Theprospectofliverdiseasetreatmentbyhepatocytetransplantationisbroad ,butitis difficulttoapplyitinclinictherapyduetotherestrictionofsourceandproliferationofdonorhepatocyte .The hematopoieticstemcellplasticityoftrans -differentiationtohepatocyteprovidesanewsourceofseedcellsfor hepatocytetransplantation .Inthisreview ,wefocusonadvancesintheseedcellsforhepatocytetransplanta tion .

Objective To investigate the effect of glucose-based peritoneal dialysis fluids and icodextrin-based peritoneal dial-ysis fluids on the expression of TLR2 and TLR4 on huamn peritoneal mesothelial cells .Methods Human peritoneal mesothelial cell line 5 - 10 generations(HMrSV5) was cultured in DMEM /F12 medium supplemented with 10% (v/v) fetal calf serum (FCS) .Cell viability and cell proliferation were assessed using M TT method .The experiment were divided into 5 different groups :group A (control group) ,1 .5% dextrose group ,2 .5% dextrose group ,4 .25% dextrose group and 7 .5% Lcodextrin group .Icodextrin group (aikau dextrin) ,TLR2 and TLR4 expression were detected by Western blot .Results Treatment with different concentrations of glucose-based peritoneal dialysis fluids for 24 h did not affect the expression of TLR2 and TLR4 protein .In addition ,after stimula-tion for 48 h ,1 .5% dextrose ,2 .5% dextrose ,4 .25% dextrose decreased TLR2 expression by (5 .5 ± 2 .8)% ,(31 .4 ± 7 .5)% , (54 .9 ± 1 .9)% respectively ,TLR4 expression by (32 .9 ± 17 .6)% ,(47 .7 ± 13 .5)% ,(66 .4 ± 13 .5)% respectively .Stimulation for 72 h ,decreased TLR2 expression by (29 .4 ± 14 .7)% ,(38 .9 ± 9 .9)% ,(63 .5 ± 16 .5)% respectively ,TLR4 expression by(59 .5 ± 16 .8)% ,(63 .1 ± 9 .5)% ,(79 .2 ± 14 .0)% respectively .There was no significant change in TLR2 and TLR4 protein expression on 7 .5% icodextrin group .Conclusion Glucose-based peritoneal dialysis fluids ,but not icodextrin-based peritoneal dialysis fluids downregulates expression of TLR2 and TLR4 by HM rSV5 .

0.05). Accessory pathway antegrade and retrograde effective refractory period values were shorter in patients with PAF attacks (P

Objective To investigate the effects of different stabilizers, time and temperature before centrifugation on the stability of homocysteine (Hcy) and other related thiols levels involving EDTA-containing whole blood.Methods Blood was drawn from 17 healthy adults and collected into tubes containing EDTA, EDTA plus NaF and EDTA plus 3-deazaadenosine(3DA),then stored on crush ice(0-4 ℃) immediately or at room temperature(25 ℃).Plasma was separated at 0, 3, 6, 24 and 48 hours, respectively.The levels of plasma total Hcy (tHcy), total cysteine (tCys), tatal cysteinylglycine (tCysGly) and tatal glutathione (tGSH) were measured by HPLC.The plasma immediately separated was used as baseline sample. Results In EDTA tubes stored at room temperature, tHcy levels increased by 38.5%, 64.2%, 141.9%, 225.4% for 3, 6, 24, and 48 h, respectively.The levels of tCysGly and tGSH increased by 20.0% and 37.9% within 3 h, however, tCys decreased by 3.5%.The levels of the thiols increase by less than 5% up to 6 h in EDTA tubes stored on crush ice.In EDTA-3DA and EDTA-NaF tubes, no statistical differences were observed in the plasma levels of tHcy, tCys,tCysGly and tGSH compared with their respective baseline values at room temperature for 3 h(EDTA-3DA tubes:F=0.01,0.94,0.09,0.01,all P>0.05;EDTA-NaF tubes:F=0.85,0.04,0.03,0.02,all P>0.05).Conclusions The EDTA-plasma levels of tHcy and other related thiols are time and temperature-dependent. There is a strong need for standardization of blood sample collection and processing in tHcy and other thiols assays. The plasma concentrations of tHcy, tCys, tCysGly and tGSH were stable for 3 h at least in the EDTA-3DA and EDTA-NaF tubes kept at room temperature.

Animals ; Hypothermia ; blood ; Hypoxia ; blood ; Malondialdehyde ; blood ; Myocardial Ischemia ; blood ; Rabbits ; Superoxide Dismutase ; blood

Objective To investigate the changes in concentrations of the homocysteine (Hey) and other aminothiols (ESRD) in plasma of end-stage renal disease (ESRD) patients before and after hemodialysis (HD). Methods 26 chronic renal failure patients treated with hemodialysis plus 54 healthy controls were randomly chosen. The concentrations of plasma total homocysteine (they), total cysteine ( tCys), total cysteinylg]ycine (tCysGly), total glutathione (tGSH) were determined by HPLC-fluorescence detection (FD). The concentrations of serum lipids were detected and several renal function tests were conducted. Results The concentrations of they ( 16. 70 ± 3.51 μmol/L vs 10. 95±3.07 μmol/L, t =3. 625,P <0. 01),tCys(341.87±70.65 μmoL/L vs 249.76 ± 13.18 μ mol/L,t =6.219,P <0.01), tCysGly(41.33 ± 32. 95 μmol/L vs 31.3 ± 11.78 μmol/L, t = 3. 530, P <0.01 ) in pre-hemodialysis plasma were significantly elevated , and tGSH ( 5.91 ± 0. 08 μmol/L vs 9. 33 ± 2. 62 μ mol/L, t =-5.404, P < 0. 01 ) was significantly decreased compared with the control group. The concentrations of tHey and tCys (11.74 ± 3.42 μmol/L and 272. 67 ± 64. 18 μmol/L) in post-hemodialyais plasma were significantly decreased compared with in pre-hemodiaIysis plasma, but they could not be restored to normal levels. However, the concentrations of tCysGly(41.33 ± 32. 95 μmol/L vs 44. 93 ± 13.88 μmol/L,t =-0.758, P>0.05) and tGSH (5.91±0.08 μmol/L vs 5.93±0.38 μmol/L,t = -0.068,P >0.05) in pre-hemodialysis plasma and post-hemodialysis plasma didn't change significantly. There were significant positive correlations between plasma levels of they and tCys(r =0. 458 2 ,P <0. 01 ). There was significant negative correlations between plasma levels of tHcy and tGSH ( r =-0.609 9, P=0.000 9). Nevertheless, tHcy levels were was not correlated with tCysGly levels and other serum lipid parameters. Conclusion There is a high prevalence of metabolic disturbance in Hcy and other related aminothiols in ESRD patients.

ObjeCtive To investigate the value of protein biochip in the diagnosis of Lyme borreliosis. Methods The serum IgM and IgG antibodies against flagellin were detected by flagellin coated-and N-hydroxysuccinimide (NHS) modified-biochips in 82 patients with neuroborreliosis (NB),35 patients with erythema migrans (EM) and 44 normal controls.The results were compared with those from enzyme-linked immunosorbent assays (ELISA) and Western blot.Results The levels of both IgM and IgG antibodies were significantly higher in the NB patients than those in the normal controls (P

BACKGROUND: Until now, the definite source of respiratory rhythm generation and the ontogenic mechanism are still in controversy. Previous our investigating indicated that respiration would stop due to the gentle press on the hypoglossal root under the surface of ventral medulla of rabbit. OBJECTIVE: To observe the influence of mechanical lesion in medial re gion of nucleus retrofacialis on respiratory rhythm of a living rabbit model.DESIGN: Randomized controlled study.SETTING: At the Physiology Teaching Room of Kunming Medical College.MATERIALS: This study was carried out at the Physiology Teaching Room of Kunming Medical College from February 2002 to December 2002. Totally 54 healthy rabbits were randomly selected, amongst which 22 rabbits were submitted to the mechanical damage of the medial region of bilateral nucleus retrofacialis by the dorsal processes, and 18 received the same damage by the ventral process, 14 rabbits used for observing the changes of blood pressure andheart rate due to the mechanical damage.METHODS: The ventral and dorsal medullar of rabbits were exposed and the bilateral vagotomy at the cervical level were cut. Discharge of the phrenic nerve was used as the respiratory index. Stainless pipe of 0. 8 mm or 0.4 mm diameter was used to make mechanical damage at the medial region in order to investigate the changes of respiration. Fourteen rabbits were selected and submitted to the bilateral mechanical damage, the changes of blood pressure and heart rate were observed at post-traumatic 1 -3 minutes.MAIN OUTCOME MEASURES: ① The changes of respiratory rhythm induced by the mechanical damage of the medial region of bilateral nucleus retrofacialis. ② The number of phrenic nerve discharge and respiratory frequency. ③ The changes of blood pressure and heart rate at post-lesion 1-3minutes.RESULTS: Data of 54 rabbits were analyzed. ① Irreversible disappearance of respiratory rhythm was found in 12 out of 18 rabbits (the positive rate was 67% ) due to the mechanical damage by the ventral processes, comparing to 3 / 14 (14%) by the dorsal process. ② Rhythmic discharge of phrenic nerve became scarce and irregular in all rabbits who has irreversible disappearance of respiratory rhythm, the inspiratory and expiratory discharging phase were significantly prolonged, moreover respiratory rhythm would disappear if expiratory phase was extremely extended, respiration stopped at expiratory phase. ③ When the medial region of bilateral nucleus retrofacialis was partially destroyed, the still existed respiration of 27 rabbits was found immediately inhibited, phrenic nerve discharge frequency obviously decreased [ (43.5 ± 6.4)%, P ＜ 0. 001 ], and its discharge number was significantly decreased [ (42.0 ± 3.7 )%, P ＜ 0. 001 ], moreover the inspiratory and expiratory discharging phase were found obviously extended, with expiratory phase was in particular. ④ From the results of histological examination on the above mechanical lesion. Respiration stop or obvious attenuation was found mostly due to the damage at the medial region of nucleus retrofacialis.⑤ The blood pressure and heart rate changed slightly by 5% -7% at post-traumatic 1 -3 minutes, there was not significantly different from the normal value ( P ＞ 0. 05).CONCLUSION: The medial region of nucleus retrofacialis might be the main source of respiratory rhythm generation, and the related neuron within it would be the important component involving in the generation of respiratory rhythm.

There are many subjects related to anesthesiology and the band between anesthesiology and clinical practicevery is close. So students can not be proficient in anesthesiology by traditional teaching methods. The use of three-dimensional case teaching method in anaesthesiology teaching is a good attemptment. three-dimensional case teaching method integrate case method, multimedia technology and clinical case. It can help medical students analyze and solve clinical problems, improvetheir academic performance and enhance their clinical basic skills.

Intrahepatic cholangiocarcinoma (ICC) is the second most common primary liver cancer with a very poor prognosis.In order to guide better clinical management of ICC patients,the American Joint Committee on Cancer (AJCC) cancer staging manual (7th edition) have established a unique TNM staging scheme for separating ICC from hepatocellular carcinoma (HCC) for the first time,and reflected a difference between risk factor of ICC and HCC.This TNM staging system for ICC has been most recently updated by the AJCC cancer staging manual (8th edition),in which T staging has been redefined without gross features,and lymph node metastasis (N1) in N staging has been grouped as stage Ⅲ B,but not stage Ⅳ as required by the 7th edition of AJCC cancer staging manual.In addition,region lymphatic and distant metastases have been clearly redefined by the AJCC cancer staging manual (8th edition) that also requires recovering at least 6 lymph nodes for the N staging scheme.The apparent advantages of the AJCC cancer staging manual (8th edition) for ICC pathologic staging may better stratify the prognosis of ICC patients and provide an improved guidance in clinical practice.