Proteolytic Processing Mechanisms in the Biosynthesis of Neuroendocrine Peptides: The Subtilisin-like Proprotein Convertases

The recent discovery of a novel family of precursor processing endoproteases has greatly accelerated progress in understanding the complex mechanisms underlying the maturation of prohormones, neuropeptides, and many other precursor-derived proteins. At least six members of this family have been found thus far in mammalian species, several having alternatively spliced isoforms, and related enzymes have been identified in many invertebrates, including molluscs, insects, nematodes, and coelenterates. The proprotein convertases are all dependent on calcium for activity and all possess highly conserved subtilisin-like domains with the characteristic catalytic triad of this serine protease (ordered Asp, His, and Ser along the polypeptide chain). Two members of this family, PC2(SPC2) and PC1/PC3(SPC3), appear to play a preeminent role in neuroendocrine precursor processing. Both convertases are expressed only in the brain and in the extended neuroendocrine system, while another important family member—furin/PACE (SPC1)—is expressed more ubiquitously, in almost all tissues, and at high levels in liver. SPC2 and SPC3 exhibit acidic pH optima and other properties which enhance their activity in the acidic, calcium-enriched environment of the dense-core secretory granules of the regulated pathway in neuroendocrine cells, while furin has a neutral pH optimum and is localized predominantly to the trans Golgi network where it is retained by a C-terminal transmembrane domain. Furin processes a wide variety of precursors in the constitutive pathway, such as those of growth factors, receptors, coagulation factors, and viral glycoproteins. Recent findings on the processing of proopiomelanocortin, proinsulin, proglucagon, and several other neuroendocrine precursors by SPC2 and SPC3 are discussed, along with information on the structure, properties, evolution, developmental expression, and regulation or the convertases. An inherited defect in the fat/fat mouse which affects the processing of proinsulin, and probably also many other prohormones, due to a point mutation in carboxypeptidase E has recently been identified and has begun to provide new insights into the functional integration of the individual processing steps.     

特发性肌炎免疫机制研究及临床意义

目的探讨多发性肌炎（PM）和皮肌炎（DM）患者骨胳肌组织损伤的免疫机制及临床意义。方法应用免疫荧光一步法和免疫组化SP法分析25例PM／DM肌组织中免疫球蛋白IgG、IgM、补体C3和浸润肌组织单核细胞的分布与定位。结果PM和DM肌组织中IgG、IgM、C3的阳性率分别为60％、33．3％、20％和70％、40％、50％，以IgG为主（P＜0．05），分布于肌组织血管壁、肌膜和肌浆中，补体C3在DM血管壁的分布有统计学意义（P＜0．05）；80％PM和7O％DM肌组织有单核细胞浸润，PM以T淋巴细胞为主，Ia＋活化TS细胞占多数，主要分布于肌内衣，DM以B淋巴细胞为主，多分布在肌柬衣血管周围。结论免疫反应在PM和DM发病机理中占重要地位，PM以T细胞介导的细胞毒作用为主，DM以体液免疫特别是补体介导的血管损害为主。     

儿童生殖细胞瘤全脑放射治疗中自适应消除摆位累积误差新技术探讨

目的 以影像引导放射治疗(image guided-radiotherapy, IGRT)为基础探讨儿童生殖细胞瘤全脑自适应放射治疗(以下简称放疗）(adaptive radio therapy,ART）可行性,为临床全脑ART提供依据。方法 回顾性研究首都医科大学附属北京天坛医院放射治疗科20例中枢神经系统生殖细胞肿瘤(germ cell tumors, GCTs)行全脑预防性照射的放疗患者。每例患者治疗前三次及后每周行一次锥形束电子计算机断层扫描(cone beam computed tomography,CBCT),共7次。记录整个治疗过程中左右(lateral, LAT)、进出(longitudinal, LNG)、升降(vertical, VRT)方向上的摆位误差值。原计划命名为Plan_A,将因摆位误差值产生新的治疗中心点(treatment center point,ISO)回归治疗计划系统,不改变射野权重、射野分布情况下进行体积剂量计算,用Plan Sum功能相加摆位累积误差产生新计划得到Plan_B。将摆位累积误差产生的新计划用Acuros XB算法重新快速优化后用Plan Sum功能相加得到Plan_C。对比Plan_A、Plan_B、Plan_C的靶区及危及器官(organ at risk, OAR)剂量变化并用Wilcoxon配对符号秩检验证统计学差异。结果与Plan_A相比,Plan_B 均匀性指均匀性指数（homogeneity index, HI）95计划靶区（planning target volume, PTV）、 HI98 PTV为1.058 4~1.084 7。适形度指数(conformity index, CI）PTV为0.934 4。 临床靶区（clinical target volume, CTV）D_min相对偏差为－7.22%,P值为0.000 7。OAR相对偏差为－0.1%~9.8%。与Plan_ A相比,Plan_ C的HI95 PTV、 HI98 PTV为1.056 9~1.078 8。CI PTV为0.936 5。CTV D_min相对偏差为－1.69%,P值为0.545 9。OAR相对偏差为－0.15%~3.40%。结论儿童生殖细胞瘤全脑放疗摆位累计误差对靶区及危及器官剂量差异有统计学意义,摆位累计误差导致靶区均匀性及适形度变差,CTV的D_min 变化超过5%,OAR受量增高。ART再计划可以让靶区均匀性和适形度及危及器官受量接近原计划。同时Plan_B虽然存在相对偏差,但是危及器官的绝对剂量在合理范围内。     

Inhibitory actions of serotonin on glutamate release in dorsal medulla suppress systemic arterial pressure of cats

The role of serotonin and glutamate release in dorsal medulla (DM) for regulation of systemic arterial pressure (SAP) was examined with microdialysis and high performance liquid chromatograph in anesthetized cats. KCl-perfusion in DM increased serotonin and glutamate concentrations in DM. Perfusion of serotonin resulted in decreases in glutamate concentration and SAP. Perfusion of alaproclate, a serotonin reuptake inhibitor that produced an increase in serotonin concentration in DM, had the same results as perfusion of serotonin. In conclusion, serotonin and glutamate appeared to be tonically and endogenously released from nerve terminals in DM, and the decrease in SAP could be attributed to the decreased glutamate release resulting from inhibitory action of serotonin in DM. The putative roles of serotonin and glutamate in DM may be important in SAP regulation.     

一种可生物降解温度敏感型聚乙二醇-聚己内酯-聚乙二醇水凝胶的合成和表征

合成了一系列分子量较低的聚乙二醇．聚己内酯-聚乙二醇（Poly（ethylene glycol）-Polycaprolactone-Poly（ethylene glycol），PEG-PCL—PEG）三嵌段共聚物。分别采用FTIR和1H—NMR对其结构进行了表征。所合成的PEG-PCL-PEG共聚物具有良好的水溶性，当水溶液浓度高于临界凝胶浓度（Critical gel concentration，CGC）时，随着温度的变化聚合物水溶液会呈现特有的凝胶-溶胶转变。研究了共聚物亲水疏水链段的比例和长度，以及热历史等对凝胶-溶胶转变行为的影响。通过调节上述条件，可以在一定程度上拓宽凝胶-溶胶转变温度范围，有助于PEG—PCL-PEG水凝胶在可注射药物控制释放系统等方面的应用。     

白细胞介素—1对大鼠下丘脑室旁核Fos癌蛋白和CRF的诱导作用

将白细胞介素-1(IL)注入大鼠侧脑室,用Fos癌蛋白抗体免疫组化法检测了下丘脑室旁核的激活神经元:大量位于含促肾上腺皮质激素释放因子(CRF)相应区域的室旁核小细胞部神经元呈Fos免疫强阳性。Fos和CRF的免疫双染色显示了许多Fos免疫阳性神经元也呈CRF免疫阳性。此外,在IL-1注射动物中,CRF的免疫阳性显著加强,提示CRF合成增加。     

大鼠下丘脑及邻近区域催产素免疫阳性神经元与垂体后叶的关系

本文运用免疫细胞化学PAP及ABC法,显示大白鼠下丘脑内OXT免疫阳性神经元,并于垂体后叶注射WGA-HRP,显示下丘脑中逆行标记细胞,结合免疫细胞化学方法,观察下丘脑及其邻近区域内HRP与OXT双标记细胞,证实下丘脑视上核、室旁核、穹窿前核和后核、血管周细胞群、下丘脑视前区、下丘脑前区及外侧区、背侧副细胞群内、室周部、第三脑室侧壁室管膜细胞下及室间孔部室管膜细胞下,均有OXT免疫阳性神经元,其中至少部分神经元可发出向垂体后叶的投射纤维。位于第三脑室侧壁室管膜下及室间孔部室管膜下的神经元,可能监测脑脊液中各种因素的变化,调节垂体后叶OXT的分泌,也可能直接通过共树突向脑脊液内释放OXT。     

Differential expression of binding sites for chemokine RANTES on human T lymphocytes

The C-C chemokine RANTES, a T lymphocyte chemoattractant, is considered an important mediator of inflammation, allergy, and host defense against HIV-1 infection. In this study, we investigated the modulation of binding of RANTES to T lymphocytes. Human peripheral blood CD3+ T cells, when freshly isolated from buffy-coat blood, expressed a considerable number of high-affinity binding sites for RANTES. These cells also showed significant chemotactic migration in response to RANTES in vitro. After 6–15 h incubation at 37°C, the binding of RANTES, but not of macrophage inflammatory protein-1α (MIP-1α) or of monocyte chemotactic protein-3 (MCP-3), consistently increased. Scatchard analyses indicated that the number of binding sites for RANTES increased about threefold by 15 h without any change in the affinity. The increase in RANTES binding was no longer detected by 24 h. This increase in the specific binding was mainly attributable to CD4⁺ T cells and was not associated with increased chemotactic activity of these cells in response to RANTES. Incubation with anti-CD3 antibody for 15 h markedly reduced the binding capability of T cells for RANTES and was associated with decreased chemotactic activity. On the other hand, when T cells were incubated with interleukin-2 (IL-2) for 1 week, the specific binding for all three C-C chemokines, RANTES, MIP-1α, and MCP-3 was markedly increased in comparison to cells cultured in the absence of IL-2. These results suggest that the expression of binding sites on T cells for RANTES is differentially modulated, indicating the existence of novel receptors for RANTES that do not bind MIP-1α.