CXC趋化因子配体16与冠状动脉粥样硬化斑块及其稳定性的关系

随我国人民生活水平的提高及饮食习惯的改变,动脉粥样硬化（atherosclerosis,AS）已成为我国成人主要的死亡原因,严重威胁着人类健康。AS斑块中有多种病变合并存在,包括局部脂质和复合糖类聚集、纤维组织增生和钙质沉着形成斑块：继发性病变有斑块内出血     

Preventive and therapeutic types of environmental enrichment counteract beta amyloid pathology by different molecular mechanisms

Combined preventive and therapeutic physical/cognitive stimulation starting before disease onset and continuing over its progression reduce Alzheimer-related pathology in transgenic mice. We now report that exposure of TgCRND8 mice to an enriched environment as either a preventive or therapeutic approach is also capable to reduce Aβ burden, though with different plaque and cerebral amyloid angiopathy (CAA) morphology. Preventive treatment resulted in fewer and smaller plaques without affecting CAA, whereas in therapeutically treated mice beside reduction of CAA extent, numerous plaques of strongly diminished size were found, so that total plaque loads declined as well. These effects seemed to be mediated by distinct molecular pathways. In preventive but not therapeutic group a shift of Aβ(42/40) ratio towards Aβ(40) and up-regulation of Aβ clearing and degrading molecules were found. Contrariwise anti-oxidative defense mechanisms were induced only in therapy but not preventive group. We hypothesize that preventive enrichment lowers the amounts of plaque seeds and decelerates plaque growth by degradation and clearance of Aβ, while therapeutic enrichment mitigates growth and fusion of plaque seeds to large plaques by inhibiting further Aβ aggregation. This study provides an experimental basis for application of physical/cognitive training in both prophylaxis and therapy of Alzheimer's disease.     

缺陷腺病毒载体表达重复10次的Aβ3-10基因疫苗鼻黏膜免疫APPswe, PSEN1dE9转基因小鼠可诱导出Th2型免疫反应

Immunotherapy for Alzheimer’s disease (AD) is effective in improving cognitive function in transgenic mouse models of AD. Because the AN1792 [beta-amyloid (Aβ) 1-42] vaccine was halted because of T cell mediated meningoencephalitis, many scientists are searching for a novel vaccine to avoid the T cell mediated immune response caused by the Aβ1-42. Importantly, the time when the immunization is begun can influence the immune effect. In this study, an adenovirus vaccine was constructed containing 10 × Aβ3-10 repeats and gene adjuvant CpG DNA. Transgenic AD mice were immunized intranasally for 3 months. After 10 × Aβ3-10 vaccine immunization, high titers of anti-Aβ42 IgG1 predominant antibodies were induced. In spatial learning ability and probe tests, the 10 × Aβ3-10 immunized mice showed significantly improved memories compared to control mice. The 10 × Aβ3-10 vaccine resulted in a robust Th2 dominant humoral immune response and reduced learning deficits in AD mice. In addition, the 10 × Aβ3-10 vaccine might be more efficient if administered before Aβ aggregation at an early stage in the AD mouse brain. Thus, the adenovirus vector encoding 10 × Aβ3-10 is a promising vaccine for AD.     

Healed Erosion: The Role of Pre-interventional Optical Coherence Tomography in a Patient Clinically Suspected of Having Unstable Angina with Coronary Spasm

A 46-year-old man complained of chest pain at rest for the past three months. His symptoms gradually exacerbated and were suspected of being due to unstable angina. A coronary angiogram revealed focal tight stenosis at the proximal left anterior descending coronary artery with gross spastic coronary findings. Optical coherence tomography (OCT) revealed layered low-intensity structures with microvessels and the accumulation of macrophages, which indicated progressive stenosis with multiple-layered organized thrombus caused by coronary erosion. We treated the stenosis using a drug-coated balloon instead of drug-eluting stents. There was no restenosis, and OCT revealed good plaque healing at follow-up. This case suggests that the pre-interventional OCT plaque morphology can have a positive impact on the revascularization strategy.     

颈动脉斑块与中医舌象的相关性探讨

目的：通过对颈动脉斑块的患者中医舌象的分析,探讨颈动脉斑块的中医病机特点。方法：收集经彩色多普勒超声诊断为颈动脉斑块形成的门诊和住院患者,按超声检查结果分为颈动脉内中膜增厚组（A组）、不稳定型斑块组（B组）、稳定型宽块组（C组）,观察舌象,并进行相关性分析。结果：舌色以暗红为主,其次是淡红;腻苔出现频率最高,其次为薄苔;白苔出现频率最高,其次为黄苔。结论：舌象特点反映出脾肾气虚及痰、瘀、热是颈动脉斑块的重要病机。     

益气活血方对UAP易损斑块相关血清学指标MMP-9、sCD40L、sVCAM-1水平表达的影响

目的:观察益气活血方对不稳定性心绞痛(UAP)易损斑块相关血清学指标MMP-9、sCD40L、sVCAM-1水平表达的影响。方法:选择51例冠心病不稳定性心绞痛(气虚血瘀证)患者,随机分为治疗组26例与对照组25例。2组均予常规西药治疗,治疗组加服益气活血方汤剂。治疗4周后,观察并比较2组患者治疗前后及治疗后反映冠状动脉粥样硬化斑块易损性的血清学检测指标MMP-9、sCD40L、sVCAM-1的变化。结果:治疗组患者血清中MMP-9、sCD40L、sVCAM-1的水平显著降低,与对照组比较差异有统计学意义(P0.05)。结论:益气活血方对反映冠状动脉粥样硬化斑块易损性的相关血清学检测指标有一定程度的影响,可显著降低患者MMP-9、sCD40L、sVCAM-1的表达,其机制可能通过抗血小板聚集、抗氧化、抑制炎症反应、保护内皮细胞功能等途径有效干预冠状动脉粥样硬化易损斑块,提高斑块的稳定性,从而预防心血管疾病的发生。     

狼疮清颗粒对小鼠免疫功能的影响

目的研究狼疮清颗粒对正常小鼠免疫功能的影响。方法将小鼠随机分为两组,治疗组口服给予不同剂量的狼疮清颗粒(分别为11.4、22.8、45.6g/kg),对照组灌服生理盐水。观察狼疮清颗粒对小鼠刀豆蛋白(ConA)诱导的脾淋巴细胞转化、溶血空斑数的作用。结果小剂量狼疮清颗粒能够增加小鼠脾淋巴细胞和溶血空斑数,大剂量狼疮清颗粒能够抑制小鼠脾淋巴细胞和溶血空斑数。结论狼疮清颗粒具有调节机体免疫功能的作用,且与剂量相关。     

复方芪参降脂饮对不同证型颈动脉粥样硬化患者易损斑块稳定性的影响

目的观察复方芪参降脂饮对颈动脉粥样硬化（AS）患者易损斑块稳定性的影响。方法 258例颈AS斑块患者,按中医辨证分为痰湿阻滞证、瘀阻脉络证、浊毒内蕴证和肝肾亏虚证、气虚证5型。给予复方芪参降脂饮口服,疗程为6个月。检查各证型患者治疗前后颈动脉斑块内膜中层厚度（IMT）、斑块面积、斑块积分及血脂、高敏C-反应蛋白（hs-CRP）变化。结果颈AS患者易损斑块分布以瘀阻脉络证和浊毒内蕴证组远大于其他证组（P〈0.05）。治疗后瘀阻脉络证、浊毒内蕴证、气虚证组颈动脉易损斑块IMT、斑块面积、斑块积分及血清总胆固醇（TC）、低密度脂蛋白（LDL-C）、hs-CRP水平较治疗前显著降低（P〈0.05）。结论复方芪参降脂饮对稳定瘀血、浊毒、气虚证易损斑块效果明显。其作用机制可能是通过调脂及抗炎作用实现的。     

MMP-2与动脉粥样硬化、脑梗死的关系浅析

脑梗死(cerebral infarction,CI)是常见的脑血管疾病,严重影响人类的健康;动脉粥样硬化(atherosclerosis,AS)是脑梗死发生的一个重要因素,颈动脉粥样硬化斑块尤其是易损斑块的形成,是缺血性心脑血管病的共同基础;基质金属蛋白酶-2(MMP-2)可以对动脉粥样硬化斑块的纤维帽与基底膜产生裂解作用及参与血管内膜的炎性反应,其在血液中的病理性增高可影响动脉粥样硬化斑块的稳定性,是导致斑块破裂、引起脑梗死的关键因素之一,并对脑梗死的程度、预后有重要影响。     

The influence of 30-day-old Streptococcus mutans biofilm on the surface of esthetic restorative materials--an in vitro study

OBJECTIVE: To evaluate the effects of Streptococcus mutans biofilm/restorative materials interaction on surface roughness, hardness and morphology of materials tested. METHODS: Empress 2 (E2), Filtek Supreme (FS), Vitremer (V) and Ketac Molar Easymix (KM) were tested. Twenty-five disks of each material were made and divided into three storage groups: (1) 100% relative humidity (n=5); (2) growth medium (BHI and 1% sucrose) (n=5); (3) S. mutans biofilm-growth medium (n=15). Before storage, hardness measurements were immediately obtained from group 1 specimens. After 30 days of storage, the specimens were cleaned in order to obtain the surface roughness and hardness values, besides morphology analysis by scanning electron microscopy. RESULTS: The surface roughness and hardness values obtained from E2 and FS specimens did not present statistically significant differences among the groups 1, 2 and 3 and between immediate and 30-day-old specimens of each material. However, group 3 specimens of V and KM showed statistically significant higher surface roughness means than other groups. Group 1 specimens of V and KM also showed higher hardness values than the immediate values. Group 3 specimens of V presented decreased hardness values compared with other groups. The scanning electron micrographs showed an increase in surface degradation from group 1 to group 3 for FS, V and KM. CONCLUSIONS: Thirty-day-old biofilm promotes a negative effect on the surface morphology of FS, V and KM, on the surface roughness of V and KM and on the hardness of V.