3种吸收促进剂对酮基布洛芬经不同皮肤层渗透的影响

目的：对不同性质的吸收促进剂影响药物经不同皮肤层渗透的差异进行评价。方法：选择氮酮（AZ），肉豆蔻酸异丙酯（IPM）和单月桂酸甘油酯（GML）为透皮促进剂，以酮基布洛芬为模型药物，采用Franz吸收池法，考察药物单儿或与促进剂合用时，完整皮肤和剥离角质层皮肤的透皮能力。结果：剥离角质层皮肤可明显增加酮基布洛芬的透皮层。3种吸收促进剂对药物经完整皮肤的促透能力为IPM＞GML＞AZ，对药物经剥离角质层皮肤的促透能力为GML＞IPM＞AZ。结论：皮肤的条件能明显影响酮基布洛芬的经皮渗透；吸收促进剂对酮基布洛芬经不同皮肤层的促透能力有差异。     

Cerebellar activity before teeth-clenching using magnetoencephalography

PurposeThe aim of present magnetoencephalography study was conducted to investigate how the cerebellum is involved in intracerebral activity immediately before conscious and voluntary teeth-clenching.MethodsWe recorded the neuromagnetic signal immediately before teeth-clenching in five healthy subjects. A single trial consisted of self-paced teeth-clenching for 2 s followed by a semi-randomized interval of 2–4 s, and 25 trials were performed in a single session. Each subject performed a total of 125 trials over 5 sessions. The subjects also performed five control sessions without the teeth-clenching task. The subjects were asked to observe a visual cue providing task information. We used magnetic field tomography to obtain a tomographic reconstruction of brain activity for each time slice of the average signal for each subject and session. Activation of regions of interest by cerebellar neuron activity was computed from the magnetic field tomography result.ResultsCerebellar activation before the teeth-clenching task was identified in all five subjects: bilaterally in three, and unilaterally in two. The peak amplitudes for the left and right cerebellar hemispheres in the main session were significantly greater than those in the control session (P < 0.01). Left and right cerebellar hemisphere activities were detected approximately 150 ms after visual cue.ConclusionOur findings suggest that the cerebellum is involved in the signal pathway immediately before teeth-clenching.     

The Significance of Intraoperative Monitoring of Muscle Motor Evoked Potentials during Unruptured Large and Giant Cerebral Aneurysm Surgery

The goal of this study was to characterize the utility of muscle motor evoked potentials (MMEPs) elicited by direct cortical stimulation as a means of monitoring during unruptured large and giant cerebral aneurysm surgery. This analysis focused on intraoperative changes in MMEPs and their relationship to postoperative motor function. The study population consisted of 50 patients who underwent surgery for large (n = 31) or giant (n = 19) cerebral aneurysms. Intraoperative MMEPs were continuously and successfully obtained in muscles belonging to the vascular territory of interest. There was no postoperative motor paresis in 31 (62%) patients in whom intraoperative MMEPs remained unchanged. Transient MMEP change occurred in 15 (30%) of the 50 patients, but 9 of those patients had no postoperative motor deficits, 5 had transient motor deficits, and 1 suffered permanent motor deficits resulting from postoperative delayed blood flow insufficiency due to arteriosclerosis of the parent artery. Permanent MMEP loss occurred in 4 (8%) of 50 patients, all of whom developed severe and permanent postoperative motor deficits. MMEP is a useful monitoring modality in patients undergoing surgery for large or giant cerebral aneurysms. This strategy can help predict functional prognosis or guide the neurosurgeon intraoperatively in an effort to promote better outcomes.     

新型经皮传递胰岛素透明质酸微针制剂的制备及性能考察

目的证明透明质酸微针制剂在药物经皮传递系统方面的应用前景。方法通过皮肤及微针的显微照片考察微针刺入皮肤的性能和在大鼠体内的溶解性能;用皮肤刺激性实验评价透明质酸微针的安全性;以人的离体皮肤为透皮释药模型,通过体外经皮通透实验考察微针对模型药物胰岛素经皮吸收的促进作用。结果微针能够均匀刺穿角质层,在皮肤表面产生与微针一致的阵列形状,在皮肤断面可观察到直至真皮层的通道;在大鼠体内使用1 h后,针体能够完全溶解,皮肤刺激性指数为1.7,属于轻度刺激性;体外经皮实验中,微针中的胰岛素能够以活性形式释放,与同剂量的溶液相比,微针对胰岛素的体外经皮吸收具有显著的促进作用,稳态通透速率达75.33×10-6U.cm-2.h-1。结论以透明质酸为基质制备的微针具有良好的皮肤刺入性、溶解性和轻度的刺激性,对于生物大分子类药物的经皮吸收有明显的促进作用,具有良好的开发前景。     

Monaural 40-Hz auditory steady-state magnetic responses can be useful for identifying epileptic focus in mesial temporal lobe epilepsy

ObjectivePatients with mesial temporal lobe epilepsy (mTLE) often exhibit central auditory processing (CAP) dysfunction. Monaural 40-Hz auditory steady-state magnetic responses (ASSRs) were recorded to explore the pathophysiology of mTLE.MethodsEighteen left mTLE patients, 11 right mTLE patients and 16 healthy controls (HCs) were examined. Monaural clicks were presented at a rate of 40 Hz. Phase-locking factor (PLF) and power values were analyzed within bilateral Heschl’s gyri.ResultsMonaural 40-Hz ASSR demonstrated temporal frequency dynamics in both PLF and power data. Symmetrical hemispheric contralaterality was revealed in HCs. However, predominant contralaterality was absent in mTLE patients. Specifically, right mTLE patients exhibited a lack of contralaterality in response to left ear but not right ear stimulation, and vice versa in left mTLE patients.ConclusionThis is the first study to use monaural 40-Hz ASSR with unilateral mTLE patients to clarify the relationship between CAP and epileptic focus. CAP dysfunction was characterized by a lack of contralaterality corresponding to epileptic focus.SignificanceMonaural 40-Hz ASSR can provide useful information for localizing epileptic focus in mTLE patients.     

Giant irritated seborrheic keratosis mimicking verrucous carcinoma

A case of giant irritated seborrheic keratosis is reported. The tumor showed an unusually gross appearance for seborrheic keratosis; hence, before surgery, it was suspected of being a verrucous carcinoma. However, examination of the whole histologic constitution of the excised tumor warranted the diagnosis of irritated seborrheic keratosis.     

Stromal-cell derived factor-1 chemokine gene variant is associated with type 1 diabetes age at onset in Japanese population

Stromal-cell derived factor-1 (SDF-1) is a powerful chemokine that upregulates T-cell migration and activation. The gene for SDF-1 is located near type 1 diabetes susceptibility locus IDDM10, suggesting a contribution by SDF-1 to the induction of diabetes. Recently the role of SDF-1 gene polymorphism in the clinical presentation of type 1 diabetes in French population has been reported. To test the putative involvement of SDF-1 gene polymorphism in predisposition to or clinical heterogeneity of type 1 diabetes in Japanese population, we conducted the case-control study. The SDF1-3'A variant (801 G to A in the 3'-untranslated region) was determined by the polymerase chain reaction-restriction fragment length polymorphism technique in 184 patients with abrupt-onset type 1 diabetes and 106 healthy control subjects. No significant difference in allele and genotype frequencies of SDF1-3'A variant was found between type 1 diabetic patients and healthy controls. However, the SDF1-3'A variant was strongly associated with early-onset diabetes in a recessive model (AA versus AG + GG, p = 0.017). The mean age-at-onset in patients carrying SDF1-3'AA genotype was significantly younger than that in patients with SDF1-3' AG or GG genotype (p = 0.028). The frequencies of SDF1-3' A variant were significantly increased in HLA-DR4/9 patients compared with non-DR4/9 patients (p = 0.008). These results suggest that the SDF-1 gene polymorphism is associated with the age-at-onset of type 1 diabetes in Japanese population.