Application of microbiota in the early diagnosis and adjunctive treatment of lung cancer / 国际肿瘤学杂志

Drug-resistance and adverse reaction in the treatment of lung cancer patients are still a difficult problem in modern medicine. Studies have indicated that the abundance, diversity and metabolites of intestinal and pulmonary microbiota can be used to assist in the early diagnosis and monitoring the prognosis of lung cancer. Meanwhile, as combined modality therapies, intestinal microbiota combined with chemotherapy, immunotherapy and targeted therapy can enhance therapeutic effect and reduce adverse reaction. Microbiota exhibits an extensive application prospect in the diagnosis and treatment of lung cancer.

Predictive values of the combination of Friedman stage and sleep oximetry done early after surgery in predicting the treatment outcomes of uvulopalatopharyngoplasty / 北京大学学报(医学版)

OBJECTIVE@#To explore the predictive values of the combination of preoperative data, including medical history and physical examination, and results of sleep oximetry performed early after the surgery (one week) in predicting the treatment outcomes of uvulopalatopharyngoplasty (UPPP) in adult patients with obstructive sleep apnea hypopnea syndrome (OSAHS).@*METHODS@#All the patients who were diagnosed with OSAHS, underwent UPPP treatment and had complete follow-up data in our institution between Jan 2013 and May 2016 were enrolled in our study. The pre-operative data of these patients, including age, physical examination, and polysomnography (PSG) data, were all exactly collected for analysis. All these patients had received the evaluation of subjective efficacy scale and the sleep oximetry test in early post-operative days (within one week). The long-term efficacy evaluations including PSG and subjective efficacy scale were all finished at least three months after the surgery.@*RESULTS@#In the research 61 patients were finally studied, including 25 responders (41.0%) and 36 non-responders (59.0%). Regression analysis revealed that the pre-operative Friedman stage and early post-operative oxygen desaturation index of ≥4% (ODI4) were found to be independently predictive parameters for the UPPP treatment outcomes (P<0.05). The ROC curve analysis was used to estimate the predictive values of ODI4 to the treatment outcomes, and it was calculated with an area under the curve of 0.822. Using the ODI4 of 15 as the cutoff value, the sensitivity and specificity of that calculated were up to 0.778 and 0.760 respectively. The response rate among the patients with an early post-operative ODI4 of <15 was 70.4%, which was significantly higher than that of the patients with an early post-operative ODI4 of ≥15, whose response rate was 17.6% (P<0.05). The similar results could also be obtained in the patients with pre-operative Friedman stage II (87.5% vs.25.0%) and Friedman stage III (33.3% vs. 6.7%).@*CONCLUSION@#The combination of early post UPPP operation oximetry parameters, especially ODI4, and pre-operative Friedman stage could be used in better evaluating the potential surgical outcomes of UPPP.

The effect of Wnt/β-catenin signal pathway on multidrug resistance in liver cancer / 中国综合临床

Objective To establish a cisplatin (DDP)-resistant HepG-2 cell line,and to explore the role of Wnt/β-catenin signaling pathway on multidrug resistance in human hepatocellular carcinoma.Methods The HepG-2 cells were exposed in a gradually increasing dose of DDP to establish a cisplatin ( DDP)-resistant HepG-2 cell line.MTT assay was used to detect the cytotoxic activity of DDP against HepG-2 and HepG-2/DDP cells.The mRNA expression of β-catenin was determined by Real-time PCR assay.The small interfering RNA was used to specifically knockdown β-catenin expression in HepG-2/DDP cells.The protein expression was detected by western blot analysis.Results The DDP-resistant cell line HepG-2/DDP was established by gradient DDP induction successfully.The IC50 values of DDP against HepG-2 and HepG-2/DDP cells were (2.29 ± 0.14) μmol/L and ( 20.51 ± 0.84 ) μmol/L,respectively ( t=95.68,P＜0.01 ),HepG-2/DDP cells was 8.96 times than HepG-2 cells on the resistance of cisplatin.The result of real time PCR showed that 2-△Ct value of β-catenin in HepG-2 cells and HepG-2/DDP cells were (0.323±0.065) and (0.674 ±0.097) (P＜0.01 ).And the protein expression of cisplatin in HepG-2/DDP cells was also significantly higher than that in the HepG-2 cells.The expresssion of β-catenin was significantly and specifically depleted by siRNA duplexes(P＜0.01 ).The IC50 values of cisplatin against HepG-2/DDP cells were (21.02 ± 1.64) μmol/L in cisplatin control group,(6.23 ± 0.68 ) μmol/L in SiRNA targeting interference group and ( 20.44 ± 1.26 ) μmol/L in SiRNA negative interference group,and there was significant difference between control group and SiRNA targeting interference group ( P＜0.01 ).Conclusion The Wnt/β-catenin signaling pathway was activated on the cisplatin(DDP)-resistant HepG-2 cell line and down regulation of β-catenin increased the chemosensitivity of HepG-2/DDP cells against cisplatin.It provided a theoretical basis for finding the new targets of multidrug resistance in liver cancer.

Expression and clinical significance of LIVIN and PTEN in gastric cancer / 中国医师进修杂志

Objective To study the expression of LIVIN and PTEN in human gastric cancer and evaluate their clinical significance. Methods The expressions of LIVIN and PTEN were detected by immunohistochemical method in the tissues of 65 primary gastric cancer and 15 normal gastric mucosae. Results The positive expression rate of LIVIN in gastric cancer tissues was significantly higher than that in normal tissues [73.85%(48165) vs 26.67%(4/15)], and the positive expression rate of PTEN was obviously lower than that in normal tissues [30.77%(20/65) vs 66.67%(10/15)](P < 0.05). The positive expressions of LIVIN and PTEN were closely correlated with tumor depth of gastric cancer, histological differentiation grade, lymph node metastasis and TNM stage. The expressions of LIVIN and PTEN had a significant positive correlation (r = -0.362,P =0.003). Conclusion LIVIN and PTEN may play important roles in carcinogenesis of gastric cancer, which may be considered as reliable markers in clinical diagnosis and the prognosis of gastric cancer.

Osteoblastic early attachment onto the surface of bioadhesive peptide modified pure titanium / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To investigate the long-term integrity and the biological function of interface between the bioadhesive peptide modified implant surface and peri-implant tissue.</p><p><b>METHODS</b>A short bioadhesive peptide containing Glycine-Tyrosine-Arginine-Glycine-Asparticacid-Serine (GYRGDS) sequence was immobilized onto the titanium implant surface by means of sol-gel coating technique and self-assembled monolayers (SAM). The chemical composition and organic functional groups on the titanium surfaces were characterized using XPS (X-ray photoelectron spectroscopy) and FTIR (Fourier transform infrared spectrometer). The adhesive strength and stability of osteoblasts on various implant surfaces were compared under flow condition.</p><p><b>RESULTS</b>The results showed that alkali/hot water aging treatment could apparently improve the content of -OH functional groups of titanium surface. The chemical reactive Ti-O-Ti bonding at the surface of titanium played a vital role in inducing the formation of organosilane SAM. GYRGDS peptide can be covalently grafted onto the surface of titanium by SAM technique. The resistance of freshly adherent osteoblasts to detachment by flow was shear time dependent. When the four groups were compared under the same flow stress condition (2.05 Pa) at three specific time spans (30 min, 1 h, 2 h), the cells retention rates in GYRGDS-grafted groups were 93.0%, 54.4%, 34.4% respectively and were much higher than those in non-coated groups.</p><p><b>CONCLUSIONS</b>It was suggested that GYRGDS might have positive effects on maintaining stability and adherence of cells onto the substrates under flow condition.</p>

Retention of selected cores to all-ceramic posts in post-and-core system / 华西口腔医学杂志

<p><b>OBJECTIVE</b>To compare the retention of selected cores to all-ceramic posts in post-and-core system, in which the ceramic core was combined with the post by direct sintering, adhering, and the composite resin core was formed onto the post.</p><p><b>METHODS</b>A total of 15 all-ceramic post fabricated by alumina-zirconia nano-composite infiltrated ceramics were divided into three groups. In group A, forming and combining the ceramic core with the post by direct sintering. In group B, combining the ceramic core with the post by adhering. In group C, forming composite resin core onto the post. Each specimen was placed into a special jig along the post axis and subjected to a load on INSTRON 4302 universal testing instrument until failure.</p><p><b>RESULTS</b>There was a statistically significant difference between the groups (P < 0.01). Group A showed a significantly higher retention which was 3.04 and 2.88 times as high as group B and C respectively (P < 0.01). There was no significant difference between adhering and composite resin core (P> 0.05).</p><p><b>CONCLUSION</b>A reliable retention of the core to the post can be achieved when the alumina-zirconia nanocomposite infiltrated ceramic core is formed and combined with the post by direct sintering, which offers significantly higher retention than adhering and forming composite resin core onto the post.</p>

Influence of different types of posts and cores on color of IPS-Empress 2 crown / 华西口腔医学杂志

<p><b>OBJECTIVE</b>To evaluate the influence of different types of posts and cores on the final color of the IPS-Emperss 2 crown.</p><p><b>METHODS</b>Five types of posts and cores (Cerapost with Empress cosmo, Cerapost with composite resin, gilded Ni-Cr alloy, gold alloy and Ni-Cr alloy) were made. The shifts in color of three points of IPS-Empress 2 crown surface (cervical, middle and incisal) with different posts and cores was measured with a spectroradiometer (PR-650).</p><p><b>RESULTS</b>The L* a* b* values of zirconium oxide and gilded Ni-Cr alloy posts and cores with ceramic crown were the highest. The L* a* values of zirconium oxide posts composite cores were higher while the b* values were lower. The L* a* b* values of Ni-Cr alloy were lower than that of gold alloy and were the lowest.</p><p><b>CONCLUSION</b>In combination with IPS-Empress 2 crown, zirconium oxide posts are suitable for routine use in the anterior dentition, and gilded Ni-Cr alloy and gold alloy posts and cores can be recommended for clinical practice. Ni-Cr alloy posts and cores can not be recommended for clinical practice.</p>

Microwave sintering of nanometer powder of alumina and zirconia-based dental ceramics / 华西口腔医学杂志

<p><b>OBJECTIVE</b>The objective of the present study was to investigate the feasibility and reliability of sintering alumina and zirconia-based all-ceramic materials through a recently introduced microwave heating technique. The variation of crystal phases, the growth of grain sizes and microstructural features of these materials were evaluated after sintering.</p><p><b>METHODS</b>Four different groups of powder (l00%Al2O3, 60%Al2O3+40%ZrO2, 40% Al2O3+60%ZrO2, 100% ZrO2) were respectively press-compacted to fabricate green disk samples, 5 specimen of each group were prepared. All the samples were surrounded by refractory materials for heat containment and processed at 1 600 degrees C in a domestic microwave oven (850 W, 2 450 MHz), 1 600 degrees C/5 min for heating rate, 10 min for holding time. After sintering, the phase composition and average grain size of these ceramics were examined using X-ray diffraction (XRD). Their microstructure characteristics were studied by scanning electron microscopy (SEM).</p><p><b>RESULTS</b>All the specimens were successfully sintered with the application of microwave heating system in combination with a suitable thermal insulator. No phase change was found in alumina while monoclinic-zirconia was found to be transformed to tetragonal-zirconia. A little grain size growth of Al2O3 and ZrO2 has been observed with Al2O3 24.1 nm/before and 51.8 nm/after; ZrO2 25.3 nm/before and 29.7 nm/after. The SEM photos indicated that the microwave-sintered Al2O3-ZrO2 ceramics had a uniform crystal distribution and their crystal sizes could be maintained within the range of nanometers.</p><p><b>CONCLUSION</b>It is expected that in the near future microwave heating system could be a promising substitute for conventional processing methods due to its unparalled advantages, including more rapid heating rate, shortened sintering time, superfine grain size, improved microstructure and much less expensive equipment.</p>

Cyclic fatigue of Vita mark II machinable ceramics under Hertzian's contact / 华西口腔医学杂志

<p><b>OBJECTIVE</b>To investigate the cyclic fatigue modes of Vita mark II machinable ceramics under Hertzian's contact.</p><p><b>METHODS</b>Hertzian's contact technique (WC spheres r = 3.18 mm) was used to investigate the cyclic fatigue of Vita mark II machinable ceramic. All specimens were fatigued by cyclic loading in moist environment, furthermore, surviving strength was examined by three point test and morphology damage observation.</p><p><b>RESULTS</b>In homogeneous Vita mark II machinable ceramics, two fatigue damage modes existed after cyclic loading with spheres under moist environment, including conventional tensile-driven cone cracking (brittle mode) and shear-driven microdamage accumulation (quasi-plastic mode). The latter generated radial cracks and deeply penetrating secondary cone crack. Initial strength degradation were caused by the cone cracks, subsequent and much more deleterious loss was caused by radial cracks.</p><p><b>CONCLUSION</b>Cyclic fatigue modes of Vita mark II machinable ceramics includes brittle and quasi-plastic mode.</p>

Influence of adhesion on the color of glass infiltrated alumina ceramic restorations / 华西口腔医学杂志

<p><b>OBJECTIVE</b>To investigate the effects of luting agent on the final color of glass infiltrated alumina ceramic restorations.</p><p><b>METHODS</b>12 plate-shaped specimens with 12.5 mm in diameter and 0.5 mm thickness were fabricated from GI-II (color IG2). Vitadur alpha veneering porcelain (color A2) with 1.0 mm thickness was fired to GI- II glass/alumina composite. 12 plate-shaped background specimens simulating the metal alloy post-and-core 12.5 mm in diameter and 2 mm thickness were also made from Ni-Cr alloy. All-ceramic specimens were luted to the metal alloy by Zinc Phosphate cement, glass ionomer cement and composite resin. The color shifts of the specimens were measured by colorimeter.</p><p><b>RESULTS</b>Luting agents had effect on the final color of restorations. The influence of composite resin was least, followed by glass ionomer cement and Zinc Phosphate cement. The color difference between with and without Zinc Phosphate cement could be identified by the eye.</p><p><b>CONCLUSION</b>To reduce the effect of luting agents, composite resin is recommended to all-ceramic restorations' adhesion.</p>

A comparative study on cyclic and static fatigue of dental ceramic by means of Hertzian's contact / 中华口腔医学杂志

<p><b>OBJECTIVE</b>To compare the difference in strength degradation and morphology damage of brittle dental ceramic after static load and cyclic fatigue.</p><p><b>METHODS</b>Hertzian's contact technique with a tungsten carbide sphere was used to investigate the response of feldspathic dental porcelain to static load and cyclic fatigue. All specimens were subjected to static or cyclic loading in moist environment. Furthermore the surviving strength of specimens was examined by the three-point test and the morphology damage was observed. Statistical analyses were performed with ANOVA and a P-value less than 0.05 was considered to be significant.</p><p><b>RESULTS</b>Outer cone crack and associated strength degradation simultaneously occurred both after the first cyclic loading and static loading. Up to 1,000 cycles, the specimens showed inner cone cracks and strength degradation was aggravated. No significant difference in the strength degradation among all static loading specimens and no inner cone cracks occurred in static loading specimens.</p><p><b>CONCLUSIONS</b>Both static and cyclic fatigue influence dental ceramic strength, but cyclic fatigue is more deleterious.</p>

Quantitative study of the cerebral hemodynamics by using multislice CT perfusion imaging in normal adult / 重庆医科大学学报

Objective:To explore the application value of multislice CT perfusion imaging in normal adult cerebral hemodynamics. Methods:Routine CT and multislice CT perfusion imaging were performed by selecting the basal ganglia slice and its adjacent slice in 24 normal adults,These scan dynamic images were peocessed with the CT perfusion software package.Cerebral blood flow(CBF),cerebral blood volume(CBV) and mean transiting time(MTT) were measured within the specific regions of interest(ROI) of the brain,and quantitative analysis was performed. Results:A gradient of perfusion between gray matter and white matter showed on multislice CT perfusion imaging in normal adults.CBF,CBV,MTT were(52.8?10.0)ml/(100g?min),(2.7?0.6)ml/100g,(3.7?0.9)s respedtively in the gray matter and(22.0?3.3)ml/(100g?min),(1.3?0.4)ml/100g,(5?1.2)s respectively in the white matter. Conclusion:multislice CT perfusion imaging provided a new imaging method for measuring the cerebral hemodynamics.

Expression on dhfr-CHO cells and activity study of CD137 (human 4-1BB) / 中国免疫学杂志

Objective:To set up a eukaryotic system for high expressing human CD137 and to investigate the role of CD137 and CD137L on signals transduction of cells.Methods:The pCDNA3 plasmid containing full length of human CD137 cDNA sequence(CMV ILA SEN,CIS) and pSV2 dhfr plasmid were cotransfected into dhfr CHO cells by lipoid mediating method. The positive clone was selected with G418. Expression of CD137 on dhfr CHO cells were induced by MTX and detected by RT PCR, immunocytochemistry and flow cytometry.It's activity study was done by method of incorporating 3H TdR.Results:CD137 expressed on the surface of dhfr CHO, expression rate was 96.07%, it's activity study indicated that CD137 increase the proliferation of PBMC stimulated by anti CD3 monoclonal antibody.Conclusion:dhfr CHO cells that highly express CD137 were established. CD137 can increase the proliferation of PBMC stimulated by anti CD3 monoclonal antibody.

Application of CT perfusion imaging in detection of changes in cerebral microcirculation / 第三军医大学学报

Objective To observe the changes in cerebral microcirculation after subarachnoid hemorrhage(SAH) and to study its correlation with cerebral vasospasm(CVS).Methods Eighty-five SAH patients and 35 controls,enrolled in this study as perspective study subjects,were divided into SAH group and control group,CVS group and non-CVS group(nCVS),symptomatic CVS(sCVS) group and asymptomatic CVS(asCVS) group.All the subjects underwent CT perfusion(CTP) and the associated parameters,including cerebral blood flow(CBF),cerebral blood volume(CBV) and mean transit time(MTT),were recorded for final analysis.Results Compared to the control group,the CBF and MTT were significantly changed in SAH group(P