Positive Surgical Margin,HPV Persistence,and Expression of Both TPX2 and PD-L1 Are Associated with Persistence/Recurrence of Cervical Intraepithelial Neoplasia after Cervical Conization

Objective

To determine the clinicopathologic and immunohistochemical predictors of the persistence/recurrence of cervical intraepithelial neoplasia (CIN) after cervical conization.

Methods

Medical records of 502 patients who received cervical conization treatment of CIN between 2005 and 2012 were reviewed. The clinicopathologic parameters were analyzed using Cox hazard regression. Fifty patients with CIN persistence/recurrence were matched to 50 cases without CIN persistence/recurrence. These 100 cervical specimens were assessed for expression of insulin-like growth factor II messenger RNA (mRNA)-binding protein 3 (IMP3), targeting protein for xenopus kinesin-like protein 2 (TPX2), and programmed cell death-1 ligand-1 (PD-L1) using immunohistochemical staining.

Results

Multivariate analysis found that the independent predictors of CIN persistence/recurrence were positive surgical margin (hazard ratio 5.777, 95% confidence interval 2.334–14.301, p < 0.001) and human papilloma virus persistence for 6 months (hazard ratio 20.685, 95% confidence interval 7.350–57.657, p < 0.001). Co-expression of TPX2 and PD-L1 was significantly higher in CIN persistence/recurrence group than the group without CIN persistence/recurrence (p = 0.013). The depth of glandular involvement (GI) was less than 3mm in about 86.8% (59/68) CIN2-3 lesions, However, No statistically significant associations between GI and persistence/recurrence were observed (P = 0.58).

Conclusion

Positive surgical margin, HPV persistence, and expression of both TPX2 and PD-L1 are associated with persistence/recurrence of cervical intraepithelial neoplasia after cervical conization.     

基于粪便DNA的岩羊微卫星引物的筛选及个体识别

贺兰山保护区岩羊Pseudois nayaur种群数量近年来增长很快,为了解贺兰山保护区的岩羊种群的遗传健康状况,从而更好地保护和管理岩羊种群,需要对岩羊种群的遗传多样性进行研究。在其近缘物种中选出36对微卫星引物对收集到的岩羊粪便DNA样品进行PCR扩增。结果发现,有9对引物在岩羊粪便DNA中扩增出了多态性位点。各位点基因杂合度介于0.26~0.95之间,平均杂合度为0.48,各位点多态信息含量介于0.23~0.68之间,平均多态性为0.48。     

集合种群理论在生态恢复中的应用

环境问题的改善是生态与环境学家所面临的挑战之一 ,其核心是生态系统的稳定性和平衡性遭到极大的破坏 ,最明显的表现是生境破碎和栖息地丧失。本文探讨了集合种群理论的形成与成因 ,概述了该理论发展的最新成果及应用前景。在集合种群理论应用于生态恢复实践的论述中 ,阐述了一些原则性问题 ,包括集合种群平衡观、最小可存活集合种群、最适斑块密度以及高质量生境斑块等 ,以求在人们设计物种保护和恢复对策时 ,有一定的指导价值。     

FlhF regulates the number and configuration of periplasmic flagella in Borrelia burgdorferi

The Lyme disease bacterium Borrelia burgdorferi has 7–11 periplasmic flagella (PF) that arise from the cell poles and extend toward the midcell as a flat-ribbon, which is distinct from other bacteria. FlhF, a signal recognition particle (SRP)-like GTPase, has been found to regulate the flagellar number and polarity; however, its role in B. burgdorferi remains unknown. B. burgdorferi has an FlhF homolog (BB0270). Structural and biochemical analyses show that BB0270 has a similar structure and enzymatic activity as its counterparts from other bacteria. Genetics and cryo-electron tomography studies reveal that deletion of BB0270 leads to mutant cells that have less PF (4 ± 2 PF per cell tip) and fail to form a flat-ribbon, indicative of a role of BB0270 in the control of PF number and configuration. Mechanistically, we demonstrate that BB0270 localizes at the cell poles and controls the number and position of PF via regulating the flagellar protein stability and the polar localization of the MS-ring protein FliF. Our study not only provides the detailed characterizations of BB0270 and its profound impacts on flagellar assembly, morphology and motility in B. burgdorferi, but also unveils mechanistic insights into how spirochetes control their unique flagellar patterns.     

Epidemiology and Outcome of Severe Sepsis and Septic Shock in Intensive Care Units in Mainland China

Introduction

Information about sepsis in mainland China remains scarce and incomplete. The purpose of this study was to describe the epidemiology and outcome of severe sepsis and septic shock in mixed ICU in mainland China, as well as the independent predictors of mortality.

Methods

We performed a 2-month prospective, observational cohort study in 22 closed multi-disciplinary intensive care units (ICUs). All admissions into those ICUs during the study period were screened and patients with severe sepsis or septic shock were included.

Results

A total of 484 patients, 37.3 per 100 ICU admissions were diagnosed with severe sepsis (n = 365) or septic shock (n = 119) according to clinical criteria and included into this study. The most frequent sites of infection were the lung and abdomen. The overall ICU and hospital mortality rates were 28.7% (n = 139) and 33.5% (n = 162), respectively. In multivariate analyses, APACHE II score (odds ratio[OR], 1.068; 95% confidential interval[CI], 1.027–1.109), presence of ARDS (OR, 2.676; 95%CI, 1.691–4.235), bloodstream infection (OR, 2.520; 95%CI, 1.142–5.564) and comorbidity of cancer (OR, 2.246; 95%CI, 1.141–4.420) were significantly associated with mortality.

Conclusions

Our results indicated that severe sepsis and septic shock were common complications in ICU patients and with high mortality in China, and can be of help to know more about severe sepsis and septic shock in China and to improve characterization and risk stratification in these patients.     

上海闵行区园林鸟类群落嵌套结构

城市中的园林绿地呈现斑块状分布,其栖息地特征与岛屿栖息地相似。2008年11月至2009年10月,对上海市闵行区内的7块城市绿地进行调查,记录雀形目鸟类的分布情况,并运用Nestedness temperature calculator软件,检验其群落结构是否符合嵌套结构。运用Arc GIS软件分析该地区的卫星图片,收集7块样地的面积、绿地盖度、水源距离和人为干扰程度等数据,结合实地调查所得到的数据,分析这一嵌套结构的形成原因和影响因素。结果显示：上海市闵行区城市绿地中的雀形目鸟类分布是显著的嵌套结构,园林面积、绿地面积和水源情况都对其嵌套结构有显著影响。但是与真正岛屿上存在的群落分布嵌套结构不同,人为干扰程度对这一结构也有非常明显的影响。基于上述结果可以看出,影响上海市园林鸟类的群落嵌套结构的主要原因是栖息地的结构和人为干扰程度。因此,建议在规划和建设城市公园和绿地时,应该偏重于面积较大,植被盖度和丰富度高,结构合理的园林,并且尽量减少人为干扰。     

阿尼玛卿山八种柳属植物叶片的形态结构特征研究

对阿尼玛卿山柳属八种植物的叶片进行了形态和解剖研究。观察结果表明：除旱柳外,其余７种均为异面叶;栅栏组织２－３层,细胞排列紧密;有些种的叶上表皮有光滑的角质膜,下表皮为复表皮。表面多有灰白色的粉粒蜡质,气孔不下陷;此外,在叶表皮、叶肉及维管束鞘中皆存在有含单宁或胶质的异细胞。这些特征与高山地区严酷的自然环境条件是相适应的。