Objective To construct dendritic cell(DC) vaccine expressing hepatitis C virus(HCV) multi-cytotoxic T lymphocyte(CTL) epitopes,which can stimulate T-cell response in vitro,providing certain information for immunization experiments in vivo for the next step.Methods DCs were infected with recombinant defective adenoviruses expressing two HCV CTL epitopes with tagged green fluorescent protein(GFP).The rate of infection was detected by the fluorescence microscope or flow cytometry;the expression of multiple CTL epitopes in DC was proved by RT-PCR and Western Blot.The cell surface markers of DC such as CD80,CD83,CD86 and HLA-DR were identified by flow cytometry.T cell proliferation effect promoted by DC was observed by cell counting kit-8(CCK-8).IL-12p70 in DC culture supernatant and IFN-γ in T cell supernatant were detected by Enzyme-Linked Immuno Sorbent Assay(ELISA).HCV specific CTL activity was measured by LDH release assay.Results Recombinant multi-CTL epitopes and GFP were successfully expressed in DC.Adenovirus can promote DC maturation,the percentages of CD80,CD83,CD86 and HLA-DR were(71.19±3.29)%,(81.21±5.07)%,(91.23±4.24)%,(97.95±5.31)% respectively.Infected DC promotes homologous T cell proliferation and the stimulation index was 6.806±0.247 when DC:T was 1:10.The secretion of IL-12 and IFN-γ was also increased to(193.83±6.25) pg/ml and(111.14±2.09) pg/ml respectively.The CTL stimulated by infected DC could specifically kill Huh-7.5 cells transfected with FL-J6/JFH transcripts.The cytotoxicity was 35.99% when the rate of effector to target was 100:1.Conclusion The multi-CTL epitopes recombinant adenovirus can effectively infect DC in vitro,promoting the T cell immune response,laying the foundation for developing anti-HCV DC vaccine.

Objective: Three dimensional X-ray imaging by Volume RAD, familiar with the operation method, a reasonable set of parametersin time, improve the technology efficiency at the same time, the control of possible ways to reduce the radiation dose. Methods: The 168 cases of patients with Volume RAD examination were divided into low, middle, high dose group, dose ratio was 5:10:15; respectively to examine patient’s chest, head, cervical spine, pelvis and knee joints, observe its effect. To track acquisition and scanning sampling, analyze of experiment and the effect. Results:The experimental results show, small lung nodules and trabecular bone dose, high dose group in the image quality is better than the dose than the low dose group, the display image quality, no significant difference between the 3 groups. Conclusion:After a time exposure capture can be parallel to the image surface of the detector series, was displayed in thecomplex structure and the overlapping parts of the details. But its operations are complex, need the exposure dose on dozens of times, how to control the exposure time and dose, which needs further research to select the best dose control scheme.

Objective:To study the influences of estrogen and progesteron on bone histomorphometry and renal expression of 1,25-dihydroxyvitamin D_3 receptor(VDR) mRNA in ovariectomized rats.Methods: Twenty-five adult female SD rats were equally randomized into 5 groups:sham-operation(Sham),ovariectomization(OVX),ovariectomization plus estrogen treatment(OVX+E),ovariectomization plus progesteron treatment(OVX+P) and ovariectomization plus both estrogen and progesteron(OVX+E+P) groups.All animals were killed to assess renal VDR mRNA expression by RT-PCR after 3.5 months feeding.Undecalcified proximal tibia was used to assess the bone histomorphometry with digitizing image analysis system.Results: OVX group,with weakened bone structure,had decreased cancellous bone and increased parameters of osteal formation and resorption compared with Sham,OVX+E and OVX+E+P groups(P

Objective:To study the effect of glucocorticoid receptor beta overexpression on the regulatory effect of glucocorticoid on proliferation and differentiation of human osteosarcoma cell and to investigate the biological significance of glucocorticoid receptor beta.Methods: Glucocorticoid receptor beta was stably transfected into human osteosarcoma cells and the stable transfectants were treated with different concentrations of dexamethasone(10~(-10)-10~(-6) mol/L).Then cell proliferation was determined by MTT method and viable cell counting;alkaline phosphatase was detected by standard hydroxybenzene colorimetry.Results and Conclusion: In stable transfectants overexpressing glucocorticoid receptor beta,glucocorticoid-induced cell proliferation repression and cell differentiation are inhibited,indicating that glucocorticoid receptor beta may be an endogenous inhibitor of glucocorticoid receptor alpha.

Objective To study the relationship between TXA 2/PGI2 and pulmonary hypertension in Congenital Heart Disease(CHD).Methods The serum concentration of TXB2/6-K-PGF1? was determined in 63 patients with CHD by radioimmunoassay. Results TXB2 ，TXB2 /6-K-PGF1? increased significantly in P H,while 6-K-PGF1? decreased,the TXB2 /6-K-PGF1? varied in different PH groups(P＜0.05).Conclusion TXA2/PGI2 plays an important role in the pathogenesis of PH se- condary to CHD.

Objective:To investigate clinical effects of a good control of blood sugar during perioperative period on surgical tolerance and postoperative recovery in elderly patients with gastric cancer and diabetes.Methods:A total of 92 elderly patients with gastric cancer and diabetes undergoing surgery in our hospital from August 2018 to March 2020 were randomly divided into a control group(taking conventional perioperative care, n=46)and an observation group(taking conventional perioperative care and good glycemic control, n=46). The changes of perioperative blood glucose level, surgical conditions and postoperative recovery in the two groups were observed and analyzed.Results:Fasting blood glucose level of observation group and control group was[(7.4±1.1)mmol/L vs.(7.9±1.3)mmol/L, t=-1.991, P=0.025]at 1 d before operation, [(7.2±0.9)mmol/L vs.(8.7±1.2)mmol/L, t=-6.782, P=0.000]during operation, and[(6.9±1.5)mmol/L vs.(8.5±1.1)mmol/L, t=-5.834, P=0.000]after operation.Anyway, fasting blood glucose level was lower in the observation group than in the control group.In observation vs control group, time of incision healing[(7.5±1.6)d vs.(9.7±2.2)d, t=-5.485, P=0.000], time to get out of bed[(3.3±0.8)d vs.(4.7±1.3)d, t=-6.221, P=0.000], length of stay in hospital[(10.5±2.7)d vs.(15.1±3.5)d, t=-7.058, P=0.000]were shorter in observation group than in control group.The incidence of postoperative complications was lower in the observation group than in the control group(8.70% vs.26.09%, χ2=4.484, P=0.028). Conclusions:The application of perioperative glycemic control can effectively maintain the perioperative blood glucose at a reasonable and stable level, improve the surgical tolerance and promote the postoperative recovery in elderly patients with gastric cancer and diabetes.And it plays a very positive role in ensuring the safety of surgery

So far,thoracoscopy(video-assisted thoracic surgery) has been maturely used in the field of thoracic and cardiovascular surgery,and already has achieved satisfactory results.In compare,the developing cardioscopy technique to perform intracardiac surgery,due to its own characteristics,was rarely applied as an supplementary clinical means over a long period of time.But more and more studies suggested that cardioscopy technique has it's own advantages in cardiovascular surgery,such as not extend the operation time and aortic clamping time,can provide a clearer operative field,and cause less tissue damage.Although there are a few cases reported completely cardioscopy technique treatment experience,it has not been widely used in clinical because of it's limitations.Even no such kind of research has been reported in China yet.This article aims to review the status of cardioscopy technique and its development prospects,to investigate the feasibility of its'widely clinical application in the future

Objective To observe the association between clinical pharmacokinetic of paclitaxel and adverse reactions in patients with gynecological malignant tumor.Methods 78 patients with female malignant tumor selected from Jan.2009 to Dec.2013 in Kailuan General Hospital were treated with paclitaxel (intravenous drip 175 mg/m2 3 h).The blood drug level of paclitaxel was measured at different time after treating.The DAS software was used to calculate the parameter of pharmacokinetic of paclitaxel,and the SPSS software was used to analyze the association between clinical pharmacokinetic of paclitaxel and adverse reaction in patients with female malignant tumor.Results The peak plasma concentrations (Cmax)was (3.99 ± 1.07)mg/L,the areas under the plasma concentration-time curve (AUC)was (9.74 ±2.45)mg/(h·L),the plasma elimination half-life (t1/2z)was (13.7 ±3.2)h,the apparent volumes of distribution (Vd)was (162.9 ±49.5)L/m2,the plasma clearance rates (CL)was (8.2 ±1.0)L/(h·kg).The kinetics of paclitaxel was fitted to two-compartment model.The time of drug concentration >0.1 μmol/L (t>0.1 )in responder patients (16.8 ± 4.8)h was higher than that in nonresponder patients (13.5 ±2.9)h,and the difference was significant (P<0.05).The Cmax in patients with severity adverse reactions (4.61 ±0.86)mg/L were higher than those in patients without severity adverse reaction (3.65 ±1.13)mg/L,and the difference was significant (P<0.01).Conclusion The Cmax of paclitaxel is associated with efficacy after treatment and severity adverse reactions.

MicroRNAs (miRNAs) are a class of small endogenous RNAs, which handle post-transcriptional gene regulation activity through targeting messenger RNAs.As the deep understanding of them, miRNAs had been found to participate in numerous basic biological processes, including the normal growth process of tissues and organs ,as well as the pathologic course of diseases.Different miRNAs may be involved in different tissues and organs, the same miRNA may have different expression in various physiological process or stages of pathological conditions.Now, the recent studies about the miRNAs in the lung development and pulmonary diseases were reviewed.