Objective:To investigate the utilization of total parenteral nutrition ( TPN) in a hospital to provide reference for the clinical rational drug use. Methods:The utilization and trend of TPN in the surgical inpatients during August 2012 to July 2013 in the hospital were analyzed statistically. Results:Totally 116 patients received TPN with 1 013 times, and the patients with gastrointestinal malignant tumor accounted for 48. 3%. The average use day was (8. 7 ± 3. 2) d and the total energy was within the range of 900-1 500 kcal. The number of prescription with glycolipid ratio below 1 was 878 (86. 7%), that with hot nitrogen ratio of 100-150 was 689 (68. 0%), that with monovalent cation concentration below 150 mmol·L-1 was 1 008 (99. 5%), that with divalent cation concentra-tion below 5 mmol·L-1 was 879 (86. 8%), that with glutamine was 765 (75. 5%) and that with sugar and insulin ratio (g:u) be-low 3 was 42 (4. 1%). Conclusion:The maln problem in the TPN application in the hospital is that glycolipid ratio in the majority of prescriptions is low, and irrational hot nitrogen ratio, excessive cation concentration and insulin dosage appeared in the minority of pre-scriptions. Clinicians should strengthen the learning of parenteral nutrition knowledge and clinical pharmacists should actively perform reasonable intervention in the TPN prescriptions to promote the reasonable TNP therapy and improve the therapeutic effect.

Objective To explore effects of water extract of radix salviae miltiorrhizae on renal injury in rats exposed to cadmium and its possible mechanism.Methods Twenty male and female healthy Wistar rats,respectively,at age of 6 weeks were randomly divided into blank group (n =8),and model group (n =32) after adaptive feeding for 1 week,given intraperitoneal injection of saline for 5 mL/(kg · d) and intraperitoneal injection of cadmium chloride solution for 2.8 mg/(kg · d).Continuously building for 4 weeks,the general situation of rats was observed,and the rat kidney function and kidney tissue pathological changes were detected.After successful molding,the model group was randomly divided into medicine group,negative and positive and blank control groups.The medicine group was given Salvia miltiorrhiza water extract of high dose of 2.7g/(kg · d),Danshen aqueous extract of low dose 1.35 g/(kg · d) by gavage,positive control group was given sodium selenite for 0.05 mg/kg · d by gavage,the negative and blank control groups were given the same mount of saline for 2.7 mL/(kg · d).After 10 weeks of treatment,serun and urine was collected,and kidney tissue was to be detected.Results Salvia miltiorrhiza water extraction liquid of low and high dose group had less 24 h urine volume than negative control group,and serum superoxide dismutases (SOD) increased significantly,Malondialdehyde (MDA) decreased significantly,total antioxidant capacity (T-AOC) increased significantly,blood urea nitrogen,urinary beta β2-MG content and serum creatinine levels was decreased.Pathological section revealed that renal proximal convoluted tubules epithelial cells was turbid,swelling,degeneration and necrosis in the negative control group.Salvia miltiorrhiza water extraction liquid of low and high dose group had lower serum cortical cadmium content than the negative control group,Salvia miltiorrhiza water extraction liquid of low and high dose group had lower apoptosis rate than the negative control group.Conclusion The salvia miltiorrhiza water solution can accelerate the metabolism of cadmium,and effectively interfere with cadmium induced renal injury,delay chronic renal failure,and protect the kidney.

Objective To explore effects of water extract of radix salviae miltiorrhizae on renal injury in rats exposed to cadmium and its possible mechanism.Methods Twenty male and female healthy Wistar rats,respectively,at age of 6 weeks were randomly divided into blank group (n =8),and model group (n =32) after adaptive feeding for 1 week,given intraperitoneal injection of saline for 5 mL/(kg · d) and intraperitoneal injection of cadmium chloride solution for 2.8 mg/(kg · d).Continuously building for 4 weeks,the general situation of rats was observed,and the rat kidney function and kidney tissue pathological changes were detected.After successful molding,the model group was randomly divided into medicine group,negative and positive and blank control groups.The medicine group was given Salvia miltiorrhiza water extract of high dose of 2.7g/(kg · d),Danshen aqueous extract of low dose 1.35 g/(kg · d) by gavage,positive control group was given sodium selenite for 0.05 mg/kg · d by gavage,the negative and blank control groups were given the same mount of saline for 2.7 mL/(kg · d).After 10 weeks of treatment,serun and urine was collected,and kidney tissue was to be detected.Results Salvia miltiorrhiza water extraction liquid of low and high dose group had less 24 h urine volume than negative control group,and serum superoxide dismutases (SOD) increased significantly,Malondialdehyde (MDA) decreased significantly,total antioxidant capacity (T-AOC) increased significantly,blood urea nitrogen,urinary beta β2-MG content and serum creatinine levels was decreased.Pathological section revealed that renal proximal convoluted tubules epithelial cells was turbid,swelling,degeneration and necrosis in the negative control group.Salvia miltiorrhiza water extraction liquid of low and high dose group had lower serum cortical cadmium content than the negative control group,Salvia miltiorrhiza water extraction liquid of low and high dose group had lower apoptosis rate than the negative control group.Conclusion The salvia miltiorrhiza water solution can accelerate the metabolism of cadmium,and effectively interfere with cadmium induced renal injury,delay chronic renal failure,and protect the kidney.

Objective This study was conducted to establish a stable and highly efficient method for isolation and purification of pancreatic islets from NOD mice and to evaluate their characteristics in vitro and in vivo. Methods The is-lets were isolated from mouse pancreas using modified collagenase digestion and Ficoll density gradient centrifugation. The endocrine secretory function was assessed by insulin secretion in either low or high dose glucose stimulation. To evaluate the function of the graft,body weight and blood glucose were monitored,and IVGTT was performed. In addition,to assess sur-vival of the implanted islets,Pathology using HE staining and insulin immunostaining of the graft were performed. Results The average islet yield was 116 ± 12 islets/pancreas and purity was higher than 90%. Compared with islets from Kunming mice,the islets isolated from NOD mice were poorly responsive to glucose challenge. Blood glucose levels and body weight changes of the islet-transplanted diabetic mice were significantly improved compared with the sham-operated mice. In addi-tion,blood glucose levels in vivo after an IVGTT also significantly improved. However,these improvements were only main-tained for 2 weeks. Furthermore,HE staining and immunostaining assays demonstrated that there were insulin-positive cell clusters and lymphocyte infiltration in the graft-bearing kidney. Conclusions A large number of quality islets can be isola-ted and purified from NOD mice by using the modified mouse islet isolation method, which can be used to develop thera-peutic strategies to protect transplanted islets from rejection and autoimmune attack.

The activation and deactivation of Ca(2+)- and calmodulindependent neuronal nitric oxide synthase (nNOS) in the central nervous system must be tightly controlled to prevent excessive nitric oxide (NO) generation. Considering plasma membrane calcium ATPase (PMCA) is a key deactivator of nNOS, the present investigation aims to determine the key events involved in nNOS deactivation of by PMCA in living cells to maintain its cellular context. Using time-resolved Förster resonance energy transfer (FRET), we determined the occurrence of Ca(2+)-induced protein-protein interactions between plasma membrane calcium ATPase 4b (PMCA4b) and nNOS in living cells. PMCA activation significantly decreased the intracellular Ca(2+) concentrations ([Ca(2+)]i), which deactivates nNOS and slowdowns NO synthesis. Under the basal [Ca(2+)]i caused by PMCA activation, no protein-protein interactions were observed between PMCA4b and nNOS. Furthermore, both the PDZ domain of nNOS and the PDZ-binding motif of PMCA4b were essential for the protein-protein interaction. The involvement of lipid raft microdomains on the activity of PMCA4b and nNOS was also investigated. Unlike other PMCA isoforms, PMCA4 was relatively more concentrated in the raft fractions. Disruption of lipid rafts altered the intracellular localization of PMCA4b and affected the interaction between PMCA4b and nNOS, which suggest that the unique lipid raft distribution of PMCA4 may be responsible for its regulation of nNOS activity. In summary, lipid rafts may act as platforms for the PMCA4b regulation of nNOS activity and the transient tethering of nNOS to PMCA4b is responsible for rapid nNOS deactivation.
Animals ; Brain ; metabolism ; Calcium ; metabolism ; Cells, Cultured ; Cerebellum ; cytology ; Fluorescence Resonance Energy Transfer ; HEK293 Cells ; Humans ; Nitric Oxide ; metabolism ; Nitric Oxide Synthase Type I ; metabolism ; PDZ Domains ; Plasma Membrane Calcium-Transporting ATPases ; metabolism ; Protein Interaction Maps ; Protein Isoforms ; metabolism ; Rats ; Rats, Sprague-Dawley

This corrects the article “Analysis of Tau Protein Expression in Predicting Pathological Complete Response to Neoadjuvant Chemotherapy in Different Molecular Subtypes of Breast Cancer” in volume 23 on page 47.This article was initially published on the Journal of Breast Cancer with a misspelled the abbreviation in figure 3. The abbreviation ‘HP’ should be corrected as ‘HR’.

PURPOSE: Tau is a microtubule-associated protein that can be found in both normal and abnormal breast cells. Whether the expression of Tau protein can predict the response to neoadjuvant chemotherapy (NACT) is still unclear. In this study, we assessed the role of Tau protein expression in predicting a pathological complete response (pCR) to NACT for different subtypes of breast cancer. METHODS: Four hundred and sixty-eight eligible patients were retrospectively recruited in our study. The relationship between clinicopathologic factors, including Tau protein expression, and pCR in different subtypes was evaluated using logistic regression analysis. Correlation between Tau and disease-free survival (DFS) and overall survival (OS) was performed using Kaplan–Meier analysis. RESULTS: The expression of Tau protein was negatively correlated with pCR, especially in triple-negative breast cancer (TNBC). No significant difference was observed in the luminal human epidermal growth factor receptor-2 (HER2)-negative subtype and HER2-positive subtype. Patients with pCR were associated with better DFS and OS (p < 0.05). However, Tau protein expression had no association with either DFS or OS (p > 0.05). CONCLUSION Tau protein expression can predict pCR before NACT in TNBC, but there was no correlation between Tau expression and DFS or OS.

Adenosine monophosphate-activated protein kinase(AMPK) is a highly conserved serine/ threonine protein kinase which plays an important role in regulating energy metabolism of the systemic cells. Under stress conditions, such as ischemia and hypoxia, AMPK can be activated.Then it plays a neuroprotective role in regulating mechanisms such as oxidative stress, autophagy, apoptosis and neuroinflammation and so on. Researches have found that chronic cerebral hypoperfusion may be a major cause of vascular cognitive impairment(VCI).AMPK can exert neuroprotective effects on VCI by regulating the aforementioned pathological processes.Therefore, this article reviews the molecular biological characteristics of AMPK and its role and mechanism in VCI, with the aim of promoting further research on AMPK and making it a new target for VCI treatment.

Transient receptor potential vanilloid-1(TRPV1) channel is a non-selective ligand-gated cationic channel with multiple activation mechanisms in the transient receptor potential subfamily. In recent years, a large number of studies have found that TRPV1 plays an important role in the field of cardiovascular diseases such as hypertension and atherosclerosis. With the in-depth study of traditional Chinese medicine, it has been found that Chinese medicine monomers and their active components can activate or inhibit TRPV1 channels, which has certain potential in the study of cardiovascular diseases. In this paper, the role of TRPV1 channel in cardiovascular diseases and the research progress of traditional Chinese medicine prevention and treatment of cardiovascular diseases based on TRPV1 channel are reviewed, in order to provide new ideas for prevention and treatment of cardiovascular system diseases.