1.Metallothionein-Ⅰ/Ⅱ in Brain Injury Repair Mechanism and Its Application in Forensic Medicine
Journal of Forensic Medicine 2013;(5):365-367,377
M etallothionein (MT) is a kind of metal binding protein. As an im portant mem ber in metalloth-ionein fam ily, MT-Ⅰ/Ⅱ regulates metabolismand detoxication of brain metal ion and scavenges free radicals. It is capable of anti-inflam matory response and anti-oxidative stress so as to protect the brain tissue. During the repair process of brain injury, the latest study showed that MT-Ⅰ/Ⅱ could stim ulate brain anti-inflam matory factors, grow th factors, neurotrophic factors and the expression of the receptor, and prom ote the extension of axon of neuron,wich makes contribution to the regeneration of neuron and has im portant effect on the recovery of brain injury. Based on the findings, this article reviews the struc-ture, expression, distribution, adjustion, function, mechanism in the repair of brain injury of MT-Ⅰ/Ⅱand its application prospect in forensic medicine. It could provide anew approach for the design and manufacture of brain injury drugs as well as for age estimation of the brain injury.
2.Fastigial cerebellar nucleus may be involved in the pathogenesis of post-stroke depression through the cerebellum-hypothalamic pathways in rats Fastigial cerebellar nucleus may be involved in the pathogenesis of post-stroke depression through the cerebellum-hypothalamic pathways in rats
Yuan LI ; Rubo SUI ; Xin ZHANG ; Yuhan LIN
Journal of Xi'an Jiaotong University(Medical Sciences) 2015;(2):164-168
ABSTRACT:Objective To investigate whether medial cerebellar nucleus may be involved in the pathogenesis of post-stroke depression (PSD)and explore the pathway that mediates this effect.Methods Healthy SD rats were randomly divided into five groups:control group,stroke group,PSD group,medial cerebellar nucleus (Med)lesion group,and superior cerebellar peduncle (xscp)lesion group.The ethological score of depression was evaluated.The neurotransmitters of Glu and GABA in the lateral hypothalamic area were detected by high performance liquid chromatography.Results Compared with those in control group,the levels of GABA and Glu expressions did not significantly differ in the lateral hypothalamic area in stroke group (P > 0.05 ).In contrast,the levels in PSD group,Med lesion group and xscp lesion group were lower than those in stroke group to different extent (P <0.01). Conclusion These results preliminarily show that medial cerebellar nucleus may participate in the pathogenesis of post-stroke depression,which may be mediated by the cerebellum-hypothalamic pathway.
3.Clinical Survey for Embolism and Anticoagulation Therapy in Patients With Non-valvular Atrial Fibrillation in Macau, China
Rouhan CHEN ; Daiming MU ; Rubo LIN ; Wenhui YE ; Lima JOSE ; Manling ZHAO ; Evora MARIO ; Keping CHEN
Chinese Circulation Journal 2016;31(12):1194-1197
Objective: To explore current status of antithrombotic therapy in patients with non-valvular atrial ifbrillation (NVAF) at Macau area of china via clinical data analysis.
Methods: A total of 472 NVAF patients treated in Centro Hospitalar Conde de S?o Januário (CHCSJ) from 2014-01 to 2041-12 were enrolled. The patients were at the age of (73.0±10.9) years including 197 (41.7%) female and 244 (51.7%)≥75 years. The baseline condition, clinical characteristics and antithrombotic therapy were analyzed; relevant scores were calculated, CHA2DS2-VASc score≥2 was deifned as high risk of stroke and HAS-BLED score≥3 was deifned as high risk of bleeding.
Results: The average CHA2DS2-VASc score was (3.4±1.8) and 389/472 (82.4%) patients with CHA2DS2-VASc scor≥2; the mean HAS-BLED score was (1.96±1.03) and 132 (28.0%) patients with HAS-BLED score≥3. There were 184 (38.9%) patients received antiplatelet therapy, 101 (21.4%) received warfarin, 156 (33.1%) received new oral anticoagulant drug and 22 patients taken both antiplatelet and anticoagulant treatments simultaneously; 53 (11.2%) patients had no antithrombotic therapy. The patients with high risk of stroke had the higher rate of anticoagulant therapy (215/472, 55.3%) and the application rate of new anticoagulant drug was higher than warfarin.
Conclusion: NVAF patients had the higher risk of stroke as more than 80% with CHA2DS2-VASc score≥2 and most patients received anticoagulant therapy in Macau area. The application rate of new anticoagulant drug was higher than warfarin.