老年宫颈癌50例临床及预后分析

目的:探讨老年宫颈癌的临床病理特征及预后影响因素。方法:对50例老年宫颈癌患者的临床特点及生存情况进行回顾性分析。结果:鳞状细胞癌45例(90.0%),腺癌4例(8.0%),透明细胞癌1例(2.0%);≤Ⅱa期占16.0%,≥Ⅱb期占84.0%;主要临床症状为绝经后不规则阴道流血,全组1、3、5年生存率分别为82.0%,66.0%,54.0%。多因素分析结果显示病理类型、临床分期及淋巴结转移情况是老年宫颈癌患者预后的独立影响因素(均P<0.05)。结论:KPS评分≥70分、鳞癌、临床分期为Ⅰ期、Ⅱ期,无淋巴结转移的患者预后较好,病理类型、临床分期及淋巴结转移情况是老年宫颈癌患者预后的独立影响因素。     

新疆乌苏市育龄妇女生殖健康现况调查研究

目的:了解新疆乌苏市育龄妇女生殖健康现状,生殖保健知识水平和生殖保健意识,为提高育龄妇女的生殖健康水平提供理论依据。方法:采用单纯随机抽样的方法,选择乌苏市育龄妇女1000名,应用自填问卷并结合妇科各项相应检查进行调查分析。结果:(1)妇科健康情况:52.6%被调查者认为自身目前妇科健康状况一般;仅有14.0%的被调查者没有出现过白带异常、下身瘙痒等症状;而平时对生殖道进行日常护理的人仅占57.4%。(2)妇科常见病患病情况:妇科常见疾病按患病率高低排列分别为阴道炎(70.2%)、痛经(25.5%)、宫颈糜烂/乳腺增生(19.2%、19.1%)、子宫肌瘤(11.9%),各因素对痛经的影响均无统计学意义(P>0.05);各因素对阴道炎的影响均无统计学意义(P>0.05);但不同年龄段有宫颈疾病的患病情况差别有统计学意义(P<0.01),其中40～50岁年龄组患病率最大(65.3%),30岁以下年龄组患病率最低(37.6%);城市患病率(57.7%)高于农村(45.6%),差异有统计学意义(P<0.05);小学文化程度患病率(69.0%)高于其他各组差异有统计学意义(P<0.05)。(3)求医行为:37.5%的人选择去药店买药,41.5%的人选择就医;对就医单位的选择中,75.3%的人采取就近原则选择医疗单位,9.1%的人则是通过报纸媒体广告选择相关医疗单位;选择就医单位影响因素中42.3%的人认为专家资质较重要,26.3%的人则认为有先进设备较重要。结论:乌苏市育龄妇女生殖健康水平一般,妇女患常见妇科病比率较大的为阴道炎及痛经,其次为宫颈糜烂/乳腺增生,子宫肌瘤,40～50岁、文化程度较低妇女对宫颈其他疾病的患病情况影响较大,妇女生殖保健知识较全面、自我护理较好的妇女患病率较低。乌苏市育龄妇女需要加强生殖健康宣传教育,提高自我保健意识,掌握基本的生殖保健常识,对40～50岁围绝经期妇女要加强体检力度,以降低妇女病发病率,提高妇女健康水平,改善乌苏市各年龄段的妇女生活质量为关键。     

男性人乳头瘤病毒感染研究进展*

人乳头瘤病毒(human papillomavirus,HPV)感染是全球最常见的性传播性疾病(STD)之一,与生殖系统肿瘤和生殖器疣密切相关。HPV感染与女性生殖健康之间的病因学关系已经有了较多的研究,近年来越来越多的学者开始关注男性HPV感染。本文就男性HPV感染与男性生殖健康的研究进展进行综述。     

Flowers and floral biology of the holy grasses (Hierochloe and Anthoxanthum: Aveneae,Gramineae)

Trifloreted spikelets in species of Anthoxanthum and of Hierochloe are united by the syndrome of two lower male or neuter florets and a differentiated third floret, perfect, bistaminate, and protogynous. Differences in presentation of the floral organs from the third anthoecium separate the genera. Anthers in Anthoxanthum, longer than the f3 anthoecium, keep it open until they migrate on elongating filaments, following behind the protogynous stigma-styles. Both emerge near the apex of the upper glume which tightly encloses all three florets. In Hierochloe the uppermost anthoecium is closed over the androecium and gynoecium until lodicule-controlled anthesis when stigma-styles are exserted unhindered by glumes, and the anthers are exserted later on long filaments from the chasmogamous lower florets. In Hierochloe triandrous lower florets are constant. In Anthoxanthum the two lower florets are neuter in Eurasian species, but in species in Africa, Asia, and Malesia, sometimes f1 florets are also staminate, and very exceptionally both florets present stamens. These reflect a sexual variability in Anthoxanthum unknown in Hierochloe. Data from flowers of 30 species of Hierochloe and 17 species of Anthoxanthum are tabulated; included are ratios of f3 anthers:anthoecium and stigma-styles:the upper glume, G2, two ratios which most reliably reflect the intergeneric floral patterns. Pathways to those varied floral systems are outlined. A sectional taxonomy is proposed for Hierochloe: Sect. Hierochloe autonymum; Sect. nova Monoecia for species in South America where monoecism occurs in all taxa. Andromonoecism is the predominant sexual system in boreal and austral species of Hierochloe, but is interrupted by apomixis in northern Europe.     

Orchis × colemanii hybridization: Molecular and morphological evidence,seed set success,and evolutionary importance

Despite highly specialized pollination strategies, hybridization is a common phenomenon among Mediterranean deceptive orchids. Food-deceptive species sire a progeny of F₁ unfertile plants, which work as a late post-zygotic barrier. Conversely, when pre-zygotic barriers of sexually deceptive (Ophrys) species are absent, the hybrids are fertile and an extensive introgression may occur. Here, we have performed molecular analysis and hand pollination treatments to characterize a hybrid zone of two food-deceptive species, O. mascula and O pauciflora. Hybrids (called O. × colemanii) have shown different amounts of parental nrDNA, strongly supporting that they are F₂ and/or successive hybrid generations. Comparable high levels of reproductive success have been detected in natural conditions and in experimental crosses suggesting the absence of effective reproductive barriers either between hybrids, either between hybrids and parental species. In light of ecological and distributional features of O. × colemanii across its distribution range, we hypothesize that these populations have originated by secondary contact in the periglacial belt of Apennines. Moreover, the rare and localized O. pauciflora could benefit a genetic enrichment by hybridizing with a widespread related species. O. × colemanii is not a dead end population, but may have a role as potential reserve of adaptive variability and is an unusual stage along the speciation process.     

杜梨胆碱单加氧酶基因克隆及胁迫表达

为了解梨砧木—杜梨对非生物胁迫的防御机制,采用RT-PCR、RACE和长片段PCR技术从杜梨幼苗中获得1个甜菜碱合成相关的胆碱单加氧酶基因(PbCMO),运用生物信息学方法分析序列特点,并通过跨内含子引物进行半定量RT-PCR研究其在非生物胁迫下的表达情况。结果表明:(1)PbCMO基因cDNA序列编码区长1 227bp,编码由408个氨基酸组成的多肽。其对应基因组DNA序列长2 928bp,由10个外显子和9个内含子组成。其推导的多肽预测的等电点为6.19,相对分子质量为46.27kD,具备Rieske型铁硫[2Fe-2S]簇结合区域和非血红素单核态铁配位点序列,与枸杞CMO蛋白相似性最高(71%)。(2)PbCMO在幼苗根和叶中均为诱导型表达,100mmol/L氯化钠、10%(W/V)聚乙二醇、180mmol/L甘露醇或20μmol/L脱落酸处理后其表达量明显上调,表明PbCMO对盐碱、干旱、渗透胁迫和ABA均存在表达响应,可能参与杜梨应对非生物胁迫的转录调节。     

Ovum pick-up and in vitro embryo production (OPU-IVEP) in Mediterranean Italian buffalo performed in different seasons

This study was designed to evaluate the effect of season on in vivo oocyte recovery and embryo production in Mediterranean Italian buffalo (Bubalus bubalis). For this purpose repeated transvaginal ultrasound-guided ovum pick up (OPU) was conducted twice a week throughout autumn, mid-winter (transitional period) and spring-summer. The number and size of follicles was determined before puncture. The recovered oocytes were first classified in morphological categories and then used for in vitro embryo production (IVEP) according to standard procedures. The mean number of total follicles observed per session did not differ among the three periods we examined (on average 4.6). Although season did not considerably affect the number of oocytes recovered (on average 2.3/buffalo/session), the number of degenerated and abnormally expanded oocytes increased during autumn. Furthermore, the percentage of abnormally expanded oocytes significantly increased during autumn (6.1%) compared with both the transitional period and spring-summer (1.9 and 2.3%, respectively). Interestingly, the embryo output we recorded at day 7, in terms of tight morulae-blastocysts was higher in autumn (30.9%) compared to the other two periods (13.3% and 10.3%, respectively, in spring-summer and in the transitional period; P < 0.01). The results of this trial demonstrated that the morphological features of the oocytes did not vary substantially among the considered periods, with the exception of degenerated and abnormally expanded oocytes. On the other hand, the oocyte developmental competence improved in autumn compared to spring-summer and the transitional period. This datum reflects buffalo reproductive pattern expressed in vivo at Italian latitudes.     

Effects of quinestrol on reproductive hormone expression, secretion, and receptor levels in female Mongolian gerbils (Meriones unguiculatus)

Quinestrol, a synthetic estrogen with marked estrogenic effects and prolonged activity, has potential as a contraceptive for Mongolian gerbils. The objective of this study was to describe the effects of quinestrol on reproductive hormone expression, secretion, and receptor levels in female Mongolian gerbils. Serum and pituitary concentrations of follicle stimulating hormone (FSH) and luteinizing hormone (LH) were decreased, whereas serum concentrations of estradiol (E2) and progesterone (P4) were increased after quinestrol treatment; the effects were both time- and dose-dependent. Furthermore, quinestrol downregulated expression of FSHβ and LHβ mRNA in the pituitary gland, as well as FSH receptor (FSHR) and estrogen receptor (ER) β in the ovary. However, it up-regulated mRNA expression levels of ERα and progesterone receptor (PR) in the pituitary gland and uterus, as well as mRNA for LH receptor (LHR) and PR in the ovary (these effects were time- and dose-dependent). In contrast, quinestrol had no significant effects on the mRNA expression levels of ERα in the ovary, or the gonadotropin α (GtHα) subunit in the pituitary gland. We inferred that quinestrol impaired synthesis and secretion of FSH and LH and that the predominant ER subtype in the pituitary gland of Mongolian gerbils may be ERα. Overall, quinestrol disrupted reproductive hormone receptor expression at the mRNA level in the pituitary-gonadal axis of the Mongolian gerbil.     

The effects of bovine necrotic vulvo-vaginitis on reproductive and production performance of Israeli 1st calf heifers

Bovine necrotic vulvovaginitis (BNVV) is a syndrome unique to Israel characterized by necrotic lesion in the caudal vagina mainly in first calf heifers after calving, associated with Porphyromonas levii. The objectives of this study were to analyze the impact of BNVV on reproductive performance, milk production and survival in the heard of first calf dairy heifers in affected farms, and to verify if the effects of BNVV are severity-dependent. For assessment of the severity level a scale of 4 degrees was formed, and cows were scored 4 to 6 d after calving. Data were obtained from two dairy farms during 2006-07, consisting of 603 lactations. The incidence and the severity of BNVV declined between 2006 and 2007, and severe BNVV tended to be more prevalent in the summer. The odds to conceive in the first artificial insemination of BNVV cow tended to be lower than healthy cows (OR = 0.676, P = 0.052). Cows with BNVV had longer empty period (145.8 d vs. 135.1 d of healthy cows, P = 0.031), but only severe BNVV had a negative effect on the odds of the cow to be empty at 150 d in milk (DIM) (OR = 2.05, P = 0.052). Severe BNVV also affected the mean survival time to conception (155.9 d vs. 142.3 d, P = 0.042). All BNVV severity degrees had a negative effect on milk production. The effect on milk production was not limited only to the beginning of the lactation, cows with BNVV produced 338.1 kg milk less than healthy cows (P = 0.016) in 305 d corrected lactation. The effect on milk production was not severity depended. No effect on survival time in the herd was demonstrated.     

Normal reproductive development of offspring derived by intracytoplasmic injection of porcine sperm grown in host mice

For establishment of gonadal xenografting, it is essential to clarify whether offspring derived from gametes grown in host mice harboring xenografts have normal reproductive development. This study examined the secretory profiles of gonadal hormones in relation to sexual maturation or ovarian cyclicity in pigs generated by intracytoplasmic sperm injection using xenogeneic sperm (Xeno-ICSI pigs, four males and one female). We also assessed the developmental activity of gametes obtained from these pigs using in vitro culture systems, or by mating with conventionally produced (conventional) pigs. During the growth of male Xeno-ICSI pigs, serum inhibin and testosterone concentrations were generally within ranges for those hormones in conventional pigs. Histologically, there were no differences in the growth and differentiation of seminiferous tubules between Xeno-ICSI and conventional pigs. Parameters of semen quality, including volume, pH, sperm concentration, and the percentage of motile sperm were not different from those in conventional pigs. Among the Xeno-ICSI pigs, individual differences were noted in the ability of sperm to penetrate oocytes and to produce blastocysts. However, oocytes after in vitro fertilization using these sperm developed into blastocysts containing more than 31 cells. One conventional sow delivered 12 piglets after being mated with a male Xeno-ICSI pig. During growth of the female Xeno-ICSI pig, serum progesterone concentrations had a sudden increase at 41 wk of age, suggesting CL formation. After puberty, this animal showed cyclic changes in the serum concentrations of progesterone and inhibin, and delivered 10 piglets after AI using fresh sperm obtained from a conventional boar. In conclusion, these findings demonstrated that both male and female Xeno-ICSI pigs had normal reproductive abilities.