5-Aza-CdR可提高TRAIL对胃癌细胞Kato 3的抗瘤活性

目的 探讨5-Aza-CdR对TRAIL抗胃癌细胞活性的影响。方法 采用MTT方法检测TRAIL的抗癌活性；采用RT-PCR方法检测Caspase-8基因mRNA的表达。结果 未经5-Aza-CdR处理者只有20％胃癌Kato 3细胞对TRAIL敏感，经5-Aza-CdR处理可诱发Caspase-8 mRNA的表达，提高Kato 3细胞对TRAIL的抗瘤敏感性。结论 5-Aza-CdR可提高TRAIL对胃癌细胞的抗瘤作用，其机制可能与诱发Caspase-8的表达有关。     

胃癌细胞对TRAIL的敏感性与caspase-8基因甲基化状态的关系

目的探讨caspase-8基因启动子区5′CpG岛甲基化状态与TRAIL抗癌作用的关系.方法采用甲基化特异PCR方法检测5种胃癌细胞株caspase-8基因启动子区的甲基化状态;采用MTT方法检测TRAIL蛋白的抗癌活性.结果 5种胃癌细胞株对TRAIL的敏感性不尽相同,caspase-8基因启动子区均为非甲基化状态;5-Aza-CdR处理可提高耐药细胞对TRAIL的敏感性,但不影响胃癌细胞的甲基化状态.结论 5-Aza-CdR可提高多数胃癌细胞对TRAIL的敏感性,胃癌细胞对TRAIL的敏感性与caspase-8基因甲基化状态无关.     

对TRAIL耐药的肝癌细胞caspase-8基因甲基化状态及其mRNA表达

目的研究肝癌细胞株HepG2和SMMC 7721对肿瘤坏死因子相关与凋亡诱配体(tumor necrosis factor-related apoptosis-inducing ligand, TRAIL)的敏感性与caspase-8基因启动子区5′CpG岛的甲基化状态和mRNA表达的关系及5′-氮-2′-杂脱氧胞苷(5-Aza-CdR)对TRAIL抗癌活性的影响.方法采用甲基化特异性PCR(methylation-specific PCR method, MSP)方法检测caspase-8基因5′CpG岛甲基化状态;采用RT-PCR方法检测caspase-8 mRNA表达;采用吖啶橙/溴化乙锭(AO/EB)染色方法检测细胞凋亡.结果 2株肝癌细胞均属TRAIL耐药细胞,caspase-8基因5′CpG岛均为非甲基化状态; 5-Aza-CdR即不能增加caspase-8 mRNA表达,亦不能提高肝癌细胞对TRAIL的敏感性.结论肝癌细胞对TRAIL的敏感性与caspase-8基因的甲基化状态及mRNA表达无关,5-Aza-CdR不能提高肝癌细胞对TRAIL的敏感性.     

5-Aza-2'-dC通过上调DR4与DR5表达增加TRAIL诱导乳腺癌细胞凋亡的敏感性

目的 探讨5-Aza-2'-dC增加肿瘤坏死因子相关凋亡诱导配体(TRAIL)诱导乳腺癌细胞凋亡敏感性的作用及其可能机制.方法 5 μmol/L 5-Aza-2'-dC顸处理细胞96 h,TRAIL(0,50,100,200 ng/mL)处理细胞12h,MTT检测细胞增殖抑制率,Annexin V-FITC/PI法检测细胞凋亡,流式细胞技术检测TRAIL受体DR4及DR5的表达,Western blot检测caspase-8蛋白表达水平,Real-time PCR检测细胞DR4、DR5和caspase-8 mRNA表达.结果 5-Aza-2'-dC预处理组与对照组相比,TRAIL对细胞增殖抑制率和诱导凋亡率明显高于对照组(P＜0.05).5-Aza-2'-dC能增加细胞表面DR4和DR5表达,促进凋亡通路关键蛋白caspase-8活化.5-Aza-2'-dC在mRNA水平增加了DR4、DR5和caspase-8的表达.结论 5-Aza-2'-dC增加了TRAIL诱导乳腺癌细胞凋亡的敏感性,其可能机制是通过上调DR4、DR5和caspase-8表达实现.     

乳铁蛋白抗菌肽抑制胃癌细胞增殖诱导其凋亡的体外研究

目的 探讨乳铁蛋白抗菌肽(LfcinB)对人胃癌细胞株MGC803细胞增殖和细胞凋亡的影响.方法 用CCK-8法测定不同浓度LfcinB对胃癌细胞株MGC803 24、48和72 h细胞增殖影响.用流式细胞术检测胃癌MGC803细胞凋亡的变化.用RT-PCR检测凋亡相关基因bcl-2、bax和caspase-3 mRNA的变化情况.用Western blot检测MGC803细胞中的Bcl-2、Bax和Caspase-3蛋白表达.结果 LfcinB对胃癌细胞株MGC803的增殖具有抑制作用,促进胃癌细胞株MGC803细胞凋亡,并且具有时间和剂量依赖性(P<0.05,P<0.01);LfcinB能显著抑制胃癌细胞株MGC803 bcl-2 mRNA表达,同时促进bax和caspase-3 mRNA表达,并且随着LfcinB浓度的增高相关基因下降或上升越明显(P<0.05,P<0.01);Western blot结果也显示,LfcinB能抑制Bcl-2蛋白表达,促进Caspase-3和Bax蛋白表达,其变化规律与mRNA相同(P<0.05,P<0.01).结论 LfcinB通过调控相关基因,抑制胃癌细胞MGC803增殖,并诱导其细胞凋亡.     

去甲基化作用对胃癌细胞生物学行为及xaf1基因表达的影响

目的:探讨去甲基化药物5-脱氧杂氮胞苷(5-Aza.CdR)对体外培养的胃癌BGC823细胞增殖活性、细胞周期和凋亡以及对此细胞株xafl基因表达的影响.方法:用MTT法检测不同浓度5-Aza-CdR对细胞增殖活性的影响;PI染色和流式细胞仪检测不同浓度5-Aza-CdR处理72 h后细胞周期分布和细胞凋亡率;RT-PCR法检测用药前后xafl基因表达的变化.结果:用1×103,5×103.10×103nmol/L的5-Aza-CdR处理BGC823细胞6 d后,试验组细胞增殖抑制率较对照组明显升高(P<0.05),并呈剂量依赖关系;流式细胞仪分析表明,各药物浓度处理72 h后凋亡率明显增加:试验组凋亡率分别为(4.53±0.21)%,(8.11±1.01)%和(11.56±0.86)%,与对照组(0.51±0.01)%相比较差异显著(P<0.05).在5-Aza-CdR处理前,未检测到BGC823细胞株xafl基因mRNA表达,经过5-Aza-CdR处理后,xafl mRNA重新表达.结论:5-Aza-CdR可抑制BGC823细胞增殖;促进细胞凋亡;使xafl基因甲基化状态得到逆转,而重新表达.     

5-Aza-2′-dC通过上调DR4与DR5表达增加TRAIL诱导乳腺癌细胞凋亡的敏感性

目的探讨5-Aza-2′-dC增加肿瘤坏死因子相关凋亡诱导配体(TRAIL)诱导乳腺癌细胞凋亡敏感性的作用及其可能机制。方法 5μmol/L 5-Aza-2′-dC预处理细胞96 h,TRAIL(0,50,100,200 ng/mL)处理细胞12 h,MTT检测细胞增殖抑制率,Annexin V-FITC/PI法检测细胞凋亡,流式细胞技术检测TRAIL受体DR4及DR5的表达,Western blot检测caspase-8蛋白表达水平,Real-time PCR检测细胞DR4、DR5和caspase-8 mRNA表达。结果 5-Aza-2′-dC预处理组与对照组相比,TRAIL对细胞增殖抑制率和诱导凋亡率明显高于对照组(P<0.05)。5-Aza-2′-dC能增加细胞表面DR4和DR5表达,促进凋亡通路关键蛋白caspase-8活化。5-Aza-2′-dC在mRNA水平增加了DR4、DR5和caspase-8的表达。结论 5-Aza-2′-dC增加了TRAIL诱导乳腺癌细胞凋亡的敏感性,其可能机制是通过上调DR4、DR5和caspase-8表达实现。     

可溶性人TRAIL诱导胃癌细胞BGC-823凋亡的研究

目的 通过构建pBud-EGFP-TRAIL质粒体外观察可溶性人TRAIL蛋白(sTRAIL)对胃癌细胞BGC-823的作用.方法 以EFGP基因为报告基因,sTRAIL为目的基因,构建pBud-EGFP-TRAIL双表达质粒,鉴定酶切和测序重组体.经脂质体转染法转染体外培养的胃癌细胞BGC-823,用荧光显微镜观察EGFP的表达,RT-PCR及Western blot进一步检测sTRAIL mRNA及其蛋白的表达,MTT法检测转染后对胃癌细胞的生长抑制率,TUNEL法观察细胞的凋亡情况,流式细胞仪分析转染后胃癌细胞的凋亡率.结果 测序结果证实pBud-EGFP-TRAIL载体构建成功,质粒经脂质体转染后,通过表达sTRAIL蛋白对胃癌细胞发挥作用.MTT法显示转染该质粒的细胞的生长抑制率明显高于对照组,TUNEL法显示细胞核固缩,核染色质聚集或断裂,形成凋亡小体.流式细胞仪结果表明转染该质粒的细胞的的凋亡率明显高于对照组.结论 在体外初步证实TRAIL能诱导胃癌细胞BGC-823凋亡.     

蛋白激酶D1甲基化对胃癌细胞株BGC-823增殖侵袭的影响

目的:检测蛋白激酶D1(PKD1)在胃癌细胞中的表达,并探讨其对胃癌细胞增殖侵袭的影响。方法:体外培养胃癌细胞系BGC-823,使用PKD1甲基化特异性阻断剂5-杂氮-2′-脱氧胞苷(5-Aza-CdR)处理胃癌细胞,Western Blot法检测胃癌细胞中PKD1蛋白的表达情况,MTT法检测胃癌细胞的增殖,Transwell实验检测胃癌细胞的侵袭力。结果:5-Aza-CdR作用后,胃癌细胞中PKD1蛋白表达明显增加(P<0.05),细胞增殖速度减慢,侵袭能力减弱(P<0.05)。结论:胃癌细胞中PKD1表达的下调在胃癌的发病过程中可能起重要作用,并可能与胃癌细胞增殖侵袭能力改变有关。     

Bcl-2、Bak及caspase-9、3在维生素E琥珀酸酯诱导人胃癌细胞凋亡中的作用

目的探讨维生素E琥珀酸酯(VES)对体外培养的人胃癌细胞株SGC-7901细胞的凋亡诱导作用及其可能机制。方法以体外培养的人胃癌SGC-7901细胞为肿瘤模型,给予不同浓度水平的VES处理不同时间后,采用四甲偶氮唑盐比色(MTT)法观察VES对人胃癌细胞的生长抑制作用;用Annexin-V-FITC方法检测VES对胃癌细胞的凋亡诱导作用;采用Western blotting方法检测VES处理后的胃癌细胞中Bcl-2和Bak蛋白表达及caspase-9、caspase-3酶原的表达。结果(12.5～50.0)μmol/L的VES作用于人胃癌细胞24h后就可以抑制胃癌细胞的生长,呈明显的剂量依赖关系;Annexin-V-FITC和PI双染流式细胞仪检测结果表明,50μmol/LVES处理SGC-7901细胞12h后即可以引起细胞凋亡,且随作用时间的延长凋亡越明显。Western blotting结果显示,VES可以调节胃癌细胞中与凋亡相关的Bcl-2和Bak蛋白的表达,同时促进caspase-9、caspase-3酶原的裂解与活化。结论调节Bcl-2和Bak蛋白的表达,并裂解caspase-9、caspase-3是VES在体外发挥对人胃癌细胞的生长抑制和凋亡诱导作用的可能机制之一。     

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.     

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.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

The clinicopathological and immuohistochemical analysis of solid-pseudopapillary tumor of the pancreas： report of 9 cases

Objective：To investigate the clinical features, pathological characteristics and immunophenotype of solid-pseudopapillary tumor of the pancreas（SPTP）. Methods：Nine surgically treated cases of SPTP were retrospectively reviewed. Hematoxylin and Eosin（HE） staining and immunohistochemical staining were used to analyze all cases, and the general clinical data was collected. Results：Six patients were asymptomatic except for a palpable mass. Two patients complained of vague-epigastric pain. One patient appeared jaundice. The tumor was encapsulated and solid tissues alternately with cystic tissues. Histologically, the histological structure of solid portion was pseudopapillary with a fibrovascular core. Tumor cells were uniform and medium-sized which were arranged in sheets ets or nests or pseudopapillary patterns. Immunohistochemical studies demonstrated that SPTP proved positive in vimentin（9/9 cases）, AAT（9/9 cases）, NSE（9/9 cases）, ACT（7/9 cases）, CK20（2/9 cases）, CgA（1/9 cases）, S-100（3/gcases）, PR（4/gcases）, Syn（3/9 cases） and CD56（5/9cases）, negative in CEA and ER. Conclusion：SPTP is a tumor predominantly occurring in young women frequently without special symptoms. This tumor has various characteristical histological patterns with different immunophenotype.     

Dynamic Changes in Serum Estradiol and Progesterone levels in Patients of Premenstrual Syndrome with Adverse Flow of Liver-qi

Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.     

Real-time Three-dimensional Echocardiography in Assessment of Left Ventricular and Right Ventricular Volumes

Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.     

SCREENING FOR A 21-CHROMOSOME ABNORMALITY IN PREIMPLANTED EMBRYOS OF ELDERLY WOMEN

Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.