17β-雌二醇对肾上腺素诱导的心肌细胞肥大及原癌基因c-fos表达的影响

目的利用体外培养的乳鼠心肌细胞,观察17β雌二醇(17βestradiol)对肾上腺素(phenylephrine)诱导的心肌细胞肥大及其原癌基因cfos蛋白表达的影响。方法以培养的乳鼠心肌细胞为模型并分组给药后,用计算机图像分析软件测量心肌细胞表面积,免疫细胞化学方法检测心肌细胞原癌基因cfos的蛋白表达。结果17β雌二醇明显抑制肾上腺素诱导的心肌细胞表面积增大,同时减弱肥大心肌细胞原癌基因cfos的蛋白表达。结论17β雌二醇可抑制肾上腺素诱导的心肌细胞肥大,其作用机制可能和抑制原癌基因cfos的蛋白表达有关。     

秦皮素对苯肾上腺素诱导的大鼠心肌细胞肥大的影响

目的：观察秦皮素对苯肾上腺素诱导的原代SD乳鼠心肌细胞肥大的影响。方法建立苯肾上腺素诱导的SD乳鼠原代心肌细胞肥大模型,观察秦皮素对心肌细胞肥大的影响;图像分析法计算心肌细胞面积;[3H]‐亮氨酸掺入法测试心肌细胞蛋白质合成速率;实时定量荧光PCR法检测心肌细胞Nrf2和肥大分子标志物心房钠尿肽、心房利尿肽的mRNA表达水平。结果（1）80μmol／L苯肾上腺素刺激心肌细胞48h能成功复制SD乳鼠心肌细胞肥大模型并伴随Nrf2表达量的增加;（2）秦皮素呈剂量依赖性地抑制苯肾上腺素刺激的SD乳鼠心肌细胞面积的增大、蛋白质合成速率的增加和肥大分子标志物的上调。结论秦皮素能显著抑制PE 诱导的原代大鼠心肌细胞肥大。     

NADPH氧化酶源性ROS在乳鼠心肌细胞肥大中的作用

目的探讨NADPH氧化酶来源的活性氧(ROS)在TNF-α诱导乳鼠心肌细胞肥大中的作用。方法采用体外乳鼠心肌细胞培养,给予TNF-α、APO单独或联合作用细胞24h,以BCA法测定心肌细胞蛋白合成,共聚焦显微镜测量心肌细胞ROS含量,RT-PCR法测定心肌细胞心钠素ANP mRNA的表达。结果 TNF-α可明显增加心肌细胞蛋白合成,心肌细胞体积增大,ROS生成增多,ANP mRNA表达水平显著增加,以上作用可被APO明显抑制。结论TNF-α通过增加心肌细胞NADPH氧化酶来源的ROS生成,促进心肌细胞肥大。     

COX-2信号通路参与高糖高胰岛素诱导的心肌细胞肥大研究

目的探讨环氧化酶-2(COX-2)在高糖高胰岛素诱导的心肌肥大中的作用。方法用高糖高胰岛素刺激体外培养的乳鼠心肌细胞,以细胞表面积、蛋白含量和心房利钠因子(ANF)mRNA表达为心肌细胞肥大的反映指标,观察COX-2特异性抑制剂———赛来昔布对高糖高胰岛素致肥大作用的影响。利用real-time PCR检测细胞中mRNA的表达。结果高糖高胰岛素诱导细胞表面积、总蛋白含量以及ANF、COX-2 mRNA的表达增加(P<0.05);赛来昔布可以抑制高糖高胰岛素诱导的心肌细胞肥大(P<0.05),同时抑制COX-2的表达(P<0.05)。结论赛来昔布可以通过抑制COX-2的表达,从而对抗高糖高胰岛素诱导的心肌肥大。     

异丙酚对高糖诱导心肌细胞肥大时血红素加氧酶-1表达的影响

目的:观察血红素加氧酶-1在高糖诱导的心肌细胞肥大中的表达,以及异丙酚对其表达的影响。方法:体外培养乳鼠心肌细胞,分组给药后,用BCA法测心肌细胞的蛋白质含量;用计算机图像分析系统检测心肌细胞表面积;用DCFH-DA活性氧检测试剂盒检测细胞内氧自由基的产生;用RT-PCR和Western blot分别检测心肌细胞中HO-1mRNA及蛋白表达。结果:高糖组心肌细胞表面积、细胞蛋白含量及氧自由基产生均升高。50μmol/L浓度的异丙酚对高糖诱导的肥大心肌细胞表面积、细胞蛋白含量及氧自由基的产生均有显著的抑制作用,而给予HO-1抑制剂后其作用明显减弱。结论:HO-1可能参与了异丙酚抑制心肌细胞肥大的作用。     

吡格列酮对高糖高胰岛素诱导的肥大心肌细胞中CT-1的影响

目的：观察心肌营养素 1(CT 1)在高糖高胰岛素诱导的肥大心肌细胞中的表达，以及吡格列酮对其表达的影响。方法：体外培养乳鼠心肌细胞，分组给药后，检测心肌细胞肥大的指标：心肌细胞的表面积(图像分析法)、蛋白含量(考马斯亮蓝法)、心房利钠因子(ANF) mRNA的表达(RT PCR法)；同时用半定量RT PCR检测CT 1 mRNA的表达。结果：高糖高胰岛素组心肌细胞表面积、蛋白含量、ANF mRNA表达以及CT 1 mRNA水平均升高(P<0.01)，而吡格列酮治疗组降低(P<0.05)。结论：高糖高胰岛素诱导的肥大心肌中CT 1表达上升，而吡格列酮能抑制其表达，推测CT 1可能参与了高糖高胰岛素所引起的心肌肥大的发生，而吡格列酮抑制心肌肥大的作用可能是通过抑制CT 1介导的。     

乌苏里藜芦生物碱对血管紧张素Ⅱ诱导的乳鼠心肌细胞肥大的影响

[目的]在原代培养的大鼠乳鼠心肌细胞上,观察乌苏里藜芦生物碱(Veratrum nigrum L.Var.ussurience Na-kai alkaloids,VnA)对血管紧张素Ⅱ(angiotensinⅡ,AngⅡ)诱导的大鼠乳鼠的心肌细胞肥大的影响。[方法]通过BCA法测定心肌细胞蛋白含量和显微测微器测定心肌细胞直径,免疫荧光法分析心肌细胞内钙调神经磷酸酶(calcineurin,CaN)的表达变化。[结果]在一定剂量范围内VnA能抑制心肌细胞蛋白含量的增加(P<0.01)和细胞体积的增加(P<0.01),细胞内CaN的表达减少。[结论]VnA抑制AngⅡ诱导的乳鼠心肌细胞肥大可能与其抑制细胞内CaN表达有关。     

不同剂量维生素E对去甲肾上腺素诱导的心肌细胞肥大的影响

目的：观察不同剂量维生素E对去甲肾上腺素(NE)诱导心肌细胞肥大的影响。方法：培养乳鼠心肌细胞暴露于NE(20μmol／L)和维生素E(5μmol／L，50μmol／L，500μmol／L)36h，检测心肌细胞^3H-亮氨酸掺入率和蛋白质含量的变化。结果：NE可导致心肌细胞^3H-亮氨酸掺入率和蛋白质含量明显增高，50μmol／L，500μmol／L的维生素E干预可抑制NE的致心肌细胞肥大的作用。结论：NE的促心肌细胞肥大作用可能与活性氧生成增加有关，维生素E以剂量依赖方式抑制NE的促肥大作用。     

心肌细胞肥厚与TNNI3K基因表达的相关性研究

目的:初步探讨AngⅡ诱导心肌细胞肥厚与TNNI3K基因表达的相关性。方法:经AngⅡ诱导乳鼠心肌细胞肥大;通过免疫组织化学染色法检测模型中TNNI3K基因的蛋白表达情况。结果:经AngⅡ诱导乳鼠心肌细胞肥大,且实验组细胞中TNNI3K基因的蛋白表达增强。结论:TNNI3K基因参与了AngⅡ诱导乳鼠心肌细胞肥厚机制。     

三七总皂苷抗大鼠心肌肥大作用

目的研究三七总皂苷(PNS)对体外培养大鼠心肌细胞肥大及在体大鼠心肌肥大的影响。方法体外培养大鼠心肌细胞,用血管紧张素(Ang)刺激制备心肌细胞肥大模型,分别采用Lowry法、3H-亮氨酸掺入法和激光共聚焦显微镜测定细胞内蛋白质的量、蛋白质合成速率和游离钙荧光强度。ip去甲肾上腺素法诱导大鼠心肌肥大,计算心脏指数和左心室指数。结果与模型组相比,0.05、0.10、0.15g/LPNS可显著降低细胞内蛋白质的量和3H-亮氨酸掺入量,减弱细胞内Ca2 荧光信号。25、50、75mg/kgPNS可显著降低心肌肥大大鼠左心室指数。结论PNS对Ang诱导的大鼠心肌细胞肥大和去甲肾上腺素诱导的在体大鼠心肌肥大均有明显的抑制作用。     

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.     

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.     

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…     

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.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

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.