单气囊小肠镜与胶囊内镜对不明原因消化道出血的诊断价值

目的:探讨单气囊小肠镜(SBE)与胶囊内镜(CE)对不明原因消化道出血(OGffi)患者的诊断价值。方法:将在我院治疗的100例OGIB患者按照诊断方式的不同分为SBE组和CE组各50例。对两组的病灶检出率病因诊断率以及安全性进行比较。结果SBE组病因诊断率为78.0%;CE组病因诊断率为60.0%,两组病因诊断率比较差异无统计学意义(P0.05)。SBE组病灶检出率为80.0%(40/50),CE组病灶检出率为86.0%(43/50),两组病灶检出率比较差异无统计学意义(P0.05)。SBE组患者检查较顺利,CE组胶囊滞留率为4.0%。所有患者检查后均未出现不良反应及并发症。结论:息肉及粘膜糜烂渍疡病变的OGIB患者在SBE与CE检查方法中较为常见,CE病灶检出率与SBE相当,两种检查方法均较可靠,CE检查更为方便。     

新型生物医用材料—止血纤维的制备与应用研究

作者以高分子生物医用材料,采用气体牵伸纺丝技术,制备了医用止血纤维。经止血机理及结构的研究,其在外伤止血、护创和手术局部止血方面疗效显著。     

子宫异常出血与细菌L型感染的关系

通常认为,子宫异常出血由内分泌紊乱、内膜肿瘤和子宫内膜炎引起。通过对471例子宫异常出血内膜组织的细菌学及免疫组化等研究,我们发现绝大多数(85.7％)出血者原因不明,其中376例子宫内膜查见L型菌。本组细菌L型感染率为93.8％。提示子宫异常出血(包括绝经后出血)与细菌L型感染关系也很密切。并认为,子宫内膜细菌L型感染是导致子宫异常出血的重要原因之一。选择作用于细菌胞膜的药物治疗细菌L型感染效果最好。     

模拟酸雨对蒙古栎幼苗生长和根系伤流量的影响

选择中国北方落叶阔叶林的主要组成树种蒙古栎(Quercus mongolica Fisch.ex Ledeb.)的1年生幼苗为研究对象,设置4个酸雨酸度(重度、中度、轻度和对照)和3个降雨量(自然雨量和增、减雨量30％),以期阐明酸雨对蒙古栎幼苗形态生长、生物量和根系伤流量的影响,探讨中国北方日趋严重的酸雨是否会影响蒙古栎幼苗的生长,为酸雨区森林恢复植物的选择提供依据.研究结果显示:1)在本实验的酸雨酸度下,酸雨降雨量的增加对蒙古栎幼苗各生理生态指标均有一定的促进作用;2)酸雨酸度对蒙古栎幼苗形态和生物量的影响不显著,但酸度增加降低了幼苗的根系伤流量;3)增雨的重度酸雨处理促进了蒙古栎幼苗形态生长和生物量累积;4)两因素对蒙古栎幼苗的影响没有交互作用.说明蒙古栎对酸雨具有一定的抗性,可考虑选择为酸雨区植被构建的物种.     

叶下珠有效部位对血栓形成的影响及其作用机制初探

采用Born方法和改良的Hamburger方法分别测定叶下珠 (Phyllanthusurinaria)含corilagin的有效部位 (代号PUW )在体内外对血小板聚集功能和对血小板与中性粒细胞之间粘附反应的影响 ;应用Myers方法评价PUW灌胃对小鼠尾静脉注射花生四烯酸 (AA)引起猝死的保护作用 ;运用改良的Charl ton方法及陈长勋等方法分别观察PUW灌胃对电刺激大鼠颈动脉血栓形成和下腔静脉血栓形成的影响 ;采用Tomihisa方法 ,观察PUW对大鼠尾尖出血时间的影响。结果显示 ,PUW在体内外对ADP、AA或血小板活化因子 (PAF)诱导的血小板聚集均无明显抑制作用 ;PUW呈浓度依赖性明显阻抑AA激活的血小板与中性粒细胞之间的粘附反应 ,其半数抑制浓度 (IC50 )为 39 7mg/kg。PUW (10、2 0和 4 0mg/kg)灌胃呈剂量依赖性显著减少AA致小鼠死亡的数量 ,明显延长电刺激大鼠颈动脉血栓形成时间 ,减轻大鼠下腔静脉血栓的干、湿重。 2 0mg/kg的PUW对出血时间无明显影响 ,4 0mg/kg的PUW虽延长出血时间 ,但与阿司匹林 (2 0mg/kg)比较 ,出血时间明显缩短 (P <0 0 5 )。本实验结果提示 ,PUW灌胃在多种体内血栓模型中均具有明显的抗血栓形成作用 ,其机制可能与阻抑血小板和中性粒细胞之间的的粘附作用密切相关。     

Effect of disulfide bond on the conformation and anticoagulant activity of an Arg-Gly-Asp motif displayed on a mutant insulin protein framework

Summary Protein engineering techniques were employed to graft the known anticoagulant Arg-Gly-Asp (RGD) motifcontaining sequences onto the surface of a mutant, inactive insulin framework. To probe the effect of a disulfide bond on the resultant anticoagulant activity, a native RGD-containing sequence from disintegrin dendroaspin, CFTPRGDMPGPYC, as well as a modified sequence, SFTPRGDMPGPYS were each examined. The peptide was placed between the C-terminal of the B chain and the N-terminal of the A chain and connected with B27 and A1 residues of the inactive insulin that lacks the characteristic intramolecular A6–11 disulfide bond within the A chain. The two RGD-containing insulin genes were over-expressed inE. coli, and purified and designated as RGD-Cys-Ins and RGD-Ser-Ins, respectively. Their amino acid compositions and mass data were in good agreement with those of expected. The RGD-Cys-Ins showed inhibition of platelet aggregation with an IC₅₀ of 3 μM, while the latter was 3.5-fold less active. Thein vivo assay also indicated that the RGD-Cys-Ins had a higher activity in prolonging the bleeding time in mice than RGD-Ser-Ins. Both RGD-Cys-Ins and RGD-Ser-Ins retained about 25% of the proinsulin immunoactivity and had almost no insulin receptor binding activity. The results indicate the necessity for the RGD motif to be conformationally constrained for it to elicit a greater anticoagulant activity.     

New avenues to treatment of liver cirrhosis

<正>Liver cirrhosis is the pathologic end stage of multiple liver diseases.The major complications of liver cirrhosis,such as hepatic encephalopathy,spontaneous bacterial peritonitis and esophageal variceal bleeding are characterized by remarkable changes of the gut microbiota,which indicates that enteric dysbiosis might play an important role in the progression of liver cirrhosis[1,2].The human gastrointes-     

The proenkephalin A fragment metorphamide shows supraspinal and spinal opioid activity in vivo

Metorphamide (Tyr-Gly-Gly-Phe-Met-Arg-Arg-Val-NH2) a novel amidated octapeptide fragment of proenkephalin A was synthesized, purified and subsequently shown to inhibit the reflex contractions of the rat urinary bladder following intracerebroventricular and spinal intrathecal microinjections. The effects of metorphamide were consistently antagonized by naloxone but not by the delta-opioid receptor antagonist ICI 174,864. Comparison of metorphamide with other proenkephalin A fragments suggested that the activity of this peptide was not due to in vivo processing to other active fragments. These data suggest that metorphamide has potent in vivo mu-opioid activity but little delta-opioid receptor activity.     

Evaluation of nongenotoxic and genotoxic factors modulating the frequency of micronucleated erythrocytes in the peripheral blood of mice

The hematological micronucleus test is regarded as an indicator of the clastogenic effect of chemicals and acute cytogenetic damage. The test can be carried out in red blood cells of the bone marrow and of the spleen, as well as in peripheral erythrocytes. We have determined the precise background values of micronucleated red blood cells for the peripheral blood of BALB/c, DBA/2, and NMRI mice. Bleeding, phenylhydrazine-induced hemolysis, and splenectomy generated an increase of micronucleated erythrocytes in the peripheral blood of mice. Our data thus demonstrate that such factors should be taken into consideration when the micronucleus test is used for screening the genotoxic potential of chemicals. Furthermore, the micronucleus-inducing effect of cyclophosphamide was studied in normal and splenectomized mice and, in addition, a comparison of the sensitivity of the micronucleus test was carried out in peripheral blood and bone marrow after cyclophosphamide treatment. Our data demonstrate that the kinetics of micronucleus formation were similar in normal and in splenectomized mice in which the micronucleus levels had returned to normal. The comparison of micronucleus formation in bone marrow and peripheral blood after cyclophosphamide treatment revealed the generation of similar quantities of micronucleated red blood cells in both tissues. The physiological mechanisms of micronucleus formation and removal and the potential role of chemically induced spleen damage during this process are discussed; the usefulness of the peripheral micronucleus test as a simple, rapid, and animal-saving modification of the standard bone marrow test is evaluated.Abbreviations CP cyclophosphamide - MN micronuclei - MNCE micronucleated normochromatic erythrocytes - MNPCE micronucleated polychromatic erythrocytes - MNRBC micronucleated red blood cells - NCE normochromatic erythrocytes - PCE polychromatic erythrocytes