免疫磁性海藻酸钠载药纳米微球的制备与评价

靶向治疗系统是目前研究的热点,用微乳化-离子交联方法制备包覆阿霉素的碳包铁/海藻酸钠复合纳米微球,以水溶性碳二亚胺为交联剂,将载药微球与单抗Hab18连接,制备出了免疫磁性药物纳米微球.对该免疫磁性微球的理化性能进行了表征,同时检测了免疫磁性微球中抗体的活性和免疫磁性微球与靶细胞的体外结合情况,结果表明,免疫磁性药物纳米微球平均粒径约为171.2nm,外观为球型,铁含量为14.6%,载药量为10.8%,且具有强磁响应性和长时间药物缓释效果.同时在体外该微球能够与靶细胞特异性结合.这种免疫磁性药物纳米微球有望成为一种优良的靶向肿瘤药物载体.     

纳米免疫磁性微球的制备和性能研究

目的：初步探讨纳米免疫磁性微球（Immunomagnetic beads，IMB）的制备方法及其性能。方法：用Fe／C纳米磁粉为内核，用反相乳液法制备壳聚糖磁性复合微球，用戊二醛活化复合微球并交联鼠抗人CD3单克隆抗体，制备出人CD3纳米免疫磁性微球，用人CD3纳米磁性免疫微球富集人外周血中CD3^＋细胞，并检测富集细胞的效果。结果：壳聚糖磁性复合微球平均粒径为560nm，粒径分布在409-710nm之间，用此微球制备的人CD3免疫磁性微球蛋白联接率达93．8％，流式细胞术检测人CD3纳米免疫磁性微球分离CD3^＋细胞纯度达到94．8％。结论：制备的人CD3纳米免疫磁性微球具有分离细胞纯度高，细胞损伤小，不用解离磁球即可检测等特点。     

三氧化二砷磁性微球的磁性能

目的:制备包裹三氧化二砷的磁性微球,分别测量磁性微球中三氧化二砷和四氧化三铁的含量,并分析其磁性能。讨论包裹三氧化二砷的磁性微球的磁靶向性效果和临床应用的可能性。 方法:采用化学共沉淀法制备四氧化三铁纳米铁磁粒子,采用w/o/w复乳法将纳米铁磁粒子和三氧化二砷包裹于聚D,L乳酸-羟基乙酸共聚物（PLGA）高分子材料中制备成磁性微球,利用全谱直读等离子体原子发射光谱仪测量磁性微球的载药量,分别测量纳米铁磁粒子和磁性微球的磁滞回线,并检验磁性微球的磁分离效果。 结果:纳米铁磁粒子和磁性微球的矫顽力和剩余磁化强度均接近零,但磁性微球的饱和磁化强度大大低于纳米铁磁粒子的饱和磁化强度。磁性微球的磁分离效果明显。 结论:合成的磁性微球外壳由PLGA高分子材料组成,纳米级四氧化三铁分散于PLGA中,壳内是三氧化二砷水溶液。磁性微球具有超顺磁性和磁靶向性。     

载顺铂超顺磁γ-Fe2O3纳米粒子的制备与表征*☆

背景：将化疗药物联接在磁性纳米载体上,在外加磁场的引导下使所载药物定向集中于靶向治疗部位,在增强疗效同时还可降低毒性不良反应。 目的：制备海藻酸钠改性的磁性纳米粒子及其负载顺铂药物,分析产物的磁学性质。 方法：通过Fe2+在乙醇胺水溶液中一步合成磁性纳米粒子,用海藻酸钠作偶联剂使磁性纳米粒子与顺铂相连,制备磁性纳米粒子药物。 结果与结论：X射线衍射花样证明产物为γ-Fe2O3纯相,透射电子显微镜表明磁性纳米粒子直径平均约10 nm,载顺铂后药物包覆于纳米粒子周围,磁化曲线显示纳米粒子为超顺磁性,核磁共振得到纳米粒子的弛豫率为0.116 02 mmol/ms。表明所制备磁性纳米粒子及其载顺铂超顺磁性纳米粒子药物性质稳定,具有作为磁性纳米粒子药物的特性。 关键词：磁性纳米粒子药物;顺铂;超顺磁性;Fe2O3;生物材料与药物控释 doi:10.3969/j.issn.1673-8225.2012.12.011     

载磁性氧化铁CA-PLGA纳米颗粒对宫颈癌细胞的影响

目的 研究纳米四氧化三铁(Fe3O4)颗粒包裹不同外壳材料对宫颈癌细胞HeLa毒性的影响.方法 通过无溶剂热分解法制备磁性纳米Fe3O4颗粒并分别使用聚乳酸-羟基乙酸共聚物(PLGA)和胆酸(CA)修饰的PLGA(CA-PLGA)星型共聚物包裹,对其进行验证表征后,使用激光共聚焦显微镜观察HeLa细胞对纳米颗粒的摄取,并用噻唑蓝(MTT)法测定上述两种材料包裹的纳米Fe3O4颗粒对HeLa细胞的毒性作用.结果 制备的单个纳米Fe3O4颗粒粒径约7 nm,载Fe3O4的PLGA和CA-PLGA纳米颗粒均呈球状,粒径约200 nm,理论载药量为10％.当Fe3O4纳米颗粒的质量浓度相同(25 μg/ml)时,载Fe3O4的CA-PLGA纳米颗粒对HeLa细胞的毒性小于对应的PLGA纳米颗粒.结论 CA-PLGA星型共聚物可降低磁性纳米Fe3O4颗粒的细胞毒性,在生物体内具有广阔的应用前景.     

用于肿瘤靶向性MRI对比剂双亲性超顺磁复合物的制备（英文）CSCD

背景:超顺磁四氧化三铁纳米粒子(Fe3O4NPs)被广泛应用于MRI成像,为防止其聚集和实现高精度肿瘤诊断,制备高度稳定性、生物相容性和肿瘤靶向性的超顺磁MRI对比剂至关重要。目的:合成具有基于叶酸受体靶向的肿瘤靶向性双亲性超顺磁复合粒子。方法:首先通过化学共沉淀法制备出Fe3O4NPs,再用N,N’-二环己基碳二亚胺作脱水剂,通过酯键将双亲性高分子Pluronic-F127(PF127)与叶酸(FA)分子连接,从而形成PF127-FA偶联物,最后用PF127-FA包裹Fe3O4纳米粒子,形成稳定的具有肿瘤靶向功能的双亲性超顺磁复合粒子。分别采用透射电镜、傅里叶红外光谱、紫外可见吸收光谱、热重分析、振动样品磁强计和T2加权成像对其进行表征,通过细胞毒性实验初步表征其细胞毒性。结果与结论:通过酯化反应制备了Pluronic-F127与FA偶联物,再用其包裹Fe3O4纳米粒子,成功制备出具有良好水溶性和生物相容性的超顺磁性复合粒子。该PF127-FA-Fe3O4复合粒子透射电镜观察到该复合粒子大部分粒径小于200 nm,Fe3O4核心大小为10-20 nm,傅里叶红外光谱和紫外可见吸收光谱结果证明了叶酸被成功修饰到超顺磁性复合粒子表面。热重分析结果表明PF127-FA占PF127-FA-Fe3O4复合粒子总量的27.2 wt%。磁性检测结果表明该复合粒子饱和磁强度Ms为47.35 emu/g,核磁共振仪成像测得其弛豫率为0.025×106 mol/s。细胞毒性实验表明显示了可以忽略的毒性。因此,实验成功制备了可用于肿瘤靶向性MRI对比剂的双亲性超顺磁复合物,实验所制备的PF127-FA-Fe3O4复合粒子有望用于肿瘤靶向性MRI对比剂。     

用于肿瘤靶向性MRI对比剂双亲性超顺磁复合物的制备（英文）

背景:超顺磁四氧化三铁纳米粒子(Fe3O4NPs)被广泛应用于MRI成像,为防止其聚集和实现高精度肿瘤诊断,制备高度稳定性、生物相容性和肿瘤靶向性的超顺磁MRI对比剂至关重要。目的:合成具有基于叶酸受体靶向的肿瘤靶向性双亲性超顺磁复合粒子。方法:首先通过化学共沉淀法制备出Fe3O4NPs,再用N,N’-二环己基碳二亚胺作脱水剂,通过酯键将双亲性高分子Pluronic-F127(PF127)与叶酸(FA)分子连接,从而形成PF127-FA偶联物,最后用PF127-FA包裹Fe3O4纳米粒子,形成稳定的具有肿瘤靶向功能的双亲性超顺磁复合粒子。分别采用透射电镜、傅里叶红外光谱、紫外可见吸收光谱、热重分析、振动样品磁强计和T2加权成像对其进行表征,通过细胞毒性实验初步表征其细胞毒性。结果与结论:通过酯化反应制备了Pluronic-F127与FA偶联物,再用其包裹Fe3O4纳米粒子,成功制备出具有良好水溶性和生物相容性的超顺磁性复合粒子。该PF127-FA-Fe3O4复合粒子透射电镜观察到该复合粒子大部分粒径小于200 nm,Fe3O4核心大小为10-20 nm,傅里叶红外光谱和紫外可见吸收光谱结果证明了叶酸被成功修饰到超顺磁性复合粒子表面。热重分析结果表明PF127-FA占PF127-FA-Fe3O4复合粒子总量的27.2 wt%。磁性检测结果表明该复合粒子饱和磁强度Ms为47.35 emu/g,核磁共振仪成像测得其弛豫率为0.025×106 mol/s。细胞毒性实验表明显示了可以忽略的毒性。因此,实验成功制备了可用于肿瘤靶向性MRI对比剂的双亲性超顺磁复合物,实验所制备的PF127-FA-Fe3O4复合粒子有望用于肿瘤靶向性MRI对比剂。     

叶酸分子靶向载顺铂磁性纳米药物制备及表征

背景：醛基化海藻酸钠具有良好的水溶性和组织相容性,利用其改性Fe3O4磁性纳米颗粒可增加表面活性和稳定性,叶酸的修饰可赋予载体分子靶向性。 目的：制备具有叶酸受体靶向及磁靶向的载顺铂磁性纳米药物(CDDP-FA-ASA-MNPs)。 方法：采用高碘酸钠氧化法制备醛基化海藻酸钠,叶酸的羧基经二环己基碳二亚胺和N-羟基琥珀酰亚胺活化后合成FA与双端氨基聚乙二醇的耦连产物FA-PEG,化学共沉淀法制备Fe3O4,海藻酸钠侧链含有大量羧基,85 ℃下与Fe3O4纳米颗粒表面的羟基形成化学键结合,然后通过雪夫氏碱将FA-PEG与醛基化海藻酸钠相连接,最后根据配位络合的原理,顺铂分子中的-Cl被海藻酸钠的羧基取代,形成稳定的叶酸和醛基化海藻酸钠改性载顺铂磁性纳米复合物。 结果与结论：所制备的磁性纳米药物呈颗粒状,稳定分散于水溶液中,Fe3O4磁核平均粒径为(8.116±0.24) nm,流体力学直径为(110.9±1.7) nm,zeta电位为(-26.45±1.26) mV,最大饱和磁化强度为56.2 emu/g,顺铂包封率为(49.05±1.58)%,载药量为(14.31±0.49)%。体外实验证实,叶酸分子靶向载顺铂磁性纳米药物能被叶酸受体表达阳性的鼻咽癌细胞HNE-1和喉癌细胞Hep-2选择性摄取,而叶酸受体表达阴性的鼻咽癌细胞CNE-2则不摄取。提示所制备的CDDP-FA-ASA-MNPs具有良好的水溶性和稳定性,能被叶酸受体表达阳性的鼻咽癌和喉癌细胞摄取。     

盐酸表阿霉素纳米靶向制剂的缓释效应

背景：盐酸表阿霉素是一种广谱抗生素,目前临床使用的不足多为药物释放快、目标组织药物浓度低,静脉给药后广泛分布于体内各种组织器官,不良反应明显。 目的：针对盐酸表阿霉素临床应用的不足,制备盐酸表阿霉素纳米靶向注射制剂。 方法：以叶酸偶联牛血清白蛋白为载体,采用乳化-高压匀质法,制备盐酸表阿霉素纳米靶向注射制剂,以激光粒度分析仪测定纳米颗粒的粒径大小、粒径分布及Zeta电位,扫描电镜观察纳米颗粒的表面形态,高效液相色谱法分析白蛋白负载盐酸表阿霉素纳米制剂的包封率、载药量和释药性能。 结果与结论：制备的盐酸表阿霉素纳米粒外观呈均匀球型,粒径分布较窄,平均粒径为(157.73±     0.40) nm,平均 Zeta 电位为(-30.85±0.43) mV,载药量 22.78%,包封率可达96.24%。体外模拟释药结果表明药物释放曲线分为两个阶段,突释阶段微球释药量在24 h内达42.6%,缓释阶段纳米粒释药持续时间长,在112 h 时释药量达 84.1%,载药纳米粒的药物释放速率持续稳定。结果表明乳化结合高压匀质法制备的盐酸表阿霉素纳米靶向制剂粒径均匀,粒径范围分布窄,载药量和包封率高,具有一定的缓释作用。     

磁性阿霉素纳米微球在磁场中磁感应的发热研究

目的：制备一种在高频磁场中能感应发热的用于治疗肿瘤的阿霉素纳米微球，研究其在磁场中的热效应。材料与方法：用超声搅拌冷冻干燥的方法制备药物微球，电镜观察其形态及粒径估测。将其置于不同介质中于高频磁场中测其温度变化值。结果：磁性阿霉素微球为球囊状，平均粒径200nm左右，最小为150nm，最大为350nm，该微球在交变磁场中使介质升温。升温速度与平稳时的温度和微球的量，磁场强度成正比，介质流动性好，升温快。结论：可通过调节磁场强度和磁性阿霉素微球的量使周围温度达到所需值。     

Schizophrenia in a North Swedish geographical isolate, 1900–1977. Epidemiology, genetics and biochemistry

Over 200 schizophrenic patients belonging to three major and interrelated pedigree complexes have been investigated over the past 30 years in a North Swedish geographically isolated population, presently numbering about 6,000. An intensive investigation of a number of biochemical correlates and genetic markers in a few selected families belonging to one of the major pedigrees has indicated new strategies for the current research program.
Schizophrenia, as defined operationally, is significantly associated with decreased activities of two enzymes (1) blood platelet monoamine oxidase, (2) plasma dopamine-β-hydroxylase, and (3) with the genetic marker Gc² (group specific antigen). Both enzymes are subject to genetic variation. A positive score for linkage between schizophrenia and low plasma DBH activity has been calculated, but, so far, available data are insufficient for discrimination between linkage and partial contribution of genetically controlled low plasma DBH to the pathogenesis of the disease. Alternatively, both mechanisms could be involved.
As a model for continued research, schizophrenia is explained as based on a double dominant-recessive genotype (Aabb), representing a vulnerability which in about 50 % of cases develops into clinical schizophrenia. It is suggested that the dominant mutation (A) operates on or affects MAO activity, and that the recessive genotype (bb) is instrumental in low variates of DBH activity and very likely such variates within the normal range of physiological variation. Moreover, it is suggested that the combined effects of MAO- and DBH-reduced efficiency on the metabolism of e.g. dopamine could be an essential pathogenic mechanism for the schizophrenic illness which is segregating in this population.     

The universal muscular chain reaction,muscle spasm,Torsions, ruptures and extravasations. Chameleons of pathology and some manifestations of simple muscular disorders

Most bodily functions require the coordinated actions of complementary and supplementary paired muscle groups. Where this essential muscular cooperation is lacking, hollow organs may burst and others become literally screwed up, giving rise to many similar spastic diseases such as Torticollis, Twisted ovarian cyst, Torsion of the Testis, Volvulus of the intestines, Varicose Veins, Megacolon, Aortamegaly, Scoliosis, Erb's Palsy, Peyronie's Disease, Main-en-Griffe, Undescended Foot (Pes Cavus), Talipes, Strabismus. Spasm is “panenepidemic” and unclassified examples of Torsion Dystonia and Dyskinesia really are as common as debt and taxes.     

Hypo- und Hypermagnesämie aus kardiologischer Sicht

Zusammenfassung Eine Reihe pathologischer Zustände bedingen Magnesiummangel. Zustände mit Hypermagnesämie sind ebenfalls bekannt, doch wesentlich seltener. Für den Kardiologen beachtenswert ist, daß unter Therapie mit bestimmten Diuretica bei Herzinsuffizienz, bei Herzinfarkt, Kardiomyopathie, Digitalisintoxikation und bestimmten Herzrhythmusstörungen Hypomagnesämie beobachtet wurde. Leider kann in der klinischen Routine nur ein extracelluläres Magnesiumdefizit durch Serumbestimmungen gemessen werden; über Magnesiummangel einzelner Organe kann nichts ausgesagt werden. Hinweise für Magnesiummangel geben aber neben der Messung des Serumspiegels Anamnese, klinischer Befund, bestimmte EKG-Veränderungen wie auch evtl. Hypokalämie, ein Zustand, bei dem sich oft — besonders bei Aldosteronismus — parallele Veränderungen zeigten.Tierexperimente deuten darauf hin, daß infarktähnliche Läsionen unter Magnesiummangel entstehen, doch ob Herzinfarkt beim Menschen durch Magnesiummangel ausgelöst werden kann, ist noch ungeklärt. In Leichenherzen zeigte sich im Infarktgebiet neben Calciumakkumulation signifikanter Magnesiumverlust, wobei unklar blieb, ob sich Ursache oder Folge des Infarktes widerspiegelten. Falls ein ursächlicher Zusammenhang besteht, ist er im Myokardstoffwechsel selbst zu suchen, wie bei der Alkoholkardiomyopathie, wo myokardialer Magnesiummangel zumindest als pathogenetischer Teilfaktor anerkannt wird. Andererseits versucht man aber auch Beziehungen zwischen Atherosklerose, Blutgerinnung und Hypomagnesämie herzustellen, in der Meinung, daß Magnesiummangel auch über den coronaren Pathomechanismus des Herzinfarktes wirken könnte. Sicher scheint, daß gewisse EKG-Veränderungen und Herzrhythmusstörungen durch einen irritierten Magnesiumhaushalt bedingt sein können, da sie bei Gabe bzw. Entzug von Magnesium verschwinden. Daß Magnesiummangel die Glykosidtoleranz verringert, wird tierexperimentell bestätigt. Unter Hypomagnesämie bewirkt Acetylstrophanthidin eher und länger Rhythmusstörungen als ohne, außerdem lassen diese sich durch Magnesiumgaben eliminieren. Da in gewissen Fällen spontane und digitalisinduzierte Herzrythmusstörungen durch Magnesiuminjektionen beseitigt wurden, scheint Magnesium als Therapeuticum angebracht. Einsatz verschiedener Magnesiumsalze bei Angina pectoris, degenerativen Herzerkrankungen und Herzinsuffizienz ohne geprüften und offensichtlich gestörten Magnesiumhaushalt ist fragwürdig, weil keine eindeutigen klinischen Erfolgsbeweise vorliegen. Immerhin mag es aber larvierte, durch Serumbestimmungen nicht erfaßbare Mangelzustände geben. Allgemein erscheint es aus kardiologischer Sicht ratsam, den Magnesiumhaushalt zu überwachen und in entsprechenden Fällen auszugleichen, um möglichen Myokardläsionen oder fatalen Herzrhythmusstörungen entgegenzuwirken.     

HLA in North Colombia Chimila Amerindians

HLA-A,-B,-C,-DRB1 and -DQB1 alleles have been studied in Chimila Amerindians from Sabana de San Angel (North Colombian Coast) by using high resolution molecular typing. A frequent extended haplotype was found:HLA-A*24:02-B*51:10-C*15:02-BRB1*04:07-DQB1*03:02 (28.7%) which has also been described in Amerinndian Mayos Mexican population (Mexico, California Gulf, Pacific Ocean). Other haplotypes had already been found in Amerindians from Mexico (Pacific and Atlantic Coast), Peru (highlands and Amazon Basin), Bolivia and North USA. A geographic pattern according to HLA allele or haplotype frequencies is lacking in Amerindians, as already known. Also, five new extended haplotypes were found in Chimila Amerindians. Their HLA-A*24:02 high frequencies characteristic is shared with aboriginal populations of Taiwan; also, HLA-C*01:02 high frequencies are found in New Zealand Maoris, New Caledonians and Kimberly Aborigines from Australia. Finally, this study may show a model of evolutionary factors acting and rising one HLA allele frequency (-A*24:02), but not in others that belong to the same or different HLA loci.     

Environmental risk factors and their role in the management of atopic dermatitis

Introduction: The etiology of atopic dermatitis (AD) is multifactorial with interaction between genetics, immune and environmental factors.

Areas covered: We review the role of prenatal exposures, irritants and pruritogens, pathogens, climate factors, including temperature, humidity, ultraviolet radiation, outdoor and indoor air pollutants, tobacco smoke exposure, water hardness, urban vs. rural living, diet, breastfeeding, probiotics and prebiotics on AD.

Expert commentary: The increased global prevalence of AD cannot be attributed to genetics alone, suggesting that evolving environmental exposures may trigger and/or flare disease in predisposed individuals. There is a complex interplay between different environmental factors, including individual use of personal care products and exposure to climate, pollution, food and other exogenous factors. Understanding these complex risk factors is crucial to developing targeted interventions to prevent the disease in millions. Moreover, patients require counseling on optimal regimens for minimization of exposure to irritants and pruritogens and other harmful exposures.     

Renal dysplasia and asplenia in two sibs

A family is reported in which two sibs, one male and the other female, both died within 24 hours of birth with enlarged polycystic kidneys. Postmortem histology in the second child showed gross renal dysplasia. In both children the pancreas was enlarged, nodular and cystic but the liver appeared macroscopically normal. In the second child, histological examination confirmed pancreatic fibrosis with cystic dilation of ducts, but showed portal fibrosis with bile duct proliferation in the liver.
This combination of findings is very reminiscent of those in a girl and her brother reported by Ivemark et al. (1959). The children reported here also showed absence or hypoplasia of the spleen, cardiac anomalies and other features of the Ivemark syndrome (Ivemark 1955), a quite different, usually sporadic, congenital disorder. It is suggested that the children described here have a distinct lethal congenital disorder, probably inherited in an autosomal recessive manner.     

The universal muscular chamber. A basic unit of the genitourinary, cardiovascular, gastro-intestinal, skeletal, cutaneous, respiratory and other systems, endocameral hypertension; and spasm, the key to their idiopathic diseases and arthropathies

Starting with the integument, we see many organs are contractile sacs or multiples thereof, which tubes or bags constitute the major part of the entire body. Recognition of this basic unit and its characteristics sheds new light, individually and collectively, on many disorders previously considered unrelated. Muscular tears and perforations develop in the walls of these chambers, being no way peculiar to those organs, wherein, hydrochloric acid occurs. So, it is not necessary to explain the absence of excessive acid from patients who exhibit holes in the gastric, uterine, aortic, duodenal, rectal, pulmonary, retina, and other walls. Muscle, not acid is the great common factor relating idiopathic disorders in the gastrointestinal tract to each other and to similar diseases in other systems. When the units are linked together, the lesions tend to appear as arthropathies, i.e. at the joints. Rephrasing common-place observations, frees us from conventional, conceptual cul-de-sacs. An observation is only as good as its interpretation, so all possibilities must be considered, otherwise, we will remain blinded by our misconceptions.     

Der Einfluß von Nahrungsmitteln und Rauchen auf die klinisch-chemische Diagnostik von Phäochromozytom,Neuroblastom und Karzinoid-Syndrom

Zusammenfassung Der Einfluß von verschiedenen Nahrungsmitteln auf Methoden zur Bestimmung von Adrenalin (AD), Noradrenalin (NA), Vanillinmandelsäure (VMS), Metanephrinen (MN), Homovanillinsäure (HVS) und 5-Hydroxyindolessigsäure (5-HIE) im 24 h-Harn zur Diagnose des Phäochromozytoms bzw. Karzinoid-Syndroms wurde untersucht. Die in die Untersuchung einbezogenen Nahrungsmittel waren: Tee, Kaffee, Mandeln, Ananas, Käse, Walnüsse, Vanillepudding, Bananen, Tomaten und Milchschokolade. Außerdem wurde der Einfluß des Zigarettenrauchens auf die Bestimmung von AD, NA, VMS und MN untersucht.Walnüsse führten zu einer starken Erhöhung der 5-HIE-Ausscheidung. Bananen erhöhten die Ausscheidung von AD, NA, VMS, MN und 5-HIE. Kaffee und Ananas bewirkten eine geringe Zunahme der MN-Werte. Rauchen von 20–30 Zigaretten/Tag beeinflußte keine der vier Variablen.Wenn die beschriebenen Methoden benutzt werden, sollte lediglich auf den Verzehr von Bananen und Walnüssen vor und während der Harnsammelperioden verzichtet werden, da die oberen Normgrenzen im Harn überschritten werden könnten. Ein Verzicht auf Kaffee und Ananas in normalen Mengen ist nicht erforderlich. Es besteht kein Anlaß, weiterhin die bisherigen umfangreichen Restriktionen der übrigen Nahrungsmittel beizubehalten.     

HLA genes in Amerindians from Mexico San Vicente Tancuayalab Teenek/Huastecos

Huastecos or Teenek Amerindians are presently living at North East Mexico (San Luis Potosi State). They have probably one of the most ancient culture of Mexico and Central America together with Mayas and Olmec groups with which also show close relationships. Proximity to Atlantic Ocean/Mexican Gulf originated that Spaniards had very early contact with them at about 1519 CE or before. In the present paper we have aimed to study HLA gene profile which may be useful for HLA and disease epidemiology and transplant programs in Teeneks. HLA-DRB1*04:07, -DRB1*14:06 and -DRB1*04:11 have been found in high frequency like in other Amerindian groups. High frequency typical Amerindians HLA extended haplotypes have been found, such as A*02-B*35-DRB1*04:07-DQB1*03:02; A*68-B*39-DRB1*04:07-DQB1*03:02 and A*02-B*39-DRB1*04:07-DQB1*03:02; also new haplotypes have been described, like A*02-B*52-DRB1*04:11-DQB1*03:02, A*68-B*35-DRB1*14:02-DQB1*03:01 and A*68-B*40-DRB1*16:02-DQB1*03:01. Genetic proximity is observed not only to linguistically close Mayans, but also to Mazatecans, Mixtecans and Zapotecans, who speak an altogether different languages; it shows once more that genes and languages do not correlate. This population was greatly diminished after European contact between 1500 and 1600 years CE; in fact, North and South America First Inhabitants population was brought from 80 down to 8 million people because of diseases (i.e.: measles, smallpox or influenza), slavery and war.     

État de l’art : nouveaux anticoagulants et transfusion

Direct oral anticoagulants (DOAC) are indicated for stroke prevention in atrial fibrillation and for the prevention and treatment of venous thromboembolism. As any anticoagulant, they are associated with a bleeding risk. Management of DOAC-induced bleeding is challenging. Idarucizumab, antidote for dabigatran, is currently available and is part of the therapeutic strategy, whereas antidotes for anti-Xa agents are under development. Activated or non-activated prothrombin concentrates are proposed, although their efficacy to reverse DOAC is uncertain. We propose an update on DOAC-associated bleeding management, integrating the availability of idarucizumab and the critical place of DOAC concentration measurements.