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    10 May 2011
    Volume 49 Issue 5
    Articles
    Effects of resovastain on prevention of experimental diabetic cardiomyopathy in rats
    JIANG Xiao-li1, AN Feng-shuang2, SONG Hui3, AN Gui-peng2, DONG Zhe2, LIU Xiao-man2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  1-5. 
    Abstract ( 971 )   PDF (394KB) ( 206 )   Save
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    Objective    To investigate effects of resovastain on the cardiac function of diabetic cardiomyopathy(DCM) in rats. Methods    50 Wistar rats  8 week old were randomly divided into three groups: the normal control group(n=8), the DCM group(n=21) and the DCM plus resovastain group(n=21).  Four weeks later, the DCM animal model was established by intraperitoneal injection of streptozotocin (STZ), which reached the standard was used for the following procedure; the DCM plus resovastatin group was intragastrically administered with resovastatin (20mg/kg/d). After 20 weeks, the role of resovastain in the process of DCM was observed by echocardiography, including left ventricular internal diameter at end-systole (LVIDs), left ventricular internal diastolic diameter (LVIDd), ejection fraction(EF,shortening fraction(FS), valvular regurgitation, Max E wave speed, Max A wave speed, ratio of E/A, E deceleration time(EDT′), isovolumic relaxation time (IVRT′) and aortic peak velocity(APV), and also by the detection of biochemical indices, including  serum glucose, fasting insulin, triglyceride and cholesterol. Results     ①One week after STZ injection, compared with the normal control group, the DCM group and DCM plus resovastatin group had a rise in levels of fasting blood glucose, triglyceride and cholesterol (P<0.01). At the end, compared with the normal control group, the body weight in other two groups significantly declined(P<0.01)and the fasting insulin level also declined (P<0.05), while levels of fasting blood glucose and triglyceride increased (P<0.01). The level of cholesterol in the DCM group increased (P<0.01), while there was no remarkable difference compared with the DCM plus resovastatin group (P>0.05).②The DCM group and DCM plus resovastatin group had a significant increase in LVIDd and LVIDs (P<0.01), and incidence of valvular regurgitation (P<0.05). E/A ratio and EF declined (P<0.01). Compared with the DCM group, LVIDs and LVIDd were ameliorated in the DCM plus resovastatin group (P<0.05), while the incidence of valvular regurgitation decreased (P<0.05) and the E/A ratio and EF increased (P<0.05). Conclusion     Resovastatin can to a certain extent improve cardiac function and myocardial remodeling in DCM rats.

    Bone marrow mesenchymal stem cells protect INS-1 cells from  hydrogen peroxide-induced apoptosis
    SUN Hui-huan1, LIU Fu-qiang1, GONG Lei1, XIAO Fang1, HOU Xin-guo1, SUN Yu1, SONG Jun1, CHEN Li1, WANG Xu-ping2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  6. 
    Abstract ( 860 )   PDF (1365KB) ( 317 )   Save
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    Objective     To investigate the effect of bone marrow mesenchymal stem cells (BMSCs) on hydrogen peroxide (H2O2)-induced apoptosis in INS-1 cells.  Methods     The apoptotic INS-1 cells, induced by H2O2, were co-cultured with BMSCs. The experiment consisted of 4 groups: group A(control group), INS-1 cells only; group B, treated with H2O2 ; group C, coculture of INS1 cells and BMSCs; and  group D, co-culture with H2O2 treatment. Cell viability was measured by MTT. Annexin-V/PI doubled staining of flow cytometry was used to quantify the apoptosis ratio. Results     INS-1 cell viability was reduced by H2O2 in a dosedependent manner. With Transwell co-culture, H2O2 induced INS-1 cell apoptosis ratio was significantly lower than that of H2O2 group(P<0.05).  Conclusion     BMSCs can protect INS-1 cells from apoptosis induced by H2O2 and may have therapeutic potentials to prevent and treat diabetes.

    Effect of Bifidobacterium on expressions of TLR2, TLR4 and NF-κB  genes in the intestinal mucosa of rats with ulcerative colitis
    WANG Zhi-qiang1,2, YU Zhen-hai2, YUAN Fang-shu1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  10-14. 
    Abstract ( 860 )   PDF (1014KB) ( 341 )   Save
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    Objective    To investigate the effect of Bifidobacterium(Bf)on expressions of toll-like receptor 2(TLR2), TLR4 and nuclear factor κB(NF-κB) genes in the intestinal mucosa of rats with ulcerative colitis(UC).  Methods     The rats were randomly divided into three groups: the blank control group, the model control group and the Bf group. UC was induced by 2, 4, 6-trinitrobenzene sulphonic acid(2, 4, 6-TNBS)and 100% alcohol(1∶1, V/V)in the model group and the Bf group. The rats in the Bf group were given Bf by oral gavage after the model was set up. Three weeks later, the rats were killed and total RNA from intestinal epithelial cells(IECs) was extracted for the detection of TLR2, TLR4 and NF-κB. Results      ①Both symptoms and lesions of colonic mucosa in the Bf group were slighter than those in the model group. ②Expressions of TLR2, TLR4 and NF-κB in the model group were significantly higher than that in the Bf group and blank control group(P<0.01).  Conclusion     High expressions of TLR2, TLR4 and NF-κB genes can be seen in colonic mucosa of rats with UC. Bf can relieve inflammation in the intestinal mucous membrane by inhibiting expressions of TLR2, TLR4 and NF-κB.

    Isolation of mesostriatal neurons using neural retrograde tracing  and laser-micr-odissection technique
    YANG Shu-hua1, GAO Qing1, LI Chun-xiao2, WANG Chao1, ZHANG Jing1, LI Gui-bao1, LI Zhen-hua1, SUN Jin-hao1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  15-18. 
    Abstract ( 831 )   PDF (968KB) ( 188 )   Save
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    Objective     To explore the distribution of mesostriatal dopaminergic neurons and to establish an effective method to isolate those cells which play key roles in Parkinson′s disease.  Methods     With stereotaxic apparatus, green retro-beads were accurately injected into the striatum of newborn rats. After 24h, the brains of the rats were collected and cut into frozen sections after perfusion and fixation. Then dopaminergic neurons were detected by immunohistochemical staining of tyrosine hydroxylase (TH). And green retro-beads-labeled and TH-positive neurons were isolated by the technique of laser-microdissection. ResultsMesostriatal neurons could be labeled with green retro-beads and immunohistochemiscal staining of TH, and were mainly located in the substantia nigra. Moreover, the labeled mesostriatal neurons could be isolated and collected by the technique of laser-micro-dissection. Conclusion     Combination of neural retrograde tracing and the laser-micro-dissection technique is an effective and accurate method to isolate mesostriatal dopaminergic neurons.

    Construction of human PDLIM4 promoter luciferase report gene vectors and their expressions in cancer cells
    JIANG Hui-hui1, HU Zhi-min2, LI Xian-zhe1, XI Guang-min1, JIANG Han-ming1, YUAN Hui-qing1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  19. 
    Abstract ( 1012 )   PDF (833KB) ( 268 )   Save
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    Objective     To construct PDLIM4 promoter luciferase report gene vectors containing different promoter sequences, detect expressions of them in different cancer cell lines, and investigate regulatory mechanisms by which the human PDLIM4 gene is silenced in prostate cancer. Methods     The PDLIM4 gene promoter was amplified from human genomic DNAs using standard PCR. Products of PCR were inserted into a luciferase report gene pGL3-Basic vector, and generated two recombinant plasmids which contained a 3kb sequence (pGL3-PDLIM4-3kb) or a 1.2kb sequence (pGL3-PDLIM4-1.2kb). Delete mutants were generated by 5′ deletion mutagenesis according to the protocol of the ERASE-A-BASE system(Promega). PDLIM4 promoter fragments -929/+41, -762/+41,- 612/+41,-604/+41 and 586/+41 (relative to the transcription start site of PDLIM4, GenBank No. X93520) were amplified from pGL3PDLIM4-1.2kb. PCR products were ligated together and generated delete mutant gene report vectors, designed as pGL3PDLIM4-1.2D1, pGL3-PDLIM4-1.2D2, pGL3PDLIM4-1.2D3, pGL3-PDLIM4-1.2D4 and pGL3-PDLIM4-1.2D5. Promoter activities were detected after promoters were transiently transfected into different cell lines including Hela,MDA-MB231, KB, PC-3 and LNCaP. Results     The constructed vectors were confirmed by restriction enzyme digestion and sequence analysis. Transient transfection results showed that promoter activities of pGL3-PDLIM4-3kb and pGL3-PDLIM4-1.2kb were evident in cancer cell lines, and lower activity was observed in prostate cancer LNCaP and PC-3 cells when compared with the others. Also, luciferase activities of 5′end delete mutants containing a array of sequence regions in PDLIM4 promoters were detected in prostate cancer cells. The 1.2kb promoter displayed highest activity while the 970bp promoter displayed lowest activity in cells compared with other tested promoter reporters. Conclusion     7 luciferase report gene vectors were successfully constructed, containing an array of fragments upstream of the PDLIM4 promoter, and displaying different promoter activities in various cell lines. Cloned 3kb and 1.2kb promoter regions present low activities in prostate cancer cells compared with other cell lines.

    Comparison of genipin- and glutaraldehyde-tanned bovine pericardia
    WANG Jian-guang1, LIU Tian-qi2,WANG Xue-mei2, XU Li2, LIU Yu-xi3, WANG Dong2,LI Quan2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  24-28. 
    Abstract ( 1020 )   PDF (1123KB) ( 313 )   Save
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    Objective      To evaluate the feasibility of genipin as a new biological valve cross-linking agent. Methods     Acellular bovine pericardia were respectively treated with  glutaradehyde and genipin for tanning. The HE slides of bovine pericardial were observed under a light microscope to identify the decellularized effect. Collagen fiber arrangements were observed under an electron microscope. Shrinkage temperature and tensile strength of the biological materials were tested. Bovine pericardia were buried in the subcutaneous of the musculus glutaeus maximus of Wistar rats for 4 weeks or 8 weeks, and then calcium and phosphorus contents were determined in them. Results    In decellularized bovine pericardial slides, there was almost no nucleus, while in non-decellularized ones, there were many nuclei. Collagen fibers formed a ring in genipin-tanned bovine pericardial tissues, while they were reticulated in glutaraldehyde-tanned tissues. Collagen fiber arrangements were a little looser in genipin tanning than in glutaraldehyde tanning. The shrinkage temperature of genipin-tanned tissues was lower than that of glutaraldehydetanned ones(P<0.05). The difference had no statistical significance in maximum tensile strength between genipin tanning and glutaraldehyde tanning(P>0.05). Calcium and phosphorus contents in genipin tanning were significantly lower than those in glutaraldehyde tanning at 4 weeks and 8 weeks (P<0.05). The calcium content in genipin tanning was significantly lower at 8 weeks than at 4 weeks(P<0.05).  Conclusion     Calcium and phosphorus contents of genipin-tanned bovine pericardial tissues are significantly lower than those of glutaraldehyde-tanned ones, and the calcium content in genipintanned bovine pericardial tissues decreased with time. Tensile strength is higher in genipin-tanned bovine pericardial tissues. Consequently, genipin is a promising crosslinking agent for biological tissues.

    Cell compatibility of a new type polyporous RGD-PLGA/HA scaffold in vitro
    ZHANG Shi-jie1,CHEN Fei1,JIANG XIN-quan2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  29-33. 
    Abstract ( 865 )   PDF (915KB) ( 389 )   Save
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    Objective     To study the cell biocompatibility of a new type polyporous RGD-PLGA/HA scaffold in vitro. Methods     Bone marrow stromal cells (BMSCs) obtained from rabbits were cultured, induced and proliferated in vitro. The cells were incubated with RGD-PLGA/HA in experimental group A and PLGA/HA  in group B.  The capacity of adhesion and proliferation of BMSCs were qualitatively and quantitatively examined, and the osteogenesis activity of cell composite was tested. Differences between the 2 groups were analyzed. Results     BMSCs of rabbits were capable of growth in both groups. After the induction in vitro, a calcium nodule formed on the surface of the scaffold material, and the capacity of adhesion and proliferation were stronger in group A than in control group  B(P<0.05). Conclusion     Polyporous RGD-PLGA/HA as a scaffold for bone tissue engineering shows good biocompatibility with BMSCs.

    Effect of the GABAergic system on lung epithelial cell proliferation 
    XU Jing-wen1, LIU Yong2, ZHANG De-pu3, ZHAO Dong-bo4, LI Jing-xin3
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  34-37. 
    Abstract ( 890 )   PDF (889KB) ( 221 )   Save
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    Objective    To explore the role of γ-amino-butyric acid (GABA) in lung epithelial cell proliferation. MethodsExpressions of GAD65/67 and GABAAR were identified by immunohistochemistry and confocal microscopy. The GABA-induced current was measured by whole cell patch clamp technique. The effect of GABA on cell proliferation was investigated by BrdU-ELISA and cell-counting assay. Results     GAD65/67 and GABAAR were localized in the airway epithelium and lung epithelial cell line A549 cells. In addition, the GABA-induced current was markedly increased in lung epithelial cells during mitosis. Further study showed that GABA induced lung epithelial cell proliferation in a GABAA receptor (GABAAR)- dependent manner. Voltage-dependent calcium channels were also involved in GABA-induced cell proliferation. Conclusion     The GABAergic signal system can regulate lung epithelial cell proliferation in an auto/paracrine manner, through GABAAR inducing cell membrane depolarization, opening voltage-dependent calcium channels and increasing cytoplasmic calcium. This finding may provide a new strategy for the treatment of lung cancer or lung epithelial injury.

    Effect of co-transfection of VEGF and PCNA-ASODN on restenosis after  percutaneous transluminal coronary angioplasty
    WANG Lei-yan1, SONG Shang-ming1, ZHANG Hong-yu2, YOU Bei-an2, TANG Yuan-sheng1, CUI Lian-qun1, ZHU Xing-lei1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  38-42. 
    Abstract ( 820 )   PDF (1561KB) ( 280 )   Save
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    Objective     To explore the effect of co-transfection of vascular endothelial growth factor (VEGF) and proliferating-cell-nuclear-antisense-antigen  oligodeoxynucleotides(PCNA-ASODN) on  restenosis  after percutaneous transluminal coronary angioplasty. Methods      32 Zelanian rabbits were randomly divided into four groups: the control group, the VEGF group, the PCNA-ASODN group, and the VEGF+PCNA-ASODN group. Using pluronic gel as the control-released carrier, 300μg of VEGF or PCNA-ASODN were given to the adventitia of the femoral iliac artery with restenosis after balloon injury in rabbits. The intima, middle structure and local thrombosis in the injured vascular specimen were observed by an optical microscope, and neointimal endothelial cells, the intima and media were examined by an electronic microscope. The ratio of intima/media(I/M) areas and the ratio of I/M thickness were determined. mRNA expressions of VEGF and PCNA were measured by reverse transcription-PCR. Protein expressions of VEGF and PCNA were determined with immunohistochemistry. Results     Compared with the other groups,  vascular endothelium in the VEGF+PCNA-ASODN group was intact, smooth and mildly hyperplasic, and vascular smooth muscle cells were arranged in order, while there was no obvious change in the adventitia. Ratios of I/M area and thickness were significantlylower (P<0.05). mRNA expression of VEGF was significantly increased by RT-PCR(P<0.05). Protein expression of VEGF was significantly higher by immunohistochemistry(P<0.05). Conclusion   Co-transfection of VEGF and PCNA-ASODN could effectively inhibit neointimal hyperplasia and restenosis after balloon injury.

    Changes of glucocorticoid receptor expression in the facial nucleus of mice with facial nerve palsy induced by herpes simplex virus type 1
    JIANG Zhen, WANG Hai-bo, LI Jian-feng, HAN Yue-chen, XU Lei, LIU Wen-wen, MAO Yan-yan
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  43-47. 
    Abstract ( 877 )   PDF (1044KB) ( 325 )   Save
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    Objective     To establish an animal model of facial nerve palsy in mice induced by   herpes simplex virus type 1 (HSV-1) infection so as to investigate expression of glucocorticoid  receptor (GR) in the motor cortex and facial nucleus. Methods     A total of 89 four-week-old female Balb/c mice were selected. These animals were randomly divided into two groups, i.e., the control group without any intervention, and the experimental group in which 25μL HSV1 was inoculated into the right auricle after scratching the surface of bilateral auricles with a 26 gauge needle. The tissues were taken out at 6h, 12h, 24h, 48h, 72h, and 7d after the appearance of facial nerve palsy. Western blot and immunohistochemistry were used to detect the level of GR protein, RT-PCR was used to measure the level of GR mRNA.  Results      The incidence of facial nerve palsy was 52.3% among the 81 inoculated animals. GR was localized in the facial nucleus. GR mRNA expression in the experimental group was slightly decreased after facial nerve palsy in the motor cortex and facial nucleus, and sharply declined at 6 h, showing a significant difference compared with the controlgroup (P<0.05).  Expression gradually reached a peak at 48h, having a significant difference compared with the control group (P<0.01). Expression eventually returned to the baseline level on and beyond the 7th day, however, no difference between the two groups was identified(P>0.05). GR protein expression in the experimental group was similar to GR mRNA.  Conclusions     GR expression in response to HSV1 infection appears in a timedependent manner, indicating that GR expression level is closely related to the progress of HSV1-induced facial nerve palsy. These findings may be of important clinical implication in the rational of use of glucocorticoid and attenuation of hormone resistance in the treatment of Bell′s facial paralysis.

    Inhibitory effect of ethyl pyruvate on the human  pancreatic carcinoma cell line
    LIANG Xu-yang, CHENG Bao-quan, JIA Jun-ying, WANG Xu, REN Hong-bo
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  48-53. 
    Abstract ( 835 )   PDF (739KB) ( 274 )   Save
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    Objective     To investigate the influence of ethyl pyruvate (EP) on proliferation and apoptosis of human pancreatic carcinoma PANC-1 and AsPC-1 cells and expression of high mobility group protein B1 (HMGB1) mRNA.  Methods     The effects of EP and 5-FU alone and EP combined with 5-FU(EP group, E group; 5FU group, F group; EP combined with 5-FU group, EF group)on the proliferation and apoptosis of PANC-1 and AsPC-1 cells were measured by MTT and FCM, respectively.  HMGB1 mRNA expression level in PANC-1and AsPC-1 cells in each medication group was determined by real-time PCR(RT-PCR) .  Results     With the drug level gradually increasing, proliferation and HMGB1 mRNA expression level of pancreatic cancer cells were gradually decreased and the cell apoptosis ratio was gradually increased in each medication group. Inhibitory ratios of pancreatic carcinoma cells were all higher after being treated with E0.5225F10, E1.0450F20, E2.0900F40 and E3.1350F80, compared with the controlled E groups (P<0.05) . Apoptosis ratios of pancreatic cancer cells in EF groups were all raised compared with their controlled E groups (P<0.05) . Expression levels of HMGB1 mRNA were all degraded after being treated with E3.1350F80/E4.1800F160 compared with the controlled E groups(P<0.05). Conclusion     EP could inhibit cell proliferation and induce cell apoptosis by inhibiting HMGB1 expression in pancreatic carcinoma cells. Thus, EP has an effect of anti-pancreatic carcinoma, and further research is needed on its detailed mechanism and effect in vivo.

    Primary culture of anterior cingulate cortex neurons in neonatal rats
    LI Yun1, WANG Hong2, WANG Bo1, XU Yongguang1, ZHANG Meng-yuan1, WANG Gong-ming1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  54-57. 
    Abstract ( 899 )   PDF (923KB) ( 295 )   Save
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    Objective     To explore the optimal condition of primary culture for anterior cingulate cortex(ACC) neurons in neonatal rats and identify their purity and viability. Methods     Neurons were isolated from the ACC of neonatal rats, and then digested with a low concentration of tripsin for a long time. When the cells were cultured till day 4, Ara-c was added to purify them. The cultured ACC neurons were identified by the microtubule-associated protein2(MAP2) immunocytochemical method. Viability of ACC neurons in the cell cycle(about 14 d) was investigated by the measurement of optical density(OD) values at 570 nm using the MTT method.  Results     ACC neurons from neonatal rats were successfully cultured under the present experimental condition. On day 5 of culture, most cells appeared multipolar and had more than two ecptoms and their interlacing looked like a piece of a net. On day 7, many kinds of connections presented among these cultured cells and even aggregation of cells appeared. The cultured neurons were stained by immunocytochemistry(ICC) and the green immunoreactive product was seen in neurons under a fluorescence microscope, indicating that the cultured neurons were positive. The MTT experiment shows that viability of ACC neurons cultured from day 7 to day 9 was the best. Conclusion     ACC neurons in neonatal rats can be cultured in vitro, and primary cultured ones may serve as a cell model in vitro for  research into ACC, indicated by the result of purity and viability in ACC neurons.

    Effects of interleukin-17 on eosinophils in mice with asthma
    WANG Zhao-hui, YAO Hui
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  58. 
    Abstract ( 808 )   PDF (1069KB) ( 244 )   Save
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    Objective     To investigate effects of interleukin-17(IL-17) and the IL-17 neutralization antibody on eosnophils and eotaxin-1 in asthma mice. Methods     A total of 60 Babl/c female mice were randomly divided into five groups : the healthy group(group A), the control group (group B), the asthma group (group C), the IL-17 neutralization antibody group (group D) and the IL-17 group (group E), 12 mice in each group. Mice in group B, C, D and E were sensitized and challenged with ovalbumin to establish asthma models. Pathological characteristics of lung tissues were observed using HE staining. Eotaxin-1 in mouse lung tissue homogenate was determined by ELISA. Group A was not treated with particular methods. Results     Airway inflammation in asthmatic mice was mainly characterized by eosinophil and neutrophil infiltration, which was less observed in the normal control group. Concentrations of eotaxin-1 in lung tissue homogenate in group C, D, E, B and A were in the order from high to low. The difference between the five groups was significant(P<0.05). Conclusion     Exogenous IL-17 may inhibit infiltration of eosinophils in the lung of asthma mice.

    Expressions  of  VEGF-A, VEGF-D and podoplanin in gastric carcinoma and  their relationship with lymph node metastases
    TIAN Xiao-lin, LUO Qing-wei, JIANG Zhi-qing, LIN Jing
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  61. 
    Abstract ( 785 )   PDF (1460KB) ( 304 )   Save
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    Objective    To explore expressions of vascular endothelial growth factor(VEGF) A and D in gastric cancer, pericancerous gastric tissue and normal gastric tissues and their relationship with progression of gastric carcinoma.To observe expression of podoplanin in lymphatic endothelial cells in gastric carcinoma  so as to provide morphological data for the study of the molecular mechanism of tumor metastasis. Methods     The immunohistochemical SP method was used to examine expressions of VEGF-A and D in 54 gastric cancer tissues,  54 peri-cancerous gastric tissues, 12 normal gastric tissues, and expression of podoplanin in gastric carcinoma and normal gastric tissue.Lymphatic microvessel density(LMVD) in gastric cancer tissue and  pericancerous gastric tissues were calculated. Results    Positive expression rates of VEGF-A and D in gastric cancer tissues and peri-cancerous gastric tissues were significantly higher than those in normal gastric tissues (P<0. 01), expressions of VEGF-A and D in the gastric cancer group and the lymph node metastasis group were significantly different(P<0. 05). And expressions of VEGF-A and D  were of significantly positivecorrelation(r=0.365,P=0.007). Expressions of VEGF-A and D in gastric carcinoma were positively correlated with lymph node metastasis (P<0. 01 ), podoplanin was not stained in blood vessels but was positively expressed in gastric carcinoma lymphatics. LMVD of gastric carcinoma tissues and pericancerous gastric tissues was obviously higher than that in normal gastric tissues. MLVD detected from the VEGF-A, D positive group respectively(9.23±2.49),(9.29±2.18) was significantly higher than that detected from the VEGF-A, D negative group respectively(7.53±1.81), (7.44±1.88). Conclusion     High expressions of VEGF-A and VEGF-D in gastric cancer cells are closely related to lymph nodemetastasis. Podoplanin is selectively expressed in lymphatics of gastric carcinoma and could correctly distinguish blood vessels from lymphatic vessels. It could be regarded as a specific marker of lymphatic vessels. LMVD of the VEGF-A and D positive groups increases in gastric carcinoma, therefore, the increase of the number of lymphatic vessels likely contributes to their synergism.

    Prevalence of pelvic floor dysfunction in a community  of Shandong Province
    LI Xia, LIU Pei-shu, MAO Hong-luan, ZHANG Xiao-Lei, ZHENG Jing-fang
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  66-70. 
    Abstract ( 882 )   PDF (389KB) ( 405 )   Save
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    Objective     To investigate the prevalence and risk factors of pelvic floor dysfunction(PFD)and its influence on quality of life. Methods     A questionnaire survey and physical examination were conducted in a community of Shandong Province, China. Results     2354 people were investigated and 2326 questionnaires were effective. The average age was (39.54±15.13)years(range, 19-70).The incidence of PFD was 25.4%(591/2326): 12.3%(286/2326) for stress urinary incontinence(SUI) and 13.1%(305/2326) for pelvic organ prolapse(POP). Incidences of SUI and POP were positively related to patients′ ages(P=0.001). Data analysis showed that age, conatipation, hysterectomy,vaginal delivery, labor times, prolonged labor and perineum rupture were influencing factors for SUI. While age, conatipation, hysterectomy, vaginal delivery, labour times, prolonged labour and menopause were influencing factors for POP. The average age had no relevance with living quality of PFD patients, while severely impaired quality of life significantly decreased the employment rate. Conclusion     Pelvic floor disorders are associated with age, constipation, hysterectomy, vaginal delivery, parity, prolonged labor, perineal laceration and menopause,and significantly impair patients′ quality of life.

    Expression of beta-catenin, E-cadherin and APC  in ovarian epithelial tumors
    WEI De-e, ZHONG Wen-yu, WEI Shu-zhen, MA Yi-fei
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  71-74. 
    Abstract ( 918 )   PDF (682KB) ( 356 )   Save
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    Objectives     To investigate expression of β-catenin, E-cadherin and APC in ovarian epithelial tumors, and its implication in oncogenesis, and to investigate the effects of the Wnt signal pathway in ovarian oncogenesis. Methods     Immunohistochemical staining with the SABC procedure was conducted to examine expression of -β-catenin, E-cadherin and APC in 75 specimens: 49 for epithelial ovarian carcinoma, 10 marginal ovarian tumor and 16 benign ovarian tumor. Results     Expression of β-catenin and E-cadherin in ovarian malignant epithelial tumors was higher than in both ovarian borderline epithelial tumors and benign epithelial tumors. In ovarian epithelial tumors, a significantly positive correlation was found between β-catenin and E-cadherin in their expression(P<0.01). The prevalence of APC positive in benign epithelial tumors was significantly greater than in malignant epithelial tumors(P<0.05), while there was no positive correlation between malignant epithelial tumors and borderline epithelial tumors(P>0.05). Statistically, there was no relationship between β-catenin and APC in malignant epithelial tumors(P>0.05). Conclusion     β-catenin, E-cadherin and APC protein have important effects on pathogenesis and development of ovarian epithelial tumors. By contrast, the Wnt signal pathway may not contribute to these processes.

    Polymorphism and genetic relationship of 15 STR loci in Wa and  Bulang populations in Shuangjiang County,Yunnan Province 
    LIU Jian-xing1, LI Li-hua1, JING Qiang1, HU Li-ping1, NIE Sheng-jie1, JIANG Liang-bao2, XU Bing-ying1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  75. 
    Abstract ( 911 )   PDF (864KB) ( 384 )   Save
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    Objective     To investigate genetic polymorphisms in Wa and Bulang populations in Shuangjiang County, Yunnan Province, and to evaluate their forensic application values and genetic relationships among other populations. Methods      Fifteen STR loci included in the Power PLex 16 system Kit were amplified. The PCR products were analyzed by ABI Prism 3100 Genetic Analyzer. Forensic parameters of the two minorities were obtained, and genetic distances between Wa, Bulang and other populations were calculated by STR loci included in the CODIS system. Results     In Wa and Bulang populations, the 15 STR loci were polymorphic. In genetic distance analysis, the distance between Wa and Bulang was the nearest (0.0110). The other distances were as follows: 0.0302, between Wa and Buryat; 0.0243, between Wa and Ewenke; 0.0343, between Bulang and Buryat; and 0.0309, between Bulang and Ewenke. The genetic distances of Wa and Bulang with Han populations were both near. The distance was 0.0140 between Wa and Han populations in Zhengjiang Province, and 0.0124 between Bulang and Han populations in Anhui Province.Conclusions     The 15 STR loci were polymorphic in Wa and Bulang, which could provide a powerful discrimination tool for forensic applications. The investigations of genetic distances between different populations are useful to study their origins,migrations and genetic relationships.

    Effects of sevoflurane on neuromuscular block induced by vecuronium
    WU Hui1,2, ZHANG Li1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  81-84. 
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    Objective      To observe the effects of sevoflurane on neuromuscular block induced by vecuronium. Methods      This study included 60 ASA Ⅰ or Ⅱ patients (aged 4060 yr, weighing 45-80kg) who underwent radial breast cancer surgery under general anesthesia. They were randomly divided into the sevoflurane group and the propofol group(n=30 in each). Anesthesia was induced by 8% sevoflurane with vital capacity and oxygen flow at 6L/min in the sevoflurane group or 2mg/kg of propofol in the propofol group. When the patients′ eyelash reflex disappeared in the two groups, 0.1mg/kg of vecuronium and 4μg/kg of fentanyl were given before tracheal intubation. Anesthesia was maintained with inhalation of 2%-3% sevoflurane in the sevoflurane group or venous injection of 4-8mg/(kg·h) propofol in the propofol group. Fentanyl was intermittently injected and muscle relaxation was monitored by TOF-WatchSX during operation.  The following indexes were recorded: ① The times of the patients′ eyelash reflex loss and conscious recovery.② The times of onset, duration of function, average consumption of vecuronium, and adverse events of induction and extubation.  ③ The variation of heart rate and mean arterial pressure. Results     The time of eyelash reflex loss in the propofol group was shorter than that in the sevoflurane group(P<0.01). The onset time of vecuronium was shorter in the sevoflurane group than that in the propofol group(P<0.01). The function time of vecuronium in the sevoflurane group was longer than that in the propofol group(P<0.01). The consumption of vecuronium in the sevoflurane group was less than that in the propofol group(P<0.01). The time of opening eyes in response to voice was shorter in the sevoflurane group than that in the propofol group(P<0.01). The heart rate in the sevoflurane groupwas significantly lower(P<0.05)and the mean arterial pressure in the propofol group was significantly lower(P<0.05) before tracheal intubation, and there were no significant differences in variation of the heart rate and mean arterial pressure in the two groups during and at the end of operation. There was no irritating cough,breath holding,laryngospasm or respiratory inhibition during induction. There was no restlessness, nausea or vomiting during extubation. All patients in the two groups could correctly answer questions. Conclusion     Sevoflurane can enhance neuromuscular block of vecuronium and decrease the requirement of vecuronium .

    Application of WCX magnetic beads to serum proteome profiling in endometrial carcinoma
    LUAN Li1, GUAN Shang-hui1, YANG Sheng-si1, CHENG Huan-huan2,4, WANG Na-na1, DONG Zhao-gang3,4, CHENG Yu-feng1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  85-89. 
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    Objective     To explore the serum proteomic spectrum in endometrial carcinoma, screen for its potential special biomarkers by weak cation exchange(WCX) magnetic beads and surface-enhanced laser desorption/inionation-time of flight-mass spectrometry(SELDI-TOF-MS), and evaluate its clinical significance. Methods     The proteomic spectrum was analyzed in 24 endometrial carcinoma patients and 28 healthy controls by WCX magnetic beads coupled with SELDITOF-MS. Differently expressed proteins were detected by Biomark Wizard software, and searched for in the Swiss protein database. The clinical value was evaluated by a receive operating characteristic (ROC) curve. ResultsA diagnostic pattern consisting of 11 differential protein peaks was established. In a range of mass-to-charge ratio (m/z) 2000-20000, 11 statistically differently expressed proteins were identified in the serum of patients with endometrial neoplasm compared with the healthy controls, including 6 up-regulated proteins with m/z of 4175, 5315, 7970, 8047, 15930 and 16074 and 5 down-regulated ones with m/z of 4592, 4675, 7019, 9188 and 9358. Uteroglobin accorded with the differently expressed protein with an m/z of 7 970 in the Swiss protein database. The sensitivity andspecificity of 11 differently expressed proteins in the diagnosis of endometrial carcinoma were 70.5%96.4% and 89.3%-100%, respectively. Conclusion        WCX magnetic beads coupled with SELDI-TOF-MS could screen for potential protein biomarkers with high sensitivity and specificity in the serum of endometrial carcinoma, and it is a helpful tool for the screening, early diagnosing and prognostic monitoring of endometrial carcinoma.

    Expression of c-Met and its role in development and  progression of colorectal cancer
    JIANG Ying-jun1,2, KONG Xin-juan3, ZHANG Ke-shuang3, HU San-yuan1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  90-93. 
    Abstract ( 960 )   PDF (652KB) ( 270 )   Save
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    Objective     To investigate expression of c-Met, the protein tyrosine kinase receptor for hepatocyte growth factor/scatter (HGF) in colorectal cancer, its relationship with micro-vessel density (MVD), and its role in progression and metastasis of colorectal cancer. Methods     C-Met expression was detected at the protein level by immunohistochemistry and at the mRNA level by semi-quantitative reverse transcriptase-polymerase chain reaction in colorectal adenocarcinomas(80 cases), colorectal adenoma(60 cases) and normal mucosa (40 cases). MVD expression marked with CD 105 was determined and calculated by immunohistochemistry . Correlation of C-Met and MVD expressions and their association with clinicopathological features and outcome were analyzed. Results      C-Met-positive rate was 71.3% (57/80) in colorectal cancer, 31.7%(19/60) in colorectal adenoma and 17.5%(7/40) in normal mucosa. C-Met expression in colon cancer was significantly higher than that in colorectal adenoma and normal mucosa (P<0.01). C-Metand MVD expressions were associated with lymph node metastasis, tumor differentiation and Dukes stage (P<0.05). c-Met expression was correlated with MVD(r=0.0346, P<0.05). MVD in the c-Met (+) group was higher than that in the c-Met (-) group(P<0.01). Also, a significant increase in c-Met and MVD was detected in colorectal cancer with liver metastasis compared with primary colorectal cancer (P<0.01). Conclusions     c-Met may play an important role in progression and metastasis of colorectal cancer. Moreover, combined evaluation of cMet and MVD expressions might be a useful indicator for liver metastasis in patients with colorectal cancer.

    Expressions of EZH2 and CTGF Gene in lung adenocarcinoma
    L V Yi-jing, REN Min, WANG Bo, GE Ru-qing, ZHANG Ji-dong
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  94-97. 
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    Objective     To investigate expressions of EZH2 and CTGF  gene in lung adenocarcinoma and their significance. Methods    Sixty fresh specimens of lung adenocarcinoma, paired with adjacent normal lung tissue,  were harvested from 60 patients treated in the Department of Thoracic Surgery in Qilu Hospital. Polymerase chain reaction (RT-PCR) and immunohistochemistry were used to assay expressions of CTGF and EZH2 in the specimens. Clinicopathological parameters were collected and the correlations with CTGF and EZH2 were subsequently analyzed. Results     Expression of EZH2 in lung adenocarcinoma was increased and correlated with histological differentiation, pTNM staging, and smoking, but not with gender or age. Also, expression of CTGF in lung adenocarcinoma was decreased and correlated with histological differentiation and pTNM stage and smoking,but not with gender or age. ConclusionExpression of EZH2 in lung adenocarcinoma was significantly up-regulated. It is likely to participate in the development of lung adenocarcinoma as an oncogene. Expression of CTGF in lung adenocarcinoma was significantly de-regulated. CTGF is likely to participate in the development of lung adenocarcinoma as a cancer suppressor gene.

    A correlation study of monocyte chemotaxis and IVUS features of  atherosclerotic plaques in the patients with angina pectoris
    QI Tian-jun1,2, CHEN Wen-qiang1, JIANG Cui-ling2, YANG Tian-hao3, ZHAI Mei-qing2, Li Da-qing1, YOU Bei-an1, LI Ji-fu1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  98. 
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    Objective     To study the correlation between characteristics  of unstable atherosclerotic plaques with intravascular ultrasound (IVUS) and monocyte chemotaxis. Methods     Forty patients with stable angina pectoris (SAP) and forty patients with unstable angina pectoris (UAP) were enrolled into the study. Coronary arteriography (CAG) and IVUS were performed in all patients. IVUS was used to analyze the qualities of the plaques and measure the external elastic membrane (EEM) area, lumen area(LA), plaque area(PA)and plaque burden (PB%) at both the lesion and the reference segments in the same vessel. The lumen eccentricity index (EI)and remodeling index(RI) were calculated. Peripheral monocyte chemotaxis was assayed by the transwell chamber. Results     Soft lipid plaques were foundin 50% of patients with unstable angina , while the patients with stable angina mainly suffered from fibrous and mixed plaques(55%), and only 17 % soft plaques. There were more eccentric plaques in the unstable than the stable groups(P<0.05), and EEMA, LA, PA and PB in the unstable plaques were larger than those of stable plaques (all P<0.01). A positive remodeling pattern was identified in 68% (27/40) unstable plaques while 75%(30/40) stable plaques showed negative remodeling. The average number of migrated monocytes measured in UAP patients were more than that in patients with SAP(P<0.01). The UAP group showed a higher activity of monocyte chemotaxis ability. PB measured with IVUS correlated well with monocytes chemotaxis(γ=0.52,P<0.01). Conclusions    IVUS can detect unstable atherosclerotic plaques and predict plaque disruption in the early stage of atherosclerosis. Monocyte chemotaxis ability is associated with the stability of atherosclerotic plaques.

    Marker expression  of pericryptal myofibroblasts in gastric carcinoma and precancerous lesions
    KUANG Rong-guang1,2, LI Yan-qing1, ZHOU Cheng-jun3, JI Rui1,WANG Jian-wen2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  102-106. 
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    Objective    To investigate expression change of alpha-smooth muscle actin(α-SMA), the marker of pericryptal myofibroblasts, in gastric carcinoma and precancerous lesions, and study its relationship with the proliferating cell nuclear antigen (PCNA). Methods    The immunohistochemical technique was used to detect expression of α-SMA and PCNA in gastric carcinoma and precancerous lesions. The relationship between α-SMA and PCNA was analyzed. Results    Expression of α-SMA was increased in intestinal metaplasia, then decreased in low or high grade gastric intraepithelial neoplasia, and increased again in gastric carcinoma.(χ2=56.15,P<0.01). The pericryptal distribution of α-SMA was found in intestinal metaplasia, but diminished along with the development of gastric carcinoma. Expression of PCNA was increased along with the development of gastric carcinogenesis (χ2=117.12,P<0.01). There was a positive correlation between α-SMA and PCNA expressions(rs =0.61,P<0.01).  Conclusions     There are significanct changes in expression intensity and distribution of stroma myofibroblasts with the development of gastric carcinoma, which indicates that myofibroblasts might play a role in gastric carcinogenesis.

    Expression  of EGF and c-myc in hepatocellular carcinoma  tissues and its clinical implications
    XIANG Yu-fen1, WANG Wen-qi2, TIAN Hu3, WANG Yi-guo2, YAN Ming-xian2, LIU Chang-hong2, LI Shuang-ling2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  107-110. 
    Abstract ( 859 )   PDF (473KB) ( 327 )   Save
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    Objective    To study expression  of EGF and c-myc in patients with hepatocellular carcinoma (HCC). Methods     EGF and c-myc proteins were examined  using tissue microarray and in conjunction with immunohistochemistry  for 60 patients with hepatocellular carcinoma . A control of 15 normal tissue samples (20 mm away from the cancers) was also included. Results     Expression rates of EGF and  c-myc  were significantly higher in tumor tissues than  in the control(P<0.05, and P<0.01, respectively). EGF expression was closely correlated with the size of tumors and their differentiation status (P< 0.05).  C-myc was closely correlated with the size, differentiation status and metastasis of the tumors (P<0.05).  For both EGF and c-myc, their expressions in hepatocellular carcinoma tissues were significantly higher in Edmondson Grades Ⅱ- and Ⅲ than in Grades I (P<0.05). Conclusions    In hepatocellular carcinoma,  c-myc  can be up-regulated by EGF, and both can promote  tumor development.

    A special MR sign of brainstem infarction
    WANG Li-juan1,2, WANG Guang-bin2, LIU Yu-bo3, GENG Ming-bin4, HU Jian-bin1, BAI Xue1, ZHAO Lian-xin1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  111. 
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    Objective    To define the “brainstem hemi-section sign”, and investigate its MR characteristics, pathogenesis and relation with vascular territories. Methods    Clinical and conventional MRI data were collected from 286 patients with brainstem lesions from January to April 2009. MR findings, pathogenesis and anatomic basis of the “brainstem hemi-section sign”  were analyzed. Results    The “brainstem hemi-section sign” was found in 35 of 286 patients, and all lesions of these 35 cases were confirmed as brainstem infarction, showing a unilateral anteromedial brainstem infarct sharply marginated at the midline. All lesions in the 35 cases were located in unilateral anteromedial zones, 1(2.9%) located at the midbrain, 32(91.4%) located at the pons and 2(5.7%) located at the medulla oblongata. Conclusion     The “brainstem hemi-section sign”, consistent with branches and distribution of the brain stem artery, is special in brainstem infarction and mostly occurs in the pons. This sign plays an important role in the diagnosis of brainstem infarction and in the differential diagnosis of brainstem lesions.

    Detection of the SCN1A gene in febrile seizure  infants by MLPA technique
    ZHANG Hong-wei,WANG Ji-wen
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  115-118. 
    Abstract ( 1088 )   PDF (990KB) ( 292 )   Save
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    Objective    To study clinical features of febrile seizure and the correlation between the voltagegated sodium channel α 1 subunit(SCN1A) gene and febrile seizure. Methods    A study was conducted among 34 infants with febrile seizure. Clinical data including onset age, seizure type, EEG and prognosis were analyzed. Multiplex ligation-dependent probe amplification(MLPA) technique was applied to detect exon deletions or duplications of the SCN1A gene in 34 infants with febrile seizure. Results    Among the 34 infants, there were 29 cases of simple febrile seizure,and 5 cases of complex febrile seizure. No exon deletion or duplication of the SCN1A gene was detected in any of the 34 infants. Conclusion    Deletions or duplications in the SCN1A gene might not be a susceptible factor for febrile seizure.

    Clinical effects of sodium ozagrel combined with low molecular weight  heparin on patients with progressive cerebral infarction
    LI Hong-jun1, CHEN Chun-fu2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  119. 
    Abstract ( 848 )   PDF (374KB) ( 434 )   Save
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    Objective     To observe efficacy and safety of combined sodium ozagrel with low molecular weight heparin on patients with progressive cerebral infarction. Methods    112 cases of progressive cerebral infarction were randomly divided into the treatment group (56 cases) and the control group (56 cases). The control group was only administered 80mg of sodium ozagrel, bid, for 14 days. And the treatment group was administered 80mg of sodium ozagrel, bid, for 14 days and 0.4mL of low molecular weight heparin sodium injection, bid, for 14 days. The therapeutic effect was evaluated by the National Institutes of Health Stroke Scale (NIHSS) and the Bathal index (BI). Liver and renal function, blood and urinary routines, blood clotting routine and electrocardiogram (ECG) were detected before and after 14 days of treatment. Results     Compared with the control group, grades of NIHSS and BI in the treatment group were significantly lower after one (P<0.05) and two weeks (P<0.01). Both the number of platelets and blood coagulation time were within the normal range. There was no obvious side effect in either groups. Conclusion     Sodium ozagrel combined with low molecular weight heparin is an effective and safe therapy for progressive cerebral infarction.

    Pemetrexed alone or in combination with nedaplatin in recurrence and carboplatin/paclitaxel resistance advanced epithelial ovarian carcinoma
    KANG Ma-fei, BU Qing, LIU Ying, LUO Mei-qing, LIAO Li-li, TU Jiang-jiang
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  122-124. 
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    Objective    To observe the efficacy and side effect of pemetrexed(PEM) alone or in combination with nedaplatin(NDP) in recurrence and carboplatin(CBP) and paclitaxel(PTX) resistance advanced epithelial ovarian carcinoma. Methods    Fifty patients with recurrence and CBP and PTX resistance advanced epithelial ovarian carcinoma were randomly divided into groups A and B. Twenty-five patients in group A were treated only with PEM 500mg/m2 on day 1 which was repeated every 21 days,  and twenty-five patients in group B were treated with PEM 500mg/m2,and NDP 80g/m2 on day 1 which was repeated every 21 days,  until disease had progressed. ResultsNo patients achieved  complete response (CR) in either group but 4 patients in group A(or 11 patients in group B) achieved a partial response (PR) and 15 patients in group A(or 11 patients in group B) achieved a stable disease (SD) and the overall response rate(ORR) was 16.0% in group A and 44.0% in group B(χ2=4.667,P=0.031). The median time to progression(mTTP) was respectively 2.4  months in group A and 3.6 months in group B(P=0.046) and the median survival (mS) was 6.0 months in group A and 7.5 months in group B(Log-rank,P=0.048). The major adverse effect was marrow depression. Conclusions    PEM alone or in combination with NDP were effective for recurrence and CBP/PTX resistance in advanced epithelial ovarian carcinoma. The ORR,  mTTP and mS of PEM in combination with NDP was significantly better than PEM alone and marrow depression was marked,  but tolerated. 

    Detection of SP-D in the serum from pulmonary tuberculosis patients
    XU Yong, HU Hua, CHI Jing-yu, YANG Yan, JU Yun-fei, HOU Bao-qing, LI Xue-zheng
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  125. 
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    Objective      To investigate the change of serum surfactant protein-D(SP-D) in pulmonary tuberculosis patients, observe its relation with gender, age and other factors, and explore value of diagnosis for pulmonary tuberculosis. MethodsThe level of SP-D in the serum was detected by ELISA in 101 cases of pulmonary tuberculosis, 30 cases of chronic obstructive pulmonary disease(COPD) and 85 healthy people. Leucocyte count, neutrophilic granulocyte percentage and lymphocyte percentage were detected with the electric resistance method, erythrocyte sedimentation rates by the sedimentation process, tubercle bacillus antibodies by ELISA, purified protein derivative(PPD) trial by the Mantoux method, and count of tubercle bacilli by acidfast stain. Results    The level of SP-D in the serum from pulmonary tuberculosis patients was significantly higher than that of the healthy,while it was significantly lower than that of COPD patients(P<0.05). The cutoff value of SP-D was 0.26 determined by the ROC curve drawn according to the measured values. The sensitivity, specificity and accuracy of detection of SP-D in the serum were 72.30%,  91.00%, and 80.65% respectively in the diagnosis of pulmonary tuberculosis. There were no obvious differences in SP-D levels in different conditions of gender, age, leukocyte count, neutrophilic granulocyte percentage, lymphocyte percentage, sedimentation process and count of tubercle bacilli in the sputum and hollow in the lung, however, there were  correlations of SP-D level with tubercle bacillus antibodies and PPD trial(values of  were 8.44 and 17.08 respectively,P<0.01). Conclusions     Detection of SP-D in serum is of great significance in the diagnosis of pulmonary tuberculosis, may become a new diagnostic method, and is worth exploring.

    A randomized clinical trial in comparison of concurrent single agent cisplatin, cisplatin in combination with 5-fluorouracil and cisplatin in combination  with taxel for locally advanced cervical squamous cell cancer
    Niyaz·Hurshidam, ZHAO Hua-rong, Abdulla·Mangnisha, BAO Yong-xing
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  128-131. 
    Abstract ( 906 )   PDF (354KB) ( 185 )   Save
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    Objective     To compare the outcome of the cisplatin-based chemotherapy with 5-fluoracil (RT+FC), taxel (RT+TC) two regimens concurrent chemo-radiotherapy with standard weekly single agent cisplatin and concurrent radiation therapy (RT+DDP). MethodsPatients with locally advanced cervical squamous cell cancer of stage IIB, IIIA,IIIB, and IVA with clinically negative aortic nodes were eligible. Pelvic RT dose was 45-50Gy  and  high -dose rate intracavitary brachytherapy. The standard arm had weekly cisplatin 30mg/m2 per week lasting 5-6 cycles during RT. The experimental arm had cisplatin 75mg/m2/3wk, PVI 5-FU 625mg/m2/d for 4d/3wk in the RT+FC group, and taxel 135mg/m2/3wk in the RT+TC group for 2 cycles during RT. The disease-free survival and overall survival were analyzed. The Short-term efficacy and adverse events were observed. Results    The two experimental groups had improvement in 4-year survival compared with weekly cisplatin during RT. The TC+RT group was better than the  RT+DDP group in disease-free survival. More grades 3-4 neutropenia appeared in the TC+RT group than in the other two groups, whereas less thrombocytopenia, and emesis and diarrhea occurred in the TC+RT group than the FC+RT group.There were no statistic differences of long-time irradiation-related rectum and cystic complication incidences among the three groups. Conclusion    In this study, the three arm treatment models of locally advanced squamous cell carcinoma of cervix were safe and good with tolerable adverse events. Regimen chemotherapy in combination with RT did not show improved overall survival outcome over weekly cisplatin during RT. TC+RT might lead to better disease-free survival.

    Mental health status of victims in Mianyang and Beichuan 1.5 years after the Wenchuan Earthquake and its correlation  with the five-pattern personality
    ZHANG Bo-hua, HU Shuang, ZHANG De-xiu, SONG Jing-jie, LIU Yu-xi
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  132. 
    Abstract ( 934 )   PDF (338KB) ( 323 )   Save
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    Objective    To  study the mental health status of victims in Mianyang and Beichuan areas 1.5 years after the Wenchuan Earthquake and to explore its correlation with the Five-Pattern Personality. Methods    The Symptom Checklist 90 (SCL-90) and the Five-Pattern Personality Questionnaire  were used to investigate 480 victims in these areas. Results     Cases with SCL-90 total score≥160 (screen positive) accounted for 21.2% of the surveyed population. There were significant differences between victims and the norm in scale scores  for seven factors on SCL-90, such as somatization and compulsion (P<0.01). Except for somatization, the other factors examined had significantly lower scores than those  reported during the early months of the disaster (P<0.001). The mental health status of the rural cases was  inferior to that of the urban cases (P<0.01). Among different age groups, however, there were no significant differences in both the SCL-90 total scores and the individual factor scores  (P>0.05). ConclusionThe mental health status of victims 1.5 years after the earthquake  has shown some major improvements, but  the recovery was not so advanced because the country′s norm  victims in  rural areas  were not doing as well as those in  urban areas. There were significant differences among the different personalities, especially between personalities of  Shao Yang and Tai Yang. Psychological health in earthquake-stricken areas still needs attention.

    Effect of sense and antisense VEGF165 cDNA transfection on the  growth of hypertrophic scar-derived fibroblasts in vitro
    LIU Jian, WANG Fa-gang, CAO Yong-qian, XU Qian, XU Rong-jian
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  135-139. 
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    Objective     To explore the effect of sense and antisense vascular endothelial growth factor (VEGF) genes on the growth of hypertrophic scar-derived fibroblasts. Methods    Human dermal fibroblasts were isolated from hypertrophic scars by the serum-supplemented media method, and immunocytochemical staining was used to characterize the cell lineage. The genes targeting VEGF including pcDNA3.1 (+)/hVEGF165(the sense group), pcDNA3.1 (-)/hVEGF165(the antisense group) and pcDNA3.1(+)(the empty vector group) were constructed and transfected into human dermal fibroblasts, and a positive clone was selected by G418. The control group was not transfected. Expression of VEGF mRNA was detected by reverse transcription-PCR(RT- PCR), and expression of the VEGF protein by enzymelinked immunosorbent assay(ELISA). The growth of dermal fibroblasts was measured by MTT. Results    The eukaryotic expression plasmids of pcDNA3.1(+)/hVEGF165 and pcDNA3.1(-)/hVEGF165 targeting VEGF were successfully constructed. Expressions of VEGF mRNA and protein were obviously increased in the sense group, while they were obviously reduced in the antisense group, compared with those in the empty vector group and control group. The growth lines of human dermal fibroblasts before and after transfection were similar. Conclusion    The sense VEGF gene could promote VEGF expression in human dermal fibroblasts, while the antisense VEGF gene effectively inhibits this expression.

    Applications of the kernel principal component analysis-based logistic  regression model on nonlinear association study
    GAO Qing-song, XUE Fu-zhong
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  140. 
    Abstract ( 967 )   PDF (543KB) ( 235 )   Save
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    Objective     To combine the kernel principal component analysis (KPCA) and the logistic regression model to propose a KPCA-based logistic regression model for nonlinear association analysis of complex disease gene mapping. Methods    For association study of case-control research design, the kernel principal component analysis (KPCA) was performed on single nucleotide polymorphisms (SNPs) of a candidate region to construct the logistic regression model with kernel principal components as independent variables, and then the PTPN22 and RNF186 gene regions of rheumatoid arthritis (RA) data from GAW16 were analyzed to illustrate the effectiveness and practicability of the KPCA-based logistic regression model. Results    Application to the PTPN22 and RNF186 gene regions indicated that the KPCAbased logistic regression model could detect regions which could be detected by a single-locus test (PTPN22), and identify significant regions which could not be identified by a single-locus test (RNF186). Conclusion    As an effective nonlinear association study method, the KPCAbased logistic regression model can identify more susceptible regions.

    Awareness and attitude towards AIDS among students in  a university of Shandong Province
    XIN Qing1,2, LIU Dong-mei1, SUN Guo-fen2, WANG Li2, ZHANG Cheng-qiu2, ZHAO Rui-min3, HOU Lei3
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  143-146. 
    Abstract ( 1633 )   PDF (352KB) ( 258 )   Save
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    Objective    To study the awareness, attitude and behavior towards AIDS among university students in Jinan, Shandong Province. Methods    Using a random sampling method, 255 students(94 students of arts, 65 students of science, 59 students of engineering, and 37 students of medicine) in a university in Shandong Province were selected, and were investigated by a voluntary and anonymous questionnaire.  Results     The rate of awareness about AIDS knowledge was relatively high in the university. The rate of awareness about AIDS knowledge in graduate students was higher than that in undergraduate students (P<0.05). The awareness rate in medical students was higher than in students of other majors(P<0.05). The awareness rate in students of arts was the lowest (P<0.05). For undergraduate students, the awareness rate in freshmen was higher than in students of other grades. 53.3% of university students still believed that HIV could spread through mosquito bites, and 22.0% of them would keep a distance and end the friendship,if his or her friend was diagnosed with HIV or AIDS.  Conclusion     The rates of awareness about HIV/AIDS knowledge, as well as the attitude and behavior towards AIDS, are different in university students of different majors, education degrees and grades. HIV/AIDS health education should be strengthened based on different university students.

    Application of the Bayesian network in Chinese herbal  medicine property recognition
    QI Fang1, RONG Rong2, XUE Fu-zhong1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  147-152. 
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    Objective    To clarify internal relation and quality relationship between the material composition and the Chinese herbal medicine property (CHMP), to establish the Bayesian network model among ‘composition’ and ‘CHMP’, and to infer and restore the CHMP by means of network.  Methods    According to the reductionism mode,  high-performance liquid chromatography (HPLC) technology was combined with the Partial Least Squares Discriminant Analysis (PLS-DA) to identify the CHMPmarkers. Then based on the system theory, the Bayesian network model of CHMP-markers and CHMP was structured.  Results    37 CHMP-markers were selected by the PLS-DA model to build the Bayesian network. It had high sensitivity, specificity (AUC=0.98) and discriminative power. Using this network to recognize the CHMP, the discriminative accuracy of the training set was 93.88% and the predictive accuracy of the testing set was 100%.  Conclusion     The Bayesian network has apparent modular construction,  and it could explain the compatibility and pathways among the composition and the CHMP.

    Determination and evaluation of lead, cadmium and arsenic in  edible fish in the markets of Jinan
    WANG Xiao-jing1, DIAO Fei-yan2, ZHANG Jing2, GUO Dong-mei2, CUI Xi2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  153-155. 
    Abstract ( 855 )   PDF (345KB) ( 122 )   Save
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    Objective    To determine contents of lead, cadmium and arsenic in edible freshwater and marine fish in the markets of Jinan, and evaluate the pollution of those heavy metals. Methods     Contents of lead and cadmium were determined by graphite furnace atomic absorption spectrometry, and arsenic was tested by atomic fluorescence spectrometry. The integrated pollution effect of heavy metals was evaluated by the technique of single factor index and Nemerow index. Results    The average concentrations of lead, cadmium and arsenic in all tested fish were 0.1548, 0.0135 and 0.1093μg/g, respectively. Indexes of lead and cadmium in all tested freshwater and marine fish were lower than 1. Both indexes of arsenic were over or near 1 in weever, Spanish mackerel  and yellow croaker, whereas the two indexes were 1.8836-3.1810 in hairtail and pomfret. Conclusion     The tested fish are less polluted by cadmium and lead, but the arsenic pollution is relatively serious.

    Determination of uridine in human plasma and bioequivalence  evaluation of CDP-choline capsules and tablets
    CAO Ming-liang1,2, CHEN Ke-guang1, LIU Xiao-yan3, WANG Ben-jie3, WEI Chun-min3, YUAN Gui-yan3, GUO Rui-chen3
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2011, 49(5):  156. 
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    Objective     To establish a high performance liquid chromatography (HPLC) method for the determination of uridine in human plasma and to evaluate the bioequivalence of CDP-choline capsules and tablets. Methods     Plasma concentrations of uridine were determined after a single oral dose of 600mg CDP-choline capsules and tablets by the established HPLC method with amoxicillin as the internal standard. Main pharmacokinetic parameters of uridine were calculated and bioequivalence of CDP-choline capsules and tablets were evaluated by DAS. Results    The linear regression equation was y=2.10x+0.57(r=0.9928) within a range of 0.05-2μg/mL.The lowest detection limit for uridine was 0.05μg/mL, recoveries were 95.57%-102.09%, and inter-day and intra-day precisions were less than 15%. The concentration of plasma uridine reached a maximum of 3.0μg/mL after 3.5 hours, and then slowly decreased to the base level after 8 hours. 90% confidential intervals of AUC0-t, AUC0-∞ and Cmax were 85.3%-97.5%, 85.3%-102.9% and 89.5% -102.1% , respectively. Conclusions    The method is accurate, sensitive and suitable for the determination of uridine in human plasma. CDP-choline tablets and capsules are bioequivalent.