Tesi sul tema "IP-10"
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Muñoz, Roldan Melba Lucia. "Interferon gamma inducible protein 10 (IP-10) and regulatory T Cells in leishmaniasis". College Park, Md.: University of Maryland, 2007. http://hdl.handle.net/1903/7336.
Testo completoThesis research directed by: Dept. of Cell Biology and Molecular Genetics. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
Beier, Stefanie [Verfasser]. "Entwicklung eines IP-10 Bioassays zur Bestimmung der Interferon Sensitivität / Stefanie Beier". Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2007. http://d-nb.info/1022580183/34.
Testo completoCampos, Mauricio de Souza. "Níveis de citocinas plasmáticas em indivíduos com hepatite b crônica naive e sob tratamento antiviral". Instituto de Ciências da Saúde, 2014. http://repositorio.ufba.br/ri/handle/ri/17932.
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PRONEX e CAPES
Introdução: A infecção pelo vírus da hepatite B (HBV) compreende um amplo espectro de quadros clínicos que vai desde a manifestação aguda e autolimitada até a forma crônica, com possibilidade de desenvolvimento de cirrose hepática e carcinoma hepatocelular. A proteína 10 induzida por INF-γ (IP-10) é uma quimiocina CXC que pode ser secretada pelos hepatócitos e endotélio sinusoidal no fígado de pacientes com hepatite viral. Por ligação ao receptor CXCR3, IP-10 exerce efeito quimiotático em células NK, células T ativadas e células dendríticas, modulando, dessa forma, a resposta imunológica. Sabe-se que o IFN-γ estimula a secreção de IP-10 por células infectadas pelo vírus da hepatite C, mas no contexto da infecção pelo HBV, essa relação ainda é pouco conhecida. Objetivo: descrever os níveis das citocinas e quimiocinas séricas em pacientes com hepatite B crônica naive e sob tratamento antiviral. Material e métodos: foi realizada a dosagem de citocinas séricas de 24 voluntários com hepatite B crônica em tratamento e 33 voluntários com hepatite B crônica naive, utilizando o kit de CBA (Citokine Beads Array) da eBioscience e análise em FACScalibur BD. A citocina IP-10 foi quantificada utilizando o kit CBA da empresa BD conforme padronização prévia e recomendação do fabricante, e também analisada em FACScalibur BD. Os softwares SPSS versão 18 e GraphPad versão 6 foram utilizados para análise estatística. Resultados: foram encontradas diferenças estatísticas na comparação dos níveis de IP-10, IL-5 e TGF – β entre indivíduos com hepatite B crônica tratados e naive. Foram encontrados valores mais elevados de citocinas Th1 no soro de pacientes naive, quando comparados aos pacientes tratados. Os níveis séricos de IP-10 nos pacientes tratados e não tratados são mais elevados que os de INF-γ. Conclusão: os níveis séricos de citocinas Th1 entre pacientes não tratados estavam mais elevados do que em pacientes tratados. A amplitude dos níveis de INFγ foi maior nas amostras dos indivíduos com hepatite B sem tratamento. A correlação entre os níveis de INFγ e IL- 10 foi inversa em amostras de indivíduos não tratados. O tratamento pareceu modular a produção de INFγ sem interferir nos níveis de IP-10 e IL-10. A correlação entre os níveis de IP-10 e IL-10 também foi inversa em amostras de indivíduos não tratados. A IP-10 pode ser um marcador de maior sensibilidade que o INF-gama anteriormente descrito como a citocina chave no processo inflamatório na HBV
Background: infection with the hepatitis B virus(HBV) comprises a broad spectrum of clinical presentations ranging from acute and self-limited to the chronic form, with the possibility of development of liver cirrhosis and hepatocellular carcinoma. The protein10 induced by INF-γ(IP-10) is a CXC chemokine that can be secreted by hepatocytes and sinusoidal endothelium in the liver of patients with viral hepatitis. By binding to CXCR3 receptor, IP-10 exerts a chemotactic effect on NK cells, activated T cells and dendritic cells, potentializing, thus, the immune response. It is known that IFN-γ stimulates IP-10 secretion by cells infected with hepatitis C, but in the context of HBV infection, this relationship is still poorly known. Aim: to describe the levels of cytokines and chemokines in serum patients with chronic hepatitis B naïve and under antiviral treatment. Methods: the dosage of serum cytokines of 24 volunteers with chronic hepatitis B treatment and 33 volunteers with chronic hepatitis B naïve was performed using the CBA kit (Citokine Beads Array) from eBioscience and analyzed using FACScalibur BD. IP-10 cytokine was quantified using the CBA kit from BD company as previous standardization and recommendation of the manufacturer and also analyzed using FACScalibur BD. The SPSS software version 18 and GraphPad version 6 were used for statistical analysis. Results: statistical differences were found when comparing the IP-10 levels, IL-5 and TGF-β among individuals with chronic hepatitis B treated and naive. Higher values of Th1cytokines were found in the serum of treated patients when compared to naïve patients. The IP-10 serum levels in treated and untreated patients are higher than those of INF-γ. Conclusion: the serum levels of Th1cytokines from untreated patients were higher than in patients treated. The breadth of the INFγ levels were higher in samples of individuals without hepatitis B treatment. The correlation between the levels of INFγ and IL-10 was reverse on samples from untreated individuals. The treatment appeared to modulate INFγ production without interfering on IP-10and IL-10 production levels. The correlation between the IP-10 and IL-10 levels was also reverse in samples of untreated individuals. IP-10 may be a higher sensibility marker than the INFγ priorly described as a key cytokine in the inflammatory process in hepatitis B.
Alsleben, Neele. "Der Biomarker IP-10 für die Diagnose der aktiven Tuberkulose und der latenten Tuberkuloseinfektion im Kindesalter". Diss., Ludwig-Maximilians-Universität München, 2014. http://nbn-resolving.de/urn:nbn:de:bvb:19-168313.
Testo completoEnderlin, Marta. "Evaluation of IP-10 and TNFalpha-transducing parvoviral vectors as antitumoral agents in animal glioblastoma models". [S.l. : s.n.], 2005. http://www.bsz-bw.de/cgi-bin/xvms.cgi?SWB11759090.
Testo completoCarew, Jennifer S., Claudia M. Espitia, Weiguo Zhao, Monica M. Mita, Alain C. Mita e Steffan T. Nawrocki. "Oncolytic reovirus inhibits angiogenesis through induction of CXCL10/IP-10 and abrogation of HIF activity in soft tissue sarcomas". IMPACT JOURNALS LLC, 2017. http://hdl.handle.net/10150/625966.
Testo completoHubel, Silvia [Verfasser]. "Untersuchung der Biomarker Interferon-gamma induziertes Protein 10 (IP-10) und CXC-Motiv-Chemokinrezeptor 3 (CXCR3) im Plasma nierentransplantierter Patienten in den ersten fünfzehn Monaten nach Transplantation / Silvia Hubel". Tübingen : Universitätsbibliothek Tübingen, 2020. http://d-nb.info/1218073640/34.
Testo completoRose, Thomas [Verfasser]. "IFNα and its response proteins, IP-10 and SIGLEC-1, are biomarkers of disease activity in systemic lupus erythematosus / Thomas Rose". Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2014. http://d-nb.info/1052222056/34.
Testo completoAlsleben, Neele [Verfasser], e Holger [Akademischer Betreuer] Rüssmann. "Der Biomarker IP-10 für die Diagnose der aktiven Tuberkulose und der latenten Tuberkuloseinfektion im Kindesalter / Neele Alsleben. Betreuer: Holger Rüssmann". München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2014. http://d-nb.info/1050647890/34.
Testo completoSu, Yung-Chang University of New South Wales & Garvan Institute of Medical Research St Vincent's Clinical School UNSW. "Immune regulation in mouse models of allergic asthma". Awarded by:University of New South Wales & Garvan Institute of Medical Research. St. Vincent's Clinical School, 2006. http://handle.unsw.edu.au/1959.4/26978.
Testo completoStumpfe, Florian Matthias Maximilian [Verfasser], e Udo [Akademischer Betreuer] Jeschke. "Zytokinbestimmung im Verlauf der Schwangerschaft und deren Bedeutung bei intrauterinen Infektionen : Konzentrationsbestimmung der Zytokine Interleukin-6, Interleukin-15, pro-Interleukin-1β und CXCL10/IP-10 im Fruchtwasser / Florian Matthias Maximilian Stumpfe. Betreuer: Udo Jeschke". München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2014. http://d-nb.info/1050647920/34.
Testo completoVasireddi, Mugdha. "Subversion of Natural Killer Cell Defenses Induced by a Deadly Zoonotic Virus". Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/biology_diss/65.
Testo completoHarris, Daniel Pellerin. "PRMT5-CATALYZED ARGININE METHYLATION OF NF-kappaB p65 INTHE ENDOTHELIAL CELL INDUCTION OF PRO-INFLAMMATORYCHEMOKINES". Case Western Reserve University School of Graduate Studies / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=case1449579234.
Testo completoCARMO, A. P. "Solução Segura para Utilização de VPN Baseada em IP´s Dinâmicos". Universidade Federal do Espírito Santo, 2010. http://repositorio.ufes.br/handle/10/9591.
Testo completoNessa pesquisa, estudamos a anatomia cerebral, os padrões oscilatórios dos circuitos neurais do sistema tálamo-cortical e sugerimos um modelo para as fontes cerebrais baseado em dipolos elétricos, então, calculamos atenuação do campo elétrico e formamos um sistema de equações lineares para separar os sinais de EEG linearmente misturados no Encéfalo. Esse método foi testado em classificadores baseados em regras, classificadores estatísticos (Análise por Discriminante Quadrático, Análise por Discriminante Linear e Análise por Discriminante Regularizado) e redes neurais artificiais durante a classificação de 3 tarefas mentais, relacionadas à imaginação de movimento das mãos direita/esquerda e a geração de palavras começando com uma mesma letra qualquer.
Huang, Mei-Liang, e 黃美椋. "Analysis of human interferon-gamma-inducible protein 10 (IP-10)/CXCL10 promoter polymorphism at position -938". Thesis, 2007. http://ndltd.ncl.edu.tw/handle/95334133739233112603.
Testo completo臺灣大學
流行病學研究所
95
Introduction - Interferon-γ inducible protein 10 (IP-10)/CXCLl10 was shown to be an indicator of disease progress for severe acute respiratory syndrome (SARS); a high plasma level in the early clinical stage was associated with subsequent adverse outcome. The mechanism that triggers CXCL10 expression in SARS-CoV infection is still unknown. Method - We conducted a genetic epidemiological study to identify the single nucleotide polymorphism (SNP) of CXCL10 that might be associated with severe SARS clinical outcomes. With luciferase assay and electromobility shift assay (EMSA), we conducted in vitro functional study of the polymorphic alleles of CXCL10 promoter with the attempt to identify the regulatory factors for CXCL10 expression. Results - Five SNPs of CXCL10 were typed for 108 SARS patients along with 242 healthy control DNAs. A genotype TT at the CXCL10(-938) SNP locus was identified to correlate with severity of SARS-CoV infected patients, especially among SARS patients with a detectably higher nasopharyngeal virus load. DNA fragment of the 996 bp upstream of the CXCL10 start codon containing either (-938C) or (-938T) SNP was cloned into the luciferase reporter pGL3 vector along with a series of 5’ end truncated CXCL10 promoter DNA fragments. With IFN-γ stimulation in A549 cell and HMEC-1 cells, the shortest two fragments (-704, and -413) showed a high luciferase activity, which dropped with each increment of the 5’ end DNA length; stimulation with IFN-γ and TNF-α in combination induced a higher luciferase activity, but the drop of activity was reversed with the fragment of -704 and -996, suggesting possibly IFN-γ associated negative regulation factors and TNF-α associated positive regulation factors could bind to this region. The difference of luciferase activity between the two alleles of CXCL10(-996C) and CXCL10(-996T) could not be consistently demonstrated, however. We used nuclear extracts from IFN-γ induced THP-1 cells and the 32P-labeled probes of CXCL10(-928~-948) promoter sequence containing (-938C) or (-938T) and antibodies against a number of TFs antibodies to perform EMSA. The (-938C) probe consistently binds to more nuclear proteins than the (-938T) probe, and three putative binding proteins, YY-1, MZF and Pax-6, of CXCL10 (-938) were found to reduce the shifted band in EMSA and supershift assay. The activation functions of YY-1 and MZF on CXCL10 expression were demonstrated by luciferase assay and the results showed YY-1 and MZF could trigger the activation of CXCL10, however, YY-1 and MZF induced activity were not different between the two alleles. Conclusion - The genotype TT of CXCL10 (-938) SNP was associated with adverse outcome of SARS patient. The DNA sequence flanking the CXCL10 (-938) SNP locus possibly contain binding motifs of YY-1, MZF and Pax-6. However, the functional difference between these two alleles of CXCL10 (-938) could not be demonstrated in vitro by luciferase assay and EMSA in the study.
Hsieh, Ming-Fang, e 謝明芳. "The Roles of CXCR3 and CXCL10/IP-10 in Dengue Virus Infection". Thesis, 2005. http://ndltd.ncl.edu.tw/handle/97102048436394937920.
Testo completo國立陽明大學
微生物及免疫學研究所
93
Dengue virus (DV), a member of flavivirus, is an arthropod-born human pathogen. Dengue virus contains a positive-single strand genomic RNA that is translated as a polyprotein. The polyprotein is processed by proteases into ten discrete proteins-three structure proteins and seven non-structure proteins. We have previously shown that the CXCL10/IP-10 expression was predominantly induced in mice following dengue virus infection. In this study, we have investigated the role of CXCL10/IP-10 in dengue virus infection. CXCL10/IP-10 is an inflammatory chemokine and mediates the recruitment of activated T cells and NK cells that express the CXCR3 chmokine receptor. Ligands for CXCR3 include CXCL10/IP-10 as well as CXCL9/Mig and CXCL11/I-TAC. Given that CXCL10/IP-10 is a highly positive charged molecule able to bind to heparan sulfate (HS) and that heparan sulfate is a putative receptor for dengue virus, we thereby hypothesize that CXCLI0/IP-10 may compete with dengue virus for binding to heparan sulfate on cell surface. We found that CXCL10/IP-10 was able to inhibit dengue virus binding to cell surface. Furthermore, we demonstrated that the CXCL10/IP-10 mutant protein in which the putative amino acid residues critical for binding to heparan sulfate were mutated failed to inhibit dengue virus binding to cell surface. This result indicates that the inhibitory effect of CXCL10/IP-10 on dengue virus biding to cells is likely due to CXCL10/IP-10 competing with dengue virus for biding to haparan sulfate on cell surface. We further examined the importance of CXCR3 and CXCL10/IP-10 in dengue virus infection by in vivo study. When mice were infected intracerebrally with dengue virus, CXCR3-deficient mice showed significantly higher mortality as compared with wild-type mice. Of interest, the surviving CXCR3-deficient mice, but not wild-type mice, developed paralysis. Both wild-type and CXCR3-deficeint mice began to show detectable virus in the brain at day 3 and viral loads peaked at day 5-6 post-infection, with significantly higher levels in CXCR3-deficient mice. Only the CXCR3-deficient mice had detectable virus in the spinal cord, peaking at day 5. The viral load coincided with the mortality, indicating that CXCR3-deficient mice had the impaired ability on viral clearance in the central nervous system, leading to neuronal damage and subsequently paralysis and/or death. Of particular interest, we found that the mortality of CXCL10/IP-10-deficient mice was similar to that of CXCR3-deficient mice. Given that ligands for CXCR3 are CXCL9/Mig, CXCL10/IP-10 and CXCL11/I-TAC and that in vitro activation of CXCR3 by these ligands gives similar functional activity, it would be expected that CXCL9/Mig and CXCL11/I-TAC should be able to compensate CXCL10/IP-10’s function in CXCL10/IP-10-deficient mice. However, our results suggest that the in vivo fuction of CXCL10/IP-10 is indispensable following dengue virus infection. Collectively, the results on animal study suggest that both CXCR3 and CXCL10/IP-10 play critical roles in resistance to primary dengue virus infection and that the function of chemokine in vivo may not be redundant.
Huang, Kuo-Hsiung, e 黃國雄. "Mechanisms Underlying the Mycobacterium Tuberculosis Mediated IP-10 (IFN-gamma-inducible protein 10 kD) expression in Human Monocytic cells". Thesis, 2014. http://ndltd.ncl.edu.tw/handle/63257263896236070297.
Testo completo臺北醫學大學
醫學科學研究所
102
C-X-C chemokines, such as IP-10 (CXCL10, IFN-gamma-inducible Protein 10 kD) and IL-8 (CXCL8, Interleukin 8) play critical roles in the immunopathogenesis of pulmonary against Mycobacterium tuberculosis (M. Tb) at the pathologic site(s). NF-kappaB repressing factor (NRF) is a transcriptional silencer and has been reported to bind in negative regulatory element (NRE) site and implicated in the basal silencing of IL-8 genes. We checked and found a similar NRE site in IP-10 gene promoter region. To understand the regulatory role of NRF in IP-10 release on pulmonary TB, we studied the alveolar macrophages (AM) and peripheral blood mononuclear cells (PBMC) derived from patients with active TB and normal subjects, and THP-1 cell line, respectively. The Amplified Mycobacterium Tuberculosis Direct (AMTD) test showed that the bacterial loads in AM of pulmonary TB patients in terms of ribosomal RNA were highly compatible with sputum bacterial load of M. Tb. Using confocal image analysis, western blot and quantitative real-time PCR, we demonstrated that the protein and mRNA levels of IP-10 and NRF were significantly higher in AM, PBMC in patients with active pulmonary TB and THP-1 cells treated with heated Tuberculosis bacilli (H. TB), respectively. And the release of IP-10 is mediated via NF-kappaB (p65). In PBMC, the chromatin immunoprecipitation (ChIP) assay showed a higher binding of NRF to IP-10 promoter sites in TB patients with high bacterial load compared to low bacterial load or normal subjects. The ChIP assay in THP-1 cell treated with H. TB showed NRF binding to IP-10 promoter sites was higher in high dose H. TB group. NRF knockdown (SiNRF) significantly increased the release of IP-10 from PBMC of TB patients with high bacterial load than normal subjects. SiNRF can also increase the release of IP-10 in normal subjects’ PBMC and THP-1 cells treated with H. TB, significantly. Using p-CMV6-XL4-NRF (p-CMV-NRF), overexpression NRF inhibited NF-kappaB-mediated IP-10 synthesis and release in active pulmonary TB patients’ PBMC and THP-1 cells treated with H. TB, respectively. In active pulmonary TB patients’ AM and PBMC, the repressive effect of NRF is mediated via interference with NF-kappaB (p65) binding and recruitment to promoter sites of IP-10. NRF downregulated IP-10 basal expression and H. TB induced IP-10 synthesis via interference with NF-kappaB (p65) binding and RNA polymerase II recruitment to IP-10 promoter site in THP-1 cells. Taken together the present results, we not only reveal the mechanism in NRF modulate M. Tb induced IP-10 release for the first time, but also provide a possible therapeutic strategies in the regulation of NRF to helping pulmonary TB patients.
Yang, Che-Wen, e 楊哲文. "The roles of IP-10 in the pathogenesis of severe cutaneous adverse drug reactions". Thesis, 2017. http://ndltd.ncl.edu.tw/handle/rsqp3f.
Testo completo國立臺灣大學
臨床醫學研究所
105
The clinical manifestations of cutaneous adverse drug reactions (cADRs) encompass a wide spectrum of clinical severity, ranging from benign maculopapular eruption (MPE) to severe cutaneous adverse reactions (SCARs). As one of the SCARs, drug reaction with eosinophilia and systemic symptoms (DRESS) involves several unique features, including delayed onset, fever, rash, lymphadenopathy, hematological abnormalities, systemic illness, and prolonged courses. In recent years, a number of studies have focused in particular on sequential human herpes virus 6 (HHV-6) reactivation in DRESS. From our published data, the HHV-6 reactivation rate was 43.5% in DRESS group but not in other cADR patients. DRESS patients with HHV-6 reactivation usually have more severe presentations, more frequent flaring courses, and prolonged illness compared to those without HHV-6 reactivation. When compared with DRESS patients without HHV-6 reactivation and SJS/TEN patients, IL-1Ra, IL-1β, IL-6 and TNF-α levels at acute stage were significantly lower in DRESS patients with HHV-6 reactivation, and IP-10 level was significantly higher. The above mentioned findings have raised our interest to explore the role of IP-10 in the pathomechanism of DRESS. In this study, we aim to investigate the roles of IP-10 in cutaneous pathology, immunological mechanisms and HHV-6 reactivation among patients with DRESS and SJS. A prospective study had been conducted since September 2010 to May 2016 at NTUH. Hospitalized patients who were diagnosed as having DRESS or SJS/TEN by dermatologists were included. Clinical and laboratory data were collected and analyzed. Skin biopsy specimens were prepared for immunohistochemistry staining with IP-10 and CXCR3. From 66 DRESS patients, we found a higher IP-10 level among those with HHV-6 reactivation. Lower B cell counts at acute stage were detected in patients with DRESS but not in those with SJS/TEN. In this prospective cohort, the chronic complications encountered in DRESS patients include Hashimoto’s thyroiditis, followed by type 1 diabetes mellitus (DM) and long-term dialysis resulting from the worsening of pre-existing renal failure. Compared with SJS skin lesions, more abundant IP-10+ and CXCR3+ cells were demonstrated in DRESS skin biopsies on immunohistochemistry analysis. There were significantly higher percentage of CXCR3+CD4+ T cells、CXCR3+CD8+ T cells and CXCR3+CLA+ cells in the PBMCs of patients of DRESS, consistent with histological findings. The results from this study suggest the IP-10/CXCR3 axis may participate to a different extent in the skin inflammatory process of DRESS and SJS/TEN.
Nawka, Peter. "Überprüfung eines Serumproteinprofils für die Diagnostik von Glioblastomen". Doctoral thesis, 2013. http://hdl.handle.net/11858/00-1735-0000-0001-BC2F-4.
Testo completoQuante, Markus [Verfasser]. "Genexpression des Chemokinrezeptors CXCR3 und seiner Liganden Mig und IP-10 in der Frühphase nach allogener Nierentransplantation / vorgelegt von Markus Quante". 2008. http://d-nb.info/989793737/34.
Testo completoEnderlin, Marta [Verfasser]. "Evaluation of IP-10 and TNFα-transducing [TNF-alpha-transducing] parvoviral vectors as antitumoral agents in animal glioblastoma models / presented by Marta Enderlin". 2005. http://d-nb.info/97446712X/34.
Testo completoVlachakis, Dimitrios P. "Zur Rolle der Chemokine IP-10, MIG und I-TAC bei der Rekrutierung von T-Lymphozyten in das Lungengewebe von Patienten mit Sarkoidose und anderen granulomatösen Lungenerkrankungen /". 2005. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=015045388&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
Testo completoSabelhaus, Anne [Verfasser]. "Modulation der Chemokine IP-10 und MCP-1 und ihrer Rezeptoren CXCR3 bzw. CCR2 durch Interferon-β1a [Interferon-beta-1-a] in vitro und in vivo / vorgelegt von Anne Sabelhaus". 2007. http://d-nb.info/982863845/34.
Testo completoJodoin, Danielle. "Le "sacrifice" du Christ et le "sacrifice" des chrétiens dans la Lettre aux Romains et la Première lettre de Pierre : incidences herméneutiques d'une approche synchronique axée sur les métaphores et l'intertextualité". Thèse, 2009. http://hdl.handle.net/1866/6704.
Testo completoMußil, Bianka. "Charakterisierung der angeborenen Immunantwort in SIV-infizierten Rhesusaffen". Doctoral thesis, 2009. http://hdl.handle.net/11858/00-1735-0000-0006-AD8F-C.
Testo completoKhan, Sajjad. "Differential gene expression of chemokines in KRAS and BRAF mutated colorectal cell lines: Role of cytokines". Doctoral thesis, 2013. http://hdl.handle.net/11858/00-1735-0000-001D-BF64-6.
Testo completoChen, Hsiu-Lin, e 陳秀玲. "Soluble form of the triggering receptor expressed on myeloid cells-1 (sTREM-1) and CXC chemokine IP-10 as diagnostic markers of serious bacterial infection in infants younger than 4 months of age". Thesis, 2006. http://ndltd.ncl.edu.tw/handle/86046193513893686321.
Testo completo高雄醫學大學
醫學研究所碩士班
95
英文摘要 Background: Early diagnosis of serious bacterial infection (SBI) in young infants is a difficult problem by using clinical symptoms and signs. The goal of this study is to evaluate to diagnostic value of newly discovered inflammatory mediators: soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) or CXC chemokine IP-10 level for early diagnosis of SBI in infants younger than 4 months of age. Methods: We enrolled pediatric patients who were less than 4 months of age with a suspicion to have SBI and admitted in neonatal intensive care unit or complete nursing unit of pediatric department of Kaohsiung Medical University hospital. Peripheral blood was drawn for measurement of complete blood count, CRP, sTREM-1 or IP-10 levels at admission. Positive blood, CSF, or urine culture was considered to have SBI. Soluble TREM-1 and IP-10 were detected by commercial ELISA kits. Results: There were 118 patients to have sTREM-1 measurement. The SBI group (n=39) have higher plasma sTREM-1 level than non-SBI group (n=79) (299.8±555.4 v.s. 15.4±19.7,p=0.003 after adjusting age by ANCOVA analysis). Plasma sTREM-1 level higher than 55.2 ng/mL was more accurate than WBC count, absolute neutrophils counts, IT ratio, and CRP for indicating SBI in infants.[sensitivity 64.1% (95% CI, 55%-73%); specificity 97% (95% CI, 94%-100%); positive likelihood ratio 21.3; negative likelihood ratio 0.37; diagnostic odds ratio 57.5]。Sixty patients were collected to have measurement of IP-10. Plasma IP-10 level had significantly increase in SBI group [320.1±497.9 v.s. 11.6±23.7, p=0.016, after adjusting age by ANCOVA analysis] 。Plasma IP-10 level higher than 48.2 ng/mL had best diagnostic accuracy for indicating SBI. [sensitivity 81% (95% CI, 71%-90%); specificity 95% (95% CI 89%-100%); positive likelihood ratio 15.9,negative likelihood ratio 0.2; diagnostic odds ratio 79.3]。 Conclusion: In infants who were less than 4 months old, plasma sTREM-1 or IP-10 level might play a potential role in early identification of serious bacterial infection.