SHIP1在急性髓细胞白血病患者中的表达及对人白血病细胞凋亡的影响研究

目的:探讨含SH2结构域的肌醇1(SHIP1)在急性髓细胞白血病患者中的表达及对人白血病细胞凋亡的影响。方法:采用Western blot检测收集的急性髓细胞白血病患者骨髓中SHIP1的表达。人白血病细胞U937转染SHIP1过表达载体(pEGFP-SHIP1组)及对照空载体(pEGFP组),同时设置对照组,对照组细胞不转染载体,其他步骤同pEGFP-SHIP1组和pEGFP组。流式细胞仪检测48 h的细胞凋亡情况,Western blot检测48 h细胞中SHIP1、Bcl-2、Bax、Akt、p-Akt的表达。结果:急性髓细胞白血病患者骨髓中SHIP1表达明显低于正常人(P0.05)。pEGFP-SHIP1组细胞中SHIP1、Bax表达和凋亡率均明显高于pEGFP组及对照组(P0.01),Bcl-2、p-Akt表达均明显低于对照组(P0.01)。结论:SHIP1在急性髓细胞白血病患者骨髓中表达下调,其可能通过Akt信号促进人白血病细胞凋亡。     

急性心肌缺血再灌注与细胞凋亡

细胞死亡有两种形式,即坏死和凋亡（ａｐｏｐｔｏｓｉｓ）。近年研究发现细胞凋亡是急性心肌缺血和再灌注过程中心肌细胞死亡的机制之一,因此,深入研究急性心肌缺血再灌注时心肌细胞的凋亡,对急性心肌缺血再灌注损伤的防治有着十分重要的意义。本文拟就急性心肌缺血再...     

肠道病毒与细胞凋亡的关系

肠道病毒可导致多种疾病，严重损害机体健康。为抵抗病毒侵染，宿主会利用细胞凋亡清除被感染的细胞和病毒。肠道病毒在与宿主细胞的斗争中，进化出了平衡细胞凋亡的策略以利于自身的复制和传播。本文讨论了几种肠道病毒调节细胞凋亡的途径，为进一步阐明肠道病毒急性感染相关机制和抗病毒药物的研发提供了理论基础。     

早幼粒细胞诱导凋亡过程中Bcl-2动态平衡表达

细胞凋亡机制的探索对于急性早幼粒细胞白血病治疗至关重要。B细胞淋巴瘤-2(B-cell lymphoma-2,Bcl-2)基因家族是调控细胞凋亡的关键基因。拮抗和促进细胞凋亡的动态平衡决定细胞的命运。本研究通过对凋亡相关基因的表达水平与细胞生长趋势的分析表明,高三尖杉酯碱与全反式维甲酸联合处理细胞可以更有效地促进早幼粒细胞凋亡(P<0.05)。随着药物浓度变化,Bcl-2与相关基因的表达呈现先升高后降低的趋势(P<0.05)。低浓度药物处理时,抗凋亡蛋白质Bcl-2表达升高,阻止细胞凋亡(P<0.05)。随药物浓度的升高,Bcl-2表达降低,细胞凋亡率提高,进入深度凋亡期(P<0.05)。荧光显微镜观察与流式细胞术的方法验证了细胞凋亡的情况。本研究进一步阐明了高三尖杉酯碱联合全反式维甲酸诱导早幼粒细胞凋亡过程中,Bcl-2及细胞凋亡与增殖的相关基因表达水平的变化与分子机制,为深入探索药物联合诱导凋亡提供可靠支持,为临床治疗做出基础理论的补充。     

缺氧预处理神经干细胞移植对大鼠急性脊髓损伤后神经胶质细胞凋亡及脊髓空洞形成的影响

目的:研究缺氧预处理神经干细胞(NSCs)移植对大鼠急性脊髓损伤(ASCI)后神经胶质细胞凋亡及脊髓空洞形成的影响。方法:将30只SD大鼠分为假手术对照组;脊髓损伤组;去铁敏组;普通NSCs组;缺氧预处理NSCs组。制成脊髓损伤模型,移植后观察脊髓神经胶质细胞凋亡情况及脊髓空洞形成情况。结果:经去铁敏缺氧预处理培养的NSCs与常规培养的NSCs无明显形态学变化。移植术后7d,缺氧预处理NSCs移植能显著减少脊髓损伤周围区神经胶质细胞的凋亡数量,减少脊髓空洞形成。结论:缺氧预处理NSCs移植能明显抑制大鼠急性脊髓损伤后神经胶质细胞凋亡,减少脊髓空洞的形成。     

Desmosdumotin-C A环衍生物TEP诱导HL-60细胞凋亡作用机制研究

本研究主要探讨毛叶假鹰爪素C(Desmosdumotin C)A环衍生物TEP诱导人急性白血病HL-60细胞凋亡作用及机制。流式细胞技术检测TEP诱导细胞凋亡及其对凋亡细胞中Fas、Fas L、Bax、Bcl-2表达率的影响,透射电镜观察凋亡细胞形态学改变。结果显示40μg/m L TEP作用细胞24 h后,细胞可呈现典型的凋亡形态学变化;40μg/m L TEP可明显提高凋亡细胞中Fas、Fas L、Bax的表达(P0.05),并可明显降低抗凋亡细胞Bcl-2的表达(P0.05)。以上实验结果表明毛叶假鹰爪素C(Desmosdumotin C,Des C)A环衍生物TEP可有效地诱导HL-60细胞凋亡,其作用机制可能与上调Fas、Fas L、Bax表达以及下调Bcl-2表达有关。     

缺氧预处理神经干细胞移植对大鼠急性脊髓损伤后神经胶质细胞凋亡及脊髓空洞形成的影响

目的:研究缺氧预处理神经干细胞(NSCs)移植对大鼠急性脊髓损伤(ASCI)后神经胶质细胞凋亡及脊髓空洞形成的影响.方法:将30只SD大鼠分为假手术对照组;脊髓损伤组;去铁敏组;普通NSCs组;缺氧预处理NSCs组.制成脊髓损伤模型,移植后观察脊髓神经胶质细胞凋亡情况及脊髓空洞形成情况.结果:经去铁敏缺氧预处理培养的NSCs与常规培养的NSCs无明显形态学变化.移植术后7d,缺氧预处理NSCs移植能显著减少脊髓损伤周围区神经胶质细胞的凋亡数量,减少脊髓空洞形成.结论:缺氧预处理NSCs移植能明显抑制大鼠急性脊髓损伤后神经胶质细胞凋亡,减少脊髓空洞的形成.     

三尖杉酯碱诱导的HL-60细胞凋亡的钙调节

三尖杉酯碱 (harringtonine ,HT)是一种对急性粒细胞白血病、急性单核细胞白血病有良好疗效的抗癌药物 ,可在很宽的剂量范围内迅速诱导HL -6 0细胞凋亡 .细胞外钙离子螯合剂EGTA不抑制抗癌药物HT、喜树碱 (campothecin ,CAM )诱导的-细胞凋亡 ;而细胞内Ca ²⁺螯合剂BAPTA AM却可抑制该过程 .与此相一致 ,HT和CAM也不能诱导胞内Ca ²⁺已排空的HL -6 0细胞凋亡 ,说明HT ,CAM诱导的HL- 6 0细胞凋亡依赖于胞内Ca ²⁺但是HT ,CAM诱导HL -6 0细胞凋亡过程中胞内自由Ca ²⁺浓度变化不大 .利用视频反差增强显微术 (videoenhance mentcontrastmicroscopy ,VEC)研究了单个HL- 6 0细胞凋亡过程中胞内Ca ²⁺分布的动态变化 ,结果表明HT诱导HL -6 0细胞凋亡过程存在胞内Ca ²⁺由胞质向核的位移 .     

G—CSF对大鼠脊髓损伤后神经细胞凋亡及caspase-3表达的影响

目的：通过观察粒细胞集落刺激因子（G—CSF）对大鼠急性脊髓损伤后神经细胞凋亡及Caspase-3的表达的影响,探讨其对脊髓保护的作用机制。方法：32只Vistar大鼠随机分成2组：对照组和治疗组,每组16只,采用改良的Allen’s装置制成大鼠急性脊髓损伤模型。在术前及术后对大鼠进行BBB功能评分观察大鼠的神经功能变化;用免疫荧光法检测脊髓损伤后个时间点Caspase-3表达;原位脱氧核糖核苷酸末端转移酶介导的缺口末端标记法（Tunel法）检测凋亡细胞。结果：大鼠急性脊髓损后Caspase-3表达与细胞凋亡均呈现先升高后下降的趋势,损伤后3d可见大量的Caspase-3和TUNEL阳性细胞,7d时达到高峰,此后表达逐渐减少,21d时仍可见少量阳性细胞。与对照组比较,G—CSF治疗组各时间点Caspase-3表达和细胞凋亡显著降低,功能恢复显著优于对照组,差异具有统计学意义。结论：G-CSF可以减轻大鼠脊髓损伤后的神经元凋亡,从而发挥神经保护作用,其作用可能是通过抑制Caspase-3的表达使脊髓损伤周围神经细胞凋亡显著下降而实现的。     

IL-12诱导急性单核细胞白血病细胞分化及凋亡的机制研究

白细胞介素-12(interleukin-12,IL-12)具有明显的抗肿瘤作用,但其作用机制较复杂。前期形态学和功能的研究发现,IL-12可诱导单核细胞白血病细胞分化。该研究从巨噬细胞表面分化标志、细胞增殖能力、周期以及凋亡四个方面探讨了IL-12诱导急性单核细胞白血病细胞分化和凋亡的相关作用机理。结果发现,以人源性重组IL-12 p70处理的THP-1细胞,巨噬细胞表面标志CD68和CD11b的表达量明显增加并呈时间依赖性,CD68+和CD11b+阳性细胞数也显著增多;IL-12诱导分化过程中伴有THP-1细胞生长缓慢、G1期或G1/S期细胞周期阻滞现象;IL-12处理后的THP-1细胞凋亡率也明显增加,以早期凋亡细胞为主,并伴有抗凋亡蛋白Bcl-2表达下调及促凋亡蛋白Fas表达增加。上述实验结果提示,IL-12对于急性单核细胞白血病可通过诱导肿瘤细胞向成熟巨噬细胞分化,抑制细胞增殖以及增加细胞凋亡来发挥抗肿瘤作用。     

Differential Renal Function Studies in the Diagnosis of Renal Hypertension

Over a 10-year period, positive criteria of the Howard test and the Rapoport Index have shown consistently good correlation with sustained relief or marked improvement in hypertension, in patients with main renal artery lesions. Similar correlation was obtained with ischemic criteria from histopathologic studies.Differential function studies did not reveal positive ischemic criteria in any patient operated upon for unilateral parenchymal disease. Histopathologic criteria of ischemia were also infrequent in this group. Nevertheless, marked improvement or cure of hypertension occurred in 62% of the latter. No factor can be used to predict improvement in this type of renal hypertension. Differential renal function criteria may occasionally appear to indicate renal artery ischemia in the more normal kidney in patients with unilateral parenchymal renal disease; wrong interpretation is avoided by taking differential creatinine clearance into account. Until vasopressor substances can be easily measured and accurately interpreted, aortography is indicated in selected patients.     

Renal Function and Hematology in Rats with Congenital Renal Hypoplasia

Renal hypoplasia due to a congenitally reduced number of nephrons progresses to chronic kidney disease and may cause renal anemia, given that the kidneys are a major source of erythropoietin in adults. Hypoplastic kidney (HPK) rats have only about 20% of the normal number of nephrons and develop CKD. This study assessed the renal function and hematologic changes in HPK rats from 70 to 210 d of age. HPK rats demonstrated deterioration of renal excretory function, slightly macrocytic erythropenia at all days examined, age-related increases in splenic hemosiderosis accompanied by a tendency toward increased hemolysis, normal plasma erythropoietin levels associated with increased hepatic and decreased renal erythropoietin production, and maintenance of the response for erythropoietin production to hypoxic conditions, with increased interstitial fibrosis at 140 d of age. These results indicate that increases in splenic hemosiderosis and the membrane fragility of RBC might be associated with erythropenia and that hepatic production of erythropoietin might contribute to maintaining the blood Hgb concentration in HPK rats.Abbreviations: CKD, chronic kidney disease; HGN, hypogonadism; HPK, hypoplastic kidneyApproximately 10% to 13% of the general population has chronic kidney disease (CKD), including an estimated 13.3 million people in Japan.^13,15,20 Moreover, more than 1.1 million patients worldwide require maintenance dialysis, and that number continues to increase.²⁴ Determining the pathogenesis of CKD, identifying clinical makers of early stages of CKD, and developing effective methods to treat CKD are required, especially given that CKD has been reported to be a risk factor for cardiovascular disease, with high mortality rates.^11,13,15 Patients with CKD are frequently anemic, due to a low level of erythropoietin and inhibition of erythropoiesis.^12,27 The decreased production of erythropoietin may result from the transdifferentiation of interstitial fibroblasts to myofibroblasts, resulting in increased production of extracellular matrix in the kidneys.^4,29 The number of nephrons in the kidneys at birth varies greatly,^5,19 and a congenital reduction in number of nephrons is thought to be related to the occurrence and prognosis of CKD.^9,17,18,21 Therefore, a CKD animal model with a reduced number of nephrons is useful for studying the pathophysiology of and treatments for CKD.Affected rats in the hypogonadism (HGN) inbred strain are characterized by male sterility due to hypogonadism,^37,41 reduced female fertility due to ovarian hypoplasia,^30,31 and progressive renal dysfunction due to bilateral hypoplastic kidneys (HPK).^32,33 These defects are controlled by a single autosomal recessive gene, hgn.^38,40 Linkage analysis and sequencing of candidate genes revealed a 25-bp duplicated insertion mutation in exon 7 of Astrin/Spag5, which encodes a microtubule-associated protein.³⁹ Because this mutation causes a premature terminal codon resulting in a truncated Astrin protein that lacks the primary spindle-targeting domain, the cause of the phenotype is considered to be a loss-of-function type mutation of the Astrin gene.^38,39 The recovery of normal fertility and renal function in homozygous mutant rats by a transgene comprising normal Astrin cDNA indicates that Astrin is required for normal testicular and renal development.²²The HGN strain was isolated from the sixth filial generation of a polygenic hydronephrotic rat strain derived from the original stock of the Wistar–Imamichi rat closed colony.⁴¹ Because the occurrence of hydronephrosis would influence renal development and function, we established another hypogonadism strain (HGN II) that was directly derived from the original closed colony.³⁶ The HGN II strain has been maintained by inbreeding between carriers, and the mutated gene responsible for the phenotype in the HGN II strain is identical to that in the HGN strain.³⁹ The affected rats of the HGN II strain show a similar phenotype as that of the HGN strain with regard to hypogonadism and HPK.^35,36Although male HPK rats in the HGN and HGN II strains have only about 20% of the nephrons present in normal kidney, the total glomerular filtration rate per kidney is compensated by hyperfiltration of individual glomeruli.^32,36 However, continuous glomerular hyperfiltration and functional overload of individual nephrons can result in a deterioration in renal excretion. Histologically, HPK rats demonstrate glomerular hypertrophy and dilation of the renal tubules.^32,36 As these rats age, cast formation in tubular lumen, glomerular sclerosis, and cellular infiltration into interstitial tissue occur.^33,35 In addition, age-related features of renal deterioration, including polyposia, polyuria, azotemia, albuminuria, and hypertension, follow,³⁵ and secondary hyperparathyroidism, osteodystrophy, and anemia emerge at advanced age in HPK rats.³³ Therefore HPK rats are a model for studying how a congenitally reduced nephron mass may induce CKD and secondary renal diseases, and HPK rats might be useful for identifying biomarkers related to these diseases. Because our previous studies in HPK rats^33,35 provided only limited information about the progression of CKD and renal anemia, the current study was designed to analyze multiple parameters related to renal function and hematology and to characterize the anemic tendencies in 70- to 210-d-old HPK rats. We found that the hematologic condition of HPK rats is characterized by reduced renal excretive function, erythropenia, increased hemolysis in the spleen, progressive renal fibrosis, and maintenance of normal plasma erythropoietin concentrations.     

Renal Involvement in Non-Hodgkin Lymphoma: Proven by Renal Biopsy

Aims

To determine the spectrum of renal lesions in patients with kidney involvement in non-Hodgkin''s lymphoma (NHL) by renal biopsy.

Methods

The clinical features and histological findings at the time of the renal biopsy were assessed for each patient.

Results

We identified 20 patients with NHL and renal involvement, and the diagnosis of NHL was established following the kidney biopsy in 18 (90%) patients. The types of NHL include the following: chronic lymphocytic leukemia/small lymphocytic lymphoma (n = 8), diffuse large B-cell lymphoma (n = 4), T/NK cell lymphoma (n = 3), lymphoplasmacytic lymphoma (n = 2), cutaneous T-cell lymphoma (n = 1), mucosa-associated lymphoid tissue lymphoma (n = 1) and mantle cell lymphoma (n = 1). All presented with proteinuria, and 15 patients had impaired renal function. The pathological findings included (1) membranoproliferative glomerulonephritis-like pattern in seven patients; (2) crescent glomerulonephritis in four; (3) minimal-change disease in three, and glomeruli without specific pathological abnormalities in three; (4) intraglomerular large B-cell lymphoma in one; (5) intracapillary monoclonal IgM deposits in one; (6) primary diffuse large B-cell lymphoma of the kidneys in one; and (7) lymphoma infiltration of the kidney in eight patients.

Conclusion

A wide spectrum of renal lesions can be observed in patients with NHL, and NHL may be first proven by renal biopsies for evaluation of kidney injury or proteinuria. Renal biopsy is necessary to establish the underlying cause of renal involvement in NHL.