1.The recombinant human endostatin improves the blood perfusion and hypoxia in non-small cell lung cancer
Xiaodong JIANG ; Peng DAI ; Jin WU ; Daan SONG ; Jinming YU
Chinese Journal of Geriatrics 2011;30(9):737-741
ObjectiveTo observe the dynamic changes of blood perfusion and hypoxic status by CT perfusion imaging and hypoxia imaging in patients with non-small cell lung cancer (NSCLC) after treatment with recombinant human endostatin (RHES). MethodsA total 15 patients with NSCLC were randomly divided into treatment group (n = 10) and control group (n = 5). The patients in treatment group continuouly received the treatment with RHES (7.5 mg/m2) by intravenous infusion for ten days, and CT perfusion imaging and hypoxia imaging were performed at day 1, 5 and 10,respectively. The time window' was observed with the blood perfusion status and hypoxic changes.ResultsIn the treatment group, capillary permeability surface (PS) and tumor to normal tissue (T/N) were firstly decreased, and then increased. Their lowest points occurred at about the fifth day. PS showed statistical significance compared with the first day (q1.5 = 12.05, P<0.01 ) and no significance compared with the tenth day(q10.5 = 2.79, P=0.69), while T/N showed a significant difference between above time points (q1.5 = 73.81, q10.5 = 20.6, P = 0.00).Blood flow (BF) was firstly increased, and then decreased.Its highest point appeared at about the fifth day with statistical significance compared with the first and tenth day (q1.5 = 12.29, q10.5 = 10.48, P<0.01 ). All the PS,BF and T/N between the fifth day in treatment group and the control group showed statistically significance (all P < 0.01 ).Conclusions The time window of recombinant human endostatin improving blood perfusion and hypoxic status in non-small cell lung cancer is within about one week after administration.
2.A novel animal model of pulmonary allergic inflammation sensitized and challenged with house dust mite Dermatophagoides farinae
Huaxia CHEN ; Jinming GAO ; Lei JIANG ; Li NIE ; Zijian GUO
Basic & Clinical Medicine 2006;0(09):-
Objective To establish a pulmonary allergic inflammation model with C57BL/6 mice.Methods C57BL/6 mice were divided into control group and treatment group.The mice of treatment group were sensitized by intra peritoneal injection of house dust mite extracts at day 1,3,5,7,9 and 11.Then they were exposed to aerosolized allergen at day 13,16,19,20 and 21.Physiological saline instead of house dust mite extracts was used in control group.All mice underwent pulmonary lavage in 24h after the final exposure to aerosolized allergen challenge.Pathological manifestation of the lung,cell counts and classification were studied and IL-4 and IFN-? levels in BALF were detected by ELISA.Cells from spleen were cultured for 3 d with house dust mite extracts,IL-4 and IFN-? in supernatants was measured by ELISA.Results There was pulmonary eosinophilic inflammation in the mice treated with house dust mite extracts.Compared with control group,total cells,lymphocytes,eosinophils and the level of IL-4 in BALF from treated mice increased significantly,while IFN-? in BALF decreased.The level of IL-4 in cultured splenocyte supernatants also significantly increased,while IFN-? in supernatants decreased.Conclusion A pulmonary allergic inflammation model of is established by sensitizing and challenging C57BL/6 mice with house dust mite Der f.
3.Clinical effect of biafine cream to prevent irradiation-induced dermal injury
Yongmin SUN ; Gang CHEN ; Ruixia JIANG ; Wen BI ; Jinming YU
Chinese Journal of Radiation Oncology 1992;0(04):-
Objective To observe the clinical effect of Biafine cream to prevent acute irradiation-induced dermal injury. Methods 104 patients who had to accept radiotherapy were randomized into two groups:treatment group(56 cases) was give Biafine cream application since the first radiotherapy session while the other 48 served as control without this medication when general and health education program was given. Results Dermal toxic rate and degree in the treatment group were obviously lower than those of the control group, with the difference between the two groups significant. Conclusions Biafine cream can effectively prevent acute irradiation-induced dermal injury. It can alleviate the patients' suffering and improve their quality of life, so as to ensure uneventful radiotherapy .
4.Effects of ultraviolet, magnetic field and drug therapy on chemotherapeutic phlebitis in rabbits
Lili ZHAO ; Ying TANG ; Shousong CHEN ; Jinming JIANG
Chinese Journal of Physical Medicine and Rehabilitation 2003;0(02):-
Objective To explore the effects of ultraviolet, magnetic field and drug therapy on chemotherapeutic phlebitis(CP) in rabbits. Methods CP models were established by injecting vinorelbine into ear-edge veins of rabbits, and resulting in red swelling and fever of the skin. Twelve Japanese albino rabbits were randomly divided into four groups: a control group(C group), an ultraviolet therapy group (UT group), a magnetic field therapy group (MF group) and a drug group (D group). Twenty-four rabbit ears were observed by use of naked eyes and pathohistological examination after correspond treatment. Results Compared with those in C group, inflammation symptoms and edema in UT and MF groups were mitigated significantly by using of naked eyes and pathohistological examination (P 0.05) . In addition, the effects of inhibiting fibrous tissue hyperplasia were observed in magnetic field group (P
5.Quest and Innovation in Constructing Centre of Experimental Teaching
Bangping HE ; Xiaoyan WANG ; Jinming LIN ; Yifeng CHAI ; Yuanying JIANG
Chinese Journal of Medical Education Research 2003;0(04):-
This paper combines the experience that university is in constructing center of experimental teaching.We thoroughly elaborated center of experimental teaching the guidelines of construction,develop process,and concrete conditions were introduced such as experiment resources integration,instruments management,network construction,personnel dispensation,model of managements establishment,laboratory open,and have obtained the obviously result.
6.Effect of spironolactone and valsartan on expression of the active forms of mitogen-activated protein kinases in myocardium of spontaneously hypertensive rats
Gangying HU ; Jinming WANG ; Hong JIANG ; Hanhua DENG ; Yuanhong LIANG
Journal of Third Military Medical University 1983;0(03):-
0.05),and that in valsartan group was higher than that in WKY group(P
7.Effects of prophylactic antibiotics administration on colonized microorganisms of thoracic catheter in pneumothorax patients treated with closed thoracic drainage
Li ZHANG ; Jinming LIU ; Hongzhang SHI ; Ping JIANG ; Hongbin JIANG ; Jian MA ; Yu CHEN
Chinese Journal of Emergency Medicine 2011;20(3):287-291
Objective To investigate the feature of the microorganisms colonization of the thoracic catheter-related infection and evaluate the clinical significance of prophylactic antibiotics administration in patients with pneumothorax treated with closed thoracic drainage. Method A total of 120 patients with pneumothorax treated with closed thoracic dramage in emergency department wore enrolled. The patients were randomized (random number) into group A (n =60) and group B (n =60). In group A, the patients received levofloxacin mesylate injection and in group B, patients received physiological saline injection instead after closed thoracic drainage. The tip of catheter was cut off to get a 2-cm long segment after catheter removal and this segment was dipped into a bottle filled with liquid culture medium for microorganism culture. Statistical analysis carried out by using χ2 test or Fisher exact test. Results Of all 120 patients, microorganisms were found in 49 segments of catheter and 57 strains of microorganisms were found. The four most common microorganisms were Coagulase-negative staphylococci (57.9%), Candida albicans (10. 5%),Staphylococcus aureus (7%) and Acinetobacter baumanii (7%). All of them were highly drug-resistant to β-1actam antibiotics. The difference in the positive rate of microorganism culture was distinct in pneumothorax patients with underlying diseases (50%) in comparison to the patients without underlying diseases (31%) (P < 0.05). The positive rate of microorganism culture increased significantly as the duration of drainage was longer than 14 days (P < 0.01). The positive rate of culture in group A was lower than that in group B if the duration of drainage was less than 7 days (8.3% vs 52.9%, P < 0.01). The positive rate of culture after drainage for 7 days was 21.4% in group A and 68.8% in group B (P <0.05), and that after drainage for over 14 days was 70% in both groups (P > 0.05). There were no significant differences in outcome and days of hospital stay between two groups (P > 0. 05). Conclusions The common colonized microorganisms of thoracic catheter-related infection are conditional pathogens and highly resistant to antibiotics. Lengthening the duration of drainage and having underlying diseases increase the risk of infection. Although prophylactic antibiotics administration is beneficial to decrease the risk of thoracic catheter-related infection, it has no effects on shortening hospital stay and outcome of disease.
8.The association of target organ damage with abnormal ankle brachial index in hypertensive patients
Yong MAO ; Jinming YU ; Fen ZHANG ; Yiqiang ZHAN ; Dayi HU ; Qingwu JIANG
Chinese Journal of Internal Medicine 2012;51(2):127-130
ObjectiveTo investigate the association of hypertensive target organ damage with abnormal ankle brachial index (ABI) in high-risk hypertensive patients.MethodsDuring December 2008 to May 2009,a cross-sectional study was conducted to investigated the prevalence of abnormal ABI (ABI < 0.90) in 2674 community-dwelling,hypertensive patients,who aged > 40 years,without coronary heart disease,stroke/transient ischemic attack or known arteriosclerosis,from 18 centers in China. Data were acquired through history,physical examination,laboratory and other diagnostic tests.ResultsThere were 2615 subjects eligible for the full analysis set. The high-risk hypertensive patients with arterial wall thickening,arterial wall thickening and slightly elevated serum creatinine had a higher prevalence of abnormal ABI than their counterparts respectively ( P < 0.05 ). Compared with the normal group,the abnormal ABI group had a higher serum creatinine level on average (P < 0.01 ).After adjustment for certain factors including investigation center,demographic factors,cardiovascular disease (CVD) risk and CVD risk factors using an unconditional logistic regression model,arterial wall thickening ( OR 2.416,95% CI 1.395-4.183,P =0.0016 ) and slightly elevated serum creatinine ( OR 3.377,95% CI 1.267-8.997,P =0.0149) were positively associated with abnormal ABI. However,arterial wall thickening (OR 0.988,95% CI 0.576-1.695,P=0.9664) and microalbuminuria (OR 1.389,95% CI0.685-2.817,P=0.3621)were irrelevant to abnormal ABI.Conclusions So far as a high-risk hypertensive patient is concerned,there are significant statistical correlations between arterial wall thickening and/or slightly elevated serum creatinine and an abnormal ABI,but no significant statistical correlations between arterial wall thickening or microalbuminuria and an abnormal ABI is observed.
9.Expression of programmed death receptor ligand 1 of peripheral blood mononuclear cells in patients with hepatic cystic echinococcosis and its relation with interferon-γ
Jiang WU ; Tao LI ; Zhi ZHANG ; Jinming ZHAO ; Junhua WANG ; Xue ZHANG ; Renyong LIN ; Hao WEN
Chinese Journal of Digestive Surgery 2012;11(3):275-278
ObjectiveTo investigate the expression of programmed death receptor ligand 1 ( PD-L1 ) of peripheral blood mononuclear cells (PBMCs) in patients with hepatic cystic echincccccosis (HCE) and its relation with interferon-γ.MethodsThe clinical data of 63 patients with HCE who were admitted to the First Affiliated Hospital of Xinjiang Medical University from June 2010 to February 2011 were retrospectively analyzed.All patients were divided into HCE active group (38 patients) and HCE non-active group (25 patients) according to the system established by the World Health Organization's Informal Working Group on Echinocoecosis.Twenty patients with hepatic hemangioma or healthy individuals were recruited in normal control group.The positive rate of PD-L1 expression was detected by flow cytometry and immunocytochemistry.The expression of interferon-γ was detected by enzyme-linked immtmosorbent assay (ELISA).All data were analyzed by the t test,one-way analysis of variance,LSD test and chi-square test.The relationship between the expression of interferon-γ and positive rate of PD-L1 expression was analyzed by the Pearson test.ResultsThe results of flow cytometry showed that the positive rates of PD-L1 expression in the HCE active group,HCE non-active group and normal control group were 12.1%±3.8%,10.9% ± 2.5% and 9.1% ±2.5%,respectively.There was a significant difference in the positive rate of PD-L1 expression between the HCE active group and normal control group (t =3.327,P < 0.05 ).The results of immunohistochemistry showed that the positive rates of PD-LI expression in the HCE active group,HCE non-active group and normal control group were 11.9% ± 3.4%,i0.6% ± 2.9% and 9.5% ± 3.6%,respectively.There was a significant difference in the positive rate of PD-L1 expression between the HCE active group and normal control group (t =2.470,P < 0.05 ).The expressions of intefferon-γ in the HCE active group,HCE non-active group and normal control group were ( 141 ± 38 ) μμg/L,( 124 ± 32 ) μg/L and ( 105 ± 42 ) μg/L.There wasasignificant difference in the expression of interferon-γ between the HCE active group and normal control group ( t =3.280,P < 0.05).The results of flow cytometry and immunohistochemistry revealed that the positive rate of PD-L1 expression was positively correlated with the expression of interferon-γ( r =0.59,0.61,P < 0.05 ).Conclusion With the help of interferon-γ,PD-L1 may play an important role in promoting the immune.evasion of echinococcus.
10.Utrasonographical characters of liver and spleen of residents due to Schistosoma japonicum infection and their changes in Poyang Lake region, Jiangxi Province
Yuemin LIU ; Dandan LIN ; Fei HU ; Bo TAO ; Qiulin JIANG ; Jinming WANG ; Jianying LI
Chinese Journal of Schistosomiasis Control 2010;22(1):31-34
Objective To observe the uhrasenographical characters of liver and spleen of residents and their changes in endearic areas of schistosomiasis japonica in Poyang Lake region.Jiangxi Province and to explore the value of ultrasonography for assessment of the morbidity of the disease.Methods All permanent residents aged above 3 years old were examined by ultrasonography and Kato-Katz method.Results The schistosome positive rates of fecal examinations decreased obviously from 16.29%in 1995 to 8.54%in 2007(P<0.01).However,the rates of hepatomegaly and splenomegaly between 1995 and 2007 were not significantly changed(P>0.05),with the rates of 8.82% and 20.33% in 1995 and 8.54% and 21.34% in 2007,respectively.The abnormal rate of portal vein diameter decreased significantly.from 32.47%in 1995 to 6.50% in 2007.The abnormal rate of liver parenehyma increased remarkably(P<0.01),from 34.85% to 51.83%.The changes of liver parenchyma Grade I showed a bidirectional trend,29.90% of them chased into Grade 0(normal image on ultrasonngraphy),and 34.02% changed into Grade 2 and above.The abnormality of various indices of uhrasonography examinations were related to age,occupation and schistesome infection status.Conclusions Ultrasonography can show the damages of liver and spleen of patients infected with Schistosoma japonicum directly.but it is necessary to study further on the sensitive indices that reflecting early pathological changes and the best combination of the indices for the assessment of schistosomiasis-related morbidity.