评估TCS较于ECMO对桥接心脏移植存活患儿的有效性是否更佳。本研究纳入了2011年至2015年所有接受心脏移植且接受TCS或ECMO设备循环支持的小于21岁的患儿。接受TCS设备循环支持的患儿与倾向评分配对的接受ECMO设备循环

Int J Cardiol:淋巴细胞与嗜中性粒细胞比例的变化可预测心脏移植后急性排斥反应!

这项研究的结果表明心脏移植后前3个月的ΔLNR是心脏移植后发生急性排斥反应的强大独立预测因子。 ΔLNR可作为心脏移植后急性排斥反应的早期生物标志物。

SCI REP:使用吉非贝齐进行药理预处理可以保留心脏移植后的心功能

使用吉非贝齐进行药理学预处理可减少大鼠HTX模型中的缺血/再灌注损伤并保留移植物功能。

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