Comparison of Endoscopic and Open Resection for Small Gastric Gastrointestinal Stromal Tumor

The National Comprehensive Cancer Network recommends conservative follow-up for gastric gastrointestinal stromal tumors (GISTs) less than 2 cm. We have previously reported that the mitotic index of 22.22% of small gastric GISTs exceeded 5 per 50 high-power fields and recommended that all small gastric GISTs should be resected once diagnosed. The aim of the present study is to compare the safety and outcomes of endoscopic and open resection of small gastric GISTs. From May 2010 to March 2014, a total of 90 small gastric GIST patients were enrolled in the present study, including 40 patients who underwent surgical resection and 50 patients who underwent endoscopic resection. The clinicopathological characteristics, resection-related factors, and clinical outcomes were recorded and analyzed. The clinicopathological characteristics were comparable between the two groups except for tumor location and DOG-1 expression. Compared with the surgical resection group, the operation time was shorter (P = .000), blood loss was less (P = .000), pain intensity was lower (P < .05), duration of first flatus and defecation was shorter (P < .05), and medical cost of hospitalization was lower (P = .027) in the endoscopic resection group. The complications and postoperative hospital stay were comparable between the two groups. No in situ recurrence or liver metastasis was observed during follow-up. Endoscopic resection of small gastric GISTs is safe and feasible compared with surgical resection, although perforation could not be totally avoided during and after resection. The clinical outcome of endoscopic resection is also favorable.     

MicroRNA-7 arrests cell cycle in G1 phase by directly targeting CCNE1 in human hepatocellular carcinoma cells

Growing evidence has demonstrated that the aberrant expression of miRNA is a hallmark of malignancies, indicating the important roles of miRNA in the development and progression of cancer. MiR-7 is considered as a tumor suppressor miRNA in multiple types of cancer. However, the role of miR-7 in human hepatocellular carcinoma (HCC) and its underlying mechanism remain elusive. In this study, we found that overexpression of miR-7 arrested cell cycle at G1 to S transition in HCC. By combinational use of bioinformatic prediction, reporter assay, quantitative real-time PCR (qRT-PCR) and Western blot, we confirmed that CCNE1, an important mediator in G1/S transition is one of new direct target genes of miR-7. Further studies revealed that silencing of CCNE1 recapitulated the effects of miR-7 overexpression, whereas enforced expression of CCNE1 reversed the suppressive effects of miR-7 in cell cycle regulation. Finally, analysis of qRT-PCR showed a reciprocal relationship between miR-7 and CCNE1 in clinical cancer tissues and multiple types of tumor cell lines. These findings indicate that miR-7 exerts tumor-suppressive effects in hepatocarcinogenesis through the suppression of oncogene CCNE1 expression and suggest a therapeutic application of miR-7 in HCC.     

Functional expression of α7 nicotinic acetylcholine receptors in human periodontal ligament fibroblasts and rat periodontal tissues

Tobacco smoking is the main risk factor associated with chronic periodontitis, but the mechanisms that underlie this relationship are largely unknown. Recent reports proposed that nicotine plays an important role in tobacco-related morbidity by acting through the nicotinic acetylcholine receptors (nAChRs) expressed by non-neuronal cells. The aim of this study was to investigate whether α7 nAChR was expressed in periodontal tissues and whether it functions by regulating IL-1β in the process of periodontitis. In vitro, human periodontal ligament (PDL) cells were cultured with 10⁻¹² M of nicotine and/or 10⁻⁹ M of alpha-bungarotoxin (α-Btx), a α7 nAChR antagonist. The expression of α7 nAChR and IL-1β in PDL cells and the effects of nicotine/α-Btx administration on their expression were explored. In vivo, an experimental periodontitis rat model was established, and the effects of nicotine/α-Btx administration on expression of α7 nAChR and development of periodontitis were evaluated. We found that α7 nAChR was present in human PDL cells and rat periodontal tissues. The expressions of α7 nAChR and IL-1β were significantly increased by nicotine administration, whereas α-Btx treatment partially suppressed these effects. This study was the first to demonstrate the functional expression of α7 nAChR in human PDL cells and rat periodontal tissues. Our results may be pertinent to a better understanding of the relationships among smoking, nicotine, and periodontitis.     

Studies on expression of FSH and its anti-apoptotic effects on ischemia injury in rat spinal cord

Studies indicated that many tissues could express FSH. New functions of FSH have been recognized beyond reproduction regulation. However, no report has been made about the expression and function of FSH in rat spinal cord. Double-labeled immunofluorescence stain and in situ hybridization were used to study the co-localization of FSH with its receptor and co-localization of FSH with GnRH receptor in rat spinal cord. Spinal cord ischemia injury models were built, TUNEL stain and Fas immunostaining were made to observe the anti-apoptotic effects of FSH to neurons induced by spinal cord ischemia injury. The results found that some neurons and glias of rat spinal cord showed both FSH immunoreactivity and FSH mRNA positive signals; not only FSH and its receptor but also FSH and GnRH receptor co-located in cells of both gray matter and white matter; treatment with certain concentration of FSH before ischemia–reperfusion injury, less TUNEL positive cells and Fas positive cells were found in motor neurons of ventral gray matter in FSH experiment group than that in control group. These suggested that rat spinal cord could express FSH, it is also a target organ of FSH; FSH might exert functions through its receptor by paracrine or autocrine effects; GnRH in spinal cord might regulate FSH positive neurons through GnRH receptor; FSH might inhibit ischemia induced neuron apoptosis by down-regulating Fas expression in spinal cord.     

Ribosomal protein L6 promotes growth and cell cycle progression through upregulating cyclin E in gastric cancer cells

Our previous study revealed that human ribosomal protein L6 (RPL6) was upregulated in multidrug-resistant gastric cancer cells and over-expression of RPL6 could protect gastric cancer cells from drug-induced apoptosis. The present study was designed to explore the role of RPL6 in tumorigenesis and development of gastric cancer. The expression of RPL6 in gastric cancer tissues and normal gastric mucosa was evaluated by immunohistochemical staining. It was found RPL6 was expressed at a higher level in gastric cancer tissues than that in normal gastric mucosa. RPL6 was then genetically overexpressed or knocked down in human immortalized gastric mucosa epithelial GES cells. It was demonstrated that upregulation of RPL6 accelerated the growth and enhanced in vitro colony forming ability of GES cells whereas downregulation of RPL6 showed adverse effects. Moreover, over-expression of RPL6 could promote G1 to S phase transition of GES cells. It was further evidenced that upregulation of RPL6 resulted in elevated cyclin E expression while downregulation of RPL6 caused decreased cyclin E expression in GES cells. Taken together, these data indicated that RPL6 was overexpressed in human gastric cancer and its over-expression could promote cell growth and cell cycle progression at least through upregulating cyclin E expression.     

4490例创伤伤员致伤原因分析

目的:探讨创伤伤员的致伤原因,为院前急救和预检分诊提供依据,为提出预防创伤发生的策略和措施奠定基础。方法:对4490例创伤伤员的资料进行统计分析,分析不同性别、年龄和地区创伤伤员的致伤原因的异同。结果:4490例创伤伤员中中,男女比例为2.81:1。年龄特点:12～60岁组发生创伤达75.16%。6岁以下以烧伤为主要原因,占41.08%;大于60岁以上以跌落/摔伤为主要原因,占63.79%;骨折多发生于12～60岁。致伤原因:跌落/摔伤(占28.69%)、道路交通伤(占28.53%)、锐器/切割伤(占13.23%)。结论:创伤伤员的致伤原因在不同性别、年龄和地区间有着明显特点,可根据具体情况采取相应的防范措施,以减少其发生,同时为创伤伤员的院前急救和预检分诊提供依据。     

幽门螺杆菌STM文库重组质粒的构建

目的:应用信号标签突变技术(Signature tagged mutagenesis,STM)构建幽门螺杆菌突变体文库重组质粒。方法:采用平末端内切酶随机酶切幽门螺杆菌基因组DNA,并回收300～500bp片段(记作Fr),基因重组技术构建重组质粒pID700-Fr,电转化E.coliDH5α筛选阳性克隆,提取重组质粒酶切鉴定。结果:成功构建了1200个幽门螺杆菌STM文库重组质粒。结论:STM技术可用于幽门螺杆菌致病以及耐药相关基因的筛选,为幽门螺杆菌致病及耐药机理的研究奠定了基础。也将为幽门螺杆菌的治疗提供新的药物靶点。     

肺泡Ⅱ型上皮细胞自噬体与结核分枝杆菌相互作用的研究

目的:检测LC3在肺泡Ⅱ型上皮细胞A549上的表达情况,及结核分枝杆菌刺激后对其表达的影响,探讨自噬在结核分枝杆菌感染上皮细胞中所起的作用。方法:体外培养肺泡Ⅱ型上皮细胞A549,在结核分枝杆菌感染A549细胞0h,24h分别提取RNA,采用RT-PCR的方法检测LC3mRNA的表达情况。采用凋亡坏死染色试剂盒在结核分枝杆菌感染24h后检测对照组,3-MA组,MTB组和3-MA+MTB组的细胞坏死情况。在结核分枝杆菌感染A549细胞4h,8h,16,24h采用Non-Radioactive Cytocity Assay的方法检测对照组,3-MA组,MTB组和3-MA+MTB组上清液LDH的OD值。结果:LC3在肺泡Ⅱ型上皮细胞显著表达,结核分枝杆菌感染后LC3表达降低。细胞凋亡和坏死染色结果显示空白组和3-MA组没有明显差异(P>0.05),MTB组和3-MA+MTB组有明显差异(P<0.05)。LDH检测显示MTB组和3-MA+MTB组上清液LDH的OD值数据两两之间有明显差异(P<0.05)并且有时间依赖性。结论:肺泡II型上皮细胞自噬体在抵抗结核分枝杆菌的感染过程中起一定的作用。     

花椒的化学成分及其药效学研究

目的:综述近年我国花椒属中药花椒和椒目等中化学成分及其药理学研究进展。方法:采用文献检索系统收集、分析、整理和总结,并提己见。结果:一是近年以花椒和椒目为主的花椒属中药和天然植物的化学成分及其药效学研究已有部分报道,并且已经受到医药研究界关注。二是花椒和椒目主要含挥发油、萜类(芳樟醇和柠檬烯为主)、氨基酸、矿物质和蛋白质等;而研究较为深入的挥发油中主要含28%-33%α-亚麻酸和29%-35%亚油酸。三是花椒和椒目的主要活性物质是挥发油中不饱和脂肪酸等,其主要药效作用是降血压和降血脂、抗菌、抗炎、抗溃疡、杀虫等。结论:以花椒和椒目为主的花椒属植物中所含不饱和脂肪酸类挥发油、蛋白质和矿物质等,对于人类心脑血管、皮肤病和感染性等疾病具有显著药用开发价值。