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    Cell and Molecular Biology
    Effects of inhibiting PI3K/Akt/mTOR signaling pathway on autophagy, apoptosis and PD characteristic expression proteins in MPP+-treated SH-SY5Y cells
    WANG Fei, ZHANG Xiaolei, LI Hanzhang, LI Yanan, HU Mengni, MA Jun
    2023, 51 (5):  449-453.  doi: 10.11958/20221595
    Abstract ( 544 )   HTML ( 16 )   PDF (1213KB) ( 965 )  

    Objective To investigate effects of inhibiting phosphatidylinositol 3-kinase (PI3K)/protein kinase B (Akt)/mammalian target of rapamycin (mTOR) signaling pathway on autophagy, apoptosis, the expression of Parkinson's disease (PD) characteristic protein α-synuclein (α-syn) and tyrosine hydroxylase (TH) in SH-SY5Y cells treated with 1-methyl-4-phenylpyridine (MPP+). Methods SH-SY5Y cells were treated with MPP+, PI3K/Akt activator insulin-like growth factor-1 (IGF-1) and PI3K/Akt inhibitor LY294002. CCK-8 was performed to measure the cell viability. Flow cytometry was used to detect cell apoptosis rate. Acridine orange (AO) staining was used to detect autophagic vacuoles. Western blot assay was used to measure protein levels of α-syn, TH, p62, microtubule-associated protein 1 light chain 3B (LC3B), p-mTOR, mTOR, p-PI3K, PI3K, p-Akt and Akt. Results MPP+ intervention significantly reduced the survival rate of SH-SY5Y cells in a dose-dependent manner (P<0.05). The survival rate of SH-SY5Y cells decreased and the apoptosis rate increased after MPP+ and IGF-1 treatment (P<0.05). The autophagic vacuoles in cells decreased, the ratio of LC3BⅡ/Ⅰ decreased, and the level of p62 protein increased (P<0.05). The level of TH protein decreased and the level of α-syn protein increased (P<0.05). The ratios of p-PI3K/PI3K, p-Akt/Akt and p-mTOR/mTOR were increased (P<0.05). The effect of LY294002 on SH-SY5Y cells was opposite to that of MPP+ and IGF-1, and LY294002 was able to reverse the effect of MPP+ on SH-SY5Y cells to a certain extent (P<0.05). Conclusion Inhibition of PI3K/Akt/mTOR signaling pathway has a protective effect on MPP+-induced SH-SY5Y cytotoxicity, which provides a new theoretical basis for the treatment of PD.

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    Experimental study on the mineralization of rabbit bone marrow mesenchymal stem cells after transfection with BMP2 recombinant lentivirus
    NING Yinkuan, LIU Linzhi, CHEN Xianping
    2023, 51 (5):  454-459.  doi: 10.11958/20221496
    Abstract ( 418 )   HTML ( 5 )   PDF (1237KB) ( 918 )  

    Objective To investigate the cell mineralization ability of rabbit bone marrow mesenchymal stem cells (BMSCs) transfected with recombinant lentivirus BMP2 after osteogenic differentiation. Methods The 5th generation rabbit BMSCs were obtained by density gradient centrifugation and adherent culture, and cell surface markers were detected by flow cytometry. BMSCs were divided into the blank control group (untransfected), the Lv-EGFP group (transfected lentivirus without BMP2 gene) and the Lv-BMP2/EGFP group [transfected lentivirus carrying BMP2 and enhanced green fluorescent protein (EGFP) gene]. Immunohistochemical staining, RT-PCR and Western blot assay were used to detect the expression of BMP2 protein and gene. The expression of type Ⅰ collagen was detected by SP method. Alizarin red staining was used to detect the formation of mineralized nodules. Alkaline phosphatase (ALP) levels were detected at 7, 14 and 21 days after transfection. The surface morphology and main element composition of mineralized nodules were further observed by scanning electron microscopy and energy spectrum analysis. Results Flow cytometry showed that the expressions of CD44 and CD29 on the surface of BMSCs of the 5th generation were positive, while the expression of CD45 was negative. Immunohistochemical staining, RT-PCR and Western blot assay showed that the Lv-BMP2/EGFP group could efficiently express BMP2 target protein and gene compared with the Lv-EGFP group and the blank control group, and the level of ALP was higher in the Lv-BMP2/EGFP group than that of the other two groups on the 7th, 14th and 21st days after transfection, and type Ⅰ collagen staining and alizarin red staining were positive. Under scanning electron microscope, mineralized nodes were scattered in osteoblast differentiated cells, cells grew superposition, and the matrix secreted vigorously. Energy spectrum analysis showed that the surface of cells was calcium and phosphorus deposits, and the ratio of calcium to phosphorus was 1.52±0.13. The cell mineralization occurred. Conclusion After transfecting rabbit BMSCs with BMP2 recombinant lentivirus, rabbit BMSCs can be successfully induced to differentiate into osteogenic direction and mineralization in vitro.

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    Protective effect of Shexiang Baoxin Pill on hypoxia-reoxygenation cardiomyocytes and its effect on apoptosis
    WEI Na, LI Siyuan, GAO Yuan, WANG Xuerui, XIAO Bin, NIU Yixuan, YANG Wenxia, LIU Zhenbing
    2023, 51 (5):  460-463.  doi: 10.11958/20221264
    Abstract ( 484 )   HTML ( 12 )   PDF (1011KB) ( 947 )  

    Objective To study the protective effect of Shexiang Baoxin Pill (SBP) on hypoxia-reoxygenation cardiomyocytes and its effect on apoptosis. Methods The model of hypoxia and reoxygenation of cardiomyocytes was established. The active components of SBP were extracted by water extraction. According to whether different concentrations of SBP active components were given, cells were divided into the control group, the model group, the 0.5 g/L SBP group, the 1 g/L SBP group, the 2 g/L SBP group and the 5 g/L SBP group. The highest survival rate in the SBP intervention group was selected as the group for the follow-up experiments. The cell survival rate of each group was detected by CCK-8. The apoptosis rate of each group was detected by Anexxin-VFITC/PI double staining. Western bolt assay was used to detect the relative expression levels of B cell lymphoma factor 2 (Bcl-2), Bcl-2 associated X protein (Bax) and cysteine protease 3 (Caspase-3) in each group. Results Compared with the model group, survival rates of cardiomyocytes were increased in the 0.5 g/L, 1 g/L, 2 g/L and 5 g/L SBP groups (P<0.01), and the survival rate of cardiomyocytes was the highest in the 2 g/L SBP group. Compared with the control group, the apoptosis rate, relative expression levels of Bax and Caspase-3 were increased in the model group and the 2 g/L SBP group (P<0.05), but there was no significant difference in Bcl-2 between the groups. Compared with the model group, the apoptosis rate, relative expression levels of Bax and Caspase-3 were decreased in the 2 g/L SBP group (P<0.05), while relative expression levels of Bcl-2 and Bcl-2/Bax ratio were increased (P<0.05). Conclusion Shexiang Baoxin Pill has a protective effect on hypoxia-reoxygenation cardiomyocytes, and the inhibition of apoptosis is one of its protective mechanisms.

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    The effect of LINC00839 targeting regulation of miR-124-3p on biological behaviors of bladder cancer cells
    WU Xiaoyun, WU Linxiu, ZHANG Lidi, LAN Yibi, ZHANG Mingjin, YI Chufan, FU Weijin
    2023, 51 (5):  464-467.  doi: 10.11958/20221488
    Abstract ( 392 )   HTML ( 12 )   PDF (1117KB) ( 921 )  

    Objective To investigate the effect of LINC00839 targeting regulation of miR-124-3p expression on the biological behavior of bladder cancer cells. Methods Quantitative real-time PCR (qPCR) was used to detect the expression of LINC00839 in bladder cancer and adjacent normal tissue, and bladder cancer cell lines T24, 5637 and EJ. Three small interfering RNA-LINC00839 (si-LINC00839-1, si-LINC00839-2 and si-LINC00839-3) sequences were constructed to transfect bladder cancer cells. After silencing the expression of LINC00839, CCK-8 was used to detect the effect of LINC00839 on cell proliferation. Transwell was used to detect the effect of LINC00839 on cell invasion. The effect of LINC00839 on cell apoptosis was detected by flow cytometry. The interaction between LINC00839 and miR-124-3p was detected by double luciferase assay. Immunoblotting was used to detect the effect of LINC00839 inhibition on endothelial receptor B (EDNRB) protein expression. Results qPCR results showed that the expression of LINC00839 increased significantly in bladder cancer tissue than that in adjacent normal tissue (P<0.05). LINC00839 had the highest expression in bladder cancer 5637 cells. Among three siRNA sequences, si-LINC00839-2 had the highest inhibition efficiency and was used as the experimental group. Compared with the si-NC group, cell proliferation rate, invasion number and apoptosis rate were decreased in the si-LINC00839-2 group (P<0.05). Dual luciferase assay results showed that there were complementary binding sites between LINC00839 and miR-124-3p. Compared with the si-NC group, si-LINC00839-2 group showed the up-regulated expression of miR-124-3p and inhibited expression of EDNRB protein (P<0.05). Conclusion LINC00839 can target miR-124-3p to regulate the biological behaviors of migration, invasion and apoptosis on bladder cancer cells.

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    Isolation, identification and ovarian uptake of exosomes derived from human bone marrow mesenchymal stem cells
    YANG Yutao, WANG Yuan, XIE Jiaxin, FU Xiafei
    2023, 51 (5):  468-472.  doi: 10.11958/20221305
    Abstract ( 500 )   HTML ( 4 )   PDF (964KB) ( 899 )  

    Objective To extract and identify exosomes derived from human bone marrow mesenchymal stem cells (hBMSC), and to investigate the exosome uptake by granulosa cells and the ovaries of autoimmune premature ovarian insufficiency (POI) mouse. Methods hBMSC of generation P3 to P9 were cultured, and the cell supernatant was collected. The morphology of hBMSC at P4 generation was observed under an inverted microscope. The morphology of the exosomes was observed by transmission electron microscopy, and the particle size of the exosomes was measured by nanoflow cytometry. Western blot assay was used to detect the expression of exosome surface-associated specific proteins CD63, CD9 and TSG101. DiR was used for fluorescence labeling of exosomes. The exosome uptake by human ovarian granulosa cells (KGN) was observed by confocal microscopy after 24 h and 48 h co-incubation. The autoimmune POI mouse model was constructed with ZP3 protein polypeptide, and 150 μg DiR-labeled exosomes were intraperitoneally injected on the 1st and 7th days after successful modeling. Exosome uptake of mouse ovaries were monitored by an in vivo imager on day 14 after the second injection of exosomes. Results hBMSC cells were spindle-shaped and uniform in size. Transmission electron microscopy showed that exosomes were double-layered membranes with a diameter of (81.12 ± 17.23) nm. Exosome expression marker proteins CD63, CD9 and TSG101 were positive. Under confocal microscopy, it was observed that KGN cells could absorb exosomes, and the volume of exosomes taken up by KGN cells at 48 h was more than that of co-incubation for 24 h. In the autoimmune POI mouse model, luminescent signals were observed in mouse ovaries on the 14th day after the second injection of exosomes. Conclusion In this study, exosomes derived from hBMSC are successfully extracted, and the uptake of exosomes by KGN cells and ovarian tissue of autoimmune POI mice is observed.

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    Experimental Research
    The effect and mechanism of roflumilast on traumatic brain injury in rats
    SHI Kunlin, LI Chenxi, ZONG Jianchun
    2023, 51 (5):  473-476.  doi: 10.11958/20221943
    Abstract ( 490 )   HTML ( 9 )   PDF (1142KB) ( 949 )  

    Objective To investigate the effect of roflumilast (RF) on traumatic brain injury (TBI) in rats and its possible mechanism. Methods A total of 36 rats were divided into three groups by random number table method: the sham group, the TBI group and the TBI+RF group, with 12 rats in each group. The TBI model of rat was established by modified Feeney free fall method. Rats in the TBI+RF group were intraperitoneally injected with RF solution immediately, 1 day and 2 day after modeling, while rats in the Sham group and the TBI group were given equal volume solvent. The modified neurological severity score (mNSS) was performed on day 1, day 2, day 3, day 7 and day 14 after modeling. At 3 days after surgery, the pathological changes of neurons and the number of dead neurons in the perifocal cortex of rats were observed by HE staining. The contents of interleukin (IL)-1β, IL-6 and tumor necrosis factor (TNF)-α in the injured cortex of rats were detected by ELISA, and the contents of NOD-like receptor thermal protein domain associated protein 3 (NLRP3) in the perifocal cortex of rats were detected by immunohistochemistry. Results There was no significant difference in mNSS within 3 days after modeling between the TBI+RF group and the TBI group, but mNSS decreased at 7 and 14 days in the TBI+RF group (P<0.05). Compared with the Sham group, the TBI group had loose brain structure around the lesion, significant interstitial edema and more dead neurons (P<0.05). Interstitial edema was still observed around the lesion in the TBI+RF group, but the percentage of dead neurons was decreased compared with that in the TBI group (P<0.05). Compared with the Sham group, the contents of IL-1β, IL-6, TNF-α and NLRP3 were increased in the TBI group (P<0.05). The contents of IL-1β, IL-6, TNF-α and NLRP3 were decreased after RF treatment (P<0.05). Conclusion Roflumilast alleviates traumatic brain injury in rats by reducing the level of inflammatory mediators in the early stage of TBI, thus playing a neuroprotective role.

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    Effects of nitric oxide-mediated metabolic disruption on the proliferation of mouse airway progenitor cells
    HAO De, LI Kuan, WANG Jianhai, YUE Qing, CHEN Huaiyong
    2023, 51 (5):  477-481.  doi: 10.11958/20222109
    Abstract ( 434 )   HTML ( 4 )   PDF (1202KB) ( 947 )  

    Objective To evaluate the effect of nitric oxide (NO) on the proliferative function of airway club progenitor cells and underlying metabolic mechanisms. Methods The mouse airway progenitor club cells were sorted using flow sorting technique, then treated with 25 μmol/L DEA NONOate (diethylaminononanoate) for transcriptomic sequencing analysis. Mouse club cells were cultured using organoid culture technique. The cells were cultured in normal medium, 40 nmol/L simvastain (Hmgcr inhibitor), 0.2 μmol/L DON (Gmps inhibitor) or 1 mmol/L AOA (Gpt2 inhibitor) respectively. Microscopic photographs were taken with an inverted microscope on the day 8 of culture to observe the growth of club cell-derived organoids and to measure the organoid diameter and formation efficiency. Results DEA NONOate treatment of club cells resulted in significant changes in transcriptome expression (2 894 up-regulated genes and 3 270 down-regulated genes, fold ≥ 1.2), with significant decrease in expression levels of metabolism-related genes Hmgcr, Gmps and Gpt2 (P<0.01). Compared with the control group, the organoid diameter was significantly reduced (P<0.01), but the organoid forming efficiency was unchanged in the simvastain-treated group. Both organoid diameter and forming efficiency were significantly reduced in the DON-treated group (P<0.01) and the AOA-treated group (P<0.01). Conclusion NO inhibits the proliferative function of mouse airway club progenitor cells probably through its negative regulation of three metabolism-related pathways, Hmgcr, Gmps and Gpt2.

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    Effects of metformin on pregnancy outcome, endocrine and VEGF/MAPK signaling pathway in rats with recurrent spontaneous abortion
    ZHOU Zhi, LI Yejuan, CHEN Lin, WANG Anguo, RUAN Hailing, MA Ning, ZHOU Jing, LU Weiying
    2023, 51 (5):  482-486.  doi: 10.11958/20221259
    Abstract ( 430 )   HTML ( 5 )   PDF (1347KB) ( 924 )  

    Objective To investigate effects of metformin (Met) on vascular endothelial growth factor (VEGF)/mitogen-activated protein kinase (MAPK) signaling pathway and ovarian endocrine in recurrent abortion (RSA) rats. Methods Female SD rats were mated with male rats in a ratio of 2∶1, then the female pregnant rats were randomly divided into the control group, the RSA group, the Met low-dose, middle-dose and high-dose groups (250, 1 000, 2 000 mg/kg) and the progesterone group (positive control group, 156 mg/kg), with 10 rats in each group. At 24 hours after the last administration, rats were anesthetized and killed. The embryo loss was observed by dissecting rat uterus. Hematoxylin eosin (HE) staining was used to detect pathological changes of decidual tissue. Radioimmunoassay kit was used to detect serum hormone levels. The protein levels of VEGF/MAPK pathway in uterine decidua were detected by Western blot assay. Results Compared with the control group, the number of dead embryos and the rate of embryo loss were significantly increased in the RSA group, and serum levels of follicle-stimulating hormone (FSH), leuteinizing hormone (LH), pituitary prolactin (PRL), estradiol (E2), progesterone (P) and protein expressions of VEGF receptor-2 (VEGFR-2), VEGF and phosphorylated extracellular signal-regulated kinase (p-ERK) in decidual tissue were significantly decreased (P<0.05), and the decidual tissue of uterus was seriously damaged. Compared with the RSA group, the number of dead embryos and the rate of embryo loss were significantly decreased in the Met groups. Serum levels of FSH, LH, PRL, E2, P and the protein expression levels of VEGFR-2, VEGF and p-ERK in decidual tissue were significantly increased (P<0.05). The damage of decidual tissue was alleviated, and high dose of Met showed better control effect on the above indexes. Conclusion Met can alleviate endocrine disorder and uterine decidua damage in RSA rats, which significantly improves the expression of VEGF/MAPK pathway related proteins, and promotes the activation of VEGF/MAPK pathway.

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    Effects of Morin on neuronal apoptosis in cerebral ischemia-reperfusion rats by inhibiting TXNIP/NLRP3/Caspase-1 signaling pathway
    XUE Li, HAN Hong, ZHANG Li
    2023, 51 (5):  487-490.  doi: 10.11958/20221258
    Abstract ( 411 )   HTML ( 7 )   PDF (946KB) ( 959 )  

    Objective To investigate the influence of Morin on neuronal apoptosis in cerebral ischemia-reperfusion rats by regulating TXNIP/NLRP3/Caspase-1 signaling pathway. Methods Sixty rats were randomly grouped into the sham operation group, the model group, the Morin low-dose group (Morin-L, 10 mg/kg), the Morin high-dose group (Morin-H, 40 mg/kg), the Morin-H+pLVX-NC group (40 mg/kg Morin+pLVX-NC) and Morin-H+pLVX-TXNIPgroup (pLVX-TXNIP, 40 mg/kg Morin+pLVX-TXNIP). The rat middle cerebral artery embolism model was established by the suture method (except for the sham group), and then perfused after 1 h of administration. After 72 hours of perfusion, neurological deficits were scored. The whole brain was removed for brain edema determination. Hematoxylin-Eosin (HE) staining was performed to observe the pathological damage in the penumbra area of brain tissue. TTC was performed to detect the infarct size of brain tissue. ELISA was performed to detect serum contents of IL-1β and IL-18. Western blot assay was used to detect expression levels of TXNIP/NLRP3/Caspase-1 signaling pathway-related proteins in brain tissue. Results Compared with the sham operation group, the neurological deficit score, contents of IL-1β and IL-18, brain water content, infarct size, expression levels of TXNIP, NLRP3 and Caspase-1 proteins were increased in the model group (P<0.05). Compared with the model group, the neurological deficit score, contents of IL-1β and IL-18, brain water content, infarct size, expression levels of TXNIP, NLRP3 and Caspase-1 proteins were decreased in the Morin-L group and the Morin-H group (P<0.05). Compared with Morin-H+pLVX-NC group, the neurological deficit score, contents of IL-1β and IL-18, brain water content, infarct size, expression levels of TXNIP, NLRP3 and Caspase-1 proteins were increased in the Morin-H+pLVX-TXNIP group (P<0.05). Conclusion Morin can reduce brain injury and inhibit neuronal apoptosis in rats with cerebral ischemia-reperfusion, which may be related to the inhibition of TXNIP/NLRP3/Caspase-1 signaling pathway.

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    Effect and mechanism of silencing Salusin-β on endothelial dysfunction in diabetes rats
    ZUO Xianhong, ZHANG Tingting, LI Yueqin, ZHAO Jiaqi
    2023, 51 (5):  491-497.  doi: 10.11958/20221272
    Abstract ( 349 )   HTML ( 9 )   PDF (1008KB) ( 900 )  

    Objective To analyze the effect of short hairpin RNA (shRNA) silencing Salusin-β on endothelial dysfunction in diabetes mellitus (DM) rats and its potential mechanism. Methods Twelve of 52 SD rats were randomly selected as the normal control group (NC group). The rest of rats were fed high sugar and high fat diet and intraperitoneally injected streptozotocin 60 mg/kg to prepare DM model. Thirty-six rats were successfully modeled and were divided into the DM group, the Ad-Scr shRNA group and the Ad-Salusin-β shRNA group, with 12 rats in each group. Adenovirus empty vector encoding scramble shRNA (Ad-scramble shRNA) was injected into the tail vein of rats in the Ad-Scr shRNA group, and adenoviral vector encoding Salusin-β shRNA (Ad-Salusin-β shRNA) was injected into the tail vein of rats in the Ad-Salusin-β shRNA group. The drug was administered once every 2 weeks. The NC group and the DM group were injected with the same volume of normal saline. After 4 weeks, fasting blood glucose (FBG) and serum Salusin-β levels and the vasodilation function of thoracic aorta were measured. Enzyme linked immunosorbent assay was used to detect levels of tumor necrosis factor-α (TNF-α), interleukin (IL)-6, IL-1β, malondialdehyde (MDA) and superoxide dismutase (SOD) in thoracic aorta. Dihydroethidium (DHE) staining was used to detect the level of reactive oxygen species (ROS) in the thoracic aorta. Hematoxylin-eosin staining was used to observe histopathological changes of thoracic aorta. Fluorescence quantitative PCR was used to detect mRNA levels of Salusin-β and nicotinamide adenine dinucleotide phosphate oxidase 2 (NOX2) in thoracic aorta. Western blot assay was used to detect expression levels of NOX2 and nuclear factor-κB p65 (NF-κB p65) protein in thoracic aorta. Results Compared with the NC group, the FBG and serum Salusin-β were increased, TNF-α, IL-6, IL-1β, MDA and ROS in thoracic aorta were also increased, and intima-media thickness of the thoracic aorta was thickened in the DM group. Salusin-β mRNA, NOX2 mRNA and protein, nuclear NF-κB p65 protein levels were increased in the DM group. Ach induced endothelium dependent vasodilation, thoracic aorta SOD, cytoplasmic NF-κB p65 protein levels were decreased (P<0.05). Compared with the DM group and the Ad-Scr shRNA group, FBG and serum Salusin-β decreased, thoracic aorta TNF-α, IL-6, IL-1β, MDA and ROS decreased, intima-media thickness of thoracic aorta became thinner in the Ad-Salusin-β shRNA group. Salusin-β mRNA, NOX2 mRNA and protein, nuclear NF-κB p65 protein levels were decreased in the Ad-Salusin-β shRNA group, and Ach induced endothelium dependent vasodilation, thoracic aorta SOD, cytoplasmic NF-κB p65 protein levels were increased (P<0.05). Conclusion shRNA silencing Salusin-β can reduce endothelial dysfunction in DM rats, and its mechanism may be related to the inhibition of the activation of NOX2/ROS/NF-κB signaling pathway.

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    Study on the improvement effect and mechanism of nobiletin on rats with acute kidney injury
    GENG Yongzhi, YANG Li, LI Guowei, ZHANG Jintao, CHENG Xiaolei, TAN Liduan
    2023, 51 (5):  498-503.  doi: 10.11958/20221287
    Abstract ( 492 )   HTML ( 8 )   PDF (1446KB) ( 981 )  

    Objective To investigate the ameliorating effect and mechanism of nobiletin (NOB) by regulating the autophagy mediated by silent information regulator 1 (SIRT-1)/forkhead box transcription factor O3a (FOXO3a) pathway in rats with acute kidney injury (AKI). Methods A rat model of AKI was established by a one-time intraperitoneal injection of cisplatin (20 mg/kg). Sixty SPF SD male rats were randomly grouped by random number table into the control group, the AKI model group (model group), the low-dose NOB group (NOB-L group, 200 mg/kg), the high-dose NOB group (NOB-H group, 400 mg/kg) and the high-dose NOB+SIRT-1 inhibitor EX527 group (NOB-H+EX527 group, 400 mg/kg NOB+5 mg/kg EX527), with 12 rats in each group. The 24-hour urine of rats was collected after the last administration. The 24-hour urine microalbumin content, urine N-acetyl-β-D-glucosaminidase (NAG) content and urinary β2-microglobulin (β2-MG) content were detected. The serum levels of urea nitrogen (BUN) and creatinine (Scr), levels of superoxide dismutase (SOD) and malondialdehyde (MDA) in kidney were detected by enzyme-linked immunosorbent assay (ELISA). HE staining was used to observe the pathological changes of renal tubules. TUNEL staining was applied to observe the apoptosis of rat kidney tissue. SIRT1 and FOXO3a mRNA expression levels in rat kidney tissue were measured by qPCR. Western blot assay was applied to detect the expression of SIRT1/FOXO3a pathway and autophagy-related proteins in rat kidney tissue. Results Compared with the control group, there was severe renal tissue pathological injury in the model group, and the 24 h urine microalbumin content, urine NAG, urine β2-MG, BUN, Scr, renal tubular injury score, renal MDA level and apoptosis rate were obviously increased. The renal SOD level, SIRT1/FOXO3a pathway and autophagy-related protein expression were obviously decreased (P<0.05). Compared with the model group, the pathological injury of kidney tissue was reduced in the NOB-L group and the NOB-H group, and the 24 h urine microalbumin content, urine NAG, urine β2-MG, BUN, Scr, renal tubular injury score, renal MDA level and apoptosis rate were obviously decreased. The renal SOD level, SIRT1/FOXO3a pathway and autophagy-related protein expression were obviously increased (P<0.05). Conclusion NOB may promote autophagy by activating the SIRT-1/FOXO3a pathway, thereby improving acute kidney injury in rats.

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    Clinical Research
    Risk factors for second molar scissors-bite in patients: a case-control study
    YIN Liwei, WU Jie, ZHAO Yanhong
    2023, 51 (5):  504-507.  doi: 10.11958/20221538
    Abstract ( 554 )   HTML ( 5 )   PDF (820KB) ( 923 )  

    Objective To analyze the relationship between patients with second molar scissors-bite and cephalometric indicators, to assess risk factors associated with the pathogenesis of second molar scissors-bite, and to explore the sensitive indicators in different populations. Methods A case-control study was conducted with 106 patients with second molar scissors-bite (the case group). The control group was 102 patients without scissors-bite and with bilateral molars and cusps in a neutral relationship. Differences in age, sex, skeletal and dental measurements were compared between the two groups of patients. Risk factors associated with second molar scissors-bite were further analyzed using multifactor Logistic regression. Results Univariate analysis showed that five measures, ∠ANB, Wits value, OB, OJ and ∠SNB were sensitive indicators of second molar scissors-bite. Logistic regression showed that for the entire study population, low angle (OR=2.907, 95%CI: 1.157-7.307), ∠ANB (OR=1.643, 95%CI: 1.203-2.245) and OB (OR=1.442, 95%CI: 1.116-1.862) were risk factors for the pathogenesis of second molar scissors-bite. In males, large ∠ANB was the main risk factor for the pathogenesis of second molar scissors-bite. In females, the main risk factors for the pathogenesis of second molar scissors-bite were high angle and larger ∠ANB and OB. In adolescents, ∠ANB and OB value, and in adults, ∠ANB and low angle were risk factors for the pathogenesis of second molar scissors-bite. Conclusion Skeletal class Ⅱ is the most important risk factor for second molar scissors-bite. In addition, high angle and deep overbite in women, deep overbite in adolescents and low angle in adults are all at high risk of the pathogenesis of second molar scissors-bite.

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    Clinical effect of Qishen Yiqi dropping pill on the prognosis of patients with depression after percutaneous coronary intervention
    LIU Yuanyuan, ZHANG Enyuan, WANG Chengjian, YANG Shicheng, SI Hailong, XUE Yuanyuan, ZHENG Junyi
    2023, 51 (5):  508-512.  doi: 10.11958/20220656
    Abstract ( 427 )   HTML ( 4 )   PDF (781KB) ( 945 )  

    Objective To observe the effect of Qishen Yiqi dropping pill on prognosis of patients with coronary heart disease complicated with depression after percutaneous coronary intervention (PCI). Methods A total of 100 patients with coronary heart disease complicated with depression who underwent PCI were divided into the control group and the treatment group by random number table method, with 50 cases in each group. Patients of the control group were treated with conventional Western medicine and psychological counseling after PCI. The treatment group was additionally treated with Qishen Yiqi dropping pill, 0.5 g each time, 3 times a day. Both groups were treated for 4 weeks. The cardiac function related indicators were observed in patients of the two groups. The efficacy of the traditional Chinese medicine (TCM) syndrome and depression mood improvement were also observed. Results Before treatment, there were no significant differences in left ventricular ejection fraction (LVEF) and left ventricular end-diastolic diameter (LVEDD) between the two groups. After treatment, LVEF was higher in both groups than that before treatment, while LVEDD was lower (P<0.05). LVEF was significantly higher in the treatment group than that in the control group, while LVEDD was lower (P<0.05). In terms of curative effect of TCM syndromes, the total effective rate was higher in the treatment group than that of the control group (92.0% vs. 76.0%, χ2=4.762, P<0.05). Before treatment, there was no significant difference in HAMD-17 score between the two groups. After treatment, HAMD-17 score was lower than that before treatment in both groups (P<0.05), and HAMD-17 score was significantly lower in the treatment group than that in the control group (P<0.05). The effective rate of depression was significantly higher in the treatment group than that in the control group (90.0% vs. 74.0%, χ2=4.336, P<0.05). Conclusion Qishen Yiqi dropping pill can not only improve the myocardial blood supply, but also effectively improve the psychological state of patients and relieve the depression.

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    The expression profile of circular RNA in placenta of patients with preeclampsia and its correlation with the patient’s condition
    HAN Zhenyan, GUAN Hongqiong
    2023, 51 (5):  513-517.  doi: 10.11958/20221313
    Abstract ( 405 )   HTML ( 4 )   PDF (841KB) ( 933 )  

    Objective To analyze expression profile of circular RNA (circRNA) in placenta of patients with preeclampsia and its correlation with the patients' condition. Methods A total of 15 patients with preeclampsia (the preeclampsia group), 25 patients with severe preeclampsia (the severe preeclampsia group), and 30 normal pregnant women (the control group) were selected. Clinical data of patients were collected. 24 h urinary protein levels were detected in each group. Serum STOX1 protein, serum soluble vascular endothelial growth factor receptor 1 (sFlt-1), placental growth factor (PLGF) and vascular endothelial growth factor (VEGF) were detected by enzyme-linked immunosorbent assay. The placental samples were collected after delivery, and the expression of circRNA in placenta was detected. The top three genes with differentially expressed levels of up-regulated and down-regulated genes from high to low were selected for analysis. The correlation of differentially expressed genes with 24 h urinary protein, mean arterial pressure, STOX1, sFlt-1, PLGF and VEGF in pregnant women was analyzed. Multiple linear regression model was used to analyze factors affecting the quantitative level of 24 h urine protein in pregnant women. Results Compared with the control group, there were higher prepregnancy body mass index and mean arterial pressure in the preeclampsia group and the severe preeclampsia group (P<0.05). The 24 h urinary protein quantity, STOX1, sFlt-1, hsa_circ_0014736, hsa_circ_0015383 and hsa_circ_0004904 expression levels in placenta were increased gradually in the control group, the preeclampsia group and the severe preeclampsia group. The expression levels of hsa_circ_0063517, hsa_circ_0007121 and hsa_circ_0003171 were decreased gradually (P<0.05). Values of hsa_circ_0014736, hsa_circ_0015383 and hsa_circ_0004904 were positively correlated with mean arterial pressure, 24 h urinary protein quantity, STOX1 and sFlt-1 in the preeclampsia group and the severe preeclampsia group respectively. They were negatively correlated with VEGF and PLGF (P<0.05), while hsa_circ_0063517, hsa_circ_0007121 and hsa_circ_0003171 were negatively correlated with clinical features (P<0.05). Multiple linear regression analysis showed that hsa_circ_0015383 had positive linear correlation with 24 h urinary protein quantification in pregnant women, and hsa_circ_0063517 and hsa_circ_0007121 had negative linear correlation with 24 h urinary protein quantification in pregnant women (P<0.05). Conclusion The expression levels of hsa_circ_0063517 and hsa_circ_0007121 in placenta are down-regulated in preeclampsia pregnant women, and expression levels of hsa_circ_0015383 are up-regulated, which is closely related to the patient's condition.

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    Effects of thyroid hormones and sex hormones on male fertility
    ZHANG Zhengang, LI Xiaona, WANG Wenjuan, ZHANG Yongtian, LI Binye
    2023, 51 (5):  518-521.  doi: 10.11958/20221648
    Abstract ( 390 )   HTML ( 7 )   PDF (747KB) ( 922 )  

    Objective To explore effects of thyroxine and sex hormone on male fertility. Methods A total of 481 male infertile patients were included in this study. Semen routine analysis and fertility index calculation were performed in each group. Sperm DNA fragmentation rate was detected. Chemiluminescence method was used to detect hyroid hormones [free triiodothy ronine (FT3), free tetraiodothyronine (FT4), thyrotropin (TSH)] and sex hormones [luteinizing hormone (LH), follicle stimulating hormone (FSH), testosterone (T), prolactin (PRL) andestradiol (E2)]. According to thyroxine levels,patients were divided into the low hormone level group (61 cases), the normal hormone level group (376 cases) and the high hormone level group (44 cases). The correlation between thyroid hormone and sex hormone and the correlation between T/E2, T/FSH, T/LH, T/PRL, semen parameters and fertility index were analyzed. Results Compared with the normal hormone group, the forward motion rate was decreased in the low hormone group, the forward motion rate and fertility index were decreased in the high hormone group, and the malformation rate was increased (P<0.05). FT3 was negatively correlated with PRL level, FT4 was negatively correlated with FSH and E2 level, and TSH was positively correlated with PRL level (P<0.05). T/E2 was negatively correlated with the malformation rate, T/FSH was positively correlated with total sperm count, sperm concentration, forward motility rate and fertility index, but negatively correlated with the malformation rate (P<0.05). T/LH was positively correlated with total sperm count and sperm concentration (P<0.01). T/PRL was negatively correlated with the deformity rate. Conclusion Abnormal thyroid hormone levels can affect male fertility, and the effect is more pronounced at higher levels.

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    Relationship between the expression of GPR120 and GPR40 and clinicopathological features and survival outcome of ovarian cancer patients
    LI Juan, NI Huihua
    2023, 51 (5):  522-526.  doi: 10.11958/20221409
    Abstract ( 437 )   HTML ( 1 )   PDF (917KB) ( 942 )  

    Objective To investigate the expression of G protein coupled receptor 120 (GPR120) and G protein coupled receptor 40 (GPR40) and their clinical value as prognostic biomarkers for ovarian cancer patients. Methods The paraffin embedded samples and clinicopathological data of 128 ovarian cancer patients were systematically collected. The expression levels of GPR120 and GPR40 in ovarian cancer samples were detected by immunohistochemistry, and the relationships between expression levels of GPR120 and GPR40 and clinicopathological characteristics of ovarian cancer patients were analyzed. Kaplan-Meier method was used to draw survival curves of patients with high and low expression levels of GPR120 and GPR40, and Cox proportional hazard model were used to analyze predictors of disease free survival (DFS) for ovarian cancer patients. Results The positive rates of GPR120 and GPR40 expression in ovarian cancer samples were 62.5% (80/128) and 56.3% (72/128), respectively. The positive expression rates of GPR120 in patients with FIGO stage Ⅱ—Ⅲ and histology G3 were significantly higher than those in patients with FIGO stage Ⅰ and histology G1—G2, respectively. Similarly, the positive expression rates of GPR40 in FIGO Ⅱ—Ⅲ and histologic G3 patients were significantly higher than those in patients with FIGO Ⅰ and histologic G1—G2, respectively. Survival analysis showed that the 4-year DFS rate of patients with high GPR120 expression was decreased compared with that of patients with low GPR120 expression (56.9% vs. 70.7%, Log-rank χ2= 5.144, P=0.023). The 4-year DFS rate of patients with high GPR40 expression was significantly lower than that of patients with low GPR40 expression (57.7% vs. 68.4%,Log-rank χ2= 4.491, P=0.034). The univariate and multivariate Cox regression analysis identified that high GPR120 expression, high GPR40 expression, FIGO stage Ⅱ—Ⅲ and residual disease size ≥ 1 cm were independent prognostic factors for ovarian cancer patients. Conclusion GPR120 and GPR40 are useful biomarkers to predict aggressive features and poor prognosis of ovarian cancer patients, and their dysregulation might be implicated in malignant transformation and cancer progression.

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    Analysis of pre-hospital emergency use for maintenance hemodialysis patients in 2019—2020 Beijing area
    ZHANG Yin, ZHOU Yilun, MENG Dezhi, HUANG Qi, ZHANG Jinjun
    2023, 51 (5):  527-529.  doi: 10.11958/20221457
    Abstract ( 313 )   HTML ( 4 )   PDF (719KB) ( 894 )  

    Objective To investigate the main cause of pre-hospital ambulance use and its day-of-week pattern of distribution according to hemodialysis schedule in a cohort of maintenance hemodialysis (MHD) patients in Beijing. Methods A cohort of 572 MHD patients that called pre-hospital ambulance in Beijing between July 2019 and June 2020 were retrospectively analyzed. There were 349 males (61.0%) and 223 females (39.0%), the mean age was (67.1±13.0) years, and the median dialysis age was 5 (2,9) years. Patient characteristics, main cause of pre-hospital ambulance calls and day-of-week distribution patterns of pre-hospital ambulance calls were collected. Results The most common reason for pre-hospital emergency calls in 572 patients with MHD was heart failure (89 cases, 15.6%), followed by sudden death (77 cases, 13.5%) and cerebrovascular disease (58 cases, 10.1%). The highest incidence of prehospital ambulance utilization and sudden death in MHD patients occurred on the days following the longest dialysis interval (Mondays and Tuesdays). Pre-hospital emergency calls for heart failure occurred more often at the end of the longest dialysis intervals, on Sundays and Mondays. The risk of cerebrovascular disease had no association with dialysis schedules. Conclusion Heart failure, sudden death and cerebrovascular disease are the main causes of pre-hospital ambulance calls in MHD patients. Long dialysis intervals may lead to an increased risk of pre-hospital ambulance use in MHD patients.

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    Application of transumbilical single-site laparoscopic surgery combined with early enteral nutrition in rapid recovery of congenital duodenal obstruction
    GAO Wei, YU Chen, ZUO Wei, WU Gongjing, LI Qingzhi, LIU Xiang
    2023, 51 (5):  530-534.  doi: 10.11958/20221941
    Abstract ( 493 )   HTML ( 4 )   PDF (864KB) ( 911 )  

    Objective To investigate the application value of transumbilical single-site laparoscopic surgery combined with early postoperative enteral nutrition (EEN) in rapid recovery of congenital duodenal obstruction. Methods Clinical data of 87 children with duodenal obstruction were analyzed. The children who received three-hole laparoscopic treatment were classified as the three-hole group (n=39), and children who received transumbilical single-site laparoscopic treatment were divided into the single-hole group (conventional feeding, n=26) and the single-hole EEN group (EEN, n=22) according to different postoperative feeding methods. The differences of operation time, postoperative intestinal function recovery time, hospital stay and cost, laboratory indicators and complications were compared between the three groups. Results There was no significant difference in operation time between the three groups (P>0.05). There were no significant differences in the time of initial enteral nutrition, the time to total enteral nutrition, the time of first defecation, the time of postoperative hospitalization, the cost of hospitalization and levels of albumin (ALB), hemoglobin (Hb) and C-reactive protein (CRP) one week after surgery between the single-hole group and the three-hole group (P>0.05). The time of initial enteral nutrition, the time of total enteral nutrition, the time of first defecation, the time of postoperative hospitalization were significantly shortened in the single-hole EEN group than those of the single-hole group (P<0.05), and the Hb level was higher one week after surgery (P<0.05). There were no significant differences in hospital expenses, ALB and CRP levels one week after surgery between the two groups (P>0.05). During follow-up after discharge, there was one case of recurrent intestinal torsion in the single-hole group and the three-hole group, which were cured after re-operation. Conclusion In the treatment of neonatal duodenal obstruction, transumbilical single-site laparoscopic surgery combined with early enteral nutrition is safe, feasible and effective, which can promote early postoperative recovery. The abdominal incision is hidden, which has good clinical application value.

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    Applied Research
    The value of C-TIRADS and superb microvasular imaging in the differential diagnosis of thyroid nodules with Hashimoto's thyroiditis
    LIU Weiliang, LU Haiyong, ZHENG Yingjuan, LI Chaoxi, WEN Dehui
    2023, 51 (5):  535-539.  doi: 10.11958/20220618
    Abstract ( 408 )   HTML ( 5 )   PDF (763KB) ( 1153 )  

    Objective To explore the value of C-TIRADS and superb microvasular imaging (SMI) in diagnosing the characteristics of thyroid nodules with Hashimoto's thyroiditis (HT). Methods A total of 272 patients with HT combined with thyroid nodules were included in this study. All nodules and thyroid parenchyma were detected by two-dimensional ultrasonography and SMI respectively before operation. The ultrasound characteristics of nodules and blood flow of thyroid parenchyma were analyzed. All nodules were graded by C-TIRADS. The diagnostic efficacy of two-dimensional ultrasonography and two-dimensional ultrasonography combined with SMI was evaluated. Results There were 124 benign nodules in 113 patients (the benign group) and 178 malignant nodules in 159 patients (the malignant group). The proportion and age of females were higher in the malignant group than those in the benign group (P<0.05). There was no significant difference in the average size of nodules between the two groups. Malignant nodules were mostly solid hypoechoic or very hypoechoic, accompanied by external thyroid invasion and strong focal echo. Benign nodules were mostly hyperechoic and isoechoic nodules without focal hyperechoic. The blood supply type was no obvious change or slightly increased in the malignant group, and the benign group showed mainly moderately increased and no obvious change or slightly increased. The malignant rates calculated by C-TIRADS were all within the recommended range of malignant rates. Results of ROC curve showed that the best diagnostic cut-off point of C-TIRADS was C-TIRADS 4C. The best diagnostic cut-off point C-TIRADS combined with SMI was C-TIRADS 4C, and the blood supply of thyroid parenchyma was not significantly changed or slightly increased. Specificity and accuracy were higher in C-TIRADS combined with SMI than those of C-TIRADS (P<0.05). There was no significant difference in the specificity and accuracy between C-TIRADS combined with SMI and C-TIRADS (P>0.05). Conclusion C-TIRADS combined with SMI can improve the diagnostic efficiency of HT complicated with nodules.

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    Value of contrasten hanced ultrasound in the differential diagnosis of renal clear cell carcinoma and urothelial carcinoma
    FENG Lianyun, TIAN Jing, WANG Guangxia, LIU Shenjia, WANG Hong, PANG Lina
    2023, 51 (5):  540-543.  doi: 10.11958/20222041
    Abstract ( 486 )   HTML ( 4 )   PDF (960KB) ( 911 )  

    Objective To observe blood perfusion characteristics of renal clear cell carcinoma and urothelial carcinoma by contrasten hanced ultrasound, and to explore their differential diagnostic value. Methods A total of 105 patients with renal malignant tumor confirmed by pathology were collected, including 57 cases of renal clear cell carcinoma and 48 cases of urothelial carcinoma. Conventional ultrasound and contrast-enhanced ultrasound were performed to compare the length diameter and echo characteristics of conventional ultrasound between the two groups. Enhancement time difference, enhancement peak time difference, enhancement mode and enhancement intensity of contrast-enhanced ultrasound were also compared between the two groups. Receiver operating characteristic curve (ROC) was used to analyze the diagnostic value of enhanced time difference and enhanced peak time difference for intrarenal tumors. Results The mean length diameter of the renal clear cell carcinoma group was longer than that of the urothelial carcinoma group (P<0.01). The enhancement time difference was shorter in the renal clear cell carcinoma group than that in the urothelial carcinoma group, and the enhancement peak time difference was shorter than that in the urothelial carcinoma group (P<0.05). There was no significant difference in the enhancement pattern between the two groups after angiography. The enhancement pattern of the tumor after angiography was mainly rapid advance and rapid retreat in the two groups. There was significant difference in enhancement intensity between the two groups (P<0.01). The ROC curve suggested that enhanced time difference was more effective than enhanced time difference in the differential diagnosis of renal clear cell carcinoma and uroepithelial carcinoma (Z=3.600,P<0.01). Conclusion Contrast enhanced ultrasound can be used as an important supplement to conventional ultrasound in differentiating renal clear cell carcinoma from urothelial carcinoma.

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    Effects of combined thoracic paravertebral block and erector spinae plane block on analgesia and quality of recovery in patients undergoing video-assisted thoracic surgery
    ZHANG Lili, WU Yun, HU Yang, CHANG Zhenzhen, ZHANG Ye
    2023, 51 (5):  544-548.  doi: 10.11958/20221183
    Abstract ( 536 )   HTML ( 4 )   PDF (911KB) ( 908 )  

    Objective To observe the effect of thoracic paravertebral block (TPVB) combined with erector spinae plane block (ESPB) on postoperative analgesia and quality of recovery in patients underwent video-assisted thoracic surgery. Methods Ninety patients underwent video-assisted thoracic surgery were selected and randomly divided into the E group, the T group and the TE group (preoperatively receiving ultrasound-guided ESPB, TPVB and TPVB+ESPB, respectively), with 30 patients in each group. In the three groups, 0.5% ropivacaine 25 mL was used as local anesthetic. In the TE group, TPVB combined with ESPB was executed, and 5 and 20 mL local anesthetics were used successively. Patient-controlled intravenous analgesia (PCIA) was used as a rescue analgesia postoperatively. Data of hypesthesia at lateral chest wall at 30 min after completion of block, intraoperative incidence of hypotension and dosage of anesthetics were recorded. Patients were followed up for Numeric Rating Scales (NRS) score, time to first rescue analgesia, number of rescue analgesia, quality of recovery-15 score, analgesia satisfaction score, postoperative nausea and vomiting (PONV) scores in the first 24 h post-surgery and incidence of postoperative chronic pain at 6 months. Results The incidence of preoperative hypesthesia was higher in the TE group and the T group than that in the E group (P<0.05). The intraoperative use of remifentanil was lower in the T group than that of the E group and the TE group, but the utilization rate of vasoconstricting drugs was the highest (P<0.05). NRS scores at rest and coughing were lower in the T group than those in the E and TE groups (P<0.05). There were no significant differences in the time to first rescue analgesia and the number of rescue analgesia between the three groups (P>0.05). Compared with the E group, the T group had a better postoperative QoR-15 scores (P<0.05), and the group TE had lower incidence of postoperative chronic pain (P<0.05). There were no statistical differences in analgesia satisfaction scores and PONV scores between the three groups (P>0.05). Conclusion The effects of TPVB+ESPB on postoperative analgesia and quality of recovery in patients underwent thoracoscopic surgery are not better than those of ESPB and TPVB, but it has a faster onset time of sensory block than ESPB and reduces the occurrence of postoperative chronic pain.

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    The application value of average diameter of fetal sac in the risk prediction of massive hemorrhage during cesarean scar pregnancy curettage
    XU Yang, YUAN Yu, WAN Xin, WANG Lijuan
    2023, 51 (5):  549-552.  doi: 10.11958/20221176
    Abstract ( 514 )   HTML ( 3 )   PDF (775KB) ( 919 )  

    Objective To explore the predictive value of average diameter of fetal sac on the massive hemorrhage during the curettage of cesarean scar pregnancy (CSP). Methods The data of 117 CSP patients treated with curettage in Tianjin Hospital were collected. Patients were divided into the two groups, the massive hemorrhage group (n=27) and the no-massive hemorrhage group (n=90). The maximum diameter of fetal sac, the average diameter of fetal sac, the thickness of the lower segment of the anterior wall of uterus, the type of fetal sac insertion, the direction of fetal sac growth, the growth of fetal bud, the growth of fetal heart, the type of focus, the lower segment of the anterior wall of uterus protrusion, the color Doppler blood flow signal classification of the focus, patient age and preoperative human chorionic gonadotropin (HCG) were compared between the two groups. The predictive ability of the average diameter of fetal sac to the massive hemorrhage in CSP curettage was explored. Results The results of single factor Logistic regression analysis showed that the maximum diameter of the fetal sac (OR=1.281, 95%CI: 1.020-1.608), the average diameter of the fetal sac (OR=1.611, 95%CI: 1.112-2.332), the thickness of the lower segment of the anterior wall of the uterus (OR=0.026, 95%CI: 0.001-0.914) and the protrusion of the lower segment of the anterior wall of the uterus (OR=3.081, 95%CI: 1.262-7.521) were the influencing factors of severe hemorrhage in CSP curettage. Stepwise Logistic regression analysis showed that the average diameter of fetal sac was an independent risk factor for massive hemorrhage during CSP curettage (OR=1.611, 95%CI: 1.112-2.331), and the predicted area under the curve (AUC) of the increase of the average diameter of fetal sac for massive hemorrhage after CSP curettage was 0.660 (95%CI: 0.548-0.773). Conclusion The average diameter of fetal sac can increase the prediction ability of massive hemorrhage after CSP curettage.

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    Review
    Research progress on bone marrow mesenchymal stem cells in the treatment of steroid-induced osteonecrosis of femoral head
    QIAN Shida, YU Xuefeng
    2023, 51 (5):  553-555.  doi: 10.11958/20221802
    Abstract ( 469 )   HTML ( 3 )   PDF (735KB) ( 938 )  

    The etiology and mechanism of steroid-induced osteonecrosis of femoral head (SONFH) have not been fully elucidated, and effective treatments have not yet emerged. With the application of stem cell therapy technology in various disciplines, the nature and function of stem cells have been extensively studied and applied in the treatment of SONFH. However, stem cell transplantation alone is not effective, and its efficacy can be enhanced by pretransplantation modification. This paper reviews the research progress of bone marrow mesenchymal stem cells in the treatment of SONFH.

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    Application of peripheral arteriovenous exchange transfusion in neonatal diseases
    MA Huiqing, LIU Yang
    2023, 51 (5):  556-560.  doi: 10.11958/20221528
    Abstract ( 471 )   HTML ( 2 )   PDF (755KB) ( 922 )  

    Peripheral arteriovenous exchange transfusion, as a rapid treatment for critical neonates, has been widely utilized in the treatment of neonatal hyperbilirubinemia and neonatal alloimmune hemolysis. Based on domestic and foreign literature review on neonatal diseases treated with exchange transfusion technique, the application of this treatment in common diseases such as neonatal sepsis, neonatal anemia and neonatal poisoning, as well as rare diseases such as gestational alloimmune liver disease, transient abnormal myelopoiesis and organic acidurias is summarized. The application principle of this technique in related diseases, therapeutic effect and adverse reactions of neonates are also expounded, in order to provide a supplementary choice for the treatment of these diseases.

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