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1.
目的:分析重组人血小板生成素(rh TPO)治疗血小板减少性紫癜(ITP)的临床疗效。方法:选取100例难治性ITP患者为研究对象,随机分作两组,即观察组50例,采用rh TPO治疗;对照组50例,采用达那唑治疗。比较两组疗效及不良反应。结果:观察组总有效率90%优于对照组72%,差异明显有统计学意义(P<0.05);输注rh TPO之后,有7例患者出现不良反应,主要包括血清丙氨酸氨基转移酶升高、乏力、头晕以及注射处疼痛等,症状较轻且自行缓解。结论:在难治性ITP的临床治疗中,rh TPO具有诸多优势,不仅安全,而且有效,临床疗效优于达那唑,能够实现对出血症状的理想控制,表现出了比较良好的临床应用价值以及前景。  相似文献   

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重组人血小板生成素在大肠杆菌中表达的研究   总被引:2,自引:0,他引:2  
采用化学法全合成了编码人血小板生成素(thrombopoietin,TPO)成熟肽N端153氨基酸的基因序列,构建基于该合成基因的表达质粒,结果以谷胱甘肽转硫酶-TPO153(GST-TPO153)融合蛋白的方式获得了占全菌蛋白40%的高效表达.进一步采用PCR方法分别对TPO合成基因及TPOcDNA的翻译起始区(TIR)序列进行定点突变,以降低这一区域的G-C含量.将突变序列分别插入到pBV220表达载体中,重组质粒在转化大肠杆菌JM109后,均获得了表达,其中TIR区突变后的合成基因表达产物约占全菌蛋白的15%.为研究基因下游结构对表达的影响,在不改变氨基酸组成的基础上,构建了TPO合成基因与TPOcDNA的杂合序列表达质粒.研究结果表明翻译起始效率是影响rh-TPO在大肠杆菌中表达的重要因素之一,同时基因下游序列的组成对表达水平也会产生影响.  相似文献   

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目的:比较血小板生成素与白介素-11治疗胃癌患者术后化疗血小板减少症的时效和安全性。方法:术后辅助化疗出现血小板计数低于75×109/L的进展期胃癌患者68例,将其分为TPO组与IL-11组,分别为35例和33例。分别皮下注射rhTPO 15000U,每日1次;rhIL-11 1.5 mg,每日1次,当血小板计数125×109/L或比用药前上升50×109/L,即停止给药,疗程最长为14天。每3天抽取外周静脉血2 m L,通过全自动血液分析仪测定血小板计数,密切观察出现的不良反应并记录。比较两组患者不同临床病理资料、血小板计数、血小板计数升至75×109/L和125×109/L的时程、药物不良反应。结果:两组患者年龄、性别、化疗方案、血小板最低值出现的化疗周期及临床病理分期的比较均没有统计学差异(P值均0.05)。TPO组与IL-11组血小板动态值的比较,第9天出现显著差异(P=0.032)。TPO组与IL-11组血小板计数恢复至75×109/L和125×109/L所需的时间,有显著差异(P=0.041,P=0.013)。TPO组中,有3例(8.6%)患者发生不良反应,IL-11组中,有13例(39.4%)患者发生不良反应,TPO组患者出现的不良反应少且较轻微(P=0.006)。结论:rhTPO治疗胃癌患者术后化疗血小板减少症时效快,安全性好。  相似文献   

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血小板生成素 (TPO)有望成为特异性治疗血小板减少症的理想药物 .对TPOcDNA离体细胞表达和基因治疗血小板减少症进行了初步尝试 :构建了pcDNA3 TPO高表达质粒 ,基因转移离体细胞 ,检测表达产物rhTPO具有完整的生物学活性 ;pcDNA3 TPO分别注射正常小鼠和血小板减少症小鼠 ,小鼠血浆中检测到rhTPO的表达 ,并且正常小鼠血小板水平上升至 1 .9倍 ,血小板减少症小鼠血小板降低的幅度减小、恢复的速度加快并达到原来值的 1 .8~ 2 .0倍 .该结果为TPO基因治疗血小板减少症提供了实验依据 .  相似文献   

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对表达重组人血小板生成素融合蛋白(rhTPO/GST)工程菌的发酵条件进行了较详细的研究,优化了影响工程菌发酵的条件,探讨了发酵条件对工程菌表达外源蛋白量的影响。结果发现采用复合培养基分阶段流加有机营养物,用异丙基硫代-B-D-半乳糖苷(IPTG)进行诱导,使rhTPO/GST融合蛋白的湿菌重达25g/L以上,表达水平约占菌体总蛋白的30%左右。在此基础上,建立了中试发酵生产工艺流程。  相似文献   

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应用基因克隆技术,以人TPOcDNA为目的基因,构建真核细胞表达重组体VRTPO,藉脂质体将其转染于NIH3T3细胞,应用PCR、RT-PCR及Western印迹等技术对其转染及表达情况进行鉴定.结果表明:VRTPO构建成功,在NIH3T3细胞可表达人TPO,为应用人TPOcDNA进行质粒DNA骨骼肌直接注射于动物体内的基因治疗研究奠定了基础  相似文献   

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本文应用常规淋巴细胞杂交瘤技术制备了4株能稳定分泌抗人重组红细胞生成素(rHuEPO)单克隆抗体(McAb)的小鼠杂交瘤细胞系:BⅡ1B5、DⅡ6B9、MⅡ1H4、GⅠ3E7,用鼠单克隆抗体分型试剂盒鉴定,其分泌的McAb的类型分别是:IgM、IgM、IgG1和IgG2a。间接ELISA法测定细胞上清的效价为1×10~(-2)~1.25×10~(-1),腹水效价为1×10~(?)~1×10~(?)。培养上清经ELISA鉴定,与IL-2、GM-CSF、IFN-α等细胞因子均无交叉反应。只与rHuEPO特异性结合。  相似文献   

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为了探讨重组人血小板生成素(recom binanthum an throm bopoietin,简称rhTPO)的生物学活性,采用了血浆凝块培养法,5-溴-2′-脱氧尿核苷(5-BrdU)掺入Dam i细胞DNA-酶联免疫吸附法,研究了rhTPO对巨核细胞系-Dam i细胞增殖的作用。结果发现, 在加有rhTPO的培养基中, Dam i细胞迅速增殖, 集落数量和吸光度值高于对照组。实验组rhTPO浓度为25, 50, 100, 200ng/m l, Dam i细胞集落增殖率分别为21.05% ,57.89% ,105.26% ,121.05% ,吸光度增加率分别为19.35% ,61.29% ,103.23% ,119.35% ,rhTPO促进Dam i细胞增殖的作用在一定范围内存在浓度依赖性。研究结果表明, rhTPO对Dam i细胞具有促进增殖的作用。  相似文献   

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An adult squirrel monkey with a history of long-term exposure to microwave radiation was found at necropsy to have a malignant tumor of the right cerebral cortex. Gross examination revealed a mass with expanding borders in the right frontoparietal cortex with compression of the adjacent lateral ventricle. Microscopy revealed a tumor composed of sheets of moderate-sized cells, resembling an oligodendroglioma, with clear cytoplasm and central nuclei interrupted by delicate vasculature. Malignant features were present in the form of marked nuclear pleomorphism, frequent mitotic figures, and focal necrosis. A neuronal cell origin for this tumor was supported by immunohistochemical analysis, which revealed immunopositivity for neurofilament proteins and neuron-specific enolase. Staining for vimentin and glial fibrillary acid protein was negative, except in reactive astrocytes at the tumor margins and adjacent to intra-tumoral blood vessels. Antibody activity against Ki-67 antigen, a marker of rapidly proliferating tumor cells, and p53 oncoprotein was strongly positive, indicative of the aggressive and malignant nature of this tumor. The tumor was diagnosed as a cerebral primitive neuroectodermal tumor.  相似文献   

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Background  A sub-optimal intrauterine environment alters the trajectory of fetal development with profound effects on life-time health. Altered methylation, a proposed epigenetic mechanism responsible for these changes, has been studied in non-primate species but not nonhuman primates. We tested the hypotheses that global methylation in fetal baboon demonstrates organ specificity, gestational age specificity, and changes with maternal nutritional status.
Methods  We measured global DNA methylation in fetuses of control fed (CTR) and nutrient restricted mothers fed 70% of controls (MNR) for brain, kidney, liver and heart at 0.5 and 0.9 gestation (G).
Results  We observed organ and gestation specific changes that were modified by maternal diet. Methylation in CTR fetuses was highest in frontal cortex and lowest in liver. MNR decreased methylation in 0.5G kidney and increased methylation in 0.9G kidney and frontal cortex.
Conclusion  These results demonstrate a potential epigenetic mechanism whereby reduced maternal nutrition has long-term programming effects on fetal organ development.  相似文献   

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A simple, well-tolerated surgical technique is described for development of a jejunal pouch in Macaca mukitta as a model for the delivery of antiparkinsonian drugs at a site distal to the stomach.  相似文献   

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An outdoor 9,000 sq. ft. playground connected to the indoor-outdoor runs of the breeding facility at Southwest Foundation for Biomedical Research was constructed to simulate a near natural environment for chimpanzees in biomedical research. It is divided into three 75 X 40 ft. compounds to allow several groups of animals to utilize the area simultaneously. Environmental enrichment devices have been added to improve physical and psychological well-being.  相似文献   

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BACKGROUND: Old World monkeys are considered more susceptible to tuberculosis (TB) than New World monkeys. Several cases of TB in baboons are described in the literature. The data regarding baboon reaction to the tuberculin skin test (TST) are controversial. Some authors described anergy in this species, while the others documented a positive reaction. CASE REPORT: An 8-year-old clinically healthy pregnant female baboon (Papio cynocephalus anubis) developed positive TST after 3 years of negative tests in captivity while not pregnant. Thoracic radiographs demonstrated three nodular densities in the lung. RESULTS: Histological examination of tracheobronchial lymph nodes revealed multiple coalescing pyogranulomas filled with caseonecrotic debris and mineralized foci with numerous large foreign body-type and Langhans-type multinucleated giant cells. The bacterial culture contained a slow growing Mycobacterium tuberculosis complex. CONCLUSIONS: We describe, to the best of our knowledge, the first case of a positive TST in a wild caught, pregnant baboon with latent infection after 3 years in captivity.  相似文献   

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Spontaneously occurring hydranencephaly was diagnosed at necropsy and confirmed histologically in two stillborn fetuses that were delivered from young female rhesus macaques (Macaca mulatta).  相似文献   

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An environmental enrichment device was designed and evaluated for captive chimpanzees. The puzzleboard consisted of a 61-cm, square piece of clear plastic with holes of various sizes drilled into the center. The puzzleboard was bolted to the roof of a chimpanzee enclosure. Flavored primate treats were arranged on top of the board, and the chimpanzee used a finger to manipulate the food across the board to be retrieved through the larger holes. The behavior and puzzle use of 29 chimpanzees housed in eight groups were evaluated while the device was empty and while filled with food. For each group, four 1-hr scan samples were recorded for each condition. Data showed that an average of 40 min elapsed from the time the puzzleboard was filled to the last recorded contact by a subject. Mean individual use ranged from 4.8 to 23.8 min/hr. Female chimpanzees used the puzzle significantly more often than did males. Aggressive, affiliative, inactive, and self-directed behaviors were significantly reduced when the puzzle was filled. In addition, the puzzleboard was inexpensive, sturdy, and easily constructed, mounted, and operated.  相似文献   

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A spontaneous melanotic ependymoma was observed in the brain of an adult female Goeldi's marmoset (Callimico goeldii). The mass completely occupied the left lateral ventricle, rupturing the fornix and corpus callosum, and compressing the adjacent neuropil. Special histochemical techniques, including melanin bleach, periodic acid-Schiff, Perls iron and phosphotungstic acid hematoxylin, demonstrated the neoplasms to be an ependymoma with a rare melanotic differentiation.  相似文献   

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