毛囊细胞移植诱导裸鼠毛囊样结构形成的研究

目的:观察毛囊细胞移植诱导裸鼠毛发再生和毛囊重建情况.方法:采用细胞培养技术和裸鼠移植技术,将培养的毛囊毛乳头细胞、真皮鞘细胞和头皮真皮成纤维细胞按比例与毛囊上皮细胞混合,移植到裸鼠皮下,观察毛囊形成情况.结果:在毛囊毛乳头细胞与毛囊上皮细胞混合后移植到裸鼠皮下后可见毛囊样结构形成,而毛囊真皮鞘细胞和头皮成纤维细胞与毛囊上皮细胞混合则不能诱导裸鼠毛囊样结构形成.结论:低传代培养的毛乳头细胞与毛囊上皮细胞混合后在体内可诱导毛囊样结构形成.     

毛囊细胞混合物移植诱导裸鼠毛囊样结构形成

目的 观察毛囊细胞复合物移植诱导裸鼠毛发再生和毛囊重建情况.方法 采用裸鼠移植技术,将混合分离出来的毛囊细胞,包括毛囊毛乳头细胞、毛囊外根鞘细胞、毛囊真皮鞘细胞和毛囊真皮成纤维细胞等,移植到裸鼠皮下,观察毛囊形成情况.结果 在裸鼠的皮肤切片中可以看到较为完整的毛囊结构形成.结论 毛囊细胞混合物可以在体内诱导出毛囊样结构形成.     

毛囊真皮鞘成纤维细胞的培养

目的：为了解真皮鞘成纤维细胞的生物学特征。方法：采用酶消化法、组织块法分别进行毛囊真皮鞘成纤维细胞培养。结果：２种方法均获成功,培养的真皮鞘成纤维细胞具有聚集生长的特征,胞体较大,一般有２个突起;酶消化培养法操作简便、省时,但容易混 有其它成纤维细胞;组织块法培养的细胞虽然培养速度较慢,但纯度较高。结论：组织块法是进行毛囊真皮鞘成纤维细胞研究较理想的培养方法。     

毛囊干细胞定位和体外向表皮分化

目的研究毛囊干细胞在毛发不同生长周期中定位和体外向表皮分化能力。方法采用免疫荧光染色检测皮肤组织中K19表达;分离毛囊干细胞并体外培养,以成纤维细胞为底物,采用气-液界面立体培养,形态学观察毛囊干细胞体外向表皮分化能力。结果K19阳性细胞主要定位于毛囊外根鞘。生长期毛发中,K19阳性细胞主要位于毛囊外根鞘膨突处和下部毛球部;退行期和静止期毛发中K19阳性细胞则沿毛囊外根鞘处连续分布,并在新的生长周期开始再次分开为两处。体外采用真皮类似物立体培养外根鞘细胞,获得具有多层表皮结构的皮肤类似物。结论毛囊干细胞主要定位于毛囊外根鞘,并随毛囊周期性生长有所迁移,体外具有形成表皮结构的能力。     

成纤维细胞胶质凝胶培养研究

建立一种成纤维细胞的三维培养方法。方法将胶原，成纤维细胞、血清和培养基在正确的比例下混合，使可形成凝胶。结果：在凝胶中成纤维细胞具有良好的活力，使之形成有一定弹性和抗拉伸能力的凝胶块。结论：真皮替代物培养是研究成纤维细胞与细胞外基质间相互作用的良好模型。     

正常人毛乳头细胞和真皮鞘细胞的生长特性观察

目的 观察毛乳头细胞和真皮鞘细胞在体外培养条件下的生长特性。方法 采用胶原酶消化法培养正常人头皮毛囊的毛乳头细胞和真皮鞘细胞,在体外进行传代培养,测定毛乳头细胞不同时相点的细胞数,并观察表皮细胞生长因子、氢化可的松＋胰岛素、粒细胞巨噬细胞集落刺激因子对毛乳头细胞和真皮鞘细胞增殖的影响。结果 毛乳头细胞、真皮鞘成纤维细胞和真皮成纤维细胞的生长呈现３个时相,即停滞期、指数生长期和缓慢生长期。３种细胞都有４ｄ的停滞期,５～１１ｄ为指数生长期,之后呈现出缓慢生长。ＥＧＦ对３种细胞都有显的促进作用（Ｐ〈０．００１）,尤其是对真皮鞘成纤维细胞的作用更强。氢化可的松和胰岛素、ＧＭ－ＣＳＦ对３种细胞的作用不明显。毛乳头细胞、真皮鞘细胞和成纤维细胞的倍增时间分别为６０、５９．２、７６．８ｈ。结论 ＥＧＦ对毛乳头细胞、真皮鞘细胞和     

毛囊来源的表皮干细胞在不同培养条件下细胞生长情况的比较及效果评价

目的：探讨毛囊来源的表皮干细胞(ESCs)培养条件,阐明成纤维细胞在ESCs培养中的作用。方法：以拔出的毛发为细胞来源,通过细胞培养的方式,比较在无包被、鼠尾胶原包被、Ⅳ型胶原包被和3T3成纤维细胞作为饲养层细胞条件下细胞生长情况。并通过RT-PCR和免疫荧光等方法对培养出的细胞进行细胞角蛋白(CK)15的检测。结果：在无包被、鼠尾胶原包被、Ⅳ型胶原包被和3T3成纤维细胞作为饲养层细胞条件下,以3T3成纤维细胞作为饲养层对细胞的生长最为有利;同时,对不同毛囊节段（毛球、中间节段、隆突和峡部）的培养表明,毛囊隆突部位的细胞增殖能力最强。RT-PCR及免疫荧光结果表明,应用此种方法从毛囊中分离培养的细胞表达表皮干细胞的特异性标志CK15。结论：以3T3成纤维细胞作为饲养层细胞,可以从拔出毛发根部的隆突部位培养出ESCs,此培养条件对细胞的生长最为有利。     

人工皮肤培养模型的建立

模拟体内生理条件,采用细胞三维培养技术将角朊细胞接种在一活性真皮替代物（即成纤维细胞胶原凝胶）上,然后行气液界面培养,使角朊细胞的一些正常生长和分化的特殊提以再现,从而形成一种能应用于临床的人工皮肤。而且这一培养模型使角朊细胞、成纤维细胞和细胞外基质构成了一有机的整体,因而也是研究表皮分化、其表皮间相互关系的良好模型。     

低氧诱导因子-1α对毛囊细胞的作用

目的探讨外源性人低氧诱导因子-1α（HIF-1α）在成纤维细胞中表达的可行性及其对毛囊周围细胞活性的影响。方法通过脂质体将含有HIF-1αcDNA的真核表达载体pcDNA3.0稳定转染成纤维细胞,应用RT-PCR及Westernblot方法检测HIF-1α在成纤维细胞中的表达,ELISA法检测转染细胞上清液中血管内皮细胞生长因子（VEGF）的表达,RT-PCR方法检测转染后细胞中成纤维细胞生长因子（bFGF）的表达。将该上清加入成纤维细胞及真皮鞘细胞中,MTT法检测加入上清后成纤维细胞及真皮鞘细胞活性。结果RT-PCR及Westernblot可检测出转染后细胞中HIF-1α的表达,MTT检测加入转染上清后成纤维细胞及真皮鞘细胞活性增强（P〈0.05）,并且该上清液VEGF的表达显著高于未转染组（P〈0.01）。转染后成纤维细胞的bFGF的mRNA表达显著高于未转染组（P〈0.01）。结论应用脂质体能够成功地将外源性人HIF-1α基因转染成纤维细胞,并进行有效表达,其表达的HIF-1α可增强细胞活性且可诱导转染细胞上清液中VEGF的表达,并增加bFGF的mRNA表达,且转染细胞上清可增强成纤维细胞及真皮鞘细胞活性。推测HIF-1α通过其下游因子VEGF及bFGF促进毛囊相关细胞的活性,为HIF-1α对毛囊作用的进一步研究打下了基础。     

异体成纤维细胞加Ⅲ型胶原复合移植的探讨

为给表皮细胞移植提供适宜的真皮成份从而重建皮肤的完整结构,采用含异体成纤维细胞的Ⅲ型胶原凝胶,与自体表皮细胞糊在异体皮保护下复合移植,治疗８例Ⅲ度烧伤创面。     

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.