模拟糖尿病大鼠红细胞粘附的研究

目的：观察糖尿病时红细胞的粘附,探讨红细胞粘附对糖尿病微血管病变的影响。方法：ＳＴＺ诱发大鼠糖尿病,ＦＩＴＣ体外标记糖尿病红细胞后输给正常大鼠,荧光显微镜观察怕糖尿病红细胞在正常大鼠软脑膜微血管中的流动;透射电镜观察糖尿病大鼠脑皮质微血管内红细胞的超微结构。结构：与正常红细胞相比,ＦＩＴＣ标记的糖尿病红细胞在血液正常的大鼠脑微血管中可以较长时间停留在内皮细胞表面,不被血流冲走,提示红细胞对微血管内     

降纤酶与抗栓酶-3号联合应用治疗脑梗死40例疗效观察

降纤酶是国产蛇毒类新型溶栓抗凝药物 ,它是采用高科技分离提纯的单一组份酶制剂 ,能降解血浆纤维蛋白原 (FG) ,减少血小板粘附聚集 ,促进血管内皮细胞释放 t- PA (组织纤溶酶原激活物 ) ,降低 PAL - I (组织纤溶酶原激活物 - l) ,使形成的纤维蛋白很快被清除 ,并能抑制红细胞聚集 ,缩短红细胞通过时间 ,从而起到降低全血粘度 ,改善微循环 ,加速血栓溶解 ,使阻塞的血管再通和防止血管再栓塞的作用。而抗栓酶 - 3号已被广泛应用于临床多年 ,具有抗凝、溶栓、去纤、抗血小板粘附、聚集等作用。我院于 1 998～ 1 999年联合应用降纤酶与抗栓…     

内毒素血症大鼠肠系膜微循环中血管内皮细胞与白细胞的粘附性变化

本实验采用中文吖啶橙荧光标记技术,结合微循环观察用显微超高速摄录像装置,观察了内毒素对微血管内白细胞与微静脉血管内皮细胞的粘附性的影响。结果表明,内毒素对大鼠的血压、微血管口径和微动脉血流速度影响不大,微静脉血流速度在滴注内毒素后４５和６０ｍｉｎ下降了１６．６７％和１７．９５％（Ｐ＜０．０５）;但内毒素能迅速改变微静脉内的白细胞流态,明显增加附壁滚动的白细胞数和粘附白细胞密度指数,经测量同一微静脉内的白细胞和红细胞流速,求得白细胞与微静脉内皮细胞之间的破裂力在５ｍｉｎ和１５ｍｉｎ时下降了２５．９６％和４２．８８％（Ｐ＜０．０１）,下降趋势持续整个实验过程;说明内毒素能明显地增加白细胞与微静脉血管内皮细胞之间的粘附力。由此提示,研究白细胞与微静脉血管内皮细胞之间粘附力增强机制及寻找其抑制因素对改善微循环紊乱、抢救休克具有重要的临床意义。     

电磁水对血白细胞、红细胞、血小板及血管内皮细胞影响的研究

血管中白细胞等的粘附、聚集问题能够影响微循环的血流速度,是损伤血管内皮细胞乃至形成血栓的主要因素之一。在内毒素注射大白鼠的随机、对照实验中,发现电磁水能够减轻内毒素所致的炎症刺激,并能够降低白、红细胞和血小板的粘附、聚集,能降低白细胞的渗出,能提高红细胞的电泳率,能抑制血流速度的减慢和能够减轻血管内皮细胞的损伤。t检验,差异显著(P<0.01)以及差异明显(P<0.05)。揭示电磁水能够提高血细胞和血管内皮细胞的表面负电荷密度,并可以减轻外因(如,内毒素)对体内细胞和血管的损伤。说明电磁水能够改善微循环,维系正常血流和防止血栓形成。     

纤维蛋白原、神经氨酸酶对红细胞与内皮细胞粘附的影响

采用流室系统,研究了不同切应力作用,纤维蛋白原（Ｆｇ）、神经氨酸酶对红细胞（ＲＢＣ）与内皮细胞（ＥＣ）粘附的影响。结果表明：Ｆｇ可以增加ＲＢＣ与ＥＣ的粘附且存在明显的剂量依赖关系;加入Ｆｇ后,随切应力增大,ＲＢＣ与ＥＣ相对粘附数按指数曲线减少并且趋于一大于零的值,而对照组却趋于零。提示这种由Ｆｇ介质的粘附可能存在于体内正常生理切应力范围内,并与对照组的粘附有着本质的不同。实验还表明：在０．１Ｐａ和     

电磁水对血白细胞、红细胞、血小板及血管内皮细胞影响的研究

血管中白细胞等的粘附、聚集问题能够影响微循环的血流速度,是损伤血管内皮细胞乃至形成血栓的主要因素之一.在内毒素注射大白鼠的随机、对照实验中,发现电磁水能够减轻内毒素所致的炎症刺激,并能够降低白、红细胞和血小板的粘附、聚集,能降低白细胞的渗出,能提高红细胞的电泳率,能抑制血流速度的减慢和能够减轻血管内皮细胞的损伤.t检验,差异显著（P〈0.01）以及差异明显（P〈0.05）.揭示电磁水能够提高血细胞和血管内皮细胞的表面负电荷密度,并可以减轻外因（如,内毒素）对体内细胞和血管的损伤.说明电磁水能够改善微循环,维系正常血流和防止血栓形成.     

血管壁剪切应力系统及用于内皮细胞与白细胞粘附的研究

本文建立了对血管壁上的内皮细胞施加剪切应力的系统。通过对系统中的血管内流场分析表明,该系统中的血管段的中间部分作为研究剪切应力对内皮细胞作用,以及研究内皮细胞与其它细胞粘附力的场所是比较理想的。采用该系统对在体内皮细胞研究发现：当对内皮细胞施加２８ｄｙｎ／ｃｍ２的剪切应力时,内皮细胞并未出现暴发性释放前列环素的现象,前列环素释放水平略有升高（０．４１±０．０５ｎｇ／ｃｍ２ｍｉｎ）以后呈线性下降并稳定在一定水平上（０．１７±０．０４ｎｇ／ｃｍ２ｍｉｎ）。在２８ｄｙｎ／ｃｍ２剪切应力下,受机械损伤的内皮细胞和动脉粥样硬化的内皮细胞仍能与较多白细胞粘附,而在正常内皮细胞和去掉内皮细胞的动脉壁几乎无白细胞粘附,说明在内皮细胞受损或动脉粥样硬化时,内皮细胞与白细胞的粘附增强     

精神分裂症与高粘滞血症

本文通过对我院101例住院精神分裂症患者做了血液流变学10项指标测定,结果表明:患者的全血粘度、血浆粘度、红细胞压积、血小板粘附、红细胞电泳、纤维蛋白原、还原粘度以及体外血栓三项指标中,除还原粘度一项与正常值无显著差异外,其余9项均明显高于正常值。证实精神分裂症存在着高粘滞血症.     

内皮细胞粘附分子与血管壁通透性

内皮细胞是血管壁的主要通透屏障,对血管壁通透性有多种调节作用。细胞粘附分参与细胞间连接形成以及细胞－基底膜间的粘附,与内皮层连续完整性以及通透性密切相关。参与内皮细胞中间连接的粘附分子有三大家庭,即整合素家庭、钙依赖性粘附素家族和免疫球蛋白家族,对这些粘附分子家族的研究有助于阐明内皮细胞损伤修复、新生血管形成、血管通透性调节以及循环血细胞游出的机制。     

蛋白凝胶基质的制备与基质内的血管生成反应

利用肝素亲和层析从血清中提取玻璃粘连蛋白（vitronectin）,以硫酸铵沉淀法从血浆中粗提含纤维蛋白原的复合蛋白质组分,向血浆蛋白、胎牛血清和DMEM组成的复合成分中加入凝血酶,制成蛋白质凝胶.观察血管内皮细胞在此基质上或在基质中的生长及在碱性成纤维细胞生长因子(basic fibroblast growth factor, bFGF)的诱导下形成的血管样结构.结果表明血管内皮细胞可粘附在此凝胶基质表面正常生长,在bFGF的诱导下,内皮细胞向胶内迁移、生长并形成管状结构,多个管状结构连接、融合形成毛细血管网状结构.     

Response of erythrocytes to heat in the presence of D2O, glycerol, and anisotonic saline

Mammalian erythrocytes that lack cytoplasmic organelles and a nucleus are a useful model for studying the effect of heat on the cell membrane and cytoskeleton. The effect of heat on the membrane bilayer and cytoskeleton of erythrocytes is remarkably similar to that observed in nucleated cells. Some concentrations of D2O and glycerol can effectively protect erythrocytes from heat-induced damage to the membrane and cytoskeleton. These results are similar to observations in nucleated cells. Heating erythrocytes in some concentrations of anisotonic NaCl solutions reduced damage, an observation that does not apply to enhanced killing of nucleated cells. This difference implies that some components of the cytoplasm or nucleus, or both, may contribute to the enhancement of cytotoxicity of nucleated cells when they are heated in the anisotonic NaCl solution. Incremental heating, dividing a heat treatment into two fractions, and preheating of erythrocytes all modify the effect of heat on erythrocytes slightly, but the results suggest little, if any, development of thermotolerance. The response of chicken erythrocytes is similar to that of mammalian erythrocytes, although higher temperatures are required to produce a heat effect in chicken erythrocytes. These observations suggest that the characteristic differences in heat sensitivity in nucleated and enucleated cells involve components other than the cell membrane.     

Phagocytosis of erythrocytes by the proximal tubule of the rat kidney

Summary Morphological examination of kidney biopsies from patients with glomerulonephritis and hematuria has revealed the presence of erythrocytes within epithelial cells of the proximal tubule. This observation suggested that the proximal tubule might be capable of phagocytizing morphologically intact erythrocytes. To examine this possibility small quantities of heparinized autologous blood were injected into surface convolutions of proximal tubules of the rat kidney using standard micropuncture techniques. At time intervals ranging from 10 min to 120 h after injection, the kidneys were preserved for light and transmission electron microscopy by drip-fixation with a half-strength Karnovsky's glutaraldehyde-formaldehyde fixative.During the initial 6 h there was a flattening of the brush border and accumulation of electron-dense material representing hemoglobin in apical vacuoles and in lysosome-like structures. From 6 to 15 h after micropuncture, there was progressive loss of the brush border and the simultaneous formation of pseudopodia-like evaginations that extended from the apical plasma membrane and surrounded the individual erythrocytes. By 18 and 24 h, erythrocytes were observed in the proximal tubule cells. At later time intervals, edema, lymphocytic infiltration, and fibrosis were observed in the interstitium. In addition, crystalline structures were present in the lumen and the cells of both proximal and distal tubules. These findings suggest that in addition to their well-established ability to pinocytize hemoglobin and other proteins, the cells of the proximal tubule are capable of phagocytizing morphologically intact autologous erythrocytes. It is possible that phagocytosis by the proximal tubule cells may play a role in the disposal of erythrocytes from the tubular fluid in hematuric conditions.     

Fusion of erythrolysosomes in epithelial cells of the sheep placenta

Summary In trophoblastic epithelial cells of the sheep placenta the breakdown of erythrocytes within complex erythrolysosomes was studied at the ultrastructural level.It was found that the formation of complex erythrolysosomes containing from two to several erythrocytes as a result of fusion of erythrolysosomes within the epithelial cells was a common occurrence when the epithelial cells engulfed a large number of erythrocytes. The erythrocytes enclosed in complex erythrolysosomes appear to be either in the same or in different stages of hemolysis.In the process of breakdown of erythrocytes within complex erythrolysosomes five successive stages of hemolysis could be distinguished. Acid phosphatase activity was demonstrated in the complex erythrolysosomes and appeared to be located in the angular interspaces between the erythrocytes and the lysosomal membrane. The fragmentation of complex erythrolysosomes with formation of small hemoglobin-containing lysosomes also occurred.The fusion of erythrolysosomes with formation of complex erythrolysosomes can be considered as an additional mechanism in the process of erythrocyte breakdown in the epithelial cells of the sheep placenta.     

Plasmodium falciparum-infected erythrocytes bind to the RGD motif of fibronectin via the band 3-related adhesin

Previously it was shown that Plasmodium falciparum-infected erythrocytes bound to thrombospondin by the interaction of the peptidic sequence, HPLQKTY, of the band 3 protein of infected erythrocytes, and the RGD motif of thrombospondin. Here, we show that falciparum-parasitized erythrocytes bind to immobilized fibronectin by the RGD sequence of fibronectin. Involvement of the HPLQKTY region of band 3 in binding was demonstrated by inhibition of adhesion of parasitized erythrocytes to fibronectin by an HPLQKTY-containing peptide and the binding of the HPLQKTY peptide to the RGD sequence of immobilized fibronectin. Since fibronectin occurs on endothelial cells and platelets, this interaction may contribute to the binding of falciparum-infected erythrocytes to such host cells.     

Dynamic change of the vascular wall from transmural to intercellular passage of red blood cells observed in splenic regeneration

Rat splenic tissues were autotransplanted into the major omentum, and the operated animals were treated with phenylhydrazine to investigate the passage of erythrocytes through the vascular wall during splenic regeneration. Both ways of the passage were differentiated during regeneration. From day 1 to day 5 after transplantation, the pores were formed in the endothelial cells, through which erythrocytes (chiefly reticulocytes) migrated, and were closed by the basal lamina when erythrocytes did not penetrate. From day 7 to day 10, endothelial cells proliferated, and some of them were transformed into sinus endothelial cells containing condensed microfilaments and formed the interendothelial slit, but few erythrocytes passed there at this stage yet. On and after day 11, when the sinus endothelial cells exhibited well-developed microfilaments, reticular cells contained moderately developed microfilaments and the basal lamina developed well, the slits were opened, where a large number of erythrocytes passed. These results showed, concerning the passage of blood cells, that the vascular wall in the splenic autografts changed from the transmural pattern to the intercellular one after a marked proliferation of endothelial cells and that the effective passage of erythrocytes was closely associated with the development of microfilaments in the cytoplasm of endothelial cells and basal lamina as well as the interaction of reticular cells.     

Receptor distribution and the mechanism of enhanced erythrocyte agglutination by soybean agglutinin

We have examined the role of receptor clustering in intact erythrocyte membranes exhibiting enhanced lectin-mediated cell agglutination by analyzing freeze-fracture and freeze-etch images of human erythrocytes labeled with ferritin-conjugated soybean agglutinin. We find that trypsinization and fixation of intact erythrocytes, in either order, causes no alteration of the random distribution of ferritin-conjugated soybean agglutinin on the surfaces of these cells as compared to their distribution on the surfaces of fixed erythrocytes and untreated erythrocyte ghosts. Furthermore, clustering of the intramembranous particles in the membrane of intact erythrocytes was not found with any of the cells described above.We conclude that clustering of the soybean agglutinin receptors is not a major factor involved in the enhanced agglutination of intact trypsinized erythrocytes. Caution is necessary in transferring information obtained with erythrocyte ghosts, where clustering can be induced, to intact erythrocytes.     

Monoclonal antibody OKM5 inhibits the in vitro binding of Plasmodium falciparum-infected erythrocytes to monocytes, endothelial, and C32 melanoma cells

Plasmodium falciparum-infected erythrocytes bind in vitro to human endothelial cells, monocytes, and a certain melanoma cell line. Evidence suggests that this interaction is mediated by similar mechanisms which lead to the sequestration of parasitized erythrocytes in vivo through their attachment to endothelial cells of small blood vessels. We show here that monoclonal antibody OKM5, previously shown to react with the membranes of endothelial cells, monocytes, and platelets, also reacts with the C32 melanoma cell line which also binds P. falciparum-infected erythrocytes. At relatively low concentrations, OKM5 inhibits and reverses the in vitro adherence of infected erythrocytes to target cells. As with monocytes, OKM5 antibody recognizes an 125I-labeled protein of approximately 88 Kd on the surface of C32 melanoma cells. It seems likely, therefore, that the 88 Kd polypeptide plays a role in cytoadherence, possibly as the receptor or part of a receptor for a ligand on the surface of infected erythrocytes.     

Role of membrane sialic acid content in the adhesiveness of aged erythrocytes to human cultured endothelial cells

Following our previous observation that the oldest normal red blood cells were the most adherent to human cultured endothelial cells, we attempted to simulate this age-related adherence. Among all the membrane modifications experienced by erythrocytes during their life-span, loss of sialic acids has attracted considerable attention. Using two different preparations of neuraminidase, we performed a sialic acid depletion on the youngest erythrocytes to reach a sialic acid content similar to that observed in physiologically aged erythrocytes. These pretreated youngest cells displayed limited increase in the adhesiveness to endothelial cells, lower than that found with intact oldest cells. To obtain an adhesiveness of pretreated cells similar to that of naturally aged cells, it was necessary to exceed 80% of sialic acid depletion. At this extent of desialation, modifications of the electrophoretic pattern of glycophorins were observed as well as the appearance of peanut agglutinin reactivity which were never found in physiologically aged erythrocytes. Therefore, the sialic acid loss cannot be considered as being a single determinant factor of the naturally aged red cell adhesiveness.     

Characterization of the cellular basis for the inhibition of cytolytic effector cells by murine placenta

Direct suppression of cytolytic effector cell function by cells of the placenta may represent one mechanism that protects the "fetal allograft" from rejection by maternal transplantation immunity. Collagenase disaggregated murine placental cells block target cell lysis by natural killer, lymphokine-activated killer, and (CTL)-type killer cells. This inhibition is reversible and noncompetitive, similar to a previously described inhibitor of CTL found in spleens of mice undergoing an acute graft vs host (GVH) response. Velocity sedimentation separation of placental cells shows that the inhibitory activity is primarily associated with cells that cosediment with nucleated fetal erythrocytes. When these erythrocytes were lysed, an increased number of non-erythrocytic cells could be separated and under this circumstance, inhibitory activity was seen in association with either small white cells or fetal erythrocytes and with large white cells. There may be several cell populations in murine placenta that can inhibit cytolytic effector cells. The possible relevance of direct placental inhibition of cytolytic effectors to protection of the "fetal allograft" is discussed.     

The recording of ATP in the erythrocytes using luciferase injected into the cells

The luciferase preparation obtained from fireflies Luciola mingrelica has entrapped into the human erythrocytes by means of reversible osmotic lysis. The addition of luciferin to such erythrocytes leads to the appearance of luminescence, conditioned by the entrance of luciferin into the cells. Luciferin is uniformly distributed between cells and external medium. Luciferin transport through the erythrocyte membrane is a result of simple diffusion. Values of rate constant of luciferin transport through the membrane lie between 0.009-0.021 l/s 1 cells for erythrocytes of different donors. The maximum luminescence intensity increases monotonously with rise of temperature and luciferin concentration. The dependence of the maximum luminescence intensity on luciferin concentration is described by Michaelis kinetics. Obtained in different experiments, values of luciferase Michaelis constant for luciferin inside erythrocytes lie between 4.1-21.5 microM. Luminescence intensity of the luciferase containing erythrocytes depends on the intracellular ATP concentration. Under the same luciferin concentration the correlation of luminescence intensities of control erythrocytes with normal ATP level and erythrocytes depleted without glucose is near to correlation of their ATP concentrations. After the addition of glucose to the depleted erythrocytes their ATP concentration rises and luminescence intensity approaches to the level of control erythrocytes. Luciferase entrapment permit one to control rapid ATP concentration changes in the erythrocytes.