Objective To explore the prothrombotic state of patients with ulcerative colitis(UC) and the relationship with phase,severity and Truelove classification.Methods 97 patients with UC were grouped by non-active phase and active phase;The latter were subdivided into mild,moderate and severe degree by clinical manifestation and TrueloveⅠ,Ⅱ,Ⅲ via endoscopy,vWF activity,fibrinogen and D-dimer were detected in all patients.Results vWF activity,fibrinogen and D-dimer were markedly higher in active phase than in non-active phase(t=14.137,3.435,3.625,respectively).There were no significant difference in vWF activity,fibrinogen and D-dimer between mild,moderate and severe degree and Truelove Ⅰ,Ⅱ,Ⅲ.Conclusion Prothrombotic state including hypercoagulation and secondary fibrinolysis correlates with the clinical phase of UC significantly.

Objective To study the phenomena and the related mechanisms of malignant transformation of dermis derived multipotential stem cells in vitro . Methods Clonal populations of dermal multipotential stem cells were passaged sequentially in vitro , and the subcutaneous inoculation of cells in nude mice was used for observation of the tumor formation. The transcript profiles of the transformed cells were analyzed by DNA microarray technique. Results Dermal multipotential stem cells underwent spontaneous malignant transformation after serial subculture in vitro . Cells grew out of control, and chromosome number was abnormal. After cells were inoculated subcutaneously into BALB/c nu/nu athymic mice, tumors characterized by fibrous histiocytoma were produced. Immunohistochemistry showed that there were different cell populations for the expression of vimentin, cytokeratin, S 100, and ? smooth actin. Detection by DNA microarray technique revealed that the transformed cells expressed multilineage transcripts, indicating that the transformed cells might have the multipotency. Among the differentially expressed genes in transformed cells, most of the up regulated genes were related to the proliferation process, but most of the down regulated genes were growth factors and their receptors. The enhanced expression of the c ki ras gene and its relevant molecules may play important roles in the transformation process. A candidate gene with unknown functions related to the stem cell proliferation was also preliminarily identified. Conclusion Dermal multipotential stem cells can undergo spontaneous malignant transformation in vitro . Further studies of the mechanisms of this process at the molecular level may have significance both in stem cell application and in tumorigenesis.

Reconstructed rebalanced hemostasis exists in patients with liver cirrhosis, while such balance is unstable and can be easily broken by stress factors, which may lead to bleeding or thrombosis. There is a lack of effective strategies to prevent and solve the disrupted balance in clinic due to the complex pathogenesis of rebalanced hemostasis, limited testing methods, and insufficient awareness among clinicians. With reference to the articles in recent years, this article summarizes the mechanism of rebalanced hemostasis in liver cirrhosis and the causes of bleeding and thrombosis and discuss the association between blood transfusion and rebalanced hemostasis and the selection of anticoagulant drugs during thrombosis, in order to provide a theoretical basis and new ideas for solving related issues in clinical practice.