Objective To evaluate the role of PI3K-Akt-HIF-1α signaling pathway in dexmedetomidine-induced reduction of damage to the unventilated lung during one-lung ventilation (OLV) in rats.Methods Forty adult male Sprague-Dawley rats,weighing 250-350 g,were randomly divided into 4 groups (n=10 each) using a random number table:two-lung ventilation TLV) group,OLV + normal saline group (group OLV),OLV + dexmedetomidine group (group D),and OLV + dexmedetomidine +LY294002 group (group DL).Bilateral lungs were ventilated for 2.5 h in group TLV,and the right lung was ventilated for 2 h followed by 0.5 h TLV in the other groups.The rats were sacrificed,the left lung was removed for determination of wet to dry lung weight ratio (W/D ratio),and expression of phosphorylated Akt (p-Akt) and hypoxia-inducible factor-1 alpha (HIF-1α) (by Western blot).Results Compared with group TLV,W/D ratio was significantly increased,the expression of p-Akt was down-regulated,and the expression of HIF-1α was up-regulated in the other three groups (P＜0.05).Compared with group OLV,W/D ratio was significantly decreased,and the expression of p-Akt and HIF-lα was up-regulated in D and DL groups (P＜0.05).Compared with group DL,W/D ratio was significantly decreased,and the expression of p-Akt and HIF-1α was up-regulated in group D (P＜0.05).Conclusion PI3K-Akt-HIF-1α signaling pathway is involved in dexmedetomidine-induced reduction of damage to the unventilated lung during OLV in rats.

Asia ; epidemiology ; Humans ; Non-alcoholic Fatty Liver Disease ; epidemiology ; Prevalence

There are many therapeutic drugs for rheumatoid arthritis(RA) treatment,but the pathogenesis of RA have not been fully understood,therefore no curable drug has been found.With increasing knowledge of the inflammatory process,especially in signaling,some drugs modifying disease progress and interfering signaling pathways have been studied.Cytokine inhibitors such as tumor necrosis factor-blocking agents and IL-1 receptor antagonist in clinical trials and in practice have resulted in dramatic improvement in RA disease control.Important molecular mechanisms of actions on total glucosides of paeony(TGP) and Glucosides of Chaenomeles speciosa(GCS) were showed to modulate G protein-AC-cAMP and Ras-MAPKs signaling pathways and to inhibit synoviacytes proliferation.This review focuses on agents which target various cytokines,other inflammatory mediators,antigen of cells,and signaling pathways.

The deposition of amyloid β-protein (Aβ is the key pathological basis of cerebral amyloid angiopathy (CAA) and Alzheimer's disease (AD). The current studies emphasis that the stability of internal environment between cells of the neurovascular unit is the key to maintain normal brain function. This article reviews the relationship between the Aβand the neurovascular unit injury, and we expect to provide some new ideas for the clinical prevention and treatment of CAA and AD.

DICOM standard is a compulsory international standard for the establishment of Integrated Hospital Information System (IHIS) and Picture Archiving and Communication System (PACS). This paper introduces such information of DICOM3.0 as its generation, components, operational mechanism and application. To understand DICOM standard exactly is helpful for the efficient operation of PACS.

Objective:To analyze the expression pattern and clinical significance of PBK /TOPK in cervical cancer.Methods:50 cases of low-grade cervical intraepithelial neoplasia ( CINI ) , 45 cases of cervical cancer and 40 cases of high-grade cervical intraepithelial neoplasia collected by pathology department during January 2012 to December 2014 in our hospital were selected ,and the expression of PBK/TOPK was detected by immunohistochemistry .The correlation between PBK/TOPK level and pathological characteristics were compared by statistical methods .Results: PBK/TOPK was expressed in 75.6% cervical cancer samples , much higher than that of 16.7%in non cervical cancer samples;the score of IS on CINI organizations was lower than that in the high-grade cervical intraepithelial neoplasia and cervical cancer ( P<0.05 ,P<0.01 ) ,and the score of IS in the high-grade cervical intraepithelial neoplasia was significantly lower than cervical cancer ( P<0.01 );the expression of PBK/TOPK and P53 in cervical cancer tissues were positively correlated by the non-parametric Spearman rank ( r=0.68 ,P=0.008 );the expression level of PBK/TOPK in cervical cancer significantly correlated with TNM stage,invasion and lymph node metastasis(P<0.05),but not with age and differentiation (P>0.05). Conclusion:PBK/TOPK expression was correlated with cervical cancer ,and it may be served as a molecular marker for clinical tumor diagnose and theapy .

Objective:To evaluate the short-term and middle-term therapeutic effects and the safety of deep acupuncture at Tianshu(ST 25) for treatment of slow transit constipation(STC).Methods:60 cases of STC were randomly divided into an acupuncture group and a control group.Cleveland Constipation Score(CCS) and colic transit time(CTT) before treatment,2 weeks and 6 months after the treatment were investigated,and the safety was evaluated by clinical,laboratory and imaging indexes.Results:For the short-term therapeutic effect,the treatment group was better than the control group(P

As main content of minimally invasive surgery,laparoscopic surgery is widely applied in general surgery.The education of postgraduates majoring in general surgery is a main way to cultivate high-level surgeons of general surgery.Their ability cultivation in clinical stage is important for the overall level improvement of surgeons of general surgery.In the education of postgraduates majoring in general surgery,operation sense education and basic skill cultivation of laparoscopic operation is beneficial to enhancing their cognitive level in the domain and clinical basic skills,and can inspire their thought simultaneously.

Objective:To analyze the clinical characteristics of enterococcal infection in leukemia patients. Methods:The clinical characteristics of 11 cases of leukemia with enterococcal infection were summarized by contrast to those of 62 cases of non-leukemia patients with enterococcal infection. The statistical analysis of measurement data applied chi square text. Results: In leukemia group,11 cases (100%) used broad-spectrum antibiotic before enterococcal infection,the length of stay of 8 cases (72.2%) exceeded 15 days before enterococcal infection,9 cases (81.2%) were caused digestive tract infections by enterococci,the clinical manifestations of 10 cases (90.9%) were hyperpyrexia after enterococcal infection,and 9 cases (81.2%) had to use Vancomycin to eliminate enterococci. Whereas in non-leukemia group,there were 22 cases (35.5%),6 cases(9.7%),14 cases (22.6%),9 cases (14.5%) and 9 cases (14.5%) respectively in five aspects above mentioned. The differences between two groups were significant (P0.05). Conclusion:Contrast to non-leukemia patients infected by enterococci,leukemia patients were more easily infected by enterococci because to the long-term of using broad spectrum antibiotic,the long length of stay before enterococcal infection and the weakened power of resistances after chemotherapy. Enterococcal infections were mainly hospital infections,and digestive tract infections were most common. The main clinical manifestations were hyperpyrexia and diarrhea. Enterococci were highly resistant to usual antibiotics but well sensitive to Vancomycin.

Objective To explore the potential of bone marrow mesenchymal stem cells(MSCs) to be modified by neurotrophin-3(NT-3) gene and pretreated with retinoic acid(RA) to differentiate into neuron-like cells in the transplanted site of the spinal cord injury. Methods MSCs,RA-induced MSCs,LacZ gene modified MSCs,NT-3 gene modified MSCs,and MSCs both modified by NT-3 gene and pretreated with RA were immediately transplanted respectively into the completely transected site(T_(10) spinal segment) of spinal cord.On the 67th day after the operation,the spinal cord segment was removed and frozenly sectioned.The differentiation potential of MSCs was examined by immunofluorescence histochemistry and the percentage was calculated of neuron-like cells that were differentiated from MSCs among all the transplanted cells groups. Results Transplanted MSCs could differentiate into neural stem cells(nestin-positive), neuroglial cells(GFAP-positive) and neuron-like cells(NF and MAP2-positive) in the injured spinal cord.Some of them also differentiated into the neuronlike cells which contained some neurotransmitters(ChAT and 5-HT positive) or had the potential to form a synapse(PSD95-positive).The percentage of neuron-like cells differentiated from MSCs modified by NT-3 gene and pretreated with RA was the highest among all the transplanted cell groups.Conclusion MSCs modified by NT-3 gene and pretreated with RA could better to differentiate into neuron-like cells in the injured spinal cord.