1.Clinical Study on Large Dose Intravenous Immunoglobulin in Decreasing Incidence of Asthma Following Bronchiolitis
Journal of Applied Clinical Pediatrics 2006;0(18):-
Objective To study the efficiency of large dose intravenous immunoglobulin(IVIG) in decreasing incidence of asthma following bronchiolitis.Methods One hundred and sixty-eight children with bronchiolitis were chosen to use different treatment plans,81 children receiving large dose of IVIG[ 0.4 g/(kg?d)] daily,on the basis of routine treatment for 5 days,while other 87 children were reserved as control group receiving routine treatment only,which were followed up 5 to 10 years.Results After following up 5 to 10 years,only 17 cases in 81 patients with bronchiolitis receiving large dose IVIG developed into asthma.However,46 cases in control group developed into asthma.The incidence of asthma was 20.99% and(52.87%) in two groups,respectively,showing significant(differe-)nce between them(P
2.Analysis of Correlation Factors between Bronchiolitis and Bronchial Asthma by Long Time Follow-up of 280 Children with Bronchiolitis
Journal of Applied Clinical Pediatrics 2006;0(21):-
Objective To observe the incidence of bronchial asthma thereafter by 3 to 10 years′ follow-up of 280 children with bronchio-litis and analyze the correlation factors affecting the development of asthma.Methods Two hundred and eighty children with bronchitis were chosen and treated from Jan.1995 to Dec.2002,220 males,and 60 females.The review research and clinical revisits were carried out to investigate and analyze the subjects in terms of whether receiving large dose of intravenous injection immunoglobulin(IVIG) treatment or not,whether getting vaccinated with bacille calmette guerin(BCG)as planed or not,whether having asthma family history and the allergic physique or not,the way of feeding,and so on.Results The rate of asthma was 29.29%(82/280),and the incidence of asthma was significantly lower in children with administering the large dose of IVIG,vaccinating BCG vaccine as planed,having no allergic physique,having no asthma family history or breast feeding than those without administering the large dose of IVIG,vaccinating BCG vaccine as planed,brest feeding,with allergic physique,asthma family history(Pa
3.Critical Role of Toll-Like Receptors in Regulation of Immune Response
Journal of Applied Clinical Pediatrics 2006;0(21):-
Toll-like receptors are an important pattern recognition receptors that recognize specific components of microbes and certain host molecules.Through initiated cell signaling pathway,they can induce immunocyte.Their activation triggers the innate immune response,and is crucial to the successful induction of Th1/Th2-phenotyped adaptive immunity.This review will give a brief overview of our current knowledge of TLRs as key components in immune responses and their regulation in respiratory tract diseases such as asthma.
4.Clinical study of flow-mediated dilatation of brachial artery in elder patients with isolated systolic hypertension combined with hyperlipidemia
li, WANG ; tian, GAO ; hai-ya, WANG
Journal of Shanghai Jiaotong University(Medical Science) 2006;0(05):-
Objective To investigate the relationship between flow-mediated dilatation of the brachial artery(FMD) and cardiovascular risk factors as well as target organ damage in elder patients with isolated systolic hypertension(ISH).Methods Ninety patients with ISH were divided into two groups: ISH group(n=51) and ISH with hyperlipidemia group(n=39).Color Doppler ultrasound for FMD was performed on all the patients,and carotid artery ultrasound and cardiac ultrasound were also conducted. Results Patiens with hyperlipidemia had lower FMD than those of ISH group(P=0.021).It was revealed by univariate analysis that FMD was negatively related to systolic blood pressure,carotid intima-media thickness and total cholesterol(P
5.Screening of receptor that interacted with outer membrane protein 25 during macrophage infection by Brucella abortus
Ya LI ; Yuanzhi WANG ; Chuangfu CHEN
Chinese Journal of Endemiology 2014;33(6):596-600
Objective Receptor was screened to find out the interaction between outer membrane protein 25 of Brucella(OMP25) and Brucella infected macrophages.Methods Recombinant OMP25 protein was expressed and purified.The 7 peptide was screened out with OMP25 protein by phage display technology.OMP25-7 peptide interactions were further confirmed by enzyme linked immunosorbent assay(ELISA) after candidate peptides were predicted with bioinformatics software.Four potential 7 peptides were synthetized.Their functions were estimated after Brucella abortus 2308 infected murine macrophages RAW264.7.Results Forty-two cyclic 7 peptides were screened out based on purified OMP25 by the M13 Phage Library Kit.Four peptides,named as ST-7,MT-7,TF-7 and SN-7,were confirmed with ELISA.Colony forming unit(CFU) result demonstrated ST-7,MT-7,TF-7 and SN-7 showed some function for inhibition of intracellular parasite.ST-7 inhibition ratio was 14.4%-51.8% for Brucella abortus 2308; MT-7 inhibition ratio was 49.6%-69.5% for Brucella abortus 2308; TF-7 inhibition ratio was 43.2%-74.4% for Brucella abortus 2308; SN-7 inhibition ratio was 57.5%-82.2% for 2308.ELISA result showed,that compared to control group,tumor necrosis factor α(TNF-α)increased no statistical significance in each time point of ST-7,MT-7 experiment groups (all P > 0.05).There was no statistical significance in 8 h ago of TF-7,SN-7 experiment groups (all P > 0.05),but there was statistical significance in 12,24 h (all P < 0.05).Conclusions We have obtained four effective OMP25 receptors through phage display technology; TF-7 and SN-7 have inhibited Brucella abortus 2308 invasion and intracellular survival in murine macrophage cells,while ST-7 and MT-7 have only prevented the invasion against Brucella abortus 2308.
6.Association of lymphotoxin-? polymorphisms with myocardial infarction: a Meta-analysis
Ya LI ; Lunan WANG ; Yong HE
Journal of Third Military Medical University 2003;0(20):-
0.05). Conclusion The present data suggest that both GG252 and AA804 genotypes of the LTA gene are not the risk factors of MI. Further evaluations in adequately powered large studies are needed to confirm these findings.
7.Effect of ?-amyloid protein on the fluidity of mitochondrial membrane in hippocampus of aging rats induced by D-galactose
Ya LI ; Jianjun WANG ; Qishen CHEN
Chinese Journal of Pathophysiology 1986;0(01):-
AIM: To study the effect of ?-amyloid protein (?-AP) on the fluidity of mitochondrial membrance in hippocampus of the aging model of rats.METHODS: Based upon the model of aging rats induced by D-galactose (D-gal) and hippocampal microinfusion of ?-AP, the behaviors of rats were observed. Using DPH as fluorescent probe, the viscous cofficient (?) of mitochondrial membrane was determined, and Na +-K +ATPase activity was measured.RESULTS: In the D-gal+?-AP group rats, Na +-K +ATPase activity was lower than D-gal and ?-AP groups ( P
8.Clinical application of Optovue RTVue OCI' and Heidelberg Retina Tomograph Ⅲ in early diagnosis of glaucoma
Chinese Journal of Experimental Ophthalmology 2011;29(3):249-253
Background Many studies showed that attenuation of retinal nerve fiber layer(RNFL)in early glaucoma is one of the important signs.How to accurately and quantitatively measure RNFL thickness is very important for the early diagnosis and monitoring of glaucoma.0bjective This study was to evaluate the clinical value of Optovue RTVue OCT and Heidelberg Retina Tomograph Ⅲ(HRT-Ⅲ)confocal scanning laser ophthalmoscopy in glaucomatous eyes. Methods This cross-sectional study included 40 eyes of 26 patients with suspected open-angle glaucoma(SOAG),48 eyes of 29 patients with open-angle glaucoma and 48 eyes of 27 healthy subjects.Optical nerve head(ONH) parameters and peripapillary RNFL thickness were measured in all the subjects with Optovue RTVue OCT and HRT-Ⅲ,meanwhile all the eyes received perimetry with Humphrey 750-I.Glaucoma variables obtained from Optovue RTVue OCT and HRT-Ⅲ were analyzed among the groups.Topographic Optovue RTVue OCT and HRT-Ⅲ parameters,including disc area(DA),cup area(CA),rim area(RA),rim volume(RV),cup volume(CV),cup/disc area ratio(C/DAR)as well as superior,temporal,inferior and nasal average RNFL thickness,were analyzed.The relationship of ONH parameters and RNFL thickness was analyzed using a linear correlation.The correlation between the mean defect(MD)of the visual field and the tomography parameters in glaucomatous eyes was described by bivariate Pearson correlation coefficients.Resuits The ONH parameters and RNFL thickness obtained by HRT-Ⅲ and OCT showed significant difference(P<0.05).ONH parameters such as RA,C/DAR,CA and RV were statistically changed in SOAG and the POAG patients compared with the normal subjects(q=6.47,q=7.67,P<0.05).The superior and inferior RNFL thickness parameters in three groups were positively correlated between HRT-Ⅲand OCT(r=0.362,r=0.441,r=0.395,P<0.05),Topographic Optovue RTVue OCT and HRT-Ⅲ parameters including CV,CA,RA and C/DAR fitted Pearson analysis(all P<0.05).In POAG group。The RA,RV,CV,C/DAR from Optovue RTVue OCT were correlated with MD with the significant coefficient 0.284,0.286,0.340,0.371 respectively(P<0.05),and evidently correlations also were found between RA,RV,C/DAR with MD respectively with the coefficient 0.339,0.859,0.422(P<0.05)by HRT-Ⅲ. Conclusion Both Optovue RTVue OCT and HRT-Ⅲ can difierentiate ONH analysis with a similar outcome in glaucomatous eye.The C/D value.RA,superior and inferior RNFL thickness based on Optovue RTVue OCT and HRT-Ⅲare distinguishing indexes in the diagnosis of early glaucomatous damage.
9.Correlation between tear osmolarity and the dry eye severity
Chinese Journal of Experimental Ophthalmology 2012;(11):1022-1025
Background There still is no a uniform diagnostic criteria for increasing population of dry eye.Studies showed that high tear osmotic pressure is one of causes of a variety of ocular surface discomfort,and the change of tear osmolality has been included in the definition of dry eye syndrome by Dry Eye World Study Group (DEWS) in 2007.It is very clinically significant to study the relationship of tear osmolality with dry eye.Objective This clinical trial was to study the correlation between tear osmolarity and dry eye severity based on Preferred Practice Pattern(PPP)of DEWS.Methods A descriptive study was performed.Fifty-four eyes of 54 patients with dry eye disease were asked to complete an evaluation of dry eye signs and symptoms questionnaire based on PPP.The ocular anterior segment was examined under the slit lamp biomicroscope.Cornealfluorescein staining,tear-film breakup time (BUT),Schirmer test Ⅰ (S Ⅰ t)without anesthesia were performed,and tear sample was collected for tear imageology and tear osmolarity admeasurement.The correlation between dry eye score with tear osmolarity was evaluated using Pearson linear correlation analysis.Written informed consent as obtained prior to any relevant medical procedure.Results The ratio of male and female patients was 1: 2 in this study.The negative correlations were found between tear osmolarity with S Ⅰ t or BUT(r =-0.456,-0.699,P<0.01),and significantly positive correlations were found between tear osmolarity with tear imaging examination,corneal fluorescein staining,conjunctival hyperemia or dry eye symptom score(r=0.545,0.686,0.691,0.803,P<0.01).Conclusions As a diagnostic method,tear osmolarity can objectively reflects dry eye severity.It can be a biomarker in dry eye severity grade when combined with clinical symptom.
10.Effect of simvastatin on experimental interstitial fibrosis and its mechanism
Ya LI ; Nan CHEN ; Weiming WANG
Chinese Journal of Nephrology 1997;0(03):-
Objective To evaluate the effect and mechanism of HMG-CoA reductase inhibitor simvastatin on experimental interstitial fibrosis. Methods Experiments on rat 5/6 nephrectomy chronic renal failure model and primary cultured renal interstitial fibroblast cells were conducted in this study. The cell proliferation, extracellular matrix, c-fos mRNA expression of rat interstitial fibroblasts were measured by MTT assay, immunohistochernitry, semi-quantitative reverse-transcript PCR methods, respectively. Results Serum cholesterol, triglyceride and creatinine of treated group were significantly reduced by simvastatin as compared with controls. No statistical significance in BUN was observed between untreated and simvastatin-treated rats. Histological examination revealed that simvastatin caused a reduction in the glomeruli with sclerosis. Tubulointerstitial injury paralleled the degree of glomerular damage. Simvastatin in a dose-dependent manner inhibited the proliferation of renal intersititial fibroblasts, decreased the secretion of lamimn( LN), and suppressed the expression of c-fos mRNA, as compared with normal controls. No obvious effect on hyaluronic acid( HA) secretion of fibroblasts was found. Conclusions Simvastatin is anti-proliferative in interstitial fibroblasts and decreases the secretion of laminin. This effect is exerted, at least in part, via inhibition of the c-fos and c-jun-dependent mitogenic pathway. Simvastatin may prevent interstitial fibrosis development and attenuate renal damage in uremic rats with hvperlipidemia.