糖尿病肾脏病与血纤溶酶原激活物抑制剂-1的相互影响

目的:观察糖尿病肾脏病进展过程中血纤溶酶原激活物抑制剂-1的水平变化及应用药物干预其变化后产生的对糖尿病肾脏病的影响。方法:选择于聊城市人民医院就诊的糖尿病肾脏病患者88例,DKDⅢ期43例,DKDⅣ期45例。分别检测各期患者血PAI-1水平,观察其变化趋势。针对DKDⅢ期患者分为对照组(DKDⅢ-C组)和观察组(DKDⅢ-O组),对照组给予常规降糖、保护肾脏及血管紧张素转化酶抑制剂等药物治疗。观察组在对照组治疗的基础上给予尿激酶5万U加入100ml生理盐水静脉滴注,每天1次,共14d。比较两组治疗前后血PAI-1水平、24 h尿白蛋白量、血肌酐、空腹血糖和凝血酶原时间的变化。结果:DKDⅣ期患者血PAI-1水平明显高于DKDⅢ期患者(P<0.001)。DKDⅢ-O组患者治疗后血PAI-1水平下降(P<0.01),且尿白蛋白减少程度有统计学意义(P<0.01),空腹血糖、血肌酐、凝血酶原时间影响无统计学差异(P>0.05)。DKDⅢ-C组治疗前、后血PAI-1、24h尿白蛋白量、空腹血糖、血肌酐、凝血酶原时间变化均无统计学差异(P>0.05)。结论:随糖尿病肾脏病进展,血PAI-1水平呈上升趋势,应用药物降低其水平后可减少早期DKD患者尿白蛋白量,对保护肾功能、延缓肾脏病进展有积极意义。     

糖尿病肾脏病与血纤溶酶原激活物抑制剂-1的相互影响

目的：观察糖尿痛肾脏病进展过程中血纤溶酶原激活物抑制剂-1的水平变化及应用药物干预其变化后产生的对糖尿病肾脏病的影响。方法：选择于聊城市人民医院就诊的糖尿病肾脏病患者88例,DKDⅢ期43例,DKDⅣ期45例。分别检测各期患者血PAI-1水平,观察其变化趋势。针对DKDⅢ期患者分为对照组（DKDⅢ-C组）和观察组（DKDⅢ-O组）,对照组给予常规降糖、保护肾脏及血管紧张素转化酶抑制剂等药物治疗。观察组在对照组治疗的基础上给予尿激酶5万U加入100ml生理盐水静脉滴注,每天1次。共14d。比较两组治疗前后血PAI-1水平、24h尿白蛋白量、血肌酐、空腹血糖和凝血酶原时间的变化。结果：DKDⅣ期患者血PAI-1水平明显高于DKDⅢ期患者（P〈0．001）。DKDⅢ-O组患者治疗后血PAI-1水平下降（P〈0．01）,且尿白蛋白减少程度有统计学意义（P〈0．01）,空腹血糖、血肌酐、凝血酶原时间影响无统计学差异（P〉0．05）。DKDⅢ-C组治疗前、后血PAI-1、24h尿白蛋白量、空腹血糖、血肌酐、凝血酶原时间变化均无统计学差异（P〉0．05）。结论：随糖尿病肾脏病进展,血PAI-1水平呈上升趋势,应用药物降低其水平后可减少早期DKD患者尿白蛋白量,对保护肾功能、延缓肾脏病进展有积极意义。     

纤溶酶原活化物抑制剂

纤溶酶原活化物抑制剂(PAI)能专一性地抑制纤溶酶原活化物,在纤溶系统中起重要的调节作用。本文综述了四种PAI的来源、性质、基因结构、生理功能及与疾病的关系。     

尿激酶型纤溶酶原激活物受体研究进展

尿激酶型纤溶酶原激活物受体作为胞外纤溶酶系统的一员,以糖基磷脂酰肌醇锚的形式固定于细胞膜上,它参与了胞外纤溶酶活性的调节,具有内化受抑制的尿激酶的功能;同时参与了胞外信号的传递;另外它对癌症的临床预后及抗癌转移的研究有重要的意义．     

1,25二羟维生素D3对哮喘大鼠气道重塑及纤溶酶原激活物抑制剂-1的影响

目的观察1,25二羟维生素D3（VD）对哮喘大鼠气道重塑及其肺组织中纤溶酶原激活物抑制剂-1（PAI-1）表达和血浆中PAI-1含量的影响。方法 30只健康雄性Wistar大鼠随机分为对照组、哮喘组、VD干预组,每组各10只。卵蛋白致敏和激发复制慢性哮喘模型。VD干预组每次激发前给予VD干预。用免疫组化检测肺组织PAI-1的表达,酶联免疫法测血浆中PAI-1含量,采用图像分析进行图像分析。结果 （1）哮喘组支气管管壁厚度较对照组和VD干预组显著增加（P〈0.01）。（2）哮喘组PAI-1在大鼠肺组织的表达程度较对照组和VD干预组显著增加（P〈0.01）。（3）哮喘大鼠血浆中PAI-1含量较对照组和VD干预组明显增加（P〈0.01）。（4）直线相关性分析显示,哮喘组支气管管壁厚度与大鼠肺组织中PAI-1表达水平呈正相关（r=0.822,P〈0.01）;哮喘组支气管管壁厚度与大鼠血浆中PAI-1含量呈正相关（r=0.942,P〈0.01）。结论 1,25二羟维生素D3干预可明显减轻慢性哮喘气道重塑的病理改变,并可通过部分抑制PAI-1的表达来延缓气道重塑。     

Ⅰ型纤溶酶原激活物抑制剂cDNA在P.pastoris酵母菌中的表达和鉴定

将编码３７９个氨基酸残基的ＰＡＩ－１ｃＤＮＡ插入到含ＡＯＸ１启动子和ＰＨＯ１分泌信号肽序列的甲醇营养型酵母载体中,构建成表达质粒ｐＹＩＳ－１．表达质粒转化Ｐ．ｐａｓｔｏｒｉｓ甲醇营养型酵母细胞,筛选Ｈｉｓ＋Ｍｕｔ－表型的转化子,经低密度摇瓶培养,１％甲醇诱导表达７ｄ后,培液经ＳＤＳ－ＰＡＧＥ分析,ＰＡＩ－１生物活性测定和Ｗｅｓｔｅｒｎｂｌｏｔ证实表达出分子量为４３～５１ｋＤ的４条ＰＡＩ－１条带．表达的ＰＡＩ－１能有效地分泌到培液中,占培液总蛋白的２６％左右,达４ｍｇ／Ｌ培液;其比活性为１．１６×１０４ＡＵ／ｍｇ．不同分子量ＰＡＩ－１可能与其糖基化程度不同有关     

纤溶酶原激活物抑制因子—1突变体E350G,E351K的构建及性质研究

利用ＰＣＲ扩增和合成突变引物的方法,将ＰＡＩ－１的Ｇｌｕ３５０和Ｇｌｕ３５１分别突变为Ｇｌｙ和Ｌｙｓ在大肠杆菌中表达并分离纯化突变体ＰＡＩ－１（Ｅ３５０Ｇ,Ｅ３５１Ｋ）有 酸胍激活并以ＥＬＩＳＡ法确定它与野生型ｒＰＡＩ－１的相对含量,通过对ｕ－ＰＡ抑制的动力学研究表明,突变体与野生型ｒＰＡＩ－１相比,对ｕ－ＰＡ和ｔ－ＰＡ的抑制活性都有明显下降,由活性态向潜伏态转变的半寿期也由０．８３ｈ缩短为０．５     

组织型纤溶酶原活化物的纯化及性质研究

新鲜猪心组织制成丙酮粉后,用0.45mol/L,pH4.2醋酸钾抽提组织型纤溶酶原活化物(t-PA)。抽提液经硫酸铵盐析,Benzamidine和血纤维蛋白亲和层析,Sephadex G-150凝胶过滤,纯化得到t-PA。比活11000IU/mg,经SDS-聚丙烯酰胺凝胶电泳鉴定,分子量为67000。 本文比较了t-PA、高分子量尿激酶(H-UK)和低分子量尿激酶(L-UK)的热稳定性及抑制剂对它们的抑制作用。结果表明,抑制剂对H-UK的抑制作用最强,L-UK次之,t-PA最弱;三者的热稳定性相似。     

表达人PAI-1的重组腺病毒的制备及检测

人纤溶酶原激活剂抑制物1（PAI-1）基因与复制缺陷型腺病毒载体AdCMVHSgD重组,与pJM17质粒共转染293细胞,采用不铺琼脂的方法产生重组病毒.PCR证实PAI-1基因重组进入腺病毒.进一步感染B16（F10）细胞,细胞表面洗提物和上清分别经纤维显示胶和反向纤维蛋白显示胶检测PAI-1抑制纤溶酶原激活剂（PA）的活性.     

Fibrin Targeting of Echogenic Liposomes with Inactivated Tissue Plasminogen Activator

Fibrin-specific molecular targeting strategies are desirable for site-specific imaging and treatment of late stage atheroma, but fibrin-specific antibodies are difficult to produce and present immunogenicity problems. Tissue plasminogen activator (tPA) is an endogenous protein that has been shown to bind fibrin with high affinity and may circumvent antibody difficulties. Use of tPA-derived proteins or peptides, however, requires that the plasminogen-activating proteolytic activity be neutralized or removed. As an initial step in determining the feasibility of this targeting strategy, human recombinant tPA (Activase®) was irreversibly inhibited with D-phe-L-pro-L-arg-chloromethyl ketone (PPACK) and conjugated to intrinsically echogenic liposomes (ELIP) by a thioether coupling protocol. Fibrin-binding affinities were assessed with a novel two‐stage fibrin pad ELISA. We achieved 95–99% inactivation, while retaining both tPA fibrin-binding activities of K_D ～ 2 nM and 33 nM. Thermodynamic analysis of the PPACK-inactivated tPA (tPA(P)) revealed highly exothermic interactions, indicative of ionic associations, especially for the higher affinity. The conjugation efficiency of tPA(P) to ELIP was within the range of that previously achieved for IgG and exhibited satisfactory fibrin targeting, characterized by striking increases of enthalpy and entropy increments. Evidence for coupling of noncovalent association energetics with the phosphatidylethanolamine major phase transition, observed in previous IgG antibody conjugations, was also evident in this case, but the nature of the transduction mechanism was different. These results demonstrate that tPA-derived components lacking proteolytic activity can be employed as fibrin-targeting agents for delivery of therapeutic and diagnostic formulations.     

Characterization of the Binding Sites for Plasminogen and Tissue-Type Plasminogen Activator in Cytokeratin 8 and Cytokeratin 18

Cytokeratin 8 (CK8) is an intermediate filament protein that penetrates to the external surfaces of breast cancer cells and is released from cells in the form of soluble heteropolymers. CK8 binds plasminogen and tissue-type plasminogen activator (t-PA) and accelerates plasminogen activation on cancer cell surfaces. The plasminogen-binding site is located at the C-terminus of CK8. In this study, we prepared GST-fusion proteins which contained either 174 amino acids from the C-terminus of CK8 (CK8f) or 134 amino acids from the C-terminus of CK18 (CK18f). A third GST-CK fusion protein was identical to CK8f except that the C-terminal lysine was mutated to glutamine (CK8f_K483Q). CK8f bound plasminogen; the K _D was 0.5 M. Binding was completely inhibited by ACA. CK8f_K483Q also bound plasminogen, albeit with decreased affinity (K _D 1.5 M). CK18f did not bind plasminogen at all. All three fusion proteins bound t-PA equivalently, providing the first evidence that CK18 may function as a t-PA receptor. t-PA and plasminogen cross-competed for binding to CK8f. Thus, t-PA and plasminogen cannot bind to the same CK8f monomer simultaneously. Nevertheless, CK8f still promoted plasminogen activation, probably reflecting the fact that CK8f was purified in dimeric or tetrameric form. These studies demonstrate that CK8 may promote plasminogen activation by t-PA only when present in an oligomerized state. CK18 may participate in the oligomer, together with CK8, based on its ability to bind t-PA.     

The High Affinity Binding Site on Plasminogen Activator Inhibitor-1 (PAI-1) for the Low Density Lipoprotein Receptor-related Protein (LRP1) Is Composed of Four Basic Residues

Plasminogen activator inhibitor 1 (PAI-1) is a serpin inhibitor of the plasminogen activators urokinase-type plasminogen activator (uPA) and tissue plasminogen activator, which binds tightly to the clearance and signaling receptor low density lipoprotein receptor-related protein 1 (LRP1) in both proteinase-complexed and uncomplexed forms. Binding sites for PAI-1 within LRP1 have been localized to CR clusters II and IV. Within cluster II, there is a strong preference for the triple CR domain fragment CR456. Previous mutagenesis studies to identify the binding site on PAI-1 for LRP1 have given conflicting results or implied small binding contributions incompatible with the high affinity PAI-1/LRP1 interaction. Using a highly sensitive solution fluorescence assay, we have examined binding of CR456 to arginine and lysine variants of PAI-1 and definitively identified the binding site as composed of four basic residues, Lys-69, Arg-76, Lys-80, and Lys-88. These are highly conserved among mammalian PAI-1s. Individual mutations result in a 13–800-fold increase in K_d values. We present evidence that binding involves engagement of CR4 by Lys-88, CR5 by Arg-76 and Lys-80, and CR6 by Lys-69, with the strongest interactions to CR5 and CR6. Collectively, the individual binding contributions account quantitatively for the overall PAI-1/LRP1 affinity. We propose that the greater efficiency of PAI-1·uPA complex binding and clearance by LRP1, compared with PAI-1 alone, is due solely to simultaneous binding of the uPA moiety in the complex to its receptor, thereby making binding of the PAI-1 moiety to LRP1 a two-dimensional surface-localized association.     

抗肿瘤靶点 PARP-1 及其抑制剂的研究进展

聚二磷酸腺苷核糖聚合酶 -1（PARP-1）参与 DNA 损伤修复,是近年来肿瘤治疗领域的热门靶点。从 PARP-1 的结构和作用机制出发, 综述 PARP-1 抑制剂的主要结构类型及优化思路,展望其应用前景和亟需解决的问题。     

Plasminogen Activator Inhibitor-1 Expression by Brain Microvessel Endothelial Cells Is Inhibited by Elevated Glucose

Abstract: Patients with diabetes are predisposed to microvascular disease. In the retina and brain, this is characterized by neovascularization and new capillary formation. Because of the potential importance of plasmin generation in these processes, we evaluated the effect of elevated glucose concentrations on expression of plasminogen activator inhibitor-1 (PAI-1), tissue plasminogen activator (tPA), and urokinase (uPA) in cultured bovine brain endothelial cells (BBEC) versus cultured bovine aortic endothelial cells (BAEC). We observed that BBEC PAI-1 mRNA levels were decreased fivefold in cells cultured in media containing 20 m M glucose compared with BBEC cultured in media with 5.5 m M glucose, whereas expression of PAI-1 mRNA in BAEC, bovine mesenteric endothelial cells, and human umbilical vein endothelial cells was not modulated under these conditions. Expression of PAI-1 protein was also inhibited by growth of BBEC in elevated glucose, but the effect was less marked than at the mRNA level. Elevated glucose did not decrease expression of PAI-1 protein by BAEC. Withdrawal of acidic fibroblast growth factor enhanced expression of PAI-1 mRNA and protein in BBEC. Expression of tPA mRNA was not affected by the glucose concentration of the medium, and uPA mRNA was not detected in our BBEC cultures. A decrease in the local tissue activity of PAI-1 by elevated glucose concentrations, with no effect on tPA or uPA expression, would lead to an increase in the plasmin activity and thereby predispose neural tissues, such as the cerebrum and retina, of diabetic patients to neovascularization.     

The Role of Tissue-type Plasminogen Activator in Rat Corpus Luteum

It is here reported for the first time that luteal cells are capable of secreting plasminogen activators(PA),(both tissue-type,tPA,and urokinase-type,uPA),and plasminogen activator inhibitor type-1(PAl-1).Using organ culture model,we have demonstrated that tPA,but not uPA,showed markedchange during luteolytic period in rat corpus luteum.A great amount oftPA was secreted in corpusluteum on D 14 and D 17 while very low level of tPA activity was detected before D 12.Correspondingly,the progesterone production in the corpus luteum increased gradually in a time-dependent manner from D 1 to D 12 but dropped abruptly to a very low level on D 14.Additionof exogenous tPA to the CL culture caused considerable decrease in progesterone secretion whileinclusion of purified monoclone tPA antibodies in the culture augmented progesterone productionof CL.It is therefore suggested that tPA may play an important role in luteolytic process.     

CAR-T 对肿瘤的特异性治疗研究进展

嵌合抗原受体T细胞免疫疗法(CAR-T疗法)是一种治疗肿瘤的新免疫疗法,通过向患者自身T细胞中导入已被修饰的CAR基因,使T细胞表达结合肿瘤表面抗原的特异性受体来实现对肿瘤的精准治疗.目前已发展到第四代.该免疫疗法在血液瘤和实体瘤治疗中都有一定疗效,同时也存在一些待解决难题.本文就近年来CAR-T在血液瘤和实体瘤中的研究治疗进展及存在的问题进行综述.