人肺腺癌细胞膜钾通道特性研究

目的 研究人肺腺癌细胞系A-549细胞膜离子通道特性.方法 采用膜片钳技术全细胞记录方式检测A-549细胞膜离子通道的特性.结果 人肺腺癌细胞系A-549细胞获得稳定的高阻封接的最佳培养时间是细胞传代培养48 h,细胞膜跨膜离子电流具有电压依赖性,在500 ms内不失活,其翻转电位为-70～-80 mV,与细胞膜K 电流的平衡电位相一致.该细胞平均膜电容为(15.13±1.02) pF,TP为 110 mV时细胞膜跨膜通道的电流密度为(48.73±8.58) pA/pF.TP为-40～ 110 mV时,细胞膜跨膜通道激活时间常数为12.57～3.14 ms.该跨膜电流能被钾通道阻断剂TEA和CsCl所阻断,表明该跨膜离子电流为K 电流.结论 在人肺腺癌细胞系A-549细胞膜上存在一种类似于神经元和肌肉细胞膜上的延迟整流性K 通道.     

人肝癌细胞膜离子通道特性研究

目的：研究人肝癌细胞系ＢＥＬ７４０２细胞膜离子通道特性。方法：膜片钳技术的全细胞记录方式。结果：人肝癌细胞系ＢＥＬ７４０２细胞获得稳定高阻封接的最佳培养时间是细胞传代培养７２ｈ，细胞的静息膜电位为（－２２．２±－２．８）ｍＶ，几乎每一次记录都发现相似的跨膜电流，该跨膜电流具有电压依赖及不失活特性，翻转电位在－８０～－６０ｍＶ，能被已知的Ｋ＋通道阻断剂阻断。结论：在人肝癌细胞系ＢＥＬ７４０２细胞膜上存在类似于神经元和肌肉细胞的延迟整流性Ｋ＋通道。     

三叉神经节细胞电压门控通道研究中的钙电流振荡活动

目的 :探讨三叉神经节细胞电压门控性钙通道电流特性。方法 :在急性分离的三叉神经节细胞膜上 ,阻断电压门控性延迟整流钾通道和电压门控性钠通道 ,在 - 70mV的钳制电位下 ,给予 1 0mV步幅递增、80ms步宽的去极化脉冲刺激 ,进行全细胞膜片钳记录。结果 :在仅阻断电压门控性延迟整流钾通道时 ,- 1 0mV的去极化脉冲刺激激活了三叉神经节细胞膜上继快钠电流之后的慢内向电流 ,呈重复开闭的振荡特性 ;同时阻断电压门控性延迟整流钾通道和电压门控性钠通道 ,在 - 2 0mV的去极化脉冲刺下 ,也可记录到呈振荡特性的慢内向电流。振荡电流可被细胞外喷射的 1mmol·L-1 尼福地平所阻断。结论 :三叉神经节细胞膜上高电压激活的重复开闭慢内向电流可能为电压门控性钙电流 ,其振荡特性可能与感觉信息中枢传入的初级加工有关。     

牛蛙球囊毛细胞电压依赖性钾通道电流的研究

目的 :研究牛蛙球囊毛细胞膜上钾通道的类型。方法 :全细胞膜片钳技术。结果 :1当钳制电位为 - 1 0 0 m V,以 1 0 m V的步距阶跃 ,阶跃从 - 70 m V至 + 2 0 m V,随着膜电位的去极化 ,可记录到一系列快速、瞬时的外向电流 ,4- Ap对其有特异性阻断作用。激活电压为 - 53.85± 7.8m V。2 A型钾通道的数量在牛蛙毛细胞间存在差异。 3当钳制电位为 - 70 m V,以 1 0 m V的步距阶跃去极化 ( - 50 m V～ + 4 0 m V) ,可产生一延迟整流性钾离子流 ,四乙基氯化氨 ( TEA)能使该电流幅度下降 59%± 1 1 %。结论 :牛蛙毛细胞膜上含有 A型钾通道和延迟整流性钾通道。     

人外周血淋巴细胞电压依赖性钾通道

目的:观察人外周血淋巴细胞膜上电压依赖性钾通道的特性.方法:膜片钳记录方法.结果:观察到该通道的最小激活电压为-38.6士2.1 mV.复极过程中通道关闭常数为109.25±8.5 ms,并可被10 mmol/L的TEA所阻断.结论:人外周血淋巴细胞膜上存在着电压依赖性钾电流,其特性与神经和肌肉细胞膜上的延迟整流性钾电流相类似.     

新生大鼠海马神经元原代培养及钾离子通道特性研究

目的建立大鼠海马神经元原代培养方法,记录钾电流并观察其特性。方法无血清培养法进行海马神经元原代培养,从形态学和电生理学方面鉴定细胞活性;全细胞膜片钳技术记录钾电流,从药理学和动力学观察钾通道特性。结果经5～7d培养,获得胞膜完整、胞质均匀的海马神经元,并记录到典型的全细胞电压依赖性钾电流(IK)、延迟整流钾电流(IKDR),IK和IKDR均为外向电流,激活电压分别为-50mV和-40mV,随着去极化程度增加而增加,能被已知的钾通道的阻断剂4-AP和TEA-Cl阻断,IK和IKDR的半数最大激活膜电位(V1/2)分别为(22.1676±2.1778)mV(n=6)和(17.8457±1.7767)mV(n=6),斜率因子(κ)分别为(-6.1541±3.0541)mV(n=6)和(-6.5193±2.1894)mV(n=6)。结论在该实验条件下培养的海马神经元形态和生理特性良好,较好的表达了电压依赖性钾离子通道特性,适合电生理研究。     

缺氧状态下丝裂原活化蛋白激酶磷酸酶-1在胃癌细胞系SGC7901中的过表达及其意义

目的　探讨丝裂原活化蛋白激酶磷酸酶 1　 (MKP 1)在缺氧胃癌细胞系SGC790 1中的表达及对缺氧诱导因子 1(HIF 1)的影响。方法　采用半定量逆转录 聚合酶链反应 (RT PCR)和Western印迹检测MKP 1在常氧及缺氧状态下胃癌细胞系SGC790 1中的表达 ;借助DNA重组技术构建MKP 1基因的正义真核表达载体 ;利用脂质体将正义真核表达载体和空载体转入SGC790 1细胞 ;双荧光素酶报告基因 (DualLuciferaseReporter,DLR)检测系统检测荧光素酶活性并采用ELISA法检测SGC790 1细胞培养上清血管内皮生长因子 (VEGF)的变化。结果　 (1)半定量RT PCR和Western印迹结果提示 ,MKP 1在胃癌细胞系SGC790 1中表达 ,缺氧时其表达上调 ;(2 )分别将MKP 1正义真核表达载体和pcDNA3.1空载体瞬时转入SGC790 1细胞 ;转染 4 8h后 ,缺氧 12h磷酸化HIF 1α在正义真核表达载体转染细胞 (SGC790 1 MKP 1)中的表达低于空载体转染细胞 (SGC790 1 空载体 )和未转染细胞(SGC790 1)。 (3)报告基因试验显示常氧情况下 3、6和 12h荧光素酶活性在SGC790 1细胞、SGC790 1 空载体细胞和SGC790 1 MKP 1细胞中差异无显著意义 (P >0 .0 5 ) ;缺氧情况下 ,SGC790 1 MKP 1细胞中荧光素酶活性在 3、6和 12h均明显低于SGC790 1细胞和SGC790 1 空载体 (P <0 .0 1)     

水杨酸钠对大鼠耳蜗螺旋神经节细胞外向延迟整流钾电流及其尾电流的影响

目的 采用全细胞膜片钳技术记录耳蜗螺旋神经节细胞(spiral ganglion neurons,SGNs)外向整流钾电流及其尾电流,分析水杨酸钠对耳蜗SGNs外向整流钾电流及其尾电流的影响,初步探讨其耳毒性机制.方法 采用全细胞膜片钳技术记录急性分离并进行细胞短时间(2～3 h)血清培养后,耳蜗SGNs外向延迟整流钾电流及其尾电流曲线,同时记录不同浓度水杨酸钠(0.01、0.1、0.5、1、10 mmol/L)对2种电流的影响.结果耳蜗SGNs上可记录到外向电流,该电流对4-氨基吡啶(4-AP)敏感,证明其为钾电流,该钾电流具有延迟整流特性;1 mmol/L水杨酸钠能明显抑制耳蜗SGNs外向延迟整流钾电流;+50 mV的去极化电压刺激可使最大稳态电流幅值减少(46.3±2.0)%,水杨酸钠对此电流的抑制具有浓度依赖性,外液洗脱后耳蜗SGNs外向延迟整流钾电流可基本恢复正常.另外,可记录出耳蜗SGNs延迟整流钾电流的尾电流曲线;水杨酸钠可降低此尾电流峰值,并缩短尾电流的时间常数,加速尾电流的失活.结论 钾电流在耳蜗SGNs正常电生理活动中有重要作用.水杨酸钠抑制耳蜗SGNs外向整流钾电流及其尾电流,并加速尾电流的失活,这种作用可导致耳蜗SGNs的电生理活动异常,从而引发水杨酸钠对听觉功能的损害.     

人外周血淋巴细胞电压依赖性钾通道电流的记录及其特性

目的：观察人外周血淋巴细胞膜上电压依赖性钾通道的特性。方法：膜片钳记录方法。结果：观察到该通道的最小激活电压为－38．6±2．1mV。复极过程中通道关闭常数为109．25±8．5ms,并可被10mmol／L的TEA所阻断。结论：人外周血淋巴细胞膜上存在着电压依整性钾电流,其物性与神经和肌肉细胞膜上的延迟整流性钾电流相类似。     

延迟整流性K^＋通道在人肝癌细胞增殖中的作用

目的：研究延迟整流性Ｋ＾＋通道在人肝癌细胞增殖中的作用。方法：采用膜片钳技术的全细胞记录方式记录入肝癌细胞在不同浓度ＥＧＦ中延迟整流性Ｋ＾＋通道的跨膜电流。利用氚标记的胸腺嘧啶核苷掺入技术观察ＥＧＦ和Ｋ＾＋通道阻断剂（ＴＥＡ）对人肝癌细胞ＤＮＡ合成的影响。结果：发现表皮生长因子（ＥＧＦ）促进肝癌细胞增殖的同时使肝癌细胞膜离子通道的跨膜Ｋ＾＋电流增加。Ｋ＾＋通道阻断剂四乙胺（ＴＥＡ）能显著抑制ＥＧＦ     

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…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.