Mechanism of Graft Damage Caused by NTPDase1-activated Macrophages in Acute Antibody-Mediated Rejection

ObjectivesTo investigate the effect and mechanism of macrophage activation and graft damage caused by nucleoside triphosphate diphosphohydrolase 1 (NTPDase1) in acute antibody-mediated rejection (AMR).MethodsAcute AMR was induced in different skin-grafted nude mouse models with wild-type NTPDase1 expression, transgene-enhanced NTPDase1 expression, or NTPDase1 gene knockout. Several methods (eg, real-time fluorescence quantitative polymerase chain reaction, high-performance liquid chromatography [HPLC], immunofluorescence, flow cytometry, and luciferin/luciferase assays) were used to study (at the histologic and molecular levels) the extracellular adenosine diphosphate (ADP) concentration, macrophage proliferation, major histocompatibility complex (MHC) class II antigen expression on the surface of macrophages, B-cell activating factor (BAFF) expression in the peripheral blood serum, and the total number of SmIg-positive B cells during acute AMR. The relative activity of NTPDase1 in B cells and epithelial cells, pathologic changes, and the incidence of positive C4d deposition around the capillaries of skin grafts on the different nude mice were studied.ResultsMacrophages proliferated significantly when acute AMR occurred. The higher the NTPDase1 expression level, the lower the extracellular ADP concentration, the expression of MHC class II antigens on the surface of macrophages, the expression of BAFF in the peripheral blood serum, and the total number of SmIg-positive B cells, indicating negative correlations. The relative activity of NTPDase1 in B cells and epithelial cells of the skin graft was different among the different mice. The higher the NTPDase1 expression level, the lower the degree of pathologic damage to the skin graft.ConclusionsImbalance in extracellular ADP degradation by NTPDase1 may promote macrophage activation, and activated macrophages may be an important cause of graft damage.     

1例肺移植的干燥综合征患者联用奈玛特韦/利托那韦与环孢素、他克莫司导致肾功能损伤

1例76岁右单肺移植的干燥综合征男性患者在新冠病毒感染后使用奈玛特韦/利托那韦治疗,导致合并使用的免疫抑制剂环孢素和他克莫司全血药物谷浓度升高,引起血肌酐升高,后通过停用环孢素、调整他克莫司剂量使他克莫司浓度维持在治疗浓度,血肌酐水平较前改善,患者好转出院。此病例可为临床安全用药实践提供参考。     

三磷酸腺苷生物荧光液闪测定法检测活细胞计数

为建立一种检测活细胞数的方法,作者采用三磷酸腺苷(ATP)生物荧光液闪测定法检测小鼠纤维瘤细胞株L929.ATP标准曲线工作范围为10 -9～10-5mol/ml,相关系数r=0.9963(P＜0.001);当活细胞数在3×1 02～106个/ml时与发光计数值有良好的线性关系,r=0.9922(P＜0.001),变异系数 CV = 1%～3%.用ATP生物荧光液闪测定法检测活细胞数灵敏、简便、准确、重复性好,用液闪计数仪即可完成测定,有较大的实用价值.     

An adenosine triphosphate bioluminescence assay for detecting the number of living cells]

The method for detecting the number of living cells was studied. Using an adenosine triphosphate (ATP) bioluminescence assay, the present authors reported a perfect linear relationship between lg ATP concentrations and lg luminescence counts (r = 0.9963) as well as a relationship between lg number of cells and lg ATP luminescence counts (r = 0.9922). The detectable cells ranged from 10(2) to 10(6) cells/ml, the coefficients of variation 1-3%. This method is simple, accurate and sensitive and has a high reproducibility.     

弥漫性脾肿大脾血管的多普勒超声研究

多普勒超声是检查血流动力的一种理想方法 ,具有无创、安全、简便易行等优点。我们应用多普超声对各种常见弥漫性脾肿大患者脾动脉、脾静脉进行血流动力学测定 ,旨在发现其特征 ,为弥漫性脾肿大的病因鉴别诊断提供参考依据。1　资料与方法1.1　观察对象本研究检查弥漫性脾肿大患者 81例 ,男 55例 ,女 2 6例 ,年龄 16～ 6 5岁 ,均系我院住院患者 ,分为六组 ,血液病组 2 0例 ,肝硬化 2 0例 ,急性肝炎组 10例 ,慢性肝炎组 13例 ,伤寒组 7例 ,疟疾组 11例。对照组 32例 ,男 2 0例 ,女 12例 ,年龄 19～ 6 2岁 ,均系我院耳鼻喉科同期住院患者和来…     

Partial Sequence Analysis of the Genome of Human Herpesvirus 7 YY5 Isolated from Saliva Samples

Ｈｕｍａｎｈｅｒｐｅｓｖｉｒｕｓ 7(ＨＨＶ 7)ｉｓｏｎｅｏｆｔｈｅｍｏｓｔｒｅｃｅｎｔｌｙｄｉｓｃｏｖｅｒｅｄｍｅｍｂｅｒｏｆｔｈｅｈｅｒ ｐｅｓｖｉｒｕｓｆａｍｉｌｙ .Ｉｔｗａｓｆｉｒｓｔｉｓｏｌａｔｅｄｆｒｏｍａｃｔｉｖａｔ ｅｄＣＤ4 Ｔｃｅｌｌｓｆｒｏｍｐｅｒｉｐｈｅｒａｌｂｌｏｏｄｍｏｎｏｎｕ ｃｌｅａｒｃｅｌｌｓ (ＰＢＭＣｓ)ｏｆａｈｅａｌｔｈｙｉｎｄｉｖｉｄｕａｌ[1] ,ａｐａｔｉｅｎｔｗｉｔｈｃｈｒｏｎｉｃｆａｔｉｇｕｅｓｙｎｄｒｏｍｅ(ＣＦＳ) [2 ] ,ａｎｄｆｒｏｍｓａｌｉｖａｏｆｈｅａｌ…     

异丙酚氯胺酮混合液静脉麻醉

选择 40例 ASA ～ 级病人行异丙酚氯胺酮 (1∶ 2 )复合静脉麻醉。结果麻醉诱导后血压、心率与麻醉前相比无明显变化 ,2 0 %病人出现一过性 SPO2 下降 (<94% )。麻醉诱导苏醒快 ,满意率高 ,恢复期无精神症状。表明异丙酚可控制氯胺酮的心血管兴奋作用和恢复期精神症状 ,氯胺酮可减轻异丙酚的心血管抑制作用。两者配伍是一种较好的短效静脉麻醉方式 ,但仍存在呼吸抑制作用 ,应引起注意。