Objective:To study the changes of lymphocytes subpopulation and apoptosis process of lymphocytes in the elderly and to investigate the modulatory effect of BP from Chinese herb on apoptosis.Methods:Lymphocytes phenotype were determinated using indirect immunofluorescence technique.The proliferative responses were measured with MTT method.Apoptosis of lymphocytes was evaluated by flow cytometry and automatic image analysis.Results:The proliferative responses of lymphocytes in the elderly were lower than that of young adults.Decreased CD45RA positive cells and increased CD 45 RO positive cells were found in lymphocytes population of aged people compared to that of young adults. The CD 45 PO positive cells were prone to apoptosis.There is an imhibitory effect of BP on apoptosis of lymphocytes in the elderly.Conclusion:It was implicated that the susceptibility of lymphocyte in the elderly to apoptosis depends on activation,so called activation induced cell death.Present results suggested that apoptosis of lymphocytes of aged people play an important role in the pathogenesis of immunosenescence.The possibility appeared for development of modulatory drugs on apoptosis from Chinese herbs.

Objective To investigate the correlation of human epididymis protein 4(HE4)with proteinuria in patients with type 2 diabetes mellitus(T2DM).Methods A total of 147 T2DM patients from January 2020 to July 2023 in Jiujiang NO.l People's Hospital were enrolled in observation group.According to the severity of proteinuria,observation group was divided into three groups:Normal albuminuria group(101 cases),microalbuminuria group(25 cases),and massive albuminuria group(21 cases).50 healthy examinees with gender and age matching during the same period were selected as control group.HE4 levels and clinical indicators in each group were compared and analyzed.Correlation between HE4 and proteinuria was analyzed by using univariate and multivariate linear regression.Results The correlation network diagram reveals that HE4 functions was a pivotal node linking serum albumin,urinary microalbumin,urinary microalbumin-to-creatinine ratio(UACR),and renal function biomarkers.Compared to control group,HE4 levels significantly elevated in observation group(P＜0.01).Both univariate and multivariate linear regression analysis demonstrate a positive correlation between HE4 and UACR.Logistic regression analysis shew that after adjusting for confounding factors including age,gender,estimated glomerular filtration rate(eGFR),albumin(ALB),blood urea nitrogen(BUN),serum creatinine(SCr),uric acid(UA),lactate dehydrogenase(LDH)etc.elevated HE4 levels was a risk factor for proteinuria(OR=1.110,95％CI:1.005-1.226).Conclusion Elevated HE4 levels in patients with T2DM is positivly correlated with UACR.Increase its level increases the risk of proteinuria in T2DM patients.