Effects of perinatal hypothyroidism on regulation of reelin and brain-derived neurotrophic factor gene expression in rat hippocampus: Role of DNA methylation and histone acetylation

Thyroid hormones have long been known to play important roles in the development and functions of the central nervous system, however, the precise molecular mechanisms that regulate thyroid hormone-responsive gene expression are not well understood. The present study investigated the role of DNA methylaion and histone acetylation in the effects of perinatal hypothyroidism on regulation of reelin and brain-derived neurotrophic factor (BDNF) gene expression in rat hippocampus. The findings indicated that the activities of DNA methyltransferase (DNMT), methylated reelin and BDNF genes were up-regulated, whereas, the activities of histone acetylases (HAT), the levels of global acetylated histone 3 (H3) and global acetylated histone 4 (H4), and acetylated H3, acetylated H4 at reelin promoter and at BDNF gene promoter for exon II were down-regulated in the hippocampus at the developmental stage of the hypothyroid animals. These results suggest that epigenetic modification of chromatin might underlie the mechanisms of hypothyroidism-induced down-regulation of reelin and BDNF gene expression in developmental rat hippocampus.     

构建医患和谐：大型医院图书馆的医学信息服务的“三个面向”

针对临床医疗引发的医患矛盾,从医学信息服务角度提出了以面向医院管理层、临床医务人员和患者的医学信息服务来化解矛盾,阐述了大型医院图书馆以医学信息服务为纽带,构建医患和谐的工作要点。     

关于我国医疗质量监管体系的探讨

通过文献研究和典型现场调查,对国内外医疗质量监管体系进行比较研究,进而提出我国医疗质量监管体系的框架：以政府为主导,政府授权的专业监管机构、医疗保险机构和社会监督力量共同参与的多元化的监管体系。     

深圳双向转诊的利益相关者分析

利用利益相关者理论分析我国深圳社区健康中心与医院双向转诊中的各方利益者,包括主要利益相关者、次要利益相关者和外部利益相关者。社区居民、社区健康服务中心能获得预期利益,但是由于这些利益集团动用资源能力较弱,所以双向转诊仍然需要发挥政府的主导作用。     

分级护理服务内容实施现况调查研究

目的 调查临床实践中分级护理服务内容的执行状况,探讨分级护理制度服务内容存在的实质性问题。方法 采用分层抽样的方法,抽取广州某三级甲等医院8个普通成人病区的患者和护士作为调查对象,采用观察法记录患者得到的分级护理服务及护士对分级护理内容的执行情况。结果 8个病区一、二级护理患者构成比具有显著性差异（P=0.000);各病区一、二级护理患者日班所得分级护理时间平均为12.32分钟、4.81分钟,分别占总护理时间的50%和39%。各病区间执行分级护理时间无显著性差异（P=0.344）,各班次间执行分级护理时间有显著性差异（P=0.000）,其中责任班护士执行分级护理时间显著高于其他班次。临床实践中,护士对分级护理内容的执行项目：一、二、三级护理分别为21项、15项、11项。结论 原分级护理制度服务内容标准已不能完全适应临床护理实践,需要顺应新的医学模式和临床护理的发展,对其进行补充和完善。     

连栽第1代和第2代杉木近熟林水文过程养分动态比较

利用小集水区径流场技术和定位研究方法,在获得连栽两代杉木近熟林的大气降水、穿透林冠水、地表、地下径流量等水文学数据,并测定其养分含量的基础上,研究了连栽两代杉木近熟林水文过程的营养动态特征。结果表明:降水中养分浓度第2代林比第1代林高20.30%—39.64%,养分的输入量比第1代多38.52%;穿透水中养分浓度,第1代和第2代林分别比大气降水中高4.149—4.895 g/kg和4.271—5.605g/kg,雨水对冠层营养物质的淋溶,第2代比第1代高2.94%—21.37%;地表径流中的养分浓度两代林差异不大,地下径流中的养分浓度第2代林比第1代高48.06%—78.87%,径流输出的养分量第2代林是第1代林的1.58—2.61倍;养分地球化学循环中,第1代林养分地球化学循环速率26.75%—29.95%,第2代林37.24%—47.43%,养分地球化学循环的周期第1代林3.3—3.7a,第2代林2.1—2.7a,养分地球化学循环中第2代林的养分流失率是第1代林的1.30—1.72倍,养分的净积累率只有第1代林的73.57%—87.14%。系统持留与利用由外界输入的养分功能上,第2代林低于第1代林。     

Decreased Muscarinic Acetylcholine Receptor Number in the Central Nervous System of the Tottering (tg/tg) Mouse

The tottering mouse (tg/tg) is a single-locus mutant, phenotypically characterized by the development of epilepsy associated with distinct electroencephalographic abnormalities. Because of reported alterations in muscarinic receptor (mAChR) number in various seizure states, mAChR density was examined in discrete brain regions of tottering (tg/tg) and coisogenic wild-type (+/+) mice. Saturation binding experiments revealed a widespread decrease in membrane mAChR density in the CNS of adult tottering (tg/tg) mice as compared with age-matched control wild-type (+/+) mice. The decrease was most pronounced in the hippocampus, where tg/tg mice exhibited a 40-60% reduction in mAChR density with no change in the affinity of the receptor for antagonists or agonists. At postnatal day 10, before the reported onset of electroencephalographic abnormalities, 114 and 65% increases in mAChR density were observed in the tg/tg hippocampus and cortex, respectively. Following the development of seizure activity at postnatal day 22, mAChR density in the tg/tg hippocampus was reduced by 29%. No change in brain mAChR density was seen in adult heterozygotes (+/tg), which do not develop electroencephalographic or seizure abnormalities. These results indicate that the development of reduced mAChR number in the CNS of the tg/tg mouse is secondary to abnormal neuronal activity, providing further support for the hypothesis that membrane depolarization can cause a decrease in neuronal mAChR density.     

The Escherichia coli adenylyl cyclase complex: stimulation by GTP and other nucleotides.

Escherichia coli cells permeabilized by treatment with low concentrations of toluene contain an adenylyl cyclase activity that can be stimulated 3.6-7.6-fold by GTP. The stimulatory effect of GTP is maximal at concentrations of the nucleotide in the physiological range (above 0.7 mM). Studies of the dependence of velocity on substrate (ATP) concentration indicate that the velocity vs. substrate plots are sigmoid in the absence of GTP but hyperbolic in the presence of GTP, suggesting an allosteric regulatory site that can be occupied by either ATP or GTP. Replacement of ATP by AMPPNP as substrate results in velocity vs. substrate plots that are hyperbolic in the absence or presence of GTP, although GTP increases the Vmax by a factor of 2.2; these findings indicate that AMPPNP specifically occupies the substrate site and GTP exclusively occupies the regulatory site. A test of the capacity of other guanine nucleotides to stimulate adenylyl cyclase activity showed that 2'-deoxy-GTP was almost as effective as GTP, but that GDP, GMP, ppGpp, and 3',5'-cGMP were not stimulatory effectors; GTP-gamma-S and GMPPNP stimulated adenylyl cyclase activity but to a lesser degree than did GTP. In addition to the previous indication that ATP can occupy the regulatory site on adenylyl cyclase, it was found that CTP and UTP were potent stimulators. Thus, all the naturally occurring RNA precursor nucleoside triphosphates are capable of stimulating adenylyl cyclase activity. In contrast, PPPi inhibits adenylyl cyclase activity.(ABSTRACT TRUNCATED AT 250 WORDS)