聚己酸内酯及其在医药领域的应用

目前，对聚己酸内酯的性质和应用的研究日益增多。本文综述了聚己酸内酯材料的制备、一般理化性质、降解吸收性质和在临床及给药系统中的应用等。聚己酸内酯一般由开环聚合得到，为半结晶性聚合物，有较好的柔韧性。该材料降解属于水解反应，不在体内积蓄，排泄完全；可以作为手术缝线、骨折固定材料、药物载体等使用。由于它安全、低毒、可生物降解，所以在医药领域得到广泛应用。     

聚己内酯在体内的降解、吸收和排泄

研究了聚己内酯（ＰＣＬ）在大鼠体内的降解,结果表明起始分子量６．６万的聚己内酯胶囊在体内可完整存在两年,两年中分子量逐渐下降,两年后降解为低分子量。用氚标记低分子量聚己内酯值入大鼠皮下,测定其吸收和排泄,结果表明植入１５ｄ后在血中开始测出放射性,同时在粪尿中开始出现放射性排泄物。１６５ｄ后血国放射性基本消失,从粪尿中累积排出给入量的９２％,植入后６０ｄ及１６５ｄ各脏器中放射性分布全部接受本底水平。     

左炔诺孕酮长效缓释埋植剂Ⅰ.结构特征的研究和体内外药物释放的长期观察

用生物降解性聚己内酯（ＰＣＬ）为载体制备女性抗生育药物左炔诺孕酮（ＬＮＧ）的长效皮下埋植胶囊。除可降解外,该胶囊具有微孔结构,重要技术特征是在ＰＣＬ中加入固体水溶性大分子ＰｌｕｒｏｎｉｃＦ６８（Ｆ６８）作为致孔剂,研究了加入致孔剂的工艺和微孔形成的原理,用核磁共振和扫描电镜等方法证明在亲水介质中Ｆ６８很快溶出,形成多微孔结构。体外和动物体内药物释放的研究证明该埋植剂具有零级释放动力学,可在体内长期维持稳定的药物释放量,每根３ｃｍ长的埋植剂在体内每天释放约２１微克ＬＮＧ,预期一次植入两根可有效地避孕两年     

丝素蛋白/聚己内酯纳米纤维支架生物相容性评价

目的:改善再生丝素蛋白的降解性及力学性能,评价丝素蛋白/聚己内酯纳米纤维支架神经生物材料的生物相容性。方法:采用静电纺丝技术制备丝素蛋白/聚己内酯纳米纤维支架。体外培养雪旺细胞并与支架及其浸提液共培养,通过荧光染色,细胞毒性试验(MTT法)检测其细胞生物相容性。将纤维支架材料在体外置于蛋白酶ⅪV溶液评价其体外降解行为;通过皮下埋植实验观察纤维材料在体内的局部组织反应。结果:丝素蛋白/聚己内酯支架材料,呈现三维网状结构。雪旺细胞具有良好的生长形态;无细胞毒性。随着丝素蛋白比例的降低,能够显著增加混合支架的降解速度。皮下移植实验未引起明显免疫排斥反应,炎症反应轻。结论:丝素蛋白/聚己内酯支架具有良好的生物相容性和生物可降解性,有望用于神经组织工程支架材料修复神经缺损。     

聚己内酯埋植剂的制备及药物通透性研究

目的制备聚己内酯（PCL）长效药物缓释制剂,优化药物缓释效果,并研究PCL埋植剂的药物通透性.方法 合成分子质量为（8～16）×104 u含有普朗尼克F68的PCL,用挤出法制备不同壁厚的PCL长效缓释埋植剂.将左炔诺孕酮（LNG）装入PCL管封装,制成LNG药囊.通过高效液相色谱法测定LNG的释放效果,考察PCL的分子质量及PCL管壁厚度对LNG通透性的影响.结果 当PCL分子质量为（8～16）×104u时,对LNG通透性无显著影响.PCL管壁厚在0.20～0.40 mm时,对LNG通透性亦无显著影响;当壁厚小于0.15 mm时,LNG通透性显著提高.结论 PCL埋植剂对LNG具有通透性,可通过改变PCL管壁厚度增加药物通透性.     

紫杉醇PCL-PEG-PCL温敏性缓释凝胶的制备及性能研究

目的 利用聚己内酯-聚乙二醇-聚己内酯(PCL1250-PEG1500-PCL1250)两亲性聚合物温敏凝胶作为载体材料,构建疏水性抗肿瘤药物紫杉醇的载药体系.方法 以辛酸亚锡为催化剂、聚乙二醇为引发剂,引发己内酯单体开环聚合,合成PCL1250-PEG1500-PCL1250三嵌段共聚物.通过核磁共振氢谱及凝胶渗透色谱对其组成、结构及分子量进行表征:制备不同凝胶浓度及初始载药量的载药温敏凝胶,并对其相转变性能、体外药物释放行为以及体内的生物降解性能进行考察.结果 核磁共振及凝胶渗透色谱测定结果表明:合成的共聚物组成与初始投料比一致,符合设计的PCL1250-PEG1500-PCL1250嵌段聚合物结构;该凝胶在15%～30%浓度区间内,具备温敏性溶胶-凝胶相转变能力;该温敏凝胶对紫杉醇具有可控的药物缓释能力,通过改变凝胶浓度及初始载药量可调节药物释放速率和维持释放的时间.小鼠背部皮下注射PCL1250-PEG1500-PCL1250溶胶后在体内迅速原位凝胶化,凝胶随植入时间逐渐降解至45 d时基本降解完全.结论 PCL1250-PEG1500-PCL1250温敏凝胶作为紫杉醇载药体系具有良好的药物控释能力和体内生物降解性能.     

ε-己内酯与DL-丙交酯共聚物的体内降解性能

背景：ε-己内酯与DL-丙交酯共聚后具有良好的生物相容性和可调控的降解速率,它的应用与其体内降解性能有着重要关系。 目的：观察聚(己内酯-co-DL-丙交酯)在大耳白兔体内的降解性能。 方法：将不同配比DL-丙交酯和ε-己内酯组成的聚(己内酯-co-DL-丙交酯)制备成不同尺寸的试样,植入到日本大耳白兔背部皮下,定期观察试样的形态、失重率、相对分子质量和热性能。 结果与结论：随着ε-己内酯投料比的增加,聚(己内酯-co-DL-丙交酯)形状保持能力增强,降解速度减慢;相同共聚组成的试样,尺寸越大,降解速度越快。     

微孔真空多聚糖止血微球体内降解与生物安全性

背景：微孔真空多聚糖止血微球是一种具有自主知识产权的可吸收高分子止血材料,它来源于变性马铃薯植物淀粉,经特殊加工工艺制备而成。 目的：将微孔真空多聚糖止血微球埋植于大鼠体内,观察止血微球在体内降解情况,检测体液各项安全性指标。 方法：将0.1-0.2 g微孔真空多聚糖止血微球埋植于12只大鼠左侧脊柱皮下组织内,分别于植入后1,3,7,14 d,观察止血微球在组织内降解情况。实验另取15只大鼠,5只为对照组正常饲养,将另外10只麻醉,在脊柱两侧做2道切口,长约5 cm,深至肌层0.3 cm,在切口喷撤适量止血微球覆盖整个创面,缝合切口,正常饲养14 d,观察大鼠外观体征、行为活动、排泄、摄食情况,进行体液各项指标检测。最后解剖大鼠,观察主要器官的大体形态及颜色变化。 结果与结论：埋植大鼠体内的微孔真空多聚糖止血微球7 d完全降解吸收。切口喷撤适量止血微球后,大鼠生命体征正常;血液及尿液检查各项生化指标均正常;肝、脾、脑、肾等主要器官大体形态及颜色均未发现明显异常变化。结果证实,微孔真空多聚糖止血微球可被体内的淀粉酶酶解为单糖,在体内7 d完全降解吸收,对组织器官无任何毒副反应。 中国组织工程研究杂志出版内容重点：生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程     

紫杉醇PCL—PEG—PCL温敏性缓释凝胶的制备及性能研究

目的利用聚己内酯-聚乙二醇-聚己内酯（PCL1250-PEG1500-PCL1250）两亲性聚合物温敏凝胶作为载体材料,构建疏水性抗肿瘤药物紫杉醇的载药体系。方法以辛酸亚锡为催化剂、聚乙二醇为引发剂,引发己内酯单体开环聚合,合成PCL1250-PEG1500-PCL1250三嵌段共聚物。通过核磁共振氢谱及凝胶渗透色谱对其组成、结构及分子量进行表征;制备不同凝胶浓度及初始载药量的载药温敏凝胶,并对其相转变性能、体外药物释放行为以及体内的生物降解性能进行考察。结果核磁共振及凝胶渗透色谱测定结果表明：合成的共聚物组成与初始投料比一致,符合设计的PCL1250-PEG1500-PCL1250嵌段聚合物结构;该凝胶在15％～30％浓度区间内,具备温敏性溶胶-凝胶相转变能力;该温敏凝胶对紫杉醇具有可控的药物缓释能力,通过改变凝胶浓度及初始载药量可凋节药物释放速率和维持释放的时间。小鼠背部皮下注射PCL1250-PEG1500-PCL1250溶胶后在体内迅速原位凝胶化,凝胶随植入时间逐渐降解至45d时基本降解完全。结论PCL1250-PEG1500-PCL1250温敏凝胶作为紫杉醇载药体系具有良好的药物控释能力和体内生物降解性能。     

可降解长效抗生育埋植剂的研究

本文介绍了用我们合成的可降解聚己内酯[Poly(ε-Caprolactone),PCL]和F68固体增释剂为原料经热塑挤管制成2.5mm外径和2.3mm内径的圆管,截取所需长度,内装一定剂量的左炔诺孕酮(Levonorgestrel,LNG)制成可降解的长效抗生育埋植剂(CaproF),经体外和大鼠体内药物释放量的测定,表明CaproF在设定时间内可保持恒定的药物释放速率;埋植体内两年,药囊形状完好,无破碎,未发现对狗有长期毒性反应,放免法测定大鼠血清中的LNG结果稳定,无明显波动,抗生育实验表明,对每只大鼠皮下埋植2.3cm,装LNG 20mg的胶囊两根,可保持两年100％抗生育效果,Ⅰ期临床实验,9名育龄妇女均未受孕,除个别受试者有轻微的点滴出血外,无其它副作用,两年内有确切的抗生育作用。     

Schizophrenia in a North Swedish geographical isolate, 1900–1977. Epidemiology, genetics and biochemistry

Over 200 schizophrenic patients belonging to three major and interrelated pedigree complexes have been investigated over the past 30 years in a North Swedish geographically isolated population, presently numbering about 6,000. An intensive investigation of a number of biochemical correlates and genetic markers in a few selected families belonging to one of the major pedigrees has indicated new strategies for the current research program.
Schizophrenia, as defined operationally, is significantly associated with decreased activities of two enzymes (1) blood platelet monoamine oxidase, (2) plasma dopamine-β-hydroxylase, and (3) with the genetic marker Gc² (group specific antigen). Both enzymes are subject to genetic variation. A positive score for linkage between schizophrenia and low plasma DBH activity has been calculated, but, so far, available data are insufficient for discrimination between linkage and partial contribution of genetically controlled low plasma DBH to the pathogenesis of the disease. Alternatively, both mechanisms could be involved.
As a model for continued research, schizophrenia is explained as based on a double dominant-recessive genotype (Aabb), representing a vulnerability which in about 50 % of cases develops into clinical schizophrenia. It is suggested that the dominant mutation (A) operates on or affects MAO activity, and that the recessive genotype (bb) is instrumental in low variates of DBH activity and very likely such variates within the normal range of physiological variation. Moreover, it is suggested that the combined effects of MAO- and DBH-reduced efficiency on the metabolism of e.g. dopamine could be an essential pathogenic mechanism for the schizophrenic illness which is segregating in this population.     

Renal dysplasia and asplenia in two sibs

A family is reported in which two sibs, one male and the other female, both died within 24 hours of birth with enlarged polycystic kidneys. Postmortem histology in the second child showed gross renal dysplasia. In both children the pancreas was enlarged, nodular and cystic but the liver appeared macroscopically normal. In the second child, histological examination confirmed pancreatic fibrosis with cystic dilation of ducts, but showed portal fibrosis with bile duct proliferation in the liver.
This combination of findings is very reminiscent of those in a girl and her brother reported by Ivemark et al. (1959). The children reported here also showed absence or hypoplasia of the spleen, cardiac anomalies and other features of the Ivemark syndrome (Ivemark 1955), a quite different, usually sporadic, congenital disorder. It is suggested that the children described here have a distinct lethal congenital disorder, probably inherited in an autosomal recessive manner.     

The dominant diseases of modernized societies as omega-3 essential fatty acid deficiency syndrome: Substrate beriberi

About 1900, modern food selection and processing caused widespread $\text{epidemics}$ of the B vitamin deficiency diseases of beriberi and pellagra which, for genetic reasons, often expressed as different diseases ranging from bowel and heart disease to dermatoses and psychoses. But the B vitamins merely help convert essential fatty acids (EFA) into the prostaglandin (PG) tissue regulators and it now turns out that, through hydrogenation, milling and selection of w3-poor southern foods, we have also been systematically depleting, by as much as 90%, a newly discovered trace Nordic EFA (w3) of special importance to primates and sole precursor of the PG3(4) series, even as a concurrent fiber deficiency increases body demand for EFA. Since substrate EFA is processed by many B vitamin catalysts, an EFA deficiency will mimic a $\text{panh}$ypovitaminosis B, i.e., a mixture of $\text{substrate}$ beriberi and $\text{substrate}$ pellagra resembling vitamin beriberi and pellagra but exhibiting as even more diverse $\text{endemic}$ disease. This would consitute a second stage of the Modern Malnutrition and explain why some workers now hold the dominant diseases of modermized societies to be new, nutritionally based, pellagraform yet lipid-related and to range, once again, from heart disease to psychosis. It is an assumption that our dominant diseases are unrelated to each other or are merely revealed by our diagnostic acumen and therapeutic success; and that hydrogenating millions of tons of food oils annually, to destroy the rancidity producing w3-EFA, is safe for $\text{primates}$. Extensive beriberiform disease is reported here in 32 typical cases taken from medical practice which responds strikingly to linseed oil supplements (60% w3-EFA) in confirmation of identical results in Capuchins.     

'Very sore nights and days': the child's experience of illness in early modern England, c.1580-1720

Sick children were ubiquitous in early modern England, and yet they have received very little attention from historians. Taking the elusive perspective of the child, this article explores the physical, emotional, and spiritual experience of illness in England between approximately 1580 and 1720. What was it like being ill and suffering pain? How did the young respond emotionally to the anticipation of death? It is argued that children’s experiences were characterised by profound ambivalence: illness could be terrifying and distressing, but also a source of emotional and spiritual fulfilment and joy. This interpretation challenges the common assumption amongst medical historians that the experiences of early modern patients were utterly miserable. It also sheds light on children’s emotional feelings for their parents, a subject often overlooked in the historiography of childhood. The primary sources used in this article include diaries, autobiographies, letters, the biographies of pious children, printed possession cases, doctors’ casebooks, and theological treatises concerning the afterlife.     

Guidelines for the Validation and Use of Immunoassays for Determination of Introduced Proteins in Biotechnology Enhanced Crops and Derived Food Ingredients

Recent advancements in agricultural biotechnology have created a need for analytical techniques to determine introduced proteins in crops enhanced through modern biotechnology techniques. These proteins are expressed in plant tissues and may be present in food ingredients. Immunoassays are ideally suited for protein detection and may be used as both quantitative and threshold methods. Microplate ELISA and lateral flow devices are two of the most commonly used immunoassay formats for agricultural biotechnology applications. This paper provides general background information and a discussion of criteria for the validation and application of immunochemical methods to the analysis of proteins introduced into plants and food ingredients using biotechnology methods. It is the result of a collaborative effort of members of the Analytical Environmental Immunochemical Consortium. This collaborative effort represents the combined expertise of several organizations to reach consensus on establishing guidelines for the validation and use of immunoassays. Further, the paper offers developers and users a consistent approach to adopting the technology as well as aid in producing accurate and meaningful results.     

Ultracryotomy: development and application (with examples from the yeast cytology) (author's transl)

The preparation steps usually necessary for obtaining ultrathin frozen sections of biological material (chemical prefixation, enclosing, cryoprotective treatment, freezing, sectioning, and post-staining the sections for transmission electron microscopy) are submitted to a critical analysis. The application of cryo-ultramicrotomy, in particularly for cytochemical purposes, is reviewed. Fundamental considerations of chemical prefixation and poststaining are supported by examples from yeast cytology. Furthermore, the efficiency of the cryo-ultramicrotomy (electron optical resolution of ultrastructural details) is demonstrated on yeast cells and protoplasts.     

HLA in North Colombia Chimila Amerindians

HLA-A,-B,-C,-DRB1 and -DQB1 alleles have been studied in Chimila Amerindians from Sabana de San Angel (North Colombian Coast) by using high resolution molecular typing. A frequent extended haplotype was found:HLA-A*24:02-B*51:10-C*15:02-BRB1*04:07-DQB1*03:02 (28.7%) which has also been described in Amerinndian Mayos Mexican population (Mexico, California Gulf, Pacific Ocean). Other haplotypes had already been found in Amerindians from Mexico (Pacific and Atlantic Coast), Peru (highlands and Amazon Basin), Bolivia and North USA. A geographic pattern according to HLA allele or haplotype frequencies is lacking in Amerindians, as already known. Also, five new extended haplotypes were found in Chimila Amerindians. Their HLA-A*24:02 high frequencies characteristic is shared with aboriginal populations of Taiwan; also, HLA-C*01:02 high frequencies are found in New Zealand Maoris, New Caledonians and Kimberly Aborigines from Australia. Finally, this study may show a model of evolutionary factors acting and rising one HLA allele frequency (-A*24:02), but not in others that belong to the same or different HLA loci.     

The case for allele‐specific recognition by the TCR

There is a sharp difference in how one views TCR structure–function–behaviour dependent on whether its recognition of major histocompatibility complex‐encoded restriction elements (R) is germline selected or somatically generated. The generally accepted or Standard model is built on the assumption that recognition of R is by the V regions of the αβ TCR, which is not driven by allele specificity, whereas the competing model posits that recognition of R is allele‐specific. The establishing of allele‐specific recognition of R by the TCR would rule out the Standard model and clear the road to a consideration of a competing construct, the Tritope model. Here, the case for allele‐specific recognition (germline selected) is detailed making it obvious that the Standard model is untenable.     

The universal muscular chamber. A basic unit of the genitourinary, cardiovascular, gastro-intestinal, skeletal, cutaneous, respiratory and other systems, endocameral hypertension; and spasm, the key to their idiopathic diseases and arthropathies

Starting with the integument, we see many organs are contractile sacs or multiples thereof, which tubes or bags constitute the major part of the entire body. Recognition of this basic unit and its characteristics sheds new light, individually and collectively, on many disorders previously considered unrelated. Muscular tears and perforations develop in the walls of these chambers, being no way peculiar to those organs, wherein, hydrochloric acid occurs. So, it is not necessary to explain the absence of excessive acid from patients who exhibit holes in the gastric, uterine, aortic, duodenal, rectal, pulmonary, retina, and other walls. Muscle, not acid is the great common factor relating idiopathic disorders in the gastrointestinal tract to each other and to similar diseases in other systems. When the units are linked together, the lesions tend to appear as arthropathies, i.e. at the joints. Rephrasing common-place observations, frees us from conventional, conceptual cul-de-sacs. An observation is only as good as its interpretation, so all possibilities must be considered, otherwise, we will remain blinded by our misconceptions.