The renomedullary interstitial cells (RMIC) of rat were investigated using the method of HCl-Tween removing extracellular material and scanning electron microscope. According to the shape and distribution, the RMIC may be divided into 3 groups. However, most of RMIC belong to the first group.The cell of the first group is fibroblast-like, which has an irregular cylindrical body (about 2-6 ?m in short diameter and 5-12 ?m in long diameter) and several processes from both ends of the body. The processes from one end are distributed on the wall of the renal tubule (Henle's loop or collecting tubule); and those from the other end on the blood vessel, sometimes, with the vascular pedicles formed by the expanding of the process end. The long axis of the cells of the first group is perpendicular to the tubules and blood vessels, so the cells are bridged between them.The second group cell has a round body without process and is located at the body of the first group cell.The third group cell is star-like, which has a large body (about 5-8 ?m in diameter) and a few small processes. They are randomly distributed, and sometimes, arranged as a line along the blood vessel.

By using replica cast SEM method, the vascular architecture of the dental pulp of rat incisors was studied. The characteristics of the vascular architecture are as follows:1. The axis of the dental pulp is occupied by the central vascular bundle, which consists of 10 to 20 arterioles and 8 to 12 venules.2. The arterioles (30-50?m in diameter) and the venules (50-80?m in diameter) located in the central bundles are arranged parallely in a relatively long distance as a countercurrent system. The longest distance is about 12 mm.3. Each arteriole of the central vascular bundle supplies an independent area of the dentin of the tooth. The territory of an arteriole is about 700 to 1400 ?m in length.4. The arteriole of the central bundle breaks up into capillaries (4～6?m in diameter) which are mainly distributed over the odontblast area and form a complex 3-dimensional plexus.

The microvascutature of the adrenal medulla in the rats and mice were studied by scanning electron microscopy of vascular replicas.There are portal venules between the adrenal cortex and medulla,which are the side branches of the collecting venules of the adrenal cortex and break into capillaries at the adrenal medulla.The adrenal medulla in mice is mainly supplied by these portal venules,and in a rat adrenal medulla,there are also 5—8 medullar arterioles besides the portal venules.Ring-like constrictions appear to be the characters of sphincter at the ending parts of the portal venules,the branches of the medullar arterioles,the collecting venules,and the medullar venules which drain the medullar capillaries as well.The authors believe that the adrenal cortex controls the medulla by the way of the portal venules.

AIM:To analyze the cause of hip prosthesis dislocation,so as to prevent the dislocation following total hip arthroplasty(THA).METHODS:Between January 2002 and June 2007,a total of 348 cases(406 hips) received THA in the Department of Orthopaedics,the Second Affiliated Hospital of Fujian Medical University,and 15 patients(15 hips) occurred dislocation(3.7%),including 6 males and 9 females.Their age ranged 35-76 years,with a mean of 58 years.Primary affections consisted of femoral neck fracture in 3 cases(one with dislocation rebuilding after THA),femoral necrosis in 5 cases,hip arthodysplasia in 5 cases,and osteoarthritis in 2 cases.THA was carried out through lateral approach in 8 patients,and posterior lateral approach in 7 patients.The first dislocation occurred in 2 patients within 2 weeks,3 patients during 2-4 weeks,6 patients during 4-6 weeks,3 patients during 6-12 weeks,and 1 patient 12 weeks later.The movement of dislocation occurrence includes moving the patients in 2,turning over in 2,turning around in 4,trying to stand from sitting in 3,sock wearing in 3,and picking up in 2.It was revealed in the clinical analysis and operational incision that anterior dislocation was found in 6 cases,while posterior dislocation in 9 cases;proper placement of prosthesis in 5 cases,while incorrect placement in 10 cases.Close reduction was conducted in short time after dislocation,achieving success in 11 cases.There were 4 cases treated with open reduction after failure of close reduction,and hip joints were restricted.Seven patients were found dislocation again.And four patients prolonged external fixation and 3 patients were performed revision.RESULTS:The follow-up period ranged from 10 to 60 months.Eight cases succeeded the first reduction,with good joint stability and without relapse.Redislocation occurred in 4 cases,and was cured by prolonging fixation.No cases following revision were found dislocation.The average score was(85?5) according to Harris scoring system.There was no biocompatibility between the materials and the host.CONCLUSION:We should emphasize prevention of dislocation in the early THA and enough fixation time after reduction.

Objective To explore the relationship of the changes of memory behavior and the of changes of the parameter of synapse structure in the brain cortex and hippocampus of chronic cerebral hypoperfusion rats Methods Chronic cerebral hypoperfusion rat model was established by ligating bilateral common carotid arteries of the old rats (over 12 months) The rats were divided into 3 groups, normal, 2 months ischemia, and 4 months ischemia groups The memory behavior changes were observed with a computerized shuttle training case The ultrastucture of synapse were observed with electron microscopy for the number density, length of activity cord, area of synapses disk, surface density of the synapse, and the results were analyzed with stereology and image analyses The relationship between the behavior and the ultrastructure were studied Results Active avoidance response (AAR) and passive avoidance response (PAR) were decreased in the 2 months ischemia group and the 4 months ischemia group The number density (Nv) of the synapses in the brain cortex and hippocampus were reduced in the 2 months ischemia group and the 4 months ischemia group The length of activity cord (L), the area of synapses disk (S), the area density (Sv) in the hippocampus decreased in the 2 and 4 months ischemia group, and those in the brain cortex did not change in the 2 groups Conclusion The decrease of the number density (Nv) and the length of activity cord (L) of synapses in the chronic cerebral hypoperfusion is related to the memory behavior changes

Objective To investigate the possible protective effect of adenoviral vector expressing interleukin-1β (IL-1β) small hairpin RNA (shRNA) on spinal cord injury (SCI) and its mechanism in rats.Methods Forty-eight adult male Sprague-Dawley rats were randomly assigned to 4 groups including the Sham, the Vehicle,the Ad-GFP and the Ad-shIL-1β groups.SCI was induced by epidural compression.Motor function of hind limbs was evaluated by Basso-Beattie-Bresnahan (BBB) score, the expressions of green fluorescence in injured spinal cord tissue were observed by fluorescence microscope.Enzyme-linked immunosorbent assay (ELISA) and immunofluorescence were also performed.Results The expressions of green fluorescence in injured spinal cord tissue were observed in the Ad-GFP and Ad-shIL-1β groups one day after SCI.Significant functional improvement was observed in the Ad-shIL-1β group (8.17 ± 1.17, 10.17 ± 0.98 and 11.33 ± 0.82, respectively) compared to the Vehicle (4.00 ± 0.89, 5.67 ± 1.03 and 6.17 ± 1.17, respectively) and Ad-GFP (3.83 ± 0.98, 5.33 ± 1.21 and 5.67 ± 1.03, respectively) groups at 7, 14 and 21 days after SCI (P ＜ 0.05).Rats in the Ad-shIL-1β group had less neuronal loss 21 days after SCI.In addition, IL-1β downregulation significantly decreased IL-1β, tumor necrosis factor-or (TNF-α) and IL-6 levels (138.83 ± 7.96,143.38 ± 10.20 and 120.43 ± 9.79 in Ad-shIL-1β group;169.33 ± 11.45, 172.33 ± 8.26 and 163.00 ± 9.57 in Vehicle group;172.83 ± 10.85,167.48 ± 8.19 and 159.48 ± 10.98 in Ad-GFP group, respectively) one day after SCI (P ＜ 0.05).Conclusion This study demonstrated that the IL-1β downregulation may have potential therapeutic benefits for improving the outcomes after SCI.

A scaffold fabricated with lysine/nerve growth factor (NGF)/poly (lactic acid coglycolic acid) copolymer (PLGA) and acellular pigskin was evaluated in vitro as a potential artificial nerve scaffold. Properties of the scaffold such as microstructure, mechanical property, degradation behavior in PBS and water, Schwann cell adhesion property, and release of NGF were investigated. Results showed PLGA had permeated into the porous structure of acellular pigskin; its breaking strength was 8.308 MPa, breaking extensibility was 38.98%, elastic modulus was 97.27 MPa. The porosities of the scaffold ranged from 68.3% to 81.2% with densities from 0.62 g/cm3 to 0.68 g/cm3. At 4 weeks of degradation in vitro, maximum mass loss ratio was 43.3%. The release of NGF could still be detected on the 30th day, and its accumulative release rate was 38%. Lysine added into the scaffold neutralized the acidoid preventing degradation of PLGA to maintain a solution pH value. Schwann cells had grown across the scaffold after co-cultivation for 15 days. These in vitro properties of the pigskin based composite might indicate its potentiality to be an artificial nerve scaffold.
Acellular Dermis ; Animals ; Biocompatible Materials ; Guided Tissue Regeneration ; Lactic Acid ; pharmacology ; Lysine ; pharmacology ; Nerve Growth Factors ; chemistry ; pharmacology ; Nerve Regeneration ; Polyglycolic Acid ; pharmacology ; Swine ; Tissue Engineering ; Tissue Scaffolds

ObjectiveTo investigate the imaging features and pathogenesis of lethal iatrogenic hemobilia （LIH） and the value of transarterial intervention in the treatment of LIH. MethodsA total of 269 patients with upper gastrointestinal bleeding who were admitted to The First Affiliated Hospital of Nanjing Medical University from August 2009 to July 2023 were enrolled， among whom 24 had a confirmed diagnosis of LIH and received treatment， and a retrospective analysis was performed for the clinical data of these 24 patients， including the iatrogenic causes， angiographic findings， and arterial interventions of LIH. Among the 24 patients， 23 received transarterial embolization （TAE） with gelatin sponge particles and coils， and 1 received a covered stent for isolation. The main criteria for assessing treatment outcome included the technical success rate of surgery， procedure-related complications， and long-term clinical follow-up. ResultsAmong the 24 patients with LIH， 12 had LIH caused by interventional procedures， and 12 had LIH caused by hepatobiliary and pancreatic surgery. The main clinical manifestations included a significant reduction in blood pressure or a persistent reduction in hemoglobin in 13 patients and upper gastrointestinal bleeding in 18 patients. Among the 24 patients， 2 developed symptoms during surgery， 4 developed symptoms within 24 hours， and 18 developed symptoms after 24 hours. Angiography showed a positive bleeding rate of 100% （24/24）， and imaging findings included pseudoaneurysms in 15 patients， hepatic artery truncation in 3 patients， extravasation of contrast medium in 5 patients， and hepatic arteriobiliary fistula in 3 patients. Among the 24 patients， 23 received TAE and 1 received stent implantation. Successful hemostasis was achieved for 23 patients， with a technical success rate of 95.8% （23/24）. Four patients developed hepatic necrosis and abscess after TAE， and there was no rebleeding or recurrence after hemostatic treatment. ConclusionVarious iatrogenic injuries may result in LIH with diverse clinical and imaging findings， and integrated diagnostic imaging combined with transarterial intervention is the best effective life-saving measure for LIH.