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国家重点基础研究发展计划(2006CB503805)

作品数:14 被引量:92H指数:4
相关作者:孙凯樊晓寒周宪梁吴海英张慧敏更多>>
相关机构:中国医学科学院阜外心血管医院首都医科大学中国协和医科大学更多>>
发文基金:国家重点基础研究发展计划国家高技术研究发展计划北京市自然科学基金更多>>
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2005年河南信阳地区低胆固醇血症调查
2008年
目的了解河南信阳地区低胆固醇血症的患病情况。方法对信阳市7个自然村40岁以上村民进行普查,统计不同年龄、不同性别人群的低胆固醇血症患病率。以血总胆固醇<4.15 mmol/L为诊断标准。结果取得完整数据者共有6136人,其中低胆固醇血症者632人,总患病率10.30%。男性患病率为13.77%,女性患病率为8.48%。以年龄分为4组,分别是40~49岁组、50~59岁组、60~69岁组和大于70岁组。这4组的患病率分别为17.54%、8.76%、8.70%和7.59%。结论年龄和性别对低胆固醇血症患病率有显著影响。
李文龙王晓建孙凯惠汝太
关键词:低胆固醇血症患病率性别年龄
Variations in the calpain-10 gene are associated with the risk of type 2 diabetes and hypertension in northern Han Chinese population被引量:4
2007年
Background Calpain-10 (CAPNIO) has been identified as a susceptibility gene in type 2 diabetes mellitus (T2DM) and insulin resistance. The present study aimed to identify the effects of genetic variations in the CAPNIO gene on the development of type 2 diabetes and hypertension in northern Han Chinese population. Methods We performed a case-control study and genotyped single nucleotide polymorphism (SNP)-44, -43, -19 and -63 of CAPNIO gene in 1046 subjects from the northern China, including 493 patients with T2DM and hypertension and 553 age- and gender-matched normal healthy controls. Results Univariate analysis showed that the four polymorphisms were not independently associated with T2DM and hypertension. However, the frequency distributions of SNP-44 allele C (allele 2) (17.89% vs 9.80%, P=-0.0016) and genotype CC (22) (4.21% vs 1.01%, P=-0.0059) in obese patients (body mass index 〉 30 kg/m2) were different from those in non-obese patients. Logistic regression analyses revealed that carriers of the 1112/1221 diplotype had a significantly lower odds ratio for diabetes and hypertension (OR=0.399, 95% CI, 0.196-0.814, P=-0.0115). The 1112/1121 diplotype associated with significantly increased risk of type 2 diabetes in Mexican-American was not associated with the increased risk in Chinese. Conclusion These results suggested that CAPNIO gene variations might play roles in the risk of diabetes and hypertension in northern Han Chinese population.
CHEN Shu-fengLU Xiang-fengYAN Wei-liHUANG Jian-fengGU Dong-feng
关键词:GENETICS
Variants of tumor necrosis factor-induced protein 3 gene are associated with left ventricular hypertrophy in hypertensive patients被引量:4
2011年
Background Tumor necrosis factor-induced protein 3 (TNFAIP3) gene has been shown important in cardiac remodeling. The aim of the present study was to investigate whether the variants of TNFAIP3 gene are associated with left ventricular hypertrophy (LVH) in hypertensive patients.Methods Four representatives of all the other single nucleotide polymorphisms (SNPs) in TNFAIP3 gene were tested for association with hypertrophy in two independent hypertensive populations (n=2120 and n=324).Results We found that only the tag SNP (rs5029939) was consistently lower in the hypertensives with cardiac hypertrophy than in those without cardiac hypertrophy in the two study populations, indicating a protective effect on LVH (odds ratio (OR) (95% confidence interval (CI))0.58 (0.358-0.863), P=0.035; OR (95% CI)=0.477 (0.225-0.815), P〈0.05,respectively). Multiple regression analyses confirmed that the patients with G allele of rs5029939 had less thickness in inter-ventricular septum, left ventricular posterior wall, relative wall thickness and left ventricular mass index than did those with CC allele in the hypertensive patients in both study populations (all P〈0.01).Conclusion These findings indicate that the SNP (rs5029939) in the TNFAIP3 gene may serve as a novel protective genetic marker for the development of LVH in patients with hypertension
XUE HaoWANG Shu-xiaWANG Xiao-jianXIN YingWANG HuSONG Xiao-dongSUN KaiWANG Yi-boHUI Ru-tai
关键词:POLYMORPHISMHYPERTENSION
Association of the Apolipoprotein B Gene Polymorphisms With Essential Hypertension in Northern Chinese Han Population被引量:4
2007年
Objective To study the association of the apolipoprotein B gene polymorphisms with essential hypertension in Northern Chinese Han population. Methods XbaI and EcoRl polymorphisms of the apolipoprotein B (APOB) gene were genotyped by polymerase chain reaction (PCR) and restriction fragment-length polymorphism (RFLP) method in 503 unrelated hypertensive patients and 490 healthy controls recruited from international collaborative study of cardiovascular disease in Asia (InterAsia). Results The difference in the genotypic distributions could be neglected across the groups. The prevalence of X+ allele in healthy controls (4.8%) was less frequent in Chinese, and there was no significant difference in the frequency of the X+ allele between cases (5.7%) and controls (P=0.38). The observed E- allele frequencies were closely similar among groups (5.9% in cases vs 5.0% in controls, P=0.39). Logitstic regression analyses revealed that the lack of association still persisted after adjustment of other environmental factors. Haplotype analysis showed that X-E+ was most frequent and no haplotype could significantly contribute to essential hypertension. Conclusion The APOB gene XbaI and EcoRI polymorphisms are not associated with essential hypertension in the Northern Chinese Han population. Future studies on single nucleotide polymorphisms in larger samples are needed to further investigate the possible contribution of the APOB gene to essential hypertension.
WEI-YAN ZHAOJIAN-FENG HUANGLAI-YUAN WANGHONG-FAN LIPENG-HUA ZHANGQI ZHAOSHU-FENG CHENDONG-FENG GU
关键词:POLYMORPHISMS
中国河南信阳农村地区老年高血压女性患者临床特征分析被引量:6
2017年
目的分析中国河南信阳农村地区老年女性高血压患者的临床特征。方法回顾性分析2004年10月~2005年3月收集的河南信阳农村地区的临床病历资料完整的女性高血压患者2847例。将年龄≥60岁的1166例作为老年组,年龄45~59岁的1681例作为中年组,比较2组患者临床特征、诊室血压及不同体位血压等差异。结果老年组基线收缩压水平显著高于中年组,舒张压低于中年组(P<0.01)。与中年组比较,老年组3级高血压、腹型肥胖、高TC血症及高尿酸血症比例更高,且更易伴发冠心病、脑卒中、肾功能不全等临床合并症(P<0.01),发生体位性低血压的比例更高(18.2%vs 15.2%,P=0.033)。老年组与中年组患者未接受降压治疗比例均为59.3%。多因素回归分析校正年龄等危险因素后显示,体位性低血压与老年女性高血压患者冠心病风险呈正相关(OR=1.632,95%CI:1.200~2.218,P=0.002),与脑卒中无关。结论老年高血压女性较中年高血压女性合并更多的危险因素和临床合并症,容易发生体位性低血压。
李晓飞孙凯陈敬洲惠汝太樊晓寒
关键词:高血压超重高尿酸血症
主动脉夹层与炎症被引量:3
2009年
主动脉夹层是一种危及生命的心血管疾病,具有高发病率及死亡率。如未得到及时治疗,急性事件发生后的前48小时,死亡率高达50%-68%,3个月的死亡率可达到90%^[1]。另外,随着近年高血压等夹层危险因素发病率的上升,以及人口的老龄化,主动脉夹层的发病率呈逐年上升趋势^[2]。
罗芳周宪梁李建军惠汝太
关键词:主动脉夹层炎症病理机制炎性标记物影像学
中国农村高血压患者高尿酸血症患病率及相关因素分析被引量:13
2009年
目的探讨中国农村高血压患者中高尿酸血症的患病率及其影响因素。方法通过阶段性随机整群抽样入选河南信阳7个社区5235例40~75岁高血压患者,进行问卷、体检、生化指标测定等检查。高尿酸血症定义为血尿酸水平男性≥420μmol/L,女性≥360μmol/L。结果高血压患者高尿酸血症患病率14.1%,男性显著高于女性(21.5%比10.2%,P〈0.01)。高尿酸血症患病率随体重指数(BMI)增加显著升高,在BMI〈25和≥30的男性中分别为14.4%、30.4%,女性中分别为7.2%、17.0%。血尿酸水平在男、女性中均随BMI增加显著升高[男性(328±83)、(383±86)μmol/L;女性(251±70)、(293±75)μmol/L;均P〈0.01],高尿酸血症患病率仅在女性中随年龄增加显著升高(40—70岁以上:5.8%~18.0%,P〈0.01)。降压药物、血脂异常、吸烟、饮酒均显著增加高尿酸血症患病率及血尿酸水平(均P〈0.01),但Ⅰ、Ⅱ、Ⅲ级高血压各组间差异无统计学意义(均P〉0.05)。多元Logistic回归分析发现男性中BMI、饮酒和应用利尿剂,女性中年龄、BMI、血脂异常、吸烟和应用降压药物是高尿酸血症的独立危险因素。结论农村高血压患者高尿酸血症患病率相对较低,性别、年龄、BMI、降压药物、血脂异常、吸烟、饮酒等均可影响血尿酸水平和高尿酸血症患病率,不同性别的影响因素不同。
樊晓寒孙凯汪一波党爱民周宪梁张慧敏吴海英惠汝太
关键词:尿酸高血压
Relationship between cystathionine γ-lyase gene polymorphism and essential hypertension in Northern Chinese Han population被引量:4
2008年
Background Hydrogen sulfide (H2S) plays an important role in the smooth muscle cell relaxation and thereby participates in the development of hypertension. Cystathionine γ-lyase is the key enzyme in the endogenous production of H2S. Up to now, the reports on the relationship between the polymorphisms of cystathionine γ-lyase gene (CTH) and essential hypertension (EH) are limited. This study was designed to assess their underlying relationship. Methods A total of 503 hypertensive patients and 490 age-, gender- and area-matched normotensive controls were enrolled in this study. Based on the FASTSNP, a web server to identify putative functional single nucleotide polymorphisms (SNPs) of genes, we selected two SNPs, rs482843 and rs1021737, in the CTH gene for genotyping. Genotyping was performed by the polymerase chain reaction and restriction fragment length polymorphism method (PCR-RFLP). The frequencies of the alleles and genotypes between cases and controls were compared by the chi-square test. The program Haplo.stats was used to investigate the relationship between the haplotypes and EH. Results These two SNPs were in Hardy-Weinberg Equilibrium in both cases and controls. The genotype distribution and allele frequencies of them did not significantly differ between cases and controls (all P〉0.05). In the stepwise logistic regression analysis we failed to observe their association with hypertension. In addition, none of the four estimated haplotypes or diplotypes significantly increased or decreased the risk of hypertension before or after adjustment for several known risk factors. Conclusions The present study suggests that the SNPs rs482843 and rs1021737 of the CTH gene were not associated with essential hypertension in the Northern Chinese Han population. However, replications in other populations and further functional studies are still necessary to clarify the role of the CTH gene in the pathogenesis of EH.
LI YunZHAO QiLIU Xiao-liWANG Lai-yuanLU Xiang-fengLI Hong-fangCHEN Shu-fengHUANG Jian-fengGU Dong-feng
关键词:HAPLOTYPEHYPERTENSION
血红素加氧酶1基因多态性与血压水平的关系分析
2008年
目的探讨血红素加氧酶1基因多态性与血压水平的关系。方法采用标签SNP策略,选择血红素加氧酶1基因的3个标签SNP位点进行研究。在503例原发性高血压患者中对这3个位点进行基因分型,采用方差分析比较各位点不同基因型个体血压水平的差异,采用haplo.stats软件计算单体型频率并检验其与血压水平的关系。结果血红素加氧酶1基因rs2071749位点A等位基因携带者收缩压和舒张压水平分别为159.5mmHg和97.6mmHg,GG基因型携带者收缩压和舒张压水平分别为168.5mmHg和101.3mmHg,差异有统计学意义(P〈0.05)。多因素回归分析进一步证实了该结果。单体型分析结果显示在调整年龄、性别、体质指数、吸烟和饮酒等危险因素后,含有rs2071749A等位基因的单体型T—T-A与收缩压水平和舒张压水平均显著相关。结论血红素加氧酶1基因多态可能对血压水平有一定的影响。
李云刘晓丽王来元曹杰李建新鲁向锋黄建凤顾东风
关键词:血红素加氧酶多态性单体型血压
高血尿酸增加高血压靶器官损害的性别差异被引量:2
2009年
目的:探讨中国农村高血压患者高血尿酸增加高血压靶器官损害是否存在性别差异。方法:本研究为横断面研究,通过阶段性随机整群抽样入选河南信阳7个社区4 163例40~75岁高血压患者,进行问卷、体检、生化检查等确定合并危险因素及血尿酸和血肌酐水平,进行心脏超声检查明确左心室肥厚情况。结果:男性血肌酐升高者(>115μmol/L)显著高于女性(>107μmol/L)(5.2%vs.1.5%,P<0.001),左心室肥厚者显著低于女性(33.8%vs.41.9%,P<0.001),差异均有统计学意义。男、女性血肌酐升高者较血肌酐正常者血尿酸水平显著升高(均P<0.001),差异有统计学意义。女性左心室肥厚者血尿酸水平显著高于无左心室肥厚者[(264.5±70.1)vs.(250.6±66.5)μmol/L,P<0.001],差异有统计学意义,但在男性中无显著差异(P>0.05)。Logistic回归分析调整多个危险因素后发现与血尿酸水平Ⅰ分位组比较,血尿酸水平Ⅳ分位组显著增加男性血肌酐升高危险(OR,15.8,95%CI:3.3~77.2),而在女性未治疗高血压患者中显著增加左心室肥厚危险(OR,1.51,95%CI:1.13~2.03)。结论:高血尿酸增加高血压靶器官损害存在性别差异,在女性中显著增加左心室肥厚危险,在男性中增加肾脏损害。
樊晓寒孙凯娄可佳党爱民周宪梁张慧敏吴海英惠汝太
关键词:性别差异血尿酸高血压靶器官损害
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