Endoplasmic reticulum stress‐induced exosomal miR‐27a‐3p promotes immune escape in breast cancer via regulating PD‐L1 expression in macrophages

Immune escape of breast cancer cells contributes to breast cancer pathogenesis. Tumour microenvironment stresses that disrupt protein homeostasis can produce endoplasmic reticulum (ER) stress. The miRNA‐mediated translational repression of mRNAs has been extensively studied in regulating immune escape and ER stress in human cancers. In this study, we identified a novel microRNA (miR)‐27a‐3p and investigated its mechanistic role in promoting immune evasion. The binding affinity between miR‐27a‐3p and MAGI2 was predicted using bioinformatic analysis and verified by dual‐luciferase reporter assay. Ectopic expression and inhibition of miR‐27a‐3p in breast cancer cells were achieved by transduction with mimics and inhibitors. Besides, artificial modulation of MAGI2 and PTEN was done to explore their function in ER stress and immune escape of cancer cells. Of note, exosomes were derived from cancer cells and co‐cultured with macrophages for mechanistic studies. The experimental data suggested that ER stress biomarkers including GRP78, PERK, ATF6, IRE1α and PD‐L1 were overexpressed in breast cancer tissues relative to paracancerous tissues. Endoplasmic reticulum stress promoted exosome secretion and elevated exosomal miR‐27a‐3p expression. Elevation of miR‐27a‐3p and PD‐L1 levels in macrophages was observed in response to exosomes‐overexpressing miR‐27a‐3p in vivo and in vitro. miR‐27a‐3p could target and negatively regulate MAGI2, while MAGI2 down‐regulated PD‐L1 by up‐regulating PTEN to inactivate PI3K/AKT signalling pathway. Less CD4⁺, CD8⁺ T cells and IL‐2, and T cells apoptosis were observed in response to co‐culture of macrophages and CD3⁺ T cells. Conjointly, exosomal miR‐27a‐3p promotes immune evasion by up‐regulating PD‐L1 via MAGI2/PTEN/PI3K axis in breast cancer.     

不同术前皮肤准备方案与手术切口感染的关系研究

目的:研究不同术前皮肤准备方案与手术切口感染(SSI)的关系,为降低临床SSI发生率提供参考。方法:选择自2015年1月～2019年12月在医院行手术治疗的患者1810例为本次研究对象。根据析因设计表,将因素A:是否剃毛(1不剃毛;2剃毛),B:清洁方式(1清水清洁;2肥皂水清洁),C:术前备皮时间(1术前1 d;2术前2 h)配对分为8个组:A1B1C1组226例,A1B2C1组229例,A1B1C2组216例,A1B2C2组232例,A2B1C1组221例,A2B2C1组241例,A2B1C2组221例,A2B2C2组224例,比较各组手术部位及切口类型分布、术后SSI发生率,并采用析因分析法分析术前皮肤准备后各组菌落计数的相关性及交互作用。结果:各组患者的手术部位及切口类型之间的差异不存在统计学意义(P0.05)。A1B1C1组及A2B1C1组的SSI发生率较高,分别为12.83%和14.48%。A1水平的SSI发生率是8.75%,与A2水平的8.27%相比,差异不存在统计学意义(P0.05)。B1、C1水平的SSI发生率分别是11.31%、10.03%,明显高于B2、C2水平的5.83%、6.94%,差异均存在统计学意义(P0.05)。各组术前皮肤准备后的菌落计数差异存在统计学意义(P0.05),析因分析结果显示,B、C单因素分析差异存在统计学意义(P0.05),且A与C,B与C间具有交互作用,而A、B、C间具有二级交互作用(P0.05)。结论:术前皮肤准备对降低SSI发生具有重要作用,实际操作时,建议在较短的时间内利用肥皂水或其他消毒水进行皮肤清洗并完成备皮。     

New preparation techniques for molecular and in‐situ analysis of ancient organic micro‐ and nanostructures

Organic microfossils preserved in three dimensions in transparent mineral matrices such as cherts/quartzites, phosphates, or carbonates are best studied in petrographic thin sections. Moreover, microscale mass spectrometry techniques commonly require flat, polished surfaces to minimize analytical bias. However, contamination by epoxy resin in traditional petrographic sections is problematic for the geochemical study of the kerogen in these microfossils and more generally for the in situ analysis of fossil organic matter. Here, we show that epoxy contamination has a molecular signature that is difficult to distinguish from kerogen with time‐of‐flight secondary ion mass spectrometry (ToF‐SIMS). This contamination appears pervasive in organic microstructures embedded in micro‐ to nano‐crystalline carbonate. To solve this problem, a new semi‐thin section preparation protocol without resin medium was developed for micro‐ to nanoscale in situ investigation of insoluble organic matter. We show that these sections are suited for microscopic observation of Proterozoic microfossils in cherts. ToF‐SIMS reveals that these sections are free of pollution after final removal of a <10 nm layer of contamination using low‐dose ion sputtering. ToF‐SIMS maps of fragments from aliphatic and aromatic molecules and organic sulfur are correlated with the spatial distribution of organic microlaminae in a Jurassic stromatolite. Hydrocarbon‐derived ions also appeared correlated with kerogenous microstructures in Archean cherts. These developments in analytical procedures should help future investigations of organic matter and in particular, microfossils, by allowing the spatial correlation of microscopy, spectroscopy, precise isotopic microanalyses, and novel molecular microanalyses such as ToF‐SIMS.     

复合菌剂M5对红螯螯虾(Cherax quadricarinatus)高密度养殖系统水质及其肠道微生物群落影响的初步研究

应用自制复合菌剂M5于红螯螯虾(Cherax quadricarinatus)的高密度养殖系统中,通过分析肠道菌群并监测养殖水质,研究了复合菌剂作用的效果及潜在的机理。结果显示,复合菌剂M5的使用可显著降低养殖水环境的pH值,降低污染物NH⁺₄、NO^-₂和COD的浓度,抑制弧菌属（Vibrio）中某些条件致病菌的生长。基于PICRUSt与KEGG数据库的功能预测及肠道菌群的群落分析,复合菌剂既可作为额外的营养补充物,缓解肠道群落之间对营养源的竞争,又可提高虾的消化能力、免疫力。新型复合菌剂M5可显著改善养殖水质并影响肠道菌群的组成与功能,从而提高养殖存活率。     

微生态制剂在早期结直肠癌根治术后的作用

目的探讨微生态制剂在早期结直肠癌(CRC)根治术后的作用,并为此类患者提供一种术后康复支持疗法。方法选取2017年6月-2019年6月于本院接受早期CRC根治术术后97例患者作为研究对象,采用随机数字表分为观察组50例和对照组47例。两组术后均接受常规治疗,观察组在对照组基础上接受双歧杆菌三联活菌胶囊治疗,比较两组治疗前后细胞免疫指标、肠道微生态复杂度及属水平相对丰度、肠道菌群OTU数量、肠道黏膜屏障功能。结果治疗后观察组NK细胞、CD3~+T、CD4~+T、CD4~+/CD8~+T均提高(P0.05),观察组CD8~+T治疗前后相近(P0.05);治疗后对照组上述指标与治疗前差异均无统计学意义(P0.05),观察组NK细胞、CD3~+T、CD4~+T、CD4~+/CD8~+T均高于对照组(P0.05);治疗后观察组Chao1指数、Shannon指数、肠道菌群OTU数均升高(P0.05),对照组Chao1指数、Shannon指数、肠道菌群OTU数量治疗前后差异均无统计学意义(P0.05);治疗后观察组Chao1指数、Shannon指数、肠道菌群OTU数量均高于对照组(P0.05);治疗后观察组大肠杆菌、肠球菌、葡萄球菌属水平相对丰度均下降(P0.05),对照组均升高(P0.05),且观察组均低于对照组(P0.05);治疗后观察组乳杆菌、双歧杆菌、梭菌、类杆菌、链球菌属水平相对丰度均升高(P0.05),对照组均下降(P0.05),且观察组均高于对照组(P0.05);治疗后观察组血浆D-乳酸、DAO、I-FABP、内毒素水平分别为(6.94±1.23)mg/L、(3.45±0.65)U/L、(43.95±7.99)μg/L、(4.48±0.85)U/L,均较治疗前下降(P0.05),对照组各项指标水平分别为(15.59±2.79)mg/L、(7.74±1.35)U/L、(74.21±13.82)μg/L、(8.68±1.65)U/L,均较治疗前升高(P0.05),治疗后观察组血浆D-乳酸、DAO、I-FABP、内毒素水平均降低(P0.05)。结论微生态制剂可有效改善早期CRC患者根治术后的细胞免疫水平,有效纠正早期CRC术后患者肠道菌群失调,增强早期CRC根治术后患者肠黏膜屏障功能。     

微生态制剂对细菌性痢疾的辅助治疗及对患者血清C反应蛋白水平的影响

目的探讨微生态制剂对细菌性痢疾的辅助治疗及对患者血清C反应蛋白(CRP)水平的影响。方法选取2016年3月至2018年10月在我院门诊接受治疗的86例细菌性痢疾患者为研究对象,入选患者随机分为对照组和观察组,每组43例。对照组患者给予常规药物进行治疗,观察组患者在此基础上加用布拉氏酵母菌散辅助治疗。比较两组患者临床疗效,不良反应发生率及血清CRP水平。结果治疗后观察组患者临床总有效率为90.40%,显著高于对照组的69.77%,差异有统计学意义(χ^2=5.939,P=0.015)。观察组患者不良反应发生率为9.3%,显著低于对照组的34.88%,差异有统计学意义(χ^2=8.174,P=0.004)。同时,观察组患者治疗后血清CRP水平为(4.32±0.43)mg/L,显著低于对照组的(7.03±0.32)mg/L,差异有统计学意义(t=33.154,P<0.001)。结论微生态制剂辅助治疗细菌性痢疾的临床疗效优于常规治疗方法,能降低患者血清CRP水平,减少患者不良反应,安全有效,值得临床推广。     

Aidi injection,a traditional Chinese biomedical preparation for gynecologic tumors: a systematic review and PRISMA-compliant meta-analysis

Aidi injection (ADI), a traditional Chinese biomedical preparation, is a promising adjuvant therapy for gynecologic tumors (GTs), including cervical cancer (CC), endometrial cancer (EC), and ovarian cancer (OC). Although studies have reported positively on ADI therapy, its exact effects and safety in GT patients remain controversial. Therefore, a wide-ranging systematic search of electronic databases was performed for this meta-analysis. Data from 38 trials including 3309 GT patients were analyzed. The results indicated that the combination of conventional treatment and ADI markedly improved the patients’ overall response rate (P<0.00001), disease control rate (P<0.00001), and quality of life (P<0.05) compared with conventional treatment alone. Furthermore, patient immunity was enhanced with combined treatment, as indicated by significantly increased percentages of CD3⁺ (P=0.005) and CD4⁺ (P<0.00001) and increased CD4⁺/CD8⁺ ratio (P=0.001). Most of the adverse events caused by radiochemotherapy such as gastrointestinal issues, leukopenia, thrombocytopenia, and hepatotoxicity, (P<0.05 for all) were significantly alleviated when ADI was used in the GT patients. However, other adverse events such as nephrotoxicity, diarrhea, alopecia, and neurotoxicity did not significantly differ between the two groups. Overall, these results suggest that the combination of conventional and ADI treatment is more effective than conventional treatment alone.     

抑咽侧体素基因在大猿叶虫生殖滞育准备中的功能分析

【目的】本研究旨在明确大猿叶虫Colaphellus bowringi促咽侧体素(allatotropin, AT)和抑咽侧体素(allatostatin, AST)基因的分子特征,分析其在该虫生殖和滞育过程中的表达差异,并探究其在大猿叶虫生殖滞育准备中的功能。【方法】利用前期建立的大猿叶虫转录组数据库,鉴定大猿叶虫CbAT和CbASTs基因序列并克隆其开放阅读框(ORFs),并对其序列进行生物信息学分析;通过qRT-PCR技术检测CbAT和CbASTs在大猿叶虫注定滞育和注定非滞育雌蛹和雌成虫头部的表达模式;对注定滞育大猿叶虫2日龄雌蛹进行CbAST-B, CbAST-C以及CbAST-B+CbAST-C RNAi试验后,检测4日龄雌成虫保幼激素(juvenile hormone, JH)信号基因以及卵黄原蛋白基因的表达量变化。【结果】鉴定并克隆了大猿叶虫的一个促咽侧体素基因CbAT(GenBank登录号: MT977128)及两个抑咽侧体素基因CbAST-B(GenBank登录号: MT977126)和CbAST-C(GenBank登录号: MT977127),其开放阅读框分别长408, 600和303 bp。通过氨基酸序列比对和系统进化分析发现,CbAT, CbAST-B和CbAST-C均与鞘翅目昆虫的同源蛋白聚在一支,在进化上表现出较高保守性。qRT-PCR检测发现,CbAT基因在注定滞育与注定非滞育2日龄雌蛹到4日龄雌成虫头部中始终无表达差异;而CbAST-B和CbAST-C基因分别自雌成虫1和2日龄开始在注定滞育雌成虫头部显著高表达,且在注定滞育和注定非滞育个体中的差异表达状态一直持续到滞育准备期结束。在注定滞育2日龄雌蛹中沉默CbAST-B, CbAST-C以及同时沉默CbAST-B和CbAST-C后,检测4日龄雌成虫头部的干扰效率发现,CbAST-B和CbAST-C的表达均受到显著抑制,干扰效率达70%以上。在去除触角的头部中,JH合成途径基因AACT, FPPS和JHAMT以及脂肪体中JH应答基因Kr-h1和JHE1的表达在dsCbAST-B, dsCbAST-C和dsCbAST-B+dsCbAST-C处理组中均被显著上调,脂肪体中卵黄原蛋白基因Vg1和Vg2的表达也被显著上调。【结论】CbAT基因可能并非造成大猿叶虫产卵前期与滞育准备期保幼激素信号产生差异的主要原因,而在生殖滞育准备期CbAST-B和CbAST-C抑制了JH的合成,进而抑制Vgs的表达以促进滞育的发生。本研究进一步揭示了昆虫生殖滞育准备期保幼激素信号的上游调控机制,有助于进一步理解昆虫对环境的季节性适应策略,为挖掘害虫防治的新靶标提供了新的指导和借鉴。     

高速逆流色谱法制备灵芝萜烯酮醇

本研究建立一种从灵芝子实体提取物中快速制备灵芝萜烯酮醇的方法。以沪农灵芝1号子实体为原料,经乙醇提取、D101大孔树脂富集后,再经一次正相色谱柱层析,获得富含灵芝萜烯酮醇的流分。采用高速逆流色谱法对该流分进行分离,优化分离条件,获得的最佳条件为：溶剂体系为正己烷-乙酸乙酯-甲醇-水（V/V/V/V,12:24:18:9）,流速2.0mL/min,转速900r/min,上样量500mg,一次上样可得到纯度为90.9%的灵芝萜烯酮醇52.1mg,得率达到10.4%。该方法具有操作简单、污染小、成本低、得率和纯度高的特点,是规模化制备灵芝萜烯酮醇的一种新方法。