Objective: To investigate the effect of tumor necrosis factor-α converting enzyme (TACE) on mucous hypersecretion in inlf ammatory airway. Methods: Mucous hypersecretion model of human lung adenocarcinoma cells A549 was induced by human neutrophil elastase (HNE), and TNF-α converting enzyme inhibitor-1 (TAPI-1), an inhibitor of TACE, was chosen for the inference study. The expression of MUC5AC and TACE was examined. hT e cells were divided into 5 groups: a negative control group, HNE1 (15 nmol/L) group, HNE2 (25 nmol/L) group, HNE3 (50 nmol/L) group and TAPI-1 group. RT-PCR was used to examine MUC5AC and TACE mRNA expression. The protein expression of TACE and MUC5AC was examined by Western blot and ELISA, respectively. Results: HNE induced the TACE and MUC5AC mRNA and protein expression in a dose-dependent manner. Compared with the control group, the increases were all signiifcantly increased in the three dosages of HNE group (P<0.01). The HNE-induced TACE and MUC5AC mRNA and protein expression were dramatically attenuated in the presence of TAPI-1, an inhibitor of TACE (P<0.01). Conclusion: TACE participated cell signalling pathway of airway mucous hypersecretion, and could down regulation the level of inlfammation airway mucous hypersecretion.

Objective To study the influence of theaflavin on the expressions of TLR4 and release of TNF-αand IL-6 in primari-ly cultured rat airway epithelial cells .Methods Lipopolysacchride(LPS) was adopted to establish the in vitro inflammatory injury model of rat airway epithelial cell ,the TNF-αand IL-6 secreted by the airway epithelial cells and the TLR4 protein level in the air-way epithelial cells were detected with ELISA and the expressions of TLR4 mRNA was detected with RT-PCR .Results LPS sig-nificantly induced the airway epithelial cells to secrete TNF-αand IL-6 ,and enhanced the TLR4 mRNA and TLR4 protein expres-sion(P<0 .01) .Theaflavin could inhibit LPS induced TNF-αand IL-6 secretion and TLR4 gene expression(P<0 .05) ,which was related with the theaflavin concentration (P<0 .05) .Conclusion In rat airway epithelial cell culture ,the anti-inflammatory effect of theaflavin may be decrease the release of inflammatory cytokines via inhibiting TLR 4 gene expression and LPS/TLR4 signal trans-duction pathway .

OBJECTIVE: To determine the relation between serum myostatin with body mass index (BMI) and PaO₂/PaCO₂ in men with chronic obstructive pulmonary disease (COPD). METHODS: A cohort of outpatients with stable COPD was evaluated. We evaluated the myostatin, PaO₂/PaCO₂ and BMI, and the patients were stratified by BMI. The plasma level of myostatin and PaO₂/PaCO₂ was measured by high sensitivity ELISA or blood gas analysis. RESULTS: PaCO₂ and myostatin increased significantly compared with those in the control group (P<0.05), but PaO₂ decreased significantly. There was positive correlation between myostatin and PaCO₂ (P<0.05), and negative correlation between myostatin and BMI/FEV1/pred value/PaO₂ (P<0.05). CONCLUSION Patients with higher myostatin levels had a lower BMI, lower PaO₂ and higher PaCO₂, with poor pathogenetic condition and prognosis. Myostatin may be a potential treatment target in patients with chronic obstructive pulmonary disease.
Blood Gas Analysis ; Body Mass Index ; Humans ; Male ; Monitoring, Physiologic ; Myostatin ; blood ; Prognosis ; Pulmonary Disease, Chronic Obstructive ; blood

Objective To compare the application effects of percutaneous tracheotomy and the traditional tracheotomy for patients in ICU. Methods From February 2015 to June 2016,56 patients in ICU of the First Hospital of Ninghai County were selected in the research and randomly divided into two groups according to the digital table, with 28 cases in each group. The traditional group received traditional tracheotomy. The percutaneous group received the percutaneous tracheotomy. The surgical blood loss,operative time,incision length,scar area,incision healing time, mechanical ventilation time,survival rate and incision infection,subcutaneous emphysema,trachea collapse and other complications were compared between the two groups. Results The operative blood loss,operative time,incision length,scar area,incision healing time,mechanical ventilation time in percutaneous group were (3. 14 ± 0. 15) mL, (10. 02 ± 3. 53)min,(1. 52 ± 1. 52)cm,(1. 18 ± 0. 12)cm2 ,(3. 53 ± 0. 44)d,(5. 73 ± 1. 13)d,respectively,which in the control group were (7. 24 ± 1. 91)mL,(30. 98 ± 11. 72)min,(5. 26 ± 5. 26)cm,(5. 72 ± 1. 95)cm2 ,(7. 46 ± 1. 25)d,(5. 67 ± 1. 82) d,respectively,the blood loss,operative time,incision length,operation scar area,incision healing time between the two groups had statistically significant differences (t = 8. 635,8. 052,8. 155,8. 742,9. 251, all P < 0. 05). The survival rate of the two groups was 100. 0％ . The incidence rate of incision infection,subcutaneous emphysema,trachea collapse in the percutaneous group was 17. 86％ ,which was significantly lower than 64. 29％ in the traditional group,the difference was statistically significant(χ2 = 15. 014,P < 0. 05). Conclusion Percutaneous tracheotomy and the traditional tracheotomy have certain effect for patients in ICU,compared with traditional tracheotomy, percutaneous tracheotomy has less blood loss, less operation time, can reduce the complications, and can replace traditional tracheotomy for rescue and treatment for ICU patients.