3.Progress on the diagnosis, treatment, and family management of Lynch syndrome
Chenhan ZHONG ; Xiaofen LI ; Dong XU ; Ying YUAN
Chinese Journal of Clinical Oncology 2016;43(20):883-886
Lynch syndrome is the most common type of genetically determined colon-cancer predisposition syndrome, accounting for 5%of all colorectal cancer (CRC) cases. This hereditary syndrome is characterized by the germline mutation of human mismatch repair genes and microsatellite instability. Recent studies have shown that Lynch syndrome and sporadic CRC differ in diagnosis and treat-ment;these results are especially relevant for the clinical management of Lynch syndrome. In this review, we reverted to the original characterization of Lynch syndrome, and the developments in its screening and diagnosis were summarized. Furthermore, the manage-ment of families with this disorder was discussed.
4.Differences between right-sided and left-sided intestinal cancers
Jiao YANG ; Jianfei FU ; Xian ZHONG ; Ying YUAN
Journal of International Oncology 2015;(4):305-308
Decreasing trend has occurred in incidence of colorectal cancer in developed countries. A shift from left to right in location of colorectal cancer has been recognized,which may be associated with colonoscopy screening,aging population,diet structure modification,increased incidence of cancer and diabe-tes. Factors including sex,race and education may also play a role to some extent. Right-sided intestinal cancers have higher proportion of poor differentiation,terminal stage and mucinous component. Complications and second primary intestinal cancer are more common in right-sided intestinal cancers. Left-sided intestinal cancers tend to be well differentiated and at relatively early stage at diagnosis. With respect to molecular mecha-nism,right-sided cancers are associated with mismatch repair system,while left-sided cancers are related to p53 mutation. Based on the differences in clinicopathology and genetics,it′s implied that left-sided and right-sided intestinal cancers may belong to two different kind of disease. It′s suggested that attentions should be paid differently according to their respective characteristics in clinical practice and trials.
5.Effect of some active Chinese herbal fraction on brain tissue proteomic profile of ischemic mouse.
Yuan-ying SONG ; Zhong WANG ; Xun QU
Chinese Journal of Integrated Traditional and Western Medicine 2006;26(6):526-528
OBJECTIVETo study the effect of some active Chinese herbal fraction on protein expression of brain tissue in ischemic mouse with proteomic technique.
METHODSIschemia-reperfusion mice were treated with baicalin, geniposide, cholic acid and concha margaritifera respectively for 3 hrs, and then their brain tissue were taken to extract the total protein. Protein expression in ischemic mouse brain was analyzed with surface-enhanced laser desorption/inionation-time of flight-mass spectra (SELDI-TOF-MS) protein-chip.
RESULTSThe four components tested had effect on 3 target proteins at 5373Da, 5707Da and 15103Da, showing the nature of multi-target and with different action on protein expression.
CONCLUSIONProtein-chip is an effective approach for exploring the pharmacological mechanism of Chinese herbal fraction.
Animals ; Brain ; metabolism ; Brain Infarction ; drug therapy ; metabolism ; Drugs, Chinese Herbal ; chemistry ; therapeutic use ; Female ; Male ; Mice ; Phytotherapy ; Protein Array Analysis ; Proteomics ; methods ; Reperfusion Injury ; drug therapy ; metabolism ; Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization ; methods
6.CT manifestations of pediatric mesenchymal hamartoma of liver
Xiaoxia WANG ; Yumin ZHONG ; Xinyu YUAN ; Ying ZHOU ; Meihua SHI
Chinese Journal of Medical Imaging Technology 2017;33(9):1288-1292
Objective To explore the CT manifestations of pediatric mesenechymal hamartoma of liver (MHL).Methods Clinical data of 15 cases with MHL confirmed by surgery and pathology were retrospectively analyzed.All children were performed with CT scans including plain and enhanced scans,and the imaging features were analyzed.Results All the lesions were solitary,and 9 masses located at the right lobe of liver,4 located at the left lobe,the others located at both right and left lobe.The maximum diameter of lesions was from 5 cm to 30 cm,with an average of (11.52±6.84) cm.Ten cases were cystic and solid mixed,5 cases were solid.After contrast administration,the solid component and the septa of the masses showed enhancement while no enhancement was observed in the cystic component.Two cases had the spot-like calcification.Conclusion MHL has some special characteristics in the CT scan before surgery,which should be differentiated from other cystic and solid tumors of live.Some MHLs can be diagnosed when combined with the clinical information and CT images.
7.Quality Standard of Yanyan Pills
Yan MA ; Huixing YUAN ; Li YUE ; Ying MA ; Wenyu ZHONG
China Pharmacy 2007;0(33):-
OBJECTIVE:To establish the quality standard of Yanyan pills.METHODS: The constituents such as Lysimachia christinae,Radix et Rhizoma Glycyrrhizae and Radix Astragali were identified qualitatively by TLC,and the content of caffeotannic acid in L.christinae was determined by HPLC.RESULTS: The TLC spots were distinctive and well-isolated.The linear range of caffeotannic acid was 0.036~0.18 ?g(r=0.999 9)with an average recovery of 100.8%(RSD=0.67%,n=6).CONCLUSION: The established standard is applicable for the quality control of Yanyan pills.
8.Changes of Activity of Peripheral Blood Mononuclear Cells Nuclear Factor-?B in Children with Primary Nephrotic Syndrome and the Invention of Astragalus
fu, ZHONG ; yan, GAO ; xiao-yuan, ZHAO ; ying-min, DENG ; huan-hui, CHEN
Journal of Applied Clinical Pediatrics 2006;0(17):-
Objective To investigate the pathogenesis of peripheral blood mononuclear cells(PBMC) nuclear factor kappa-?B(NF-?B) in children with primary nephritic syndrome(PNS) and the effect of astragalus on the activity of NF-?B.Methods Twenty-five children with PNS and 20 normal children were studied.Isolated PBMC were separated from 5 mL venous blood in asepsis condition.NF-?B stimulator,NF-?B inhabitor and astragalus were added into the different tubes of PBMC,respectively.The nuclear protein was extracted from the pellets and the optical density(A) values of nuclear protein was measured by enzyme-linked immunosorbent assay(ELISA).Results The activity of PBMC NF-?B in PNS group was higher than that in normal group(P0.05).Astragalus could decrease the activity of PBMC NF-?B which had been stimulated by interleukin-1?(IL-1?)(P
9.Role of NRF2 signaling pathway in trichloromethane-induced oxidative stress in L02 cells
TAN Shi ying ZHONG Yuan fang QIU Yi bing ZOU Zhi hui YU ri an
China Occupational Medicine 2022;49(05):530-
Objective - ( )
To investigate the effects of nuclear factor erythroid 2 related factor 2 NRF2 on the oxidative stress
( ) Methods ) ,,
induced by trichloromethane TCM in human normal hepatocyte L02 cells. i L02 cells were stimulated with 1 2
, , , ( ),
4 8 12 16 and 20 mmol/L TCM solution dissolved in dimethyl sulfoxide and the control group and blank group were set
, - ,
up. After culturing for 24 hours the cell viability was detected by CCK 8 colorimetric method and the concentration of TCM
) -, -
stimulation was screened. ii L02 cells in logarithmic growth phase were randomly divided into control group and low medium
- , , ,
and high dose groups. After 24 hours of exposure to 0 4 8 and 12 mmol/L TCM the cells were collected. The activity of
( ), ( ), ( - ) ( )
superoxide dismutase SOD catalase CAT glutathione peroxidase GSH Px and the level of malondialdehyde MDA
NRF2, - (HO-1),
were detected by colorimetric analysis. The mRNA expression levels of heme oxygenase 1 glutamate cysteine
(GCLC) () (NQO1) -
ligase catalytic subunit and NAD P H quinone dehydrogenase 1 were detected by real time fluorescence
, - ,
polymerase chain reaction. The protein levels of NRF2 HO 1 GCLC and NQO1 were detected by Western blotting.Results ) , , , ,
i When the concentration of TCM was 4 8 12 16 and 20 mmol/L the survival rate of L02 cells decreased
( P ) , ,
significantly compared with the control group all <0.05 . The concentration of 0 4 8 and 12 mmol/L were selected as the
) , -
stimulation doses for subsequent experiments. ii Compared with the control group the activities of SOD and GSH Px in L02
( P ) ( P ), -
cells in the three doses groups decreased all <0.05 and the levels of MAD increased all <0.05 with a dose effect
- (P ),
relationship. The CAT activity of L02 cells in the medium dose group was lower than that in the control group <0.05 and the
- ( P )
CAT activity of L02 cells in the high dose group was lower than that in the others three groups all <0.05 . Compared with the
, NRF2 - (P ),NRF2
control group the relative expression levels of mRNA in L02 cells in the low dose group decreased <0.05
- (P ), NRF2
mRNA in L02 cells in the medium dose group increased <0.05 mRNA and NRF2 protein expression in L02 cells in
( P ) HO-1,GCLC, NQO1 ,
the highdose group increased both <0.05 . The relative expression level of mRNA and GCLC NQO1
( P )
protein expression in L02 cells in the three doses groups increased compared with the control group all <0.05 . The relative
NRF2 - - -
expression level of mRNA in L02 cells in the high dose group was higher than that in the low and medium dose groups
( P ), - (P ),
both <0.05 and the relative expression of NRF2 protein was higher than that in the low dose group <0.05 but the
HO-1 GCLC - - (
relative expression levels of and mRNA and HO 1 protein level were lower than those in the medium dose group all
P )Conclusion -
<0.05 . TCM exposure can inhibit the proliferation of L02 cells by inducing oxidative stress with a dose effect
,
relationship. In this process the antioxidant mechanism mediated by NRF2 was activated. The expression of antioxidant defense
, - ,
and detoxification related target genes downstream of NRF2 signaling pathway was activated and the expression of HO 1
-
GCLC and NQO1 was up regulated to alleviate the oxidative damage caused by TCM.
10.Efficacy Observation of Yiguanjian Decoction Combined Adefovir Dipivoxil Tablet in Treating HBeAg Negative Chronic Viral Hepatitis B Active Compensated Liver Cirrhosis Patients.
Shu-hong DUAN ; Zhong-ying BAO ; Xiao-dong YUAN ; Lei WANG ; Mei-sheng LIU
Chinese Journal of Integrated Traditional and Western Medicine 2016;36(5):535-538
OBJECTIVETo explore clinical efficacy of Yiguanjian Decoction (YD) combined Adefovir Dipivoxil Tablet (ADT) in treating HBeAg negative chronic viral hepatitis B (CVHB) active compensated liver cirrhosis (LC) patients.
METHODSTotally 68 HBeAg negative CVHB active compensated LC patients initially treated were assigned to the treatment group and the control group using random digit table, 34 in each group. Patients in the control group took ADT alone, 10 mg each time, once per day. Those in the treatment group additionally took YD, one dose per day. The therapeutic course for all was 48 weeks. Levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TBil) were detected once in every two weeks. Hepatitis B virus (HBV)-DNA and four items of serum liver fibrosis [procollagen type I (PCN), hyaluronidase (HA), procollagen III peptide (PCIII), laminin (LN)] were detected once per every 4 weeks. Abdominal ultrasound B was performed before and after treatment. The inner diameter of the portal vein and the size of spleen were recorded. The fibrosis degree of liver was evaluated using Fibroscan. Efficacy of Chinese medicine (CM) was evaluated between the two groups before and after treatment using CM syndrome integrals. Efficacy of Western medicine (WM) was also evaluated between the two groups using Child-Pugh grading. Results Compared with before treatment in the same group, ALT and AST levels restored to normal levels, HBV-DNA turned negative (HBV-DNA < or = 1 x 10(2)) in the two groups after 48-week treatment. Besides, levels of TBil, ALB, PCIV, HA, PCIII, and LN obviously decreased (P < 0.05, P < 0.01). Results of ultrasound B showed the inner diameter of the portal vein and the size of spleen decreased. Fibroscan results showed that the elasticity value of the liver obviously decreased (P < 0.05). Besides, post-treatment levels of PCIV, HA, PCEJ, and LN, and the elasticity value of the liver decreased more obviously in the treatment group than in the control group (P < 0.01). There was no statistical difference in post-treatment levels of ALT, AST, TBil, ALB, inner diameter of the portal vein, or the size of spleen between the two groups (P > 0.05). Compared with before treatment in the same group, scores of Chinese medical syndrome and Child-Pugh scores decreased in the two groups after treatment (P < 0.05, P < 0.01). Besides, scores of Chinese medical syndrome decreased more obviously in the treatment group than in the control group (P < 0.05). The effective rate was 8824% (30/34) in the treatment group, higher than that of the control group [67.65% (23/34)] with statistical difference (P <0.05). Conclusion Combined treatment of YD and ADT could significantly improve symptoms of CM and fibrosis degree of liver of HBeAg negative CVHB active compensated LC patients.
Adenine ; analogs & derivatives ; therapeutic use ; Alanine Transaminase ; blood ; Antiviral Agents ; therapeutic use ; Aspartate Aminotransferases ; blood ; Bilirubin ; blood ; DNA, Viral ; blood ; Drugs, Chinese Herbal ; therapeutic use ; Hepatitis B e Antigens ; blood ; Hepatitis B, Chronic ; drug therapy ; Humans ; Liver Cirrhosis ; drug therapy ; virology ; Organophosphonates ; therapeutic use ; Tablets