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    Cell and Molecular Biology
    Puerarin saponins induce the differentiation of BMSCs into nucleus pulposus-like cells via NAMPT-Sirt1 axis#br#
    YUE Zong-jin, LIU Ru-yin△, YU Lu, WANG Xin-li, FENG Zhong-kai, WANG Xi-bin
    2021, 49 (9):  897-903.  doi: 10.11958/20203629
    Abstract ( 845 )   PDF (628KB) ( 2968 )  
    Abstract: Objective To study the effect of total saponins of pueraria lobata (TSPL) on the differentiation of rat bone marrow mesenchymal stem cells (BMSCs) into nucleus pulposus-like cells and its mechanism. Methods An animal model of lumbar intervertebral disc degeneration in rats was established in vitro. The rats were divided into sham group, model group, 30 mg/kg TSPL treatment group and 50 mg/kg TSPL treatment group. The primary cultured rat BMSCs were divided into four groups: BMSCs group, BMSCs-TSPL (10, 20, 30, 40, 50 μmol/L) group, BMSCs-TSPL (30 μmol/L) -FK866 [a specific inhibitor of nicotinamide phosphoribosyltransferase (NAMPT), 2.5 μmol/L] group and BMSCs -TSPL (30 μmol/L) -SRT2104 (a Sirt1 activator, 10 μmol/L) group. The contents of glycosaminoglycan in cells and tissues were detected by dimethylmethylene blue method, and the mRNA and protein expression levels of nucleus pulposus-like cells related genes COL2A1, Aggrecan, Sox9, Tie2 and Sirt1 were measured with RT-qPCR and Western blot assay. WST-8 method was used to detect the level of nicotinamide adenine dinucleotide (NAD +) in cells. Enzyme linked immunosorbent assay (ELISA) was used to detect the levels of adenosine triphosphate (ATP) and NAMPT, respectively. Results Compared with the sham operation group, the content of glycosaminoglycan in the intervertebral disc L5-S1 tissue was decreased in the model group (P<0.05). Compared with the model group the content of glycosaminoglycan increased in TSPL treatment group, and the effect of 50 mg/kg TSPL treatment was better than that of 30 mg/kg treatment (P<0.05). Compared with BMSCs group, the mRNA and protein expression levels of glycosaminoglycan, COL2A1, Aggrecan, Sox9 and Sirt1 and the contents of NAD+, ATP and NAMPT increased in TSPL group and TSPL+SRT2104 group, but the expression level of Tie2 decreased (P<0.05). Compared with BMSCs-TSPL group, the mRNA and protein levels of COL2A1, aggrecan, Sox9 and Sirt1 and the contents of glycosaminoglycan, NAD+, ATP and NAMPT decreased after treatment with FK866, while the above indexes increased after  treatment with SRT2104 (P<0.05). Conclusion TSPL could induce BMSCs to differentiate into nucleus pulposus-like cells through the NAMPT/Sirt1 axis.
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    Effects of long non-coding RNA BCYRN1 on the biological behavior of lung adenocarcinoma cells#br#
    LI Shi-xiong, , GENG Hua, XU Mei-lin△
    2021, 49 (9):  904-909.  doi: 10.11958/20210599
    Abstract ( 1006 )   PDF (1054KB) ( 2977 )  
    Abstract: Objective To investigate the expression of long non-coding RNA (lncRNA) brain cytoplasmic RNA 1 (BCYRN1) in lung adenocarcinoma cell lines A549 and H1299 and its effects on cell cycle, apoptosis, invasion and migration, then to analyze the relationship between the expression of BCYRN1 and clinicopathological features and prognosis of patients with lung adenocarcinoma. Methods Normal lung epithelial cells BEAS-2B and lung adenocarcinoma cells A549 and H1299 were cultured. Real-time quantitative polymerase chain reaction (qPCR) was used to detect the expression level of BCYRN1 in normal cells and lung adenocarcinoma cells. BCYRN1 down-regulation and control plasmid were transfected into H1299 lung adenocarcinoma cells, respectively. The cell cycle and apoptosis were analyzed by flow cytometry. Changes of cell invasion and migration ability were detected by scratch test and Transwell test. Combined with the Cancer Genome Atlas (TCGA) database, the correlation between BCYRN1 expression and clinicopathological characteristics of patients with lung adenocarcinoma was analyzed. Cox regression was used to analyze the relationship between BCYRN1 expression and patient prognosis by using the lncRNAs from cancer arrays (lnCAR) database. Results The expression level of BCYRN1 was significantly higher in lung adenocarcinoma cells than that in normal lung epithelial cells (P<0.05). Flow cytometry analysis indicated that S phase arrest and the proportion of cells in the apoptotic phase increased in the BCYRN1 knockdown cells. The scratch test and Transwell test showed that the invasion and migration of H1299 cells reduced in BCYRN1 knockdown group. Bioinformatics analysis showed that the expression of BCYRN1 was associated with N stage and tumor stage (P<0.05), and the overall survival of patients with high BCYRN1 expression was significantly shortened. Conclusion BCYRN1 is highly expressed in lung adenocarcinoma cells. BCYRN1 knockdown inhibits the invasion and migration of lung adenocarcinoma and causes cell cycle arrest. The high expression of BCYRN1 is associated with N stage and tumor stage of lung adenocarcinoma. The prognosis of patients with high expression of BCYRN1 is poor.
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    Study on the mechanism of silicon-containing hydroxyapatite regulating macrophage 
    WANG Zhi-ying, YANG Qiu-xia, TIAN Xin-li, LIN Xue-xia△
    2021, 49 (9):  910-915.  doi: 10.11958/20203599
    Abstract ( 854 )   PDF (539KB) ( 2899 )  
    Abstract: Objective To investigate the mechanism of inorganic bone regeneration material silicon-containing hydroxyapatite (si-HA) in promoting the proliferation and osteogenic differentiation of mouse pre-osteoblast MC3T3-E1 (3T3) by regulating the polarity conversion of macrophages. Methods The hydroxyapatite (HA) and si-HA nanoparticles were prepared, and were used to stimulate RAW264.7 macrophages of mice at a dose of 10 mg/L. The cells were divided into HA group and si-HA group. Another control group (DMEM medium with 10% FBS) was set. The polarization status and the expression level of inflammatory factors in RAW cells were analyzed. The supernatants of RAW cells stimulated by HA and si-HA nanoparticles for 3 days were collected to prepare RAW conditioned medium, HA + RAW conditioned medium and si-HA + RAW conditioned medium. The conditioned medium was used to culture mouse 3T3 preosteoblasts, with complete medium as the blank control group. The expression levels of proliferation and osteogenic related genes were detected. Results The results showed that the expression levels of macrophage M1 phenotype factor iNOS, TNF-α and IL-1β mRNA were significantly down-regulated in si-HA group compared with those of the control group and HA group. The expression levels of Arginase, IL-10 and IL-1ra mRNA were significantly higher in si-HA group compared with those of the control group and HA group (P<0.05). The expression level of IL-6 mRNA was lower in HA group (P<0.05). The proliferation ability, alkaline phosphatase (ALP) activity and mineralized nodule formation of 3T3 cells were significantly stronger in si-HA+RAW group than those in the control group, RAW group and HA+RAW group (P < 0.05). After 14 days of culture, the expression levels of ALP, OCN, OPN, Col-l and Runx2 mRNA were significantly higher in si-HA+RAW group than those of the other three groups (P < 0.05). Conclusion The results show that si-HA nanoparticles can induce a favorable bone immune microenvironment, enhance the proliferation and osteogenic differentiation of 3T3 cells.
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    The protective effect of ginsenoside Rg3 on oxidative stress injury induced by H2O2 in KGN cells#br#
    ZHOU Ping, PEI Wen-di, SUN Yi-fan, YU Yang, JIN Dan△
    2021, 49 (9):  916-920.  doi: 10.11958/20210094
    Abstract ( 847 )   PDF (851KB) ( 2956 )  
    Abstract: Objective To investigate the protective effect of ginsenoside Rg3 on hydrogen peroxide (H2O2)-induced injury of human ovarian granulosa cells KGN, and to explore its possible mechanism. Methods KGN cells were cultured and then stimulated with different concentrations of H2O2 for 2 hours to establish a model of oxidative damage in KGN cells. Ginsenoside Rg3 pretreated for 24 h followed by stimulation with H2O2. CCK-8 kit was used to detect the cell viability and to screen the effective concentration. KGN cells were divided into 4 groups, control group, H2O2 model group, H2O2+Rg3 group and Rg3 group. The level of intracellular reactive oxygen species (ROS) was detected by DCFH-DA fluorescent probe. AnnexinⅤ/PI double staining and flow cytometry were used to detect the effect of ginsenoside Rg3 on the apoptosis of KGN cells induced by H2O2. Western blot assay was used to detect apoptosis-related proteins BAX and Bcl-2 and the expression of cytochrome C. Results Compared with the control group, the cell viability decreased in the H2O2 model group, the ratio of apoptosis increased (P<0.01), the level of ROS increased, the level of cytochrome C increased significantly, and the ratio of Bcl-2/BAX decreased (P<0.05). Compared with the model group, ginsenoside Rg3 pretreatment for 24 h can significantly increase the cell viability, reduce excessive ROS production, reduce the proportion of apoptotic cells, reduce the level of cytochrome C and increase the expression of Bcl-2/BAX (P<0.05). There were no significant differences in the above indicators between the control group and Rg3 group. Conclusion Ginsenoside Rg3 preconditioning has a significant protective effect on H2O2-induced oxidative damage in KGN cells, which is related to slowing down ROS excessive accumulation and inhibiting mitochondrial apoptosis pathway.
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    Study on the mechanism of alendronate in dexamethasone induced autophagy in C2C12 cells
    TIAN Ai-xian, MA Jian-xiong, MA Xin-long△, LI Yan
    2021, 49 (9):  921-925.  doi: 10.11958/20211562
    Abstract ( 886 )   PDF (794KB) ( 2914 )  
    Abstract: Objective To investigate the role and mechanism of alendronate (ALN) in dexamethasone (Dexa) induced autophagy in C2C12 cells. Methods C2C12 cells were divided into the control group (DMSO treatment), Dexa group (100 μmol/L Dexa treatment) and Dexa+ALN group (100 μmol/L Dexa+1.0 μmol/L ALN treatment). C2C12 cells were treated with 0, 0.1, 0.5 and 1.0 μmol/L ALN for 48 h, respectively. The proliferation level of C2C12 cells was detected by CCK-8 method, and the appropriate dose of ALN was screened. The differentiation of C2C12 cells was detected by hematoxylin-eosin (HE) staining. The diameter and fusion index of myotubule were measured by Image J. Western blot assay was used to detect the expression levels of myoglobin MHC, MuRF1 and autophagy related proteins LC3 and Beclin-1 in C2C12 cells. Immunofluorescence was used to detect the myosin heavy chain (MHC) expression of C2C12 cells. Results The appropriate dose of ALN was 1.0 μmol/L for subsequent experiments. HE staining and Image J showed that the diameter and fusion index of myotubule were significantly increased when the dose of ALN was 1.0 μmol/L (P<0.01). Western blot results showed that compared with the control group, MuRF1 protein increased in Dexa group, while the expression of MuRF1 protein was significantly down-regulated in Dexa+ALN group than that of Dexa group, and autophagy related proteins LC3 and Beclin-1 increased (P<0.01). Immunofluorescence results showed that compared with the control group, the fluorescence expression intensity (red light) of MHC protein was significantly decreased in Dexa group, and the fluorescence expression intensity of MHC protein was significantly increased in Dexa+ALN group than that of Dexa group. Conclusion The 1.0 μmol/L ALN can effectively promote the proliferation and differentiation of C2C12 cells, improve the inhibitory effect of Dexa on the differentiation of C2C12 cells, and inhibit the expression of myodegradable protein MuRF1. The mechanism may be related to the moderate activation of autophagy signaling pathway.
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    Experimental Study
    The protective effect of M2 macrophage-derived exosomes on mouse model of autoimmune hepatitis#br# #br#
    ZHANG Lu, CHEN Li-wei, LIU Man, ZHANG Jie, ZHOU Lu, ZHAO Jing-wen, WANG Bang-mao△
    2021, 49 (9):  926-932.  doi: 10.11958/20210874
    Abstract ( 770 )   PDF (1090KB) ( 2961 )  
    Abstract: Objective To explore the protective effect of exosomes derived from M2 macrophages (M2 Exos) on concanavalin (Con) A induced autoimmune hepatitis in mice. Methods RAW264.7 macrophages were treated with IL-4 (20 μg/L) for 24 h to obtain cell culture supernatant containing M2 Exos. M2 Exos were separated by ultracentrifugation and identified by transmission electron microscope, nanoparticle tracking analysis and Western blot assay. Immunofluorescence was used to detect whether M2 Exos were uptaken by RAW264.7 macrophages. Twelve C57BL/6J mice were randomly divided into PBS group, DiR-M0 Exos group, DiR-M2 Exos group and DiR dye control group. PBS solution, DiR-M0 Exos (100 μg), DiR-M2 Exos (100 μg) and DiR dye were given to corresponding groups through tail veins after the injection of Con A (15 mg/kg) for 1h. The distribution of Exos in liver, spleen, heart, lung, kidney and intestine of mice with autoimmune hepatitis was observed by vivo imaging system. Twenty C57BL/6J mice were randomly divided into control group (PBS solution), Con A group (15 mg/kg Con A), M0 Exos group (15 mg/kg Con A + 200 μg M0 Exos) and M2 Exos group (15 mg/kg Con A+200 μg M0 Exos), 5 mice in each group. Peripheral blood and liver tissues were collected 12 h after Con A injection. The serum levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were determined by automated biochemistry analyzer. The histological profiles of liver tissue were observed by hematoxylin-eosin (HE) staining. The mRNA expression levels of liver TNF-α and IL-6 were detected with quantitative real-time PCR (qPCR). The changes of liver macrophage subpopulations were detected with flow cytometric analysis. Results M2 Exos were successfully induced and isolated, which can be taken up by RAW264.7 macrophages in large quantities. M2 Exos were mainly absorbed by liver and spleen of mice through tail vein injection. Compared with Control group, the serum levels of ALT and AST were significantly increased in Con A group (both P<0.05). The disordered liver structure and increased necrosis areas were found in Con A group. Meanwhile, the mRNA expression of TNF-α and IL-6 in liver increased (both P<0.05). The infiltration of liver monocyte-derived macrophages (MoMFs) increased (P<0.05). Compared with Con A group, the serum levels of ALT and AST were significantly decreased in M2 Exos group (both P<0.05). M2 Exos group also showed lower liver TNF-α, IL-6 mRNA expression levels (both P<0.05) and lower MoMFs infiltration. HE staining showed that the necrosis areas of liver cells were relieved in M2 Exos group. Conclusion M2 Exos plays a protective role in autoimmune hepatitis in model mice,and its mechanism may be related to the decreased production of liver inflammatory cytokines and decreased recruitment of MoMFs.
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    The protective effect and antioxidant capacity of epicatechin on cerebral ischemia-reperfusion injury in rats#br#
    HUANG Fan, HU Wan-xiang, JIANG Chang-yue, LI De-li, XIE Lu△
    2021, 49 (9):  933-937.  doi: 10.11958/20210388
    Abstract ( 660 )   PDF (680KB) ( 3065 )  
    Abstract: Objective To study the protective effect of epicatechin (EC) on cerebral ischemia-reperfusion in rats and its influence on antioxidant capacity. Methods Ninety male SD rats were divided into 6 groups according to the random number table method, with 15 rats in each group, namely the sham operation group (Sham group), the model group (I/R group), EC 5 mg/kg group, EC 10 mg/kg group, EC 20 mg/kg group and edaravone 3 mg/kg group (ED 3 mg/kg group). Except for the Sham group, the other groups were established the middle cerebral artery embolism (MCAO) model by the thread embolization method. After the ischemia for 2 h, the drug was administered at the time points of 0 h, 12 h and 24 h after reperfusion. The Longa neurological function score was performed at the 12th and 24th hour. Triphenyltetrazolium chloride (TTC) was used to detect the infarct area of the ischemic side of the brain at the 36 h. Hematoxylin eosin (H&E) staining was used to observe the morphological changes of the ischemic side of the brain. Colorimetric method was used to detect the content of malondialdehyde (MDA), the activity of superoxide dismutase (SOD) and the activity of glutathione peroxidase (GPx) in the serum and the brain tissue of ischemic side of the brain. Results Compared with the Sham group, the neurological function score and the percentage of infarct area were increased in the I/R group (P<0.05). The tissue morphology was significantly changed, the serum and brain tissue contents of MDA were increased, while the activity of SOD was decreased (P<0.05). The activity of GPx was decreased in brain tissues (P<0.05). Compared with the I/R group, the neurological function scores and the percentage of infarct area were decreased in the EC 10 mg/kg group, EC 20 mg/kg group and ED 3 mg/kg group (P<0.05). The tissue damage was improved. The content of MDA in serum and brain tissue decreased, while the activity of SOD increased (P<0.05). The activities of GPx in brain tissues increased in EC 10 and 20 mg/kg group and ED 3 mg/kg group (P<0.05). Conclusion Epicatechin can resist cerebral ischemia-reperfusion injury by enhancing brain antioxidant capacity in rats, which is dose-dependent within a certain range.
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    Study on the anti-prostate cancer activity and acute toxicity of 17β-HSD3 inhibitor
    HAN Yang, BAO Hai-hua, BAI He, LIU Jie-ting, SUN Wen-hui, YUAN Xiao-huan△
    2021, 49 (9):  938-943.  doi: 10.11958/20203142
    Abstract ( 798 )   PDF (937KB) ( 2919 )  
    Abstract: Objective To investigate the anti-prostate cancer activity, pharmacokinetic analysis and acute toxicity of 17β-hydroxysteroid dehydrogenase 3 (17β-HSD3) inhibitor. Methods The logarithmic growth phase androgen-dependent prostate cancer LNCaP cells were divided into the blank control group (Con group), curcumin group (Cur group, Cur 150 µmol/L), androgen receptor (AR) inhibitor group (AR inhibitor group, 5 µmol/L) and curcumin analog H7 group (H7 group, H7 150 µmol/L). After grouping treatment, the xCELLience RTCA DP cell analyzer was used to detect cell viability, and flow cytometry was used to detect cell apoptosis. The changes of Caspase-3 and AR protein expression levels in cells were detected by Western blot assay. Thirty-two C57 mice were divided into 4 groups (n=8 for each group), namely the blank control group and the high, medium and low-dose curcumin analog H7 groups. The high, medium and low-dose groups of mice were treated with 1% carboxymethyl sodium cellulose (CMC-Na) dissolved H7 (100, 50 and 25 mg/kg), and gavage once a day. At the same time, mice in the blank control group were gavage 1% CMC-Na to observe whether the mice were dead or abnormal. After 14 days, samples were taken and stained with hematoxylin-eosin (HE) to observe the pathological changes of liver and kidney. Ten SD rats were used to gavage with 1% CMC-Na dissolved H7 (5 mg/kg), and then the plasma concentration was detected by high performance liquid chromatography (HPLC) to analyze the pharmacokinetic parameters. In addition, another 10 SD rats were taken and H7 (5 mg/kg) was gavage for 30 min. The drug concentrations in rat brain, liver, spleen, lung, small intestine, stomach, kidney, heart and testis were detected by HPLC, and the distribution of the drug tissue was investigated. Results Compared with the Con group, the cell index (CI value) of LNCaP cells significantly decreased in the Cur group, AR inhibitor group and H7 group. The flow cytometry results showed that the apoptosis rate was significantly increased (P<0.05). The Western blot results showed that Caspase-3 protein expression levels were significantly increased (P<0.05), while AR protein expression levels decreased (P<0.05). Compared with Cur group and AR inhibitor group, flow cytometry results showed that the apoptosis rate was significantly increased in H7 group (P<0.05). After treatment with H7 for 14 days, no abnormalities such as increased activity, salivation, convulsions and coma were found in the mice. Compared with the control group, HE staining showed no obvious pathological changes in mouse liver and kidney. The results of pharmacokinetic parameters showed that the area under the curve (AUC) was (557.31±36.12) mg/(L·h), the peak concentration (Cmax) was (36.92±1.29) mg/L, the highest peak time (tmax) was 2 h and the elimination half-life (t1/2) was (22.13±1.74) h. The H7 concentrations in the small intestine were 5 000 times higher than that in brain tissue. Conclusion As a 17β-HSD3 inhibitor, H7 has obvious anti-hormone-dependent prostate cancer activity and good pharmacokinetic parameters, no obvious acute toxicity, mainly gastrointestinal absorption, and has further research and development prospects.
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    The therapeutic effect and mechanism of irbesartan on fatty liver in diabetes-hypertension rats
    ZHONG Juan, CHEN Jing, LEI Ren-guo, Li Hong-mian, QIN Ya-qin△
    2021, 49 (9):  944-948.  doi: 10.11958/20210118
    Abstract ( 1702 )   PDF (1415KB) ( 2982 )  
    Abstract: Objective To investigate the therapeutic effect of irbesartan on fatty liver in diabetes-hypertension (SHDM) rats and its influence on the AMPK/mTOR signaling pathway mediated by peroxisome proliferator-activated receptor γ (PPAR-γ). Methods The rat model of SHDM was induced by intraperitoneal injection of streptozotocin with high fat high sugar diet in spontaneously hypertensive rats. SHDM model rats were randomly divided into model group, irbesartan group and irbesartan + PPAR-γ antagonist group. In addition, the normal rats were used as the normal control group. After 8 weeks of intervention, the changes of blood pressure, blood glucose, blood lipid, liver function and liver pathology were observed. The expression levels of PPAR-γ, AMPK/mTOR pathway molecules and LC3B in liver tissues were detected by Western blot assay, and the autophagosomes in the liver were observed under electron microscope. Results Compared with the model group, the systolic blood pressure, blood glucose, blood lipid, liver function and liver pathology were significantly ameliorated in irbesartan group (P<0.05). However, the above indexes except for the blood glucose were all increased after treatment with irbesartan and PPAR-γ inhibitor. Importantly, the protein levels of PPAR-γ, p-AMPK and the LC3B Ⅱ/Ⅰratio were increased with irbesartan administration, while the expression of p-mTOR was decreased (P<0.05), which resulted in a distinct increase in LC3B Ⅱ/Ⅰratio and autophagosomes. There were significant differences in these indicators between model group and irbesartan group (P<0.05). However, these effects were reversed after treatment with irbesartan and PPAR-γ inhibitor treatment. Conclusion Irbesartan has a therapeutic effect on fatty liver in SHDM rats, and its mechanism is related to the activation of PPAR-mediated AMPK/mTOR pathway, thereby promoting hepatocyte autophagy.
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    Clinical Study
    Effects of shikonin on TSLP/OX40L pathway and Th1/Th2 cell balance in atopic dermatitis mice
    WU Jin-huan, ZHENG Bao-yong, ZHANG Li-tao△
    2021, 49 (9):  949-954.  doi: 10.11958/20210117
    Abstract ( 648 )   PDF (705KB) ( 2938 )  
    Abstract: Objective To investigate the effects of shikonin on thymic stromal lymphopoietin (TSLP)/OX40 ligand (OX40L) pathway and balance of helper T cell 1 (Th1)/helper T cell 2 (Th2) in mice with atopic dermatitis (AD). Methods AD mouse model was established by topical application of 2,4-dinitrofluorobenzene (DNFB).Model mice were randomly divided into model group, low shikonin group (10 mg/kg), medium shikonin group (20 mg/kg), high shikonin group (30 mg/kg), and the positive control group (prednisolone,10 mg/kg) by random number table method, with 15 mice in each group. Another 15 mice were used as the normal control group. The drug groups were given the corresponding drugs by gavage, with the volume of 10 mL/kg. The model group and the normal control group were given the same volume of solvent by gavage, once a day for 15 days. The scratch behavior of mice was observed on the 5th, 10th and 15th day after administration. The condition of skin lesions was evaluated on the 7th and 15th days after administration. At the end of the last administration, hematoxylin eosin (HE) staining was used to observe the histopathological changes of skin lesions. The ratio of Th1/Th2 cells in peripheral blood of mice was detected by flow cytometry. Levels of TSLP, tumor necrosis factor (TNF)-α, interleukin (IL)-4 and γ-interferon (IFN-γ) were detected by enzyme linked immunosorbent assay (ELISA). Western blot assay was used to detect the protein expression levels of TSLP and OX40L. Results Compared with the normal control group, the scratching behavior increased and the skin inflammatory injury aggravated in model group. There were dense infiltration of inflammatory cells in the epidermis and dermis in the model group, and the epidermis was thickened. The blood levels of Th2 cells, TSLP, TNF-α and IL-4, and the protein expression levels of TSLP and OX40L in skin lesions were significantly higher (P<0.05), and the levels of Th1 cells, IFN-γ and Th1/Th2 ratio were significantly lower (P<0.05). Compared with the model group, the scratching behavior were decreased on the 5th, the 10th and the 15th day, and the skin inflammatory injury decreased on the 7th and the 15th day in turn in low, middle and high dose shikonin groups (P<0.05). After the last administration, the inflammatory cell infiltration and epidermal thickening in the epidermis and dermis of mice decreased in turn in low, medium and high dose shikonin groups. The scratching behavior, the degree of skin inflammatory injury, the levels of Th2 cells, TSLP, TNF-α and IL-4, and the protein expression levels of TSLP and OX40L decreased in turn (P<0.05), and the levels of Th1 cells, IFN-γ and Th1/Th2 ratio increased in turn (P<0.05). Conclusion Shikonin may maintain the balance of Th1/Th2 cells in peripheral blood and improve skin inflammatory injury of AD mice by inhibiting TSLP/OX40L pathway.
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    Experimental Study
    Study on the antibacterial effect of chemically synthesized peptides on the surface of titanium implants #br#
    GENG Hong-juan, YUAN Yang, NI Na△
    2021, 49 (9):  955-957.  doi: 10.11958/20211015
    Abstract ( 534 )   PDF (585KB) ( 3015 )  
    Abstact: Objective To explore the bacteriological effects of chemically synthesized peptides on the surface of titanium implants. Methods A fragment (hBD3-1) derived from human β defensin 3 (hBD3) was chemically combined with peptide TBP-1 to form synthetic peptide TBP-1-hBD3-1. Peptide Calculator software was used to analyze the basic properties of synthetic peptides. The standard micro broth dilution method was used to detect the minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC) of TBP-1-hBD3-1. The microtitration method was used to detect the difference of optical density (OD600) between biofilm control group and biofilm experimental group. Confocal laser scanning microscope (CLSM) experiments was used to further test the bacterial adhesion and bacterial activity on the surface of titanium implants. Results TBP-1-hBD3-1 showed good solubility, hydrophilicity and hydrophobicity, and had a certain number of positive charges (+4). The MIC and MBC values of TBP-1-hBD3-1 to P. gingivalis were 400 mg/L and 1 000 mg/L, respectively. The OD600 value was significantly lower in the biofilm experimental group than that of the biofilm control group (P<0.05). The results of CLSM showed that the TBP-1-hBD3-1 labeled blue by AMC could be modified on the surface of titanium plate and exerted antibacterial effect. Conclusion The synthetic peptide TBP-1-hBD3-1 can be modified on the surface of titanium samples and play an antibacterial and biofilm inhibition effects.
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    Clinical Study
    Angptl4 is associated with podocyte injury and proteinuria in patients with primary nephrotic syndrome#br#
    PENG Lei, LIN Ying-ying, WANG Wei, YAO Qi, LI Gui-sen, ZHANG Ping△
    2021, 49 (9):  958-962.  doi: 10.11958/20210080
    Abstract ( 665 )   PDF (1025KB) ( 2881 )  
    Abstract: Objective To study the relationship between angiopoietin-like 4 (Angptl4) and podocyte injury and protein uria in renal tissues of patients with primary nephrotic syndrome. Methods Patients with primary nephrotic syndrome, including 11 cases of minimal change disease (MCD), 11 cases of membranous nephropathy (MN) and 9 cases of mesangial proliferative glomerulonephritis (MsPGN) were enrolled in this study. Renal tissues were collected during biopsy for Angptl4 and podocyte injury marker desmin immunofluorescence stainning, and fluorescence intensity was calculated. Angptl4 was double stained with podocyte marker synaptopodin, mesangial cell marker CD90, endothelial cell marker CD31 and glomerular basement membrane marker laminin to study the overlap rate of Angptl4 with various types of cells. The basic information of gender, age, 24 h-urine protein, serum triglycerides, serum total cholesterol and serum creatinine were collected. The correlation between the expression of Angptl4 and desmin immunofluorescence intensity, 24 h protein uria, serum triglycerides and serum total cholesterol was analyzed. Results There were no significant differences in gender, age, serum creatinine and 24 h-urine protein between the three groups (P>0.05). Compared with MsPGN patients, the glomerular Angptl4 expression increased in MCD and MN patients (P<0.05), and the increased Angptl4 had the highest degree of overlap with podocytes rather than mesangial cells, endothelial cells or endothelial cells. Angptl4 expression in glomeruli was correlated with glomerular desmin expression and 24 h-urine protein (P<0.01), but not correlated with the serum triglycerides and serum total cholesterol (P>0.05). Conclusion In patients with primary MCD and MN, the expression of glomerular Angptl4 is increased, which is associated with podocyte injury and proteinuria, but not with blood lipids.
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    he efficacy of rivaroxaban in preventing upper extremity venous thrombosis associated with peripherally inserted central catheter
    GUO Zhen-jiang, WANG Ning, ZHANG Yuan-yuan, GUO Wei , WANG Jing, WANG Jin-rong, CUI Zhao-bo△
    2021, 49 (9):  963-967.  doi: 10.11958/20210770
    Abstract ( 1103 )   PDF (420KB) ( 2899 )  
    Abstract: Objective To investigate the efficacy of rivaroxaban in preventing upper extremity venous thrombosis (UEVT) associated with peripherally inserted central catheter (PICC). Methods A total of 420 tumor patients with PICC in Hengshui People's Hospital from June 2018 to December 2020 were selected as the research subjects. According to random number table method, they were divided into the control group (n=211) and experimental group (n=209). After PICC catheterization, the control group was given physical prevention, and the experimental group was given rivaroxaban orally (10 mg/d, once a day, for 30 days) on the basis of physical prevention on the day after catheterization. Follow-up was conducted for 30 days to compare the prothrombin time (PT), activated partial thromboplastin time (APTT), D-dimer, fibrinogen (FIB), maximum flow rate of axillary vein on the side of catheterization, incidence of UEVT and other adverse events 1 day before and 30 days after catheterization between the two groups. Results There were no significant differences in PT, APTT and FIB 30 days after catheterization between the two groups. The D-dimer was lower in the experimental group than that of the control group (P<0.05). There was no significant difference in the maximum flow velocity of axillary vein between 1 day before catheterization and 30 days after catheterization in the experimental group, while the maximum flow velocity of axillary vein was lower at 30 days after catheterization than that of 1 day before catheterizationthe in control group (P<0.01). The incidence of UEVT and other adverse events were significantly lower in the experimental group (2.87% vs. 8.53%) than those in the control group (1.91% vs.5.69%, P<0.05). Conclusion Rivaroxaban can effectively improve the hypercoagulability and blood flow reduction after PICC catheterization, thus reducing the incidence of PICC-related UEVT and other adverse events during the treatment.
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    Relationship between cardiac electrical remodeling and blood pressure control in patients with primary hypertension
    LI Qing, LIU Xuan-chang, ZHU Fen, CAO Lei, JIANG Wen, LI Xiang-you△
    2021, 49 (9):  968-972.  doi: 10.11958/20210216
    Abstract ( 575 )   PDF (448KB) ( 2983 )  
    Abstract: Objective To analyze the relationship between electrocardiogram (ECG) T wave amplitude in precordial leads and ambulatory blood pressure in patients with essential hypertension, and to investigate the relationship between cardiac electrical remodeling and blood pressure control. Methods A total of 360 patients with primary hypertension with classified as grade 2 or above were enrolled in the study. Patients were divided into two groups according to the result of 24-hour ambulatory blood pressure monitoring (24 h ABPM): the controlled group (n=53) and the un-controlled group (n=307). The clinical data including baseline data, 24 h ABPM, ECG and laboratory indicators were collected in the two groups. The general data such as baseline data and T wave amplitude of precordial leads were analyzed between the two groups. Logistic regression analysis was used for analyzing factors predicting blood pressure control failure in patients with primary hypertension. Results Compared with the blood pressure control group, the male patients were more common in the blood pressure uncontrol group (P<0.05). The amplitude of T wave in lead V1 of ECG was increased (P<0.05), and the proportion of patients with TV1>TV5, V6 and V6 T/R<1/10 increased (P<0.05). The mSBP, nSBP and nDBP were increased in patients with TV1>TV5, V6 (n=90) than those of patients without TV1>TV5, V6 (n=270). The mSBP, dSBP, nSBP and nDBP were significantly increased in patients with V6 T/R<1/10 (n=119) than those of patients without V6 T/R<1/10 (n=241, P<0.05). Logistic regression analysis showed that the increase of T wave amplitude in leads V1 and V3 and the increase in the proportion of patients with TV1>TV5, V6 and V6 T/R<1/10 before adjusting for age, gender, hypertension grade, duration of hypertension and types of antihypertensive drugs were the risk factors for substandard blood pressure control in hypertensive patients. After adjusting for confounding factors, only the increase in the ratio of TV1>TV5, V6 and V6 T / R<1/10 was the independent risk factor for the failure of blood pressure control (OR= 3.145, 2.632. 95% CI: 1.156-8.556, 1.067-6.449, all P<0.05). But the increased T wave amplitude in leads V1 and V3 was not the risk factor for the failure of blood pressure control. Conclusion The ECG TV1>TV5, V6 and V6 T/R<1/10 is related with the failure of blood pressure control in patients with primary hypertension.
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    Efficacy of dexmedetomidine sedation combined with ropivacaine caudal block for perineal anoplasty in neonates#br#
    WEI Xiao-yong, LIU Xi, XU Ling-lan, DONG Zheng-hua, ZHAO Jun-bo, LIU Bo, JIANG Li-hua
    2021, 49 (9):  973-976.  doi: 10.11958/20210772
    Abstract ( 674 )   PDF (396KB) ( 2868 )  
    Abstract: Objective To evaluate the efficacy of dexmedetomidine sedation combined with ropivacaine caudal block in perineal anoplasty in neonates. Methods Eighty neonates scheduled for elective perineal anoplasty were divided into 2 groups (n=40 each) using a random number table: dexmedetomidine group (D group) and control group (C group). In group D, dexmedetomidine was given at a bolus dose of 1 μg/kg over 10 min. When the Ramsay score reached 3-4, caudal anesthesia was performed using a single dose of 0.2% ropivacaine 1 mL/kg in the left lateral position. Sedation was maintained with dexmedetomidine infusion at the rate of 0.2-1 μg/(kg·h) to maintain a Ramsay score of 3-4 and discontinued at the end of surgery. Neonates in group C were induced by intravenous anesthesia, after tracheal intubation, caudal anesthesia was performed using a single dose of 0.2% ropivacaine 1 mL/kg in the left lateral position. Heart rate, percutaneous oxygen saturation and mean arterial pressure were recorded at the following times: into the operation room (T0), at the beginning of the operation (T1), fixation of the perianal (T2), at the end of the operation (T3) and out of the operation room (T4). Data of anesthesia time, operation time and recovery time, the incidence of hypoxemia in the operating room, respiratory depression/suspension, cough, laryngospasm, bronchospasm and sacral block related complications during the operation, recovery and stay in the anesthetic resuscitation room (PACU) were recorded. Results Compared with group C, heart rate decreased and mean arterial pressure increased at T1, T2, T3 and T4, and oxygen saturation decreased at T2 and T3 in group D (P<0.05). The recovery time was significantly shorter in group D than that of group C (P<0.05). Compared with group C, the incidence of respiratory depression/suspension, cough, laryngospasm, bronchospasm and stay in PACU were significantly lower in group D than that in group C (P<0.05). Conclusion Dexmedetomidine sedation combined with ropivacaine caudal block is safe and effective in neonates for perineal anoplasty.
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    Comparative analysis of the early efficacy of hemiarthroplasty by direct anterior approach and posterolateral approach
    REN Qiu-xiao, ZHOU Jia-bin, TAN Hao-wen, CUI Guan-xing, HAN Gui-quan△, ZHANG Yu-ying
    2021, 49 (9):  977-980.  doi: 10.11958/20210726
    Abstract ( 729 )   PDF (428KB) ( 2926 )  
    Abstract: Objective To compare and analyze the early clinical efficacy of direct anterior approach (DAA) and posterolateral approach (PLA) in hemiarthroplasty for aged patients with femoral neck fractures. Methods A total of 90 aged patients with femoral neck fractures treated with hemiarthroplasty were divided into DAA group (42 cases) and PLA group (48 cases) according to different surgical approaches. The postoperative general data, visual analog scale (VAS) before operation and 1 d, 3 d and 5 d after operation, Harris hip function score (HHS) before operation and 1 w, 1 month, 3 months and 6 months after operation were compared between the two groups. The hip abductor torque, Berg balance scale (BBS), joint position sensation (JPS) angle and the Trendelenburg’s sign were compared and analyzed between the two groups at 1 week, 1 month, 3 months and 6 months postoperatively. Results The operation time was longer in the DAA group than that in the PLA group, but the incision length, intraoperative blood loss and the decrease in hemoglobin (Hb) on the first day after operation were less in the DAA group than those in the PLA group (P<0.01). The HHS score and torque of the two groups increased with time, while the VAS and angles of JPS decreased. The HHS and torque of the DAA group were higher than those of the PLA group, while the VAS and JPS angles of the DAA group were lower than those of the PLA group. Trendelenburg's sign in the DAA group was superior to that in the PLA group at each time point. The incidence of complications in the DAA group (2.4%) was lower than that in the PLA group (4.2%), with no significant difference (P>0.05). Conclusion DAA has less operative trauma, and faster postoperative rehabilitation in hip joint function and proprioception, which contribute to the speedy recovery of patients. The early efficacy of DAA is better than that of PLA.
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    Clinical Study
    The establishment and verification of prognosis evaluation model for HBV related chronic and acute liver failure 
    LIU Yong-gang, LU Jian-hua, YAN Hui-min, LI Yang-yang, LIU Qing-xue, CHEN Lin, FU Xin
    2021, 49 (9):  981-986.  doi: 10.11958/20211051
    Abstract ( 624 )   PDF (535KB) ( 2896 )  
    Abstract: Objective To investigate the risk factors affecting the prognosis of hepatitis B virus associated chronic acute liver failure (ACHBLF) and to establish a prognostic model. Methods A total of 277 ACHBLF patients were included in this study. The general clinical characteristics, liver function, coagulation function, routine blood test and the survival of the patients were collected. In the training cohort, univariate and multivariate Cox regression analysis was performed to evaluate the independent factors, and a new prognosis model was established. The prognostic prediction ability of the new model was evaluated in training cohort and validation cohort. Area under the receiver operating characteristic (ROC) curve was used to evaluate the predictive value of the models. Hosmer-Lemeshow test was used to evaluate the goodness of fit of the model. Kaplan-Meier survival curve was used to predict the prognosis of patients. Results The total bilirubin (TBIL), direct bilirubin and alkaline phosphatase were lower in the validation group than those in the model group. Data of age, proportion of male, fibrinogen, lymphocytes (LYMPH), monocytes and white blood cells (WBC) were higher in the validation group than those in the model group (P<0.05). The increased TBIL and WBC and the decreased LYMPH and prothrombin activity (PTA) were independent risk factors for ACHBLF death in the model group. The new model TPWL=1.059×TBIL-1.272×PTA+1.090×WBC -0.602×LYMPH and the optimal critical value of TPWL model was -17.52 according to the ROC curve of the model group. The coincidence rates of the model in the modeling group and the validation group were 91.75% and 81.93%, respectively. The areas under the ROC curve were 0.961 and 0.914, respectively. The Hosmer-Lemeshow test results showed that P values were 0.210 and 0.062, respectively. Kaplan-Meier survival curve analysis showed that the survival rate of patients with TPWL score ≥ -17.52 was significantly lower than that of patients with TPWL score<-17.52. Conclusion The predictive model established in this study has a high value in evaluating the prognosis of ACHBLF patients.
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    Correlation between serum levels of IL-34 and CTRP13 and unstable angina with type 2 diabetes mellitus#br#
    LIU Hui-qing, JIN Feng-biao, LYU Miao-miao, GAO Yu, HOU Rui-tian△
    2021, 49 (9):  987-991.  doi: 10.11958/20210276
    Abstract ( 701 )   PDF (478KB) ( 2941 )  
    Abstract: Objective To investigate the correlation between IL-34, CTRP13 and unstable angina (UA) with type 2 diabetes mellitus (T2DM). Methods A total of 150 patients admitted to the Affiliated Hospital of Chengde Medical University were collected and divided into 3 groups according to the clinical data and coronary angiography results: UA+T2DM group (n=50), UA group (n=50) and T2DM group (n=50),and healthy people who had physical examination at the same period were selected as the control group (n=50). The serum levels of IL-34 and CTRP13 were detected by ELISA. The differences of clinical indexes were compared between the four groups. The correlation between IL-34, CTRP13 and WC, FPG, hs-CRP, Gensini score in the UA+T2DM group were analyzed. The receiver operating characteristic (ROC) curve was used to analyze the diagnostic values of IL-34 and CTRP13 for UA with T2DM. Results The serum levels of IL-34 increased in the control group, T2DM group, UA group and UA+T2DM group in turn (all P<0.05). The serum levels of CTRP13 decreased in the control group, UA group, T2DM group and UA+T2DM group in turn (all P<0.05). The Gensini score was significantly higher in UA+T2DM group than that of UA group (P<0.05). Correlation analysis showed that serum IL-34 level was positively correlated with WC, FPG, hs-CRP and Gensini score in UA+T2DM group, but negatively correlated with CTRP13 (all P<0.05). The serum level of CTRP13 was negatively correlated with hs-CRP, FPG and Gensini score (all P<0.05). The ROC curve showed that the areas under the curves of IL-34, CTRP13 and joint indicators were 0.784 (0.716-0.852), 0.820 (0.759-0.882) and 0.847 (0.787-0.906) in the diagnosis of UA with T2DM. Conclusion The serum level of IL-34 is higher and the serum level of CTRP13 is lower in UA patients with T2DM. The serum levels of IL-34 and CTRP13 have predictive values for the diagnosis and the severity of coronary artery disease in UA with T2DM.
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    A comparative study on the clinical features and ultrasound images of breast radial scars and breast cancer#br#
    ZHAO Zi-wei, LU Su, WU Nan, ZHANG Shi-chao, ZHAO Jing, LIU Jun-tian△
    2021, 49 (9):  992-995.  doi: 10.11958/20210758
    Abstract ( 1678 )   PDF (470KB) ( 2889 )  
    Abstract: Objective To compare and analyze the clinical and ultrasonographic characteristics of breast radial scar (RS) and breast cancer. Methods From February 2015 to December 2017, 40 patients with RS and 40 patients with invasive ductal carcinoma (IDC) confirmed by the Department of Pathology of Tianjin Medical University Cancer Hospital and examined by breast ultrasound were selected. The baseline data were collected in the 2 groups of patients including age, menstrual status, history of lactation, history of abortion, lesion side, history of ipsilateral breast surgery and clinical symptoms. Results of preoperative breast ultrasound examination, ultrasound images (morphology, margin, internal echo, posterior echo, peripheral hyperecho halo, calcification), blood flow signal and elasticity score were also collected. The changes in clinical and ultrasonic characteristics were compared between the two groups. With pathological diagnosis as the gold standard, receiver operating characteristic curve (ROC) was used to evaluate the diagnostic efficacy of color doppler ultrasound combined with elastography. Results Both the RS and IDC groups were mostly breast masses. Compared with the IDC group, the RS group showed regular shape, well-defined margins, no peripheral hyperechoic halo, homogeneous internal echogenicity, no calcification, no blood flow signal, no alteration/enhancement of posterior echogenicity and benign elasticity score (P<0.05). The ROC curve indicated that the combined prediction of RS and IDC by two-dimensional ultrasound BI-RADS, color blood flow signal and elasticity score had a good diagnostic efficiency. The area under the curve (AUC) was 0.802 (95%CI: 0.673-0.930, P<0.05), the sensitivity was 0.833, and the specificity was 0.652. Conclusion The ultrasonic characteristics of the RS group and the IDC group are different. Color doppler ultrasonography combined with elastography is of great significance for the differential diagnosis of the two lesions.
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    Clinical research about correction of severe ptosis using a modified frontalis muscle suspension
    ZHANG Lei, ZHAO Hong, PAN Ye△
    2021, 49 (9):  996-999.  doi: 10.11958/20210169
    Abstract ( 861 )   PDF (679KB) ( 2949 )  
    Abstract: Objective To evaluate the clinical effect of a modified frontalis muscle flap suspension for severe ptosis. Methods Two hundred and fourteen patients (285 eyes) with severe ptosis underwent a modified frontalis muscle flap suspension approach. The surgical approach was a crease incision, and a nasal vertical incision of frontal muscle flap was made on temporal side of supraorbital notch without temporal vertical incision. The subcutaneous separation of frontal muscle began at the lower edge of the eyebrow and ended at 5 mm above the eyebrow and the ventral separation ended under the upper edge of the orbit. The marginal reflex distance (MRD1), symmetry of height, contour and complications before and after surgery were compared. Results The average follow-up period was (10.2 ± 3.1) months. The postoperative MRD1 was higher than that before operation [(3.2±0.7) mm vs. (-0.5±0.8) mm,t=58.760, P<0.01], and the upper eyelid activity increased significantly [(11.2±1.4) mm vs. (3.5±0.8) mm,t=80.617, P<0.01]. One hundred and ninety patients (253 eyes) achieved their desired lid height and contour, with a final success rate of 88.8%. Complications such as entropion, exposure keratitis,frontal paralysis, frontal hypoesthesia, severe hematoma were not seen in our series. Conclusion The modified frontalis muscle suspension technique shows a high success rate with less bleeding, mild damage and fewer complications. It is a reasonable alternative treatment in severe ptosis.
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    Review
    Progress in the application of artificial intelligence technology in ophthalmic plastic and #br# reconstructive surgery#br#
    HAO Sheng-li, GAO Nan, ZHAO Su-yan△
    2021, 49 (9):  1004-1008.  doi: 10.11958/20203640
    Abstract ( 689 )   PDF (400KB) ( 2977 )  
    Abstract: In recent years, the application scope of artificial intelligence in the medical field has gradually expanded and has become one of the hot spots in medical research. With the in-depth research on machine learning, artificial intelligence has achieved rapid development in image detection, face recognition and other aspects, and its performance and accuracy have surpassed human beings in some aspects. The recognition and processing of facial images are extremely important for ophthalmic plastic and reconstructive surgery, and the development of artificial intelligence is an opportunity. This review looks forward to the application direction and future development of artificial intelligence in ophthalmic plastic and reconstructive surgery.
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    Research progress on the mechanism of dry eye after cataract surgery
    YANG Jun, WEI Rui-hua, TIAN Fang△
    2021, 49 (9):  1004-1008.  doi: 10.11958/20211080
    Abstract ( 449 )   PDF (412KB) ( 2516 )  
    Abstract: Dry eye is a kind ocular surface disease and the most common complaint of discomfort after cataract surgery. Many factors can lead to the occurrence of dry eye. With the continuous development of research on dry eye at home and abroad, the understanding of dry eye is gradually deepening. In this review, the discussion was conducted in the aspects of surgical incision, tearfilm secretory glands, operative duration, drugs and psychology,in order to find the factors related to the dry eye during perioperative period of cataract surgery, so as to help ophthalmologists to carry out clinical diagnosis and treatment better.
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