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Reversible transient apical ballooning syndrome with coronary lesions 冠状动脉病变的可逆性短暂根尖球囊综合征
Pub Date : 2009-07-01 DOI: 10.1016/S1007-4376(09)60072-1
Yunshan Cao , Min Zhang , Xiang Li , Ping Xie , Lynn Cronin

Transient apical ballooning syndrome(Tako-Tsubo syndrome or ampulla cardiomyopathy) occurs predominantly in women over 60 years of age with a history of recent physical or psychological stress. We present a case of a male patient with reversible transient apical ballooning syndrome with significant coronary lesions and other ECG changes that did not explain the clinical symptoms.

一过性心尖球囊综合征(Tako-Tsubo综合征或壶腹心肌病)主要发生在60岁以上、近期有生理或心理应激史的女性。我们提出一个男性患者可逆性一过性根尖球囊综合征与显著冠状动脉病变和其他心电图改变,不能解释临床症状。
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引用次数: 0
The expression of TRAIL and its receptors in osteosarcoma cells and the apoptosis effect of a combination of TRAIL, adriamycin and IFN-γ on MG-63 cells TRAIL及其受体在骨肉瘤细胞中的表达及TRAIL、阿霉素和IFN-γ联合作用对MG-63细胞凋亡的影响
Pub Date : 2009-07-01 DOI: 10.1016/S1007-4376(09)60065-4
Chao Deng, Zengwu Shao, Xiaoqian Xiong, Zhichuan Liu, Zhicai Zhang

Objective

This study investigated the effects of rh-TRAIL with or without chemotherapeutic drugs on the apoptosis of the osteosarcoma cell line, MG-63, and the influence of chemotherapeutic drugs on changes in the expression of DR5 and Yin Yang1(YY1) in MG- 63 cells.

Methods

The effects of treatment with rh-TRAIL alone and/or chemotherapeutic drugs on MG-63 cell growth inhibition and apoptosis were measured using the MTT assay, FACS analysis of Annexin V labeled cells, and the mRNA changes of DR5 and YY1 were detected by RT-PCR.

Results

Rh-TRAIL protein inhibited the growth of MG-63 cells, and this inhibition was increased by adriamycin and IFN-γ. Adriamycin and IFN-γ significantly facilitated the induction of the expression of DR5 and reduced the expression of YY1.

Conclusion

The apoptosis-inducing effect of rh-TRAIL in MG-63 cells was enhanced by chemotherapeutic drugs.

目的研究rh-TRAIL联合或不联合化疗药物对MG-63骨肉瘤细胞系凋亡的影响,以及化疗药物对MG-63细胞DR5和阴阳1(YY1)表达变化的影响。方法采用MTT法、Annexin V标记细胞FACS法检测rh-TRAIL和/或化疗药物治疗对MG-63细胞生长抑制和凋亡的影响,RT-PCR检测DR5和YY1 mRNA的变化。结果rh - trail蛋白对MG-63细胞的生长有抑制作用,阿霉素和IFN-γ可增强这种抑制作用。阿霉素和IFN-γ显著促进DR5的表达诱导,降低YY1的表达。结论化疗药物可增强rh-TRAIL对MG-63细胞的诱导凋亡作用。
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引用次数: 1
Dipeptidyl peptidase IV(DPP IV): a novel emerging target for the treatment of type 2 diabetes 二肽基肽酶IV(DPP IV):治疗2型糖尿病的新靶点
Pub Date : 2009-07-01 DOI: 10.1016/S1007-4376(09)60061-7
Jing Wu , Yiding Chen , Xiaoli Shi , Wei Gu

The enzyme, dipeptidyl peptidase IV(DPP IV), is a novel target for the treatment of type 2 diabetes. Dipeptidyl peptidase IV inhibition improves the impaired insulin secretion and decrease postprandial concentrations of glucagon by enhancing the incretin hormone levels lucagon-like peptide-1(GLP-1) and glucose-dependent insulinotropic polypeptide/gastric inhibitory polypeptide(GIP). Recently, DPP IV inhibitors have attracted more and more attention, several of which have entered pre-clinical and clinical trials, and one has received approval for use as an anti-diabetic agent. Among the DPP IV inhibitors, two leading agents(sitagliptin and vildagliptin) have been shown to be effective in reducing glycosylated hemoglobin(HbA1c) and fasting plasma glucose(FPG) in patients with type 2 diabetes. This review summarizes the evidence supporting DPP IV inhibitors as potential antidiabetic agents.

二肽基肽酶IV(DPP IV)是治疗2型糖尿病的新靶点。二肽基肽酶IV抑制可通过提高胰高血糖素激素水平(胰高血糖素样肽-1(GLP-1)和葡萄糖依赖的促胰岛素多肽/胃抑制多肽(GIP)),改善受损的胰岛素分泌,降低餐后胰高血糖素浓度。近年来,DPP IV抑制剂越来越受到人们的关注,有几种抑制剂已进入临床前和临床试验,其中一种已被批准作为抗糖尿病药物使用。在DPP IV抑制剂中,两种主要药物(西格列汀和维格列汀)已被证明可有效降低2型糖尿病患者的糖化血红蛋白(HbA1c)和空腹血糖(FPG)。本文综述了支持DPP IV抑制剂作为潜在抗糖尿病药物的证据。
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引用次数: 14
Isolation and identification of proteins binding to the major breakpoint region(mbr) of bcl2 gene bcl2基因主断点区(mbr)结合蛋白的分离与鉴定
Pub Date : 2009-07-01 DOI: 10.1016/S1007-4376(09)60062-9
Nan Yang, Yujie Sun, Changyan Ma

Objective

We have previously found that mbr is a regulatory element of the bcl2 gene. The objective of this study is to isolate and identify the proteins binding to the 37 mbr in the 3′ -end of the mbr.

Methods

Streptavidin magnetic particles were ligated to concatameric oligonucleotides of 37 mbr and incubated with the nuclear extracts of Jurkat cells. The DNA-binding proteins were eluted and then resolved by SDS-PAGE. After silver staining, the protein bands were excised and subjected to MALDI-TOF MS.

Results

Several protein bands were detected after the isolation with magnetic particles, and Splicing factor, proline- and glutamine-rich(SFPQ), Poly(ADP-ribose) polymerase 1(PARP), and promyelocytic leukemia protein(PML) were identified by MALDI-TOF MS.

Conclusion

Several proteins were isolated and identified from the 37 mbr-protein complex. Results of this study establish a foundation for further study of the mechanisms by which mbr executes its regulatory function.

目的我们已经发现mbr是bcl2基因的调控元件。本研究的目的是分离和鉴定在mbr的3 '端与37mbr结合的蛋白质。方法将链霉亲和素磁性颗粒连接到37mbr的串联寡核苷酸上,与Jurkat细胞核提取物孵育。将dna结合蛋白洗脱,用SDS-PAGE进行分离。结果磁粒分离后可检出多条蛋白带,并可通过MALDI-TOF ms鉴定出剪接因子、富脯氨酸和谷氨酰胺(SFPQ)、聚(adp -核糖)聚合酶1(PARP)和早幼粒细胞白血病蛋白(PML)。结论从37 mbr蛋白复合物中分离鉴定出多种蛋白。本研究结果为进一步研究mbr发挥调控作用的机制奠定了基础。
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引用次数: 0
Effectiveness and feasibility of transradial approaches for primary percutaneous coronary intervention in patients with acute myocardial infarction 急性心肌梗死患者经桡动脉入路经皮冠状动脉介入治疗的有效性和可行性
Pub Date : 2009-07-01 DOI: 10.1016/S1007-4376(09)60068-X
Lijun Gan , Qingxian Lib , Rong Liuc , Yuxin Zhaoc , Jianjun Qiuc , Yuhua Liao

Objective

To evaluate the efficacy and feasibility of the transradial approach for primary percutaneous coronary intervention (PCI) in patients with acute myocardial infarction(AMI).

Methods

195 patients with acute myocardial infarction were randomly divided into two groups according to the different PCI operation pathways. 105 cases were assigned to the transfemoral artery group and 90 cases to the transradial artery group. We analyzed the data from the two groups, including the achievement ratio of paracentesis, cannulation time, the time from local anesthesia to the first time balloon inflation, the time of the total procedure, achievement ratio of PCI, incidence rate of vascular complications, total duration of hospitalization, and the six-month follow-up results in both groups.

Results

Our results showed that the achievement ratio of arteriopuncture, cannulation time and the time from local anesthesia to the first time balloon inflation in the transradial and transfemoral groups were 98.9% vs. 100%, 3.15 ± 1.56 min vs. 2.86 ± 0.97 min, and 18.56 ± 4.37 min vs. 17.75 ± 3.21 min, respectively. These differences between the two groups were not statistically significant. The total operating time was 29.75 ± 4.38 min for the transradial group and 27.89 ± 3.95 min(P < 0.05) for the transfemoral group. The operation achievement ratio in the transradial group was 96.7%, and 96.2% in the transfemoral group. The incidence of puncture point complications was 2.2% in the transradial group and 11.4% in the transfemoral group, and this difference was significant. The duration of hospitalization was 10.56 ± 2.85 days for the transradial group and 13.78 ± 3.15 days(P < 0.05) for the transfemoral group. At the six-month follow-up, the rate of survival without cardiac event was 86.1% vs. 86.4% respectively in the transradial and transfemoral groups(P > 0.05).

Conclusion

The transradial approach was as effective as the transfemoral approach, and there were fewer puncture point complications as well as a shorter span of hospitalization in the transradial group. PCI via the transradial approach is safe, effective and feasible in patients with AMI.

目的评价经桡动脉入路在急性心肌梗死(AMI)患者中进行初级经皮冠状动脉介入治疗(PCI)的疗效和可行性。方法将195例急性心肌梗死患者根据PCI手术路径的不同随机分为两组。经股动脉组105例,经桡动脉组90例。分析两组数据,包括穿刺成功率、插管时间、局麻至第一次球囊充气时间、总手术时间、PCI成成率、血管并发症发生率、总住院时间、6个月随访结果。结果经桡动脉组和经股动脉组动脉穿刺成功率为98.9%,插管时间为3.15±1.56 min,首次充气时间为2.86±0.97 min,局麻至首次充气时间为18.56±4.37 min, 17.75±3.21 min。两组间差异无统计学意义。经桡动脉组总手术时间为29.75±4.38 min, 27.89±3.95 min(P <经股组0.05)。经桡骨组手术成功率为96.7%,经股骨组为96.2%。经桡动脉组穿刺点并发症发生率为2.2%,经股动脉组为11.4%,差异有统计学意义。经桡动脉组住院时间为10.56±2.85天,13.78±3.15天(P <经股组0.05)。6个月随访时,经桡动脉组和经股动脉组无心脏事件生存率分别为86.1%和86.4% (P >0.05)。结论经桡骨入路与经股入路疗效相当,且穿刺点并发症少,住院时间短。经桡骨入路PCI治疗AMI患者安全、有效、可行。
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引用次数: 34
Immunomodulation effects of heat-treated Enterococcus faecalis FK-23(FK-23) in mice 经热处理的粪肠球菌FK-23(FK-23)对小鼠的免疫调节作用
Pub Date : 2009-05-01 DOI: 10.1016/S1007-4376(09)60050-2
Takashi Shimada , Yunqing Cai , Lei Cheng , Chie Motonaga , Kazutake Fukada , Yoshihisa Kitamura , Jieshu Wu

Objective

The purpose of this study was to evaluate the effects of Enterococcus faecalis FK-23(FK-23) on the immune function in mice.

Methods

Mice were treated with three doses of the FK-23(0.05, 0.1, 0.2, 0.6 g/kg body weight) for 30 days. Delayed type hypersensitivity (DTH), monocyte phagocytic function, serum hemolysis antibody and natural killer cell activity were studied.

Results

The significant increases in mice treated with 0.6 g/kg bw were found in DTH, phagocytic function of monocyte, serum hemolysis antibody and natural killer cell activity.

Conclusion

The results from the present study suggest that FK-23 could improve both specific and non-specific immune function.

目的探讨粪肠球菌FK-23(FK-23)对小鼠免疫功能的影响。方法以3种剂量(0.05、0.1、0.2、0.6 g/kg体重)的FK-23治疗smice 30 d。研究延迟型超敏反应(DTH)、单核细胞吞噬功能、血清溶血抗体和自然杀伤细胞活性。结果0.6 g/kg bw组小鼠DTH、单核细胞吞噬功能、血清溶血抗体和自然杀伤细胞活性显著升高。结论FK-23具有改善小鼠特异性和非特异性免疫功能的作用。
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引用次数: 8
The status of tobacco use and knowledge, and attitudes relating to smoking among female students in a Bengbu medical school 蚌埠某医学院女学生的烟草使用状况、吸烟知识和态度
Pub Date : 2009-05-01 DOI: 10.1016/S1007-4376(09)60053-8
Yulong Qi , Cuizhu Mei

Objective

To learn the status of tobacco use, and the knowledge, attitudes, and behaviors among female students in Bengbu Medical College.

Methods

In a cross-sectional survey, questionnaires were completed by 634 female students in the medical college in 2007, including the prevalence of current smoking, their knowledge of the effects of tobacco use on health, and attitudes towards the smoking behaviors of young women.

Results

Only 6.9% of female medical students were former smokers, and 4.9% of them were current smokers. There was no significant difference in the current smoking rate among the students from each department surveyed. Female students from urban areas were more likely to be current or attempted smokers than those from rural areas. The proportion of the students who were aware of the health risks of smoking was less than 45%. The students from the Department of Nursing had more knowledge regarding the harmful health effects of smoking than those from the other departments. There was no significant difference in attitudes towards the smoking behaviors of young women among the students from each department. Compared with female students from rural areas, the female students from urban areas were significantly more likely to think that a young woman who smoked was cool, mature and charming.

Conclusion

The smoking prevalence of the female students in Bengbu Medical College is high. They are not aware of the smoking related risks and have erroneous beliefs and perceptions about female smoking behaviors.

目的了解蚌埠医学院女学生的烟草使用状况及相关知识、态度和行为。方法采用横断面调查的方法,对2007年医学院634名女学生进行问卷调查,包括吸烟现状、对吸烟对健康影响的认知、对年轻女性吸烟行为的态度等。结果女医学生中曾经吸烟的占6.9%,目前吸烟的占4.9%。在被调查的各系学生中,目前的吸烟率没有显著差异。来自城市地区的女学生比来自农村地区的女学生更有可能是吸烟者或吸烟者。了解吸烟危害的学生比例不足45%。护理系学生对吸烟危害健康的认知程度高于其他系学生。各系学生对年轻女性吸烟行为的态度差异无统计学意义。与农村女学生相比,城市女学生明显更倾向于认为吸烟的年轻女性很酷、成熟和迷人。结论蚌埠医学院女学生吸烟率较高。他们没有意识到吸烟的相关风险,对女性吸烟行为有错误的信念和认知。
{"title":"The status of tobacco use and knowledge, and attitudes relating to smoking among female students in a Bengbu medical school","authors":"Yulong Qi ,&nbsp;Cuizhu Mei","doi":"10.1016/S1007-4376(09)60053-8","DOIUrl":"10.1016/S1007-4376(09)60053-8","url":null,"abstract":"<div><h3>Objective</h3><p>To learn the status of tobacco use, and the knowledge, attitudes, and behaviors among female students in Bengbu Medical College.</p></div><div><h3>Methods</h3><p>In a cross-sectional survey, questionnaires were completed by 634 female students in the medical college in 2007, including the prevalence of current smoking, their knowledge of the effects of tobacco use on health, and attitudes towards the smoking behaviors of young women.</p></div><div><h3>Results</h3><p>Only 6.9% of female medical students were former smokers, and 4.9% of them were current smokers. There was no significant difference in the current smoking rate among the students from each department surveyed. Female students from urban areas were more likely to be current or attempted smokers than those from rural areas. The proportion of the students who were aware of the health risks of smoking was less than 45%. The students from the Department of Nursing had more knowledge regarding the harmful health effects of smoking than those from the other departments. There was no significant difference in attitudes towards the smoking behaviors of young women among the students from each department. Compared with female students from rural areas, the female students from urban areas were significantly more likely to think that a young woman who smoked was cool, mature and charming.</p></div><div><h3>Conclusion</h3><p>The smoking prevalence of the female students in Bengbu Medical College is high. They are not aware of the smoking related risks and have erroneous beliefs and perceptions about female smoking behaviors.</p></div>","PeriodicalId":100807,"journal":{"name":"Journal of Nanjing Medical University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2009-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1007-4376(09)60053-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91527297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The MRI manifestations of intramedullary germinoma of the spinal cord:a case report and review of the literature 脊髓髓内生殖细胞瘤的MRI表现:1例报告及文献复习
Pub Date : 2009-05-01 DOI: 10.1016/S1007-4376(09)60058-7
Feng Chen , Tao Liu , Jianjun Li , Chuanzi Li

Primary germinoma in the spinal cord is very rare. Preoperative diagnosis is important because germinomas are sensitive to radiation therapy and chemotherapy so that treatment trends and prognosis differ from other intramedullary spinal cord tumors. Preoperative radiologic diagnosis is very difficult because of this rarity. In this case a 22-year-old woman with a 4-month history of gradual numbness and weakness of both lower extremities was found to have a solid tumor in the thoracic cord between the T9 and T11 vertebral bodies. No other neoplastic lesion was found inside or outside the central nervous system. The patient underwent surgery, and the intramedullary lesion was almost totally resected. Serum HCG was elevated postoperatively without pregnancy. The pathological diagnosis was conclusively that of a germinoma. The previous 23 cases of primary spinal cord germinoma were reviewed for comparison.

脊髓的原发性生殖细胞瘤非常罕见。术前诊断很重要,因为生殖细胞瘤对放疗和化疗很敏感,所以治疗趋势和预后与其他脊髓髓内肿瘤不同。由于罕见,术前影像学诊断非常困难。在本病例中,一名22岁的女性,有4个月的双下肢逐渐麻木和无力的病史,在T9和T11椎体之间的胸脊髓中发现了一个实体瘤。在中枢神经系统内外均未发现其他肿瘤病变。患者接受手术,髓内病变几乎完全切除。术后无妊娠,血清HCG升高。病理诊断为生殖细胞瘤。本文回顾了23例原发性脊髓生殖细胞瘤的临床资料进行比较。
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引用次数: 3
Dephosphorylation of cardiomyocyte Cx43 is associated with myocardial ischemia and reperfusion injury 心肌细胞Cx43脱磷酸化与心肌缺血再灌注损伤有关
Pub Date : 2009-05-01 DOI: 10.1016/S1007-4376(09)60048-4
Zhijuan Cao, Xuan Xu, Linli Que, Qi Chen, Yuehua Li

Objective

Myocardial ischemia/reperfusion(I/R) injury is the leading cause of death in the world. However, the details of the mechanism of its pathophysiology are still unknown. The present study was designed to investigate the role of connexin 43(Cx43) in acute models of myocardial I/R injury.

Methods

Male C57BL/6 mice were subjected to myocardial ischemia(45 min) followed by reperfusion(4 hrs) in vivo. The whole operation was monitored using a two-lead ECG. Hearts were harvested and the level of protein was assessed by western blot analysis. Haematoxylin and Eosin(HE) staining was used to detect the extent of neutrophil infiltration. The expression level of IL-6 was detected by ELISA.

Results

A murine myocardial I/R injury model was constructed successfully. Phosphorylated Cx43 decreased 83. 45% while non-phosphorylated Cx43 increased 1.62- fold in the myocardium after I/R injury. Neutrophil infiltration and the expression of the inflammatory cytokine IL-6 increased in the myocardium following I/R.

Conclusion

During myocardial I/R injury, cardiomyocyte Cx43 is dephosphorylated, and this may be associated with an inflammatory response.

目的:心肌缺血/再灌注(I/R)损伤是世界范围内主要的死亡原因。然而,其病理生理机制的细节尚不清楚。本研究旨在探讨连接蛋白43(Cx43)在急性心肌I/R损伤模型中的作用。方法C57BL/6小鼠在体缺血45 min后再灌注4 h。整个手术过程采用双导联心电图监测。取心脏,用western blot法检测蛋白水平。采用苏木精和伊红(HE)染色检测中性粒细胞浸润程度。ELISA法检测IL-6的表达水平。结果成功构建了小鼠心肌I/R损伤模型。磷酸化的Cx43降低83。而非磷酸化的Cx43在I/R损伤后心肌中增加1.62倍。I/R后心肌中性粒细胞浸润及炎性细胞因子IL-6表达增加。结论心肌I/R损伤时,心肌细胞Cx43发生去磷酸化,这可能与炎症反应有关。
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引用次数: 1
Nephron-sparing surgery for small renal cell carcinoma 小肾细胞癌保留肾单元的手术治疗
Pub Date : 2009-05-01 DOI: 10.1016/S1007-4376(09)60057-5
Yongsheng Li, Shaoxing Zhu, Weizhong Cai, Shiping Chen, Qiyong Li

Objective

To investigate the method and effect of nephron-sparing surgery in the treatment of small renal cell carcinoma.

Methods

From August 1997 to October 2008, 48 cases of small renal cell carcinomas were confirmed by surgery and pathology, and reviewed retrospectively. Of the 48 cases, there was 1 patient with bilateral tumors, 8 with solitary kidney tumors, 1 with unilateral tumor and a damaged contralateral kidney, and 38 with unilateral tumors and a normal contralateral kidney; 9 underwent tumor enucleation and the remaining patients received partial nephrectomy.

Results

There were no local tumor recurrences and/or tumor metastasis at a mean follow-up of 60 months.

Conclusion

Confirming conclusions from other centers, we have found that nephron-sparing surgery is an effective treatment for small renal cell carcinomas.

目的探讨保留肾单元的手术治疗小肾细胞癌的方法和效果。方法对我院1997年8月至2008年10月经手术及病理证实的48例小肾细胞癌进行回顾性分析。48例患者中,双侧肿瘤1例,单侧肾脏肿瘤8例,单侧肿瘤伴对侧肾脏损害1例,单侧肿瘤伴对侧肾脏正常38例;9例行肿瘤去核术,其余行部分肾切除术。结果平均随访60个月,无肿瘤局部复发和/或转移。结论保留肾单元的手术治疗小肾细胞癌是一种有效的治疗方法。
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引用次数: 0
期刊
Journal of Nanjing Medical University
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