人类8型疱疹病毒K8.1基因原核表达重组质粒的构建

目的：构建人类8型疱疹病毒（HHV-8）K8.1基因原核表达重组质粒,获得HHV-8外壳蛋白重组融合蛋白,为制备检测抗原建立平台。方法：根据基因库K8.1全长基因序列和pET41a载体的多克隆位点设计引物,分别在引物两端添加特异酶切位点,以pGEM-Teasy/K8.1质粒为模板,PCR扩增K8.1基因全长序列,克隆入原核表达载体pET-41a,构建原核表达质粒pET41a-K8.1;转化大肠杆菌DH5α,经酶切、测序鉴定其插入序列的正确性。结果：酶切鉴定表明在约500bp处可见酶切片段,测序结果表明构建的pET41a-K8.1原核表达质粒连接正确,插入的K8.1基因片断为494bp。结论：成功构建了pET41a-K8.1原核表达质粒,为获得重组融合HHV-8外壳蛋白建立了平台。     

人疱疹病毒7型U14编码区原核表达载体的构建

目的构建人疱疹病毒7型(HHV-7)开放读码框(ORF)U14的原核表达载体,并且进行原核表达。方法PCR技术扩增HHV-7 ORF U14基因的主要抗原决定簇编码区(328~533氨基酸),目的基因与原核表达载体pThioHis A分别双酶切后连接,1×TSS法转化宿主菌E.coli BL21,异丙基--βD-硫代半乳糖苷诱导融合蛋白表达。结果基因序列分析表明目的基因序列与HHV-7标准毒株相应序列基本一致,SDS-PAGE电泳可观察到相对分子质量为3.57万融合蛋白的表达,Western印迹证实pp85蛋白成功表达。结论HHV-7被膜蛋白pp85原核表达载体构建和表达成功,为进一步探讨该重组蛋白在HHV-7特异性抗体检测中的应用提供实验基础。     

mFSHR基因N端片段的序列分析、原核表达载体构建及其表达

目的：克隆小鼠卵泡刺激素受体（FSHR）基因N-端部分片段（28—90aa）（mFSHRn）;预测其编码蛋白作为候选避孕疫苗的可行性;构建原核表达重组质粒,并在大肠杆菌中表达。方法：提取小鼠睾丸组织总RNA,利用逆转录．聚合酶链反应（RT—PCR）技术反转录成cDNA,按照GeneBank中小鼠FSHRN．端序列设计引物,扩增基因片段并插入pET32a载体,测序鉴定后做生物信息学分析;质粒转化E．coli BL21（DE3）感受态菌株诱导表达蛋白。结果：扩增片段长度为186bp,测序结果与预期结果完全一致,生物信息学分析其编码蛋白具有良好的抗原性;重组原核表达质粒经鉴定获得正确重组子并诱导表达。结论：mFSHRn蛋白可作为良好的候选避孕疫苗,成功构建了pET32a—mFHSRn原核表达重组质粒,获得可表达mFHSRn的大肠杆菌菌株,为后续的相关研究奠定了基础。     

人类疱疹病毒8型ORF50基因截短片段和vIL-6全长基因的克隆?表达及表达产物的纯化

目的:克隆人类疱疹病毒8型(human herpesvirus 8,HHV-8)ORF50截短基因和编码病毒IL-6(vIL-6)全长基因,将其置于大肠杆菌中作融合表达.并纯化融合表达的vIL-6.方法:分别以本实验室先前构建的重组质粒pcDNA3.1+ORF50和peD-NA3.1+vIL-6为模板,PCR扩增目的基冈片段,克隆到原核表达载体pGEX-6p-1中,构建含HHV-8 ORF50截短基因的重组原核表达质粒pORF50-C1,pORF50-C2,pORF50-C3和含vIL-6伞长基因的重组原核表达质粒pvIL-6.重组质粒经酶切鉴定和核酸序列测定正确后转化大肠杆菌(E.coli)BL21(DE3)感受态细胞,以异丙基硫代-β-D-半乳糖苷(IPTG)诱导表达融合蛋白.用glutathione Sepharese 4B亲和层析柱纯化vIL-6表达产物.用SDS-聚丙烯酰胺凝胶电泳(PAGE)和Western blot检测GST融合蛋白的表达和纯化情况.结果:核酸序列分析的结果表明,克隆的序列与基因数据库中已登记的HHV-8相应序列呈现100%同源:IPTG诱导后的菌体.经SDS-PAGE,显示有相应大小的融合表达蛋白产生.Western blot亦在预期的位置检测到特异性条带.结论:在E.coli中获得了正确表达的HHV-8 ORF50基因3个截短片段和vIL-6全长基因,并成功纯化vIL-6融合蛋白.     

截短的泡球蚴Em18基因原核表达质粒的构建、表达及鉴定

目的：构建截短的泡球蚴18（Em18）基因的原核表达质粒，获得高效表达、有生物活性的重组蛋白，并对其进行初步鉴定。方法：DNAman软件设计引物，PCR法扩增并构建截短的pET41a-Em18．1原核表达质粒，测序鉴定插入序列正确性。异丙基硫代-β-D-半乳糖苷（IPTG）诱导、表达和纯化rEm18．1-GST重组蛋白，采用SDS-PAGE电泳及Western免疫印迹法对其进行初步鉴定。结果：成功构建出截短的pET41a-Em18．1，SDS-PAGE检测表明rEm18．1-GST重组蛋白得到成功表达，在相对分子量为41kDa处有表达条带。Western blot结果显示rEm18．1-GST重组蛋白能被AE病人阳性血清识别。结论：截短的pET41a-Em18．1原核表达质粒表达的rEm18．1-GST重组蛋白具有良好的抗原性，为Em18抗原表位的分析奠定基础。     

泡球蚴18基因的克隆、原核表达质粒的构建及其初步表达的研究

目的：克隆、分析泡球蚴18(Em18)抗原基因,构建pET41a-Em18原核表达质粒．并初步诱导表达Em18重组蛋白。方法：DNAman软件设计引物．RT-PCR法克隆Em18 cDNA并构建pMD18-T／Em18质粒，测序确定序列，利用DNAman和BLAST软件．对其进行基因序列分析。构建pET41a-Em18原核表达质粒，测序鉴定插入序列正确性。IPTG初步诱导和表达rEm18-GST重组蛋白。SDS-PAGE电泳检测。结果：测序结果显示Em18抗原基因长度为486bp，编码161个氨基酸。BLAST比对分析表明为一新序列并被GenBank收录(AY513691)。构建的pET41a-Em18原核表达质粒．经IPTG诱导后．SDS-PAGE检测表明rEm18-GST重组蛋白得到成功表达，在相对分子量为50KDa处有表达条带。结论：成功克隆并构建了pET41a-Em18原核表达质粒．初步诱导表达出rEm18-GST重组蛋白，为新一代包虫病诊断试剂盒的研制莫定基础。     

人类疱疹病毒8型包膜糖蛋白编码基因K8.1的分离、克隆及在大肠杆菌中的表达

目的：分离、克隆人类疱疹病毒8型(HHV-8)包膜糖蛋白K8．1编码基因，并置于大肠杆菌中作融合表达。方法：设计一对PCR引物，在引物的5′端分别引入BamHⅠ、XhoⅠ酶切位点，以佛波酯(TPA)刺激的原发性渗出性淋巴瘤(PEL)细胞系BCBL-1细胞总DNA为模板，PCR扩增出K8．1编码基因，克隆至原核表达载体pGEX-6p-1中，构建含K8．1基因重组质粒。重组质粒转化大肠杆菌(E.coli)BL21感受态细胞，以异丙基硫代-β—D-半乳糖苷(IPTG)诱导表达融合蛋白。结果：分离、克隆的411bp序列与基因数据库中所登记的HHV-8 K8．1序列呈现100％同源性。IPTG诱导后的菌体，经SDS-聚丙烯酰胺凝胶电泳(PAGE)，显示有一个41ku的融合表达蛋白产生。结论：HHV-8K8．1编码基因在E.coli中初步获得正确表达。     

食管癌相关基因2原核表达质粒的构建与诱导表达

目的：构建食管癌相关基因2（ECRG2）原核表达质粒，在大肠杆菌（E．coli）中诱导表达重组蛋白。方法：用聚合酶链反应法扩增ECRG2基因开放阅读框（ORF），构建表达载体pGDX-4T-1-ECRG2，测序鉴定后转化E．coli（BL21）进行异丙基-β-D-硫代半乳糖苷诱导表达，目的蛋白进行SDS聚丙烯酰胺凝胶电泳（PAGE）、Western免疫印迹鉴定。结果：SDS-PAGE测定GSr／ECRG2蛋白分子质量约34ku，Western blot验证出目的蛋白特异表达。结论：ECRG2ORF插入pGEX-4T-1质粒并在E．coli中成功表达。     

人疱疹病毒6型101K被膜蛋白主要抗原决定簇区原核表达克隆的构建和表达

目的构建人疱疹病毒6型(HHV-6)101K被膜蛋白的原核高效表达克隆,并进行原核表达。方法PCR扩增HHV-6B 101K被膜蛋白的主要抗原决定簇区(666~834aa)编码基因片段(nt2 347~2 853),并导入T载体进行测序,与GenBank中HHV-6标准毒株序列比较以进一步鉴定。目的基因及表达载体pThioHis A分别经双酶切后连接,转化宿主菌E.coli BL21,应用PCR法及限制性核酸内切酶双重鉴定原核表达质粒,并经测序证实。IPTG诱导蛋白表达,SDS-PAGE电泳鉴定重组蛋白。结果PCR获得的目的基因序列与GenBank中HHV-6B标准毒株Z29序列一致,重组质粒诱导菌表达产物出现相对分子质量为31 900的融合蛋白条带。结论HHV-6 101K蛋白的原核表达克隆构建和表达成功,为进一步完善HHV-6活动性感染的血清学诊断提供了实验基础。     

人类8型疱疹病毒K8.1N基因编码包膜糖蛋白的原核表达及其抗原特异性分析

目的：制备人类8型疱疹病毒（HHV-8）K8.1N基因编码包膜糖蛋白的原核表达融合蛋白,并鉴定其抗原特异性。方法：将重组质粒pET41a-K8.1N转化大肠杆菌BL21感受态细胞,异丙基硫代-β-D-半乳糖苷（IPTG）诱导表达谷胱甘肽S转移酶（GST）/K8.1N融合蛋白,经Glutathione Sepharose4B亲和层析柱纯化。采用Western blot法观察GST/K8.1N融合蛋白（作为抗原）与新疆地区、法国卡波西肉瘤（KS）患者血清以及四川健康儿童血清的血清学反应。结果：IPTG诱导后的菌体裂解蛋白,经12%聚丙烯酰胺凝胶电泳（SDS-PAGE）后,显示有一个46kD的融合蛋白表达,经Westernblot法鉴定此融合蛋白能被KS患者血清特异性地识别,新疆地区KS患者血清检出率为78.6%,法国KS为12.0%,四川健康儿童血清无一例与GST/K8.1N融合蛋白发生反应。结论：HHV-8包膜糖蛋白编码基因在大肠杆菌BL21中获得正确表达,并与KS患者血清具有特异识别性。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Dynamic Changes in Serum Estradiol and Progesterone levels in Patients of Premenstrual Syndrome with Adverse Flow of Liver-qi

Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.     

Real-time Three-dimensional Echocardiography in Assessment of Left Ventricular and Right Ventricular Volumes

Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.     

SCREENING FOR A 21-CHROMOSOME ABNORMALITY IN PREIMPLANTED EMBRYOS OF ELDERLY WOMEN

Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.     

Scientific principles and rigorous processes should be followed in developing clinical guidelines for therapeutic interventions of integrative medicine

A clinical guideline for the therapeutic interventions of integrative medicine may be defined as a written document which states a series of recommendations on therapeutic interventions of integrative medicine for a special disease or condition. The guideline may provide assistance to medical professionals in making clinical decisions aimed at improving the clinical outcome of patients and reducing the costs of medical care（~＇4~. Recommendations issued by a guideline should be based on the best available evidence in both Western and Chinese medicine. For fulfilling this purpose, the development of clinical guidelines for therapeutic interventions in the field of integrative medicine should follow scientific principles and undergo a rigorous processes.