高频重复经颅磁刺激联合Brunnstrom分期训练对脑卒中恢复期患者康复效果的影响

摘要 目的：探讨高频重复经颅磁刺激（rTMS）联合Brunnstrom分期训练对脑卒中恢复期患者康复效果的影响。方法：根据随机数字表法将新疆医科大学第一附属医院2020年1月~2022年2月期间收治的脑卒中恢复期患者80例分为对照组（40例,Brunnstrom分期训练）和研究组（40例,高频rTMS联合Brunnstrom分期训练）。对比两组疗效、美国国立卫生研究院卒中量表（NIHSS）评分、功能独立性量表（FIM）评分、生活质量评分、血清神经因子指标[髓鞘碱性蛋白（MBP）、神经元特异性烯醇化酶（NSE）、神经生长因子-1（NGF-1）]。结果：研究组的临床总有效率（92.50%）明显高于对照组（70.00%）（P<0.05）。治疗4周后,研究组MBP、NSE低于对照组,NGF-1高于对照组（P<0.05）。与对照组比较,治疗4周后,研究组NIHSS评分降低,FIM评分升高（P<0.05）。治疗4周后,研究组心理/躯体/物质/社会功能评分较对照组高（P<0.05）。结论：高频rTMS联合Brunnstrom分期训练有助于提高脑卒中恢复期患者的康复效果,同时还可调节血清神经指标,提高生活质量。     

猪肺炎支原体Mhp367蛋白不同区段与恢复期血清反应能力的比较

【背景】课题组前期研究发现猪肺炎支原体Mhp367蛋白是体液免疫显性蛋白,但该蛋白不同区段与猪肺炎支原体恢复期血清的反应能力尚不明确。【目的】鉴定Mhp367蛋白不同区段与猪肺炎支原体恢复期血清的反应能力。【方法】利用不同的引物组合扩增mhp367基因片段,扩增的片段连接pGEX-6P-1、pGEX-4T-3或pGEX-5X-3载体,转化大肠杆菌DH5α感受态细胞。提取的质粒经Bam H I和Xho I双酶切及测序确定重组质粒是否构建成功。正确的重组质粒转化大肠杆菌BL21(DE3)感受态细胞构建重组菌。重组菌经IPTG诱导和超声破菌后,经与谷胱甘肽beads结合和SDS-PAGE电泳检测目的蛋白表达情况。表达目的蛋白的重组菌破菌后上清包被谷胱甘肽板,ELISA方法鉴定Mhp367蛋白不同区段与猪肺炎支原体恢复期血清的反应能力。【结果】构建了9个能以可溶形式表达目的蛋白的重组菌;9个Mhp367蛋白片段均为体液免疫显性,第394-524位氨基酸区段与猪肺炎支原体恢复期血清反应最强,是一个良好的疫苗候选抗原区段。【结论】本研究为猪肺炎支原体基因工程亚单位疫苗的研发提供了候选抗原靶标。     

The SARS-CoV-2 induced targeted amino acid profiling in patients at hospitalized and convalescent stage

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has induced an ongoing global health crisis. Here we utilized a combination of targeted amino acids (AAs) and clinical biochemical profiling to analyze the plasma of coronavirus disease 2019 (COVID-19) subjects at the hospitalization stage and 1-month post-infection convalescent stage, respectively, to investigate the systematic injury during COVID-19 disease progress. We found the virus-induced inflammatory status and reduced liver synthesis capacity in hospitalized patients, which manifested with increased branched-chain AAs (BCAAs), aromatic AAs (AAAs), one-carbon related metabolites, and decreased methionine. Most of these disturbances during infection recover except for the increased levels of medium-chain acylcarnitines (ACs) in the convalescent subjects, implying the existence of incomplete fatty acids oxidation during recovery periods. Our results suggested that the imbalance of the AA profiling in COVID-19 patients. The majority of disturbed AAs recovered in 1 month. The incomplete fatty acid oxidation products suggested it might take longer time for convalescent patients to get complete recovery.     

发热伴血小板减少综合征患者血清内抗体IgG中和活性及其影响因素分析

发热伴血小板减少综合征(SFTS)的病原体为发热伴血小板减少综合征布尼亚病毒,目前尚无特异性防治措施。本研究旨在明确SFTS患者不同时期血清内抗体的中和活性,为将来开发单克隆中和抗体药物和疫苗设计提供可靠的血源。7名患者15份血清收集后采用protein A亲和纯化抗体,SDS-PAGE分析抗体的纯度和分子量大小,中和实验评估抗体的中和能力,结果发现7个患者15份血清中4个恢复期患者血清内抗体具有广谱中和能力,其余3个患者未产生中和抗体,所有患者急性期均未产生IgG中和抗体,产生中和抗体的个体内抗体的中和能力随病毒消长而发生改变。因此,机体感染后部分康复者建立了特异性体液免疫力。此外,SFTS患者年龄亦影响中和抗体的产生,高龄并不预示着免疫力逐渐丧失,推测个体差异决定了免疫力强弱。具有广谱中和能力的血源将为开发治疗SFTS的候选抗体药物以及疫苗设计提供可能。     

Identification of SARS-CoV-2 spike mutations that attenuate monoclonal and serum antibody neutralization

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Use of convalescent serum reduces severity of COVID-19 in nonhuman primates

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Increased resistance of SARS-CoV-2 variant P.1 to antibody neutralization

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Major role of IgM in the neutralizing activity of convalescent plasma against SARS-CoV-2

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