Calcitonin gene-related peptide (CGRP), a predominant neurotransmitter in sensory nerves, is widely distributed in central and peripheral tissues. In the cardiovascular system, besides relaxing vascular smooth muscle, CGRP protects against ischemic myocardium while inhibiting cardiac remodeling. The pharmacological effects of nitroglycerin and rutaecarpine have proved to be associated with the increase in the synthesis and release of CGRP. In gastrointestinal tissues, CGRP participates in the regulation of gastrointestinal function and has protective effects on the gastric mucosa. Rutaecar?pine, capsaicin and its derivatives can reduce gastric mucosa damage induced by a variety of factors by increasing synthesis and release of CGRP.

Objective To explore the function of 120 command information systems for emergency medical rescue in the 5· 12 Wenchuan Earthquake. Method To analyze various functions of Chengdu 120 command center information systems during the disaster resulted from the catastrophic earthquakes. Results As soon as 38 minutes after the Wenchuan earthquake with the magnitude of 8 (measured 8 on the Richter scale) happened at 14:28:04,calls flooded the Chengdu 120 center for help as many as 3-4 times the usual in a brief period. Immediately , the center opened 8 spare Alarm Reception stations, launching all sorts of function of both wire and wireless digital trucking systems,keeping track of database information, taking LED, road monitoring system, GIS, GPS for visual tracking and displaying vehicles and the messages about casualties. They received 6479 SOS calls and 14 749 calls within 58 hours.The first 58 hours after the earthquake happened, 120 center had dispatched ambulances 1184 time and sents 705 medical teams of more than 3000 medical staff for relief to hardest quake-hit region , which more than 6000 casualties were rescued and transported. The following 20 days, assigned 244 hospitals, 2526 rescuer vehicles at 5 airports, railway stations and Zipinpu Reservoir to pick up the injuries of 1518 persons and transfer 2151 persons to other province for medical treatment. Conclusions The 120 communication modalities and command development should be diversified and the command information systems construction should meet both peacetime and wartime needs with gradual, scienlifical, reasonable and flexible improvements. Provided that those improvements are well done,we shall ensure 120-lifeline going smoothly just in case the disasters occurs.

Ischemic preconditioning has been defined as a tolerance of the myocardium to subsequent sustained ischemic damage after the heart was insulted one or more brief periods of ischemic stress. The cardioprotective effect of ischemic preconditioning may be mediated by endogenous cardiovascular active substances. Neurotransmitters, including catecholamines, acethylcholine, calci-tonin gene-related peptide and opioids, may be endogenous myocardial protective substances, and participate in the mediation of ischemic preconditioning. Exogenous administration of neurotrans-mitters can mimic the cardioprotective effect of ischemic preconditioning. There is interactions of some neurotransmitters with other endogenous active substances. The mechanism by which neurotransmitters are involved in the cardioprotective effect of ischemic preconditioning is thought to activate their corresponding receptors, with a subsequent triggering cellular signaling pathway, resulting in myocardial protection.

OBJECTIVE:To study the integrated efficacy of Folium Ginkgo Tablets and the general regularity of the effect on the hypertensive patients' quality of life (QOL).METHODS:116 moderate hypertensive patients took the placebo for two weeks were randomly divided into treatment and control groups.Both groups were treated with Metoprolol,while the treatment group was added with Folium Ginkgo Tablets,and time of therapy was 24 weeks.Croog scale on quality of life checklist was used as benchmark for designing the QQL test questionnaire.RESULTS:The effect rates for treatment and control groups’overall relief efficacy were 96.43%and 80.00%respectively(P0.05).CONCLUSION:Folium Ginkgo Tablets not only had good efficacy and stable pressure-relief effect on the hypertensive patients,but also significantly improved patients QOL.

Research progress in pharmacological actions of evodiamine and rutaecarpine is reviewed, including cardiovascular effects, antiplatelet activity, antithrombotic activity, anti invasive and metastatic activity, anti inflammatory activity, antinociception, the effect on the endocrine system and non vascular smooth muscles, anti obese activity and thermoregulatory effect, etc.

The sensory merves innervate blood vessels all over the body and participate in the regulation of cardiovascular function both in the normal state and in the pathophysiology of hypertension through the actions of potent vasodilator neuropeptides Calcitonin gene related peptide, the predominant neurotransmitter in the capsaicin sensitive sensory nerves, plays an important role in the initiation and progression of hypertension via the alterations in its synthesis and release.

The objective of the present study was to examine the effect of angiotensin-(1-7) 〔Ang-(1-7)〕 on coronary flow and cardiac function in isolated guinea-pig hearts. The isolated guinea-pig heart was perfused in a Langendorff mode. Coronary flow, heart rate, left ventricular pressure and its first derivatives (±dp/dtmax) were recorded. Results showed that Ang-(1-7) (100 or 300 nmol*L-1) caused an increase in coronary flow and an impairment in cardiac function in isolated guinea-pig hearts. Indomethacin, a cyclooxygenase inhibitor, did not affect the effect of Ang-(1-7). However, the increased coronary flow by Ang-(1-7) was abolished by pretreatment of Nω-nitro-L-arginine-methyl-ester, a nitric oxide(NO) synthase inhibitor. These results suggest that Ang-(1-7) increases coronary flow and reduces cardiac function, and that the vasodilating action is related to stimulation of NO release.

Objective To compare the clinical results of choledocholithotomy by laparoscopic surgery and open surgery.Methods One hundred and Sixty-nine patients with cholecystoithiasis combined with choledocholithiasis were divided into laparoscopic surgery group(85 cases of laparoscopic choledocholithotomy,LCD-TD) and open surgery group(84 cases of open choledocholithotomy,OCH-TD).The clinical data in the two groups were compared and analyzed.Results The amount of intraoperative bleeding,the recover time of intestinal peristalsis after treatment,length of hospital stay,cases of postoperative pain and biliary fistulas in laparoscopic surgery group were evidently better than those of open surgery group(all P

Objective To investigate whether the protection of ischemic preconditioning (IPC) against myocardial ischemia/reperfusion (I/R) injury is mediated by toll-like receptor 4(TLR4)/NF-kB pathway,and whether these effects are related to the release of calcitonin gene-related peptide (CGRP).Methods Sprague-Dawley rats were subjected to 60 min of ligation of the left anterior descending coronary artery followed by 3 h of reperfusion to induce I/R injury.IPC was performed by 4 cycles of 3-min left coronary artery occlusion followed by 5-min reperfusion before the I/R.The expression of TLR4 mRNA was determined by RT-PCR.TLR4 and NF-kB protein expression were analyzed by immunohistochemistry.Myocardial infarct size,CGRP concentration in plasma and activity of creatine kinase in serum were also measured.Results IPC significantly reduced the infarct size and creatine kinase activity concomitantly with the increase in plasma CGRP concentration.The expressions of TLR4 protein and mRNA and NF-kB protein were increased by myocardial I/R injury,and dramatically inhibited by IPC.Conclusion IPC protects against myocardial I/R injury by inhibition of TLR4/NF-kB pathway.These effects are related to the increased the release of CGRP.

Objective To explore the inhibitory effect of calcitonin gene-related peptide (CGRP) on cardiomyocyte apoptosis and the underlying mechanism.Methods In cultured rat cardiomyocytes,apoptosis was induced by the incubation of isoprenaline ( 10ˉ5 mol/L) for 48 h.CGRP ( 10ˉ8 or 10ˉ7 mol/L) was administrated for 1 h before incubating isoprenaline to evaluate its effect on cardiomyocyte apoptosis.At the end of the drug treatment,the rate of apoptotic cells and intracellular reactive oxygen species (ROS) were determined,and RNA was extracted to examine the expression of microRNA-1 and microRNA-133a.Results Isoprenaline significantly increased the rate of apoptotic cells and intracellular ROS production concomitantly with the increased microRNA-1 expression and the decreased microRNA-133a expression,which were inhibited by pretreatment with CGRP.The effects of CGRP were reversed by CGRP receptor antagonist.Conclusion CGRP can inhibit the isoprenaline-induced cardiomyocyte apoptosis.The beneficial effect of CGRP is related to regulating microRNA-1 and microRNA-133a expression through the prevention of isoprenaline-induced ROS production.