门诊高血压患者健康教育加个体化治疗的效果观察

摘要目的：探讨门诊高血压患者健康教育加个体化治疗的效果。方法：选取在本院门诊收治原发性高血压的患者258例,随机均分为观察组和对照组,每组129例。观察组使用健康教育和个体化治疗,而对照组使用常规治疗。记录并比较两组治疗前后对高血压病掌握情况,血压下降率,服药依从性,治疗后达标、并发症情况。结果：治疗前,观察组对高血压病掌握情况与对照组差异无统计学意义（P〉0．05）;治疗后,观察组对高血压诊断（91．5％）、高血压病因（98．4％）、高血压症状（100．0％）、高血压并发症（92．2％）掌握情况明显比对照组要好,差异有统计学意义（P〈0．05）;观察组服药依从性明显好于对照组,差异具有统计学意义（P〈0．05）;观察组的血压下降率为81．4％,明显高于对照组49．6％,差异具有统计学意义（P〈0．05）;观察组的达标率高达74．4％,明显高于对照组的34．9％,差异具有统计学意义（P〈0．01）;观察组未达标率和并发症发生率分别为25．6％和9-3％,明显低于对照组的65．1％和20．9％,差异有统计学意义（P〈0．01）。结论：对不同高血压患者采用健康教育加个体化的治疗方法,对提高高血压的控制率和降低相应并发症的发生率有非常好的临床效果,值得临床进一步推广和应用。     

一条新的柱层析纯化路径对HBsAg免疫原性的影响

摘要目的：建立一条新的毕赤酵母表达乙肝表面抗原（HepatitisBantigen,HBsAg）柱层析纯化方法,保持HBsAg结构完整性和提高免疫原性。方法：毕赤酵母发酵料液经过菌体破碎、聚乙二醇沉淀、疏水层析、超滤和凝胶分子筛精纯,收集HBsAg合格样品液适当稀释后加入铝佐荆吸附,制成乙肝疫苗半成品免疫BALB／c小鼠。结果：纯化产物经SDS-PAGE银染鉴定得单一条带,分子量在23kD左右,凝胶成像软件分析纯度超过95％;该纯化方法得到的HBsAg颗粒电镜观察得平均直径为22nm病毒样颗粒,结构较均一完整;自制疫苗免疫小鼠后,其血清抗体水平高于葛兰素史克生产的Engerix—B（安在时）,存在显著性差异（P〈0．05）。结论：通过该方法纯化的HBsAg结构完整性良好,疫苗免疫效果优于酵母表达的Engerix—B,纯化路径简单高效,易于放大用于工业化生产。     

榆耳不同极性提取物的体外抑菌活性

采用圆滤纸片法,以金黄色葡萄球菌O41ermc、S19NMA1、ATCC25923和大肠杆菌ERcat、EΠ￡R、ATCC25923为受试菌种,对榆耳石油醚、氯仿、乙酸乙酯、丙酮、甲醇和水不同极性提取物进行抑菌活性研究。结果表明:榆耳不同极性提取物对不同的菌种均有不同程度的抑制作用。     

粉叶小檗大孢子发生和雌配子体形成

采用石蜡切片方法对粉叶小檗（Berberis pruinosa Franch.)的大孢子发生和雌配子体形成过程进行了研究。主要结果如下：雌蕊1枚,子房单心皮,边缘胎座,2枚胚珠倒生,具双珠被,厚珠心,珠孔由内外两层珠被共同形成,呈“Z”字形;单孢原,位于珠心表皮下;直线形大孢子四分体,合点端的1个大孢子发育为功能大孢子,胚囊发育类型为蓼型;成熟胚囊中,2个极核在受精前融合为次生核;3个反足细胞不发达,较早退化;"品"字形卵器,其中助细胞发达且具丝状器。     

HIF-1α和VEGF—c在胃癌组织中的表达及临床意义研究

目的：探讨HIF-1α和VEGF—c在胃癌组织中的表达情况及临床病理意义。方法：选取2010年12月至2012年12月期间就诊于我院肿瘤外科需进行手术切除的胃癌标本及其配对的癌旁组织各73例进行研究分析,采用免疫组化SP（streptavidin perotridase）对胃癌组织以及癌旁组织中HIF-1α和VEGF-c的表达情况进行检测。结果：①HIF-1α和VEGF-c在癌旁组织几乎不表达,而在胃癌组织中的阳性表达率分别为83．56％、78．08％,显著高于癌旁组织,经分析,差异具有统计学意义（P〈0．05）;②HIF—hx和VEGF-c的阳性表达和浸润深度、淋巴结转移以及临床分期密切相关,差异具有统计学意义（P〈0．05）;③HIF-1α和VEGF-c在胃癌组织中的表达存在一定的相关性（r=0．654,P〈0．05）。结论：HIF．hx和VEGF-c的阳性表达可以作为胃癌侵袭转移的重要判定指标,这对于本病的临床治疗具有一定的指导性意义。     

Decreased Dicer Expression Enhances SRP-Mediated Protein Targeting

We have shown that Dicer processes 7SL RNA into different fragments ranging from ∼20 to more than 200 nucleotides. Here we addressed the molecular functions of these 7SL RNA fragments and found that some of them functioned as dominant-negative regulators of the full-length 7SL RNA, interfering with signal recognition particle (SRP) complex formation. Transfection of these 7SL RNA fragments inhibited the expression of cell surface glycoproteins, the targeting of a reporter protein to the endoplasmic reticulum, and the secretion of secreted alkaline phosphatase. These results suggest that some Dicer-processed 7SL RNA fragments interfered with SRP-mediated protein targeting. Moreover, we showed that Dicer knockdown enhanced SRP-mediated protein targeting and that transfection of a mixture of the 7SL RNA fragments partially restored this effect. Our data indicate that Dicer can fine-tune the efficiency of SRP-mediated protein targeting via processing a proportion of 7SL RNA into fragments of different lengths.     

miRNA Biogenesis Enzyme Drosha Is Required for Vascular Smooth Muscle Cell Survival

miRNA biogenesis enzyme Drosha cleaves double-stranded primary miRNA by interacting with double-stranded RNA binding protein DGCR8 and processes primary miRNA into precursor miRNA to participate in the miRNA biogenesis pathway. The role of Drosha in vascular smooth muscle cells (VSMCs) has not been well addressed. We generated Drosha conditional knockout (cKO) mice by crossing VSMC-specific Cre mice, SM22-Cre, with Drosha ^loxp/loxp mice. Disruption of Drosha in VSMCs resulted in embryonic lethality at E14.5 with severe liver hemorrhage in mutant embryos. No obvious developmental delay was observed in Drosha cKO embryos. The vascular structure was absent in the yolk sac of Drosha homozygotes at E14.5. Loss of Drosha reduced VSMC proliferation in vitro and in vivo. The VSMC differentiation marker genes, including αSMA, SM22, and CNN1, and endothelial cell marker CD31 were significantly downregulated in Drosha cKO mice compared to controls. ERK1/2 mitogen-activated protein kinase and the phosphatidylinositol 3-kinase/AKT were attenuated in VSMCs in vitro and in vivo. Disruption of Drosha in VSMCs of mice leads to the dysregulation of miRNA expression. Using bioinformatics approach, the interactions between dysregulated miRNAs and their target genes were analyzed. Our data demonstrated that Drosha is required for VSMC survival by targeting multiple signaling pathways.     

Anti-Bacterial Activity of Recombinant Human β-Defensin-3 Secreted in the Milk of Transgenic Goats Produced by Somatic Cell Nuclear Transfer

The present study was conducted to determine whether recombinant human β-defensin-3 (rHBD3) in the milk of transgenic goats has an anti-bacterial activity against Escherichia coli (E. coli), Staphylococcus aureus (S. aureus) and Streptococcus agalactiae (S. agalactiae) that could cause mastitis. A HBD3 mammary-specific expression vector was transfected by electroporation into goat fetal fibroblasts which were used to produce fourteen healthy transgenic goats by somatic cell nuclear transfer. The expression level of rHBD3 in the milk of the six transgenic goats ranged from 98 to 121 µg/ml at 15 days of lactation, and was maintained at 90–111 µg/ml during the following 2 months. Milk samples from transgenic goats showed an obvious inhibitory activity against E. coli, S. aureus and S. agalactiae in vitro. The minimal inhibitory concentrations of rHBD3 in milk against E. coli, S. aureus and S. agalactiae were 9.5–10.5, 21.8–23.0 and 17.3–18.5 µg/mL, respectively, which was similar to those of the HBD3 standard (P>0.05). The in vivo anti-bacterial activities of rHBD3 in milk were examined by intramammary infusion of viable bacterial inoculums. We observed that 9/10 and 8/10 glands of non-transgenic goats infused with S. aureus and E. coli became infected. The mean numbers of viable bacteria went up to 2.9×10³ and 95.4×10³ CFU/ml at 48 h after infusion, respectively; the mean somatic cell counts (SCC) in infected glands reached up to 260.4×10⁵ and 622.2×10⁵ cells/ml, which were significantly higher than the SCC in uninfected goat glands. In contrast, no bacteria was presented in glands of transgenic goats and PBS-infused controls, and the SSC did not significantly change throughout the period. Moreover, the compositions and protein profiles of milk from transgenic and non-transgenic goats were identical. The present study demonstrated that HBD3 were an effective anti-bacterial protein to enhance the mastitis resistance of dairy animals.