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本研究显示维甲酸(RA)能明显增加人脐带血管内皮细胞(HUVECs)血栓调节蛋白(TM)、组织纤溶酶原激活物(t-PA)和前列环素(PGI_2)的分泌与合成,此种作用呈现时间及剂量依赖性。RA作用24小时后可使TM及PGI_2分泌较初始分别增加3~4倍及7倍左右。癌性促凝物(CP)与肿瘤坏死因子(TNFα)作用类似。对TM呈现抑制作用,对t-PA及PGI_2则有促进分泌与合成的作用,其中以CP为明显。CP尚有抑制vWF的作用。联合RA与CP或TNFα一起培养,RA可逆转后二者对TM的抑制作用,改变CP对t-PA及vWF的影响。
This study showed that retinoic acid (RA) significantly increased the secretion and synthesis of thrombomodulin (TM), tissue plasminogen activator (t-PA) and prostacyclin (PGI_2) in human umbilical cord endothelial cells (HUVECs) This effect showed time and dose-dependent. After 24 hours, the secretion of TM and PGI_2 increased by 3 ~ 4 times and 7 times respectively. Cancerous coagulants (CP) function similarly to tumor necrosis factor (TNFα). On the TM showed inhibition of t-PA and PGI_2 have a role in promoting secretion and synthesis, of which CP was obvious. CP still has the effect of inhibiting vWF. The combined RA and CP or TNFα cultured together, RA can be reversed after the inhibition of TM, changing the impact of CP on t-PA and vWF.