腺病毒介导血管内皮细胞生长因子基因体外转染骨髓间充质干细胞

 【目的】探讨腺病毒介导血管内皮细胞生长因子(VEGF165)基因转染大鼠骨髓间充质干细胞(MSCs)后目的基因表达情况及对MSCs增殖分化的影响。【方法】构建含VEGF基因的腺病毒表达载体,利用贴壁法分离培养MSCs后,用荧光显微镜和流式细胞仪检测转染效果和转染率,用免疫组化、Western-Blot和ELISA方法分别检测VEGF基因转染MSCs后VEGF的表达情况。【结果】腺病毒介导的VEGF基因对于MSCs具有很高的转染效率,转染效率与病毒感染复制数(multiplicyties of infection,MOI)具有量效关系。MOI为150倍时,转染效率>95%,转染VEGF后,MSCs可有效表达VEGF,9d时达到表达高峰(1125pg/mL),13d后仍可检测到VEGF的表达。转染VEGF对MSCs的增殖分化没有明显影响。【结论】腺病毒介导的VEGF基因可以有效的转染MSCs,MSCs是一种理想的基因载体细胞,其携带的VEGF基因可获得较高的表达水平。     

腺病毒介导人血管内皮细胞生长因子基因感染NIH3T3细胞的实验研究

目的:探讨腺病毒介导人血管内皮细胞生长因子(hVEGF)基因感染NIH3T3细胞后目的基因表达情况及其对细胞增殖分化的影响,并观察体内移植后的表达情况及其血管生成效应.方法:构建含hVEGF基因重组腺病毒Ad.hVEGF,体外感染NIH3T3细胞,采用荧光显微镜和流式细胞术检测其转染效果和转染率,采用免疫组化、RT-PCR和ELISA法分别检测转染后的NIH3T3细胞VEGF的表达情况.将转染后的NIH3T3细胞移植于小鼠背部皮肤缺损模型上,1周后取创面覆盖的脱细胞真皮组织标本,免疫组化检测组织VEGF的表达,并行组织新生血管计数.结果:携带hVEGF基因的重组腺病毒对于NIH3T3细胞具有较高的转染效率,转染效率与病毒感染复制数(multiplicities of infection,MOI)具有量效关系.MOI为100倍时,转染效率达95%.RT-PCR和免疫组化检测到,Ad.hVEGF感染NIH3T3细胞24 h后即可在基因和蛋白质水平表达,ELISA法检测到VEGF第3日表达分泌较高,7 d时达到表达高峰(1052 pg/ml),13 d后仍可检测到VEGF的表达.2周内MTT法动态检测D值,转染组细胞与未转染组细胞比较无显著性差异(P＞0.05).转染细胞体内种植后在组织中亦可明显表达VEGF,实验组新生血管数显著高于对照组(P＜0.01).结论:腺病毒介导的VEGF基因可有效转染NIH3T3细胞,体内外均可有效表达目的基因,并可促进移植组织血管新生.     

VEGF基因真核表达载体的构建及其在骨髓间充质干细胞中的表达

目的探讨经腺病毒表达载体转染血管内皮细胞生长因子(vascular endothelial growth factor,VEGF)165基因的骨髓间充质干细胞(mesenchymal stemcells,MSCs)体内外基因表达的特点。方法构建VEGF基因腺病毒表达载体,将VEGF165基因转染到MSCs中。用RT-PCR法检测转基因MSCs中基因表达情况。结果转基因MSCs及其分化的子代细胞均有VEGF165的表达,并持续2周左右时间。结论经腺病毒表达载体转染VEGF165基因的MSCs在体内外均有良好的基因表达。     

重组腺病毒介导的绿色荧光蛋白基因转染大鼠间充质干细胞的实验研究

目的 体外研究重组腺病毒载体介导绿色荧光蛋白基因转染大鼠间充质于细胞(MSCs)的方法.方法 用密度梯度离心及贴壁法相结合的方法分离纯化大鼠MSCs并进行鉴定,重组绿色荧光蛋白的腺病毒载体Ad-GFP转染,荧光显微镜检测其转染效率,CCK-8法检测转染细胞的增殖能力.结果 Ad-GFP对大鼠MSCs的感染率高达90.0%,感染1月后仍有稳定表达;转染细胞的增殖能力与未转染细胞相比,差异无统计学意义(P＞0.05).结论 重组腺病毒载体Ad-GFP可高效感染MSCs,基因转染后细胞的增殖能力不受影响,可作为一种高效的大鼠MSCs的标记方法.     

绿色荧光蛋白标记大鼠间充质干细胞的实验研究

目的研究重组腺病毒载体介导绿色荧光蛋白基因转染大鼠间充质干细胞（MSCs）的方法。方法 用密度梯度离心法分离纯化大鼠MSCs并进行鉴定，以携带绿色荧光蛋白基因的重组腺病毒载体Ad-GFP转染MSCs，流式细胞仪检测即时、15 d和30 d的标记率；通过流式细胞仪检测细胞周期、凋亡率，CCK-8法检测增殖能力，明确标记后细胞的生长特性；通过流式细胞仪检测标记后细胞表面标志（CD29、CD34、CD44和CD45）表达的变化。结果 Ad-GFP对大鼠MSCs的即时标记率高达89.71%，15 d和30 d的标记率分别为：85.10%、82.92%。标记后细胞周期的分布、凋亡率、增殖能力与未标记细胞相比，差异无显著性（P>0.05）。标记后细胞表面标志的表达亦不受影响。结论 重组腺病毒载体Ad-GFP能高效标记MSCs，且标记后细胞的增殖能力不受影响，表面标志的表达不发生改变。     

腺病毒介导人uPA感染大鼠间充质干细胞的体外研究

目的体外分选与鉴定大鼠骨髓间充质于细胞（MSCs）,并用腺病毒介导的人尿激酶型纤溶酶原激活物（uPA）体外感染原代MSCs,观察病毒的转导效率及对MSCs增殖的影响。方法通过黏附培养分离纯化MSCs,并采用免疫组化DAB显色法鉴定;荧光显微镜检测uPA的转染效率;Western blotting检测uPA在MSCs中的表达;MTT法检测病毒对MSCs增殖的影响。结果分选培养的MSCs呈典型的间充质干细胞生长形态,细胞表面标记物CD29和CD90阳性,CD34和CD45阴性;随着病毒感染滴度增高,绿色荧光蛋白（GFP）的表达率亦呈增高趋势。当感染复数（MOI）=80且病毒转导72h后,GFP阳性细胞数占细胞总数的比例达（94．0±1．5）％,可稳定表达7d以上,且对MSCs的增殖无明显影响。结论MSCs是一种理想的基因过表达载体,稳定分泌uPA蛋白,可用于肝纤维化的研究。     

腺病毒介导的LacZ基因在人肝癌细胞HepG2中的表达

目的观察腺病毒介导的LacZ基因在人肝癌细胞HepG2中的转染表达效率。方法常规重组腺病毒Ad-LacZ扩增、滴度测定及转染HepG2细胞,并检测细胞表达LacZ的情况。结果当病毒感染繁殖数(MOI)为100时,24小时后接近100%的HepG2细胞被感染并表达LacZ。感染后HepG2细胞的增殖能力无明显异常。结论腺病毒介导的LacZ基因在HepG2细胞中能获得较高的转染效率和有效表达。     

人VEGF基因转染大鼠骨髓间充质干细胞的实验研究

目的：建立人血管内皮生长因子165（hVEGF165）基因转染大鼠骨髓间充质干细胞的方法。方法：采用密度梯度离心-贴壁培养法获Wistar大鼠骨髓间充质干细胞（MSCs），测定其生长曲线和表面标志CD34，CD44，CD45及SH3，检测其向成骨细胞及脂肪细胞诱导分化潜能后；用脂质体介导法将pcDNA3.1-hVEGF165导入MSCs，观察转染后细胞形态和生长状况，通过RT-PCR，Western blot和ELISA鉴定VEGF在MSCs中的表达情况。结果：大鼠MSCs经检测为CD44和SH3阳性，CD45和CD34阴性，可诱导分化为成骨细胞和脂肪细胞；经RT-PCR，Western和ELISA检测证实阳离子脂质体能成功地将hVEGF。转染至大鼠MSCs，并获得有效的表达。结论：真核表达载体pcDNA3.1-VEGF165在MSCs中获有效表达。     

腺病毒载体介导EGFP转染大鼠骨髓间质干细胞研究

目的：探讨腺病毒载体介导的绿色荧光蛋白基因转染大鼠骨髓间质干细胞（mesenchymal stem cells,MSCs）的生物学特性。方法：骨髓贴壁法分离培养大鼠骨髓MSCs并采用流式细胞术进行鉴定。利用脂质体法通过腺病毒转染获得EGFP修饰的大鼠骨髓MSCs。结果：成功分离得到大鼠MSCs,腺病毒转染后大鼠骨髓MSCs过表达绿色荧光蛋白（EGFP）报告基因,且转染后MSCs具有成骨分化潜能。结论：通过腺病毒转染能获得EGFP标记的大鼠MSCs,为MSCs组织工程和基因治疗研究提供了依据。     

增强型绿色荧光蛋白基因转染兔间充质干细胞的实验研究

目的建立增强型绿色荧光蛋白标记间充质干细胞（MSCs）的方法,并观察标记方法对MSCs的分化功能影响。方法应用密度梯度离心法和贴壁培养法分离、培养兔外周阻MSCs,以携带EGFP的腺病毒（Ad-CMV-EGFP）转染MSCs,荧光倒置显微镜下观察其瞬时表达及转染效率,并对转染后的MSCs进行诱导分化为内皮细胞以观察其部分分化功能。结果①MSCs于体外培养14～20d可达到80％～90％融合,细胞形态为梭形、多角形及纺锤状等。传代MSCs变为形态均一、排列有序的长梭形细胞,增殖活跃;②MSCs经携带EGFP腺病毒转染后24h即可表达EGFP,4～5d时表达最强,此后逐渐减弱,2wk时明显减弱,到4wk时无EGFP表达;③测定腺病毒转染MSCs效率约为60％;④经诱导后分化的内皮细胞呈铺路石样排列,CD31呈阳性表达。结论Ad．CMVoEGFP转染后的MSCs可有效表达EGFP,且本法转染效率较高,基本不影响细胞分化功能,是一种较好的MSCs标记方法。     

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.     

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.     

TCM Treatment of Ankylosing Spondylitis by Tonifying the Kidney and Strengthening the Governor Vessel

Ankylosing spondylitis is a chronic and progressive disorder with inflammation mainly involving the central axis joints. It mainly affects the cervical spine and the lumbosacral area, with the pathogenesis closely related to the kidney and the Governor Vessel (GV). TCM holds that the syndrome is deficiency in origin and excess in superficiality, which is due to insufficiency of the kidney, deficiency of GV, and blocking of the channels with the invasion of exogenous evil, leading to poor circulation of qi and blood and malnutrition of the bones, muscles and joints. The TCM method of tonifying the kidney and strengthening GV to regulate circulation of qi and blood and check the arthralgia pain should be adopted, with the Kidney-Tonifying and GV Strengthening Decoction (益肾强督汤) prescribed.     

IMPROVING P-gp EXPRESSION IN HUMAN MONONUCLEAR CELLS IN VITRO TRANSFECTED BY MULTIDRUG RESISTANCE-1 mRNA

CHEMOTHERAPY playsa greatrolein the treat- ment of malignanttumors,especiallyingynecolo- gicalones.But inanticancerchemotherapy,leuko-cytopeniaisfrequentlytheprimarydose-limitingsideeffect factor.Moreover,cancersarefrequentlychemoresistantbe-causeof overexpressionof P-glycoprotein(P-gp), which isencodedby multidrugresistancegene (MDR1 ) and detectableinup to50% ofhuman cancersand renderscellsresistancetoanticancerdrugs.The safetyand potentialtherapeuticbenefitof mdr1 gene transferredto h…