人脑星形细胞瘤中p53，Fas/FasL 的表达及其与凋亡关系的研究

目的:探讨细胞凋亡在星形细胞瘤中的作用及其与p53、Fas和Fas配体(Fas ligand,FasL)的关系。方法:对43例星形细胞瘤的标本分别进行HE染色,TUNEL及免疫组化分别标记p53,Fas和FasL。结果:高级别肿瘤和低级别肿瘤间的凋亡无显著差异(P>0.05)。高级别星形细胞瘤的p53,Fas和FasL的表达均显著高于低级别肿瘤(P均<0.05)。结论:突变型p53可作为评价星形细胞瘤生物学行为的参考指标。与低级别星形细胞瘤相比,高级别肿瘤中的细胞凋亡受到了抑制,且Fas与FasL的过表达对细胞凋亡可产生明显影响。     

人脑星形细胞瘤中p53，Fas／FasL的表达及其与凋亡关系的研究

目的：探讨细胞凋亡在星形细胞瘤中的作用及其与p53、Fas和Fas配体（Fas ligand,FasL）的关系。方法：对43例星形细胞瘤的标本分别进行HE染色,TUNEL及免疫组化分别标记p53,Fas和FasL。结果：高级别肿瘤和低级别肿瘤间的凋亡无显著差异（P〉0．05）。高级别星形细胞瘤的p53,Fas和FasL的表达均显著高于低级别肿瘤（P均〈0．05）。结论：突变型p53可作为评价星形细胞瘤生物学行为的参考指标。与低级别星形细胞瘤相比,高级别肿瘤中的细胞凋亡受到了抑制,且Fas与FasL的过表达对细胞凋亡可产生明显影响。     

口腔鳞癌组织细胞凋亡相关蛋白Fas/FasL的表达研究

目的　研究调亡相关蛋白Fas、FasL在口腔鳞状细胞癌组织中的表达及意义。方法　应用免疫组织化学方法检测 10例正常口腔粘膜、 38例口腔鳞癌组织及肿瘤浸润淋巴细胞 (TIL)和 11例转移淋巴结中Fas、FasL的表达。结果　Fas在正常口腔粘膜中广泛表达 ;鳞癌组织表达明显下调 (P <0 .0 5 ) ;Fas表达与口腔鳞癌分化程度有关 ;淋巴结转移癌中Fas表达减弱。FasL在正常口腔粘膜不表达 ;鳞癌组织表达明显上调 (P <0 .0 5 ) ;FasL表达与口腔鳞癌分化程度无关 (P >0 .0 5 ) ;有淋巴结转移者FasL阳性表达率高于无转移者 (P <0 .0 5 )。TIL细胞Fas、FasL阳性表达率为 81.6 %和 84 .2 % .。Fas、FasL在口腔鳞癌的表达有明显相关性 (P <0 .0 5 )。结论　Fas表达与口腔粘膜上皮细胞的自然分化成熟衰老及口腔鳞癌的形成和肿瘤的恶性度有关。FasL的表达上调可能是口腔鳞癌组织免疫反攻击的体现 ,对促进肿瘤的发生发展及转移有重要作用。     

牙龈卟啉单胞菌诱导T淋巴细胞活化、凋亡的体外研究

目的检测牙龈卟啉单胞菌对人外周血中T淋巴细胞活化及凋亡的作用,并检测Fas/FasL在牙龈卟啉单胞菌(Porphyrom onas gingivalis,Pg)诱导的T淋巴细胞凋亡中的表达。方法选取10例全身及牙周组织健康受试者,分离外周血中T淋巴细胞,在有/无Pg情况下培养0~96 h,用荧光探针(Annexin V-FITC、PI、CD69)及特殊的单克隆抗体(Fas、FasL)进行标记,并进行流式细胞仪检测。结果 CD69+淋巴细胞+Pg组Annexin V+/PI-细胞百分数在各个时间点上都明显高于T淋巴细胞+Pg组(P0.01)。Fas和FasL的表达量明显上调。用抗Fas单克隆抗体阻滞Fas-FasL相互作用导致T细胞凋亡的明显减少,百分比为(20.56±2.43)%,未加抗体的为(50.41±2.68)%。但残余的细胞凋亡活动与阴性对照相比仍高。结论 Pg能够诱导人外周血中T淋巴细胞活化,并且能够通过活化促进其凋亡,Pg诱导T淋巴细胞凋亡主要通过Fas-FasL途径,并具有时间依赖性。     

细胞膜分子在表达Fas配体的小鼠胸腺树突状细胞诱导凋亡中的作用

通过TUNEL方法证明在小鼠胸腺组织中 ,有凋亡的胸腺细胞存在 ,但胸腺微环境对胸腺细胞的凋亡的调控机理一直不明 .研究发现Fas配体 (FasL)阳性细胞主要分布在胸腺的髓质区 .小鼠胸腺树突状细胞系 (MTSC4)表达FasL ,在体外介导34 %的单阳性细胞的消除 ,其中使Fas阳性的胸腺细胞的比率减少 6 0 % .MTSC4促细胞凋亡的作用 ,可被单糖GalNAc完全阻断 ,被抗胸腺基质细胞TSC表面分子的单抗PF1 8- 3和 (D + )半乳糖部分阻断 .这说明胸腺树突状细胞直接参与对胸腺细胞凋亡的调节 ,其作用机理中包括多种膜分子的相互作用     

普罗布考对动脉粥样硬化大鼠平滑肌细胞凋亡及p53和Fas蛋白表达的影响

目的探讨普罗布考防治动脉粥样硬化（AS）的机制。方法选用雄性大鼠,复制大鼠AS模型,随机分为动脉粥样硬化模型组、普罗布考组和正常对照组。大鼠造模成功后给予普罗布考治疗,6周后处死大鼠,采用流式细胞术检测平滑肌细胞凋亡率及凋亡相关基因p53和Fas蛋白的表达。结果模型组大鼠血管平滑肌细胞凋亡率明显高于对照组（P〈0．05）,p53和Fas蛋白的表达增强（P％0．05）,主动脉壁可肉眼观测典型斑块。普罗布考组大鼠平滑肌细胞的凋亡率明显低于模型组（P〈0．05）,p53和Fas蛋白表达下调（P〈0．05）,主动脉斑块面积较模型组减小明显。结论普罗布考通过调节p53和Fas蛋白表达来调节AS大鼠平滑肌细胞的凋亡。     

辛伐他汀对动脉粥样硬化大鼠凋亡相关基因Fas及FasL蛋白表达的影响

目的通过研究辛伐他汀对动脉粥样硬化大鼠血管壁中细胞凋亡相关基因Fas及FasL蛋白表达产物的影响,探讨其在预防动脉粥样硬化发生中的可能机制。方法复制动脉粥样硬化大鼠模型,以辛伐他汀干预,取胸主动脉,观察其斑块变化,采用免疫组化Elivision法测定动脉粥样硬化血管壁中Fas、FasL蛋白表达。结果Fas蛋白表达在实验组明显高于对照组及干预组(P<0.01,P<0.05),实验组FasL蛋白表达也明显高于对照组及干预组(P<0.05)。结论Fas及FasL基因通过促进细胞凋亡作用而诱发动脉粥样硬化过程,辛伐他汀可通过调节细胞凋亡过程发挥抗动脉粥样硬化作用。     

Bcl-2、Fas和FasL在BPH组织中的表达及其意义

目的:研究凋亡相关基因Bcl-2、Fas和FasL在前列腺增生组织中表达,并探讨其与前列腺增生症的关系.方法:收集哈尔滨医科大学附属第二医院2004年5月--2005年8月前列腺增生症(BPH)组织标本36例,前列腺癌(PCa)组织标本12例和正常前列腺(NP)组织标本7例.应用免疫组织化学SABC方法,检测BPH、PCa和NP组织标本中凋亡相关基因Bcl-2、Fas和FasL的表达,并探讨Bcl-2、Fas和FasL的表达与前列腺增生症的关系.结果:①BPH与PCa组Bcl-2蛋白阳性表达明显高于NP组(P<0.05),而BPH组与PCa组阳性表达无显著差异;PCa组Fas表达显著低于BPH和NP(P<0.05、0.01),而BPH和NP组之间差异也有显著性(P<0.05);FasL在三组之间表达差异均无显著性(P>0.05).②在BPH组织中Bcl-2的表达与Fas表达呈负相关(P(0.05),与FasL表达呈正相关(P<0.05),余均未见相关性.结论:Bcl-2、Fas、FasL均参与了BPH的发生发展过程,Bcl-2、Fas、FasL表达的综合结果可能是引起BPH的原因之一.     

内耳免疫反应诱导Fas和FasL表达与凋亡的关系

目的研究内耳免疫反应过程中是否存在细胞凋亡,以及细胞凋亡是否与Fas和FasL信号转导有关.方法选用雌性白色豚鼠16只,随机分为实验组和对照组各8只,以钥孔虫戚血蓝蛋白(keyhole limpet hemocyanin,KLH)全身免疫后,实验组以相同抗原进行内耳免疫,对照组内耳注射等量的磷酸盐缓冲生理盐水(phosphate buffered saline,PBS),在内耳免疫5d后处死动物,取内耳免疫侧耳蜗做石蜡切片.通过脱氧核糖核苷酸末端转移酶介导的缺口末端标记技术(terminal-deoxynucleotidyl transferase mediated nick end labeling,TUNEL)检测内耳凋亡细胞,免疫组化检测内耳Fas和FasL的表达.结果实验组豚鼠内耳Corti器毛细胞,血管纹的缘细胞和螺旋神经节细胞存在TUNEL染色阳性细胞,而对照组动物切片仅在支持细胞、血管纹和螺旋神经节细胞中发现极少数TUNEL染色阳性细胞.免疫组化染色实验组Corti器、螺旋神经节细胞、血管纹和螺旋韧带Fas和FasL蛋白表达阳性,而对照组只有螺旋神经节细胞和血管纹有较弱的Fas蛋白表达,FasL蛋白表达阴性.结论内耳免疫反应可诱导细胞凋亡的发生,Fas-FasL途径是参与此过程重要的信号转导途径之一.     

非小细胞肺癌中细胞凋亡与P53、Bcl-2蛋白的表达及对预后的影响

目的研究细胞凋亡及凋亡相关蛋白P53和Bcl-2在非小细胞肺癌组织中的表达水平,及其对预后的影响。方法应用DNA缺口末端标记技术和免疫组化方法检测111例肺癌患者组织中细胞凋亡、突变型P53和Bcl-2蛋白表达水平。结果111例肺癌中,细胞凋亡高表达53例(47.7%),突变型P53蛋白阳性45例(40.5%),Bcl-2蛋白阳性59例(53.2%)。COX模型多因素分析显示,淋巴结的转移和Bcl-2蛋白的阳性表达是本组肺癌患者的预后不良因素(P<0.05)。结论凋亡及凋亡相关蛋白P53和Bcl-2影响肺癌患者的生物学行为及预后。     

The effects of the polymorphism in exon 3 of the FAS gene on the death of chicken embryos during the incubation period

To investigate the effect of a factor-associated suicide (FAS) gene polymorphism on the death of chicken embryos, we genotyped 190 dead embryos and 69 normally developing embryos from 7200 hatching Short-Leg Yellow Chicken eggs, as well as 119 dead embryos and 69 normally developing embryos from 4650 hatching Yellow B Chicken eggs. The results showed that there were significant (P < 0.05) genotypic differences between dead and normally developing embryos for this FAS gene polymorphism, a SNP in exon 3 (NC_006093.2:g.6514A>C, rs15793179). Logistic regression revealed that Short-Leg Yellow Chicken embryos with genotype g.6514CC had a significantly (P < 0.01) higher risk of death than those with genotype g.6514AC. This polymorphism has the potential to be an effective tool when used in conjunction with traditional selection methods.     

Suicide and attempted suicide among South Asians in England: who is at risk?

Evidence from both large-scale and small-scale studies suggests differences and similarities in patterns of suicide and attempted suicide between South Asians and the total population in England. Among South Asians, the excess of females among both suicides and attempted suicides is even more marked; the traditional view of a strong family structure among Asians is confirmed, although cultural conflict between generations is apparent. The technique of suicide by burning among Asians appears to be waning. Asians who attempt or complete suicide are more likely to be suffering from stress, but less likely to have been diagnosed as mentally ill. Their psychological problems appear to have been frequently overlooked by general practitioners, or not presented to them. Differences in religion, with Hindus producing higher rates than Muslims, and demographic, geographical, financial and cultural differences, contribute to the need for disaggregation and up-to-date research.     

Two Kinds of Suicide

In suicidology, the common view is that ‘rational’ suicides occur only rarely, because the competence of people who want to end their lives is compromised by mental illness. In the Netherlands and Flanders, however, patients’ requests for euthanasia or assistance in suicide are granted in 5300 and 1400 cases a year respectively, and in all these cases at least two doctors have confirmed the patient's competence. The combination of these two findings is puzzling. In other countries one would expect at least some of these people to end their own lives. The article argues that we can distinguish between two types of suicide with clustering characteristics. In cases of the first type, the agent doesn't carefully plan his action, doesn't communicate his plans to relatives or others, and uses violent means. In such cases it is reasonable to presume lack of competence. The other type has the opposite characteristics. The most plausible explanation of our problem is that suicides of the second kind are invisible to suicidology, because they tend not to be registered as suicides at all.     

Circadian Rhythm Variation in Attempted Suicide by Deliberate Self-Poisoning, and in Completed Suicide, in Central Nepal

Daily rhythms are described in almost every variable that can be measured, including suicide rate. The present study aims to find if circadian rhythm exist in suicidal poisoning and completed suicide due to poisoning in central Nepal. The study included all the attempted suicide cases admitted in Patan Hospital and all the completed suicide cases by poisoning reported to Kathmandu District Police during March 2002 to April 2003. The time was grouped into 24 increments of 1 hour. The data were analysed by Kolmogorov-Smirnov test and cosinor analysis. The circadian rhythm of attempted suicide by deliberate self poisoning exhibits a peak at 18:00 h, whereas no circadian rhythm is seen in completed suicides by poisoning although it is bimodal in distribution (6:00-12:00 and 15:00-20:00) with peaks at 7:00 and 18:00 h.     

Issues in the development of medical products based on human plasma

Product development and process validation are shown in the case of several products obtained from human plasma. These are virus-inactivated plasma, intravenous immunoglobulins and the clotting factors VIII and IX. Different analytical methods are presented, which are used for product control and in-process control. For the production of virus-inactivated human plasma a down-scale protocol is presented, allowing a simulation of the production on a laboratory scale. Virus validation has shown that the reduction of transfusion-relevant viruses in the process was higher than six log steps. Determination of leachables from the RP-column, which was used in this production, proved that they appear in the final product in quantities below the detection limits only. It was also shown that the chemicals used for virus inactivation could be quantitatively removed from the product. For the isolation of other products, here intravenous gamma globulins and the clotting factors VIII and IX, similar validation steps had to be taken. In the case of clotting factor VIII the following data were determined, the reduction of viruses, the amount of leachables from the column, the residues of chemicals from the solvent/detergent treatment for virus inactivation. Virus reduction was successfully performed as well as the removal of chemicals used for virus inactivation. The amount of leachables from the columns used for chromatographic purification was found to be far below the permissible levels.     

Experimental Methods for Kinetic Study of Suicide Substrates

Abstract

The kinetic study of the enzymatic inactivation originated by suicide substrates can be carried out by means of two alternative approaches. One method considers the substrate concentration as practically constant during the assay time and provides explicit equations of product concentration vs. time. The other method involves the significant consumption of the substrate, yielding implicit equations of time vs. product concentration. The utility of both methods is discussed and adequate experimental conditions for their correct application are established.     

Physician assisted suicide: a new look at the arguments

In this paper, I examine the argumens agains physician assisted suicide (PAS). Many of these arguments are consequentialist. Consequentialist arguments rely on empirical claims about the future and thus their strength depends on how likely it is that the predictions will be realized. I discuss these predictions against the backdrop of Oregon's Death with Dignity Act and the practice of PAS in the Netherlands. I then turn to a specific consequentialist argument against PAS - Susan M. Wolfs feminist critique of the practice. Finally, I examine the two most prominent deontological arguments against PAS. Ultimately, I conclude that no anti-PAS argument has merit. Although I do not provide positive arguments for PAS, if none of the arguments against it are strong, we have no reason not to legalize it.     

Purification of factor X by hydrophobic interaction chromatography

Human factor X has been purified to homogeneity by hydrophobic interaction chromatography on phenyl-sepharose. The coagulation protein did not interact with the resin in the presence of 2–3 M NaCl whereas contaminants were retained. This single purification step, in conjunction with classical purification strategies, is a powerful tool in generating high purity factor X and is based on resins which are readily available.     

Discovery of hydroxy pyrimidine Factor IXa inhibitors

The synthesis and structure activity relationship development of a pyrimidine series of heterocyclic Factor IXa inhibitors is described. Increased selectivity over Factor Xa inhibition was achieved through SAR expansion of the P1 element. Select compounds were evaluated in vivo to assess their plasma levels in rat.     

Screening for suicidal thoughts in primary care: the views of patients and general practitioners

Background It has been argued that primary care practitioners have an important part to play in the prevention of suicide. However, levels of assessment of risk of suicide among patients treated in this setting are generally low.Methods Cross-sectional survey of general practitioners (GPs) and people being treated in primary care who had signs of depression. The study combined open and closed questions on attitudes to screening or being screened for suicidal ideation.Results One hundred and one of 132 patients took part in the survey and 103 of 300 GPs completed a questionnaire. A majority of both GPs and patients stated that people should be screened for suicidal ideation. However, an important minority of patients and GPs stated that asking or being asked such questions made them feel uncomfortable. Less than half of GPs had received formal training on the assessment of suicide risk. GPs told the researchers that barriers to screening included time pressures, culture and language, and concerns about the impact that screening could have on people's mental health. One-quarter of GPs and one-fifth of patients supported the notion that screening for suicidal ideation could induce a person to have thoughts of self-harm.Conclusions GPs and family doctors should screen for suicidal risk among depressed patients and should receive training on how to do this as part of their general training in the assessment and management of mental disorders. Research should be conducted to examine what, if any, effect screening for suicidal ideation has on mental health.