丁基苯酞对局部脑缺血大鼠神经元迟发性损伤及细胞内钙的影响

观察了丁基苯酞(NBP)对局部脑缺血迟发性脑梗塞和神经功能缺损的影响。结果表明,大鼠大脑中动脉阻断(MCAO)后2h分别poNBP80,160和240mg·kg^-1,均能明显降低脑梗塞面积,抑制率分别为49.0%,69.5%及85.1%,并明显改善神经功能缺失。在MCAO前1h予防给NBP(160mg·kg^-1po),也可明显缩小脑梗塞面积和改善神经功能缺失;在MCAO前连续口服7d,NBP剂量为80mg·kg^-1·d^-1,对上述指标均有改善作用。NBP对高K⁺引起大鼠脑突触体内Ca²⁺含量升高无影响。以上结果提示NBP对迟发性神经元损伤有保护作用。     

小檗碱对局灶性脑缺血大鼠血小板聚集及血浆TXB2和6-keto-PGF1a水平的影响

以大鼠可逆性大脑中动脉梗塞(MCAO)致局灶性脑缺血为模型,观察小檗碱对大鼠MCAO24h后血小板粘附、聚集、血栓形成及血浆TXB2和PGI₂生成的影响。结果表明,小檗碱20mg·kg^-1·d^-1ipl,3或5d,明显降低MCAo24h后血小板粘附性及ADP、胶原和花生四烯酸诱导的血小板聚集率,抑制血浆TXB₂水平。同剂量ip3或5d,则抑制血栓形成。提示小檗碱可能通过其抗血小板粘附和聚集及影响花生四烯酸代谢而发挥抗脑缺血作用。     

The changing clinical pattern of Reye's syndrome 1982-1990

OBJECTIVE: To describe trends in the clinical pattern of Reye's syndrome in the British Isles between 1982 and 1990; and to determine the relation between any changes and the June 1986 warnings against the use of aspirin in children. DESIGN: Development, and application to reported cases, of a scoring system designed such that patients showing the typical clinical and pathological features of 'classical' Reye's syndrome scored highly. The relations between 'Reye scores' and a number of explanatory variables were explored using multivariable analysis. SETTING: British Isles. SUBJECTS: 445 cases fulfilling the Reye's syndrome case definition reported to the surveillance scheme between January 1982 and December 1990. MAIN OUTCOME MEASURE: Individual 'Reye score'. RESULTS: Cases with high scores were more likely to have occurred in the 4 1/2 year period before June 1986 compared with the subsequent period (p < 0.006). Numbers of cases in the low and intermediate score categories declined by about 50% after June 1986, whereas those in the high category fell by 79%. High scorers were more likely to have received aspirin (p < 0.0001) and were older than intermediate and low scorers (p < 0.008). No relation was identified between score and season of onset. CONCLUSIONS: The decline in Reye's syndrome after the aspirin warnings cannot be explained entirely, as has been proposed, by improved diagnosis of 'Reye-like' inherited metabolic and other disorders: this would not account for the greater decline of the high scoring subgroup which also contained those cases most likely to resemble 'classical' Reye's syndrome and to have received aspirin. This study provides further evidence for the role of aspirin in a subset of cases meeting the standard diagnostic criteria for Reye's syndrome and supports the need to consider this disorder as a heterogeneous group of conditions including Reye-like inherited metabolic disorders.     

缺血后适应的研究与进展

目的:缺血后适应即冠状动脉再灌注开始时对冠脉进行短暂、重复的开通及再闭过程,随后恢复冠状动脉血流,对缺血再灌注心脏有显著保护作用。总结并分析缺血后适应对缺血再灌注心脏的保护作用及其机制。资料来源:应用计算机检索Medline1986-01/2006-05关于缺血后适应的文章。检索词“myocardial protection,Ischemic postconditioning,Ischemia-reperfusion injury”并限定文章的语种类为English。资料选择:对资料进行初审,纳入标准:关于缺血后适应机制及心脏保护作用的研究。排除标准:重复性研究。资料提炼:共收集到符合上述要求的文献51篇,排除21篇重复性研究。30篇符合纳入标准:其中26篇关于缺血后适应的研究,4篇关于缺血后适应的综述。资料综合:缺血后适应对心脏的保护作用包括缩小心肌梗死面积、对抗心律失常等。缺血后适应对心脏的保护作用的机制涉及腺苷、一氧化氮、线粒体ATP敏感K通道、再灌注损伤存活激酶通路、线粒体可渗透转运孔隙等许多方面和信号传导途径。结论:缺血后适应现象已经被许多独立的实验室应用大、小动物在体和体外模型及细胞培养模型所观察。与缺血预适应相比,缺血后适应可能会有更广阔的临床应用前景,其机制需进一步研究。     

咖啡因5种主要代谢物的反相高效液相色谱法测定

为保证应用咖啡因代谢探针的正确性,建立了反相高效液相色谱测定尿中咖啡因代谢物的方法。采用日本岛津 Shim Pack CLC-ODS柱(5μm),以甲醇—乙腈—0.05%醋酸(12∶1∶87)为流动相,咖啡因和它的13种代谢物及内标均能良好分离。重点对其中5个主要代谢物AFMU,1U,1X,17U,17X进行了测定。结果表明这5种代谢物回收率均在87%以上,日内和日间误差均小于3%,显示了方法的稳定性。并对120例志愿者尿中5种主要代谢物浓度进行了测定,为进一步评价多种药物代谢酶活性创造条件。