IL-2基因转导CD3AK细胞免疫学功能的研究

目的 :观察白细胞介素 2 (IL 2 )基因转导后CD3AK细胞免疫学功能的变化。方法 :应用逆转录病毒载体将IL 2基因转导入CD3AK细胞。检测转导细胞中特异性NeoR 基因、培养上清IL 2的表达水平及转导CD3AK细胞的体外增殖活性、细胞毒活性和细胞表型。结果 :从转导细胞mRNA中扩增出长度为 347bp的特异性NeoR 基因片段 ,转导细胞培养上清的IL 2表达水平显著增高 ,体外增殖活性和细胞毒活性均强于未转导组细胞 ,CD4 /CD8 值升高。结论 :PLIL 2SN逆转录病毒转导CD3AK细胞后 ,IL 2基因得到表达并增强CD3AK细胞的免疫学功能     

IL-2基因转导CD3AK细胞免疫学功能的研究

目的观察白细胞介素-2(IL-2)基因转导后CD3AK细胞免疫学功能的变化。方法应用逆转录病毒载体将IL2基因转导入CD3AK细胞。检测转导细胞中特异性NeoR基因、培养上清IL2的表达水平及转导CD3AK细胞的体外增殖活性、细胞毒活性和细胞表型。结果从转导细胞mRNA中扩增出长度为347bp的特异性NeoR基因片段,转导细胞培养上清的IL2表达水平显著增高,体外增殖活性和细胞毒活性均强于未转导组细胞,CD4+/CD2+值升高。结论PLIL2SN逆转录病毒转导CD3AK细胞后,IL-2基因得到表达并增强CD3AK细胞的免疫学功能。     

IL—2基因转导CD3AK细胞免疫学功能的研究

目的：观察白细胞介素-2（IL-2）基因转导后CD3AK细胞免疫学功能的变化。方法：应用逆转录病毒载体将IL-2基因转导入CD3AK细胞，检测转导细胞中特异性Neo^R基因、培养上清IL-2的表达水平及转导CD3AK细胞的体外地产殖活性、细胞毒活性和细胞表型。结果：从转导细胞mRNA中扩增出长度为347bp的特异性Neo^R基因片段，转导细胞培养上清的IL-2表达水平显著增高，体外增殖活性和细胞毒活性均强于未转导组细胞，CD4^ /CD8^ 值升高。结论：PLIL-2SN逆转录病毒转导CD3AK细胞后，IL-2基因得到表达并增强CD3AK细胞的免疫学功能。     

IL-11基因修饰的基质细胞对造血细胞体外扩增的影响

目的　研究造血因子白介素 11(IL 11)基因修饰的基质细胞对造血细胞体外扩增的影响。方法　采用逆转录病毒载体将IL 11基因转入基质细胞HFCL ,用Northernblot检测基质细胞HFCLIL 11基因的表达 ,用流式细胞仪检测IL 11基因修饰的HFCL支持的脐血CD3 4 + 造血细胞体外扩增中表型为CD3 4 + CD3 8- 早期祖细胞和表型为CD3 4 + CD41+ 巨核系定向祖细胞的比例。结果　基质细胞HFCL能够表达逆转录病毒介导的IL 11基因 ,并且在这种IL 11基因修饰的基质细胞支持下 ,脐血CD3 4 + 造血细胞经过7d扩增 ,扩增细胞中表型为CD3 4 + CD3 8- 的早期祖细胞和表型为CD3 4 + CD41+ 巨核系祖细胞的比例分别为 (1.62± 0 .2 3 ) %、(9.9±1.1) % ,高于未转基因HFCL的 (0 .8± 0 .2 3 ) %、(6.5± 1.8) % ,而在相同条件下细胞因子支持的扩增细胞中则分别为 (0 .19±0 .14 ) %、(6.0± 1.1) %。结论　基质细胞能够表达经逆转录病毒载体介导的IL 11基因 ,而且经IL 11基因修饰的基质细胞能显著促进CD3 4 + CD3 8- 的早期祖细胞和CD3 4 + CD41+ 巨核系祖细胞扩增。     

大鼠心肌肌凝蛋白a重链基因逆转录病毒载体的构建

目的 :克隆编码大鼠心肌肌凝蛋白α重链 aa736～ 96 0的 c DNA片段 ,构建携带 hu IL - 2 / m yosin融合基因的逆转录病毒载体。方法 :以 RT- PCR方法从幼龄大鼠心肌组织中扩增出 6 81bp的目的基因 ,与 hu IL - 2 c DNA序列拼接 ,构建融合基因 hu IL - 2 / m yosin及其逆转录病毒载体。采用脂质体法转染 NIH 3T3细胞 ,经 G418筛选后 ,用 RT- PCR和免疫组化法分析重组逆转录病毒的表达。 结果 :核苷酸序列测定显示 ,克隆基因的核苷酸及推导的氨基酸序列与报告序列一致 ,开放阅读框正确 ;逆转录病毒载体 p L NC- hu IL - 2 - m yosin酶切结果与预期一致。RT- PCR检测提示转染细胞有 p L NC- hu IL - 2 - myosin m RNA转录 ;免疫组化分析表明转染细胞胞质内有大量肌凝蛋白表达。 结论 :大鼠心肌肌凝蛋白α重链基因逆转录病毒载体构建成功 ,并可在 NIH3T3细胞中表达 ,为心肌肌凝蛋白基因转移诱导机体特异性免疫耐受对心肌免疫损伤的防治研究打下了基础     

假型逆转录病毒高效介导人乳腺癌细胞基因转移

目的 :探索假型逆转录病毒MuLV/VSV G在乳腺癌细胞基因转导的效率 ,为乳腺癌细胞基因转导找寻一种高效的载体。方法 :将含报道基因的假型逆转录病毒MuLV/VSV G转导入人乳腺癌MDA MB 435细胞 ,观察其转导效率 ,并与MuLV的转导效率进行比较。结果 :MuLV/VSV G的转导效率达 (92± 12 ) % ,MuLV的转导效率为 (2 4±5 ) % ,前者较MuLV转导效率提高 3.8倍。结论 :假型逆转录病毒MuLV/VSV G可作为一种高效的载体广泛应用于乳腺癌的基因治疗研究。     

Psi2STK/GCV与鼠C6神经胶质瘤细胞的相互作用

目的 :研究利用基因工程包装细胞进行基因转导与药物相结合来治疗脑胶质瘤的可行性。方法 :利用基因转导技术及分子生物学方法构建了逆转录病毒载体 STK及基因工程包装细胞psi2 STK,并利用 psi2 STK细胞和丙氧鸟苷 ( GCV)结合对胶质瘤细胞进行了离体的基因治疗研究。结果 :实验组 C6Bp BAG+ psi2 STK由于有 psi2 STK细胞的存在 ,对 GCV的敏感性比对照组C6Bp BAG+ psi2 STK明显增强。结论 :通过体外实验证实了逆转录病毒转导 HSV- TK基因 ,在培养 C6胶质瘤细胞中 ,提高了其对 GCV的敏感性     

含大肠杆菌胞嘧啶脱氨酶基因的假型逆转录病毒的构建及包装

研究将大肠杆菌胞嘧啶脱氨酶（CD）基因应用于基因治疗。构建、包装含CD基因的假型逆转录病毒。构建含CD基因的逆转录病毒重组表达载体pLCDSN基础上，以重组表达载体pLCDSN转染包装细胞PA317，pLCDSN整合入PA317染色体中。结果：CD基因获得表达且包装出具有感染能力的假型逆转录病毒。以该假型逆转录病毒感染NIH／3T3细胞，逆转录病毒重组表达载体pLCDSN整合入NIH／3T3细胞染色体中，CD基因获得表达。5－FC对有CD基因表达的包装细胞PA317（pLCDSN）和NIH／3T3（pLCDSN）产生杀伤毒性。结论：我们已成功地构建、包装了含重组逆转录病毒载体pLCDSN且具有感染能力的假型逆转录病毒。该工作为以逆转录病毒介导的CD基因应用于肿瘤基因治疗奠定了基础。     

CD40配体诱导小鼠B淋巴瘤细胞分化抑制因子3下调表达的研究

目的：研究CD40配体（CD40L）对小鼠未成熟B淋巴瘤细胞（WEHI-231细胞）分化抑制因子3（Id3）表达的影响。方法：用RT-PCR技术从WEHI-231细胞总RNA中扩增小鼠Id3（mid3）cDNA，将其亚克隆至p3FLAG-CMV-10载体；以p3FLAG-Id3-CMV-10为模板，用PCR扩增3FLAG—Id3融合基因，将其亚克隆至逆转录病毒载体pMX—CITE／IRES—EGFP中；通过脂质体转染技术将重组逆转录病毒载体（pMX-3FLAG—Id3-EGFP）转染Phoenix-ecotropic包装细胞系；将pMX-3FLAG-Id3-EGFP逆转录病毒转导WEHI-231细胞，转导48h后的WEHI-231细胞与CD40L／NIH333和NIH333细胞共培养24～48h。转导细胞经有限稀释法建立ndd3基因稳定转染细胞系。mlar3基因稳定转染细胞与CD40L／NIH333和NIH333细胞共培养24h后，用Western blot法检测3FLAG-mid3融合蛋白的表达。结果：pMX-3FLAG-Id3-EGFP转导WEHI-231细胞后，EGFP阳性细胞比例随时间呈下降趋势；单独用培养液培养或与NIH333细胞共培养的pMX-3FLAG-Id3-EGFP／WEH1-231细胞，24～48h后，EGFP阳性细胞率呈逐渐下降趋势；而与CD40L／NIH333细胞共培养的pMX-3FLAG-Id3-EGFP／WEHI231细胞，EGFP阳性细胞率基本保持不变。稳定表达3FLAG-Id3融合蛋白的WEHI-231细胞与CD40L／NIH313和NIH333细胞共培养24h后，Western blot结果显示，CD40L刺激可明显抑制3FLAG—Id3-EGFP／WEHI-231中Id3的表达。结论：CD40L可能通过对Id3的降解而缓解Id3诱导的细胞生长抑制作用。     

逆转录病毒载体介导的CD基因对小鼠胃癌的原位杀伤作用

目的 :探讨自杀基因的旁观者效应及引发的抗肿瘤免疫对胃癌的治疗作用。方法 :将含有 CD基因的重组逆转录病毒载体p CD2在 PA317细胞中进行包装后 ,收获病毒上清 ;将此上清直接注射接种于 6 15小鼠皮下并已成瘤的 MFC小鼠前胃癌的肿瘤部位 ,再腹腔给予前药 5 - FC进行治疗。治疗结束后 ,检测 NK、L AK细胞活性以判断机体免疫活性。结果 :在前药治疗阶段中 ,转 CD基因肿瘤较未转基因肿瘤的生长明显受抑 ,且有部分肿瘤消失 (P<0 .0 1,n=10 )。在成瘤对照组中 ,NK、L AK活性受到抑制 ,低于正常对照组 ,而 CD/5 - FC组的 NK、L AK…     

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.     

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.     

Electro-Acupuncture Combined with the Trigger Point Needle-Embedding for Treatment of Primary Trigeminal Neuralgia in 31 Cases

In recent years, the author of this essay has applied electro-acupuncture combined with the trigger point needle-embedding for treatment of primary trigeminal neuralgia in 31 cases, yielding satis- factory results as reported in the following.     

Investigation of Matrix Metalloproteinase -1, 2 and tissue inhibitor of matrix metalloproteinases-1 in Endometriosis

Objective： To explore the role of matrix metalloproteinase-1,2 （MMP-1, MMP-2） and tissue inhibitor of matrix metalloproteinases-1 （TIMP-1） in endometriosis. Methods： The eutopic and ectopic endometria from 40 subjects suffering from endometriosis and regular.endometria from 40 subjects （excluding endometriosis） were collected and examined by in situ hybridization technology and western blot assay. Results： Both expressions of MMP-1 and -2 were stronger in ectopic endometrium and eutopic endometrium than in normal endometrium. On the contrary, the expression of TIMP-1 in ectopic endometrium and eutopic endometrium was lower. The differences were significant （P 〈 0.01 ）. Moreover, there was no relationship among the expressions of MMP-1, 2 and TIMP-1 in ectopic endometrium. Conclusion： The expressions of MMP-1, 2 and TIMP-1 lose balance and lack of periodic changes in ectopic endometrium , which explains the biological invasive behavior of endometriosis. It was suggested-that regulating the balance between the MMPs and TIMP-1 should be an ideal therapeutic target to endometriosis.     

Shi Da-zhuo (史大卓) —An outstanding cardiologist of integrative medicine

Prof. SHI Da-zhuo, Ph.D., male, was born on March 20, 1960. Prof. SHI entered the Ph.D. program in 1990 at the China Academy of Chinese Medical Sciences under the supervision of Prof. CHEN Ke-ji, majoring in the treatment of cardiovascular diseases. After receiving his Ph.D. degree in 1993, Prof. SHI started working at the Cardiovascular Center in Xiyuan Hospital affiliated to China Academy of Chinese Medical sciences.     

Persist in and Carry Forward the Integrative Medical Research——Speech at the 6th National General Congress of Chinese Association of Integrative Medicine by Academician CHEN Zhu,Minister of Ministry of Health

The 6th National General Congress of Chinese Association of Integrative Medicine （CALM） was convened at 19-20, April 2008 in Beijing. Academician CHEN Zhu, the minister of Ministry of Health indicated at the congress that the integration of Chinese and Western medicine is very well in keeping with the situation of our country and the general rule of development in medical science; and as a good integration of Chinese medicine and Western medicine, it is mutually beneficial and advantageous to both of them. Seeing the creativity shown in integrative medical investigation in theoretic and methodological sides, we should and must persist in and develop it.