胃癌根治术后腹腔热灌注化疗对患者血清CEA、CA19-9水平及免疫功能的影响

目的:探讨胃癌根治术后腹腔灌注化疗对患者血清CEA(血清癌胚抗原,carcinoembryonic antigen)、CA19-9(糖链抗原19-9,carbohydrate antigen19-9)水平及免疫功能的影响。方法:回顾性2015年2月至2017年4月我院收治的胃癌患者临床资料,依据接受治疗方案不同分为全身静脉化疗组(对照组)和全身静脉化疗联合腹腔热灌注化疗组(观察组),每组各41例。检测和比较两组患者化疗前(治疗前)与化疗1个月后(治疗后)血清肿瘤标志物CEA、CA19-9与免疫功能指标水平的变化,治疗后毒副作用发生情况及治疗前后生活质量的改善情况。结果:治疗前,两组间血清CEA、CA19-9、CD3~+、CD4~+、CD8~+、CD4+/CD8~+水平比较差异均无统计学意义(P0.05);观察组治疗后血清CEA、CA19-9及CD8~+水平显著低于对照组,CD3~+、CD4~+、CD4~+/CD8~+水平显著高于对照组,差异有统计学意义(P0.05);两组骨髓抑制、恶心呕吐、腹痛腹泻及肠梗发生率比较差异均不显著无统计学意义(P=0.478,0.668,0.315,0.552);观察组生活质量改善总有效率为85.37%,显著高于对照组(70.73%,P=0.017)。结论:与单纯全身化疗相比,胃癌根治术后腹腔灌注化疗可更有效降低患者血清CEA、CA19-9水平,改善患者免疫功能,提高其生活质量,且安全性较高。     

Identification of natural killer cell receptor clusters in the platypus genome reveals an expansion of C-type lectin genes

Natural killer (NK) cell receptors belong to two unrelated, but functionally analogous gene families: the immunoglobulin superfamily, situated in the leukocyte receptor complex (LRC) and the C-type lectin superfamily, located in the natural killer complex (NKC). Here, we describe the largest NK receptor gene expansion seen to date. We identified 213 putative C-type lectin NK receptor homologs in the genome of the platypus. Many have arisen as the result of a lineage-specific expansion. Orthologs of OLR1, CD69, KLRE, CLEC12B, and CLEC16p genes were also identified. The NKC is split into at least two regions of the genome: 34 genes map to chromosome 7, two map to a small autosome, and the remainder are unanchored in the current genome assembly. No NK receptor genes from the LRC were identified. The massive C-type lectin expansion and lack of Ig-domain-containing NK receptors represents the most extreme polarization of NK receptors found to date. We have used this new data from platypus to trace the possible evolutionary history of the NK receptor clusters. Electronic supplementary material  The online version of this article (doi:) contains supplementary material, which is available to authorized users.     

"Immunetworks", intersecting circuits and dynamics

This paper proposes a study of biological regulation networks based on a multi-level strategy. Given a network, the first structural level of this strategy consists in analysing the architecture of the network interactions in order to describe it. The second dynamical level consists in relating the patterns found in the architecture to the possible dynamical behaviours of the network. It is known that circuits are the patterns that play the most important part in the dynamics of a network in the sense that they are responsible for the diversity of its asymptotic behaviours. Here, we pursue further this idea and argue that beyond the influence of underlying circuits, intersections of circuits also impact significantly on the dynamics of a network and thus need to be payed special attention to. For some genetic regulation networks involved in the control of the immune system (“immunetworks”), we show that the small number of attractors can be explained by the presence, in the underlying structures of these networks, of intersecting circuits that “inter-lock”.     

15 例重症药疹患者临床特征及激素联合免疫球蛋白的疗效分析

目的:探讨15例重症药疹患者的临床特点及采用激素联合免疫球蛋白治疗改病的临床效果。方法:回顾性分析2012年12月至2014年12月在我院就诊的15例重症药疹患者的临床资料,患者采用激素联合免疫球蛋白进行治疗,观察患者的发病类型、致敏药物及疗效,分析血常规、肝功能、肾功能指标与与预后的关系。结果:15例患者中,中毒表皮坏死松解8例,占53.33%,药疹重型4例,占26.67%,中毒表皮坏死松解并支气管炎患者、史蒂文斯并支气管肺炎患者及重症药疹并重症肝炎患者各1例,占6.67%。致敏药物主要是中药、卡马西平、柳氮磺吡啶、头孢他啶、布洛芬、青霉素、别嘌呤醇、感冒药。治疗总有效率86.67%。白细胞、中性比、总胆红素(TBIL)、谷丙转氨酶、胆碱酯酶、胱抑素、肌酐(Cr)、乳酸脱氢酶(LDH)、肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)与重症药疹患者治愈预后有关(P0.05)。结论:重症药疹以中毒表皮坏死松解患者为主,对不同致敏药物引起的重症药疹患者应进行区别治疗,重症药疹患者的预后与患者内脏受累程度密切相关,临床采用激素联合丙种球蛋白持续治疗,可提高治愈率,改善患者临床症状及预后,     

Pathophysiological responses to a schistosome infection in a wild population of mourning doves (Zenaida macroura)

The blood trematode Gigantobilharzia huronensis typically infects passerine birds and has not been reported in other orders of wild birds. However, in the summer of 2011 in Tempe, Arizona, USA, mourning doves (Zenaida macroura; order: Columbiformes) were collected with infections of G. huronensis. This is the first report of a natural schistosome infection found in wild populations of doves. We sought to determine if G. huronensis infections alter the general body condition and physiology of doves, a seemingly unlikely host for this parasite. Specifically, we hypothesized that birds infected with schistosomes would exhibit reduced weight as well as increased markers of stress and immune system activation. Adult male mourning doves (n = 14) were captured using walk-in style funnel traps. After weighing the birds, blood and mesenteric tissue samples were collected. We measured biomarkers of stress including circulating heat shock proteins (HSPs) 60 and 70, as well as oxidized lipoproteins in schistosome-infected and non-infected birds. Indices of immune system reactivity were assessed using agglutination and lysis assays in addition to determining the leukocyte to erythrocyte ratios and prevalence of hemoparasite infections from blood smears. Schistosome-infected mourning doves had significantly increased oxidative stress and evidence of HSP70 mobilization. There was no evidence for weight loss in schistosome-infected birds nor evidence of significant immune system activation associated with schistosome infection. This may be a reflection of the small sample size available for the study. These findings suggest that schistosome infections have pathological effects in doves, but the lack of mature worms suggests that infected birds in this sampling may not have been suitable hosts for parasite maturation.     

The specificity of immune priming in silkworm,Bombyx mori,is mediated by the phagocytic ability of granular cells

In the past decade, the phenomenon of immune priming was documented in many invertebrates in a large number of studies; however, in most of these studies, behavioral evidence was used to identify the immune priming. The underlying mechanism and the degree of specificity of the priming response remain unclear. We studied the mechanism of immune priming in the larvae of the silkworm, Bombyx mori, and analyzed the specificity of the priming response using two closely related Gram-negative pathogenic bacteria (Photorhabdus luminescens TT01 and P. luminescens H06) and one Gram-positive pathogenic bacterium (Bacillus thuringiensis HD-1). Primed with heat-killed bacteria, the B. mori larvae were more likely to survive subsequent homologous exposure (the identical bacteria used in the priming and in the subsequent challenge) than heterologous (different bacteria used in the priming and subsequent exposure) exposure to live bacteria. This result indicated that the B. mori larvae possessed a strong immune priming response and revealed a degree of specificity to TT01, H06 and HD-1 bacteria. The degree of enhanced immune protection was positively correlated with the level of phagocytic ability of the granular cells and the antibacterial activity of the cell-free hemolymph. Moreover, the granular cells of the immune-primed larvae increased the phagocytosis of a previously encountered bacterial strain compared with other bacteria. Thus, the enhanced immune protection of the B. mori larvae after priming was mediated by the phagocytic ability of the granular cells and the antibacterial activity of the hemolymph; the specificity of the priming response was primarily attributed to the phagocytosis of bacteria by the granular cells.     

龙血竭胶囊合九华膏对环状混合痔术后患者创面愈合、血清炎性因子和免疫功能的影响

摘要 目的：探讨龙血竭胶囊合九华膏对环状混合痔（RMH）术后患者创面愈合、血清炎性因子和免疫功能的影响。方法：选取2016年7月~2019年12月期间我院收治的RMH患者93例,根据随机数字表法分为对照组（n=46,马应龙麝香痔疮膏治疗）和研究组（n=47,龙血竭胶囊合九华膏治疗）,比较两组患者疗效、创面愈合情况、不良反应、血清炎性因子和免疫功能。结果：治疗10 d后,研究组的临床总有效率为89.36%（42/47）,高于对照组的71.74%（33/46）（P<0.05）。两组治疗10 d后创面渗液、水肿、疼痛、创面肉芽组织评分下降,创面面积减小,且研究组低于对照组（P<0.05）。两组治疗10 d后肿瘤坏死因子-α（TNF-α）、白介素-6（IL-6）、白介素-2（IL-2）均下降,且研究组低于对照组（P<0.05）。两组治疗10 d后免疫球蛋白G（IgG）、免疫球蛋白A（IgA）、免疫球蛋白M（IgM）均升高,且研究组高于对照组（P<0.05）。研究组并发症发生率低于对照组（P<0.05）。结论：RMH患者术后采用龙血竭胶囊合九华膏治疗,疗效较好,可有效促进创面愈合,减轻炎症反应,改善机体免疫功能,同时还可减少并发症发生率。     

痰热清注射液联合孟鲁司特治疗慢性阻塞性肺疾病急性加重期患者的疗效观察

目的:探讨痰热清注射液联合孟鲁司特治疗慢性阻塞性肺疾病急性加重期(AECOPD)患者的疗效。方法:将2014年5月至2016年12月我院收治的AECOPD患者116例按照随机数字表法分为研究组和对照组,每组58例,对照组患者给予AECOPD常规治疗,同时口服孟鲁司特10 mg/d,研究组则在此基础上静脉滴注痰热清注射液20 mL/d,两组疗程均为2周。观察两组临床疗效、患者临床症状改变,并对比两组治疗前后血清白细胞介素-6(IL-6)、白细胞介素-8(IL-8)和肿瘤坏死因子-α(TNF-α)水平。结果:研究组总有效率为98.28%,明显高于对照组的87.93%(P0.05)。研究组患者咳嗽消失时间、气促消失时间、哮鸣音消失时间明显低于对照组(P0.05)。治疗后两组患者血清IL-6、IL-8以及TNF-α水平均降低(P0.05),且研究组较对照组降低(P0.05)。结论:痰热清注射液联合孟鲁司特治疗AECOPD能够有效缓解患者症状,降低患者炎症反应,临床效果较好。     

胃复春片联合兰索拉唑肠溶片对慢性萎缩性胃炎患者血清胃肠激素、炎症因子及免疫功能的影响

摘要 目的：胃复春片联合兰索拉唑肠溶片对慢性萎缩性胃炎（CAG）患者血清胃肠激素、炎症因子及免疫功能的影响。方法：选取62例CAG患者,根据门诊挂号奇偶性分为对照组（n=31,兰索拉唑肠溶片治疗）和研究组（n=31,胃复春片联合兰索拉唑肠溶片治疗）。比较两组患者疗效、胃肠激素[胃泌素(GAS)、胃动素(MTL)]、炎症因子[超敏C反应蛋白（hs-CRP）、肿瘤坏死因子-α（TNF-α）、白介素-6（IL-6）]、免疫功能及不良反应。结果：研究组治疗2个月后的总有效率为87.10%（27/31）,高于对照组的64.52%（20/31）,差异有统计学意义（P<0.05）。治疗2个月后,研究组hs-CRP、TNF-α、IL-6、GAS、CD8P低于对照组,MTL、CD4P、CD4⁺/CD8⁺高于对照组（P<0.05）。两组不良反应发生率对比未见明显差异（P>0.05）。结论：胃复春片联合兰索拉唑肠溶片治疗CAG疗效确切,可有效改善机体胃肠激素、炎症因子水平及免疫功能,且安全可靠,具有一定应用价值。     

Integrated analysis of ceRNA network and tumor-infiltrating immune cells in esophageal cancer

Background: Esophageal cancer (ESCA) is one of the most commonly diagnosed cancers in the world. Tumor immune microenvironment is closely related to tumor prognosis. The present study aimed at analyzing the competing endogenous RNA (ceRNA) network and tumor-infiltrating immune cells in ESCA.Methods: The expression profiles of mRNAs, lncRNAs, and miRNAs were downloaded from the Cancer Genome Atlas database. A ceRNA network was established based on the differentially expressed RNAs by Cytoscape. CIBERSORT was applied to estimate the proportion of immune cells in ESCA. Prognosis-associated genes and immune cells were applied to establish prognostic models basing on Lasso and multivariate Cox analyses. The survival curves were constructed with Kaplan–Meier method. The predictive efficacy of the prognostic models was evaluated by the receiver operating characteristic (ROC) curves.Results: The differentially expressed mRNAs, lncRNAs, and miRNAs were identified. We constructed the ceRNA network including 23 lncRNAs, 19 miRNAs, and 147 mRNAs. Five key molecules (HMGB3, HOXC8, HSPA1B, KLHL15, and RUNX3) were identified from the ceRNA network and five significant immune cells (plasma cells, T cells follicular helper, monocytes, dendritic cells activated, and neutrophils) were selected via CIBERSORT. The ROC curves based on key genes and significant immune cells all showed good sensitivity (AUC of 3-year survival: 0.739, AUC of 5-year survival: 0.899, AUC of 3-year survival: 0.824, AUC of 5-year survival: 0.876). There was certain correlation between five immune cells and five key molecules.Conclusion: The present study provides an effective bioinformatics basis for exploring the potential biomarkers of ESCA and predicting its prognosis.