经皮内镜下空肠造口术在胃癌术后胃排空障碍治疗中的应用

目的:报道经皮内镜下空肠造口术在胃癌术后胃排空障碍治疗中行胃减压及肠内营养支持的治疗效果。方法:28例胃癌术后胃排空障碍的病人在局麻或基础麻醉下行经皮內镜下空肠造口术,术后行胃减压及肠内营养支持?峁?28例患者均操作成功,平均操作时间为(19.5±4.6)min,无严重导管相关并发症。术后第2天开始通过空肠营养管进行肠内营养,平均术后(7.3土1.6)天完全摆脱肠外营养支持。术后平均(19.4土7.7)天恢复胃动力夹闭胃引流管。平均留置时间(35.8士11.8)天,拔管时营养状况较术前明显改善。结论:皮内镜下空肠造口术在胃癌术后胃排空障碍的治疗中能够起到有效的胃减压和营养支持,明显改善患者生活质量。     

经腹胃切开途径放置经皮内镜下胃造口管在晚期喉癌病人中的应用

目的:报道在晚期伴食管完全梗阻的喉癌病人中通过经腹胃切开途径成功放置经皮内镜下胃造口管的应用体会。方法:18例喉癌术后复发伴食管完全梗阻的病人,在局麻或硬膜外麻醉下经腹胃切开途径放置经皮內镜下胃造口管,术后行肠内营养支持。结果:16例在局麻下、2例在硬膜外麻醉下成功放置经皮內镜下胃造口管,手术平均时间32.1±5.8分钟,无手术及导管相关性并发症发生。结论:经腹胃切开途径放置经皮內镜下胃造口管是安全、简便及有效的营养支持途径,术后耐受好、易于护理,适合喉癌伴食管完全梗阻病人建立长期营养支持途径的需要。     

Identification of G2/M targets for the MAP kinase pathway by functional proteomics

Although the importance of the extracellular signal-regulated kinase (ERK) pathway in regulating the transition from G1 to S has been extensively studied, its role during the G2/M transition is less well understood. Previous reports have shown that inhibition of the ERK pathway in mammalian cells delays entry as well as progression through mitosis, suggesting the existence of molecular targets of this pathway in M phase. In this report we employed 2-DE and MS to survey proteins and PTMs in the presence versus absence of MKK1/2 inhibitor. Targets of the ERK pathway in G2/M were identified as elongation factor 2 (EF2) and nuclear matrix protein, 55 kDa (Nmt55). Phosphorylation of each protein increased under conditions of ERK pathway inhibition, suggesting indirect control of these targets; regulation of EF2 was ascribed to phosphorylation and inactivation of upstream EF2 kinase, whereas regulation of Nmt55 was ascribed to a delay in normal mitotic phosphorylation and dephosphorylation. 2-DE Western blots probed using anti-phospho-Thr-Pro antibody demonstrated that the effect of ERK inhibition is not to delay the onset of phosphorylation controlled by cdc2 and other mitotic kinases, but rather to regulate a small subset of targets in M phase in a nonoverlapping manner with cdc2.     

湖北麻鸭乙型肝炎病毒全基因组的克隆和序列分析

为了解湖北地区This finding was also Confirmed by the phylogenetic tree analysis.麻鸭中鸭乙型肝炎病毒(Duck hepatitis B virus,DHBV)自然感染状况以及湖北麻鸭所携带DHBV的基因结构特征,采集了70份成年麻鸭血清并应用PCR技术检测DHBV DNA,对其中一份DHBV DNA阳性血清进行DHBV全基因扩增,并进行克隆与序列测定分析.结果表明,湖北麻鸭DHBV自然携带率为10%;湖北DHBV分离株(GenBank登录号DQ276978)基因组的全长为3024bp,有编码P,S和C蛋白的三个开放阅读框;与GenBank中17株DHBV基因组比较,核苷酸同源性介于89.85%～93.29%之间;S蛋白、C蛋白和P蛋白结构功能区序列均高度保守;而对P蛋白标志性氨基酸和全基因进化树的分析表明,该分离株属于DHBV中国基因型中的一个亚型.     

The importance of catch-up growth after early malnutrition for the programming of obesity in male rat

Objective: To investigate whether catch‐up growth after maternal malnutrition would favor the development of obesity in adulthood. Research Methods and Procedures: Pregnant rats were submitted to protein or calorie restriction during the course of gestation. During lactation, pups were protein‐restricted, normally fed, or overfed [reduced litter size, control (C) diet]. At weaning, rats were transferred to chow or to a hypercaloric diet (HCD) known to induce obesity. Body weight, food intake, blood parameters, glucose tolerance, adipocyte cellularity, and adipose factors contributing to cardiovascular disease development were measured. Results: Protein and calorie restriction during gestation led to growth retardation at birth. If malnutrition was prolonged throughout lactation, adult body weight was permanently reduced. However, growth‐retarded offspring overfed during the suckling period underwent a rapid catch‐up growth and became heavier than the normally fed Cs. Offspring of calorie‐restricted rats gained more weight than those of dams fed protein‐restricted diet. Feeding an HCD postnatally amplified the effect of calorie restriction, and offspring that underwent catch‐up growth became more obese than Cs. The HCD was associated with hyperphagia, hyperglycemia, hyperinsulinemia, glucose intolerance, insulin resistance, and adipocyte hypertrophy. The magnitude of effects varied depending on the type and the timing of early malnutrition. The expression of genes encoding factors implicated in cardiovascular disease was also modulated differently by early malnutrition and adult obesity. Discussion: Catch‐up growth immediately after early malnutrition should be a key point for the programming of obesity.     

Quantification of clotiazepam in human plasma by gas chromatography-mass spectrometry

An analytical procedure was developed and validated for the quantification of clotiazepam in human plasma. After subjecting plasma samples to solid-phase extraction, the extract was evaporated and the residue re-constituted. An aliquot of the mixture was injected onto a gas chromatography-mass spectrometry system. The detector response was linear for clotiazepam concentrations in the range of 5-200 ng/ml. Intra- and inter-day precision for the assay over the concentration range was below 13.1 and 13.5%, and the accuracy ranged between 99.0-107.9% and 92.4-101.3%, respectively. The drug was found to be stable under various processing conditions used. The method is applicable to human pharmacokinetic studies of clotiazepam.     

Determination of ethylene oxide-hemoglobin adduct by silylation and gas chromatography-electron impact-mass spectrometry

A gas chromatography-electron impact ionization-mass spectrometric (GC-EI-MS) assay was developed for the determination of ethylene oxide-hemoglobin adduct (N-2-hydroxyethylvaline, HEVal). HEVal and deuterated HEVal (d(4)-HEVal) were synthesized for identification and quality control. Globin samples were separated from red blood cells (RBCs) by acidic isopropanol and extracted with ethyl acetate. HEVal adduct in globin was transformed to HEVal-pentafluorophenylthiohydantoin derivative by modified Edman-degradation method, which was extracted from globin with diethylether. d(4)-HEVal was used as an internal reference standard. The dried extract was derivatized with N-methyl-N-(tert-butyldimethylsilyl) trifluoroacetamide (MTBDMSTFA)-NH(4)I (1000:4, w/w) containing 0.4 mg of dithioerthritol. The TBDMS derivative of HEVal had very good chromatographic property and offered sensitive response of GC-EI-MS. The recovery of HEVal was about 81.6% and the coefficient of variation was 5.0% at the concentration of 311 pmol/g. Low limit of detection (LOD) of the assay was 1.8 pmol/g in 0.1g hemoglobin. The experiments have demonstrated to detect background level of HEVal adduct in human blood. HEVal adduct in globin was detected between 12 and 6573 pmol/g.     

Small molecule-based reversible reprogramming of cellular lifespan

Most somatic cells encounter an inevitable destiny, senescence. Little progress has been made in identifying small molecules that extend the finite lifespan of normal human cells. Here we show that the intrinsic 'senescence clock' can be reset in a reversible manner by selective modulation of the ataxia telangiectasia-mutated (ATM) protein and ATM- and Rad3-related (ATR) protein with a small molecule, CGK733. This compound was identified by a high-throughput phenotypic screen with automated imaging. Employing a magnetic nanoprobe technology, magnetism-based interaction capture (MAGIC), we identified ATM as the molecular target of CGK733 from a genome-wide screen. CGK733 inhibits ATM and ATR kinase activities and blocks their checkpoint signaling pathways with great selectivity. Consistently, siRNA-mediated knockdown of ATM and ATR induced the proliferation of senescent cells, although with lesser efficiency than CGK733. These results might reflect the specific targeting of the kinase activities of ATM and ATR by CGK733 without affecting any other domains required for cell proliferation.     

甲醛致大鼠鼻腔癌与K-ras癌基因活化相关

为探讨甲醛致大鼠鼻腔癌的分子机制,对甲醛诱发的大鼠鼻腔癌细胞系FAT7中的转化序列进行检测.采用的实验方法,包括肿瘤细胞DNA与选择标志基因(neo)共转染、裸鼠成瘤性分析、Southern杂交、聚合酶链反应(PCR)和序列分析等.结果发现:在第二轮裸鼠肿瘤DNA中含有大鼠源性的K-ras基因序列,而无大鼠源性的H-ras、N-ras和p53基因序列.这表明甲醛诱发的大鼠鼻腔癌细胞系FAT7中所含的转化序列与H-ras、N-ras及p53基因无关,K-ras癌基因的活化可能参与甲醛致大鼠鼻腔癌.