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        Increased Circulating CXCL10 in Non-Segmental Vitiligo Concomitant with Autoimmune Thyroid Disease and Alopecia Areata

        ( Li Zhang ),( Xinya Xu ),( Shujun Chen ),( Yuli Kang ),( Xiuxiu Wang ),( Chengfeng Zhang ),( Leihong Xiang ) 대한피부과학회 2019 Annals of Dermatology Vol.31 No.4

        Background: Vitiligo is a common acquired pigmentary disease caused by destruction of epidermal melanocytes in underlying autoimmune response. Few studies have been focused on the role of chemokines in non-segmental vitiligo (NSV) concomitant with autoimmune thyroid disease (AITD) and alopecia areata (AA). Objective: The aim of this study was to determine the best serum biomarker for predictive role in the progression of vitiligo and to evaluate the influence of AA and/or AITD on vitiligo by using the biomarker. Methods: This prospective cohort study recruited 45 NSV patients: 14 without either AITD or AA, 12 with AITD, 11 with AA, and 8 with both AITD and AA. Serum levels of CXCL1, CXCL8, CXCL9, CXCL10, CXCL12, CXCL13, and CXCL16 were analyzed by ELISA. CXCR3 mRNA expression was detected on PBMCs by RT-PCR. Improvement was evaluated using repigmentation scales. Results: Serum CXCL10 levels, along with the expression of CXCR3 mRNA were higher in NSV patients with AITD or AA alone than in those without AITD or AA. Moreover, serum CXCL10 levels, along with the expression of CXCR3 mRNA were higher in NSV patients with both AITD and AA than in those with AITD or AA alone. Poorer repigmentation was observed in NSV patients with both AA and AITD than in those with AA or AITD alone. Conclusion: CXCL10 could be a biomarker to predict the progression of NSV. Dermatologists should pay much attention to those NSV patients concomitant with AITD and/or AA, for comorbidity might lead to more active autoimmune reaction. (Ann Dermatol 31(4) 393∼402, 2019)

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        Mesenchymal Stem Cell-Derived Exosomes are Effective for Radiation Enteritis and Essential for the Proliferation and Differentiation of Lgr5+ Intestinal Epithelial Stem Cells by Regulating Mir-195/Akt/β-Catenin Pathway

        Yang Leilei,Fang Chengfeng,Song Caifang,Zhang Yaya,Zhang Ruili,Zhou Shenkang 한국조직공학과 재생의학회 2023 조직공학과 재생의학 Vol.20 No.5

        BACKGROUND: Radiation enteritis (RE) is a common complication of abdominal or pelvic radiotherapy, which when severe, could be life-threatening. Currently, there are no effective treatments. Studies have shown that mesenchymal stem cells (MSCs)-derived exosomes (MSC-exos) exhibit promising therapeutic effects in inflammatory diseases. However, the specific role of MSC-exos in RE and the regulatory mechanisms remain elusive. METHODS: In vivo assay was carried out by injecting MSC-exos into the total abdominal irradiation (TAI)-induced RE mouse model. For in vitro assay, Lgr5-positive intestinal epithelial stem cells (Lgr5? IESC) were extracted from mice, followed by irradiation along with MSC-exos treatment. HE staining was performed to measure histopathological changes. mRNA expression of inflammatory factors TNF-a and IL-6 and stem cell markers LGR5, and OCT4 were quantified by RT-qPCR. EdU and TUNEL staining was performed to estimate cell proliferation and apoptosis. MiR-195 expression in TAI mice and radiation-induced Lgr5? IESC was tested. RESULTS: We found that the injection of MSC-exos inhibited inflammatory reaction, increased stem cell marker expression, and maintained intestinal epithelial integrity in TAI mice. Furthermore, MSC-exos treatment increased the proliferation and simultaneously suppressed apoptosis in radiation-stimulated Lgr5? IESC. MiR-195 expression increased by radiation exposure was decreased by MSC-exos therapy. MiR-195 overexpression facilitated the progress of RE by counteracting the effect of MSC-exos. Mechanistically, the Akt and Wnt/b-catenin pathways inhibited by MSC-exos were activated by miR-195 upregulation. CONCLUSION: MSC-Exos are effective in treating RE and are essential for the proliferation and differentiation of Lgr5? IESCs. Moreover, MSC-exos mediates its function by regulating miR-195 Akt b-catenin pathways.

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        PbICl precursor solutions for all solid-state PbS quantum-dot sensitized TiO2 nanorod array solar cells using successive ionic layer adsorption and reaction method

        Kai Lv,Chengwu Shi,Zhengguo Zhang,Chengfeng Ma,Qi Wang 한국물리학회 2018 Current Applied Physics Vol.18 No.6

        In this work, PbICl precursor solution in N,N-dimethylformamide was successfully applied to deposit PbS quantum-dots on TiO2 nanorod arrays by successive ionic layer adsorption and reaction method (SILAR). The influence of PbI2, PbBr2, PbICl precursor solution on the morphology, crystal size and optical absorption of PbS quantum-dots was investigated and the photovoltaic performance of the corresponding solid-state PbS quantumdot sensitized TiO2 nanorod array solar cells with spiro-OMeTAD was evaluated. The average crystal sizes of PbS quantum-dots were 9.0 nm of PbI2, 8.6 nm of PbBr2 and 8.4 nm of PbICl and the photoelectric conversion efficiency of the corresponding solar cells achieved 2.63%, 3.00%, 3.45%. The result revealed that PbICl precursor solution was superior to PbBr2 and PbI2.

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        Severe Cutaneous Adverse Reactions: A Single-Center Retrospective Study of 173 Patients in China

        ( Zhongyi Xu ),( Jie Shen ),( Yiwen Yang ),( Ruoyue Yuan ),( Leihong Flora Xiang ),( Chengfeng Zhang ) 대한피부과학회 2019 Annals of Dermatology Vol.31 No.5

        Background: Severe cutaneous adverse reactions (SCAR) to drugs are a crucial public health issue and the use of systemic corticosteroids in SCAR has been controversial. Objective: To analyze clinical features, causative drugs, treatment, outcomes, and prognostic factors of SCAR in the case-series of 173 patients, and add more information to the debate of using systemic corticosteroids in SCAR management. Methods: A retrospective study of 173 SCAR patients diagnosed with drug reaction with eosinophilia and systemic symptoms (DRESS), Stevens-Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN) or acute generalized exanthematous pustulosis (AGEP) at a tertiary care institution in China between January 2014 and December 2017 was conducted. Results: Of 173 patients, allopurinol, carbamazepine, and antibiotics are the most frequently implicated drugs for DRESS (40.4%), SJS/TEN (26.0%), and AGEP (40.0%) respectively. Moreover, there is a strongly negative correlation between early corticosteroids use and the progression (p=0.000) and severity (p=0.01) of skin lesions. However, there is no association between early corticosteroids use and the mortality of SCAR (odds ratio: 1.01, 95% confidence interval: 0.95∼1.08). In addition, lymphadenopathy, eosinophilia, and interval from onset to corticosteroids treatment were correlated with SCAR prognosis. Conclusion: Prompt short-course systemic corticosteroids use is associated with early-stage skin lesions remission without influencing the disease mortality. Lymphadenopathy and eosinophilia were the independent poor prognostic factors of SCAR. (Ann Dermatol 31(5) 545∼ 554, 2019)

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