米非司酮对大白鼠子宫内膜抗着床作用的组织化学观察

３０只雌性ＳＤ大鼠分为五组,即Ａ组（阴性对照组）,Ｂ组（孕三烯酮阳性对照组１ｍｇ／ｋｇ）,Ｃ组（米非司酮实验组,Ｃｌ１２ｍｇ／ｋｇ,Ｃ２６ｍｇ／ｋｇ,Ｃ３３ｍｇ／ｋｇ）。用组织化学方法观察米非司酮对子宫内膜一氧化氮合成酶（ＮＯＳ）、琥珀酸脱氢酶（ＳＤＨ）、乳酸脱氢酶（ＬＤＨ）、酸性磷酸酶（ＡＣＰ）、硷性磷酸酶（ＡＬＰ）活性和糖原含量的影响。实验结果显示：ＮＯＳ,ＳＤＨ和ＡＬＰ活性较阴性对照组弱,ＬＤＨ和ＡＣＰ活性较阴性对照组强,糖原含量略低于阴性对照组。     

碱性成纤维细胞生长因子增加大鼠血管一氧化氮及内皮素的生成

研究碱性成纤维细胞生长因子（ｂａｓｉｃ ｆｉｂｒｏｂｌａｓｔ ｇｒｏｗｔｈ ｆａｃｔｏｒ,ｂＦＧＦ）对自发性高血压大鼠（ＳＨＲ）和ＷＫＹ大鼠血管一氧化氮（ＮＯ）及内皮素生成的影响。取ＳＨＲ和ＷＫＹ大鼠主动脉制成血管薄片,以１０、１００ｎｇ／ｍｌ ｂＦＧＦ（终浓度）分别孵育６ｈ,测定血管组织中一氧化氮合酶（ＮＯＳ）活性及孵育液中亚哨酸盐（ＮＯ２）和内皮素含量。结果显示：ＳＨＲ主动脉组织ＮＯＳ活性较Ｗ     

大鼠浸水应激性胃粘膜损伤机制的研究

本工作观察了室温下单纯束缚加生理盐水,浸水应激加生理盐水,浸水应激加阿托品(0.5mg/kg),浸水应激加酚苄明(10mg/kg),浸水应激加戊巴比妥钠(30mg/kg)5组大鼠的胃粘膜损伤程度,胃酸分泌,胃壁结合粘液分泌和胃运动的变化。结果表明:大鼠浸水应激后胃粘膜损伤严重,胃酸分泌增加,胃壁结合粘液分泌减少,胃运动亢进;预先应用阿托品再浸水应激可显著减轻胃粘膜损伤程度,抑制胃酸分泌和胃运动,但增加胃壁结合粘液的分泌;预先应用应巴比妥钠亦显著减轻胃粘膜损伤程度,抑制胃运动和增加胃壁结合粘液的分泌,但对胃酸分泌无影响;预先应用酚苄明对胃粘膜损伤程度、胃酸分泌、胃壁结合粘液分泌和胃运动均无明显影响。上述结果提示,胃运动亢进、胃壁结合粘液分泌减少及胃酸分泌增加均不同程度地参与了浸水应激性胃粘膜损伤的形成,但在胃运动受到抑制及胃壁结合粘液分泌增加的情况下,仅胃酸的存在不致引起胃粘膜严重损伤。     

大鼠胃肌间神经丛中NOS阳性神经元的组织化学研究

采用ＮＡＤＰＨ┐黄递酶（ＮＤＰ）组织化学技术在整装铺片上对大鼠胃肌间神经丛中一氧化氮合酶（ＮＯＳ）阳性神经元进行定量和定位研究。结果显示：大鼠胃肌间神经丛中ＮＯＳ阳性神经元密度（个／ｍｍ２）分别为：６２．１±３７．７（幽门部）、４３．４±３１．７（胃体）、３１．６±２７．８（胃底）。胃底部神经节内神经元数量较少,神经元胞体较大,染色较深;幽门部神经节内神经元数量较多,胞体大小不等,染色深浅不一;胃体部的则介于两者之间,呈过渡态。结果表明：胃各部肌间神经丛中ＮＯＳ阳性神经元的差异可能与胃的生理功能密切相关     

左旋精氨酸对低氧性肺动脉高压治疗作用的实验研究

目的：探讨结构型一氧化氮合酶（ｃＮＯＳ）,内皮素－１（ＥＴ－１）在低氧性肺动脉高压（ＨＰＨ）发病中的机制及左旋精氢酸（Ｌ－Ａｒｇ）对ＨＰＨ的治疗作用。方法：３０只健康雄性ＳＤ大鼠平均分为三组：正常对照组（ＮＣ组）、低氧组（ＨＰ组）、低氧左旋精氨酸治疗组（ＬＴ组）。后组每日低氧前给予２００ｍｇ／ｋｇ Ｌ－Ａｒｇ。于低氧２１ｄ检测运动血流动力学,肺组织ＮＯ、ＥＴ－１含量,肺动脉内皮ｃＮＯＳ含量的改变,     

束缚应激对大鼠下丘脑室旁核、视上核一氧化氮合酶活性的影响

目前已知下丘脑是应激反应的关键性调节中枢,下丘脑内一氧化氮是否参与应激反应尚未见报道。本文运用ＮＡＤＰＨ－ｄ酶组化技术和计算机图象分析方法,对束缚应激大鼠下丘脑室旁核（ＰＶＮ）和视上核（ＳＯＮ）一氧化氮合酶（ＮＯＳ）阳性神经元的相对切面面积和平均灰度进行了分析。结果显示,大鼠在急性束缚应激４小时后,其下丘脑ＰＶＮ和ＳＯＮ内的ＮＯＳ阳性神经元的平均灰度值与正常大鼠比较均明显降低（Ｐ＜０．００１）;ＳＯＮ的ＮＯＳ阳性神经元的相对切面面积明显大于正常大鼠（Ｐ＜０．００１）,但ＰＶＮ的ＮＯＳ阳性神经元的相对切面面积未见明显改变（Ｐ＞０．０５）。以上结果说明束缚应激使大鼠下丘脑ＰＶＮ和ＳＯＮ的ＮＯＳ活性增强     

胍基丁胺对大鼠血流动力学的影响及其细胞机制

在麻醉大鼠研究静注胍基丁胺（ＡＧＭ）对血流动力学的影响,并初步探讨其机制。结果如下：（１）静注ＡＧＭ（１０ｍｇ／ｋｇ）后,ＨＲ,ＭＡＰ,ＬＶＰ,±ＬＶｄｐ／ｄｔｍａｘ,ＣＩ和ＴＰＲＩ均明显下降;（２）预先静注ＮＯＳ抑制剂ＬＮＮＡ（１５ｍｇ／ｋｇ）或腹腔内注射鸟苷酸环化酶抑制剂亚甲基蓝（５０ｍｇ／ｋｇ）,均不能阻断ＡＧＭ的降压作用;（３）预先静注咪唑啉受体和α２肾上腺素能受体阻断剂ｉｄａｚｏｘａｎ（２ｍｇ／ｋｇ）则可明显阻抑ＡＧＭ的降压效应。以上结果表明,ＡＧＭ对麻醉大鼠的降压机制,在于显著抑制心肌收缩性而使心输出量降低,以及舒张外周血管致使总外周阻力下降;此效应似主要由ＩＲ和／或α２ＡＲ所介导。     

肾上腺素受体拮抗剂对大鼠急性肝损害影响的研究

雄性ＳＤ大鼠３３只,体重１８０—２５０ｇ,随机分成四组。正常对照组６只;哌唑嗪组８只,于实验第１、２、３日上午用哌唑嗪灌胃（１ｍｇ／ｋｇ体重）共３次,第２日下午腹腔注射半乳糖胺（６００ｍｇ／ｋｇ体重）１次,第４日上午处死动物,取肝脏及血清作有关检查;普萘洛尔组及Ｎ．Ｓ对照组分别用普萘洛尔（２ｍｇ／ｋｇ体重）及Ｎ．Ｓ（１０ｍｌ／ｋｇ体重）代替哌唑嗪灌胃,处理程序同哌唑嗪组。结果表明：一、哌唑嗪能显著减轻肝脏病变及血清ＡＬＴ的升高。二、哌唑嗪对肝损害后肝组织ＳＤＨ、Ｍｇ２＋－ＡＴ－Ｐａｓｅ、ＣｈＥ、ＡＣＰ、ＣＣｏ等酶活性的恢复有显著效果。三、哌唑嗪组ＬＰＯ明显低于Ｎ．Ｓ对照组（Ｐ＜０．０１）而ＳＯＤ活性明显高于Ｎ．Ｓ对照组（Ｐ＜０．０１）。普萘洛尔组各项指标同对照组比较均无显著差异（Ｐ＞０．０５）。提示：哌唑嗪对大鼠实验性肝损害有一定的保护作用。     

二甲基亚砜对大鼠浸水应激性胃溃疡的影响

已有资料表明二甲基亚砜(DMSO)具有抗应激性溃疡作用。Cochran等报道大鼠口服95％DMSO可抑制冷束缚应激引起的胃粘膜损伤。另有报道证实DMSO可抑制休克应激引起的胃溃疡的发生。但DMSO对大鼠浸水应激性溃疡的影响目前尚未见报道,本工作旨在探讨DMSO对大鼠浸水应激性溃疡的影响及其机制。     

脂多糖对离体培养大鼠血管平滑肌细胞增殖的影响

本研究观察到１０－７～１０－５ｋｇ／Ｌ脂多糖（ｌｉｐｏｐｏｌｙｓａｃｈａｒｉｄｅ,ＬＰＳ）可显著促进血管平滑肌细胞（ＶＳＭＣ）的增殖及ＤＮＡ的合成（Ｐ＜００５）。５×１０－４～１０－３ｋｇ／ＬＬＰＳ却抑制ＶＳＭＣ的增殖及ＤＮＡ的合成,降低其活力（Ｐ＜００１）,并呈时间依赖效应。一氧化氮合酶抑制剂ＮＮｉｔｒｏＬＡｒｇｉｎｉｎｅ（ＬＮＮＡ）可拮抗ＬＰＳ的抑制作用。大剂量ＬＰＳ作用组ＶＳＭＣ上清液中一氧化氮（ＮＯ）代谢产物ＮＯ－３和ＮＯ－２的含量与对照组相比显著增加（Ｐ＜００１）,４８ｈ组比２４ｈ组增加９１％,７２ｈ组比４８ｈ组增加４５％;同时,诱导性一氧化氮合酶（ｉｎｄｕｃｔｉｖｅｎｉｔｒｉｃｏｘｉｄｅｓｙｎｔｈａｓｅ,ｉＮＯＳ）免疫组化染色呈阳性。结果表明,低浓度ＬＰＳ促进ＶＳＭＣ增殖和ＤＮＡ合成,而高浓度ＬＰＳ却明显抑制ＶＳＭＣ增殖和ＤＮＡ合成,降低其活力。这种抑制作用可能与ＬＰＳ诱导ＶＳＭＣ产生的ＮＯ有关。     

Presence of cancer cells in gastric lavage of gastric cancer patients as an indicator of advanced disease,predictor of tumour aggressive phenotype and independent prognostic factor for poor survival: The endoluminal metastatic pathway of gastric cancer and GL0/GL1 classification

Objective

As of 2017, the pathobiology of gastric cancer (GC) is far from fully understood; consequently, new methods of basic and advanced research have been proposed and tested. The presence (GL1) vs absence (GL0) of malignant cells exfoliated in gastric lavage (GL) of GC patients was formerly evaluated with diagnostic intent but not for staging or prognostic assessment. We investigated this hitherto unreported application of cytopathology.

Methods

GL was preoperatively and prospectively collected from 80 GC patients and cytologically analysed. The results were compared with the classic clinicopathological features of GC and related to survival. The prognostic value of GL1 was assessed through univariate and multivariate analyses.

Results

GL1 was detected in 36 samples (45%) and correlated with advanced tumour depth (T3‐T4), lymphatic metastasis (N+), distant metastasis (M1) and lymphovascular invasion (LVI1; P=.0317, .0024, .003 and .0028, respectively). Overall survival (OS) was significantly shorter for GL1 (23 months) vs GL0 patients (42 months; P=.005) and GL1 vs GL0 T1 subjects (12.6 vs 47.8 months, P=.0029). Univariate analysis revealed that GL1, N+, M1, LVI1 and advanced stage were significantly associated with OS. Multivariate analysis assessed GL1 as the only independent prognostic factor for worse OS and progression‐free survival (P=.0013 and .0107).

Conclusions

In the present study, GL1 was correlated with advanced disease, aggressive tumour behaviour and poor prognosis. Although additional studies are needed to confirm these findings, the GL0/GL1 classification can be applied to GC patients to achieve higher accuracy in staging, prognostic stratification and treatment selection.     

Alterations of Gastrointestinal Motility in Obesity

All nutrients are absorbed in the gastrointestinal (GI) system, and GI motility plays a very critical role in the consumption of foods, digestion, and absorption of nutrients. Various segments of the GI tract (esophagus, stomach, and intestines) coordinate in a complex yet precise way to control the process of food consumption, digestion, and absorption of nutrients. GI motility not only regulates the rates at which nutrients are processed and absorbed in the gut but also participates in the control of appetite and satiety. Altered GI motility has been associated with various disease conditions (gastroparesis, etc.) and has been frequently observed in obese patients. The significance of these GI motility alterations in obesity is not fully understood, but they have been considered as potential contributing factors in the development and maintenance of obesity and changed eating behavior. Therapies aimed at regulating GI motility are being actively explored and applied clinically for the management of obese patients. To better understand the pathophysiology of obesity, we systematically reviewed GI motility changes observed in obese conditions. The relationship and pathological significance of these findings, as well as the potential therapies by modification of GI motility, are also discussed.     

Effect of stress on the antioxidant enzymes and gastric ulceration

The effect of cold-restraint stress on the antioxidant enzymes of the rat gastric mucosa was studied with a view to finding out their role in stress induced gastric ulceration. Histological examination revealed stress induced extensive damage of the surface epithelial cell with lesions extending upto submucosa in some cases. Stress causes time-dependent increase in histamine and pepsin content but decrease in acid content of the gastric fluid with the progress of ulceration (ulcer index) for two hours. The tissue lipid peroxidation was significantly increased as evidenced by accumulation of malondialdehyde. Since lipid peroxidation results from the generation of reactive oxygen species, stress effect was studied on some antioxidant enzymes such as superoxide dismutase, peroxidases and prostaglandin synthetase as a function of time. The time dependent increase in stress ulcer correlates well with the concomitant increase in superoxide dismutase activity and decrease in peroxidase and prostaglandin synthetase activity. This creates a favourable condition for accumulation of endogenous H₂O₂ and more reactive hydroxyl radical (OH·). Administration of antioxidants such as reduced glutathione or sodium benzoate prior to stress causes significant decrease in ulcer index and lipid peroxidation and protection of gastric peroxidase activity suggesting the involvement of reactive oxygen species in stress induced gastric ulceration. This is supported by thein vitro observation that OH· can also inactivate peroxidase and induce lipid peroxidation. As prostaglandin is known to offer cytoprotection, stress-induced loss of prostaglandin synthetase activity appears to aggravate the oxidative damage caused by reactive oxygen species.Abbreviations ROS reactive oxygen species - GPO gastric peroxidase - SOD superoxide dismutase - MDA malondialdehyde - GSH reduced glutathione - TCA trichloroacetic acid     

巯基物质在消炎痛诱发大鼠胃粘膜损伤中的作用

本工作研究了巯基物质在消炎痛引起大鼠胃粘膜损伤中的可能作用。在胃粘膜损伤发生过程中、胃粘膜内非蛋白及蛋白结合的巯基物质含量均无明显降低。虽然半胱胺灌胃(132或264μmol)或皮下注射(132μmol)后均明显抑制消炎痛溃疡的发生,其抑制率分别为82％,92％和75％,但同样具有巯基的半胱氨酸却无保护作用。半胱胺(132μmol)皮下注射可使消炎痛大鼠胃酸分泌抑制46％,而灌胃则无此作用。两种途径给予的半胱胺均不影响胃壁结合粘液的分泌。这些结果表明,胃粘膜内巯基物质似不参与消炎痛的致溃疡过程。半胱胺在此种模型上虽有强烈的细胞保护作用,但似乎不是由于其分子上所带的巯基所致。因此,巯基物质在消炎痛引起的胃粘膜损伤模型上没有细胞保护作用。     

Filamentous organisms in benign and malignant gastric cytology brushings

Review of 143 gastric brushing specimens from two centres in patients with a subsequent histological diagnosis on biopsy or gastrectomy specimens revealed filamentous organisms (FOs) in a large number of benign and malignant gastric brushings. The presence of FOs in significant numbers of brushings of benign gastric lesions contradicts the previously reported strong association of FOs with only gastric carcinoma, and questions the importance of finding these organisms in gastric brushing and biopsy material.     

Immune and proliferative cellular responses to Helicobacter pylori infection in the gastric mucosa of Mexican children

BACKGROUND: Helicobacter pylori infection occurs mostly during childhood, but few studies on this age group have addressed the innate immune and the proliferative response to this infection. Mexico has a high H. pylori prevalence in children, but a low risk of gastric cancer. The aim of this work was to study the cellular responses of the gastric mucosa to this infection in Mexican children. METHODS: Antral and corpus gastric biopsies were obtained from 44 H. pylori-infected children (mean age 12 +/- 3.2 years) and 44 uninfected children (mean age 10 +/- 3 years). Mucosal cellular responses were studied by immunohistochemistry, using anti-Ki67 antibodies for proliferation studies, antihuman tryptase for mast cells, and antihuman CD68 for macrophages. T and B lymphocytes were stained with a commercial integrated system. The intensity of cellular responses was estimated histologically using the software KS300. RESULTS: Epithelium proliferation and infiltration of macrophages and T and B lymphocytes were significantly higher in H. pylori-infected than in uninfected children. A balanced increase of CD4, CD8, and CD20 lymphocytes was observed in infected children. However, activated mast cells were decreased, and infiltration of neutrophil and mononuclear cells was low. Epithelial proliferation was associated with polymorphonuclear infiltration but not with infiltration of macrophages or lymphocytes. Inflammation and proliferation was higher in CagA (+)-infected children. CONCLUSIONS: Mexican children respond to H. pylori infection with a low inflammatory response, a balanced increase of T and B lymphocytes, and a high regenerative activity.     

Helicobacter pylori infection increases cell kinetics in human gastric epithelial cells without adhering to proliferating cells

We investigated the effect of H. pylori infection on cell proliferation of gastric mucosa using immunostaining for H. pylori or Ki67. H. pylori cells attached to surface mucous cells covering luminal surface and the upper part of gastric foveolae, and up-regulated the proliferative activity of gastric epithelial cells without adhering to the proliferating epithelial cells.     

The response of plasma gastric-inhibitory polypeptide (GIP) to slow and fast glucose ingestion in Billroth II resected patients and normal controls

Eight Billroth II resected patients and 8 normal controls were given two oral glucose loads, one ingested within 2 min, and the other ingested slowly over 80 min. In the Billroth II resected group, the integrated plasma GIP release was significantly higher after the fast than after the slow glucose ingestion. In this group the integrated plasma GIP release was also significantly higher than in the control group, but only after the fast glucose ingestion. These findings indicate that the rate of glucose delivery into the intestine may be of importance in the plasma GIP response to oral glucose.     

人胃癌细胞一种高表达基因的克隆及序列测定

采用DDRT-PCR法,以人胃上皮细胞GES-1为对照,从人胃癌细胞SGC-7901中克隆高表达基因,并对所克隆的基因进行斑点杂交分析, 序列测定,序列相似性分析及开放读框分析.斑点杂交分析结果表明所获克隆YA61为人胃癌细胞SGC-7901中高表达基因.序列相似性分析结果表明该基因序列为一新基因序列.GenBank收录号为AF220415.开放读框分析结果表明该基因序列有一完全开放读框.