Adult ; Female ; Humans ; Lead ; Male ; Middle Aged ; Occupational Exposure ; T-Lymphocyte Subsets ; immunology ; Young Adult

Aim To investigate HPA axis change relation with glucose and lipid metabolism.Methods Wistar rats were injected intraperitoneally with STZ (30 mg·kg~(-1)) after fed with high lipid food for two months, then rats with blood glucose of over 15 mmol·L~(-1) were used in the experiment. Animals were divided into four groups: normal group, diabetic model group, treatment group (ROS 200 mg·kg~(-1) ·d~(-1) ig), and metformin group (200 mg·kg~(-1)·d~(-1) ig).Rats were decapitated after they had been administered ig for four weeks and were 24 hour urine collected.Plasma CRH, ACTH, corticosterone, hypothalamic CRH, ACTH of pituitary gland, 24 hour urinary corticosterone and plasma insulin were determined by ELISA and radio immunity kit respectively.Results In diabetic rat model induced by high lipid food and STZ, plasma and urinary glucose level and plasma TC, TG levels were increased, plasma HDL-C and hepatic glycogen content were reduced, which was synchronized with changes of higher pituitary ACTH, plasma and total 24 hour urine corticosterone excretion.Conclusion The disorder of glucose and lipid metabolism of model induced by high lipid food and low dose STZ may be linked to the change of HPA axis.The improvement of ROS on glucose and lipid metabolism in diabetic rats may be linked to the decrease of HPA axis activity.

Aim To establish an in vitro insulin resistant model of HepG2 cells and 3T3-L1 adipocyte and to screen drug in vitro.Methods The insulin resistant models of HepG2 and 3T3-L1 adipocyte were induced by high concentration of insulin and by dexamethasone,respectively.The glucose consumption ofcells was detected after administration with different drugs. Results In the concentration of 10-6 mol?L-1 insulin for 36 hours,HepG2 cells were resistant to insulin and the insulin resistance was maintained for 48 hours without change of cell morphology.After 3T3-L1 adipocyte insulin resistance was induced by dexamethasone,the maximal difference of glucose consumption between the blank control and insulin resistant model group was observed at 96h after dexamethasone administration,but the insulin resistant status had only been maintained for 24 hours without dexamethasone.The glucose consumptions of insulin resistant model of HepG2 and 3T3-L1 adipocyte were promoted by some drugs such as stachyose,berberine and ginsenoside.Conclusions The insulin resistant model of HepG2 cell and 3T3-L1 adipocyte was successfully established in vitro by high concentration of insulin and by dexamethasone,respectively.It can be used to screen drugs for treatment of insulin resistance.

Objective To study the effect of Tibet medicine of Herba Lamiophlomis rotata on promoting hemostasis and blood coagulation and to explore its mechanism. Methods High dose(2 g/kg),middle dose(1 g/kg) and low dose (0.5 g/kg) of the aqueous extract from Herba Lamiophlomis rotata(HLRE)were given to mice by gastric gavage for 3 days,and then bleeding time (BT),clotting time(CT) and platelet count(PLC)were determined. Different doses of HLRE(3,1.5,0.75 g/kg)were administered by gastric gavage to rats for 14 days,and then blood samples were collected from common carotid artery for the determination of prothrombin time (PT),activated partial thromboplastin time (APTT),thrombin time(TT),fibrinogen(FIB),hepatic function and blood lipid indexes. Results Compared to the blank control group,the bleeding time and clotting time were obviously shortened in 2g/kg HLRE and 1g/kg HLRE groups and positive control group,but the difference of PLC was insignificant. PT and APTT values in all of the treatment groups did not differ from those in the blank control group. However, TT values were obviously shortened in 3 g/kg HLRE group,FIB and Albumen(Alb)values increased,the aminotransferase and blood lipid values tended to decrease. Conclusion The aqueous extract from Herba Lamiophlomis rotata has an effect on promoting hemostasis and blood coagulation ,and its mechanisms may be related to the increase of FIB and Alb contents and the shortening of TT value.

OBJECTIVE:To establish a method for the content determination of peoniflorin in Danggui shaoyao powder,and provide a reference for controlling the quality of the preparation. METHODS:HPLC was performed on the column of Symmetry C18 with mobile phase of acetonitrile-water(containing 0.1% phosphoric acid)(14∶86,V/V)at a flow rate of 1.0 ml/min,detection wavelength was 230 nm,column temperature was 20℃,and injection volume was 20μl. RESULTS:The linear range of peoniflo-rin was 10-80 μg/ml(r=0.999 3);RSDs of precision,stability and reproducibility tests were lower than 2%;recovery was 98.3%-104.9%(RSD=2.0%,n=9). CONCLUSIONS:The method is simple,accurate and specific,and can be used for the con-tent determination of peoniflorin in Danggui shaoyao powder.

OBJECTIVE:To study the effect of the hematostatic effective components of Herba Lamiophlomis rotata on rat’s blood conglomeration parameters.The toxicity of these components was simultaneously studied.METHODS:Herba Lamiophlomis rotata water extract (HLRE)(3g?kg-1),Total Flavonoids(P1,0.36g?kg-1),Total Iridoid Glycosides(P2,0.99g ?kg-1),Maximus Polarity Components(P3,1.65g?kg-1)and normal sodium NS were given orally in rats for 14 days.Blood samples were collected from common carotid artery;prothrombin time (PT),activated partial thromboplastin time (APTT),thrombin time (TT)and fibrinogen (FIB)were tested.Different oral doses of(P2 ,1.4,0.7,0.35 g?kg-1)and Yunnan white powder (BY,0.9g?kg-1)were given to rats and conglomeration parameters were determined too.The maximum tolerable dose (MTD)and LD50 of mice were determined after different doses of P2 were given with oral administration and intraperitoneal injection.RESULTS:Compared to NS control group,each composition of Lamiophlomis rotata Kudo can shorten the TT by 18.59%、—3.12%、24.11%and 9.92%respectively,and increase the content of FIB by 25.32%、8.67%、28.29%and 5.36%respectively.There was obvious change in HLRE and P2(P

OBJECTIVE: To review the pathogenesis of diabetes under the guidance of the theories of neuroendocrine immunomodulation(NIM) network combined with the understanding of diabetes in traditional Chinese medicine.DATA SOURCES: Computer was used to search for the articles published from January 1980 to January 2005, with key words of "diabetes mellitus,pathogenesis, neuroendocrine immunomodulation, and traditional Chinese medicine " and the language of the papers was limited to "English". Also,computer and manual search for the articles in NLW and CNKI data banks from January 1990 to January 2005 were made with the language of the papers being limited to "Chinese" and key words of "diabetes, pathogenesis,neuroendocrine immunomodulation, traditional Chinese medicine" . Manual search was made for book chapters on the treatment of diabetes by traditional Chinese medicine and papers on the relation of diabetes with neuroendocrine immunoregulation network published after 1980.STUDY SELECTION: A rough check was made firstly to the materials to choose the articles on diabetes and the relationship with neuroendocrine immunoregulation network. Inclusion criteria: ① randomized clinical trial (RCT), single-, double- or non-blinded methods were used; ②non-randomized controlled trial; ③ anterior-posterior controlled trial. Exclusion criteria: repeated studies were excluded.DATA EXTRACTION: Thirty-three articles on pathogenesis of diabetes were obtained and among them 21 were consistent with the above criteria and 12 were excluded for repetition of the same studies.DATA SYNTHESIS: Twenty-one articles on the relation of the pathogenesis of diabetes with neuroendocrine immunoregulation and with the traditional Chinese medicine were analyzed to investigate the internal relations of the three.CONCLUSION: Diabetes mellitus is induced by the interaction between genetic and environmental factors, and the imbalance among insulin, counterregulatory hormones and other factors such as hypothalamic pituitary-adrenal (HPA) axis, thymus gland in neuroendocrine immunomodulation (NIM) network. The authors propose that the NIM network theory might be as a bridge to link modern medicine and the traditional Chinese medicine that is helpful to understand the pathogenesis of diabetes mellitus.CONCLUSION: Diabetes mellitus is induced by the interaction between genetic and environmental factors, and the imbalance among insulin, counterregulatory hormones and other factors such as hypothalamic pituitary-adrenal (HPA) axis, thymus gland in neuroendocrine immunomodulation (NIM) network. The authors propose that the NIM network theory might be as a bridge to link modern medicine and the traditional Chinese medicine that is helpful to understand the pathogenesis of diabetes mellitus.

Objective To investigate intraspecific and interspecific variation within Malassezia iso-lates from patients with pityriasis versicolor by random amplified polymorphic DNA (RAPD) analysis, to learn the difference between RAPD analysis and physiological and biochemical methods in the typing of Malassezia species, and to explore the relationship between RAPD patterns and Malassezia species. Methods A total of 47 Malassezia isolates were obtained from 34 patients with pityriasis versicolor, and they were classified into 5 species by morphological, physiological and biochemical features, I.e., M. Fin'fur, M. Obtusa, M. Globosa, M. Restricta and M. Sympodialis. Genomic DNA was extracted from the 47 clinical isolates and 10 reference strains (including 7 species) of Malassezia. PCR was performed using 4 random primers including S22, S24, S25 and S33. RAPD patterns were analyzed by NTSYS software and dendrogram was autogenerated. Results Genomic DNA of most strains was successfully amplified with four primers, espe-cially with primers S22 and S24 that resulted in rather stable and clear DNA bands. A total of 82 fragments were amplified from all tested strains. These strains showed both interspecifie and intraspecific variation. Multiple swains were isolated from different body sites of 4 patients and identified into different species by biochemical and morphological typing; those swains from same hosts occupied contiguous positions in the dendrogram and exhibited a high genetic convergence. Conclusion The phenomenon that different strains from a co-host show a high genetic convergence indicates that species specificity and evolution of Malassezia are closely related to its hosts.

Objective To observe the effect of mifepristone (MIF) on the level of corticotropin releasing hormone (CRH),adrenocorticotropic hormone (ACTH),corticosterone (CORT),insulin (INS) and aldosterone (ALD) in plasma and expression of glucocorticoid receptor (GR) mRNA in hippocampus in type 2 diabetic rats and to discuss the effect and mechanism by which mifepristone improves hyperglycemia. Methods Type 2 diabetes mellitus model was induced by high-fat diet plus intragastric administration of low dose streptozotocin (30 mg·kg-1 ). Rats were randomly divided into normal control group,model control group,positive control (MET) (metformin hydrochloride 200 mg·kg-1 ·d-1 ) group,mifepristone low dose (MIF-L) (10 mg·kg-1 ·d-1 ),medium dose (MIF-M) (25 mg·kg-1 ·d-1 ) and high dose (MIF-H) (50 mg·kg-1 ·d-1 ) groups. The normal control group and model control group were given distilled water. Fasting blood glucose (FBG) was measured once a week. The rats were decapitated after five weeks. Organ index, corticotropin release hormone ( CRH), adrenocorticotropic hormone (ACTH),corticosterone(CORT),insulin(INS) and aldosterone(ALD) levels were measured. The expression of GR mRNA in hippocampus was measured by using real-time PCR. Results Compared with the normal control group, body weight was decreased significantly (P<0. 01),FBG was increased significantly (P<0. 01),organ index was increased significantly (P<0. 05), CRH,ACTH,CORT,INS and ALD were increased and the expression of GR mRNA in hippocampus was decreased (P<0. 01) in the model control group. Compared with model control group,body weight increased in MIF-M and MIF-H groups after administration for 14 days (P<0. 01). FBG was decreased in MIF-M group 1 to 4 weeks after administration,with significant difference (P<0. 05) at 4th week. The kidney index was decreased in MIF-M and MIF-H groups (P<0. 01,P<0. 05). CRH,ACTH and CORT were increased,ALD level was decreased in MIF-L group,CRH,ACTH,CORT and ALD were decreased,INS level was increased in MIF-M and MIF-H groups,without statistically significant differences (P>0. 05). Relative expression of GR mRNA was significantly increased in MIF-L,MIF-M and MIF-H groups (all P <0. 01). Conclusion Hyperglycemia in type 2 diabetic rats can be improved by MIF. The possible mechanism may be related to regulating the HPA axis through inhibiting GR.

Background/Aims: Older adults are vulnerable to central obesity, while the association of changes in central fatness with risk of diabetes and metabolic control has not been investigated among this particular population. This study was aimed to address these issues. Methods: A total of 1,815 adults aged ≥ 60 years without diabetes at baseline were followed for 4 years. Incident diabetes was ascertained based on plasma glucose, hemoglobin A1c, medical history, and/or the use of anti-diabetic drugs. Central fatness was assessed by waist circumference (WC), waist-height ratio (WHtR), and body roundness index (BRI). Logistic regression analyses were used to assess the association of changes in central fatness with risk of diabetes, along with dose-response and mediation analyses. Results: During the 4-year follow-up, 177 participants developed diabetes. The risk of diabetes was increased by 42%, 41%, and 40% per 1 standard deviation increases in WC, WHtR, and BRI, respectively, in multivariable-adjusted models (all p < 0.01). Moreover, these relationships were all linearly-shaped (all pnonlinearity ≥ 0.11). Increases in WC, WHtR, and BRI correlated with increases in hemoglobin A1c, triglycerides-and-glucose index, triglycerides, white blood cell, and C-reactive protein (all p ≤ 0.04). Yet only changes in hemoglobin A1c and triglycerides-and-glucose index were identified as the possible mediators for risk of diabetes, with their mediating effect being about 35% and 21%, respectively. Conclusions Increases in central fatness were related to elevated risk of diabetes, and this association might be partly explained by the worsening of glycemic control and insulin resistance in older adults.