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Table of Content

    15 April 2004, Volume 25 Issue 2
    论著·基础研究
    Differential Expression of NDR2 mRNA in Hippocampus of Hypoxia Preconditioning Mice
    Shao Guo;Zhang Ran;Lü Guowei
    2004, 25(2):  141-143. 
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    The study was aimed to detect the chang of expression of NDR2 gene under hypoxia preconditioning. RT-PCR was used to examine the NDR2 gene responses to hypoxia exposure in mice hippocampus. Mice were divided into 3 groups randomly and were exposed to hypoxia for 4 runs(H4 group), 1 run(H1 group) and 0 run (control group). Total mRNA were extracted from mice hippocampus. The abundance of NDR2 mRNA was quantified. It was found that the level of NDR2 expression in hippocampus was increased significantly in group H1 and H4. These findings indicate that the NDR2 may play an important role in hypoxia and its preconditioning.
    Method for Culture of the Neural Stem Cells Isolated from the Hippocampus in Human Embryo
    Zhao Chunli;Sun Xiaohong;Lu Qiang;Liu Yujun;Li Min;Jiang Chuantao;Yang Hui;Xu Qunyuan
    2004, 25(2):  144-146. 
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    The aim was to establish a method for culture of neural stem cells (NSCs) isolated from the hippocampus in human embryo, to prevent differentiation of them and to explore a suitable time and technique for passaging. NSCs were isolated from the hippocampus of 16-weeks old human embryo by using serum-free mediums with different conditions. The numbers of neurospheres in different mediums were counted and compared. Results: The suitable culture conditions and passage intervals were found for the culture of NSCs. The results show that the NSCs can be remained in an indifferentiated situation under the anti-differentiation condition in vitro and also can be passaged continuously.
    Regulation of Oxygen Free Radical in Rat Brain with Chinese Herbs, Suishangping
    Sun Congxiao;Huang Changsheng;Han Fengyue;Liu Na;Chen Yaliang;Yang Lin
    2004, 25(2):  147-149. 
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    The objective was to observe the protective effect of Chinese herbal compound, Suishangping (SSP) on ischemia reperfusion injury of the brain. Altogether 24 Sprague-Daleg rats were randomly divided into four groups: normal control group (NCG), ischemic injury group (BG), SSP group (SG) and nimodipine group (NG). It was followed by reperfusion of blood for 2 h to blockade blood flow in the common carotid artery with silk ligature for 30 mins in BG, SG, and NG. SOD activity and MDA content were detected in various groups. It has been demonstrated that MDA value in rats-SG was lower than that in rats-BG (P<0.05), and SOD activity in rats-SG was higher than that of BG (P< 0.05). It shows that SSP can reduce the contents of MDA, and stimulate SOD activity, so that it maybe indirectly resist the damage of oxygen-derived free radicals.
    Effect of Id4 on K562 Cell Proliferation
    Liu Xin;Zeng Shaoju;Wang Yongchao;Zhang Jinfeng
    2004, 25(2):  150-153. 
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    In order to study the actions of Id4 in cell proliferation of blood cell, antisense Id4 gene was transfected into human erythroleukemia cell line K562, Id4 gene.Anti-sense Id4 brought about poor growth traits, long multiplication time in comparison with the control group. By using of western-blot, the related protein CDK4, CyclinD1 and RB expressions changed obviously. The results show that Id4 plays an important role in cell proliferation of blood cells.
    Clonging, Expression and Biological Activity of Human Insulin-like Growth Factor-1
    Qi Yahui;Wang Yamei;Sun Licui;Si Yang;Yan Yudong;Zhang Jinyi;Bing Guoying
    2004, 25(2):  154-158. 
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    The human insulin-like growth factor-1(IGF-1) cDNA was amplified by RT-PCR from human tonsil tissue. Sequenced, the IGF-1 cDNA was inserted into eukaryotic expression vector pcDNA3.1(+). The recombinant plasmid pcDNA/I was transferred into HUVEC cells mediated by liposome. The activity of IGF-1 was detected by MTT. The results showed that IGF-1 protein was expressed in HUVEC cells 72 h after gene transference and it had good biological activity to stimulate HUVEC proliferation. pcDNA/I was transferred into 293 cells mediated by liposome. Screened with G418, we got positive cell which can express recombinant protein of IGF-1 stably. Chick charioallantoic membrane(CAM) bioassay show that the recombinant protein has biological activity to promote blood vessel formation.
    Construction of Insect Baculovirus Expression Vector of Human VEGF Gene
    Sun Licui;Wang Yamei;Qi Yahui;Yan Yudong;Zhang Jingyi
    2004, 25(2):  159-161. 
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    Using Hind Ⅲ enzyme to digest pcDNA3.1/VEGF, the VEGF fragment (575 bp) was obtained. The recombinant transposition vector pFast/VEGF including VEGF gene was constructed and identified with NcoI enzyme reaction. It was transformed into DH10Bac competent cell to recombine baculovirus shuttle vector Bacmid/VEGF. Agrose electrophoresis and PCR amplication were used to determine recombinant vector. The Bacmid/VEGF was transfected into sf-9 cell to screen virus plaque. As a result, agrose electrophoresis observed bacmid DNA band, PCR amplication obtained 575 bp VEGF fragment, virus solution appeared plaque in diluting to 10-7 concentration(about 50 plaques/well).
    Preparation and Characterization of Polyethylene Glycol Terephthalate-butylene Terephthalate Copolymer
    Chen Shuangling;Ye Ling;Liu Meng;Xu Ruixing
    2004, 25(2):  162-165. 
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    Polyether-ester thermoplastic elastomer, such as polyethylene glycol terephthalate-butylene terephthalate copolymer (PEGT/PBT) was synthesized by melt polycondensation from polyethylene glycol, butanediol and dimethyl terephthalate with Ti(OBu) 4 as catalyst. The copolymer was characterized by means of GPC?FTIR? 1HNMR and 13 CNMR. The results show that the product consists with what we have designed.
    Changes of Glial Fibrillary Acidic Protein on Rat Cortex During Development of Slow Kindling Model of Epilepsy
    Yao Junru;Pan Sanqiang;Lü Laiqing;Gao Xiulai
    2004, 25(2):  166-169. 
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    The aim was to explore the role of astrocytes in the pentylenetetrozal kindling model. With the immunohistochemical method and the image analyzing system, changes of GFAP immunoreaction positive cells in the cortex of PTZ kindling rat were observed at each stage. After PTZ injection in rats, GFAP change began increasing at Ⅲ-Grade group, reaching peak at V-Grade group. In the epilepsy model of PTZ kindling, as the progress of kindling, the express of GFAP immunoreaction increased gradually. It suggests that increased GFAP may be one of the reasons for epilesic seizure by PTZ kindling.
    Effect of EGB on Expression of Bax Protein in Apoptosis of Neurons Following Hypoxia/Reoxygenation
    Ji Fengqing;Sun Haimei;Guo Yanru;Guo Chongjie;Zhao Tiande
    2004, 25(2):  170-173. 
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    The aim was to investigate the expression of Bax protein in the apoptosis of primary cultured rat cortical neurons following hypoxia/reoxygenation(H/R) and the protective role of extract gingo biloba (EGB). The cortical neurons of E16~17 d fetal rat was primarily cultured. The apoptosis model of primary cultured cortical neurons following H/R was established by using TUNEL staining and electromicroscopy. The expression of Bax protein was investigated with immunohistochemical method. H/R can cause apoptosis of primary cultured rat cortical neurons. The apoptosis cell increased with the time, reaching peak value at H 8R 18 ; EGB could decrease the percentage of apoptosis. The expression of Bax protein increased with hypoxia time, EGB could inverse the expression of Bax. Conclusion: EGB could significantly inhibit the expression of Bax. It may be one of the mechanisms of apoptosis.
    Study on the Antioxidative Effect of Food Safflor Yellow
    Jin Ming;Li Jinrong;Wu Wei Beijing
    2004, 25(2):  174-176. 
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    The aim was to observe the antioxidative effect of food safflor yellow (FSY). Hydroxyl radical scavenge effect of FSY was tested with 1,10-phenanthroline-Fe2+ oxidative assay. Lipid peroxidation of mouse liver suspension was measured with thiobarbituric acid colorimetry technique. Hemocytocatheresis was determined with colorimetry. Hydroxyl radical can be scavenged by 2.00 to 5.33 g/L FSY dose dependently. Mouse liver suspension peroxidation was inhibited by 0.298 to 1.194 g/L FSY dosage dependently. Hemocytocatheresis was attenuated by 0.023 to 0.228 g/L FSY dose dependently. FSY is effective against oxidative damage.
    Anti-inflammation Effects of Water Extract of Emery Formicusina on Adjuvant Arthritis
    Chen Yi;Tang Yu;Liu Jinxue;Yuan Shengrong
    2004, 25(2):  177-179. 
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    The objective was to study the protect effects and mechanism of water extract of Emery formicusina(WEEF) on adjuvant arthritis. The adjuvant arthritis model of rat,the model of ear edema induced by xylene in mice were used. The results showed that WEEF could significantly 1) inhibit the ear edema induced by xylene in mice; 2)inhibit the primary and secondary inflammation of rats induced by the complete Freund's adjuvant; 3)lower the PGE2 of local inflammatory position. WEEF has the anti-inflammatory effects on adjuvant arthritis model of rats, the mechanism of anti-inflammation may be considered with the reduction of PGE2.
    Immunomodulatory Effect of Catechu Extract on Infectious Animal Model
    Zheng Qun;Ping Guoling;Zhao Wenming
    2004, 25(2):  180-182. 
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    The objective was to investigate the immunomodulatory effect of catechu extract with the infectious animal model, which were measured by delayed type hypersensitivity (DTH) and the neutralizing antibody level. The animal model of virus infection of respiratory tract was established by primed influenza virus strain A/FM/1/47(H1N1). The results showed the catechu extract could markedly intensify DTH caused by DNFB. It could also increase ear swelling and spleen index in the group of catechu extract and virus infection and the group only treated by catechu extract, compared with the control group (P<0.05). The average titer of neutralizing antibody of the group treated by catechu extract was 1:203. It had significantly increased compared with the control group without catechu extract (1:104.2)(P<0.01). The finding suggests that the catechu extract could markedly intensify the cell immunological function and the humoral immunological function in mice infected by influenza virus.
    Identification of Heat Shock Protein-70 and Glucosal-related Protein-94 Expression in Human Esophagus Carcinoma
    Li Haiyan;Wang Xiaoping;Chen Ruifen;Liu Guozhen;Song Aili
    2004, 25(2):  183-185. 
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    The aim was to study the expression of HSP70 and grp94 in human esophagus carcinoma(EC). HSP70 and grp94 expression were detected immunohisto-chemically, the character of which were analyzed with biological microscope. Of 54 cases of HCC, 92.6%(50/54) showed HSP70 positive stain, and the expression character were various and different, while grp94 was mainly stained in cell plasma, and the positive rate was 70.4%(38/54). Condusions: owing to the heteroity in EC, HSP70 and grp94 expressed differently in cell plasma and nucleolus. The expression rule of HSP70 and grp94 in EC will lay a better foundation on tumor vaccine.
    Expression of Heat Shock Protein-70 in Human Hepatocarcinoma
    Wang Xiaoping;Liu Guozhen;Song Aili;Liao Jing;Chen Ruifen;Lang Zhenwei
    2004, 25(2):  186-188. 
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    The objective was to study the expression of HSP70 in human hepatocarcinoma. HSP70 expression was detected by immunohistochemistry, and its characters were analyzed by CMIAS. Of 25 cases of HCC, all showed HSP70 positive staining, and the expression characters were different. The HSP70 expressed in HCC was heterogenous which was shown in the cytoplasm,cell membrane and nuclus.The expression of HSP70 in HCC will help the preparing of tumor vaccine.
    Vascular Endothelial Cells Injury After Acute Hypoxia
    Wang Anliu;Wen Xiangyun;Liu Guozhen
    2004, 25(2):  189-192. 
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    Pathological changes of pulmonary small artery endothelial cells and pulmonary capillary endothelial cells under hypoxia were observed morphologically by opticalmicroscope and electromicroscope respectively, and LDH activity of pulmonary small artery endothelial under hypoxia was analyzed by histochemical staining image. Injure changes resulted from acute hypoxia, LDH activity of pulmonary small artery endothelial in groups after hypoxia was lower than that in groups before hypoxia and decreased progressively with hypoxia time. Acute hypoxia may injury vascular endothelial cells and the injury aggravates with hypoxia time, the extent to which the vascular endothelial cell is injuried is closely related to the LDH activity of it.
    Interaction of Haemophilus Ducreyi with Human Monocyte-Derived Dendritic Cells and Macrophages in Vitro
    Xu Tingting;Hinda J. Ahmed;Kristina Eriksson;Karin Ahlman;Yang Yonghong;Teresa Lagergard
    2004, 25(2):  193-197. 
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    In order to elucidate the role of APCs in chancroid, the phagocytic activities and cytokine secretion profiles (TNF-α, IL-1α, IL-6 and IL-8) of the APCs were analyzed after 6 h, 24 h exposure to Haemophilus Influenzae, Haemophilus ducreyi bacteria and its purified antigens[H. ducreyi lipooligosaccharide (LOS) and cytolethal distending toxin (HdCDT)]. Furthermore, T-cell proliferation and cytokine (IFN-α, IL-4, IL-13) release were examined after co-culturing isolated autologous CD 4 + T-cells with antigen-pulsed APCs for 24 h. Results: Between 6% and 27% of the DCs, MQs phagocytosed different H. ducreyi strains, as wells as H. influenzae and E. coli. All of the H. ducreyi strains induced strong secretion of TNF-α, IL-6, IL-8(P<0.05); The purified LOS induced 2-to-3-fold lower levels of pro-inflammatory cytokines than whole bacteria, whereas HdCDT did not induce detectable levels of these cytokines. High levels of IFN-α and T-cell proliferation were induced by either DCs or MQs that were pre-exposed to H. ducreyi and H. influenzae bacteria. HdCDT-treated DCs and MQs did not induce T-cell proliferative responses and IFN-α secretion. Conclusions: H. ducreyi influences T-cell-stimulatory ability of APCs and favors a Th1-type response.
    论著·临床研究
    Clinical and Pathophysiological Study on Aneurismal Wall Calcification
    Yang Lei;Zhao Jizong;Wang Shuo;Zhao Yuanli;Dong Jianling
    2004, 25(2):  198-200. 
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    The study reported 16 cases of intracranial aneurysms with calcified wall and investigated the relationship between vascular calcification and pathogenic mechanism of intracranial aneurysms. The location of aneurysms with aneurismal wall calcification was 3 on posterior communicating artery, 2 on middle cerebral artery, 2 on anterior communicating artery; 5 on basilar artery, 4 on basilar artery. All patients had normal serum calcium, phosphate, glucose and normal renal function. 6 patients had elevated serum lipid. Spiral CT scan of 16 patients, clinical data and serum calcium, phosphate, glucose, lipid, renal function of them patients were studied in retrospect. All aneurysms were clipped, in which 8 were resected after clipping.The treatment had well effect.
    Changes of Regional Cerebral Blood Flow after Resection of Cerebral Arteriovenous Malformation
    Shi Guangzhi;Zhao Jizong;Wang Shuo;Wang Yonggang;Lu Zheng
    2004, 25(2):  201-204. 
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    The aim was to investigate pre-and postoperative change of regional cerebral cortical blood flow in patients with cerebral arteriovenous malformation (AVM). Sixty-three adult patients with AVM were entered into this study at Beijing TianTan Hospital from September 2001 to May 2003. One group had 25 patients who had giant cerebral AVM (diameter more than 6 cm) and the other group had 38 patients who had small AVM (diameter less than 6 cm). Pre and post AVM resections Cortical blood flow(CBF) were measured by laser Doppler flowmeter(LDF), Post-operatively, the probe of LDF was implanted adjacent to the area of the AVM for 24 h and the CBF was recorded. The CBF in the giant group increased obviously, and still remained at high level till 24 h after resection. In small AVM group, the CBF had no obvious change. The change of the CBF in giant and small AVM during the operation is different. Monitoring the CBF is helpful to understand preand postoperative change of cerebral cortical blood flow in patients with cerebral arteriovenous malformation.
    Free-Serum Culture Method to Remove Fibroblast in Nerve Tissue
    Li Juehua;Wan Hong;Zhai Jing;Wang Zhongcheng
    2004, 25(2):  205-207. 
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    The free-serum culture method was presented to remove fibroblast in nerve tissue. Sciatic nerves and olfactory bulbs from 2 d old rats were dissected, treated with trypsin and collagenase, followed by centrifugation and cultured in DMEM with 10% foetal calf serum. If fibroblast rapidly multiplied to form a confluent monolayer, the media was changed into free-serum DMEM. The process was done again. S-100 immunofluorescent staining was used to identify the purity of Schwann cells and olfactory ensheath cells. Results showed that fibroblast rapidly died in free-serum media, the purity of Schwann cells and olfactory ensheath cells were up to 98%~99% using immunofluorescent staining. The findings prove that it is a good method to remove fibroblast in nerve tissue culture because the process is simple and is operated easily.
    The Expression of NT-3 and GFAP in Retina in Early Diabetic Rats
    Lu Yan;Sheng Shuli;Wu Hang;Guo Li
    2004, 25(2):  208-211. 
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    The aim was to evaluate the expression of neurotrophin-3 (NT-3) and GFAP in retina of diabetic Wistar rats. Adult male Wistar rats were injected intraperitoneally with streptozotocin (STZ) to create diabetes mellitus. In one week, Two weeks and one month after the model was created, the Wistar rats were killed, and the retina was removed for immunhistochemical expression of NT-3 and GFAP in the retina of diabetic rats and normal rats. Compared with control, there was no change in the expression of NT-3 and GFAP of the Wistar rat retina in the groups with diabetes for one and two weeks; in one month group with diabetes, the expression of NT-3 was obviously reduced in the neuroretina and the expression of GFAP obviously increased in the retina. In the early stage of diabetes mellitus for Wistar rats, the retinal nerve cells have had lesion meanwhile the expression of NT-3 is reduced in the retinal nerve cells. The reduce of NT-3 in retina could be responsible for the lesion of retinal nerve cells.
    Clinical Analysis of 61 Patients with SARS
    Feng Limin;Wang Baoguo;Li Jinghua;Liu Xiaochun;Jiao Qiang
    2004, 25(2):  212-214. 
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    Altogether 61 patients with SARS were analyzed retrospectively.Of the 61 patients, 47(77.1%) were certainly exposed to SARS. Two weeks after falling ill was considered to be the most serious period of SARS. 54 patients (88.5%) were treated with ribavirin and 56(91.8%) with hylprednisone, although its use was associated with significant toxicity,including decrease in hemoglobin of 20 g/L(24/54,44.4%). Tachycardia (>100 beat/min) happened in 23/57(40.4%) cases. 6 patients died, in which 5 patients were aged and all of them were complicated with serious systemic diseases. The other one committed suicide in hospital. The first positive chest radiograph was diagnosed (8.6±5.9) d(1~24 d), just after the symptoms manifested. The abnormal chest radiograph recovered to normal in (17.1±6.2) d(5~35 d). The glucocorticoid is administered early is necessary for the SARS patients. The results show that more attention should be paid to the side effects resulted from excessive dosage of hormone and ribavirin.
    A Breakout Case of Family Aggregation in Severe Acute Respiratory Syndrome
    Yin Chenghong;Li Jingling;Zhang Shuwen;Wang Bao'en
    2004, 25(2):  215-217. 
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    The aim was to investigate the family aggregation in the transmission process of severe acute respiratory syndrome(SARS) and to evaluate the infectiveness of SARS patients in different periods of disease epidemics, prognoses related factors and functions in restoration period. The index case is the clue of the investigation, transmission process, infectivity, transmission chain and contact history of SARS were studied through data analysis. Lung function and serum antibodies of recovered patient of SARS was studied. Eight people had a close contact with the index case, all of them were infected, and one of them died. It indicated that SARS case were infectious during their symptom period. Mortality of patients over sixty and/or complicated with other diseases was high. With lung function impediment in some degree, the IgG level was (1.11±0.48)g/L in SARS patients four weeks after recovery. In the investigation, people who had close contact with the index case in symptom period were infected. There is no evidence indicating that SARS case are no infections during their incubation period. The IgG level of recovered SARS patients is high.
    Influence of Pulse Pressure on Left Ventricular Diastolic Function in Patients with Essential Hypertension
    Li Mei;Hua Qi;Liu Lisong;Liu Rongkun;Yang Zheng
    2004, 25(2):  218-220. 
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    The objective was to investigate the relationship between pulse pressure (PP) and left ventricular function in patients with essential hypertension. 24 h ambulatory blood pressure were monitored, and two-dimensional echocardiography were examined in 555 initially untreated patients (275 men and 280 women), aged (47.1± 12.7) years. The patients were divided into four groups according to ambulatory pulse pressure (PP) respectively: Group A: PP≤5.32 kPa(40 mmHg); Group B: 5.45 kPa(41 mmHg)≤PP≤6.65 kPa(50 mmHg); Group C: 6.78 kPa(51 mmHg)≤PP≤7.98 kPa(60 mmHg); Group D: PP≥8.11 kPa(61 mmHg). Results: With increased ambulatory pulse pressure, left ventricular diastolic function decreased. It was manifested as increased ratio of peak flow velocity of atrial contraction to early diastole (A/E) and prolonged early diastolic filling period (EDFP). There were no changes in systolic function with increased pulse pressure. The results show that increased pulse pressure induces decreased left diastolic ventricular function in patients with essential hypertension.
    Systolic Time Interval in Patients with Hypertension by Echocardiography
    Gao Jing;Hua Qi
    2004, 25(2):  221-222. 
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    The aim of this study was to determine the clinical application of echocardiography in assessing the change of left ventricular systolic time interval in patients with hypertension. The study measured pre-ejection period (PEP), left ventricular ejection time (LVET), PEP/LVET and left ventricular ejection fraction (LVEF) in patients with hypertension and normal subjects by echocardiography, and compared the data with the normal subjects using of analysis of t test. In patients with hypertension, systolic time interval is the sensitive index in discriminating the increase of left ventricular afterload.
    4G/5G Polymorphism at Plasminogen Activator Inhibitor-1 Promoter in Patients with Type Ⅱ Diabetic and Coronary Artery Disease
    Wang Xudong;Fan Zheng;Fu Yan;Yin Hong;Zhai Yanling;Qi Yahui;Zhu Yuqing;Wang Jin;Zhao Xiangyin
    2004, 25(2):  223-226. 
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    The aim was to investigate the genotype at a plasminogen activator inhibitor-1 (PAI-1) promoter polymorphism in patients with type Ⅱ diabetes and complicated coronary artery disease(CAD). The level of PAI-1 antigen was measured and the 4G/5G polymorphism genotype was determined by polymerase chain reaction(PCR) amplification of genomic DNA using the allele specific primers in Chinese type Ⅱ diabetes subjects(121 type Ⅱ diabetes patients, 87 diabetic patients with CAD) and 100 control subjects. The frequency of the 4G/4G genotype increased and that of the 5G/5G genotype decreased in group of diabetic CAD compared with control subjects(49.4% vs. 37.0%, P< 0.05). The level of PAI-1 antigen was positively correlated with levels of triglyceride(P<0.001) and associated with 4G/5G polymorphism (P=0.03). PAI-1 antigen level was significantly higher in 4G/4G genotype carriers than in 5G/5G genotype carriers in group of CAD 〔(39.82×10-3 ±3.11×10-3)ng/L vs (38.04× 10-3±2.73×10-3)ng/L, P<0.05〕. This polymorphic variation at PAI-1 promoter interacts with risk factors of triglyceride when associated with increased level of PAI-1 antigen and pathogenesis of CAD in type Ⅱ diabetes.
    Expression of CD117 in Acute Promyelocytic Leukemia
    Wan Suigui;Xu Juan;Gong Wenyu;Su Xuejing;Tian Ding
    2004, 25(2):  227-229. 
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    The aim was to investigate the expression of CD117 in acute promyelocytic leukemia and its significance. The expression of CD117 was detected using three-color flow cytometry. CD117 was positive in 19/22 of patients with acute promyelocytic leukemia(APL), in 2/2 and 18/21 of patients with AML-M1 and AML-M2 respectively. Among nineteen APL patients with CD117, eighteen were CD34- and HLA-DR-. Only one patient was partial HLA-DR+. There was high level expression of CD117 in acute promyelocytic leukemia. Minimal residual disease of APL can be detected using multi-color flow cytometry to analyze the expression of CD117, CD34 and HLA-DR.
    Clinical Observation of Peptic Ulcer in the Aged
    Zhao Jun;Zhang Taichang
    2004, 25(2):  230-232. 
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    To identify the characteristics of peptic ulcer in the aged in relation to diagnosis and treatment. Analysis was made regarding location of ulcer and frequency of complications in 63 cases of peptic ulcer in the aged hospitalized between 2001-2002. Results: Large area peptic ulcer in aged peptic ulcer is as high as 27.0% of total cases reported, Among the complications, bleeding was the initial symptom, there are 17.5% syncope cases and 17.5% peptic perforation, regular upper abdominal pain is rare. In peptic ulcer among aged persons, the symptom is atypical, so diagnosis is easy to be delayed with many other illness as complications, which increases mortality. Gastroendoscopic diagnosis in time and treatment for bleeding are crucial. Operation in appropriate time also affects the prognosis. Anti-HP treatment prominently decreases recurrence of peptic ulcer.
    Level Changes of Cytokines TNF-α and IL-6 in Periphery Blood with Parkinson Disease
    Guan Xiaoting;Wang Chunxue;Long Jie;Zi Shen
    2004, 25(2):  233-235. 
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    The aim was to investigate the changes of the levels of cytokines tumor necrosis factor-alpha (TNF-α) and interleukin-6(IL-6) in periphery blood with Parkinson's disease(PD) and study the immune pathologic mechanism of the disease. Thirty patients with PD were tested by radioimmunity method. Meanwhile twenty-two cases with other neurological diseases(OND) and 24 healthy control(HC) were tested. The average level of TNF-α was found to be significantly lower in PD patients 〔(13.83± 4.47)pmol/L〕 than in OND patients 〔(17.53±7.25)pmol/L〕 and in HC 〔(16.57±3.05)pmol/L〕 (P< 0.05, respectively). And the average level of IL-6 was found to be significantly lower also in PD patients 〔(112.80±25.13)μg/L〕 than in OND patients 〔(178.53±42.78)μg/L〕 and in HC 〔(136.22± 17.40)μg/L〕 (P<0.001, respectively). But the results were not related with the age, the course and type of the disease among PD patients. Abnormal changes of cytokines indicate that immune malfunction exists in the patients with PD. The results support the hypothesis that cytokine is involved in the degenerative processes which occur in PD.
    Surgical Treatment of the Cervical Intra-and Extraspinal Tumors
    Yang Jun;Liu Weiming;Wang Jiangfei
    2004, 25(2):  236-238. 
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    Although the cervical intraspinal tumors have been long successfully removed, the cervical intra-and extraspinal tumors have not been viewed with optimism by surgeons. According to the relationship between tumors to intrvertebral foramen,the author proposed a classificaton system (three types) for 27 cases as a means to choice the different surgical method. Type Ⅰ (13 cases): The tumors were mainly located in vertebral canal, and limited in 1cm form intervertebral foramen that gently magnified. The posterior midline applied for type Ⅰ tumor. Type Ⅱ(4 cases): The antercervical accesses were employed to excise the tumors mainly located in extravertebral canal, a little portion in vertebral canal. Type Ⅲ (10 cases): Patients with dumbbell tumor had a larger intervertebral foramen. We performed two-stage combined surgery through the antercervical and the posterior midline route to excise the tumors. The results were total resection (25 cases), nearly total resection (2 cases). 23 cases patients could regain to work during follow-up interval of 6~79 months. For cervical intra-and extraspinal tumors, the different surgical approach should be applied to facilitate total resection, and can maintain the stability of spine and protect vertebral artery.
    Experimental Study of Transplantation of Tricuspid Valve and Papillary Muscles
    Pan Guangyu;Wu Qingyu;Yang Xiubin
    2004, 25(2):  239-242. 
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    The aim was to observe tissue healing and function of tricuspid anterior leaflet and papillary muscles after being sutured to original place or to another place and to provide experimental basis for clinical work. Ten mongrel dogs were randomly divided into two groups. Group A: tricuspid anterior leaflet and papillary muscle were sutured to original place, group B: anterior leaflet and papillary muscle were sutured to another place 3 cm higher than original. The indices of hemodynamics of the heart were measured before and after the operation and four weeks after the operation; Function of tricuspid valve and tissue healing were also observed 4 weeks after operation. We found that the indices of hemodynamics of hearts in both groups were stable, the tissue healing and function of tricuspid valve were satisfactory. The conclusion is whether the tricuspid valve and papillary muscles are sutured to orignal or to another place they can be well healed.
    Relationship Between Expression of Pancreatitis Associated Protein and Cell Ploidy in Colorectal Cancer Tissues
    Cao Guang;Li Fei;Sun Jiabang
    2004, 25(2):  243-245. 
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    The aim was to investigate the reationship between expression of pancreatitis-associated protein and cell DNA ploidy in colorectal cancer tissues. All fresh samples were obtained from 27 colorectal adenocarcinoma patiens. The expression of PAP mRNA was examined by reverse transcription-polymerase chain reaction(RT-PCR), while the s-phase fraction(SPF) and ploidy of DNA were examined by flow cytometry(FCM). In this assay, PAP mRNA was detected in 8(29.6%) colorectal cancer tissues, for these samples SPF was 18.91±8.43, and had 7 aneuploid cancer tissues. However only 4 aneuploid cases were found in 19 patients who had negative expression of PAP mRNA in cancer tissues and the value of SPF was 12.11±7.02. On the other hand, expression of PAP mRNA and aneuploid tissues were not detected in noncancerous portions. For DNA ploidy and SPF, there was significant difference between PAP mRNA positive and negative cancer tissues. So these PAP mRNA positive cancer tissues have higher proliferative active. But there is no relationship between PAP mRNA expression and clinicopathological factors.
    Effect of Tumor Necrosis Factor on Venous Plasma of Portal Hypertension Rat Perserved Splen
    Zhang Shuwen;Liu Dongbin
    2004, 25(2):  246-249. 
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    The aim was to study the effect of portal hypertension (PHT) on tumor necrosis factor (TNF-α) in venous plasma, the influence of splenectomy and splenic artery ligation on TNF-α levels in venous plasma in model rats and to investigate the relation between TNF-α and NOS levels in venous plasma in PHT rats. Healthy Wistar rats were randomized into four groups: The latter three groups were used to established PHT model. TNF-α levels in venous plasma were dynamically measured by radioimmunoassay (RIA) at points after the splenectomy and SAL; NOS levels in venous plasma were determined 14 d after operation. The mortality between SLC group and SAL group were compared 4 weeks after operation. Light microscope were applied to observe the pathological change. PHT TNF-αlevels in venous plasma were significantly higher than NCG group (P<0.01). SLC group TNF-αin plasma increased significantly, compared with MCG group(P<0.01), at points (3 d, 7 d, and 14 d) after splenectomy. SAL group TNF-α levels in venous plasma were slightly higher than MCG group (P> 0.05), and were significantly lower than SLC group (P< 0.01) at points (3 d, 7 d, 14 d) after SAL. MCG group NOS levels in venous plasma were significantly elevated(P<0.01), compared with NCG group, there was a positive correlation(r=0.946, P<0.01) between TNF-α levels and NOS levels in venous plasma, while SAL group NOS levels were significantly reduced (P< 0.01), compared with MCG group and SLC group respectively. The morbidity in SLC group was remarkably higher than that of SAL group (P< 0.05). In PHT, TNF-α levels in venous plasma significantly increase, possibly play an important role in the course of PHT. TNF-αlevels in venous plasma significantly increase after splenectomy, while the morbidity also elevate remarkably. Compared with PHT model rats, SAL group TNF-α levels and the morbidity don't increas significantly, and prognosis can be improved.
    Inhibiting Mechanism of Mifepristone on Androgen-Independent Prostate Cancer Cell Lines LNCaPC4-2,PC3 in Vitro
    Bi Sicheng;Xu Xiuhong;Shao Qiang;Du Lindong
    2004, 25(2):  250-252. 
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    The aim was to present our attempts on investigating the pro-apoptosis and growth suppression effects of antiprogestin mifepristone on androgen-independent prostate cancer cell lines LNCaPC4-2, PC3 in vitro. Using SRB method, the inhibition rates of different concentrations of mifepristone on the two cell lines were studied after drug 3 d, 5 d and 7 d after administration. The study also assessed the apoptosis rates induced by 15 μmol/L mifepristone on LNCaPC4-2, PC3 cell lines after 24 h, 48 h treatment. When the LNCaPC4-2 cell line and the PC3 cell line were treated with 20 μmol/L mifepristone, the corresponding rates were 55.79%, 66.37%, 71.54% and 87.42%, 98.15 %, 100% on the 3 rd day, 5 th day and 7 th day. When the two cell lines were dealt with different concentrations of mifepristone 2.5 μmol/L, 5 μmol/L, 10 μmol/L, 15 μmol/L, 20 μmol/L, the corresponding suppression rates on the 7 th day were: 17.07%, 35.77%, 53.66%, 63.41%, 71.54 % and 48.25%, 63.42%, 82.37%, 95.31 %, 100% respectively. Using flow cytometry method, the apoptosis rates of 15 μmol/L mifepristone for LNCaPC4-2 cell line were: 19.30% at 24 h and 30.04 % at 48 h, for PC3 cell line was 44.52% at 24 h. Antiprogestin mifepristone can induce apoptosis of androgen-independent prostate cancer cell lines LNCaPC4-2, PC3 in vitro. This pro-apoptosis effect is time-and-dose dependent.
    Splenectomy and Gastric Fondusectomy Plus Distal Esophagectomy for Treatment of Portal Hypertension
    Zhang Jingguang;Xu Guangxun;Guo Qingliang;Wu Jushan
    2004, 25(2):  253-255. 
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    The objective was to evaluate the effect of transabdominal gastric fundusectomy plus distal esophagectomy in patients suffering from portal hypertension. Twenty-six cases of portal hypertension with a history of bleeding esophageal varix were treated by this procedure on elective basis. All cases were followed up for an average of 52 months. There was no recurrent hemorrhage nor perioperative mortality. This procedure is well tolerated by the patients with definite immediate effect and low recurrent bleeding rate.
    Clinical Results of Artifical Femoral Head Replacement for Treament of Femoral Neck Fracture in the Aged
    Li Qixiang;Yang Lixin;Sang Shuangjin;Zhang Zezheng
    2004, 25(2):  256-258. 
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    The aim was to evaluate the clinical results of the artificial femoral head replacement for treatment of femoral neck fracture in the aged. We cured the fractures with Chinese single polar titanium combined with cemented femoral head from September, 1995 to July, 2001.All of the fractures were under the head of femur or in the middle neck of femur. Thirty-six patients of them were followed-up ranging from 2.0~5.6 years. All of them had single femoral neck fracture. They were researched in the outpatient department. Results: No re-fracture, nor injuries of the blood vessels happened and nerves in the operations. No deep venous thrombosis of the lower limbs, nor infective wounds were found after the operations. Appropriate exercising was carried out according to different patient's conditions. Based on Harris evaluation system, 9 patients had excellent results. 19 patients had fine results, and 4 patients had fair results and 4 patients had poor results, (The patients who had poor results had other diseases that could influence walk.) Authors think that it's satisfied to use the artificial femoral head replacement for treatment of femoral neck fracture in the aged.
    Relation of Lower Bone Mineral Density in Middle-and Older-aged Women in Communities of Qinan
    Zhang Lisong;Lai Ailuan;Jiang Guiying;Zhang Hongtao;Ding Lei;Lin Shouqin;Yu Wei
    2004, 25(2):  259-261. 
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    The aim was to explore the relation of lower bone mineral density in middle-and older-aged women in communities of qinan. 142 Han women eligible at 44~76 ages, health joined in. Bone mineral density (BMD) at os bone was measured by os bone density measuring apparatus.A detailed questionnaire was provided of each women by the physician during an interview including women's age, menopausal time, menstrual history, reproductive and childbearing history, disease and operation history, family history. And all data were analyzed. The investigated women were grouped by period, reproductive years and operation history. Then analysed the relation of the three groups on BMD respectively. There was a negative correlation between BMD and women's age, menopausal time(P< 0.05). The BMD in women with regular period, longer reproductive years and nonoperation history were slightly higher than those of women with irregular period, shorter reproductive years and operation history. Age and menopausal time are the chief factors of lower bone mineral density in middle-and older-aged women.
    Value of Three Imaging Technique in SARS Examine
    Zhou Hai
    2004, 25(2):  262-263. 
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    To study the value of three imaging technique in SARS, 84 cases findings in images of SARS were analyed. 56 cases were performed with general X-ray; 28 cases were performed with CR or DR; 8 cases of CR were performed with CT. Within 1~3 d after onset, general X-ray abnormals were observed in 36 cases(64.3%, 36/56), CR(DR) abnormals were observed in 21 cases(75%,21/28), but 8 cases had abnormal CT findings. Chest CT scan is much more sensitive to chest X-ray in detecting lesions of the lung in SARS. CR(DR) is much more sensitive to general X-ray in dynamic observe of SARS.