MicroRNAs (miRNAs) are a class of highly conserved single-stranded RNA molecules that modulate gene translation. By targeting the mRNA of protein- coding genes, miRNAs play a critical role in neuronal differentiation, cell proliferation, apoptosis and metabolism. There are a lot of miRNAs in central nervous system, which are not only closely linked to development, differentiation and function of nerve cells, also play an important role in nerve lesions and dysfunction after cerebral ischemia. Specific miRNA through their own changes affect their target gene expression levels after focal cerebral ischemia, involving in the protection against apoptosis in neurons and regeneration after cerebral ischemia. A full understanding of the specific microRNA function and its underlying mechanism in the brain can provide a new strategy for the prevention, diagnosis, and treatment of ischemic cerebral injury at gene level.
Animals ; Brain Ischemia ; Humans ; MicroRNAs

Reflecting on the historical responsibility of Chinese medical ethics at present， it is necessary to place oneself in the grand context of promoting the process of building a community with a shared future for mankind. Safety， development， and civilization constitute the three important ethical dimensions of a community with a shared future for mankind， which are not only ethical orientations， but also ethical appeals. These provide an important direction for Chinese medical ethics to deeply consider its role in the process of a community with a shared future for mankind. The historical responsibilities of Chinese medical ethics in the process of promoting a community with a shared future for mankind mainly include： confronting moral and interest issues， adhering to the patient-centered approach， and ensuring patients’ life safety； playing the role of ethical regulation， achieving the practical effects of medical ethics， and maintaining social security and stability； implementing the responsibility of medical ethics education， shaping medical professionalism， and promoting the development of healthy China； inheriting the excellent traditional culture， pursuing medical excellence and justice， and promoting the development of social morality； pursuing common health values， building a community with a shared future between doctors and patients， and promoting the progress of human. A global community of health for all provides the most direct practical platform for Chinese medical ethics to fulfill its historical responsibility in the process of building a community with a shared future for mankind. It directly promotes Chinese medical ethics to the world， and Chinese ethics facing the world will play an increasingly important influence in self-renewal.

OBJECTIVE: To investigate factors that affected the distribution of rehydrated particle size of freeze-dried docetaxel liposome and develop a technique of producing docetaxel liposome that can meet clinical requirements. METHODS: The single factor method was utilized in this study. Docetaxel liposome were prepared using different types of negatively charged phospholipids, or lecithins with varying phosphatidylcholine (PC) content, or various cryoprotectants at different gradient concentrations, followed by freeze-drying with different protocols. The particle sizes of corresponding rehydrated products were compared and the effects of different factors were analyzed. RESULTS: The optimal liposomal membrane was composed of dipalmitoyl phosphatidic acid (DPPA), 20% trehalose and lecithin containing 92% PC. The best freeze-drying protocol included following steps; flash freezing, 19 h of sublimation-drying and 9 h of desorption-drying. CONCLUSION: The parameters, including negatively charged phospholipids, cryoprotectants, PC content of lecithin and lyophilization protocols, had various effects on the particle sizes of reconstituted docetaxel liposome.

To study the effect of glucagon-likepeptide 1(GLP-1)receptor agonist on insulin resistance and hepatic oxidative stress in rats with diabetes mellitus combined with nonalcoholic fatty liver disease. 36 male SD rats were served as the experimental animal and randomly divided into control group, model group, and GLP-1 group. The rats of control group were given routine diet with intraperitoneal injection of normal saline, those in model group were given high fat diet and intraperitoneal injection of normal saline, while GLP-1 group rats were fed with high fat diet and intraperitoneal injection of liraglutide. After 4 weeks of treatment, insulin resistance, lipid metabolism, liver injury and oxidative stress were all assessed. Serum fasting blood glucose, fasting insulin, total cholesterol, triglyceride, alanine transaminase(ALT), aspartate transaminase(AST)levels and total cholesterol, triglyceride contents in liver tissue, and as well as homeostasis model assessment for insulin resistance(HOMA-IR)levels of model group were significantly higher than those of control group, complex insulin sensitivity index(ISIcomp)level was significantly lower than that of control group; serum fasting blood glucose, fasting insulin, total cholesterol, triglyceride, ALT, AST contents and HOMA-IR levels of GLP-1 group were significantly lower than those of model group, ISIcomp level was significantly higher than that of model group; superoxide dismutase(SOD), glutathione peroxidase(GSH-Px), catalase(CAT)contents in liver tissue of model group were significantly lower, while malondialdehyde content and SOD, GSH-Px, CAT, NF-E2 related factor-2(Nrf-2), antioxidant response element(ARE), heme oxygenase-1(HO-1), quinone oxidoreductase-1(NQO-1), glutathione thiol transferase(GST)mRNA expression were significantly higher than control group; SOD, GSH-Px, CAT contents and SOD, GSH-Px, CAT, Nrf-2, ARE, HO-1, NQO-1, GST mRNA expression in the liver tissue of GLP-1 group were significantly higher, while malondialdehyde content was significantly lower than that of model group. GLP-1 receptor agonist reduces insulin resistance and liver oxidative stress injury in diabetic rats with nonalcoholic liver disease.

OBJECTIVETo explore the treatment of casualties who suffered from multiple injuries in earthquake and had been treated by damage control (DC) immediately,and the definite postponed surgery time by way of APACHE II score.

METHODSFrom May to June 2008, 21 casualties who had undergone DC accepted further treatment of medicine and surgery, and recovered physical potentiality in the intensive care unit (ICU). APACHE II score was adopted to evaluate the casualties' physical potentiality. Then, internal fixation of intra-articular fractures and centrum fractures, alternation from external fixation to internal fixation, reconstruction of soft tissue was applied by stages according to the plan.

RESULTSAll the patients were effectively cured after definite postponed surgery. There was less complication, low deformity ratio and no death happened.

CONCLUSIONTimely evaluation of the casualties' physical potentiality, appropriate surgery time and exact surgery can reduce the casualties' complication, deformity rate and death rate.

Adolescent ; Adult ; Aged ; Aged, 80 and over ; China ; Earthquakes ; Female ; Fracture Fixation ; Fractures, Bone ; complications ; surgery ; Humans ; Intensive Care Units ; Male ; Middle Aged ; Multiple Trauma ; complications ; surgery ; Treatment Outcome

After the articular cartilage injury, the metabolic level is increased during the progressive degeneration, the chondrocytes secrete a variety of inflammatory factors, and the original cell phenotype is gradually changed. For a long time, a large number of researchers have done a lot of researches to promote anabolism of chondrocytes and to maintain the stability of chondrocyte phenotype. There are many molecular signaling pathways involved in the process of promoting cartilage repair. This review focuses on the key signaling molecules in articular cartilage repair, such as transforming growth factor-beta and bone morphogenetic protein, and reveals their roles in the process of cartilage injury and repair, so that researchers in related fields can understand the molecular mechanism of cartilage injury and repair widely and deeply. Based on this, they may find promising targets and biological methods for the treatment of cartilage injury.
Bone Morphogenetic Proteins ; physiology ; Cartilage, Articular ; growth & development ; injuries ; Chondrocytes ; physiology ; Humans ; Regeneration ; Signal Transduction ; Transforming Growth Factor beta ; physiology

Integration of Chinese medicine and Western medicine is the necessary outcome in the reality of co-existence of the two medicines nowadays, also an inevitable tendency of cross-comprehensive, systematization, internationalization and diversification in the progress of science development and research. Experienced over half a century's self-innovation, lots of achievements in clinical and experimental studies have been achieved by the integrated Chinese and Western medicine (ICWM), but it still remains in the primary period of developing, and some deficiencies existed yet. So, we should have the foresight and mind of "Harmony in Diversity" and make effort to establish a series of independent and perfect theoretical system, for making more breakthrough development of ICWM.
Clinical Medicine ; Integrative Medicine ; methods ; Medicine, Chinese Traditional ; methods

OBJECTIVETo study the effect of waterlogging stress on medicinal Chrysanthemum morifolium during the seedling stage and build a reliable evaluation of flooding tolerance indicator system.

METHODThe three cultivars: C. morifolium cv. Hongxinju, C. morifolium cv. Xiaobaiju and C. morifolium cv. Changbanju were studied for the and the effect of waterlogging stress on their physiological and biochemical chracteristics.

RESULTWith the extension of waterlogging, the content of chlorophyll and relative leaf water potential were decreased, meanwhile malonaldehyde (MDA), glutathione (GSH) and soluble sugar were increased. The catalase (CAT) of C. morifolium cv. Hongxinju rose at first and then dropped and CAT of C. morifolium cv. Xiaobailu and C. morifolium cv. Changbanju declined at first before decreased, and then dropped again. The peroxidase (POD) rose firstly before decrease and then increases again. After the waterlogging treatments which last for 4 days, the physiology and biochemistry characteristics can not restore to the comparison (CK) within 3 days.

CONCLUSIONFour days waterlogging treatment had made serious damage on medicinal Chrysanthemum. Among three cultivars, C. morifolium Ramat. cv. Hongxinju showed the highest tolerance ability, while C. morifolium cv. Changbanju was the lowest, and C. morifolium cv. Xiaobaiu was in the middle. The malonaldehyde (MDA) and catalase (CAT) could be the main physiological and biochemical indexes to reflect the tolerance ability against waterlogging.

Carbohydrate Metabolism ; Carbohydrates ; analysis ; Catalase ; analysis ; metabolism ; Chrysanthemum ; chemistry ; enzymology ; physiology ; Dehydration ; Malondialdehyde ; analysis ; metabolism ; Peroxidase ; analysis ; metabolism ; Plant Proteins ; analysis ; metabolism ; Seedlings ; chemistry ; enzymology ; physiology ; Water ; metabolism

OBJECTIVETo study the seeds dormancy release and physiological change of Thesium chinense.

METHODTo release dormancy, the seeds of T. chinense were treated with chemical reagent and stratification under 3-5 degrees C.

RESULTWhen washed with flowing water for 24 h, then soaked in 500 mg x L(-1) GA3 for 24 h, finally, treated with stratification method under 3-5 degrees C for 150 day, the split rate of T. chinense seeds reached 22%, crude fat decreased 50%, total sugar and dissolvability sugar increased 3-4 times, ABA decreased more than 90%, GA3 increased more than 5 times.

CONCLUSIONThe seeds dormancy of T. chinense can be released with the method of washing with flowing water for 24 h, then soaking in 500 mg x L(-1) GA3 for 24 h, finally, treated with stratification method under 3-5 degrees C for 150-180 day.

Abscisic Acid ; pharmacology ; Carbohydrates ; analysis ; Cold Temperature ; Fats ; analysis ; Germination ; physiology ; Gibberellins ; pharmacology ; Magnoliopsida ; drug effects ; physiology ; Plant Dormancy ; drug effects ; physiology ; Plant Growth Regulators ; pharmacology ; Plants, Medicinal ; drug effects ; physiology ; Seeds ; drug effects ; physiology ; Time Factors ; Water ; pharmacology

AIMTo isolate and purify the brain microvessels without intact neural cells used for cloning specific gene at the blood-brain-barrier.

METHODSMagnetic beads ranging from 200-500 nm were synthesized and infused into cerebral spheres through carotid arteries. The brain tissues were dissected by mechanic and enzymatic methods, and sieved to discharge tissues and large blood vessels. The brain microvessels labelled by magnetic beads were sorted in magnetic fields, and identified by morphology, molecular biology and biologic activity.

RESULTSScanning electric micrograph of the obtained brain microvessels showed the vessels grossly free of adjoining neural cells except an occasional nerve ending. RT-PCR products of microtube-associated protein 2a, glutamine synthetase and CD31 from brain tissue had positive lanes, but only CD31 had positive lanes from isolated microvessels. The endothelial cells from isolated microvessels had more fluorescence than that from cultured endothelial cells.

CONCLUSIONHighly purified microvessels without intact neural cells can be obtained by this method.

Animals ; Blood-Brain Barrier ; anatomy & histology ; Brain ; blood supply ; Microvessels ; anatomy & histology ; Rats