OBJECTIVE:To extract and analyze the compositions of fatty oil of Semen Pharbtidis METHODS:The fatty oil was extracted with CO2 supercritical fluid The content and compositions were determined by gravimetric analysis and GC-MS respectively RESULTS:The oil content of Semen Pharbtidis was 34 78% Among the fatty acids,linoleic acid,oleic acid and palmitic acid were dominant The unsaturated fatty acids accounted for 88 70% of the total fatty acids,and the major saturated fatty acid was palmitic acid CONCLUSION:The oil of Semen Pharbtidis is of high-quality,and the analysis results provide a scientific basis for exploitation and utilization of the oil of Semen Pharbtidis

Objective To study the surgical managements for obstructive coleratal carcinoma(OCRC).(Methods) Clinical data of 126 patients with OCRC who underwent surgical treatment between January 1995 and December 2004 were reviewed.Results Thirty-five patients received one-stage right hemicolectomy,ten patients received one-stage resection of transverse colon.forty-eight patients received one-stage left(hemicolectomy),eighteen patients received one-stage resection of left colon or proximal rectum with colostomy followed by two-staged anastomosis.For 15 patients with unresectable lesions,colostomy of transverse colon or sigmoid colon was performed.Seventeen patients(13.5%) experienced postoperative complications.The (operative) mortality was 4.8%(6/126).The 1-year,3-year and 5-year overall survival rate was(95.1)%,52.7% and 38.1%,respectively.Conclusions Proper perioperative period managements and(selection) of surgical techniques are important for better results and lower complications in the treatment OCRC.

Objective To investigate the distribution of blaOXA-51-like genes and the clonal relation-ship among Acinetobacter baumannii strains isolated from three teaching hospitals in Guangzhou , China. Methods Fifty-two Acinetobacter baumannii isolates were genotyped by multilocus sequence typing (MLST).eBURST algorithm was performed to define clonal complexes (CCs).blaOXA-51-like genes were am-plified by using polymerase chain reaction ( PCR) and sequenced .Results MLST grouped the A.bauman-nii isolates into 5 existing sequence types (STs) and 7 new STs.STn4 carried allele G1 with a T→C muta-tion at the 3rd nucleotide site (nt3) on the gpi111 locus.STn5 carried allele A1, possessing A→C muta-tions at nt156 and nt159 on the gltA1 locus.ST195 and ST208 accounted for 69.2%of all isolates.Clonal relationship analysis showed that ST 195 and ST208 belonged to CC92.Fifty-one A.baumannii isolates car-ried OXA-66 and the rest one carried OXA-199.Conclusion A.baumannii strains that belonged to CC92 and carried OXA-66 were the predominant genotype circulating in Guangzhou , China.

OBJECTIVE:To evaluate the quality of levofloxacin tablets produced by 6 different factories.METHODS:To investigate the quality of 17 batches of levofloxacin tablets produced by 6 factories according to related standards and to evaluate the drug dissolubilities using paddle method.RESULTS:17 products from six factories were all proved qualified.Significant differences of dissolution parameters and treatment costs were found among the different products.CONCLUSION:There are difference in quality of levofloxacin tablets.The tablets produced by the factory holding the patent right are more expensive,however the qualiity is more stable.

The incidence of colorectal cancer is high threatening human health. About 60％～70％cases of CRC are derived from colorectal polyps, which can be treated by endoscopic electrotomy to prevent the possibility of canceration. Therefore, in the prevention and treatment of CRC, the role of screening is of great significance. CRC screening methods include the most commonly used fecal occult blood test ( FOBT ) and the more sensitive fecal immunochemical test (FIT), cost-effective fiber sigmoidoscopy and colonoscopy, CT colonoscopy (CTC), and fecal DNA testing and immature CRC hematology screening. In this paper, the CRC screening technologies were reviewed, including the principles, characteristics and the latest research progress to provide a theoretical basis for the application and development of CRC screening technology.

Objective:To investigate the correlations between perfused lung volumes, visual scores (using perfusion SPECT/CT) and right-heart catheter (RHC) hemodynamic parameters in patients with chronic thromboembolic pulmonary hypertension (CTEPH).Methods:A total of 51 consecutive CTEPH patients (17 males, 34 females, age (59±12) years) in the First Affiliated Hospital of Guangzhou Medical University between March 2015 and July 2019 were retrospectively analyzed. All patients underwent lung perfusion SPECT/CT imaging and RHC examinations. Perfused lung volumes were determined using threshold-based (15%-85%) segmentation. Visual semiquantitative scoring in each lung segment was performed using Begic method. RHC hemodynamic parameters including pulmonary artery systolic pressure (PASP), pulmonary arterial diastolic pressure (PADP), mean pulmonary artery pressure (mPAP), pulmonary arteriolar wedge pressure (PAWP), pulmonary vessel resistance (PVR), cardiac output (CO), cardiac index (CI) were recorded. Spearman correlation analysis was used to evaluate the correlations between perfused lung volumes, visual scores and hemodynamic parameters.Results:There were significant correlations between perfused lung volumes (30%-70% threshold) and mPAP ( rs values: from -0.414 to -0.302, all P<0.05). Among them, perfused lung volumes under the threshold of 40% and 45% were moderately correlated with mPAP ( rs values: -0.414, -0.412, both P<0.05). Perfused lung volume (40% threshold) was moderately negatively correlated with PASP, PADP ( rs values: -0.402, -0.440, both P<0.05), and slightly negatively correlated with PVR ( rs=-0.352, P<0.05). Visual scores were slightly positively correlated with the PADP ( rs=0.311, P<0.05), while there was no correlation between visual scores and other RHC hemodynamic parameters ( rs values: from -0.201 to 0.275, all P>0.05). Conclusion:Perfused lung volumes based on threshold-based segmentation in lung perfusion SPECT/CT imaging can accurately reflect hemodynamic status and may provide useful information for severity assessment of CTEPH.

Objective:To investigate the expression and clinical significance of thymidine kinase 1 (TK1), carcinoembryonic antigen (CEA), carbohydrate antigen (CA) 19-9, CA15-3 and CA72-4 in colorectal tumors.Methods:Enzyme-linked immunosorbent assay (ELISA) and electrochemiluminescence immuno assay (ECLIA) were used to determine the serum TK1 levels and serum CEA, CA19-9, CA15-3, CA72-4 levels in 124 patients with colorectal cancer, 52 patients with colorectal precancerous lesions, 154 patients with benign colorectal lesions, and 106 health subjects. The relationship between serum TK1 and its clinicopathological characteristics in patients with colorectal cancer were analyzed. The diagnostic efficacy of TK1, CEA, CA19-9, CA15-3 and CA72-4 alone and combined detection for colorectal cancer was investigated.Results:The serum expression level of TK1 in patients with colorectal cancer was related to tumor stage, degree of differentiation, lymph node metastasis, distant metastasis and age (all P<0.05), but not related to the patient's gender ( P>0.05). The serum TK1 level decreased sequentially in colorectal cancer patients, precancerous lesions patients, benign lesions patients and healthy subjects. Colorectal cancer patients with high TK1 expression have a shorter survival time. The sensitivity, specificity and accuracy of the combined detection of TK1, CEA, CA19-9, CA15-3 and CA72-4 were 93.5%, 93.0%, and 93.1%, respectively. Conclusions:Serum TK1 is expected to become an independent marker for the diagnosis and prognosis of colorectal cancer. The combined detection of TK1, CEA, CA19-9, CA15-3 and CA72-4 has clinical significance in the diagnosis of colorectal cancer.

Objective:To investigate the effects of platycodon D on proliferation, apoptosis, migration and glycolysis of colorectal cancer HT-29 cell.Methods:Human HT-29 cells were selected and randomly divided into the control group and platycodon D 25, 50, and 100 μmol/L groups. The HT-29 cells in the platycodon D 25, 50, and 100 μmol/L groups were treated with 25, 50, and 100 μmol/L platycodon D for 48 h. The cell proliferation of the cells was examined by cell counting Kit-8 (CCK-8) and colony formation assay. The apoptosis of the cells was investigated using flow cytometry and Western Blot assays were used to examine the expression of apoptosis and apoptosis-related proteins, including B-cell lymphoma-2 (Bcl-2), Bcl-2 associated X protein (Bax), and cleaved cystein-asparate protease-3 (cleaved Caspase-3). Transwell and Western Blot assays were used to examine cell migration, glucose consumption, and lactic acid production, as well as the expression levels of pyruvate kinase M2 (PKM2) and phosphorylated PKM2 (p-PKM2) in HT-29 cells.Results:With the increase in treatment time, the proliferation rate of HT-29 cells in the control group and platycodon D 25, 50, and 100 μmol/L groups decreased gradually. Compared with the control group, the viability of HT-29 cells in the platycodon D 25, 50, and 100 μmol/L groups was decreased (all P < 0.001). Compared with the control group, the colony number of HT-29 cells in the platycodon D 25 μmol/L (36 vs. 50), 50 μmol/L (34 vs. 50), and 100 μmol/L (16 vs. 50) groups was decreased (all P < 0.001), after treatment with platycodon D for 24 h. Compared with the control group, the apoptosis rate of HT-29 cells in the platycodon D 100 μmol/L group was increased (62% vs. 39%), the relative expression of Bax was increased (0.9 vs. 0.1), the cleaved Caspase-3 was increased (1.25 vs. 0.15), and the Bcl-2 decreased (0.12 vs. 0.75) (all P < 0.001). Compared with the control group, the per unit vision number of HT-29 cells in the platycodon D 100 μmol/L group decreased (16 vs. 48), the relative expression of Snail decreased (0.5 vs. 1.3), the relative expression of E-cadherin increased (1.2 vs. 0.1), the relative expression of glucose transporter 1 (GLUT1) decreased (0.2 vs. 1.1), the relative expression of lactate dehydrogenase A (LDHA) decreased (0.2 vs. 1.2), and the relative expression of hexokinase 2 (HK2) decreased (0.15 vs. 1.00) (all P < 0.001). Compared with the control group, glucose consumption of HT-29 cells in platycodon D 100 μmol/L group was decreased (1.9 mmol/L vs. 4.8 mmol/L), and lactic acid production was decreased (3.8 mmol/L vs. 9.2 mmol/L) (both P < 0.001). Compared with the control group, the relative expression of PKM2 in the platycodon D 100 μmol/L group was decreased (0.1 vs. 1.0), and the relative level of p-PKM2 was decreased (0.08 vs. 0.75) (both P < 0.001). Conclusions:Platycodon D can inhibit the proliferation of HT-29 cells, promote cell apoptosis, and inhibit cell migration and glycolysis.

Objective To investigate the mechanism of resveratrol(Res)-intervening dexamethasone(Dex)-induced mitochondrial autophagy in bone marrow mesenchymal stem cells(BMSCs)through SIRT2.Methods Mouse osteoblastic BMSCs were treated with Res,Dex,and the SIRT2 antagonist NAM.The mitochondria autophagosomes were observed using transmission electron microscopy(TEM).The protein and mRNA expression levels of SIRT2,LC-3,Beclin-1,TOM20,and Hsp60were determined using Western blot-ting and reverse transcription-polymerase chain reaction(RT-PCR).Results Res enhanced SIRT2 expression in BMSCs in a dose-and time-dependent manner.Dex(10-6 mol/L)inhibited the proliferation and viability of BMSCs,and significantly down-regulated the expres-sion of SIRT2mRNA and protein in BMSCs,whereas Res(10-6 mol/L)significantly inhibited the negative regulatory effects of Dex on the proliferation of and SIRT2 expression in BMSCs.Res(10-6 mol/L)significantly increased the mRNA expression of LC-3and Beclin-1(P<0.05),but significantly decreased the protein expression of TOM20 and Hsp60(P<0.05).Conclusion Res plays a role in the regulation of Dex-induced mitochondrial autophagy in BMSCs by mediating SIRT2.