调整肠道菌群对肝癌介入治疗后肝功能及内毒素的影响作用研究

目的了解调整肠道菌群在肝癌介入治疗中的作用。方法将56例肝癌患者随机分为2组,治疗组在肝动脉化疗栓塞（TACE）前后常规治疗加服培菲康,对照组TACE前后按常规治疗,2组TACE前后检测转氨酶和内毒素水平。结果治疗组血肝功能水平与术前相比差异有显著性（P〈0.05）,而对照组血肝功能水平比术前明显降低（P〈0.01）;治疗组血内毒素水平与术前相比差异无显著性（P〉0.05）,而对照组血内毒素水平比术前升高（P〈0.05）;治疗组在TACE后血转氨酶和内毒素水平较对照组均降低（P〈0.05）。结论肝癌TACE后应用微生态制剂,可降低血内毒素水平,改善肝功能状态,对于减少并发症,促进机体的恢复有重要意义。     

灵芝孢子粉对重症急性胰腺炎大鼠肠道微生态失调的调整作用

目的探讨灵芝孢子粉对重症急性胰腺炎（SAP）导致的肠道微生态失调的调整作用。方法采用胆胰管逆行注射5％牛磺胆酸钠法造成SAP模型;SD大鼠随机分为假手术组、模型组、奥曲肽治疗组、灵芝孢子粉治疗组及灵芝孢子粉奥曲肽联合治疗组;于给药7d后处死大鼠,进行肠道菌群、肝脏及胰腺细菌易位检测。结果SAP时出现明显的肠道菌群紊乱,细菌易位。经治疗后发现,灵芝孢子粉能够扶植双歧杆菌、乳酸杆菌的生长,使肠杆菌的数量减少,并可控制细菌易位。将灵芝孢子粉与奥曲肽合用作用更佳,与其他治疗组相比差异有显著性（P〈0．05）。结论灵芝孢子粉可调整SAP时出现的肠道微生态失调,其与奥曲肽联合应用治疗SAP可降低感染率,取得较好的疗效。     

"妈咪爱"治疗婴幼儿秋季腹泻的临床研究

目的 了解妈咪爱对轮状病毒肠炎（RV肠炎）的疗效及治疗前后肠道菌群变化。方法 随机取60例RV肠炎病例分析并分成2组：一组常规治疗,另一组在常规治疗基础上加妈咪爱治疗。除根据全国小儿腹泻会议评定标准,观察临床症状外,2组均在用药前,用药3、6d再进行正常菌群检测。结果 （1）VR肠炎可致肠道菌群失调;（2）妈咪爱治疗组疗效较常规治疗组疗效差异有显著性（P〈0．01）,同时4种正常菌群中的优势菌恢复较快,用药第6天肠道菌群基本恢复正常。结论 妈咪爱治疗RV肠炎有显著疗效,不仅临床症状恢复时间缩短,肠道菌群也很快恢复到平衡状态。     

肠疗与贝飞达合用治疗急性黄疸型肝炎的研究

目的 对90例急性黄疸型肝炎患者分别测定应用肠疗和贝飞达治疗前、后肠道菌群数量和红细胞粘附率、红细胞CR1分子数量及临床疗效评价指标,并进行比较。方法 将患者随机分成常规治疗、常规治疗加肠疗、常规治疗加肠疗与贝飞达3个治疗组（各30例）。分析患者治疗前后血液生化指标和肠道菌群数量及红细胞粘附率、红细胞CR1分子数量,并观察临床症状的改善情况。结果 急性黄疸型肝炎患者存在肠道菌群失调,红细胞粘附肿瘤功能及红细胞CR1分子数量明显下降（P〈0．01）;应用微生态调节剂组患者的肝功能恢复程度及临床症状的改善好于常规治疗组和常规治疗加肠疗组,差异有显著性（P〈0．01）。结论 结肠治疗机治疗联合微生态调节剂贝飞达可以有效改善急性黄疸型肝炎患者肠道菌群失调,提高患者红细胞粘附率及红细胞CR1分子数量,提高临床治疗有效率。     

Effects of nitric oxide in 5-hydroxytryptamine-, cholera toxin-, enterotoxigenic Escherichia coli- and Salmonella Typhimurium-induced secretion in the porcine small intestine

The effects of nitric oxide (NO) in the secretory response to the endogenous secretagogue 5-hydroxytryptamine (5-HT), the enterotoxins heat-labile enterotoxigenic Escherichia coli (ETEC) toxin (LT) and cholera toxin (CT), and various cultures of ETEC and Salmonella serotype Typhimurium in the porcine small intestine (Sus scrofa) were investigated. In anaesthetized pigs, jejunal tied-off loops were instilled with 5-HT, LT, CT, various cultures of ETEC or S. Typhimurium. Pigs were given intravenously isotonic saline or isotonic saline containing the NO synthase inhibitor, N^ω-nitro-l-arginine methyl ester (L-NAME). L-NAME significantly induced an increased fluid accumulation in loops induced by 5-HT, ETEC and stn-mutated S. Typhimurium. Fluid accumulation in loops instilled with wild-type S. Typhimurium was increased by L-NAME, although not significantly, while there was no effect on fluid accumulation induced by an invH-mutated isogenic strain. No significant effect of L-NAME was observed on the fluid accumulation induced by the purified enterotoxins LT and CT. The results also demonstrated a relatively large difference in the ability to induce fluid accumulation between the bacteria strains. Diastolic, systolic and mean blood pressures were significantly increased and the body temperature was significantly decreased in groups of pigs treated with L-NAME. In conclusion, the results suggest that NO has a proabsorptive effect in the intact porcine jejunum and is involved in the systemic vascular tone.     

人工饲养幼猴粪便的正常菌群研究

目的通过对10只幼猴粪便正常菌群的测定,了解幼猴肠道正常菌群的分布情况,为猕猴肠道疾病的治疗和微生态制剂的开发提供一定理论依据.方法用微生态学检测方法,对10只健康幼猴粪便中正常菌群(9种细菌)进行定性、定量分析.结果在健康幼猴肠道中,双歧杆菌(10.02±0.25)、类杆菌(10.00±0.09)、韦荣球菌(9.96±0.31)、肠球菌(9.98±0.43)和梭杆菌(9.90±0.24)为优势菌群,而肠杆菌(7.32±1.49)、葡萄球菌(5.74±0.49)和酵母菌(5.42±1.47)含量则较少.结论该实验测出健康幼猴粪便内正常菌群值可作为健康幼猴肠道内正常菌群值的参考.     

Uptake of 3,4-methylenedioxymethamphetamine and its related compounds by a proton-coupled transport system in Caco-2 cells

3,4-Methylenedioxymethamphetamine (MDMA) is an illegal amphetamine-type stimulant (ATS) that is abused orally in the form of tablets for recreational purposes. The aim of this work is to investigate the absorption mechanism of MDMA and other related compounds that often occur together in ATS tablets, and to determine whether such tablet components interact with each other in intestinal absorption. The characteristics of MDMA uptake by the human intestinal epithelial Caco-2 cell line were investigated. The Michaelis constant and the maximal uptake velocity at pH 6.0 were 1.11 mM and 13.79 nmol/min/mg protein, respectively, and the transport was electroneutral. The initial uptake rate was regulated by both intra- and extracellular pH. MDMA permeation from the apical to the basolateral side was inferior to that in the reverse direction, and a decrease in apical pH enhanced MDMA permeation from the basolateral to the apical side. These facts indicate that this transport system may be an antiporter of H⁺. However, under physiological conditions, the proton gradient cannot drive the MDMA uptake because it is inwardly directed. Large concentration differences of MDMA itself drive this antiporter. Various compounds with similar amine moieties inhibited the uptake, but substrates of organic cation transporters (OCT1-3) and an H⁺-coupled efflux antiporter, MATE, were not recognized.     

铜绿假单胞菌体外对肠上皮细胞骨架的影响

为探索铜绿假单胞菌粘附肠上皮细胞后,细胞骨架特性的变化规律及可能的机制。采用微管吸吮实验技术并结合细胞ELISA、图像分析等方法研究体外绿脓杆菌粘附肠上皮细胞后细胞骨架的变化。结果显示细菌粘附后1h肠上皮细胞活力即开始下降,3h后IEC面积明显减小,而细胞周长无明显变化;胞内骨架蛋白减少,且随孵育时间的延长愈趋明显;细胞弹性系数K1、K2在粘附后3h明显降低,同时伴有粘性系数μ也明显下降。以上结果表明绿脓杆菌粘附肠上皮细胞后,细胞骨架成分改变,细胞骨架功能受损害,最终导致细胞损伤。     

Distribution and Physiological State of Microorganisms in Petrochemical Oily Sludge

The occurrence, vertical distribution, and physiological state of microorganisms in a petrochemical oily sludge deposit were studied. The total number and the number of viable microbial cells at depths of 0.2 and 3 m were about 10¹⁰ and 10⁸ cells/g dry wt sludge. Most microbial cells taken from the middle (1 m deep) and the bottom (3 m deep) sludge horizons showed a delayed colony-forming ability, which suggested that the cells occurred in a hypometabolic state. The relative number of microaerobic denitrifying microorganisms steeply increased with depth. The amount of microorganisms tolerant to 3, 5, and 10% NaCl and capable of growing at 7 and 40°C varied from 10² to 10⁸ CFU/g dry wt sludge. Petrochemical oily sludge was found to maintain the growth of heterotrophs, among which the degraders of oily sludge and ten different individual polycyclic aromatic hydrocarbons were detected. The occurrence of highly adaptable microorganisms with an adequate metabolic potential in the petrochemical oily sludge deposit implies that its bioremediation is possible without introducing special microorganisms.