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Table of Content

      
    10 May 2012
    Volume 50 Issue 5
    Articles
    Mechanisms of hydrogen sulfide that attenuate high glucoseinduced
    injury in endothelial cells
    ZHANG Yuan1, HAN Hui2, GAO Ling1, YU Chun-xiao1, LIU Wen1, LIU Yuan-tao3, GUAN Qing-bo1, ZHAO Jia-jun1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  1. 
    Abstract ( 736 )   PDF (2289KB) ( 369 )   Save
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    Objective   To observe the production of hydrogen sulfide in endothelial cells exposed to high glucose as well as the effects of hydrogen sulfide on high glucose-induced injury of endothelial cells, and to explore the possible mechanisms.  Methods   Human umbilical vein endothelial cells were divided into 4 groups: A 5.5mmol/l glucose, B 25mmol/L glucose, C 25mmol/L glucose + 50μmol/L NaHS, and D 5.5mmol/L glucose+ 50μmol/L NaHS.  After treatment for 48h, the production of H2S was measured,  cell viability was detected by MTT, and the expressions of apoptosis-related proteins, such as Bax, Bcl-2 and cleaved caspase-3, were examined by Western Blot analysis.  Results   ① Compared with that of group A, the production of H2S distinctly decreased in group B(P<0.05), however, the production of H2S distinctly increased in group C when compared with that of group B(P<0.05). ② Compared with that of group A, the percentage of cell viability obviously decreased in group B (P<0.05), but NaHS could reverse the viability of HUVECs which was induced by high glucose in group C (P<0.05). ③ High glucose significantly increased Bax protein expression (P<0.05) and decreased the Bcl-2 protein expression (P<0.05), and the level of cleaved Caspase-3, the activated form of Caspase-3, was higher in group B compared with that of group A (P<0.05). Compared with that of group B,  decrease in Bax (P<0.05) and cleaved Caspase-3 expressions (P<0.05) and increase in Bcl-2 expression (P<0.05) were observed in group C. There was no significant difference between group A and group D in cell viability, Bax, Bcl-2, cleaved Caspase-3 expressions and the production of H2S.  Conclusions   High glucose can inhibit the production of H2S in endothelial cells. Supplementation of extrinsic H2S can protect against high glucose-induced injury in human umbilical vein endothelial cells possibly through  the inhibition of cell apoptosis.

    The influence of stress hyperglycemia on the recovery of
    daily living activity in stroke patients
    ZHOU Xiao-ying1,2, HOU Xin-guo1,2, SONG Jun1,2, DENG Nan1,2, XIAO Fang1,2, WANG Mei-jian, LIU Ji-dong1,2, YANG Jun-peng1,2, CHEN Li1,2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  5. 
    Abstract ( 851 )   PDF (938KB) ( 398 )   Save
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    Objective   To analyze the influence and forecast value of stress hyperglycemia on the recovery of daily living activity in stroke patient. Methods   The clinical data of 459 nondiabetics stroke patients was retrospectively analyzed. The patients were devide into three groups according to the fasting plasma glucose level. They were the euglycemia group(FBG<6.1mmol/L), the mild stress hyperglycemia group (6.1mmol/L≤FBG<7.0mmol/L) and the severe stress hyperglycemia group (FBG≥7.0mmol/L). The statistical data included age, diseases history, blood biochemistry test, blood coagulability and hemostatic function test, CT, MRI and Activities of Daily Living Assessment (ADL). PASW 18.0 was used for the statistical analysis and statistical significance was set at P<0.05. Results   The risk of stress hyperglycemia was higher in senile patients (>65 years old) with atrial fibrillation, hypertension or hypertriglyceridemia. Cerebral hemispheric infarction was connected with stress hyperglycemia. At the same time,fasting plasma glucose(FBG). Prothrombin Time % (PT%). fibrinogen (Fib).  D-dimer (D-Di) and blood urea nitrogen (BUN) were closely related to the ADL score. The ADL score of the mild stress hyperglycemia group and the severe stress hyperglycemia group was lower than that of the euglycemia group, while it was also lower in the severe stress hyperglycemia group than in the mild stress hyperglycemia group. Stress hyperglycemia was positively correlated with the high risk of activity disorder in stroke patients(rs=-0.2643,  P<0.0001). Conclusions   Stress hyperglycemia in patients with cerebral infarction increases the risk of daily living activity disorder. 

    Effect of Granulocyte-colony stimulating factor on microglial function in
    the acute spinal cord injury mice model
    ZHANG Hui, GUO Yu-ji, HAO Ai-jun, MA Bao-hua
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  10. 
    Abstract ( 903 )   PDF (2630KB) ( 288 )   Save
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    Objective   To explore the alteration of microglial protection/injury function caused by granulocyte-colony stimulating factor (G-CSF) in the acute spinal cord injury mice model. Methods   Hemi-section injuries were produced by cutting one-half of the right lateral portion of the spinal cord. After surgery the mice were given an intraperitoneal injection of rhG-CSF, which continued 3 days. The Basso-Beattie-Bresnahan (BBB) locomotor rating scale was used to analyze behavior and then the spinal cord was taken out for histological analysis by immunofluorescence to observe the accumulation of microglia in vivo. Microglial cell line BV-2 cells were pretreated with normal and injury spinal cord supernatant for 24h, followed by a 12h administration of G-CSF(100ng/mL), then harvested the cells. RT-PCR and Western blot were employed to evaluate the changes of microglial cytokines and pathways in vitro. Results   In the G-CSF treatment group, improvement in hind-limb motor function and accumulation of microglial cell were significantly greater than in the sham-treatment (vehicle) group. As the results in vitro showed, in the G-CSF treatment group, the activity of NF-κB p65 was inhibited and the secretion of microglial cytokines was changed. In addition, expression of pro-inflammation cytokine IL-1β decreased and anti-inflammation cytokine TGFβ increased. Conclusions   In this study, the administration of G-CSF in acute spinal cord injury not only improved motor function, but also regulated the distribution and function of microglia as well as to induce the microglia altering to neural protection.

    Construction and identification of the cDNA library for Demodex
    XIAO Ke-yuan1, GUO Shu-ling1, LIU Yan-rong1, SU Lei1, FENG Yu-xin2, YUAN Fang-shu1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  15. 
    Abstract ( 902 )   PDF (1235KB) ( 391 )   Save
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    Objective   To construct the cDNA library of Demodex for further studying its related genes. Methods   Mites were collected by natural settlement in double distilled water and total RNA was extracted from the mites with the TransZol Up kit. The first-strand cDNA was synthesized by reverse transcription and the secondstrand cDNA was synthesized and amplified by LD(long-distance) PCR. After size fractionation with a universal DNA purification kit, the cDNA fragments longer than 500bp were ligated to the pGM-T vector. The ligation mixture was transformed into the competent cells of E.coli TOP10 to complete the construction of the cDNA library for the mites. The content and recombination rate of the cDNA library were tested and the length of inserted fragments was analyzed by PCR. Results   The content of the cDNA library was estimated as 2.56×106 cfu with the recombination rate reaching 98%. The average length of the inserted cDNA fragment was longer than 1000bp. Conclusion   The results showed that the quality of the cDNA library is good enough to set the basis for further exploring the genes of Demodex.

    Effect of triptolide on protection of neurons in the hippocampus of
     epileptic rats induced by lithium chloridepilocarpine
    ZHOU Hai-yan, LI Bao-min, YIN Ping, SUN Ruo-peng
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  20. 
    Abstract ( 687 )   Save
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    Objective   To investigate the protective effect of triptolide on hippocampal neuronal loss of rats with lithium chloride- pilocarpine-induced temporal lobe epilepticus (TLE) and the possible mechanisms.  Methods   70 Juvenile male Wistar rats were randomly divided into three groups: (A) control rats that received neither pilocarpine nor triptolide (n=10), (B) rats that received just pilocarpine (n=30), and (C) rats that received pilocarpine and triptolide (n=30). Neuronal death was evaluated by Nissl and FJB staining methods. Glial activation states were analyzed by immunohistochemistry for glial markers, GFAP and IBa-1. Results   Histopathological observations showed that lithium chloride-pilocarpine caused significant hippocampal neuronal loss and glial activation compared with the control group. Pre-treatment with TP efficiently reduced lithium chloride-pilocarpine-induced seizure activities, hippocampal neuron death and glial activation. Conclusion   TP exerts a neuroprotective role in the attenuation of brain damage after SE, possibly by inhibiting glial activation to resist inflammatory reaction.

    The law of the resistant mutation of Escherichia coli strains continuously
    induced with Enrofloxacin by ancestral gene reconstruction
    WEI Tian-tian1,2, BAI Hua2, LI Jing-ran1, HU Ming2, QI Jing2, YUAN Shou-dao3, ZHANG Le-cui1, LIU Yu-qing2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  25. 
    Abstract ( 958 )   PDF (1874KB) ( 386 )   Save
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    Objective   To study the mutation law of fluoroquinolone resistance of E.coli, and the correspondence between genotype and phenotype. Methods   The quality control strain Escherichia coli ATCC 25922 was used as the initial strain to continuously induce with increasing concentrations of enrofloxacin from 0.03125μg/mL to 128μg/mL, and 13 stable enrofloxacin-resistant strains were obtained. The mutation sites were detected by complete sequencing fluoroquinolone target gene gyrA, gyrB, parC, and parE. while the corresponding MICs and MIC by efflux pump inhibition of each strain were measured. Then the relationships between resistance phenotypes and the genotypes, protein structures, biochemical properties and efflux pump activities were analyzed.  Results   Low concentrations of fluoroquinolone did not induce high resistance mutations. A single locus of mutation Ser83Leu in GyrA, and even combined with mutation Glu84Lys in ParC could cause low-level resistance. However, Ser83-Leu gradually combined with Asp87-Gly and Glu84-Lys mutations resulting in the changes of polar and steric effects of mutation amino acids in the “Quinolones resistance determining region”, which induced high resistance mutations by precluding the combination of enrofloxacin, target proteins and DNA. In addition, Efflux pumps combined with gene mutations led to bacterial tolerance to the gradually increasing drug concentrations. MIC had about twice the inducing drug concentrations. Conclusion   An increasing dose of fluoroquinolone can induce high resistance, and there are regular corresponding relationships between phenotypes and genotypes of enrofloxacin resistance.

    Effects of interferon-β on cardiopulmonary function after
    subarachnoid hemorrhage
    MENG Fan-liang1, MENG Lei2, PENG Hong-hai2, SHI Jian-guo2, LIU Dian-wei2, JIANG Yong2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  32-35. 
    Abstract ( 832 )   PDF (3268KB) ( 389 )   Save
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    Objective   To study expression of vascular endothelial growth factor-c(VEGF-C) in hearts and lungs after subarachnoid hemorrhage(SAH) and to evaluate the protection of interferon-β(INF-β). Methods   The rat SAH model was established. The rats were randomly divided into the control group, the sham operation group, the SAH group with therapy and the SAH group without therapy. Expressions of VEGF-C in the hearts and lungs were detected. Results   VEGF-C expressions in hearts and lungs in the SAH group with therapy and the SAH group without therapy were higher than the sham operation group. VEGF-C expression in hearts and lungs in the SAH group without therapy was lower than the SAH group with therapy. Conclusion   SAH leads to cardiopulmonary ischemia through systemic inflammatory response. The INF-β can protect the organs by restraining the systemic inflammatory response.

    Experimental research of apoptosis in rat tissue cells surrounding
    intracerebral hemorrhage after minimal hematoma aspiration
    CUI Yuan-xiao1, TANG Qian-qian1, GUO Zhang-yu1, SHANG Xiao1, ZHANG Qing-hua1, FENG Xiao-ya2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  36. 
    Abstract ( 657 )   PDF (965KB) ( 182 )   Save
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    Objective   To study the changes of apoptosis-related genes including HSP70 and caspase-3 in rat brains after experimental intracerebral hemorrhage and the effects of the minimally hematoma aspiration on neuronal apoptosis. Methods   75 SD rats were randomly divided into 3 groups the sham operated group, the intracerebral hemorrhage group and the hematoma aspiration group. Then each group was divided by time(12h, 1d, 2d, 3d, and 7d).  2μL normal saline was injected into the caudate nucleus in the sham operated group,2μL -Ⅳ collagenase was injected to the caudate nucleus in the intracerebral hemorrhage group. The intracerebral hemorrhage models were treated by the hematoma aspiration method six hours after they were produced. In this way, the hematoma aspiration group was made. The rats were killed at each time point and then their brain tissues were isolated. Expressions of HSP70 and caspase-3 in the cerebral tissues surrounding cerebral hemorrhage at different times were detected by immunohistochemical techniques and were statistically analyzed.  Results   HSP70 and caspase-3 expressions in the intracerebral hemorrhage group were significantly higher than those in the hematoma aspiration group and the sham operated group (P<0.05). Genes expressions in the hematoma aspiration group were significantly higher than those in the sham group(P<0.05). HSP-70appeared at 12h, reached a maximum at 3d, and then gradually decreased. Caspase-3 appeared at 12h, reached a maximum at 3d, and was obviously reduced at 7d. Conclusions   High expression of caspase-3 showed that nerve cells apoptosis and damage reached a peak at the third day after intracerebral hemorrhage, then gradually decreased. High expression of HSP70 has an obviously protective effect on intracerebral hemorrhage tissues, and reduces expression of caspase-3. The intervention of minimal hematoma aspiration in the early stage of cerebral hemorrhage can reduce the apoptosis of nerve cells.

    Probucol protects against atherosclerosis through
    induction of heme oxygenase-1
    ZHANG Jian-ning1, LI Ting-ting2, PENG Jie2, JIANG Ting-ting2, GUO Yuan2, ZHANG Yun2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  40. 
    Abstract ( 860 )   PDF (3099KB) ( 422 )   Save
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    Objective   The heme oxygenase-1 (HO-1) system of heme catabolism has been implicated in protection against atherosclerotic vascular diseases. This study was aimed to test the hypothesis that probucol could inhibit the progression and destabilization of plaques by induction of HO-1. Methods   Atherosclerotic plaques were induced in aortas of 60 male New Zealand white rabbits by an atherogenic diet for 12 weeks after endothelial injury. Rabbits were then randomly divided into 4 groups which received no treatment, probucol, Sn protoporphyrin IX (SnPP IX), or probucol plus SnPP IX for 12 weeks. Serological, pathological, immunohistochemical and gene expression studies were performed at the end of the 24th week. Results   Probucol significantly induced HO-1 mRNA, protein, and enzyme activity in atherosclerotic plaques. This induction was correlated with a reduction in the progression of plaque size. Furthermore,this induction resulted in features of plaque stability such as increasing fibrous cap thickness and less macrophage infiltration. Moreover, the serum levels of oxidized low density lipoprotein and pro-inflammatory factors, including matrix metalloproteinase-9, interleukin18 and high sensitive C-reactive protein were remarkably reduced by probucol(P<0.01). In contrast, inhibition of HO-1 by SnPP IX not only augmented plaque progression and vulnerability but also raised the serum levels of the oxidized and pro-inflammatory factors(P<0.01). So it significantly reduced the effects of probucol(P<0.01). Conclusions   Our results demonstrated that probucol treatment may inhibit atherosclerosis progression and promote plaque stability by induction of HO-1. HO- may be the target of probucol′s anti-atherosclerosis action.

    Comparision between cell suspension inoculation and
    tissue block transplantation in establishment of
    human hemangioma animal models
    LIU Chao1,2, QIN Zhong-ping3, WEI Feng-cai1, FAN Zhao-na1,2, ZHAO Wen-jing1,2, WANG Yu-min1,2, ZHUO Shao-yang1,2, CHEN Jian1,2, LIU Jing-pen
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  46-50. 
    Abstract ( 900 )   PDF (2763KB) ( 303 )   Save
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    Objective   To compare the feasibility of establishment of human hemangioma animal models by cell suspension inoculation and tissue block transplantation. Methods   After obtaining fresh specimens from proliferating infantile hemangioma,we divided them into two halves. Half of the specimens were injected and transplanted into 12 BALB/c nude mice as the tissue block transplantation group and the others were used for hemangioma endothelial cells culture. Passage hemangioma endothelial cells cultured in vitro were injected and transplanted into another 12 BALB/c nude mice as the cell suspension inoculation group. Changes of the tumor were observed for different periods. At day 7, 30and 60, samples were taken from the surviving tumors and examined by HE staining for pathology. Results   At day 7: In the cell suspension inoculation group, the tumor was tiny, soft and grew rapidly with few neoformative vessels. In the tissue block transplantation group, the tumor had merged together with the body and showed a large number of intratumoral vessels. At day 30: In the cell suspension inoculation group, the tumor got larger, harder and remained rapid growth with lots of neoformative vessels. In the tissue block transplantation group, the tumor remained the same size, got harder and showed a mass of inflammatory cells with few vessels left. At day 60: In the cell suspension inoculation group, the tumor had shrunk, got harder and showed decreasing vessels. In the tissue block transplantation group, the tumor was tiny, soft and almost replaced by adipocytes with little transplant left around the vessels. Conclusions   Tissue block transplantation is not appropriate to establish human hemangioma models. In contrast, injection of cultured hemangioma endothelial cells into BALB/c nude mice is a good choice for establishing reliable  human hemangioma models.

    Role of the NF-κB signaling pathway mediated by oxidative stress in
     extracelluar matrix  remodeling of  trabecular  meshwork - cells
    ZHU Yu-guang, WANG Jie, ZHU Yan, ZHONG Ying-ying, DU Xiao-nan, ZHANG Rong
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  51. 
    Abstract ( 888 )   PDF (1591KB) ( 456 )   Save
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    Objective   To investigate the effects of oxidative stress on expressions of NF-κB P65, MMPs/TIMPs in porcine trabecular meshwork cells(PTCs) and to explore the role of the NF-κB signaling pathway in trabecular extracelluar matrix(ECM) remodeling. Methods   The PTCs were cultured and passaged. The 3rd generation trabecular cells were cultured without serum and stimulated by 1mmol/L H2O2 with or without pretreatment of pyrrolidine dithiocarbamate(PDTC). Expressions of NF-κB P65, MMP-2, MMP-3 and TIMP-1 were analyzed with immunocytochemistry and RT-PCR.  The data were statistically analyzed. Results   Expressions of NF-κB P65, MMP-2, MMP-3 and TIMP-1 were significantly increased by H2O2  in PTCs. PDTC partly reversed H2O2 induced expressions of MMP-2 and MMP-3. Expression of TIMP-1 had no significant variation after pre-treatment of PDTC. Conclusion   Oxidative stress can induce expression of NF-κB P65 in PTCs. The NF-κB signaling pathway was involved in trabecular ECM remodeling. Other signaling pathways may be related to the process.

    Protective effects of progesterone on early brain injury in
    rats after subarachnoid hemorrhage
    ZHAO Yong-hui1, Gao Jun2, LI Zhuo1, JIANG Yong2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  55. 
    Abstract ( 706 )   PDF (3495KB) ( 362 )   Save
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    Objective   To investigate the effects of progesterone on early brain injury in rats after subarachnoid hemorrhage (SAH) and the possible mechanism involved. Methods   Forty-eight adult male SD rats were randomly divided into three groups: the Sham operation group, the SAH group and the progesterone group (PG). An SAH model was established by injecting autologous blood into the cisterna magna. After 48h, the morphology of hippocampal neural cells was examined in sections stained with hematoxylin and eosinfor all groups. Neuronal apoptosis in the hippocampus was assessed by TUNEL. Expression of Bcl-2 (an anti-apoptotic protein) and Bax (a pro-apoptotic protein) was investigated with immunohistochemistry. Results   Compared with the SAH group, the PG group exhibited significantly low rates of apoptosis in the hippocampus neurons (P<0.05), with expression of Bcl-2  up-regulated (P<0.05) and Bax down-regulated (P<0.05). Conclusion   Progesterone apparently enhances Bcl-2 expression and inhibits  Bax expression (thus increasing the Bcl-2/Bax ratio),  leading to low apoptosis rates in hippocampus neuronal cells. This is likely responsible for the observed protective effects of progesterone on the EBI after SAH.

    Isolation of human glioma-derived stem cells and
    establishment of an invasive glioma model
    WANG Zhi-gang, JIANG Bin, MENG Qing-hu, HAO Xiao-guang, DING Xuan, LI Ji-sen
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  60. 
    Abstract ( 849 )   PDF (1997KB) ( 330 )   Save
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    Objective   To isolate brain tumor stem cells(BTSCs)from glioblastoma(GBM)specimens, and to develop an infiltrative GBM model. Methods   Glioma neural spheres were isolated from 12 glioma tissues. The cells were observed for proliferation, self-renewal and differentiation. Confirmation was done by testing for expression of  specific molecular markers. These cells’ functionality in initiating tumors was examined in immune-deficit mice. Results   Glioma neural spheres were isolated from 9 out of the 12 samples and were able to express specific molecular markers. These cells had the capacity of proliferation, self-renewal and differentiation. Further, these cells were found to be able to initiate GBM-like tumors in mice brains. Conclusion   We successfully isolated BTSCs from human glioblastoma (GBM) samples. An invasive glioma model was established.

    Effect of rHuEPO on the proliferation and TGF-β mRNA expressions of
    rat mesangial cells induced by high glucose
    WANG Lei, GUAN Guang-ju
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  65-69. 
    Abstract ( 694 )   PDF (1731KB) ( 296 )   Save
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    Objective   To investigate the effect of recombinant human erythropoietin( rHuEPO )on high glucose-induced proliferation and TGF-βmRNA expressions in rat renal mesangial cell (MCs).  Methods   Cultured RMCs were stimulated by different concentrations of high glucose (10, 20, 30, 40 and 50mmol/L). 30mmol/L was the fit stimulation concentration, and then different concentrations of rHuEPO(1, 10, 50, 100 and 1000U/mL)were added into MCs of glucose induced rats. The MCs proliferative rates within 24h, 48h and 72h were detected by the Cell Counting Kit-8 (CCK-8) colorimetric assay. The TGF-βmRNA level in cells was detected by real-time PCR. Results   Within the range of 30mmol/L, glucose could stimulate the MCs proliferation. The best concentration and the best culture time were 30mmol/L and 72 hours respectively. Within the range of 100IU/ml, different concentrations of rHuEPO could inhibit the high glucose induced MCs proliferation and inhibit TGF-βmRNA expressions. Conclusions   High concentrations within 30mmol/L can stimulate MCs proliferation. Different concentrations of rHuEPO within 100IU/ml can stimulate the high glucose induced proliferation of MCs and inhibit TGF-βmRNA expressions.

    Clinical value of highfrequency ultrasonography in diagnosis of
    acute lateral traumatic patellar dislocation
    ZHANG Guang-ying1,2, QU Su-hui2, LIU Wei2, QIN Ling2, LIU Shao-ping1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  70-74. 
    Abstract ( 957 )   PDF (1172KB) ( 369 )   Save
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    Objective   To investigate high-frequency ultrasonography manifestation and clinical value in diagnosis of acute lateral traumatic patellar dislocation(LTPD). Methods   Both knees of 40 patients with acute LTPD were examined by high-frequency ultrasonography, and compared with the high-frequency ultrasonography images of healthy knees. The diagnostic accordance rate and accuracy of high-frequency ultrasonography compared with surgical findings were analyzed. Results   ①High-frequency ultrasonography can show medial patellofemoral ligament(MPFL) injury, vastus medialis obliquus (VMO) edema and/or elevation, articular cartilage injury of the medial patella and the lateral femoral condyle, medial collateral ligament (MCL) injury , and knee hemarthrosis. Elevation of the VMO muscle fibers by measuring the vertical distance from the adductor tubercle to the inferior margin of the VMO muscle in the coronal plane of the adductor tendon, and the shortest distance between the cortex of the medial femoral condyle in the sagittal plane were 2.3cm(0.7~4.2cm)and 0.45cm(0.1~2.9cm).  These measurements were significantly larger than the corresponding values in the control group. ②The accordance rate, sensitivity and specificity of high-frequency ultrasonography diagnosis on partial MPFL tear were 92.3%, 85.7% and 94.7% respectively. The accordance rate, sensitivityand specificity of high-frequency ultrasonography diagnosis on complete MPFL tear were 90%, 94.7% and 85.7% respectively. The accordance rate, sensitivity and specificity of high-frequency ultrasonography diagnosis on grade Ⅱarticular cartilage injury were 57.1%, 36.4% and 85% respectively. The accordance rate, sensitivity and specificity of high-frequency ultrasonography diagnosis on grade Ⅲ articular cartilage injury were 75%, 81.8% and 85% respectively. The accordance rate, sensitivity and specificity of high-frequency ultrasonography diagnosis on grade Ⅳ articular cartilage injury were 81.8%, 100% and 90.9% respectively. Conclusion   High-frequency ultrasonography can clearly show MPFL as well as adjunctive structures, and can clearly and accurately show injuries after acute LTPD. High-frequency ultrasonography is an easy, reliable and rapid method in diagnosing injuries after acute LTPD.

    Correlation study of the eruption and development of the second molars in
    patients with different sagittal skeletal patterns 
    XIE Zhi-wei1, WANG Fan-tao2, GUO Jing1,3
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  75. 
    Abstract ( 805 )   PDF (1426KB) ( 558 )   Save
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    Objective   To estimate the correlations of the eruption and development of the second molars in patients with different sagittal skeletal patterns at the 11th dental age. Methods   Pretreatment records of 74 patients with a mean dental age of 11 years(according to the Becker′s method)were evaluated for the study,which were divided into skeletal Class Ⅰ, skeletal Class Ⅱof mandible and skeletal Class Ⅲ of maxilla groups according to their ANB, SNA, SNB angles and APDI on digital lateral cephalograms before treatment. The eruptional height, eruptional angle and developmental stages of the second molars were assessed from digital X-ray panoramic radiographs and the lateral cephalograms. SPSS16.0 package was used to analyze and process the data. Significant difference was identified with P<0.05. Results   There was no significant difference in the eruptional height, eruptional angle and developmental stagesof the maxillary or mandibular second molars among different sagittal skeletal patterns in patients with a mean dental age of 11 years(P>0.05). The length of PP had a positive correlation with the eruptional height and developmental stages of the maxillary second molars(P<0.01), but had a negative correlation with the eruptional angle of the maxillary second molars(P<0.05). The length of GM had a positive correlation with the developmental stages of the maxillary and mandibular second molars(P<0.01),but had no correlation with the eruptional height and eruptional angle of the mandibular second molars(P>0.05). Conclusion   According to the correlative assessment, in children of 11 years dental age, the greater the maxillary length, the higher eruptional height of the maxillary second molars and the smaller the eruptional angle, the earlier the development of the second permanent molar of maxillary and mandible. The greater the mandibular length, the earlier the development of the second permanent molar of maxilla and mandible.

    Expression of oncostatin M in knee osteoarthritis
    ZHANG Peng, SUN Shui, ZHANG Wei, GUAN Da-wei, LI Yan, CHEN Hui, QI Cheng-en, LI Hui-bo
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  80. 
    Abstract ( 743 )   PDF (1884KB) ( 478 )   Save
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    Objective   To investigate the difference of OSM expression between OA and the normal synovial membrane,and to discuss its function in the pathogenesis of knee osteoarthritis. Method   OSM expression was concurrently detected in synovial fluid samples from 33 patients with severe OA,10 patients with slight OA and 8 patients with normal disciform meniscus. We performed quantitative real-time PCR to determine all the genual synovium OSM gene expression levels. The distribution of OSM in all genual synovium was detected by immunohistochemical technology. Results    OSM was found in all patients′ synovial fluid.The expression level of OSM had a positive correlation with the severity of OA(P<0.05). There was no significant difference in expression of OSM between patients with slight OA and patients with normal disciform meniscus(P>0.05). Conclusion    OA synovial cells may have a higher level of OSM, which is related to the course of disease. OSM plays an important role in the pathogenesis process of osteoarthritis.

    Analysis of methylation of the Dickkopf1 (DKK1) gene in acute leukemia
    ZHU Xun-xun1, ZHU Chuan-sheng2, WANG Yan2, XU Wen-wei2, DONG Lin2, GUO Yan2, LI Hong-li1, BI Ke-hong2 
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  84. 
    Abstract ( 888 )   PDF (2553KB) ( 637 )   Save
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    Objective   To investigate the relationship between the abnormal methylation of the Dickkopf1 (DKK-1) gene, which is a key inhibiting factor of the WNT/β-catenin pathway, and acute leukemia (AL). Methods   Reverse Transcription Polymerase Chain Reaction (RT-PCR) was used to examine DKK-1 mRNA expression in 4 AL cell lines (NB4, Jurkat, Molt-4, and CEM) of 65 AL patients and 20 normal controls. Methylation-Specific Polymerase Chain Reaction (MSP) was used to examine the CpG-island methylation status of the DKK-1 gene in AL cell lines of AL patients and the controls. Results   Compared with that in the normal controls, the expression of the DKK-1 gene was significantly reduced in the AL patients(P<0.05). None of the normal mononuclear cells showed methylation of the DKK-1 gene. DKK-1 methylation was found in 24 of the 65 (37.7%) AL patients. The frequencies of aberrant DKK-1 methylation were 41.2%(14/34) in the acute lymphoblastic leukemia(ALL) patients, and 28.6%(10/31) in the acute myelocytic leukemia(AML) patients. ConclusionsMethylation and aberrant expression of the DKK1 gene are common in AL and also play a role in the pathogenesis of some AL.

    Clinical effect and follow-up analysis of lowdose adrenocorticotropic
    hormone for infantile spasms
    LONG Xin-xin, WANG Xue-yu
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  88-91. 
    Abstract ( 752 )   PDF (927KB) ( 329 )   Save
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    Object   To investigate the therapeutic efficacy and the follow-up prognosis of low-dose adrenocorticotropic hormone for infantile spasms. Methods   The clinical data of IS patients in hospital from January 2008 to December 2010 were collected. Early effects were analyzed by the retrospective analytical method. In order to determine the longterm prognosis, we followed up the long-term seizures, the mental and motor development as well as the changes of EEG. At the same time, the related factors affecting prognosis were analyzed by logistic regression. Results   Factors influencing longterm seizures were correlated with the etiologies, the course of the disease and the therapeutic effect of ACTH(P<0.05), but not correlated with the onset age(P>0.05). The mental and motor development was correlated with the etiologies (P<0.05), but not correlated with the onset age, the course of the disease and the therapeutic effect of ACTH(P>0.05). The normal rate of EEG was 51.9% followed-up for one year and 66.7% followed-up for more than two years. Conclusions   Low-dose ACTH has an obviously early therapeutic efficacy and its long-term clinical seizure,mental and motor prognosis are better.

    Expression of TLR 4 in colorectal cancer and its
    relationships with FasL and EGFR
    CHENG Zhao-ling, LI Xue-mei, YANG Ting-ting, ZHU Qiang
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  92. 
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    Objective   To investigate expression of tolllike receptor 4 (TLR4), fas ligand (FasL) and epidermal growth factor receptor (EGFR) in colorectal cancer and normal intestinal tissues. Methods   SP immunohistochemistry was used to study expression of TLR4, FasL and EGFR in 58 colorectal tissues and 25 normal colorectal tissues (control).  Results   Expression rates of TLR4, FasL and EGFR were 59%, 71% and 83% in colorectal cancers and 20%, 21% and 23% in normal intestinal tissues, respectively. TLR4 expression was correlated with distant metastasis of colorectal tumors(χ2 =4.063, P<0.05). TLR4, FasL and EGFR all exhibited significantly higher expression in colorectal cancers than  in normal tissues. There was a positive correlation between TLR4 and FasL in their expression rates(r=0.249, P<0.01). Between TLR4 and EGFR, there was no apparent correlation(r=0.345, P>0.05). Conclusions   High expression of TLR4 is correlated with distant metastasis of colorectal tumors and may boost the immune counterattack of colorectal cancer cells through up-regulating expression of FasL.

    Imaging characteristics and surgical treatment of Sturge-Weber syndrome
    WEI Sheng-cheng1, WANG Zhi-gang1, QU Chun-cheng1, TENG Liang-zhu2
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  95. 
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    Objective   To analyze imaging findings and surgical therapy of Sturge-Weber syndrome, and to explore the effectiveness of multi-lobectomy for Sturge-Weber syndrome. Methods   The data of 3 Sturge-Weber syndrome patients (type I, 2 males and 1 female) were analyzed. Before surgery, all patients underwent CT and MRI scan and VEEG test and after surgery, they were followed up for 1 to 2 years. Results   In CT scans, the 3 patients manifested calcification in brain tissue. Abnormal blood vessels and cerebral atrophy were displayed in MRI imaging, and the disease area could be determined. 2 patients accepted tempro-occipital craniotomy, and the other patient accepted hemispherectomy. After 1 to 2 years follow-up, all patients had epilepsy release. Conclusion   Sturge-Weber syndrome can be determined by combining clinical manifestation and CT/MRI imaging. Surgical therapy should be taken as early as possible in patients with epilepsy. The total removal of lesions without adding functional deficiency can release the epilepsy seizure of SturgeWeber syndrome.

    Correlation study of single nucleotide polymorphism of multiple
    drug resistance 1 and ulcerative colitis prednisone sensitivity
    LI Ling, CHEN Yong, YANG Chong-mei
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  99-102. 
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    Objective   To investigate the relationship between multiple drug resistance 1(MDR1) polymorphism and prednisone sensitivity in ulcerative colitis (UC) patients. Methods   86 UC patients were divided into three groups according to their history: 30 newly diagnosed UC patients, 30 UC patients who were previously sensitive to the prednisone treatment and 26 UC patients on whom the prednisone treatment had no effect. DNA samples were obtained from 86 UC patients. Genotypes of the MDR1C3435T and G2677T/A loci were determined by polymerase chain reaction of the sequence specific primer (PCR-SSP). Results   The MDR1C3435T locus consisted of three genotypes: CC,CT and TT. There were significant differences between the newly diagnosed UC patients and prednisone resistant patients in the MDR1C3435T locus. The same results occurred in prednisone resistance patients and prednisone sensitive patients. However there was no significant difference in C and T allele frequencies among the three groups in the MDR1C3435T locus. There was no significant difference of the genotypes and allele frequencies of the G2677T/A locus among the three groups. Conclusion   There is a relationship between the MDR1C3435T polymorphism and prednisone resistance UC patients in Chinese Han nationality. The MDR1C3435T gene mutation in UC patients is prone to the prednisone resistance. The result can not prove there is a correlation between UC in Chinese Han nationality and MDR1 G2677T/A polymorphism.

    Expression and significance of pigment epithelium-derived
    factor in cervix squamous cell carcinoma
    LIU Jian-meng, CUI Bao-xia, YIN Ting, ZHANG Ai-rong
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  103-106. 
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    Objective   To investigate expression and clinical significance of pigment epithelium-derived factor (PEDF) in early-stage cervical squamous cell carcinoma. Methods   Expression of PEDF, micro-vessel density(MVD) labeled by CD34 and proliferation index of cancer cells labeled by Ki-67 were detected in 50 cases of early invasive carcinoma of cervix(ICC),18 cases of cervical intraepithelial neoplasm(CIN) and 35 cases of normal cervical epithelium(NCE) with the PV-9000 immunohistochemical method. Results   Positive expression rates of PEDF in NCE, CIN and ICC were 100%, 77.78% and 48.00% respectively. There was a significant relationship between lower expression of PEDF and pelvic lymph node metastasis or intravascular involvement(P<0.05), but no relationship with the patients age, FIGO stage, tumor size and degree of tumor differentiation(P>0.05). PEDF was negatively correlated with MVD (P<0.01, r=-0.6424) and Ki67(P<0.01, r=-0.4016). Conclusion   In cervix squamous cell carcinoma, lower expression of PEDF may play an important role in tumor angiogenesis, proliferation of cancer cells, cancer invasion and metastasis.

    Expression of mucins (MUC1, MUC2, MUC5AC and MUC6) and
    their significance in invasive ductal breast carcinoma
    ZHUANG Ting1, XUE Mei2, FANG Ai-ju3, GUAN Bing-xin1, LIANG Yan1, WANG Zhi-hui2, WANG Yan1, MENG Bin1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  107-111. 
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     Objective   To evaluate expression of several mucins in invasive breast ductal carcinoma and the correlation with clinicopathological features. Methods   Tissue microarray (TMA) and immunohistochemical(IHC) technologies were used to evaluate expression of several mucins (MUC1, MUC2, MUC5AC and MUC6) in 207 cases of invasive breast ductal carcinoma and to analyze their correlation with clinicopathological features. Results   MUC1 expression was detected in 89.4% of cases and its expression was associated with lower histological grade, estrogen receptor (ER) positive and absence of lymph node (LN) metastasis. The subcellular localization of MUC1, but not expression level, had a prognostic value in postoperative recurrence and metastasis. MUC2 expression was noticed only in 4.3% of all cases. MUC5AC and MUC6 were expressed in 42.0% and 22.2% of cases respectively. There were associations between MUC5AC and lower histological grade as well as ER-positive, and MUC6 was positively correlated with HER-2. But there was no association between mucins and other clinicopathological variables. Conclusion   WhileMUC1 is expressed in the majority of the cases, others (MUC2, MUC5AC, MUC6) are not. Ectopic expression of MUC1 might be a potential prognostic indicator, which needs further study for confirmation.

    Expression and significance of Livin and Mcm3 in nasal polyps
    ZHANG Hai-ling1, XU An-ting2, FAN Xian-liang1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  112. 
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    Objective   To explore expressions of Livin and Mcm3 in nasal polyps(NP), and to investigate their relationships  with NP′s clinical stages and recurrence rate. Methods   Expressions of Livin and Mcm3 were detected in 40 cases of NP and 6 cases of normal mucosa of the uncinate process by immunohistochemistry and the image analytical system. Results   Positive expression of Livin between NP and normal mucosa was statistically different(P<0.05), while Mcm3 was not(P>0.05) . Co-expression of Livin and Mcm3 showed a positive correlation with both NP different stages and NP recurrence rate. Conclusion   Over-expression of Livin maybe play a more important role in pathogenesis of NP than Mcm3. Livin and Mcm3 may be reference indexes for prejudgement of NP recurrence.

    Expression and significance of RhoE/Rnd3 protein in adenomyosis
    LIU Jing, ZHANG Hui, YAN Lei, ZHAO Xing-bo, LI Ming-jiang
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  116. 
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    Objective   To investigate expression of RhoE/Rnd3 protein in human adenomyosis and its potential clinical effect. Methods   The immunohistochemical method was employed to detect RhoE/Rnd3 protein expression of the eutopic endometrium obtained from 32 patients without adenomyosis(the control group), and the eutopic(A group) and ectopic (B group)endometrial tissues surgically obtained from 38 patients with adenomyosis(the experimental group). Expression was detected in endometrial glandular cells, stromal cells and smooth muscle cells of the normal and the adenomyosis groups. Results   ① In endometrial glandular cells: expressions of RhoE/Rnd3 in the control group were significantly higher than those of the eutopic(t=11.3, P<0.05) and the ectopic (t=9.33,P<0.05) endometria of the experimental groups, but there was no significant difference between the latter two groups(t=1.63, P>0.05). ②In stromal and smooth muscle cells there was no significant variance of RhoE /Rnd3 in the stromal cells of the three groups, and there was no significant difference in the smooth muscle cells between the control group and the experimental group (P>0.05).  ③ Expression of RhoE/Rnd3 in endometrial glandular cells was related to the course of adenomyosis. Expression levels in tissues from patients whose clinical courses exceeded two years were obviously lower than those from patients whose clinical courses were less than two years(P<0.05). Conclusion   The RhoE/Rnd3 protein may play a considerable role in the development of adenomyosis, and it could be an important tumorsuppressing gene.

    linical value of the radial artery flow chart for the prediction of
    preeclampsia in pregnant women-
    SUN qian, HOU Yan-mei
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  120. 
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    Objective   To evaluate the clinical value of the radial artery blood flow for predicting pre-eclampsia in gravidas, and to accurately identify high-risk pregnant women, and to early predict the incidence of pre-eclampsia. Methods   Data from 10433 pregnant women at 16-36 weeks of gestation who were free of hypertension, diabetes mellitus, renal disease, cardiovascular disease and other complications in prenatal screening were analyzed by the case-control study. These pregnant women were randomly divided into the study group and the control group. The pregnant women in the study group were monitored for the radial artery flow chart by the hypertensive disorder in the pregnancy monitoring system. They were examined at 4-week intervals. For the pregnant women positive with hypertensive disorders by the pregnancy monitoring system,  the measurement was repeated every 2 weeks and intervention was applied. The pregnant women in the control group were given interventions until pre-eclampsia symptoms appeared. All pregnant women were followed-up until after delivery. The severity and the incidence of preeclampsia and Intrauterine Growth Retardation(IUGR) in the two groups were compared. Results   The incidences of pre-eclampsia and eclampsia in the study group were 11.2% and 0.11%, while the incidences were 13.5% and 0.29% (P<0.05) in the control group. The rates of IUGR in the study and control groups were 5.11% and 7.06%(χ2=15.38,P<0.01). The severity of pre-eclampsia in the control group was significantly higher compared to the study group (P<0.05). The sensitivity of the MP monitoring system in predicting preeclampsia was different at different gestational ages, and the rate of the pre-eclampsia positive prediction coincidence increased with the gestational age. Conclusions   Applying the pregnancy monitoring system for hypertensive disorders to early predict pre-eclampsia, and giving interventions to pregnant women with positive -predictions, can significantly reduce the incidence of preeclampsia and prevent the development of severe disease and improve the maternal and perinatal infant outcome.

    The economic burden of bronchial asthma and its related factors in Jinan
    WANG Dexiang1, JI Xiu-li1,2, MA Dedong1, ZHANG Yu-ke1, HE Bao-long1, WANG Wen-qiao1, XIAO Wei1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  124-128. 
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    Objective   To investigate the economic burden of asthma in Jinan, and to analyze its influencing factors. Methods   Data of 152 asthma patients chosen from 13419 residents  through randomized cluster sampling in the asthma epidemiologic survey in Jinan, Shandong Province in 2009 were analyzed. The economic burdens of asthma in both the urban and the rural area of Jinan were assessed through the direct method and human capital method. The Chi-square test and multiple logistic regression analysis were employed to investigate the related factors of expenses of asthma treatment. Results   The prevalence of asthma was 1.1% in Jinan. The economic burden of diseases was 290 million yuan, including 253 million yuan for the direct economic burden and 37 million yuan for the indirect economic burden. The average burden per capita was 4378 yuan. Complication with allergic rhinitis or other cardio-pulmonary diseases, hospitalization for asthma, smoking index and overuse of antibiotics were the main impact factors on the asthma burden in Jinan. Conclusion   The economic burden of bronchial asthma for patients in Jinan is heavy. Smoking and overuse of antibiotics were the main but controllable factors for the increased economic burden. Tobacco control, implementation of standard asthma treatment and avoiding overuse of antibiotics can effectively eradicate medical resources waste and decrease the economic burden of asthma.

    Application of spatial autocorrelation analysis to
    explore disease‘hot spots’regions
    ZHANG Bing-bing1, JIANG Xiang-kun2, ZHANG Shi-ying2, XUE Fu-zhong1
    JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2012, 50(5):  129-132. 
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    Objective   To explore the ‘hot spot’ regions of disease spatial distribution based on spatial autocorrelation analysis, so as to provide evidence for disease control and prevention. Methods   ArcGIS9-3 was used for data management and analysis, applying global spatial autocorrelation analysis and ‘hot spot’ analysis to reflect characters of the disease spatial distribution based on spatial statistical section. Results   The incidence of hand-foot-mouth disease(HFMD) in 2010 was clustered in Liaocheng City. The global spatial autocorrelation Moran′s I index=069, u=11.46, and P<0-01. Under the generalized G statistics, the G index=0-01, u(G) score=9.51, and P<0-01. Local G statistics revealed high clustering of disease distribution in  the Dongchangfu district and Gaotang county. Conclusion   In spatial statistics, spatial autocorrelation analysis could effectively detect the ‘hot spot’ regions.