尿苷三磷酸通过PTEN/Vimentin抑制胃癌细胞的侵袭

目的 研究尿苷三磷酸(uridine triphosphate,UTP)对胃癌细胞迁移和侵袭的影响及其分子机制.方法 采用细胞划痕实验检测UTP对胃癌细胞MKN-45和SGC-7901迁移能力的影响;Transwell检测UTP对正常人胃黏膜细胞GES-1和胃癌细胞MKN-45、SGC-7901侵袭能力的影响;Western blot检测UTP对胃癌细胞MKN-45和SGC-7901 PTEN磷酸化水平及Vimentin表达的影响.结果 细胞划痕实验表明UTP组抑制胃癌细胞MKN-45和SGC-7901迁移(P＜0.05).Transwell实验结果显示UTP组抑制胃癌细胞MKN-45和SGC-7901侵袭(P＜0.01),但对正常人胃黏膜细胞GES-1无影响(P＞0.05).Western blot实验证实UTP组可增强胃癌细胞MKN-45和SGC-7901 PTEN磷酸化水平,同时下调Vimentin的表达.结论 UTP抑制胃癌细胞的迁移和侵袭,可能是与其上调PTEN磷酸化水平,抑制Vimentin表达有关.     

RNA干扰沉默STAT3基因对胃癌细胞侵袭力的影响

目的观察瞬时转染信号传导与转录激活因子3（STAT3）小干扰RNA（siRNA）后对人胃癌细胞SGC-7901侵袭力的影响,探讨干扰STAT3后降低胃癌细胞侵袭力的机制。方法以人胃癌细胞系SGC-7901为研究对象,培养瞬时转染特异性siRNA的SGC-7901细胞系,通过RT-PCR、免疫细胞化学、Transwell体外侵袭实验等检测该siRNA对SGC-7901细胞STAT3及MMP-9基因表达和对细胞侵袭转移能力的影响。结果STAT3 siRNA转染SGC-7901细胞48 h后,STAT3 mRNA水平下降了73.04%,MMP-9 mRNA水平下降了57.2%;Transwell体外侵袭实验显示,STAT3 siRNA组能显著抑制SGC-7901的侵袭力（P〈0.01）。结论应用siRNA技术能有效抑制SGC-7901STAT3基因的表达,进而可能通过抑制MMP-9基因的表达,降低细胞的侵袭力,为以STAT3为靶向的胃癌基因治疗提供了新的思路和方法。     

shRNA抑制高尔基体α-甘露糖苷酶Ⅱ基因的表达对胃癌细胞侵袭力的影响及机制

目的：初步分析高尔基体α-甘露糖苷酶Ⅱ（Golgi alpha-mannosidase Ⅱ,GMⅡ）在低中不同分化人胃癌细胞系中的差异表达,以探讨GMⅡ在胃癌发生发展中的作用。方法：应用阳离子脂质体法将合成的靶向GMⅡ基因的pGPU6/GFP/Neo-GMⅡ-1406质粒载体,分别转染至低分化胃癌细胞MGC-803和中分化胃癌细胞SGC-7901中,然后荧光倒置显微镜观察并计算转染率,最后经过G418筛选出稳定转染的细胞株。应用RT-PCR和Western blot检测转染后GMⅡ和E-cadherin、α-catenin 的mRNA及蛋白表达变化情况,同时利用细胞划痕实验和Transwell体外侵袭实验来测定GMⅡ被沉默后两株细胞侵袭能力的变化。结果：GMⅡ短发卡RNA（short hairpin RNA,shRNA）转染胃癌MGC-803和SGC-7901细胞后GMⅡ的mRNA和蛋白表达明显抑制,而E-cadherin和α-catenin的2种因子检测结果明显升高（P＜0.05）;细胞划痕实验结果显示,转染重组质粒pGPU6/GFP/Neo-GMⅡ-1406组（GMⅡshRNA组）与对照组（空白对照组,阴性对照组）相比,GMⅡ被沉默后的胃癌细胞的侵袭能力降低（P＜0.05）;Transwell体外侵袭实验中GMⅡshRNA组胃癌细胞较空白对照组、阴性对照组细胞侵袭能力都明显降低,18 h穿过小室的细胞数分别为：（65±5）、（197±6）、（186±5）,（72±4）、（178±4）、（184±5）个与对照组相比差别具有统计学意义（MＧＣ-803：P=0.000,SGC-7901：P=0.000）。结论：GMⅡ基因沉默后的胃癌细胞的侵袭能力下降,可能与上调E-cadherin、α-catenin的表达有关。     

八聚体结合蛋白-4对胃癌细胞增殖和侵袭能力的影响

目的：探讨八聚体结合蛋白-4（octamer-bindingprotein-4,Oct 4）在胃癌（gastriccarcinoma）组织及其4株细胞系（ MKN-28、SGC-7901、BGC-823和GES-1）中的表达,并分析其对细胞增殖、迁移和侵袭能力的影响。方法收集20例胃癌手术患者的癌变组织和20例正常组织,通过Real time PCR（ RT-PCR）和Western blot法检测Oct 4在胃癌组织及其4株细胞系中的表达水平。在干扰掉Oct 4后,采用MTT的方法检测BGC-823细胞的增殖活性,通过Transwell小室法检测BGC-832细胞的侵袭活性,利用Western blot法检测MMP-2及MMP-9的表达。结果 RT-PCR检测发现Oct 4 mRNA在胃癌组织中高表达,而在正常组织中低表达,Western blot法检测发现Oct 4在BGC-832表达水平最高。下调Oct 4的表达导致BGC-823细胞增殖和侵袭活性被抑制,MMP-2及MMP-9的表达水平均降低。结论 Oct 4在胃癌组织和胃癌细胞系中高表达,并且敲除Oct 4会导致胃癌细胞的增殖和侵袭活性明显减弱,降低MMP-2及MMP-9的表达水平。 Oct 4在胃癌组织中的过量表达有助于胃癌的临床诊断,同时Oct 4在胃癌的恶性肿瘤生物活性中发挥着重要作用。     

OCT4基因在胃癌细胞系中的表达及其意义

【摘要】 目的 检测八聚体结合蛋白-4（octamer-binding protein-4,OCT4）基因在不同分化程度的胃癌细胞株（MKN-28、SGC-7901、BGC-823）及正常胃黏膜细胞株GES-1中的表达情况,研究OCT4基因表达水平与胃癌细胞分化程度和侵袭力的相关性。方法 RT-PCR确定GES-1、MKN-28、SGC-7901、BGC-823中OCT4基因的表达水平,OCT4 siRNA转染BGC-823细胞,分别通过荧光定量PCR和Western blot检测干扰OCT4基因表达的效果,并利用Transwell小室法研究OCT4在BGC-823细胞侵袭力中的作用。结果 正常人胃黏膜细胞中未检测到OCT4的表达,人胃癌细胞系分化程度越低,OCT4基因表达量越高,低分化人胃癌细胞系BGC-823中OCT4基因表达最高,转染OCT4 siRNA的BGC-823细胞内的OCT4 mRNA和OCT4蛋白表达量明显下降（P＜0．05）。干扰胃癌细胞BG-823中OCT4基因的表达,穿膜细胞数量减少（P＜0．05）,侵袭力下降。结论 OCT4基因表达量与胃癌细胞的分化程度有关,OCT4基因可能在胃癌细胞的分化中起重要作用,影响胃癌细胞的侵袭能力,其表达程度有望成为胃癌患者恶性度预测的参考指标之一。     

maspin诱导不同分化的胃癌细胞凋亡及可能的作用机制

目的探讨maspin诱导胃癌细胞株SGC-7901和MKN-45凋亡的作用及可能的作用机制。方法重组质粒pCD-NA3.1-maspin分别转染胃癌细胞株SGC-7901和MKN-45,采用逆转录-聚合酶链式反应(RT-PCR)和蛋白免疫印迹(Westernblotting)检测maspin基因表达,末端标记细胞凋亡法(TUNEL)检测细胞凋亡,Western blotting检测凋亡相关蛋白Bax和Bcl-2的改变。结果重组质粒pCDNA3.1-maspin导入SGC-7901和MKN-45细胞株后,maspin的mRNA和蛋白表达均明显增强(P<0.05),两种细胞均出现明显的细胞凋亡,且两种细胞中的Bax蛋白均上调,而Bcl-2蛋白均下调。结论 maspin基因可能通过上调Bax蛋白和下调Bcl-2蛋白诱导胃癌细胞凋亡。     

RNA干扰沉默缺氧诱导因子-1α对胃癌细胞生物学行为的影响

目的:观察RNA干扰沉默缺氧诱导因子-1α(HIF-1α)对胃癌细胞增殖﹑凋亡﹑侵袭性的影响并探讨其可能的分子机制。方法:将HIF-1α短发夹RNA(shRNA)重组质粒pGCsi-shHIF-1α稳定转染人胃癌细胞SGC-7901;采用RT-PCR和Western blot法检测HIF-1α mRNA、蛋白表达水平,Western blot法检测葡萄糖转运蛋白1(Glut-1)、基质金属蛋白酶2(MMP-2)及趋化因子受体CXCR4蛋白表达;MTT法、流式细胞仪、transwell试验分别检测转染细胞的增殖、凋亡及侵袭迁移能力。结果:稳定转染pGCsi-shHIF-1α后,SGC-7901细胞HIF-1α表达在mRNA及蛋白水平均受到明显抑制,Glut-1﹑MMP-2﹑CXCR4蛋白表达较对照组降低;细胞增殖能力较对照组明显降低,细胞凋亡率明显高于对照组(P<0.05);细胞体外侵袭迁移能力受到明显抑制(P<0.01)。结论:pGCsi-shHIF-1α能有效沉默胃癌细胞SGC-7901 HIF-1α基因表达,抑制胃癌细胞增殖、迁移及侵袭并诱导其凋亡,提示HIF-1α可能通过上调Glut-1﹑MMP-2和C...     

靶向COX-2的siRNA抑制三种不同分化程度胃癌细胞生长及作用机制

目的:利用RNA干扰(RNA interference,RNAi)技术在体外抑制COX-2表达,研究其抑制三种不同分化程度的胃癌细胞(MKN-28,SGC-7901,BGC-823)的可能性,探讨RNAi抑制胃癌生长与胃癌细胞分化程度的相关性. 方法:设计靶向COX-2基因的siRNA,构建重组表达质粒pTZU6 1-siRNA-COX-2并导入胃癌细胞株,体外诱导RNAi,采用逆转录PCR(RT-PCR)和Western blotting检测COX-2基因表达变化,MTT法检测细胞活力,原位末端标记(TUNEL)及透射电镜检测细胞凋亡,Western blotting检测凋亡相关蛋白Bax和Bcl-2的改变. 结果:pTZU6 1-siRNA-COX-2质粒导入细胞后,SGC-7901和BGC-823中COX-2表达明显下调,细胞生长被抑制,并出现特征性的细胞凋亡,同时有Bax蛋白上调和Bcl-2蛋白下调. 对照组则无明显变化. 结论:RNAi显著抑制胃癌细胞生长,可能与下调COX-2基因表达和诱导细胞凋亡有关,其对中分化胃癌细胞的抑制作用最为显著,提示RNAi的作用可能依赖于胃癌细胞的分化程度.     

重组质粒pEGFP-N1-EMMPRIN对胃癌SGC-7901细胞侵袭和迁移的影响

目的 构建人细胞外金属蛋白酶诱导因子（EMMPRIN）重组质粒,观察其在胃癌SGC-7901细胞中的表达及对细胞侵袭和迁移的影响。方法 从结肠癌细胞株SW-480中提取总RNA,通过RT-PCR获得EMMPRIN基因,连接至载体pEGFP-N1,构建重组质粒pEGFP-N1-EMMPRIN,通过脂质体Lipofectamine 2000转染胃癌SGC-7901细胞;RT-PCR和Western blotting分别检测EMMPRIN mRNA和蛋白在SGC-7901细胞中的表达,Transwell实验检测EMMPRIN对SGC-7901细胞侵袭和迁移的影响。结果 重组质粒pEGFP-N1-EMMPRIN构建成功,并在SGC-7901细胞中表达,RT-PCR和Western blotting检测示转染后SGC-7901细胞中EMMPRIN mRNA和蛋白表达均增加,Transwell实验检测示转染后SGC-7901细胞的侵袭和迁移能力均显著增强。结论 EMMPRIN可显著增强肿瘤细胞的侵袭与迁移能力。     

miRNA-101在胃癌组织和细胞中的表达及对胃癌生物学行为的影响

目的:探讨miRNA-101在胃癌组织和细胞中的表达情况及对胃癌细胞生物学行为的影响.方法:应用实时荧光定量PCR法分析31例胃癌组织和癌旁组织样本以及人胃癌细胞系SGC-7901、MKN45、人正常胃黏膜上皮细胞系GES1中miRNA-101的表达水平;建立miRNA-101重组腺病毒载体感染胃癌细胞系SGC-7901、MKN45,对照组为感染阴性对照病毒的胃癌细胞系SGC-7901、MKN45,MTT法检测miRNA-101对胃癌细胞增殖能力的影响;Transwell小室法检测胃癌细胞的迁移和侵袭能力.结果:胃癌组织中miR-101表达水平明显低于癌旁组织(P<0.01);miR-101在细胞系SGC-7901和MKN45中的表达量明显低于人正常胃黏膜上皮细胞系GES1(P<0.01).孵育48 h后MKN45细胞miRNA-101组的细胞增殖能力低于其对照组(P<0.05);而孵育72 h后SGC-7901细胞和MKN45细胞的miRNA-101组细胞增殖能力均亦低于相应对照组(P<0.05).迁移试验结果显示,miRNA-101组迁移的胃癌细胞SGC-7901和MKN45的平均细胞数明显低于相应对照组(P<0.01);侵袭实验结果显示,miRNA-101组侵袭的胃癌细胞SGC-7901和MKN45的平均细胞数亦明显低于其对照组(P<0.01).结论:miRNA-101在胃癌组织和胃癌细胞系中表达下调,转染miRNA-101可明显降低SGC-7901和MKN45细胞的增殖、迁移、侵袭能力,miRNA-101可能参与了胃癌疾病的发生及发展.     

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.