强直性脊柱炎患者肿瘤坏死因子α-857和-863位点基因多态性分析

目的探讨肿瘤坏死因子（TNF）α-857和-863位点基因多态性与强直性脊柱炎（AS）的相关性。方法用序列特异引物PCR方法对112例AS患者和96例健康对照人群,以及98例HLAB27阳性AS患者和14例阴性AS患者的TNF—α-857（C／T）和-863（C／A）位点基因多态性进行分析。结果AS患者组TNF—α-857位点基因型和等位基因频率分布与健康对照组有显著统计学差异（P〈0．01）,AS患者的T等位基因频率明显高于对照组,而AS患者TNF-α-863位点基因型和等位基因频率分布与健康对照组无统计学差异（P〉0．05）。HLA-B27阳性As患者和阴性AS患者TNF—α-857位点基因型频率亦有显著统计学差异（P〈0．01）。结论TNF—α-857位点基因多态性与AS相关,T等位基因可能增加AS的易感性。     

肿瘤坏死因子α基因启动子区多态性位点与阿尔茨海默病的相关性研究

目的:探讨肿瘤坏死因子α(TNF-α)基因启动子区-857C/T和-1031T/C位点多态性与阿尔茨海默病发生的相关性。方法:采用聚合酶链反应-限制性片段长度多态性分析(PCR-PFLP)方法检测98例阿尔茨海默病、122例健康对照各个多态性位点的基因型,采用SPSS13.0进行统计学分析。结果:TNF-α基因-857C/T位点的基因型及等位基因频率分布在AD组与正常对照组均存在显著性差异(P<0.05),T等位基因的频率在AD组显著高于对照组(χ2=10.178,P=0.001,OR=2.081,95%CI=1.320-3.280)。结论:TNF-α基因-857C/T位点可能与阿尔茨海默病的发病存在关系,其中C等位基因可能是易感基因,携带C的个体可能更易患有AD。     

强直性脊柱炎易感基因IL-1RN和TNF-α的单核苷酸多态性的研究

目的检测中国深圳地区汉族强直性脊柱炎(AS)患者IL-1RN和TNF-α基因的单核苷酸多态性(SNPs)。方法在54名AS患者和42名健康对照者中,采用基因芯片技术对IL-1外显子6上SNPs(31017C/G、30735T/C)、TNF-α启动子上的SNPs(-857C/T)进行基因分型,分析单个位点的等位基因频率和基因型频率是否与AS相关,采用SAS软件分析数据。结果AS患者中,IL-1RN的31017C/G的等位基因G频率和30735T/C的等位基因C频率(分别是60.42%vs36.36%,32%vs17.19%)和IL-1RN的31017C/G的基因型GG频率和30735T/C的基因型CT频率(分别是43.75%vs12.12%,64%vs39.39%)显著性高于健康对照者,差异具有统计学意义(P<0.01)。TNF-α的-857C/T的等位基因T频率(25%vs9.52%)和基因型CT频率(42.59%vs19.05%)也显著高于健康对照者(P<0.01)。在健康人中31017CG/857CC基因型组合要显著高于AS患者(P<0.01),在AS患者中31017GG/30735CT/857CT基因型组合要显著高于健康对照者(P<0.05),其差异均具有统计学意义。结论IL-1RN基因的31017C/G和30735T/C的两个SNPs及其基因型频率与中国深圳汉族AS之间存在显著相关性,31017CG/857CC基因组合可能是保护性的基因组合,而31017GG/30735CT/857CT组合可能增加AS患病的易感性。     

肿瘤坏死因子α的单核苷酸多态性与中国汉族人强直性脊柱炎的关联分析

目的:在中国汉族强直性脊柱炎(AS)患者中,检测TNF-α基因中的单核苷酸多态性(SNPs).方法:在107例AS患者和116名正常对照中,用直接测序法和实时动态荧光PCR结合等位基因特异扩增,对TNF-α基因中的3个启动子上的SNPs(-1 031T/C,-863C/A, -857C/T)和 2个内含子上的SNPs (内含子1的 123C/T和内含子3的 51A/G)进行基因分型,分析单个位点的等位基因和基因型频率是否与AS相关.用单倍型推测软件计算上述位点单倍体型频率的分布,分析这些单倍体型是否与AS的发病有关.结果:在AS患者中,TNF-α的-857T和-863A的等位基因频率及它们的基因型频率显著性地超过健康对照组,经Bonferroni校正后仍为阳性.对启动子上3个SNPs位点的两两和3个位点组合的单倍体型频率分析表明,其在AS 患者和对照组中也均存在极其显著的差异(P<0.01).在3个位点推测的单倍体型中,AS患者增加最显著的是TNF-1 031T/-863C/-857T单倍体型.结论:TNF-α基因上2个SNPs及单倍体型与中国汉族AS之间存在显著的相关性.     

北京地区慢性乙型重型肝炎患者肿瘤坏死因子基因多态性相关性分析

目的：探讨肿瘤坏死因子（TNF-α）基因启动子-238G／A、-308G／A、-857C／T、-863C／A等位基因多态性和血清TNF-α水平与慢性重型乙型肝炎的相关性。方法：2002年12月至2005年12月北京佑安医院住院慢性重型乙型肝炎患者98例,慢性乙型肝炎患者211例。采用聚合酶链反应限制性片段长度多态性分析方法检测TNF-α启动子-238G／A、-308G／A、-857C／T、-863C／A等位基因多态性。结果：两组-863C／A、-238G／A位点的等位基因（X^62=0．61,P=0．436;X^2=0,001,P=0．976）,基因型频率比较差异无统计学意义（X^2=1．16,P=0．552;X^2=0．63,P=0,486）。两组比较TNF-α-308G／A和-857C／T等位基因差异都具有统计学意义（X^2=59．01,P=0．000;X^1=11．59,P=0．000）;-308GA和-857TT基因型频率显著高于慢性乙型肝炎组（X^2=28．06,P=0．000;X^2=19．69,P=0.000）,差异有统计学意义。-308GA与-857TT基因型与慢性重型乙型肝炎有显著性关联OR=4．176;95％ CI2．416-7．216;OR=6．09;95％CI2．652-14．001。慢性重型乙型肝炎患者血清TNF-α水平明显高于慢性肝炎患者,两组比较差异有统计学意义（t=3,951,P=0．000）。结论TNF-α-308GA与-857TT基因型携带者感染HBV后可能增加成为慢性重型乙型肝炎的风险。TNF-α基因启动子区基因多态性与北京地区汉族人群中慢性重型乙型肝炎的发生可能密切相关。     

强直性脊柱炎患者肿瘤坏死因子α启动子308位点基因多态性分析

目的:探讨肿瘤坏死因子(TNF)α启动子308位点基因多态性与强直性脊柱炎(AS)的相关性. 方法:用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)方法对112例AS患者和96例健康对照人群,以及98例HLA B27阳性AS患者和14例阴性AS患者的TNF-α启动子308位点基因多态性进行分析.结果:AS患者GG、GA和AA三种基因型频率分别为60.71%、 36.61%和2.68%,G和A的等位基因频率分别为0.790和0.210,对照组三种基因型频率分别为81.25%、 17.71%和1.04%,等位基因频率分别为0.901和0.099,两组基因型和等位基因频率分布有显著性差异(P＜0.01),AS患者的A等位基因频率明显高于对照组.HLA-B27阳性AS患者和阴性AS患者的基因型频率亦有显著性差异(P＜0.01).结论:TNF-α启动子308位点基因多态性与AS相关,A等位基因可能增加AS的易感性.     

慢性丙型肝炎病变程度与血清TNF-α水平、TNF-α基因多态性的关系

目的研究汉族慢性丙型肝炎(简称慢丙肝)病变程度与血清肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平、TNF-α启动子基因多态性(-857C/T,-308G/A,-238G/A)的关系。方法以102例汉族慢丙肝患者为研究对象,按肝功能实验室检查异常程度〔全国病毒性肝炎防治方案(2006)〕分为轻度(44例)、中度(34例)和重度(24例),ELISA法测定其血清TNF-α水平,PCR-RFLP检测TNF-α-857C/T、-308G/A、-238G/A位点的基因型;分析病变程度和血清TNF-α水平、基因多态性三者的关系。结果慢性丙型肝炎患者空腹血清TNF-α水平高于健康对照组(P=0.000),轻度组低于中、重度组(P=0.012,P=0.001),而重度与中度组间比较差异无统计学意义(P=0.252);轻度组TNF-α-857T等位基因频率高于重度组(P=0.004),轻、中、重度组TNF-α-308G/A,轻、中重度TNF-α-238A/G等位基因频率分布差异无统计学意义(P=0.016,P=0.935)。结论慢性丙型肝炎患者血清TNF-α水平高于正常人,随病情的加重有升高的趋势,慢丙肝轻度组TNF-α-857TT等位基因频率高于重度组。     

The roles of tumor necrosis factor-α gene polymorphisms in the pathogenesis of non-alcoholic fatty liver diseases

目的 探讨肿瘤坏死因子-α(TNF-α)单核苷酸多态性(SNP)与非酒精性脂肪性肝病(NAFLD)发病及病程进展的相关性.方法 在2005年对普通人群NAFLD流行病学调查的基础上进行队列追踪到2009年(中位数4年),其中696例愿意接受复查,每例再行问卷、体检、血生化和B超检查,应用PCR-RFLP方法检测TNF-α 3个位点:-238、-308和-857的SNP.结果 2005年NAFLD标化患病率为21.29%,至2009年显著升高达46.11%.Hardy-Weinberg检验-238位点基因频率未达到遗传平衡(P<0.05),故予剔除,而-308及-857位点纳入研究.NAFLD患者与正常对照者比较,TNF-α -857位点的基因型及等位基因频率差异均有统计学意义(P<0.05),等位基因T型者的发病危险率(RR)是正常对照者的1.463倍;而-308位点两者差异无统计学意义(P＞0.05).有序logistic回归分析显示,性别对病程无显著影响(P＞0.05),年龄影响显著(P<0.001);校正性别和年龄后,-857位点T/T基因型与病程进展呈正相关,其危险性(OR)是C/C型的8.65倍(P<0.001),而C/T型与C/C型比较差异无统计学意义(P=0.072);-308位点各基因型对病程均无显著影响(P＞0.05).结论 TNF-α -857位点C→T变异(而非-308位点)与NAFLD发病易感性及病程进展两者均呈正相关,T/T型增加疾病发生和进展的风险.     

豫北地区急性脑梗死患者白细胞介素-1β和肿瘤坏死因子-α基因多态性

目的探讨白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)基因多态性与急性脑梗死的相关性。方法选择2016年4月至2017年8月新乡医学院第二附属医院神经内科收治的86例脑梗死患者为研究对象(脑梗死组),另选择同期健康体检者92例为对照组。采用序列特异性引物和聚合酶链式反应(PCR)、限制性内切酶酶切技术检测2组受试者血液中IL-1β(-511) C/T、TNF-α(-238) G/A基因多态性。结果 2组受试者IL-1β(-511)位点基因型频率和TNF-α(-238)位点基因型频率均符合Hardy-Weinberg遗传平衡定律(P>0. 05)。脑梗死组患者IL-1β(-511)位点TT基因型频率高于对照组(OR=2.059,95%可信区间:1.087～3.899,P <0.05);脑梗死组患者IL-1β(-511)位点C等位基因频率低于对照组(OR=0.486,95%可信区间:0.256～0.920,P <0.05)。2组受试者TNF-α(-238)位点基因型频率和等位基因频率比较差异无统计学意义(P>0.05)。其中AA基因型在全部研究对象中未检出,G等位基因见于全部研究对象。结论 IL-1β(-511) C/T多态性可能与脑梗死有关,TNF-α(-238) G/A多态性可能与脑梗死无关。     

肿瘤坏死因子-α基因多态性对非酒精性脂肪性肝病发病和病程进展的影响

目的探讨肿瘤坏死因子-α(TNF-α)单核苷酸多态性(SNP)与非酒精性脂肪性肝病(NAFLD)发病及病程进展的相关性。方法在2005年对普通人群NAFLD流行病学调查的基础上进行队列追踪到2009年(中位数4年),其中696例愿意接受复查,每例再行问卷、体检、血生化和B超检查,应用PCR-RFLP方法检测TNF-α3个位点:-238、-308和-857的SNP。结果 2005年NAFLD标化患病率为21.29%,至2009年显著升高达46.11%。Hardy-Weinberg检验-238位点基因频率未达到遗传平衡(P<0.05),故予剔除,而-308及-857位点纳入研究。NAFLD患者与正常对照者比较,TNF-α-857位点的基因型及等位基因频率差异均有统计学意义(P<0.05),等位基因T型者的发病危险率(RR)是正常对照者的1.463倍;而-308位点两者差异无统计学意义(P>0.05)。有序logistic回归分析显示,性别对病程无显著影响(P>0.05),年龄影响显著(P<0.001);校正性别和年龄后,-857位点T/T基因型与病程进展呈正相关,其危险性(OR)是C/C型的8.65倍(P<0.001),而C/T型与C/C型比较差异无统计学意义(P=0.072);-308位点各基因型对病程均无显著影响(P>0.05)。结论 TNF-α-857位点C→T变异(而非-308位点)与NAFLD发病易感性及病程进展两者均呈正相关,T/T型增加疾病发生和进展的风险。     

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.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

A preliminary screening study on the associated proteins in human psoriasis vulgaris by serum proteomics technologies

Objective：To investigate the optimum screening conditions of associated proteins in human psoriasis vulgaris by serum proteomics technique, and to screen the different expression proteins related with psoriasis vulgaris. Methods：Serum samples of peripheral blood were collected from newly diagnosed psoriasis vulgaris patients in the clinic, and 20 matched healthy persons. Serum albumin IgG was removed by filtering with ProteoExtract Albumin/IgG. After comparative proteomics analysis the different protein spots were identified using 2-DE and MS. Results ：Electrophoresis figures with high resolution and reproducibility were obtained. Three different expression proteins were found only in the serum from psoriasis vulgaris patients, while nine other different proteins expressing from healthy volunteers. Conclusion：The protein expression was different in the serum between the psoriasis vulgaris patients and healthy volunteers. It was hoped that we could find the biomarkers related to psoriasis vulgaris by using proteomics.     

A CASE OF HUGE GASTRIC DISOPYROBEZOAR

PYTOBEZOARS are common bezoars in gastrontestinal tract, commonly seen in stomach and mall intestine,1but huge disopyrobezoars are     

Acupuncture Treatment of Chest Bi Syndrome

CASE HISTORY A male,a retired officer of 61 years old,paid his first visit on May 12,2006.The patient stated that 2 weeks before he suddenly got paroxysmal precordial choking pain,with irregular attacks.Each attack would last several seconds to several minutes.The attack was accompanied with heavy oppressed sensation in the precordial region,palpitation,lassitude,and in severe cases,sweating,which was once diagnosed by a hospital as'coronary heart disease'.Recalling the case history,the patient said that several days before he got angry with others because of some affairs in work,and he was not so used to the life pattern since he had just retired from his busy working post.At usual times,he was quick tempered and peevish.In recent days,he had poor appetite,and loose stool.     

Instructions to Contributors

The English edition of Chinese Journal of Integrative Medicine is edited and published by the Chinese Journal of Integrated Traditional and Western Medicine Press.Original scientific papers of advanced clinical and experimental medicine in the field of complementary/alternative medicine or integrative medicine are expected.     

Development Is A High Level Inheritance for China Time-honored Brand Products

<正>As culture is the soul of a nation,the three books,"History of Chinese Philosophy,""History of Chinese Culture"and"History of Chinese Science and Technology"have demonstrated the superiority of our great Chinese culture,and its significant impact in the field of international culture.Both core value and practical value of the Chinese culture are very clear,reflected in the views of universe,nature,life,health,disease,and therapy and related considerations,concepts,and technical methods.