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    Monograph·Organoid and Organoid-on-A-Chip
    Advances in high-throughput automated organoid-on-a-chip system
    MENG Fanlu, HAN Yiming, XIU Jidong, HUANG Jianyong
    2024, 52 (1):  1-3.  doi: 10.11958/20231474
    Abstract ( 260 )   HTML ( 4 )   PDF (742KB) ( 292 )  

    Organoids are in vitro three-dimensional (3D) multicellular cultures that are generated through deploying the self-renewal and self-organizing capacities of stem cells. They recapitulate key structural and functional features of corresponding organs or tissues, providing an ideal in vitro model and research platform for the study of developmental biology, regenerative medicine, disease modeling and drug development. The conventional organoid culture system mainly relies on manual operations with lengthy and complicated procedures, which generate organoid cultures of individual variations and batch differences, limiting their translational applications. Therefore, to engineer the organoid culture system by introducing microfluidic chip technology to enhance the throughput and automation level, is of great significance for achieving large-scale, homogeneous, and standardized organoid cultures. This article reviews the current research progress of high-throughput and automated organoid chips and discusses the main limitations and potential challenges for the future study.

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    Construction of airway organoid microinjection and polarity reversal model
    SONG Licheng, ZHANG Yuhan, YU Zhongkuo, XIE Lixin
    2024, 52 (1):  4-10.  doi: 10.11958/20231469
    Abstract ( 243 )   HTML ( 4 )   PDF (2014KB) ( 1007 )  

    Objective To explore novel methods for efficient respiratory viral infection of organoids by microinjection and polarity inversion techniques. Methods Lung tissue samples were obtained from 8-week-old male C57BL/6 mouse, and respiratory epithelial cells were extracted to establish a transwell organoid culture model. The green fluorescent protein (GFP) labeled influenza virus PR8 (GFP-PR8) was quantitatively injected into organoids by improving the traditional microinjection platform, and morphologic changes in organoids and the immunofluorescence staining characteristics of tight junction proteins and microtubule proteins were observed. Polarity inversion apical-out (AO) was induced by suspension culture, and the morphological characteristics of polarity inversion was determined by HE staining. Normal and inverted organoids were infected with PR8, and the infection efficiency and expression differences of key pathway genes under different virus concentrations were observed. Results Ordinary organoids showed a significant increase in volume after microinjection. Following PR8 injection, the efficiency of infection was significantly higher in the apical region of organoids, accompanied by noticeable damage, as evidenced by significant down-regulation of tight junction proteins and microtubule protein expression. After suspension culture of the organoids, the polarity of ciliated cells gradually inverted outward over time, and the proportion of AO organoids stabilized on the 6th day. The efficiency of viral infection significantly increased in the inverted organoids, accompanied by significant cellular damage. After PR8 infection at 0.01 MOI, AO organoids showed significant changes in the inflammatory pathway and differentiation-related genes, with the opposite trend observed after higher concentration of PR8 infection. Conclusion Both polarity inversion and microinjection techniques significantly enhance the efficiency of influenza virus infection in organoids, thereby facilitating organoid widespread application in the field of respiratory tract infections.

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    Study of Lkb1 regulates epithelial regeneration in asthma using airway organoid
    XU Guiying, LI Yu, LI Xue, LIU Yimeng, CHEN Huaiyong
    2024, 52 (1):  11-15.  doi: 10.11958/20231506
    Abstract ( 296 )   HTML ( 8 )   PDF (1052KB) ( 292 )  

    Objective To explore the mechanism of Lkb1 regulated epithelial regeneration in asthma by airway organoid culture. Methods Lkb1f/f (the control group, n=10) and Scgb1a1CreER; Lkb1f/f mice (the Lkb1 knockout group, n=9)were taken to establish allergic asthma models by aerosol inhalation of ovalbumin (OVA). Bronchial lavage fluid (BALF) and lung tissue were collected. The number of inflammatory cells in BALF were counted. The amount of CLCA3 positive cells was compared by immunofluorescence staining of lung tissue sections. Club cells were selected by flow cytometry for organoid culture. The average diameter of organoids and organoid formation rate were calculated. Expression levels of goblet cell marker CLCA3, cilia cell markers FOXJ1 and AMPK in Club cells were detected by RT-PCR. Results There were no significant differences in the number of macrophages, eosinophils, neutrophils and lymphocytes in BALF between the control group and the Lkb1 knockout group. The number of CLCA3 positive cells were decreased after Lkb1 knockout. Results of organoid culture showed that the average diameter of organoids derived from Club cells and organoid formation rate were decreased after the absence of Lkb1. The expression of FOXJ1 was reduced. After Lkb1 deletion, the expression of AMPKα in Club cells were decreased and the proliferation of Club cells was inhibited. Activation of AMPK, the downstream signaling pathway of Lkb1, could attenuate the effect of Lkb1 deficiency on the regeneration of Club cells. Conclusion Lkb1 promotes the proliferation of airway progenitor cells by AMPK pathway.

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    Construction of mouse intestinal organoid inflammation model
    CHEN Hao, LI Rui, YI Fei, ZHOU Li, CHEN Jiaqi, ZHU Fan, GUAN Chengyan, WU Na
    2024, 52 (1):  16-21.  doi: 10.11958/20231511
    Abstract ( 257 )   HTML ( 4 )   PDF (1537KB) ( 511 )  

    Objective To establish in vitro the small intestinal organoid culture system and to investigate the effect of lipopolysaccharide (LPS) on the growth of small intestinal organoids and the secretion of inflammatory factors. Methods In vitro, the small intestinal crypt cell mass of C57BL/6 mice was aseptically isolated, collected and embedded in organoid matrix. Under the support of complete medium, the small intestinal organoids with three-dimensional multi-leaf structure with small intestinal epithelioid structure were formed. The small intestinal organoids were subcultured after 5-7 d culture. On the third day after passage, the small intestinal organoids were randomly divided into different mass concentrations of LPS groups (0, 150, 175, 200, 225, 250, 275 and 300 mg/L). After 24 h and 48 h of LPS induction, morphological changes of small intestinal organoid growth and differentiation were observed. CCK-8 method was used to detect the effect of different time points and mass concentrations of LPS on the proliferative activity of small intestinal organoids after induction of inflammation. The effects of four different mass concentrations of LPS (0, 175, 200 and 225 mg/L) on expression levels of granulocyte-macrophage colony stimulating factor (GM-CSF), interleukin (IL)-1α, IL-6 and IL-10 in organoid culture supernatant at different times were detected by enzyme-linked immunosorbent assay (ELISA). Results The mouse small intestinal organoid culture system was preliminarily constructed. After different time and mass concentration of LPS induced inflammation of small intestinal organoids, it was observed by morphology that small intestinal organoids would have different degrees of expansion and apoptosis in lumen. The proliferation, differentiation and budding of damaged intestinal epithelial crypts or intestinal stem cells were also inhibited to varying degrees, indicating that the growth of small intestinal organoids would be limited to varying degrees after induced inflammation. The proliferation activity of small intestinal organoids decreased to varying degrees after 24 h and 48 h of LPS induction at 175-225 mg/L (P<0.05), but the cell viability was still greater than 50%. The levels of IL-1α, IL-6 and GM-CSF partially increased after induction with 200 mg/L and 225 mg/L LPS for 24 h and 48 h (P<0.05). The level of IL-10 decreased after induction with 200 mg/L LPS for 24 h and 48 h (P<0.05). Conclusion In this study, a model of intestinal inflammatory injury in vitro induced by LPS with different mass concentrations and time points is preliminarily constructed, which provides a more reliable research platform for the mechanism research of intestinal diseases and the screening of effective drugs in the future.

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    Construction of micropapillary lung adenocarcinoma organoids and screening of targeted drugs
    JIANG Zhongmin, ZHANG Chunyan, LIU Min, ZHENG Jie, LI Yanxia, REN Qingcuo, MENG Wei, LIU Xiaozhi
    2024, 52 (1):  22-27.  doi: 10.11958/20231326
    Abstract ( 247 )   HTML ( 6 )   PDF (1507KB) ( 401 )  

    Objective To establish a culture method for micropapillary lung adenocarcinoma organoids and conduct targeted drug screening. Methods Organoids were extracted and cultured from a surgical tissue sample of a patient diagnosed with micropapillary lung adenocarcinoma, and the growth of lung cancer organoids was observed and recorded dynamically. The morphological and gene expression characteristics of tumor cells between lung cancer organoids and parental tissue were compared using hematoxylin eosin (HE) staining and immunohistochemical methods. Real time fluorescence quantitative polynucleotide chain reaction (qRT-PCR) method was used to detect gene mutations in lung cancer parental tissue and organoids. Finally, based on results of genetic testing, targeted drugs were selected and their therapeutic effects were verified. Results We have successfully cultured spherical organoids from micropapillary lung adenocarcinoma tissue, which can be passaged for at least 3 generations. HE staining results showed that the morphology of tumor cells in organoids was roughly consistent with that of parental tissue. The immunohistochemical results showed that the protein expression levels of various genes in lung cancer organoids and parental tissue were roughly the same. Results of gene mutation analysis showed that the mutated genes in lung cancer parental tissue and organoids were consistent, both reflecting RET fusion. The screening results of targeted drugs based on lung cancer organoids showed that vandertinib had the best anti-tumor effect in vitro. Conclusion Drug screening experiments based on micropapillary lung adenocarcinoma organoids can screen highly efficient targeted drugs in a short period of time, which may benefit patients with micropapillary lung adenocarcinoma.

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    Application of organoids in basic research and clinical translation of cancers
    SI Wuxuerong, JIANG Ming
    2024, 52 (1):  28-32.  doi: 10.11958/20231475
    Abstract ( 231 )   HTML ( 2 )   PDF (854KB) ( 618 )  

    Organoids are the three-dimensional culture of adult stem cells or pluripotent stem cells in vitro to form tissue analogs with specific structures, which have highly similar tissue properties and physiological functions to the corresponding organs. The emergence of organoid technology has laid an important foundation for research in organ development, disease modeling and drug discovery. Tumor organoid, as an important branch of organoids, is a transition between cell lines and animal models, which can well retain the histological and mutational characteristics of tumors in patients and play an essential role in building tumor organoid sample libraries, reconstructing tumor microenvironment, studying the tumor development mechanism as well as formulating personalized treatment plans and drug screening. Tumor organoids help clinicians to realize precise treatment for patients. However, some factors still limit the further development of tumor organoids, such as the lack of microenvironmental components, vascular structure, high culture cost and technical difficulties. In this review, we summarize the applications and challenges of organoid technology in basic tumor research and clinical translation and look forward to the future development of tumor organoids.

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    Research progress on the application of organoids in genetic diseases of childhood
    LEI Min, CAI Chunquan
    2024, 52 (1):  33-37.  doi: 10.11958/20231509
    Abstract ( 264 )   HTML ( 1 )   PDF (738KB) ( 286 )  

    Organoids are in vitro 3D tissue cultures that retain the characteristics of their source tissue and organs, and have been widely used in biomedical fields. Organoids have emerged as effective models for investigating diseases, contribute to further understanding of pathophysiology and molecular mechanisms of diseases, and provide technical support for personalized treatment of genetic diseases. This article specifically explores the application of organoid technology in childhood genetic diseases. It emphasizes the advantages and potential advancements of this technology in disease modeling, correction of genetic defects and personalized treatment, thereby serving as a valuable reference for future research endeavors.

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    Research progress of cerebral organoid technology and its application in stroke treatment
    SUN Kexin, XIAO Yuqian, WAN Jun, CHEN Shuying, CHEN Limin, WANG Yan, BAI Yanjie
    2024, 52 (1):  38-43.  doi: 10.11958/20231381
    Abstract ( 262 )   HTML ( 4 )   PDF (853KB) ( 945 )  

    Cerebral organoids are three-dimensional nerve cultures induced by embryonic stem cells (ESCs) or induced pluripotent stem cells (iPSCs) that mimic the structure and function of human brain. With the continuous optimization of cerebral organoid culture technology and the combination with emerging technologies such as organ transplantation, gene editing and organoids-on-chip, complex brain tissue structures such as functional vascular structures and neural circuits have been produced, which provides new methods and ideas for studying human brain development and diseases. This article reviews the latest advances in brain organoid technology, describes its application in neurological diseases and advances in stroke modeling and transplantation treatment.

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    Cell and Molecular Biology
    Construction and effect of a high glucose induced hippocampal neuron metabolic memory cell model in HT-22 mice
    DUAN Yunfeng, XU Yongjie, YANG Tingting, HUANG Changyudong, ZHU Liying, LI Xing, PAN Wei
    2024, 52 (1):  44-49.  doi: 10.11958/20231115
    Abstract ( 256 )   HTML ( 3 )   PDF (1123KB) ( 299 )  

    Objective To construct an in vitro "metabolic memory" cell model of HT-22 mouse hippocampal neurons induced by high glucose, and to investigate the effect of "metabolic memory" on apoptosis and histone acetylation in HT-22 cells. Methods HT-22 cells were cultured in high glucose medium (glucose concentration was 55 mmol/L) and conventional glucose medium (glucose concentration was 25 mmol/L), and cells were divided into the control group (NG 4, 6 and 8 groups, 25 mmol/L glucose was cultured for 4, 6 and 8 days, respectively), the high glucose group (HG 4, 6 and 8 groups, respectively) and the metabolic memory group (HG2NG2, HG2NG4, HG2NG6, HG4NG2 and HG4NG4 groups, high glucose culture for 2 days to 25 mmol/L glucose culture for 2, 4 or 6 days, high glucose culture for 4 days to 25 mmol/L glucose culture for 2 or 4 days). Cell viability was detected by CCK-8 method. The release of lactate dehydrogenase (LDH) in cell culture supernatant was detected, and the optimal time to establish a "metabolic memory" model was selected. Subsequently, cells were divided into the NG4 group, the NG8 group, the HG4 group, the HG4NG4 group and the HG8 group, and the cell morphology of each group was observed by optical microscope. The apoptosis rate was detected by flow cytometry. The activities of deacetylase (HDAC) and histone acetyltransferase (HAT) were detected by enzyme-linked immunosorbent assay (ELISA). Western blot assay was used to detect expression levels of histone deacetylase 4 (HDAC4), B lymphocyte tumor 2 (Bcl-2), Bcl-2 related X protein (Bax) and Caspase-3 protein. Results The HG4NG4 group was the ideal cell model with high glucose metabolic memory. Cells of the NG4 group and the NG8 group were interwoven into a dense network, growing well, with spindle shaped cells and distinct synaptic structures. However, in the HG4 group and the HG8 group, the cell body became round, synaptic structure disappeared and growth was inhibited. In the HG4NG4 group, the number of cells increased but their morphology was damaged. Results of flow cytometry showed that compared with the NG8 group, the apoptosis rates were significantly increased in the HG8 group and the HG4NG4 group (P<0.05). ELISA results showed that compared with the NG8 group, the expression levels of HDAC4, Bax, and Caspase-3 proteins increased in the HG8 group and the HG4NG4 group, while the expression level of Bcl-2 protein significantly decreased (P<0.05). Compared with the HG8 group, there were no significant differences in protein expression levels of HAT and HDAC in the HG4NG4 group. Western blot reslts showed that compared with the NG8 group, the levels of HDAC4, Bax and Caspase-3 protein increased in the HG8 group and the HG4NG4 group (P<0.05). Compared with the HG8 group, there were no significant differences in protein expression levels in the HG4NG4 group. Conclusion HT-22 mouse hippocampal neurons cultured with 55mmol/L high glucose for 4 days, and then cultured with 25 mmol/L glucose for 4 days are the ideal "metabolic memory" cell model. The mechanism may be related to the increased activity of HDAC, HAT and HDAC4 expression in the hyperglycemic model.

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    Effects and mechanism of AMPP2 on mesangial cell proliferation induced by TGF-β1
    ZHANG Linlin, ZHAO Tangming, HUANG Chan, LI Shanwen, GAN Weihua
    2024, 52 (1):  50-55.  doi: 10.11958/20231143
    Abstract ( 266 )   HTML ( 3 )   PDF (1035KB) ( 289 )  

    Objective To explore the effect and mechanism of anti-mesangial cell-proliferation-peptide 2 (AMPP2) on mesangial cell proliferation induced by transforming growth factor β1 (TGF-β1). Methods Mesangial cells were cultured in vitro and treated with TGF-β1 (10 μg/L) and AMPP2 (10 ng/L). According to different intervention factors, mesangial cells were divided into four groups: the control group, the AMPP2 group, the TGF-β1 group and the TGF-β1+AMPP2 group. The proliferation activity of mesangial cells was detected by CCK-8. The relative protein expression of cyclin dependent kinase 4 (CDK-4), cyclin dependent kinase 6 (CDK-6), proliferating cell nuclear antigen (PCNA), α-smooth muscle actin (α-SMA), collagen-Ⅰ (COL-Ⅰ) and fibronectin (FN) were examined by Western blot assay. The relative mRNA expression of α-SMA, COL-Ⅰ and FN were detected by qPCR. Results Compared with the control group, proliferation activity of mesangial cells was significantly increased in the TGF-β1 group (P<0.05). The proliferation activity of mesangial cells was markedly decreased in the TGF-β1+AMPP2 group compared with that of the TGF-β1 group (P<0.05). Compared with the control group, protein levels of CDK-4, CDK-6, PCNA, α-SMA, COL-Ⅰ and FN in cells were significantly increased in the TGF-β1 group (P<0.05), as well as the mRNA levels of α-SMA, COL-Ⅰ and FN (P<0.05). In the TGF-β1+AMPP2 group, the protein and mRNA levels of α-SMA, COL-Ⅰ and FN and the protein levels of CDK-4, CDK-6 and PCNA were markedly decreased compared with those of the TGF-β1 group (P<0.05). Compared with the control group, levels of p-SMAD3/SMAD3 was remarkably upregulated in the TGF-β1 group (P<0.05), while levels of p-SMAD3/SMAD3 was remarkably downregulated in the TGF-β1+AMPP2 group compared with those of the TGF-β1 group (P<0.05). Conclusion AMPP2 may inhibit mesangial cell proliferation by regulating TGF-β1/SMAD3 pathway.

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    Emodin regulates histone acetylation to promote pyroptosis and apoptosis of HpG2 hepatoma cells
    LIU Guoqi, LI Chengcheng, LIU Shengju, ZHU Liying
    2024, 52 (1):  56-60.  doi: 10.11958/20230775
    Abstract ( 253 )   HTML ( 3 )   PDF (1294KB) ( 276 )  

    Objective To study whether emodin, a natural product, can affect the level of histone acetylation in HpG2 hepatocellular carcinoma cells (HCC), and then accelerate the occurrence of pyroptosis and apoptosis in hepatocellular carcinoma cells, so as to provide a new target for the treatment of liver cancer. Methods CCK-8 method was used to detect the effect of different concentrations of emodin on the viability of HpG2 cells. Bioinformatics was used to analyze histone acetylation-related genes in patients with liver cancer in TCGA database. The correlation between the candidate gene lysine acetyltransferase 2A (KAT2A) and the apoptosis pathway was verified. qPCR method was used to detect the mRNA level of KAT2A in HepG2 cells and L02 cells. The effects of emodin on histone acetyltransferase (HAT) and histone deacetyltransferase (HDAC), interleukin 1β (IL-1β) and interleukin 18 (IL-18) in HpG2 cells were detected by ELISA. The effect of emodin on the apoptosis of liver cancer cells was detected by flow cytometry. The expression level of cell apoptosis, pyroptosis-associated protein B lymphocytoma-2 (Bcl-2), Bcl-2-related X protein (Bax), NOD-like receptor thermal protein domain-related protein 3 (NLRP3), Caspase-1, Gasdermin family member DN terminal (GSDMD-N) and KAT2A were detected by Western blot assay. Results Emodin could reduce the activity of HpG2 cells, and the confidence interval of IC50 95% was 58.12-66.52 μmol/L. Compared with normal liver tissue, the expression of histone acetylation related gene mRNA was increased in HCC tissue, and the change of KAT2A was the highest [log2(Fold Change)=2.010, P<0.01]. In HCC tissue, the expression of KAT2A mRNA was negatively correlated with apoptosis pathway (rs=-0.230, P<0.01). Compared with L02 cells, the expression of KAT2A mRNA in HepG2 was higher (P<0.05). Compared with the control group, expression levels of HAT and HDAC decreased in the 60 μmol/L emodin intervention group, expression levels of IL-18 and IL-1β increased, the apoptosis rate increased, expression levels of KAT2A and BAX decreased, and expression levels of Bcl-2, NLRP3, GSDMD-N and Caspase-1 increased (P<0.05). Conclusion Emodin could inhibit the viability of hepatoma cells, accelerate apoptosis and pyroptosis, and its mechanism may be related to the regulation of KAT2A expression.

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    Experimental Research
    Imaging of lung cancer with molecular beacons delivered by octreotide-modified chitosan nanoparticles
    MA Xue, WU Jing, ZHANG Hongli, LI Yong, SONG Juan, LI Yuanli, LU Liang, ZHU Haizhen
    2024, 52 (1):  61-67.  doi: 10.11958/20231248
    Abstract ( 230 )   HTML ( 2 )   PDF (1463KB) ( 275 )  

    Objective To investigate the identification of octreotide (OCT) modified chitosan (CS) miR-155 molecular beacon nanoparticles (CS-miR-155-MB-OCT) and imaging of lung cancer cells for the early screening of lung cancer. Methods A nude mouse model of lung transplantation tumor was established by injecting A549 lung cancer cells into tail veins to establish lung xenograft models. Cre adenovirus was injected through nasal cavity, and mice were killed at 4, 6, 8 and 12 weeks after adenovirus injection to establish lung cancer models of atypical hyperplasia, adenoma, carcinoma in situ and adenocarcinoma of lung in LSL K-ras G12D transgenic mice at different pathological stages. Lung tissue samples were taken and observed by HE staining. Immunohistochemistry were used to detect the expression of somatostatin receptor 2 (SSTR2). Real-time fluorescence quantitative PCR was used to detect miR-155 expression levels in lung xenograft models and transgenic mice at different stages of lung cancer. Then CS-miR-155-MB and CS-miR-155-MB-OCT were injected via tail vein in lung xenograft models. CS-miR-155-MB-OCT was injected via tail vein in transgenic mice models. The fluorescence signals of lung in nude mice and transgenic mice at different disease stages were imaged by living imaging system. Frozen slices of lung tissue were made. The source of fluorescence signal was detected by laser confocal scanning microscope (CLSM). Results HE staining showed that lung transplantation tumor models and lung cancer models of atypical hyperplasia, adenoma, carcinoma in situ and lung adenocarcinoma at different pathological stages were successfully constructed. Immunohistochemical analysis showed somatostatin receptor 2 (SSTR2) was expressed in transplanted lung tumor and tissue at different pathological stages. In transgenic mouse models,the expression of miR-155 was gradually increased as the disease progressed (P<0.05). In lung xenograft models, the fluorescence signals were significantly higher in the CS-miR-155-MB-OCT group than those of the CS-miR-155-MB group (P<0.05). In transgenic mouse models, the fluorescence signals gradually increased with the gradual progression of lesions (P<0.05). After re-imaging the lung tissue, it was found that the fluorescence signal came from lung, and CLSM showed that the fluorescence signal came from cancer cells and some normal alveolar epithelial cells. Conclusion CS-miR-155-MB-OCT can dynamically reflect the occurrence and development of lung cancer according to changes of different fluorescence intensity, thus providing a new technology for the early diagnosis of lung cancer.

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    Long-term mild hypothermia promotes neuroprotection by antagonizing the rebound of intracranial pressure after traumatic brain injury in rats
    ZHAO Wanyong, LI Xiaohong, WANG Jingjing, SUN Hongtao
    2024, 52 (1):  68-72.  doi: 10.11958/20231091
    Abstract ( 196 )   HTML ( 2 )   PDF (1030KB) ( 275 )  

    Objective To explore the optimal duration of long-term mild hypothermia (MHT) for traumatic brain injury (TBI) in rats, and observe its effect on intracranial pressure (ICP) and neurological function. Methods Forty-eight healthy adult male SD rats were divided into the normal temperature treatment (NT) group, the MHT4 h group, the MHT24 h group and the MHT48 h group by random number table method, with twelve rats in each group. The TBI model of rats was prepared by electronic controllable cortical injury device, and ICP monitoring probe was implanted. After modeling, the NT group was treated with normal temperature (37 ℃), and the other groups were treated with low temperature (33.0±1.0 ) ℃ for 4 h, 24 h and 48 h, respectively. ICP was monitored and brain water content (BWC) was calculated after MHT treatment in each group. Blood-brain barrier permeability was determined by Evansland (EB) staining. The expression of 5-bromodeoxyuracil nucleoside (BrdU), neuronal nuclear antigen antibody (NeuN) and leukocyte differentiation antigen 86 (CD86) positive cells were detected by immunofluorescence staining. The expressions of B-cell lymphoma-2 (Bcl-2), Bcl-2 associated X protein (Bax), inducable nitric oxide synthase (iNOS), interleukin (IL) -10 and arginase 1 (Arg-1) were detected by Western blot assay. Results Compared with the NT group, levels of BWC, ICP, EB, and CD86 positive cells, Bax and iNOS expression levels were decreased in the MHT4 h group, the MHT24 h group and the MHT48 h group, and the number of BrdU positive cells and BrdU/NeuN double-labeled positive cells were increased in hippocampus. The expression levels of Bcl-2, IL-10 and Arg-1 were increased (P<0.01). Compared with the MHT24 h group, levels of BWC, ICP and EB, and CD86 positive cells, Bax and iNOS expression were decreased, and the number of BrdU positive cells and BrdU/NeuN double-labeled positive cells were increased in the MHT48 h group, while levels of Bcl-2, IL-10 and Arg-1 expression were increased (P<0.01). Conclusion Long-term MHT can promote the proliferation and differentiation of neurons, inhibit apoptosis and reduce inflammation by suppressing ICP rebound, further promoting neuroprotection after TBI.

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    Impact of salvianolic acid B on cognitive function and GSK-3β/β-Catenin signaling pathway in rats with post-traumatic stress disorder
    YANG Yang, HE Qiaoyu
    2024, 52 (1):  73-79.  doi: 10.11958/20230179
    Abstract ( 257 )   HTML ( 4 )   PDF (1038KB) ( 274 )  

    Objective To investigate whether salvianolic acid B (Sal B) can improve the cognitive function in rats with post-traumatic stress disorder (PTSD) by regulating GSK-3β/β-Catenin signal pathway. Methods Sixty rats were randomly grouped into the normal group, the PTSD group, the Sal B low-dose group (10 mg/kg), the Sal B high-dose group (20 mg/kg) and the GSK-3β inhibitor group (30 mg/kg CHIR-99021), with 12 rats in each group. In addition to the normal group, rats in other groups were constructed PTSD rat models by using single prolonged stress (SPS) method. Open field test and Morris water maze test were applied to evaluate the cognitive function of rats. Nissl staining was applied to observe the pathological changes of hippocampal neurons. TUNEL staining was applied to detect the apoptosis of hippocampal neurons. Western blot assay was applied to detect the expression of cleared caspase-3, B-cell lymphoma gene-2-associated X protein (Bax), proto-oncogene (c-Myc), Cyclin D1, total GSK-3β (t-GSK-3β), phosphorylated GSK-3β (p-GSK-3β), total β-Catenin (t-β-Catenin) and phosphorylated β-catenin (p-β-Catenin) proteins in hippocampus. Results Compared with the PTSD group, the number of crawling spaces, standing times, total movement distance and times of crossing the original platform of rats were higher in the Sal B low-dose group, the Sal B high-dose group and the GSK-3β inhibitor group. The escape latency and the time to cross the original platform for the first time were shorter, the apoptosis rate of hippocampal neurons and the expression levels of Bax, cleaved caspase-3, t-GSK-3β and p-β-Catenin proteins in hippocampus were lower, and the expression levels of Cyclin D1, c-Myc, p-GSK-3β, t-β-Catenin proteins were higher (P<0.05). Conclusion Sal B can reduce the apoptosis and damage of hippocampal neurons in rats with PTSD and improve cognitive dysfunction in rats, and inhibit the GSK-3β/β-Catenin signal pathway.

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    Technical Specifications
    Standard operating procedure for endobronchial ultrasound guided laser multi-point ablation of mediastinal tumors
    LIU Dan, WAN Nansheng, WANG Jie, LI Guangsheng, XIE Wei, TIAN Yu, FENG Jing
    2024, 52 (1):  80-82.  doi: 10.11958/20231611
    Abstract ( 179 )   HTML ( 2 )   PDF (1000KB) ( 269 )  

    The treatment of mediastinal tumor has always been a clinical difficulty due to its complex anatomical location and many important organs. Compared with traditional local treatment, endobronchial ultrasound guided laser multi-point ablation of mediastinal tumors has many advantages, including real-time monitoring of ablation range and effect, avoidance of damage to normal tissue and organs, few side effects and good tolerance. This article describes the standard operating procedure for endobronchial ultrasound guided laser multi-point ablation of mediastinal tumors.

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    Standard operating procedure of the indwelling nasal cannula with or without anchoring for the treatment of pulmonary mycosis
    FENG Jing, LIU Dan, WAN Nansheng, WANG Jie, JU Renhua, XIE Wei, TIAN Yu
    2024, 52 (1):  83-86.  doi: 10.11958/20231155
    Abstract ( 213 )   HTML ( 2 )   PDF (753KB) ( 285 )  

    Systemic application of effective antifungal drugs is the basic treatment for pulmonary mycosis, meanwhile, drug spraying under bronchoscope is one of the most important treatment options for tracheal, bronchial and pulmonary mycosis. Compared with bronchoscopic drug injection, indwelling guided drug injection cannula through nasal suspension with or without anchoring has more advantages in the treatment of pulmonary mycosis, including the ability to connect to a syringe pump for continuous and slow injection of drugs, which can avoid repeatedly performing bronchoscopy. This article describes the standard operating procedure of indwelling nasal cannula with or without anchoring for the treatment of pulmonary mycosis.

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    Clinical Research
    Effect of histologic chorioamnionitis on clinical outcomes in preterm infants with a gestational age less than 34 weeks: a propensity score matching study
    LIU Yingying, JIANG Qiannan, ZHANG Yanyan, LIU Xiuxiang
    2024, 52 (1):  87-90.  doi: 10.11958/20230803
    Abstract ( 244 )   HTML ( 4 )   PDF (728KB) ( 285 )  

    Objective To explore the effect of histologic chorioamnionitis (HCA) on clinical outcomes of preterm infants with a gestational age <34 weeks. Methods This retrospective study enrolled 497 cases of premature infants with a gestational age <34 weeks and their mothers who were hospitalized in the Qingdao Women and Children's Hospital from January 2019 to December 2022. According to whether the pathology of placenta was diagnosed as HCA or not, patients were divided into the HCA group (257 cases) and the control group (240 cases). The propensity score matching analysis was performed at a ratio of 1︰1. Ten items were matched, including gestational age, birth weight, gender, cesarean section, gestational diabetes mellitus, gestational hypertension, placental abruption, premature rupture of membranes, use of antenatal glucocorticoids and assisted reproductive technology. The differences of major complications and survival rate were compared between the two groups. Results A total of 156 pairs premature infants were successfully matched. Before matching, the incidences of early-onset sepsis (EOS) and bronchopulmonary dysplasia (BPD) were higher in the HCA group than those of the control group (26.1% vs. 7.5%, 45.1% vs. 25.8%, P<0.01). The incidence of EOS was higher in the HCA group than that of the control group after matching (24.4% vs. 7.7%, P<0.01), and the incidence of neonatal respiratory distress syndrome (NRDS) was significantly lower in the HCA group than that in the control group after matching (34.0% vs. 46.8%, P<0.05). There were no significant differences in survival rate and the incidences of other complications between the two groups before and after matching (P > 0.05). Conclusion Preterm infants exposed to HCA have a higher risk of EOS and a lower risk of NRDS after propensity score matching. HCA has no significant effect on survival rate and other complications of premature infants.

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    Efficacy analysis of a preeclampsia risk prediction model based on exosomal multiple miRNA expression levels
    DENG Qianbao, ZHANG Zhongxia, WANG Ru, XU Lin, LUO Shu
    2024, 52 (1):  91-96.  doi: 10.11958/20230485
    Abstract ( 256 )   HTML ( 2 )   PDF (1312KB) ( 282 )  

    Objective To investigate the feasibility of constructing a preeclampsia (PE) risk model based on multiple exosomal micrornas (miRNA) expression levels and to verify its efficacy in predicting PE. Methods A total of 1 037 pregnant women who were archived in our hospital from June 2019 to December 2021 and whose gestational weeks were less than or equal to 20 weeks were selected as the research subjects. The expression of exosomal miRNA (including miR-155-5p, miR-215-5p, miR-203a-3p, miR-199a-5p and miR-125a-3p) in all samples was detected by qRT-PCR. Then, all patients were followed up to the end of pregnancy. The occurrence of PE during the follow-up period was counted, and all samples were divided into the PE group and the control group according to results. Cox regression was used to analyze the influencing factors of PE. The multi-miRNA risk model was constructed with ggrisk package, and the predictive effect of the model on PE was evaluated by receiver operating characteristic (ROC) curve. Results By the end of follow-up on October 31, 2022, 974 cases were finally followed up, and the follow-up completion rate was 93.92%. Among all the 974 patients who completed the follow-up, 65 patients developed PE, so they were finally divided into the PE group, and 909 cases were used as the control group. The age, pre-pregnancy BMI and waist circumference at 12 weeks of gestation were higher in the PE group than those in the control group (P<0.05). The proportions of smoking history and drinking history were higher in the PE group than those of the control group (P<0.05). The contents of triglyceride (TG), low density lipoprotein cholesterol (LDL-C), total cholesterol (TC), alanyl aminotransferase (ALT), aspartate aminotransferase (AST), platelet distribution width (PDW), mean platelet volume (MPV), miR-155-5p, miR-199a-5p and miR-215-5p were higher in the PE group than those in the control group,while contents of thyroid stimulating hormone (TSH), miR-125a-3p and miR-203a-3p were lower in the PE group than those in the control group (P<0.05). The expression levels of miR-125a-3p, miR-155-5p, miR-199a-5p and miR-215-5p were independent predictors of PE (P<0.05). The predictive risk model constructed from the above miRNAs had good predictive value in the occurrence of PE (AUC=0.998), with a sensitivity of 98.46% (63/65) and a specificity of 93.94% (854/909). Conclusion miR-125a-3p, miR-155-5p, miR-199a-5p, miR-203a-3p and miR-215-5p are significantly related to the occurrence of PE, and the PE prediction model constructed with the above five miRNAs has better effect.

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    Relationship between perioperative nutrition risk and venous thromboembolism in patients with hip fracture
    HE Miao, PENG Rong, TIAN Jinshan, LIU Xuan, DENG Lei, WU Qian
    2024, 52 (1):  97-101.  doi: 10.11958/20230273
    Abstract ( 315 )   HTML ( 5 )   PDF (786KB) ( 283 )  

    Objective To investigate the relationship between perioperative nutritional risk and venous thromboembolism (VTE) in patients with hip fracture. Methods A total of 379 patients with unilateral hip fracture due to fall or sprain who underwent elective surgery were selected and divided into the non-VTE group (246 cases) and the VTE group (133 cases) according to whether or not VTE occurred during perioperative period. Basic information, surgical and anesthesia records, nutritional risk related indicators, inflammatory indicators and outcome indicators of patients were collected. Multiple Logistic regression was used to analyze the independent influencing factors of perioperative VTE. Receiver operating characteristics (ROC) curves were used to assess the ability to discriminate independent factors, and DeLong test was used to compare area under the curve (AUC). Results Compared with the non-VTE group, the proportion of patients in the VTE group was older, complicated with hypertension, the time to visit hospital more than 2 days, received (hollow/intramedullary nail) internal fixation, perioperative blood transfusion, ASA grade Ⅲ to Ⅳ, and higher nutritional risk screening Table (NRS) -2002 scores on admission and higher postoperative neutrophil/lymphocyte ratio (NLR). Nutritional prognosis index (PNI), hemoglobin (Hb) and prealbumin (PA) at admission and after operation were lower in the VTE group than those in the non-VTE group (P<0.01). Multivariate Logistic regression analysis showed that PNI was decreased, NRS-2002 scores and PA were increased, and the time of visit hospital was > 2 days after internal fixation. American College of Anesthesiologists (ASA) grades Ⅲ-Ⅳ were independent risk factors for perioperative VTE of hip fracture (P<0.05). ROC curve analysis showed that the AUC (95%CI) of NRS-2002 at admission was 0.739 (0.692-0.783), and that of PNI at admission was 0.720 (0.672-0.765), both of which were better than other influencing factors (P<0.01). Conclusion NRS-2002 and PNI are good predictors of perioperative VTE in patients with hip fracture.

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    Effects of berberine hydrochloride tablets combined with compound glutamine on intestinal mucosal barrier function in patients with ulcerative colitis
    ZHANG Meng, CUI Ruijie, LI Caifang, GAO Qi, LI Fei
    2024, 52 (1):  102-106.  doi: 10.11958/20231293
    Abstract ( 943 )   HTML ( 8 )   PDF (767KB) ( 295 )  

    Objective To investigate the effect of berberine hydrochloride tablets combined with compound glutamine in treating ulcerative colitis (UC). Methods One hundred and two patients with UC admitted to our hospital were collected and grouped into two groups according to the random number table. Fifty-one patients in the control group were given conventional treatment+compound glutamine, and 51 patients in the experimental group were given berberine hydrochloride tablets based on the control group. Both groups were treated for 8 weeks. The efficacy, modified Mayo score, intestinal mucosal barrier function, soluble late glycation end product receptor (sRAGE), interleukin-17 (IL-17), IL-6 and incidence of untoward reactions were compared between the two groups. Results The total effective rate of the experimental group was higher than that of the control group (92.2% vs. 76.5%, P<0.05). After treatment, scores of defecation frequency, blood in stool, endoscopic findings, physician's overall evaluation, diamine oxidase (DAO), D-lactic acid, endotoxin, sRAGE, IL-17 and IL-6 were lower in both groups than those before treatment (P<0.05), and the research group was lower than the control group (P<0.05). There was no significant difference in the total incidence of untoward reactions between the experimental group and the control group (P>0.05). Conclusion Berberine hydrochloride tablets combined with compound glutamine are effective in treating UC, which can reduce the activity of UC, improve the intestinal mucosal barrier function, regulate serum sRAGE, IL-17 and IL-6 levels, without increasing adverse reactions.

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    Review
    Research progress on the potential mechanism and application of lactobacillus in the prevention and treatment of acute myocardial infarction
    LIANG Yan, GAO Jing
    2024, 52 (1):  107-112.  doi: 10.11958/20231153
    Abstract ( 264 )   HTML ( 3 )   PDF (753KB) ( 284 )  

    With the development of clinical, basic medicine and metabolomics, intestinal flora has gradually become a focus of research and has been used in the diagnosis and treatment of several intestinal diseases. Lactobacillus can produce and regulate a variety of intestinal metabolites, and participate in lipid metabolism, thrombosis, inflammation and oxidative stress, and even ferroptosis, which may have an impact on the occurrence and development of cardiovascular diseases. This article reviews the role of lactobacillus in the regulation of metabolism, involvement in the pathophysiological mechanism of myocardial infarction and its clinical application in acute myocardial infarction, providing a new reference for the prevention and treatment of AMI.

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