Objective To assess the feasibility and efficacy of robot-assisted laparoscopic simple prostatectomy (RALSP) for the treatment of benign prostatic hyperplasia (BPH) with large prostate.Methods From January 2014 to July 2015,16 patients with large prostate (≥80 ml) were treated by RALSP.The average patient's age was 69 years.The prostate volume was (98.3 ± 12.9) ml,preoperative residual urine was (78.0 ± 24.8) ml,the average IPSS was (22.9 ± 5.9),the average QOL was (4.8 ±1.5) and the average Qmax was (8.9 ± 3.7) ml/s,respectively.All patients agreed to accept RASP.The pre-operative and three months post-operative IPSS,QOL,residual urine and Qmax were compared and analyzed.Results All 16 patients underwent the surgeries uneventfully.The average operation time was (92.5 ± 15.5) minutes,the estimated blood loss was (125.5 ±25.5) ml,drainage time was (4.6 ±0.8)days,catheterization time was (7.9 ± 1.2) days and postoperative hospital stay was (5.1 ± 1.1) days.Three months after surgery,patient's IPSS was (11.8 ± 3.1),QOL was (1.6 ± 0.9),the average residual urine was (12.3 ± 2.6) ml and Qmax was (29.4 ± 11.6) ml/s,respectively.All the parameters significantly improved compared with the preoperative data (P ＜ 0.05).Conclusions Robot-assisted laparoscopic simple prostatectomy is a safe and effective method for the treatment of BPH patients with prostate volume larger than 80 ml.

Adenocarcinoma, Mucinous ; metabolism ; pathology ; surgery ; Aged ; Diagnosis, Differential ; Facial Neoplasms ; metabolism ; pathology ; surgery ; Gastrointestinal Neoplasms ; metabolism ; pathology ; Humans ; Keratin-19 ; metabolism ; Keratin-20 ; metabolism ; Keratin-7 ; metabolism ; Male ; Receptors, Estrogen ; metabolism ; Skin Neoplasms ; metabolism ; pathology ; surgery

Tumor immune checkpoint therapy is a clinical treatment strategy developed based on the new principle of the inhibition of negative immune regulation. In this article, the tumor immune checkpoint therapy and the drug delivery strategies were reviewed, mainly including immunity and tumor therapy, tumor immune checkpoint therapy and its mechanism of action, clinical application of tumor immune checkpoint therapy and therapeutic drugs, immune resistance of programmed cell death protein 1 (PD1)/programmed cell death ligand 1 (PDL1) treatment and countermeasures, drug delivery strategies for tumor immune checkpoint therapeutic agents, etc. As a revolutionary new immunotherapy strategy, tumor immune checkpoint therapy has shown obvious superior therapeutic efficacy in a variety types of tumor. However, tumor immune checkpoint therapy is also faced with a big challenge, namely, immunotherapy resistance. With the discovery of new mechanism, the continuous development of new therapeutic drugs and delivery strategies, tumor immune checkpoint therapy is expected to further improve the clinical efficacy of tumor.

OBJECTIVETo study the origin, basis and application of the Ziwu Duichong Qixue Huzhu theory.

METHODSAnalyze internal relation of every pair of gua among the 12 Xiao-Xi-Gua in The Yijing, in combination with clinical examples.

RESULTSThis theory is used for meridian diagnosis and acupoint selection with the best therapeutic effects.

CONCLUSIONZiwu Duichong Qixue Huzhu theory is a complement for qi and blood circulation in the 12 meridians. And it can broaden thinking of clinical treatment.

Acupuncture Points ; Acupuncture Therapy ; Humans ; Meridians

BACKGROUND: Visual-spatial neglect (VSN) is a neuropsychological syndrome, and right-hemisphere stroke is the most common cause. The pathogenetic mechanism of VSN remains unclear. This study aimed to investigate the behavioral and event-related potential (ERP) changes in patients with or without VSN after right-hemisphere stroke. METHODS: Eleven patients with VSN with right-hemisphere stroke (VSN group) and 11 patients with non-VSN with right-hemisphere stroke (non-VSN group) were recruited along with one control group of 11 age- and gender-matched healthy participants. The visual-spatial function was evaluated using behavioral tests, and ERP examinations were performed. RESULTS: The response times in the VSN and non-VSN groups were both prolonged compared with those of normal controls (P < 0.001). In response to either valid or invalid cues in the left side, the accuracy in the VSN group was lower than that in the non-VSN group (P < 0.001), and the accuracy in the non-VSN group was lower than that in controls (P < 0.05). The P1 latency in the VSN group was significantly longer than that in the control group (F[2, 30] = 5.494, P = 0.009), and the N1 amplitude in the VSN group was significantly lower than that in the control group (F[2, 30] = 4.343, P = 0.022). When responding to right targets, the left-hemisphere P300 amplitude in the VSN group was significantly lower than that in the control group (F[2, 30] = 4.255, P = 0.025). With either left or right stimuli, the bilateral-hemisphere P300 latencies in the VSN and non-VSN groups were both significantly prolonged (all P < 0.05), while the P300 latency did not differ significantly between the VSN and non-VSN groups (all P > 0.05). CONCLUSIONS Visual-spatial attention function is impaired after right-hemisphere stroke, and clinicians should be aware of the subclinical VSN. Our findings provide neuroelectrophysiological evidence for the lateralization of VSN.
Adult ; Aged ; Cerebral Infarction ; physiopathology ; Electrophysiology ; Female ; Humans ; Male ; Middle Aged ; Neuropsychological Tests ; Nitric Oxide Synthase Type III ; genetics ; PPAR gamma ; genetics ; Perceptual Disorders ; genetics ; metabolism ; physiopathology ; Polymorphism, Genetic ; genetics ; Reaction Time ; genetics ; physiology ; Reactive Oxygen Species ; metabolism ; Stroke ; genetics ; metabolism ; physiopathology ; Superoxide Dismutase ; genetics

BACKGROUND: Superparamagnetic iron oxide (SPIO) labeling technology is a classic noninvasive tracing method, which has been widely used in the stem cell transplantation. Induced pluripotent stem cells (iPSCs) are currently one of the most promising seed cells for cell transplantation. Whether SPIO labeling can also be used to noninvasively trace induced pluripotent stem cells is rarely reported, and concern has been raised about whether SPIO markedly impacts the differentiation of iPSCs. OBJECTIVE:To investigate the effects of SPIO labeling on the differentiation of iPSCs in vitro. METHODS: Rat fibroblasts were isolated and cultured. Efficient recombinant vector and plasmids that were packaged by virus and contained target genes (Oct4, Sox2, Klf4 and c-Myc) were transfected into 293T cells for virus packaging and production. The packaging lentiviral vectors that contained target genes infected rat fibroblasts to obtain iPSCs. SPIO-labeled (experimental) or unlabeled (control) iPSCs were subjected to neural induction and differentiation. Prussian blue staining and transmission electron microscope observation were performed for SPIO-labeled iPSCs. Immunohistochemical method was used to detect neuron-specific enolase expression after induced differentiation. Flow cytometry was used to detect the proportion of neurons and glial cells differentiated from iPSCs. RESULTS AND CONCLUSION: There were dense iron particles in the cytoplasm of SPIO-labeled iPSCs shown by Prussian staining and under transmission electron microscope. Differentiated iPSCs were positive for neuron-specific enolase. In addition, the proportion of neurons and glial cells showed no difference between the experimental and control groups. To conclude, SPIO labeling has no obvious effect on the capacity of iPSCs differentiating into neurons. Reasonable application of this new cell labeling technique will promote the development of seed cells in regenerative medicine.

Objective To construct a specific small interfering double-stranded RNA(siRNA) expression vector of Caspase-12 and to evaluate inhibitory effect of this siRNA on caspase-12 mRNA activity.Methods Three groups of siRNA targeting different gene sites of caspase-12 were designed and synthesized chemically.Mouse hepatoma cell line,Hepa1-6,was transfected with the siRNA by 24 h.Reverse transcription-polymerase chain reaction(RT-PCR)was performed to analyze the inhibi- tion of caspase-12.Then the most effective siRNA was selected and the two template sequences for the siRNA were inserted into pRNAT-H1.1Neo expression vector.The recombinant plasmid, referred to as pRNAT-casp12,was verified by PCR analysis and sequencing.The expression of caspase-12 at mRNA and protein level,after transfection with pRNAT-casp12 by 48 h and 72 h respectively,were analyzed by using real-time PCR and Western blotting.Results The chemically synthesized siRNA*1 and siRNA*3 could inhibit mouse hepatoma cell caspase-12 mRNA by 59.9% and 39.6%(P

OBJECTIVETo compare the results of in vivo and in vitro in determination of the changes of allyl chloride (AC)-induced electrophysiology in rats sciatic nerve.

METHODSNinety male Wistar rats weighted 180 approximately 220 g were divided randomly into two groups, i.e. experimental group (n=40) and control group (n=50). The rats in experimental group were treated with AC dissolved in corn oil (200 mg/kg ip 3 days/week) by gavage for 12 weeks. Electrophysiological indexes of each group were determined on 3, 6, 9 and 12 weeks of AC intoxication. The indexes included measurements of sciatic nerve conduct velocity (NCV), compound action potential amplitude (CAPA), potential latency (PL), time course (TC), threshold potential (TP) and max stimulate potential (MSP).

RESULTSCompared to the corresponding time-matched control rats, on 6, 9 and 12 weeks of AC intoxication, NCV were decreased by 23.6%, 40.4% and 48.6% (P<0.05, P<0.01) in vivo, while in vitro it was decreased by 15.4% (P<0.05) on 12 week, CAPA were reduced by 31.7% in vivo, while in vitro it was reduced by 31.7%, 38.9% and 58.9% (P<0.05, P<0.01), respectively, PL were prolonged 22.6% and 40.7% (P<0.01) on 9, 12 weeks in vivo, while in vitro it was prolonged 8.0% (P<0.05), TC were increased 22.5%, 34.6% and 47.5% (P<0.01) in vivo, while in vitro it was increased 11.6%, 20.0% (P>0.05) and 19.5% (P<0.01), respectively, TP were elevated 12.1% (P>0.05), 32.3% and 40.0% (P<0.05) in vivo, while in vitro it was elevated 16.4% (P>0.05), 29.2% and 35.6% (P<0.05), respectively, MSP were increased 40.5% (P>0.05), 69.0% and 86.5% (P<0.01) in vivo, while in vitro it was increased 29.7% (P>0.05), 52.0% and 61.9% (P<0.01), respectively.

CONCLUSIONThe two methods of in vivo and in vitro showed that AC could significantly affect the electrophysiology of sciatic nerve, and the time-dependent changes occurred. The NCV is the most sensitive indicator in vivo to the early diagnosis of AC intoxication, while CAPA is the most sensitive indicator in vitro.

Action Potentials ; drug effects ; physiology ; Allyl Compounds ; poisoning ; Animals ; Disease Models, Animal ; In Vitro Techniques ; Male ; Neural Conduction ; drug effects ; physiology ; Random Allocation ; Rats ; Rats, Wistar ; Sciatic Nerve ; physiopathology

OBJECTIVETo study the time dependent antioxidation changes of serum and sciatic nerve in rats intoxicated with acrylamide.

METHODSMale Wistar rats weighing 180 to 220 g were given acrylamide dissolved in physiological saline (40 mg/kg ip 3 days/week). The control groups received normal saline. The gait was observed and antioxidant indexes of rat serum and sciatic nerve were determined on 0, second, fourth, sixth, 10th week.

RESULTSWith the extension of the intoxication period, compared with the control, the contents of glutathione in serum and sciatic nerve gradually decreased (P < 0.05; after 6 and 10 weeks to 92% and 77%; after 2, 4, 6 and 10 weeks to 92%, 82%, 67% and 66%); the levels of malondialdehyde gradually increased (P < 0.05; after 4, 6 and 10 weeks to 113%, 118% and 120%; after 4, 6 and 10 weeks to 153%, 167%, 174%); the abilities of the resistance to reactive oxygen species gradually decreased (P < 0.05; after 10 weeks to 82%; after 6 and 10 weeks to 76% and 71%); the activities of glutathione peroxidase gradually increased (P < 0.05; after 2, 4, 6 and 10 weeks to 122%, 130%, 160% and 124%; after 4, 6 and 10 weeks to 134%, 152% 164%); the activities of glutathione reductase increased at early stage (P < 0.01; after 4 and 6 weeks to 300% and 217%; after 4 weeks to 142%) and decreased later (P < 0.01; 6 and 10 weeks to 59% and 33% in sciatic nerve); the activities of superoxide dismutase increased primitively (P < 0.05; after 2 weeks to 110%; after 4 weeks to 124%) and decreased later (P < 0.05; after 10 weeks to 85% in serum). The changes of antioxidant indexes in serum and sciatic nerve according to gait score were similar. The level of MDA in serum was in high correlation (P < 0.01) with that in sciatic nerve. The regression coefficients were 0.99 and 0.96 according to the administration time and gait score respectively.

CONCLUSIONThe changes of the antioxidant indexes in serum and sciatic nerve of rat treated with acrylamide are time dependent. The changes in serum and sciatic nerve are similar but those in sciatic nerve are more remarkable.

Acrylamide ; toxicity ; Animals ; Glutathione ; blood ; metabolism ; Glutathione Reductase ; blood ; metabolism ; Lipid Peroxidation ; drug effects ; Male ; Malondialdehyde ; blood ; metabolism ; Rats ; Rats, Wistar ; Reactive Oxygen Species ; blood ; metabolism ; Sciatic Nerve ; drug effects ; metabolism ; Superoxide Dismutase ; blood ; metabolism

AIMTo observe the behavior in learning and memory and the expression of c-fos gene from the brain of rats induced by beta-AP25-35, and the intervention of ecdysterone, in order to explore the protective mechanism of ecdysterone on the dysfunction of learning and memory of the rat induced by beta-AP25-35.

METHODSMicroinjection of beta-AP25-35 into hippocampus induced learning and memory dysfunction of rats. The learning and memory of rats were observed by Morris Water Maze. The expression of c-fos gene in the brain was detected by immunohistochemistry.

RESULTSThe results of Morris Water Maze showed that after rats were microinjected beta-AP25-35 into hippocampus, the rats in model group took longer latency and searching distance compared with the ones in control group (P < 0.01), and the rats in treated group (ECR 4 mg x kg(-1), ECR 8 mg x kg(-1) and nimodipine 7.2 mg x kg(-1)) took shorter latency and searching distance, especially the ECR 8 mg kg(-1) group (P < 0.01). At the same time, after the 5 days training, there was a higher expression of c-fos in hippocampus and cortex from the rats in control group than that in model group (P < 0.01), but in the treated group, there was a relatively higher expression of c-fos, especially the ECR 8 mg x kg(-1) group (P < 0.01).

CONCLUSIONMicroinjection of beta-AP25-35 into the rat hippocampus resulted in dysfunction of learning and memory. Ecdysterone was shown to improve the learning and memory of the rats and increase the expression of c-fos. Increasing the expression of c-fos is probably one of the most molecular mechanism of its protection.

Amyloid beta-Peptides ; antagonists & inhibitors ; toxicity ; Animals ; Ecdysterone ; pharmacology ; Gene Expression ; Genes, fos ; Hippocampus ; metabolism ; Male ; Maze Learning ; drug effects ; Microinjections ; Peptide Fragments ; antagonists & inhibitors ; toxicity ; Proto-Oncogene Proteins c-fos ; metabolism ; Rats ; Rats, Wistar