Animals ; Female ; Fetal Heart ; abnormalities ; diagnostic imaging ; surgery ; Heart Defects, Congenital ; diagnostic imaging ; physiopathology ; surgery ; Humans ; Pregnancy ; Treatment Outcome ; Ultrasonography, Prenatal

OBJECTIVETo explore the mechanism of electroacupuncture therapy on Parkinson's disease (PD).

METHODSFifty Wistar rats were randomly divided into a normal group, a sham-operation group, a model group, a Fengfu-Taichong group and a Shuanggu Yitong group. PD model was duplicated by microinjection of 6-Hydroxyl-Dopamine into right corpora striata, and by microinjection of normal saline in sham-operation group. Rats in normal group, sham-operation group and model group were not treated. In Fengfu-Taichong group, the rats were treated by electroacupuncture at "Fengfu" (GV 16) and "Taichong" (LR 3) on the basis of the PD model, and by electroacupuncture at "Fengfu" (GV 16), "Taichong" (LR 3), "Guanyuan" (CV 4) and "Zusanli" (ST 36) in Shuanggu Yitong group, once daily for 2 weeks. GDNF and Ret expression were detected by immunohistochemistry and western blotting, respectively.

RESULTSThe number of GDNF positive cells and the content of Ret receptor increased significantly in the two electroacupuncture groups compared with those in the other groups (all P < 0.01), and the expression of GDNF increased significantly in Shuanggu Yitong group compared with that in Fengfu-Taichong group (P < 0.01).

CONCLUSIONElectroacupuncture can not only increase the expression of GDNF, but also enhance its effect. "Shuanggu Yitong" method is better than simple acupuncture at "Fengfu" (GV 16) and "Taichong" (LR 3) in increasing expression of GDNF.

Animals ; DNA-Binding Proteins ; genetics ; metabolism ; Disease Models, Animal ; Electroacupuncture ; Gene Expression ; Glial Cell Line-Derived Neurotrophic Factor ; genetics ; metabolism ; Humans ; Nuclear Proteins ; genetics ; metabolism ; Parkinson Disease ; genetics ; metabolism ; therapy ; Random Allocation ; Rats ; Rats, Wistar

Adult ; Female ; Gastrointestinal Hemorrhage ; metabolism ; Glutathione ; therapeutic use ; Glutathione Peroxidase ; metabolism ; Humans ; Lipid Peroxidation ; Liver ; blood supply ; Liver Cirrhosis ; complications ; metabolism ; Male ; Middle Aged ; Reperfusion Injury ; prevention & control

OBJECTIVETo compare the expression of CCL28 in minor and major salivary glands and clarify the role it plays in IgA secreting by minor salivary glands in oral cavity.

METHODSLabial gland and parotid samples were analyzed with real-time fluorescent quantitative PCR assay for CCL28 mRNA. Rank-sum test was used for data analysis using SPSS 10.0 software package.

RESULTSCCL28 mRNA was abundantly expressed in labial glands of healthy adults. Its expression was higher than that in parotids (P<0.01).

CONCLUSIONThe results of this article suggest that the expression level of CCL28 in labial glands is remarkably higher than that in parotids, which reminds us that the high concentration of IgA in minor salivary glands may be associated with their high expression of CCL28.

Adult ; Humans ; Lip ; Salivary Glands, Minor

Adult ; Bone Cysts, Aneurysmal ; complications ; diagnostic imaging ; pathology ; Bone Neoplasms ; etiology ; pathology ; Cell Transformation, Neoplastic ; pathology ; Humans ; Male ; Radiography

Objective To explore the diagnosis and therapy experience of vascular ring combined with tracheal compression in infants and neonates.Methods Sixteen cases(including 7 boys and 9 girls,aged 1 day to 12 months)with vascular ring combined with tracheal compression hospitalized in Guangdong General Hospital from Jun.2004 to Dec.2009 were enrolled.In these 16 children,13 cases had congenital heart malformations.All children underwent X-ray,echocardiography and spiral computed tomography examination.Nine cases received bronchoscopy study.Fifteen cases performed surgical division of vascular ring with cardiopulmonary bypass and 1 case underwent vascular ring division and tracheoplasty.Eleven cases received management of congenital heart defect simultaneously.Results Vascular ring anomalies included pulmonary artery sling in 5 children,right aortic arch-left ligmentum/aberrant left subclavian artery in 8 cases,double aortic arch in 1 case,innominate artery compression in 1 case,and pulmonary sling combined with right aortic arch-aberrant left subclavian artery in 1 case.There were 2 ring-sling complex cases in this study.The diagnosis of vascular ring were correctly made by echocardiography in 7 children and made by spiral computed tomography in all 16 cases.Two cases combined with tracheal ring died.In the follow-up study of 11 cases,5 cases were still vulnerable to wheezing.Conclusions The common presentation of tracheal compression in infants and neonates associated with vascular ring are tachypea,stridor,and dyspnea.Multi-slices spiral computed tomography is an important imaging modality.Surgical divisions of vascular ring are safe procedure in most cases and tracheal compression can be relieved by this operation.In patients with severe tracheal stenosis,tracheoplasty should be recommended.

Objective To evaluate the efficacy of interventional therapy for complex congenital heart defects patients with un-repaired or postoperative residual lesions.Methods Between March 1998 and April 2009,42 patients (12 females),mean age 6 years (5 months to 30 years) received interventional therapy,17 cases underwent occlusion of major acrto-pulmunary collateral arteries (MAPCAs),15 underwent device closure of residual ventricular or atrial septal shunting,12 underwent balloon angioplasty (n = 10) and stenting (n = 2) for stenosis of the anastomosis of vessels or branched pulmonary arteries.Results Twenty-three MAPCAs were performed in 17 patients without residual shunting.One patient died of multiple organ failure after intervention therapy and the remaining patients discharged without complication,successful device closure was performed in 15 patients and there was minimal residual shunting in 1 patient.There were no severe arrhythmias such as complete atrio-ventricular block during and post procedure.Exercise capacities were significantly improved in 12 patients underwent balloon angioplasty or stenting.Pressure gradients were significantly decreased and there was no aneurysmal or thromboembolic formation post procedure.Conclusions Interventional therapy is a safe and effective therapy option for treating complex congenital heart defects patients with un-repaired or postoperative residual lesions.

Objective To observe the relationship between serum and monocyte-derivedmacrophages secreted adipocyte fatty acid binding protein(A-FABP), adiponectin(or A-FABP/adiponectin ratio)and coronary artery disease. Methods Three hundred and forty subjects underwent coronary angiography(CAG)were classified into CAD group(n = 211)and non-CAD group(n = 129)according to the CAG results. The severity of coronary artery stenosis was assessed by the numbers of involved coronary artery branches and the sum of the Gensini scores. Fasting venous blood was collected from all subjects and peripheral monocytes were isolated from 20 subjects(10 selected from each group with age-, gender-, and BMI-matched). Peripheral blood monocytes were obtained and stimulated into macrophages with PMA, cell culture supernatant was collected. The concentration of serum/supernatant A-FABP and adiponectin levels were assayed by enzyme-linked immunosorbent assays. Results(1)A-FABP levels tendend to be higher in CAD patients compared to non-CAD subjects[18. 3(13.2,22. 8)μg/L vs. 16. 4(13.5,20. 4)μg/L,P = 0. 088]. The concentration of adiponectin in CAD group was significantly lower than those in non-CAD group[13.9(9.8,17.1)mg/L vs. 19.7(14.5,27.6)mg/L,P ＜0.05].(2)The A-FABP levels increased and the adiponectin levels decreased as the number of stenotic vessels increased. Gensini scores were positively correlated with serum A-FABP(r = 0. 120, P = 0.043)and inversely correlated with adiponectin(r = - 0. 405, P = 0. 007).(3)The difference in A-FABP/adiponectin ratio was moreprominent between subjects with CAD and subjects without CAD[(1.51 ±0. 79)μg/mg vs.(0. 89 ±0. 30)μg/mg, P ＜ 0. 01]and there was a stronger positive correlation of Gensini score to A-FABP/adiponectin ratio(r =0. 531, P =0. 000).(4)Monocyte-derived-macrophages from patients with CAD had higher A-FABP/adiponectin ratio than that in patients without CAD[(0. 51 ± 0. 19)μg/mg vs.(0. 36 ± 0. 11)μg/mg, P ＜ 0. 05]. Conclusions Increased levels of serum A-FABP and reduced levels of adiponectin in CAD patients serves as a novel biomarker for the severity of the coronary stenosis. A-FABP/adiponectin ratio is superior to A-FABP or adiponectin alone on predicting CAD risks.

Objective To report the results of transcatheter interventional therapy (TIT) of congenital heart disease (CHD) register from 23 medical centers in China.Method In this retrospective multicenter registry study,clinical data from 5808 patients who underwent TIT between January 2008 to December 2010 in 23 Chinese medical centers in 14 cities were analyzed.Results Procedure was successful in 5720 cases (98.5％),success rate was 99.5％ for PDA,98.8％ for ASD,97.4％ for VSD and 98.5％ for pulmonary stenosis (PS).Multivariate regression analysis showed that PDA size and procedure time,age and procedure time,distance from VSD to AV were significantly associated with the procedure success rate of PDA,ASD and VSD closure,respectively.Early complications occurred in 306 cases (5.3％),36 cases (0.6％) experienced major complications including device embolization in 7 cases, scrious aorta regurgitation in 5 cases,serious tricuspid regurgitation in 4 cases,tricuspid stenosis in 2 cases,heart block (HB) in 13 cases (2 in ASD and 11 in VSD),cardiac tamponade in 2 cases (1 ASD and 1 PS) and hemolysis in 3 cases.Procedure time and PDA size,ASD size,device size,age and PS degree were risk factors related to the occurrence of the early complications for PDA,ASD and VSD closure and PBPV respectively.The median follow-up time was 15 months (range 1-36 months).The complete closure rate during follow up was 100％ for ASD,PDA and VSD and the pressure gradient in PS decreased to normal range in all PS patients.Late complications occurred in 15 cases (0.2％),of which 3 cases needed surgery intervention and permanent pacemaker was implanted in 1 patient.There was no death during procedure and at follow-up period.Conclusions TIT of CHD offers encouraging results in China.Follow up is warranted to monitor the occurrence of serious complications,especially late complications.

Objective To study the correlation between harm avoidance(HA) personality and fractional anisotropy (FA) with voxel-based analysis (VBA) of diffusion tensor imaging (DTI),and to explore the microstructure of white matter of personality.Methods A total of 333 healthy right handed volunteers,recruited from November 2010 to April 2011,completed the Chinese version of three-dimensional personality questionnaire (TPQ) and Beck depression inventory (BDI),and after that,3D MRI and DTI scan were performed.All preprocessed DTI data were analyzed with SPM8 software in partial correlation analysis by using age and depression scores as controlled variables.The correlation between HA and FA was investigated (a voxel significance thresholdP＜0.001 and a cluster extent threshold of 30 voxels).Results HA was positively correlated with FA of the midbrain,pons,left parahippocampal gyrus,inferior temporal gyrus,middle temporal gyrus,right globus pallidus and bilateral superior parietal lobule,and was negatively correlated with FA of the leg putamen,thalamus and bilateral precuneus.Conclusion FA of the special brain areas is associated with harm avoidance personality dimension.