动脉硬化仿真模拟分析

目的：通过对血管中血液流动对血管的影响及血液内低密度脂蛋白（sLDL）微粒行为的模拟分析,研究动脉粥样硬化产生的血流动力学原因。方法：第一步,使用流体力学软件CFD,建立动脉血管弯曲分叉仿真模型;第二步,分析血液流动特性,跟踪血液中15—25纳米尺度范围类的sLDL粒子在动脉分叉模型中的流体力学行为,研究sLDL在血液流速稳定下在血管中的空间分布及流场特征分布。结果：血管起始段出现压强很高的区域。在动脉血管弯曲内侧处及分岔处的分支外侧血液流动较慢,并且在这些部位出现压强较高的区域。在血管弯曲外侧处及分岔点处,sLDL与血管壁发生碰撞的几率较其它位置较高,粒子在血管上沉积高发区域在这些部位呈斑块状分布。讨论及结论：在血管起始段的高压,可能是导致这一部分血管损伤,并进而引起动脉硬化形成的主要原因;在动脉血管弯曲外侧处及分岔点处出现的高压低速血流分布,一方面增大了血液中包括sLDL粒子在内的致病因子与血管壁的接触时间,另一方面则引起这些部位血清的侧漏加强,出现所谓的’浓度极化’现象,从而导致这些部位出现高浓度的sLDL分布,增大sLDL粒子与血管壁的接触几率;粒子在血管上沉积高发区域往往存在于动脉血管分岔点处,而在血管弯曲外侧处也有较高几率沉淀,呈斑状分布;长期性轻微性振动的剪切压力的作用使多数血管内皮细胞性质改变,促进动脉硬化形成。在动脉血管起始段、弯曲处及分岔点处血液的高压低速分布、sLDL粒子的高沉积率及低剪切应力等是动脉硬化产生及演化的重要因素.     

新型冠状病毒纳米PCR快速检测方法的建立

新型冠状病毒(SARS-CoV-2)感染可导致致命性肺炎,且极具传染性。自2019年年末在我国出现以来,已在全球蔓延。为了建立一种灵敏、快速检测SARS-CoV-2的分子检测方法,本研究使用金纳米颗粒配合普通PCR检测方法,针对SARS-CoV-2核衣壳蛋白建立了SARS-CoV-2 NanoPCR新型分子检测方法。特异性结果显示,该方法对猪流行性腹泻病毒、牛冠状病毒、犬冠状病毒、水貂冠状病毒、猫传染性腹膜炎病毒均无交叉反应,表明该方法的特异性良好。敏感性结果显示,该方法的最低检测量为3.69×10⁴拷贝/μL,高于普通PCR最低检测量10倍,表明该方法的敏感性良好。使用建立的方法对3份临床样品进行检测,该方法与普通PCR方法结果一致,10倍稀释样品后,NanoPCR相比较普通PCR条带仍然具有较高辨识度。综上,本研究建立的灵敏、特异的NanoPCR方法可以对临床样品进行快速诊断和鉴定。     

颈动脉硬化综合征61例分析

颈动脉硬化是缺血性脑血管疾病的主要原因之一,被越来越多人所关注。我科从2006～2008年诊治61例颈动脉硬化综合征病例,现对其进行分析,以提高诊疗水平。     

动脉硬化早期检测187例临床分析

慢性动脉硬化闭塞症(ASO)是外周血管疾病之一.我们应用科林BP-203RPEII(VP-2000/1000)全自动动脉硬化检测仅,进行踝肱脉搏波传导速度(baPWV)和踝臂指数(ABI)检测187例,现报告如下.     

供浆者多次献浆后sdLDL-C和ox-LDL水平的测定

目的探讨多次献浆后,对供浆者体内血浆小而密低密度脂蛋白胆固醇(sdLDL-C)、氧化低密度脂蛋白(ox-LDL)水平变化的影响。方法分别检测100例多次献血浆者和100例初次献血浆者的血浆sdLDL-C和ox-LDL水平,同时检测其血脂及血浆蛋白水平。结果多次献血浆者的血浆sdLDL-C、ox-LDL以及血脂水平略有下降,但与初次献浆者之间无显著性差异;多次献血浆者的血浆总蛋白(TP)、白蛋白(ALB)与初次献浆者的水平相当,两者之间也无显著性差异。结论多次献血浆是安全的,不会增加动脉粥样硬化性心血管疾病的风险。     

一次密度梯度超速离心分离人血清的VLDL、LDL、HDL_2、HDL_3及无脂血清

本文将密度梯度、离心力和离心时间作适当的组合和配比:即不连续密度梯度1.000—1,400g/mlNaBr溶液、离心力168,000g、22小时,10℃,在Beckman L8-80型、区带头Ti-14一次超速离心将血清中四种主要脂蛋白和无脂血清相互分开,获得五个明显的蛋白峰。前四个峰经琼脂糖电泳,聚丙烯酰胺电泳,免疫双扩散和分析超速离心鉴定分别为VLDL、LDL、HDL_2和HDL_3,不含清蛋白。峰五为无脂血清,仅含0.046mg/dl胆固醇和0.2mg/dl甘油三酯,本法重复性佳,分离样品多(50ml),效果好,操作简单,并可延长离心机头的使用期限。已用于研究各种因素对脂蛋白含量的影响及其代谢间的相互关系。     

芫根提取物对高血脂症大鼠调节作用的初步研究

为了探讨芫根的降血脂功效,分别用剂量为400 mg/kg·d、800 mg/kg·d、1600 mg/kg·d的芫根95%乙醇提取物(EE95)和芫根醇沉水提物(WE)连续灌胃营养型高血脂症模型SD大鼠,检测各组大鼠血清中总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平及肝脏系数.结果表明:芫根具有辅助降血脂的功效,与高脂模型组比较,EE95和WE各剂量组均能不同程度地降低TC、TG、LDL-C水平,HDL-C则不同程度高于高脂模型组;EE95高剂量组能降低血清中LDL-C的含量.EE95和WE对大鼠的肝脏系数均无显著影响.     

纳米金在基因突变检测及SNP分析中的应用

对特异核苷酸序列的高选择性检测在生物医学研究和临床检测中日趋重要. 纳米金特殊的光学性质、电学性质、化学性质、以及良好的生物相容性,使之成为检测生物大分子的首选工具.本文介绍了几种典型的基因突变检测及单核苷酸多态性(SNP)分析系统：基因芯片、生物传感器和光学检测系统.综述了多种颇有新意的检测方法和原理,详细阐明了它们的检测机制和研究进展,分析并比较了纳米金不同的作用方式,为纳米金在突变检测上的进一步研究提供了一定思路和参考.     

京津水源区小流域土壤侵蚀空间模拟

针对京津水源区生态环境脆弱、水土流失空间分异大、突发性强等问题,以河北省平泉县东北沟典型小流域为例,采用GIS技术与CSLE模型对其土壤侵蚀进行二维空间模拟及侵蚀规律研究,并对模型模拟精度进行验证.结果表明:模型确定性系数>0.85,模拟结果可信度高;小流域侵蚀模数为2359.24t·km-2·a-1,属于轻度侵蚀,侵蚀主要源于15°以上坡面,占侵蚀总量的92.1%;土壤侵蚀模数随坡度先逐渐增加,当坡度>45°时,土壤侵蚀模数有减小的趋势;土壤侵蚀模数空间异质性显著,坡耕地侵蚀模数最大,为6112.90tkm-2·a-1;荒草地占总面积33.2%,侵蚀量却达总量的74.9% ;59.3%的侵蚀来自阳坡和半阳坡,而阴坡半阴坡仅占流域侵蚀量的16.2%.研究为利用CSLE模型对小流域土壤侵蚀进行空间模拟提供技术范例,为京津水源区土壤侵蚀规律研究及水土保持生态建设提供科学参考.     

下肢动脉硬化闭塞症患者血清胆红素含量的分析

目的：分析血清胆红素与动脉硬化闭塞症的相关性及临床意义。方法：1）回顾性分析我院2011年1月至2012年11月,318例符合下肢动脉硬化闭塞症诊断者的血清胆红素含量。并依照Fontaine分类法将患者分成临床四期。2）回顾性分析我院体检中心2012年100例体检者的血清胆红素含量。3）将上述1、2组的数据做两样本t检验,并将1组数据根据临床的分级进行内部小组t检验。以P〈0．05为有差异,P〈0．01为有显著差异。结果：动脉硬化闭塞症的患者血清总胆红素、直接胆红素、间接胆红素的含量均明显低于正常对照组,且动脉硬化闭塞症患者随着临床分级的进展而进一步降低。结论：动脉硬化闭塞症患者的血清胆红素水平与其发生成负性相关,低浓度血清胆红素是独立的动脉硬化闭塞症的危险因素。     

磷脂分析方法的研究进展

磷脂是细胞膜的重要结构组成成分,是许多生理活性物质的前体物质,还发挥着细胞信号传导,细胞增殖,细胞凋亡等作用。研究表明许多疾病与磷脂的代谢异常有关,对磷脂的分析有助于疾病的诊断和治疗,对磷脂的研究已经成为医学,生物和药学等众多学科的研究热点,因为磷脂结构复杂,种类繁多,对磷脂的分析一直比较困难,随着分析技术的不断进步,特别是质谱技术,文献报道应用HPLC-ESI-MS进行磷脂分析的报道也越来越多,为了更好地认识磷脂的结构,功能及其代谢过程等,本文从磷脂的提取方法,色谱分析,质谱检测方法和代谢组学研究等四个方面对对近年来针对磷脂分析的研究进展加以综述。     

The Effect of PPE-Induced Emphysema and Chronic LPS-Induced Pulmonary Inflammation on Atherosclerosis Development in APOE*3-LEIDEN Mice

Background

Chronic obstructive pulmonary disease (COPD) is characterized by pulmonary inflammation, airways obstruction and emphysema, and is a risk factor for cardiovascular disease (CVD). However, the contribution of these individual COPD components to this increased risk is unknown. Therefore, the aim of this study was to determine the contribution of emphysema in the presence or absence of pulmonary inflammation to the increased risk of CVD, using a mouse model for atherosclerosis. Because smoke is a known risk factor for both COPD and CVD, emphysema was induced by intratracheal instillation of porcine pancreatic elastase (PPE).

Methods

Hyperlipidemic APOE*3-Leiden mice were intratracheally instilled with vehicle, 15 or 30 µg PPE and after 4 weeks, mice received a Western-type diet (WTD). To study the effect of emphysema combined with pulmonary inflammation on atherosclerosis, mice received 30 µg PPE and during WTD feeding, mice were intranasally instilled with vehicle or low-dose lipopolysaccharide (LPS; 1 µg/mouse, twice weekly). After 20 weeks WTD, mice were sacrificed and emphysema, pulmonary inflammation and atherosclerosis were analysed.

Results

Intratracheal PPE administration resulted in a dose-dependent increase in emphysema, whereas atherosclerotic lesion area was not affected by PPE treatment. Additional low-dose intranasal LPS administration induced a low-grade systemic IL-6 response, as compared to vehicle. Combining intratracheal PPE with intranasal LPS instillation significantly increased the number of pulmonary macrophages and neutrophils. Plasma lipids during the study were not different. LPS instillation caused a limited, but significant increase in the atherosclerotic lesion area. This increase was not further enhanced by PPE.

Conclusion

This study shows for the first time that PPE-induced emphysema both in the presence and absence of pulmonary inflammation does not affect atherosclerotic lesion development.     

The Geographic Pathology of Coronary Atherosclerosis

The purpose of these studies was to find large groups with significantly less coronary atherosclerosis than New Yorkers and to investigate the possible reasons for these differences. Direct comparison of hearts and measurements of coronary artery wall thickness, autopsy series, and clinical diagnoses of outpatients and hospital admissions revealed that the amount of coronary atherosclerosis and the number of myocardial infarcts is significantly less in East and West Africans compared to New Yorkers matched for age and sex. The factors producing these differences are apparently operative in childhood. East Africans were found to have a shorter blood clot-lysis time, fewer venous (and arterial) thromboemboli and lower serum lipid levels, with a lower relative percentage of serum linoleates, than age-matched New Yorkers.     

Analysis of Gene Complexes Predisposing to Coronary Atherosclerosis

The following seven polymorphic marker loci of genes responsible for predisposition to coronary atherosclerosis (CAS) were studied: the ACE locus responsible for angiotensin-converting enzyme insertion/deletion polymorphism for the presence or absence of the Alu insertion in the gene; the F13,PLAT, and APOA1 loci, controlling the clotting factor 13, plasminogen-activating tissue factor, and apolipoprotein A, respectively; the MTHFR and AGT polymorphic loci responsible for point mutations in methylenetetrahydrofolate reductase and those in angiotensinogen, respectively, and the NOS3 locus controlling the number of tandem repeats in the nitric oxide synthase gene. These loci are located on different chromosomes and encode products involved into various metabolic pathways leading to CAS. In the populations studied, significant differences between healthy subjects and patients predisposed to cardiovascular diseases were revealed with regard to the above seven markers. The 174M allele (T174M polymorphism in the AGT gene) was significantly associated with coronary atherosclerosis. It was found that specific gene combinations are involved in the CAS development and determine variation in the pathogenetically important quantitative traits.     

The Role of p53 in Atherosclerosis

Although the role of the tumour suppressor gene p53 is well known in cancer, recent studies have highlighted a fundamental role for p53 in regulating cells in the advanced atherosclerotic plaque, the major cause of heart attacks and stroke. In particular, p53 is activated in the complex environment of the plaque, in part by DNA damage within the lesion, and regulates growth arrest, cell senescence and apoptosis of vascular smooth muscle cells (VSMCs). The role of endogenous p53 has been determined using p53 knockout in mice developing advanced atherosclerosis, using bone marrow transplant to separate effects on blood cells from vessel wall cells. These studies have produced apparently contradictory and surprising results. In particular, recent studies have identified a role for endogenous p53 in protection of VSMCs from apoptosis, trans-differentiation of bone marrow stromal cells into VSMCs in atherosclerosis, and altering the mode of cell death in the plaque.     

亚临床甲状腺功能减退与动脉粥样硬化的相关性研究

目的:探讨亚临床甲状腺功能减退与动脉粥样硬化的相关性.方法:选择2010年3月至2012年3月我院收治的46例亚临床甲状腺功能减退患者为亚临床甲减组,另选取46例甲状腺功能正常的同期门诊老年体检者为对照组,分析亚临床甲状腺功能减退与动脉粥样硬化的相关性.结果:亚临床甲减组患者的甘油三酯(TC)、低密度脂蛋白胆固醇(LDL-C)水平和颈动脉粥样斑块的发生率均显著高于对照组,差异有统计学意义(P＜0.05).多元线性逐步回归分析结果显示颈动脉内膜中层厚度(IMT)与TC、LDL-C及促甲状腺激素(TSH)水平独立相关;FT3、FT4与血脂水平均存在不同程度的负相关,TSH与血脂水平均存在不同程度的正相关(P＜0.05).结论:亚临床甲状腺功能减退时动脉粥样硬化的发生可能与脂代谢异常有关.     

肥大细胞在动脉粥样硬化形成中的作用

动脉粥样硬化,是冠心病的病理基础,被认为是一种慢性炎症性疾病,涉及如巨噬细胞和T淋巴细胞等许多炎性细胞。肥大细胞是一种重要的免疫细胞,其功能主要是在超敏反应方面的作用。有病理学研究表明:肥大细胞在动脉粥样硬化斑块周围表达增加,这表明肥大细胞可能与疾病的进展有关。最近的研究表明,肥大细胞在动脉粥样硬化中确实起着重要的作用。本文通过总结肥大细胞在动脉粥样硬化形成中的作用,为在疾病进程中,通过调节肥大细胞功能来改善动脉粥样硬化的这种治疗方式的可能性提供依据。