Loading...

Table of Content

    24 April 2008, Volume 29 Issue 2
    专题报道
    Role of TRAIL and its Receptors in Apoptosis of Tumor
    Chen Wenming
    2008, 29(2):  109-112. 
    Asbtract ( 470 )   PDF (524KB) ( 324 )  
    Related Articles | Metrics
    Tumour necrosis factor(TNF)-related apoptosis-inducing ligand(TRAIL) is a member of the TNF superfamily which selectively induces apoptosis in a broad range of cancer cell lines, but not in many normal cells. TRAIL induces apoptosis by activating Caspases and the mitochondrial-dependent apoptotic pathway. Cell death induced by TRAIL can be blocked by a dominant-negative TRAIL receptor, decoy receptors(DcR), and is regulated by members of the Bcl-2 family of proteins. This review is focused on the apoptotic signaling pathways regulated by TRAIL and summarizes what is known about their clinical role.
    A Higher JAK2 V617F Homozygous Mutated Clone is Observed in Polycythemia Vera than in Primary Thrombocytosis
    Liu Hongxing;Tong Chunrong;Cai Peng;Gu Jiangying;Lin Yuehui;Zhang Ying;Teng Wen;Wang He;Zhu Ping
    2008, 29(2):  113-117. 
    Asbtract ( 841 )   PDF (346KB) ( 569 )  
    Related Articles | Metrics
    Objective To analyze the mutation allele ratio in polycythemia vera(PV) and essential thrombocythemia(ET) samples. Methods SB-ASA and real-time PCR assays were developed and performed for JAK2 V617F detection on 40 PV samples, 31 ET samples and control samples(40 acute leukemias and 40 normal samples). Difference between detection rates of the two assays was analyzed. Ratio between mutation alleles in PV and ET samples and their relevance with biological characters were also analyzed. Results More mutation positive samples were detected with real-time PCR than with SB-ASA assay. The detection rates in PV and ET were 87.5% and 51.6% with SB-ASA PCR but 92.5% and 64.5% with real-time PCR respectively. No mutation was detected in control samples. The mutation allele ratio was 0.436±0.261 in PV and 0.216±0.207 in ET respectively. Percent age of homozygous mutation in PV was 40.54% and in ET was 10%. Statistical analysis showed no relevance between mutation allele ratio and sex and age. Conclusion The JAK2 V617F mutated allele ratio is higher in PV than in ET; The ratio of homozygous mutated clone in PV is 4 times of that in ET. The pathogenesis of PV or ET has relationship with the mutation allele ratio of JAK2.
    Studies on the Preparation of Polygene Tumor Vaccine for Lymphoma
    Wang Jing;Zhao Lingzhi;Ke Xiaoyan
    2008, 29(2):  118-123. 
    Asbtract ( 726 )   PDF (638KB) ( 236 )  
    Related Articles | Metrics
    Objective To study the preparation polygene tumor vaccine and the genetherapy for lymphoma. Methods GFP were transected into A20 cells with adenovirus, lipofectin and adenovirus with lipofectin assistant, and Hela cell lines were used as control. After 4872 hours, the cells were observed under the fluorescence microscope to determine the efficiency of transfection. B7-1 and CD40L expression vectors in combination were directly injected into lymphomas of A20 mice model, the histological characteristics and the cell infiltration in lymphoma were observed. Results In the A20 cells, either the cells transected by lipofectin or adenovirus alone resulted in a very low efficiency. When adenovirus transected GFP were used with lipofectin assistant, the efficiency became higher. However, it is always far lower than that in Hela's. Intratumoral injection of B7-1 and CD40L plasmids which resulted in reduction of tumor size. Morphological observation revealed inflammatory cell infiltration in the tumors, massive necrosis and localization of tumor. Conclusion It is difficult to make tumor vaccine for lymphoma by transferring the gene into the cells in vitro. Although adenovirus with lipofectin assistant attains higher transfection efficiency, it is not sufficient, the intratumoral injection may be considered as a safe and effective way of tumor vaccine administration.
    Bortezomib has Effects on Osteoclastogenesis in MM Patients
    Huang Hongming;Hou Jian;Zhou Fan;Jiang Hua
    2008, 29(2):  124-127. 
    Asbtract ( 595 )   PDF (685KB) ( 363 )  
    Related Articles | Metrics
    Objective To observe the effect of bortezomib on the receptor of NF-κB ligand(RANKL) mediated osteoclast differentiation and function in vitro. Methods Osteoclast precursors from peripheral blood mononuclear cells of MM patients were cultured in the presence of RANKL and M-CSF. Osteoclast function was quantified with the extent of the bony resorption and TRAP activity in culture supernatants. Sub-apoptotic concentrations of bortezomib used were 0.5, 1, 2.5 and 5 nmol/L. Results Bortezomib could result in reduction of osteoclast differentiation by the detected less formation quantity of osteoclast and the decreased activity level of TRAP in treatment group. Osteoclast resorption capacity was decreased too, reflecting bortezomib can inhibit the function of osteoclast. Conclusion Bortezomib acts on osteoclast differentiation and function at low concentrations and should be considered as potential drug for the treatment of myeloma bone diseases.
    Effects of Cytokines on the Gene and Protein Expressions of Heat Shock Protein gp96 in K562 Cells
    Wang Tongguo;Shi Bin;Wang Xin;Wang Liru;Chen Yijuan
    2008, 29(2):  128-132. 
    Asbtract ( 587 )   PDF (826KB) ( 317 )  
    Related Articles | Metrics
    Objective Tumor-derived heat shock protein glycoprotein 96(HSP GP96) can be used as vaccines for refractory cancers. The effects of cytokines on the gene and protein expressions of GP96 in K562 cells at different concentrations and different hours were investigated. Methods K562 cells were coincubated with different concentrations of cytokines for 12 hours. GP96 mRNA and GP96 proteins of K562 cells were analyzed. Total RNA of K562 cells, which were respectively coincubated with concentrations increases, but they descend at certain concentrations(IFN-α 600 kU/L or IFN-γ 6 μg/L at different hours, were analyzed. Results 1) Dose-effect: changes of the gene and protein expressions of GP96 from K562 cells which were respectively coincubated with different concentrations of IFN-α and IFN-γ for 12 hours were similar: they gradually increased with the concentrations, but descended at certain concentrations(IFN-α 600 kU/L, IFN-γ 6 μg/L). 2) Time-effect: steady level of GP96 mRNA were achieved up to 9 hours of continuous exposure to IFN-α 600 kU/L and IFN-γ 6 μg/L, and then descended gradually. Conclusion IFN-α and IFN-γ can increase the protein expressions of GP96 from K562 cells by increasing gp96 gene expression.
    The Biologic Effects of the Immunosuppresive Agent Cyclosporine A on Mice Bone Metabolism in Vitro
    Wu Xuebin;Chen Jianxin;Zhou Yue;Wang Xuan;Li Jia
    2008, 29(2):  133-136. 
    Asbtract ( 713 )   PDF (555KB) ( 267 )  
    Related Articles | Metrics
    Objective To investigate the biologic effects of immunosuppressive cyclosporine A on the osteoclastic cells and osteoblastic colony during the mice bone metabolism in vitro. Methods Bone marrow cells of mice were treated with different concentration of cyclosporine A in vitro. The mice stromal cells were cultured and osteoclastic cells and osteoblastic colony of CFU-F and CFU-OB obtained. TRAP positive multinuclear cells were measured by tartrate-resistant acid phosphatase(TRAP) staining, CFU-F and CFU-OB were checked with alkaline phosphatase(ALP) staining and Von'Kassol staining methods respectively. Results The number of TRAP positive multinuclear cells increased significantly(F=16.496, P<0.001) and depending on the CsA doses(r=0.579, P<0.05). The number of CFU-F and CFU-OB were not significantly changed(F=1.380, F=0.305, P>0.05). Conclusion CsA can induce the osteoclastic cells increasing and has no significant effects for the CFU-F and CFU-OB. One of the major function of CsA for bone metabolism may be upregulation of osteoclast system and induction of osteopenia in the mice.
    Study of the Effects of Specific CTL Induced by DCs Treated with Sodium Selenite and ACL on Leukemia Cell line K562
    Yang Lei;Liu Fuqiang;Wang Jingwen;Wu Yiping;Ding Jing
    2008, 29(2):  137-141. 
    Asbtract ( 727 )   PDF (452KB) ( 240 )  
    Related Articles | Metrics
    Objective To investigate the effects of dendritic cells pulsed with lysed K562 cells frozen-thawed antigen(ACL) and treated with sodium selenite(Se) on inducing the cytotoxic T lymphocyte(CTL) to get specific anti-tumor activity in vitro. Methods 1) The culture of DCs: In RPMI-1640(10% FBS) medium containing 3 cytokines(rhGM-CSF, rhIL-4 and TNF-α), the peripheral blood mononuclear cells(PBMNC) from healthy donor were cultured for 4 days, the adherent cells(DCs) were harvested; 2) The 4 groups of DCs: DC-Ⅰ: DCs only in the above culture system, DC-Ⅱ: adding of 0.5 μmol/L Se, DC-Ⅲ: adding ACL, DC-Ⅳ: adding both 0.5 μmol/L Se and ACL; 3) Induction of the effective cell-CTL: non-adherent cells(suspending cells) cultured in the RPMI-1640(10% FBS) with IL-2 for 2 days were cultured alone or with several DC groups for another 5 days; 4) Detection of CTL activity: The cytotoxicity was determined with LDH release method, using K562 cells as target cells. Results The CTLs induced in DC-Ⅱ, DC-Ⅲ and DC-Ⅳ groups had more potential effects on killing target cells than that induced in the DC-Ⅰ group, as well as in the T cell alone group, and their abilities increased along with elevation levels of the ratio of effective cells( E) to target cells(T). At the ratio of 25∶1, the rates of K562 cells killing in the groups of T cell alone, T-DC-Ⅰ, T-DC-Ⅱ, T-DC-Ⅲ and T-DC-Ⅳ were 5.9%±2.4%, 15.3%±2.3%, 26.3%±3.7%, 28.2%±4.5% and 36.2%±3.7% respectively, the activity of CTL in T-DC-Ⅳ group was the strongest, it was significantly more potent as compared with those in other groups. Conclusion Dendritic cells can be successfully generated from PBMNC by culture system supplied with rhGM-CSF, rhIL-4 and TNF-α in vitro. Both DC-groups loaded with ACL loaded and treated with Se can induce specific CTL responses and they have a synergistic effects on killing leukemia cells.
    Analysis of Autologous Hemopoietic Stem Cell Transplantation for Hematological Malignancies
    Ji Bingxin;Su Li;Liu Congyan;Zhao Hong;Zhang Chenwei;Hui Wuhan;Xu Juan;Tian Ding
    2008, 29(2):  142-145. 
    Asbtract ( 743 )   PDF (307KB) ( 500 )  
    Related Articles | Metrics
    Objective To evaluate the clinical outcome of autologous hemopoietic stem cell transplantation(AHSCT) for hematological malignancies. Methods Data of 30 patients with hematological malignant diseases who under went AHSCT in Xuanwu hospital from January 1996 to January 2007 were retrospectively analyzed. There were 14 males and 16 females, the median age was 40(19~52) years. Twenty-five of them had acute non-lymphoblastic leukemias(ANLL)(CR1 24, CR2 1), 4 had acute lymophblastic leukemias(ALL)(CR1 4) and 1 had granulocytic sarcoma. Pretreatment regimens mainly included Mel 160 mg/m2+Ara-C 2.0 g/m2+CY 120 mg/kg or TBI 8~10 Gy+CY 120 mg/kg. Results All patients had rapid hemopoietic reconstitution. There was no AHSCT related death. The median follow up duration was 82(12~144) months. Twenty-one of 30 patients were still alive during the analysis. The probabilities of disease-free survival(DFS) at 5 years were significantly different in these two groups: (69±8)% for AHSCT groups and (34±10)% for synchronous intensive chemotherapy groups. Conclusion AHSCT can be safely performed as an important treatment constituent for hematological malignancies.
    Investigation of TF,TFPI,t-PA and PAI-1 in Patients pre DIC and DIC and Their Significance
    Duan Zhaoxia;Yang Linhua
    2008, 29(2):  146-148. 
    Asbtract ( 661 )   PDF (447KB) ( 260 )  
    Related Articles | Metrics
    Objective To investigate the changes of coagulation and fibrinolysis systems during pre-DIC and DIC, and determine the relationships among TF and TFPI as well as t-PA and PAI-1. Methods Plasma concentrations of TF, TFPI, t-PA, PAI-1 and D-Dimer were measured with ELISA and ratios of TF/TFPI and t-PA/PAI-1 obtained. Results TF, TFPI, t-PA, PAI-1 and D-Dimer all became higher during the progress of DIC, TF/TFPI ratio was higher in pre-DIC, and t-PA/PAI-1 ratio was higher in DIC. Conclusion DIC is related to the disorders of coagulation and fibrinolysis system. Unbalance of TF and TFPI may be the cause of thrombosis formation in DIC; while the unbalance of t-PA and PAI-1 may be the most important cause of serious bleeding during DIC.
    基础研究
    TRPC3 mediated Inhibition of MPP+ Neurotoxicity in MN9D Cells
    Zhang Lei;Wang Junfeng;Ge Ruiliang;Wang Xiaomin
    2008, 29(2):  153-157. 
    Asbtract ( 661 )   PDF (437KB) ( 291 )  
    Related Articles | Metrics
    Objective To study the effect of transient receptor potential-canonical channel(TRPC) on MPP+-induced MN9D cell damage. Methods The MN9D cell damage model was induced by treating MN9D cells with different concentrations(62.5, 125, 250, 500, 1 000 μmol/L) of MPP+ for 24 h and with 500 μmol/L MPP+ for different time course(3, 6, 12, 24, 36 hours). The mRNA expression of the members of TRPC subfamily was investigated by RT-PCR and the protein levels of TRPCs by Western blot in MN9D cells. MTT was performed to detect TRPC3-mediated inhibition of MPP+ neurotoxicity in MN9D cells transfected by TRPC3-GFP and GFP adenovirus. Results 500 μmol/L MPP+ specifically reduced the protein levels of TRPC3 in MN9D cells and overexpression of TRPC3 protected MN9D cells from MPP+ neurotoxicity. Conclusion Degradation of TRPC3 induced by MPP+ was probably involved in pathogenesis of Parkinson's disease(PD) and this study maybe provide a new target to prevent and treat PD.
    Existence and Significance of AD7C-NTP in the Brain of Patients with Alzheimer's Disease and in Different Species of Animals
    Zhang Zhiping;Ji Zhijuan;Zhao Zhiwei;Wang Hongjuan;Sheng Shuli;Wang Rong
    2008, 29(2):  158-161. 
    Asbtract ( 640 )   PDF (321KB) ( 294 )  
    Related Articles | Metrics
    Objective To investigate the expression of Alzheimer-associated neuronal thread protein(AD7C-NTP) in the brain of patients with Alzheimer's disease(AD), as well as in swine and mice, so as to determine the source of tissues rich in AD7C-NTP. Methods The distribution of AD7C-NTP in the brain of pig and mouse was investigated with immunohistochemical methods. SDS-PAGE and Western blot were applied to detect the expression of AD7C-NTP in the brain of patients with AD as well as in pigs and mice. Results The results of immunohistochemistry indicated that AD7C-NTP immunoreactive positive neurons were observed in the cerebral cortices of pigs and hippocampi of mice. The results of Western blot indicated that a band of about 41 000 bp was detected with the antibody of AD7C-NTP against C-terminal in the brain of patients with AD and in pigs. Conclusion The existence of AD7C-NTP in the brain of patients with AD is confirmed; AD7C-NTP is also found in the brain of swine, so that it can be considered as a source for extraction of purified AD7C-NTP protein, which can be used as the experimental material for AD7C-NTP diagnostic kit.
    Effect of Analog of APP 5-mer Peptide P165 on Learning and Memory Abilities in Rats with Type 2 Diabetes Mellitus
    Shao Zhimin;Zhang Zhiping;Zhao Zhiwei;Zhuang Xiaoming;Ji Zhijuan;Zhang Jingyan;Sheng Shuli;Wang Rong
    2008, 29(2):  162-166. 
    Asbtract ( 702 )   PDF (359KB) ( 260 )  
    Related Articles | Metrics
    Objective To investigate the effect of Analog of APP 5-mer peptide P165 on learning and memory abilities in rats with type 2 diabetes mellitus(T2 DM). Methods A total of 34 male Sprague Dawley(SD) rats were randomly divided into 4 groups: control group(C), diabetes mellitus group(DM), DM with low dose P165 group(DM+ low dose P165), DM with large dose P165 group(DM+ large dose P165). DM models were induced by high-fat and sugar diet and intraperitoneal injection of STZ(35 mg/kg). The P165 was fed through a gastric tube every day; whereas the C and DM groups were given 0.9% normal saline. Eight weeks after administration, Morris water maze was used to perform training trial and probe trial in order to detect spatial learning and memory abilities. The body weight and serum glucose were measured every week. Results After 8 weeks, the escape latency increased significantly in the DM group(P<0.01) than in the group C; in the DM+ low dose P165 and DM+ large dose P165 groups, it decreased significantly than in the DM group(P<0.05). In the Spatial probe experiment, the first time passing hidden platform prolonged significantly(P<0.05) and the distance of swimming in the quadrant of hidden platform decreased significantly in the DM group than in group C(P<0.01). But the first time passing hidden platform decreased significantly in the DM+ low dose P165 and DM+ large dose P165 than in the DM group. The serum glucose level showed no significant difference in the 3 T2 DM groups in the period of experiment. Conclusion The learning and memory abilities have been impaired in T2 DM rats. The escape latency and the first time passing hidden platform can be prolonged significantly in T2 DM rats. P165 can ameliorate the learning and memory abilities in T2 DM rats but not influence the serum glucose level.
    Studies on PI3'K Signal Transduction Pathway in Human Neuroblastoma SY5Y Cells
    Meng Yan;Zhang Jingyan;Wang Rong;Sheng Shuli
    2008, 29(2):  167-170. 
    Asbtract ( 662 )   PDF (622KB) ( 250 )  
    Related Articles | Metrics
    Objective To investigate the mechanism of neurotrophic effect of insulin on SY5Y cells. Wortmannin(a specific inhibitor of PI3'K) was used to inhibit the signal transduction pathway of SY5Y cells, which were cultured in MEM medium that contains 5 mmol/L or 11.5 mmol/L glucose. Methods SY5Y cells were cultured and divided into two large groups. Group one included the control, 5 mmol/L glucose, 5 mmol/L glucose+0.01 U/mL insulin, 5 mmol/L glucose+0.01 U/mL insulin+Wortmannin; the second group included the control, 11.5 mmol/L glucose, 11.5 mmol/L glucose+0.01 U/mL insulin, 11.5 mmol/L glucose+0.01 U/mL insulin+Wortmannin. There were 8~12 wells in each group. MTT metabolism, LDH leakage, length of cell axon and area of cell body were measured and analyzed. Results The metabolism increased, LDH leakage decreased in SY5Y cells of 5 and 11.5 mmol/L glucose+0.01U/mL insulin groups. Length of axon and cell body area increased in SY5Y cells of 5 and 11.5 mmol/L glucose+0.01 U/mL insulin groups. However, the above effects were weakened in the Wortmannin groups. Conclusion Insulin receptors exist in SY5Y cells. Insulin exerts neurotrophic function by activating PI3'K signal transduction pathway.
    Effects of ShenGuiQianLieShuang Capsule against Experimental Prostate Hyperplasia
    Xu Pingxiang;Cheng Liang;Gao Jian;Chen Yi;Tang Yu;Gao Wen;Bai Janghong
    2008, 29(2):  171-174. 
    Asbtract ( 698 )   PDF (541KB) ( 344 )  
    Related Articles | Metrics
    Objective To observe the effects of ShenGuiQianLieShuang capsule(QLS) against experimental benign prostatic hyperplasia(BPH) in rats and mice. Methods The experimental BPH model was induced in castrated rat with subcutaneous injection of testosterone propionate once daily for four weeks at a dosage of 0.5 mg/rat, at the same time different doses of QLS and Pule, an tablet were administrated orally in the same way. At the end of experiment, the weight of prostate was measured and the pathological changes in prostate were observed under light microscope. Another experimental BPH model was induced in male mice by implanting of fetal urogenital sinus(from 16 d fetal mice) into the prostate tissue, QLS capsule and Pule were given for four weeks after the implanting. At the end of experiment, the weight of prostate and the content of prostatic acid phosphatases(PAP) in prostate were measured. Results Compared with the model group, the wet(and dry) weight and the weight index of prostate were decreased significantly in both QLS groups(10.8 g/kg, 5.4 g/kg) and Pule, an group(2.5 g/kg) in the rat BPH model(P<0.01). The wet(and dry) weight and the weight index of prostate were also decreased in QLS group at the dosage of 2.7 g/kg, though there was no statistically difference. The pathological changes of prostate were ameliorated in QLS groups(10.8 g/kg, 5.4 g/kg) and Pule, an group(2.5 g/kg), including the height of epithelial cells and the hyperplasia of prostate gland. In the mice BPH model, significant decreasing effects were found in PAP level, wet weight and the weight index of prostate in QLS groups(15.0 g/kg, 7.5 g/kg) and Pule, an group(3.5 g/kg). Conclusion ShenGuiQianLieShuang capsule shows a protective effect against experimental benign prostatic hyperplasia, and the inhibition of PAP in prostate may be involved in the mechanism.
    Rat Abdominal Organ Dysfunction Caused by Rat Hind Limb Ischemia/reperfusion and the Effect of Hyperbaric Oxygen
    Ren Tianhua;Niu Chi;Yuan Biao
    2008, 29(2):  175-177. 
    Asbtract ( 767 )   PDF (178KB) ( 257 )  
    Related Articles | Metrics
    Objective To determine whether there is a potential protective effect of HBO on abdominal organ injury which is associated with hind limb ischemia/reperfusion in rat model. Methods Adult male SD rats weighing 220~250 g were used in the study. Bilateral hind limb ischemia was induced by applying an atraumatic clip at the end of the abdominal aorta adjacent to the junction of both femoral arteries. At the end of the ischemic period, reperfusion of the limbs was achieved by releasing the clamp. The experimental animals were randomly divided into three groups, each group involved 10 rats. (1) the sham surgical group; (2) the ischemia/reperfusion(I/R) group; (3) the hyperbaric oxygen(HBO) treatment group. By using laser Doppler flowmetry, the microvascular blood flow in the liver, kidney, pancreas and small intestine of animals was measured. The mean immunofluorescence intensity of CD31, CD61 or positive percentage of CD62p were measured by the flow cytometry. Results Compared with I/R group, the microvascular blood flow of the liver and kidney in HBO treatment group was significantly increased, with a significant statistical difference(P<0.05). But the microvascular blood flow of pancreas and small intestine were not obviously changed in these three groups. In the I/R group, extensive ultrastructural histological injury of liver and kidney occurred. The ultrastructural pathological changes in the HBO treatment group were obviously alleviated. Compared with the sham surgical group, the expression of platelet membrane glycoprotein CD31, D62p in the I/R group was much higher(P<0.05). The expression of CD31, D62p in the HBO treatment group was much decreased than that in the I/R group(P<0.05). Conclusion As a kind of effective therapy, HBO can alleviate the pathological changes in abdominal organs in rat models caused by hind limb ischemia/reperfusion.
    Effects of Modified Baoshenfang No.2 on Diabetic Nephropathy in Rats
    Zhang Tianxing;Geng Jianguo;Zhang Shengrong
    2008, 29(2):  178-180. 
    Asbtract ( 809 )   PDF (401KB) ( 307 )  
    Related Articles | Metrics
    Objective To study the effect of modified Baoshenfang No.2 on diabetic nephropathy in rats. Methods The model of diabetic mellitus was established by intraperitoneal injection of sireptozotocin(STZ). Then, the levels of blood glucose and lipid as well as renal function(including serum creatinine, urine nitrogen, urine protein) were measured in each group of animals. At last, H-E staining was applied to observe changes in kidney morphology. Results Compared with the control group, intragastric administration of the modified Baoshenfang No.2 significantly lowered the blood glucose and lipid and improved the renal function. Also, the pathological changes of kidney were alleviated. Conclusion Modified Baoshenfang No.2 might serve as a potentially useful treatment for diabetic nephropathy in clinic by reducing hyperglycemia or hyperlipemia, and improving renal function.
    The Retrospective Analysis of FIB Levels of Different Chinese Tradition Medical Patterns of Unstable Angina Pectoris
    Li Yangfan;Qi Fang;Liu Hongxu
    2008, 29(2):  181-183. 
    Asbtract ( 863 )   PDF (193KB) ( 331 )  
    Related Articles | Metrics
    Objective To examine the relationship between the level of fibrinogen (FIB)and syndrome differentiation of Chinese Traditional Medicine in unstable angina pectoris(UA). Methods Clinical data were collected from 166 patients with unstable angina pectoris and 36 controls traditonal from Jan. 2004 to Dec. 2006 in Beijing TCM Hospital, and the FIB levels and syndromes differentiation of Chinese Traditional Medicine were analyzed as a retrospective research. Results Levels of FIB were significantly higher in UA group than those in controlled group(P<0.01). In UA group, FIB levels in excess syndromes with blood stasis were higher than those in deficiency syndromes with blood stasis(P<0.05); FIB levels in qi-stagnancy and blood stasis syndrome were higher than those in qi-deficiency and blood stasis syndrome(P<0.05). Conclusion There may be a relationship between the level of FIB and the stagnation of the heart blood which is one of the Chinese traditional medical patterns of unstable angina pectoris.
    Expression of muBPI36-259 Recombinant Protein Prokaryotic Expression Vector and Preparation of a Polyclonal Antiserum Against muBPI36-259 Product
    Feng Ying;Li Li;Long Jun;Fan Yiqiang;Liu Zhenlong;Kong Qingli;Lü Zhe;Wang Wei;An Yunqing
    2008, 29(2):  184-189. 
    Asbtract ( 704 )   PDF (601KB) ( 350 )  
    Related Articles | Metrics
    Objective To make murine BPI36-259 protein with prokaryotic expressing system and prepare rabbit polyclonal antiserum with the recombinant protein. Methods Functional domain of murine BPI was predicted by bioinformatics methods. cDNA of muBPI1-281 was synthesized and cloned to pUC57 cloning vector to generate pUC57-muBPI1-281 construct. Then muBPI36-259 functional fragment was amplified on the pUC57-muBPI1-281 plasmid by PCR and cloned into prokaryotic expression vector, pET28a, to produce the expression vector pET28a-muBPI36-259. After IPTG inducing, recombinant protein was expressed in bacteria E.coli BL21(DE3) in the main form of inclusion bodies. This recombinant protein was used to immunize rabbit to generate polyclone anti-serum, the titer and the specificity of antiserum was detected by indirect ELISA method. Results Prokaryotic expression construct at murine BPI functional domain(pET28a-muBPI36-259) has been successfully generated, which express this recombinant protein in the main form of inclusion bodies. Using this recombinant protein to immunize rabbit, we got specific anti-muBPI36-259 antiserum with the titer of 1∶10 000. Conclusion We have obtained the antibiosis protein(muBPI36-259) in main form of inclusion bodies from prokaryotic expression system and used it to immunize rabbit, the specific antiserum can be used to detect the target antibiosis protein of muBPI36-259.
    Studies with DDRT PCR on the Differential Display of Genes in Central Neurocytoma and Oligoden Droglioma
    Wan Weiqing;Ren Tong;Wang Xia;Pei Ao;Zhang Pengfei;Ma Zhenyu;Zhang Yazhuo;Wang Zhongcheng
    2008, 29(2):  190-193. 
    Asbtract ( 607 )   PDF (324KB) ( 361 )  
    Related Articles | Metrics
    Objective Central neurocytoma(CN) is a rare, benign intraventricular tumor of central nervous system(CNS). Histologically, CN closely resembles oligodendroglioma(OG) in terms of morpholog. According to the WHO new classification of CNS tumors, CN is classified as neuronal and mixed neuronal-lial tumors of neuroepithelial tissue, and OG as oligodendroglial tumors of neuroepithelial tissue. The former is characterized by its high radiosensitivity, but the latter is sensitive to chemotherapy partly. This study aims at investigating the molecular mechanisms underlying the differences between CN and OG, and their pathogeneses. For this purpose, we applied fluorescent DD-CR/DDRT-PCR to identify differentially expressed genes in CN, OG and normal brain tissues. Methods In this study, tissues including 2 case of CN, 4 case of OG, and 2 normal brain tissues obtained during decompression surgery for cerebral trauma as control group. The total RNAs from frozen specimens were compared by fluorescent DDRT-PCR. Differential display bands of interest were chosen. Eight cDNA fragments isolated from DD denaturing gel were extracted and reamplified, cloned into pMD18-T vector and sequenced. Then the sequences of the bands were analyzed for homology with known genes using the BLAST search. Results Significant differences of gene expression were detected among CN, OG and normal brain tissues. Eight bands were selected. In these bands, one(W8) was highly expressed in CN, three(W3, 4, 7) in OG, and 4(W1, 2, 5, 6) in normal brain tissue. BLAST analysis and a GenBank search of these 8 clones showed that 2(W3, 8) represented known genes, namely fetal Alz-50 reactive clone 1(FAC1) located in chromosome 17q24.3 and aspartylglucosaminidase(AGA) in 4q32-q33. The protein encoded by FAC1 is a novel member of the PHD/LAP zinc finger family. Two clones(W1, 2) showed homology to human without known gene sequence. Another four clones(W4, 5, 6, 7) shared sequence homology to Mus musculus or Rattus norvegicus. Conclusion Differentially displayed band W1, a sequence located in chromosome 16, is expressed highly in normal brain tissue but not in CN and OG. It might be a novel gene encoding a protein of transcription factors regulator which contains a zinc finger motif. FAC1 is expressed at low level or not in normal brain tissues but higher in OG. It is supposed that FAC1 may play a role in the development of OG depending on the regulation of gene expression.
    Researches on the Standard of ECG Evaluating the Elderly's Physical Fitness
    Chen Ruifang;Xiong Kaiyu
    2008, 29(2):  194-196. 
    Asbtract ( 820 )   PDF (168KB) ( 289 )  
    Related Articles | Metrics
    Objective To establish the evaluation standard of ECG in the healthy elderly. Methods The ECGs of 108 retirees aged 55~78 years old(male 47, female 61) were recorded. After inquiring about the past history and examination of representative ECGs, 29 cases were excluded, the rest 79 elderlys' ECGs were considered to be normal. The heart rate, the eletrical axis of the heart, the PR interval, the QTc interval, SV1+RV5, the changes in ST segment et al were taken as the indices for evaluation. The results were analyzed statistically. Results By screening out the heart rate, the electrical axis of the heart, the PR interval, SV1+RV5 and changes in ST segment, a standard for the evaluation of physical fitness was established. According to this standard, the items of the 79 elderly's was evaluated. Conclusion The ECG standard for the physical fitness evaluation of in healthy elderly can be established through analysis of some important ECG data.
    临床研究
    Study of CT Portal Venography in Collateral Circulation of Alcoholic Cirrhosis and HBV Cirrhosis
    Zhao Liqin;He Wen
    2008, 29(2):  197-200. 
    Asbtract ( 984 )   PDF (657KB) ( 308 )  
    Related Articles | Metrics
    Objective To investigate the characteristics of portal systemic collateral circulation in patients with alcoholic cirrhosis by CT portal venography. Methods Sixty-three patients with alcoholic or HBV cirrhosis were analyzed retrospectively. The characteristics of esophageal varices,gastric varices, gastrorenal and/or splenorenal varices and paraumbilical varices were studied and compared. The esophageal varices were classfied into periesophageal and paraesophageal varices according to their location. Results Compared to the HBV cirrhosis, the esophageal varices in alcoholic cirrhosis were more prone to locate on paraesophageal site and its blood supply often came from non-anterior branches dominant of the left gastric vein. The diameter of the gastrorenal/spleenrenal varices was often larger than 5 cm and the paraumbilical varices can be seen more often in alcoholic cirrhosis. However, the blood supply of the gastric varices showed no difference between the two kinds of liver cirrhosis. Conclusion Some features of collateral circulation in alcoholic cirrhosis can be shown on CTPV. It is of important value in getting the message of the portosystemic circulation and selecting treatment of both kind of liver cirrhosis.
    Clinical Significance of Insulin-like Growth Factor Binding Protein-2 in Plasma and Tumor Tissues of Patients with Glioma
    Xu Li;Cui Yun;Jiang Tao;Li Guilin
    2008, 29(2):  201-204. 
    Asbtract ( 774 )   PDF (673KB) ( 226 )  
    Related Articles | Metrics
    Objective To investigate the expression of IGFBP-2 in the plasma and tumor tissues of patients with glioma and to evaluate its clinical significance. Methods The expression of plasma IGFBP-2 was tested by ELISA in 92 cases of glioma(grade Ⅱ 38, grade Ⅲ 24 and grade Ⅳ 30) and 18 cases of healthy controls. For the same patients the expression of IGFBP-2 in the paired glioma was investigated by immunohistochemical technique using monoclonal antibody. Results Plasma IGFBP-2 expression in grade Ⅲ was significantly higher than that in grade Ⅱ(P<0.001) and controls(P<0.001), and that in grade Ⅳ was significantly higher than that in grade Ⅱ(P<0.001) and controls(P=0.001). There was no significant difference between grade Ⅲ and grade Ⅳ(P=0.562), and between grade Ⅱ and controls(P=0.821). Tumor IGFBP-2 expression in grade Ⅳ was significantly higher than that in grade Ⅲ(P=0.006) and grade Ⅱ(P<0.001), and that in grade Ⅲ was significantly higher than that in grade Ⅱ(P=0.022). Plasma IGFBP-2 expression in IGFBP-2(+) glioma was higher than that in IGFBP-2(-) glioma(P=0.017) and controls(P=0.003), and no difference was noted between IGFBP-2(-) glioma and controls(P=0.262). Conclusion The expression of IGFBP-2 in plasma and glioma may be a marker for the prognosis of glioma.
    Correlation between -75 bp Polymorphisms of ApoA Ñ Gene and the Lipid Regulatory Effect of Pravastatin in Patients with Hyperlipidemia
    Ji Jingfeng;Zhao Xiuli;Wu Feng;Wang Shumin;Li Jiajing;Zhou Hui;Yang Ling;Shang Jun
    2008, 29(2):  205-208. 
    Asbtract ( 798 )   PDF (285KB) ( 227 )  
    Related Articles | Metrics
    Objective To investigate the relationship between apolipoprotein A Ñ(apoA Ñ) gene polymorphism and effects of pravastatin and policosan on regulation of lipid metabolism in hypercholesterolemic individuals. Methods Eighty-three patients with hyperlipidemia were enrolled in and treated with policosan or pravastatin for 12 weeks. The restriction fragment length polymorphisms(RFLPS) ploymorphic sites of MspI was used to detect the -75 bp polymorphisms of apoA Ñ gene in these patients. For all subjects the serum lipids profiles were measured. Results After 12-weeks'treatment with pravastatin, the decrease of triglyceride(TG) with A/A+G/A genotype patients was from (6.66±0.98)mmol/L to (6.07±1.02)mmol/L(P=0.001), while the decrease of TC with G/G genotype patients was from (6.55±0.75)mmol/L to (6.16±0.75)mmol/L(P=0.083); however, After 12-weeks'treatment with policosan, the decrease of TG with A/A+G/A genotype patients was from(6.54±0.54)mmol/L to (6.34±1.29)mmol/L(P=0.257), while the decrease of TC with G/G genotype was from (6.60±0.76)mmol/L to (6.12±0.71)mmol/L(P=0.004). Conclusion ApoA-Ñ polymorphisms are correlated with variations in serum triglyceride concentrations in hypercholesterolemic individuals. Our results suggest that the A/A+G/A polymorphism of the apoA-Ñ promoter region is correlated with the decrease of serum cholesterol level in response to pravastatin treatment and the G/G polymorphism is correlated with decrease of serum cholesterol in response to policosan treatment.
    Efficacy of Domestic Valsartan in the Treatment of Mild to Moderate Essential Hypertension Evaluated by Ambulatory Blood Pressure Monitoring
    Tan Jing;Hua Qi;Liu Rongkun;Yang Zheng
    2008, 29(2):  209-211. 
    Asbtract ( 913 )   PDF (214KB) ( 368 )  
    Related Articles | Metrics
    Objective To evaluate the antihypertensive efficacy and safety of domestic valsartan in the treatment of mild to moderate essential hypertension. Methods Twenty-one hypertensive patients were treated with domestic valsartan 80 mg once daily for 8 weeks, dose was doubled at week 4 for patients with DBP≥90 mmHg(12.0 kPa). Twenty-four hour ambulatory blood pressure monitoring and laboratory test were performed before and after 8 weeks' treatment. Results At the end of 8 weeks, clinical blood pressure and 24 h ambulatory blood pressure decreased significantly as compared with baseline(P<0.01), the total effective rate was 66.7%, and no significant difference was observed with regard to heart rate. Reductions of clinic SBP/DBP, 24 h SBP/DBP and load of SBP/DBP from baseline were 16.95/11.52 mmHg(2.25/1.53 kPa), 11.37/9.89 mmHg(1.51/1.32 kPa) and 16.26/27.37 respectively. The trough to peak ratios for SBP and DBP were 65.15% and 67.87% respectively. Adverse reactions were mild. Conclusion Domestic valsartan 80~160 mg given once daily appears to be effective and well tolerated in the treatment of mild to moderate essential hypertension.
    The Technique of Argon Plasma Coagulation for Resecting Central Airway Obstructive Lesions via the Flexible Bronchoscope under Local Anesthesia
    Dang Binwen;Zhang Jie
    2008, 29(2):  212-214. 
    Asbtract ( 628 )   PDF (403KB) ( 303 )  
    Related Articles | Metrics
    Objective To evaluate the effect of argon plasma coagulation for resecting central airway obstructive lesions via the flexible bronchoscope under local anesthesia. Methods Endobronchial therapy with APC300 made by ERBE in Germany was performed via flexible bronchoscopy under local anesthesia for patients with central airway obstructive lesions. Results Between November 2003 and June 2006, 31 patients with 38 lesions received 71 APC procedures. Efficacy rates were 90% of cases with benign tumor, granulation and cicatricial tissue formation, 53.8% of cases with malignant tumor. efficacy rates were 77% of lesions in tracheal, 62% of lesions in main stem bronchi and bronchus intermedius; 50% of lesions in lobe bronchi. These patients in bad health and/or with large central airway lesions may not bear APC procedures. Conclusion APC is an effective and safe method to resect part small central airway obstructive lesions, especially those benign lesions in big airway.
    Analysis of the Characteristics of Acute Myocardial Infarction in Pre menopausal and Post menopausal Female Patients
    Li Boyu;Hua Qi
    2008, 29(2):  215-217,. 
    Asbtract ( 777 )   PDF (211KB) ( 209 )  
    Related Articles | Metrics
    Objective To investigate the characteristics of acute myocardial infarction(AMI) in female patients, especially in pre-menopausal and post-menopausal women patients. Methods 324 female AMI patients were divided into two groups according to weather menopause or not and the time after menopause. The risk factors, clinical manifestation, complications and morbidity of in-patient 30 days were analyzed. Results Compared with post-menopausal women, the pre-menopausal had lower occurrence of hyperlipidemia(P=0.005, OR=8.151). Obvious chest pain had evident correlation with age(P=0.001, OR=0.881) and the years of menopause(P=0.025, OR=2.600). Type 2 Diabetes Mellitus and Heart failure(P=0.043, OR=1.081&P<0.001, OR=12.339) are independent risk factors to predict the morbidity of menopausal women with AMI. Conclusion There are different clinical characteristics between pre-menopausal and post-menopausal female patients, and particular measures in prevention, diagnosis and cure should be taken according to that.
    Primary Central Nervous System Lymphoma in Patients with Normal Immunologic Function(with Clinical Analysis of 125 Cases)
    Wang Xiaoping;Guo Er'an;Qi Wei;Zhang Wei;Zhang Maozhi
    2008, 29(2):  218-221. 
    Asbtract ( 663 )   PDF (216KB) ( 372 )  
    Related Articles | Metrics
    Objective To investigate the incidence, clinical and radiological features, treatment and prognosis of immunocompetent patients with primary central nervous system lymphoma(PCNSL) through analyzing the clinical data. Methods One hundred and twenty-five consecutive patients certified histologically through craniotomy and/or stereotaxic biopsy were reviewed restropectively and underwent a systematic work-up including radiographs and/or computerized scan(CT), ultrasound etc from August, 1995 to October, 2006 at Tiantan Hospital, Beijing. Data were inputted into the database set up by Epidata 3.02. Statistical analysis was performed with SPSS 12.0. Results There were 82 men and 43 women, 96 cases had single lesion and 29 had multiple lesions. They had surgical treatment at the age of 2~75 years. The main presentation was related to increased intracranial pressure. Total resection were achieved in 69 cases, subtotal in 37 cases, partial in 8 cases, stereotactic biopsy in 11 cases. Postoperatively, combined radiotherapy and chemotherapy were given in 81 cases, radiotherapy alone in 21 cases, chemotherapy alone in 15 cases. Eight-nine cases have been followed up. At the time of last contact, 62 patients had died, all but five from PCNSL disease or from complications due to its treatment. The median survival time was 13.62 months. Twenty-seven patients were still alive at the last contact. Conclusion PCNSL is a rare highly malignant CNS tumor in the general immunocompetent population and is a very aggressive neoplasm with a poor prognosis. CT scan generally provide results that are suggestive but not conclusive for PCNSL in immunocompetent patients, but MRI scan with rim enhancement is specific for it. Because of the location and the infiltrating nature of the lesions,surgical resection alone is of no good to improve the survival of patients with PCNSL. Surgery combined with chemotherapy and radiotherapy should be the main treatment options. Controversy continues regarding prognostic factors in PCNSL in immunocompetent patients. The following, however are the most widely accepted factors: the age of onset performance status, location of the tumors.
    Association of Peroxisome Proliferator Activited Receptor-γ Gene Pro12Ala Polymorphism and Hypertension
    Liu Dongxia;Hua Qi;Guo Jincheng;Liu Lisong;Tan Jing;Liu Rongkun;Yang Zheng
    2008, 29(2):  222-226. 
    Asbtract ( 869 )   PDF (363KB) ( 285 )  
    Related Articles | Metrics
    Objective To test the association of Pro12Ala polymorphism of peroxisome proliferator activated receptor-γ gene in exon 2 with hypertension. Methods Five hundred and eighty-three hypertensive and 363 corresponding normal controls in Beijing Chinese Han population who came to hypertensive clinic for treatment or check-up from October 2003 to October 2005 in Xuanwu hospital were involved in the research. PCR-RFLP method was used to determine the distributions of A allele and PP, PA, AA genotype frequencies of Pro12Ala polymorphisms of peroxisome proliferator activated receptor-γ gene in exon 2. Parameters that satisfied normal distribution were expressed as mean±standard deviation(SD), abnormal distribution data were expressed as median and quartile. Statistical analysis was performed using SPSS version 11.5. The Hardy-Weinberg equilibrium was performed using the χ2 test. Student t-test, rank sum test were used to compare differences between genotype groups. Pearson's χ2 test was used to compare the genotype prevalence between different groups. P values<0.05 were considered statistically significant. At the same time subjects were divided into different groups by gender and age for further analysis. The SBP, DBP, MAP level between different genotypes in different groups were also analyzed. Results Of the 946 Beijing Chinese Han subjects, Pro12Pro genotype was present in 90.91%(860 subjects) of the population, Pro12Ala genotype was present in 8.98%(85 subjects) of the population and for Ala12Ala genotype 0.01%(1 subject) of the population. Allele frequencies were 95.40% for Pro allele and 4.60% for Ala allele. In hypertensive group, the frequencies of PP, PA, AA genotype and A allele of peroxisome proliferator activated receptor-γ gene were 533(91.42%), 49(8.40%), 1(0.18%) respectively. In control group, the frequencies of PP, PA, AA genotypes and A allele were 327(90.08%), 36(9.92%), 0(0.00%) respectively. Analyzed byχ2 test, the distribution of PP, PA, AA genotype and A allele frequency were not different between hypertensive group and normal controls(P>0.05). There was no significant difference in SBP, DBP, MAP between PP and PA-AA genotypes. When the subjects were divided into two groups by genders, the distribution of PP, PA, AA genotypes and A allele was of no statistical difference. There was also no significant difference in SBP, DBP, MAP between PP and PA-AA genotypes in different genders. Analyzed by age, the subjects were divided into two groups(less than sixty, sixty and above), we compared the frequencies of PP, PA, AA genotypes and A allele between hypertensive and normal controls in different groups, no statistically difference had been found. At the same time, the SBP, DBP, MAP level between PP and PA-AA genotypes in different aged hypertensive and their corresponding normal controls did not reach significantly statistical difference. Conclusion The results suggest that Pro12Ala polymorphisms in peroxisome proliferator activated receptor-γ gene may not be associated with hypertension.
    Detection and Clinical Significance of the Serum Free Insulin-like Growth Factor 1 in Patients with Chronic Severe Hepatitis B and Hypoglycemia
    Zhang Fenyan;Yu Hongwei;Meng Qinghua;Duan Zhonghui;Feng Yanmei
    2008, 29(2):  227-229. 
    Asbtract ( 751 )   PDF (197KB) ( 233 )  
    Related Articles | Metrics
    Objective To investigate the changes in serum insulin-like growth factor 1(IGF-1) in patients with chronic severe hepatitis B and hypoglycemia and its relationship to the fasting blood glucose and serum insulin, liver functions and respiratory quotient(RQ). Methods Twenty patients with severe chronic hepatitis B and hypoglycemia and 20 patients with chronic hepatitis B only as the control were recruited. The levels of serum insulin-like growth factor(IGF-1) and the fasting insulin were detected with RIA in the two groups, and the differences were compared; indirect calorimetry was employed to detect RQ. Results The levels of serum IGF-1(11.9±2.6)μg/L in patients with severe chronic hepatitis B and hypoglycemia were significantly lower than those in patients with chronic hepatitis B and (159.8±35.7)μg/L(P<0.01); The levels of serum IGF-1 in patients with intermediate and advanced stages of severe chronic hepatitis B were(8.99±4.61)μg/L; case fatality was 60%, The levels of serum IGF-1 in patients with morning stage severe chronic hepatitis B were(15.43±3.70)μg/L and case fatality was 20%. The levels of serum insulin with severe chronic hepatitis B(19.2±10.9)mIU/L were significantly higher than those in patients with chronic hepatitis B only(10.6±7.3)mIU/L(P<0.01). The differences in the levels of serum IGF-1 and case fatality between intermediate and advanced stages and morning stage were significant(P<0.01). When the level of serum IGF-1 in patients with severe chronic hepatitis B was lower than 19.03 μg/L. It suggested poor prognosis. The level of IGF-1 in patients with severe chronic hepatitis B and hypoglycemia had positive correlation with the ALB, PTA and RQ(B=0.O45, B=0.O32, B=0.O65 respectively, P<0.05), and negative correlation with the fasting serum insulin(B=-0.053, P<0.05). However it had no correlation with TBIL and the fasting blood glucose(B=0.32, B=0.78 respectively, P>0.05). Conclusion The level of serum IGF-1 is significantly decreased in patients with severe chronic hepatitis B, and is closely correlated with the severity of the disease, which suggests that IGF-1 might be an indicator of prognosis in patients with severe chronic hepatitis B and has close relationship with the development of hypoglycemia.
    Neoral C2 Monitoring Method Should be Used Rather Than the C0 Monitoring Method in the Cyclosporine Monitoring Therapy After Heart Transplantation
    Zhang Haibo;Meng Xu;Han Jie;Sun Lingbo;Zeng Wen;Xu Chunlei
    2008, 29(2):  230-233. 
    Asbtract ( 628 )   PDF (268KB) ( 249 )  
    Related Articles | Metrics
    Objective The Cyclosporine was used first in 1980's and still remain the prominent immune inhibition medication after the heart transplantation world wide. The recent renal and liver transplantation researches imply that the conservative trough concentration monitoring method could not correlate well with the Cyclosporine metabolism features, researches in the heart transplantation recipients were still lacking especially in China. Our aim is to investigate the relative features among serial Cyclosporine concentrations at different time points after administration and the drug area under the dynamic metabolism distribution curve. As well as to compare the complications of C0 and C2 patient groups in Chinese heart recipients. Methods The SPSS 11.5 software was used to analyze the correlation coefficients between Cyclosporine concentration and drug metabolism area under the curve at 8 serial individual time points. The recent 26 heart transplantation recipients in our center were divided into C0 and C2 monitoring groups and the complication data 1 year after heart transplantation were compared. The acute immune rejection rates were also recorded. Results The weight, age, donor-recipient blood types and ischemic time between C0 and C2 groups were not different. And the two groups shared the same immune inhibition strategy: Cyclosporine, MMF and Pred. The C2 concentration had better relation than C0(r2=0.68 vs r0=0.38) and other points with the Cyclosporine AUC. There was significant difference in the C2 concentrations between recipients with or without acute rejection(P=0.035). What is interesting is that there was no difference in C0 level between the rejection group and the none-rejection group(P=0.257). There was less complications(hypertention, high creatine levelrglycemia, hyperlipemia) in the C2 group than that in the C0 group. There was no difference between the C0 and C0 groups in liver damage. There were 2 cases of infection, 1 in each group. One patient died of multiple organ failure after serious infection in the C0 group and none died of infection in the C2 group. There were 3 cases with acute immune rejection, 1 in the C0 group and 2 in the C2 group. Two patients died of low cardiac output after the rejection reaction in the C0 group and none died of the rejection in the C2 group. Conclusion C2 concentration correlates better than those of the C0 and other time points in the Cyclosporine metabolism dynamic distribution. C2 monitoring method could diminish Cyclosporine medication in many recipients after heart transplantation. Our data shows that C2 monitoring therapy is simple and effective for the Chinese heart transplantation recipients.
    The Risk Factors Caused Renal Post-transplantation Diabetes Mellitus
    Long Zhihua;Gu Mei;Gao Xia;Zhang Kunpeng;Guan Bingxing
    2008, 29(2):  234-236. 
    Asbtract ( 771 )   PDF (328KB) ( 262 )  
    Related Articles | Metrics
    Objective To study the risk factors of post-transplantation diabetes mellitus(PTDM). Methods A retrospective analysis was performed in 101 cadaveric renal transplantation patients, without previously known diabetes, during the period from January 2003 to October 2006. The patients were divided into two groups: PTDM and no-PTDM. The two groups were compared for age, sex, family history of diabetes mellitus, pre-transplanting BMI(body mass index), baseline immunosuppressive agents. Results 1) The incidence of PTDM was about 11.9% in these 101 patients. 2) There were great differences between the two groups in terms of age, family history of diabetes mellitus, pre-transplanting BMI . The PTDM cases were prone to have older ages, higher pre-transplanting BMI and more commonly with family history of diabetes mellitus. 3) There was no difference between the two groups in terms of sex and baseline immunosuppressive agents. Conclusion This study shows that the risk factors of PTDM include: older age, family history of diabetes mellitus, higher pre-transplant BMI. Sex is not a risk factor for development of PTDM. Compared to patients on cyclosporine use, tacrolimus is not a risk factor for development of PTDM.
    High Incidence of Humoral Rejection in Living Donor Renal Transplant Recipients with Anti-HLA Antibodies
    Li Xiaobei;Ishida Hideki;Furusawa Miyuki;Toki Daisuke;Iida Shouichi;Yamaguchi Yutaka;Tanabe Kazunari
    2008, 29(2):  237-241. 
    Asbtract ( 816 )   PDF (582KB) ( 344 )  
    Related Articles | Metrics
    Objective There are few detailed reports up to now about the newly developed anti-HLA antibodies(Ab) after living donor renal transplantation(RTx). We retrospectively investigated the relationship between the development of anti-HLA Ab and the incidence of humoral rejection(HR) in living donor RTx recipients. Methods The subject included 87 patients who received living kidney allografts at kidney center, Tokyo Women's Medical University. PRA assay(Flow PRA screening test) was performed in all the recipients one day before and six months after the RTx. Meanwhile, the donor specificity of Ab was determined by single bead assay(LAB Single antigen analysis). Graft biopsies were performed respectively as well at 0 hour, 2 weeks, 6 months, 1 year after the RTx. We retrospectively studied these recipients with anti-LA Ab to determine the relationship among HR rate, donor specificity and prognosis. Results In 87 recipients, 59 cases(67.8%) showed negative/negative results and 28 cases(32.2%) showed negative/positive results according to the values of pre-post-transplant Flow PRA screening test. As for the 59 recipients without anti-LA Ab, 8 cases(13.6%) developed HR during 6 months posttransplantation, yet no case did so thereafter. Among the 28 cases with anti-LA Ab, 13 cases(46.4%) had donor-specific Ab and 15 cases(53.6%) had non-onor specific Ab as determined by LAB Single antigen analysis. Eleven(39.3%) of the 28 cases with anti-LA Ab showed evidence of antibody mediated humoral rejection in the graft biopsies performed within 6 months and all of them were detected having donor specific Ab. Furthermore, in the graft biopsies performed 1 year after the RTx, 5 of 11(45.5%) cases mentioned above showed persistent evidence of humoral rejection. All these cases lost their grafts in the coming 2 years and returned to regular hemodialysis. Comparably, no HR happened in other 15 recipients with non-onor specific Ab all the way. The 3-year survival rate of renal graft in posttransplant anti-LA Ab negative and positive groups were 96.6% and 75.0% respectively(P<0.01). Conclusion The development of anti-LA antibodies is markedly associated with higher incidence of acute humoral rejection and worse prognosis in living donor RTx recipients, especially in those with donor-specific Ab. Cautious monitoring for the appearance of anti-LA antibodies should be done after transplantation.
    Expression of c-erbB-2 and EGFR in Vulvar White Lesions and Its Significance
    Yin Yinghui;Li Guangtai;Fu Yujing
    2008, 29(2):  242-245. 
    Asbtract ( 669 )   PDF (309KB) ( 281 )  
    Related Articles | Metrics
    Objective To investigate the relationship and significance of c-erbB-2 and EGFR in vulvar white lesions. Methods Biopsies from 39 patients with vulvar white lesions(11 cases with lichen sclerosus,19 cases with squamous hyperplasia, 9 cases with SH and LS) were examined for expression of c-erbB-2 and EGFR using immunohistochemical techniques. The average age of 39 patients with vulvar white lesion was 47.0(26~72) years. Normal vulvar skin from 11 patients with other benign gynecologic diseases with average age of 46.1(32~68) years were used as control. One thousand cells in 4 high power field were examined for each sample. A semi-quantitative analysis was made on the basis of number of positive cells and staining intensity: negative 0~3; positive 4~7. Results There was significant difference of expression of EGFR among four groups(χ2=8.56, P<0.05), and significant difference between the tissues with SH and without(χ2=7.79, P<0.01). However, no difference was observed between the tissues with LS and without(χ2=1.23, P>0.05); there was significant difference of expression of c-erbB-2 among four groups(χ2=11.40, P>0.01), and significant difference between the tissues with SH and without(χ2=10.63, P<0.01). However, no difference was observed between the tissues with LS and without(χ2=1.26, P>0.05); EGFR expression located in cell membrane and cytoplasm, and it distributed in basal cell layer and stratum spinosum. c-erbB-2 expression located in cell membrane and cytoplasm, and it distributed in basal cell layer, stratum granulosum and stratum spionsum. Significant association between c-erbB-2 and EGFR expression in vulvar white lesions was demonstrated(r=0.388, P=0.015). Conclusion The over-expression of c-erbB-2 and EGFR in squamous hyperplasia may be related to the pathogen of squamous hyperplasia and it may be the cause why squamous hyperplasia is more liable to develop into squamous cell carcinoma of the vulva than lichen sclerosus. Significant association between c-erbB-2 and EGFR expressions in vulvar white lesions has been demonstrated. The over-expressions of c-erbB-2 and EGFR in SH make it possible that the molecular target therapy would be used in this disease in the future.
    Anesthesia and Perioperative Management in Laparoscopic Adrenalectomy for Pheochromocytoma
    Li Yuhua;Cui Weihua;Dong Peng;Tian Ming
    2008, 29(2):  246-248. 
    Asbtract ( 713 )   PDF (443KB) ( 253 )  
    Related Articles | Metrics
    Objective To investigate the anesthesia and perioperative management in laparoscopic adrenalectomy for pheochromocytoma in comparison with traditional adrenalectomy. Methods Ten patients receiving laparoscopic adrenalectomy for pheochromocytoma under general anesthesia were allocated into laparscope group(group L), and another 10 patients receiving traditional adrenalectomy were allocated into control group(group C). Hemodynamic changes, using of vasoactive drugs, fluid infusion, duration of surgery and hospitalization days in each group were compared. Results In both groups, comparing with those at the time point of intubation, mean arterial blood pressure(MAP) increased 20 minutes after artificial pneumoperitoneum and during the period of severing the tumor(P<0.05 ); MAP decreased significantly after excision of the tumor(P<0.05) as compared with those at intubation; heart rate(HR) also increased during the period of severing the tumor(P<0.05). There was no difference between two groups in MAP and HR at each time point. There was no difference between two groups in the usage of vasoactive drugs; as well as no differences in fluid infusion and duration of surgery in the two groups. Hospitalization days were fewer in group L than in group C, but there was no difference statistically. Conclusion There is similar risks in anesthesia in laparoscopic adrenalectomy for pheochromocytoma and traditional adrenalectomy. However, patients undergoing laparoscopic surgical procedure recover faster as compared with that of open surgery.