国外乳腺癌病理诊断报告标准化概述及对国内标准化报告的建议

随着乳腺癌治疗方案的不断改进和发展,临床医师对乳腺癌病理诊断报告的内容和标准有了更多和更高的要求.     

锂与缺碘性甲状腺肿发病关系的实验研究

实验用Wistar大鼠125只。随机分成五组。动物实验期为20周。结果显示:单纯低碘或单纯高锂的大鼠均表现为增生性甲状腺肿的组织学改变及血清T_4降低、T_3升高;前者甲状腺上皮细胞增生较后者显著,后者甲状腺滤泡腔内胶质含量较多。低碘合并高锂摄入的大鼠,其甲状腺病变较单纯低碘或单纯高锂大鼠严重,并呈明显的胶性甲状腺肿组织学改变,血清T_4降低、T_3正常。可见高锂不仅有致甲肿作用,而且当它与低碘并存时,将加重甲状腺的病变,并使其向胶性甲状腺肿发展。     

紫外线照射对腺病毒气溶胶活力和粒级分布的影响

目的 研究紫外线照射对腺病毒气溶胶活力和粒级分布的影响.方法 在2000L的腔室中通过TK-3微生物气溶胶发生器将绿色荧光蛋白(GFP)标记的腺病毒形成气溶胶,暴露在预先设定波长的紫外线下,用多级撞击式空气微生物采样器进行采样.对采样样品进行实时荧光定量PCR(FQ-PCR)检测基因组拷贝数.通过在荧光显微镜下计数带绿色荧光的PK15细胞数可直观检测病毒的感染力及活力.结果 带有绿色荧光的PK15细胞数及FQ-PCR检测结果均提示所采集的病毒气溶胶主要分布在第6级.波长为254 nm的紫外线照射5 min时,在显微镜下观察到的荧光数明显减少.波长为254 nm紫外线照射30 min时,6个级别的细胞内均未见绿色荧光.波为365 nm紫外线照射30 min时,绿色荧光数仍较多.波长为254 nm的紫外线照射30 min时没有观察到有绿色荧光的细胞,但是FQ-PCR结果提示病毒基因组拷贝数仍较高.结论 波长为254 nm的紫外线比365 nm的紫外线照射灭活腺病毒气溶胶的效果更显著.两种波长的紫外线照射对腺病毒气溶胶的粒级分布没有显著影响.病毒基因组的存在并不能代表病毒有感染力.     

CTLA4Ig基因转染猪皮治疗中小面积浅Ⅱ度烧伤创面的随机对照试验

目的探讨CTLA4Ig基因转染猪皮治疗中小面积浅Ⅱ度烧伤创面的临床疗效与安全性。方法将自2005年5月～2007年5月我院收治的浅Ⅱ度烧伤患者60例随机分为2组，每组30例。基因转染猪皮治疗组：伤后创面简单清创，去除水疱，用复温后的基因转染猪皮覆盖创面。对照组：创面简单清创，除颜面、会阴部位创面外，均予包扎治疗，保留水疱皮，其后常规换药治疗。结果基因转染猪皮治疗组创面愈合时间5～10d，对照组为8～14d。基因转染猪皮治疗组疼痛明显减轻，未观察到寒战、高热等全身不良反应及局部排斥反应。两组均未出现瘢痕，但对照组部分病例出现色素改变。结论应用基因转染猪皮治疗中小面积浅Ⅱ度烧伤创面能明显缩短创面愈合时间，能明显减轻创面疼痛，减少换药次数，预防色素改变及瘢痕形成。     

NC在医院信息化建设中的研究与应用

本文对医院信息化建设中存在的问题进行分析研究，提出网络计算机（NETWORK COMPUTER）的解决方案。通过NC与PC在性能、适用性、性价比等方面的对比研究与测试。得出NC在医院信息管理中的高可用性。     

腺病毒介导的p27mt基因转移对肝癌细胞生长的影响

目的 :研究突变型p2 7基因 (p2 7mt)对肝癌细胞生长的影响。方法 :采用重组腺病毒载体Ad p2 7mt将p2 7mt全长cDNA转入到肝癌细胞系SMMC 772 1中。3H TdR掺入法及软琼脂集落形成实验检测p2 7mt对肝癌细胞增殖的作用。结果 :转染p2 7mt基因的SMMC 772 1细胞在蛋白质水平有高水平的基因表达。其3H TdR掺入量及集落形成率明显低于对照组 (P <0 .0 5)。结论 :p2 7mt基因能抑制肝癌细胞增殖。p2 7mt可作为目的基因用于基因治疗。     

氧分压在体监测仪的研制

作者报道一种稳定性较高的氧分压在体监测，为医学研究、临床诊断提供一种新的可靠的测试方法及设备，具有较大的应用价值。     

空肠弯曲菌慢性感染诱致自身免疫反应的机理初探

用空肠弯曲菌CJ—S131株感染昆明种小鼠3个月,观察到:(1)感染鼠血清中,出现高滴度的抗ds—DNA和ss—DNA抗体;(2)Con A诱导的抑制细胞功能降低和TH/Ts细胞比值增加;(3)PFC形成和LPS诱致的淋巴细胞转化作用增强:(4)DTH和Con A及PHA诱致的淋巴细胞转化作用增强。提示,CJ—S131感染小鼠使其T_S细胞功能降低,导致T_H细胞功能偏亢,B细胞功能亢进,这可能与自身免疫反应的产生有关。     

A tetracycline-regulatable adeno-associated virus vector for double-gene transfer

An increasing demand for polycistronic vectors that express multiple genes simultaneously has arisen in recent years to obtain an efficient gene therapy. Armed with the knowledge that the expression of transgene in mammalian cells often requires tight control, we constructed in this study a tetracycline-regulated double-gene adeno-associated virus (AAV) vector carrying green and red fluorescent protein genes and expressed it in PC12 cells. When detected by fluorescence microscope and fluorescence-activated cell sorting, gene expression was induced by 44-66-fold and could be reversibly controlled by doxycycline. This double-gene AAV vector may be useful for regulated expression of two genes or a marker to monitor transgene expression.     

Population survey of CCR5 delta32, CCR5 m303, CCR2b 64I,and SDF1 3'A allele frequencies in indigenous Chinese healthy individuals,and in HIV-1-infected and HIV-1-uninfected individuals in HIV-1 risk groups

The aim of this study is to determine in indigenous Chinese ethnic groups the frequencies of the chemokine (SDF1 3'A) and chemokine receptors (CCR5 delta32, CCR5 m303, and CCR2b 64I) HIV-1/AIDS restriction alleles. The study includes two cohorts; the first comprised 3165 indigenous healthy subjects representing eight ethnic groups: Han (n = 1406), Uygur (n = 316), Mongolia (n = 134), Hui (n = 386), Tibetan (n = 330), Zhuang (n = 378), Dai (n = 101), and Jingbo (n =114). The second cohort consisted of 330 HIV-1-infected (86 subjects infected by sexual transmission and 198 subjects infected by HIV-1-contaminated blood or by sharing injection equipment; the remaining 46 subjects said nothing about HIV-1 transmission) and 474 HIV-1-uninfected Han Chinese belonging to one of two HIV-1 high-risk groups: intravenous drug users (n = 215) and individuals with sexually transmitted diseases (n = 259). Genotypes for the four genes were obtained using PCR (CCR5 delta32) or PCR-restriction fragment length polymorphism. Randomly selected amplified PCR products were further confirmed by direct DNA sequencing. The variant allele frequencies were determined to be 0% to 3.48% for CCR5 delta32, 0% for CCR5 m303, 16.23% to 28.79% for CCR2b 64I, and 17.70% to 27.76% for SDF1 3'A in Chinese healthy individuals from eight ethnic groups. These findings show that allele frequencies differ among the eight Chinese ethnic groups for CCR5 delta32, CCR2b 64I, and SDF1 3'A and that the CCR5 m303 and CCR5 delta32 mutant alleles were absent or infrequent in Chinese, which may be helpful for studies of specific anti-HIV-1 vaccine trials and coreceptor inhibitor drug targets in Chinese populations. Furthermore, we observed no significant differences in allele or genotypic frequencies between HIV-1-infected and HIV-1-uninfected groups from the Han ethnic group. Our finding is the first reporting that there is likely no effect of the examined polymorphisms in our study on HIV-1 transmission in the Chinese Han population, However, the genetic effects of these and other AIDS-modifying polymorphisms on the pathogenesis and clinical outcome of HIV-1/AIDS diseases is under investigation in Chinese populations.