Gynecological diseases are one of the important factors that threaten women's reproductive health.Endoplasmic reticulum(ER)stress is a stress response induced by the accumulation of unfolded or misfolded proteins in ER cavity when the female body is in a disease state,and the effects of different stress levels on the female reproductive system and the increase in the risk of female disease will vary greatly.Studies have shown that ER stress is closely related to the occurrence and development of gynecological diseases.Based on the relevant research reports at home and abroad in recent years,this paper summarizes the role of ER stress in several common gynecological diseases to provide new research ideas for preventing,diagnosing,and treating gynecological diseases.

Objective:To investigate the application value of pelvic floor ultrasound in screening early postpartum stress urinary incontinence (SUI).Methods:A total of 220 postpartum women, who were admitted by the Department of Gynecology and Obstetrics of The People's Hospital of Hechi from January 2018 to June 2019, were selected for this study. These women were divided into SUI ( n = 52) and no SUI ( n = 168) groups according to whether SUI occurred within 42 days after delivery. Pelvic floor ultrasound parameters and clinical data were compared between the two groups. The effects of each ultrasound parameter on postpartum SUI were assessed. The receiver operating characteristic (ROC) curve was plotted for each parameter. The area under the ROC was calculated. The risk factors for postpartum SUI were investigated using the logistic regression analysis. Results:The number of deliveries (≥ 2 times), the proportion of women subjected to vaginal delivery, and neonatal weight in the SUI group were significantly higher than those in the no SUI group [ χ2 = 4.13, 3.30, t = 4.43, all P < 0.05]. There were significant differences in the bladder neck position and levator hiatus area in the resting state between the two groups ( t = 2.29, 3.09, both P < 0.05). There were significant differences in the bladder neck position, levator hiatus area, urethral rotation angle, and bladder neck mobility during the Valsalva movement between the two groups ( t = 13.14, 4.27, 15.64, 8.54, all P < 0.05). The areas under the ROC of bladder neck position and levator hiatus area in the resting state and the areas under the ROC of bladder neck position, levator hiatus area, urethral rotation angle, and bladder neck mobility during the Valsalva movement were 0.707, 0.725, 0.730, 0.771, 0.813, and 0.836, respectively. The area under the ROC of parameters used in combination was 0.849. Logistic regression analysis results revealed that the number of deliveries (≥ 2 times), bladder neck position (> 27.286 mm) and levator ani hiatus area in resting state (> 16.663 cm 2), and bladder neck position (< -2.774 mm), levator hiatus area (> 21.915 cm 2), urethral rotation angle (> 80.445°), and bladder neck mobility (> 30.501°) during the Valsalva movement were the risk factors for postpartum SUI. Conclusion:Combined use of pelvic floor ultrasound parameters is valuable for the diagnosis of postpartum SUI. Abnormal changes in the bladder neck position, levator ani hiatus area, urethral rotation angle, and bladder neck mobility are closely related to the occurrence of postpartum SUI. Therefore, combined use of pelvic floor ultrasound parameters can be preferred to screen early postpartum SUI.

Activation of the heart normally begins in the sinoatrial node (SAN). Electrical impulses spontaneously released by SAN pacemaker cells (SANPCs) trigger the contraction of the heart. However, the cellular nature of SANPCs remains controversial. Here, we report that SANPCs exhibit glutamatergic neuron-like properties. By comparing the single-cell transcriptome of SANPCs with that of cells from primary visual cortex in mouse, we found that SANPCs co-clustered with cortical neurons. Tissue and cellular imaging confirmed that SANPCs contained key elements of glutamatergic neurotransmitter system, expressing genes encoding glutamate synthesis pathway (Gls), ionotropic and metabotropic glutamate receptors (Grina, Gria3, Grm1 and Grm5), and glutamate transporters (Slc17a7). SANPCs highly expressed cell markers of glutamatergic neurons (Snap25 and Slc17a7), whereas Gad1, a marker of GABAergic neurons, was negative. Functional studies revealed that inhibition of glutamate receptors or transporters reduced spontaneous pacing frequency of isolated SAN tissues and spontaneous Ca

Objective:To provide health education based on the constitution identification, summarize the changes in the cardiovascular residual risk of the pre-diabetic population, so as to explore a new way to reduce the risk of cardiovascular disease in this population.Methods:From July 2016 to October 2017, convenience sampling was used to select 200 patients with prediabetes who were treated in 4 community centers in Chaoyang District, Beijing as the research object. The population was randomly divided into conventional health education group and constitution identification-based health education group, with 100 cases in each group. Conventional health education group carried out conventional health education. Constitution identification-based health education group used the "Classification and Determination of Constitution in TCM" to identify the constitution, and conduct health education of Traditional Chinese Medicine for the constitution. The high-density lipoprotein (HDL) , low-density lipoprotein (LDL) , triglycerides (TG) , total cholesterol (TC) and blood uric acid (UA) were compared between the two groups before and after the intervention.Results:Before the intervention, there was no significant difference in HDL-C, LDL-C, TG, TC and UA between the two groups ( P>0.05) . After the intervention, the LDL-C of the constitution identification-based health education group was higher than that of the conventional health education group, and the TG and UA were lower than those of the conventional health education group, and the difference was not statistically significant ( P>0.05) . The HDL of the constitution identification-based health education group was higher than that of the conventional health education group, and the TC was lower than that of the conventional education group, the difference was statistically significant ( P<0.05) . Conclusions:Health education based on the constitution identification can effectively reduce the cardiovascular residual risk of pre-diabetes population, and it is a new way to reduce the risk of cardiovascular disease in this population.

The endometrial microenvironment and the immune regulation of pregnancy is a recent focus and challenge in the field of reproductive immunology. During the establishment of pregnancy, the immune cells assist in shaping a fetus-friendly immune microenvironment through adaptive reprogramming, thereby allowing the embryo to obtain "immune privilege". Immunometabolism is an emerging research field that has been developing rapidly in the last decade, focusing on the interaction between the immunology and metabolism and their roles in the physiopathology. However, the current evidence regarding how immunometabolism is involved in the regulation of the endometrial microenvironment and maternal-fetal immune tolerance is insufficient. In light of the implications of tumor immunometabolism for immunometabolism in pregnancy, the metabolic pathways of immune cell differentiation and function are reviewed for their potential regulatory role in shaping the maternal-fetal tolerance microenvironment. The relationship between metabolic and nutritional abnormalities and pregnancy disorders is analyzed. Finally, the possibility of improving pregnancy outcomes through immunometabolic inhibitors or dietary interventions is explored from a clinical application perspective.

The endometrial microenvironment and the immune regulation of pregnancy is a recent focus and challenge in the field of reproductive immunology. During the establishment of pregnancy, the immune cells assist in shaping a fetus-friendly immune microenvironment through adaptive reprogramming, thereby allowing the embryo to obtain "immune privilege". Immunometabolism is an emerging research field that has been developing rapidly in the last decade, focusing on the interaction between the immunology and metabolism and their roles in the physiopathology. However, the current evidence regarding how immunometabolism is involved in the regulation of the endometrial microenvironment and maternal-fetal immune tolerance is insufficient. In light of the implications of tumor immunometabolism for immunometabolism in pregnancy, the metabolic pathways of immune cell differentiation and function are reviewed for their potential regulatory role in shaping the maternal-fetal tolerance microenvironment. The relationship between metabolic and nutritional abnormalities and pregnancy disorders is analyzed. Finally, the possibility of improving pregnancy outcomes through immunometabolic inhibitors or dietary interventions is explored from a clinical application perspective.

OBJECTIVETo observe effects of on hepatocarcinoma (HCC) cell vasculogenic mimicry (VM) and explore the molecular mechanism by which inhibits HCC metastasis and invasion.

METHODSForty male SD rats were randomly divided into 4 groups for gastric lavage of normal saline or high, moderate or low doses of (twice daily) for 4 consecutive days. The sera were collected from the rats for treatment of cultured human HCC HepG2 cells. VM formation in the cells was detected using an image acquisition and analysis system 24 h after incubation of the cells with the sera and with the RhoA/ROCK inhibitor Y-27632(P). The expression levels of RhoA and ROCK1 in the cells were detected using Western blotting, and the contents of VE-cadherin and PI3K in the culture supernatant were determined using ELISA.

RESULTSTreatment with the sera from -treated rats significantly inhibited formation of VM in HepG2 cells, and the diameters of VM formed were significantly greater than those in the positive control group ( < 0.01). Y-27632 completely inhibited the formation of VM in HepG2 cells ( < 0.01). Treatments with and Y-27632 both inhibited the expression of RhoA and ROCK1 ( < 0.05) and significantly lowered the contents of VE-cadherin and PI3K in the culture supernatant ( < 0.05).

CONCLUSIONS can inhibit the formation of VM in HCC cells possibly by inhibiting the RhoA/ROCK pathways and the expressions of VE-cadherin and PI3K.

AIM: To investigate the effects of oridonin on the invasion and migration of hepatocelluar carcinoma cells.METHODS: Human hepatocelluar carcinoma MHCC-97H cells were cultured and treated with 5, 10 or 20 μmol/L oridonin.The migration ability was measured by wound healing assay.The invasion ability was examined by Transwell invasion assay.The adhesion capabilities were evaluated by adhesion assay.The protein levels of LIM kinase-1 (LIMK-1), cofilin and phosphorylated cofilin (p-cofilin) were determined by Western blot.RESULTS: Oridonin inhibited the migration, invasion and adhesion abilities of MHCC-97H cells in a dose-dependent manner (P<0.05).After oridonin treatment, the expression of cofilin had no obvious change, but the protein levels of LIMK-1 and p-cofilin decreased significantly.CONCLUSION: Oridonin inhibits the invasion and migration of MHCC-97H cells.The mechanism may be related with the regulatory effect of oridonin on LIMK-1/cofilin signal transduction pathway.

Objective To explore the effects of different weeks of high intensity interval training (HIIT) and moderate intensity aerobic exercise on maximal oxygen uptake (VO2max) and the expression of the skeletal muscle oxidative capacity related factor AMP-activated protein kinase (AMPK) and peroxisome proliferators γactivated receptor coativator-1-α (PGC-1α),so as to provide the basis for the choice of effective load intensity.Methods One hundred and twenty 6-week-old SPF male Wistar rats were equally randomized into 3 groups according to their body weight:a sedentary control group (not receiving any exercise),a moderate-intensity exercise group (undergoing 50-min continuous running at an intensity of 60％-70％ VO2max) and a HIIT group (conducting 3-min running at 90％ VO2max interspersed with 3-min recovery periods at 50％ VO2max and repeating that process 6 times,with a 7-min warm-up and cool-down period at 70％ VO2max).All rats except those in the control group exercised five days a week and 50min per day.All rats were measured their weight at 8:00-9:00am every Sunday.Soleus was taken from ten randomly chosen rats of each group at 2nd,4th,6th and 10th week after the onset of the intervention.The VO2max test was done before taking muscles.Western blotting was used to detect the protein expression of AMPK and PGC-1α.Results (1) Both the exercise duration and mode had a significant impact on rats' body weight,and they had interaction with each other (P＜0.01).(2) The average PGC-1α expression in the skeletal muscle of 10-week HIIT group were significantly higher than those in the control group (P＜0.05),and the average VO2max at the same time was also significantly higher than the other two groups.(3) In the HIIT group,the average VO2max at the 10th week was significantly higher than that at the 2nd,4th and 6th week (P＜ 0.05).The average protein expression of AMPK in the skeletal muscle at the 4th week in the moderate-intensity exercise group was significantly higher than that at the 2nd and 6th week of the same group,and that at the 2nd week of the control group (P＜0.05).The average protein expression of PGC-1α in the HIIT group from the 2nd to the 10th week was significantly higher than the control group at the 2nd week (P＜0.05).(4)The protein expression of PGC-1α was significantly correlated with temporal variation of VO2max in the HIIT group (P＜0.05).Conclusion Ten-week HIIT can effectively promote the expression of AMPK and PGC-1α in skeletal muscles and the maximal oxygen uptake.It plays a more quick and effective role in improving oxidant capacity and cardiorespiratory endurance of skeletal muscles than traditional moderate-intensity exercises.

AIM:To study the protective effects and mechanism of Fushen Jiangzhuo formula (FSJZ) on the rat renal interstitial fibroblasts with renal tubulointerstitial lesion .METHODS:The serum containing FSJZ and blank con-trol serum were prepared .The rat model of mesangial proliferative glomerulonephritis ( MsPGN) was established and ex-tended the time of modeling to 20th weeks for developing tubulointerstitial lesion naturally .The rat renal interstitial fibro-blasts at the end of 12, 16, 20 week of modeling were isolated and cultured .The effects of FSJZ on the expression of hepa-tocyte growth factor (HGF) and bone morphogenetic protein-7 (BMP-7) at mRNA and protein levels in the pathological re-nal interstitial fibroblasts were determined .RESULTS:The anti-fibrosis factors HGF and BMP-7 were changed in patho-logical renal interstitial fibroblasts .Renal tubulointerstitial lesion significantly down-regulated the expression of HGF and BMP-7, while the drug containing serum of FSJZ significantly up-regulated the expression of HGF and BMP-7.CONCLU-SION:Drug containing serum of FSJZ has protective effect on pathological renal interstitial fibroblasts by regulating the mRNA and protein expression of HGF and BMP-7.