1.Analysis on second operation after laser in situ keratomileusis
International Eye Science 2015;(7):1293-1295
AlM:To observe clinical effects between the laser in situ keratomileusis ( LASlK ) surgery and the laser subepithelial keratomileusis ( LASEK ) surgery as the second operation after an unsuccessful LASlK surgery.METHODS:Forty-nine patients (98 eyes) with refractive regression after LASlK operation received the second surgery. All patients were divided into two groups:group A and B. Group A (48 eyes of 24 patients) received LASlK surgery and group B ( 50 eyes of 25 patients ) received LASEK surgery. lnspect the main parameters included visual acuity, refraction, corneal curvature, and the total value of high-aberration after 1wk, 1mo and 1a, t-test of groups was used as statistical analysis method.RESULTS: There was statistically significant (P<0. 05) between the two groups in visual acuity after 1wk. There was no statistically significant between the two groups in visual acuity after 1mo, and there was also no statistically significant between the two groups in visual acuity, average spherical equivalent refractive degree, average corneal curvature, and the total value of high-aberration after one year (P>0. 05). There developed one case of epithelium in growth after LASlK surgery, and one case of haze Ⅱ after LASEK surgery.CONCLUSlON: Both LASlK and LASEK surgery can obtain satisfactory therapeutic results after an unsuccessful LASlK surgery.
3.Discrepancy in blood pressure between the left and right arms - importance of clinical diagnosis and role of radiological imaging
Pei Xuan Kuan ; Pui Wen Tan ; Ahmad Tirmizi Jobli ; Norsila Abd Razak
The Medical Journal of Malaysia 2016;71(4):206-208
Introduction: Differences in systolic blood pressure reading
between arms are common but could signal trouble if the
discrepancy is significant. Early detection of aortic
dissection could invariably determine patient’s survivability.
Hence, a high index of suspicion with prompt diagnostic
imaging is vital for accurate diagnosis. Case Presentation: A
previously healthy 35-year-old lady was referred from
district hospital for hypertensive cardiomyopathy
complicated by acute pulmonary oedema. After being
admitted to the Intensive Care Unit, the mean arterial
pressure on the left arm was noted to be significant higher.
On physical examination, both lower limbs were dusky in
appearance because of poor perfusion. Investigations:
Computed Tomography Angiography showed extensive
arch and abdominal aorta dissection extending to the
proximal common carotid artery. There was distal abdominal
aorta thrombosis with partial left renal infarction.
Echocardiogram showed global hypokinesia, presence of
intimal flap, aortic regurgitation and mild pericardial
effusion. Supine chest X-ray showed apparent
cardiomegaly. Treatment: Repair of the ascending aortic
dissection and suspension of the aortic valve by the
cardiothoracic team on Day 2 of admission. The vascular
team did bilateral high above knee amputation on Day 9 of
admission. Outcome: Patient passed away on Day 10 of
admission. Discussion: With the absence of classical
features of aortic dissection, establishing the diagnosis can
be challenging and requires both good clinical judgment
and prompt radiological imaging, such that early treatment
can be initiated. Conclusion: A high index of suspicion and
good clinical judgment is needed in cases of significant
blood pressure discrepancy between arms.
Blood Pressure
4.Secretory expression of recombinant porcine zona pellucida glycoprotein-3alpha (rpZP3alpha) in Pichia pastoris.
Yan-Ru GAO ; Shan-Pei PAN ; Qi-Xuan XIE ; Luan-Juan XIAO ; Qiong KE ; Wen-Xing LI ; Wei-Wei SHI
Chinese Journal of Biotechnology 2006;22(3):499-503
To obtain the recombinant pZP3alpha protein for the study of the contraceptive vaccines, the DNA sequence (446-1423) encoding purified pZP3alpha was inserted into a vector--pPICZalphaA. The recombinant plasmid pPICZalphaA-pZP3alpha was linearized and then transformed into Pichia pastoris GS115 by electroporation. Engineering strains were attained by screening with zeocin and induced to produce rpZP3alpha in high-density fermentation. Then rpZP3alpha was purified by Cu2+ metal affinity column chromatography from the separated and concentrated fermentative supernatants. The purified rpZP3alpha was identified by SDS-PAGE and Western blot, and the quantity, purity and rate of recovery of the rpZP3alpha were analyzed by Quantity One software. One male rabbit was immunized with the Cu-NTA-purified rpZP3alpha. The antibody responses against rpZP3alpha and porcine ZP were detected by ELISA and the indirect immunofluorescence. Engineering strains expressing rpZP3alpha in secretion were constructed. A 46kD component named rpZP3alpha which can react with anti-pZP3 antibody was purified from fermentative supernatants of engineering strains and the average yield of purified rpZP3alpha obtained from fermentative supernatants was 8mg/L. The purity and the rate of recovery were up to 92% and 63% respectively. The anti-rpZP3alpha antiserum was prepared by immunization of a male rabbit with purified rpZP3alpha. This anti-rpZP3alpha antiserum could react with rpZP3alpha and purified pZP3 in ELISA and bind to porcine zona pellucida which produced bright green fluorescence in the indirect immunofluorescence. The rpZP3alpha (46kD) protein could be successfully expressed in the Pichia pastoris expression system. And this protein retained the immunogenic activity of natural pZP3.
Animals
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Egg Proteins
;
genetics
;
metabolism
;
Electroporation
;
Fermentation
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Immunization
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Male
;
Membrane Glycoproteins
;
genetics
;
metabolism
;
Pichia
;
genetics
;
metabolism
;
Rabbits
;
Receptors, Cell Surface
;
genetics
;
metabolism
;
Recombinant Proteins
;
genetics
;
immunology
;
secretion
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Swine
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Zona Pellucida Glycoproteins
5.Distribution of Modic changes and its relationship with cervical degeneration in patients with neck and shoulder pain
Wen-Xuan LI ; Bao-Long YU ; Pei ZHANG ; Rui-Feng LI ; Yan-Bo JIA
Chinese Journal of Tissue Engineering Research 2018;22(3):432-437
BACKGROUND: There are many studies on Modic changes in patients with lumbar degenerative disease and low back pain. However, few studies facus on epidemiological distribution and related factors of Modic changes in cervical spine, and its epidemiology and influencing factors remain unclear.OBJECTIVE: To study the morbidity and distribution of Modic changes in patients with cervical and shoulder pain and its correlation with gender, age and cervical degeneration. METHODS: Totally 430 patients admitted in the Second Affiliated Hospital of Inner Mongolia Medical University and undergoing cervical MRI and CT examination due to neck and shoulder pain between December 2014 and December 2016 were retrospectively analyzed, involving 197 males and 233 females, aged 19-78 years (mean age: 50.3 years). The morbidity and segmental distribution of Modic changes and its correlation with age, sex, cervical intervertebral disc degeneration and facet joint degeneration were analyzed. RESULTS AND CONCLUSION: (1) Among 2 150 disc segments of 430 patients, 348 segments (16.2%) of 67 patients (15.6%) appeared with Modic changes:73(3.4%)segments were type I,243(11.3%)were type II,and 32(1.5%)were type III.(2)By application of chi-square test, Modic changes were most common at the C5/6segment; older than 40 years and Pfirrmann disc degeneration grade III were relevant factors, while gender and facet joint degeneration were not.
6.Research Advances in the Neuroinflammation in Alzheimer's Disease.
Wen-Pei MA ; Xuan ZHANG ; Qiong WU
Acta Academiae Medicinae Sinicae 2017;39(5):715-720
Alzheimer's disease(AD) is a chronic degenerative disease of the nervous system,and the pathological change of AD is the formation of senile plaques containing amyloid β(Aβ) and the neurofibrillary tangles. AD patients and animal models exhibit the over activation of microglia(MG) and astrocytes,causing neuroinflammation,leading to neuron death. Inhibition of MG activity can alleviate Aβ plaques. A growing number of studies have found that neuroinflammation is involved in the development and progression of AD. This article reviews the role of neuroinflammation induced by MG,astrocytes,T lymphocyte,and monocyte-derived macrophages in the mechanism of AD.
7.Wnt/b-Catenin Promotes the Osteoblastic Potential of BMP9 Through Down-Regulating Cyp26b1 in Mesenchymal Stem Cells
Xin-Tong YAO ; Pei-pei LI ; Jiang LIU ; Yuan-Yuan YANG ; Zhen-Ling LUO ; Hai-Tao JIANG ; Wen-Ge HE ; Hong-Hong LUO ; Yi-Xuan DENG ; Bai-Cheng HE
Tissue Engineering and Regenerative Medicine 2023;20(5):705-723
BACKGROUND:
All-trans retinoic acid (ATRA) promotes the osteogenic differentiation induced by bone morphogenetic protein 9 (BMP9), but the intrinsic relationship between BMP9 and ATRA keeps unknown. Herein, we investigated the effect of Cyp26b1, a critical enzyme of ATRA degradation, on the BMP9-induced osteogenic differentiation in mesenchymal stem cells (MSCs), and unveiled possible mechanism through which BMP9 regulates the expression of Cyp26b1.
METHODS:
ATRA content was detected with ELISA and HPLC–MS/MS. PCR, Western blot, and histochemical staining were used to assay the osteogenic markers. Fetal limbs culture, cranial defect repair model, and micro–computed tomographic were used to evaluate the quality of bone formation. IP and ChIP assay were used to explore possible mechanism.
RESULTS:
We found that the protein level of Cyp26b1 was increased with age, whereas the ATRA content decreased. The osteogenic markers induced by BMP9 were increased by inhibiting or silencing Cyp26b1 but reduced by exogenous Cyp26b1. The BMP9-induced bone formation was enhanced by inhibiting Cyp26b1. The cranial defect repair was promoted by BMP9, which was strengthened by silencing Cyp26b1 and reduced by exogenous Cyp26b1. Mechanically, Cyp26b1 was reduced by BMP9, which was enhanced by activating Wnt/b-catenin, and reduced by inhibiting this pathway. b-catenin interacts with Smad1/5/9, and both were recruited at the promoter of Cyp26b1.
CONCLUSIONS
Our findings suggested the BMP9-induced osteoblastic differentiation was mediated by activating retinoic acid signalling, viadown-regulating Cyp26b1. Meanwhile, Cyp26b1 may be a novel potential therapeutic target for the treatment of bone-related diseases or accelerating bone-tissue engineering.
8.Expression of survivin in patients with acute myeloid leukemia.
Wen-Xuan SUN ; Pei-Hong ZHANG ; Li-Huan FANG ; Zheng TIAN ; Ke-Jing TANG ; Qing RAO ; Min WANG ; Jian-Xiang WANG
Journal of Experimental Hematology 2013;21(5):1099-1104
Objective of this study was to detect the expression of Survivin in acute myeloid leukemia (AML) and investigate the relationship of its expression levels with clinical variates and its correlations with BCL-2 ,Bcl-xL and MCL-1. The expression of Survivin, BCL-2, Bcl-xL and MCL-1 were measured by immunohistochemistry in bone marrow biopsy of 63 newly diagnosed AML patients, and the relationship between its expression level and clinical parameters (age, sex, WBC count, diagnosis, prognosis), especially fusion protein AML1/ETO was investigated. The results showed that the expression level of Survivin in newly diagnosed AML patients was higher than that of normal controls (P < 0.01), the expression levels of Survivin did not correlate with age, sex, and WBC counts of patients and so on. There was no significant difference of Survivin expression between different NCCN prognosis groups, either between patients with AML1/ETO or FLT3-ITD mutation and the other patients. Survivin positive patients were got to have lower CR rate but higher relapse rate, however that was not significant in statistics. Indeed, the cumulative survivin rate of Survivin positive patients were lower than that of Survivin negative patients (P = 0.04). Finally, positive correlation between Survivin and MCL-1 was also observed (r = 0.639, P = 0.000). It is concluded that overexpression of Survivin are closely related with occurrence and development of acute leukemia, and may be used as an indicator of prognosis evaluation. In addition, Survivin and MCL-1 may have a relationship of cooperation or interaction.
Adolescent
;
Adult
;
Core Binding Factor Alpha 2 Subunit
;
metabolism
;
Female
;
Humans
;
Inhibitor of Apoptosis Proteins
;
metabolism
;
Leukemia, Myeloid, Acute
;
metabolism
;
pathology
;
Male
;
Middle Aged
;
Mutation
;
Myeloid Cell Leukemia Sequence 1 Protein
;
metabolism
;
Oncogene Proteins, Fusion
;
metabolism
;
Proto-Oncogene Proteins c-bcl-2
;
metabolism
;
RUNX1 Translocation Partner 1 Protein
;
Young Adult
;
bcl-X Protein
;
metabolism
;
fms-Like Tyrosine Kinase 3
;
metabolism
9.Effect of cyclophosphamide on murine bone marrow hematopoietic cells and its possible mechanism.
Jie TIAN ; Pei YU ; Wen-Xuan SUN ; Xiao-Yan LI ; Ke-Jing TANG ; Zheng TIAN ; Hai-Yan XING ; Qing RAO ; Min WANG ; Jian-Xiang WANG
Journal of Experimental Hematology 2012;20(6):1316-1321
This study was purposed to investigate the effect of chemotherapeutic drug cyclophosphamide (CTX) on normal murine bone marrow hematopoietic cells, especially on the self-renewal, proliferation and differentiation of bone marrow hematopoietic cells, and possible mechanisms. The CTX-treated mouse model was established by CTX 200 mg/kg, ip. The exact time of complete recovery of hematopoiesis was determined by monitoring the recovery level of differential blood counts and the proportion of LKS(+) cells in bone marrow cells. The function of bone marrow hematopoietic cells such as self-renewal, proliferation and differentiation were assessed by non-competitive and competitive bone marrow transplantation. The potential effect of CTX on senescence of bone marrow hematopoietic cells was analyzed by detecting p16(Ink4a) mRNA relative expression and SA-β-galactosidase (gal) staining. The results showed that the CTX could induce long-term but latent damage to bone marrow hematopoietic cell function and lead to the decrease in competency of bone marrow hematopoietic cells to reconstitute while seemingly permitting a complete recovery. Furthermore, the serial-transplantation model showed that these mice received transplantation of bone marrow hematopoietic cells from CTX-treated mice exhibited a high expression of p16(Ink4a) mRNA and SA-β-gal staining. It is concluded that CTX-induced bone marrow cellular senescence may play an important role in CTX-induced long-term injury to bone marrow hematopoietic cells.
Animals
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Bone Marrow Cells
;
cytology
;
drug effects
;
Cell Differentiation
;
drug effects
;
Cellular Senescence
;
drug effects
;
Cyclophosphamide
;
adverse effects
;
Hematopoiesis
;
drug effects
;
Mice
;
Mice, Inbred C57BL
10.Effect of irisin on hypoxic-ischemic brain damage in neonatal rats.
Xuan-Pei XU ; Ling-Yi HUANG ; Feng-Yan ZHAO ; Jun-Jie YING ; Shi-Ping LI ; Yan YUE ; Wen-Xing LI ; Yi QU ; De-Zhi MU
Chinese Journal of Contemporary Pediatrics 2020;22(1):58-64
OBJECTIVE:
To study the effect and mechanism of action of irisin on hypoxic-ischemic brain damage in neonatal rats.
METHODS:
A total of 248 7-day-old Sprague-Dawley rats were randomly divided into a sham-operation group, a model group, and low- and high-dose irisin intervention groups (n=62 each). The rats in the model and irisin intervention groups were given hypoxic treatment after right common carotid artery ligation to establish a model of hypoxic-ischemic brain damage. Those in the sham-operation group were given the separation of the right common carotid artery without ligation or hypoxic treatment. The rats in the high- and low-dose irisin intervention groups were given intracerebroventricular injection of recombinant irisin polypeptide at a dose of 0.30 µg and 0.15 µg respectively. Those in the model and sham-operation groups were given the injection of an equal volume of PBS. The water maze test was used to compare neurological behaviors between groups. TTC staining, hematoxylin-eosin staining and TUNEL staining were used to observe histopathological changes of the brain. Western blot was used to measure the expression of the apoptosis-related molecules cleaved-caspase-3 (CC3), BCL-2 and BAX.
RESULTS:
Compared with the sham-operation group, the model group had a significant increase in latency time and a significant reduction in the number of platform crossings (P<0.05). Compared with the model group, the high-dose irisin intervention group had a significant reduction in latency time and a significant increase in the number of platform crossings (P<0.05). Compared with the sham-operation group, the model group had massive infarction in the right hemisphere, with significant increases in karyopyknosis and karyorrhexis. Compared with the model group, the high-dose irisin intervention group had a smaller infarct area of the right hemisphere, with reductions in karyopyknosis and karyorrhexis. The model group had a significantly higher apoptosis rate of cells in the right cerebral cortex and the hippocampus than the sham-operation group. The high-dose irisin intervention group had a significantly lower apoptosis rate than the model group (P<0.05). At 24 and 48 hours after modeling, the sham-operation group had a significantly lower level of CC3 than the model group (P<0.05). Compared with the model group, the high-dose irisin intervention group had a significantly lower level of CC3 and a significantly higher BCL-2/BAX ratio (P<0.05). The low-dose irisin intervention group had similar laboratory markers and histopathological changes of the brain to the model group.
CONCLUSIONS
Irisin can alleviate hypoxic-ischemic brain damage in neonatal rats in a dose-dependent manner, possibly by reducing cell apoptosis in the cerebral cortex and the hippocampus.
Animals
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Animals, Newborn
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Apoptosis
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Brain
;
Hypoxia-Ischemia, Brain
;
Rats
;
Rats, Sprague-Dawley