下颌骨升支骨结核一例

颌骨结核作为肺外结核的少见病近年呈增多趋势,其发病形式、临床表现也有了较大的变化,容易被误诊为炎症或良恶性肿瘤。本文就近期收治的1例发生于下颌升支骨结核的临床表征、病理表现及相关实验室特点作一阐述,并通过文献复习,分析颌骨结核的临床特征,以期引起重视,提高对疾病的认识。     

Apoptosis of human tongue squamous cell carcinoma cell (CAL-27) induced by Lactobacillus sp. A-2 metabolites

Objective

To study the effect of Lactobacillus sp. A-2 metabolites on viability of CAL-27 cells and apoptosis in CAL-27 cells.

Methods

Lactobacillus sp. A-2 metabolites 1 and 2 (LM1 and LM2) were obtained by culturing Lactobacillus sp. A-2 in reconstituted whey medium and whey-inulin medium; the cultured CAL-27 cells were treated with different concentrations of LM1 and LM2 (0, 3, 6, 12, 24, 48 mg/mL) and assayed by methyl thiazolyltetrazolium (MTT) method; morphological changes of apoptotic cell were observed under fluorescence microscopy by acridine orange (Ao) fluorescent staining; flow cytometry method (FCM) and agarose gel electrophoresis were used to detect the apoptosis of CAL-27 cells treated LM1 and LM2.

Results

The different concentrations of LM1 and LM2 could restrain the growth of CAL-27 cells, and in a dose-dependent manner; the apoptosis of CAL-27 cells was obviously induced and was time-dependent.

Conclusions

Viability of CAL-27 cells was inhibited by Lactobacillus sp. A-2 metabolites; Lactobacillus sp. A-2 metabolites could induce CAL-27 cells apoptosis; study on the bioactive compounds in the Lactobacillus sp. A-2 metabolites and their molecular mechanism is in progress.     

Anomalously robust valley polarization and valley coherence in bilayer WS2

We report the observation of anomalously robust valley polarization and valley coherence in bilayer WS₂. The polarization of the photoluminescence from bilayer WS₂ follows that of the excitation source with both circular and linear polarization, and remains even at room temperature. The near-unity circular polarization of the luminescence reveals the coupling of spin, layer, and valley degree of freedom in bilayer system, and the linearly polarized photoluminescence manifests quantum coherence between the two inequivalent band extrema in momentum space, namely, the valley quantum coherence in atomically thin bilayer WS₂. This observation provides insight into quantum manipulation in atomically thin semiconductors.Tungsten sulfide WS₂, part of the family of group VI transition metal dichalcogenides (TMDCs), is a layered compound with buckled hexagonal lattice. As WS₂ thins to atomically thin layers, WS₂ films undergo a transition from indirect gap in bulk form to direct gap at monolayer level with the band edge located at energy-degenerate valleys (K, K′) at the corners of the Brillouin zone (1–3). Like the case of its sister compound, monolayer MoS₂, the valley degree of freedom of monolayer WS₂ could be presumably addressed through nonzero but contrasting Berry curvatures and orbital magnetic moments that arise from the lack of spatial inversion symmetry at monolayers (3, 4). The valley polarization could be realized by the control of the polarization of optical field through valley-selective interband optical selection rules at K and K′ valleys as illustrated in Fig. 1A (4–6). In monolayer WS₂, both the top of the valence bands and the bottom of the conduction bands are constructed primarily by the d orbits of tungsten atoms, which are remarkably shaped by spin–orbit coupling (SOC). The giant spin–orbit coupling splits the valence bands around the K (K′) valley by 0.4 eV, and the conduction band is nearly spin degenerated (7). As a result of time-reversal symmetry, the spin splitting has opposite signs at the K and K′ valleys. Namely, the Kramer’s doublet |K ↑ ? and |K′ ↓ ? is separated from the other doublet |K′ ↑ ? and |K ↓ ? by the SOC splitting of 0.4 eV. The spin and valley are strongly coupled at K (K′) valleys, and this coupling significantly suppresses spin and valley relaxations as both spin and valley indices have to be changed simultaneously.Open in a separate windowFig. 1.(A) Schematic of valley-dependent optical selection rules and the Zeeman-like spin splitting in the valence bands of monolayer WS₂. (B) Diagram of spin–layer–valley coupling in 2H stacked bilayer WS₂. Interlayer hopping is suppressed in bilayer WS₂ owing to the coupling of spin, valley, and layer degrees of freedom.In addition to the spin and valley degrees of freedom, in bilayer WS₂ there exists an extra index: layer polarization that indicates the carriers’ location, either up-layer or down-layer. Bilayer WS₂ follows the Bernal packing order and the spatial inversion symmetry is recovered: each layer is 180° in plane rotation of the other with the tungsten atoms of a given layer sitting exactly on top of the S atoms of the other layer. The layer rotation symmetry switches K and K′ valleys, but leaves the spin unchanged, which results in a sign change for the spin–valley coupling from layer to layer (Fig. 1B). From the simple spatial symmetry point of view, one might expect that the valley-dependent physics fades at bilayers owing to inversion symmetry, as the precedent of bilayer MoS₂ (8). Nevertheless, the inversion symmetry becomes subtle if the coupling of spin, valley, and layer indices is taken into account. Note that the spin–valley coupling strength in WS₂ is around 0.4 eV (the counterpart in MoS₂ ∼ 0.16 eV), which is significantly higher than the interlayer hopping energy (∼0.1 eV); the interlayer coupling at K and K′ valleys in WS₂ is greatly suppressed as indicated in Fig. 1B (7, 9). Consequently, bilayer WS₂ can be regarded as decoupled layers and it may inherit the valley physics demonstrated in monolayer TMDCs. In addition, the interplay of spin, valley, and layer degrees of freedom opens an unprecedented channel toward manipulations of quantum states.Here we report a systemic study of the polarization-resolved photoluminescence (PL) experiments on bilayer WS₂. The polarization of PL inherits that of excitations up to room temperature, no matter whether it is circularly or linearly polarized. The experiments demonstrate the valley polarization and valley coherence in bilayer WS₂ as a result of the coupling of spin, valley, and layer degrees of freedom. Surprisingly, the valley polarization and valley coherence in bilayer WS₂ are anomalously robust compared with monolayer WS₂.For comparison, we first perform polarization-resolved photoluminescence measurements on monolayer WS₂. Fig. 2A shows the photoluminescence spectrum from monolayer WS₂ at 10 K. The PL is dominated by the emission from band-edge excitons, so-called “A” exciton at K and K′ valleys. The excitons carry a clear circular dichroism under near-resonant excitation (2.088 eV) with circular polarization as a result of valley-selective optical selection rules, where the left-handed (right handed) polarization corresponds to the interband optical transition at K (K′) valley. The PL follows the helicity of the circularly polarized excitation optical field. To characterize the polarization of the luminescence spectra, we define a degree of circular polarization as P=I(σ+)−I(σ−)I(σ+)+I(σ−), where I(σ±) is the intensity of the right- (left-) handed circular-polarization component. The luminescence spectra display a contrasting polarization for excitation with opposite helicities: P = 0.4 under σ+ excitation and P = −0.4 under σ− excitation on the most representative monolayer. For simplicity, only the PL under σ+ excitation is shown. The degree of circular polarization P is insensitive to PL energy throughout the whole luminescence as shown in Fig. 2A, Inset. These behaviors are fully expected in the mechanism of valley-selective optical selection rules (3, 4). The degree of circular polarization decays with increasing temperature and drops to 10% at room temperature (Fig. 2B). It decreases as the excitation energy shifts from the near-resonance energy of 2.088 to 2.331 eV as illustrated in Fig. 2C. The peak position of A exciton emission at band edges shifts from 2.04 eV at 10 K to 1.98 eV at room temperature. The energy difference between the PL peak and the near-resonance excitation (2.088 eV) is around 100 meV at room temperature, which is much smaller than the value 290 meV for the low temperature off-resonance excitation at 2.331 eV. However, the observed polarization for off-resonance excitation at 10 K (P = 16%) is much higher than the near-resonance condition at room temperature (P = 10%). It clearly shows that the depolarization cannot be attributed to single process, namely the off-resonance excitation or band-edge phonon scattering only (10).Open in a separate windowFig. 2.Photoluminescence of monolayer WS₂ under circularly polarized excitation. (A) Polarization resolved luminescence spectra with σ+ detection (red) and σ− detection (black) under near-resonant σ+ excitation (2.088 eV) at 10 K. Peak A is the excitonic transition at band edges of K (K′) valleys. Opposite helicity of PL is observed under σ− excitation. Inset presents the degree of the circular polarization at the prominent PL peak. (B) The degree of the circular polarization as a function of temperature. The curve (red) is a fit following a Boltzmann distribution where the intervalley scattering by phonons is assumed. (C) Photoluminescence spectrum under off-resonant σ+ excitation (2.33 eV) at 10 K. The red (black) curve denotes the PL circular components of σ+ (σ−).Next we study the PL from bilayer WS₂. Fig. 3 shows the PL spectrum from bilayer WS₂. The peak labeled as “I” denotes the interband optical transition from the indirect band gap, and the peak A corresponds to the exciton emission from direct band transition at K and K′ valleys. Although bilayer WS₂ has an indirect gap, the direct interband optical transition at K and K′ valleys dominates the integrated PL intensity as the prerequisite of phonon/defect scattering is waived for direct band emission and the direct gap is just slightly larger than the indirect band gap in bilayers. Fig. 3A displays surprisingly robust PL circular dichroism of A exciton emission under circularly polarized excitations of 2.088 eV (resonance) and 2.331 eV (off resonance). The degree of circular polarization of A exciton emission under near-resonant σ± excitation is near unity (around 95%) at 10 K and preserves around 60% at room temperature. In contrast, the emission originating from indirect band gap is unpolarized in all experimental conditions.Open in a separate windowFig. 3.Photoluminescence of bilayer WS₂ under circularly polarized excitations. (A) Polarization-resolved luminescence spectra with components of σ+ (red) and σ− (black) under near-resonant σ+ excitation (2.088 eV) at 10 K. Peak A is recognized as the excitonic transition at band edge of direct gap. Peak I originates from the indirect band-gap emission, showing no polarization. Inset presents the circular polarization of the A excitonic transition around the PL peak. Opposite helicity of PL is observed under σ− excitation. (B) The degree of circular polarization as a function of temperature (black). The curve (red) is a fit following a Boltzman distribution where the intervalley scattering by phonons is assumed. (C) Photoluminescence spectrum of components of σ+ (red) and σ− (black) under off-resonance σ+ excitation (2.33 eV) at 10 K. A nonzero circular polarization P is only observed at emissions from A excitons.To exclude the potential cause of charge trapping or substrate charging effect, we study the polarization-resolved PL of bilayer WS₂ with an out-plane electric field. Fig. 4A shows the evolution of PL spectra in a field-effect-transistor-like device under circularly polarized excitations of 2.088 eV and an electric gate at 10 K. The PL spectra dominated by A exciton show negligible change under the gate bias in the range of −40 to 20 V. The electric-conductance measurements show that the bilayer WS₂ stays at the electrically intrinsic state under the above bias range. The PL spectra can be safely recognized as emissions from free excitons. As the gate bias switches further to the positive side (>20 V), the PL intensity decreases, and the emission from electron-bounded exciton “X⁻,” the so-called trion emerges and gradually raises its weight in the PL spectrum (11, 12). The electron–exciton binding energy is found to be 45 meV. Given only one trion peak in PL spectra, the interlayer trion (formed by exciton and electron/hole in different layers) and intralayer trion (exciton and electron/hole in the same layer) could not be distinguished due to the broad spectral width (13). Both the free exciton and trion show slight red shifts with negative bias, presumably as a result of quantum-confined stark effect (14). At all of the bias conditions, the degree of circular polarization of the free exciton and trion stays unchanged within the experiment sensitivity as shown in Fig. 4C.Open in a separate windowFig. 4.Electric-doping-dependent photoluminescence spectrum of bilayer WS₂ field-effect transistor. (A) Luminescence spectra of bilayer WS₂ at different gate voltage under near-resonant σ+ excitation (2.088 eV) at 10 K. X and X⁻ denote neutral exciton and trion, respectively. Green curve is a fitting consisting of two Lorentzian peak fits (peak I and X⁻) and one Gaussian peak fit (peak X). (B) Intensity of exciton and trion emissions versus gate. (Upper) The gate-dependent integral PL intensity consisting of exciton (X) and trion (X⁻). (Lower) The ratio of the integral PL intensity of exciton versus that of trion, as a function of the gate voltage. (C) Degree of circular polarization of exciton (X, red) and trion (X⁻, blue) versus the gate.It is also unlikely that the high polarization in bilayers results from the isolation of the top layer from the environments, as similar behaviors are observed in monolayer and bilayer WS₂ embedded in polymethyl methaccrylate (PMMA) matrix or capped with a 20-nm-thick SiO₂ deposition. The insensitivity of the circular-polarization degree on bias and environments rules out the possibility that the effects of Coulomb screening, charge traps, or charge transfers with substrates are the major causes for the robust circular dichroism in bilayers against monolayers.One potential cause may result from the shorter lifetime of excitons at K (K′) valley for bilayer system. The band gap shifts from K and K′ points of the Brillouin zone in monolayers to the indirect gap between the top of the valence band at Γ points and the bottom of the conduction band in the middle of K and Γ points in bilayers. Combining our time-resolved pump-probe reflectance experiments (Supporting Information) and the observed relative PL strength between monolayer and bilayer (10:1), we infer the exciton lifetime at K (K′) valleys around 10 ps, a fraction of that at monolayers. If we assume (i) the PL circular polarization P=P01+2ττk, where P₀ is the theoretical limit of PL polarization, and τ_k and τ denote the valley lifetime and exciton lifetime respectively; and (ii) the valley lifetime is the same for both monolayers and bilayers, the shorter exciton lifetime will lead to significantly higher PL polarization. However, the difference in exciton lifetime between bilayers and monolayers is not overwhelming enough to be the major cause of robust polarization observed in the time-integrated PL in bilayers.In monolayer WS₂ under circularly polarized resonant excitations, the depolarization mainly comes from the K ? K′ intervalley scattering. In bilayers, the depolarization could be either via K ? K′ intervalley scattering within the layer in a similar way as in monolayers, or via interlayer hopping, which also requires spin flip. As we discussed above, the interlayer hopping at K valley is suppressed in WS₂ as a result of strong SOC in WS₂ and spin–layer–valley coupling, which were experimentally proved by the circular dichroism in PL from bilayers. The robust polarization in bilayers implies that the intervalley scattering within a layer is diminished compared with that in monolayers. There are two prerequisites for intervalley scattering within layers: conservation of crystal momentum and spin flip of holes. The crystal momentum conservation could be satisfied with the involvement of phonons at K points in the Brillouin zone or atomic size defects, presumably sharing the similar strength in monolayers and bilayers. Spin-flip process could be realized by three different spin scattering mechanisms, namely D’yakonov–Perel (DP) mechanism (15), Elliot–Yaffet (EY) mechanism (16), and Bir–Aronov–Pikus (BAP) mechanism (17, 18). The DP mechanism acts through a Lamor precession driven by electron wavevector k dependent spin–orbit coupling. It is thought to be negligible for spin flip along out-plane direction as the mirror symmetry with respect to the plane of W atoms secures a zero out-plane crystal electric field. Another possible driving force behind the DP mechanism could be the asymmetry owing to the interface with the substrate. This can be excluded by the similar behaviors, where the monolayers and bilayers WS₂ are embedded in PMMA matrix or capped with a thin layer of SiO₂. The negligible effect of electric gating on polarization also implies that the DP mechanism is weak in monolayer and bilayer WS₂; the EY mechanism originates from scattering with phonons and defects. Its strength in bilayers and monolayers is likely to be at similar scale, and bilayers even have more low-frequency collective vibrational modes (19). Therefore, EY mechanism is unlikely to be the cause here; the BAP mechanism originates from the electron–hole exchange interaction. In monolayer and bilayer TMDCs, the optical features are dominated by the Wannier type, yet giant excitonic effect, and the exciton-binding energy in such intrinsic 2D semiconductors is estimated to be 0.6 ∼ 1 eV (20, 21). This giant exciton-binding energy indicates a mixture of electron and hole wavefunctions and, consequently, strong exchange interaction, which may contribute to the spin flip and intervalley scattering (5, 22). As the conduction band has a band mixing at K points, the spin flip of the electron would be a quick process. An analogous scenario is that the spin of holes relaxes in hundreds of femtoseconds or fewer in GaAs as a result of band mixing and spin–orbit coupling. The electron spin flip could lead to hole spin flip via strong exchange interaction accompanying intervalley scattering, which is realized by the virtual annihilation of a bright exciton in the K valley and then generation in the K′ valley or vice versa (22). This non-single-particle spin relaxation leads to valley depolarization instead of the decrease of luminescence intensity that results from coupling with dark excitons. Generally, the exciton-binding energy decreases with the relaxation of spatial confinement. However, first principle calculation shows that monolayer and bilayer WS₂ share the similar band dispersion and effective masses around K valley in their Brillouin zone as a result of spin–valley coupling (7). It implies that the binding energy of excitons around K valley in bilayer WS₂ is similar to or slightly less than that in monolayer WS₂. As the exchange interaction is roughly proportional to the square of exciton binding energy, the spin-flip rate and consequently intervalley scattering via exciton exchange interactions is presumably comparable or smaller to some extent in bilayer WS₂ (Supporting Information). Nevertheless, this is unlikely the major cause of the anomalously robust valley polarization in bilayer WS₂.Another possibility includes extra spin-conserving channels via intermediate intervalley-interlayer scatterings in bilayer WS₂, which are absent in monolayers (23). The extra spin-conserving channel may compete with the spin-flip process and reduce the relative weight of spin-flip intervalley scattering to some extent. However, the mechanism and the strength are unclear so far. Overall, the robust circular polarization in bilayers likely results from combined effects of the shorter exciton lifetime, smaller exciton-binding energy, extra spin-conserving channels, and the coupling of spin, layer, and valley degrees of freedom, indicating the relatively weak intervalley scattering in bilayer system. Further quantitative study is necessary to elaborate the mechanism.We also investigated the PL from bilayer WS₂ under a linearly polarized excitation. A linearly polarized light could be treated as a coherent superposition of two opposite-helicity circularly polarized lights with a certain phase difference. The phase difference determines the polarization direction. In semiconductors, a photon excites an electron–hole pair with the transfer of energy, momentum, and phase information. The hot carriers energetically relax to the band edge in a quick process around 10⁻¹ ∼ 10¹ ps through runs of inelastic and elastic scatterings, e.g., by acoustic phonons. During the quick relaxation process, generally the phase information randomizes and herein coherence fades. In monolayer TMDCs, the main channel for carrier relaxation is through intravalley scatterings including Coulomb interactions with electron (hole) and inelastic interactions with phonons, which are valley independent and preserve the relative phase between K and K′ valleys (24). In bilayer WS₂, the suppression of intervalley scattering consequently leads to the suppression of inhomogeneous broadening in carrier’s phase term. Subsequently, the valley coherence demonstrated in monolayer WSe₂ (24) is expected to be enhanced in bilayers (13). The valley coherence in monolayer and bilayer WS₂ could be monitored by the polarization of PL under linearly polarized excitations.Fig. 5A shows the linearly polarized components of PL under a linearly polarized excitation of 2.088 eV at 10 K. The emission from indirect band gap is unpolarized and A exciton displays a pronounced linear polarization following the excitation. The degree of linear polarization P=I(‖)−I(⊥)I(‖)+I(⊥) is around 80%, where I(∥)(I(⊥)) is the intensity of PL with parallel (perpendicular) polarization with respect to the excitation polarization. In contrast, the linear polarization is much weaker in monolayer samples (4% under the same experimental conditions, as shown in Fig. 5B). As presented in Fig. 5C, the polarization of A exciton is independent of crystal orientation and exactly follows the polarization of excitations. The degree of the linear polarization in bilayer WS₂ slightly decreases with the increased temperature and drops from 80% at 10 K to 50% at room temperature (Fig. 5D). This is the paradigm of the robust valley coherency in bilayer WS₂.Open in a separate windowFig. 5.Linearly polarized excitations on monolayer and bilayer WS₂. (A) Linear-polarization-resolved luminescence spectra of bilayer WS₂ under near-resonant linearly polarized excitation (2.088 eV) at 10 K. Red (black) presents the spectrum with parallel (cross) polarization with respect to the linear polarization of excitation source. A linear polarization of 80% is observed for exciton A, and the indirect gap transition (I) is unpolarized. (B) Linear-polarization-resolved luminescence spectra of monolayer WS₂ under near-resonant linearly polarized excitation (2.088 eV) at 10 K. Red (black) denotes the spectrum with the parallel (cross) polarization with respect to the linear polarization of excitation source. The linear polarization for exciton A in monolayer WS₂ is much weaker, with a maximum value of 4%. (C) Polar plot for intensity of the exciton A in bilayer WS₂ (black) as a function of the detection angle at 10 K. Red curve is a fit-following cos²(θ). (D) The degree of linear polarization of exciton A in bilayer WS₂ (black) as a function of temperature. The curve (red) is a fit following a Boltzmann distribution where the intervalley scattering by phonons is assumed. (E) Electric doping dependence of the linear polarization of exciton A in bilayer WS₂ at 10 K.The linear polarization of both exciton and trion in bilayer, contrasting to the circular polarization, which is insensitive to the electric field in the range, shows a weak electric gating dependence as shown in Fig. 5E. The PL linear polarization, presenting valley coherence, decreases as the Fermi level shifts to the conduction band. It does not directly affect intervalley scattering within individual layers and makes negligible change in circular dichroism. Nevertheless, the electric field between the layers induces a layer polarization and slightly shifts the band alignments between the layers by different amounts in conduction and valence bands (13, 25), although the shift is indistinguishable in the present PL spectra due to the broad spectral width. The layer polarization and the shift of band alignments may induce a relative phase difference between two layers and therefore affect the PL linear polarization via interference. Further study is needed to fully understand the mechanism.In summary, we demonstrated anomalously robust valley polarization and valley polarization coherence in bilayer WS₂. The valley polarization and valley coherence in bilayer WS₂ are the direct consequences of giant spin–orbit coupling and spin valley coupling in WS₂. The depolarization and decoherence processes are greatly suppressed in bilayer, although the mechanism is ambiguous. The robust valley polarization and valley coherence make bilayer WS₂ an intriguing platform for spin and valley physics.     

Synthetic control of mammalian-cell motility by engineering chemotaxis to an orthogonal bioinert chemical signal

Directed migration of diverse cell types plays a critical role in biological processes ranging from development and morphogenesis to immune response, wound healing, and regeneration. However, techniques to direct, manipulate, and study cell migration in vitro and in vivo in a specific and facile manner are currently limited. We conceived of a strategy to achieve direct control over cell migration to arbitrary user-defined locations, independent of native chemotaxis receptors. Here, we show that genetic modification of cells with an engineered G protein-coupled receptor allows us to redirect their migration to a bioinert drug-like small molecule, clozapine-N-oxide (CNO). The engineered receptor and small-molecule ligand form an orthogonal pair: The receptor does not respond to native ligands, and the inert drug does not bind to native cells. CNO-responsive migration can be engineered into a variety of cell types, including neutrophils, T lymphocytes, keratinocytes, and endothelial cells. The engineered cells migrate up a gradient of the drug CNO and transmigrate through endothelial monolayers. Finally, we demonstrate that T lymphocytes modified with the engineered receptor can specifically migrate in vivo to CNO-releasing beads implanted in a live mouse. This technology provides a generalizable genetic tool to systematically perturb and control cell migration both in vitro and in vivo. In the future, this type of migration control could be a valuable module for engineering therapeutic cellular devices.The ability of many cell types to migrate long distances within the body and specifically localize to target sites of action is critical for their proper function. For example, immune cells rapidly home to sites of infection, concentrating their powerful cytotoxic and proinflammatory activities for maximum efficacy while limiting damage to healthy tissue. In morphogenesis, cells undergo a complex stereotyped process involving migration as well as proliferation, differentiation, and programmed cell death to produce fully developed multicellular structures. In wound healing and regenerative processes, stem and progenitor cells home to injured tissues from nearby sites—as well as from distant locations including the bone marrow—to provide a stream of new cells to replenish and provide trophic support to old and damaged cells.Cell migration is also an important factor to consider in the use of cells as therapeutic agents. The use of cells for the treatment of a growing array of diseases including cancer, autoimmunity, and chronic wounds is currently being explored (1–6). The appropriate and efficient localization of therapeutic cells to sites of disease has been identified as an important factor for successful cell-based therapy (7–17). However, preclinical studies and clinical trials to date have shown that the homing to sites of disease of many cell types commonly used as therapeutics is frequently impaired or limited, especially after ex vivo expansion of cells in culture (7, 12, 18, 19).The ability to redirect the migration of cells to any user-specified location in the body would be a powerful enabling technology for basic research as well as for future applications, but there are currently few easily generalizable strategies to accomplish this goal. We conceived of an approach to direct cellular homing to small molecules by expressing, in motile cells, engineered G protein-coupled receptors (GPCRs) called receptors activated solely by a synthetic ligand (RASSLs) (20, 21).RASSLs are engineered to be unresponsive to endogenous ligands but can be activated by pharmacologically inert orthogonal small molecules (Fig. 1A). Versions of these receptors exist for the three major GPCR signaling pathways (Gαs-, Gαi-, and Gαq-coupled receptors), and the design of a new arrestin-biased variant has recently been reported (21, 22). Because GPCRs control many important physiological functions, including cell migration, we hypothesized that, by expressing these engineered receptors in motile cells, we could develop a general strategy for establishing user control over cell homing (Fig. 1B). Here, we use a family of second-generation RASSLs, known as designer receptors exclusively activated by a designer drug (DREADDs), that are activated only by the small molecule clozapine-N-oxide (CNO), an inert metabolite of the FDA-approved antipsychotic drug clozapine (Fig. S1) (20). CNO is highly bioavailable in rodents and humans, lacks affinity for any known receptors, channels, and transporters, and does not cause any appreciable physiological effects when systemically administered in normal mice (20, 23, 24).Open in a separate windowFig. 1.Engineered Gαi-coupled GPCRs Di3 and Di mediate cytoskeletal changes and chemotaxis of HL-60 neutrophils in response to CNO. (A) RASSLs are engineered GPCRs that interact orthogonally with a bioinert small-molecule drug. Natural ligands do not interact with the engineered receptors, and the bioinert drug that activates the engineered receptors does not interact with native receptors. (B) We tested whether certain second-generation RASSLs known as DREADDs could mediate cell motility. (C) Changes in electrical impedance that result from cell spreading in response to drug or ligand are detected by an electrode array. HL-60 neutrophils transiently transfected to express engineered GPCRs were plated on fibronectin-coated impedance assay plates and stimulated with vehicle control, 100 nM fMLP (positive control chemoattractant) or 100 nM CNO. All cells responded to fMLP whereas only Di3- or Di-expressing cells responded to CNO. Mean ± SEM for n = 3 replicates is shown. (D) Cell migration of HL-60 neutrophils transiently transfected with engineered GPCRs was quantitated in a porous transwell Boyden-chamber assay. All cells migrated in response to fMLP whereas only Di3- or Di-expressing cells migrated in response to CNO. Drug concentrations used: 100 nM CNO, 100 nM fMLP. Mean ± SEM for n = 3 replicates is shown. (E) Polarization and cell migration in neutrophils involves Rac and PI3K activation. Di-expressing HL-60 neutrophils were treated with 100 nM fMLP or 100 nM CNO before immunoblotting for phosphorylated Akt and phosphorylated PAK as readouts for PI3K and Rac activity, respectively. Peak levels of phospho-Akt and phospho-PAK are shown for each condition. Both were increased by CNO stimulation in Di cells but not in control cells (P < 0.01 by Student t test). Stimulation with fMLP increased phospho-Akt and phospho-PAK levels in both Di and control cells (P < 0.01 by Student t test), but Di cells showed higher peak levels of phospho-Akt than did control cells (P < 0.01 by Student t test). Three (for CNO) or four (for fMLP) independent experiments were performed and mean ± SEM are shown.     

鞍山市铁东区公共场所使用化妆品存在的主要卫生问题及对策

目的了解鞍山市铁东区公共场所使用化妆品卫生问题,保障使用者身体健康。方法对2013年度鞍山市铁东区卫生防疫站辖区内监管的公共场所随机抽检化妆品,对公共场所使用化妆品单位数及比例,化妆品标签标识卫生问题等进行描述。结果住宿业化妆品使用情况为56%,其他三种场所100%使用。化妆品标签标识检查住宿业合格率最低,仅为50%。国产特殊用途化妆品持有效证件率仅为65%,普通的仅为62%。标签标识问题突出,进货渠道复杂。化妆品抽检合格率低。结论公共场所的化妆品卫生质量令人担忧。     

鞍山市铁东区公共场所卫生基层问题及解决建议

笔者作为基层卫生监督工作人员经过十多年的公共场所卫生监督工作,通过对鞍山市铁东区公共场所卫生监督情况进行分析。发现当前存在许多公共场所卫生监督执法困难和难题,主要表现为卫生监督队伍薄弱,新兴公共场所剧增,公共场所执法依据不确定性（无法可依）等问题。笔者提出相应的解决建议,应转变卫生监督观念,提高监督管理质量。     

在β地中海贫血着床前遗传学诊断中应用多重置换扩增进行预处理的临床分析

目的分析应用多重置换扩增技术(multiple displacement amplification,MDA)进行全基因组扩增的预处理是否影响β地中海贫血着床前遗传学诊断(preimplantation genetic diagnosis,PGD)的准确效能。方法回顾性地分析2009年1月至2013年6月,因双方均为β地中海贫血携带者而行PGD治疗的周期资料,其中34个周期采用多重巢式聚合酶链反应(PCR)结合反向斑点杂交技术对单细胞进行诊断,另有38个周期行MDA进行全基因组扩增的预处理后,再结合反向斑点杂交技术进行诊断。结果两组患者在年龄、获卵数等实验室指标上无统计学差异。MDA组未检出(扩增失败)率为9.79%,低于行巢式PCR组的15.24%,而杂合子率46.33%则略高,但两种方法在诊断结果上并无统计学差异。结论应用MDA技术进行全基因组的预扩增可有效增加检测模板,实现多位点及多种疾病的诊断,而且不影响β地中海贫血地贫基因的诊断效能。     

曲马多不同静脉给药方案对小儿扁桃体切除术后躁动的影响

目的观察曲马多不同静脉给药方案对小儿扁桃体切除术后躁动的影响。方法择期扁桃体切除术患儿240例,年龄3~6岁,采用随机数字表法分为六组:A组诱导时给予曲马多2mg/kg,手术结束时给予生理盐水;B组诱导时给予生理盐水,手术结束时给予曲马多2mg/kg;C组诱导时给予曲马多1mg/kg,手术结束时给予生理盐水;D组诱导时给予生理盐水,手术结束时给予曲马多1mg/kg;E组诱导时给予曲马多1mg/kg,手术结束时给予曲马多1mg/kg;F组诱导时与手术结束时均给予生理盐水。记录拔管时间,清醒时间,清醒后10、20、30、40、50、60min的Ramsay镇静评分、躁动评分、FLACC评分及恶心呕吐发生率。结果清醒后10~50min B组镇静躁动评分、FLACC评分均明显低于其他五组(P0.05),而F组明显高于其他五组(P0.05)。清醒后10~40min B组Ramsay镇静评分明显高于其他五组(P0.05)。结论曲马多在小儿扁桃体切除术结束时以2mg/kg静脉注射可以在手术后1h内提供较好的镇静与镇痛,不增加手术后恶心呕吐的发生率,不影响拔管时间与清醒时间。