6_m2细胞转化与肌醇磷脂代谢相关性研究

肌醇磷脂代谢与V-mos癌基因转化细胞的相关性,迄今为止未见报导。本文用6m2细胞(Moloney鼠类肉瘤病毒(含V-mos)温度敏感突变株(MoMuSVts110)转化的NRK细胞)为模型,探讨了肌醇磷脂代谢与细胞转化的相关性。在33℃ (转化型温度)时,细胞内PIP(磷脂酰肌醇-4-磷酸)含量明显高于39℃(正常型温度),显示出转化型6m2细胞中存在一个提高的PI激酶活性。同时可见DG(二酰甘油)和IP_3(肌醇三磷酸)含量和蛋白激酶C(PKC)活性均明显高于正常型细胞。当细胞由39℃转至33℃10min,PIP、DG、IP_3含量和PKC活性均明显增加,并伴随有PKC活性由胞质向质膜上的转移。实验结果表明肌醇磷脂代谢参与了6m2细胞转化过程。文中对其作用机理进行了讨论。     

布地奈德福莫特罗粉吸入剂联合孟鲁斯特对支气管哮喘急性发作期患者肺功能及血清细胞因子水平的影响

目的:研究布地奈德福莫特罗粉吸入剂(ST)联合孟鲁斯特对支气管哮喘急性发作期(ASBA)患者肺功能及血清细胞因子水平的影响。方法:选择2015年2月到2017年8月在我院治疗的86例ASBA患者作为研究对象,根据随机数字表法将患者分成观察组(n=43)以及对照组(n=43),对照组予以ST治疗,观察组则在此基础上联合孟鲁司特治疗,两组均治疗3个月,对比两组患者治疗前及治疗3个月后的肺功能、细胞因子水平、咳嗽评分、St·George's呼吸疾病问卷(SGRQ)以及用药安全性。结果:治疗后两组患者的第1秒的用力呼气容积(FEV1)、用力肺活量(FVC)及FEV1/FVC均较治疗前升高,且观察组高于对照组(P0.05)。治疗后两组患者的白细胞介素-4(IL-4)、白细胞介素-5(IL-5)、γ-干扰素(INF-γ)及肿瘤坏死因子-α(TNF-α)水平均较治疗前降低,且观察组低于对照组(P0.05)。治疗后两组患者的咳嗽评分较治疗前升高,且观察组高于对照组(P0.05),而治疗后两组患者的SGRQ评分均较治疗前降低,且观察组低于对照组(P0.05)。观察组不良反应的总发生率为20.93%,与对照组的16.28%相比无统计学差异(P0.05)。结论:ASBA给予ST联合孟鲁司特治疗能够有效改善患者的症状,缓解机体炎症反映的同时还可有效改善患者肺功能和生活质量,其用药安全性较好。     

关中平原麦玉轮作体系作物秸秆不同还田模式下土壤有机碳和无机碳库变化特征

为探究不同秸秆还田模式对土壤碳库的影响,以陕西关中平原连续11年麦玉秸秆还田定位试验为基础,选择5种还田模式,即秸秆均不还田(CK)、小麦高留茬-玉米秸秆粉碎还田(WH-MC)、小麦玉米秸秆均粉碎还田(WC-MC)、小麦高留茬-玉米秸秆不还田(WH-MN)和小麦秸秆粉碎还田-玉米秸秆不还田(WC-MN),测定不同模式土壤有机碳(SOC)、活性碳组分和无机碳(SIC)在0～40 cm土层的分布。结果表明: 与CK相比,WH-MC和WC-MC的SOC储量分别增加28.1%和22.2%,SIC储量分别增加20.4%和17.3%;与试验初始土壤碳储量相比,各还田模式SOC固持量变化为-0.84～6.55 t·hm^-2,SIC固持量为-0.26～8.61 t·hm^-2;土壤总固碳效率为7.5%,维持土壤初始碳储量水平的最小碳投入量为4.65 t·hm^-2·a^-1;与CK相比,WH-MC和WC-MC显著提升0～20 cm土层活性碳组分含量。主成分分析表明,不同还田模式下土壤碳库变化主要受秸秆投入量的影响。来源于灌溉水和植物残体的Ca²⁺、Mg²⁺与SOC矿化产生的CO₂可共沉淀形成CaCO₃,可能是本研究SIC增加的主要机制。从提高土壤碳固持角度来看,小麦高留茬-玉米秸秆粉碎还田模式为最佳还田模式。     

Surfactin-Induced Apoptosis Through ROS–ERS–Ca2+-ERK Pathways in HepG2 Cells

Although surfactin is able to inhibit cancer cell proliferation and to induce cancer cell apoptosis, the molecular mechanism responsible for this process remain elusive. In this study, the signaling network underlying the apoptosis of human hepatoma (HepG2) cells induced by surfactin was investigated. It is found that the reaction oxygen species (ROS) production and intracellular calcium ([Ca²⁺]_i) accumulation are both induced HepG2 cells apoptosis. The [Ca²⁺]_i exaltation was partly depended on the Ca²⁺ release from inositol 1,4,5-trisphosphate (IP3) and ryanodine (Ry) receptors channels, which both triggered endoplasmic reticulum stress (ERS). The results showed that surfactin induced the ROS production and ROS production led to ERS. The occurrence of ERS increased the [Ca²⁺]_i level and the processes associated with blocking extracellular signal-regulated kinase (ERK) pathway. According to a comprehensive review of all the evidence, it is concluded that surfactin induces apoptosis of HepG2 cells through a ROS–ERS–Ca²⁺ mediated ERK pathway.     

Polymorphisms of Genes in Neurotransmitter Systems Were Associated with Alcohol Use Disorders in a Tibetan Population

Studies of linkage and association in various ethnic populations have revealed many predisposing genes of multiple neurotransmitter systems for alcohol use disorders (AUD). However, evidence often is contradictory regarding the contribution of most candidate genes to the susceptibility of AUD. We, therefore, performed a case-control study to investigate the possible associations of genes selected from multiple neurotransmitter systems with AUD in a homogeneous Tibetan community population in China. AUD cases (N = 281) with an alcohol use disorder identification test (AUDIT) score ≥10, as well as healthy controls (N = 277) with an AUDIT score ≤5, were recruited. All participants were genotyped for 366 single nucleotide polymorphisms (SNPs) of 34 genes selected from those involved in neurotransmitter systems. Association analyses were performed using PLINK version 1.07 software. Allelic analyses before adjustment for multiple tests showed that 15 polymorphisms within seven genes were associated with AUD (p<0.05). After adjustment for the number of SNPs genotyped within each gene, only the association of a single marker (rs10044881) in HTR4 remained statistically significant. Haplotype analysis for two SNPs in HTR4 (rs17777298 and rs10044881) showed that the haplotype AG was significantly associated with the protective effect for AUD. In conclusion, the present study discovered that the HTR4 gene may play a marked role in the pathogenesis of AUD. In addition, this Tibetan population sample marginally replicated previous evidence regarding the associations of six genes in AUD.     

235例危重艾滋病患者临床急救体会

目的 探讨危重艾滋病患者的临床特点及急诊救治流程和管理,以提高危重艾滋病患者的识别及抢救成功率,实现安全救治.方法 收集急诊抢救的235例危重艾滋病患者的临床资料,对其临床特点进行回顾性分析,并于2012年实施了系统的急救管理,其有效性与未实施系统管理进行对比.结果 艾滋病病情复杂多样,常因为呼吸衰竭、休克、意识改变、出血等被送入急诊科;收入急诊科的艾滋病患者大多为晚期患者,CD4+T淋巴细胞数多低于50个/μl,常出现多个部位的症状.实施系统的管理方法,提高了危重患者抢救成功率,职业暴露减少,污染物品处理和细菌学监测全部合格,减少了医院感染和职业感染发生的风险.结论 晚期艾滋病症状复杂多样,临床应加强识别;建立健全危重艾滋病急救规范,是提高医疗质量,实现安全有效救治的重要因素.     

Trans-Ethnical Shift of the Risk Genotype in the CETP I405V with Longevity: A Chinese Case-Control Study and Meta-Analysis

Background

The I405V polymorphism of the cholesteryl ester transfer protein gene (CETP) has been suggested to be a protective factor conferring longevity in Ashkenazi Jews, although findings in other races are not supportive. This paper describes a case-control study and a meta-analysis conducted to derive a more precise estimation of the association between CETP 405V and longevity.

Methods

We enrolled 1,021 ethnic Han Chinese participants (506 in the longevity group and 515 controls), then performed a meta-analysis that integrated the current study and previously published ones. Pooled odds ratios (OR) were calculated for allele contrasts, dominant and recessive inheritance models to assess the association between CETP 405V and longevity according to the ethnic stratification.

Results

Our case-control data indicated that CETP 405V is a longevity risk allele in all genetic models (P _additive=0.008; P _dominant=0.008, OR_dominant=0.673; P _recessive=0.017, OR_recessive=0.654) after adjustment for the apolipoprotein E (APOE) ε4 allele, body mass index and high-density lipoprotein cholesterol. A synergy was detected between 405V and APOE ε4 (P=0.001, OR=0.530). Eight studies were eligible for meta-analysis, which confirmed 405V is the risky allele against longevity in all genetic models: allele contrasts (OR=0.81, 95%CI=0.74-0.88), dominant model (OR=0.72, 95%CI=0.64-0.82) and recessive model (OR=0.80, 95%CI=0.67-0.96). After ethnic stratification, 405V remained a risk allele in East Asians but no significant association was found in Europeans or white Americans.

Conclusion

Our case-control study suggests CETP 405V as a risk allele against longevity in Chinese. The meta-analysis suggests the involvement of CETP 405V is protective in Ashkenazi Jews but is a risk allele against longevity in the East Asian (Chinese) population.     

rh-BNP联合阿托伐他汀治疗急性心梗后心衰的临床疗效及对患者血清cTn-I、Myo、CK-MB水平的影响

目的:研究重组人脑利钠肽(rh-BNP)联合阿托伐他汀治疗急性心梗后心衰的临床效果及对患者血清心肌肌钙蛋白(cardiac troponin,cTn-I)、肌红蛋白(Myoglobin,Myo)、肌酸激酶同工酶(CK-MB)水平的影响。方法:选择我院2017年2月～2019年1月收治的72例急性心梗后心衰患者,按随机数字表法分为观察组38例,对照组34例。对照组给予阿托伐他汀治疗,观察组在对照组基础上另加rh-BNP,观察和比较两组的临床疗效,治疗前后血清cTn-I、Myo、CK-MB水平的变化及治疗后不良反应的发生情况。结果:治疗后,观察组总有效率明显高于对照组(P0.05),血清cTn-I、Myo、CK-MB水平均显著低于对照组[(0.23±0.10) vs.(0.16±0.08)、(27.54±3.86) vs.(21.62±2.54)、(70.82±9.25) vs.(61.28±8.33)](P0.05)。观察组治疗后不良反情况总发生率为7.89%,明显低于对照组(26.47%,P0.05)。结论:与单用阿托伐他汀治疗相比,静脉注射rh-BNP联合阿托伐他汀治疗急性心梗后心衰可显著提高临床疗效和安全性,有效减低血清cTn-I、Myo、CK-MB水平。     

光纤成像技术记录小鼠眶额皮层奖赏相关神经元活性的应用

目的:探讨光纤成像技术用于记录小鼠眶额皮层奖赏相关神经元活性变化的可行性。方法:应用光纤成像的方法记录自由活动小鼠在饮用糖水时,携带有钙离子荧光探针(GCaMP6m)的眶额皮层奖赏相关神经元的活性。首先,在小鼠的眶额皮层注射携带GCaMP6m的腺相关病毒,同时在相应位点植入提前做好的光纤陶瓷插芯;等待小鼠术后恢复,病毒表达2周。然后在记录前,给予小鼠36小时禁水处理并运用光纤成像记录接受糖水刺激的小鼠眶额皮层锥体神经元的反应活性。最后,记录数据读入matlab软件进行数据分析并对小鼠进行心脏灌流、取脑、脑组织冰冻切片并显微荧光成像观察记录位点是否正确,病毒是否正常表达。结果:成功记录到对小鼠施加糖水刺激时,其眶额皮层内与奖赏相关的神经元活性变化。数据分析结果用热度图和事件相关的平均线图来表示。组织学切片及成像结果证实记录位点正确,病毒正常表达。结论:光纤成像的记录方法可以监测自由活动的小鼠在饮用糖水时眶额皮层内奖赏相关神经元活性的变化。     

灵龟八法结合火针对失眠患者睡眠质量及炎性因子水平的影响

目的:探讨灵龟八法结合火针对失眠患者睡眠质量及炎性因子水平的影响。方法:选取2017年5月～2019年3月期间空军杭州特勤疗养中心收治的失眠患者97例,根据数字表法将患者分为对照组(n=48,常规针刺治疗)和研究组(n=49,灵龟八法结合火针治疗),比较两组患者治疗4周后的临床疗效,比较两组治疗前、治疗4周后的中医症状积分、炎性因子水平,比较两组治疗前、治疗2周后、4周后的睡眠质量,记录两组治疗期间不良反应情况。结果:研究组治疗4周后的临床总有效率为93.88%(46/49),高于对照组的72.92%(35/48)(P0.05)。两组治疗4周后难以入寐、多梦易醒、头晕、心悸的症状积分均下降,且研究组低于对照组(P0.05)。两组治疗2周后、4周后匹兹堡睡眠质量指数(PSQI)评分均较治疗前降低(P0.05),研究组治疗4周后PSQI评分较治疗2周后降低(P0.05),研究组治疗4周后PSQI评分低于对照组(P0.05)。两组治疗4周后血清白介素-1β(IL-1β)、白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均下降,且研究组低于对照组(P0.05)。治疗期间对照组不良反应发生率为12.50%(6/48),研究组不良反应发生率为16.33%(8/49),两组不良反应发生率对比无统计学差异(P0.05)。结论:灵龟八法结合火针治疗失眠患者,疗效显著,可改善患者临床症状,提高睡眠质量,并降低机体炎性因子水平,且安全性较好,具有一定的临床应用价值。