带血管蒂组织瓣移位修复股骨头缺血性坏死的研究现状

股骨头缺血性坏死的临床治疗中带血管蒂组织瓣转位修复术收效良好。本文就股骨头血供特点、关节囊附着特点和几种股骨头修复术能带血管蒂转位的供瓣区解剖特点作一综述，为临床设计操作方便、损伤小、血供丰富的组织瓣转位术提供解剖学依据。     

转基因烟草感染马铃薯Y病毒脉坏死株系后某些酶活性变化的比较研究

烟草感染马铃薯Y病毒脉坏死株系后,过氧化物酶活性升高,但非转基因敏感烟草升高的幅度大于转基因抗病烟草;同时,非转基固敏感烟草的苯丙氨酸解氨酶和多酚氧化酶活性均增高,并且都出现两个活性高峰,但转基因抗病烟草的苯丙氨酸解氨酶活性仅出现第一个活性高峰,随后其活性值降低并逐渐恢复至未接种时的水平,而多酚氧化酶活性则降低;在未感染PVYN的情况下,转基因抗病烟草的过氧化物酶、苯丙氨酸解氨酶和多酚氧化酶活性均比非转基因敏感烟草高．     

CRP,but not TNF-α or IL-6, decreases after weight loss in patients with morbid obesity exposed to intensive weight reduction and balneological treatment

Objective

The aim of this study was to evaluate the concentrations of C-reactive protein (CRP), tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and the degree of homeostasis model assessment-insulin resistance (HOMA-IR) in patients with morbid obesity exposed to a three-week low-calorie diet and balneotherapy.

Methods

The study included 33 patients (25 females and 8 males; mean age 46 years) with body mass index (BMI) values of >40 kg/m². Evaluations of CRP, IL-6, TNF-α, lipid profile, HOMA-IR, and fasting glucose were carried out before (baseline data) and three weeks after the treatment. The control group consisted of 20 healthy volunteers (15 females and 5 males) with a mean age of 39 years and BMI values of ≤24.9 kg/m².

Results

In the blood of patients with morbid obesity we found significantly elevated levels of CRP, TNF-α, triglycerides, HOMA-IR and fasting glucose, but a decreased level of high density lipoprotein (HDL)-cholesterol, compared with the healthy individuals. The treatment resulted in about a 9.4% reduction in body weight from 122.5 to 111.0 kg and a significant decrease in the concentration of CRP, but no change in TNF-α or IL-6. HOMA-IR was significantly reduced.

Conclusion

The decrease in CRP level without changes in TNF-α or IL-6 concentrations after the low-calorie diet and balneological treatment, suggests that an essential amount of adipose tissue must be removed before proper adipocyte function is restored. The decrease in HOMA-IR indicates an improvement in insulin sensitivity, which is beneficial in obese patients.

     

调节激素刺激对超负荷运动致骨骼坏死的治疗作用

目的:探讨超负荷运动骨折致骨骼坏死患者的临床特点及调节激素生长刺激治疗方案。方法:分析2013年9月~2014年1月收治31例超负荷运动骨折致骨骼坏死患者的临床资料,总结超负荷运动骨折致骨骼坏死患者的临床特点及调节激素生长刺激治疗方案。结果:31例患者骨骼坏死后早期表现为骨骼受伤部位不适、神经疼痛等,逐渐出现意识变差、神经系统压迫性受损的表现,予早期骨骼固定、骨骼按摩、骨骼触感恢复及骨骼神经恢复等治疗,通过激素生长刺激作用,调节激素对于人体的刺激,使得坏死骨骼生长,31例患者住院1~40 d,11例好转,13例骨骼坏死部分恢复,2例骨骼坏死全部恢复。结论:超负荷运动骨折致骨骼坏死有很强的破坏性,临床表现为骨骼和相关神经衰竭,恢复率低,目前暂无特效调节激素生长刺激治疗方案,及早采取积极的治疗措施:如早期多次骨骼触感恢复或加骨骼神经恢复、大剂量激素的应用对骨骼坏死的救治和改善有重大作用。     

Enzymuria pattern in early post renal transplant period: Diagnostic usefulness in graft dysfunction

Serum creatinine does not distinguish between various causes of graft dysfunction. Serial assay of proximal tubular enzymes N-Acetyl-D-glucosaminidase (NAG), Alanine aminopeptidase (AAP) and Gamma glutamyl transferase (GGT) in urine was done to assess their usefulness in distinguishing various causes of graft dysfunction. Daily serum creatinine and enzymuria were measured in 32 consecutive renal allograft recipients for first 15 postoperative days. Graft dysfunction was defined as >20% increase in serum creatinine and >100% increase in enzymuria over the baseline. The diagnosis of graft dysfunction was based upon clinical criteria, ultrasonography, cyclosporin trough level, allograft biopsy, response to anti-rejection therapy and alteration of cyclosporin dosage. Fifteen episodes of graft dysfunction were identified in 15 patients. The sensitivity and specificity of the enzymes (NAG, AAP and GGT) for predicting graft dysfunction were 87.5%, 86.9%, 88.5% and 98.2%, 98.2%, 97.9% respectively. There was a significant increase in enzymuria during acute tubular necrosis (ATN) and acute rejection episode compared to cyclosporin nephrotoxicity (p<0.01). Enzymuria assay provides a simple, reliable and noninvasive method to distinguish cyclosporin nephrotoxicity from acute tubular necrosis and acute rejection in renal allograft recipients.     

SIRTUIN1介导的NIH3T3成纤维细胞昼夜节律时钟基因表达抑制的光生物调节作用

背景和目的:昼夜节律是影响运动成绩的一个重要因素。研究发现,介导运动应激的肿瘤坏死因子(tumor necrosis factor,TNF)能够抑制昼夜节律时钟基因的表达。研究了低强度810nm激光(low intensity 810 nm laserir radiation,LIL)对TNF抑制效应的调节作用。材料和方法:50%马血清休克处理NIH3T3成纤维细胞2h,同步化昼夜节律时钟基因的表达后,加入10ng/mL TNF-alpha抑制它的表达,与此同时给予20min10mW/cm2的LIL照射。36h内,每隔6h检测细胞中时钟基因Clock、Bmal1、Per2、Dbp和烟酰胺腺嘌呤二核苷酸辅酶(nicotinamide adenine dinucleotide,NAD+)依赖的组蛋白去乙酰化酶1(sirtuin1,Sirt1)的mRNA的表达及胞内NAD+和其还原形式NADH的比值NAD+/NADH。结果:TNF-alpha分别在第12h和第18h抑制了Clock(P<0.05)、第18h抑制了Bmall(P<0.05)和Dbp(P<0.005)、第18h和第30h抑制了Per2(P<0.05)及...     

三种免疫学方法对氢化可的松抑制效应的评价

本文用溶血空斑试验玻片小室法和改良平皿法及溶血分光光度计测定法测定药用氢化可的松对小鼠 B 细胞功能的抑制效应。结果表明溶血分光光度计法最敏感、客观;溶血空斑试验改良平皿法较玻片小室法重复性好,标本可长期保存。是临床科研检测 B 细胞功能的可靠方法。     

胃肠炎病死雌孔雀病理剖检一例

本文研究了雌孔雀胃肠炎的病理变化,指出此孔雀所患胃肠炎为非传染性疾病.     

Efficacy of Tumor Necrosis Factor and Interleukin-10 Analysis in the Follow-up of Nonalcoholic Fatty Liver Disease Progression

Tumor necrosis factor (TNF-α) is a cytokine involved in systemic inflammation during acute phase reactions. The current study was designed to investigate the levels of pro-inflammatory cytokine (TNF-α) along with the anti-inflammatory cytokine (IL-10) during progression of non-alcoholic fatty liver disease (NAFLD) from simple steatosis to non-alcoholic steatohepatitis (NASH) and fibrosis in diabetic patients, and correlate the levels of cytokines with the progression of NAFLD. Fifty-two diabetic patients compared to 18 healthy controls were participated in this study. Based on clinical diagnosis, patients were divided into three groups: simple steatosis, NASH and fibrosis. Serum liver function tests, fasting blood glucose, bilirubin, ALT, AST, TNF-α, IL-10 and lipid profile were measured. TNF-α levels were significantly higher in NAFLD patients compared to control subjects with a significant positive correlation with body mass index and fasting blood glucose (FBG) but with negative correlation with IL-10. Serum IL-10 levels were significantly lower in NAFLD patients compared with controls. A positive correlation between IL-10 and HDL-C with concomitant negative correlation between IL-10 and FBG and triacylglycerides was found. Cytokine analyses showed that there was a prominent imbalance between TNF-α and IL-10 in patients with NAFLD, and this imbalance increase by increasing the progression of NAFLD especially in obese diabetic patients. TNF-α and IL-10 could be used in diagnosis and follow-up of NAFLD stages in a way to avoid liver biopsies in greater proportion of patients.