小鼠对结核分枝杆菌Ag85B-Esat6-HspX融合基因的免疫反应

目的研究结核分枝杆菌Ag85B-Esat6-HspX融合基因的免疫原性。方法将40只BALB/c小鼠随机分成4组,NS组、BCG组、pcDNA-HspX组和pcDNA-Ag85B-Esat6-HspX组,每组10只。BCG组只在0周时皮内注射卡介苗1次。NS组、pcDNA-HspX组及融合基因组分别于0、2、4周肌肉注射生理盐水和重组质粒DNA,共免疫3次。在免疫的第2周,4周及最后一次免疫后2周检测体血清中的总IgG水平。同时,最后一次免疫后2周,取脾细胞检测细胞免疫反应。结果构建的融合基因重组质粒DNA免疫动物后能产生针对结核杆菌特定抗原的特异性细胞免疫和体液免疫应答,具有较强的免疫原性。结论结核分枝杆菌Ag85B-Esat6-HspX融合基因可作为DNA疫苗进行保护作用的研究。     

结核分枝杆菌Ag85B-Ag85A双抗原融合真核表达质粒的构建及表达

目的：构建结核分枝杆菌分泌蛋白Ag85B-Ag85A融合基因及其双价抗原真核表达载体．方法：采用gene SOE-ing法将Ag85B和Ag85A编码基因用疏水甘氨酸接头(Gly4Ser)3行PCR扩增融合，经限制性内切酶消化后克隆入pcDNA3．1( )中构建真核表达质粒pCDAg85B-A，酶切、DNA测序鉴定，用脂质体法将pCDAg85B-A转染COS-7细胞，采用RT-PCR，ELISA方法检测其表达．结果：Ag85B-Ag85A融合基因定向克隆人pcDNA3．1( )，双向测序表明碱基无突变，Ag85B-Ag85A融合基因在真核细胞中能表达．结论：成功构建结核分枝杆菌分泌蛋白Ag85B-Ag85A融合基因及其双价抗原真核表达载体，为结核病基因疫苗的研究奠定基础．     

融合表达Ag85B-ESAT6的结核分枝杆菌真核表达载体的构建及其免疫原性

目的: 构建融合表达结核分枝杆菌(Mycobacterium tuberculosis, MTB)分泌蛋白Ag85B-ESAT6真核表达载体,研究该重组载体在体外的表达和在小鼠体内诱生体液免疫应答的能力. 方法: 设计含不同酶切位点的Ag85B和ESAT6引物,采用PCR的方法从MTB毒株H37Rv-DNA中分别扩增出相应大小的DNA片段,将片段分别与pGEM-T-easy载体连接后测序. 将测序正确的Ag85B和ESAT6按照不同的酶切位点克隆入真核表达载体pcDNA3,挑选出阳性克隆,分别命名为AZ-pcDNA3-EF和EZ-pcDNA3-AF,将重组质粒电转CHO细胞,RT-PCR检测融合蛋白mRNA的表达,间接免疫荧光测定CHO细胞内融合蛋白的表达;用重组质粒免疫BALB/c小鼠,ELISA测定特异性抗体的滴度. 结果: PCR获得的Ag85B和ESAT6序列与GenBank报道的一致. RT-PCR可检测融合基因转录出mRNA,转染重组质粒的CHO细胞内有较强的免疫荧光,AZ-pcDNA3-EF质粒免疫小鼠血清特异性抗体滴度为1∶ 1000,EZ-pcDNA3-AF质粒免疫小鼠血清特异性抗体滴度为1∶ 1500. 结论: Ag85B和ESAT6融合基因真核表达载体构建成功,有望为结核病的预防提供有效的基因疫苗.     

分枝杆菌胞壁融合表达Ag85B-ESAT-6穿梭质粒的构建

目的:构建E.coli.-BCG(Bacille Calmette-Guerin)穿梭载体，在母牛分枝杆菌细胞壁融合表达结核分枝杆菌(MTB)的分泌蛋白Ag85B-ESAT-6．方法：用聚合酶链反应(PCR)]从MTB毒株H37Rv基因中扩增出结核分枝杆菌19000抗原(19-ss)胞壁区及其上游调控元件基因，克隆入E.coli.-BCG穿梭载体pOLYG中，构建表达蛋白能嵌入细胞壁中的E.coli.-BCG穿梭载体．用间接免疫荧光染色法观察该载体携带所构建的结核分枝杆菌分泌蛋白Ag85B和ESAT-6基因在母牛分枝杆菌宿主中的融合表达．     

结核分枝杆菌Ag85B-MPT64融合基因的构建表达

目的：构建结核分枝杆菌(H37Rv)Ag85B-MPT64融合基因并在真核细胞中表达．方法：采用序贯PCR(geneSOEing)法将Ag85B和MPT64编码基因用疏水甘氨酸接头(Gly4Ser)3经PCR扩增融合，定向克隆入pcDNA3．1( )中。采用脂质体转染法将pcDNA／Ag85B—MPT64(pcDNA／AM)转染COS-7细胞，用RT-PCR、ELISA和斑点印迹法检测其表达。结果：Ag85B-MPT64融合基因经双向DNA序列测定，碱基突变率为0．11％(2／1707)，突变为无意义突变；重组质粒转染COS-7细胞后经检测证实，该融合基因能在真核细胞中表达。结论：成功地构建了Ag85B-MPT64融合基因并在真核细胞中表达，融合蛋白具有良好的抗原性。     

结核分枝杆菌Ag85B与MPT64真核共表达质粒的构建及表达

目的:构建结核分枝杆菌Ag85B和MPT64编码基因的共表达载体pBud85B-MPT.方法:将结核分枝杆菌Ag85B、MPT64基因同时克隆进多启动子共表达载体pBudCE4.1中,得到真核共表达质粒pBud85B-MPT;将pBud85B-MPT转染COS-7细胞,通过RT-PCR方法检测目的基因的表达.结果:在COS-7细胞中同时检测到Ag85B、MPT64的表达.结论:pBud85B-MPT共表达质粒构建成功,为进一步研究新型结核病疫苗奠定基础.     

结核分枝杆菌esat6-cfp10融合基因疫苗的构建及表达

目的：构建结核分枝杆菌esat6-cfp10融合基因疫苗并对其在体外进行表达。方法：用PCR技术从MTB毒株H37Rv基因组DNA中扩增cfp10基因,以Hindm和EcoR Ⅰ双酶切后克隆人含esat6基因的pGEM-7zf( )载体中,将测序正确的esat6-cfp10融合基因按照BamH Ⅰ和EcoR Ⅰ酶切位点亚克隆人真核表达载体pcDNA3．1( ),重组质粒酶切鉴定正确后以脂质体转染CHO细胞,分别以RT—PCR方法检测mRNA表达和间接免疫荧光技术检测目的蛋白的表达．结果：PCR获得的cfp10基因序列与献报道一致,大小约为350bp．重组真核表达质粒酶切后可获得约630bp的融合esat6-cfp10基因片段．RT—PCR可获得大小约为350bp的诉CFP10基因,间接免疫荧光检测后表达有Esat6-Cfp10蛋白的阳性细胞着染．结论：成功克隆结核分枝杆菌CFP10基因,构建了融合有esat6-cfp10基因的真核表达质粒并对其在体外进行了表达。     

结核分枝杆菌Rv2389基因真核表达质粒的构建及表达

目的:构建结核分枝杆菌Rv2389基因真核表达载体.方法:PCR扩增Rv2389基因,测序正确后克隆入真核表达载体pCDNA3.1(-),重组质粒酶切鉴定正确后以阳离子聚合物转染CHO细胞后, 分别以RT-PCR方法检测mRNA表达和间接免疫荧光技术检测目的蛋白的表达.结果:构建了重组质粒pCDNA- Rv2389, RT-PCR结果证明Rv2389可在CHO细胞中转录,间接免疫荧光检测证明,表达有Rv2389蛋白的细胞着染.结论:成功构建了结核分枝杆菌Rv2389基因的真核表达载体pCDNA-Rv2389,Rv2389基因可以在CHO细胞中表达.     

结核分枝杆菌Ag85B、TB10.4及Ag85B-TB10.4融合基因的克隆表达及生物信息学分析

目的构建结核分枝杆菌Ag85B、TB10.4及Ag85B-TB10.4融合表达载体,并进行抗原的生物信息学分析,为候选疫苗筛选奠定基础。方法从结核分枝杆菌H37Rv菌株中分别扩增出Ag85B基因,TB10.4基因,Ag85B-TB10.4;将Ag85B克隆入pET-28a(+)表达载体中,将TB10.4和Ag85B-TB10.4分别克隆入pET-SUMO表达载体中。上述重组质粒转化入大肠埃希杆菌BL21菌中(DE3),经IPTG诱导表达,并对其进行生物信息学分析。结果 (1)成功将结核分枝杆菌Ag85B和TB10.4,Ag85B-TB10.4基因分别克隆入pET28a(+)和pET-SUMO表达载体中,经IPTG诱导蛋白表达后,对经超声裂解的菌液上清进行SDSPAGE电泳,表明获得了与预期蛋白大小一致的表达产物,重组融合蛋白pET-SUMO-Ag85B-TB10.4蛋白分子质量约为54kDa。(2)生物信息学分析显示Ag85B-TB10.4融合蛋白具有多个潜在抗原位点。结论成功构建了重组质粒pET-28a-Ag85B,pET-SUMO-TB10.4和pET-SUMO-Ag85B-TB10.4,并获得了Ag85B,TB10.4和Ag85B-TB10.4的可溶性原核表达产物;生物信息学分析在Ag85B与TB10.4蛋白加入一段蛋白linker后蛋白的亲水性增强,抗原决定簇面积增大,为后续的功能实验研究奠定了基础。     

结核分枝杆菌Ag85A真核表达质粒的构建与鉴定

目的：构建结核分枝杆菌Ag85A重组真核表达质粒，为DNA疫苗的研究提供靶基因。方法：采用聚合酶链反应(PCR)方法从结核分枝杆菌H37Rv基因组DNA中扩增出结核杆菌Ag85A分泌性蛋白的基因，应用T-A克隆技术，直接与pUCan-T载体连接，转化大肠杆菌JMl09(E．coli JMl09)，蓝白筛选，阳性克隆经酶切鉴定和DNA测序证实基因碱基无误后，用NheⅠ和XbaⅠ双酶消化，回收的小片段与用NheⅠ和XbaⅠ消化的真核表达质粒pCI-neo连接，转化E.coli JMl09，筛选阳性克隆酶切鉴定。结果：经酶切鉴定，证实结核分枝杆菌重组真核表达质粒pCI-Ag85A构建正确。结论：结核分枝杆菌真核表达质粒pCI-Ag85A构建成功，为进一步研究其作为一种结核病DNA密菌在预防和治疗结核病中的作用奠定了基础。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

CLINICAL SIGNIFICANCE OF SERUM CYTOKINES IL-1β,sIL-2R,IL-6,TNF-α,AND IFN-v IN ACUTE CORONARY SYNDROME

Objectives To explore serum cytokines levels (including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v) and their significance in patients with acute coronary syndrome (ACS) and the subsequent follow-ups, with attempt to estimate the role of various serum inflammatory markers in the diagnosis and assessment of ACS.Methods The study population include 40 patients with acute myocardial infarction (AMI), 40 patients with unstable angina pectoris (UAP), and 40 controls. Among the 80 patients, 60 patients attended a follow up 4 months later. Serum inflammatory markers including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v were measured by enzyme linked immunosorbent assay.Results Serum IL- 1 β, sIL-2R, IL-6, TNF-α were significantly higher in AMI group or UAP group compared to the control group and became significantly lower 4 months later in the follow-up patients. Serum levels of IFN-v shows no significant difference between AMI group or UAP group and controls, also showing no significant change when measured in follow up patients. There was no correlation between serum creatine kinase-MB isoenzyme levels and serum inflammatory markers either in UAP or AMI group. Furthermore, when divided into two subgroups using Wagner's QRS scoring system in the AMI group, there is no difference of each serum inflammatory marker between ≤ 6 scores group and ＞ 6 scores group.Conclusion Serum levels of certain inflammatory markers may have some diagnostic value for ACS, and can be a useful marker reflecting disease stability.     

Possible Spread of adenovirus type 3 from poultry to humans ：indirect evidence from an outbreak in China

Objective:To explore the epidemiology and etiology for an outbreak of acute respiratory tract infection that occurred in one county of Jiangsu Province, China 2004. Methods: Only cases meeting the case definition were included in the study. We reviewed the medical records of the cases who were admitted to the local hospitals, interviewed cases by a standard questionnaire, and then described the epidemiotogic features and analyzed risk factors by means of a case-control study. We collected pharyngeal swab specimens and sent them to different laboratories for isolation and culture. The laboratory used different detection methods such as DIP, PCR, electron microscope examination and microneutralization assay, to identify and then type the positive specimens. Results:A total of 871 cases were reported during the period from April 18 to July 4,2004. The distribution of onset times presented two peaks, one in late May and another in middle June. The epidemic occurred mainly in the elementary and junior high schools in ten townships of one county, and the mean age of the cases was 12 years (range 7 months to 18 years). The course of the disease was acute, and was characterized by fever accompanied with sore throat and tonsillitis. The WBC count of cases was normal or elevated. The mean duration of illness was 5 days (range 2 to 12 days). No fatalities from illness were reported. A case-control study indicated that the possible risk factors were close contact with a case and/or poultry before onset and sharing of towels among members of the family. The typical CPE was observed through inoculating pharyngeal swab specimens into the HEP-2 cell cultures in different laboratories. An infection of adenovirus type 3 was verified by detecting positive specimens in different methods. Conclusion:This investigation demonstrated that the acute respiratory infection in cases was caused by adenovirus type 3. Cases occurred in over 70 schools in ten townships in 2004, and the route of transmission was possibly close contact with cases or droplet transmission.