1.The effect of myeloid differentiation factor 88 on experimental autoimmune myocarditis in mice
Renchao YU ; Yuexia LV ; Feng CHEN ; Lijuan TAN
Journal of Chinese Physician 2012;14(7):914-916
Objective To investigate the effect of myeloid differentiation factor88 (MyD88)on the experimental autoimmune myocarditis (EAM) in Balb/c mice.MethodsTotally 90 Balb/c mice were randomly divided into three groups:MyD88 ( n =30),myocarditis ( n =30),and control ( n =30 )groups.An injection of MyD88 high expression adenovirus was carried out through vena caudalis at day 3.The mice of myocarditis group received porcine cardiac myosin at the same time and position.The mice of control group received PBS only.Serum and myocardium samples were gained at day 21.The inflammatory infiltration and the serum levels of cTnI,IgG,and IgM were examined.Results 21 days later,the inflammatory infiltration score of the myocarditis group was higher than the control group (2.39 ± 1.23 vs 0.68 ±0.65,P <0.05).The MyD88 group was significantly higher than the other 2 groups ( F =94.194,P <0.01 ),the myocarditis group ( 3.56 ± 1.34 vs 2.39 ± 1.23,P < 0.05 ),and the control group ( 3.56 ±1.34 vs 0.68 ±0.65,P <0.01).The serum levels of cTnI,IgG,and IgM of the MyD88 group were significantly higher than the myocarditis group and the control group( P <0.01,P <0.05).Conclusions MyD88 participates in the pathogenesis of experimental autoimmune myocarditis in mice.
2.A retrospective study comparing perioperative results and long-term survival between laparoscopy-assisted gastrectomy and open procedures for gastric cancer
Ke CHEN ; Yiping MOU ; Di WU ; Yu PAN ; Xiaowu XU ; Renchao ZHANG ; Jiaqin CAI
Chinese Journal of General Surgery 2014;29(2):81-84
Objective To evaluate the short-and long-term outcomes of laparoscopy-assisted gastrectomy (LAG) for gastric cancer.Methods After studying the patients' demographic data,extent of gastrectomy and lymphadenectomy,as well as differentiation and tumor TNM stage,85 patients who underwent LAG were individually matched to 85 patients who underwent open surgery (OG) between October 2004 and March 2008.The operative time,intraoperative blood loss,postoperative recovery,complications,pathological findings,and follow-up data were compared between the two groups.Results The mean operative time was significantly longer in the LAG group than in the OG group (277 ± 62) min vs.(211 ±46) min,t =7.882,P <0.05,whereas intraoperative blood loss was significantly lower (161 ±90) ml vs.(267 ± 141) ml,t =-5.854,P <0.05.In addition,there was a significant reduction in the time to first flatus and postoperative hospital stay (3.7 ± 1.3) days vs.(4.2 ± 1.1) days and (10 ± 3) days vs.(12 ± 6) days,respectively t =-2.318,-2.325,P < 0.05.There was no significant difference between the LAG group and OG group with regard to the number of harvested lymph nodes and overall postoperative complications.The 5-year disease-free survival rates and overall survival rates were 76%,78%,respectively,in LAG group and 75%,73%,respectively in OG group (all P > 0.05).Conclusions LAG is suitable and minimally invasive for treating gastric cancer.Compared to OG,the LAG will not increase the risk of recurrence and mortality after surgery.