Objective To investigate the changes of urinary β2-microglobulin (β2-MG) , retinol conjugated protein (RBP), N-acetyl-beta-D nucleosidase amino acids (NAG) and serum cystatin C (Cys C) in patients with primary nephrotic syndrome (PNS), and explore the application value of those indexes in PNS diagnosis. Methods Fifty-three patients with PNS from Sep. 2009 to Sep. 2015 were enrolled in this study, and 40 healthy people were selected as the control group. The levels ofβ2-MG, RBP, NAG in urinary and Cys C in serum were measured in two groups, and the receiver operator characteristic curves (ROC) were drawn out for investigating the diagnostic value of four indexes to PNS. Results The levels ofβ2-MG, RBP, NAG in urinary and Cys C in serum of patients with PNS were significantly higher than control group (P<0.01) . The RBP, NAG and Cys C had the higher efficiency in diagnosis PNS than β2-MG, the differences were statistically significant (P<0.05) . There were no significant differences in diagnosis PNS between RBP, NAG and Cys C (P>0.05) . The area of RBP under the ROC curve was 0.897 (95%CI was 0.807-0.987) bigger than NAG, Cys C andβ2-MG. Conclusionβ2-MG, RBP, NAG in urinary and Cys C in serum have high sensitivity and specificity in diagnosis PNS, monitoring the levels ofβ2-MG, RBP, NAG in urinary and Cys C in serum may be helpful for diagnosis and clinical therapy of PNS.

Aim To investigate the effects of progesterone on morphine rewarding effect and levels of ?-receptor in hippocampus and striatum.Methods 32 male SD rats were designated to 4 groups randomly with 8 in each,including blank control group,morphine group,progesterone group and progesterone plus morphine group.Conditioned place preference(CPP) test was used to investigate the morphine rewarding effect,and immunohistochemistry was established to determine the levels of ?-receptor in hippocampus and striatum.Results Compared with those of blank control group,5 mg?kg-1 morphine successfully induced the formation of CPP(P

AIM: To evaluate colon-oriented delivery characteristics of berberine hydrochloricde(BH) containing carboxymethyl konjac glucomannan(CMKGM) pellets. METHODS: BH-containing CMKGM pellets(pellets group) and BH-containing carboxymethyl cellulose suspension(control group) were intragastric administrated to rats at the dose of 50 mg/kg,respectively.Blood samples were obtained from the rat femoral artery,the gastric、entric、cecal、colonic tissues and their contents sampled at a given interval to measure the concentration of BH by HPLC.The bar charts of relative content of BH in different parts of the gastrointestinal tract and theirs contents were drawn.Drug delivery index(DDI) was calculated. RESULTS: Compared with the control group,the concentration and distribution of BH in gastric、enteric tissue and their contents decreased significantly,but in cecal、colonic tissue and their contents less at first,and more than the control group after 2～6 h.The DDI values of the pellets to gastric,enteric,cecal,colonic tissue and their contents were 0.392 4,0.478 6,3.916,4.193,(0.162 8,)0.619 4,3.843,4.087 against the control group,respectively. CONCLUSION: CMKGM pellets may be a useful colon-specific drug delivery system for BH.

AIM:To study the effects of pH and ionic strength of release media on in vitro berberine hydrochloride(BH)released from carboxymethyl konjac glucomannan(CMKGM)pellets and to evaluate its characteristics.METHODS:The CMKGM pellets were prepared by ionotropic gelation with BH as the model drug.In vitro drug release,dynamic swelling and erosion percent of the pellets were studied respectively in release media with different pH(pH 1.0、pH 5.0、pH 6.8、 pH 7.4)or different ionic strength(pH 6.8 PBS with 2、4、6、8 g/L NaCl).The amount of BH released were confirmed in different equation to evaluate BH release mechanism of the pellets.RESULTS:With the increased of pH value or the decreased of ionic strength of the release media,the swelling ratio and erosion percent of the pellets increased,the BH release rate increased.The release of BH in HCl solution was film-controlled and exhibited zero order kinetic equation;the release of BH in PBS was non-Fickian release that coupled diffusion and erosion of the pellets matrix,exhibited Peppas equation.CONCLUSION:The swelling ratio and erosion percent of CMKGM pellets is related to pH and ionic strength of the release media,which influence BH released and release mechanism of the pellets.

The fracture dislocation of axis is a common kind of severe trauma.Because of particular anatomic characteristics of axis, the operation is difficult and highly risky. However, with introduction of new instrumentation and improvement of surgical techniques, innovative methods have been developed in recent years, including posterior C1-2 fusion and internal fixation, decompression by the dissection of C1 posterior arch, occipitocervical fusion and internal fixation, anterior internal fixation for dens fracture dislocation, anterior decompression and internal fixation for vertebral arch fracture dislocation. The available instruments include interlaminar clamp, rod or plate, screw, etc. All these methods and instruments have their respective advantages and disadvantages and indications. In this paper, The indications, effects, and potential complications of them are discussed.

The biological effects of Songzike acidic polysaccharide (ST90) were studied in vivo and vitro. It was found that ST90 had distinct antineoplastic, antibacterial and antiviral effects.I markedly inhibits proliferation of S180 solid tumor in mice and reduces the mortality of mice infected by Salmonella typhimurium, and shows a protective effect on FL cells infected with adva、adv7, vsv and CB4.

Hepatitis B ; pathology ; therapy ; Hepatitis B Surface Antigens ; Hepatitis B virus ; Humans

Antineoplastic Agents ; administration & dosage ; therapeutic use ; Hematologic Neoplasms ; drug therapy ; Humans

Cofactor engineering, a vital part of metabolism engineering, changes the redox cofactor regeneration approach. Its main goal is to rebuild the components of metabolic products. The bioconversion of xylose for the production of ethanol is being studied intensively because ethanol is an alternative energy source and a potential liquid fuel. Saccharomyces cerevisiae has been traditionally used in producing ethanol from fermentable sugars but it cannot utilize xylose, only its isomer xylulose. Introduction of the xylose fermentation pathway from Pichia stipitis into S. cerevisiae enables xylose utilization in recombinant S. cerevisiae, but the ethanol yields of xylose fermentation with recombinant S. cerevisiae has been low and large amounts of the byproduct xylitol are produced. The major reason is that the catabolism of xylose with the fungal pathway leads an imbalance of redox cofactor. The process of the catabolism of xylose requires NADPH and NAD~+, both of which have to be regenerated in separated processes. More and more attention has therefore focused on the redox cofactor balance in S. cerevisia. The research progress of cofactor engineering to solve the imbalance of redox cofactor in xylose metabolism recombinant S. cerevisiae was introduced. This included expression of transhydrogenase, increasing the utilization of NADPH, and achieving the anaerobic reoxidation of NADH. Reversing the cofactor specificity of enzymes is another effective way.

Objective To analyze the appropriate time selection of pregnancy and delivery in women with systemic lupus erythematosus (SLE ). Methods Twenty-nine pregnancies in women with SLE in our hospital from 1998 to 2003 were retrospectively analyzed regarding the selection of appropriate time of pregnancy and delivery. Results All patients did not take any cytotoxic medicine for at least 6 months before pregnancy. Twenty-three conceptions occurred when SLE was inactive for at least 1 year. Two conceptions occurred when SLE was active without doctors' agreement SLE was diagnosed during pregnancy in the remaining 4 cases. The condition of all patients fluctuated and the gestational time at delivery ranged from 30 to 38 weeks after we modified the doses of glucocorticoid (prednisone). Among totally 29 living neonates, eight were premature neonates, three were FGR and one had serious congenital heart disease. Two neonates died of complications in early stage of neonatal period. None of the 29 neonates from all patients had neonatal lupus. Conclusion Pregnancy safety will be improved obviously if the condition of SLE is controlled and the patients are given reasonable doses of glucocorticoid and intensive monitoring. If pharmacotherapy does not work well and the condition threatens the safety of mother and fetus, or the fetus has matured, termination of pregnancy should be done on time, which reduces maternal complications and improves the perinatal mortality rate. The gestational time should be 34 to 38 weeks.