约束隐结构研究冠心病痰湿证的定量化辨证规则＊

目前在中医界已发布的冠心病痰湿证辨证标准是以主症、次症形式定性地给出，存在主观性较强的问题。本文引入约束隐结构分析，该方法将主症、次症的语义作为约束条件加入隐结构分析过程，得到含有主症、次症语义约束的定量化中医证候辨证规则。使用该方法对冠心病痰湿证患者556条无标签数据的分析，得到其约束隐结构模型，最后建立定量化痰湿证辨证规则，舌胖边有齿痕（3.16）、苔腻（3.12）、苔白滑（4.72）、胸闷（1.73）、脉濡或滑（6.04）；次症：肢体困重（0.48）、口黏（0.63）、体胖（0.49）、大便粘滞（1.38）、脘腹痞满（0.97）、面色晦浊（0.79）、嗜睡（1.18）、纳差（1.07）。与经典隐结构模型得到规则和中医界已发布的定性化辨证规则相比，约束隐结构得到的规则客观性强，具有可重复性。在证候类大小、规则的量化合理度上较好地反映了主症、次症的特点，得到的规则切合中医实际，为冠心病痰湿证辨证标准的定量化研究提供帮助和参考。     

中医药调控益生菌防治肺炎的研究进展＊

肺炎是呼吸系统疾病中的常见疾病，发病率高，可伴有多种并发症，严重时可危及生命健康。肺炎患者多伴有肠道菌群失调，表现为有益菌减少，且益生菌可通过“肠-肺轴”影响肺部免疫参与肺炎的发生发展。中医以“肺”与“大肠”两者之间的生理及病理关系为基础，通过整体观念和辨证论治发挥了治疗肺炎的独特的优势。近年来，许多研究表明中医药在治疗肺炎的过程中具有改善肠道微生态作用，但肺炎的中医辨证分型与肠道菌群的相关性尚不明确。本文从中医辨证分型论治肺炎的角度出发，总结不同辨证分型的肺炎与肠道菌群结构特征，阐述中医治疗肺炎过程中对于益生菌的调节作用和“证型—中药—益生菌”的对应关系。通过讨论益生菌在防治肺炎中的关键作用，展望中医辩证联合益生菌治疗肺炎的应用前景，以期为肺炎的防治提供新思路和新靶点，也为将来指导不同肺炎证型患者选择适合的中药及益生菌提供理论依据。     

Acquired semi-squamatization during chemotherapy suggests differentiation as a therapeutic strategy for bladder cancer

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Newly recruited intraepithelial Ly6A+CCR9+CD4+ T cells protect against enteric viral infection

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Early embryonic NG2 glia are exclusively gliogenic and do not generate neurons in the brain

In the central nervous system, the type I transmembrane glycoprotein NG2 (nerve-glia antigen 2) is only expressed by pericytes and oligodendrocyte precursor cells (OPCs). Therefore, OPCs are also termed NG2 glia. Their fate during development has been investigated systematically in several genetically modified mouse models. Consensus exists that postnatal NG2 glia are restricted to the oligodendrocyte (OL) lineage, while, at least in the forebrain, embryonic NG2 glia could also generate astrocytes. In addition, experimental evidence for a neurogenic potential of NG2 glia in the early embryonic brain (before E16.5) has been provided. However, this observation is still controversial. Here, we took advantage of reliable transgene expression in NG2-EYFP and NG2-CreERT2 knock-in mice to study the fate of early embryonic NG2 glia. While pericytes were the main cells with robust NG2 gene activity at E12.5, only a few OPCs expressed NG2 at this early stage of embryogenesis. Subsequently, this proportion of OPCs increased from 3% (E12.5) to 11% and 25% at E14.5 and E17.5, respectively. When Cre DNA recombinase activity was induced at E12.5 and E14.5 and pups were analyzed at postnatal day 0 (P0) and P10, the vast majority of recombined cells, besides pericytes, belonged to the OL lineage cells, with few astrocytes in the ventral forebrain. In other brain regions such as brain stem, cerebellum, and olfactory bulb only OL lineage cells were detected. Therefore, we conclude that NG2 glia from early embryonic brain are restricted to a gliogenic fate and do not differentiate into neurons after birth.     

从信号交联角度探讨骨髓脂肪化在原发性骨质疏松中的作用机制

骨质疏松症好发于老年人或绝经后妇女,在骨量不断丢失的同时伴随着骨髓腔内的脂肪细胞增加。研究表明,骨质疏松患者的骨髓间充质干细胞成骨分化能力减弱,更易于向脂肪细胞分化,并促进成骨细胞凋亡,具体机制尚未完全阐明。本文拟从Fox O-β-catenin-PPARγ信号轴角度对骨髓脂肪化在原发性骨质疏松中的作用机制进行综述,为该疾病的诊治提供新的着眼点。