国产胸腺肽治疗慢性乙肝疗效及其机理初探

本文观察大剂量胸腺肽对慢性乙肝患者的治疗作用并研究其作用机理。用ＥＬＩＳＡ、ＰＣＲ 和免疫化学染色法等比较分析胸腺肽治疗三个月后,ＡＬＴ、ＨＢＶ－ Ｍ 和ＨＢＶ ＤＮＡ 等指标变化,发现患者ＡＬＴ 复常率、ＨＢｅＡｇ 转阴率、ＨＢＶ ＤＮＡ 阴转率和ＨＢＶ ＤＮＡ 有效下降率分别为５８．３３ ％ 、３３．３３ ％ 、４１．６７ ％ 和９１．６７ ％ ;同时患者外周血ＣＤ４ ＋淋巴细胞亚群上调,ＣＤ８ ＋ 亚群下调,二者比值趋于正常。说明国产胸腺肽治疗慢性乙肝有较好的应用前景,其治疗机理与免疫调节作用有关。     

老慢气患者下呼吸道微生态学的研究

为深入探讨老慢气的发病机理,运用微生态学原理对３２例老慢气患者下呼吸道以纤难支气管和环甲膜穿刺的方法采取气和必物标本,以进一步探讨老慢患者与菌群失调的关系。结果表明,老慢气患者下呼吸道需氧菌主要为肺炎链球菌、奈瑟菌、甲型链球菌。肺炎链球菌和奈瑟菌的检出率分别为５０％和４３．７５％。厌氧菌主要为消化链球菌、韦荣菌、优杆菌、丙酸力。消化链球菌检出率为８７．５％、韦荣菌为３４．３８％。药敏实验表明,肺炎     

自蔓延高温合成镍钛形状记忆合金的生物医学基础研究——第二部分 组织内植入实验

目的:研究自蔓延高温合成钛镍形状记忆合金(SHS SMA)生物学组织相容性。材料和方法:将SHS NiTi SMA多孔体制成薄片,植入大白鼠体内,观察埋植材料与组织的结合情况及对组织的影响,周围组织对埋植材料的反应,并用常规锻制的镍钛记忆合金作对照。结果:肉眼观察,SHS NiTi SMA多孔材料与周围组织结合紧密,而NiTi SMA光滑材料与周围组织结合疏松;光镜观察,两和埋植材料在实验初期,周围组织均有轻度的炎症反应;SHS NiTi SMA有孔材料在一月后材料周围纤维组织增生,并有乳头状突起;NiTi SMA光滑材料一月后材料周围呈包膜样改变。电镜观察,有孔材料的孔隙内有组织长入,并随相通的孔隙长入材料的内部。而光滑材料周围呈纤维组织包裹。结论:两种材料均有良好的组织相容性,SHSNiTi SMA的孔隙有利于组织的长入和结合。     

腹内感染的细菌学研究

本文对外科腹内感染150例进行了需氧与厌氧的细菌学研究。结果表明腹内感染的病原菌都是消化道内的正常菌群,需氧菌以大肠杆菌等革兰氏阴性杆菌为主,而厌氧菌则以吉氏拟杆菌等脆弱群拟杆菌多见。感染多为几种细菌的混合感染,尤其是需氧菌与厌氧菌的混合感染。并对内源性细菌引起感染的致病机理进行了讨论。     

输卵管妊娠腹腔镜根治术后持续性异位妊娠原因分析及对策

目的探讨输卵管妊娠腹腔镜根治术后持续性异位妊娠发生的原因,以寻求针对性的处理方法。方法回顾分析我院2007年1月至2009年1月670例输卵管妊娠患者行腹腔镜下输卵管切除术,术后发生持续性异位妊娠共6例。结果4例采用药物保守治疗成功,2例保守治疗无效行手术治疗后成功。结论在手术过程中尽量避免输卵管妊娠物直接经Troca钳夹取出,防止残留于Troca、勺状钳、冲洗棒头端等操作器械上的绒毛组织再次带入腹腔,可能有助于有效阻断持续性异位妊娠的形成。     

Pygo基因的细胞定位及其在果蝇发育过程中的表达(英文)

Wingless信号传导是果蝇胚胎和幼虫发育过程中的一个关键性的信号传导通路。已鉴定出来许多参与Wg Wnt信号传导的Wg或其脊椎动物同源基因Wnt下游传导通路的基因。Wg下游的Wg信号传导是由核TCF LEF 1通过Armadillo (Arm) β catenin介导的。pygopus (pygo)是一个最近发现的Wg Wnt信号传导通路新成员。通过细胞定位实验发现pygo专一性的表达在细胞核中。运用反义mRNA作探针的原位杂交技术 ,观察到了pygo基因在果蝇胚胎中的表达特性。虽然pygo普遍表达于果蝇胚胎发生全过程 ,但pygo在前囊胚层 (pre blastoderm)中的表达水平相对较高 ,这说明胚胎发生过程中来自母方的贡献较高。在幼虫组织 (包括翅成虫盘 ,眼成虫盘和腿成虫盘 )的发育过程中 ,pygo的表达水平总的来说比较低。然而 ,比较翅成虫盘 ,眼成虫盘和腿成虫盘的pygo表达水平 ,则在翅成虫盘和腿成虫盘pygo的表达水平相对较高。     

Development and Validation of a Risk Score for Chronic Kidney Disease in HIV Infection Using Prospective Cohort Data from the D:A:D Study

Background

Chronic kidney disease (CKD) is a major health issue for HIV-positive individuals, associated with increased morbidity and mortality. Development and implementation of a risk score model for CKD would allow comparison of the risks and benefits of adding potentially nephrotoxic antiretrovirals to a treatment regimen and would identify those at greatest risk of CKD. The aims of this study were to develop a simple, externally validated, and widely applicable long-term risk score model for CKD in HIV-positive individuals that can guide decision making in clinical practice.

Methods and Findings

A total of 17,954 HIV-positive individuals from the Data Collection on Adverse Events of Anti-HIV Drugs (D:A:D) study with ≥3 estimated glomerular filtration rate (eGFR) values after 1 January 2004 were included. Baseline was defined as the first eGFR > 60 ml/min/1.73 m2 after 1 January 2004; individuals with exposure to tenofovir, atazanavir, atazanavir/ritonavir, lopinavir/ritonavir, other boosted protease inhibitors before baseline were excluded. CKD was defined as confirmed (>3 mo apart) eGFR ≤ 60 ml/min/1.73 m². Poisson regression was used to develop a risk score, externally validated on two independent cohorts.In the D:A:D study, 641 individuals developed CKD during 103,185 person-years of follow-up (PYFU; incidence 6.2/1,000 PYFU, 95% CI 5.7–6.7; median follow-up 6.1 y, range 0.3–9.1 y). Older age, intravenous drug use, hepatitis C coinfection, lower baseline eGFR, female gender, lower CD4 count nadir, hypertension, diabetes, and cardiovascular disease (CVD) predicted CKD. The adjusted incidence rate ratios of these nine categorical variables were scaled and summed to create the risk score. The median risk score at baseline was −2 (interquartile range –4 to 2). There was a 1:393 chance of developing CKD in the next 5 y in the low risk group (risk score < 0, 33 events), rising to 1:47 and 1:6 in the medium (risk score 0–4, 103 events) and high risk groups (risk score ≥ 5, 505 events), respectively. Number needed to harm (NNTH) at 5 y when starting unboosted atazanavir or lopinavir/ritonavir among those with a low risk score was 1,702 (95% CI 1,166–3,367); NNTH was 202 (95% CI 159–278) and 21 (95% CI 19–23), respectively, for those with a medium and high risk score. NNTH was 739 (95% CI 506–1462), 88 (95% CI 69–121), and 9 (95% CI 8–10) for those with a low, medium, and high risk score, respectively, starting tenofovir, atazanavir/ritonavir, or another boosted protease inhibitor.The Royal Free Hospital Clinic Cohort included 2,548 individuals, of whom 94 individuals developed CKD (3.7%) during 18,376 PYFU (median follow-up 7.4 y, range 0.3–12.7 y). Of 2,013 individuals included from the SMART/ESPRIT control arms, 32 individuals developed CKD (1.6%) during 8,452 PYFU (median follow-up 4.1 y, range 0.6–8.1 y). External validation showed that the risk score predicted well in these cohorts. Limitations of this study included limited data on race and no information on proteinuria.

Conclusions

Both traditional and HIV-related risk factors were predictive of CKD. These factors were used to develop a risk score for CKD in HIV infection, externally validated, that has direct clinical relevance for patients and clinicians to weigh the benefits of certain antiretrovirals against the risk of CKD and to identify those at greatest risk of CKD.     

The hitchhiking effect of an autosomal meiotic drive gene

Transmission-ratio distortion is a departure from a 1:1 segregation of alleles in the gametes of a heterozygous individual. The so-called driving allele is strongly selected regardless of its effect on the fitness of the carrying individual. It may then have an important impact on neutral polymorphism due to the genetic hitchhiking effect. We study this hitchhiking effect in the case of true meiotic drive in autosomes and show that it is more dependent on the recombination rate than in the classical case of a gene positively selected at the organism level.     

空气流动增加压力型整体体积描记箱内压力变化的空气动力学研究

动物实验中,计算小动物呼吸容量如潮气量时通常遵循Boyle定律。而小动物在压力型体积描记箱内呼吸时,箱内气体处于不停的流动状态。为了研究气体流动本身对描记箱内压力是否产生影响,本研究采用空气动力学理论推导出压力型体积描记箱内压力变化的近似公式,并设计了三个实验对理论公式进行证明。首先,往体积描记箱内注入0.1mL、0.2mL和0.4mL空气,结果显示,描记箱内压力迅速上升至一峰值然后下降为一水平的基线压力值。3种容量的空气注入产生的压力变化最大值(峰压)及压力保持平稳时的压力变化值(基线压)分别为:(0.828±0.004)cmH2O、(0.684±0.003)cmH2O;(1.650±0.010)cmH2O、(1.350±0.007)cmH2O;(3.280±0.014)cmH2O、(2.658±0.011)cmH2O,峰压均显著高于基线压。其次,往体积描记箱内注入相同容量、但通气频率不同的空气,结果显示,随着注入空气的频率增加,描记箱内压力变化幅度亦显著增加。最后,用小动物呼吸机和微量移液器分别往描记箱内注入相同容量、相同频率但流量-时间函数不同的气体,结果显示,呼吸机引起的体积描记箱内峰压及基线压均显著高于微量移液器。以上结果表明,空气流动本身在压力型体积描记箱内引起压力变化;空气流动越快,压力变化幅度也越大;流动空气的流量是时间的不同函数时,压力变化也将显著不同。因此要精确地计算小动物呼吸容量变化,需要使用更多的空气动力学原理。     

MoDEL (Molecular Dynamics Extended Library): a database of atomistic molecular dynamics trajectories

More than 1700 trajectories of proteins representative of monomeric soluble structures in the protein data bank (PDB) have been obtained by means of state-of-the-art atomistic molecular dynamics simulations in near-physiological conditions. The trajectories and analyses are stored in a large data warehouse, which can be queried for dynamic information on proteins, including interactions. Here, we describe the project and the structure and contents of our database, and provide examples of how it can be used to describe the global flexibility properties of proteins. Basic analyses and trajectories stripped of solvent molecules at a reduced resolution level are available from our web server.