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Table of Content

      
    24 August 2007
    Volume 45 Issue 8
    Articles
    Inhibitory effect of decarboxylase and S-adenosylmethionine decarboxylase bi-antisense virus on lung cancer cell A-549
    SUN Qi-feng,TIAN Hui,LIU Xian-xi,ZHANG Bing,ZHANG Yan,SUN Dong-feng
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  757-761. 
    Abstract ( 869 )   PDF (286KB) ( 585 )   Save
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    Objective: To study the inhibitory effect of ornithine decarboxylase(ODC) and S-adenosylmethionine decarboxylase bi-antisense AdoMetDCas (Ad-ODC-AdoMetDCas) virus on polyamine biosynthesis, proliferation and invasion of lung cancer cells. Methods: Adenovirus-mediated gene transduction efficiency was assessed by counting positive GFP cells using FACS. The malignant phenotype of A-549 cells was assessed by growth curves. Western Blot and HPLC were used to determine the expression of ODC and AdoMetDC and the polyamine content in A-549 cells, respectively. TUNEL was used to analyze cell apoptosis. Results: Approximate 75% of A-549 cells were infected with Ad-ODC-AdoMetDCas when MOI reached 50. Expression of ODC was inhibited in the infected tumor cells. Ad-ODC-AdoMetDCas inhibited growth and invasive ability of A-549 cells. TUNEL proved that Ad-ODC-AdoMetDCas could lead to cell apoptosis. Ad-ODC-AdoMetDCas vector-mediated gene transfer inhibited tumor cell growth through the blockade of the polyamine synthesis pathway. Conclusion: Ad-ODC-AdoMetDCas has a significant inhibitory effect on proliferation and invasion of lung cancer cells and has therapeutic potential for the treatment of lung cancer.
    Expression of tumor specific antigen MAGE, BAGE, GAGE in ovarian cancer tissues and cell lines
    ZHANG Shi-qian,ZHOU Xiao-liang,ZHANG Lin-lin,WU Xi-mei,SHI Yan
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  762-766. 
    Abstract ( 1044 )   PDF (278KB) ( 683 )   Save
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    Objective: To explore the expression of MAGE, BAGE and GAGE genes in ovarian cancer tissues and cell lines. Methods: Expression levels of MAGE-1, MAGE-3, GAGE-1/2 and BAGE were determined by reverse transcription polymerase chain reaction(PTPCR) in ovarian cancer cell lines SKOV3, A2780, COC1, and 10 cases of normal ovarian tissues, 20 cases of benign epithelial tumor, and 47 cases of malignant epithelial tumor. Results: Normal ovarian tissues did not express members of the above gene families. In benign tumor tissue specimens, only 3 cases expressed MAGE-1 (3/20). 16(34%), 12(25.5%), 7(14.9%) cases of 47 ovarian cancer tissues. Conclusion: High expression of MAGE, BAGE and GAGE genes is produced in ovarian cancer tissues, which is related to the tumor grade, clinical stage, ascites, and the histological subtype, but is not related to age and lymph node metastasis. There was at least one of these genes expressed in ovarian cancer cell line SKOV3, A2780, and COC1.These tumor-specific antigens can be used as molecular markers for diagnosis and possible targets for immunotherapy.
    Effect of Chinese integrative medicine on T, B lymphocytes in peripheral blood of patients with Graves′ disease
    MA Chun-yan,JIAO Yu-lian,HAN Hui,GAO Ling,WANG Lan-fang,GUO Jun,CUI Bin,XIN Wei,ZHAO Jia-jun
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  767-770. 
    Abstract ( 1010 )   PDF (260KB) ( 652 )   Save
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    Objective: To investigate the changes of T, B lymphocytes and certain costimulatory molecules in peripheral blood of patients with Graves′ disease (GD) by Chinese integrative medicine treatment. Methods: Flow cytometry was employed to analyze a panel of cell surface molecules, consisting of CD19, CD40, CD80, CD3, CD4, CD8 and CD28, in peripheral blood lymphocytes (PBL) of 20 untreated GD patients (the untreated group), 11 patients treated with methimazole alone (the western medicine group, the WM group), 16 patients treated with methimazole and Chinese Herb Wuyue Kangjia Pills (the Chinese integrative medicine group, the CIM group), and 16 healthy individuals (the control group). Results: The percentages of CD19+, CD40+, CD19+CD40+, CD80+ cells remarkably increased, while CD3+CD8+ cells decreased and the ratio of CD3+CD4+ to CD3+CD8+ increased in PBL of the untreated GD patients compared with the normal group(P<0.01 or P<0.05). The CD80+ cells returned to normal in the WM group. The percentages of CD3+CD4+ cells and the ratio of CD3+CD4+ to CD3+CD8+ remarkably increased compared with the normal group(P<0.05, P<0.01), whereas the percentages of CD3+CD8+, CD8+CD28+ cells significantly decreased compared with the normal group (P<0.01, P<0.05). Except for the percentage of CD80, all the above molecules were not statistically different between the CIM group and the normal group. Moreover, compared with the WM group, the percentages of CD3+CD8+ and CD8+CD28+ cells significantly increased (P<0.01, P<0.05), CD3+CD4+ cells significantly decreased (P<0.01), and the CD3+CD4+/CD3+CD8+ ratio decreased to the normal level in the CIM group. Conclusions: The immunological disorders in GD patients show a cellular immune disregulation as well as a high level of humoral immunity. Treatment with CIM is helpful for the improvement of both humoral and cellular immunity in GD patients.
    Effect of vitamin B on hyperhomocysteinemia in renal-transplant recipients
    ZHAO Jing-jie,LIU Jun-li,TIAN Chuan,ZHANG Cai
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  771-773. 
    Abstract ( 2042 )   PDF (250KB) ( 697 )   Save
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    Objective: To explore the effect of folic acid, Vit B6, and Vit B12 on hyperhomocysteinemia in renal-transplant recipients. Methods: 195 renal-transplant recipients were randomly divided into the vitamin treatment group (group A, n=103, folic acid 5mg/d, vitamin B6 50mg/d, Bl2 1mg/d, totally 2 months) and the control group (group B, n=92). The plasma Hcy levels were determined before treatment, before operation and 1, 10, 20 and 30 days after operation. Results: The plasma level of Hcy in group B was significantly higher than that in group A before and after operation. The rate of acute rejection was lower in group A than in group B. Conclusion: Vitamin B supplementation can reduce the homocysteine level and the rate of acute rejection for renal-transplant recipients.
    Expression of LMP7 in alcoholic liver disease under carbonyl stress
    ZHANG Li,YAN Ming,ZHU Ping,WANG Yan-mei,FENG Jin-bo
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  774-777. 
    Abstract ( 1021 )   PDF (278KB) ( 584 )   Save
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    Objective: To evaluate the expression of proteasome LMP7mRNA in rat models of alcoholic liver disease under carbonyl stress and investigate the effect of LMP7 in the pathogenesis of alcoholic liver disease. Methods: Rat models of alcoholic liver disease were establish by the gastric perfusion method and killed at 6,8,10 and 12 weeks. Protein carbonyl contents at different stages were determined by 2, 4-Dinitrophenylhydrazine colorimetry, and expressions of mRNA for LMP7 were determined by RT-PCR. Results: Compared with the control group, contents of protein carbonyl were much increased in the model groups in a dose-dependent manner (P<0.05). Expressions of mRNA for LMP7 were decreased in the model groups, which negatively correlated with the protein carbonyl content. Conclusion: Hepatic tissues are under carbonyl stress in alcoholic liver disease, and the alcohol administration results in a decreased expression of LMP7, which may play a vital role in the pathogenesis of alcoholic liver disease.
    Effect of chronic renal failure on connexin 43 expression in the penis of rats
    FU Qiang,LV Jia-ju,ZHANG Hui
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  778-780. 
    Abstract ( 1076 )   PDF (267KB) ( 587 )   Save
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    Objective: To investigate the effect of chronic renal failure (CRF) on connexin 43 expression in the penis of rats. Methods: CRF models were established by a resection of 5/6 kidney from male sprague-dawley (SD) rats in one stage. Rats of the control group (NCRF group, n=6) and the experimental group (CRF group, n=30) were subjected to a low dose (80μg/kg·d) of apomorphine (APO) at the 12th week after resection. The correspondent penile erection was determined. Expression of connexin 43(cx43) in the rat corpus cavernosum was also determined by the Western blot method. Results: One rat died in the NCRF group and five in the CRF group. The penile erection ratio of the CRF group was 7/25 and of the NCRF group was 5/5, which presented a significant difference(P<0.05). The average penile erection frequency of the CRF group was(1.0±0.0)and of the NCRF group was(2.2±0.8), which was also significantly different (P<0.05). Expression of cx43 in the rat corpus cavernosum of the CRF group was lower than that of the NCRF group [(0.21±0.07 ) vs(0.40±0.08)] (P<0.01). Conclusion: CRF significantly reduces the erectile function of the rats, CRF-related ED bears a correlation with the decrease in expression of cx43 in the rat corpus cavernosum.
    Proteomic analysis of renal cancer cells and kidney control tissues
    JING Yong-sheng,LIU Shi-lian,ZHANG Xu-hua,WU Xiao-qing,YANG Yin-rong,WANG Wei
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  781-784. 
    Abstract ( 1101 )   PDF (296KB) ( 697 )   Save
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    Objective: To establish two-dimensional electrophoresis profiles with high resolution and reproducibility from renal cell carcinoma (RCC) tissues and paired tumoradjacent kidney tissues and to identify the differential expression proteins. Method: The total proteins of RCC tissues determined by histological and paired tumoradjacent kidney tissues were separated by two-dimensional gel electrophoresis(2-DE), analyzed by Image Master 2D software, and identified by peptide mass fingerprint(PMF) and database searching. Result: Well-resolved, reproducible 2-D maps of the above tissues were obtained. Some of the different proteins identified by mass spectrometry(MS) were matched in the SWISS-2DPAGE database. Conclusion: These data will be valuable for studying the diagnostic markers, mechanisms of metastasize and therapeutic targets.
    Morphine affects the renal function in rats
    KAN Mu-jie,CUI Jia-le,LIU Chang,HONG Min
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  785-786. 
    Abstract ( 1043 )   PDF (216KB) ( 472 )   Save
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    Objective: To investigate the effect of morphine on renal function. Methods: Fifty Wistar rats were randomly divided into five groups: the control group, the 3d administration group, the 7d administration group, the 3d withdrawal group and the 7d withdrawal group. The concentration of urea nitrogen (BUN), creatinine (CREA) and uric acid in the plasma were determined. Results: Compared with the control group, the plasma BUN concentration was increased in the 7d administration group and the two withdrawal groups, and it was the highest in the the 7d withdrawal group. However, there was no significant difference of the plasma CREA between the two administration groups and the control group. Compared with the control group, the concentration of the plasma uric acid was increased in the two morphine administration groups. Conclusion: Morphine exposure can affect the renal function to some degree, which does not immediately vanish after morphine administration.
    TAFI level and its mechanism in the process of atherosclerosis in rats
    LIU Li-yan,LIU Xiang-qun,CHEN Xiao-an,CHEN Huan-qin
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  787-791. 
    Abstract ( 946 )   PDF (313KB) ( 683 )   Save
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    Objective: To investigate the level of TAFI and its mechanism on atherosclerosis. Methods: Forty healthy male Wistar rats were randomly divided into 4 groups (n=10): the control group, the high lipid group, the high lipid + Vitamin D overload group, and the endothelium injury group. Then the content of TC, TG, HDL-C, and LDL-C and the activity of TAFI were determined by a chromogenic assay. Results: Atherosclerosis was successfully established. Hyperlipoidemia stage, fiber hyperplasy arteriosclerosis stage and maturatly plaque stage were also successfully duplicated. TC, TG, LDL-C and the activity of TAFI in the plasma of the three model groups gradually increased compared with the control group (P<0.01). However, HDL-C in the plasma of the three model groups gradually decreased compared with the control group(P<0.01 or P<0.05). The activity of TAFI in the plasma positively related to TG and TC. Conclusion: The activity of TAFI in the plasma is closely correlated with atherosclerosis severity.
    Effects of captopril treatment on cardiac neural remodeling in rabbits with artificial myocardial infarction
    CHENG Wen-juan,YAN Su-hua,XING Qi-chong,WANG Qing,HU He-sheng,XUE Mei
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  792-796. 
    Abstract ( 1236 )   PDF (306KB) ( 644 )   Save
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    Objective: To investigate the effect of captopril, an angiotensin converting enzyme inhibitor, on cardiac neural remodeling after myocardial infarction. Methods: Forty-two rabbits were randomly divided into three groups: the captopril group, receiving ligation of the left anterior descending branch with captopril administration(10mg/kg·d); the control group, receiving ligation of the left anterior descending branch; and the sham group, receiving thoracotomy without ligation. After 8 weeks, electrophysiological recordings were carried out and expressions of S100, GAP43 and TH were determined by immunohistochemical technique or RT-PCR. Results: The incidence of inducible VAs in the control group was obviously higher than that in the sham group (P<0.01) after 8 weeks. However, it was significantly decreased after captopril treatment(P<0.01). The densities of S100 and GAP43 positive nerve fibers were significantly greater in the control group than distribution in the control group was obviously diverse in contrast to the sham group. After captopril treatment, the densities dropped compared to the control group(P=0.07, P=0.13). Otherwise, captopril normalized the inhomogeneous distribution and abnormal appearance of nerve fibers. The densities of S100 and GAP 43 positive nerve fibers at the non-infarct left ventricular free wall were decreased after captopril treatment, but no significant differences were found(P>0.05). Expression of TH mRNA in the control group was significantly increased compared with the sham group at both the infarct border and the noninfarct left ventricle free wall. However, no significant differences were found between the captopril group and the control group. Conclusion: Captopril treatment is effective in reducing the occurrence of VAs in healed MI, partly by attenuating the heterogeneity of cardiac innervation and normalizing the appearance of cardiac nerve fibers.
    Remifentanil inducing controlled hypotension in functional endoscopic sinus surgery
    YU Ai-lan,CAI Xing-zhi,ZHANG Zong-wang,LIU Wei,HU Xiao-ling
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  797-800. 
    Abstract ( 1090 )   PDF (295KB) ( 556 )   Save
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    Objective: To investigate the efficacy of remifentanil inducing controlled hypotension in functional endoscopic sinus surgery. Methods: Sixty patients with ASA class I orⅡsubjected to general anesthesia were divided into three groups: the sodium nitroprusside group(N), the remifentanil group(R) and the remifentanil-sodium nitroprusside group(RN). A deliberate hypotension was induced to retain the MAP at 60-70 mmHg by SNP, remifentanil or remifentanil combined with SNP. MAP and HR were determined before hypotension(T0), during hypotension(T1) and after stopping hypotension(T2). The duration of operation and hypotension, the time from the end of the operation to extubation of the tracheas, and the dose of SNP and remifentanil were also determinded. Quality of the surgical field and the consciousness of patients were assessed. Results: MAP could be retained at 60-70 mmHg by remifentanil in 28 patients of group R(70%). The hypotensive ceiling-effect of remifentanil was produced in 12 patients of group RN (30%). After the addition of a small dosage of sodium nitroprosside, target MAP was easily achieved and the dosage of remifentanil was decreased. During induced hypotension, HR was significantly increased in group N (P<0.05). However, HR was significantly decreased in groups R and RN (P<0.05). Rebound hypertension only occurred in group N. Quality of the surgical field was better in groups R and RN than in group N. There were no significant differences of the time from the end of the operation to extubation of the tracheas and the patients′ consciousness from anesthesia among the three groups. Conclusion: Induced hypotension by remifentanil combined with a balanced anesthesia is feasible and safe for functional endoscopic sinus surgery. In the operation, the quality of the surgical field and the consciousness from anesthesia are good.
    Morning blood pressure surge and target organ damage
    ZHENG Xia,WANG Xin,ZHU Yan-li,LI Wen-hua,GAO Hai-qing
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  801-803. 
    Abstract ( 948 )   PDF (260KB) ( 482 )   Save
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    Objective: To investigate the role of morning hypertension on cardiac structure and electrophysiology and on kidney and blood vessel endothelium damage. Methods: A total of 201 cases were divided into two groups: the morning blood pressure surge group and the morning blood pressure normal group based on the 24-hour ambulate blood pressure monitoring profiles. Blood fat, microalbuminuria, body mass index(BMI), left ventricular mass index(LVMI)and QT dispersion(QTcd)were determined. Results: LVMI, QTcd and microalbuminuria in the surge group were higher than those in the normal group (P<0.01).There were no significant differences between the two groups in gender, age, BMI, and hypertension course. Conclusions: Morning blood pressure surge can cause ventricular hypertrophy and reconstitution and cardiac conduction arrhythmia, changes blood vessel function, damages the heart, kidney and blood vessel endothelium, and so accelerates atherogenesis.
    Effects of different medicines on body weight, fat mass, and fasting serum Ghrelin level of highfat diet induced obese rats
    JIANG Dong-qing,YANG Li-bo,BIAN De-zhi,GAO Yan-yan
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  804-807. 
    Abstract ( 1056 )   PDF (264KB) ( 525 )   Save
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    Objective: To assess the effect of sibutramine, fenofibrate, metformin and topiramate on body weight, fat mass, fasting serum glucose, lipids, insulin and Ghrelin levels of obese rats induced by a high-fat diet. Methods: Thirty-five obese male Wistar rats were randomly divided into five groups. They were respectively treated with water, sibutramine(10mg/kg), fenofibrate(83.4mg/kg), metformin(400mg/kg)and topiramate(53.6mg/kg)and were also fed with a fat-rich diet for 8 weeks. Then they were executed and body weight, visceral fat mass, serum lipids, glucose, insulin and Ghrelin were determined. Results: Food intake and body weight were significantly decreased by fenofibrate and topiramate (P<0.01, P<0.01 and P<0.01, P<0.05)in obese rats. However, food intake was not significantly changed but body weight was significantly decreased by Metformin and sibutramine (P<0.05, P<0.01). Body fat mass was significantly decreased only by sibutramine and fenofibrate(P<0.05, P<0.01). There were no significant differences of serum lipids, glucose, insulin and Ghrelin among the groups(P>0.05). Conclusion: These four medicines are effective on reducing body weight in obese rats with a fat-rich diet, but have little effect on serum Ghrelin. Furthermore, sibutramine and fenofibrate can noticeably reduce fat mass.
    Correlation between Aldehyde dehydrogenase-2 gene polymorphisms and myocardial infarction in Chinese Han patients with coronary heart disease
    XUE Li,CHEN Yu-guo,XU Feng,ZHANG He,JIANG Chun-xiao,ZHANG Yun
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  808-812. 
    Abstract ( 1110 )   PDF (293KB) ( 475 )   Save
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    Objective: To investigate the correlation between the G487A variant of aldehyde dehydrogenase-2(ALDH2) gene polymorphisms and myocardial infarction in Chinese Han patients with coronary heart disease. Methods: Two hundred and thirty-one patients with coronary heart disease, who were identified by coronary angiography, were enrolled in this study. The genotypes of ALDH2 were determined by the polymerase chain reaction and direct sequencing. The patients were divided into two groups according to the genotypes: the GG genotype group (n=145) and the AA/AG genotypes group (n=86). The differences between the two groups and the risk factors for myocardial infarction were assessed. Results: The prevalence of myocardial infarction and diabetes mellitus was significantly higher in the ALDH2 AA/AG genotypes group than in the GG genotype group (P<0.01), but other basic clinical data were similar between the two groups. After adjustment for age, sex, smoking, family history of cardiovascular disease, total cholesterol and diabetes mellitus using a multi-variable logistic regression, the AA/AG genotypes were an independent risk factor for myocardial infarction (OR=3.42, P<0.01). However, inclusion of hypertension as one of the independent variables downplayed the importance of the ALDH2 genotype (OR=3.03, P=0.03), and inclusion of hypertension, alcohol consumption and HDLcholesterol further downplayed the importance of the ALDH2 genotype (P=0.23). Conclusion: The ALDH2 AA/AG genotypes maybe an independent risk factor for myocardial infarction, which might be due to its influence on blood pressure, alcohol consumption and HDLcholesterol.
    Protective effect erythropoietin on the expression of cholinergic neural fiber in the vascular dementia rat model
    SHAN Pei-yan,GAO Jing,JI Yan,YAN Chuan-zhu,TAN Dong
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  813-816. 
    Abstract ( 885 )   PDF (303KB) ( 570 )   Save
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    Objective: To study the protective effect of erythropoietin(Epo) on the expression of cholinergic neural fiber in vascular dementia(VD) rat model. Methods: VD rat models were established by two-vessel occlusion and salium nitroprusside and they were treated by Epo. The Morris labyrinth, Nissl, acetylcholinesterase(AchE) histochemistric staining and AchE activity assessment methods were used to determine the influence of Epo on the study and memory, cellular morphous and AchE expression. Results: Compared with the sham-operative group and the Epo-treatment group, Epo significantly shortened the escaping latency of the Morris labyrinth and increased the number of neurons, Nissl bodies, AchE positive neurons fibers and AchE activity in the hippocampus and frontal cortex of the VD model group(P<0.01 and P<0.05). Conclusion: Epo can improve the insults of praxiology and pathology of VD rats, which may be related to its protection of AchE neural fibers.
    Changes of expression of mitochondrial cytochrome oxidase subunits Ⅲ and Ⅳ in the rat hippocampus of temporal lobe epilepsy
    GAO Jing,CHEN Wen,ZHANG Tong-xia,WANG Xiao-hua,DAI Ting-jun,YAO Hong,ZHAO Xiu-he,CHI Zhao-fu,SHAN Pei-yan
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  817-820. 
    Abstract ( 976 )   PDF (287KB) ( 519 )   Save
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    Objective: To investigate the effect of epilepsy on expressions of cytochrome oxidase(COX) subnuits Ⅲ(COX Ⅲ) and Ⅳ (COX Ⅳ) encoded by mtDNA and nDNA in the rat hippocampus. Methods: Forty male Wistar rats were randomly divided into the saline control group, the acute period group (3h), the silent period group(7d), the chronic period group(45d) after status epilepticus(SE) and the group which received pilocarpine (PILO) but did not develop SE(n=8 per group). Expressions of COX Ⅲ and COX Ⅳ mRNA and protein in the rat hippocampus were respectively determined by real time quantitative PCR(RQ-PCR) and Western blot. Results: COX Ⅲ mRNA and protein were significantly increased in the group at 3h after SE(P<0.001, P<0.01) compared with the control group. Conclusion: Dysfunction of COX in the hippocampus is related to prolonged seizure during experimental temporal lobe epilepsy and the mitochondria are vulnerable to epilepsy.
    Expression of CD34 and PTTG relates to pituitary adenomas with invasion of the cavernous sinus space
    HU Jia,QU Yuan-ming,HAN Tao,MU Cheng-zhi
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  821-824. 
    Abstract ( 958 )   PDF (247KB) ( 587 )   Save
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    Objective: To investigate the characteristics of CD34 and PTTG expression in pituitary adenomas with invasion of the cavernous sinus space. Methods:Sixty-two patients with large pituitary adenomas were divided into groups based on the Knosp criteria. Expression of CD34 and PTTG was determined by immunohistochemical method. Results: The mean microvascular density (MVD) of tumors which surpassed the laternal marginal level of ICA was 44.04,and their PTTG exceeding (+Conclusion: Pituitary adenomas surpassing the laternal marginal level of ICA have strong expression of MVD and PTTG and strong invasiveness, so they are difficult to remove completely and should be treated with radiotherapy or drugs after surgery.
    Post-processing techniques of spiral CT in adolescent congenital spinal deformity
    ZHAO Peng,BI Wan-li,LI Ning
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  825-829. 
    Abstract ( 990 )   PDF (282KB) ( 669 )   Save
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    Objective: To explore the diagnostic value of post-processing techniques of multi-slice spiral CT (MSCT) in congenital spinal deformity. Methods: Thirty-seven cases of adolescent congenital spinal deformity subjected to MSCT and plain radiography were retrospectively reviewed. They were classified into 3 grades based on the utility of the advanced MSCT reformatted images: the grade A group (substantial new information was obtained), the grade B group (confirmatory with improved visualization and understanding of the deformity), and the grade C group (no added useful information was obtained). Twenty cases expected to have nervous system abnormalities were determined by MRI. Results: There were 25 cases (227 deformities) in grade A, 5 cases (29 deformities) in grade B, and 7 cases (35 deformities) in grade C. Deformations were located in the cervical vertebrae in 2 cases, in the thoracic vertebrae in 12 cases, in the lumbar vertebrae in 8 cases, in the cervical-thoracic vertebrae in 4 cases, in the thoraciclumbar vertebrae in 7 cases, in the lumbar-sacral vertebrae in 2 cases, and in the cervicalthoracic-lumbar in 2 cases. 64 deformities were shown by X-rays, and 291 deformities by MSCT. Of the 20 cases suspected of nervous system abnormalities, 5 cases had TCS, 5 cases had diastematomyelia, 3 cases had syringomyelia, 1 case had Chiari-Ι malformation, 2 cases had meningomyelocele, and 4 cases were normal. Conclusion: 3D CT combined with (Curved) multi-planar reformatted images can clearly reveal the whole and detail the anatomical structure of congenital spinal deformity and obtain more useful information not presented on plain radiographs. Curved planar reformatted images can describe the whole scoliotic spine in coronal and sagittal planes and have advantages in wholly observing congenital spinal deformity.
    Characteristics of DTI in the cervical spinal cord with 3T MR
    MENG Xiang-shui,HOU Jin-wen,QU Chuan-qiang, LI Chuan-fu,ZHENG Jin-yong,KANG Xiao-shui,CONG Pei-xin,FENG Chao-de
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  830-834. 
    Abstract ( 1225 )   PDF (282KB) ( 671 )   Save
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    Objective: To explore the diffusion tensor imaging (DTI) as a quantitative analytic method in normal cervical spinal cord with 3T MR, and to obtain the standard apparent diffusion coefficient (ADC), fractional anisotropy (FA) and fiber tracking in normal cervical spinal cords. Methods: Axial DTI of cervical spinal cords was performed on 21 healthy volunteers who were divided into three groups (younger than 30 years, 31 to 60 years, over 60 years) with GE EXCITE Ⅱ 3.0T MR. The ADC, FA, λ1, λ2 and λ3 were measured at C2, C4 and C6 levels of normal cervical spinal cords. The data were analyzed with a software package SPSS 11.0. Fiber tracking was performed on these volunteers with functool software of the GE Company. Results: High quality ADC maps, FA maps and fiber tracking of cervical spinal cords were produced. There was no statistical significance in ADC (F=0.04, P>0.957), FA(F=0.56, P>0.576), λ1(F=1.02, P>0.368), λ2 (F=0.77, P>0.468) and λ3 (F=0.15, P>0.859) at C2, C4 and C6 levels of normal cervical spinal cords. There was also no statistical significance in ADC (F=2.23, P=0.117) and FA (F=0.11, P=0.899)among the three groups. The ADC, FA, λ1, λ2, and λ3 values were (0.784±0.083)×10-3mm2/s), 0.721±0.027, 1.509±0.145, 0.416±0.094, 0.411±0.102 respectively in average. There was statistical significance among λ1, λ2 and λ3 values (F=1871.41, P=0). Conclusions: The normal cervical spinal cord shows cylindrical diffusion at different levels and in different ages. ADC and FA values are sensitive indices for evaluating cervical spinal cords. The fiber tracing of cervical spinal cord is clearly demonstrated.
    Normal ranges of the inner diameter and cross section area of renal arteries by CE-MRA
    ZHOU Zhao-zhen
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  835-837. 
    Abstract ( 1645 )   PDF (224KB) ( 727 )   Save
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    Objective: To measure the normal range of the inner diameter of renal arteries and the perpendicular cross section area of renal arteries in normal male and female adults by three dimensional contrast-enhanced MR angiography (3D CE-MRA). Method: The inner diameter of renal and the perpendicular cross section area of renal arteries were measured by 3D CE-MRA in 68 healthy adults with normal blood pressure. Results: The inner diameter of renal arteries normally ranged between 5.24mm and 9.02mm with an average of 7.13mm in males and between 4.48mm and 7.53mm with an average of 6.01mm in females. The perpendicular cross section area of the renal arteries normally ranged between 24.33mm2 and 58.43mm2 with an average of 41.38mm2 in males and between 15.34mm2 and 43.53mm2 with an average of 29.44mm2 in females. Conclusion: Inner diameters and perpendicular cross section areas of renal arteries are different between male and female adults, which contributes to the universal evaluation of luminal sizes of renal arteries.
    Relationship between state entropy and predicted effect-site propofol concentration at different clinical endpoints
    WANG Zhen-yuan,LI Ming-ying,LI Jie,YU Jin-hui,ZHANG Xiao-xia, SUN Xiao-li
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  838-841. 
    Abstract ( 951 )   PDF (256KB) ( 468 )   Save
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    Objective: To investigate the relationship between state entropy (SE) and predicted effect-site propofol concentration and the accuracy for predicting different clinical endpoints. Methods: Twenty unpremedicated patients undergoing elective surgery with general anesthesia received a target-controlled infusion of propofol. The initial effect-site concentration of propofol was set at 1.0 μg/ml, and increased by 0.5 μg/ml at 1 min after having obtained a specific target concentration. The depth of sedationanesthesia was assessed by using the Observer′s Assessment of Alertness/Sedation (OAA/S) rating scale. The target sedation level of induction was defined as OAA/S score at 1. Results: With the increase of sedation, there was a progressive decrease of SE and BIS values. SE(r= 0.82, P<0.01) and BIS(r=0.73, P<0.01) positively correlated with OAA/S, while SE(r=-0.66, P<0.01) and BIS(r=-0.70, P<0.01 ) negatively correlated with the predicted effect-site propofol concentration. The predicted effect-site propofol concentration for 50% and 90% patients at loss of consciousness was 3.55(3.17,4.61)μg/ml and 4.83(4.07,7.00)μg/ml. Conclusion: Compared with BIS, SE has the same good correlation with the effect-site concentration and it is useful in predicting the different clinical endpoints.
    Effects of remifentanil and propofol TCI anesthesia on cerebral oxygen metabolism in surgery of cerebral tumor
    WANG Fei,GAO Shu-wen,ZHOU Ting-fa,LIU Zhong-kai,LI Xi-ming,CHEN Zuo-lei,DU Chen
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  842-845. 
    Abstract ( 1033 )   PDF (291KB) ( 545 )   Save
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    Objective: To explore the effects of remifentanil and propofol TCI anesthesia on cerebral oxygen metabolism in surgery of brain tumor patients with isoflurane balanced anesthesia. Methods: 36 ASA Ⅰto Ⅱelective intra-cranial tumor patients were randomly divided into the isoflurane balanced anesthesia group(C group) (n=15) and the TCI group(R group) (n=21). Patients in the R group were inducted by propofol TCI with plasma concentration 3μg/ml and remifentanil TCI with plasma concentration 6ng/ml and they were maintained with remifentanil and propofol TCI anesthesia. The plasma concentrations were determined based on the stimulus and patients′ response in the surgery procedure. Patients in the C group were inducted by propofol 2mg/kg, fentanyl 0.2μg/kg and vecuronium 0.1mg/kg-1. After intubation, 1% to 2% isoflurane and vecuronium were administered based on the stimulus and patients′ response in the surgery procedure. The BP, HR, SpO2 and PETCO2 were determined at pre-induction(T1), intubation(T2), 5 min after intubation (T3), slicing the duramater(T4), 30min after removing the tumor (T5), the end of the operation (T6)and extubation(T7) and the recover time was also determined. Meanwhile the SjvO2 and Da-jvO2 were determined at pre-induction(t1), 30min after induction(t2), 1h after induction (t3), 2h after induction(t4), and extubation(t5). Results: Patients′ BP, HR, SpO2 and PETCO2 were similar between the two groups(P>0.05). In both groups, patients′ BP significantly decreased after induction(P<0.05). Patients in the C group recovered more slowly than those in the R group(P<0.05). SjvO2 of the C group was higher than that of the R group, while Ca-jvDO2 of the C group was lower than that of the R group at time of t2, t3 and t4(P<0.05). SjvO2 at t2, t3 and t4 was higher than that at t1, while Da-jvO2 at t2, t3 and t4 was lower than that at t1 in the C group(P<0.05). Conclusions: Both remifentanil and propofol TCI anesthesia and isoflurane balanced anesthesia can maintain smooth life signs in surgery of cerebral tumor patients. Patients anesthetized with remifentanil and propofol TCI recover more quickly than those anesthetized with isoflurane balanced anesthesia. Remifentanil and propofol TCI anesthesia can balance the oxygen supply consumption better than isoflurane balanced anesthesia do during the operation.
    18F-FDG PET-CT in detecting lymph nodes metastasis of lung cancer
    YANG Guang,YAO Shu-zhan,HUANG Kui-hong,NING Guo-qing,LIU Qing-wei,LI Xin,LIU Song-tao
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  846-848. 
    Abstract ( 1140 )   PDF (232KB) ( 516 )   Save
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    Objective: To evaluate the clinical value of PET-CT in judging mediastinal lymph nodes metastasis of lung cancer. Methods: A retrospective review of the CT, PET and PETCT findings of 67 patients was performed. In operations, 319 mediastinal lymph nodes samples were acquired by resection, and 68 metastasis lymph nodes were proved by pathology. The accuracy, sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of CT, PET and PET-CT were determined. Results: In detecting mediastinal lymph node metastasis, the accuracy of CT, PET and PETCT scans was 74.6%, 80.9% and 88.7%; the sensitivity of them was 61.8%, 80.9% and 86.8%;the specificity was 78.1%, 79.4% and 89.2%; the PPV was 43.3%, 53.4% and 68.6%; the NPV was 88.3%, 93.4% and 96.1%. The accuracy of PET-CT scans was significantly better than that of PET or CT scans in determining mediastinal lymph node metastasis(P<0.01). Conclusion: PET-CT is more accurate than PET or CT.
    Recurrence-related factors following curative surgery for colorectal cancer
    LI Zeng-jun,SUN Yan-lai,LI Jian-ning,HAN Jian-jun
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  849-851. 
    Abstract ( 1276 )   PDF (221KB) ( 635 )   Save
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    Objective: To investigate the clinicopathologic factors relating to recurrence following curative surgery for colorectal cancer. Method: The clinicopathologic data of 120 cases with early recurrence within one year and 72 cases without recurrence within three years from 1996 to 2006 were retrospectively analyzed by χ2 and logistic regression methods. Results: χ2 analysis showed that tumor localization, lymph node metastases status, post-operative adjuvant chemotherapy, the Dukes′ stage and the depth of invasion of the bowel wall were all significantly different between the two groups. Univariate analysis also showed that the lymph node metastasis, depth of bowel wall invasion, histological differentiation and associated adjuvant chemotherapy after operation were significantly associated with recurrence and metastasis of operation. Multivariate analysis showed that lymph node metastasis and depth of bowel wall invasion were risk factors for recurrence and metastasis. Conclusion: Lymph node metastasis and depth of bowel wall invasion are important prognostic factors for recurrence and metastasis after colorectal cancer surgery.
    Pharmacodynamics of compound hirudin
    WANG Jie,HAN Jun-qing,LI BO-hui,REN Qing-hua,ZHANG Bo,LI Yan,ZHEN Gang,JIANG Feng-qin
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  852-854. 
    Abstract ( 1318 )   PDF (271KB) ( 567 )   Save
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    Objective: To investigate the anti-tumor mechanism of hirudin. Methods: ①W256 tumors were transplanted into the left armpit of rats. Then they were divided into three groups: the negative control group was subjected to saline, the positive control group was subjected to 5-Fu, and the traditional Chinese medicine group was subjected to compound hirudin. ② The drug was diluted to a ratio of 1∶10,1∶20,1∶40,1∶80, 1∶160, 1∶320, and 1∶640 and was implanted into a porous plate for HEL and NKM under a 37℃ and CO2 condition. The inhibition effect was determined. ③ 40 mice were also divided into groups as the first experiment. 30 days later, the SOD and MDA contents were determined in the eyeball blood by a trace rapid assay. Results: Compound hirudin effectively inhibited the growth of W256 tumors(P<0.01)and was the most significant at a ratio of 1:80 and was the least significant at a ratio of 1:640. It also can significantly increase SOD activity and reduce MDA metabolity(P<0.05). Conclusion:Compound hirudin can significantly affect the W256 tumor in vivo, the NKM in vitro and the blood SOD and MDA.
    Effect of the Tongxinluo capsule on primary hypertension
    ZHAO Bin,MAO Yan-yan,HU Guo-you,WANG Sheng-hua
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  855-857. 
    Abstract ( 1969 )   PDF (242KB) ( 786 )   Save
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    Objective: To observe the depressurization effect of the Tongxinluo capsule on primary hypertension. Methods: Sixty patients with primary hypertension were matched-paired and randomly divided into two groups: 30 in the routine group (RG) treated with captopril, and the other 30 in the Tongxinluo group (TG). At the same time 30 healthy humans were enrolled in the control group (CG). Blood pressure (BP), endothelin (ET) and nitric oxide (NO) were determined both before and after the onemonth treatment. Results: (1) Both Captopril and the Tongxinluo Capsule had a statistically great depressurization effect(P<0.05); (2) NO was increased and ET was decreased in the TG group(P<0.05). There was no significant difference among the three groups after treatment(P>0.05). Conclusion: The Tongxinluo capsule can protect the vascular endothelium by reducing ET and increasing NO and it is an effective medicine for primary hypertension.
    Related-factors of upper second molars malocclusion
    DENG Li-hua,HUANG Chun,XIONG Guo-ping,CHEN Yu,LIANG Chen-xi
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2007, 45(8):  858-859. 
    Abstract ( 1111 )   PDF (195KB) ( 451 )   Save
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    Objective: To investigate the type of upper second molar malocclusion and its related-factors. Methods: 110 patients were randomly enrolled in this study and their models and panoramic radiographs were analyzed. The prevalence, classification and clinical manifestation of upper second molars malocclusion were analyzed. Results: The prevalence of the upper second molar malocclusion was 59.09%, and the buccoversion occupied 68.75%. There was not a significant difference between men and women. There was an inverse correlation between the widths of upper alveolar arch at upper second molar level and the upper second molars malocclusion (P=0.026). It was also found that the crowding of the buccal segment, tooth germ of upper third molar and Angle classification of malocclusion had no correlation with upper second molars malocclusion. Conclusion: The malocclusion of the upper second molars is correlated with the upper alveolar arch width at the second molar level and is not correlated with the crowding of the buccal segment, tooth germ of upper third molar and Angle classification of malocclusion. Furthermore, there is no difference between men and women.