迷走神经与乙酰胆碱对缩窄的犬冠状动脉节段阻力的影响

在麻醉开胸犬,用电起搏维持心率恒定,研究了电刺激颈迷走神经(VNS)及冠状动脉内注入乙酰胆碱(ACh)对缩窄的冠状动脉的节段阻力及血流量的影响。在左旋支主干造成不同程度的冠状动脉缩窄。分别测定左旋支血流量(CBF_(cx))、主动脉压和主旋支远端冠状动脉压,记录心电图。实验发现,在冠状动脉临界狭窄和重度狭窄时,VNS 或冠脉给ACh 引起心外膜大冠状动脉阻力及冠状动脉主旋支总阻力增大,CBF_(cx)减少;随着缩窄程度加重,这些改变也愈明显,然而,心肌内小冠状动脉阻力却无显著改变。     

Valve movement of the freshwater mussel Anodonta anatina: a reciprocal transplant experiment between lake and river

The effects of source and caging on the valve movements of the freshwater unionid mussel (Anodonta anatina) were studied in a reciprocal transplant experiment between a lake and its outflow. Caged mussels were moved and compared with those remaining in their natural environment on the lake or river bottom. At both sites, the mussels from the study site and the transplanted mussels from the opposite site were monitored simultaneously. In river the averaged weighted valve openness was higher and the number of valve movements was lower than in the lake. The mussels monitored in the lake exhibited a diurnal rhythm of valve movements which differed between the lake-bottom and the caged animals. Caging was found to increase valve openness. On the other hand, little variation appeared in valve openness between caged and bottom animals in the river, where diurnal rhythms were almost nonexistent. In the river the valve movements were more variable in respect to time than in the lake.     

Competition between electron acceptors in photosynthesis: Regulation of the malate valve during CO2 fixation and nitrite reduction

For maximal rates of CO₂ assimilation in isolated intact spinach chloroplasts the generation of the adequate NADPH/ATP ratio is achieved either by cyclic electron flow around photosystem I or by linear electron transport to oxaloacetate, nitrite or oxygen (Mehler-reaction). The interrelationships between these poising mechanisms turn out to be strictly hierarchical. In the presence of antimycin A, an inhibitor of ferredoxin-dependent cyclic electron transport, the reduction of both, oxaloacetate and nitrite, but not that of oxygen restores CO₂ fixation. When oxaloacetate and nitrite are added at low concentrations simultaneously during steady-state CO₂ fixation, the reduction of nitrite is clearly preferred over the reduction of oxaloacetate, but CO₂ fixation is not influenced. Nitrite reduction is not decreased upon addition of oxaloacetate, but vice versa. This is due to the regulation of NADP-malate dehydrogenase activation by electron pressure via the ferredoxin/thioredoxin system on the one hand, and by the NADPH/(NADP+NADPH) ratio (anabolic reduction charge, ARC) on the other hand. Thus the closing of the malate valve prevents drainage of reducing equivalents from the chloroplast (1) when a low ARC indicates a high demand for NADPH in the stroma and (2) when nitrite reduction reduces the electron pressure at ferredoxin. The malate valve is opened when cyclic electron transport is inhibited by antimycin A. Under these conditions the rate of malate formation is higher than in the absence of the inhibitor even in the presence of oxaloacetate, thus indicating that the regulation of the malate valve functions at various redox states of the acceptor side of Photosystem I.Abbreviations ARC anabolic reduction charge (NADPH/(NADP+NADPH)) - Chl chlorophyll - DTT dithiothreitol; Fd-ferredoxin - NADP-MDH NADP-malate dehydrogenase - OAA oxaloacetate - PS photosystem - qN non-photochemical quenching - qP photochemical quenching - _E quantum efficiency of PS II Dedicated to Prof. Dr. Hans Walter Heldt on the occasion of his 60th birthday.     

右美托咪定联合芬太尼对心脏瓣膜置换术患者细胞免疫功能的影响及心脑保护作用研究

摘要 目的：观察右美托咪定联合芬太尼对心脏瓣膜置换术患者细胞免疫功能的影响及在心脑保护中的作用。方法：纳入海南医学院第二附属医院2019年4月~2021年6月间接收的体外循环（CPB）下心脏瓣膜置换术患者97例,根据信封抽签法将患者分为对照组（芬太尼,48例）和观察组（右美托咪定联合芬太尼,49例）。对比两组血流动力学指标[平均动脉压（MAP）、心率（HR）]、心肌损伤指标[肌钙蛋白（cTnI）、肌酸激酶同工酶（CK-MB）、心型脂肪酸结合蛋白（HFABP）]、脑损伤指标[神经元特异性烯醇化酶（NSE）、S-100β]、细胞免疫功能、镇痛情况及不良反应发生率。结果：观察组CPB开始后10 min（T2）时间点HR、MAP低于对照组,CPB结束（T3）、术毕（T4）时间点HR、MAP高于对照组（P<0.05）。两组术前（T1）、术后24 h、术后48 h视觉模拟评分法（VAS）评分升高后降低（P<0.05）,观察组术后24 h、术后48 h VAS评分低于对照组（P<0.05）。观察组术后48 h CD4⁺、CD4⁺/CD8⁺高于对照组,CD8⁺低于对照组（P<0.05）。观察组术后48 h cTnI、CK-MB、HFABP低于对照组（P<0.05）。观察组术后48 h NSE、S100B低于对照组（P<0.05）。观察组的不良反应发生率低于对照组（P<0.05）。结论：心脏瓣膜置换术患者选用右美托咪定联合芬太尼麻醉方案,有助于减轻疼痛,稳定血流动力学,减轻免疫抑制,同时还可发挥心脑保护效果,降低不良反应发生率,是一种可靠的麻醉方案。     

神经生长因子家族及其受体研究进展

过去几年在神经营养因子、受体和神经元细胞程序性死亡的研究领域中取得了几项引人注目的进展：（１）神经生长因子（ＮＧＦ）基因家族的其他一些成员包括脑源性神经营养因子（ＢＤＮＦ）、神经营养素－３（ＮＴ－３）、神经营养素－４（ＮＴ－４）、神经营养素－５（ＮＴ－５）的发现;（２）神经生长因子三维结构及功能和进化之关系的阐明;（３）定性了两种神经生长因子受体Ｐ７５＾ＮＧＦＲ和原癌基因ｐ１４０＾ｔｒｋＡ以及相关     

麻黄碱对兔主动脉和心房作用机制的研究

麻黄碱(E,×10~(-4)—3.3×10~(-3)M)和去甲肾上腺素(NA,6×10~(-8)—6×10~(-5)M)均能引起离体兔主动脉条浓度依赖性收缩。可卡因能明显地增强 NA 的作用,但明显地减弱麻黄碱的作用,用可卡因后麻黄碱的作用为用可卡因前的10—92.6%。利血平处理后,麻黄碱和 NA的作用都明显增强,但利血平对前者的增强作用比后者更甚。在利血平处理及未处理肌条上,麻黄碱的作用均可被酚妥拉明阻断。麻黄碱(3.3×10~(-6)—3.3×10~(-5)M)和异丙肾上腺素(ISP,10~(-9)—10~(-5)M)均能引起离体兔心房率的增加。可卡因明显地减弱麻黄碱的这一作用,即为对照组的8.8—29.1%,但不影响 ISP 的作用。利血平处理后,麻黄碱对兔心房的作用也明显减弱,为对照纽的15.4—28.4%;而 ISP 作用则略增加。3×10~(-4)麻黄碱可明显增加[3~H]NA 从兔主动脉条的流出量,此作用在给药后5min内即开始,可持续30 min 以上。上述结果提示,对于兔主动脉和心房,麻黄碱兼具直接作用于效应器细胞和通过释放末梢中 NA 的间接作用;直接作用在主动脉占优势,间接作用在心房占优势。     

The membrane valve: A consequence of asymmetrical inhibition of membrane carriers. I. Equilibrating transport systems

Facilitated membrane transport systems act as valves, or rectifiers, when the substrate affinities on the two sides of the membrane differ substantially, i.e. when the system is strongly asymmetric. The asymmetry may be intrinsic or imposed by a reversible competitive inhibitor acting on only one side of the membrane. Under non-equilibrium conditions such systems allow net movements of substrate to proceed faster, sometimes much faster, in one direction than the other, though the final equilibrium is unaffected. Obligatory exchange systems may also function as valves when inhibited unsymmetrically, permitting exchange to occur more rapidly with one distribution of substrates than with the reversed distribution. Here, unequal flux rates do not depend on unequal concentrations of the substrate on either side of the membrane, but may also occur with equal concentrations, provided the affinities of the two substrates differ.The kinetic theory leading to these conclusions is given here, and it is shown how individual parameters of a carrier system affect the efficiency, or tightness, of the valve. In addition, simple kinetic tests for the operation of a valve are outlined. Examples are cited of transport systems having inhibitor-binding sites on only one surface of the cell membrane, which could function normally as valves. Systems implicated are glucose transport in various cells, the ADP-ATP exchanger of mitochondria, the anion transporter of erythrocytes, and the Na⁺-K⁺ pump.     

5-羟色胺诱发的主动脉区化学感受性升血压反射中某些区域性血管反应的分析

在15只麻醉开胸犬中,用在体器官恒流灌注法研究了骨胳肌、皮肤、肾和心脏的血管在5-HT 诱发的主动脉区化学感受性升血压反射中的反应,同时还观察了5-HT 对这些器官血管的直接效应。左心房注入5-HT(200μg)后,在动脉血压急剧上升的同时,股薄肌、皮肤(后爪)和肾脏的灌流压明显增加,其增值分别为43±8.47±5和56±27mmHg(P<0.01),而冠脉灌流压无明显改变。用阿托品和/或心得安阻断骨胳肌、皮肤和心脏灌流区域的 m 和同β-受体后,上述效应无进一步变动。向灌流环路直接注入5-HT(10—50μg),可引起皮肤和肾脏的血管收缩,而股薄肌和心肌的血管则扩张;后一效应不被心得安阻断。以上结果提示:1.在5-HT 诱发的主动脉区化学感受性升血压反射中,骨胳肌、皮肤和肾脏呈现明显的交感性缩血管反应,而并不伴有交感性扩血管活动;2.在外周血管可能存在两种不同的5-HT 受体,一种主要分布在皮肤和肾脏,引起缩血管效应;另一种主要分布于骨胳肌和冠状血管,引起扩血管效应。     

STRUCTURE,LIFE HISTORY AND SYSTEMATICS OF RHOICOSPHENIA (BACILLARIOPHYTA). I. THE VEGETATIVE CELL OF RH. CURVATA1

Rhoicosphenia Grun. has been placed by some authors in the monoraphid group with Achnanthes Bory and Cocconeis Ehrenb., and by others near Gomphonema Ehrenb. In order to clarify the systematic position of the genus, the morphology and anatomy of the vegetative cells of Rh. curvata (Kütz.) Grun. were investigated using light and electron microscopy. The structure and formation of the two types of valve are described, and the heterovalvy shown to be of a different type from that of the monoraphids; on the basis of raphe, valve and girdle structure a close relationship between these and Rhoicosphenia is unlikely. Rhoicosphenia shows many resemblances to Gomphonema but the types of pore occlusion present, coupled with apparently slight differences in the mucilage-secreting structures and the girdle, suggest that classification in the same family is unwise. The cryptic asymmetry of the valves, and in particular of the raphe system, is noted and explained with reference to their formation; with respect to this asymmetry two configurations of the valves can occur (named cis and trans types) and the distribution of these in raphid genera is discussed briefly. In view of the lack of evidence in raphid diatoms supporting a classification of bands into copulae and pleurae, it is recommended that this practice be suspended.     

Elasto-regenerative properties of polyphenols

Abdominal aortic aneurysms (AAA) are progressive dilatations of infra-renal aorta causing structural weakening rendering the aorta prone to rupture. AAA can be potentially stabilized by inhibiting inflammatory enzymes such as matrix metalloproteinases (MMP); however, active regression of AAA is not possible without new elastic fiber regeneration. Here we report the elastogenic benefit of direct delivery of polyphenols such as pentagalloyl glucose (PGG), epigallocatechin gallate (EGCG), and catechin, to smooth muscle cells obtained either from healthy or from aneurysmal rat aorta. Addition of 10 μg/ml PGG and ECGC induce elastin synthesis, organization, and crosslinking while catechin does not. Our results indicate that polyphenols bind to monomeric tropoelastin and enhance coacervation, aid in crosslinking of elastin by increasing lysyl oxidase (LOX) synthesis, and by blocking MMP-2 activity. Thus, polyphenol treatments leads to increased mature elastin fibers synthesis without increasing the production of intracellular tropoelastin.