非小细胞肺癌的治疗方案及影响预后的重要因素

目的:回顾分析各种非小细胞肺癌(non-small cell lung cancer,NSCLC)的治疗方案及影响其治疗预后的因素,为合理制定个体化的综合治疗方案提供参考。方法:回顾分析近年来NSCLC治疗的研究报道,分析如病理分期、实验室检查结果(VEGF、WBC、Hg等)影响治疗预后的因素,建议相应的治疗对策。结果:1.Ⅰ期、Ⅱ期及部分Ⅲa期NSCLC的患者治疗措施首先以手术治疗为主,同步放化疗比单纯放、化疗及序贯放化疗更能有效改善晚期NSCLC的预后;2.个体相关因素、肿瘤相关因素和治疗相关因素影响NSCLC治疗预后。结论:同步放化疗在晚期NSCLC的治疗中有重要作用,肿瘤的病理分期、血浆VEGF浓度是影响NSCLC预后的独立因素。     

Hydrogen Production in Chlamydomonas: Photosystem II-Dependent and -Independent Pathways Differ in Their Requirement for Starch Metabolism

Under sulfur deprivation conditions, the green alga Chlamydomonas reinhardtii produces hydrogen in the light in a sustainable manner thanks to the contribution of two pathways, direct and indirect. In the direct pathway, photosystem II (PSII) supplies electrons to hydrogenase through the photosynthetic electron transport chain, while in the indirect pathway, hydrogen is produced in the absence of PSII through a photosystem I-dependent process. Starch metabolism has been proposed to contribute to both pathways by feeding respiration and maintaining anoxia during the direct pathway and by supplying reductants to the plastoquinone pool during the indirect pathway. At variance with this scheme, we report that a mutant lacking starch (defective for sta6) produces similar hydrogen amounts as the parental strain in conditions of sulfur deprivation. However, when PSII is inhibited by 3-(3,4-dichlorophenyl)-1,1-dimethylurea, conditions where hydrogen is produced by the indirect pathway, hydrogen production is strongly reduced in the starch-deficient mutant. We conclude that starch breakdown contributes to the indirect pathway by feeding electrons to the plastoquinone pool but is dispensable for operation of the direct pathway that prevails in the absence of DCMU. While hydrogenase induction was strongly impaired in the starch-deficient mutant under dark anaerobic conditions, wild-type-like induction was observed in the light. Because this light-driven hydrogenase induction is DCMU insensitive and strongly inhibited by carbonyl cyanide-p-trifluoromethoxyphenylhydrazone or 2,5-dibromo-3-methyl-6-isopropyl-p-benzoquinone, we conclude that this process is regulated by the proton gradient generated by cyclic electron flow around PSI.In the context of economical and environmental concerns around fossil fuel depletion and global warming, the interest in hydrogen as an energy carrier for the future has considerably grown. Because molecular hydrogen is scarce on our planet, the development of a hydrogen economy strongly depends on our ability to propose clean and sustainable technologies of hydrogen production. In this context, the ability of some photosynthetic microorganisms, and particularly cyanobacteria and microalgae, to convert solar energy into hydrogen has been considered as very promising (Ghirardi et al., 2000; Rupprecht et al., 2006). When cells of the unicellular green alga Chlamydomonas reinhardtii are illuminated after adaptation to anaerobic conditions, electrons originating from water splitting at PSII are driven by the photosynthetic electron transport chain to ferredoxin and to a reversible iron hydrogenase, thereby enabling the production of molecular hydrogen from water and solar energy. Because both hydrogenase activity and expression are highly sensitive to the presence of O₂ (Happe et al., 1994; Ghirardi et al., 1997; Happe and Kaminski, 2002) and because O₂ is produced at PSII, hydrogen photoproduction stops after a few minutes of illumination. Melis et al. (2000) proposed an experimental protocol based on sulfur (S) deprivation, allowing long-term hydrogen production. This protocol relies on a two-stage process: during a first stage, oxygenic photosynthesis drives production of biomass and carbohydrate stores, and during a second anaerobic stage, the hydrogenase is induced and hydrogen is produced. Sulfur starvation has two important effects regarding hydrogen production: (1) a massive accumulation of starch that defines a common response to nutrient starvation and (2) a gradual drop in PSII activity (Wykoff et al., 1998). Once the rate of photosynthetic O₂ evolution drops below the rate of respiration, anaerobic conditions are reached, enabling the induction of hydrogenase and the production of significant amounts of hydrogen for several days. In parallel to hydrogen production, starch is degraded (Melis et al., 2000; Melis, 2007).The importance of starch fermentation in hydrogen production has been recognized early from the pioneering work of Gibbs and coworkers (Gfeller and Gibbs, 1984; Gibbs et al., 1986). Based on the observation that starchless C. reinhardtii mutants sta6 and sta7 are strongly affected in their ability to produce hydrogen, Posewitz et al. (2004) proposed that starch metabolism plays a central role in C. reinhardtii hydrogen production. Actually, two different pathways can supply reductants (i.e. reduced ferredoxin) for hydrogen production in the light, a direct pathway involving PSII and an indirect PSII-independent pathway that relies on a nonphotochemical reduction of plastoquinones (PQs; Fouchard et al., 2005; Melis, 2007). Starch catabolism was proposed to play a role in both pathways (Melis, 2007) by (1) sustaining mitochondrial respiration and allowing the maintenance of anaerobic conditions for the PSII-dependent direct pathway and (2) by supplying electrons to the chlororespiratory pathway and to the hydrogenase through a PSI-dependent process during the indirect pathway (Fouchard et al., 2005; Mus et al., 2005; Melis, 2007). Such a dual role of starch was first confirmed by the study of a Rubisco-deficient mutant (CC2653), unable to accumulate starch and to produce hydrogen in conditions of S deprivation (White and Melis, 2006), but was recently challenged by the study of another Rubisco-less mutant (CC2803), which was reported to produce significant amounts of hydrogen in S starvation conditions, although not accumulating starch (Hemschemeier et al., 2008). These conflicting results obtained on two different Rubisco-deficient mutants prompted us to reexamine the contribution of starch to both direct and indirect pathways of hydrogen production. For this purpose, we complemented the initial work of Posewitz et al. (2004) by revisiting the ability of C. reinhardtii mutants deficient in starch metabolism to produce hydrogen. We thus tested the ability to produce hydrogen in a starchless strain carrying defect in the structural gene encoding the small subunit of ADP-Glc pyrophosphorylase (AGPase; sta6; Zabawinski et al., 2001). We found that sta6 mutant produces significant hydrogen amounts in condition of S deprivation but shows a strongly reduced PSII-independent hydrogen production. We conclude that while the PSII-independent hydrogen production pathway strictly relies on starch catabolism, the PSII-dependent pathway may require either starch or acetate as a respiratory substrate to maintain anaerobiosis.     

Control of Hydrogen Photoproduction by the Proton Gradient Generated by Cyclic Electron Flow in Chlamydomonas reinhardtii

Hydrogen photoproduction by eukaryotic microalgae results from a connection between the photosynthetic electron transport chain and a plastidial hydrogenase. Algal H₂ production is a transitory phenomenon under most natural conditions, often viewed as a safety valve protecting the photosynthetic electron transport chain from overreduction. From the colony screening of an insertion mutant library of the unicellular green alga Chlamydomonas reinhardtii based on the analysis of dark-light chlorophyll fluorescence transients, we isolated a mutant impaired in cyclic electron flow around photosystem I (CEF) due to a defect in the Proton Gradient Regulation Like1 (PGRL1) protein. Under aerobiosis, nonphotochemical quenching of fluorescence (NPQ) is strongly decreased in pgrl1. Under anaerobiosis, H₂ photoproduction is strongly enhanced in the pgrl1 mutant, both during short-term and long-term measurements (in conditions of sulfur deprivation). Based on the light dependence of NPQ and hydrogen production, as well as on the enhanced hydrogen production observed in the wild-type strain in the presence of the uncoupling agent carbonyl cyanide p-trifluoromethoxyphenylhydrazone, we conclude that the proton gradient generated by CEF provokes a strong inhibition of electron supply to the hydrogenase in the wild-type strain, which is released in the pgrl1 mutant. Regulation of the trans-thylakoidal proton gradient by monitoring pgrl1 expression opens new perspectives toward reprogramming the cellular metabolism of microalgae for enhanced H₂ production.     

Characterization of sodium transport in gustatory epithelia from the hamster and rat

The transduction of sodium salts occurs through a variety of mechanisms, including sodium influx through amiloride-sensitive sodium channels, anion-dependent sodium movement through intercellular junctions and unidentified amiloride-insensitive mechanisms. Characterizations of sodium transport in lingual epithelium mounted in Ussing chambers have focused almost exclusively on epithelia containing only fungiform taste buds. In the present study we have investigated sodium transport by measuring NaCl-induced short-circuit current from lingual epithelia containing fungiform, foliate, vallate and palatine taste buds in the hamster and the rat. All areas show measurable sodium transport, yet significant differences were noted between the epithelia from the rat and the hamster and among the different epithelia within a single species in terms of current density, transepithelial resistance and mucosal amiloride sensitivity. In general, epithelia from the anterior tongue were of a lower resistance and transported sodium more effectively than from the posterior tongue. Moreover, fungiform- and vallate-containing epithelia in the rat had a greater current density than did the corresponding tissues in the hamster. Amiloride sensitivity also differed between the rat and the hamster. In the hamster all gustatory areas showed some amiloride sensitivity, while in the rat the vallate-containing epithelia were devoid of amiloride- sensitive sodium transport. The results are consistent with the interpretation that all chemosensitive areas may participate in the detection of salts but the degree of salt transport and the mechanism of transport is variable among different lingual epithelia and different species.      

Noncontact dipole effects on channel permeation. III. Anomalous proton conductance effects in gramicidin

Proton transport on water wires, of interest for many problems in membrane biology, is analyzed in side-chain analogs of gramicidin A channels. In symmetrical 0.1 N HCl solutions, fluorination of channel Trp(11), Trp-(13), or Trp(15) side chains is found to inhibit proton transport, and replacement of one or more Trps with Phe enhances proton transport, the opposite of the effects on K(+) transport in lecithin bilayers. The current-voltage relations are superlinear, indicating that some membrane field-dependent process is rate limiting. The interfacial dipole effects are usually assumed to affect the rate of cation translocation across the channel. For proton conductance, however, water reorientation after proton translocation is anticipated to be rate limiting. We propose that the findings reported here are most readily interpreted as the result of dipole-dipole interactions between channel waters and polar side chains or lipid headgroups. In particular, if reorientation of the water column begins with the water nearest the channel exit, this hypothesis explains the negative impact of fluorination and the positive impact of headgroup dipole on proton conductance.