血浆循环游离DNA(cf DNA)联合癌胚抗原(CEA)在评估晚期非小细胞肺癌治疗疗效的临床价值

摘要 目的：研究血浆循环游离DNA（cf DNA）联合癌胚抗原（CEA）在评估晚期非小细胞肺癌（NSCLC）治疗疗效中的临床价值。方法：选取我院2019年1月~2022年1月收治的96例晚期NSCLC患者作为研究对象,所有患者均接受含铂双药化疗方案或放疗,评估治疗6个月后的临床疗效,根据疗效分为有效组与无效组,检测所有患者cf DNA及CEA水平并进行比较,单因素、多因素分析患者疗效的影响因素,并通过受试者工作特征曲线图（ROC）分析cf DNA及CEA对晚期NSCLC患者治疗疗效的评估价值。结果：本研究中96例患者均顺利完成化疗治疗,疗程结束后,有54例（56.25%）治疗有效,42例（43.75%）治疗无效;无效组肿瘤TNM分期Ⅳ期、体力状况（PS）评分2~4分占比大于有效组（P＜0.05）;无效组患者cf DNA及CEA水平明显高于有效组（P＜0.05）;多因素Logistic回归分析显示,肿瘤分期Ⅳ期、PS评分2~4分、cf DNA及CEA高水平均为影响晚期NSCLC患者疗效的相关因素（P＜0.05）;ROC曲线分析显示,cf DNA、CEA对晚期NSCLC患者治疗后无效均有预测效能（P＜0.05）,其中两指标联合预测的曲线下面积（AUC）最大,为0.794,特异度、敏感度分别为85.19%、78.57%。结论：治疗无效晚期非小细胞肺癌患者cf DNA及CEA水平更高,肿瘤分期Ⅳ期、PS评分2~4分、cf DNA及CEA高水平均为晚期NSCLC患者疗效的影响因素,联合cf DNA及CEA检测有利于对晚期NSCLC患者治疗疗效进行评估。     

红色诺卡氏菌细胞壁骨架对肺癌细胞的抗癌作用及机制

前人研究发现红色诺卡氏菌细胞壁骨架(N-CWS)具有较好的抗癌活性,然而其对肺癌的抗癌作用机制尚不清楚。本研究旨在揭示N-CWS对肺癌细胞的抗癌作用及机制。通过平板克隆形成实验测定N-CWS对人肺腺癌细胞系A549菌落形成的影响,发现N-CWS可按照浓度依赖性方式降低A549细胞的菌落形成能力(p0.05)。通过5-乙炔基-2'-脱氧尿苷(EdU)法测定N-CWS对肺癌细胞增殖能力的影响,发现N-CWS可按照浓度依赖性方式降低EdU阳性细胞比例(p0.05)。通过Transwell小室和伤口愈合实验评估N-CWS对肺癌细胞侵袭和迁移能力的影响,发现N-CWS以A549浓度依赖性方式降低细胞的侵袭和迁移数量及伤口愈合百分比(p0.05)。通过qRT-PCR和Western blotting检测N-CWS对A549细胞E-cadherin、IL-6和MMP-9表达的影响,发现N-CWS以浓度依赖性方式上调了A549细胞的E-cadherin mRNA和蛋白表达(p0.05),但以浓度依赖性方式下调了IL-6和MMP-9的m RNA和蛋白表达(p0.05)。本研究证实红色诺卡氏菌细胞壁骨架可按照浓度依赖性方式降低肺癌细胞的增殖、侵袭和迁移能力,其抗癌机制与上调E-cadherin和下调IL-6和MMP-9有关。     

N-CWS灌胃对小鼠移植性肿瘤及免疫功能的影响

为了考察红色诺卡氏菌细胞壁骨架(Nocardia rubra cell wall skeleton,N-CWS)灌胃给药对小鼠的体内抑瘤效应及其免疫调节作用,采用小鼠肉瘤S_(180)的移植性肿瘤模型,检测N-CWS灌胃给药的抑瘤活性;同时观察N-CWS体内细胞毒作用和对正常小鼠的毒性、免疫器官重量、巨噬细胞(MΦ)吞噬功能及脾淋巴细胞转化的影响.结果显示,小鼠灌服N-CWS的LD_(50)＞1.2 g/kg;N-CWS 200、400、800 mg/kg剂量灌胃小鼠对S_(180)有明显的抑制作用,其抑瘤率分别为63.33%、71.11%、64.88%;与对照组比较,N-CWS可增加免疫器官重量和提升外周血白细胞数量、能明显提高小鼠MΦ的吞噬活性及显著提高淋巴细胞转化率(P＜0.05),同时N-CWS激活了的MΦ对肿瘤细胞的细胞毒效应亦明显增强(P＜0.05).因此N-CWS适用于口服给药,对小鼠移植性肿瘤有明显的抑制作用,其抗肿瘤作用可能与增强机体免疫功能有关.     

诺卡氏菌科分类的研究II．诺卡氏菌属中的两个新种和一个新变种

从我国各地的土壤中分离得到百余株诺卡氏菌形放线菌,其基丝形成横隔并断裂成秆状或球状体,细胞壁化学组份IV型,属于诺卡氏菌科诺卡氏菌属(Nocardia)。经形态、培养特征及生理生化特性等鉴定为15个种。本文只报道其中两个新种及一个新变种：念球状诺卡氏菌(Noeaedia nostocoidea n. sp．);紫褐诺卡氏菌(Nocardta violaccofusca n. sp.);鲑色诺卡氏菌桔橙变种(Nocardia salmontcolor var. aurantiaca n. var.)。     

艾迪注射液联合XELOX方案对晚期结直肠癌患者Th1/Th2免疫平衡和血清肿瘤标志物的影响

摘要 目的：探讨艾迪注射液联合卡培他滨和奥沙利铂方案（XELOX方案）对晚期结直肠癌患者Th1/Th2免疫平衡和血清肿瘤标志物的影响。方法：病例选取自我院2018年7月~2021年6月期间收治的晚期结直肠癌患者80例,采用计算机随机生成的方式分为对照组（XELOX方案）和研究组（艾迪注射液联合XELOX方案）,各为40例。对比两组疗效、Karnofsky （KPS）评分、Th1/Th2免疫平衡和血清肿瘤标志物,观察两组不良反应发生率。结果：研究组的客观缓解率 （ORR）、疾病控制率（DCR）高于对照组（P<0.05）。两组治疗后KPS评分升高,且研究组高于对照组（P<0.05）。两组治疗后Th1、干扰素-γ（IFN-γ）、Th1/Th2降低,但研究组高于对照组（P<0.05）。两组治疗后Th2、白细胞介素-10（IL-10）升高,但研究组低于对照组（P<0.05）。两组治疗后癌胚抗原(CEA)、糖类抗原199 ( CA199) 、糖类抗原724( CA724)下降,且研究组低于对照组（P<0.05）。研究组不良反应发生率低于对照组（P<0.05）。结论：艾迪注射液联合XELOX方案治疗晚期结直肠癌患者,可在一定程度上阻止肿瘤疾病进展,减轻免疫抑制,提高近期疗效,减少因药物副作用引起的不良反应,进而改善患者生活质量。     

鸦胆子油乳注射液辅助化疗对大肠癌根治术后患者的临床疗效观察

摘要 目的：探讨鸦胆子油乳注射液辅助化疗对大肠癌根治术后患者生活质量、肿瘤标志物以及复发转移指标的影响。方法：将我院自2018年10月至2020年3月间收治的78例经病理学确诊的大肠癌并行根治术的患者作为研究对象,按照患者自愿原则及耐受情况,将患者分为对照组和观察组,每组39例。对照组患者采用常规化疗方式,观察组在常规化疗基础上辅助鸦胆子油乳注射液治疗,14 d为一个疗程,连续治疗12个疗程。分析两组患者治疗前后生活质量（KPS）评分、肿瘤标志物（血清癌胚抗原(CEA)、糖类抗原199(CA-199)、神经元特异性烯醇化酶(NSE)）和复发转移指标（转化生长因子-β1(TGF-β1)、Smad4、血管内皮细胞生长因子(VEGF)）水平的变化。结果：观察组和对照组均能提高患者的生活质量,两组治疗后的对比分析显示,观察组结果更显著提高KPS评分（P<0.05）;治疗前两组患者肿瘤标志物和复发转移指标水平差异并无统计学意义（P>0.05）,治疗后两组肿瘤标志物CEA、CA-199、NSE水平均降低,观察组患者降低程度与对照组比较具有明显统计学差异性（P<0.05）;治疗后观察组患者TGF-β1和VEGF阳性率均降低,Smad4阳性率升高,观察组患者各指标降低或升高程度与对照组比较差异有统计学意义（P<0.05）。结论：鸦胆子油乳注射液辅助用于大肠癌根治术后化疗患者中,与常规的化疗方式比较,患者生活质量提高,降低复发转移的可能性,是临床值得采用的辅助化疗方式。     

加州鲈源鰤鱼诺卡氏菌的分离鉴定及致病性

[背景] 鰤鱼诺卡氏菌（Nocardia seriolae）是一种严重危害水产养殖业的病原菌,可引起以体表溃疡、出血及组织器官形成结节为特征的鱼类慢性肉芽肿疾病,目前尚无有效的防治方法。[目的] 明确引起安徽省临泉县某养殖场加州鲈（Micropterus salmonoides）结节病的病原菌,探讨其致病性,为该病的有效防治提供科学依据。[方法] 取肝脏结节病灶接种于TSB培养基分离优势细菌,利用表型检查结合分子生物学方法鉴定分离菌株。进一步通过检测分离菌株的毒力基因、测定其对加州鲈的半数致死量（LD₅₀）以及所感染加州鲈的组织病理学变化与组织载菌量,分析其致病性。[结果] 从病鱼体内分离到一株优势菌株NI,综合NI分离株的表型特性、16S rRNA基因序列与鰤鱼诺卡氏菌参考株相应序列的一致性以及特异性PCR扩增结果,确定其为鰤鱼诺卡氏菌。鰤鱼诺卡氏菌NI分离株携带毒力基因gapA、ibeA和mip,人工回归感染后加州鲈出现与自然病例相似的症状,其对加州鲈的LD₅₀为2.58×10⁶ CFU/尾。组织病理学观察到头肾、心脏、肝脏、胃和脾脏均出现慢性肉芽肿病变,肠管肌层疏松、肠绒毛脱落,肌肉组织中肌纤维疏松、间隙增宽。qPCR检测结果显示,组织中鰤鱼诺卡氏菌载量由高到低依次为头肾、心、肝、胃、脾、肠和肌肉。[结论] 鰤鱼诺卡氏菌是引起此次加州鲈结节病的病原菌,对该菌致病性的研究为加州鲈诺卡氏菌病的防控提供了理论依据。     

嗜热放线菌类群分类的研究IV．诺卡氏菌科嗜热种的研究

从亚热带地区土壤中分离出属于诺卡氏菌科的一些嗜热菌种,经52℃培养,通过形态、培养特征、生理生化特性及细胞壁组份等的研究,证明有与诺卡氏菌科菌种共同的特征,区别于这类菌的特性是嗜热性。本文报道属于3个属的4个新种：热黄色诺卡氏菌、Nocardia the-rmoflava n. sp.、热紫色诺卡氏菌 Nocardia thermoviolacea n. sp.、热酒红放线多孢菌Actinopolyspora thermovinacea n. sp.、热丁香类诺卡氏菌 Nocardioides thermolilacinus n. sp.。     

诺卡氏菌属中的两个新种

由土壤中分离的两株诺卡氏菌形放线菌A-100菌株和186菌株．经鉴定,其形态和细胞壁化学组分均属诺卡氏菌属,但培养特征和生理生化特性与该属中的已知种不同。因此认为这两株菌是诺卡氏菌属中的两个新种,并分别命名为鲜黄诺卡氏菌Nocardia galba n.sp和绛红色诺卡氏菌Nocardia purpurea n. sp.。     

类诺卡氏菌属的两个新种

根据71-N46等5株菌的基丝与气丝都形成横隔,并断裂为杆状、椭圆或球状,无鞭毛不运动的节段;细胞壁组份I型：DNA中GC克分子百分比为66．3％等,认为这5株菌应属于类诺卡氏菌属,除71-N46为这属的典型种白色类诺卡氏菌(Nocardioides albus Prauser)外,本文报道两个新种：黄色类诺卡氏菌新种(Nocardioidea flavus n. sp.)和情黄类诺卡氏菌新种(Nocardioides fulvus n. sp. )。     

六种藓类植物茎的比较解剖学研究

通过对6种藓类植物,即褶叶青藓(Brachythecium salebrosum(Web.et Mohr.)B.S.G.)、湿地匐灯藓(Plagiomnium acutum(Lindb.)Kop.)、侧枝匐灯藓(Plagiomnium maximoviczii(Lindb.)Kop.)、大凤尾藓(Fissidensnobilis Griff.)、大羽藓(Thuidium cymbifolium(Doz.et Molk.)B.S.G.)和大灰藓(Hypnum plumaeforme Wils.)嫩茎和老茎的石蜡切片和显微观察发现,同一藓类植株的嫩茎和老茎,茎结构稳定,不同种藓类植物茎横切面具有不同特征.植物体茎横切面形状、表层细胞的层数、细胞大小和细胞壁厚薄、皮层细胞大小和形状、中轴的有无以及比例等特征可以作为藓类植物的分科分类依据之一.     

Cause of Senescence of Nine Sorts of Flowers

The levels of endogenous phytohormones and respiratory rate in nine sorts of flowers such as Cymbidium faberi Rolfe, Nopalxochia ackermannii Kunth and others were investigated both at full bloom and senescence and meanwhile the effect of exogenous phytohormones on prolonging the blossoms and promoting ethylene production were tested. There is a high content of endogenous ethylene in all the long-lived flowere, about 3–16 folds higer than the short-lived ones. There is a high level of ABA at full blooming flowers of short-lived flowers, in which there is no or only some cytokinins in it, but the ratio of CTK (6BA+zeatin)/ABA is smaller(l.7). The endogenous ABA reached a much higher level at senescence in all nine sorts of flowers, so it is reasonable to consider that it is ABA which plays an important role of regulation in controlling flower's senescence. There is a much higher level of GA3 and zeatin in the long-lived flowers which is not demonstrated in the shortlived ones. The respiratory rate is one of the factors controtling the longevity of flowers, but it does not play a decided role. Application of 6BA and zeatin prolongs distinctly orchid’s longevity, however exogenous IAA through the promotive action on ethylene production, evidently extends the longevity of the flowers of the Nopalxochia ackermannii Kunth.     

龙胆科药用植物化学成分的研究现状

龙胆科植物在我国的分布范围很广,且多数为药用植物,其多数种属的药用植物,至今其化学成分尚未被系统研究。综述了目前龙胆科药用植物的化学成分的研究现状及一般提取方法,对近年来发现的环烯醚萜及裂环烯醚萜类化合物进行了总结,为本科药用植物的更深入研究提供了参考。     

真菌类遗传学分析的知识结构教学

本文以认知结构理论为指导,讨论了真菌类遗传分析与高等动植物遗传分析的内在联系,认为利用这种内在联系进行教学可收到好的效果并说明了作者的具体教学过程。 Abstract:In the paper, the relationship between genetic analysis of Fungi and genetic analysis of high animal and plant was discussed.A good results were obtained when we adopted this method in the teaching.     

The effects of glutamine of the maintenance of embryogenic cultures of Cryptomeria japonica

Summary Embryogenic tissues of sugi (Cryptomeria japonica) were induced on a modified Campbell and Durzan (CD) medium containing 1 μM 2,4-dichlorophenoxyacetic acid (2,4-D) and 600 mg l⁻¹ glutamine, and subcultured in the medium of the same composition for over 1 yr. This resulted in a mixed culture of embryogenic and non-embryogenic cells. When embryogenic cells were isolated and cultured independently, their capacity to form embryogenic aggregates was lost. Thus, the non-embryogenic cells present within a mixed culture system were essential to the formation of embryogenic aggregates. When embryogenic tissues were isolated and cultured independently on a high glutamine-containing (2400 mg l⁻¹) medium, dry weights and endogenous levels of glutamine increased, and the tissue could generate a large number of embryogenic aggregates. Amino acid analysis of embryogenic and non-embryogenic cells from the maintenance culture indicated a higher level of glutamine was present in the latter. The high endogenous level of glutamine in the non-embryogenic portion of mixed cell masses may be the supplier of glutamine for maintaining the embryogenic property of the tissues.     

Specificity of action of piperidylcholine derivatives as substrates of cholinesterases of various origin

The review deals with study of enzymologic properties of a novel highly specific acetylcholinesterase substrate, N-(β-acetoxyethyl) piperidinium iodomethylate (“piperidylcholine”), and its 30 derivatives that were tested as effectors of cholinesterases of mammals and various species of Pacific squids. It was proven for the first time that responsible for specificity of action was structure of cyclic ammonium grouping of the alcohol part of molecule of the ester substrate. Analysis of specificity is performed based on enzymatic hydrolysis parameters—activity of catalytic center of cholinesterases and bimolecular constant of the reaction rate that are determined at optimal and low substrate concentrations. Among the specially synthesized group of thioester compounds there is revealed one more highly specific acetylcholinesterase substrate—N-(β-acetoxyethyl) piperidinium.     

Photoregulation of seed germination of wild-type and of an aurea-mutant of tomato

Seed germination of an aurea mutant of tomato ( Lycopersicon esculentum Mill.) is promoted by continuous irradiation with red, far-red or long-wavelength far-red (758 nm) light as well as by cyclic irradiations (5 min red or 5 min far-red/25 min darkness). Far-red light applied immediately after each red does not change the germination behaviour. Seed germination of the isogenic wild-type, cv. UC-105, is promoted by continuous and cyclic red light while it is inhibited by continuous and cyclic far-red light and by continious 758 nm irradiation. Far-red irradiation reverses almost completely the promoting effect of red light. The promoting effect (in the aurea mutant) and the inhibitory effect (in the wild-type) of continuous far-red light do not show photon fluence rate dependency above 20 nmol m⁻² s⁻¹. It is concluded that phytochrome controls tomato seed germination throgh low energy responses in both the wild type and the au mutant. The promoting effect of continuous and cyclic far-red light in the au mutant can be attributed to a greater sensitivity to P_fr.     

医疗机构合理用药评价模型的构建研究

目的 针对医疗机构的合理用药水平进行评价研究。方法 根据医疗机构合理用药的具体要求,构建医疗机构合理用药评价指标体系,采用基于模糊群决策的方法和多指标评价分析法构建医疗机构合理用药评价模型。结果 构建了基于模糊群决策的医疗机构合理用药评价模型,并通过实例分析证明了评价模型的可行性。结论 建立的基于模糊群决策的医疗机构合理用药评价模型能够对医疗机构的合理用药水平进行科学评价,为提高医疗机构合理用药水平奠定基础。