Small cell lung cancer (SCLC) are divided into limited and extensive stage diseases. Limited-stage SCLC (LS-SCLC) is conifned to the ipsilateral hemithorax and within a single radiotherapy region, 30%-40%of patients with SCLC are limited stage. The median ranges of survival for patients with LS-SCLC is from 15 to 20 months. Approximately 20%-40%of patients with LS-SCLC can survive for two years. According to the guidelines, patients with LS-SCLC should be treated with combined concurrent chemoradiotherapy and patients with LS-SCLC achieving a complete remission or patient with stage I disease who have had resection should be offered prophylactic cranial irradiation (PCI). Whereas in SCLC, targeted therapies is still in the early stage and few clinical trial data is available to support its effect.

Objective:To evaluate the value of diagnosis and therapy of cold knife conization with electro-cautery hemostasis by hysteroscope in the treatment of ceNical intraepithelial neoplasia (CIN).Methods :A retrospective analysis of the clinical data was carried out in 193 cases with CIN underwent cold knife coniza-tion with electrocautery hemostasis by hysteroscope from January 2005 to November 2008, and all patients had pathological diagnosis under colposcopic biopsy.Results:The operative time was from 15 to 40 mi-nutes, and the blood loss dunng operation was from 5 to 25 milliliters.The coincidence rate of histopathology before and after conization was 67.88% in 131 cases.9 CIN Ⅲ patients had positive margins after opera-tion, owing to scab break off bleeding of cervical wound was encountered in 18 cases.No infection and cervi-cal adhesion or stenosis occurred.Conclusions :Cold knife conization with electrocautery hemostasis by hyst-eroscope is an effective diagnosis and treatment for CIN.

[Objective] To investigate the regulatory effects of Qibei mixture to TNF-? and IL-8 in rats model with ulcerative colitis(U C). [Methods]The rat UC model established in our study was induced by TNBS. Serum TNF-?, IL-8 levels were determined by enzyme-linked immunosorbent assay. [Results]TNF-?,IL- 8 of Qibei mixture groups and SASP group were significantly lower than that of model group(P

AIM: To investigate the pathogenic mutations of the OAT gene in a Chinese family affected with gyrate atrophy of choroid and retina(GA)and describe their clinical manifestations.METHODS: All available family members have underwent detailed ophthalmological examinations. The sequencing results and pathogenic mutations were clarified by whole exome sequencing, bioinformatics analysis and Sanger sequencing.RESULTS: Based on the clinical manifestations and symptoms, the proband was diagnosed with GA. A missense mutation of c.722C>T(p.P241L)in exon 6 and a nonsense mutation of c.1186C>T(p.R396X)in exon 10 were identified in the OAT gene of the proband, which was a compound heterozygotic mutation. This compound heterozygous mutation showed co-segregation in the family. The heterozygous pathogenic variant of p.R396X was detected in both the proband's father and elder brother, and the heterozygous pathogenic variant of p.P241L was detected in proband's mother. Except for the proband, no other family members have abnormal clinical manifestations.CONCLUSION: The proband of this family is a compound heterozygous mutation, in which p.P241L is the first reported gene mutation type. This result expands the range of OAT gene variation and is conducive to further understanding the pathogenic factors of GA at the molecular basis level. The discovery and confirmation of the novel mutation type will also help to provide a new basis for the clinical diagnosis and gene therapy of GA.

Objective To determine the relationship between serum vitamin B_(12)(VB_(12))level and multiple sclerosis(MS).Methods The pertinent articles of the VB12 and the case control studies of MS were retrieved comprehensively by manual retrieval and computer retrieval.The methodology quality of the retrieved artilces were evaluated,and the arcb'cles were screened.Heterogeneity test was performed.The valid data was extracted and analyzed by Stata 10.1.Results In this study,9 studies were included.A total of 807 subjects were enrolled,including 414 patients and 393 controls.The Meta-analysis showed that the serum level of VB_(12) in patients with MS was lower than that in controls(standardized mean difference-0.24,95% CI-0.39 to-0.10).The sensitivity analysis indicated that the result of meta-analysis was reliable.Conclusion The serum level of VB_(12) might be associated with MS,and the deficiency of VB_(12) may contribute to the development of MS.

Objective: To establish an HPLC method for the simultaneous content determination of seven constituents in Compound Yi’anning Pills (CYP). Methods: The determination was performed on Shim-pack GIST C18 column with mobile phase consisted of acetonitrile-0.1% phosphoric acid (gradient elution: 0-5 min, 5% acetonitrile; 5-12 min, 5%-12% acetonitrile; 12-17 min, 12%-20% acetonitrile; 17-30 min, 20% acetonitrile; 30-36 min, 20%-50% acetonitrile; 36-45 min, 50%-80% acetonitrile; 45-70 min, 80% acetonitrile) at the flow rate of 1.0 mL/min. The detection wavelength was set at 203 nm for notoginsenoside R1, ginsenoside Rg1, and ginsenoside Rb1, 220 nm for schisantherrin A, 250 nm for schisandrin, 268 nm for salvianolic acid B, and 270 nm for tanshinone IIA. The column temperature was set at 35 ℃ and the injection volume was 10 μL. Results: The linear range of detection concentration was 0.015-0.150 mg/mL for notoginsenoside R1, 0.077-0.766 mg/mL for schisandrin, 0.006-0.062 mg/mL for salvianolic acid B, 0.009-0.092 mg/mL for buddleodide, 0.050-0.503 mg/mL for ginsenoside Rg1, 0.067-0.670 mg/mL for ginsenoside Rb1, and 0.011-0.108 mg/mL for tanshinone IIA. Average recoveries respectively were 99.5%, 99.8%, 99.2%, 98.9%, 96.9%, 98.8%, and 97.1%. Conclusion: The method is simple, effective, and accurate, which can be used for simultaneous determination of seven active constituents in CYP.

Objective: To investigate the effect and mechanisms of a series of curcumin analogues with better hydrolytic stability on multidrug-resistant tumor. Methods: Human leukemia multi-drug resistant K562/A02 cells were incubated with curcumin and its analogues 1-19. MTT method was applied for screening the inhibition on the growth of K562/A02 cells; HPLC was used to detect the hydrolytic stability of curcumin and its analogues 3 and 4; The effects of curcumin and its analogues 3 and 4 on apoptosis, mitochondrial membrane potential (MMP), reaction oxygen species (ROS) content, and cell cycle distribution of K562/A02 cells were measured by flow cytometry; Spectrophotometric method was used to detect the caspase-3 activity; The expression of P-glycoprotein (P-gp) was assayed by Western blotting; Fluorometric method was applied to evaluating the intracellular Adriamycin accumulation of anti-tumor drug. Results: Analogues 3 and 4 exhibited the inhibitory effect on the growth of K562/A02 cells as similar as that of curcumin, but their hydrolytic stability was significantly higher than that of curcumin. Compared with the control group, curcumin and its analogues 3 and 4 could significantly promote apoptosis by reducing MMP and increasing caspase-3 activity of K562/A02 cells, but no obvious increase in intracellular ROS was found. In addition, the cell proportion of K562/A02 cells in G2/M and S phases was significantly reduced in the presence of curcumin and its analogues, while the hypodiploid increased. Besides, Western blotting indicated that the P-gp was significantly downregulated with an increase of intracellular anti-tumor drug accumulation. Conclusion: The analogues 3 and 4 of curcumin have the better hydrolytic stability than that of curcumin, while the anti-resistant tumor activity is maintained.

Objective: To study the chemical constituents from Toona ciliata var. henryi and their bioactivities. Methods: Column chromatography on silica gel, RP-C18, and Sephadex LH-20 columns was used to separate and purify the chemical constituents. The structures were elucidated by physicochemical properties and spectroscopic analyses. These compounds were isolated and evaluated for their inhibitory effects on lipopolysaccharide-induced nitric oxide production in RAW264.7 cells. Results: Fifteen compounds were isolated from the stem barks of T. ciliata var. henryi and identified as odoratone (1), toonaciliatin F (2), toonaciliatin G (3), toonaciliatin J (4), hispidone (5), bourjotinolone A (6), 3-episapeline A (7), piscidinol A (8), aglaiodiol (9), toonaciliatin M (10), 2α, 19-dihydroxy-9-epi-ent-pimara-7, 15-diene (11), cleomiscosin B (12), cleomiscosin C (13), β-sitosterol (14), and β-daucositerol (15). The IC50 values of compounds 4 and 10 were (11.0 ± 0.7) and (28.8 ± 2.7) μmol/L. Conclusion: All the compounds are isolated from this plant for the first time. Compounds 11-13 are yielded from the plants of Toona Roem. for the first time. Compounds 4 and 10 show the moderate inhibitory activities.

Objective By observing the motility changes of the gastrointestinal tract in mouse postoperative ileus (POI) models prepared with three different methods, this study aims to compare the features of three types of models, and judge their suitability for drug evaluation. Methods Three methods were conducted to prepare the mouse POI models: air exposure, friction and extrusion. In the experiment, the gastric emptying rate, intestinal propulsive rate as well as the relatively percent dextran of blue-2000 in intestinal paragraphs were taken down to evaluate the motility of gastrointestinal tract. Meanwhile, the duodenum, jejunum, ileum and colon of mice were stained in HE method to observe the histopathological changes of each layer in mouse intestinal wall. Results When compared with the control group, the gastric emptying rate of the squeeze-only group was significantly suppressed (P < 0.01). The intestinal propulsive rate in the air exposure group, the friction group and the extrusion group were all suppressed, only the friction group and the extrusion group had statistical difference (P < 0.01). The relative percent of dextran blue-2000 in intestinal paragraphs in mice also show that the motility of the mouse gastrointestinal tract in both the friction and extrusion groups was significantly inhibited. Judging from the results of HE staining, the duodenums of mice in the air exposure group, friction group and extrusion group did not show much difference when compared with the control group. While for the jejunum, the intestinal mucosa and submucosa of mice in the squeeze group had a large quantity of hemorrhage and inflammatory cell infiltration. For the ileum and colon, the friction and extrusion groups showed different degrees of inflammatory cell infiltration, and the mice in the extrusion group suffered from ileal hemorrhage. Conclusion All the three preparation methods of mouse POI models can inhibit the intestinal movement of mice. The effect of the air exposure method causes the light injury. The extrusion method, which causes more serious injury, could be used in the study of the pathogenesis of postoperative ileus.The friction method that has a moderate damage to the intestine, is more suitable for drug screening and evaluation.

Objective: To carry out genetic testing and prenatal diagnosis for a family affected with Duchenne muscular dystrophy (DMD). Methods: Multiplex ligation dependent probe amplification (MLPA) was used to detect potential deletion and duplication of the Dystrophin gene. Haplotype analysis was performed using five short tandem repeat polymorphism loci (3'-STR, 5'-STR, 45-STR, 49-STR, 50-STR of the DMD gene. Results: A same deletional mutation (exons 51-55) of the DMD gene was detected in two brothers but not in their mother. The patients and fetus have inherited different haplotypes of the Dystrophin gene from their mother, suggesting that the fetus was unaffected. Conclusion The mother was very likely to harbor germline mosaicism for the Dystrophin gene variant. Genetic testing of peripheral blood samples cannot rule out germline mosaicism in the mother. Prenatal diagnosis should be provided for subsequent pregnancies in this family.