Objective To measure the expressions of miR-203 and its downstream target genes p63 and survivin in psoriasis vulgaris lesions.Methods Tissue specimens were collected from lesions of 30 patients with psoriasis vulgaris and normal skin of 30 healthy human controls.Real-time PCR was performed to detect miR-203 mRNA expression with U6 as the internal control,as well as p63 and survivin mRNA expressions with glyceraldehyde 3-phosphate dehydrogenase (GAPDH) as the internal control,and Western blot to measure the protein expressions of miR-203 targets p63 and survivin.Statistical analysis was carried out by t test for intergroup comparisons and by Pearson correlation analysis for the analysis of correlation between miR-203,p63 and survivin expressions in psoriasis vulgaris lesions.Results Compared with the normal control skin,psoriasis vulgaris lesions showed significantly decreased mRNA expression level (2-△△C△△Ct) of miR-203 (0.41 ± 0.11,t =3.16,P ＜ 0.05),but increased mRNA expression levels of p63 (4.79 ± 0.63,t =4.72,P＜ 0.05) and survivin (3.43 ± 0.46,t =4.35,P＜ 0.05).The protein expression levels of p63 and survivin in these lesions were (2.40 ± 0.23) times (t =3.87,P ＜ 0.05) and (3.49 ± 0.14) times (t =4.36,P ＜ 0.05) those in the normal control skin respectively.In psoriasis vulgaris lesions,the mRNA expression level of miR-203 showed a significantly negative correlation with that of survivin (r =-0.36,P ＜ 0.05) and p63 (r =-0.43,P ＜ 0.05).Conclusion miR-203 and its downstream target genes p63 and survivin may participate in the occurrence of psoriasis vulgaris.

OBJECTIVETo evaluate the technique and the clinical effect of folding roof and rotary pushing in treatment of children with distal radius and ulna fracture of "back to back".

METHODSFrom January 2012 to February 2014,38 children with distal radius and ulna fracture of "back to back" were treated by using the technique of folding roof and rotary pushing to reset and splint fixation including 23 males and 15 females with an average age of 9.5 years old ranging from 6 to 14 years old. Injury time was from 45 min to 3 days (averaged 1.3 days). All cases was unilateral closed fracture without symptoms of nerve injury occurred. The wrist joint anteroposterior and lateral radiographs showed double fracture of radius and ulna, and the broken end of radius was typical "back to back" displacement. The quality of reduction was assessed according to Dienst recommendation on the combination of Aro measurement, and the therapeutic effect was evaluated using standard of Anderson function.

RESULTSAll patients were followed up from 3 to 13 months with an average of 6 months. There were no iatrogenic nerve injury. Thirty cases were treated successfully for the first time, 8 cases were again reset successfully; 28 cases were anatomical reduction, 7 cases were near anatomic reduction, 3 cases were functional reduction. At the second day 7 cases with hand and finger swelling appeared in multiple reset patients. Quality results of reduction were excellent in 33 cases, good in 5 cases. According to the standard of Anderson function evaluation, 35 cases were excellent, 3 cases were good. All fractures were healed with of deformity of wrist.

CONCLUSIONUsing the technique of folding roof and rotary pushing in treatment of children with distal radius and ulna fracture of "back to back" is very successful, the patient's limb function recovered well, the whole operation process is simple.

Adolescent ; Child ; Female ; Fracture Healing ; Humans ; Male ; Radius Fractures ; physiopathology ; surgery ; Ulna Fractures ; physiopathology ; surgery