hTNFα- hPgnK5融合蛋白的原核表达及测定

目的：获得hTNFa-hPgnK5融合蛋白基因，在原核细胞中表达融合蛋白，探索其活性。方法：PCR法改造hTNFa基因，消除其终止密码子，构建hTNFa-hPgnK5融合蛋白基因，在大肠杆菌DH5α中表达该融合蛋白，测定其体外体制肿瘤细胞或血管内皮细胞增殖的活性。结果：hTNFα基因经PCR法改造，去除了终止密码子，并在3′端引入BamHI位点，hTNFα-hPgnK5融合蛋白基因构建完成，并在原核系统中获得表达，免疫印迹反应表明该融合蛋白具有hPgnK5免疫活性，体外实验表明该融合蛋白可抑制肿瘤细胞和血管内皮细胞的增殖。结论：hPgnK5蛋白可与hTNFα一起表达，该融合蛋白有抑制肿瘤细胞和血管内皮细胞增殖的活性。     

含凝血酶切点的hTNFα-hPgnK5的原核表达及活性鉴定

[范彬,张英起,赵宁,颜真,药立波,苏成芝.细胞与分子免疫学杂志,2001;17(1)：29-31]]目的 在原核细胞中表达融合蛋白hTNFα-hPgnK5并鉴定其活性.方法 构建hTNFα-hPgnK5基因的表达载体,并在大肠杆菌DH5α中进行表达.以MTT法测定该融合蛋白体外抑制肿瘤细胞或血管内皮细胞增殖的活性.结果 成功地构建了hTNFα-hPgnK5表达载体并获得表达.免疫印迹分析表明,该融合蛋白具有hPgnK5的免疫活性.体外实验表明,该融合蛋白具有抑制肿瘤细胞和血管内皮细胞增殖的活性.结论 hPgnK5蛋白可与hTNFα共同表达,表达产物可抑制肿瘤细胞和血管内皮细胞增殖.     

人纤溶酶原Kringle 5区的基因克隆的表达及纯化

目的克隆人纤溶酶原Kringle5(K5)区基因,并进行重组蛋白的表达纯化及活性鉴定.方法用PCR方法从正常成人肝cDNA库扩增出人纤溶酶原K5区基因,构建K5的原核表达载体pET-22b(+)-K5-6×His,IPTG诱导蛋白表达后经Ni+-树脂亲和层析进行纯化,通过血管内皮细胞增殖抑制试验检测蛋白活性.结果经PCR成功扩增出了243 bp的K5区基因,测序正确后克隆进大肠杆菌分泌型表达载体pET-22b(+),重组质粒在BL21中成功表达出分子量为14 000的蛋白质,纯化后的蛋白纯度达95%,具有抑制血管内皮细胞增殖活性的功能,K5蛋白浓度为4 μg/mL时抑制率达50%.结论纤溶酶原K5的成功克隆、表达及纯化可能在肿瘤和动脉粥样硬化的抗血管生成治疗中具有一定作用.     

人纤溶酶原Kringle 5区的基因克隆的表达及纯化

目的克隆人纤溶酶原Kringle5(K5)区基因,并进行重组蛋白的表达纯化及活性鉴定.方法用PCR方法从正常成人肝cDNA库扩增出人纤溶酶原K5区基因,构建K5的原核表达载体pET-22b(+)-K5-6×His,IPTG诱导蛋白表达后经Ni+-树脂亲和层析进行纯化,通过血管内皮细胞增殖抑制试验检测蛋白活性.结果经PCR成功扩增出了243 bp的K5区基因,测序正确后克隆进大肠杆菌分泌型表达载体pET-22b(+),重组质粒在BL21中成功表达出分子量为14 000的蛋白质,纯化后的蛋白纯度达95%,具有抑制血管内皮细胞增殖活性的功能,K5蛋白浓度为4 μg/mL时抑制率达50%.结论纤溶酶原K5的成功克隆、表达及纯化可能在肿瘤和动脉粥样硬化的抗血管生成治疗中具有一定作用.     

肿瘤坏死因子对人鼻咽癌CNE3细胞增殖相关基因蛋白表达的影响

目的 :探讨肿瘤坏死因子 ( TNFα)对人鼻咽癌 CNE3细胞生长相关基因表达的影响。方法 ;体外培育的人鼻咽癌低分化上皮细胞株 CNE3,通过 MTT细胞毒试验确定TNFα的最佳抑制剂量 ,用免疫组织化学技术观察 TNFα作用 48h后 ,CNE3细胞中增殖相关的几种蛋白表达的变化。结果 :TNFα可下调 PCNA、Ki- 67、p2 1 ras、mtp5 3等蛋白的表达 ,增强 p2 1 WAF1蛋白表达。结论 :TNFα可通过影响有关细胞周期进程基因蛋白表达而抑制细胞生长     

肿瘤坏死因子对内皮细胞组织因子表达及转录调控的影响

目的：研究肿瘤坏死因子（TNFα）对内皮细胞组织因子（TF）表达的影响,并探讨TF基因5′上游序列以及核转录因子NF－κB在该基因转录中的调控作用。方法：进行人脐静脉内皮细胞株（EVC304）及原代内皮细胞的培养。用发色底物显色法、RT－PCR和细胞原位杂交分别检测内皮细胞TF活性和mRNA水平,采用基因重组技术构建含有人TF基因不同上游序列荧光素酶报告基因质粒,经脂质体法转染内皮细胞,检测及分析报告基因活性。凝胶电泳迁移率改变法和western印迹法检测内皮细胞NF－κB与DNA结合活性和含量。结果：100u/ml TNFα诱导内皮细胞TF活性和mRNA表达量明显增高。在TF基因上游序列－244／＋121bp存在时,TNFα可使转染内皮细胞荧光素酶表达量明显增加,－111／＋121bp存在时表达量无明显差异,而且比存在－244／＋121bp时的表达量明显降低;同样浓度TNFα作用下,内皮细胞核抽提物与NF－κB探针的结合活性高于正常对照组,核内NF－κB含量明显增加。结论：TNFα可以增强内皮细胞TF活性及基因表达,其中TF基因上游－244／－112bp序列的存在起着重要的调节作用。此外,TNFα也能促进内皮细胞NF－κB的转位和与DNA结合活性增高。     

雷公藤甲素对血管内皮细胞迁移活性的作用

目的观察雷公藤甲素对血管内皮细胞迁移活性及尿激酶型纤溶酶原激活物(u—PA)表达的影响,探讨雷公藤甲素抑制血管生成的机制。方法体外培养人脐静脉内皮细胞,传至第三代。接种于琼脂凝胶立体细胞培养系统后,加入不同质量浓度的雷公藤甲素(0,5,10,20,30μg／L),培养48h,观察内皮细胞的迁移活性;荧光定量RT—PCR检测u—PAmRNA的表达;免疫组织化学染色检测内皮细胞u—PA蛋白表达量。结果雷公藤甲素可明显抑制内皮细胞的迁移活性,使细胞游走距离缩短;可减少内皮细胞u—PAmRNA和蛋白的表达。结论雷公藤甲素可能通过基因水平干扰内皮细胞u—PAmRNA的表达,抑制u—PA蛋白的表达,从而有效地抑制血管内皮细胞迁移,这可能是雷公藤甲素抑制血管生成的主要机制之一。     

重组人肿瘤坏死因子a衍生物3a的克隆与表达

目的 :寻找具有更强抗肿瘤活性和 (或 )较低毒副作用的 TNFα突变蛋白。 方法 :应用巨引物二轮 PCR技术对rh- TNFα的第 80、90和 92位氨基酸编码的密码子进行定点突变 ,经过 DNA序列测定证实 DNA突变准确后 ,将突变基因的c DNA插入 p BL载体 ,转化大肠杆菌 DH5α,获得表达 rh- TNFα- D3a的工程菌。 结果 :经巨引物二轮 PCR获得表达 TNFα突变蛋白的基因突变 ,经序列测定结果与设计一致 ,重组蛋白表达量占细菌总蛋白 18.0 % ,大部分为可溶性 ,占 rh- TNFα- D3a总量的 6 0 %以上。重组蛋白经纯化 ,纯度 >98%。 rh- TNFα- D3a对 L 92 9细胞表现出较高的细胞毒性 ,比活性大于 5× 10 8IU / mg。与野生型的 rh- TNFα相比 ,rh- TNFα- D3a的毒性降低为野生型的 1/ 10 ,同时其保留了 TNFα的抗肿瘤活性。 结论 :rh- TNF-αD3a是一个毒性较低 ,具有较强抗肿瘤作用的衍生物     

构建及在血管内皮细胞中的表达

目的:构建人血管内皮细胞生长因子165(VEGF165)及绿色荧光蛋白报告基因的融合蛋白真核表达质粒,并检测其在血管内皮细胞中的表达.方法:采用PCR扩增VEGF165基因全长,并将其定向克隆入pEGFP-N1的多克隆位点,构建pEGFP/VEGF165重组质粒,经酶切、PCR及序列分析鉴定,脂质体介导转染体外培养的血管内皮细胞,荧光显微镜、RT-PCR及Western免疫印迹等方法检测EGFP/VEGF融合蛋白的表达.结果:PCR、酶切及测序证实目的基因VEGF165正确连接至pEGFP-N1的多克隆位点,pEGFP/VEGF165重组质粒转染血管内皮细胞后,荧光显微镜、RT-PCR及Western免疫印迹检测均显示EGFP/VEGF蛋白在血管内皮细胞中表达.结论:成功构建了携带人VEGF165及EGFP报告基因的融合蛋白真核表达质粒,pEGFP/VEGF165可在血管内皮细胞中表达,此为进一步研究VEGF基因治疗缺血性血管疾病奠定了实验基础.     

血管生成抑素endostatin的表达、纯化及活性研究

目的：将从人胎肝组织克隆的血管生成抑素endostatin基因进行原核表达、纯化,检测重组endostatin的生物学活性。方法：利用原核表达载体pBV220在大肠杆菌DH5α中表达endostatin,利用肝素Sepharose亲和层析及SephacrylS-200分子筛纯化;通过体外内皮细胞（ECV304）增殖实验及体内鸡胚尿囊膜（CAM）新生血管实验检测其抑制活性。结果：Endo-statin在DH5α中的表达率为28.5%,纯化后纯度可达90.5%.En dostatin可明显抑制体外培养的内皮细胞增殖.IC50为72ug/ml;20时使细胞于48h发生明显凋亡;200ug/ml的endostatin可使CAM新生血管化率下降30%.结论:研究结果表明endostatin对内皮细胞具有明显抑制作用.提示其在肿瘤及新生血管性疾病的治疗中有潜在的应用前景。     

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.