人羧肽酶A1活性中心的毕赤酵母可溶表达

目的:应用毕赤酵母表达系统表达人羧肽酶A1(carboxypeptidase A1,CPA1)活性中心蛋白.方法:从pGEX-CPA1重组质粒中扩增出CPA1活性中心基因,亚克隆入酵母表达载体pPIC9K,酵母重组表达载体pPIC9K-CPA1active center电转化入毕赤酵母SMD1168,并进行营养缺陷筛选和G418抗性筛选,对高拷贝整合的重组酵母表达菌株诱导表达.结果:构建得到酵母融合重组表达载体pPIC9K-CPA1active center,经G418浓度梯度筛选得到串联整合16个重组表达载体的重组酵母表达菌株,诱导表达后得到CPA1活性中心蛋白.结论:在毕赤酵母中成功表达了CPA1活性中心,为进一步研究CPA1活性中心在抗体导向酶-前体药物疗法中的应用打下了基础.     

人高迁移率族蛋白1基因的克隆和表达

目的：克隆人高迁移率族蛋白1(HMG—1)编码基因，构建重组表达载体并对其诱导表达．方法：通过RT—PCR方法扩增出人外周血单个核细胞中HMG—1的编码基因，克隆于载体pGEM—T easy，测序分析后亚克隆于表达载体pGEx—4T—2，测序证实序列正确后转化大肠杆菌DH5α，经IPTG诱导4h后可表达M，约56000的融合蛋白GST—HMGl．结果：克隆了人HMG—1的编码基因，构建了融合蛋白的重组表达质粒pGEx—HMGl，表达的融合蛋白产物经凝胶薄层扫描检测，占全菌总蛋白的0．23．结论：获得了人HMG—1编码基因及其原核表达产物，对研究人HMG—1的生物学功能及其mAb的制备具有重要意义．     

羧肽酶A1全酶及其肽段基因的克隆及分泌表达

目的：克隆人羧肽酶A1（CPA1）全酶及其4条肽段基因，构建重组表达载体，并在COS．7细胞中分泌表达．方法：以胰腺总RNA为模板，RT-PCR扩增CPA1全酶基因；再以全酶基因为模板，PCR扩增其4条肽段基因；扩增产物分别克隆于分泌表达载体pFLAG—CMV-1中构建重组载体；然后用脂质体转染COS-7细胞，分泌表达融合FLAG—tag的目的蛋白和肽段；点印迹法检测目的蛋白的表达．结果：获得了CPA1全酶及其4条肽段基因，构建了重组表达载体，测序证实插入序列正确，并在COS-7细胞中成功分泌表达了融合FLAG-tag的目的蛋白和肽段．结论：在COS-7细胞成功分泌表达了融合FLAG—tag的CPA1全酶及其4条肽段，为下一步酶活性测定奠定了基础．     

rhTL1A基因原核表达载体的构建、表达与纯化

目的：构建人肿瘤坏死因子样分子1A（TL1A）原核表达质粒并诱导其表达,纯化及鉴定目的蛋白。方法：人HUVECs总RNA经逆转录聚合酶链式反应(RT-PCR)扩增TL1A基因,克隆到pTA2载体,酶切和测序鉴定正确后构建重组原核表达质粒pQE-TL1A,并转化大肠杆菌M15［pREP4］。IPTG诱导目的蛋白表达并进行Western blotting鉴定;镍离子亲和层析柱(Ni²⁺-NTA)纯化靶蛋白。结果：目的基因经酶切其结果与预期相符,测序结果显示目的基因与GenBank登录的序列(登录号AF520785)完全一致;工程化大肠杆菌M15［pREP4］经IPTG诱导表达相对分子质量约22 000的目的蛋白;Western blotting鉴定结果显示,重组蛋白能够与抗His单克隆抗体特异性结合。结论：成功地构建了重组原核表达质粒pQE-Tl1A,并纯化获得高纯度重组TL1A蛋白。     

人ALEX2部分cDNA序列的克隆与表达

目的：克隆人ALEX2基因部分片段的cDNA,构建重组表达载体并诱导其表达．方法：通过RT—PCR技术从人胚胎脑组织中特异扩增出ALEX2基因部分编码序列片断(630—1058位核苷酸),克隆入pGEM—Teasy载体中,测序后亚克隆于表达载体pGEX-4T-3中,酶切鉴定正确,转化大肠杆菌DH5α,经IPTG诱导4h后,可表达Mc417000的目的蛋白．结果：特异扩增出大小约440bp的片断,经测序与已知序列完全一致,构建了融合蛋白的重组表达质粒PGEX-ALEX2,表达的融合蛋白产物经凝胶薄层扫描检测,占菌体总蛋白量的15．5%．结论：获得了人ALEX2部分基因编码片断及其原核表达产物,为下一步ALEX2 mAb的制备和研究其生物学功能奠定了基础．     

布鲁氏菌猪种标准株外膜蛋白OMP25的原核表达

目的克隆布鲁氏菌外膜蛋白Omp25基因并构建基因的原核表达系统。方法用聚合酶链反应技术扩增得到布鲁氏菌基因组，得Omp25基因片段，T—A克隆后测定核苷酸序列，将目的基因定向插入原核表达载体pGEX-4T-1，经双酶切和DNA测序测定，将构建的重组质粒转化大肠杆菌（E．coli HB101，TOP10），经IPTG诱导后，用SDS—PAGE检测重组蛋白rOrap25表达情况。结果经DNA测序显示Omp25DNA序列和插入位点正确，成功构建了重组质粒DGEX-4T-1-Omp25，经IPTG诱导，特异性表达出以包涵体形式存在48kDa的Omp25融合蛋白。结论制备、克隆了布鲁氏菌外膜蛋白Omp25基因片段，并在大肠杆菌中表达出Omp25融合蛋白。     

PTD-Cyclin D1融合蛋白的原核表达及纯化

目的:构建融合重组表达载体并对其进行诱导表达和蛋白纯化以获得大量重组融合蛋白.方法:通过PCR方法扩增出Cyclin D1基因,克隆入pMD-18T载体,进行测序分析,将该基因亚克隆入原核表达载体pET-16b中PTD的下游构建重组质粒pET16b-PTD-CCND1,转化感受态细胞BL21(DE3),经IPTG诱导表达重组融合蛋白,对表达产物进行SDS-PAGE电泳和Western blot检测分析.结果:构建了重组融合表达质粒pET16b-PTD-CCND1,表达的融合蛋白经SDS-PAGE分析,在约Mr 38×103处出现了一条新生的蛋白条带,经灰度扫描检测,表达量约占菌体总蛋白的22%,纯化后得到了目的蛋白.结论:成功地克隆了小鼠的Cyclin D1基因并纯化了融合基因PTD- CCND1的原核表达产物.     

结核分支杆菌HSP70原核表达载体的构建和表达及蛋白纯化

目的：构建结核分支杆菌HSP70原核表达载体并诱导其表达和纯化及鉴定目的蛋白。方法：利用PCR技术从牛型结核分支杆菌基因组中扩增出Mtb HSP70 DNA序列，构建重组质粒pGEM-Mtb HSP70，经酶切、PCR和测序鉴定后，将Mtb HSP70基因亚克隆到原核表达质粒PQE30，构建重组表达质粒PQE30-Mtb HSP70，在大肠杆菌M15中诱导表达。用镍凝胶亲和层析的方法纯化目的蛋白，Western blotting杂交鉴定纯化蛋白。结果：经测序证实，获得的目的基因与GenBank中公布的结核杆菌Mtb HSP70基因序列一致。构建的原核表达载体PQE30-Mtb HSP70在大肠杆菌M15中经1 mmol•L^-1 IPTG诱导后表达出相对分子质量约为70 400的蛋白，镍柱纯化后经抗组氨酸单克隆抗体进行Western blotting,在相对分子质量约70 400处可见特异性着色带。结论：成功构建原核表达载体PQE30-Mtb HSP70，并成功诱导Mtb HSP70蛋白的 表达，通过镍凝胶亲和层析法获得纯度较高的Mtb HSP70蛋白。     

人趋化因子受体5基因的克隆及原核表达

目的：构建人趋化因子受体5（CCR5）原核表达载体并在大肠杆菌中进行表达。方法：从健康人外周血单个核细胞提取总RNA，以RT—PCR获得CCR5基因全长1059bp的完整编码序列；将其克隆入载体pGEM—T中，经限制性内切酶和菌落PCR分析并测序；再将阳性重组子中的CCR5片段与表达载体pQESOL连接并转化大肠杆菌DH5α，进行诱导表达，对表达产物进行纯化和鉴定。结果：SDS—PAGE和WesternBlot分析表明，在30℃以IPTG诱导获得相对分子质量为41000的CCR5重组蛋白表达带，诱导4h后此蛋白表达量约为全菌总蛋白的25％。结论：成功获得人CCR5重组蛋白。     

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.     

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…     

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.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

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.