Objective To evaluate the relationship between the expression of microRNA-146a (miR-146a) in liver tissue and the inflammatory hepatic injury induced by ischemia/reperfusion (I/R) in rats. Methods One hundred and forty-four Sprague-Dawley (SD) rats were randomly divided into three groups: control (group N), sham operation (group S) and group I/R. Each group was subdivided into four subgroups (n = 12), and different substances were respectively injected intravenously to rats in different subgroups at 1 hour before the experiment: 220 μL physiological saline (group A), 20 μL miR-146a mimic + 200 μL physiological saline (group B), 20 μL miR-146a mimic + 200 μL ultrasound microbubble contrast agent (group C) and 20 μL miR-146a inhibitor + 200 μL ultrasound microbubble contrast agent (group D). Before the experiment and after experiment for 24 hours, the plasma concentrations of alanine aminotransferase (ALT), interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) were detected, the reverse transcription-polymerase chain reaction (RT-PCR) was used to measure the expression of miR-146a in liver tissue, and Western Blot was applied to detect protein expressions of Toll-like receptor 4 (TLR4), IL-1 receptor associated kinase 1 (IRAK-1), IL-6 and TNF-α, and the pathological hepatic cell injury was observed. Results Before the experiment and 24 hours after experiment in various subgroups of N and S groups, there were no statistical significant differences in the plasma concentrations of ALT, IL-6 and TNF-α, and the expression of miR-146a level and the protein expressions of TLR4, IRAK-1, IL-6 and TNF-α in liver tissues; the pathological examination also did not show any obvious hepatic cell injury. After the experiment for 24 hours: compared to the group S, the liver tissue miR-146a expression was significantly decreased in the subgroups A and D of group I/R (miR-146a/U6nsRNA: 0.51±0.13, 0.22±0.09 vs. 1.01±0.02, both P < 0.01), and the plasma concentrations of ALT, IL-6 and TNF-α and the protein expressions of TLR4, IRAK-1, IL-6 and TNF-α in liver tissues were significantly increased [ALT (U/L): 103.23±26.64 vs. 44.16±18.55, 176.46±7.26 vs. 49.74±6.83, IL-6 (μg/L): 64.28±16.19 vs. 17.68±7.54, 88.49±3.23 vs. 15.58±2.38; TNF-α (μg/L): 31.28±2.57 vs. 5.58±3.35, 59.12±8.74 vs. 5.27±1.37; TLR4/GAPDH: 2.43±0.36, 3.23±0.71 vs. 0.96±0.24, IRAK-1/GAPDH: 2.34±0.52, 3.14±0.63 vs. 0.76±0.21, IL-6/GAPDH: 1.01±0.22, 1.11±0.16 vs. 0.98±0.37, TNF-α/GAPDH: 2.05±0.48, 2.86±0.27 vs. 0.59±0.16, all P < 0.01], moreover, the hepatic pathological lesions were obvious; the liver tissue expression of miR-146a was significantly increased after being transfected with miR-146a mimic in subgroups B and C of group I/R (miR-146a/U6nsRNA: 1.56±0.31, 2.40±0.53 vs. 1.01±0.02, both P < 0.01), especially in group C combined with ultrasound microbubble (P < 0.01). However, the protein expressions of TLR4, IRAK-1, IL-6 and TNF-α in liver tissues were significantly decreased (TLR4/GAPDH:0.77±0.18, 0.65±0.27 vs. 0.96±0.24, IRAK-1/GAPDH: 0.61±0.14, 0.47±0.20 vs. 0.76±0.21, IL-6/GAPDH:0.80±0.13, 0.54±0.22 vs. 0.98±0.37, TNF-α/GAPDH: 0.41±0.14, 0.16±0.03 vs. 0.59±0.16; all P < 0.01), and the expressions were more significant in the group C combined with ultrasound microbubbles (P < 0.01), and the hepatic pathological damage was mild, however, the plasma concentrations of ALT, IL-6 and TNF-α were of no statistical significant differences. Conclusion Ultrasound microbubble can efficiently transfect miR-146a mimic and inhibitor into the liver tissue, and miR-146a may negatively regulate the I/R inflammatory liver injury mediated by TLR signaling pathway.

Objective To explore the dimensions of meaning in life(ML) in elderly patients with breast cancer, and offer practical recommendations for holistic nursing in clinical practice. Methods Purposive and convenience sampling techniques from phenomenological methodology were used to and recruit twelve elderly patients (more than 65 years old) with breast cancer in the Third Department of Breast Cancer, Tianjin Medical University Cancer Institute and Hospital from February 2016 to October 2016. A depth interview was conducted for each patient to collect data. Results In breast cancer survivors′perspective,ML including 4 dimensions:focus on the current survival status,self-actualization, social support and participation in individualized treatment. Focus on the current survival status is the basic connotation of ML, self-actualization is the concentrative embodiment of ML, social support is an important path way for grabbing ML, and participation in individualized treatment is an important supplement to realize ML Conclusion The awareness of ML has its own characteristics in elderly patients with breast cancer. Focus on the current survival status, self-actualization, social support and participation in individualized treatment contribute to its main connotation. The truth of getting cancer affects their perceptions to ML. Thus, healthcare providers should pay more attention and take various measures to meet their demands to ML.

Gitelman syndrome is a rare disease.It is easy to be misdiagnosed and missed diagnosis due to the diverse clinical symptoms.A girl with long-term hypokalemia,who presented with intermittent pain of lower limb muscle and physical retardation,was treated in Xiangya Hospital,Central South University.Laboratory examination confirmed the severe hypokalemia and metabolic alkalosis.Gene sequencing indicated SLC12A3 gene mutation and the patient was finally diagnosed as Gitelman syndrome.Patients with chronic hypokalemia and metabolic alkalosis need to conduct gene sequencing to confirm the diagnosis.Gene therapy is expected to be the most effective treatment for this disease.

Objective To evaluate the correlation between ultrasonography and histopathology in acute lung injury of rats.Methods Twenty male Wistar rats were randomly divided into control group (4 rats) and experimental group (16 rats),in the experimental group acute lung injury models were step-by-step induced by oleic acid (OA) and sequentially by OA and lipopolysaccharide (LPS).After the end of each step of models,ultrasound examination was applied,and the rats were sacrificed to take the lung specimens to be observed.The ultrasonography and pathological results were analyzed,and the numbers of alveolar were counted under microscope (200 times).Results With the aggravation of acute lung injury,the sonographic findings showed unclear or disappeared pleural line,close-set of B-lines,and pulmonary consolidation with air bronchogram.For control group,the ultrasonographic score was 0.25 ± 0.50,lung injury pathological score was 0.50 ± 0.58,and the numbers of alveolar were 25 ± 3.For OA group,the ultrasonographic score was 2.86-± 1.35,lung injury pathological score was 6.28-± 0.76,and the numbers of alveolar were 10-± 2.For OA + LPS group,the ultrasonographic score was 5.83-± 2.32,lung injury pathological score was 9.83 ± 0.98,and the numbers of alveolar were 6-± 2.All 3 groups were significant different on ultrasonographic score,pathological score and alveolar counts (P ＜ 0.01).Conclusions The ultrasonography image of acute lung injury of rats were positively correlated with its histopathological alteration.The ultrasonography can effectively evaluate the degree of acute lung injury of rats.

Objective To investigate the efficiency of ultrasound microbubble-mediated HGF gene transfer on liver fibrosis in rats. Methods The eukaryotic expression vector pMD18-T/HGF was constructed. The rats were randomly divided into 5 groups: normal group, model group, low dose group,middle dose group and high dose group. The rat liver fibrosis were induced. At day 14 after treatment, the rats were sacrificed, the ALT lever were evaluated, pathological evaluation of liver fibrosis were made,immunohistochemical evaluation of HGF protein expressions were observed, HGF mRNA expression were detected by RT-PCR. Results Liver 1function after the treatment showed that the treatment groups were better than model group ( P ＜ 0. 05). The difference between low dose group and normal group showed significant difference ( P ＜0.05), and the difference between middle/high dose groups and normal group showed no significant ( P ＞0. 05). Pathological results showed that the treatment groups could reduce liver fibrosis;treatment groups had the positive HGF expression by immunohistochemistry and the expression level increased with the increasement of the treatment dose ( P ＜0.05). RT-PCR showed HGF mRNA expression in the treatment groups were higher than in model group ( P ＜0.05). Conclusions Ultrasound microbubbles which carrying HGF can inhibit the process of hepatic fibrosis.

Medical imaging inspection technology is a practical major obligatory course for college students in medical imaging major.In order to overcome the defects of traditional teaching,we try to improve teaching methods,to carry out opening laboratory system,and to establish picture archiving and communication system ( PACS ) laboratory for the cultivation of applied talents of medical imaging.

Objective To explore the responses of antigen-specific T cells stimulated by hepatitis B virus(HBV)-specific proteins in chronic hepatitis B patients accepting antiviral therapy. Methods Seventeen patients with chronic hepatitis B (CHB) accepting antiviral therapy were included in this study. The peripheral blood monocular cell ( PBMC) were separated from the whole blood collected at the three different time of before and one and three months after accepting antiviral therapy. ELISPOT assay was used to detect the frequency and strength of secreting IFN-γ cells of PBMC stimulated by HBsAg, HBcAg and HBeAg. HBV virus loading, HBsAg, HBeAg, ALT and AST in serum were detected at the same time. Results After three months therapy, ALT, TBiL were improved in all patients, and HBV DNA level were dropped and undetectable in 11 cases. The rates of T cell response in patients to HBV specific proteins were 64. 7% , 76. 5% and 82. 4% at the time of before and one and three months after accepting antiviral therapy, respectively. The frequency of responses of antigen-specific T cells stimulated by HBcAg was higher than that stimulated by HBsAg or HBeAg, and the frequency was enhanced after antiviral therapy. The average response magnitude was expressed as spot forming cells (SFC) per million input cells. SFC of T cell responses to HBcAg was also higher than to HBsAg or HBeAg. There was no significant difference in SFC of T cell responses to HBsAg or HBeAg at the time of before and after antiviral therapy, but there were significant difference in SFC of T cell responses to HBcAg at the time of before and after antiviral therapy. SFC of T cell responses to HBcAg was negatively associated with HBV DNA, and no associated with level of ALT in serum. Conclusion The responses of antigen-specific T cells were improved in CHB patients accepting antiviral therapy which associated with the decrease of HBV DNA. It suggested to investigate HBV specific T cell responses was important.

Objective To investigate the pathogenesis of renal lesion in Fechtner syndrome . Methods Pathological characteristics of kidney tissues from Fechtner syndrome patients were explored by HE staining, immunochemistry, immunofluorescence and electron microscopy . Results Immunochemistry analysis showed that non-muscle myosin heavy chain IIA (NMMHC-IIA)was expressed in podocytes of giomeruli and distal convoluted tube, and was faintly expressed in the brush border of proximal tube . Histological examination demonstrated glomerulosclerosis and decreased expression of NMMHC-IIA in abnormal podocytes . Through standard immunofluorecence, the expression of NMMHC-IIA in patient's podocyte was higher than that in normal pedocytes . The fusion of foot process and microvillus were detected by electron microscopy . Conclusion Abnormal NMMHC-IIA aggregates in the glomeruli podocyts and foot process fusion accompanied with appearance of microvillus leads to renal lesion in Fechtuer syndrome .

Objective To investigate changes and clinical significance of serum granulocyte-macrophage colony stimulating factor(GM-CSF),tumor necrosis factor-alpha(TNF-?),interleukin-6(IL-6)and interleukin-8(IL-8)level in patients with bee-sting poisoning.Methods One hundred and nine patients with bee-sting poisoning were also divided into slight poisoning group,moderate poisoning group,and server poisoning group and also divided into dead group and survival group according to the prognosis.Thirty healthy persons were selected as control group.GM-CSF and TNF-?were measured using radioimmunoassay,IL-6 and IL-8 was measured using enzyme linked immunoadsorbent assay(ELISA),and they were compared with control grouup.Results The levels of serum GM-CSF,TNF-?,IL-6,IL-8 in slight poisoning group were increased a little,and there were no significant difference compared with control group(P＞0. 05).The levels of serum GM-CSF,TNF-?,IL-6 and IL-8 were significantly higher in moderate poisoning group and severe poisoning group than those in the control group(P＜0.01),but the severe poisoning group were much higher than the moderate poisoning group(P＜0.01).They were significantly higher in survival group than those in dead group(P＜0.01).APACHEⅡscores were obvious correlated with the levels of serum GM-CSF,TNF-?,IL-6 and IL-8(P＜0.05 or P＜0.01). Conclusion GM-CSF,TNF-?,IL-6 and IL-8 may participate in the occurrence and progress of patients with bee-sting poisoning.Dynamic monitoring of serum GM-CSF,TNF-?,IL-6,IL-8 and APACHEⅡscores plays an important role in diagnosis of the severity of patients with bee-sting poisoning and its prognosis.The use of antagonist and inhibitor of cytokines may be helpful to treat patients with bee-sting poisoning.