Objective To investigate the relationship between the onset of cerebral infarction in anterior and posterior circulation and the "three high" risk factors in Guangzhou communities. Methods From Jan. 2014 to Jan.2016,367 patients from Guangzhou communities were diagnosed with new cerebral infarction by head diffu-sion weighted imaging(DWI).The data were divided into two groups of anterior and posterior circulation,and uni-variate and multivariate methods were used to analyze the relationship between the "three high" and other risk factors and the onset of cerebral infarction in anterior and posterior circulation.The data of anterior circulation cere-bral infarction were further divided into two subgroups of lacunar and non-lacunar infarction,and the same statisti-cal methods were employed to analyze differences of risk factors between the two subgroups. Results The frequen-cies of hypertension(P = 0.040)and large atherosclerotic infarction(P = 0.012)were significantly higher,and the serum high-density lipoprotein(HDL)level(P = 0.045)was significantly lower in posterior circulation than those in anterior circulation,respectively;and the onset of posterior circulation cerebral infarction was more associ-ated with the incidence of hypertension(OR = 1.767,P = 0.035)and the decrease of HDL(OR = 0.380,P =0.021). In anterior circulation,the levels of systolic blood pressure(SBP)(P = 0.011)and diastolic blood pres-sure(DBP)(P=0.000),as well as the frequency of large atherosclerotic infarction(P=0.000)in non-lacunar infarction subgroup were significantly higher than those in lacunar infarction subgroup respectively,and the onset of non-lacunar infarction was more closely related to increased SBP levels(OR=1.045,P=0.001). Conclusions Among the"three high"risk factors,the onset of posterior circulation cerebral infarction is more closely related to the incidence of hypertension and the decrease of HDL.In anterior circulation,and the onset of non-lacunar infarc-tion is more closely related to the increased levels of DBP and SBP,especially to the elevated levels of SBP.

[摘 要] 目的：探究白藜芦醇（Res）通过调控PRMT5表达对肝胆管癌SMMC-7721细胞增殖、侵袭、细胞周期的影响及其机制。方法：常规培养正常肝细胞LO2和SMMC-7721细胞，用0、20、40、80 μmol/L的Res进行处理，用qPCR法、MTT法、Transwell实验、流式细胞术和WB法分别检测Res处理后PRMT5 mRNA在LO2和SMMC-7721细胞中的表达，Res对SMMC-7721细胞增殖能力、侵袭能力、细胞周期和凋亡，以及PRMT5、cyclin D1和cyclin E1蛋白表达的影响。结果：PRMT5在SMMC-7721细胞中呈高表达（P<0.01）；20、40、80 μmol/L Res均能明显抑制PRMT5 mRNA和蛋白在SMMC-7721细胞中的表达（均P<0.01），抑制SMMC-7721细胞的增殖能力（P<0.01）和侵袭能力（P<0.05），阻滞SMMC-7721细胞周期于G0/G1期并促进其凋亡（P<0.01），明显抑制SMMC-7721细胞中周期蛋白cyclin D1、cyclin E1蛋白的表达（P<0.01）。结论：PRMT5在SMMC7721细胞中呈高表达，Res可有效抑制SMMC-7721细胞的增殖和侵袭能力并诱导其凋亡，其机制可能与抑制PRMT5表达相关。