AlM: To explore the inhibiting effect of FTY720 on corneal neovascularization ( CNV) of rat.METHODS: MTT assay and cells scratch were adopted to observe hyperplasia of human umbilical vein endothelial cells ( HUVECs ) and cell migration induced by sphingosine-1-phosphate(S1P) after using FTY720 of different concentration. The effect of FTY720 on CNV induced by S1P in a rat corneal micropocket model was detected. 30SD rats were randomly divided into group A, group B and group C with 10 rats per group. S1P and 0μg, 5μg, and 20μg FTY720 controlled-released particles were implanted into the corneal stroma. The growth of CNV and having pathological examination on 12d after the operation was observed. Findings was analyzed by one-way ANOVA.RESULTS: 10, 102 , 103 , and 104 nmol/L FTY720 and HUVECs co-incubate 72h could inhibit cell proliferation (P < 0. 01 ), 24h after the function of 10, 100nmol/L FTY720, it could inhibit S1P-induced cell migration and the ability of restricting cell proliferation and cell migration was enhanced with increasing concentration of FTY720. On 12d, after rat corneal micropocket controlled-release particles was implanted into groups A, B, C, the CNV area were respectively 10. 05±1. 19, 6. 59±0. 95, 2. 70± 0.68mm2(F=145. 155, P<0. 01), group A and group B was statistically different and this was the same case between group B and group C (P<0. 01).CONCLUSlON:FTY720 can inhibit S1P-induced corneal neovascularization.

Animals ; Atherosclerosis ; diet therapy ; physiopathology ; Humans ; Plaque, Atherosclerotic ; drug therapy

We adhere to the scientific development concept,innovate teaching supervision mode, improve teaching supervision system ,open up the working thought of focusing on guidance in combination with supervision,foster people-oriented supervision concept and expand the content of teaching supervision. The reform and innovation of implement teaching supervision in the university have only played an extremely important role in changing the study style,teaching style,management style and some other important aspects which affect undergraduate education quality but also helped enhance the teachers` awareness of ethics teaching quality and professionalism and comprehensive improve the teaching quality.

Objective To investigate the curative effect of acute severe brain injury complicated ARDS, Methods 31 patients who had acute severe brain injury complicated ARDS were divided into two groups:A group was early discovery of ARDS and given treatment.B group was late discovery of ARDS and treated late.Then the curative effects were compared.Results A group was significantly higher than B group in blood gas analysis(P

OBJECTIVETo study the patterns and prognostic value of resection margin involvement and lateral pelvic metastases, providing surgeons with pathologic proofs of tumor spread within the studied areas.

METHODSLarge tissue slices of 62 specimens from patients with rectal cancer were used in the pathologic study and the outcomes were followed.

RESULTSCompared with patients without margin involvement, patients with circumferential margin involvement (CMI), seen in 8 cases (12.9%), had poorer postoperative survival (P=0.003). The 12 patients (19.4%) with lateral pelvic metastases suffered poorer survival, compared with those without lateral pelvic metastases (P=0.026). Eight patients (66.7%) were diagnosed to have single lateral pelvic region involved, while the other 4 had multiple regions involved. The incidence of lateral metastases differed among regions, with higher occurrence in the root of middle rectal artery (6/12, 50.0%), area of the internal iliac artery (4/12, 33.3%) and the obturator region (3/12, 25.0%).

CONCLUSIONOccurrence of CMI or lateral metastases in rectal cancer patients predispose poor survival, thus a more radical clearance and postoperative adjuvant therapy are recommended.

Adult ; Aged ; Disease-Free Survival ; Female ; Follow-Up Studies ; Humans ; Male ; Mesentery ; pathology ; Middle Aged ; Neoplasm Invasiveness ; Neoplasm Metastasis ; Neoplasm Staging ; Pelvis ; pathology ; Rectal Neoplasms ; mortality ; pathology

OBJECTIVETo investigate rapid atrial pacing (RAP) induced atrial ultrastructural changes and mRNA and protein expression changes of L-type calcium channel subunits and potassium channel Kv4.3 in a rabbit model.

METHODSThirty-six rabbits were electrically paced at a frequency of 600 beats/min for durations ranging from 0 - 48 h via bipolar endocardial leads through surgical techniques. Ultrastructural changes of the atrium were observed through a transmission electron microscope (TEM), L-type calcium channel subunits and potassium channel Kv4.3 expressions at mRNA and protein levels were analyzed by reverse transcription-polymerase chain reaction (RT-PCR) and Western blot.

RESULTSAtrial ultrastructure changes characterized by mitochondrial vacuolization, myofilament lysis, and glycogen accumulation were detected obvious at 3 h post pacing. Down-regulated mRNA expression of Ca(2+) channel beta1 and alpha1 subunits was observed 6 h post pacing, Kv4.3 mRNA down-regulation occurred 24 h post pacing, auxiliary subunit alpha2 was not affected by pacing. Protein expression of alpha1c subunit and potassium channel Kv4.3 paralleled their mRNA expression changes.

CONCLUSIONRAP induced ultrastructural changes of the atrium and down-regulated mRNA and protein expressions of L-type calcium channel subunits and potassium channel Kv4.3 occurred thereafter in response to intracellular calcium overload induced by RAP.

Animals ; Calcium Channels, L-Type ; genetics ; metabolism ; Cardiac Pacing, Artificial ; methods ; Female ; Heart Atria ; metabolism ; ultrastructure ; Male ; Patch-Clamp Techniques ; Potassium Channels ; genetics ; metabolism ; RNA, Messenger ; metabolism ; Rabbits

BACKGROUNDAcute lung injury/acute respiratory distress syndrome presents with not only local inflammation, but also pulmonary coagulopathy which is characterized by an alveolar procoagulant response, anticoagulant inhibition, fibrinolytic supression and fibrin deposition. We thus had hypothesized that if aerosolized unfractionated heparin was inhaled into alveolar spaces, it could block the procoagulant tendency, lessen depletion of coagulation factors, and even influence the inflammatory response. We also assessed the effects of different administration regimens of heparin.

METHODSMale Wistar rats were given inhaled heparin starting 30 minutes before (prophylactic heparin) or 2 hours after (therapeutic heparin) intravenous lipopolysaccharide (LPS) was administered at 6-hour intervals; control groups received inhaled normal saline with or without being exposed to LPS. Thrombin-antithrombin complexes, activated protein C, tissue type and urokinase type plasminogen activators (t-PA/u-PA), plasminogen activator inhibitor-1 (PAI-1), tumor necrosis factor-α, interleukin-6 in bronchoalveolar lavage, and lung tissue myeloperoxidase activity, and histology score were measured at three time-points. PAI-1/(t-PA + u-PA) was calculated based on the before-mentioned parameters. Statistical analysis was made using one-way analysis of variance (ANOVA) with post hoc test or Student's t test in the case of heterogeneity of variance.

RESULTSAn alveolar procoagulant reaction, depressed fibrinolysis, and inflammatory response occurred in endotoxemia-induced lung injury. Local prophylactic application of heparin attenuated coagulation and early inflammation, promoted fibrinolysis, and reduced the histology score. Therapeutic application of heparin had similar, but weaker effects.

CONCLUSIONSIntrapulmonary application of unfractionated heparin by inhalation might inhibit alveolar procoagulant reaction and the early inflammatory response, promote fibrinolysis, and alleviate pulmonary pathology in endotoxemia-induced lung injury rats. Administration of heparin before LPS challenge was more efficacious.

Acute Lung Injury ; blood ; drug therapy ; Administration, Inhalation ; Animals ; Blood Coagulation ; drug effects ; Endotoxemia ; complications ; Fibrinolysis ; drug effects ; Heparin ; administration & dosage ; Inflammation ; drug therapy ; Lung ; pathology ; Male ; Rats ; Rats, Wistar

Using the isolated total RNA from osteosacoma cell line MG63, the cDNA encoding human OPG was amplified by RT-PCR. A recombinant adenoviral vector carrying cDNA of OPG was constructed and OPG expression in mouse myoblast C2C12 cells was confirmed by Western blot and ELISA. The secreted expression of OPG protein persisted more than 6 weeks in vitro, and the growth of C2C12 cells infected by recombinant adenoviral were in good state. Osteoclasts derived from mouse bone marrow cells infected with recombinant adenoviral made less number of TRAP positive cells and resorption pits formed on dentine slices.
Adenoviridae ; genetics ; Animals ; Blotting, Western ; Cell Line ; Enzyme-Linked Immunosorbent Assay ; Genetic Vectors ; genetics ; Humans ; Male ; Mice ; Mice, Inbred BALB C ; Osteoclasts ; metabolism ; Osteoprotegerin ; genetics ; metabolism ; Reverse Transcriptase Polymerase Chain Reaction

Objective To evaluate the clinical efficacy and safety be-tween leflunomide and dehydrocortisone in the treatment of immunoglobu-lin A ( IgA) nephropathy.Methods Sixty IgA nephropathy patients were divided into control group (n=32) and experiment group(n=28). Patients in control group were administered metacortandracin 0.5 mg· kg-1 until 2 months.And then with 5 mg decrease every 2 weeks. Patients in experiment group were administered leflunomide 20 mg, twice a day for 3 days and than 20 mg, once a day for 3 months.The 24 h urine protein, glomerular filtration rate, albumin, clinical efficacy and safety were compared between the two groups .Results After treatment, the effective rate were 53.13% and 64.29% in control and experiment group, with no statistical difference (P>0.05).The 24 h urine protein was significantly decreased ( P<0.05 ) , glomerular filtration rate and al-bumin significantly increased in two groups after treatment ( P<0.05 ) , but there was no statistical difference between the two group ( P>0.05 ) . The incidence rate of adverse drug reaction in experiment group and con-trol group were 21 .43% and 15.63%, without significant difference (P>0.05).Conclusion Leflunomide was effective and safe in the treatment of IgA nephropathy , without difference with dehydrocortisone .

Objective To explore the relationship between children obstructive sleep apnea hypopnea syndrome (OSAHS) and nasal diseases.Methods Three hundred and thirty-eight cases of pediatric OSAHS confirmed by polysomnography (PSG) had been enrolled as the treatment group,and divided into mild subgroup,moderate subgroup and severe subgroup according to the obstructive apnea index (OAI) and apnea hypoventilation index (AHI).The other two hundred and seven pediatric vocal cord nodule cases without OSAHS had been randomly selected as the control group.The retrospective analysis of upper respiratory tract infection frequency per year,expression levels of total IgE (tIgE) and allergenspecific IgE (slgE),results of electronic nasopharyngoscope test and nasal sinus CT scans had been performed in all the pediatric cases.The data were analyzed by SPSS 17.0.Results The upper respiratory tract infection frequency per year,ratio of cases with positive results of tlgE,ratio of cases with nasosinusitis,ratio of cases with narrow nasal cavity in the cxperiment group were respectively 8.7 ± 5.7,60.9％,79.9％ and 50.0％,while those in the control group were respectively 4.4 ± 2.6,32.8％,12.1％ and 6.3％,with significant difference between groups (t =7.578,x2 value was 41.943,237.704,110.322,all P ＜ 0.01).The multiple regression analysis indicated that,nasosinusitis and narrow nasal cavity were the two major risk factors of pediatric OSAHS (OR1 =16.008,OR2 =4.671,all P ＜ 0.01),with combined effects(OR =113.430,P ＜ 0.01).The rank test analysis in term of risk factors of severity of OSAHS had indicated that,prevalence of nasosinusitis and narrow nasal cavity were increased as risingseverity of OSAHS (x12 =21.571,x22 =17.304,all P ＜0.01).Conclusions Infection and allergy are risk factors of pediatric OSAHS.Nasosinusitis and narrow nasal cavity are two major risk factors of pediatric OSAHS,which have positive relationship with the severity of OSAHS.