Analysis of the HLA-A,-B allele polymorphism in 5844 umbilical cord blood samples taken from Han population of Shandong province

To investigate the HLA-A, -B allele polymorphism in Han population of Shandong province and to explore the possibility to find out the HLA-A, -B-matched cord blood donors for stem cell transplantation to be used in other area in China, 5844 umbilical cord blood samples were taken from Han population donors of Shandong province, and assayed with PCR-sequence-oligonucleotide (PCR-SSO) assay. In Shandong Han donors, 20 alleles at HLA-A locus and 46 alleles at HLA-B locus could be detected as revealed in the present study. Among the 20 alleles at HLA-A locus, the most prevalent five alleles included A * 02(0.3041), A * 11(0.1443), A * 24(0.1434), A * 30(0.0975) and A * 33(0.0859), while, the alleles with lower gene frequencies included A * 34(0.0006), A * 25 (0.0005), A*66(0.0005), A* 74(0.0004) and A* (0.0001). Of the 46 HLA-B alleles detected, the most prevalent five alleles were B * 13(0.1348), B * 51(0.0713), B * 62(0.0712), B * 61 (0.0676) and B * 60(0.0642); while alleles with lower gene frequencies included B * 77(0.0001), B * 76(0.0002), B * 47(0.0003), B * 42(0.0003) and B * 72(0.0004). In comparison with those of the other Han population in China, the HLA-A, -B gene frequencies in the umbilical cord blood of Shandong province possess unique distribution features among the investigated populations from various regions of the same race origin, and the differences in various regions of the same race were less than those among the different race. It is evident that the HLA-A,-B alleles of the umbilical cord blood taken in Shangdong province show high degree of polymorphism, and it might be part of those of Northern Han population in China. So, it is reasonable for patients of Northern Chinese to receive HLA class I -match transplant of cord blood stem cells for tissue and organ transplantation from Shangdong umbilical cord blood bank.     

利用光学识别技术构建临床研究数据管理系统

利用OCR（光学字符识别）技术替代传统手式录入方式，可提高临床研究中数据管理的质量和效率。临床数据传输识别系统利用OCR技术为临床研究数据管理过程提供整体了整体的解决方案。     

成人与新生儿心脏连接蛋白43表达差异

目的　探讨成人与新生儿心脏连接蛋白 4 3(Cx4 3)表达差异。　方法　应用SP免疫组织化学和图像分析方法 ,观测成人与新生儿心脏Cx4 3的蛋白表达。　结果　 1 新生儿心脏Cx4 3在心房和心室均呈斑点状遍布于心肌细胞侧面连接处和细胞质内 ,闰盘处极少。 2 成人Cx4 3表达在心房肌非均质分布于细胞侧面连接处和端闰盘处 ;心室肌典型地排列在闰盘处。 3 图像分析表明 ,心肌细胞Cx4 3分布密度 ,新生儿心房 <心室 ,成人心房 >心室。成人心房、心室均低于新生儿。　结论　新生儿Cx4 3主要分布于心肌细胞侧连接处 ,成人心房和心室存在差异。Cx4 3分布密度新生儿心房 <心室 ,成人心房 >心室 ;成人心脏低于新生儿。提示 ,Cx4 3有增龄变化。     

53例慢性髓系白血病细胞遗传学和bcr/abl融合基因检测

目的了解我院慢性粒细胞白血病(慢粒)染色体变异及融合基因表达与临床诊断和分期间的关系。方法染色体制备采用骨髓或外周血短期培养法,G显带,分析核型;融合基因检测则用逆转录-聚合酶链反应法(PCR法)。结果发现慢粒急变期的染色体,除具典型的Ph染色体外,还有 8、 9、i(16)q、i(17)q、-18等其它染色体改变。bcr/ab l融合基因显示慢粒急变期的患者,同时具有165bp和90bp扩增带。结论我们宜将细胞遗传学和PCR法结合,对慢粒白血病进行检测,即有助于对其诊断、预测急变、判断疗效及预后情况的深入了解。     

巨细胞病毒感染小鼠行为学及脑皮质CaMmRNA表达的改变

目的探讨巨细胞病毒感染致中枢神经系统功能紊乱的神经生物学机制.方法将BALB/C乳鼠同母鼠随机分为实验对照组(18只)和接种病毒组(35只),感染方法为颅内注射,3个月后检测两组鼠的行为学变化及脑皮质CaMmRNA表达的改变.结果接种病毒组小鼠学习记忆能力下降,皮质CaMmRNA表达增加(1.0493±0.32,P＜0.01).结论巨细胞病毒感染所引起的脑皮质CaMmRNA表达增高可能是其神经系统发育异常的神经生物学机制之一.     

额窦开口于上鼻道1例

在进行一具成人男性尸体解剖时发现其额窦开口于上鼻道（图1）,报道如下：     

颏下动脉带蒂皮瓣的临床应用解剖

目的 :应用颏下动脉为蒂的皮瓣 ,修复颜面部软组织缺损。方法 :对 1 4例成人男性尸体头部标本行大体及显微解剖。结果 :根据血管走行差异分 :1型 :主干经二腹肌前腹浅面到下颌骨下缘表面至皮下占 3 6% ,2型 :主干经二腹肌前腹深面到下颌骨下缘深面至皮下占 64% ;1型血管位置表浅 ,易于分离 ,且蒂较长 ,旋转度大 ,2型相比反之。结论 :根据颏下动脉走行设计不同皮瓣的大小来修复面部皮肤组织     

中国广东人CYP2F1基因遗传多态性研究

目的检测广东地区正常人群和鼻咽癌患者中细胞色素P450酶系CYP2F1基因的多态性，并分析该基因遗传多态性与鼻咽癌易感性的关联。方法采用直接测序法检测40例鼻咽癌患者全血标本中CYP2F1基因全部10个外显子的多态性变化。对于等位基因频率较高的多态性位点，进一步采用错配聚合酶链反应．限制性片段长度多态性检测368例鼻咽癌患者和344名正常对照人群中该位点的等位基因频率。结果在40例鼻咽癌样本中，共检测到CYP2F1基因的35个单核苷酸多态性。其中，10个单核甘酸引起编码的氨基酸改变，1个移码突变，15～16bp之间插入C引起移码突变（15-16ins C），该等位基因频率为25％。但病例-对照分析却未能显示该位点突变与鼻咽癌易感的相关性（P〉0．05）。结论中国广东人的CYP2F1基因遗传多态性位点较多，但暂未发现与鼻咽癌的易感性关联的单一多态位点，多个多态性位点或不同基因多态性位点的协同互补作用可能才是鼻咽癌发生发展的关键影响因素。     

Induction of APOBEC3G in human hepatoma cells by interferon-α stimulation

To clarify the role of APOBEC3G (A3G) in cellular defense against hepatitis B virus ( HBV), the expression of A3G in normal human liver and the regulation of the A3G expression in hep-atoma cell line (HuH-7) were investigated. Expression level of APOBEC3s mRNA in human liver was determined by RT-PCR. HuH-7 and HepG2 cells were treated with various concentrations of IFN-α(0 U/ml, 100 U/ml, 500 U/ml, 1000 U/ml)for 12 h. The mRNA levels were measured by a quantitative RT-PCR, the results were normalized relative to the specimens without IFN-αstimulation. Total protein of HuH-7 cells treated with various concentrations of IFN-αfor 48 h was subjected to Western blot analysis. For reporter gene assay, HuH-7 cells were transfected with the reporter plasmids containing IRF-E sites and its mutants with different lengths. Then the cells were treated with or without 1200 U/ml IFN-a for additional 12 h (1000 U/ml) after 24 h of transfection, and the cell lysate was prepared and assayed for luciferase activity. It was found that normal human liver expressed the mRNA of A3G. A3G mRNA expression in HuH-7 and HepG2 cells were up-regulated by IFN-αstimulation in a dose-depen-dent manner. Western blot analysis indicated that A3G protein expression was also enhanced by IFN-αstimulation. Sequence analysis showed the existence of putative sites of IFN regulatory factor element (IRF-E) in 5' region of A3G gene upstream the initiation codon. IFN-αstimulation results in 6- to 8-fold increase in luciferase activity in cells transfected with the plasmid containing IRF-E sites of the 5' upstream sequences, whereas luciferase activity did not change in cells transfected with the plasmid containing mutant IRF-E sites or without IRF-E sites. As a conclusion, A3G are expressed in normal human liver. A3G expression was up-regulated by IFN-αstimulation in hepatoma cells and could be involved in host defense mechanisms against HBV. ERF-E site in 5' region of AP0BEC3G gene upstream the initiation codon plays an important role in this process.     

川芎嗪对休克血浆所致乳头肌电生理效应的影响

目的探讨川芎嗪（Lig）对休克血浆（SP）所致豚鼠心室乳头肌电生理特性改变的干预作用。方法利用常规玻璃微电极细胞内记录技术，观察SP对豚鼠心室乳头肌动作电位的影响及不同剂量Lig的干预作用。结果（1）用含有SP的灌流液灌流标本时，豚鼠心室乳头肌细胞动作电位的幅值（APA）、超射值（OS）均显著升高（P〈0．05），复极50％、90％时间（APD50、APD90）及动作电位时程（APD）均明显延长（P〈0．05）；（2）Lig可剂量依赖性地降低SP引起的APA、OS升高，延长APD50、APD90及APD，此种干预作用以5．12mmol／L Lig最为明显。结论SP可导致正常豚鼠心室乳头肌电生理特性的改变，而Lig可剂量依赖性地干预此种效应。