膨体聚四氟乙烯填塞结合隆鼻手术治疗严重萎缩性鼻炎的临床观察#br#

目的　膨体聚四氟乙烯（expanded Polytetrafluoroethylene,e-PTFE）（简称膨体）填塞结合隆鼻手术综合治疗鼻中线低平的严重萎缩性鼻炎,提高疗效并改善患者生理及心理疾患。方法　收集联勤保障部队第九○八医院耳鼻咽喉头颈外科2010年1月至2021年1月期间确诊为萎缩性鼻炎患者50例,A组25例患者全部采用羟基磷灰石填塞法治疗,B组25例患者全部采用膨体填塞结合隆鼻手术综合治疗。采用鼻小柱切口,翻盖式手术切口暴露鼻中隔及鼻底部,在鼻腔内、下壁黏膜下填塞膨体及抬高鼻尖缩窄前鼻孔等综合治疗方法。结果　术后3个月、3~6个月除感染、外露手术失败者,A、B两组患者术后效果无统计学意义（P >0.05）,术后6~12个月后随诊B组满意率显著高于A组,鼻腔通气稳定,差异有统计学意义（P<0.05）。结论　膨体填塞结合隆鼻手术综合治疗鼻中线低平的严重萎缩性鼻炎,较唇龈切口黏骨膜下填入羟基磷灰石,长期效果稳定,患者满意度高,使用范围及前景更大,值得临床推广。     

Temporal effect of Guanxin No. 2 on cardiac function, blood viscosity and angiogenesis in rats after long-term occlusion of the left anterior descending coronary artery

AIM: Cardiac infarction is one of the main causes of death in both developing and developed countries over past decades. Currently available approaches for treating patients with this disease are not satisfactory. Traditional Chinese medicines have been increasingly paid attention to. The aim of this study was to characterize the dynamic protective effects of Guanxin No. 2 decoction (GX II) on cardiac dysfunction combined with the blood viscosity and myocardial hypertrophy parameters in myocardial infarction (MI) rats. METHODS: Male Sprague-Dawley rats (180-200 g) were randomly divided into three groups: sham-operated, coronary artery ligation (CAL), and CAL plus GX II (GX II, 10.0 g raw materials/kg/d, bid, p.o.). The experiment was carried out at 4 time points as the 3rd, 7th, 14th, and 28th day after ligation. RESULT: It was found that on the one hand, GX II could significantly improve the heart function, and remarkably decrease infarct size and inhibit ventricular remodeling. On the other hand, GX II showed some unique effects such as angiogenesis which was induced in the left ventricular tissue. This result was consistent with the finding of an augmented vascular endothelial growth factor (VEGF) expression in this area. CONCLUSIONS: The studies demonstrated that GX II exerted extensively beneficial cardioprotective effect on CAL rats, it might stimulate angiogenesis of ischemic region to compensate blood supply to the heart via upregulated VEGF expression.     

中药葛根及同属植物的化学模式识别

应用主成分分析法（PCA）对来源于全国不同产地的野葛及葛属的其它8种植物进行了化学模式识别研究，为葛属植物的药材质量评价及分类提供了依据。     

国人头发直径的调查

作者用显微镜目镜测微尺对571人的4272根头发的直径进行了测量,发现其平均直径为84.01±23.07微米,从而确定了国人头发直径的正常参考值,为头发的病理生理及美容提供了参考。     

肿瘤坏死因子α基因多态性与老年2型糖尿病的相关性研究

目的研究肿瘤坏死因子α(TNF-α)基因多态性与老年2型糖尿病的相关性。方法利用DNA测序法对60例老年2型糖尿病患者及30例正常对照者的TNF-α基因-308位点和-238位点进行基因多态性分析。结果TNF-α基因-308位点在患病组中变异的G/A基因型频率为21.7%,与对照组组间比较有高度显著差异(P<0.01),而-238位点在两组之间无显著性差异(P>0.05)。结论TNF-α基因G-308A单核苷酸多态性与老年2型糖尿病可能存在相关性。     

Comparative Study on the Generation and Characteristics of Debris Induced by Fretting and Sliding

Objectives: The aim of the present work was to comparatively investigate the generation and characteristics of fretting and sliding wear debris produced by CuNiAl against 42CrMo4. Methods: Tribological tests were conducted employing a self-developed tribometer. Most experimental conditions were set the same except for the amplitudes and number of cycles. Morphological, chemical, microstructural and dimensional features of the worn area and debris were investigated using optical microscope (OM), X-ray diffraction (XRD), scanning electron microscopy (SEM) with energy dispersive spectroscopy (EDS) and a laser particle sizer. Outcomes: Not only wear scar profiles but also the wear debris color, distribution and generated amount under fretting and sliding wear modes were quite different, which can be attributed to the significant difference in wear mechanisms. Particle size analysis indicates that the fretting debris has a smaller size distribution range; the biggest detected fretting and sliding wear debris sizes were 141 μm and 355 μm, respectively. Both fretting and sliding debris are mainly composed of copper and its oxides, but the former shows a higher oxidation degree.     

The Genomic Evolution and the Transmission Dynamics of H6N2 Avian Influenza A Viruses in Southern China

In China, the broad prevalence of H6 subtype influenza viruses, increasingly detected in aquatic birds, promotes their exchange materials with other highly pathogenic human-infecting H5N1, H5N6, and H7N9 influenza viruses. Strikingly, some H6 subtype viruses can infect pigs, dogs, and humans, posing risks to public health. In this study, 9 H6N2 viruses recovered from waterfowl species in the Guangdong province of China in 2018 were isolated and sequenced. Phylogenetic analysis revealed that the genome sequences of these H6N2 viruses belonged to Group I, except for the NP gene in Group III. Coalescent analyses demonstrated that the reassortment of NA and NS genes have occurred in two independent clusters, suggesting H6 subtype viruses had been undergoing a complex reassortant. To examine the evolutionary dynamics and the dissemination of the H6 subtype viruses, a Bayesian stochastic search variable selection was performed for results showing higher viral migration rates between closer provinces, including Guangdong, Jiangxi, Guangxi, and Fujian. Notably, the transmission routes of the H6 subtype viruses were concentrated in Jiangxi Province, the most frequent location for input and output transmission and a region containing Poyang Lake, a well-known wintering site for migration birds. We also found that the aquatic birds, especially ducks, were the most common input source of the viral transmission. In addition, we also found that eight positively selected amino acid sites were identified in HA protein. Given their continuous dissemination and the broad prevalence of the H6 subtype influenza viruses, continued surveillance is warranted in the future.     

Competing interactions give rise to two-state behavior and switch-like transitions in charge-rich intrinsically disordered proteins

The most commonly occurring intrinsically disordered proteins (IDPs) are polyampholytes, which are defined by the duality of low net charge per residue and high fractions of charged residues. Recent experiments have uncovered nuances regarding sequence–ensemble relationships of model polyampholytic IDPs. These include differences in conformational preferences for sequences with lysine vs. arginine and the suggestion that well-mixed sequences form a range of conformations, including globules, conformations with ensemble averages that are reminiscent of ideal chains, or self-avoiding walks. Here, we explain these observations by analyzing results from atomistic simulations. We find that polyampholytic IDPs generally sample two distinct stable states, namely, globules and self-avoiding walks. Globules are favored by electrostatic attractions between oppositely charged residues, whereas self-avoiding walks are favored by favorable free energies of hydration of charged residues. We find sequence-specific temperatures of bistability at which globules and self-avoiding walks can coexist. At these temperatures, ensemble averages over coexisting states give rise to statistics that resemble ideal chains without there being an actual counterbalancing of intrachain and chain-solvent interactions. At equivalent temperatures, arginine-rich sequences tilt the preference toward globular conformations whereas lysine-rich sequences tilt the preference toward self-avoiding walks. We also identify differences between aspartate- and glutamate-containing sequences, whereby the shorter aspartate side chain engenders preferences for metastable, necklace-like conformations. Finally, although segregation of oppositely charged residues within the linear sequence maintains the overall two-state behavior, compact states are highly favored by such systems.

Significant fractions of eukaryotic proteomes are made up of intrinsically disordered regions (IDRs) (1). Conformational heterogeneity (2) is a defining hallmark of IDRs (3–5). Studies over the past decade have helped quantify relationships (6) that connect sequence-encoded information within IDRs to properties of conformational ensembles such as overall sizes and shapes, the amplitudes of spontaneous conformational fluctuations, and the dynamics of interconverting between distinct conformational states (7–19). These sequence–ensemble relationships have direct functional consequences that have been uncovered via studies based on biophysical, biochemical, and engineering approaches (5, 20–38). Our work, which is focused on physical principles underlying sequence–ensemble relationships of IDRs, is of direct relevance to understanding how IDRs function.Charged residues are key determinants of sequence–ensemble relationships of IDRs (19, 39–41). They contribute through highly favorable free energies of hydration (42) and long-range electrostatic interactions. Net charge per residue (19, 39, 40) and the patterning of oppositely charged residues (43–45) are useful order parameters for describing sequence–ensemble relationships and interactions of charge-rich IDRs (46). Both features can be modulated through posttranslational modifications (47–51), charge renormalization by solution ions (52), and charge regulation through context- and conformation-dependent uptake and release of protons (53).Polyampholytes feature roughly equivalent numbers of oppositely charged residues, and they make up more than 70% of known IDRs (7, 17). For a given amino acid composition, which sets the fraction of charged residues and the net charge per residue, it has been shown that the linear mixing vs. segregation of oppositely charged residues can have a profound impact on sequence–ensemble relationships of polyampholytic IDRs (31, 32, 43). Specifically, for a given set of solution conditions, sequences featuring uniform linear distributions of oppositely charged residues are predicted to favor more expanded conformations compared to sequences with identical amino acid compositions where the oppositely charged residues are segregated into distinct blocks along the linear sequence. These predictions made using simulation and theory (43, 44, 54) have been confirmed using different experiments (31–33, 41, 55).The ensemble-averaged radii of gyration (R_g) of flexible polymers follow scaling relationships of the form R_g ∼ N^ν. Here, N denotes the number of residues and the scaling exponent ν is a measure of the length scale over which conformational fluctuations are correlated. For homopolymers or systems that are effective homopolymers, ν has four limiting values, viz., 0.33, 0.5, 0.59, or 1, corresponding to globules, Flory random coils (FRCs), self-avoiding walks, and rod-like conformations, respectively (56). Atomistic simulations performed at fixed temperatures suggest that ν ≈ 0.59 (43) for strong, well-mixed polyampholytes (17). The explanation for this behavior is as follows. Electrostatic attractions and repulsions are realized on similar length scales for well-mixed sequences. These interactions screen one another, and the highly favorable free energies of hydration become the main determinants of overall sizes and shapes of well-mixed strong polyampholytes (17). In contrast, compact conformations are formed by strong polyampholytes where oppositely charged residues are segregated into distinct blocks. Here, the electrostatic attractions between oppositely charged blocks can outcompete opposing effects of favorable solvation. These inferences were gleaned using sequences comprising 1:1 ratios of Lys and Glu (43). In the original simulations, the reference free energies of hydration of all charged residues were treated as being quantitatively equivalent and highly favorable. This leads to the hypothesis that Lys and Arg are interoperable with one another as determinants of sequence–ensemble relationships of IDRs (17). A similar inference emerges regarding the interoperability of Asp and Glu with respect to one another. The recent work of Sørensen and Kjaergaard has challenged these inferences (57). Using a system where model IDRs were deployed as flexible linkers between interaction domains, Sørensen and Kjaergaard used their measurements to estimate the relationships between amino acid sequence and the scaling exponent ν (57). Inferences from their experiments suggest that the ν ≈ 0.33 for (GRESRE)_n and ν ≈ 0.5 for (GKESKE)_n for the specific conditions they used in their measurements. Here, n is the number of repeats of the hexapeptides GRESRE or GKESKE. The results point to significant differences between Arg- and Lys-containing sequences. Further, while globularity of (GRESRE)_n has precedent in mean-field theories for polyampholytes, the mechanism by which FRC-like behavior of (GKESKE)_n is achieved is unclear. Here, we develop a plausible physical explanation for the findings of Sørensen and Kjaergaard (57). Our work is based on atomistic simulations and the ABSINTH implicit solvation model and forcefield paradigm (58–61).     

Construction of Smac gene-containing and human prostate specific antigen promoter-regulated vector and its expression

Objective: To construct an eukaryotic expression vector containing Smac gene and study the expression efficiency and specificity of prostate specific antigen(PSA) enhancer/promoter in a possible targeted gene therapy scheme for prostate cancer. Methods: PSA enhancer (PSAE) and promoter (PSAP) sequences were amplified using PCR method. CMV and T7 promoters were deleted from pcDNA3.1-Smac and replaced by the two specific fragments to generate pPSAE-PSAP-Smac. After transfection into different cell lines, the status of cells was observed. And then, we determined the relative concentration of Smac mRNA in RT-PCR. Results: The recombinant plasmid of pPSAE-PSAP-Smac was successfully constructed. And only the prostate cancer cell line PC-3 was suppressed after transfection with pPSAE-PSAP-Smac. However, other nonprostate lines were not. Moreover,the concentration of Smac mRNA regulated by PSA promoter and enhancer was higher in comparison to the CMV promoter-driven control vectors. Conclusion: An expression vector containing the Smac gene (based on elements of the PSA gene regulatory sequences) has been developed and shown to function in prostate cancer cell lines which provides a solid platform for launching clinical studies.