Objecticve To study the immunogenicity and protective effecacy of MTB8.4 with signal peptide gene vaccine against TB in mice.Methods C57BL/6N!mice were vaccinated with MTB8.4 with signal peptide(MS) gene vaccine three times at 3 weeks intervals.Four weeks after the final vaccination,three mice were sacrificed to assess cytokine response and CTL induction and the other five mice were challenged intravenously in a lateral tail vein with(1?10~(6)) CFU of virulent M.tuberculosis H37Rv.Spleen and the left lung were harvested from each mouse 4 weeks after(infection) and homogenized in sterile saline.Serial dilutions of organ homogenates were plated on (L-J agar) and incubated(37 ℃) until colonies were visible 4 weeks later. Protective efficacy in each experiment was expressed as(reduced) CFU and was compared with the negative control group.The right lung was obtained from each mouse and(inflated) with and stored in 10% formalin saline immediately.Tissues were embedded in paraffin,sec-tioned(and stained) with hematoxylin and eosin.Results MS gene vaccine induced the secretion of more of Th1 cytokines(IFN-?and IL-2),but not IL-4 and enhanced CTL activity while BCG induced the secretion of both types of cytokines(IFN-?,IL-2 and IL-4).Mice immunized with MS gene vaccine had fewer and smaller tubercles than those immunized with PBS or control plasmid DNA,but had more tubercles than the mice inoculated with BCG.Virable bacterial counts in the lungs and spleens of mice receiving DNA encoding MS were reduced as compared with mice injected with PBS or control plasmid DNA,while increased as compared with mice immunized with BCG.Conclusion MS gene vaccine can induce secretion of Th1 cytokines and the higher protective efficacy against TB in mice.

This paper analyses the existing problems in the clinical study of esophageal cancer at present.The author suggests that more attention should be paid to the clinical research for esophageal cancer and puts forward the feasible countermeasure and advices.

The National Comprehensive Cancer Network(NCCN)is an alliance of 21 world leading cancer centers in the U.S.A,working together to develop treatment guidelines for most cancers.The primary goal of all NCCN initiatives is to improve the quality,effectiveness,and efficiency of oncology practice so that patients can live better.The NCCN guidelines have become the most widely used in oncology practice.These guidelines are updated continually and are based upon evaluation of scientific data.The NCCN Esophageal Cancer Guidelines have no Chinese version at present and were not yet used in our clinical practice.We are in an attempt to interpret the NCCN Esophageal Cancer Guidelines in conjunction with our clinical practice in the management of esophageal cancer.

Objective:To investigate the effects of ?-lipoic acid on cell proliferation and expression of intercellular adhesion molecule1(ICAM-1) induced by high glucose(HG) in rat mesangial cells(MCs).Methods: Rat mesangial cells were co-cultured with normal glucose(5.6 mmol/L,NG group),high glucose(25 mmol/L,HG group),and HG+?-lipoic acid(50,100,200,300 ?mol/L)for 12,24 and 48 h,respectively.Cell proliferation was assessed by MTT;the levels of ICAM-1 in the supernatants were determined by enzyme-linked immunosorbent assay(ELISA);and ICAM-1 mRNA expression was measured by semi-quantitative RT-PCR.Results: ?-lipoic acid at 50-300 ?mol/L inhibited the proliferation of MCs.Semi-quantitative RT-PCR showed that ?-lipoic acid(100 and 200 ?mol/L)significantly inhibited the high glucose-induced increase of ICAM-1 mRNA((P

Objective:To discuss the influence of organic selenium on the immune effect of Bacille Calmette-Guerin(BCG). Methods:C57BL6/J mice were randomized into 4 groups:"BCG+Se"mice group were intracutaneously inoculated with BCG and orally fed with yeast-based selenium(Se);BCG mice group were immunized with BCG intracutaneously;Se mice group were im- munized with normal sodium and fed orally with Se;control mice group were immunized with normal sodium and fed orally water without Se.The mice were sacrificed after 4weeks or 8weeks to isolate the spleen mononuclear cells.T lympholeukocyte proliferation testing(stimulation index,SI),cytotoxic T lympholeukocyte(CTL)function testing as well as levels of IL-2 and IFN-?and mRNA levels of granzyme B and perforin were employed to assess the effect of vaccine for Mycobacterium tuber- culosis.They were determined by MTT assay,ELISA assay and RT-PCR,respectively.Results:The levels of 6 detected items in"BCG+Se"group and BCG group were significantly different from those in the control group(P

Objective:To construct and identify the chimeric mtb8.4/hIL12 eukaryotic expression plasmid.Methods:Firstly mtb8.4-linker was amplified by PCR and cloned into the single Nhe Ⅰ and Mlu Ⅰ cloning sites of pCI-neo, so pCI-neo-mtb8.4-linker(pML) plasmid was constructed.Secondly hIL-12 was amplified by PCR and cloned into the single Mlu Ⅰ and Sal Ⅰ cloning sites of pML.Finally correct pCI-neo-mtb8.4/hIL12 (pMI) plasmid was identified by PCR,RE digestion and DNA seguencing.Results:The accuracy of pMI plasmid construction was confirmed by a number of molecular biological techniques.Conclusion:The construction of mtb8.4/hIL12 chimera by linkage of M.tuberculosis mtb8.4 gene to human IL12 gene provides the possibility for investigating a new tuberculosis vaccine.

Kidney disease is very general in clinic, most of it has complex mechanism and is refractory, often with demonstrations of edema, proteinuria and blood urine, and it often recurs and develops over insufficiency and pathogeny. Analyzing the clinical demonstrations and treatment of kidney disease with“lung viscera state”in“Internal Classics”, we can find the theories have guide meaning on treating and preventing the recurrence and development of kidney diseases, such as “upper energizer developing and distributing flavors of five cereals”on treating proteinuria, “lung stretching water channels and down-flowing bladder”on treating edema,“Shaoyin belonging to kidney which connects with lung”on treating blood urine.

Objective To investigate the application value of the plasma homocysteine (Hcy) ,folic acid (FA) and vitamin B12 (VB12 ) levels in the patients with coronary heart disease (CHD) and CHD complicating impaired glucose tolerance (IGT) .Methods 80 triers screened by the inclusion criteria were divided into the simple CHD group (36 cases) and the CHD complicating IGT group(44 cases);70 healthy cases were taken as the controls .Hcy ,FA and VB12 levels were measured and the detection results were performed the statistical analysis .Results The Hcy level in both experimental groups were higher than that in the control group , the difference was statistically significant (P<0 .05) ,the positive rates were 94 .4% in the simple CHD group and 88 .6% in the CHD complicating IGT group respectively ;The plasma FA level in both experimental groups were lower than that in the control group ,meanwhile ,plasma Hcy level and FA level showed a negative correlation (P<0 .05);The VB12 level had no statistical differ-ence among 3 groups (P>0 .05) ,and the correlation analysis between the Hcy level in the two experimental groups with VB 12 had no statistical significance (P>0 .05) .Conclusion Plasma Hcy level in CHD and CHD complicating IGT is very high and negatively correlated with the FA level ,dynamically detecting the Hcy level has an important significance for early warning and treatment of CHD and CHD complicating IGT .

Objective To explore the effectiveness of comfort nursing on the parents of children with laryngopharyngeal surgery.Methods Forty-seven parents were admitted for the study,they were divided into the control group(23 cases) and the experimental group(24 cases).The control group accepted routine nursing,while the experimental group accepted comfort nursing based upon routine nursing.The SAS,SDS scores and satisfaction degree were compared between the two groups.Results After the treatment,the SAS and SDS scores of all the parents got better compared with those before treatment.The differences were obvious.While the experimental group had a better improvement than the control group.Also the satisfaction degree of the experimental group was better than that of the control group.Conclusions Comfort nursing can relieve the discomfort and anxiety of the children patients and their parents,improve the adverse emotional state of them,promote recovery of children and improve the nursing quality.

ObjectiveTo study the characteristics of gastric cancer under gastroscopy.Methods From Jan.2005 to Dec.2010,160 patients were diagnosed of gastric cancer by endoscopic biopsy.Clinical data of these patients were retrospectively summarized and analyzed.ResultsThere is a high rate of HP infection [71.25％ (114/160)]in the 160 cases with gastric cancer,especially in males,and the infection rate increased with age( Z =2.303,P =0.021 ).For the general morphology of gastric cancer,it was mainly Borrmann Ⅲ & Ⅳ-types for those below or equals to 35 years old(9 cases).The rate of Borrmann Ⅲ & Ⅳ types reduced and that of BorrmannⅠ& Ⅱ types increased with age.The ratio of male to female with gastric cancer was 2.26:1.However,the incidence of gastric cancer was higher in young female compared with young males.With the increase of age,the rate of prevalence of gastric cancer grew higher in males than in females ( Z =3.599,P ＜0.001 ).Incidence of gastric fundus-cardia and corpus cancer increased with age.Most patients had low-differentiation adenocarcinoma despite the specific sites of gastric cancer.However,the incidence of low-differentiation adenocarcinoma decreased with age(x2 =9.831,P=0.042).ConclusionThe development of gastric cancer is closely associated with HP infection.For the general morphology of gastric cancer,Borrmann Ⅲ & Ⅳ types decrease and Borrmann Ⅰ & Ⅱ types increase with age.The incidence of gastric cancer in male and that located at proximal stomach are increased with age.Moreover,the incidence of high-grade malignant gastric cancer is increased with age.